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Prevention of Proliferation Financing and Other Matters Bill›Second Reading Bills6 turns · 2,233w
· 13 highlighted
bill-674recorded 2024-02-05
Speaker not recorded15 words
[+1 sentence]Mr Speaker : Minister for Law.
The Senior Parliamentary Secretary to the Minister for Law (Ms Rahayu Mahzam) (for the Minister for Law)1322 words
[+13 sentences]Mr Speaker, on behalf of the Minister for Law, I beg to move, “That the Bill be now read a Second time.” Sir, Singapore is a leading financial centre and a global trading hub. Our economic openness makes us attractive for investments and businesses, but also makes us an attractive target for money laundering, terrorism financing and proliferation financing. I shall refer to these as "financial crimes" for convenience, throughout my speech. As a trusted international financial and trading hub, Singapore takes a firm stance against these activities. We therefore take a robust approach to supervision, (a) both in the financial sector and non-financial sectors, (b) in order to prevent financial crimes. In 1992, Singapore joined the Financial Action Task Force, or FATF. The FATF is the recognised international standards setter for the prevention of financial crimes. Over 200 jurisdictions subscribe to the international FATF Standards. Aside from the financial sector, the FATF has highlighted that other non-financial sectors also have an important role. This would include the following sectors which come under the Ministry of Law, or MinLaw’s purview: precious stones and precious metals dealers, or PSMDs; moneylending; pawnbroking; and legal services. As the regulator of these sectors, MinLaw regularly reviews our laws to ensure that they remain relevant, effective, and fully in line with the latest international standards set by the FATF. In recent years, the FATF has updated its standards, in particular, to set out clearly the identification, assessment and mitigation of risks associated with the financing of proliferation of weapons of mass destruction, or “proliferation financing” in short. This is in addition to existing FATF requirements on money laundering and terrorism financing risks. This Bill, therefore, seeks to clearly align the regulatory regimes for the PSMD, moneylending, pawnbroking and legal services sectors with the updated FATF standards on countering proliferation financing.[+11 sentences] This will be achieved through proposed amendments to four Acts, namely: the Precious Stones and Precious Metals (Prevention of Money Laundering and Terrorism Financing) Act, or the PSPM Act; the Moneylenders Act; the Pawnbrokers Act; and the Legal Profession Act. In addition, this Bill proposes amendments to the PSPM Act to strengthen the regulatory regime and enhance operational effectiveness in regulating PSMDs. As a brief background, the PSPM Act was enacted in 2019 to provide a comprehensive regulatory and supervisory regime to prevent dealings in precious stones and precious metals from being used to facilitate money laundering or terrorism financing. Since its enactment, MinLaw has continued to engage the PSMD sector for feedback and to review our measures and practices, emerging risks, global trends and developments and international standards. The proposed amendments today are the culmination of these engagements and reviews. Let me now elaborate on the key amendments in this Bill. First, the Bill updates the PSPM Act, Moneylenders Act, Pawnbrokers Act and Legal Profession Act to clearly align the regulatory regime for the PSMD, moneylending, pawnbroking and legal services sectors with the updated FATF standards; and require businesses or persons covered by these Acts to implement adequate measures to counter proliferation financing. Examples of required measures include: performing risk assessment; and developing and implementing internal policies, procedures, and controls to counter proliferation financing. Such measures are not new to these businesses or persons. For many entities, such measures are already part of their existing anti-money laundering controls as the underlying proliferation financing offences are also money laundering predicate offences. In addition, the controls in the Moneylenders Act and Pawnbrokers Act against criminals owning or managing moneylending and pawnbroking businesses will be strengthened, in line with the FATF Recommendations. In particular, the Bill includes amendments to prevent persons convicted of offences relating to the prevention of financial crimes from obtaining relevant licences, or holding management functions in moneylending and pawnbroking businesses.[+6 sentences] Second, the Bill strengthens the regulatory regime for PSMDs through amendments to the PSPM Act. The Bill seeks to update the definition of "precious product". The PSPM Act covers precious stones and precious metals, or PSPM in short, and precious products. Under the current definition, "precious product" means any jewellery, watch, apparel, accessory, ornament, or other finished product – made up of, containing, or having attached to it, any PSPM; and where at least 50% of the value of the product is attributable to the PSPM. Based on the current definition, products with majority of value attributed to other factors, such as branding or workmanship, are not captured. However, we have observed that such products can also pose risks of financial crimes. To close this gap, clause 4 of the Bill amends the definition of "precious product" to also cover any "precious product" priced above a prescribed value, which will be set at S$20,000, regardless of the value attributable to the PSPM.[+2 sentences] To illustrate, following the amendment, a platinum watch retailed by a luxury brand, with a net sales price of S$100,000, will be covered under the Act, even if the value of the platinum in the watch is less than 50% of the net sales price. The prescribed threshold value of S$20,000 is aligned with FATF standards and international best practices. Clause 4 of the Bill also amends the existing definition of "asset-backed token" to exclude digital payment tokens from the PSPM Act. This will avoid double regulation of PSMDs, as the Monetary Authority of Singapore (MAS) already regulates digital payment token service providers under the Payment Services Act. Clause 12 of the Bill introduces a new offence in the PSPM Act for regulated dealers that submit incomplete or inaccurate cash transaction reports without reasonable excuse.[+2 sentences] Compliance officers are instrumental in the implementation of controls to prevent financial crimes. Therefore, the Bill makes it clear that compliance officers appointed by PSMDs must be assessed by the Registrar to be "fit and proper" persons. To prevent errant dealers from disposing of records to thwart investigations after they cease being regulated dealers, the Bill introduces a record-keeping requirement for regulated dealers to keep records, for a prescribed period after ceasing to be a regulated dealer.[+13 sentences] Failure to comply would be an offence. In addition, the Bill will empower the Registrar to continue regulatory action against former registered PSMDs. For instance, the Registrar may order them to pay financial penalties if they had failed to comply with the registration conditions, or if their registration was obtained through fraud or misrepresentation. Finally, the Bill amends the PSPM Act to improve operational effectiveness in regulating PSMDs. Clause 8 of the Bill amends section 10 to allow the Registrar to cancel or suspend the registration of PSMDs that are not conducting regulated dealing and/or fall under prescribed circumstances. This will mitigate the risk of PSMDs misusing their registration status to gain access to the financial system to conduct illicit transactions, or to create an erroneous impression that their businesses are regulated by MinLaw, for any purpose other than the prevention of financial crimes. Clause 7 of the Bill introduces a new section 9A to provide that the registration of a registered PSMD lapses if the PSMD, as an entity, is wound up or otherwise dissolved, or if the PSMD, as a sole proprietor, dies. This will enable the Registrar to update the register more expeditiously. Clause 19 of the Bill introduces new sections 36A and 36B in the PSPM Act to prescribe methods of service of documents required or authorised by the Act to be served on any person. In particular, service through digital means will be prescribed to reduce the need for physical mail, better leverage technology and improve efficiency. Sir, in conclusion, the Bill will allow clear alignment of the regulatory regimes for the PSMD, moneylending, pawnbroking and legal services sectors with updated FATF requirements, strengthen the regulatory regime for PSMDs, and improve operational effectiveness in regulating PSMDs. It will also reaffirm our strong commitment to be a responsible member of the international community. With that Mr Speaker, I beg to move.
Mr Speaker3 words
[+1 sentence]Mr Louis Ng.
Mr Louis Ng Kok Kwang (Nee Soon)214 words
[+13 sentences]Sir, this Bill will help Singapore comply with FATF requirements on assessing the risk of proliferation financing and taking measures to mitigate these risks. I have two short clarifications to raise. My first clarification is on the Government’s approach on prevention of proliferation financing, anti-money laundering and counter terrorism financing. Each of these areas represent risks which threaten the integrity of Singapore’s financial institutions. Each of these areas also have their own sets of safeguards and requirements. Singapore has a national strategy for countering terrorism financing related activities. Can Senior Parliamentary Secretary share if proliferation financing will be incorporated into this strategy? Can the Minister share how the Government is incorporating these safeguards as a coherent approach to prevent fragmentation in the implementation of the financial safeguards for proliferation financing, money laundering and terrorism financing? My second clarification is on ensuring effective implementation of these safeguards on the ground. Robust safeguards are important due to the seriousness of the threat posed by proliferation financing. However, overly strict safeguards can be counter-productive if entities do not have the capacity to ensure meaningful compliance with these safeguards. What steps will be taken at the industry level to avoid these safeguards from becoming a box-checking exercise? Sir, notwithstanding these clarifications, I stand in support of the Bill.
Mr Speaker3 words
[+1 sentence]Mr Dennis Tan.
Mr Dennis Tan Lip Fong (Hougang)676 words
[+1 sentence]Thank you, Mr Speaker. I declare my interest as a practising advocate and solicitor in the Supreme Court of Singapore.[+1 sentence] Mr Speaker, we are told that this Bill seeks to amend the Precious Stones and Precious Metals (Prevention of Money Laundering and Terrorism Financing) Act 2019, the Legal Profession Act 1966, the Moneylenders Act 2008 and the Pawnbrokers Act 2015 to provide for the prevention of the financing of proliferation of weapons of mass destruction. This arises from new requirements introduced by the FATF in October 2020 for member states and reporting entities to assess the risk of proliferation financing in relation to their business and to take measures to mitigate the assessed risk.[+2 sentences] The proposed amendments to the said Acts add to the existing provisions in respect of prevention of money laundering and prevention of terrorism financing. In August last year, the Singapore Police Force (SPF) arrested 10 foreigners holding multiple citizenships for alleged money laundering offences involving cash, luxury properties, cars, gold bars, handbags, jewellery, branded watches and cryptocurrency, including more than 68 gold bars, 294 luxury bags, 164 branded watches and 546 pieces of jewellery we are told. The assets seized in what is Singapore's biggest money laundering case have risen to more than S$3 billion by January.[+4 sentences] In October 2023, we were told that 152 properties and 62 vehicles were involved, and we were told last month that 55 new properties and 15 vehicles were given prohibition of disposal orders by the police. Minister Josephine Teo had said that the proceeds "most likely came from criminal activities abroad, including illegal online gambling and unlicensed moneylending". Mr Speaker, this is very disconcerting, not least because of the value of the funds and assets involved but that they had taken place despite existing money laundering laws and regulations having been introduced over the years. The inability of our existing laws and regulations to prevent the current money laundering case is worrying. If banks, law firms, property companies or other businesses or professionals who assisted in property purchase or transfer of funds could have failed to detect or prevent transfer or use of money laundering proceeds, it can also happen to money lenders, dealers of precious stones and precious metals, not to mention, our neighbourhood pawnbrokers. I am mindful that investigation is pending but I would like to ask the Government whether it is able to share what are, to date, the lessons which we have learned from the case so far as far as anti-money laundering (AML) compliance is concerned?[+6 sentences] Has any lesson been applied to today’s amendments? How have our existing laws or regulations failed to stop the accused persons from bringing into Singapore, funds which have been the subject of money laundering and/or from proceeds of organised crime activities and to be allowed to invest such funds in different ways in Singapore such as buying properties? Has the Government started reviewing the existing laws and if not, whether and when it will do so? These are highly relevant to today’s Bill as we are seeking to apply the current suite of laws and regulations against the financing of proliferation of weapons of mass destruction and we need to be assured that the current laws or the proposed amendments can provide adequate gatekeeping to prevent entry to Singapore of funds for financing of proliferation of weapons of mass destruction. I also hope that the authorities will review the adequacy of the due diligence efforts of banks, law firms and other professionals or stakeholders who were involved in respect of the funds brought in by the said foreign nationals in the ongoing money laundering case or in respect of funds used for the purchases of different properties and to consider what laws, regulations and measures need to be enhanced to strengthen the current due diligence process required of all professionals and stakeholders and hopefully minimise the risks of such cases recurring, which is embarrassing for our country and tarnishes Singapore’s reputation as a financial centre. Mr Speaker, notwithstanding my questions, I support this Bill.
