Singapore Goverment

 

FAQ

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1.  RBL Framework

1.

What is RBL?

'Risk Based Licensing' is a new licensing framework which incentivises licensees of healthcare institutions (HCIs) to be compliant with licensing requirements. HCIs that are compliant will qualify for a five-year licence, unless they opt for a standard two-year licence. The longer licensing period translates to lower licensing costs.

Under RBL, all HCIs will be categorised into 3 categories - 'high-risk', 'moderate-risk' and 'low-risk' based on the nature of services they provide and track records of their compliance with licensing requirements. A demerit point system has been developed to quantify HCIs' non-compliances (NCs). The total number of demerit points accumulated for each HCI will determine the HCI's licence period. New HCIs will be given a licence for two years in the first instance.

The following HCIs are precluded from the 5-year licensing period viz. all hospitals, nursing homes, laboratories, medical clinics providing special care/specialised procedures.

The demerit points incurred by an NC are based on the severity of the NC (e.g. impact on patient safety) and whether the NC is a repeated one. Demerit points accumulated and the disciplinary records of licensees and managers over the last 2 licensing cycles will be used in the risk assessment.

Table showing Risk Categories and Licence Renewal Period
Category Licence Period HCIs
Low-risk Can opt for 5 years - Medical and dental clinics providing general medical and dental services with 0-3 demerit points.
Moderate-risk or Default category 2 years Moderate risk
- Medical and Dental clinics providing general medical and dental services with 4-9 demerit points.

Default category
- All hospitals
- All nursing homes
- All medical clinics providing special care services including liposuction and/or specialized procedures and/or termination of pregnancy
- All laboratories
High-risk 1 year - Medical clinics providing Non-List A aesthetic procedures.
- Medical clinics providing special care services including liposuction and/or specialized procedures and/or termination of pregnancy with 4 demerit points or more.
- Medical and dental clinics providing general medical and dental services with 10 demerit points or more.
- All HCIs with poor disciplinary records, e.g. licensee / clinic manager was suspended for professional misconduct by Singapore Medical Council's / Singapore Dental Council's Disciplinary Committee; or was convicted in Court for breaching the Private Hospital and Medical Clinics Act / Regulations or for other offences.


2.

Who will be affected under the new RBL framework?

Applicants or existing licensees submitting their new or renewal licence applications on or after the implementation of RBL framework on 1 Aug 2013 will be subjected to the new RBL framework.

New or renewal licence applications submitted before and pending approval on 1 Aug 2013 will be processed under the licensing regime in force immediately before 1 Aug 2013.

3.

Under what circumstances will I be issued a 5-year, 2-year or 1-year licence?

Besides the criteria set out in the answer to question (1) above, the following will also determine the category of licence to be issued to the applicant / licensee:-

a) All general GP / dental clinics will have to go through 2 standard licensing cycles (i.e. 4 years) before they will be eligible for a 5-year licence.
b) For HCIs given a 1-year licence because of poor compliance / disciplinary records, they will be monitored for 2 licensing cycles before being considered for a 2-year licence.

4.

For medical / dental clinics which meet the requirements for a 5-year licence as spelt out in the answers to questions (1) and (3) above but have their licences renewed under the licensing regime in force immediately before the implementation of the RBL framework, are there any avenues for these clinics to be considered for a 5-year licence before the next licence renewal?

For this group of medical / dental clinics, the following application process will apply:-

For clinics with current licence expiring before 1 Feb 2014

As these clinics are approaching the last 6 months of their current licence, it would be more appropriate for them to apply for a 5-year licence when their licence is due for renewal. As such, the normal application process will apply - renewal applications can be submitted online as early as 3.5 months before licence expiry date.

For clinics with current licence expiring on or after 1 Feb 2014

If these clinics wish to apply for a 5-year licence before their current licence expires, their licensee or authorised person shall confirm with MOH's Licensing, Inspection & Audit Branch in writing or via email at elis@moh.gov.sg. In the confirmation letter or email, clinics shall provide their licence details (name of clinic, name of licensee and clinic address) and an update on the particulars of their clinics, such as the information on their practising doctors, etc. Once they meet the criteria and are issued with a 5-year licence, their 2-year licence will be revoked on the same date. In accordance with the current refund policy, clinics will get a refund if the unused period of their licence is 6 months or more.

Please note that this conversion process will apply only to clinics with no change in licensee and clinic address. Should there be a change of clinic licensee and/or clinic address, a new licence application is required to be submitted online as per normal application process.

5.

I submitted my clinic licence renewal application before 1 Aug 2013 and my application is still pending approval on 1 Aug 2013. Will I be allowed to withdraw my application and re-submit an application for a 5-year licence?

You can withdraw your application and re-submit a fresh application for a 5-year licence if you are eligible. However, like other cases where licence applications are withdrawn by the applicants, you shall pay an administrative fee of 20% of the licence fee payable or $100, whichever is the greater. Besides, you need to make sure that your application for a 5-year licence (i.e. re-submission of your licence renewal application) is submitted online not later than 2 months before the expiry date of your current licence; otherwise, you shall pay a late payment fee which shall be 20% of the fee payable for the renewal of the licence or $100, whichever is the greater.

Alternatively, you can apply for a 5-year licence through the conversion process as detailed in the answer to question (4) above, after your licence is renewed.

6.

When will I know which category of licence I will be offered?

If you are eligible for a 5-year licence, you will be notified of your eligibility when you login to the electronic licensing (eLIS) portal to submit your licence renewal application. Otherwise, your application will be for a 2-year licence unless you are issued with a 1-year licence after risk assessment.

7.

If I am eligible for a 5-yr licence, am I given the option not to take it?

Yes, even if you are eligible for a 5-year licence, you can still opt for a 2-year licence.

8.

What would happen to a medical clinic with 5-year licence if its compliance / disciplinary records worsen and no longer justify the rating of 'low-risk' and a 5-year licence?

If, in the course of the 5-year licensing period, a clinic accumulates demerit points beyond a threshold limit or where the clinic manager/licensee is disciplined by SMC for professional misconduct or is convicted in court for an offence, the clinic's eligibility for a 5-year licence will be reviewed and may be converted to a 2-year or 1-year licence with immediate effect, depending on the specific circumstances of the case. Other possible regulatory actions may include advice, warning, and suspension or revocation of licence.

9.

If I am currently operating a clinic providing special care services but now decide to stop providing the special care services, how will it affect my licence?

If your clinic meets the criteria for a 5-year licence after the cessation of providing special care services, you would be offered the option for a 5-year licence at the next renewal of your licence.

10.

If I am given a 5-year licence and later on decide to provide special care services at my clinic, how will this affect my licence?

If you start providing special care services only after your current 5-year licence expires, your clinic will be issued a 2-year licence (if you meet the criteria) upon licence renewal. However, if you want to provide the new services before the expiry of the 5-year licence, you will need to submit a fresh application for a 2-year licence for the provision of special care services. Your 5-year licence will lapse once the 2-year licence is issued. Please be reminded that your clinic can only start providing the special care services after obtaining approval from the Ministry.

11.

Now that clinics could be given a longer licence period of 5 years, would they still need to apply for a new licence if they want to make changes to their clinic names?

With the implementation of RBL, HCIs do not need to apply for a new licence for change of HCI names. They will just need to submit their new HCI name online via the electronic licensing system with payment of a $100 fee. A licence with the new HCI name will be re-issued to them. The licence period of 5 years will remain unchanged. However, if there are changes to licensee and/or address, HCIs are required to apply for a new licence.

12.

If a medical clinic with a 5-year licence is re-located to another premises, will the tenure of its licence be affected?

As the PHMC licence is specific to the premises of the medical clinic, the eligibility for a 5-year licence based on the old premises will not be applicable to a new premises or new address. Therefore, if a clinic with a 5-year licence re-locates or changes address, it will be given a 2-year licence. Nevertheless, exceptions may be granted on a case-by-case basis, for example, if the change of address involves just a change of building name.

13.

If a medical clinic with a 5-year licence applies for a change of licensee, will the tenure of its licence be affected?

As a change of licensee signals a possible change in the management of and control of the clinic, a new 2-year licence will be issued. However, exceptions may be granted on a case-by-case basis. For example, if a solo GP clinic is incorporated and applies to change the licensee to the newly formed company (where the GP is the only director of the company) with no change in practising doctor and clinic manager, then a 5-year licence could still be issued.

14.

If I am given a 5-year licence and there are changes to the particulars of my clinic in the course of the 5-year period, when and how do I inform the Ministry of the changes?

If there are changes to the particulars of HCIs, such as authorised person, telephone number and/or email address of the contact person, etc., the licensees, regardless of the tenure of the licences they are holding, are required to inform MOH in writing immediately so that the HCIs' records with the Ministry are always kept up-to-date.

15.

What are the demerit points for the various non-compliances with the PHMC Act / Regulations?

The table below shows some examples of clinics' non-compliances with demerit points assigned.
Category A (3 - 9 Demerit Points) Category B (1 - 3 Demerit Points)
Medical / Dental Clinics
- Expired resuscitative drugs
- No Resuscitative equipment e.g. Airway, air-viva
- No adequate sterilization of equipment e.g. sterilized by soaking in chemicals
- Vaccines not properly stored
- Medical procedures which are supposed to be performed by a medical practice is delegated to a non-medical practitioner
- Prior approval is not obtained for the commencement of special care services
- Medical clinic performing ambulatory surgery is not providing adequate and proper facilities e.g. facilities for recovery from anaesthesia
- No proper disposal of biohazard waste

- Medical records not properly stored i.e. not secured
- Patient lodged for more than 12 hours in a clinic for treatment (not ambulatory)
- Patient not provided adequate safety & privacy during treatment
- No emergency infection control plans/measures
- Non-participation in emergency preparedness exercises
- Not complying with Directives / Guidelines issued by the Director
- Not complying with Publicity Regulations
- Sharing premises with non-medical entity with no physical separation
- No display of clinic charges
- Premises not maintained in a good state of repair
- Premises are cluttered and untidy


16.

