COMMITTED TO EVERY INDIVIDUAL
NAME: DOVER PARK HOSPICE
DOCUMENT TYPE: ANNUAL REPORT
YEAR: 2019 2020
BECAUSE EVERY MOMENT MATTERS,
EVEN IN THE TIME OF COVID-19.
DESPITE UNPRECEDENTED CHALLENGES, THE ESSENCE OF OUR CARE REMAINS THE SAME.
WE CONTINUE TO PROVIDE UTMOST CARE AND SUPPORT TO OUR PATIENTS AND THEIR FAMILIES USING DIFFERENT CREATIVE WAYS. COMING We stand united in the face of adversity, empowering and supporting one another.
TOGETHER IN Providing whole patient care is our mantra and our multidisciplinary team works UNPRECEDENTED in solidarity to provide the care needed for our patients at different trajectories of TIMES their illnesses. BALANCING SAFETY WITH COMPASSION
We adapt to change so as to uphold the safety and wellbeing of our patients in the midst of the evolving pandemic situation. DELIVERING
We get to know each patient beyond HOLISTIC their illness, maintaining normalcy and finding ways to make their remaining CARE WHILE days more meaningful. MAINTAINING NORMALCY persevering to the end
No obstacle is insurmountable. We journey together with our patients through their ups and downs so they can live their last days in comfort and with dignity. wholeheartedly making every moment matter
Everything we do comes from the heart. We care with compassion and walk alongside our patients and caregivers, helping them to navigate uncertainty and providing them with comfort. contents
Our Mission, Vision and Core Values 8 Message from the Chairman 10 Message from the CEO 12 Adapting to Changes in the Time of 14 COVID-19 DPH Clinical Programmes and Services 20 Adopting a Whole Person Approach to Palliative Care Statistics – Inpatient, Home Care, 28 Programme Dignity, Day Care Patient Story – Mr Tan Geok Chuan 36 DPH Research and Training 38 Advancing Evidence-Based Research in Caring for Patients Patient Story – Mr Kathappan s/o Muthu 48 Community Engagement 50 Building a Community of Care and Support FY 2019-20 Donors List 54 Patient Story – Mr Tan Mia Hiok 60 Governing Council 62 Corporate Information 66 Statement of Corporate Governance 68 FY 2019-20 Financial Highlights 79 Our Mission
To provide comfort, relief of symptoms and palliative care to patients with advanced disease regardless of age, race or religion, and to support the grieving families.
DOVER PARK p 8 HOSPICE Our vision
To be the Centre of Excellence for Palliative Care Services, Education and Research.
Our core values
Excellence, Team Work and Compassionate Care
ANNUAL REPORT 2019/20 p 9 Message
EXPANSION OF OUR HOME CARE from the SERVICE In January this year, we integrated Programme Dignity, our pilot home care programme incepted in Chairman 2014 and Singapore’s first palliative home care programme that serves terminally-ill patients with advanced dementia, into our Dover Park Home Care service, with the service provided at no cost. As Singapore’s first purpose-built hospice, we have come a long way We will also embark on from our humble beginnings as a Programme IMPACT (Programme ground-up initiative by volunteers of Integrated Management and to give comfort and dignity to PAlliative Care for the Terminally people living with life-limiting Ill Non-Cancer Patients) with Tan illnesses. Over the years, our astute Tock Seng Hospital in August this Executive Committee and Council year to extend our home care have played a vital role in steering service to patients with end stage the ship; setting out principles organ failure. and best practices in cultivating good governance and sustainable On the research front, we were fiscal growth. I am proud to share awarded the Intermediate and that we were awarded the Charity Long-term Care (ILTC) research Transparency Award last year as grant from the Agency for an affirmation of our consistent Integrated Care (AIC) to study the efforts in transparency and good characteristics of our home care governance practices. patients associated with their final place of care in June 2019. With the vast experience and expertise of the Council, we also OPENING OF OUR DAY CARE reviewed our strategic plans at our Our Day Care was officially annual Governing Council and opened by Dr Amy Khor, Senior Management Retreat in May this Minister of State for Health on year to re-align ourselves to meet 30 October 2019. This provides the needs of a changing healthcare an additional option for patients in landscape and an ageing population, choosing their preferred place of and to include terminally-ill care, supporting them to continue non-cancer patients with frailty staying at home and at the same or chronic conditions. time, enabling caregivers to be gainfully employed or have respite from their caregiving duties.
DOVER PARK p 10 HOSPICE COPING WITH THE FALLOUT As the move to our new home indomitable spirit of our patients FROM COVID-19 at the Integrated Care Hub, in their battle against their illnesses, Palliative care services are under- HealthCity Novena, draws closer, through their stories. resourced at the best of times. As we have been building up our the healthcare system becomes infrastructure and resources to On this note, I would like to extend strained due to COVID-19, serve a bigger patient base. To this my deepest appreciation to all staff, providing safe and effective end, we have recently upgraded volunteers, donors, community end-of-life care will become our human resource, finance partners and council members especially vital yet more difficult. and new day hospice modules. for their collective efforts and Other than systems, we continue unwavering support in the past With the onslaught of COVID-19, to support our staff in upskilling year and especially during such I am proud and appreciative of themselves through Masters and difficult times. We look forward to the dedication of both the clinical postgraduate programmes so as more meaningful collaborations as and non-clinical teams, who to better care for our patients and we enhance care for our patients readily stepped up to take on enhance our operations. It is an and help them make the most of more responsibilities and quickly honour that we were awarded the their last days. adapted to the fast-evolving SkillsFuture Employer Award 2019, COVID-19 situation, putting in the only non-profit organisation in place precautionary measures for this year’s list. With the enhanced the safety of our patients. systems and people in place, I am confident we are well poised for I am heartened to learn how the the move. team worked creatively; helping patients and families connect with As I look back over the 11 years ROBERT CHEW one another through technology; that I have been on the Council, Chairman continuing rehabilitative therapy I am convinced that none of our at the patient’s bed; celebrating work would be possible without different festivities, to name a few, the commitment, determination, with one goal in mind – making professionalism and heart of our every moment matter for our employees – our most valued patients and their family members. asset. Along with the immense support of our many volunteers, BEYOND COVID-19 donors and community partners, With the outlook fraught with I am positive that we will emerge uncertainty, we will have to be stronger and nimbler after the more innovative moving forward. pandemic. With telecommuting and virtual meetings as the new normal, The theme of this year’s Annual we will need to rethink the way Report is centred on COVID-19, we engage our key partners, where we showcase the grit, strengthen relations and further fortitude and perseverance of both our mission. While we need to our clinical and non-clinical teams, adapt to the new normal, more not forgetting our volunteers importantly, we need to transform and donors who stood by us to how we operate to deliver more make every moment matter for efficient and effective palliative our patients and caregivers. We care beyond COVID-19. hope you will be inspired by the
ANNUAL REPORT 2019/20 p 11 Message from the CEO
2019 was a busy, but fulfilling year for us. The opening of our Day Care in October 2019 marked a major milestone as we extended our services to provide holistic and seamless palliative care to our patients as they transition through palliative care, we can better serve the different trajectories of their our patients and caregivers with illnesses. With our Inpatient Care, evidence-based knowledge and Home Care and Day Care, we practices that are instrumental ensure our patients and caregivers in enhancing care and shaping are best supported and cared for policies for them. in different care settings at the right time and place. Recognising RECOGNISING EXCELLENCE the pivotal role of caregivers, our Our dedicated clinical staff Day Care emphasises respite for continued to excel in their caregivers, supporting them in respective roles and I would like caring for their loved ones round to congratulate them once again, the clock. for garnering several awards/ accolades such as the Community A BOOST FOR RESEARCH Care Manpower Development In bolstering our research efforts, Award, the Healthcare Humanity we are grateful to have received a Award and the Nurses’ Merit Award. gift of $800,000 from the estate I would also like to commend our of the late Irene Tan Liang Kheng. nurses who continue to upgrade With the establishment of the themselves. This year, four of Irene Tan Liang Kheng Palliative our nurses have graduated from Care Research Fund that supports nursing diploma and degree research for the advancement of courses.
DOVER PARK p 12 HOSPICE PALLIATIVE CARE IN THE TIME In light of safe distancing, volunteer Inevitably, the outbreak has also OF COVID-19 activities were cancelled and posed many challenges to our Though the healthcare system is outdoor activities were suspended. major fundraising efforts and burdened by COVID-19, the focus Nonetheless, our Rehabilitation volunteering activities. But, we of palliative care has not changed. team continued to maintain are heartened to see how quickly It remains a ‘whole-person’ normalcy by ‘bringing the garden’ people have rallied around approach spanning medical, to the patients’ beds to lift their vulnerable groups and shown their psychosocial, emotional, social and spirits, to overcome restrictions appreciation to frontline workers spiritual care, but using different on patient movement. Volunteers in one way or another. In adapting and creative ways to engage continued to engage our patients to the new environment, we patients and deliver essential care by collecting materials and making are doing more online donation with infection control and safety videos for therapy, and through appeals and events to raise funds. measures in place. card making, tele-befriending and virtual pet therapy sessions. We are especially grateful for When we implemented some the immense support from kind of the precautionary measures Our home care team also individuals, as well as community in February this year, we faced embarked on telemedicine, using and corporate partners who have challenges in having to balance video consultation for non-critical cheered us on with donations of the safety of our critically ill cases while ensuring continuum masks, lunch sets and care packs in patients with compassionate of care and safety for patients the last few months. care. Visiting hours were cut short and staff. and conversations with patients While the COVID-19 situation is and bereaved families who lost ADAPTING TO THE NEW uncertain, we remain steadfast their loved ones at this extremely NORMAL in delivering quality care to challenging time became more This crisis is global in scale our patients, thinking ahead as difficult than ever. and none of us has been left we adjust to the new normal, untouched. While the pandemic navigating the uncertainties In countering these challenges, has hit us unexpectedly, it has together. our clinical team innovated by given us the opportunity to review leveraging technology to connect and re-evaluate what we do, patients and their families through how we do it and why we do it. video calls. Our music therapist It has allowed us to be innovative also conducted her sessions with in providing better care for our some patients using video calls. patients and supporting caregivers, On some occasions, we facilitated during this difficult time. More video calls between our volunteers importantly, the team came and patients who missed one together, to ride the storm and has TIMOTHY LIU another during the circuit breaker emerged stronger and more united Chief Executive Officer period. than before.
ANNUAL REPORT 2019/20 p 13 Adapting to Changes in the Time of COVID-19 WE REMAIN STEADFAST IN PROVIDING THE BEST CARE FOR OUR PATIENTS
Since the COVID-19 outbreak in AND SUPPORTING January 2020, we have adapted to the evolving situation by CAREGIVERS, MAKING implementing precautionary measures to ensure the safety and EVERY MOMENT MATTER, wellbeing of our patients, visitors and staff amid the pandemic. IN THE NEW NORMAL. Our screening team, comprising our non-clinical colleagues, stepped up to undertake screening duties while our clinical colleagues maintained normalcy and delivered care to our patients using creative ways, such as bringing activities to the patient’s bed and leveraging technology to keep them connected with their loved ones while working in split teams. With all volunteer activities cancelled at our hospice grounds, our dedicated volunteers continued to spread positive vibes and bring smiles to our patients through the videos they made.
While the COVID-19 situation is uncertain, we remain steadfast in providing the best care for our patients and supporting caregivers, making every moment matter, in the new normal.
ANNUAL REPORT 2019/20 p 15 In early February, two volunteer representatives from DPH Jade Group distributed goodie bags and mandarin oranges to our patients, in place of the annual Chinese New Year celebrations at the hospice.
Due to split team arrangements, our music therapist recorded and sang “ ” (Mum is the Best in the World) with世上只有妈妈好 our patient, the late Mr Yap Hai Peng, for his mum on Mother’s Day, via an online music therapy session, assisted by a medical social worker.
Our nurse gave out goodie bags and mandarin oranges gifted to our patients by Novena Neighbourhood Committee.
DOVER PARK p 16 HOSPICE Our Social Work & Psychosocial Services team prepared and gave out origami flowers to our patients and colleagues through the project - ‘Flower Power’, initiated and coordinated by our art therapist, to enliven the hospice.
A heartfelt video from Gurmit Singh, our ambassador, to encourage and thank DPH staff for their selfless work.
An inpatient, the late Mr Kua Thuan Hock, indulged in a spot of gardening at his bed with the help of our occupational therapists.
ANNUAL REPORT 2019/20 p 17 Care packs and goodie bags including masks, mask ear guards, hand sanitisers and sponsored bento lunches were generously donated by our friends and partners.
Our volunteers produced a heartwarming video with a compilation of all their wishes to bring cheer to our colleagues.
In celebration of Parents’ Day, our nurse distributed handmade cards to our patients, which were specially Screening station set up at the made by our creative volunteers. beginning of the outbreak.