Prevention of Proliferation Financing and Other Matters Bill›Second Reading Bills7 turns · 3,169w
· 18 highlighted
bill-675
Speaker not recorded32 words
[+2 sentences], "That the Bill be now read a Second time." – . (proc text)]
Mr Speaker4 words
[+1 sentence]Mr Yip Hon Weng
Mr Yip Hon Weng (Yio Chu Kang)602 words
[+1 sentence]Mr Speaker, Sir, the arrival of this Bill coincides with the revelation of the largest money laundering case in Singapore's history. The illicit funds of approximately $3 billion in seized or frozen assets, exposes the potential vulnerabilities within our financial system. It also underscores the critical need to fortify our defences. This Bill aligns Singapore's laws with international standards set out by the Financial Action Task Force (FATF), to effectively combat illicit financial flows and safeguard our reputation as a trusted financial hub.[+28 sentences] However, amidst these positive strides, I have some clarifications about the Bill. First, Mr Speaker, Sir, we must ensure that the expanded regulations are implemented effectively and fairly, balancing our needs to counter illicit finance with the well-being of small businesses, like small-and-medium sized enterprises (SMEs). How will the Registrar ensure that the new powers over former registered dealers and recordkeeping are not abused? Will the Registrar receive additional resources to handle the expanded scope and powers? How will the obligations on legal professionals, pawnbrokers and moneylenders be implemented? In particular, small businesses like SMEs could be disproportionately affected by the compliance costs. What education or support will be provided to newly regulated businesses like jewellers? Furthermore, auditors, accountants and other professionals impacted by the proposed Act requires adequate training and time to digest the new regulations. I urge the Government to grant sufficient lead time for this critical adaptation. Second, Mr Speaker, Sir, I wish to seek clarification on managing the emerging risks within our framework. Can the Minister clarify the current status of our engagement with the FATF, regarding the remaining gaps in the framework? What are the next milestones that we can look forward to? Furthermore, the growing field of fintech presents novel challenges, particularly with virtual assets and crowdfunding platforms. What specific measures are being considered to manage the risks associated with these evolving technologies? Are additional regulations under consideration to prevent these avenues from becoming havens for illegal activity? Does the Ministry conduct regular reviews of money laundering and terrorism financing risks within our borders? Sharing the current landscape of top threats will allow us to stay ahead of the curve and refine our defences accordingly. Third, Mr Speaker, Sir, I have queries about the effectiveness of existing controls. Firstly, how effective have the casinos' anti-money laundering controls been, since 2006? What specific safeguards are currently in place to curb illicit activities? Secondly, what is the current level of inter-agency coordination between regulators and law enforcement when it comes to suspicious transactions? How can we improve collaboration to further strengthen our defences? In conclusion, Mr Speaker, Sir, this Bill represents a critical step forward in aligning Singapore's regulatory framework with evolving global standards. While we must remain thoughtful of potential regulatory overreach, the new powers conferred upon the Registrar are judiciously scoped and proportionate to the risks at hand. The transitional arrangements also demonstrate pragmatism in avoiding excessive disruption to businesses. This Bill signifies our commitment to safeguarding the integrity of Singapore's financial system against illicit activities. We must persist in this journey of continuous improvement, while balancing commercial interests and staying ahead of sophisticated criminal networks. I am confident that the measures in this Bill will strengthen our defences against money laundering, terrorism and proliferation financing. The road ahead will not be easy, but we will walk it together. I stand in support of this Bill, confident it will safeguard Singapore's financial integrity, and solidify our position as a trusted financial hub.[+2 sentences] Let us act swiftly and collectively to ensure that illegal financing finds no refuge in Singapore. Mr Speaker: Mr Neil Parekh.
Mr Neil Parekh Nimil Rajnikant (Nominated Member)653 words
[+8 sentences]Mr Speaker, Sir, thank you for allowing me to join the debate. In recent years, Singapore has ramped up its efforts to counter financial crimes in various sectors including precious metals and precious stones. This Bill demonstrates Singapore's dynamic regulatory approach which fortifies the legal framework while emphasising regulatory compliance, international collaboration and the importance of transparent and ethical practices. Though the Bill focuses on diverse professions from legal, moneylending and pawnbroking to sectors such as precious stones and precious metals, the benefits will be similar in nature for all. Through this amended Bill, businesses operating within these sectors will be able to differentiate themselves in the market by demonstrating a strong commitment to preventing money laundering and the financing of terrorism and, in turn, can enhance a company's reputation through building trust with its customers, partners and regulators. By adhering to the updated regulations and increasing internal controls, businesses within these sectors can mitigate the risk of being involved in illicit activities unknowingly. I also believe that the facilitation of information sharing with foreign authorities presents an opportunity for our businesses to engage in more robust international collaboration. This can lead to better global practices and potentially open new markets and partnerships that value such stringent compliance standards. However, we have to recognise that the impacted sectors will also face some major challenges. There will be a significant increase in compliance costs including the establishment of a compliance officer role as well as an increase in operational costs related to the development of specific training programmes and investment in new monitoring systems.[+4 sentences] This Bill also extends the regulatory burden to a broader range of professional services, not just financial institutions. For the legal profession, I expect legal practitioners and law firms will now be required to take active measures in monitoring transactions to prevent financial crimes. The pawnbroking industry will also need to establish more robust programmes to prevent financial crimes. The amended Bill requires the development of policies to identify, assess, and understand risks associated with such pawnbroking transactions. For the moneylending business, if a significant number of moneylenders face difficulties in renewing licenses due to these new regulations, there could be a reduction in available lending options in the market, limiting choices for borrowers.[+1 sentence] I would like to take this opportunity to seek some clarifications on this Bill. Since many business owners, especially SMEs, may face challenges when adopting the proposed changes and regulations, how long will such businesses be given for implementation of these new rules?[+10 sentences] Also, what additional resources or assistance programmes will the Government provide to help affected businesses understand as well as comply with the new regulations? Could I please request the Senior Parliamentary Secretary to share with this House any instances thus far that Singapore’s security and policing authorities have faced in detecting efforts to use precious stones and metals in financing terrorism? Finally, I would appreciate if the Senior Parliamentary Secretary could share the key concerns raised by the various industry players, namely, the pawnbrokers, the dealers in precious metals in the Ministry’s consultation process in finalising this Bill. Sir, I do believe that Singapore must uphold and strengthen the trust premium that we have built up over the years. In offering a stable and transparent business environment, we have attracted multinationals and investors from around the world. They have set up corporate headquarters and regional offices in Singapore, building up our talent and business ecosystem. We must continue to stay abreast of international developments to counter threats such as money laundering, terrorism financing, as well as other financial crimes. To do so, we need robust policies and coordination within sectors to build capabilities in businesses, especially local SMEs. Mr Speaker, Sir, notwithstanding my request for some clarifications, I believe this Bill is necessary in strengthening our fight against money laundering, financial terrorism and other financial crimes. I stand in support of the Bill.
The Senior Parliamentary Secretary to the Minister for Law (Ms Rahayu Mahzam)1794 words
[+8 sentences]Mr Speaker, I thank the Members for their support of the Bill. Members also made comments and suggestions on Singapore's national strategy for preventing money laundering, terrorism financing, and proliferation financing or "financial crimes", and the scope and implementation of the expanded regulations. Let me address each group of issues in turn. First, on Singapore’s national strategy for preventing financial crimes. Mr Yip Hon Weng and Mr Louis Ng asked about our strategies in managing these risks and how agencies work together to ensure that our system effectively guards against these risks. Singapore's openness and hub status leave us vulnerable to exploitation by criminals who employ sophisticated tactics to access our financial and trading system and launder their ill-gotten gains. We must constantly review and enhance our regime and defences to keep pace with new risks as they evolve. Singapore adopts a holistic approach across the Government, in partnership with the private sector, and through international collaboration to combat financial crimes. The whole-of-Government effort is led by an inter-agency Steering Committee, which oversees the formulation and implementation of Singapore's national strategy for preventing financial crimes.[+16 sentences] The Ministry of Law (MinLaw) is a member of this committee. Specific to the inter-agency coordination between regulators and law enforcement that Mr Yip asked about, an example is the Risk and Typologies Inter-Agency Group (RTIG), which is co-chaired by the Ministry of Home Affairs (MHA), and the Monetary Authority of Singapore (MAS). It oversees the identification, assessment, and mitigation of financial crime risks at the whole-of-Government level. The RTIG involves all relevant supervisory and law enforcement agencies, including the Suspicious Transaction Reporting Office. It also facilitates the sharing of information on surveillance outputs, such as networks and subjects of concern, for collective action across law enforcement and supervisory agencies. Beyond coordinating within the Government, there is also close collaboration between Government agencies and the private sector to prevent, detect and deter activities in relation to financial crimes. An example is the AML/CFT Industry Partnership (ACIP). Co-chaired by MAS and the Commercial Affairs Department (CAD) of the Singapore Police Force (SPF), ACIP brings selected industry participants, regulators, law enforcement agencies and other Government entities to identify, assess and mitigate key and emerging financial crime risks that Singapore is facing. Another example of close public-private partnership is MinLaw's industry engagements with the precious stones and precious metals dealers (PSMD) industry. MinLaw has also taken steps through industry bodies to help PSMDs better understand and implement the relevant regulatory requirements. We will continue to ensure strong coordination and collaboration across agencies, work closely with the private sector and our international partners and effectively guard against illicit activities related to financial crimes. Mr Yip asked about the current status of our engagement with FATF, whether there are remaining gaps in the framework and the next milestones we can look forward to. Singapore was evaluated by the FATF in 2016 and was assessed to have a strong legal and institutional framework against money laundering and terrorism financing. We have since taken substantial steps to address the few areas identified with scope for improvement and further strengthened our regime. For instance, Singapore passed the PSPM Act of 2019 and amended the Accountants Act to give the Accounting and Corporate Regulatory Authority (ACRA) the powers to conduct inspections for compliance with requirements to combat money laundering and terrorism financing and impose sanctions on entities if they fail to comply with these requirements. These ongoing efforts were acknowledged by the FATF and had raised some of Singapore's ratings in the Third Follow Up Report of 2019. The amendments to the Bill before us today seek to align our regulatory regimes with the recent updates to the FATF standards in relation to countering proliferation financing.