The National University Hospital (NUH) has introduced its Appropriate Care (Apt Care) initiative, focusing on delivering patient-centred care that maximises health outcomes whilst reducing inefficiencies. Launched in March 2024, the campaign aims to create a collaborative healthcare environment where patients actively participate in their treatment plans, potentially reducing medication and unnecessary tests.
One of the key projects under the Apt Care initiative is the end-of-life care pathway for cancer patients, developed in collaboration with the National University Cancer Institute, Singapore. This programme, launched in October 2024, employs a multidisciplinary approach to enhance patient comfort by minimising non-essential medications and procedures. Between October 2024 and August 2025, 108 patients benefited from reduced vital sign checks and blood glucose monitoring, saving up to $740 per patient.
Another significant project targets unnecessary blood glucose monitoring for inpatients. Initiated in September 2024, this project has halved the average daily blood glucose tests for 87 patients, without increasing hypoglycaemia or hyperglycaemia rates. Dr Ada Teo, the project lead, noted that the initiative has improved patient experiences and reduced costs, with 85% of nurses expressing confidence in the new workflow.
NUH plans to expand its Apt Care efforts by reducing duplicative tests, minimising inappropriate medication, and consolidating appointments to improve care coordination. Adj A/Prof Amelia Santosa, co-lead of the Apt Care campaign, emphasised the importance of these initiatives in addressing the needs of Singapore’s ageing population and enhancing healthcare value.