DOVER PARK p 18 HOSPICE In supporting our patients and caregivers during the COVID-19 pandemic, our Home Care team ran a pilot teleconsultation programme for 17 stable Home Care and Programme Dignity patients in May 2020, with support from AIC.
Our first swabbing exercise for all staff conducted in May 2020, as part of the national effort to test all healthcare workers for COVID-19.
Celebrated the Dragon Boat festival with patients from different wards, making dumplings through video conference.
ANNUAL REPORT 2019/20 p 19 DPH CLINICAL PROGRAMMES AND SERVICES
Adopting a Whole Person Approach to Palliative Care Every patient is unique, with diverse As we continually expand our with advanced illnesses (with a needs at different phases of their delivery of patient care, treating our prognosis of less than a year) illness. At DPH, we journey together patients with respect and preserving to spend their remaining days with our patients at different their dignity remain the main tenets at home, our home care team trajectories of their illness, ensuring of our service. provides medical and nursing care, continuum of care throughout their while empowering caregivers with last days. OUR SERVICES the knowledge and training to care for them. Palliative care is more than just the Inpatient Care care of a patient’s physical needs. As their condition deteriorates, In line with the national focus on It is about a whole person approach some patients with advanced increasing community support, - caring for the physical, psycho- illnesses may face increasing DPH Home Care leverages emotional and spiritual wellbeing symptoms such as pain and services and resources in the of the patient. Our multidisciplinary breathlessness which do not allow community to provide physical team comprising doctors, them to be cared for at home. Many and financial support to patients. nurses, medical social workers, are admitted to hospitals with acute As subsidised care and the loan physiotherapists, occupational decline in function. With inpatient of certain equipment are largely therapists, a speech therapist, art and hospice care, patients with a based on household income, music therapists, and pharmacists prognosis of less than three months we help patients and caregivers work together to individualise care receive round-the-clock medical to navigate and tap on suitable plans focusing on the needs of and nursing care complemented financial assistance schemes in each patient. We recognise that by our palliative rehabilitation and purchasing nursing consumables. patients, their families and loved psychosocial care team, to ensure In some instances, we help low ones are a unit and caring for our they and their caregivers are also income families to source for patients includes supporting their supported psychologically and donations of nursing equipment loved ones as well. We work with emotionally, thereby enhancing their and consumables as well. caregivers to empower them, quality of life. Some of the patients equipping them with the necessary are able to be discharged home Other than supporting their skills and knowledge. when their symptoms stabilise and financial and emotional needs, our with caregiver training. Since April psychosocial team also provides As an integrated palliative care 2020, short-term inpatient care of link-up services connecting provider, we remain committed up to one month has been extended socially-isolated elderly patients to building capabilities and to patients with a prognosis of less and caregivers with community capacities and continue to expand than one year. partners to strengthen their social the network of community support. This helps in providing partners such as specialists from Home Care continued social engagements and hospitals who serve as our Visiting Most patients with limited prognosis respite care to caregivers. Consultants and our dedicated wish to be cared for at home for group of volunteers, to serve more as long as they are able to. Based people with palliative care needs. on our experience, many find comfort in a familiar environment and in the company of their loved ones. To fulfil the wishes of patients
ANNUAL REPORT 2019/20 p 21 PROGRAMME DIGNITY This programme, as an evidence- OUR MULTIDISCIPLINARY TEAM based model of care for advanced In recognition of the unmet needs dementia patients, has led to award Medical, Nursing and and importance of palliative care winning research, with findings Pharmacy teams for the rapidly growing population published in international journals. Our medical team is led by of individuals with advanced specialist palliative care physicians dementia, Programme Dignity was DAY CARE in all our services. We work closely piloted in 2014 as an integrated with specialists from hospitals in home care programme specifically Due to their underlying illnesses, patient management so that our catering for advanced dementia patients with advanced illnesses patients can transit and receive patients. may be socially isolated and timely care at various settings physically deconditioned staying like hospitals, daycare, inpatient Spearheaded and led by Dr Allyn at home. Our Day Care provides hospices and in their homes. Hum, a Senior Consultant in an option for patients to engage in Palliative Care at Tan Tock Seng social and therapy-based activities, Our pharmacy team comprises Hospital, together with a group in a different, but safe environment a full-time pharmacist and a of geriatricians and palliative care outside their homes, thereby pharmacy technician. Their physicians, the programme allows enhancing their psychosocial and participation in patient care patients with advanced dementia physical wellbeing. This is achieved has ensured delivery of best and their caregivers to be specially through individual and group medication practices. They have cared for at home in a familiar sessions involving art and music been involved in operational environment. The team develops therapy as well as physiotherapy practice improvements to customised care plans for patients, and occupational therapy. With minimise medication errors. teaching caregivers to manage the help of our regular volunteers, Such improvements have been symptoms such as breathlessness, we also organise leisure activities rolled out in areas such as pain and to observe for signs such as mahjong, board games labelling of medication, inventory of distress, which is particularly and gardening that promote management of pharmacy stores important as this vulnerable group social engagement. Our team of and ward areas. Our pharmacy of patients is unable to articulate committed doctors and nurses team also plays a role in providing their needs. also monitor and manage patients’ holistic clinical care by contributing symptoms pro-actively and pre- medication related input and A published study of the emptively. Together, through reconciling patients’ medications programme revealed all-around regular multidisciplinary meetings, upon admission and discharge. improvement in their quality we tailor our care plan to meet the of life, with lower utilisation of goals and needs of each individual Not only is nursing the backbone healthcare services, reduced and their loved ones. of healthcare, it is also a vital frequency of hospital admissions part of palliative care. Besides its and emergency room visits. Caregivers play an active and primary role in monitoring patients, Those who need to be admitted pivotal role in caring for their managing pain, administering typically have a shorter hospital loved ones at home. Our Day medication and providing personal stay after enrolment in Programme Care differentiates itself through care, our palliative care trained Dignity. Patients also experience increased caregiver engagement, nurses play an integral role in less pain and lower incidence of providing respite and catering to providing comfort to patients and neuropsychiatric challenges after their needs to help them better their families, alleviating the fears Programme Dignity intervention. cope with the daily stressors and anxiety arising from their of caregiving. illnesses.
DOVER PARK p 22 HOSPICE AS WE CONTINUALLY EXPAND OUR DELIVERY OF PATIENT CARE, TREATING OUR PATIENTS WITH Being a training centre in RESPECT AND PRESERVING THEIR Singapore, our team of doctors and nurses plays key roles in palliative care education in Singapore. DIGNITY REMAIN THE MAIN TENETS Through internal training, we ensure standards in care not OF OUR SERVICE. only in building capabilities but advocating for best practices and care for patients with advanced illnesses. Our medical and nursing leaders are also part of the national workgroups advising on policy and spearheading changes.
SOCIAL WORK AND PSYCHOSOCIAL SERVICES reminisce a part of their lives PALLIATIVE REHABILITATION that is much missed. In addition, Our Social Work and Psychosocial our art and music therapists use Maintaining one’s mobility and Services team comprising medical platforms such as “Art Studio” and independence in end-of-life care is social workers, an art therapist, “Musik-Inc” to encourage patients critical in boosting the self-esteem a music therapist, as well as a to express their emotions or reflect and preserving the dignity of our care coordinator, supports our on significant events in their lives. patients. By addressing symptoms patients by taking care of their Through these activities, we help such as pain, fatigue, lack of bio-psycho-social and spiritual to make lasting memories for appetite and helping to strengthen needs through case management. both the patients and their family mobility and increase range of We work closely with our palliative members. movement, our rehabilitation team rehabilitation team to organise comprising physiotherapists and activities such as “Namaste Care”, Palliative care does not stop at the occupational therapists enables which incorporates the use point when a patient passes on, patients to remain independent of loving touch and a calming but continues beyond in providing as much as possible which in turn environment to make a connection emotional and bereavement positively impacts their emotional with patients to relieve stress and support to family members during wellbeing. This allows them to tension. Our popular “Lim Kopi” such difficult times. With our “Rose fulfil their last wishes such as going sessions, where the quintessential for Remembrance” events, we on outings or the ability to sit up coffee shop experience is re- provide a platform for families to to have a meal with their family, created at our premises, brings celebrate and honour their loved making their last days meaningful some joy to our patients as they ones with fond memories. and memorable.
ANNUAL REPORT 2019/20 p 23 Key Highlights 3 COMMUNITY CARE MANPOWER DEVELOPMENT AWARD (CCMDA) 2019
Our CEO Timothy Liu and three of our staff received awards from Guest-of- Honour, Dr Amy Khor, Senior Minister of State for Health, 1 at the Community Care HEALTHCARE HUMANITY 2 Manpower Development AWARDS 2020 Award (CCMDA) 2019 NURSES' MERIT presentation on 18 September AWARD 2019 2019. Staff Nurse Muhammad Resident Physician Dr Martin Ikliluddin from Home Care Lee, Senior Staff Nurse in the is pursuing a part-time Home Care team Ang Boon On 17 July 2019, Staff Nurse Bachelor of Science (Nursing) Yang, and our volunteer Lydia Quah Mei Hwei received degree course at Curtin Muhammad Agus bin Othman the Nurses’ Merit Award 2019, University (Singapore). Senior won the Healthcare Humanity which recognises those who Staff Nurse Me Me Oo from Award 2020. The awards give have displayed consistent and Inpatient Care completed the recognition to outstanding outstanding performances Specialist Diploma in Palliative healthcare workers, for the past three years, Care Nursing course at Ngee caregivers and volunteers been involved in professional Ann Polytechnic. Senior who go the extra mile to offer development and made Physiotherapist, Roxanne care and comfort to the sick contributions to promote the Foo also received the award and elderly. nursing profession. and is currently pursuing a Master of Science in Palliative Care degree at King’s College London.
DOVER PARK p 24 HOSPICE 5 COMPLETION OF NATIONAL COLLABORATIVE PRESCRIBING 4 PROGRAMME BY APN SYLVIA LEE OFFICIAL OPENING OF DOVER PARK DAY CARE
Advanced Practice Nurse (APN) Sylvia Lee successfully completed The National Collaborative Prescribing Programme, which was co-hosted by the NUS Alice Lee Centre for Nursing Studies and the Department of Pharmacy, and the graduation ceremony was held on 20 November 2019. The 14- Another major milestone week programme prepares APNs and was reached with the official pharmacists to prescribe medication opening of our Day Care on under a Collaborative Practice Agreement 30 October 2019. Officiated with a medical practitioner. APN Sylvia by Dr Amy Khor, Senior Lee, together with former Singapore Minister of State for Health, Hospice Council Chairman Dr Angel the guests were given a Lee, and DPH Medical Director, Dr Ong tour of the Day Care facility Wah Ying, is now also part of the Ministry and viewed a showcase of Health Community Collaborative of some of our Day Care Prescribing Subcommittee which activities. Besides social- oversees the Collaborative Prescribing based activities, the Day Care Community implementation framework provides therapy-based and for the prescription of drugs by APNs in rehabilitative sessions to the community setting. Dr Yee Choon meet patients’ physical and Meng, Consultant and Head of Dover Park psychosocial needs. Home Care is the collaborating physician.
ANNUAL REPORT 2019/20 p 25 6 GRADUATION FROM NURSING COURSES
Senior Staff Nurse Me Me Oo and Staff Nurse Roi Lai from our Inpatient team graduated from the Specialist Diploma in Palliative Care 7 Nursing programme while PROGRAMME IMPACT Staff Nurse Elaine Yip from the Home Care team graduated from the Advanced Dover Park Home Care Diploma in Palliative Care team is in discussion with Nursing programme. These Tan Tock Seng Hospital to programmes are conducted continue Programme IMPACT by Ngee Ann Polytechnic (Programme of Integrated in collaboration with Dover Management & PAlliative Care Park Hospice and the for the Terminally ill Non- National Cancer Centre. In Cancer Patients) in August addition, Senior Staff Nurse 2020. Programme IMPACT Mirza Abdul Halim Rafi from is an ongoing Home Care Inpatient Care graduated service which was started in from the Bachelor of Nursing Tan Tock Seng Hospital in degree course at Curtin 2017 to care for patients with University (Singapore). end stage organ failure.
DOVER PARK p 26 HOSPICE 8 PROGRAMME DIGNITY 10 PALLIATIVE Programme Dignity, Singapore’s first palliative REHABILITATION SERVICE home care programme specially for those with 9 To meet the increased need advanced dementia, was "SPIRITUAL CARE 101" for Palliative Rehabilitative integrated with Dover Park TALK services, our Palliative Home Care programme Rehabilitation team was in January 2020. Piloted strengthened with the On November 21, 2019, a in October 2014, the recruitment of Senior group of religious leaders programme which allows Principal Occupational attended the “Spiritual patients with advanced Therapist, Grace Sim, who Care 101” talk where they dementia to be specially has extensive experience exchanged ideas and cared for at home in a familiar in palliative day care in discussed ways they could environment, has seen October 2019. close to 590 patients work together in supporting (as of 30 June 2020). our patients’ spiritual needs. Insights were also shared Since 2018, the learning on helping patients and points from Programme caregivers identify and Dignity have been translated respond to spiritual distress. into the Geri-Pall Workshop conducted in Singapore and Khon Kaen, Thailand that teaches specialist trainees, consultants and healthcare providers across all healthcare sites about the care of individuals suffering from advanced dementia.
