FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.
1) Go to Public Hospital / Private Specialist.
Note: You will be classified as a subsidised patient if your first visit is via:
- Referral letter from a Government Restructured Hospital under subsidised status, A&E, Polyclinic or SAF, without specifying a specialist by name.
- Discharge from inpatient class B2 or C without
specifying a specialist by
2) Consult specialist, and do whatever medical check ups required. E.g. physical exam, blood test, x-ray, CT scan, MRI scan.
3) Specialist gave a finalised clinical diagnosis.
4) Get the specialist to write you a memo which is to be given to SAF MO. Those who can and are willing to spend some more money can get him/her to write you a specialist report, which is more precise and detailed.
Note: For not to waste time and money, please be more direct yet humble. Request the specialist to write about reviewing of PES and medical board / anything specific such as any excuses to your conditions.
5) Book an medical review appointment using the eHealth module @ www.ns.sg (for NSman Reservists).
Just go down to your camp medical centre (for NSFs).
Call CMPB @ 6373 1340 to request another PES review (for Pre-Enlistees after CMPB Checkup).
6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.
7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.
8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).
Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.
Extract from www.mindef.gov.sg/nsmen:
NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.
The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT.
For parents who did not receive the letter to send to their child for field camp.
You can send it to the following address in this format:
Name: REC (Enlistee's name here)
Company: (Company name here) COY
BMTC School (1,2,3 or 4), Admin Branch
21 Pulau Tekong Besar
Pulau Tekong Camp
Only one letter will be accepted per recruit.Edited by eac 12 Apr `16, 11:10PM
Silent Mobilisation System
i. Primary Means:
The eMobilisation system will notify you via the telephone (home, office or mobile) or facsimile. It is therefore crucial that your personal details, especially your contact numbers are updated through eSelf-Update in the NS Portal (www.ns.sg).
ii. Back-up Means – Personal Contact:
A Mobilisation Order (SAF 98A/B) or Mobilisation Notice (SAF 98C/D) will be served to your home if you cannot be contacted through the primary means.
iii. The SAF 98A/B are used only during actual operations, while the SAF 98C/D are used for practices.
Open Mobilisation System
The mass media such as the television, radio, Omni-theatres and cinemas are used to inform you that your unit has been mobilised. Upon announcement of the Code words, you are required to report immediately to your Mobilisation Centre for military service/exercises in your uniform with your personal equipment.
NSmen are required to apply for an Exit Permit for overseas trips of 6 months or longer. NSmen who go overseas for more than 14 days but less than 6 months must notify MINDEF of their overseas trips through the MINDEF Notification Centre (MNC). The possession of an Exit Permit or the notification or the notification of MINDEF Notification Centre does not absolve NSmen from mobilisation and to report for NS duties when required.
During mobilisation manning period, NSmen can still travel overseas but are required to seek approval from their unit to be exempted from mobilisation prior to departure. Failing which, disciplinary actions will be taken.
(C) Mobilisation Manning
Before you ORD or your first operational manning, your unit will brief you on the following:
- Your unit code words. Stickers with your code
words will be given to help you and your family members remember
the code words.
- Mobilisation Centre location to report during
- Mobilisation Means. This could be through
telephone, SMS, fax, email or written notices and
- Frequency of Operational Manning. Manning
occurs about twice a work year during which you are liable for
- Special arrangements. If you are performing
emergency service, or your immediate absence from your work place
may be critical or hazardous to life, you need to inform your NS
unit and report as soon as your functions are satisfactorily handed
During mobilisation exercise, your NS unit may be required to move out for field exercises after the normal reporting is done. Being mindful of your varying commitments, the SAF will make every effort to minimise disruption to your civilian careers when mobilisation exercises are held.
How can my family support my mobilisation?
You are encouraged to keep your family members informed of your whereabouts especially during your Operational Manning Periods. They should also be informed of how and where they can contact you to facilitate your speedy mobilisation.
Your family members should also know your NS unit's code words and be prepared that you are required to remain at the unit for a longer period if the mobilisation should involves field exercises.
If you have any family members that are 16 years of age or above, they can acknowledge any call-up notice serve at your residence. Upon receipt, they must contact you immediately.Edited by eac 06 Apr `16, 11:25PM
- Your unit code words. Stickers with your code words will be given to help you and your family members remember the code words.
Reservist Call-Up (eSAF 100)
(Fm: MINDEF) You have a National Service Call-Up Notification. For more details, go to www.ns.sg or call 6446 7636. For assistance, call 1800-eNSNSNS (3676767).