Why is there a range of demerit points for non-compliances?

The demerit points are assigned based on the severity of the non-compliances. For the same type of offence, more demerit points will be assigned if it is more serious, has resulted in an adverse event, and/or it is a repeated non-compliance.

17.

How do the HCIs know how many demerit points they have accumulated?

When HCIs are advised of the areas of deficiencies noted during inspection/audit, they will also be informed of the demerit points incurred from the non-compliances.

18.

Will demerit points be assigned to a HCI if its licensee or manager is disciplined by Singapore Medical Council (SMC) / Singapore Dental Council (SDC) or convicted in a court of law?

No demerit points are assigned under this scenario. However, the HCI related to the concerned licensee or manager will be re-categorised as 'high-risk' and be re-issued with a 1-year licence.

19.

What are the new licence fees under the RBL framework?

Please click here for the licence fee.

20.

In terms of per annum licence fee for medical/dental clinics, why is the rate for a 5-year licence significantly lower than that for a 2-year or 1-year licence?

Licensees with a good compliance record will be given a 5-year licence, which would have fewer inspection visits and hence incur lower licensing costs. This translates to a lower licence fee on a per annum basis, as compared to the 2-year or 1-year licence. Licensees who maintain regular compliance with licensing requirements will continue to benefit from the lower cost of a 5-year licence.

21.

If my clinic is issued a 5-year licence and subsequently relocates to another premises before the licence expires, will I get a refund for the unused licence period?

In accordance with the current refund policy, you will be eligible for a refund if the unused period of your licence is 6 months or more.

 
2.  Licensing General

1.

What information or documents do I need to submit to apply for a healthcare institution licence

You are advised to read our application guidelines for information on the application for healthcare institution licence before proceeding with your application.

2.

Do I need to register my practice as a business?

You do not need to register your practice as a business, if you intend to be a solo practice doctor and the licensee of the healthcare institution (HCI). However, as we do not allow joint licensees, for new HCIs where more than one doctor / individual want to be the licensee, they have to register the HCI with Accounting and Corporate Regulatory Authority Singapore (ACRA).

3.

Who can apply for a healthcare institution licence on behalf of a company or an approved institution?

The intended licensee should apply and in the case where the intended licensee is a registered company or an approved institution, any authorised person with executive power to act on behalf of the company or the approved institution (e.g. Board Director, Chief Executive Officer, Chief Operating Officer, etc.) can apply for a healthcare institution licence. By approved institution, we mean any organisation or society that is registered with the Registrar of Societies.

4.

Can a medical practitioner and a dental practitioner have a joint clinic licence?

No. We do not allow joint licensees for new healthcare institution (HCI) licence. For joint medical and dental clinic, if both the medical practitioner and dental practitioner want to be the licensee, they have to register their clinic with Accounting and Corporate Regulatory Authority Singapore (ACRA).

5.

Can a foreign doctor or dentist set up a medical practice in Singapore?

Yes, provided the manager of the clinic is a doctor or a dentist fully registered with the relevant professional bodies (for example, Singapore Medical Council or Singapore Dental Council).

6.

Is a licence transferable?

No. The licence is issued specifically for the approved premises and will automatically be revoked upon the sale, transfer or cessation of the practice. The previous owner will have to inform the Licensing, Inspection & Audit Branch officially of his intention to cease his clinic operation. The new owner will have to apply for a new clinic licence.

7.

Do I need to apply for a new licence if I want to relocate my healthcare institution?

Yes.

8.

Do I need to apply for a new licence if there is a change of manager to my healthcare institution?

No. However, the licensee would need to inform Licensing, Inspection & Audit Branch beforehand of any change in the management of the practice and services provided.

9.

By what means can I pay for the licence fees for my healthcare institution?

The licence fee can be paid by Interbank GIRO, online ENETS payment, online VISA/Master Card Credit and Debit cards or cheque payment. Application Form for the Interbank GIRO will have to be completed and submitted to Licensing, Inspection & Audit Branch, Ministry of Health. (Download GIRO form here. List of participating banks here)

Online payment should be made at the same time when you make application for licence as your application will only be processed on receipt of payment.
For more details on the online payment through eNETS Debit, please refer to the website http://www.nets.com.sg.
For more details on the online payment through VISA/Master Card Credit, please refer to the website http://www.cybersource.com/.

For cheque payment, please make the cheque payable to: Ministry of Health, and send the crossed cheque to Licensing, Inspection & Audit Branch, Ministry of Health, College of Medicine Building, 16 College Road, S(169854). On the reverse side of the cheque please write your name, premises name, acknowledgement number and telephone number.

Please call our administration office at 6325 9220 if you need further assistance on the payment procedures.

10.

Where can I get a copy of the Private Hospitals and Medical Clinics (PHMC) Act?

The PHMC Act can be downloaded from website: http://statutes.agc.gov.sg/,
or purchased be purchased from :

Toppan Leefung Pte. Ltd.

1 Kim Seng Promenade
#18-01 Great World City
East Tower
Singapore 237994

Email : egazinfo@toppanleefung.com
Tel : (65) 6826 9600
Fax : (65) 6820 3341


11.

What if I have saved my online application in "Draft", and have not submitted it?

Your application if saved as "Draft", will remain in the system as unsubmitted application but only for 3.5 months from the date when the application is saved as draft. All draft or unsubmitted applications will be deleted from the system automatically after the 3.5-month period. You are therefore advised to complete and submit your application as soon possible.

12.

Why am I not allowed to have a red cross sign in my clinic signboard/ambulance?

This is stipulated in the Geneva Conventions Act (GCA) under Section 8 which states that no person shall, without the Minister for Health's authorization, use

(a). The red crescent emblem;
(b). The red cross emblem;
(c). The red crystal emblem;
(d). The red lion and sun emblem; or
(e). The words "Red Cross" or "Geneva Cross"

Section 9 of the GCA further provides that no person shall without the Minister's authorization use:

(a). Any design consisting of a white or silver cross on a red ground, none of the limbs of which extends to the margin of the ground, being the cross comprised in the Arms of the Swiss Confederation;
(b). Any design being a colourable imitation of the design mentioned in paragraph (a);
(c). Any design being a colourable imitation of the red crescent emblem, the red cross emblem, the red crystal emblem or the red lion and sun emblem; or
(d). Any words so nearly resembling the words "Red Cross" or "Geneva Cross" as to be capable of being understood as referring to the red cross emblem.

The maximum penalty for misuse of any of the emblems is $10,000. For more information on the Red Cross Sign, please refer to Geneva Conventions Act (Cap 117) at the Singapore Statutes Online at http://statutes.agc.gov.sg/

13.

Who can I contact for more information regarding the application of the healthcare institution licence?

If you wish to get in touch with us, please contact us at:

Licensing, Inspection & Audit Branch

Ministry of Health
16 College Road
College of Medicine Building
Singapore 169854

Tel: 6325 9220
Fax: 6255 8064
Enquiry Enquiry


Technical Support

If you encounter problems related to the use of eLIS, such as system login, submission of data on TOP/VS and/or drug practices, updating of contact details (e.g. email address or telephone number) or operating hours of medical clinics, you may contact our helpdesk for technical support services which are available from Monday to Friday (excluding Public Holidays) from 8:30am to 6:30pm:-

Tel: 1800 2253547
Email: elishelpdesk@dxc.com
 
3.  APPLICATION FOR PHMC LICENCE

1.

What are the types of healthcare services that require a licence from MOH?

The types of licences that are covered under the PHMC Act & Regulations are:-
a) Hospital
b) Nursing Home
c) Medical Clinic
d) Clinical Laboratory and X-ray Laboratory
The approvals for termination of pregnancy (TOP) under the TOP Act / Regulations.
Any hospital, medical clinic or clinical laboratory intending to provide specialized procedures or services under the Second, Third and Fifth Schedules respectively must obtain the prior approval from the Ministry, and will have to apply via eLIS as add-on special care services.
Operators are also required to seek approval from the Ministry if it intends to provide mobile medical services.

2.

I would like to set up a hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic. How and when do I submit an application for a licence

You may apply online via eLIS (e-licensing for healthcare) website (https://elis.moh.gov.sg/elis/) for the licence after you have acquired the premises for the hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic. You are advised to read the eLIS "Application Guidelines" for information on the application procedures for a hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic licence before you apply for the licence.

3.

How can I get more information on the licensing requirements for setting up a hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic?

You may visit the eLIS website at https://elis.moh.gov.sg/elis/ for information on the licensing requirements for setting up a hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic. You can obtain information such as licensing fees, approvals from relevant authorities for setting up a hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic / dental clinic, preparations for pre-licensing inspection, special care services and penalties for contravening the terms and conditions issued for the licence. For additional information please write to elis@moh.gov.sg.

4.

What is the URA's Guidelines on the change of use of commercial spaces to Medical Clinics and how it would affect me if I intend to set up a medical clinic in commercial space?

Under URA's guidelines for conversion of commercial space to medical clinics issued on 23 Dec 2014, the aggregate floor area of all medical clinics within a commercial building should not exceed 3,000sqm or 20% of the total floor area approved or authorised for commercial use, whichever is lower. Prospective clinic operators intending to convert commercial space to medical clinics are to keep within these thresholds. Buildings on land zoned Health & Medical Care are not subjected to these guidelines.

