Community Care Management Service

Overview

Our Hua Mei Community Care Management Service supports frail and at‑risk older persons to live well and age safely at home. Through a person‑centred, team‑led approach by nursing and social work professionals, we assess needs holistically, develop sustainable care plans, and coordinate medical, home‑based and social services. By advocating, linking and monitoring the right support at the right time, we help older persons and their caregivers navigate care confidently and optimise health and wellbeing within the community.

What We Offer

• Engaging the older person in discussions about their goals, self-care abilities, and overall well-being, supported by a comprehensive assessment of their health, social situation, and psycho-emotional needs
• Personalised care planning in partnership with the older persons and their families
• Coordinating and facilitating referrals to services such as primary care, physical rehabilitation, home personal care, meals-on-wheels, financial assistance, and social engagement programmes, to ensure care support and reduce the risk of social isolation
• Monitoring of the older person’s health condition for maintenance care and home safety

Who We Serve

• Older person aged 60 years old and above who are:
  • facing challenges in managing multiple medical, social and psycho-emotional needs
  • residents of Bukit Timah, Bukit Merah, Chinatown, Commonwealth, Clementi, Ghim Moh, Newton, Orchard, Outram, Queenstown, River Valley, Tanglin, Tanjong Pagar, Telok Blangah, and Tiong Bahru
• Caregivers who are experiencing stress for caring of their loved ones (no age limit)

How to Access our Services

• By referrals from hospitals, polyclinics, general practitioners, family service centres, community partners, social service agencies
• Self-referral via our enquiry contacts below