Ops Mob Manning
To listen to the message via IVRS, please call 6242 5242
Pioneer Magazine Cancellation
Reservists: Call 6373 1114 or [email protected]
NSF: Find Unit Clerk / Chief Clerk
Just provide Name, NRIC No. & a Simple Reason for Cancellation.
MyORD @ www.ns.sg
An electronic handbook designed to educate NSF on his responsibilities before transiting to Operationally Ready National Serviceman (ORNSman).
This handbook comprises the following information:
- Your roles, responsibilities and benefits of an NSman
- Key administrative and transitional guide for an NSman
As a trial, Army will be embarking on this platform to streamline NSF ORD administrative procedures. NSFs in Army Service are to read and acknowledge the followings:-
- ORD Admin Instructions
- Note on Management of Service Injury Claims
- SAF Act - Section 50
- Certificate of Leaving Form
Click HERE to access MyORD.
Q1. Are there measures taken to ensure the safety of recruits with past medical history?
A1. Yes. During the initial interview, their Platoon Commanders will verify their medical history and the section commanders will be informed accordingly. Preventive measures will then be taken. For example, recruits with a history of heat injuries or asthma are required to put on a colour tag for the purpose of identification and monitoring.
Q2. What happens when the recruits fall sick?
A2. We have a fully equipped 24-hour medical center to attend to recruits reporting sick. Our duty Medical Officer will diagnose the recruits’ conditions and provide the necessary treatment. In the event of an emergency, evacuation to the nearest hospital via the Dedicated Harbour Launch Crafts or helicopter will be activated.
Q3. What if the recruits need to book out for interviews or appointments? How will they seek official approval?
A3. They will be allowed to do so (subject to exigencies of service) and provided that they inform their commanders in advance and produce the necessary supporting documents for verification.
Q4. What medical facilities are available on Pulau Tekong?
A4. Pulau Tekong is served by two medical centers, one located at Ladang Camp (serving BMTC School 1, 2 and 3), and the other at Rocky Hill Camp (serving School 4). In addition to providing medical consultation services, there are also dental, physiotherapy and X-ray services at Ladang Medical Centre during office hours.
Q5. What happens if medical care is required after office hours?
A5. Ladang Medical Centre is a 24-hour facility, which caters to all servicemen on the island. Similar to the A&E departments of hospitals, a doctor is on duty at all times of the day, 365 days a year, to provide medical consultations and treatment whenever needed.
Q6. Are the doctors and medics well trained?
A6. All SAF Medical Officers are trained to exacting national standards and are fully registered with the Singapore Medical Council. All the Medical Officers also have prior working experience in the restructured hospitals. Likewise, SAF medics undergo realistic training at the SAF Medical Institute to ensure the highest standard of medical care provision for servicemen.
Q7. What happens if a serviceman needs to be sent to a hospital?
A7. Ambulances are on 24/7 standby on Pulau Tekong and at the SAF Ferry Terminal at Changi. Dedicated Harbour Launch Crafts are also on standby at all times to ferry any patients rapidly to the mainland. Should there be an emergency, helicopters will be activated to provide responsive heli-evacuation to mainland hospitals.
Q8. What measures are in place to prevent spread on diseases on the island?
A8. All Recruits will receive vaccinations for tetanus, poliomyelitis and seasonal influenza. For those who have not contacted varicella vaccine will also be administered. In addition, adequate ventilation in the bunks, emphasis on the practice of good personal hygiene, and medical leave for servicemen who are unwell also serve to reduce the spread of respiratory diseases.Edited by eac 29 Mar `16, 7:19PM
iCounsel, an online legal advice portal allows residents to seek free legal advice simply through the added convenience of video conferencing. It is the first of its kind for the community and a collaboration between PA and Jamiyah Singapore. The pilot project was launched at Kaki Bukit CC on 23 January 2015 and has been available at both Eunos CC and Kaki Bukit CC since 24 Feb 2015.
On top of being a online legal advice portal, iCounsel allows residents to choose their appointment, lawyer and language they are comfortable with. To use the service, residents will need to use the special iCounsel Kiosks located in the CC, which are equipped with a computer, a webcam, speaker and microphone and a scanner to scan relevant documents if necessary.
President of Jamiyah Singapore, Prof (Adj) Dr Mohd Hasbi Abu Bakar said “The collaborative effort between PA and Jamiyah would make legal advice service more convenient and accessible for individuals and families in need. Jamiyah Singapore also hopes that with the added convenience provided through iCounsel, more lawyers would also come forward to provide their time to give back to the community.”
