NHG Population Health
As the Regional Health Manager for Central and North Singapore, we are transforming care for 1.5 million residents. Together with our health and social care partners, we are shifting from reactive, disease-focused treatment to preventive and person-centred care in the community.
Adding Years of Healthy Life
At NHG Population Health, we are committed toward improving the health and wellbeing of 1.5 million residents in Central and North Singapore. Our work in transforming primary and aged care system continues to move beyond hospital walls, into neighbourhoods, schools and workplaces. Through our three Missions – Population Health, Community Care and Primary Care – we join up health and social care by working closely with hospitals, specialty centres, and community partners including general practitioners and community care providers. As a steward of health, we strive to support residents across different life stages through integrated and person-centred care, and community-based programmes.
Caring for Residents in Central and North Singapore
As the designated Regional Health Manager for Central and North Singapore, we play a key role in managing healthcare for 1.5 million residents in the region. Together with our health and social care partners, we are shifting from reactive, disease-focused treatment to preventive and person-centred care in the community.
To date, we have established 105 Communities of Care (CoC) and embedded our Community Health Teams to provide needs-based and placed-based care. In a mature thriving CoC, residents’ care, and their health and social needs are more anchored in the community, rather than in hospitals, institutions and professional services. This is the outcome that we want for all our CoCs – to enable our residents to age-in-place while receiving the care and support that they need.
Through our three missions – Population Health, Community Care and Primary Care – we join up health and social care by working closely with hospitals, specialty centers and community partners including general practitioners and community care providers.
NHG Polyclinics
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NHG Diagnostics
NHG Diagnostics is a leading provider of one-stop Imaging and Laboratory services in primary and community healthcare. We provide a comprehensive range of diagnostic and screening services including Laboratory testing, General X-ray, Mammogram, Ultrasound, Bone Mineral Densitometry, Home Phlebotomy and Ultrasound.
Through our network of more than 20 Imaging Centres, Laboratories and mobile radiography services in Singapore, we aim to bring health screenings and diagnostics to workplaces, community and homes.
NHG Pharmacy
NHG Pharmacy provides a wide range of pharmacy services to meet the needs of the community and help them use their medication in a safe, effective, and responsible manner. As a leading provider of pharmacy services in the long-term care sector, our team of pharmacists actively address the needs of the seniors and their caregivers to help them achieve the best results for their prescribed therapy. The public can also seek advice on medication and purchase quality and affordable healthcare essentials from our retail pharmacy and online store.
Community Care
Community Care advances health and wellbeing by delivering accessible, preventive health services in neighbourhoods, schools and workplaces through our Community Health Teams, School and Workplace Health programmes and Care Transition Services. Across Central and North Singapore, we have established 105 Communities of Care (CoC) to provide needs-based and placed-based care. In a mature thriving CoC, residents’ care, and health and social needs are more anchored in the community, rather than in hospitals, institutions and professional services. This is the outcome that we want for all our CoCs – to enable our residents age-in-place while receiving the care and support that they need.
Central-North Primary Care Network
Central-North Primary Care Network (CN-PCN) strengthens care delivery through a network of more than 200 GP partner clinics under NHG Health. Supported by a Clinical Lead, Admin Lead, GP Sub Leads, Nurses, Care Coordinators and Admin Team, it provides nursing, ancillary and support services to patients with chronic conditions at the GP clinics and community nodes, bringing care closer to the residents.
Our strategy is rooted in the triple aims of population health: delivering better health outcomes and care experiences; ensuring health equity and access across all segments of society, while bending the cost curve to keep healthcare sustainable.
To achieve this, we are redesigning care by moving from fragmented episodic care to lifelong trusted relationships, shifting from treatment to prevention and driving right-siting of care to improve quality while managing costs.
River of Life Framework: Supporting Residents Across Life Stages
The River of Life Framework guides our approach in healthcare delivery across each resident’s life journey.
It describes the life-health course of a resident that starts with the health and preventive care focus of Living Well from young, through to managing chronic illness and other conditions in Living with Illness that hits many from 40 years onwards. It also addresses periods of Crisis and Complex Care for acute illness that residents may encounter.