If you are interested in setting up clinics in commercial buildings, you are advised to familiarize with the new guidelines and requirements for submitting planning applications. You should refer to the regulations for compliance before buying or renting shop units for clinic use. The circular on the new guidelines on the change of use of commercial spaces to medical clinics is available at http://www.ura.gov.sg/uol/circulars/2014/Dec/dc14-28.aspx

5.

Do I need to have fire safety certificate before I start operating my hospital / nursing home / clinical laboratory / x-ray laboratory / medical clinic/ dental clinic?

Yes, you need to obtain a fire safety certificate. Please visit the website http://www.scdf.gov.sg/content/scdf_internet/en/building-professionals/fire-safety-permit-and-certification.html for more information on the Fire Safety & Shelter Department's requirements and guidelines.

6.

What is the role of an authorized person? How can I appoint an authorized person for my PHMC application?

An authorized person is a person appointed by the licensee to liaise with MOH on all the licensing matters. To appoint an authorized person for the licence applications, any licensee which is a company, the director(s) must submit a copy of the ACRA profile together with an authorisation letter with all the company director's signatures authorising a particular person to liaise with us on all licensing matters including but not limited to the following:-
a) Application for a new licence or renewal of existing licence within the stipulated deadline,
b) Updating of licensing information such as changes in the appointment of clinic manager, deputy manager, practising doctors, cessation of clinic operation, etc.
c) Payment or refund of licence fee,
d) Provision, clarification or verification of licensing information after licence has been issued to our company.
MOH will act upon the request made or the information provided by the above named authorized person in respect of the licence application or the licence issued to our company, until this authorization is withdrawn or replaced with another one.
Please note that matters concerning the management, operations, maintenance and use of the clinic remain the responsibility of the licensee, and the above authorization will not exempt the licensee from any of the responsibilities as stipulated under the Private Hospitals and Medical Clinics Act / Regulations.

7.

What is the difference between licensee and manager in the application form?

A licensee is a person or company holding the PHMC licence. A manager is a person responsible for the management and operation of the healthcare institution, for example, a clinic manager is a doctor with full registration with the Singapore Medical Council (SMC) or a dental practitioner with full registration with the Singapore Dental Council (SDC).

You may visit the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=GuideLicenseeManager for requirements and qualifications of the licensee and manager for the different categories of healthcare institutions.

Please note that under the PHMC Regulation 10(3), a person who is responsible for the management of a private hospital, maternity home, nursing home, medical clinic, clinical laboratory or healthcare establishment shall not be absent therefrom for any length of time, unless arrangements are made for the private hospital, maternity home, nursing home, medical clinic, clinical laboratory or healthcare establishment to be placed under the supervision of a person who is similarly qualified to manage that hospital, home, clinic, laboratory or healthcare establishment.

8.

Do I need to have a room to serve as a consultation room in an Ambulatory Surgical Center?

An ambulatory surgical center is licensed as a medical clinic and ambulatory surgical services are deemed as special care services. The center henceforth would need to have a consultation room in addition to the operating room.

9.

Can a dental therapist (for e.g Oral Health Therapist) be the clinic manager of the dental clinic?

No, dental therapists are not qualified Dentist registered with the Singapore Dental Council (SDC) and hence is not allowed to be the clinic manager. In addition, dental therapists are unable to provide full range of dental services. Dental therapists are can only perform simple cleaning, scaling, dental health teaching. In addition, dental therapists can only practice under the supervision of a qualified dentist in the dental clinic.

In accordance with SDC's guideline on "Supervision of Dentists" of the Dental Registration Act, the SDC requires dentists registered under Conditional Registration to be supervised by a Fully Registered Division 1 Dentist working in the same practice for a specified period (at least 2 years).

10.

I am calling from XYZ clinic. My dentist friend wants to set up a dental clinic within my clinic premises. Is this allowed? What type of facilities can we share? What type of records must be kept separate? How do I go about applying for separate licences?

A clinic sharing premises with a dental practice is allowed provided you meet the MOH requirement of "Licensees operating in the same unit address with other licensees" at the eLIS website https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=GuideGeneralInfo&src=menu
Licensees operating in the same unit address with other licensees
Under the current policy, each room/area in the unit must be under the management and control of one licensee. For common areas such as waiting area, treatment room, etc, one of the licensees must take full responsibility for these areas with the agreement of the other licensees. The rationale of this policy is to ensure clear accountability and responsibility of all the activities and facilities in each licensed area so that all licensees operating in the same unit will not have overlapping accountability and responsibility. Each licensee must have his/her own consultation room but can share the common areas e.g. waiting area and reception counter. Different licensees cannot obtain their licences based on the same consultation room. However, more than one doctor can use the same consultation room/area but they must operate under the licensee holding the licence for that consultation room/area.
For new applications, you are required to submit a copy of the floor plan demarcating the rooms/areas under the management and control of the respective licensees. For common areas, one of the licensees must take full responsibility for these areas with the agreement of the other licensees. We will advise you further after we have reviewed the floor plan and you should only submit your application online after your layout plan is cleared by us. Please note that an administrative fee, which is 20% of the licence fee, will be charged once an application is submitted online and is not successful (due to unacceptable layout plan or other reasons).
Sharing of other facilitates
You may share all facilities in the clinic under mutual agreement with the dental practice but each licensed must maintain separate medical notes & dispensing records. The shared resuscitation facilities must be placed in a location where it is easily accessible to both practice at all times.

11.

I intend to provide in-house clinical laboratory or x-ray services in my licensed medical clinic, do I need to apply for an independent clinical laboratory or x-ray laboratory licence?

In-house Clinical Laboratory Service

You are not required to apply for a separate clinical laboratory licence as long as the in-house clinical laboratory service is for your own patients. However, you need to indicate the types of tests and medical device in the supplementary form.

If you wish to extend the in-house clinical laboratory service to patients of other medical clinics or accept specimens referred to your clinic for testing, you are required to apply for a separate clinical laboratory licence and meet the relevant requirements under the PHMC Regulations.

In-house X-ray Laboratory Service

If your clinic is providing x-ray services for employment-related, insurance-related or other forms of health screening at the clinic premises, to ensure patient safety, especially in the provision of x-ray services, you are required to apply for a separate independent x-ray laboratory licence. This will ensure that all the activities and processes in the provision of x-ray services including the maintenance of imaging equipment/machine, the quality assurance framework, etc. meet the licensing requirements of an x-ray laboratory.

Please note that the licensee of the x-ray laboratory licence is required to be a qualified radiologist registered with the SMC & NEA and the manager must be a qualified radiologist / radiographer, as required under the Private Hospitals & Medical Clinics (PHMC) Act. You may wish visit the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=home to apply for the x-ray laboratory licence. For assistance with the application, you may contact the eLIS technical help desk at 1800-225-3547 (hotline).

12.

There are 3 doctors practising in my clinic. Can I indicate the names of the 3 doctors, and their degrees, in a display board?

Yes, you can indicate the names of the 3 doctors, and their degrees, in a display board.

13.

Do I need to apply for a fresh new medical clinic (or new dental clinic) licence if there is an increase in the number of doctor(s) (or dentist(s) practising in my licensed clinic?

You do not need to apply for a new clinic licence for an increase in the number of doctor(s)/ or dentist(s) practising in the clinic at any one time. However, the licensee will have to top up payment of the licence fee, if applicable, according to the licence fees payment for a medical/dental clinic at https://elis.moh.gov.sg/elis/info.do?task=licfees&src=menu.

14.

Does MOH provide approval for medical clinics (or dental clinic) to provide IV Sedation, and what are the requirements for the provision of IV Sedation?

The provision of IV sedation does not require approval from the Ministry. The professionals (for e.g the doctors or the dentists) providing IV Sedation will be held responsible for the provision of such practice. The medical clinic (or dental clinic) that intends to provide IV Sedation, are advised to meet the requirements as spelt out by the "Guidelines on Safe Sedation Practice For Non-Anaesthesiologists" at https://elis.moh.gov.sg/elis/publishInfo.do?task=download&pkId=174

15.

How do I go about getting a copy of the PHMC, TOP, VS Acts & Regulations?

You may wish to visit the eLIS website at https://elis.moh.gov.sg/elis/ under the "Legislation" tab for the PHMC, TOP and VS Act & Regulations. You can also visit the "Singapore Statutes Online" website at http://statutes.agc.gov.sg/aol/home.w3p for all the Singapore's laws.
 
4.  HCI NAME / THE USE OF TERMS "SINGAPORE", "NATIONAL" AND "FAMILY" IN HCI NAME

1.

What are the MOH requirements / criteria for naming a HCI?

In general, the name of a HCI has to satisfy the following criteria:-
a) It must contain the word "Medical Clinic/Centre", "Dental Clinic/Centre", "Laboratory", "Hospital", "Nursing Home", respective of the category of licence applied for; and
b) it must not be identical / similar to the names of any existing licensed HCIs.
Applications with proposed name that does not satisfy (a) but clearly reflects the purpose of the premises as a HCI will be considered on a case-by-case basis. For example, an x-ray laboratory can name its premises a Radiology / X-ray Centre, even though it does not contain the word "laboratory". This policy applies to all new HCIs, which include a brand new set-up, a new HCI set up by licensee but with name different from that of the existing HCI(s), and existing licensed HCI applying for a change of name.

2.

Can I use the protected terms "Singapore" or "National" for the proposed name of my clinic?

No. With effect from 1 June 2009, HCIs shall not use the words "Singapore" or "National" as part of their names unless they fulfil or intend to fulfil a national role or its equivalent. Existing licensed healthcare institutions will be exempted from the new rule unless they request (i) a change in name of the institution; and/or (ii) a change in the licensee. Existing licensed healthcare institutions that are relocating but are not changing their names or licensees would not be affected by the new rule.