[+1 sentence] Singapore also actively contributes to the FATF, having taken on a range of leadership roles over the years. More recently, Singapore nominated Mr T Raja Kumar from MHA to run for the position of FATF President. He was appointed by the FATF Plenary in March 2022 for a two-year term between 30 June 2022 and 1 July 2024.[+6 sentences] Through Singapore's ongoing FATF Presidency, we have, among other things, increased global effectiveness of measures against financial crimes, such as in beneficial ownership transparency and asset recovery, and raised international efforts on tackling emerging areas of financial crime risks such as cyber-enabled fraud, which further strengthen global resilience against financial crime. Mr Dennis Tan asked whether this Bill factors in lessons from the recent money laundering case and whether the Government has started reviewing existing laws to better prevent money laundering in Singapore. MinLaw's review of issues in the current Bill started prior to the arrest of the suspects involved in the recent money laundering case. This is part of MinLaw's regular reviews to ensure that our laws remain relevant, effective and fully in line with the latest international standards set by the FATF. On the recent money laundering case, investigations by the Police are still ongoing. There are also ongoing probes by various sectoral regulators, including Government agencies overseeing corporate service providers, real estate agents, PSMDs, lawyers, financial institutions and others. An Inter-Ministerial Committee chaired by the Second Minister for Finance, Ms Indranee Rajah, has been formed to review Singapore's anti-money laundering regime and keep our regime up to date with increasingly sophisticated crimes.[+32 sentences] The Committee is currently reviewing the adequacies of the laws and controls in the entire anti-money laundering ecosystem to assess whether there are areas of enhancements to be made. The Committee will put forward its recommendations when ready. Next, I turn to the questions relating to the scope and implementation of the expanded regulations. Mr Yip Hon Weng asked whether the requirements for PSMD, moneylending, pawnbroking and legal services sectors to implement measures to counter proliferation financing might result in excessive compliance burden on these businesses or persons. As mentioned in my opening speech for this Bill, these requirements are not expected to result in significant compliance implications on the regulated entities. The measures to counter proliferation financing are similar to the measures that the PSMD, moneylending, pawnbroking and legal services sectors already have in place to counter money laundering and terrorism financing. Mr Louis Ng asked for the steps taken at the industry level to prevent the safeguards from becoming a box-checking exercise. MinLaw requires the entities it regulates to develop and implement measures to prevent financial crimes. We also carry out inspections, investigations and enforcement to ensure compliance. Mr Neil Parekh and Mr Yip asked about the education or support that will be provided to the regulated entities to help them understand and comply with the new requirements. Mr Parekh also asked about key concerns raised by pawnbrokers and PSMDs in relation to this Bill and how much time the regulated entities will be given to implement these new requirements. MinLaw will continue to engage the relevant sectors as the changes are rolled out. We will also provide guidance for the regulated entities to comply with the new requirements. While no major concerns have been raised during consultations, MinLaw will continue working with industry associations as the new requirements are implemented and, at the same time, having a view to the compliance costs. Should MinLaw come across regulated entities that are not complying with the requirements after the amendments are in force, we will assess and follow up with them to rectify the situation. We will take into consideration the time that regulated entities may reasonably need to implement these measures. Mr Yip asked about the requirement for former regulated dealers to continue keeping records for a prescribed period. The intention of this requirement is to deter errant PSMDs from disposing of records after ceasing to be regulated dealers. The new provision will allow enforcement action to be taken against former regulated dealers, for example, if they dispose of records to thwart investigations into offences under the PSPM Act detected while they were regulated dealers. Investigations for complex cases may take longer and extend beyond the dealer's registration period. Hence, it is important to preserve these records as evidence to assist in investigations. The Registrar will exercise his powers of investigations provided under the PSPM Act judiciously. MinLaw will also continually review the regulatory and enforcement resources to leverage technology where possible and work closely with stakeholders in the process. Mr Speaker, I believe I have addressed the salient issues raised by Members relating to the provisions within the scope of this Bill. There were a number of other comments relating to matters outside the ambit of the Bill. Mr Neil Parekh asked about instances where Singapore's security and policing authorities have detected efforts to use precious stones and metals in financing terrorism. To date, there has been no indication of the PSMD sector in Singapore being used to finance terrorism. Singapore closely monitors developments in the methods used by terrorists and remains vigilant in combating the threat of terrorism financing. Mr Yip asked about the specific measures that are being considered to manage risks associated with evolving technologies in the field of fintech. Criminal typologies and methods will continue to change in line with developments and advances in technology and we must keep pace with these changes. We regularly review and update our framework to counter activities in relation to financial crimes as criminals innovate. For example, when virtual assets, or what we term as digital assets, took off years ago, MAS had assessed the risk of financial crimes as a key area of concern due to the potential of digital assets to facilitate rapid and anonymous transactions online and across borders. In 2020, Singapore was one of the first jurisdictions in the world to tighten our regime by requiring licensing and supervision for providers of digital payment token services and imposing requirements to counter money laundering and terrorism financing.[+1 sentence] Mr Yip also asked about the effectiveness and safeguards in relation to casinos' anti-money laundering controls since 2006. From 2010, when the two casinos opened, to September 2023, 11 individuals were detected using criminal proceeds in the casinos and were prosecuted and convicted for money laundering offences.[+1 sentence] The Gambling Regulatory Authority (GRA) requires the casino operators to put in place safeguards to prevent money laundering, such as conducting customer due diligence checks and periodic monitoring of patrons' transactions. GRA also conducts regular inspections of the casino operators.[+1 sentence] I would like to conclude by thanking the Members once again for their support of the Bill, which will allow clear alignment of the regulatory regimes for the PSMD, moneylending, pawnbroking and legal services sector with updated FATF requirements. It will also strengthen the regulatory regime for PSMDs and improve operational effectiveness in regulating PSMDs.[+1 sentence] Sir, with that, on behalf of the Minister for Law, I beg to move.
Mr Speaker79 words
[+3 sentences]Are there any Members who have clarifications to seek from Senior Parliamentary Secretary Rahayu? None. . (proc text)]
The Society of Saint Maur Incorporation (Amendment) Bill›Second Reading Bills1 turns · 260w
· 4 highlighted
bill-676
Ms Joan Pereira (Tanjong Pagar)260 words
[+3 sentences]Mr Speaker, Sir, I beg to move, "That the Bill be now read a Third time." Sir, at the Second Reading in September last year, the House referred The Society of Saint Maur Incorporation (Amendment) Bill to a Select Committee. The Select Committee received a letter, explaining the amendments to be made by the Bill. The Select Committee requested further details and received a statutory declaration from Sister Lau Wai Leng Maria, which also provided supporting documents. The Select Committee has considered the Bill and has only made minor textual alterations to the Bill to reflect the change in citation year from 2023 to 2024. The Committee’s Report was presented to Parliament on 17 January 2024.[+1 sentence] I would like to thank the Members involved in the Select Committee, namely, Chairman of the Committee Mr Speaker Seah Kian Peng, Ms He Ting Ru, Mr Murali Pillai, Ms Rahayu Mahzam, Mr Alvin Tan, Ms Jessica Tan and Mr Raj Joshua Thomas. The passing of the Bill, with its update of name references in the Ordinance, will give recognition to the distinct identity of the Lady Superior, and IJ Sisters, in Singapore.[+3 sentences] This will support them to continue in their mission to provide education and care for children and young ladies. I would also like to personally thank Sister Maria Lau, the IJ Sisters and their legal team, for their work and support on this Bill. Mr Speaker, I beg to move.
Clarification by Minister for Home Affairs›Clarification2 turns · 384w
· 0 highlighted
clarification-2309
Mr Speaker8 words
[+1 sentence]Minister Shanmugam, you wanted to make a clarification?
The Minister for Home Affairs (Mr K Shanmugam)376 words
[+21 sentences]Thank you, Sir, for letting me make this clarification. This is the answer to Mr Singh's question on the morale of Police officers. I went and checked. I think in February 2022 – that is now two years – I had said that the morale of Police officers is high based on surveys. What I would like to, and in the context of the future as well, I think I should, tell Members that while Police officers have a very strong esprit de corps, they are very happy to be part of the Police force, and are proud and their morale in terms of their work is very high, and I have talked about this in Parliament I believe, or certainly outside, we are facing a severe manpower shortage. I talked about it in the context of the Parti Liyani case, and we have talked about it in other contexts. For example, for investigating officers (IOs), we are short and we have not been able to overcome the shortage for a variety of reasons. That has put a lot of load on our officers. The load, I think, has gotten to unreasonable levels and that eventually would affect how Police officers view what they can do and what they cannot do. It would have an impact on morale. So, I should make that clear as well. Apart from allegations that may be made, the load in terms of the workflow and the shortage of staff, there are shortages in different areas, but IO is one example we have talked about publicly. So, I want to caution that it is not as if everything is rosy and fine. I foresee potential problems. It is something that we are trying to address and deal with, but the solutions are not easy. Not least because there is an overall manpower shortage across the Public Service. There are caps on how much the Public Service can grow, for good reasons, because the private sector is short as well. This is affecting the entire country. It is affecting the Public Service, it is affecting the Police force and it is a matter of concern. Any question on morale has to be qualified by this perspective. It is quite a serious perspective.