Dr Kee Wei Heong, JP, BBM, Adviser to Kaki Bukit GROs said, “Kaki Bukit is honoured to be one of the pilot sites to kick-start this new and exciting initiative. To engage a lawyer for legal advice is expensive and by having the online legal advice portal to complement the face-to-face sessions that are already available, this would provide more avenues for residents to get the pro-bono legal advice required.
The iCounsel virtual legal clinics will operate every second and fourth Tuesday, 7.30pm-9.30pm.Booking an appointment is a simple 3-step process:
- Log on to http://icounsel.jamiyah.org.sg and click on the "REGISTER" button
- Fill up all required fields in the iCounsel registration form
- Once the form is completed, scroll down to select an appointment date, language, lawyer and whether a syariah-trained lawyer is required
- A notification email will be sent to clients upon successful registration. Clients will also receive a reminder SMS three days before the appointment date at the CC.
Free Legal Advice Service @ Community Centres/ Clubs (CCs)
There are volunteer lawyers and legal counsels who offer legal advices at selected community clubs.Edited by eac 25 Mar `16, 10:44PM
SkillsFuture is a national movement to enable all Singaporeans to develop to their fullest potential throughout life. Whichever stage of life you are in, whether you are in your schooling years, early career, mid-career or silver years, SkillsFuture will enable you to take advantage of a wide range of opportunities – to help you realise your aspirations and attain mastery of skills.
At a national level, SkillsFuture will play an important part in charting Singapore's next phase of development towards an advanced economy and inclusive society. Every individual’s skill, passion and contribution counts.
With the help of the SkillsFuture Council, education and training providers, employers, unions – you can own a better future with skills mastery and lifelong learning. Your skills. Your asset. Your future.
SINGAPORE - When patients feel at their most vulnerable, Head of medical social services at Singapore General Hospital (SGH) Ms Esther Lim steps in to help them make sense of what is happening.
Such patients may have tried to take their own lives or showed signs of wanting to do so. Ms Lim also helps families cope when they have lost a loved one.
The 39-year-old's helping hand is extended not just to patients, but also to hospital staff who face challenges at home or at work, for instance, if they have been abused by a patient.
In 2003, she pioneered a programme in SGH to train health-care and social work professionals in suicide intervention. It is now also offered in SingHealth's Postgraduate Allied Health Training Institute.
Since becoming a social worker in 1995, Ms Lim, who leads a team of 85 medical social workers, has received more than 15 awards. Last year, she was one of two recipients of the Outstanding Social Worker Awards given out by the Singapore Association of Social Workers.
She is married to a 37-year-old police officer. They have a six-year-old daughter.
I specialise in suicide and crisis intervention because...
When I was working in the emergency department years ago, I saw how a crisis, such as a life-threatening illness, a serious road traffic accident or an attempted suicide, can throw a family off balance.
The sense of disbelief and loss can be overwhelming, so this is where I step in to help people make sense of what is happening.
The immediate goal is to reduce the intensity of the emotional, physical and behavioural reactions, while the long-term goal is to help families get back to as normal a life as can be.
A person's life is precious because...
We live only once, so we have to live it fully and with dignity, despite our circumstances.
One little known fact about suicidal patients is...
They are not mentally ill. Anyone facing a seemingly desperate situation can be vulnerable to feeling hopeless and helpless, which may escalate to suicidal acts if the person does not receive help or cuts himself off from others.
If I were to give an analogy for what I do, I would...
Be a bridge to connect the suicidal person with the resources around him, such as family service centres, care facilities and legal aid. Often, a person may think nobody can help him, which is not true.
The eventual goal is to reconnect the suicidal person with his family and loved ones through individual, couple or family sessions.
A typical day for me would...
Start at 8.30am with administrative duties, followed by morning staff meetings or journal club sessions. I meet senior staff members regularly to plan and implement assistance schemes which benefit patients.
Other medical social workers also come to me to seek advice on cases they are working on. I co-manage the difficult cases, such as those which may involve suicide, or in which patients or family members consistently display behavioural difficulties.
I also support hospital staff members who need help and teach them coping strategies.
I have come across all types of cases...
But I find that families with strong social support fare better in crises. After the initial shock and confusion, members organise themselves very quickly to protect the affected family member by providing physiological and emotional comfort.
I love patients who...
Make it a point to turn up for their follow-up counselling sessions because this shows their readiness and motivation for change.
Patients who are forthcoming, open to working with their families and willing to reflect on themselves often make better progress.
They pick up positive coping strategies to deal with life's challenges, which range from relationship discord, financial issues to mental health or addiction challenges.