ANNUAL REPORT 2019/20 p 27 inpatient
By Referral By Gender Admitted (63.0%) 355 Male (59.4%) 211 Rejected (0.2%) 1 Female (40.6%) 144 Withdrawn (36.8%) 207 Total 355 Total 563
By Race Length of Stay Chinese (83.0%) 295 Less than 1 day (5.6%) 20 Malay (9.8%) 35 1 – 7 days (27.6%) 98 Indian (5.1%) 18 8 – 14 days (18.0%) 64 Boyanese (0.3%) 1 15 – 21 days (9.3%) 33 Sikh (0.9%) 3 22 – 30 days (11.5%) 41 Eurasian (0.6%) 2 31 – 60 days (15.5%) 55 Filipino (0.3%) 1 61 – 90 days (5.9%) 21 Total 355 More than 90 days (5.6%) 20 Not discharged during FY19 (0.9%) 3 Total 355 Average 28
DOVER PARK p 28 HOSPICE Age Group By Diagnosis Below 20 (0%) 0 Cancer (84.8%) 301 20 – 45 (0.9%) 3 Non-Cancer (15.2%) 54 46 – 55 (5.6%) 20 Total 355 56 – 65 (19.2%) 68 66 – 75 (26.2%) 93 Above 75 (48.2%) 171 Total 355
By Referral Hospitals 423 Community Hospitals and Nursing 19 Homes Dover Park Home Care/ Programme 99 Dignity Other Home Care 20 Others 2 Total 563
ANNUAL REPORT 2019/20 p 29 home care
By Referral By Gender (Admitted) Admitted (76.2%) 342 Male (56.4%) 193 Rejected (15.8%) 71 Female (43.6%) 149 Withdrawn (8.0%) 36 Total 342 Total 449
By Race (Admitted) Length of Stay (Admitted) Chinese (88.0%) 301 Less than 1 day (0%) 0 Malay (6.4%) 22 1 – 7 days (12.6%) 43 Indian (3.8%) 13 8 – 14 days (6.7%) 23 Sikh (0.3%) 1 15 – 21 days (7.6%) 26 Javanese (0.3%) 1 22 – 30 days (8.2%) 28 Eurasian (0.3%) 1 31 – 60 days (14.9%) 51 Other races (0.9%) 3 61 – 90 days (9.6%) 33 Total 342 More than 90 days (19.9%) 68 Not discharged during FY19 (20.5%) 70 Total 342 Average 84
DOVER PARK p 30 HOSPICE Age Group (Admitted) By Diagnosis (Admitted) Below 20 (0%) 0 Cancer (87.7%) 300 20 – 45 (1.8%) 6 Non-Cancer (12.3%) 42 46 – 55 (4.1%) 14 Total 342 56 – 65 (17.5%) 60 66 – 75 (22.8%) 78 Above 75 (53.8%) 184 Total 342
ANNUAL REPORT 2019/20 p 31 Programme Dignity
By Referral By Gender (Admitted) Admitted (63.9%) 76 Male (27.6%) 21 Rejected (10.1%) 12 Female (72.4%) 55 Withdrawn (26.0%) 31 Total 76 Total 119
By Race (Admitted) Length of Stay (Admitted) Chinese (85.5%) 65 Less than 1 day (0%) 0 Malay (5.3%) 4 1 – 7 days (15.8%) 12 Indian (7.9%) 6 8 – 14 days (9.2%) 7 Eurasian (1.3%) 1 15 – 21 days (2.6%) 2 Total 76 22 – 30 days (3.9%) 3 31 – 60 days (6.6%) 5 61 – 90 days (3.9%) 3 More than 90 days (21.0%) 16 Not discharged during FY19 (36.8%) 28 Total 76 Average 108.4
DOVER PARK p 32 HOSPICE Age Group (Admitted) Below 20 (0%) 0 20 – 45 (0%) 0 46 – 55 (0%) 0 56 – 65 (1.3%) 1 66 – 75 (2.6%) 2 Above 75 (96.1%) 73 Total 76
ANNUAL REPORT 2019/20 p 33 day care
By Referral By Gender Admitted (38.7%) 24 Male (45.8%) 11 Rejected (24.2%) 15 Female (54.2%) 13 Withdrawn (37.1%) 23 Total 24 Total 62
By Race Length of Stay Boyanese (8.3%) 2 Less than 1 day (4.2%) 1 Chinese (75.0%) 18 1 – 7 days (4.2%) 1 Eurasian (4.2%) 1 8 – 14 days (12.5%) 3 Malay (12.5%) 3 15 – 21 days (4.2%) 1 Total 24 22 – 30 days (0%) 0 31 – 60 days (12.5%) 3 61 – 90 days (20.8%) 5 More than 90 days (41.7%) 10 Not discharged during FY19 (0%) 0 Total 24 Average 93
DOVER PARK p 34 HOSPICE Age Group By Diagnosis Below 20 (0%) 0 Cancer (87.5%) 21 20 – 45 (0%) 0 Non-Cancer (12.5%) 3 46 – 55 (4.2%) 1 Total 24 56 – 65 (20.8%) 5 66 – 75 (12.5%) 3 Above 75 (62.5%) 15 Total 24
ANNUAL REPORT 2019/20 p 35 a filial son and a loving father till the very end
Mr Tan Geok Chuan When Mr Tan Geok Chuan was Sad and disappointed upon Even though he was in diagnosed with liver cancer in early hearing this news, Mr Tan chose considerable pain in the few weeks 2018 at the age of 59, the news did to go home. His wife, a dedicated prior to his passing, Mr Tan never not come as a complete shock caregiver always by his side complained and kept his faith. As to him. providing emotional support, a devout Taoist, he had come to remained committed to looking terms with his condition and only Mr Tan’s family had a history of after him. However, when she wished not to be a burden to his liver cancer and he had lost both was at work, there was no one to family. One of his last wishes was his mother and younger brother to stay home with Mr Tan. Hence, to make a trip to Thailand to visit a liver cancer several years earlier. He she had to rely on a closed-circuit revered monk, but he was already too had suffered from hepatitis and television camera to monitor him. too frail at that point to travel. liver cirrhosis for a long time. Mr Tan felt that he was very unlucky Mr Tan came under the care of Mr Tan also hoped to arrange as he believed “bad luck comes our Home Care team in October for his late father’s niche to be in threes” and he had already 2019. Our nurse and medical repositioned to a ‘better location’ undergone three major operations social worker checked in on him at eye level in the columbarium in the previous five years as he was frequently to monitor his condition before he passed on. He had not afflicted by other health problems and manage his symptoms, and been able to afford this at the time as well. gave Mrs Tan advice on how best of his father’s death and had felt to take care of him at home. deep remorse over the years. He A family man with two grown-up felt more at peace with himself children, Mr Tan had once run a Mr Tan’s condition deteriorated after this had been arranged. successful business with about further after about a month, 30 staff, offering traditional Thai and our Home Care team Mr Tan had expressed his wish to massage services. However, he was recommended that he be attend his daughter’s wedding and forced to close his business after admitted to our hospice as it our Home Care team arranged about 10 years due to spiralling was increasingly difficult for Mrs for a wheelchair for him. He was overhead costs and worked as a Tan to care for him. As a hospice very happy to be able to attend the masseur thereafter. volunteer, Mrs Tan agreed that he wedding dinner in Singapore, just should receive round-the-clock two weeks before he passed away. Upon his doctor’s advice, Mr Tan care as an inpatient. However, Mr underwent an operation to remove Tan was adamant about spending Mr Tan passed away peacefully at the tumour. He thought he was his last days at home. In respecting home on November 17, 2019, just out of the woods, however, a Mr Tan’s wish, our Home Care a few hours after his daughter had scan six months later revealed team continued to care for him held her wedding dinner in Malaysia that the cancer was back and he and were readily available to help the previous night. Although he was had to undergo chemotherapy. when Mrs Tan called for assistance. not able to attend, it was as if he A subsequent scan some months Our medical social worker also had willed himself to live on just so later revealed that the cancer had arranged for a nurse to assist in she could complete her wedding spread. This time, he was given a taking care of Mr Tan at night. celebrations. He was truly a filial son prognosis of two months. and a loving father till the very end.
ANNUAL REPORT 2019/20 p 37 DPH RESEARCH AND TRAINING
Advancing Evidence-Based Research in Caring for Patients WITH GROWING NEEDS IN PALLIATIVE
As a purpose-built hospice, we CARE FROM CANCER TO NON-CANCER pride ourselves in delivering quality evidence-based palliative and ILLNESSES SUCH AS END-STAGE ORGAN end-of-life care and have been collaborating with other institutions FAILURE AND DEMENTIA, WE DESIGN on research studies since the early 2010s. Through our research, we AND CONDUCT HIGH-QUALITY STUDIES gain insights into the challenges life-limiting diseases place not only IN THESE AREAS SO AS TO HAVE A on patients, but also on caregivers, clinicians and the healthcare system. This evidence-based GREATER IMPACT ON OUR PATIENTS knowledge helps us better care for our terminally ill patients, while AND CAREGIVERS. serving to inform policy makers in the allocation of resources and formulation of guidelines that may eventually translate to better patient care and caregiver support.
With growing needs in palliative Training and education are In addition to building capabilities care from cancer to non-cancer imperative for healthcare in the sector, we strive to establish illnesses such as end-stage organ professionals in providing quality a culture of lifelong learning for failure and dementia, we design palliative care to patients. In line our staff by providing a myriad of and conduct high-quality studies with our goal of being the centre upgrading opportunities. E-learning in these areas so as to have a for excellence for research and courses are available for staff to greater impact on our patients education, we remain focused on enhance their skills while weekly and caregivers. our efforts to increase capabilities talks and tutorials are conducted in end-of-life care by offering to share insights and the latest training programmes to the developments in palliative care to healthcare community. We offer elevate the level of care offered to clinical attachments for medical our patients. and nursing students and year- round training opportunities to doctors, nurses and allied health professionals to support their professional development. Field visits are also organised to facilitate knowledge sharing with partners in the healthcare sector.
ANNUAL REPORT 2019/20 p 39 Key Highlights 2 CLINICAL OUTCOMES OF RESEARCH 1 PROGRAMME DIGNITY PUBLISHED IN JOURNALS 16TH WORLD CONGRESS OF THE EUROPEAN The clinical outcomes of ASSOCIATION FOR Programme Dignity were PALLIATIVE CARE (EAPC) published in journals. Our article “Advanced Dementia: an integrated homecare programme” was published in the journal “BMJ Supportive and Palliative Care” in May 2019. Our research paper, “Comfort and Satisfaction with Care of Home-Dwelling Dementia Patients at the End of Life” was published in the “Journal of Pain and Symptom Management” in In May 2019, 5 DPH staff December 2019. participated in the 16th World Congress of the European Both research papers can be Association for Palliative accessed at Care (EAPC), a highly https://www.palc.org.sg/ anticipated international research/our-publications/ research congress in Berlin. journals/ Resident Physician, Dr Erwin Francisco’s study on “Antibiotic Use in Advanced Dementia Patients Near End of Life: Comfort or Conflict” was selected out of 1,400 abstract submissions for oral presentation, alongside eminent researchers in the field.
DOVER PARK p 40 HOSPICE 5 SINGAPORE HEALTH 3 AND BIOMEDICAL INTERMEDIATE AND 4 CONGRESS 2019 LONG-TERM CARE (ILTC) JOINT RESEARCH STUDIES RESEARCH GRANT DPH participated in the WITH TAN TOCK SENG Singapore Health and HOSPITAL AND NTU Biomedical Congress in In June 2019, DPH was LKCMEDICINE October 2019 and our poster awarded the Intermediate “Impact of a specialised and Long-term Care (ILTC) palliative homecare research grant administered Through research grants programme for advanced by the Agency for Integrated administered by PalC awarded dementia: Comfort and Care (AIC) to study the in September 2019, Medical satisfaction with care at characteristics of our Director, Dr Ong Wah Ying the end-of-life” by Senior homecare patients associated and Resident Physician, Research Executive, Ms Tay Ri with their final place of care. Dr Chia T-Yunn were Yin, won the Silver Award in separately invited to the Health Services Research collaborate with investigators category. Our poster from Tan Tock Seng Hospital “Antibiotic Use in Advanced and NTU LKCMedicine in Dementia at the End of Life: two research studies Comfort or Conflict?” was on “Evaluating Clinical also presented by Resident Benefits and Healthcare Physician, Dr Erwin Francisco. Utility Impact of a Novel Palliative Rehabilitation Service for Patients with Chronic Breathlessness – The Integrated Care for Advanced REspiratory Disorders (ICARE) Programme” and “Movie Reflection for Junior Doctors Working in Pallative Care Units” respectively.