3.

If I'm not a SMC's registered Family Physician, can I use the term "Family" in my clinic name?

No, the title "Family Physician" is a now protected term. A medical practitioner who is not registered as a Family Physician with the Singapore Medical Council (SMC) will not be allowed to use the title of "Family Physician".

For new application for clinic licence, if the medical clinic does not have at least one registered Family Physician (who is not a locum doctor), the medical clinic will not be allowed to use the word "Family" in its clinic name

For existing clinics with the word "Family" in their clinic name but without registered Family Physician(s) practising there, it was earlier decided that they could carry the word "Family" in the clinic name until 31 Dec 2013 or until the clinic licence is due for renewal, whichever is later. However, based on the feedback gathered from the stakeholders*, the above guidelines have now been revised so that these clinics are allowed to continue to use the name unless they request (i) a change in the licensee; and/or (ii) a change in the clinic name.

*The Family Physician Accreditation Board at its meeting on 28 June 2012 recommended that these clinics be allowed to continue to use the name unless they request (i) a change in the licensee; and/or (ii) a change in the clinic name.

4.

My licensed Healthcare Institution (HCI) name as shown in the PHMC licence is "ABC clinic". Can I indicate "abc clinic" in my signboard & stationary?

Under the PHMC Act & Regulations, the HCI name that is licensed under the PHMC Act must tally with the name that is displayed at the HCI signboard and the signboard must not bear words / diagrams / pictorials etc that are outright offensive / uncouth or irrelevant to the services provided/specialty of practice. If you intend to add other words/logo/symbol etc. which are not part of the approved HCI name on your HCI signboard, you are required to seek our approval before proceeding to make the signboard. On the same note, your HCI stationery, e.g. MC, invoices/bills/receipts, medication labels, etc. should also bear only the licensed HCI name.

5.

I'm a clinic doctor going to retire and plan to cease my clinic practice. How long should I retain the medical records of all my clinic's patients?

You may wish to visit the eLIS website @ https://elis.moh.gov.sg/elis/publishInfo.do?task=download&pkId=199 for a copy of the National Guidelines for retention period of Medical Records. The guidelines seek to standardise best practices and ensure that medical records retention practices meet all current medical and legal requirements.

As medical records are medico-legal documents, you are advised to determine the appropriate retention period of your medical records according to the types and complexities of the patients that you have. You may wish to consult your own legal counsel to adopt a medical record retention policy appropriate to your own clinical and legal needs.

We would also like to draw your attention to Regulation 9 of the PHMC Regulations on "Notification of cessation, etc., of private hospital, medical clinic, clinical laboratory or healthcare establishment", in particular Regulation 9(3)(b), which stipulates that the licensee shall take all measures as are reasonable and necessary to ensure that the medical records of every patient are properly transferred to the medical clinic or other healthcare institution to which such patient is to be transferred. As such the licensee would need to let MOH knows if your patients' medical records will be transferred to other medical clinic(s), or they will remain under the custody of the licensee after the cessation of the clinic so that the licensee will remain contactable in case your patients need their medical records back in future.

6.

Where can I get a copy of the 2015 National Guidelines for Retention Periods of Medical Records?

The updated national guidelines (2015) for retention periods of medical records seek to standardise best practices and ensure that medical records retention practices meet all current medical and legal requirements can be downloaded at the following website at https://elis.moh.gov.sg/elis/publishInfo.do?task=download&pkId=199

You may wish to consult your own legal counsel to adopt a medical record retention policy appropriate to your own clinical and legal needs.

7.

I want to lodge a complaint against a doctor / dentist/ or nurse or hospital / clinic. Who can I speak/write to in MOH?

You may contact our QSM hotline at 1800 2254122 or write to moh_info@moh.gov.sg. You can also write to the Singapore Medical Council (SMC) at enquiries@smc.gov.sg, if it is concerns the practice issue of the medical practitioner, or contact the Singapore Dental Council (SDC) at enquiries@dentalcouncil.gov.sg if it concerns the practice of the dental practitioner. For nursing issue, you may wish to write to the Singapore Nursing Board at snb_contact@snb.gov.sg

8.

I just took over an old school building and I wanted to convert it to a nursing home. How do I go about getting it done?

You are advised to refer to the licensing requirements for operating a nursing home at the MOH website and write to elis@moh.gov.sg if you require further information on the conversion of use.

9.

Is there any specific requirement if the licensee is a company? E.g. must the company's revenue / turnover be of a certain amount in order for a license to be obtained successfully?

There is no unique requirement for a company wishing to apply for a licence. However, when we assess applications by interested providers including Voluntary Welfare Organisations (VWOs), we take into account whether the applicant is able to financially sustain its operations.

10.

Is it easier to obtain the license if the company is a voluntary welfare organization (VWO)? Or it is the same regardless of whether the company is private or a VWO?

The assessment process is the same, regardless of whether the applicant entity is private or VWO.

11.

The elis website states that renovations of the nursing home must be completed before application of the license can be carried out. However, in the event that the license is not granted, wouldn't the renovations be in vain? Does this mean that the license is relatively easy to obtain?

The licensee has to comply with the requirements under the Private Hospitals and Medical Clinics (PHMC) Act, Regulations and Guidelines before the approval of license can be granted by MOH's Director of Medical Services. This requirement is transparent to all potential operators, and applicants should take this into account when deciding to operate a nursing home. Before proceeding with the renovation, the nursing home should engage a Qualify Person QP to ensure all requirements including fire safety requirements are met.

12.

Regarding the land at which the nursing home operates, it is necessary for the site to be bought by the operator or is it acceptable if the land is rented as well?

Nursing homes can be operated on land either bought by the operator or rented from the State. They can also bid to operate nursing homes under MOH's Build-Own-Lease (BOL) model where the government builds and owns the facility and leases out the operating rights of the facility through an open, competitive Request for Proposal process. The nursing home operator shall ensure that it has obtained all the necessary clearances from the various government agencies e.g. URA, SLA, before proceeding to apply for a PHMC licence at eLIS.

13.

How will the licence be sent to me?

Upon approval of the licence by the Director of Medical Services, licensee will be notified via email. He can then proceed to download the licence via the eLIS system.
 
5.  SPECIAL CARE SERVICES UNDER 2ND, 3RD AND 5TH SCHEDULES OF THE PHMC REGULATIONS, TOP / VS AND YELLOW FEVER VACCINATION SERVICES

1.

What are specialized care services under the Second, Third and Fifth Schedules of the PHMC Act/Regulations?

Please click here https://elis.moh.gov.sg/elis/info.do?task=guidelines§ion=GuideSpecialisedServ&src=menu for the specialised care services under the Second, Third and Fifth Schedules of the PHMC Act/Regulations

2.

If my hospital / clinics want to apply for a Termination of Pregnancy (TOP) approval / Voluntary Sterilization (VS), how do I go about doing it?

Termination of Pregnancy (TOP) Hospitals and medical clinics that intend to provide services for TOP are required to apply for status as an approved institution for TOP under the TOP Act. You can submit your application for TOP at the same time when you apply for your healthcare institution licence. If your healthcare institution is already licensed under the PHMC Act, but decide to provide the TOP later on, you can apply via eLIS as an add-on TOP services. Please also note that only doctors that are authorized by Minister is allowed to perform TOP and hence the clinic/ hospital has to write in to the Ministry for separate approval for the doctors to be authorized to perform termination of pregnancy.

Voluntary Sterilization (VS)It is not necessary for your institutions to apply for approval to perform VS under the VS Act. However you will need to meet the requirements specified by MOH with respect to the physical facilities and equipment used for such treatment. Medical clinics where any treatment for female sexual sterilization, or any treatment for sexual sterilization involving the use of general anaesthesia, regional anaesthesia or intravenous sedation, are carried out, must comply with the Directives for Private Ambulatory Surgical Centres Providing Ambulatory Surgery issued under the PHMCA. Medical clinics where any other treatment for sexual sterilization are carried out, must comply with all the requirements set out in the Schedule to the Licensing Terms and Conditions on Treatment for Sexual Sterilization issued under the PHMCA.

You may visit the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=GuideTermPregVolSter for more information on the provision of the TOP / VS services.

3.

How do I apply for my clinic to be a designated Yellow Fever Vaccination Centre?

Please click here http://statutes.agc.gov.sg/aol/search/display/view.w3p;ident=487066cd-e71e-4da3-9806-34c472b6502a;page=0;query=DocId%3A5e69eb8c-5499-4f83-b096-9747cd9f1fa8%20Depth%3A0%20Status%3Ainforce;rec=0#Sc3-):

Under the Third Schedule (Requirements as to vaccination and other prophylaxis) of the Infectious Diseases Act states: Every person who is going to or coming from or has passed through any country which is wholly or partly endemic for yellow fever shall be vaccinated against yellow fever, (a) at a private hospital or medical clinic in Singapore designated by the Director; or (b) at a yellow fever vaccination centre designated by a State Party to the World Health Organisation. If your clinic wish to be designated as a Yellow Fever Vaccination Centre, you will need to complete the 'Application form for Yellow Fever Vaccination Centre' and submit to MOH for approval.

You may visit the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=guidelines§ion=GuideLicensingHealthInsti&src=menu for the Condition for designation as Yellow Fever Vaccination Centre and also the application form for Yellow Fever Vaccination Centre.

 
6.  CLINICAL LABORATORY

A.

General

1.

What are the requirements for the licensee of a clinical laboratory?

The licensee should be a medical practitioner who is registered with the Singapore Medical Council (SMC) and has at least 5 years of relevant working experience.