The Minister for Home Affairs (Mr K Shanmugam)2645 words
[+2 sentences]Thank you, Sir, for allowing me to speak on this. On 21 July 2023, last year, a police officer, the late Sgt Uvaraja, committed suicide. Just before his passing, he put up a Facebook post.[+1 sentence] He made several statements. He said that: one, he had been bullied and ill-treated by his superiors and colleagues; two, that some officers’ misconduct had been covered up; three, that his performance appraisals were unfair; and four, that he was ostracised by others at work.[+29 sentences] I asked the Police to investigate the allegations. Safety and security in Singapore are based on, among other things, very high levels of public trust and confidence in the Police. In this matter, allegations were made against the Police by a Police officer. A full investigation is important. If there is wrongdoing, it must be dealt with, and it will be dealt with and errant officers must be taken to task. If we do not do so over time, the public will lose trust in the Police. However, if the allegations are unfounded, the facts have to be set out and we will defend the Police publicly and robustly. If that is not done and untruths are allowed to fester, morale in the Singapore Police Force (SPF) will go down, and public trust will be eroded. We have seen this, and many other things, happen – in the United States (US), the United Kingdom (UK) and many other countries over the years. Public trust in these police forces has been affected and the morale of their officers has suffered. And we do not want to go down that path. So, I directed the SPF to investigate the claims and for the Attorney-General's Chambers (AGC) to review the findings of the Police. And I am setting them out publicly here. I will deal with four aspects in this Statement. First, I will deal with the allegations and the findings in respect of these allegations. Second, I will set out how the Police had supported Uvaraja. Third, I will touch on the framework in SPF to deal with workplace harassment and grievances. And fourth, I will address the mental health support that is provided to Home Team officers. I have asked my colleagues, Ministers of State Sun Xueling and Assoc Prof Faishal Ibrahim, to also deliver further Ministerial Statements on my behalf in Mandarin and Malay. First, on the allegations and findings. All the allegations concerning Uvaraja, including those shared by officers who had already left the Force, were looked into. Out of respect for Uvaraja’s memory and in consideration for his family, I would have preferred not to go into the details of these findings. But for the reasons I mentioned earlier, we have no choice but to set out at least some of the facts. So, I go into the facts with some regret. We have explained this to Uvaraja’s family. They have been told in detail what I am going to say. They know and understand why we have to set out the facts, because Uvaraja has made serious allegations, and it is in the public interests that these allegations are dealt with. In the course of the investigations, witnesses, from current to ex-officers, were interviewed. Past documentation and records were looked at, and the investigations were thorough. The investigations found that: one, some of the allegations were true and, in respect of these, there had been investigations at the time the complaints were made, actions had been taken at that time and some officers had been disciplined and punished; and second, some of the allegations made by Uvaraja were untrue. After the Police had completed their internal investigations, their findings were reviewed by AGC and AGC was satisfied and determined that no further actions were needed.[+7 sentences] Let me now deal with the allegations in detail. First, Uvaraja said that he had been ill-treated and bullied by his superiors and colleagues. Specifically, he said: one, there was name-calling; two, shredding of his leave form; and three, abusive language used against him. First, on the name-calling, Uvaraja said that racially inappropriate language had been used against him. Police records show that Uvaraja had made this complaint in 2015. Internal investigations were conducted at that time. They found that the officers involved were talking among themselves. The remarks were not specifically directed to, or aimed at, Uvaraja. But – and this is an important point – their remarks were not acceptable at all.[+9 sentences] It does not matter whether they were directed at Uvaraja, or they were not directed at Uvaraja. They were and are not acceptable. Period. Uvaraja’s superiors made that clear to the team, that such language cannot be used, even as a joke. The officer who made the remark apologised to Uvaraja immediately in front of the whole team. If he had not apologised, he would have been made to do so, and disciplinary action would have also been taken against him. Uvaraja’s superiors continued to monitor the situation to make sure there were no further recurrences. Uvaraja was updated of the outcome of the follow-up and his Deputy Commander had offered the option of lodging an official complaint, but Uvaraja decided that there was no need to file a further complaint. Since the incident, the Police have conducted a review of their policies and there is a framework of approach for these cases. Cases involving racial slurs or casual racism will be investigated as possible misconduct and as a disciplinary breach.[+2 sentences] This is to ensure that there is a record of such an incident, that disciplinary action would be taken, and the officer's subsequent behaviour would be closely monitored. The Police will also continue to engage officers, shape culture and engage in frank discussion on such issues around racial slurs or casual racism. This has been done and will be done through platforms, such as the annual Ethics Seminar, as well as the Police’s Manpower Department’s engagement sessions with officers. We cannot tolerate racism, nor can we tolerate casual racism, snide remarks and jokes which are racist.[+13 sentences] Uvaraja also alleged that, in 2019, his superior had shredded his leave form and uploaded a video of this action within a chat group. The context is this: Uvaraja had applied for discretionary time-off; this does not require the submission of a leave form. Uvaraja sent this application at the last minute, when other officers’ leave had already been approved. Nevertheless, Uvaraja’s superior approved his application. And it was not the first time that Uvaraja had done this; applying for time-off at the last minute. On previous occasions, his teammates who were on leave had to be recalled to cover the manpower shortfall. In this case, when Uvaraja applied at the last minute again, the superior spoke to Uvaraja about him inconveniencing the entire team. But Uvaraja maintained his request for time off and asked the superior to end that conversation in the personal chat. The superior then shredded the leave form and uploaded a recording of him doing so, on the team chatgroup. He said he did this because the form was not required for Uvaraja’s time-off application, which he had already granted in any case, and the form contained personal information and had to be disposed of. The superior's conduct was not professional. He should not have done that, even though one can understand his unhappiness. Uvaraja had raised this matter up the chain of command. The superior was then reprimanded and Uvaraja was temporarily re-assigned to a different unit so that both officers could have some time to cool off.[+3 sentences] Allegations were also made that different superiors had used abusive language against Uvaraja. This was not supported by the investigations. On the contrary, Uvaraja would often directly message or call his various superiors, and they had responded to him professionally. So, looking at Uvaraja’s three complaints, in this first part, namely, one, the making of racist remarks; two, the shredding of leave forms; and three, the use of abusive language by his superiors – they were all investigated when he made the complaints. And in respect of the two complaints which were made out, action was taken and Uvaraja was told about the actions that had been taken, and he did not further pursue the complaints.[+11 sentences] The third complaint was not made out and he was also notified about that. I now move to the next topic. Uvaraja claimed that his complaints against fellow officers vaping within Police compounds had been covered up. Investigations found that Uvaraja had made a complaint in 2021 to his superiors about officers vaping. Acting on the information he provided, Uvaraja’s Commander had directed an independent superior from a different unit to conduct a surprise check. All the lockers and personal belongings within the Police compound were checked, even though Uvaraja’s complaint was directed only at a few specific officers. The officers concerned were interviewed as well. The complaint was not made out. Throughout this process, the identity of the whistle-blower, in this case Uvaraja, was not disclosed to the independent superior nor the officers concerned. For context, in a separate incident in January 2023, Uvaraja reported fellow officers smoking within a different Police compound. Investigations did find evidence of this. The officers involved were referred to the Police’s Internal Affairs Office for investigations and disciplinary action was taken against them.[+6 sentences] So, when the complaint is made out, disciplinary action is taken. When the complaint is not made out, he is told that the complaint is not made out – no cover up. Third, Uvaraja claimed that he had been unfairly held back in his career and was given unfair performance appraisals. These are untrue. Uvaraja was given opportunities to apply for postings, like his colleagues in the Police Land Divisions. When Uvaraja asked to be transferred, his superiors had facilitated and acceded to his requests, wherever possible. At Uvaraja’s request, he was transferred to six different work units in nine years.[+40 sentences] Those who know about the Police Force will know that that is a significant number of postings. This is significantly more than what is normally given. Two of his transfers were related to his whistleblowing on the alleged smoking offences because Uvaraja felt uncomfortable working with the colleagues against whom he had reported. On performance appraisals, investigations found that his performance grades were a fair assessment of his work contributions. He was also awarded the COVID-19 Resilience Medal. Fourth, Uvaraja alleged that he had been treated like an outcast by his team. He said that he had invited his team to his wedding, but nobody had showed up. This was untrue. He had only invited his Officer-in-Charge (OC). His OC had accepted the invitation but was unable to attend, as he had fallen sick on that day, and the OC had apologised to Uvaraja. Uvaraja had also informed his Commanding Officer (CO) about the wedding, but did not follow up with an invitation. Nevertheless, the CO had congratulated Uvaraja in front of his teammates. So, in summary, Police have done a review of the allegations. The findings for this case were also reviewed by AGC. And I have reviewed the Police and AGC’s findings and assessment myself. Some of his allegations are untrue. As for the allegations which were true, actions had been taken when he made the complaints and Uvaraja had been told of the steps that had been taken. More broadly, moving to the second aspect of my Ministerial Statement, I will set out how the Police had supported Uvaraja. Investigations showed that Uvaraja was dealing with a number of personal issues. Some at the time of his passing and some for periods throughout his Police career. These included health problems as well as family problems. First, his health issues. Throughout his career as a Police Officer, he had frequently applied for medical leave for periods that sometimes ran into several months in a year. In some of the years, Uvaraja had also applied for no-pay leave to manage his health issues after he had fully used up his paid leave entitlement. Police then granted him the unpaid leave. I will come back to this later. In addition, Uvaraja also seems to have faced psychological stresses and chronic insomnia. Since 2017, he had attended multiple psychological consultations for his chronic insomnia. He also displayed anxiety and depressive symptoms. I am setting these out in summary, without details, because it would be preferable not to go into too much detail about an Officer who has passed away. Second, Uvaraja seems to have had a tense relationship with both his wife and his family of origin, meaning his mother, his parents, his brother and so on. In April 2023, Uvaraja’s wife called for Police help during an argument in their matrimonial home. She had been stopped by Uvaraja from leaving their home. On 13 July 2023, the Police received multiple calls for assistance from Uvaraja’s parents’ residence. His brother alleged that Uvaraja had assaulted him over financial matters. On 14 July 2023, the next day, Uvaraja’s mother lodged a Police report against Uvaraja, saying she feared for her safety. On the same day, Uvaraja’s sister-in-law called for the Police, because Uvaraja had come to her house to look for Uvaraja’s parents. There is more background and there are more facts, relating to these events. We need to say something of the facts, because Members need an understanding of the situation he faced at that time, when he committed suicide, and the stresses he was under. And I am trying to convey the position to Members without going too much into the disputes he had with his wife, his mother, his brother and his sister-in-law, which led to the Police reports, and some background to the psychological issues he had and was receiving help for. In summary, at that time when he passed away, he was the subject of three ongoing criminal and disciplinary investigations. First, he was under criminal investigation for offences under the Penal Code and the Protection from Harassment Act. Second, Uvaraja was under internal disciplinary investigation for disobedience of orders, arising from the incidents in July 2023.[+5 sentences] He had been granted medical leave from duty at that time to rest and recover. Instead, he left his house on multiple occasions – and that is a disciplinary offence in the Police force. In fact, he had not only left his house, but he got into an argument with his family of origin at their flat, which led to calls to the Police and Police reports. Uvaraja had previously been investigated for similar behaviours in 2016 – going out while on medical leave. At that time, he had left his place of residence while on medical leave to attend a relative’s graduation and he was given a verbal warning. Third, in April 2023, he was under another internal disciplinary investigation for disobedience of orders.[+7 sentences] He had left his uncompleted work unattended and refused to comply when told to return to finish the tasks. He only did so after being told a third time. Sir, now I will turn to the professional support that the Police gave to Uvaraja. First, leave arrangements. The Police had allowed Uvaraja to take substantial amounts of time-off over the years. In some of the years, Uvaraja had used up all his paid leave entitlements. So, he applied for no-pay leave and his requests were approved. From 2014 to 2023, Uvaraja took an average of about 120 days’ of leave every year and this, as Members can appreciate, is well beyond normal leave entitlement and much more than what a typical Police officer would get.[+1 sentence] Sir, with your permission, may I ask the Clerks to distribute an Annex, with a table setting out some information on the number of days of medical and no-pay leave that Uvaraja had taken, since 2015?
Mr Speaker9 words
[+1 sentence]Please proceed.