ANNUAL REPORT 2019/20 p 41 training 7 Visit by 53 Leaders from the Community 6 Care Sector Visit by Helping Hand (Hong Kong)
On 16 May 2019, 27 staff 53 leaders from the from “Helping Hand”, a charity Community Care sector that provides personalized were hosted for a learning residential care and leisure visit on 17 October 2019 to services for seniors in Hong gain insights into hospice Kong, were hosted during a operations and end-of-life short visit. A mini tour was care, as part of the Agency conducted to give them a for Integrated Care’s IGNITE better understanding of our programme. In addition to daily activities while insights discussing developments into Advance Care Planning in Palliative Care and some in Singapore and real-life of the challenges faced in experiences relating to managing a hospice, a site end-of-life services were tour was also conducted. also shared.
Dover Park p 42 Hospice 8 10 VISIT BY PARTICIPANTS TRAINING COURSES IN 15TH IGNITING LEADERS FOR HEALTHCARE PROGRAMME 9 PROFESSIONALS, FIELD VISITS FOR STUDENTS, STAFF AND On 16 January 2020, VOLUNTEERS participants in the 15th STUDENTS AND HEALTHCARE Igniting Leaders Programme PROFESSIONALS (ILP), a course organised Provided training for 131 by Healthcare Leadership healthcare professionals Hosted 188 students and College (HLC), were hosted as through 5 different palliative healthcare professionals part of a learning journey to care courses. both local as well as from gain a better understanding of China, Hong Kong, Japan, the types of services available Conducted clinical Korea, Taiwan and the United to support patients and the attachments for 303 local Kingdom. elderly in the community care and overseas students and setting and the challenges professionals from the service providers faced in medical, nursing and allied developing these services. health sectors.
Launched 9 new e-learning courses on topics such as those pertaining to patient care for staff, volunteers and participants on clinical postings.
ANNUAL REPORT 2019/20 p 43 The Palliative Care Centre for Excellence in Research and Education (paIC) One of AIC’s Lead Training Providers since July 2018, PalC develops and delivers quality, evidence-based palliative care training and education A tripartite collaboration was programmes on end-of-life care established by Dover Park Hospice, to build and empower healthcare Nanyang Technological University providers. Through these (NTU) Lee Kong Chian School of programmes which raise palliative Medicine and National Healthcare care awareness, knowledge Group (NHG) to form the Palliative and skill, healthcare providers Care Centre for Excellence in are better equipped to provide Research and Education (PalC) disease-specific, needs-based in October 2017. Through this palliative care for patients and their collaboration, PalC leverages on caregivers, allowing patients to live the strengths, capabilities and their final days with dignity. capacities of its partner institutions to advance palliative care research and education in order to contribute to the growing base of evidence that drives the care of our patients.
PalC aims to advance palliative care research, particularly in non-cancer illnesses, expanding the evidence base for patient P C AIMS TO ADVANCE centred care to meet the needs a of an ageing population. As more individuals prefer to pass away PALLIATIVE CARE RESEARCH, at home, PalC also aims to study the effectiveness of community PARTICULARLY IN NON-CANCER palliative care models, to better care for patients living at home, ILLNESSES, EXPANDING THE and to support their caregivers who provide the majority of EVIDENCE BASE FOR PATIENT the care. CENTRED CARE TO MEET THE NEEDS OF AN AGEING POPULATION.
ANNUAL REPORT 2019/20 p 45 Key Highlights 1 THE IRENE TAN LIANG KHENG PALLIATIVE CARE 2 RESEARCH FUND PALC COURSES
10 courses covering various areas in palliative care such as pain management, coping with bereavement, and the psychosocial, spiritual, legal and ethical aspects of end of-life care were organised and attended by a total of 325 healthcare professionals.
In March 2020, the Palliative Care Research Grant was renamed the Irene Tan Liang Kheng Palliative Care Research Fund with part of a donation from her estate. Mr Tan Hsuan Heng, nephew and trustee of the estate of the late Irene Tan Liang Kheng gifted the donation of $800,000 to PalC. This generous donation will help support research for the advancement of palliative care and increase the capacity of the healthcare community in caring for terminally ill patients. A portion of the fund will also be used for self-care educational programmes for palliative care nurses.
DOVER PARK p 46 HOSPICE 5 ASIA PACIFIC HOSPICE 4 NETWORK (APHN) WEBINAR SINGAPORE HEALTH We hosted an Asia Pacific & BIOMEDICAL Hospice Network (APHN) 3 CONGRESS 2019 webinar on “Palliative Care in ICUs” with Dr Poi Choo INTRODUCTION OF We participated in the Hwee, Senior Consultant, NEW COURSES Singapore Health and Department of Palliative Care, Biomedical Congress 2019 Tan Tock Seng Hospital, as the speaker on 18 November Two new courses made organised by the National 2019. This was part of a their debut in 2019. “Palliative Healthcare Group on 11 series of collaborative Care in Advanced Non- October 2019, leading the webinars hosted by APHN cancer Conditions” as well as Palliative Care track themed that are accessed by member “Family Dignity Intervention: “It Takes a Kampung” where organisations across the Asia Psycho-Socio-Spiritual Care insights were shared on Pacific region. for Terminally-ill Patients the “whole care” approach and their Families” were adopted in palliative organised and attended by medicine. 73 healthcare professionals in total.
ANNUAL REPORT 2019/20 p 47 Persevering in the Face of Adversity
Mr Kathappan s/o Muthu An avid golfer in his younger days, Despite his condition, team always lends a listening ear. Mr Kathappan s/o Muthu recalls Mr Kathappan continues to work This helps me feel much better,” the 40 years he spent as a golf as a security officer. He is the sole he said. coach with much fondness. breadwinner as his children are unable to work. His wife, who has “Last year, my wife, son and I To help support his family, he been his pillar of support all these went for an outing to Suntec City started working as a caddie when years, still cooks delicious meals arranged by the Home Care team. he was just 10 years old where for him, despite her own health It was truly a memorable some of the expatriate golfers he problems. They met when she was experience,” he added nostalgically. interacted with taught him how in her teens, and have been happily to play the game. As he had a married for 55 years. Despite his condition, flair for golf, he started playing Mr Kathappan’s only hope is to carry professionally when he was Mr Kathappan has been under on working so he can provide for 20, participating in prestigious the care of our Home Care team his family for as long as possible. He tournaments such as the Singapore since September 2019. They has been trying alternative therapies Open and the Malaysia Open. have been checking in on him such as traditional medicine and As he did not wish to leave his regularly to monitor his condition. food to help manage his illness. wife and children frequently to Our medical social worker has travel overseas for tournaments, helped him obtain financial A devoted and selfless family man, he decided to give up playing assistance, which has helped ease Mr Kathappan’s resilience and professionally to become a golf his financial burden. The team perseverance that were built up over coach four years later. also provides him with emotional his years as a golfer, golfing coach and psychological support, as he and in battling cancer, are definitely “The interaction with my students continues his fight with cancer. traits worth emulating by all. and the joy I got from seeing them picking up the necessary skills are “As a cancer patient, I often have what I miss most about my days bad nightmares that affect me as a golf coach. Many think golf is emotionally but the Home Care a difficult game to pick up, but my instructions were easy to follow so my students were able to pick up the skills without much difficulty,” he shared proudly. A DEVOTED AND SELFLESS FAMILY MAN, With age catching up, Mr Kathappan eventually gave MR KATHAPPAN'S RESILIENCE AND up coaching but still returned to his first love as a golf course PERSEVERANCE THAT WERE BUILT UP OVER supervisor, a role he retired from about 10 years ago. He HIS YEARS AS A GOLFER, GOLFING COACH subsequently became a security officer. AND IN BATTLING CANCER, ARE DEFINITELY About three years ago, Mr Kathappan was admitted to TRAITS WORTH EMULATING BY ALL. hospital for further tests due to a persistent fever. He was distraught to learn that he had liver cancer. He has since undergone chemotherapy, however, his prognosis is not good.
ANNUAL REPORT 2019/20 p 49 COMMUNITY ENGAGEMENT building a community of care and support WE STRIVE TO INCREASE THE AWARENESS AND UNDERSTANDING OF END-OF-LIFE CARE THROUGH OUR OUTREACH EFFORTS AND TO ADVOCATE THE IMPORTANCE OF SUCH CARE ESPECIALLY FOR PEOPLE WHO ARE TERMINALLY ILL AS WELL AS THEIR CAREGIVERS.
At DPH, we believe in building a where individuals, members of the community of care and support community and corporate partners where people from different walks come together to reinforce each of lives come together in caring for other’s efforts in making every our patients. moment count for our patients.
Engaging the community, In addition, we strive to increase our Volunteer Management, the awareness and understanding Fundraising and Communications of end-of-life care through our & Outreach teams continue to outreach efforts and to advocate forge relationships with new the importance of such care partners and volunteers while especially for people who are strengthening ties with the old, terminally ill as well as their building a community of care caregivers.
ANNUAL REPORT 2019/20 p 51 Key Highlights 2 EVERY MOMENT MATTERS 2019 3 1 SUNFLOWER GALA DPH CHARITY GOLF 2019 BALL 2019
We expressed our appreciation to 45 community partners at our annual Every About 105 golfers teed off for Moment Matters (EMM) event a good cause at our biennial held at our new Day Care on DPH Charity Golf which 3 July 2019, hosted by DPH took place at The Singapore Ambassador Gurmit Singh. Our annual Sunflower Gala Island Country Club (Bukit The event was attended Ball with the theme “Jam, Course) on 24 April 2019. by long-term community Jive, Jazz” was held at The The event concluded with partners, those that have Ritz-Carlton Millenia on 17 a dinner graced by Mr recently joined us as well as August 2019. Graced by Tan Kwang Cheak, Chief other guests who wanted to Guest-of-Honour Mr Gan Executive Officer of Agency find out more about Dover Kim Yong, Minister for Health, for Integrated Care (AIC) as Park Hospice and how they and DPH patron, Dr Tony Guest-of-Honour. More than can collaborate with us to Tan Keng Yam who was our S$258,000 was raised, thanks enhance the quality of life for special guest, the event raised to the generosity of our our terminally-ill patients. A more than S$1.1 million in sponsors and supporters. dialogue session entitled “Care support of our patient care in the Community” was also programmes. held as part of the programme.
DOVER PARK p 52 HOSPICE 5 "FUTURE-PROOFING PALLIATIVE & BEREAVEMENT CARE IN THE COMMUNITY" PUBLIC FORUM 4 ANNUAL YEAR-END FUNDRAISING MAILER
Ms Linda Hart, our active volunteer and group leader of the Sapphire Befrienders Group was invited to be a 6 panelist at a public forum, VOLUNTEER ACTIVITIES “Future-Proofing Palliative and Bereavement Care in the Community” on 13 January About 1,200 activities were 2020. Organised by Tan Tock conducted by our 420 Seng Hospital, the forum devoted volunteers across 18 highlighted the important different volunteer groups for role of volunteers and the our patients in Home Care, community in supporting Day Care and Inpatient Care. patients and their loved ones in palliative and bereavement care.
More than 8,700 copies 7 of our creatively designed annual year-end mailer were FUNDS RAISED FOR THE YEAR sent out as part of our yearly fundraising drive, thanks As a result of the generous to the hard work of our support of donors, a total dedicated volunteers. More of close to S$2.6 million than S$300,000 was raised was raised for the Financial through this campaign. Year 2019-2020 to help provide our patients with quality end-of-life care.
