Cancer survivorship starts when a person is diagnosed with cancer and continues through the cancer journey and beyond. As a cancer survivor, your journey of cancer survivorship also includes your caregivers and loved ones who care for you. Once treatment is completed, in addition to looking out for side effects related to treatment and regular monitoring by your physician to detect recurrence, it is important that you stay well and… live well!
Working closely with our primary care providers, the Follow Up Cancer Care in the Community Programme launched in July 2018, focusing on follow-up cancer care for our cancer survivors in the community. As a cancer survivor, our programme aims to integrate and provide continuity of care for you back in the community you live in.
This programme will see NCIS transitioning routine cancer care for stable breast and colorectal cancer survivors to our community partners* such as selected GPs in the National University Health System primary care network, Keat Hong and Frontier Family Medicine Clinics (FMCs) and the six polyclinics under the National University Polyclinics (NUPs).
*Our partner GPs and physicians at the FMCs and polyclinics have undergone training and certified by NCIS to provide cancer survivorship care.
For more information, please click on the accordions below.
Breast and colorectal cancer patients who are no longer on active treatment and have gone through > 5 years of cancer surveillance in the hospital.
*To note: Suitable patients will be identified by their physicians for the transfer of care. Patients can choose from a list of primary care providers in partnership with the NCIS for their continuity of care in the community. If you are not sure of your eligibility, please check with your doctor.
Programme Benefits
Breast Cancer Survivors
You will have your annual follow-up with your primary care provider and fast track back to NUH for further assessment, if abnormal results are being detected in your annual screening mammogram. Subsidised annual mammogram will be done under Breast Screen Singapore (BSS) in one of the National University Polyclinics. Non-subsidised annual mammogram will be done in NUH.
Colorectal Cancer Survivors
You will have your annual follow-up with your primary care provider and fast track back to NUH for further assessment, if abnormal results are being detected in your surveillance colonoscopy. Your surveillance colonoscopy will be done once every 3 - 5 years in NUH.
Polyclinics under the National University Polyclinic
Family Medicine Clinics
GP Clinics
What is the Follow-up Cancer Care in the Community programme about?
Our Follow-Up Cancer Care in the Community programme is designed to support cancer survivors by providing ongoing care within their local community. By partnering with primary care partners, we ensure seamless, continuous care as patients transition from hospital-based treatment to community-based follow-up, promoting long-term health and well-being.
I've been discharged from NCIS. What's next?
A care coordinator will contact you to guide you through the next steps. Based on your choice of primary care partner, an appointment may be arranged for you. Please be sure to attend your scheduled appointment and bring along your NCIS Cancer Treatment Summary and Survivorship Care Plan.
What is the NCIS Cancer Treatment Summary and Survivorship Care Plan?
It is a document outlining the cancer treatment you received at NCIS and providing screening recommendations to help maintain your health. This information is crucial for guiding your future care.
Will my primary care doctors know how to continue my care plan?
Yes, the primary care doctors you are referred to are well-trained to manage your follow-up care. They will ensure your general health and well-being are maintained through regular screenings.
What happens when I receive abnormal results?
You will be fast-tracked back to the hospital for further evaluation by our specialists.
If I'm a subsidised patient, will I become a private patient if I am referred back to the hospital?
If you are a CHAS, Pioneer Generation, or Merdeka Generation cardholder referred from a CHAS GP clinic, your subsidised status will be retained when you are fast-tracked back to the hospital.
What should I do if I forget my appointment?
You can check your appointment details on the NUHS App, call +65 6908 2222 or +65 6773 7888, or email us at [email protected]
Contact Us or Learn More About This Programme
Appointment-related enquiries:
Call +65 6773 7888 or email us at [email protected].
Cancer survivorship programmes:
Call +65 9836 8204 or email us at [email protected]
If you are a patient on the programme and you have forgotten details of your first appointment with your selected primary care provider, you can either call up your selected primary care provider or contact +65 6773 7888 for assistance.