Mr K Shanmugam2231 words
[+2 sentences]Thank you, Sir. Members may also access this Annex through the MP@SG PARL mobile app. Members will see that in 2016, 2017, 2021, 2022 and 2023, he took respectively 70 days, 56 days, 59 days, 80 days and 60 days of medical leave. And in addition, in 2015, 2016 and 2022, he took more than 100 days of no-pay leave.[+39 sentences] That is the way the Police have supported him. It is a very significant level of support in terms of giving him time off. Beyond this, since 2016, Uvaraja’s superiors had also arranged for counselling and psychological assistance for him. In January 2023, Uvaraja reported that he was experiencing work stress. A para-counsellor was assigned to him. On 16 February 2023, Uvaraja reported to a new unit, following his request to be transferred. On that day, Uvaraja showed signs of being unstable. He was counselled by a para-counsellor on the same day and was later attended to by a psychologist from the Police Psychological Services Department. Third, on coaching. While Uvaraja was at work, his superiors assessed that his performance was generally below average and had provided guidance to him. This took the form of face-to-face engagements, reviews on the plans for him and setting of achievable targets. For example, when he was at the Community Policing Unit from 2018 to 2021, various work templates and resources were given to him to help him carry out his job functions. Uvaraja’s passing and his allegations has affected his Police colleagues. His fellow officers who had worked with him across various postings and who were aware of his situation felt sad that he had taken his life. But they were also disappointed with the untrue claims and allegations that he had made against the Police force. One officer who had partnered Uvaraja shared that she had encouraged him to start afresh when he was given a new posting, despite his past unhappiness. However, she was disappointed that he frequently did not show up for work. Another officer recalled how he had put in effort to arrange one-on-one chats and meals with Uvaraja and sent well-wishes to him on his birthday to motivate him. I have only mentioned two officers, but there were several others, who have helped him during his period in the SPF. These teammates had worked alongside Uvaraja. They tried their best to help him and their best to care for him. They covered his shifts when he was absent from duties, sometimes even when they had made prior leave plans. So, it is fair to say that many officers pulled together to help him, and they were sad to see a colleague pass away in these circumstances. But there is also a considerable feeling among the many officers who helped him that, despite so much being done for him by them in their individual capacities, and by SPF as an organisation – because SPF went to considerable lengths to accommodate his needs, including his leave and medical needs – he seems to have externalised many of his issues onto his colleagues in the SPF. And there is considerable sadness at that. For the third aspect of my Ministerial Statement, I will now describe the Home Team’s framework to deal with workplace harassment and grievances. We had answered Parliamentary Questions (PQs) on this issue last September as well. There can be no tolerance for any form of harassment or discrimination in the SPF. The responsibility starts at the top; from me down through the Ministry of Home Affairs (MHA) management, to the respective agencies’ leadership and then the ranks below. A core pillar of the framework is training. During induction and training of new staff, from the junior ranks to senior officer levels, officers are trained on SPF’s code of ethics, workplace harassment and the actions to be taken if they are victims or witnesses. Supervisors are also specifically trained on ways to create a harassment-free workplace and support victims of workplace harassment. In terms of investigating allegations, every functional unit in SPF has a discipline committee headed by the Commander or Director. In terms of how they function, these discipline committees can convene formal inquiries on their own, or they can refer issues to the Internal Affairs Office (IAO) for further review. The IAO reports to the Deputy Commissioner of Police and is directly accountable to the Commissioner of Police. All cases of sexual harassment and serious workplace harassment are referred to the IAO for investigations. If wrongdoing is uncovered, the Police, or in appropriate cases, the Public Service Commission, will take disciplinary action. If criminal offences are disclosed, the Police will recommend prosecution. The Courts take into account the officer’s duty to uphold the law, so the punishment that a Police officer faces is usually more severe than what any other defendant in the Courts or any member of the public can expect to face. In the past five years, the Home Team Departments have investigated 310 cases of allegations of workplace grievances including harassment, discrimination and misconduct.[+1 sentence] Nine of these were reported to the Public Service Division and Ministry headquarters. Of the 310 cases, 131 were found to be substantiated and the offending officers were subjected to various disciplinary actions.[+1 sentence] I will now give two examples from the Police. In 2019, two female officers reported that a male officer had touched them inappropriately on multiple occasions.[+2 sentences] That was investigated by the IAO. The male officer was charged in Court. He was sentenced to nine months’ imprisonment and was dismissed from service.[+1 sentence] The second example: in 2020, a Station Inspector (SI) attending a course made sexually insulting and offensive remarks against, or in respect of, his fellow trainees. The SI was told by the course coordinator to refrain from making such remarks, but he continued. He was investigated by the IAO and then charged at the Police Disciplinary Board, where he was found guilty and sentenced to a reduction in rank.[+4 sentences] These are the small number of exceptions. The vast majority of our officers hold themselves to a very high standard of conduct, and we cannot allow a small minority who do wrong to colour the public perception of the rest of the force. And coming to racial insults, of the 310 cases, six complaints were on racial discrimination. Three were substantiated and action was taken. Of the 29,000 officers in the Home Team, six complaints, and three were found to be substantiated in the last five years.[+30 sentences] On the ground, the Ministry conducts six-monthly Pulse surveys, biennial Public Service Employee Engagement Surveys and triennial 360° surveys of supervisors. These are all avenues where officers can also provide anonymous comments and feedback, including on workplace issues, so that the Ministry has a good idea of how officers are perceiving issues and what the feelings are on the ground. Finally, for the fourth aspect of my Ministerial Statement, I will touch on my Ministry's efforts to support the mental well-being of our officers. Our officers have access to a range of support, such as (a) MHA's in-house psychological services; (b) peer support programmes where fellow officers are trained as para-counsellors; (c) a 24/7 helpline managed in-house by our psychologists and para-counsellors; as well as (d) external agency-administered services. Officers can go and get these measures without needing to report that they have done so, so that it preserves confidentiality. Officers also attend workshops and courses on how to cope and adapt when dealing with operational and work stresses, and they are sensitised to common mental health issues, such as depression, anxiety, suicide and the helplines that are available. In October of every year, the Home Team Psychological Services community organises a month-long campaign. The aim of the campaign is to build awareness of the importance of mental health, the importance of self-care and where to seek help when needed. This approach and culture have been in place for some years now. And we regularly review and update them to try to ensure that our programmes continue to be relevant. Sir, let me conclude by briefly setting out our perspective on how we handle these matters. Policing is not easy, and it is not getting easier, either in Singapore or around the world. In the UK, a survey by the Police Federation of England released last year showed that 87% of police officers said that morale was either low or very low, seven in 10 said that they would not recommend others to join the police force, while 95% said that their morale was harmed by the treatment by their own Government. In the US, Gallup found, in 2022, that public confidence in the police was just 45%. The US Department of Justice said in October last year that law enforcement agencies across the US are facing an “historic crisis in recruiting and retaining qualified candidates”. Police forces around the world are facing increasing challenges for many reasons. Some of them are: first, there is a trend of laws in other countries being progressively weakened against law enforcement, making it more difficult for the police to arrest, more difficult to investigate and more difficult for the state to prosecute and get convictions. It is easier for people to commit crimes due to laxer laws and it is easier for those who have committed crimes to walk away. The mentality is often one of the “individual versus the system”, where the system – the law enforcement institutions – are usually painted out to be the villains. Officers feel like the situation is stacked against them. It is difficult to do their job. And this is compounded by a second reason. Around the world, many police forces are struggling to pay their officers adequately. I have spoken about this before. If conditions of service are not good, it will be difficult to attract and retain good people for this tough job. Third, some police forces are also struggling with corruption in their system. This arises due to many factors – poor discipline, low morale and poor leadership, among others. We have to guard against all of these developing in Singapore and to make sure that SPF continues to retain the trust of Singaporeans. Finally, a fourth reason, which is unfair attacks against the Police. Let me speak about this in Singapore's context. The Home Team has about 29,000 regular and civilian officers, with another 7,700 National Service Full-time officers (NSFs). The Police force alone has about 10,000 regular officers and 4,000 NSFs.[+3 sentences] There will be officers who do wrong. For example, a few months ago, in October last year, Police Commanding Officer, Superintendent Lim, was convicted after being charged in Court. He was caught drink-driving at a Police roadblock. Second example, in March 2020, Ground Response Force officer, Sergeant Lim, was convicted in Court for criminal breach of trust and sent to jail. He had misappropriated for himself more than $200 in cash from wallets that had been handed over to him while he was on duty for safekeeping.[+11 sentences] In many countries, I dare say, these offences by police officers which were picked up by other police officers would have never seen the light of day. A police officer who drinks and drives and is caught at a police roadblock, he will not be charged. But in Singapore, he will be, because the Police force takes a very serious view of errant Police officers. Members might also be aware of the case involving Staff Sergeant Kevin Chelvam, who allegedly stood by while his domestic helper was abused by his family members. He was charged for abetting his wife in starving the domestic helper, causing hurt to the helper, removing evidence and lying to the Police. And he is currently on trial. When we come across these situations, action is taken, and it is dealt with publicly. No cover-ups. But as I said, these are the exceptions, a very small number of exceptions. The vast majority of our officers are honest. They have strong ethos, strong esprit de corps and integrity. They go on duty, day in and day out, and put their personal safety on the line, to keep Singapore safe. So, when we find that statements made against officers or the force are unfair, then we will defend the Police officers and SPF robustly. I think Members will agree that the facts I have set out today paint quite a different picture, compared to the accusations that were made in the posting and the conclusion that some people had come to last year.[+2 sentences] I said in May last year at the Police Workplan Seminar: “Our officers know that when there are false or unfair allegations, we will act quickly and decisively to tell the truth and stand by the officers. And that starts with me and the Permanent Secretary and the entire Police leadership. We will stand by our officers and defend them".[+2 sentences] That remains our position. This is a larger issue. We cannot allow what has happened to the police forces in some other countries to happen in Singapore. We will set out the facts, defend our officers – clearly and strongly – if they have done no wrong. And they must know that that is our position, in contrast to the position in many countries where the police and the public service are often made the scapegoats in public debates.
Mr Speaker8 words
[+1 sentence]Minister of State Assoc Prof Dr Faishal Ibrahim.
The Minister of State for Home Affairs (Assoc Prof Dr Muhammad Faishal Ibrahim) (for the Minister for Home Affairs)722 words
[+6 sentences]Mr Speaker, I will speak in Malay, on behalf of the Minister. : The Home Team does not tolerate workplace harassment and racial discrimination. We take seriously all allegations of such nature and will investigate them. We have put in place various safeguards to deter and detect such behaviours. This was covered in Minister Shanmugam’s written reply to Parliamentary Questions (PQs) on avenues for Home Team officers to raise complaints in September last year. I will highlight some of the key points from that reply and make further elaborations. But first, let me summarise the outcome of the investigations into the late Sgt Uvaraja’s allegations. The investigations found that most of the allegations, including that he was ill-treated, bullied, ostracised and unfairly held back in his career, and that other officers’ misconduct had been covered up, were demonstrably false.[+9 sentences] Where the complaints were substantiated, appropriate actions had already been taken, and errant officers had already been taken to task. The Attorney-General's Chambers (AGC) had reviewed the findings and decided that no further action needs to be taken against any of the involved officers. Minister Shanmugam has also reviewed the findings. As for the reporting channels available for Home Team officers to raise grievances or report wrongdoing or workplace discrimination, they can do so to any level of management through the Channel for Formal Grievance Handling and the Channel for Confidential Ethical Disclosure. Officers are informed of these reporting channels when they first join MHA and at various engagement sessions. There are clear escalation guidelines and processes to ensure that all reports of workplace discrimination, unfair treatment, or misconduct are investigated objectively, professionally and expeditiously. Officers who are not satisfied with the outcome of an investigation can further escalate the matter up within the Ministry, the Public Service Division (PSD), or even to the Head of Civil Service. Officers can also provide anonymous feedback, including on workplace discrimination issues, through MHA’s Pulse Surveys, Public Service Employee Engagement Surveys, and 360° Surveys of supervisors. Feedback received through these surveys are taken seriously and investigated where necessary. In the past five years, 310 cases of wrongdoings were reported across all Home Team Departments, of which 92, or about 30%, were reports of workplace harassment. Our investigations showed that 50 of the 92 cases were substantiated.[+1 sentence] And of the 50, three were for racial discrimination, two of which were from the Police force. The officers in all 50 cases were dealt with in accordance with the Civil Service Disciplinary Framework.[+17 sentences] These formal organisational reporting channels are necessary but insufficient on their own. Every officer has a role to play in ensuring that the workplace remains safe for everyone. Officers can attend programmes and trainings to learn about cultural, religious and racial sensitivities and about behaviours that constitute bullying and sexual harassment. Through such trainings, we empower officers with the skills to detect and deter workplace harassment. At the same time, we assure them that they can come forward when they witness or become victims of workplace harassment. In addition, Minister Shanmugam, Second Minister Josephine Teo, Minister of State Sun Xueling and I, as well as the Home Team senior management, regularly engage our officers in dialogues. We do this to get a better sense of the challenges they face on a day-to-day basis. During these sessions, officers do surface issues and their concerns, and they can also do so anonymously via the online platform which may be set up for the dialogues. In some instances, we arrange for a smaller group session if the officers prefer to speak to us in a more private setting. We take seriously all the issues and concerns that are raised by our officers. Mr Speaker, MHA takes a strong stance against workplace harassment and racial discrimination. We treat all such allegations seriously and investigate thoroughly. There have indeed been a few black sheep; no organisation or society can completely eliminate all harassment and discrimination. But such cases remain far and few within the Home Team. And if we do find any wrongdoing, rest assured that we will not hesitate to take the culpable officers to task, regardless of seniority. This is the only way to maintain and keep the confidence and trust of our officers, and the public whom we serve. Thank you, Mr Speaker.