You may wish to refer to the Private Hospitals and Medical Clinics (PHMC) Regulations under PART IV CLINICAL LABORATORIES for more information.

A person who has a degree in medicine or any other higher qualification in any of the disciplines specified under Regulation 56(a) to (j) may be considered on a case-by-case basis.

2.

What are the responsibilities of the licensee of a clinical laboratory?

The licensee of a clinical laboratory is responsible for the proper administration of the laboratory and compliance with any written Singapore law. This means that if the clinical laboratory is conducting activities that are regulated under other local laws, the licensee shall ensure that clinical laboratory complies with the relevant laws. The local laws which may be applicable to the clinical laboratory are not necessarily restricted to those enforced by MOH.

In addition, the licensee is also responsible for maintaining close supervision over technical staff and notifying MOH of any changes to the key personnel of the laboratory.

3.

What is the minimum requirement of the manager and deputy manager of a clinical laboratory?

The manager and deputy manager should possess:
a) A degree in medicine or a basic degree in a relevant science subject; and
b) At least 5 years of relevant working experience in a clinical laboratory.

4.

What is the minimum requirement of the trained person of a clinical laboratory?

The trained person should possess:
a) A diploma in medical laboratory technology or equivalent, or passed the Departmental Qualifying Examination[1] of the Ministry of Health; and
b) At least 3 years of relevant working experience in a clinical laboratory.

5.

Why does MOH request for the curricula vitae (CV) of the licensee, manager, deputy manager and train person?

This is a standard screening process to ascertain that these key personnel meet the licensing requirements. This applies regardless of whether you are applying for a new licence or a change in any of the key personnel.

B.

Inspection

6.

I have submitted the required documents. Can MOH inspect my clinical laboratory on the next working day?

The inspection date would depend on availability of MOH officers and the number of laboratory disciplines to be inspected. We would like to assure you that you would be given the earliest available slot.

7.

Who should I contact to arrange for an inspection?

You may call 6710 5295 or email (elis@moh.gov.sg). MOH officers may also contact you to arrange for an inspection.

8.

Can MOH provide a checklist to help me prepare for the inspection?

MOH officers inspect your clinical laboratory based on the requirements of the PHMC Regulations. You may also use the supplementary form submitted to MOH during licence application to help you prepare for the documents for the inspection.

C.

Add on service

9.

My clinical laboratory is already licensed. If I wish to add new laboratory disciplines to my existing service, do I need to inform MOH?

If you wish to add a new laboratory discipline, you will need to apply via eLIS (https://elis.moh.gov.sg/elis/). MOH will arrange an inspection of your clinical laboratory before approval is granted. Please do not start the new service until MOH's approval is granted.

10.

I would like to offer a new test in my clinical laboratory. Do I need to inform MOH?

First and foremost, you should ensure that the new test is mainstream, evidence-based and accepted by the local medical fraternity.

If you are adding a new test to an existing laboratory discipline, you do not need to inform MOH except if you wish to add special tests that are defined under the Fifth Schedule of the PHMC Regulations. Even though you are not required to inform MOH, you are required to ensure compliance with Regulations 51 to 55 for the new test.

For novel test, you should email the details, peer-reviewed scientific papers from internationally-recognised publications and other supporting documents to (elis@moh.gov.sg) so that MOH officers can assess your request and contact you if they need further information.

11.

What are the special tests defined under the Fifth Schedule and how do I apply to MOH to provide these tests?

The special tests defined under the Fifth Schedule are namely:
a) HIV Testing;
b) Malaria Parasite Testing;
c) AFB Smear; and
d) ABO and Rhesus Blood Grouping.
You should apply via eLIS (https://elis.moh.gov.sg/elis/) and subscribe to the relevant National Proficiency Testing (NPT) scheme.
You would be able to find the information on the NPT scheme in the eLIS website. MOH may inspect your clinical laboratory before approval is granted.

12.

Is the clinical laboratory allowed to send specimens to overseas for testing?

Clinical laboratories are allowed to send specimens to overseas clinical laboratories for testing. They should ensure that:
a) The overseas laboratories are accredited by an accreditation body (AB) approved by MOH;
b) The tests are covered within the scope of accreditation; and
c) The tests are mainstream, evidence-based and accepted by the local medical professionals.
You may wish to refer to the list of approved accreditation bodies on (https://elis.moh.gov.sg/elis/) under the section "Quick Reference".
 
7.  X-RAY LABORATORY

A.

General

1.

What are the requirements for the licensee of an x-ray laboratory?

The licensee should be a radiologist who is registered with the Singapore Medical Council (SMC) and has at least 5 years of relevant working experience.

2.

What are the responsibilities of the licensee of an x-ray laboratory?

The licensee of an x-ray laboratory is responsible for the proper administration of the laboratory and compliance with any written Singapore law. In addition, the licensee is also responsible for maintaining close supervision over technical staff and notifying MOH of any changes to the key personnel of the laboratory.

An example of other Singapore law that applies to x-ray laboratories is the Radiation Protection Act (currently under the purview of the National Environment Agency). The licensee is responsible for ensuring that the R1, N2, L3 and L5 licences are in place.

3.

What is the minimum requirement of the manager and deputy manager of an x-ray laboratory?

The manager and deputy manager should possess:
a) A degree in medicine or a basic degree in Radiography; and
b) At least 5 years of relevant working experience in an x-ray laboratory.

4.

What is the minimum requirement of the trained person of an x-ray laboratory?

The trained person should possess:
a) A diploma in Radiography or equivalent, or passed the Departmental Examination[2] of the Ministry of Health (Diploma of College of Radiographers (DCR); and
b) At least 3 years of relevant working experience in an x-ray laboratory.

5.

What other documents must I submit for a new application for x-ray laboratory licence?

You are required to submit all the relevant documents such as the Quality Assurance Manual, NEA licences (e.g. R1, L3 and L5), commissioning certifications/reports of new equipment, sample test request form and report, and curricula vitae of the licensee, x-ray laboratory manager and deputy manager.

6.

Why does MOH request for the curricula vitae (CV) of the licensee, manager and deputy manager?

This is a standard screening process to ascertain that these key personnel meet the licensing requirements. This applies regardless of whether you are applying for a new licence or a change in any of the key personnel.

B.

Inspection

7.

I have submitted the required documents. Can MOH inspect my x-ray laboratory on the next working day?

Before requesting for an inspection, you should ensure that your x-ray laboratory has been inspected by NEA officers for compliance with the Radiation Protection Act.

The inspection date would depend on availability of MOH officers and the number of laboratory disciplines to be inspected. We would like to assure you that you would be given the earliest available slot.

8.

Who should I contact to arrange for an inspection?

You may call 6710 5295 or email (elis@moh.gov.sg). MOH officers may also contact you to arrange for an inspection.

9.

Can MOH provide a checklist to help me prepare for the inspection?

MOH officers inspect your x-ray laboratory based on the requirements under the PHMC Regulations. You may also use the supplementary form submitted to MOH during licence application to help you prepare for the documents for the inspection.

10.

I have received the MOH email to arrange for a new x-ray laboratory inspection. What are the areas that I must take note of?

For a new x-ray laboratory, both the radiologist and radiographer must be present during the pre-licensing inspection. Otherwise, you may have to wait for at least 21 working days for the next available date. Please take note that MOH officers would not be able proceed with the inspection in the absence of the licensee.

C.

Add on service

11.

My x-ray laboratory is already licensed. If I wish to add new x-ray modality to my existing service, do I need to inform MOH?

If you wish to add a new modality, you will need to apply via eLIS (https://elis.moh.gov.sg/elis/). MOH will arrange an inspection of your x-ray laboratory before approval is granted. Please do not start the new service until MOH's approval is granted.
 
8.  RISK BASED LICENSING FRAMEWORK/ LICENCE FEES / REFUND OF LICENCE FEES

1.

What is Risk-Based Licensing Framework, and how can my clinic benefit from it?

'Risk Based Licensing' is a new licensing framework which incentivises licensees of healthcare institutions (HCIs) to be compliant with licensing requirements. HCIs that are compliant will qualify for a five-year licence, unless they opt for a standard two-year licence. The longer licensing period translates to lower annualized licensing costs.

Under RBL, all HCIs will be categorised into 3 categories - 'high-risk', 'moderate-risk' and 'low-risk' based on the nature of services they provide and track records of their compliance with licensing requirements. A demerit point system has been developed to quantify HCIs' non-compliances (NCs). The total number of demerit points accumulated for each HCI will determine the HCI's licence period. New HCIs will be given a licence for two years in the first instance.

The following HCIs are precluded from the 5-year licensing period viz. all hospitals, nursing homes and laboratories, and medical clinics providing special care services.

The demerit points incurred by an NC are based on the severity of the NC (e.g. impact on patient safety) and whether the NC is a repeated one. Demerit points accumulated and the disciplinary records of licensees and managers over the last 2 licensing cycles will be used in the risk assessment.

Table showing Risk Categories and Licence Renewal Period:-

Category Licence Period HCIs
Low-risk Can opt for 5 years - Medical and dental clinics providing general medical and dental services with 0-3 demerit points.
Moderate-risk or Default category 2 years Moderate risk
- Medical and Dental clinics providing general medical and dental services with 4-9 demerit points.

