PES FAQs
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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
name.
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. -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
GUYS! Im PES B2L3. Posting to Tekong in 25 days time.
How can I upgrade my PES to B1? I have slight eye-focusing problem which may have caused my PES to be lower than I expected.
So my Qn in how to upgrade PES? Enlist first or do it now coz i got 25 days remaining of civilian life.
PS: I wanna join PES B1 coz i want to experience the full BMT life and have higher chances of posting to SISPEC and i really have a deep passion abt this... -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Spondylitic changes are noted.
Scierotic degenerative changes at the facets joints bilaterally.
Mild retrolisthesis of L3 over L4 seen.
Degeneration of the lower thoracic and lumbar spine seen,more pronounced at L3/4,where malalignment is noted.
Will these results of my x-ray have a chance of affecting my PES status of 'A'?
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Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Hi,
I got a question.
I am going for my first ever ICT (low key) soon since I ORD in year 2002 (which is like 13 years).
I used to be super fit (PES A) however due to lately suffered GOUT issue, my PES status is PES C9L3.
I used to be AFV Driver however I am not sure what is my vocation now. I am not sure if sufferring with GOUT could still drive but I know lately my gout still painful.
I feel kind of lost in many things such as how to drive? lol. I never drive since I ORD. I also lost knowing of the commands.
I understand PES C9L3 before and now got different, I also not sure where I would fall into.
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Medical screening is a series of medical tests done at the Medical Classification Centre (MCC) at CMPB (location map).
The objective of these tests is to ascertain your medical condition and accord you a suitable Physical Employment Status (PES). Based on your PES, you will be assigned to a suitable vocation.
Here are the various PES gradings:
- PES A: Fit for all combat vocations
- PES B1: Fit for most combat vocations
- PES B2: Fit for some combat vocations
- PES BP: Fit for obese BMT training
- PES C: Fit for combat support vocations
- PES D: Temporary unfit for grading and pending further review
- PES E: Fit for administrative duties only
- PES F: Medically unfit for any form of service
Note that if you are given a PES D grading, it means that more time/tests are required to confirm your medical condition. This normally takes about 2-3 months. However, this duration may be longer depending on your medical condition.
More information on Medical Classification Centre (NS Portal).
Commitment to Care
Want to find out more about the SAF medical system? Follow a recruit from his pre-enlistment medical examination to his encounters with the medical service during his BMT.
Physical Employment Status (PES)
PES A (L1) = Fit for all
combat vocations. (Full BMT)
PES B (L1) = Fit for
most combat vocations. (Full BMT)All PES A and B1 will be followed by the L-Code (Land Deployability Code) as follows:
L1 – Fit for all field duties including frontline duty.
Can be deployed in Manoeuvre vocations and be involved in direct combat.
PES Bp = Fit
for obese Full BMT (applicable to obese recruits).============================================================
PES B2 (formerly called
C1) - Fit for
some combat vocations. Required to take IPPT but can be excused up
to 2 static stations in IPPT.PES B2 grading will be followed by the L-Code (Land Depolyability Code) as follows:
L1 – Fit for all field duties including frontline duty. Can be deployed in Manoeuvre vocations and be involved in direct combat.
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support Vocations at all echelons.
============================================================
PES
C = Fit for combat service support vocations.
(Modified BMT)
Further subdivided into:
PES C2 - Do not have to take IPPT for NSF/ NSman, except regulars who are required to take Alternative Aerobic Fitness Test (AAFT).
PES C9 - All servicemen not required to take IPPT.PES C grading will be followed by L-Code (Land Deployability Code) as follows:
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support vocations at all echelons.
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
============================================================
PES
D = Temporary
unfit for grading and pending further review.============================================================
PES E = Fit for administrative
duties only.
PES E1 - Able to participate in simple observance parades and LIFE activites.
PES E9 - Unfit for any forms of physical activities; field duties/exercises.
PES E grading will be followed by the L-Code (Land Deployment Code) as follows:
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
PES F = Medically
unfit for any form of service. -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Hi. I just need some answer to my question.
I'm a pre-enlistee, so I was given a PES D till (18/8/2015). And I have yet to receive any enlistment letter. So I actually have a plan to travel on the 5th Sep 2015 to 12th Sep 2015. Does anyone have any further knowledge about how this goes about? I know that NS will give me a prior 2 month advanced notice. And also I know that I don't have to apply an exit permit because my travelling period is not more than 1 month. Just days before I book my flight, I called Mindef but there was no follow up. So any suggestion from you people? Thanks in advance. -
Please call the 24/7 NS hotline at 1800-3676767 to speak to a customer service officer.