As ageing advances, residents will contend with Living with Frailty, at first slowing its onset and then managing it, and finally making the necessary preparations for Leaving Well including making decisions based on their End-Of-Life care needs and what they value and matter most to them.
This holistic approach ensures continuous, appropriate care delivery across every life stage, supporting residents in their journey towards optimal health outcomes.
The Population Health Stack – Our Core Strategy
Transforming care and lives of our residents along their river of life from living well to leaving well with our population health stack and enablers, as we reinvent the preventive care and aged care systems, joined up care with acute care, in support of national initiatives.
Our Roadmap 2030
The NHG Population Health Roadmap 2030 sets out six strategic priorities for NHG Health to drive population health transformation in the Preventive and Primary Care System and in the Community and Aged Care System.
- One Care Relationship: Care model that focuses on building long-term, continuous relationships between healthcare providers and patients.
- One Care Alliance: Network of healthcare and community partners working together under the NHG integrated care framework to support residents’ needs.
- One Care Plans for personalised health plans: Personalised care plans that outline coordinated care strategies for patients, particularly those with complex health needs.
- One Community of Care: Community-focused healthcare approach that aims to bring care closer to residents in their neighbourhoods.
- One Health & Social Care Programme: Integrated approach that combines healthcare and social support services to address both the medical and social needs of residents.
- One Integrated Palliative Care Programme: Comprehensive end-of-life care initiative that coordinates palliative care services across different settings to provide seamless support for patients with life-limiting illnesses.
Our Population Health strategy aims to empower residents to live and age well through strong relationships with primary care providers, active participation in health planning, and effective management of chronic conditions. With support from their community of care, residents can confidently age in place, access home and community-based care services, and receive dignified end-of-life care aligned with their wishes.
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Preventive and Primary Care |
Community and Aged Care |
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Residents Have Strong Care Relationships With Their Primary Care Provider |
Residents Age Well in Place Supported by Their Community of Care |
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Residents Actively Participate in Their Health Planning |
Residents Opt for Home and Community-Based Care, Instead of Hospital-Based Care |
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Patients Live Well With Their Chronic illness |
Residents Are Supported in Their Wishes to Leave Well at Home |
Through these integrated approaches, we help residents stay healthy and receive the appropriate care when they need it, where they need it. Our strategy does not just add years to life - it adds life to years, helping residents regain what could be a lost decade of healthy living. By focusing on prevention, building strong relationships, and working with communities, we are creating a healthcare system that helps everyone live better, fuller lives as they age.
Building Healthier Happier Communities, Together
Transforming population health through community partnerships and resident engagement, united by a common vision to add years of healthy life to residents in Central and North Singapore.
Singaporeans enjoy one of the longest life expectancies in the world, averaging 85 years, but typically spend the last decade in poor health. What if we can change how we experience our later years? How can we make every year count and regain years of healthy life together?
Creating healthier, happier communities is not a journey we can take alone. It requires strong partnerships across the health and social care ecosystem, and active participation from residents themselves.
Together with our partners and communities, we are transforming how healthcare is delivered and experienced in Central and North Singapore.
Working as One
Working closely with our General Practitioner (GP) partners and network of health and social care providers, we coordinate care that is comprehensive, accessible and integrated. Our network of hospitals, national specialty centres, polyclinics, and community health posts bring care closer to where our residents live, work and play.
Building Care Networks through One Collective
The NHG Population Health Collective (POP Collect) represents our commitment to partnership. This network brings together diverse health and social care organisations serving Central and North Singapore, creating opportunities for relationship-building, shared learning, and collaborative innovation. By joining forces, we can better address both the health and social needs of our residents.
Activating Communities through the 15M Social Movement
True healthcare transformation requires active participation from residents themselves. Through the 15M Social Movement, we are empowering residents to connect and act together for collective health and well-being. Our ambitious goal of adding 15 million years of healthy life for our 1.5 million residents can only be achieved when communities take ownership of their health journey. Through community-led health activities, shared success stories, and engaging events like the 15M Social Challenge and 15M Health Games, residents are becoming active partners in creating healthier neighbourhoods.
Creating Healthier, Happier Communities through Games
In October 2025, we will come together for a weekend of community-friendly games and activities. Everyone is welcome, so join us!