Default category
- All hospitals
- All nursing homes
- All medical clinics providing special care services including liposuction and/or specialized procedures and/or termination of pregnancy
- All laboratories
High-risk 1 year - Medical clinics providing Non-List A aesthetic procedures.
- Medical clinics providing special care services including liposuction and/or specialized procedures and/or termination of pregnancy with 4 demerit points or more.
- Medical and dental clinics providing general medical and dental services with 10 demerit points or more.
- All HCIs with poor disciplinary records, e.g. licensee / clinic manager was suspended for professional misconduct by Singapore Medical Council's / Singapore Dental Council's Disciplinary Committee; or was convicted in Court for breaching the Private Hospital and Medical Clinics Act / Regulations or for other offences.
Further information on RBL can be obtained from the frequently asked questions (FAQs) at eLIS website @ https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=FAQ

2.

How much is the licence fee? Is it a one-time charge?

The licence fees under the Risk-Based Licensing Framework for the different categories of licences are as follows:

Type of Licence Licence Fee ($)
(with effect from 1 Aug 2013)
5 Years 2 Years ≤1 Year
Hospitals
- 1,000 beds & above 9,900 4,950
- 100 to 999 beds 7,700 3,850
- less than 100 beds 4,400 2,200
       
Nursing Homes 1,100 550
Charitable Hospitals / Nursing Homes 12 12
       
Medical/Dental Clinics
- used by 1 doctor/dentist 900 770 385
(for licensees with poor compliance and disciplinary records) 660
- used by 2 to 5 doctors/dentists 1,350 1,100 550
(for licensees with poor compliance and disciplinary records) 890
- used by > 5 doctors/dentists 1,600 1,500 825
(for licensees with poor compliance and disciplinary records) 1,090
- used as Community Health Centres 1,310 1,150 1,090
- clinics with special services under the 3rd Schedule

Ambulatory surgery, liposuction, endoscopy, renal dialysis, liposuction, assisted reproduction services, lithotripsy, specialised cardiac investigation, specialised diagnostic radiology and blood & blood product collection, processing, storage, distribution & transfusion services (including autologous blood transfusion) [Fee payable is in addition to the licence fee specified for Medical/Dental Clinics]

1,100 550
Charitable Medical/Dental Clinics 30 12 12
       
Laboratories
- clinical & x-ray laboratories 2,200 1,100
- clinical laboratories 1,760 880
- x-ray laboratories 1,760 880
   
Institution Approved to Perform Termination of Pregnancy $600 for 2 years

3.

For payment of licence fees, do you accept cash payment? If no, how else can I make the payment?

No, we do not accept cash payment. All applicants are advised to pay the PHMC licence fees by online payments. The online payment should be made at the same time when you make application for a new licence or renewal of an existing licence, as your application for a licence will only be processed on receipt of payment.

The licence fee can be paid by Interbank GIRO, online ENETS payment, online VISA/Master Card Credit and Debit cards or cheque payment. Application Form for the Interbank GIRO will have to be completed and submitted to Licensing, Inspection & Audit Branch, Ministry of Health. (Download GIRO form here. List of participating banks here)

Online payment should be made at the same time when you make application for licence as your application will only be processed on receipt of payment.
For more details on the online payment through eNETS Debit, please refer to the website http://www.nets.com.sg.
For more details on the online payment through VISA/Master Card Credit, please refer to the website http://www.cybersource.com/.

For cheque payment, please make the cheque payable to: Ministry of Health, and send the crossed cheque to Licensing, Inspection & Audit Branch, Ministry of Health, College of Medicine Building, 16 College Road, S(169854). On the reverse side of the cheque please write your name, premises name, acknowledgement number and telephone number.

4.

If my application is not approved, will I get back the fees which I had paid earlier?

Yes, you will be refunded the fees which you had paid earlier provided you have a balance of 6 months valid licence fees.

5.

Do I have to seek approval from MOH if there are changes to the names of the licensee or manager during the licence period? If yes, how do I apply? How will the new licence fees be computed? Will there be a refund for the remaining licensing period for my existing licence?

You are required to apply a new licence through eLIS if you wish to effect the changes of licensee (as well as changes to the premises name or address). The new licence fees payable will be for a period of 2 years.

You are not required to apply for a new licence if you change the manager. However, you (the licensee) are advised to inform LIA Branch beforehand of any change in the management of the practice and services provided.

For the existing licence, refund of pro-rated licence fee will only be made if the remaining period of your licence is more than 6 months.

6.

If I cancel my licence/ cease practice/re-locate, will I get back my money?

Refund of pro-rated licence fee will only be made if the remaining period of your licence is more than 6 months.
 
9.  LICENCE PROCESSING TIME

1.

How long does it take for a PHMC licence to be approved?

The PHMC licence will be issued on satisfactory compliance with all licensing requirements, including all relevant Licensing Terms and Conditions, Directives and Guidelines listed under the PHMC Act & Regulations.

New Licence
Licence will be approved within 3 to 5 working days, if the institution has met all licensing requirements during the inspection. However, the approval process may take a longer time if there are deficiencies that need to be rectified.

Renewal Licence
Licence will be issued approximately 1 week prior to the expiry date of your existing licence, if the institution has met the licensing requirements.

2.

How will I know if my licence application is approved?

For new application, we will send the soft copy of the PHMC licence to you upon approval by the Director of Medical Services. The hard copy of the PHMC licence will be sent to you via registered post. For renewal application, we will send the hard copy of the PHMC licence to you by registered post.
 
10.  PRE & POST LICENSING INSPECTION

1.

What is pre-licensing inspection? How long is the visit? Who needs to be present during the inspection?

Pre-licensing inspection is the inspection of your premises before a licence can be issued, to ensure that the premises complies with all licensing requirements as required under the PHMC Act and Regulations.

For pre-licensing inspection of clinics, the doctor who is either your clinic manager or deputy clinic manager need to be present. For a GP clinic which does not provide any special care services, the pre-licensing inspection will take about 30 to 45 minutes. For clinics with special care services or clinic providing TOP services, it will take a longer time (so it will be a case-by-case basis).

For new x-ray laboratories, the licensee and radiographer must be present for the pre-licensing inspection. For clinical laboratories, the laboratory manager or deputy manager must be present. Otherwise, you would have to arrange for the trained person of each laboratory to be present.

You may wish to refer to the eLIS website for the more information on necessary requirements before you arrange for an inspection to your clinic premises at: https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=GuideArrangeOfInsp

2.

Will I receive a copy of the inspection report?

You will not receive a copy of the inspection report. However, you will be informed by the inspectors during the inspection on the areas of deficiencies in compliance with the licensing requirements. You are required to inform MOH in writing of the actions that you have taken/or will be taking to address those areas of deficiencies. To avoid any delay in the processing of your licence, you should keep MOH informed within the stipulated deadline.

3.

During the PHMC licence period, how often do you conduct inspection visits? Will you inform me of the visit?

We may carry out unannounced inspection during the licensed period.

For HCIs with 5 years licensing period To ensure that medical clinics issued with a five-year licence remain compliant with the licensing terms and conditions, the clinics will be randomly selected for inspection within the five-year period.

4.

When can I start to schedule for MOH inspection to my new clinic? When do I know whether my clinic is operationally ready for inspection?

In order to assist applicant to check whether the new clinic premises is operationally ready for inspection, we have prepared the following checklist items. Please read through and ensure compliance with all the checklist items before you proceed to arrange with MOH for an appointment to inspect your new clinic premises. To avoid any delay, you should ensure that your premises has met all the licensing requirements at the time of inspection.

Checklist items to confirm that my clinic premise is operationally ready for the scheduled inspection date

Fees and Documents

1. I have successfully paid the licence fees for my clinic application.
2. I have submitted all the necessary documents to MOH :

a. Floor Plan of the new premise

b. ACRA Company Profile, if the licensee is a company registered with the Accounting and Corporate Regulatory Authority (ACRA)

c. A copy of the authorization (letter) from Company Director or CEO of the company, with all the company director's signatures authorising a particular person to liaise with MOH on all licensing matters.

d. A copy of the Fire Safety Certificate (Under Section 20 of the Fire Safety Act, no person shall occupy or use any building unless a fire certificate authorising such occupation or use is first obtained from the Fire Safety & Shelter Department (FSSD)).

e. Photographs of the consultation room, showing the "wash sink" fitted in the room and the reception area/premises, at least two working days before the arranged inspection date.


If my clinic is operating in the same unit address with other Healthcare Institutions


f. I have provided MOH a copy of the floor plan clearly demarcating the rooms/areas under the management and control of the respective licensees. For common areas, one of the licensees must take full responsibility for these with the agreement of the other licensees.

g. I have provided a copy of the letter of agreement from the Tenant/Owner on my clinic's co-location with other HCIs
3. I have read and understood the Guide for Preparation of Medical & Dental clinics posted on the MOH eLIS website.
4. My clinic premise is prepared according to the criteria listed in the "Guide for Preparation of Medical & Dental clinics".

Facilities

1. I have completed the renovation of my clinic premises (i.e. all renovation, all cabinets, paint works, fixtures and fittings are fully completed on the day of inspection).
2. The sink for hand washing and disposable paper towels is made available in the consultation and treatment room.
3. Resuscitation facilities such as airviva, a range of airways i.e. different sizes, resuscitation drugs are made available. The three basic resuscitative drugs, Injection adrenaline, injection hydrocortisone and injection anti-histamine are made available. The resuscitation drugs including intravenous solution /set are within expiry date.
4. My clinic has stocked up at least 1 week supply of Personal Protective Equipment (PPE) for all employed personnel in the clinic.
5. Thermometer and temperature recording records are available if vaccines are stored in the clinic.
6. Artwork of Signboard is available if the clinic signboard is not ready. Sample of the clinic stationary e.g. letterhead of all forms, patient's medical records & dispensary labels reflecting the proposed name and address of my clinic are available.
7. Patient register is available either in hard copy or electronic copy.
8. Sample of the patient's dispensary record showing name of patient, name of drug, dosage of drug and amount dispense is available.
9. The bio-hazard box for the disposal of sharps/needles is available.
10. Bill itemisation and the display of charges are available.
11. Relevant copies of National Environment Agency (NEA)'s licences (e.g R1, L3 and L5 etc) for reference during the time of inspection, if x-ray is provided at the clinic/premise. (R1 - Registration as a radiation worker, L3 - Application for a licence to keep or possess an irradiating apparatus for use other than sale, L5 - Application for a licence to use irradiating apparatus (other than sale)
12. I ensure that the Clinic Manager (Medical Doctor) or the Practicing Doctor is present during inspection.