Source: www.NS.sgPre-Enlistees
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Can prolong extension of hospital MCs issued by public hospital specialist to be endorsed or get rejected by SAF Medical Board?
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Debunked. It's absolutely utter nonsense for the myth of ORD extension due to long MC. He's just scaring you to inject fear because he thought you might be malingering (chao geng) whereas you're indeed having a genuine medical condition. Never fear!Only if go DB, only then extend ORD. Period. Full stop.
If he plays scare tactics again, learn ought to never fear. Be humble yet direct to tell him in the face to kindly show you the official MINDEF directive* to prove it. Never fear!
* General Orders of Mindef (GOMs)
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
Medical Board is a board to review and decide for PES permanent or temporary, and/ or any other excuses status. It's not an approval or rejection board.If you're eligible for Service Injury, please read:
http://sgforums.com/topics/search?q=Service+Injury&commit=Go&type=topicsPlease submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
A Medical Board is a session conducted to evaluate the medical condition of a serviceman and to:
a. review his PES grade;
b. recommend a change of vocation or restriction of duties on medical grounds;
c. endorse his extended-period medical certificate; or
d. determine permanent disability if he has sustained service-related injuries.
A serviceman is required to undergo a Medical Review prior to a Medical Board. This allows the unit Medical Officer to gather sufficient information (e.g. specialist medical reports, investigation results) so that the Medical Board can make a decision on the PES grade. Depending on the complexity of your condition, more than one review may be required.
Medical Boards cannot be booked using the eMedAppt module. Medical Board appointments can only be made by a Medical Officer when your medical information is complete and all investigation results are back.
You have the option to either be present or absent at your medical board. For your convenience and in clear-cut cases, your Medical Officer may give you the option of not being present for your medical board (i.e. having a Board in Absentia). You can however still choose to be present during your Medical Board in such cases. However, for complicated cases, you are required to be present during your medical board (i.e. Board in Presence). -
A Medical Review is a medical consultation convened whenever a serviceman has a change in the status of a current medical condition, or if he develops a new medical condition, which may affect his ability to fulfill his NS liabilities. A medical review can either be initiated by the individual (known as Self-initiated) or by the NS Unit (Unit-initiated).
Situations whereby the individual initiates a Self-initiated medical review include:
- He develops a new medical condition (e.g.
slipped disc, high blood pressure, surgery for a medical
condition). In such situations, he should bring all
relevant medical documents for his medical review by the
SAF Medical Officer. The SAF Medical Officer can then
assess the condition, and recommend a medical downgrade,
if appropriate.
- He has a long-term medical excuse for the same injury and the period coincides with a NS activity that he is unable to attend. He should see the SAF medical officer to document his medical excuse, and ascertain whether he is fit to attend the NS activity.
Situations whereby the unit makes a Unit-initiated medical review include:
- Serviceman has a temporary PES status that has
expired and he is due for a medical review by a SAF
Medical Officer.
- Serviceman has a service injury requiring a
medical review to prepare for a Permanent Disability
Board.
- Serviceman has a medical condition necessitating a medical review to prepare for a Medical Board.
- He develops a new medical condition (e.g.
slipped disc, high blood pressure, surgery for a medical
condition). In such situations, he should bring all
relevant medical documents for his medical review by the
SAF Medical Officer. The SAF Medical Officer can then
assess the condition, and recommend a medical downgrade,
if appropriate.
-
You should bring along all relevant medical reports, investigation results, medications that you are currently taking etc. This will allow the Medical Officer to get all the relevant medical information and manage your case appropriately.
If there is insufficient information available at the time of your medical consultation, you may have to return for repeat medical appointments, after more information becomes available (e.g. after a latest specialist report is obtained from your hospital). -
If you still want to be paranoid to scare yourself, it's fine to suit yourself to be held captive by the MO's fear tactics which have had successfully implanted fear in you to play with you mentally.Never fear!
-
Never fear! Period! Full-stop!
Please submit the hospital specialist memo to the camp doctor to assess and process.
As usual, please refer to this guideline:
http://sgforums.com/forums/1390/topics/392446 -
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
name.
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.
