The COVID-19 Circuit Breaker Period, from 2020 April 7th to June 1st, entailed the restriction of services to those that were essential. There will be 2 phases for the resumption of services:
- From 19th May 2020 onwards.
- After the end of the circuit breaker period.
Essential services ongoing. Call before coming:
- STD screening, testing and treatment (A2, A17)
- HIV screening, testing and treatment (A2)
- HIV Pre-exposure prophylaxis (A2)
- HIV Post-exposure prophylaxis (A2, A3, A12)
- Rabies post-exposure vaccination (A2, A3, A12)
- Emergency contraception (A3, A12)
- Medication refills (A15) – (Viagra®, Levitra®, Cialis®, Priligy®, Propecia®, Microgynon® 30, Diane®-35, Yasmin®, Yaz®, Qlaira®, Evra®, NuvaRing®.)
- Influenza vaccination
- Pneumococcal vaccination
- Erectile dysfunction
- Premature ejaculation
- Smoking cessation
- Hair loss
Please contact us if you need clarification.
SINGAPORE MINISTRY OF HEALTH TIERED RESUMPTION OF HEALTH SERVICES DURING & AFTER COVID-19 CIRCUIT BREAKER PERIOD
Circular 93/2020 (Circular on Services Deferment and Reduction during COVID-19 Circuit Breaker Period, 6 April 2020) directed healthcare institutions (HCIs) to defer healthcare services which were triaged as non-essential while essential services1 and COVID related operations should continue. This Circular provides instructions on the gradual resumption of more healthcare services during and after the post Circuit Breaker (CB) period. This Circular will supersede Circular 93/2020.
Examples of Essential Services that have not been deferred during Circuit Breaker period
- COVID-19-related care and services
- Screening, testing and treatment of infectious diseases
- Emergency medical and psychiatric conditions such as breathlessness, heart attack, etc.
- Acute stroke and neurosurgical services
- Acute cardiac and cardiothoracic procedures such as ePCI, ECMO
- Trauma services
- Procedures or surgeries required to prevent deterioration of the patient’s condition
- Urgent organ transplantation services including bone marrow transplants
- Dialysis services and other renal replacement services
- Cancer services when delayed would increase the chances of relapse or deterioration, including high risk biopsies
- Services which would be impacted by time delay, such as in-vitro-fertilisation services, abortion services, etc.
- Blood donation services and transfusion services
- Radiography, phlebotomy, respiratory therapy, and other essential allied health services in hospitals
- Management of chronic diseases with recent relapses and/or poor control, and medication refills. If patients are stable, where possible, switch to tele-consult and medicine delivery
- Obstetric and child delivery
- Outpatient antibiotic therapies
- Acute outpatient consultations for patients with respiratory symptoms and other acute symptoms
- TCM adjuvant treatment for cancer and chronic conditions
- Emergency dental services and procedures
- Child immunisation and developmental assessment for 0 to 18 months
- Neonatal jaundice screening
- Wound dressing
- Inpatient rehabilitation, sub-acute, palliative and chronic sick services provided by Community Hospitals. However, rehab and therapy services which are maintenance in nature should be considered non-essential services.
- Mental health services including counselling, psychology services for patients who have unstable mental health conditions who might be in danger of harm to self or to others. If patients are stable, where possible, switch to tele-consult and medicine delivery.
Supporting services which are crucial in ensuring the smooth provision of the above essential services will also be allowed to continue, e.g. kitchen, housekeeping, security, cleaning, courier
For Resumption from 18 May 2020
Services that cannot be further deferred for >2 weeks subject to available capacity (manpower/ drugs/ beds), or where continued suspension will lead to adverse outcomes
In addition to continuing essential services (Annex A):
- Recommended adult vaccinations (seasonal influenza and pneumococcal vaccination)
- New referrals for services that cannot be delayed e.g. Child Development, urgent specialist referrals
- Higher need allied health professional (AHP) services and ancillary services (e.g. podiatry, diabetic eye/foot screening)
For Resumption after end of Circuit Breaker period
Services that cannot be deferred for >4 weeks subject to available capacity (manpower/ drugs/ beds)
- As in Column A
- Other recommended adult vaccinations
- Cancer screening (high risk patients)/ surveillance services, including scopes
- Chronic appointments that were deferred by > 3 months
- AHP and ancillary services supporting chronic disease management
- RHS-led community services: Home/ physical visits for existing patients, and critical and essential new referrals
2020 April 7th – COVID-19 Circuit Breaker Period