ANNUAL REPORT 2019/20 p 53 DONORS list
We would like to express our deepest appreciation to our donors - corporations, organisations and individuals for their contributions ($1,000 and above) in the past year. Thank you for supporting our cause in providing quality palliative care and bringing comfort to our patients and their families during their difficult times. We are privileged to have your support. INDIVIDUALS
Chan Wai Leong Chin Chi Onn, Colin A Chang Yoong Hui, Joyce Chin Khan Sang Ang Poh Jiok Chan-Lien Margaret (IMO-Tan Kok Kong) Ang Woon Kai Chay Oh Moh Chin Lee Ting, Verena Au Oi Leng Cheah Suan Beng, Nicholette Agnes Chin Yau Seng Aw Kian Heng Chen Dan, Diane Chionh Chye Luay Aw Sen Harng Chen Jie'An, Jared Chng Bee Leng Cheng Hong Wing, Alfred Chng Chee Kiong Cheng Yoke Ping Chng Hwee Hong B Cheong Wei Kok, Bernard Choe Fook Cheong @ Alan Choe Chok Soo Hoon, Mildred Boey Wen Ching, Lydia Chew Robert Chey Chor Wai Chong Yu Moi Chia Fan Tat Choo Bee Li Chia Lay Hoon Choo Chiau Beng C Chia Mok Leng Choo Wan Ling (Dr) Caers Lucas Henri R. Chia Piah Yam Chow Goon Chau, Patricia Chan Ah Choo Chia Soo Hien Chow Harry Chan Bee Leng Chia Weng Kaye Chua Choon Hock Chan Guek Cheng, Noreen Chiang Khim Kee (IMO-Phang Hong King) Chan Kin Ming (IMO-Chiang Teng Guan) Chua Jiak Hwee Chan Wai Fen
DOVER PARK p 54 HOSPICE Chua Kim Chiu Ho Liam Juan Chua Lee Ngoh, Annie Ho Mui Peng L Chua Pei Ling, Eileen Ho See Cheng Lai Kuan Hoe, Leslie Chua Yong Kwang, Kevin (Dr) Ho Siok Hwa, Eileen Lai Ling Ling Ho Vee Leung Lam Kah Hoe Ho Vui Min Lam Yi Young D Hon Sook Chern Lars Sorensen Huang Ching-Kuei Daljeet Singh Sidhu (Dr) Lau Hong Choon (Dr) Hun Sue Fong, Lydia Lau Kim Choo (IMO-Hun Tong Phong) Lau Mei Hwa Hun Sue Hwee, Vivian Lee Aik Seow E (IMO-Hun Tong Phong) Lee Ang Seng Edmund Lin and Trina Ling-Lin Hun Tock Juan, Ronnie Lee Angel (Dr) Estate of Chong Yok Moi (IMO-Hun Tong Phong) Lee Beng Hooi Estate of Irene Tan Liang Kheng Lee Chiang Estate of Tan Kay Guan Lee Chin Cheng Eu Oy Chu (Dr) J Lee Deborah James Best (Dr) Lee Ee Ling, Tina Jay Sadhana Shiven Lee Kiow Seng F Julia & Robert Quek Lee Swee Chan Fan Yue Soon, Charles Lee Teng Suan Foo Jong Wey Lee Tuck Wah, Philip Foo Marlene K Lee Yi Qian, Cheryl Leong Eng Keong Foo Yee Ling Kamsiah Bte Abdul Hamid Leong Kwok Weng Kang Wee San, Jessie Leong Say Boon Khan Yeow Wai, Robert Leow Fan Siew G Kho Kwang Mui (Dr) Li Qianwen Gan Ser Khoon Khoo Chwee Tin Lian Whye Meng Go Puay Wee Khoo Linda Lim Ai Nah Goh Cheong Hock Khoo Siok Puay Lim Chee Hoe (IMO-Goh Teck Chye) Khoo Whee Leng (IMO-Lim Yock San) Goh Eng Kee Khoo Whee Luan Lim Chee Khiam Goh Eng Kuang, Danny Koh Ah Soon Lim Chee Liang Goh Ing Nam Koh Choon Kiat (IMO-Lim Kiat Keng) Goh Pheck Suan, June (Dr) Koh Guan Teck Lim Chew Meng, Vincent Goh Pi Lee, Beverly (Dr) (IMO-Koh Chek Huat) Lim Chiaw Chang Goh Timothy Koh Kok Ong Lim Chin Hu Gwee Chwee Kee, Rupert Koh Kok Tian Lim Choon Hong Koh Tieh Koun (Dr) Lim Feng, Philip Koh Tse Hsien (Dr) Lim Fung Yen, Jeremy (Dr) Kwek Kon Yew (Dr) H Lim Hock Chee Heng Hock Mui Lim Joo Boon (IMO-Heng Yee Koon) Lim Juay Hiong Heng Kelvin
ANNUAL REPORT 2019/20 p 55 Lim Kai Kuang Ng Kuo Pin Lim Kay Yew Ng Lai Hong Q (IMO-Lim Yong Kwang) Ng Lo-Peng, Natalie Quek Ser Pheng Lim Kian Tho, Jerry (Dr) Ng Say Khoon, Adrian Quek Yi Ting, Lydia Lim Kong Eng Ng Sok Keng, Joyce Lim Mei Yin Ng Tze Luen, Adrian (Dr) Lim Ser Yong (Dr) Ng Wai Chuin Lim Siok-Mei Ngooi Chan Soon R Lim Su-Yin Ravi Seshadri @ Srinivasan (Dr) Lim Swee Eng Rohan Kamis Lim Wan Chin, Maria (IMO-Lim Khim Meng) O Oh Kai Ling Lim Wen Phei (Dr) (IMO-Goh Soo Hoon) S Liu Wei Hai, William Oh Kok Chye Sadanand Varma Lock Yin Mei (IMO-Oh Yong Guat) Saw Cheow Hin Loh Choon Ngan Ong Ai Hua Seah Chee Hua Loh Seet Yoong Ong Beng Huat Seah Chee Hwee Loi Oi Kuan Ong Hwee Hwee Seah Gek Beng Loke Yuen Kin, Ruby (IMO-Ong Kuwi Seng) (IMO-Low Whee Koon) Loo Choon Meng Ong Joo Ee Seah Kian Peng Low Chee Wah Ong Kah Seng, Isaac (IMO-Low Whee Koon) Low Chor Chor Ong Kuwi Seng Seah Soo Kiong Low Sze Chuan Ong Mong Siang (IMO-Seah Kian Moh) Lum Mun Hung, Jack Ong Siew Chin Seet Iris Lum Wai Kit, Fabian (IMO-Ong Teow Bee) Seow Wooi Fen Lye Chee Yoong, Kevin Ong Siew Ching Shi Soon Heng Ong Wah Ying (Dr) Sia Seow Yong Ong Woon Sing (IMO-Sia Mok Quee) M Sie Suh-Ting Sim Hua Soon Ma Kar Kui, Anthony Sim Ye Lin, Deborah Mary Martha Katherine Campos P Sin Kam Hong Moeez H Nakhoda Pang Jenny Sin Wai Chu Pang Sze Kang, Jonathan (Dr) Siow Fung Wai Ying Peck Quee Bock Siow Hua Ming (Dr) N (IMO-Peck Tang Poh) Siow Kon Sang nee Lily Seet N. Thanabalen Peh Libby Tin nee Tin Chun Moon Sng Tai Liat Neo Li Yun Pek Tiong Khuan Sng Tiong Yee Neo Sing Hwee Pemberton Tania Soh Why Yu Ng Bee Lay Poh Bee Li (IMO-Ngu Chin Luang) Ng Cheong Bian Poh Seok Ming Suresh Nair Ng Chih Wei Poi Choo Hwee (Dr) Ng Ching Kok, Anson Poon Wing Loong Ng Eng Tiong Pun Boon Li, Pamela Ng Han Yang, Hans Purnima Kodanda
Dover Park p 56 Hospice Tay Poh King, Angeline T Tea Han Guat W Tan Ai Noi Teh You Leong, Lawrence Wan Fook Weng (IMO-Tan Kia Cheap) Teng Kim Wei, Jennifer Wang Chew Juat Tan Angela Gabiano Teng Lee Chan (IMO-Cheng Kiam Wah) Tan Ann (Dr) (IMO-Woo Yin Cheng) Wang Jonathan Tan Bee Kim Teo Beng Teck Wee Chuan Heng, Mervin Tan Chin Lu Teo Cher Cheong Wee Eden Tan Eng Cheow, Victor Teo Guan Hoe (IMO-Wee Heng Guan) Tan Geok Khim Teo Li-Ming Wee Hian Woon Tan Hean Beng, Tommy Teo Miang Yeow Wong Chit Sieng Tan Hong Beng Tham Kui Seng Wong Jenny (Dr) Tan Hsing Ying Tham Sai Choy Wong Keen Mun (IMO-Tan Ping Chye) The Family of Late Lim Eng Tuan Wong Kit Yee, Karmen Tan Hui Cheng The Family of Late Ong Tee Kiang Wong Mei Gin Tan Jhu Hwa, Kenneth The Late Ho Soo Hai Wong Pak Kwong, Benjamin Tan Jit Hui, Charles The Late Ho Thian Choo, Joyce Wong Siu Ching, Cindy Tan Joo Ean The Late Ng Yeong Chew Wong Sui Yee Tan Kek Seng The Late Quek Choon Huay Wong Wai Yin Tan Kian Wee The Late Tan Kong Beng Woo Yern Yee, Gordon Tan Kok Huan The Late Tan Meoy Nee Wu Huei Yaw (Dr) Tan Lee Eng The Late Tan Siew Eng Tan Li Ling The Late Teo Chew How Tan Nguan Chee The Late Toh Li Keong X Tan Shirley The Late U Kyaw Mya Thein Xiao Li Tan Siok Lan The Late Yue Chin Tan Siong Lu @ Tan Siang Lu Tin Keng Seng Tan Soo Hwee Tiong Shu Tan Tat Ming Tiong Siew Geok Y Tan Tee Jim Tjio Shan Yang Yuen Tsyr, Caroline Tan Tor Khoong, Kenneth Tng Hian Huat, Victor Yao Yiling, Rachel Tan Wei Fang, Geraldine (IMO-Wong Choy Lui, Lily) (IMO-Yew Moon Cheong) Tan Whei Mien, Joy Toh Hoon Meng, Bernard Yap Boh Wei (Dr) Tan Yang Guan Toh Kean Meng, Melvin (Dr) Yap Siew Moi Tan Yap Phang Toh Soon Huat Yeang Xian Wei (Dr) Tan Yin Ying Tong Ah San, Harry Yeo Basil Tang Kok Foo (Dr) (IMO-Tan Siang Cheng, Stella) Yeo Lik Seng Tang Wai Kok Yeo Loo Peng (IMO-Tang Pok Ming) Yeo Teck Guan Tay Chek Khoon V Yeo Tiam Chye Tay Chin Chye Varinata Tiffany Yip Yue Lee Tay Jin Ying Yong Chin Hwee Tay Kwong Soong Yong Swee Lan, Irene (IMO-Vaithilingam Daisy Kiruvai) Yuen Wei Yi, Gerard
ANNUAL REPORT 2019/20 p 57 DPH Jade Group Kanlian Ferry Pte Ltd ORGANISATIONS Dr D.Y.H. Poon & Associates Medical Keppel Care Foundation Limited Duke Bakery Pte Ltd Kong Meng San Phor Kark See Monastery A Kuan Im Tng Temple (Joo Chiat) Accenture Pte Ltd E Kwan Im Thong Hood Cho Temple Aegis Portfolio Managers Pte Ltd En-Naeem Mosque Kindergarten Akeles Consulting Pte Ltd Erabelle Pte Ltd Allen & Gledhill LLP Eu Yan Sang (Singapore) Pte Ltd L Amber Electronics Pte Ltd Expats Furniture Rental Pte Ltd La Source Singapore Pte Ltd Amitabha Buddhist Centre Lee Kim Tah Foundation Antara Koh Private Limited Lee Kim Tah Holdings Limited ASL Aviation Group Pte Ltd Low Keng Huat (Singapore) Limited (IMO-Ann Lim nee Tan Leng Kim) F Fonda Global Engineering Pte Ltd Frasers Property Retail Management Pte Ltd M B Mangala Vihara (Buddhist Temple) Bank Pictet & Cie (Asia) Ltd Meidong Boutique Beauty One International Pte. Ltd. G Million Lighting Co Pte Ltd Beaver Contromatic Pte. Ltd. Mitsubishi Electric Asia Pte Ltd Bethesda (Pasir Ris) Kindergarten GNS Storage Pte Ltd Borneo Motors (Singapore) Pte Ltd H N Neoasia (S) Pte Ltd Halliburton Completions Mfg Pte Ltd C Newman Corporate Services Pte Ltd Hong Leong Foundation Capital Airconditioning Nexcomm Asia Pte. Ltd. Hotel Grand Central Limited International PL NTUC Fairprice Foundation Limited Hotel Properties Limited Caramel Food Products Pte Ltd NTUC FairPrice Co-operative Ltd Catalent Pharma HSBC Institutional Trust Services Catalyst Asia Pte. Ltd. Cellresearch Corporation Pte Ltd Char Yong (Dabu) Foundation I P Paradise Group Holdings Pte Ltd Limited Isaac Manasseh Meyer Trust Fund Passion Restaurants Pte. Ltd. Chew How Teck Foundation Isetan Singapore Limited ComfortDelGro Corporation Limited Pavilion Capital International Concept Power Pte Ltd Pte. Ltd. Pei Hwa Foundation Limited J President’s Challenge JU-I Properties Pte. Ltd. Prive Clinic Pte. Ltd. D Jurong Port Pte Ltd Deutsche Bank AG Dong Yi Enterprise Pte Ltd DP Architects Pte Ltd Q DPH Crystal Group K Q&M Dental Group (Singapore) Ltd DPH Diamond Group Kajima Overseas Asia (Singapore) Pte Ltd
DOVER PARK p 58 HOSPICE R V Robert Khan & Co Pte Ltd Vincar Pte Ltd RSM Chio Lim LLP Virtual HR Solutions Pte Ltd S W SBS Transit Ltd Waypoints Private Limited Schroder Investment Mgt Web Synergies (S) Pte Ltd (Singapore) Ltd Wing Huat Loong (Pte) Ltd SINCL Pte Ltd Wing Ship Marine Services Pte Ltd Singapore Buddhist Youth Mission Woh Hup (Private) Limited Singapore Press Holdings Limited Singapore United Estates (Pte) Ltd St Andrew's Junior School Sunray Woodcraft Construction Pte Ltd T T. S. Lee & Sons (Pte) Ltd Tai Pei Foundation Tampines Chinese Temple Tan Chin Tuan Foundation The Federation of Trade Fair Traders' Association (2016) The Hokkien Foundation The Ngee Ann Kongsi The PWC Singapore Foundation c/o Community Foundation of Singapore Think Masters & Associates Pte Ltd TL Whang Foundation Limited Tote Board and Singapore Turf Club Trends N Trendies Pte Ltd U UK Online Giving Foundation
If we have inadvertently left out any donor, please accept our sincere apologies for the oversight.
