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Outpatient Medical Service
In this page, you will find information for a new or existing Outpatient Medical Service licensee on the Outpatient Medical Service regulations and licence conditions, its applicable Specified Services and the allowable Mode of Service Delivery, requirements to be a clinical governance officer and licence fees.
On this page
Regulatory requirements
Licensees must comply with all the requirements in the HCSA, its regulations, licensing conditions and codes of practice. Refer to the requirements that are common to all HCSA licensees. Additional requirements that are also applicable to your healthcare service can be found below.
Regulations
To ensure the compliance with the various Healthcare Services Regulations
Licence Conditions
To ensure compliance with safety, governance, and service standards
Circulars
Official communications detailing clarifications, updates or changes to healthcare regulations and service requirements
FAQs
Questions from service providers, operators, or licensees
Other documents
Code of Practice, consultation feedback reports and others
When is an Outpatient Medical Service licence needed?
You will require an Outpatient Medical Service licence if you:
Examine the outpatient’s body or mind.
Assess the outpatient’s health.
Observe, diagnose, and intervene in the outpatient’s health condition.
Treat the outpatient for any condition, disability, disease, disorder or injury.
Provide medical care to the outpatient.
Perform either of the following which changes, or is intended to change, the outpatient’s appearance or anatomy:
A clinical procedure;
An invasive procedure that penetrates beyond the epidermis layer of the outpatient’s skin.
Provide any other healthcare service that is incidental to the provision of a healthcare service mentioned in the paragraphs above, including:
The conduct of any simple in vitro diagnostic test on the outpatient; and
The conduct of any ultrasound imaging on the outpatient.
You will not require an Outpatient Medical Service licence if you:
Certify the death of any individual.
For the legal definition of an Outpatient Medical Service, please refer to the First Schedule of the Act.
Applicable Specified Services and Mode of Service Delivery
List of Services and Mode of Service Delivery
Mode of Service Delivery | |||||
---|---|---|---|---|---|
Permanent Premises | Temporary Premises | Conveyance | Remote | ||
Licensable Healthcare Service | Outpatient Medical Service | ✓ | ✓ | ✓ | ✓ |
Specified Service | Blood Transfusion Service (for Oncology and Haematology Specialties only) | ✓ | × | × | × |
Collaborative Prescribing Service | ✓ | ✓ | ✓ | ✓ | |
Electrocardiography Stress Testing (EST) Service | ✓ | × | ✓ | × | |
Endoscopy Service* | ✓ | ✓ | ✓ | × | |
Liposuction | ✓ | × | × | × | |
Proton Beam Therapy | ✓ | × | × | × | |
Radiation Oncology & Radiation Therapy | ✓ | × | × | × | |
*Endoscopy services allowed under Outpatient Medical Service (Temporary Premises) will be limited to nasopharyngoscopy and cystoscopy which does not involve any sedation, biopsy, or removal of foreign body. Please refer to the Licence Conditions for Outpatient Medical Service Licensees Providing or Intending to Provide Endoscopy Service [PDF, 164KB] for more details. |
Requirements to be a Clinical Governance Officer
An individual must be in good standing and fulfil all of the criteria below to be appointed as a Clinical Governance Officer (CGO).
For an individual to fulfil the requirements to be a CGO, he or she must:
Reside in Singapore during his or her appointment as a CGO
Be a fully registered medical practitioner with the Singapore Medical Council (SMC) and hold a valid practising certificate
Fulfil one of the following:
Registered under the Medical Registration Act as a family physician in the Register of Family Physicians, OR
Registered under the Medical Registration Act as a specialist in any branch of medicine, OR
Practised as a full time medical practitioner for at least 5 continuous years or an aggregate period of at least 5 years during a continuous period of 10 years in either
an Outpatient Medical Service,
an Outpatient Renal Dialysis Service,
an Acute Hospital Service
a Community Hospital Service or,
an equivalent healthcare institution under the Private Hospital and Medical Clinics Act
[For Remote MOSD only] Completed telemedicine e-training course as specified by MOH.
For further details on the qualifications, skills and competencies of a CGO, please refer to Regulation 7 of the Outpatient Medical Service Regulations.