Patients who get my goat are...
Those who blame everyone else for their problems, without realising that they have a part to play.
For instance, a suicidal husband may be domineering at home and may keep blaming his wife and children, without realising that he has failed to communicate properly with them.
This can also explain the persistent suicidal behaviour in some patients. This vicious circle may wear out their loved ones and cut patients off from the support they used to have.
Things that put a smile on my face are...
Receiving handmade cards from the children of one patient whom I saw for attempted suicide and depression over several years.
Every year, though the drawings and handwriting would mature, they always conveyed their appreciation to me for being there for their mother.
It breaks my heart when...
An elderly patient asks me if the doctor can help end his life because he does not want to burden his children.
I realise, through interaction with elderly patients, that they are so stoic and self-reliant that they feel useless when they cannot contribute financially, take care of their grandchildren or, worse still, become disabled.
They have laboured hard all their lives, yet they have not come to accept that there is a time to receive unconditional care in return.
I would not trade places for the world because...
There is still so much to be done that I cannot find enough time for everything. This is what I am trained for and playing a part to restore equilibrium to lives is a constant reminder to live mine fully.
My best tip is...
To learn to take charge of emotions, thus reducing the likelihood of acting on impulse when emotionally charged.
Some things which may help include taking slow, deep breaths, sharing your problems with a trusted mentor and putting vexing matters on the back-burner, that is, taking your mind off it and revisiting the issue when you are calmer.Get a copy of Mind Your Body, The Straits Times or go tofor more stories.
Helping servicemen serve
Story by Benita Teo
Serving in the military is certainly no mean feat. And when the security of the nation is in one’s hands, mental strength is as important as, if not more so than, physical fitness.
When the going gets tough, it is often helpful to talk it out with a trusted family or friend. But, even with the best of intentions, not everyone is able to fully comprehend the intricacies of military life.
To help the servicemen and women of the Singapore Armed Forces (SAF) cope with the challenges of their military roles, the counsellors of the SAF Counselling Centre (SCC) are always ready to lend a listening ear. In fact, the team at SCC provides professional counselling services not only to all members of the Ministry of Defence (MINDEF) and SAF, but also to their families.
Learning to live the military life
Unlike civilian counselling centres, the SCC comes under military mandate, and its primary purpose is to provide mental health care to ensure that servicemen are able to carry out their duties efficiently.
Of the types of cases the SCC sees, Mrs Marlene Koh, Head of Education and Prevention Services, noted that the majority were Full-time National Servicemen (NSFs) with adaptation issues. "Not everybody is used to dealing with authority. They all came in as students who only had to take care of their own studies."
She added: "The second, smaller group would be Regulars with career or family issues. A third group comprises families and soldiers affected by critical incidents that happened around them, for instance training incidents or a death in the family."
Servicemen in distress may seek help directly with the SCC through two channels: face-to-face sessions or the 24-hour SAF Counselling Hotline. On top of these, a Family Support Helpline is also available for the family members of soldiers deployed overseas who are in need of assistance.
Eyes and ears on the ground
To help junior and senior commanders to identify and assist men under their charge who are at risk of emotional distress, the SCC conducts regular workshops. In addition to basic counselling skills, stress management and suicide prevention are also taught at the workshops.
Ms Cheryl Chia, an SCC counsellor with 14 years of experience, explained that equipping commanders with these skills is essential because "they are the eyes and ears on the ground".
Another set of eyes that the SCC relies on to spot at-risk servicemen are the paracounsellors - Regulars who volunteer to help look after the mental welfare of servicemen at the unit level. To be appointed as paracounsellors, they have to go through a five-day course organised by the SCC that teaches basic counselling, suicide prevention and crisis management skills.
Military Expert (ME) 3-3 Sulinder Singh, a Logistics Warrant Officer, has been a paracounsellor in his unit, 201 Squadron (SQN), since 2010. And being a familiar face in the unit means that servicemen know what to expect when they confide in him - trustworthiness.
"I'm quite approachable, and they know that if they talk to me, it will be confidential."
Besides assuaging doubts over client confidentiality, the counsellors and paracounsellors also dispelled the stigma of seeking help.
"(For) those who are in a position of command, it may be a 'face' issue," said SCC counsellor Lawrence Yap. "But so far, I've not encountered any clients (Regulars) who claimed that attending counselling affected their careers."
ME3-3 Singh echoed his sentiments: "Is there a stigma attached to people in the unit who see paracounsellors? No, not at all. They are not mentally ill, we just need to help them find the right way to organise their thoughts."