5.

How can I verify the identity of your MOH inspection teams? Do they wear uniforms?

Our officers do not wear uniforms but they carry an identification pass with them. The pass bears the MOH logo.
 
11.  E-APPOINTMENT BOOKING SYSTEM

1.

When can I choose the inspection date?

  • After the application has been screened to meet all licensing requirements, the eLIS System will notify the Applicant that he is eligible to select an inspection date.
  • The link to schedule and book an inspection will be shown on the eLIS home page.
  • Applicant must ensure that the clinic is operationally ready and set up according to the criteria listed in "Arrange for Inspection" on the website https://elis.moh.gov.sg/elis/info.do?task=guidelines&section=GuideArrangeOfInsp . Please note that if the premise is found to be not operationally ready on the day of inspection, the Applicant will have to re-book a new inspection date at the next earliest availability in the system which is estimated to be 15 working days later.
  • 2.

    What is the earliest date that I can select for the inspection?

    You may make a booking 10 working days in advance when you receive the email notice. However, the earliest available inspection date will be subject to availability.

    3.

    What if I need to change the inspection date?

  • The system will allow the re-scheduling of the inspection 48 hours before the scheduled inspection date.
  • If no cancellation is made and the premise is not operationally ready on the scheduled date of inspection, Applicant will have to rebook the inspection which is estimated to be at least 21 working days later.
  • 4.

    Will there be a reminder on the inspection date?

    The system will trigger a reminder 4 days prior to the actual inspection appointment.

    5.

    Is there an acknowledgement number that I need to quote for queries or change of appointment?

    Please quote the acknowledgement number issued by the eLIS system when you submit your clinic licence application.

    6.

    Can I appoint my clinic assistant to book the appointment date?

    Yes, any authorised person in connection to the clinic can book the appointment date.

    7.

    What if I need to make an urgent appointment?

    You may email to elis@moh.gov.sg stating your reasons for the urgency. However, the earliest available inspection date will be subject to availability.

    8.

    If there is an available empty slot due to cancellation will I be notified of the available slot?

    There will not be any notification on the available slots. However, you may check the system on the earliest availability.

    9.

    Can I book two appointment dates i.e. one available date and one on the waiting list?

    The on-line system will only allow for one appointment booking. You are advised to ensure that the clinic is operationally ready before scheduling an appointment to avoid delays and cancellation.

    10.

    Is there a booking fee?

    There is No booking fee.

    11.

    How many times will I be allowed to cancel or re-book the inspection date / time?

    The on-line booking system will only allow one cancellation or re-booking. The system will allow the re-scheduling of the inspection 48 hours before the scheduled inspection date.

    12.

    What is the penalty if I cancel my inspection appointment booking more than once or twice?

    Applicant will have to re-join the queue to book for the next earliest inspection date which can be at least 21 days later.

    13.

    Will I get an acknowledgement on the expected Licence approval date after fulfilling the inspection visit and requirements?

    The estimated time to receive licence approval is 3-5 working days from inspection date. The Licensing branch will email you a softcopy of the clinic licence as soon as it is approved. The hard copy of the clinic licence will be sent to you via registered post.

    14.

    Can I choose or know the identity of the inspectors from the appointment booking system when I confirm the inspection booking date?

    This option is not available in the Appointment Booking System.

    If you encounter any technical issues or have any feedback with this e-service, please email elis@moh.gov.sg
     
    12.  AESTHETICS / AMBULANCE / HOME NURSING SERVICES

    1.

    I would like to provide aesthetic services in a clinic. Can you send me a copy of the licensing guidelines?

    You may obtain the guidelines on aesthetic services from SMC website at http://www.healthprofessionals.gov.sg/content/hprof/smc/en/topnav/guidelines/guidelines_on_aesthetic_practices.html. You will need to apply for a medical clinic licence to provide aesthetic services.

    2.

    I would like to perform Aesthetic List B (Non-List A) procedures / services in my clinic, is it allowed?

    No, new clinic is not allowed to perform Aesthetic List B (Non-List A) procedures or services. MOH has sent out the circular to all licensee informing them that no new medical clinics are allowed to provide Non-List A (previously known as List B) Aesthetic Procedures from 1 March 2015 onwards. For existing medical clinics offering List B aesthetic procedures, we would request these medical clinics to publish their List B aesthetic procedure outcomes in a peer-reviewed journal within 6 months. The circular is available at https://elis.moh.gov.sg/elis/publishInfo.do?task=download&pkId=207. The Aesthetic Practice Oversight Committee (APOC), SMC will assess the scientific merits and provide their professional opinion on the submitted evidence. The medical clinics would have to stop offering the procedure if the evidence was deemed as insufficient.

    3.

    I would like to provide ambulance service. Do I need to apply for an approval from MOH?

    Yes, you (the ambulance service operator) would need to register the ambulance vehicle with LTA. LTA requires you (the operator) to first obtain an approval letter (Letter of support) from MOH prior to the registration of ambulance with LTA. You may wish to visit the eLIS websites at :-

    4.

    I would like to set up a health/medical spa (or tattoo company). Do I need to apply for a licence from MOH?

    If the health and medical spa does not involve medical treatment of patients, then the setting up of such spas do not come under the purview of the PHMC Act & Regulations. You are however required to register with ACRA (for businesses and companies registration) if you wish to start a spa business.

    If, however, you are employing a medical doctor and the doctor will be providing medical treatments to patients, then the premises would have to be licensed under the PHMC Act & Regulations. Please note that there must be clear demarcation between the Spa and the premises providing medical services. Please read the details of licensing of "medical clinic" under the PHMC Act that is available at our eLIS website.

    5.

    I would like to provide home nursing service ie my nurses will go to the residential homes of patients. Do I need to apply for a licence?

    No, currently you do not need to apply for a licence to provide home nursing service. However please check with the Singapore Nursing Board at snb_contact@snb.gov.sg for further advice with regards to the practicing requirements for nurses providing home nursing services.

    6.

    I'm a medical practitioner do I need to apply for a PHMC licence for house call service?

    Currently, provision of home medical services does not need to be licensed under the Private Hospitals and Medical Clinics Act. However, medical practitioners who intend to provide such services are advised to operate from a base licensed clinic, which would be used for the storage and maintenance of proper medical records, medical equipment / supplies and drugs. For registered medical practitioners who provide house calls / home medical services without a base licensed clinic, they will be governed by the Singapore Medical Council's code of conduct and ethical guidelines when carrying out their duties at patients' home. So, it would be advisable to check with the Singapore Medical Council as to whether there are any guidelines for conducting house calls without a base licensed clinic.
     
    13.  MOH's approval for provision of offsite services

    1.

    If I intend provide offsite service for e.g health screening, do I need approval from MOH?

    Yes, you would need to write to MOH for approval to provide offsite medical services such as provision of Mobile vehicles; offsite Vaccination Service; and offsite Health screening.

    Any premises which is used for the provision of any services or for carrying out any practice or procedures, that is related to the diagnosis, treatment or care of persons suffering from any disease, injury or disability, shall be licensed as a healthcare institution (HCI) under the Private Hospitals and Medical Clinics (PHMC) Act. As health screening is classified as a medical activity, it shall be carried out in a licensed HCI . Nevertheless, a licensed HCI (hospital or medical clinic) could provide medical services (e.g. health screening) off site, provided that it has obtained prior approval from MOH with an application fees.

    The licensee of the designated licensed base hospital/clinic is fully responsible for all the activities related to the provision of the offsite services and complies fully with all the relevant requirements of the Private Hospitals and Medical Clinics Act and the Regulations made thereunder and any directives or guidelines as may be given or issued from time to time by the Director of Medical services.

    The service provider (i.e the licensed Hospital/ Clinic) to submit their application to MOH for approval @ elis@moh.gov.sg providing MOH the details of the offsite services including the following:
    a) The objective of the offsite services programme
    b) The target groups (race, age etc)
    c) Date/time and venue
    d) The fees details
    e) The types of health screening tests provided
    f) Who will provide phlebotomy and lab services (blood/urine/stool)
    g) Any counselling of participants before the screening and referring patients with abnormal results for follow up after the tests?
    h) What are the arrangements for infection control, disposal of biohazard waste, medical emergency, etc.

    A licensed HCI can apply to MOH (via elis@moh.gov.sg) for the provision of off-site medical services for approval, and subject to an application fees. The Offsite service shall only be conducted after MOH's approval is obtained.

     
    14.  RED CROSS SIGN / PUBLICITY REGULATIONS

    1.

    Why am I not allowed to have a red cross sign in my clinic signboard / ambulance?

    This is stipulated in the Geneva Conventions Act (GCA) under Section 8 which states that no person shall, without the Minister for Health's authorization, use
    (a) The red crescent emblem;
    (b) The red cross emblem;
    (c) The red crystal emblem;
    (d) The red lion and sun emblem; or
    (e) The words "Red Cross" or "Geneva Cross"

    Section 9 of the GCA further provides that no person shall without the Minister's authorization use:
    (a) Any design consisting of a white or silver cross on a red ground, none of the limbs of which extends to the margin of the ground, being the cross comprised in the Arms of the Swiss Confederation;
    (b) Any design being a colourable imitation of the design mentioned in paragraph (a);
    (c) Any design being a colourable imitation of the red crescent emblem, the red cross emblem, the red crystal emblem or the red lion and sun emblem; or
    (d) Any words so nearly resembling the words "Red Cross" or "Geneva Cross" as to be capable of being understood as referring to the red cross emblem.