For an individual to fulfil the suitability qualifications to be a CGO, he or she must not:
Have any of the following convictions, unless it is a spent conviction:
An offence involving fraud or dishonesty;
Offence under the HCSA, the PHMCA or any applicable Acts listed in the Annex A of the Code of Practice [PDF, 439KB];
An offence specified in the Third Schedule to the Registration of Criminals Act; or
Any other offence involving abuse, ill treatment, assault, or physical violence
Have a pending charge for an offence involving abuse, ill treatment, assault, or physical violence
Be an undischarged bankrupt
Have had his or her healthcare professional registration(s) under MOH cancelled, removed, or suspended
Have been a director or manager of a healthcare service provider that had its registration or licence suspended, cancelled, or revoked
Have had his or her accreditation or approval to participate in MOH-administered public schemes revoked or suspended
Lack capacity within the meaning of the Mental Capacity Act 2008.
For further details on the suitability requirements for a Key Office Holder, please refer to the Code of Practice [PDF, 439KB].
Licence fee
The applicable licence fee for Outpatient Medical Service is $360 for each stand-alone Mode of Service Delivery (MOSD). A MOSD fee bundle might apply if you provide Outpatient Medical Service via multiple MOSDs, e.g. permanent premises alongside temporary premises and remote.
List of licence fees applicable
List of possible combinations | Eligibility for MOSD bundle | Licence fee |
---|---|---|
Stand-alone Mode of Service Delivery (MOSD):
| Not applicable | $360 |
House calls + Teleconsultations | Yes | $360 |
Brick-and-mortar clinic (one permanent premises) + House calls + Teleconsultations | Yes | $360 |
Medical bus (one conveyance) + House calls + Teleconsultations | Yes | $360 |
Brick-and-mortar clinic + Medical bus | No | $360 + $360 = $720 |
Teleconsultations + House calls + Brick-and-mortar clinic + Medical buses | Yes | $360 + $360 = $720 |
If you provide Specified Services (SS), an additional SS approval fee will apply. The SS approval fee applicable depends on the SS cateogry (i.e., “simple” or “complex” SS).
Categorisation of SSes under the Outpatient Medical Service.
Specified Services | Simple SS | Complex SS |
---|---|---|
Blood Transfusion Service (for Medical Oncology and Hematology Specialties only) | ✓ | |
Clinical Genetic and Genomic Services (to commence in Mar 2024) | ✓ | |
Collaborative Prescribing Service | ✓ | |
Electrocardiography Stress Testing (EST) Service | ✓ | |
Endoscopy Service | ✓ | |
Liposuction | ✓ | |
Proton Beam Therapy | ✓ | |
Radiation Oncology & Radiation Therapy | ✓ |
List of fees applicable for the provision of Outpatient Medical Service with its SSes.
Calculation | Licence fee for Outpatient Medical Service | SS approval fee | Total fee |
---|---|---|---|
Outpatient Medical Service + 1 Simple SS | $360 | $900 | $1,260 |
Outpatient Medical Service + 2 Simple SSes | $360 | $1,700 | $2,060 |
Outpatient Medical Service + 3 or more Simple SSes | $360 | $2,500 | $2,860 |
Outpatient Medical Service + 1 Complex SS | $360 | $1,900 | $2,260 |
Outpatient Medical Service + 2 Complex SSes | $360 | $3,700 | $4,060 |
Outpatient Medical Service + 1 Simple SS + 1 Complex SS | $360 | $2,800 | $3,160 |
Outpatient Medical Service + 2 Simple SSes + 1 Complex SS | $360 | $3,600 | $3,960 |
Outpatient Medical Service + 3 or more Simple SSes + 1 Complex SS | $360 | $4,400 | $4,760 |
Outpatient Medical Service + 1 Simple SS + 2 Complex SSes | $360 | $4,600 | $4,960 |
Outpatient Medical Service + 2 Simple SSes + 2 Complex SSes | $360 | $5,400 | $5,760 |
Outpatient Medical Service + 3 or more Simple SSes + 2 Complex SSes | $360 | $6,200 | $6,560 |
Note: The $360 licence fee assumes that you only provide Outpatient Medical Service via one permanent premises or one of the MOSD bundle combinations. |