Mr Speaker5 words
[+1 sentence]Minister of State Sun Xueling.
The Minister of State for Home Affairs (Ms Sun Xueling) (for the Minister for Home Affairs)790 words
[+5 sentences]Mr Speaker, Sir, I will deliver my speech in Mandarin on behalf of Minister Shanmugam. (In Mandarin): Minister Shanmugam has spoken at length on the case and the broader issues of workplace discrimination and mental health support for Home Team officers. My statement will be in two parts. First, MHA's efforts in supporting the mental well-being of our officers; and second, fostering a culture that values and respects diversity at the workplace. Let me summarise the outcome of the investigations into the late Sgt Uvaraja’s allegations. The investigations found that most of the allegations, including that he was ill-treated, bullied, ostracised and unfairly held back in his career and that other officers' misconduct had been covered up, were demonstrably false.[+5 sentences] Where the complaints were substantiated, appropriate actions had already been taken at that time, and errant officers had already been taken to task. The Attorney-General's Chambers (AGC) had reviewed the findings and decided that no further action needs to be taken against any of the involved officers. Let me now speak on MHA's efforts in supporting our officers' mental well-being. Mental health struggles can affect us all, regardless of age, gender or profession. The pandemic had exacerbated some of the stressors. Based on Ministry of Health's (MOH) National Population Health Survey 2022, the prevalence of poor mental health had increased from 13.4% in 2020 to 17% in 2022. On 5 October 2023, MOH launched the National Mental Health and Well-Being Strategy.[+5 sentences] The key initiatives include training employees to support and care for their colleagues' mental well-being, training supervisors to recognise common mental health conditions and offering mental wellness programmes to equip employers and employees with the skills and knowledge to better take charge of their mental well-being. In the Home Team, the mental health and well-being of our officers are of utmost importance. As shared in Parliament in October 2022, our Home Team officers are provided with various forms of support. These include MHA's in-house psychological services and peer support programmes comprising officers trained as para-counsellors. There is a 24/7 helpline managed in-house by our psychologists and para-counsellors, as well as external agency-administered services. To provide officers with the assurance of confidentiality and for them to feel safe to come forward, they are not required to report their engagement of such assistance.[+21 sentences] There are also organisational level initiatives to raise awareness and educate officers on the importance of mental health and how to deal with stressors. For example, we will organise resilience building workshops for newly joined officers and awareness programmes to learn the ways to cope and adapt when dealing with operational and work stresses. There are also courses to train supervisors on how to support their officers. There are communication initiatives to raise officers' literacy on common mental health issues, such as depression, anxiety and suicide, and inform them of the various helplines available. In October every year, the Home Team Psychological Services community organises a month-long campaign to remind officers on the importance of self-care and where to seek help when needed. Our programmes are regularly reviewed to ensure relevancy and are updated with new developments and interventions. Mr Speaker, Sir, MHA is a large organisation with about 29,000 employees from different backgrounds. We value and respect the richness such diversity brings and recognise that maintaining a harmonious workplace in the face of such diversity cannot be taken for granted. We put in effort to build trust and acceptance, embrace differences and proactively deal with any bias or racism. In supervisory workshops, sensitivity to and respect of various cultures and races are discussed and reinforced. MHA officers at all levels are reminded of the importance of cultivating a harassment-free workplace and how they should support victims of workplace harassment. There are also team cohesion programmes for officers to bond and get to know each other better. The Home Team Departments also organise celebrations of the various festivals of every race. These celebrations reinforce our appreciation of the differences among us, promote inclusiveness and enhance our understanding of each other's culture. In a multiracial society, everyone plays a part in building a culture of respect. We must keep working at it. The majority must be sensitive to the concerns of the minority and be mindful of our actions and words. The minority must not allow suspicion to colour how we perceive every action and word of the majority. Mr Speaker, Sir, in MHA, our officers operate in teams to fulfil their mission. They must necessarily rely on and count on each other to be successful. We therefore put strong emphasis on team leaders building strong bonds within their teams and ensuring that the officers value and respect the diversity in the Home Team.
Mr Speaker87 words
[+7 sentences]Order. Before I call Members to ask for clarifications if they have any, I wish to remind Members that pursuant to Standing Order 23, Members may seek clarification on the Ministerial Statement, but there is no debate that should be allowed thereon. Members can seek clarifications by way of asking questions. So, I seek Members' understanding to keep your clarifications clear and concise. Likewise, I would like to ask the Ministers to also keep your answers clear and concise. Are there any clarifications? Yes, Mr Pritam Singh.
Mr Pritam Singh (Aljunied)290 words
[+10 sentences]Thank you, Speaker. I thank the Minister for his explanation on this very tragic episode. My questions pertain to what the public came to know about the suicide involving Sgt Uvaraja and, naturally, you have different perspectives out there, and, to the extent that the Minister could, I think the clarifications he provided in the House were helpful. However, there is also a post by an individual who was the senior counsellor of the late Sgt Uvaraja. I think there were some allegations that he made as well. The Minister responded in his statement to Sgt Uvaraja's allegations, but I would just like to confirm whether the allegations by the senior counsellor have also been looked into. I think there were comments regarding the sheer abuse of authority and the fact that the late Sgt Uvaraja endured prolonged surveillance. So, for completeness, can the Minister also confirm the veracity of these allegations, as I think this post still remains online? The second clarification is with regard to, again, the post of the senior counsellor who said that he referred Sgt Uvaraja to the Police Psychological Services Division. Can the Minister share what is the usual procedure for such referrals? Does the Police or the relevant psychological teams follow up with the officer on a regular basis?[+1 sentence] Finally, the final question, with your leave, Mr Speaker, on the fourth or final point that the Minister made about allegations being made against the Police and so forth internationally and how we do not want these to seep into Singapore and destroy the trust amongst the public and the Police, can the Minister just share what is the current situation with regard to the morale of the Police force vis-à-vis this particular episode?
Mr K Shanmugam564 words
[+1 sentence]Sir, I thank Mr Pritam Singh for the four questions. [restates an earlier point]I said in my Statement that the investigations covered not just Mr Uvaraja's allegations but those that have been made by others, and that includes the allegations made in that post.[+12 sentences] On the second question as to what happens when a matter is referred to a psychological team, I covered that in my Statement. In this case, he was referred to a para-counsellor, for example, last year, and then to a Police counsellor. I forgot the exact specification; it is in my Statement. How much further it needs to go and how long it needs to go is fact specific. It depends on the facts. But the Police have a team. There are internal resources. There are also external agencies that the Police can tap on too. The kind of support that will be given and the very extensive structure of support available will be fact specific and will depend on what the officer needs. I did not take down the third point. So, I will go to the fourth point. On morale in the Police force, what I can say is, let me give a few statistics off the top of my head and give a broader perspective. People's trust in the Police Force is in excess of 90%.[+1 sentence] I have said that in public before. In Singapore, more than 90% of Singaporeans trust the Singapore Police Force (SPF).[+16 sentences] You do not get those figures in other countries and there is a reason. The reason is, among other things, with yesterday's passing of the Criminal Procedure Code (CPC), the Police know that we will give the appropriate powers. The Police know I will stand up here and make a Ministerial Statement defending the Police when they have done no wrong. We will also charge our Police officers when they have done wrong in public. For example, even though a Superintendent, a senior Police officer, is caught by another Police officer at a roadblock drunk driving, he will be charged. The public know that. The Police know that. That is why we have transparency; they know we have transparency; that is why we have trust. We do not make the Police the subject of political football. And we do not make the Police the scapegoats every time there are inconvenient questions. We come out; we tell the truth; we defend them where they ought to be defended. We admit when something has gone wrong. So, that is the approach. If the Member could tell me what the third question is, I will deal with that, too. Sorry, I did not answer the Member's question on morale. That is on trust. On Police morale, Pulse surveys – surveys which I have described. There are different kinds of surveys that are done that suggest Police morale is extremely high.[+9 sentences] It is strong. There is strong esprit de corps and strong morale, because they know that this Government does the right thing by them and this Government has always done the right thing. My predecessors have done the right thing. We do the right thing. The Police know that. They trust. They know that people cannot just make allegations against the Police force. The morale is high. If the Member wants precise numbers, I can give them to the Member if he could put in a PQ.
Mr Speaker2 words
[+1 sentence]Mr Singh.
Mr Pritam Singh12 words
[+1 sentence]Just to reply to the Minister, I had three questions, not four.
Mr K Shanmugam3 words
[+1 sentence]Thank you, yes.
Mr Speaker3 words
[+1 sentence]Mr Darryl David.
Mr Darryl David (Ang Mo Kio)186 words
[+5 sentences]Mr Speaker, Sir, I would like to thank the Minister for his Statement which actually answered the PQ that I had filed earlier. I just have one clarification. Whenever a complaint or an allegation is brought up and involves an internal matter, I think it is often more painful and more difficult when it comes from an external source because this leads to great stress, anxiety and awkwardness for the person making the complaint. And indeed, for those who then have to be investigated and who then have to be questioned, it can also be an uncomfortable time as well, and that could affect not just the morale but the teamwork and the esprit de corps within the team. So, I wanted to just ask the Minister if he could share whether there are measures taken to help deal with the mental and emotional stress that perhaps officers who are being investigated or being questioned are facing as a result of the complaint, such that they are able to deal with that difficult period of questioning and even after the matter has been closed as well.