The counsellor is in
Help for a distressed soldier often begins with a visit to the Medical Officer (MO) with complaints of symptoms of stress. Said Ms Chia: "Usually they will say that they are unable to sleep or eat. When the MOs probe deeper and realise that the problem goes beyond a medical issue, they will refer them to us."
At the SCC, the soldier will be assigned a counsellor. Through the sessions, counsellor and soldier will work together to identify the problems and set goals towards overcoming them. The counsellor will also impart skills such as stress or anger management techniques.
When facing mental turmoil, a soldier may despair and lose his sense of self. One approach a counsellor may take is to remind him of his capabilities.
"Counselling is about instilling a sense of hope," said Mr Yap, who specialises in substance and drug addiction counselling. "Everyone has it in them to overcome a difficult situation. We just need to help them see that they are not as helpless as they think they are, and that the situation is not as hopeless as they think it is."
SCC counsellors also work with psychiatrists and psychologists from the Psychological Care Centre (PCC) at the SAF Medical Corps' Military Medicine Institute to provide all-round care to the soldier. PCC psychiatrists prescribe medication for conditions like depression while psychologists run tests to ascertain if a behavioural problem is linked to a learning or intellectual disability.
Helping others help themselves
With the ever-evolving social landscape, counsellors must stay up-to-date on new behavioural problems or addictions, such as social media addiction.
Mrs Koh also pointed out that there are now more cases of servicemen suffering anxieties about not performing well or meeting expectations, and that many expected others to solve their problems.
Mr Yap agreed: "To change, clients have to take personal responsibility for their actions."
Nonetheless, the counsellors take comfort in the knowledge that they are changing lives for the better.
Mrs Koh remembered a recruit who had attempted suicide after his girlfriend of four years ended their relationship and started seeing a friend of his behind his back. Mrs Koh helped him acknowledge his feelings of hurt and disappointment, and taught him constructive ways of managing his anger.
The recruit started to improve his relationship with his family and make new friends in his unit. Nine months later, he was finally able to move on from the break-up.
Ms Chia also recounted a recent case: "I had a client who wanted to kill himself. But after working with his unit and the psychiatrist, just before his ORD (Operationally Ready Date) he said, 'You gave me hope. Even though life ahead will be challenging, at least I know now that there are people who care, and that there is more to life than thinking about hurting myself.'"
She added: "He even baked us cupcakes as a 'thank you'. It's the little things like these (that let me know I’ve made a difference)."
If you are in need of help, or know someone who needs help, please call the following 24-hour hotline:
SAF Counselling Hotline
1800 278 0022
Families of service personnel deployed overseas who are in need of help can call the following 24-hour hotline:
Family Support Helpline
1800 278 0023
If you are interested in volunteering to be a paracounsellor, call the following number for more information:
Samaritans of Singapore (SOS): 1800-2214444
Singapore Association for Mental Health: 1800-2837019
Sage Counselling Centre: 1800-5555555
Care Corner Mandarin Counselling: 1800-3535800
The Institute of Mental Health (IMH) is a 2,000-bed acute tertiary psychiatric hospital situated on a 25-hectare campus at Buangkok Green Medical Park. Set amidst serene surroundings, IMH offers a comprehensive range of psychiatric, rehabilitative and counselling services for children, adolescents, adults, and the elderly.
IMH’s tradition of care started in 1928. We were the first mental hospital in Singapore, starting with some 1,000 patients. Since then, many advances have been made in treatment, training, and research. Our treatment integrates evidence-based therapies, supported by the departments of clinical psychology, nursing, occupational therapy, and medical social work, to provide holistic care for our patients. IMH is equipped with modern facilities, with 50 wards for inpatients and seven Specialist Outpatient Clinics.
IMH was the first mental health institution in Asia to receive the Joint Commission International Accreditation in 2005, a highly coveted international accreditation for healthcare organisations.
Over the years, IMH has gained a reputation for quality research. In 2008, the Ministry of Health, Singapore, entrusted IMH with a S$25 million research grant to implement translational and clinical research into the causes of schizophrenia and related psychotic disorders.
IMH also plays a key role in training the next generation of mental health professionals in Singapore. We train psychiatrists and mental health professionals through the NHG-AHPL Residency Programme for psychiatry and through collaborations with the local tertiary institutions.
Buangkok Green Medical Park
10 Buangkok View
If you are facing a mental health crisis, please call our Crisis Helpline at 6389 2222 or seek medical help at our 24-hour Emergency Services located in our hospital.