ANNUAL REPORT 2019/20 p 59 making each day count
Mr Tan Mia Hiok When Mr Tan Mia Hiok, a 65-year- old home care patient of Dover I KNOW CANCER IS NOT CURABLE Park Hospice received news of his cancer in May 2019, he accepted AND ONLY THE SYMPTOMS it calmly. CAN BE MANAGED. SO, I HAVE A divorcee with no savings, Mr Tan lived in a two-room flat DECIDED TO LET NATURE TAKE with his cousin. A happy-go-lucky person who took things easy ITS COURSE. DEATH IS SOMETHING in life, Mr Tan had worn many different hats. He was a karung WHICH EVERYONE HAS TO FACE guni man who bought and resold junk, a dishwasher, a cleaner and a newspaper deliveryman during his SOMEDAY. SO, WHAT IS THERE TO younger days. He was also a cook during National Service. Mr Tan BE AFRAID OF? continued to find joy in cooking despite his illness. He cooked for himself and his cousin every day with laksa and curry being his best dishes.
When Mr Tan found out that he medications to manage his pain In February 2020, Mr Tan’s had only 9 months left to live, he and symptoms. Nevertheless, condition deteriorated was not afraid. “I know cancer he continued to motivate and unexpectedly and he was is not curable and only the encourage other cancer patients hospitalised. He became weaker, symptoms can be managed. So, I to remain positive and take each and his gait unsteady. To fulfil have decided to let nature take its day as it comes. To Mr Tan, each his wish to remain comfortably course. Death is something which day was a day of hope and he was at home, Dover Park Home everyone has to face someday. So, always grateful to be able to wake Care engaged a private nurse to what is there to be afraid of?” up to a brand new day. care for him at home upon his discharge. We also made transport Mr Tan’s carefree outlook in life has In December 2019, Mr Tan arrangements for his medical taught us the importance of living came under the care of Dover appointments and successfully life one day at a time. “If I crave any Park Home Care team. A team helped him to apply for financial type of food, I will buy it without comprising a doctor, nurse and assistance. any hesitation and enjoy it. If I have medical social worker provided difficulty walking long distances, home medical, nursing and Mr Tan passed away peacefully on I stop to give myself a break and psychosocial care to him in the 28 February 2020, five days after learn to pace myself.” comfort of his home. “Every two to he was admitted to Dover Park three days, I will receive a call from Hospice as an inpatient. Despite his resilience, Mr Tan’s a nurse who regularly checks in journey was not an easy one. He on me. My social worker has also had to cope with the side effects supported me emotionally with her of radiotherapy and rely on various frequent visits.”
ANNUAL REPORT 2019/20 p 61 GOVERNING COUNCIL
MR ROBERT CHEW MS ANGELENE CHAN MR CHEY CHOR WAI CHAIRMAN VICE CHAIRMAN HONORARY SECRETARY 28TH GOVERNING CHAIRMAN, BUILDING COUNCIL & INVESTMENT & DEVELOPMENT COMMITTEE COMMITTEE
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 19 August 2017 19 August 2017 11 August 2018
OCCUPATION OCCUPATION OCCUPATION Partner Chief Executive Officer Consultant iGlobe Partners DP Architects Pte Ltd
MS CHENG YOKE PING MS WOO E-SAH MS ONG AI HUA ASSISTANT HONORARY HONORARY TREASURER ASSISTANT HONORARY SECRETARY TREASURER
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 24 August 2019 11 August 2018 19 August 2017
OCCUPATION OCCUPATION OCCUPATION Partner Partner Company Group Chairman, Asia Pacific Rajah and Tann Singapore RSM Singapore The Janssen Pharmaceutical Companies of Johnson & Johnson DOVER PARK p 62 HOSPICE PROF HO YEW KEE DR TANYA TIERNEY DR KWA CHONG TECK CHAIRMAN CHAIRMAN CO-CHAIRMAN AUDIT, RISK & COMMUNICATIONS & FUNDRAISING COMMITTEE GOVERNANCE COMMITTEE OUTREACH COMMITTEE
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 11 August 2018 24 August 2019 24 August 2019
OCCUPATION OCCUPATION OCCUPATION Associate Provost Assistant Dean Senior Adviser (Skills Future & Staff Development) Nanyang Technological University, National Dental Centre Singapore Singapore Institute of Technology Lee Kong Chian School of Medicine
DR KAREN SOH MR TAN KIM KWANG COL (RETIRED) RUPERT GWEE CO-CHAIRMAN CHAIRMAN CHAIRMAN FUNDRAISING COMMITTEE HUMAN RESOURCE INFORMATION TECHNOLOGY COMMITTEE COMMITTEE
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 11 August 2018 24 August 2019 11 August 2018
OCCUPATION OCCUPATION OCCUPATION Medical Director Consultant Director Prive Clinic Ministry of Home Affairs
ANNUAL REPORT 2019/20 p 63 A/PROF JEREMY LIM MS KEMMY LIM MS DIANE CHEN DAN CHAIRMAN CHAIRMAN MEMBER MEDICAL PROFESSIONAL VOLUNTEERS COMMITTEE AUDIT COMMITTEE
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 24 August 2019 24 August 2019 24 August 2019
OCCUPATION OCCUPATION OCCUPATION Director Adjunct Lecturer Senior Vice President Global Health Program, Singapore Polytechnic Financial Planning & Analysis, Group Saw Swee Hock School of Public Finance, Sembcorp Industries Ltd Health, National University of Singapore
MS MARLENE FOO MR PAUL D. GAGNON DR LIONEL LEE MEMBER MEMBER MEMBER
DATE OF LAST ELECTION DATE OF LAST ELECTION DATE OF LAST ELECTION 11 August 2018 24 August 2019 24 August 2019
OCCUPATION OCCUPATION OCCUPATION Retired Consultant Retired
DOVER PARK p 64 HOSPICE DR SEET JU EE DR WU HUEI YAW MEMBER MEMBER
DATE OF LAST ELECTION DATE OF LAST ELECTION 24 August 2019 19 August 2017
OCCUPATION OCCUPATION Consultant Senior Consultant National University Hospital Palliative Care, Tan Tock Seng Hospital Pte Ltd
Honorary COUNCIL MEMBERS
DR SEET AI MEE DR JERRY LIM HONORARY HONORARY COUNCIL MEMBER COUNCIL MEMBER
DATE OF LAST ELECTION DATE OF LAST ELECTION Not Required Not Required
OCCUPATION OCCUPATION Retired Retired Doctor
ANNUAL REPORT 2019/20 p 65 CORPORATE INFORMATION
Registration Governing Council Members Chairman, HR Committee Dover Park Hospice (“DPH”) is Chairman of the 28th Governing Mr Tan Kim Kwang registered as a Social Service Agency Council & Investment Committee (previously referred to as Voluntary Mr Robert Chew Chairman, IT Committee Welfare Organisation) in accordance Col (Ret), Rupert Gwee with the Singapore Societies Vice Chairman of the 28th Act, Chapter 311. The Hospice is Governing Council & Chairman, Chairman, Medical Professional registered as a charity under the Building & Development Audit Committee Singapore Charities Act, Chapter Committee A/Prof Jeremy Lim 37. The Hospice is approved as an Ms Angelene Chan Institution of a Public Character Chairman, Volunteers Committee (IPC) under the provisions of the Honorary Secretary Ms Kemmy Lim Income Tax Act. The Hospice’s tax Mr Chey Chor Wai exempt status has been extended Members for 3 years from 1 October 2017 to Assistant Honorary Secretary Ms Diane Chen Dan 30 September 2020. Ms Cheng Yoke Ping Ms Marlene Foo Mr Paul D. Gagnon Registered Address Honorary Treasurer Dr Lionel Lee 10 Jalan Tan Tock Seng, Ms Woo E-Sah Dr Seet Ju Ee Singapore 308436 Dr Wu Huei Yaw Assistant Honorary Treasurer Unique Entity Number Ms Ong Ai Hua Honorary Council Members S92SS0138D Dr Seet Ai Mee Chairman, Audit, Risk & Dr Jerry Lim Auditors Governance Committee External Auditor: KPMG LLP Prof Ho Yew Kee Property Trustees Internal Auditor: Deloitte & Touche Mr Robert Chew ERM Auditor (biennial): Deloitte & Chairman, Communications & Mr Chey Chor Wai Touche Outreach Committee Dr Tanya Tierney Banker DBS Bank Ltd Co-Chairman, Fundraising Committee Fund Manager Dr Kwa Chong Teck UOB Asset Management Ltd Dr Karen Soh
DOVER PARK p 66 HOSPICE General Declaration Privacy Policy Nomination and Appointment of To ensure that personal information Council Members is secure, DPH enforces the Privacy All Council members were and Security guidelines according nominated and appointed to to the Personal Data Protection Council at the 27th Annual General Act 2012. Meeting held on 24 August 2019. All Council members declared that they DPH takes precautions to safeguard are neither undischarged bankrupts personal information against loss, nor have they been convicted of any theft, misuse, as well as against offence in a court of law. unauthorised access, collection, use, disclosure, copying, modification, Governance Evaluation Checklist disposal, or similar risks. DPH DPH falls under the Advanced imposes very strict sanction controls Tier of Guidelines for purposes of and only authorised staff on a need- the Code of Governance (Code) to-know basis is given access to for Charities and Institutions of a or will handle personal data. DPH Public Character as the Advanced provides regular training to all staff Tier covers larger IPCs with gross on this Policy and to keep them annual receipts or total expenditure abreast of any new developments of $10 million or more in each of its in privacy laws and regulations two immediate preceding financial in Singapore. years. DPH has complied with the relevant guidelines as stipulated Please visit DPH website at in the Code. Full checklist can www.doverpark.sg for further be obtained at the Charity Portal details on the data protection policy. (www.charities.gov.sg) and page 76 of this report.
Conflict of Interests All Council members and staff of DPH are required to read, understand the conflict of interest policy in place and make full disclosure of any interests, relationships, and holdings that could potentially result in a conflict of interest. When a conflict of interest, real or perceived arises, Council members/staff will not participate in decision making and approvals of transactions to which they have a conflict of interest.