Mr K Shanmugam148 words
[+10 sentences]I thank the Member for that question. There are two parts to it. One, there has to be a proper and thorough investigation. There can be no caveats to that. And that, in itself, I accept can be stressful and will often be stressful, but we have no choice. We have to investigate. And the officer will know that if he has done nothing wrong, the investigations will clear him. Equally, he will know that if the allegations against him are likely to be made out, then, of course, I can understand that that would add to the stress. The situation does not mean that the officer is precluded from seeking psychological assistance that I spoke about. He can continue to avail himself of the help, speak with his counsellors and receive such psychological support as necessary because he continues to be a member of the Police force.
Mr Speaker2 words
[+1 sentence]Mr Murali.
Mr Murali Pillai (Bukit Batok)162 words
[+4 sentences]Mr Speaker, Sir, I, too, would like to express my condolences to the family of the late Sgt Uvaraja and I hope that, in due course, they will come to terms with the loss of their late son, brother as well as husband. Sir, my question is in relation to the SPF human resources policy. Having regard to a situation where there is a Police officer who has not been performing for quite an extended period of time – not attending work and also has psychological problems – and the natural tendency of Police officers to want to help their colleagues, how do we balance that against public interest, having regard to the fact that the Police officer has solemn duties and is also armed when he is on duty as well. How do we make sure that a decision in relation to his employment is made ultimately in the public interest and, hopefully, also to protect him in the long run?
Mr K Shanmugam51 words
[+3 sentences]May I ask the Member to clarify the question? Is the question about how do we make sure he is in employment, meaning how do we make sure that he remains in employment or how do we make sure that he does not remain in employment? I am not quite sure.
Mr Murali Pillai74 words
[+3 sentences]Sir, I thank the Minister for his question. The question I have is in relation to how do we make sure a decision is made in public interest for a person who is seen not to be able to function for an extended period of time? And drawing from this case, there are psychological issues, so how do we make a decision in the public interest to even consider termination of the person's employment?
Mr K Shanmugam239 words
[+4 sentences]Sir, there are rules which govern all Police officers set out by and following the Public Service Division's rules. Assessment of the Police officers' performance has to be made over a period of time. His performance grades will have to be looked at over that period of time. Reports will have to be put up. If he falls below a certain standard consistently for a number of years, then he will be out.[+7 sentences] So, those are objective criteria. Subjectively, in terms of how people will help, at least speaking for the Police force and from this case, Members will know that if a person is not performing, his colleagues do come around him to try and support, which they have tried to do even at the expense of their own leave arrangements; they have tried to rally around him and support him to try and get him to perform better. The third aspect to the question is: if allegations are made and investigations are conducted, those have to be professional and independent. You have the Internal Affairs Office. You have the Police. A different department, or CID, will conduct the investigations where, quite often, you can be sure that the Police will do that robustly without consideration of the fact that the person is a Police officer. In fact, the fact that he is a Police officer often counts against the person in Court if, indeed, he is charged.
Mr Speaker4 words
[+1 sentence]Mr Leong Mun Wai.
Mr Leong Mun Wai (Non-Constituency Member)130 words
[+4 sentences]Mr Speaker, I thank the Minister for his internal investigation report which has provided a lot of new insights into the case. There is no reason to doubt the findings. I also agree with the Minister that we have to look after the morale of the Police force. However, in this case, a Police officer has taken his own life after alleging workplace bullying, racial discrimination and unfair treatment after whistleblowing within the SPF. A better way to clear the air may be to appoint a Committee of Inquiry to investigate the case rather than through an internal investigation. So, may I ask the Minister why he has chosen an internal investigation by the Police force itself as opposed to appointing a Committee of Inquiry.[+1 sentence] Just a matter of interest.
Mr K Shanmugam105 words
[+8 sentences]Sir, it is precisely because of the sentiments like what Mr Leong has expressed, which have found favour in some countries, that you see the morale of the Police force and public trust in the Police force is going down south. Let me explain. I think the Member perhaps did not listen to my Ministerial Statement. I am not sure if he was in the Chamber when I talked about the UK. I am not sure. Perhaps the Member can confirm. Were you in the Chamber? Sir, can I ask, through you, whether the Member was in the Chamber when I talked about the UK?
Mr Speaker2 words
[+1 sentence]Mr Leong.
Mr Leong Mun Wai6 words
[+1 sentence]Minister, you are talking about your—
Mr K Shanmugam6 words
[+1 sentence]Ministerial Statement, where I referred to—
Mr Leong Mun Wai2 words
[+1 sentence]Just now?
Mr K Shanmugam1 words
[+1 sentence]Yes.
Mr Leong Mun Wai6 words
[+1 sentence]Yes, I was in the Chamber.
Mr K Shanmugam545 words
[+23 sentences]Thank you, because I thought I had not seen the Member. Then the Member would have heard me saying what the morale of the UK police officers was. I think the Member would recall more than half, a significant number, take a very dim view of their prospects; 70% will not recommend somebody else to join the force and a significant number blamed their own government and the endless inquiries. Every time there is an allegation, there is a committee of inquiry. Every time there is an allegation, they are made the subject of being scapegoated. If you put officers through this each time there is an allegation, that is, public inquiries, what are you really saying? That they will be put out there and hung out to dry regardless of the facts. You ask yourself: do you think more people are going to join the Police force? Is that good for Singapore? Is that the kind of society we want? The bottom line is, do we trust the Police force? Do we trust the Internal Affairs Office? Why do you think 90% of Singaporeans have trust in the Police force? Why do we take a theoretical approach when, in practice, in Singapore, it is a low-crime society, and it is a high trust society; there is tremendous trust in the Police force? We solve crimes with the methods that we have used. So, what is it about those methods that are wrong? Why do you want to go down a route like the UK has? Have you seen the results of their system? Yesterday I set out what happens in other countries; and today, I went back to talking about what happens in other countries. Let me give the figures: "85% of the Police officers in the survey by the Police Federation of England released last year said morale within the force is currently low or very low; 70% would not recommend others to join the police; 95% said their morale was harmed by their treatment by their government", which includes these sorts of committees of inquiry. If there is something specific that the Member, Mr Leong, has in terms of the facts that have been disclosed, dpes the Member question the form that I set out on the medical leave and the no-pay leave of the officer? These are matters of record. Does the Member question the point that I made that he made three allegations of bullying? Two of them were found to have been substantiated, but they had been investigated when he had first made the complaint and he did not follow up.[+2 sentences] He accepted it. The third one was unsubstantiated. The Police had actually taken action against the officers.[+3 sentences] So, when the Member talks about a Committee of Inquiry or Commission of Inquiry, I would invite the Member to say which part of this explanation does he disagree with or finds questionable? Perhaps, if the Member would illuminate that and explain that, then we can discuss, rather than, in generalities, that we ought to follow other systems when our system is doing much better than any of these systems that the Member can refer to. Perhaps the Member can tell me which part of the explanation he thinks is questionable.
Mr Speaker4 words
[+1 sentence]Mr Leong Mun Wai.
Mr Leong Mun Wai162 words
[+9 sentences]Mr Speaker, I think I would also like to make a point that the Minister has not been attentive to what I said. I said there is no reason to doubt the finding. I think people know why I raised the question, because justice must not only be done, it must also be seen to be done. In this case, we are not asking for – or at least I am not asking for – that, in the future, any complaints about our Police force, we will make a big fuss out of it. But in this case, I am saying it is very special, well, unfortunately, it is very special, because a Policeman has given up his life. So, I thought we should investigate this case with a Committee of Inquiry. But, of course, we respect the decisions made by the Minister. I am just asking the Minister what has been, in his mind, when he made the decision? Just that.
Mr K Shanmugam533 words
[+11 sentences]I thank Mr Leong for that clarification. It is a matter of considerable regret to me personally, and I am sure to every Member in this House, that someone took his life. In particular, it is a matter of considerable regret and dismay for the Home Team, that he is a Police officer. Of course, it affects us. It affects me, it affects the Police force and his colleagues. None of us wants to see it and we have the deepest of feelings for his family and for himself. And that is why I have taken considerable care not to go into what exactly happened, except to set out in the briefest of outlines. So, it is very, very sad matter. Deepest condolences to the family. Regret is even not adequate to convey the very deep feelings we have about what happened. We wish it had been otherwise. What the Police force can say is that they did everything they can to help him. They provided psychological assistance; they gave him days off and they gave him leave. If you take 2015, if a person does not turn up for work for 150 days –100 days of no-pay leave and 40 days of medical leave – I think it is an extraordinary organisation that gives that level of flexibility. And then, the next year, no-pay leave of 216 days and 70 days of medical leave – that makes it 286 days out of 360.[+13 sentences] So, it is 80 days where he was at work, minus weekends or days off. So, again, that level of flexibility was given. This is a caring organisation that cared for him and gave him a lot of support. I think Members will accept that. Then, come back to 2022, he was on no-pay leave for about 160 days, and he was on medical leave for 80 days – that is 240 days out of 360, excluding weekends. I do not think you will see this in many organisations. Certainly, not in the private sector, but the Police force had been very, very supportive of trying to help this officer. And that is the approach they take to every Police officer. Any Police officer taking his life is a tragedy for us. We do not want to see that. And likewise, any allegation, whether by a Police officer or not, has to be taken seriously, as I explained why. And when it is by a Police officer, it will be taken seriously by the public; and the Police will, of course, also take it seriously, simply because a Police officer making these allegations can be expected to know more about what he is saying in context. And we need to really investigate. Which is why it was investigated thoroughly, and I had the AGC review those findings, and then I reviewed them myself.[+4 sentences] There are proper cases for a Committee of Inquiry. There are proper cases for a Commission of Inquiry. I have explained when some matters will go for Committee of Inquiry and Commission for Inquiry. This is a matter where I have set out the facts publicly and people can assess for themselves how the facts look.
Mr Speaker28 words
[+4 sentences]Any other clarifications for the Minister? No. Order. End of Ministerial Statement. The Clerk will now proceed to read the Order of the Day and Notices of Motion.
