Singapore Goverment

 

Risk-Based Licensing Framework

'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, 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.

Tables showing Risk Categories and Licence Renewal Period

Medical & Dental Clinics (1 August 2013)

Category Licence Period Criteria
Low-risk 5 years - Medical and dental clinics providing general medical and dental services with 0-3 demerit points in the preceding two standard licensing cycles*
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 or less - 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 consecutive cycles of 2 years licenced period

To ensure that the clinics issued with a five-year licence remain compliant with the licensing terms and conditions, the clinics will be randomly selected for audit within the five-year period. In fact, all HCIs under the various licence periods are also subjected to random audit to ensure their regular compliance with licensing requirements.

For enquires and clarifications, please email elis@moh.gov.sg

Licensing, Inspection & Audit Branch
Regulatory Compliance and Enforcement Division
Health Regulation Group
Ministry of Health

Last updated on 1-Feb-2018