ANNUAL REPORT 2019/20 p 67 STATEMENT OF CORPORATE GOVERNANCE
Dover Park Hospice (DPH) as an Institution of a Public 2. In recognition of the Founding members’ Character (IPC) is committed to good governance and contributions to DPH, the 2 Honorary Council management practices as it seeks to comply with the members need not have to stand for election at Charity and IPC regulations and Code of Governance General Meetings. They are allowed to attend all for Charities and Institutions of a Public Character meetings but they do not have any voting rights. (Code). The Council takes the view that it is in the best 3. The Council Chairman ensures that the interest of DPH to practise a high standard of corporate Council consists of individuals with the relevant governance. DPH is also committed to improving its complementary core competencies so that they governance and management practices as a responsible are able to bring to Council a degree of diversity, IPC. DPH falls under the Advanced Tier of Guidelines for viewpoints, expertise and experiences. the purposes of the Code. 4. All Council members are required to declare their conflict of interest at the earliest opportunity. 1. The Governing Council 5. All Council members are volunteers and are not 1.1 Council Governance remunerated for their services at DPH. The Council of DPH is the Board and its primary role 6. The Council ensures that there is a good balance is to ensure compliance with DPH’s Constitution between continuity, renewal and compliance and all relevant laws and regulations. The Council with regulatory requirements. ensures that DPH is well run and continues to 7. There is a formalised process for the operate in an effective, credible and sustainable appointment/re-appointment of Council manner. Its primary responsibility is to promote the members. long term interest of DPH in accordance with 8. Council members are required to perform its mission. an annual self-evaluation to assess Council’s performance and effectiveness. 1.2 The Council’s roles and responsibilities include: 9. All Council members are elected at DPH’s Annual 1. Overseeing the mission and strategy General Meeting to be held in August. They are development process required to stand in for re-election at least once 2. Ensuring compliance with all regulations every 2 years. pertaining to good governance 10. Under the Constitution of DPH, no Council 3. Accounts for DPH’s performance so that members shall serve more than 6 consecutive the efforts and resources deliver the desired years. However, they may be re-nominated after outcome and benefits to the patients, their a break of at least one year. families and the community that DPH serves 11. The Honorary Treasurer and Assistant Honorary 4. Monitoring the prudent use of funds and to Treasurer have a 2-year term. They may be ensure financial sustainability of DPH in the re-appointed to that position after a break of long term one year. 5. Evaluating the performance of top management 6. Devising and soliciting philanthropic giving 3. Chairman and Chief Executive Officer (CEO) 1. The roles of the Chairman and CEO are separate 2. Council Composition and Membership and their responsibilities are defined to ensure a 1. The Council comprises of 2 Honorary Council balance of power and authority within DPH. members and 20 Council members. No staff 2. The Chairman manages the governance of the members sit in the Council. Council and the sub-committees to set the strategic direction, vision and mission of DPH.
DOVER PARK p 68 HOSPICE 3. The Chairman approves the agenda for Council The Council members’ attendance at the Council meetings and exercises control over the quality, meetings for the period of August 2019 to July 2020 quantity and timeliness of information flow are as follow: between the Council and management. 4. The CEO manages the business of DPH and No of implements the Council’s decisions. The CEO is Meetings No of assisted by a management team. in the Meetings S/No Name of Council Members work year attended 1. Mr Robert Chew 4 4 4. Council’s Evaluation 2. Ms Angelene Chan 4 3 1. The Council has implemented Council’s 3. Mr Chey Chor Wai 4 3 Evaluation on Governance since 2016 to examine 4. Ms Cheng Yoke Ping 4 4 the Council’s performance and find ways to 5. Ms Woo E-Sah 4 3 improve its effectiveness. The self-assessment 6. Ms Ong Ai Hua 4 4 7. Prof Ho Yew Kee 4 4 questionnaire provides the Council the 8. Dr Tanya Tierney 4 3 opportunity to self-reflect and provide necessary 9. Dr Kwa Chong Teck 4 4 feedback for improvements. 10. Dr Karen Soh 4 2 11. Mr Tan Kim Kwang 4 4 5. Enterprise Risk Management (ERM) 12. Col (Ret) Rupert Gwee 4 4 1. The Council appoints the Audit, Risk and 13. A/Prof Jeremy Lim 4 3 Governance Committee (ARGC) to oversee the 14. Ms Kemmy Lim 4 3 risk management. The ARGC reviews the overall 15. Ms Diane Chen Dan 4 3 16. Ms Marlene Foo 4 2 adequacy and effectiveness of risk management 17. Mr Paul D. Gagnon 4 3 and internal control systems. 18. Dr Lionel Lee 4 4 2. The Management is responsible for the 19. Dr Seet Ju Ee 4 3 effective implementation of risk management 20. Dr Wu Huei Yaw 4 4 strategies, policies and processes to facilitate the achievement of DPH’s operational and strategic 2. In view of Covid-19 and safe distancing objectives. Key risks are identified, addressed and measures, some of the Council meetings were reviewed on an ongoing basis and mitigated risks held via video conferencing. where possible. 3. The CEO will report to the ARGC on the progress ROLES AND RESPONSIBILITIES OF SUB-COMMITTEES of the ERM on a periodic basis. Thereafter, the 7. Audit, Risk and Governance Committee (ARGC) ARGC will report to the Council. 1. The ARGC is established to provide audit oversight by reviewing the quality, timeliness and 6. Council Meetings effectiveness of the hospice’s financial reporting 1. The Council meets quarterly during the work process, internal controls, internal and external year that starts from August to July of each year. audit, risk environment and governance. The Council has met on the following dates: 2. KPMG LLP was appointed as the external auditor • 24 August 2019 whereas Deloitte and Touche was appointed as • 14 January 2020 the internal auditor as well as the ERM auditor. • 24 March 2020 These auditors report directly to the ARGC. • 21 July 2020 3. Audit partners in charge of DPH are changed every five years. 4. The ARGC meets at least 3 times a year.
ANNUAL REPORT 2019/20 p 69 8. Appointment and Nomination Committee (ANC) 3. The EXCO reviews and approves all matters such 1. The ANC is responsible for evaluating suitable as annual budget, strategies and policies before candidates for DPH’s Council as well as the sub- they are tabled for Council’s approval. committees under the Council. 4. The EXCO meets at least 6 times a year. 2. To ensure that new Council members have sufficient knowledge about palliative care, the 12. Fundraising Committee (FRC) CEO provides an induction programme to all 1. The FRC provides strategic directions for new Council members. Suitable courses from fundraising in ensuring that all fundraising the National Council of Social Services (NCSS) on activities comply with regulatory requirements. Governance are forwarded to Council members 2. The FRC also provides guidance to the for their participation as deemed necessary. management in hosting major events such as 3. The ANC meets at least once a year. Charity Golf and Gala Dinner. 3. The FRC meets up to 5 times a year. 9. Building and Development Committee (BDC) 1. The BDC obtains user requirements from the 13. Human Resource Committee (HRC) various hospice stakeholders for endorsement 1. The HRC is responsible for establishing the by EXCO and Council before submitting to the Human Resource policies, manpower needs and Hospital Planning Committee (HPC). practices of DPH so that they are in line with the 2. The BDC works with HPC on user requirements, vision and mission of DPH. legal arrangements, costs and funding matters 2. The HRC recommends and sets remuneration of and inputs from EXCO and Council for inclusion key staff to be approved by the Council. in the Building Design Brief for DPH at the 3. The HRC meets at least 4 times a year. Integrated Care Hub (ICH). 3. The BDC liaises with the building consultant and 14. Information Technology Committee (ITC) contractor(s) on the Building Design Brief and 1. The ITC formulates and drives the monitors the progress of the building project implementation of an integrated Information and and timeline. Technology Strategy which will be consistent 4. The BDC meets at least 4 times a year. with and supporting the national Information Technology (IT) efforts led by MOH Holdings. 10. Communications and Outreach Committee 2. The ITC helps DPH to leverage IT in enhancing (COC) various aspects of its operations such as 1. The COC sets the overall communication patients’ records and management, knowledge policies, protocols and guidelines for DPH. management and other areas that IT may 2. The COC sets the objectives, strategies and KPIs determine as useful. and provides advice on the development of a 3. The ITC meets at least 4 times a year. comprehensive digital and social media strategy. 3. The COC meets at least 4 times a year. 15. Investment Committee (IC) 1. The IC sets the objectives, strategies and policies 11. Executive Committee (EXCO) on the management of investments. They 1. The EXCO oversees the operations of DPH. oversee DPH’s investible funds. 2. Both the CEO and Medical Director report to the 2. An Investment Policy Statement (IPS) governs EXCO and update them on the operations and the management of the investible funds and it is development of DPH. approved by the Council upon recommendation by IC.
DOVER PARK p 70 HOSPICE 3. The IC ensures that the Fund Manager manages 19. Reserve Policy the DPH investible funds in accordance with 1. The Council has established a reserve policy for the IPS. DPH by using the unrestricted net liquid assets 4. The IC meets at least 4 times a year. available to meet expenditure obligations as a reserve measurement. This policy is disclosed in 16. Medical Professional Audit Committee (MPAC) the Audited Financial Statements under Capital 1. The MPAC oversees the quality and assurance Management. of the professional medical and nursing services provided by DPH. 20. Disclosure and Transparency 2. The MPAC monitors the clinical quality and 1. The Annual report is prepared to include governance to ensure proper policies and information on its programmes, financial, procedures are in place to provide the highest governance, Council and the Management. standard of patient care. 2. Audited Financial Statements are available on 3. The MPAC also encourages clinical research, DPH website and information on DPH’s financials in-house research proposals and monitors the can also be found in the Commissioner of research activity. Charities website. 4. The MPAC meets at least 4 times a year. 3. For the financial year ended 31 March 2020, Council members were not remunerated for their 17. Volunteers Committee (VC) services to the Hospice. There is no staff serving 1. The VC ensures that volunteers activities meet as Council members. the vision and mission of DPH so as to benefit 4. The annual remuneration of the Hospice’s three both the patients and DPH. highest paid staff is disclosed in the bands of 2. The VC meets at least 5 times a year. $100,000 are as follows:
18. Whistle-blowing Policy Remuneration Bands FY 2020 FY 2019 1. DPH has a whistle-blowing policy to allow $100,001 to $200,000 1 2 staff, suppliers, contractors, partners and $200,001 to $300,000 1 1 other stakeholders to raise concerns or report $300,001 to $400,000 1 - malpractices and misconducts to the Chairman of the Audit, Risk and Governance Committee. 5. There is no paid staff who is a close member The policy aims to encourage the reporting of of the family of the Chief Executive Officer or such matters in good faith, with the confidence Council members receiving more than $50,000 that persons making such reports will be in remuneration during the financial year. treated fairly and with due follow-up action. All 6. In the financial year ended 31 March 2020, the whistle-blower reports, including the identity Hospice did not make any loan or grant to any of the whistle-blower will be treated with third parties. confidentiality. There is no known whistle-blower report in the financial year ended 31 March 2020.
ANNUAL REPORT 2019/20 p 71 OUR COMMITTEES
DOVER PARK HOSPICE COMMITTEES 6. Fundraising Committee 1. Appointment and Nomination Committee • Dr Kwa Chong Teck (Co-Chairman) • Mr Robert Chew (Chairman) • Dr Karen Soh (Co-Chairman) • Ms Angelene Chan • Mr Gilbert Cheah (Stepped down on 9 March • Mr Chey Chor Wai 2020) • Dr June Goh 2. Audit, Risk and Governance Committee • Ms Joy Tan • Prof Ho Yew Kee (Chairman) • Ms Kemmy Lim (Stepped down on 20 September • Mr Low Chee Wah (Vice Chairman) 2019) • Mr Tham Chee Soon • Mr Kenneth Tan • Mr Wilson Tan • Dr Penelope Wong (Stepped down on 17 January 2020) 3. Building and Development Committee • Ms Shan Tjio • Ms Angelene Chan (Chairman) • Ms Shauna Teo (Appointed on 30 April 2019) • Dr Lionel Lee (Vice Chairman) • Ms Tiffany arinataV • Mr Loh Hai Yew • Mr Kenneth Sim 7. Human Resource Committee • Ms Woo E-Sah • Mr Tan Kim Kwang (Chairman) • Dr Wu Huei Yaw • Dr Kwa Chong Teck (Vice Chairman) • Mr Timothy Liu (Management) • Mr Anthony Chee • Dr Ong Wah Ying (Management) • Mr Robert Chew • Mr Robert Goh 4. Communications and Outreach Committee • Ms Ong Ai Hua • Dr Tanya Tierney (Chairman) • Dr Seet Ju Ee • Mr Lester Lee • Ms Ai Ling Sim-Devadas 8. Information Technology Committee • Mr Andy Seet • Col (Retired) Rupert Gwee (Chairman) • Mr Jack Ang • Mr Paul D. Gagnon (Vice Chairman) • Mr Alfred Low • Mr Lester Lee • Mr Danny Yeo • Mr Shee Gim Leng • Ms Genevieve Kuek • Mr Ying Shao Wei • Ms Manisha Tank • Ms Siti Rohanah Binte Mohammad 9. Investment Committee • Mr Robert Chew (Chairman) 5. Executive Committee • Mr Tan Seng Hock (Vice Chairman) • Mr Robert Chew (Chairman) • Mr Freddy Orchard • Ms Angelene Chan (Vice Chairman) • Mr Guan Ong • Mr Chey Chor Wai (Honorary Secretary) • Mr Ho Hin Wah • Ms Cheng Yoke Ping (Assistant Honorary • Mr Joel Cheng Secretary) • Ms Lissa Toh • Ms Woo E-Sah (Honorary Treasurer) • Ms Ong Ai Hua (Assistant Honorary Treasurer) Endowment Fund Trustees • Ms Jacqueline Khoo • Dr Seet Ai Mee • Prof Tay Boon Keng (Appointed on 25 July 2017)
DOVER PARK p 72 HOSPICE 10. Medical Professional Audit Committee 12. Volunteers Committee • A/Prof Jeremy Lim (Chairman) • Ms Kemmy Lim (Chairman) • Dr Angel Lee (Vice Chairman) • Mr Raymond Chiang • Dr Gilbert Fan • Mr Muhammad Agus Bin Othman • Dr Kwa Chong Teck • Mr Lester Lee • Dr Jerry Lim • Ms Janice Phua • Dr Robert Lim • Mr Gilbert Lew • Dr Tay Miah Hiang • Mr Sia Ooi Kong • Dr Tiew Lay Hwa • Ms Chan Choo Lin • Dr Uma Rajan • Ms Mabel Pek • Dr Wu Huei Yaw • Ms Ler Yu-Min • Mr Wu Tuck Seng • Mrs Pearl Lim • Mrs Nellie Yeo • Mr Bernard Yeo • Mr Xavier Lim 11. Medifund Committee (Appointed by MOH) • Ms Linda Hart • Prof Ho Yew Kee • Mdm Cheok Boon Kiew • Dr Ian Leong • Mr Anthony Lim Jun Hong • Ms Maureen Fung • Dr Tanya Tierney • Ms Jenny Bong (Appointed on 1 April 2020) • Ms Cheah Li Yean • Ms Yeo Tze Yee (Appointed on 5 December 2019) The Medifund Committee was appointed by MOH for a tenure of 3 years from 1 April 2019 to 31 March 2021.