    The maximum penalty for misuse of any of the emblems is $10,000. For more information on the Red Cross Sign, please refer to Geneva Conventions Act (Cap 117) at the Singapore Statutes Online at http://statutes.agc.gov.sg/

    2.

    Can I still put up the red cross sign if I use a different colour for the cross?

    Yes, you can put up a cross sign of other colours except red.

    3.

    Can I advertise my service? If so, are there any guidelines?

    Yes, you can advertise your services but please make sure that the publicity of your services complies with the PHMC (Publicity) Regulation 2004, a copy of which is available at the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=legislation&file=Reg_PHMC_Publicity_Regulations.pdf

    4.

    Where can I find the Publicity Regulation in MOH website?

    Publicity Regulation can be found in MOH website https://elis.moh.gov.sg/elis/info.do?task=legislation&file=Reg_PHMC_Publicity_Regulations.pdf - Private healthcare institutions - 2004 Private Hospitals and Medical Clinics (Publicity) Regulations.

    5.

    The Publicity Regulation is too technical for me to understand, is there an explanatory guide to the Publicity Regulations?

    You may wish to visit the eLIS website at https://elis.moh.gov.sg/elis/info.do?task=download&file=ExplanatoryGuidance.pdf for the explanatory guidance to the private hospitals and medical clinics (PHMC) (Publicity) regulations.
     
    15.  OTHERS (MEDALERT / UEN)

    1.

    What is MedAlert?

    The MedAlert System is a critical tool to allow the Ministry to disseminate important and time-sensitive information to medical practitioners during disease outbreak or crisis.

    With effect from 1 Jan 2009, all licensees of healthcare institutions licensed under PHMC Act are required to subscribe to the MedAlert System. You are required to ensure that all your contact details (ie your mobile numbers, email address and/or facsimile numbers) provided at the point of licensing remain valid. You may also appoint a responsible person to receive the MedAlert on your behalf.

    2.

    What is UEN?

    UEN (unique entity number) is a standard identification number for licensed healthcare institutions to interact with government agencies.

    If your hospital/clinic is already registered with ACRA as a business or local company, your existing ACRA registration number will be retained as your UEN. There will not be a new UEN issued to you. If your institution is registered with ACRA as a limited liability partnership, ACRA will issue you with a UEN.

    If your institution is not registered with ACRA, MOH will issue your institution licensed under the PHMC Act with a UEN.

    Please visit the UEN website at https://www.uen.gov.sg, for more information on UEN, or you can visit the website to search for your UEN number.

    3.

    Where can I go to find out whether a HCI is licensed by MOH, or where can I get a listing of all the HCIs that are licensed by MOH?

    You can visit the HCI Directory Website at http://hcidirectory.sg/hcidirectory/ for the listing of all HCIs that are licensed under the PHMC Act.
     
    16.  FAQ ON FOOD HYGIENE OFFICER IN NURSING HOMES

    1.

    What is the role of Food Hygiene Officer (FHO)?

    The FHO helps to
    i) Implement systems and conduct checks to ensure food handlers practise good hygiene during food preparation
    ii) Educate and /or to remind food handlers to practise good practices
    iii) Identify lapses and take prompt corrective actions.

    2.

    What is the requirement of a FHO?

    FHO must have attended the three-and-a half days Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course and pass the examination conducted at the end of the course. He /she must obtained a certificate certifying that he/she has passed the examination

    3.

    Is there a grant for officer who wishes to attend the Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course?

    Yes, healthcare institutions may register for the Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit course with ITE. Although they are working in non NEA-licensed premises, they would qualify for WDA funding if their work is related to the kitchen and/or food preparation. Please note that confirmation of seats/classes is subjected to training providers' available vacancy/capacity.

    4.

    Can FHO be appointed from outsource kitchen vendor e.g. SATS?

    The healthcare institution (HCI) must ensure that the food service provider fulfils the requirement of having at least one FHO to oversee a high standard of food hygiene and management at all times. HCI should have a staff who is familiar with Food hygiene matters so that it is able to appraise and audit the provider's standards when necessary.

    5.

    Can the Head Chef take on the role of Food Hygiene Officer or must it be a person independent of the kitchen function?

    Yes, the head chef can take the role of Food Hygiene Officer if he/she has completed and passed the Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course

    6.

    Staff have attended Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course a few years ago. Is their certification still valid?

    National Environment Agency continues to recognize all certificates on Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course Certificate issued by the training centre.

    7.

    Is there a timeframe for all healthcare institutions to appoint a Food Hygiene Officer

    All HCIs should appoint a FHO when it starts operating.

    8.

    Can the food handlers double up his /her role as Food Hygiene Officer?

    Yes, the food handlers can be appointed as Food Hygiene Officer if he /she have completed the Workforce Skills Qualification (WSQ) Conduct Food & Beverage Hygiene Audit Course.

    9.

    Is there any website where I can get more information on Food Hygiene Officer?

    You may wish to visit NEA's website at http://www.nea.gov.sg/public-health/food-hygiene/information-of-food-hygiene-officer for more information on Food Hygiene Officer.
     
    17.  WORKPLACE SAFETY AND HEALTH (WSH) ACT

    1.

    Where can I get a copy of the Workplace Safety and Health Act? Do I need to do risk assessment for my clinic/healthcare institution? Do I need to report workplace injuries/occupational diseases to MOM?

    The Workplace Safety and Health (WSH) Act is a legislation relating to the safety, health and welfare of persons at work in a workplace. For more information, about the WSH Act, please visit the Ministry of Manpower (MOM) website at http://www.mom.gov.sg/workplace-safety-and-health/workplace-safety-and-health-act
     
    18.  COMPOUNDABLE NON COMPLIANCES

    1.

    Why is there a need for MOH to introduce the compoundable non compliances (NCs)?

    MOH has noted that the areas of non-compliances (NCs) noted during the licensing inspection of clinics such as expired resuscitation drugs; resuscitation equipment not available/ poorly maintained; and date & time of consultation not recorded in the medical records etc, have become more prevalent. Henceforth, with effect from 1 Oct 2014, the Ministry of Health shall take enforcement actions in the form of warning, composition of fine (a sum of $500 or more), and /or prosecution actions, against healthcare institutions with such repeated non-compliances.

    2.

    What are the offences that are compoundable?

    MOH RCE will take enforcement action against the licensees of medical and dental clinics with repeated NCs, in particularly the following three most common NCs noted at the clinic inspections:-
    (i) Clinics holding expired drugs;
    (ii) Clinics without available resuscitation equipment or poorly maintained resuscitation equipment; and
    (iii) Clinics which do not record the Date/Time of consultation in the records.

    3.

    When will MOH start to take enforcement actions on the repeated NCs noted during the clinic inspection?

    With effect from 1 Oct 2014, MOH will start to take enforcement actions against the repeated common NCs noted during the clinic inspection.

    4.

    Will the past NCs of my clinics having such offences be considered?

    The new enforcement rule will take effect from 1 Oct 2014. All past and previous NCs would be zeroised for enforcement under the new rule, i.e. NCs noted after implementation date of 1 Oct 2014 will be counted as 1st offence, which will be given a warning letter. However, for the computing of the demerit points under the Risk-Based Licensing Framework (RPLF), would still stand, i.e. the offence(s) committed before the implementation date will still be taken into consideration, and counted as demerit points under the RBLF.

    5.

    What is the fine amount for the NCs?

    The amount of fine imposed on the clinic with the repeated NCs will be based on the following guidelines:-
    (i) For 1st offence - Letter of Warning
    (ii) For 2nd offence - Composition of $500/count of offence
    (iii) For 3rd offence - Composition of $1,000/ count of offence
    (iv) For 4th offence - Composition of $1,500/ count of offence
    (v) For 5th offence - Composition of $1,800/ count of offence
    (vi) For 6th offence - Composition of $2,000
    (vii) For 7th offence and subsequent offences - Prosecution

    6.

    How and where should I pay for the fine?

    Notes On Payment
    Payment may be made by cash, cheque or money/cashier's order. All payments must be made in Singapore currency.


    Cash Payment
    Cash payment is to be made at Healthcare Finance and Corporate Service (Attn: Ms Lim Sally) Ministry of Health, 16 College Road, Singapore 179854 at the following times:


    Mondays to Fridays 9.00am to 1.00pm
    2.00pm to 5.00pm

    Please bring this Notice when making payment by cash.


    Cheque Payment
    Cheques should be crossed "A/C Payee Only" and made payable to the Ministry of Health.


    Others
    Money/Cashier's Order should be made payable to the "Ministry of Health".


    All cheques and money/cashier's orders should be posted together with this Notice to:

    Director of Medical Services
    Ministry of Health
    17 College Road
    College of Medicine Building
    Singapore 169854.

    Attn: Regulatory Compliance & Enforcement Division, HRG

    7.

    Will the fine affect my renewal of the PHMC licence?

    Yes, the demerit points incurred by an NC are based on the severity of the NC (e.g. impact on patient safety) and whether the NC is a repeated one. Demerit points accumulated and the disciplinary records of licensees and managers over the last 2 licensing cycles will be used in the risk assessment. Other possible regulatory actions may include advice, warning, and suspension or revocation of licence.




    Last updated on 06-Oct-2017