Follow Up Care in the Community

2024/09/19

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.

Otherwise, download our informational brochure here (PDF, 981 KB).

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Who is Eligible?

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

More convenient locations
Less waiting at the hospital

How Does it Work?

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.

List of Participating Primary Care Providers

Polyclinics under the National University Polyclinic

Bukit Batok / Choa Chu Kang / Clementi / Jurong / Pioneer / Queenstown

Family Medicine Clinics

GP Clinics

Healthsprings Medical Clinic (Blk 524A Jelapang Road, Greenridge Shopping Centre, #02-01/02, S671524)
LC Clinic Medical Surgery Aesthetics (Blk 446 Clementi Avenue 3, #01-191, S120446)
Medical and Dental Centre @ Commonwealth (Blk 88 Tanglin Halt Rd, S141088)
Mei Ling Clinic (Blk 158, Mei Ling Street, #01-80, S140158)
Princeton Family Clinic (Blk 445 Fajar Rd, Fajar Shopping Centre, #01-546, S670445)
Phoenix Clinic & Surgery (Blk 150 Jalan Teck Whye, #01-43, S680150)
The People’s Clinic (Blk 145 Teck Whye Ave, S680145)

To find out more about this programme, please contact NCIS Cancer Appointment Line.

Tel: +65 6773 7888

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 our NCIS Cancer Appointment Line for assistance.