ANNUAL REPORT 2019/20 p 73 OUR Organisation structure Council Structure
GOVERNING COUNCIL
Appointment Audit, Risk & Building & Communications Executive Fundraising & Nomination Governance Development & Outreach Committee Committee Committee Committee Committee Committee Human Resource Information Investment Medical Professional Volunteers Committee Technology Committee Audit Committee Committee Committee
COUNCIL
Chairman
Executive CEO Assistant to CEO
Community Engagement
Medical Communications Volunteers Finance Project Fundraising HR IT Director & Outreach Programme & Admin Management
Medical Nursing Social Work & Rehabilitation Pharmacy Clinical Clinical Training Research Psychosocial Admin Operations Services PalC
Note: The Palliative Care Centre for Excellence in Research and Education (PalC) is a tripartite collaboration among Dover Park Hospice, Nanyang Technological University (NTU) Lee Kong Chian School of Medicine and National Healthcare Group.
DOVER PARK p 74 HOSPICE OUR MANAGEMENT
Chief Executive Officer Manager, Finance & Administration Mr Timothy Liu (Date of Appointment: 7 March 2016) Mr Steven Foo (Last Day: 31 May 2020)
Medical Director Acting Manager, Finance & Administration Dr Ong Wah Ying Ms Karen Tan (Date of Appointment: 1 May 2020)
Senior Consultants Manager, Communications & Outreach Dr Allyn Hum Ms Jenny Goo Dr Joseph Ong Yew Jin Manager, Fundraising Consultant, Head of Home Care Mr Alex Ho Dr Yee Choon Meng Manager, Information Technology Principal Resident Physician Mr Kwok Wing Kit Dr Yea Kok Chin (Date of Appointment: 23 April 2020) Manager, Human Resource Resident Physicians Ms Teresa Tang Dr Erwin Phillip Francisco Dr Hoh Sek Yew Manager, Volunteer Programme Dr Martin Lee Ms Tok Shou Wee Dr Chia T-Yunn Manager, Project Management Director of Nursing Mr Kenneth Chan (Date of Appointment: 1 October Ms Chin Soh Mun 2019)
Head, Social Work Manager, Training & Psychosocial Services Ms May Siu (Last Day: 25 July 2020) Ms Cheong Ee May Deidre Adele Staff-in-charge, Research Ms Tay Ri Yin
ANNUAL REPORT 2019/20 p 75 GOVERNANCE EVALUATION CHECKLIST
ADVANCED TIER S/N Code guideline Code ID Response Board Governance 1. Induction and orientation are provided to incoming governing board 1.1.2 Complied members upon joining the Board. Are there governing board members holding staff1 appointments? No (skip items 2 and 3 if “No”) 2. Staff does not chair the Board and does not comprise more than one 1.1.3 NA third of the Board. 3. There are written job descriptions for the staff’s executive functions and 1.1.5 NA operational duties, which are distinct from the staff’s Board role. 4. The Treasurer of the charity (or any person holding an equivalent position 1.1.7 Complied in the charity, e.g. Finance Committee Chairman or a governing board member responsible for overseeing the finances of the charity) can only serve a maximum of 4 consecutive years.
If the charity has not appointed any governing board member to oversee its finances, it will be presumed that the Chairman oversees the finances of the charity. 5. All governing board members must submit themselves for 1.1.8 Complied re-nomination and re-appointment, at least once every 3 years. 6. The Board conducts self evaluation to assess its performance and 1.1.12 Complied effectiveness once during its term or every 3 years, whichever is shorter. Is there any governing board member who has served for more than 10 No consecutive years? (skip item 7 if “No”) 7. The charity discloses in its annual report the reasons for retaining 1.1.13 NA the governing board member who has served for more than 10 consecutive years. 8. There are documented terms of reference for the Board and each of its 1.2.1 Complied committees. Conflict of Interest 9. There are documented procedures for governing board members and 2.1 Complied staff to declare actual or potential conflicts of interest to the Board at the earliest opportunity. 10. Governing board members do not vote or participate in decision making 2.4 Complied on matters where they have a conflict of interest. Strategic Planning 11. The Board periodically reviews and approves the strategic plan for 3.2.2 Complied the charity to ensure that the charity’s activities are in line with the charity’s objectives. 12. There is a documented plan to develop the capacity and capability of 3.2.4 Complied the charity and the Board monitors the progress of the plan.
DOVER PARK p 76 HOSPICE S/N Code guideline Code ID Response Human Resource and Volunteer2 Management 13. The Board approves documented human resource policies for staff. 5.1 Complied 14. There is a documented Code of Conduct for governing board members, 5.3 Complied staff and volunteers (where applicable) which is approved by the Board. 15. There are processes for regular supervision, appraisal and professional 5.5 Complied development of staff. Are there volunteers serving in the charity? (skip item 16 if “No”) Yes 16. There are volunteer management policies in place for volunteers. 5.7 Complied Financial Management and Internal Controls 17. There is a documented policy to seek the Board’s approval for any loans, 6.1.1 Complied donations, grants or financial assistance provided by the charity which are not part of the charity’s core charitable programmes. 18. The Board ensures that internal controls for financial matters in key 6.1.2 Complied areas are in place with documented procedures. 19. The Board ensures that reviews on the charity’s internal controls, 6.1.3 Complied processes, key programmes and events are regularly conducted. 20. The Board ensures that there is a process to identify, and regularly 6.1.4 Complied monitor and review the charity’s key risks. 21. The Board approves an annual budget for the charity’s plans and 6.2.1 Complied regularly monitors the charity’s expenditure. Does the charity invest its reserves, including fixed deposits? Yes (skip item 22 if “No”) 22. The charity has a documented investment policy approved by the 6.4.3 Complied Board. Fundraising Practices Did the charity receive cash donations (solicited or unsolicited) during Yes the financial year? (skip item 23 if “No”) 23. All collections received (solicited or unsolicited) are properly accounted 7.2.2 Complied for and promptly deposited by the charity. Did the charity receive donations in kind during the financial year? Yes (skip item 24 if “No”) 24. All donations in kind received are properly recorded and accounted for 7.2.3 Complied by the charity. Disclosure and Transparency 25. The charity discloses in its annual report — 8.2 Complied (a) the number of Board meetings in the financial year; and (b) the attendance of every governing board member at those meetings. Are governing board members remunerated for their services to the No Board? (skip items 26 and 27 if “No”) 26. No governing board member is involved in setting his own remuneration. 2.2 NA 27. The charity discloses the exact remuneration and benefits received by 8.3 Complied each governing board member in its annual report. OR The charity discloses that no governing board member is remunerated.
ANNUAL REPORT 2019/20 p 77 S/N Code guideline Code ID Response Does the charity employ paid staff? (skip items 28, 29 and 30 if “No”) Yes 28. No staff is involved in setting his own remuneration. 2.2 Complied 29. The charity discloses in its annual report — 8.4 Complied (a) the total annual remuneration for each of its 3 highest paid staff who each has received remuneration (including remuneration received from the charity’s subsidiaries) exceeding $100,000 during the financial year; and (b) whether any of the 3 highest paid staff also serves as a governing board member of the charity. The information relating to the remuneration of the staff must be presented in bands of $100,000. OR The charity discloses that none of its paid staff receives more than $100,000 each in annual remuneration. 30. The charity discloses the number of paid staff who satisfies all of the 8.5 Complied following criteria: (a) the staff is a close member of the family3 belonging to the Executive Head or a governing board member of the charity; (b) the staff has received remuneration exceeding $50,000 during the financial year. The information relating to the remuneration of the staff must be presented in bands of $100,000. OR The charity discloses that there is no paid staff, being a close member of the family3 belonging to the Executive Head or a governing board member of the charity, who has received remuneration exceeding $50,000 during the financial year. Public Image 31. The charity has a documented communication policy on the release of 9.2 Complied information about the charity and its activities across all media platforms.
Notes: 1 Staff: Paid or unpaid individuals who are involved in the day-to-day operations of the charity, e.g. an Executive Director or Administrative personnel. 2 Volunteer: Persons who willingly give up time for charitable purposes, without expectation of any remuneration. For volunteers who are involved in the day-to-day operations of the charity, they should also abide by the best practices set out in the Code applicable to ‘staff’. 3 Close member of the family: Those family members who may be expected to influence, or be influenced by, that person in their dealings with the charity. In most cases, they would include: • That person’s children and spouse; • Children of that person’s spouse; and • Dependants of that person or that person’s spouse.
DOVER PARK p 78 HOSPICE FY2019/2020
Financial highlights Total Income for the year
FY 2020 FY2019 Voluntary Income & Income from Fundraising Activities 3,024,467 2,881,705 Investment Income 996,873 504,209 Patients’ Fees 1,394,966 1,457,043 Government Subvention Grant 5,155,726 5,211,932 Other Grants 4,612,909 3,441,754 Amortisation of Deferred Capital Grants 969,652 751,590 Others 233,411 224,959 Fair Value (Losses)/Gains on Financial Assets at FVTPL - Investments (973,371) 526,773 Fair Value (Losses)/Gains on Financial Assets at FVTPL - Forward (1,048,398) 5,994 Exchange Contracts Unrealised Foreign Exchange Gains/(Losses) 952,706 (19,292) Realised Foreign Exchange Losses (252,267) (68,374) Gains on Disposal of Financial Assets 334,612 48,045 15,401,286 14,966,338 FY2020 TOTAL INCOME FOR THE YEAR FY2020 FY2019 6,000,000
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
(1,000,000)
(2,000,000)
Fair Value Fair Value (Losses)/ Voluntary (Losses)/ Gains on Unrealised Gains on Income & Amortisation Realised Government Gains on Financial Foreign Disposal Income Investment Patients’ Other of Deferred Foreign Subvention Others Financial Assets at Exchange of from Income Fees Grants Capital Exchange Grant Assets at FVTPL- Gains/ Financial Fundraising Grants Losses FVTPL- Forward (Losses) Assets Activities Investments Exchange Contracts FY 2020 3,024,467 996,873 1,394,966 5,155,726 4,612,909 969,652 233,411 (973,371) (1,048,398) 952,706 (252,267) 334,612 FY 2019 2,881,705 504,209 1,457,043 5,211,932 3,441,754 751,590 224,959 526,773 5,994 (19,292) (68,374) 48,045
DOVER PARK p 80 HOSPICE Total expenditure for the year
FY 2020 FY2019 Fundraising Costs 248,403 204,194 Investment Management Expenses 153,608 134,195 Charitable Activities 11,804,003 11,137,838 Impairment loss on trade receivable 47,781 18,600 Governance Activities 3,819,555 2,872,896 16,073,350 14,367,723 FY2020 TOTAL EXPENDITURE FOR THE YEAR
$248,403 $153,608 $3,819,555
$11,804,003
$47,781
Fundraising Costs Investment Management Expenses Charitable Activities Impairment Loss on Trade Receivable Governance Activities
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Explanatory Notes
1. Charitable activities Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Hospice which is the provision of inpatient and home care services to the terminally ill. The total costs of charitable expenditure include an apportionment of support costs.
2. Governance activities Governance activities comprise all costs attributable to the general running of the Hospice in providing the governance infrastructure and in ensuring public accountability. These costs include costs related to constitutional and statutory requirements, and include an apportionment of overhead and support costs.
The full set of audited financial statements can be downloaded from our website at www.doverpark.org.sg.
ANNUAL REPORT 2019/20 p 81 10 JALAN TAN TOCK SENG, SINGAPORE 308436 TEL: 6500 7272 FAX: 6254 7650 EMAIL: [email protected]
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