[+15 sentences]Sir, I beg to move*, "That this House recognises the importance of mental health as a health, social and economic issue; affirms the importance of a robust national mental health ecosystem; and calls for a whole-of-Singapore effort to implement a national strategy to enhance mental health and well-being." The Government Parliamentary Committee (GPC) for Health comprising People's Action Party (PAP) Members of Parliament (MPs) Mr Yip Hon Weng, Ms Mariam Jaafar, Dr Tan Wu Meng and Mr Edward Chia has brought forth a motion of profound significance, mental health, a matter that touches every individual in our society. In our journey towards a healthier, more resilient Singapore, we must recognise mental health not just as a component of our healthcare system but as a cornerstone of societal well-being and economic stability. In my previous addresses, I have consistently emphasised a holistic approach to health, advocating for the interconnectedness of the various health dimensions, including physical, mental and social well-being. As we navigate modern life's complexities, it becomes increasingly apparent that mental health is not a standalone issue. It is an integral part of our daily existence, influencing our capacities to learn, work, and forge meaningful relationships. It impacts our communities and workplaces, shaping the very heart of our nation’s productivity and social harmony. Mental health, once considered peripheral, has emerged as a significant contributor to the burden of disease, affecting all age groups and demographics. From our youths grappling with stress and anxiety to adults and the elderly facing conditions like depression and schizophrenia, these challenges are societal concerns requiring collective action. The GPC's passion for promoting mental well-being stems from a deep conviction that every individual deserves the opportunity to live a fulfilling life, unencumbered by the shadows of mental health issues. In our numerous engagements with constituents, mental health professionals and advocates, educators and students, workers and retirees, young and old, the recurring theme is clear – mental health is everyone's business. But business as usual for mental health issues will not do. The statistics are telling. With the escalation of mental health issues globally, Singapore is not immune. The 2022 National Population Health Survey revealed a concerning rise in mental health issues among Singaporeans. Notably, one in four young people face mental health challenges, as compared to one in five in 2020.[+3 sentences] This upward trend was also observed in the older age groups. This House must recognise the multifaceted nature of mental health as a critical issue that transcends health, influencing our society and economy. Therefore, we need a robust mental health ecosystem that is proactive in promoting mental well-being, not just reactive in addressing illness. The newly introduced National Mental Health and Well-being Strategy, and henceforth, I will refer to it as “the strategy”, launched by the Inter-agency Taskforce on Mental Health and Well-being in October 2023 is a commendable step forward.[+16 sentences] The Health GPC aims to refine this strategy constructively, aligning with global best practices while tailoring solutions to our unique societal context. Mr Speaker, as we embark on this new chapter, we must acknowledge the foundations laid by our previous strategies – the National Mental Health Blueprint and the Community Mental Health Masterplan. The National Mental Health Blueprint, initiated over a decade ago, marked a significant step in our commitment to mental health, emphasising early intervention and community support. Following this, the Community Mental Health Masterplan further expanded our reach, bringing mental health services closer to the community and underscoring the importance of a more inclusive approach. This brings us to the latest newly introduced strategy, which builds upon the successes and learnings of the past, further emphasising the whole-of-society participation while introducing comprehensive and innovative approaches to address current challenges such as digital well-being, workplace mental health and the mental health of our youths. But how does this strategy compare with other countries? Countries like Australia, Canada and the UK have also developed comprehensive mental health strategies. Australia's strategy is a community-focused approach. Canada takes on an indigenous-centred approach and the UK adopts a tiered approach. Singapore combines these insights with specific strategies suited to its diverse population. Our strategy emphasises preventive care and integrates mental health services into the community. Sir, at this juncture, I would like to highlight that the task force's commitment to mental health is evident in the strategy it has laid out. It is the product of the hard work of many agencies, mental health advocates and volunteer organisations. Their efforts deserve our recognition and support. Mr Speaker, understanding mental health as a multifaceted issue is pivotal. It is not just a medical concern, but it also significantly impacts our social fabric and economic stability. According to the World Health Organization (WHO), depression and anxiety alone cost the global economy $1 trillion per year in lost productivity. In Singapore, a recent Duke-NUS Medical School study found that the economic cost of anxiety and depression is significant, amounting to $15.7 billion annually due to lost productivity and healthcare expenditure.[+13 sentences] Mental health issues have a profound impact on our social ecosystem too. They influence the dynamics of interpersonal relationships and can be a source of considerable stress, leading to burnout and social isolation. Sir, it is a ripple effect. When an individual struggles with mental health issues, those around them and their loved ones often bear a significant emotional and physical burden. For example, I recently shared with the media a phase when my wife went through post-natal depression. It was slightly prolonged, and it was not easy for me to see to my better half struggling; so too were the kids. It was difficult for me to see my kids having to put a strong front in front of their mother. I was often worried how it might affect them. In workplaces, an employee's untreated depression can lead to decreased productivity and morale, impacting team dynamics and overall organisational health. Within our communities, the social isolation experienced by those with mental health issues can diminish the sense of belonging and support, which is a vital core for a cohesive society. Sir, the economic and social impact of mental health issues underlines the necessity of a robust mental health ecosystem. A robust ecosystem is not just about treating mental illness. It is also about fostering overall mental well-being at every level of the society. To achieve this, the Government outlined three strategic shifts in the strategy. First, a community-based strategy; second, empowering individuals with knowledge; and third, fostering inter-disciplinary collaboration.[+16 sentences] Allow me to elaborate with an anecdote. Some time back, I encountered a youth struggling silently with anxiety. Sara, not her real name, is a bright student, but her performance started to decline. It began with coming late to class. Then, she missed classes, sometimes with medical leave, sometimes without. She struggled to submit her assignments and soon, isolated himself. Recognising the signs, her peers and I reached out. And after many, many tries, she agreed to meet the school counsellor who, after a long period, eventually referred her to the Institute of Mental Health (IMH). This intervention marked a turning point for her, and she gradually learned to manage her anxiety. Sara's struggle, her journey of silence, is difficult. But she received the support she needed and that underscores the importance of early intervention and comprehensive mental healthcare. Her experience not only highlights the challenges faced by individuals grappling with mental health issues but also illuminates the path through which they can find hope and healing. As we pivot to examining the strategic shifts in mental health support, Sara's story serves as a poignant reminder of why these shifts are necessary. The three strategic shifts, in tandem, will allow the strategy to not only catch individuals like Sara earlier in their journey but also ensure that every step towards recovery is supported by a cohesive network of care and understanding. Mr Speaker, over the last three years, it has been my privilege to engage with a diverse group of mental health advocates, stakeholders and individuals from various walks of life, from podcasts to workshops and through campaigns like #452TooMany and #BetterTogether, as well as extensive community dialogues. I am grateful for the invaluable insights gained, bringing forth a spectrum of concerns and suggestions. Concerns raised ranged from the high costs and long waiting times for mental health services to challenges in insurance coverage for those with mental health conditions.[+1 sentence] The lack of mental health professionals was also highlighted. Workplace discrimination emerged as a poignant theme, with individuals expressing fears about being sidelined or overlooked for promotions due to their mental health conditions.[+55 sentences] Within the education setting, through the Singapore Teachers' Union that I am a part of, there was also feedback for more para-educators and school counsellors to support the students and simultaneously lighten the load of teachers who may have find the administrative aspects of counselling quite a bit on their plate. I believe we can do more to support teachers in doing what they do best: caring for, planning and executing the best lessons for their students. The issue of parental consent for minors seeking mental health services has emerged as a significant barrier too, especially when parents might not fully grasp the critical nature of mental health support or may be hesitant to seek help. Our concerns related to the strategies is as follows – the role and functions of the Mental Health Office, with many debating which Ministry it should be positioned under. However, I do believe that the current set-up is appropriate, but we should empower them in two areas. Firstly, on the four-tiered system where there is a need for more apparent referral paths and guidelines to ensure that those in the lower tiers are not overwhelmed and are adequately prepared for transitions. The Office can co-create a comprehensive scenario guide with stakeholders. Secondly, conversations have led to questions about the oversight and accreditation of training within the different mental health tiers. Could the Office look into and ensure the quality of these programmes and certify the volunteers and professionals within? Sir, I must admit that I have a very, very long list. However, I firmly believe that today's debate should not simply be about putting up a laundry list. It is about putting forth sensible suggestions to address concerns. As I penned my suggestions, I ended up with an acronym, similar into my first Adjournment Motion in 2020. If you recall, it was called "LAST". And although I promised it would be the last, the acronym remains relevant in today's Motion, albeit with slight tweaks. First, "L" for literacy. Mental health literacy is about recognising that it is okay to reach out. It is about seeing a friend's withdrawal not as coldness but as a cry for help and feeling confident to offer a hand. It is about parents understanding their child's silence is not just a phase. I envision mental health literacy as a catalyst, a catalyst that unites us, fostering empathy and guiding us in how to be there for each other in times of need. To that end, mental health literacy must be viewed not only as knowledge about mental disorders and their risk factors but also as a construct that promotes positive mental well-being. Furthermore, mental health literacy cannot be limited to children, adolescents and young adults only. Our efforts must be made to extend literacy programmes to adults and the elderly too. Sir, the strategy focusing on enhancing mental health literacy is commendable, particularly the development of a supportive "toolbox" to better support parents in helping to manage their children's mental health. But, like any other toolbox, it cannot be more than a mere collection of resources. It needs to be an integrated part of everyday life. It cannot also be just another "first aid box" – you bring it out in moments of crisis. Thus, this toolbox should be complemented with workshops and interactive sessions, showing parents not only how to use these tools but also how to approach their children with empathy and support, ensuring that the toolbox becomes a bridge to stronger family connections. My suggestion is to work with existing networks like the Ministry of Education's (MOE) COMmunity and Parents in Support of Schools (COMPASS), which can amplify efforts, leveraging their engagement with the school-home-community triangle. Beyond formal education settings, there is a need for varied and engaging programmes to complement mental health literacy efforts. In October last year, M3@Jalan Besar and the Health Promotion Board (HPB) conducted a Mental Wellness programme named "Cinta Minda", loosely translated as "loving your mind". Participants were engaged in an interactive theatre performance and critique a short film. What happened was a lively sparkling discussion on approaches to mental health challenges. Sir, we need to continually find ways to disseminate educational content engagingly. Tailoring these educational efforts to suit diverse community needs and cultural contexts is key to complement mental health literacy efforts. Next, "A" for accessibility. As we move towards a more community-based approach, we should explore expanding and nurturing t e number of access points, specifically, in shared safe spaces. These spaces foster connections through shared interests. It can be gardening, sports, or the arts, which can significantly affect our mental well-being. Last year, I attended "Prompting Feelings," an innovative artificial intelligence (AI)-powered art exhibition, a collaboration between the Singapore Association for Mental Health (SAMH) and R/GA, a creative agency. It featured eight artists sharing their journeys with mental health disorders through AI-generated artworks, bending technology with human emotions to provoke conversations and understanding around mental health. Most recently, I visited Thought Partner Studio, a vibrant example of how art can be a therapeutic medium, bringing people together in co-working spaces. Such initiatives highlight the importance of accessible, shared environments where communal activities based on shared interests can contribute positively to mental health. These are not just places. They are catalysts where connections deepen, understanding blossoms and support networks flourish, where everyone find sense of belonging. Next, "S" for screening. I am grateful that the strategy emphasises screening, especially for expecting mothers. To that end, I reiterate the need to treat mental health screenings just as how we would treat physical health screenings. Similar to how physical screenings identify health issues and guide targeted interventions, mental health screenings can also offer insights into our mental well-being, paving the way for informed steps towards improvement. I remember over a year ago, when my doctor advised me to lose some weight and get more active, I went all out to achieve the desired health targets. I came back to him 13 kilogrammes lighter and he was a bit too shocked. This can be similarly replicated for mental health. If I know that my happiness index is low – by the way, there is no such thing as a happiness index – I will try my best, so that by the next screening when I see my doctor, that number will improve. Just like our physical health, we will make strides to ensure that our mental health is well looked after. Enhancing our approach to mental health begins with early and accessible screenings, integrating them into the educational and workplace environments. In line with the Healthier SG initiative, which already promotes physical health screenings, I propose an innovative, buy-one-get-one-free concept; for every physical health screening, you get a free mental health check. This dual approach not only emphasises the equal importance of mental health and physical health but also offers a practical win-win solution for early detection and intervention.[+6 sentences] Next, "T" for time-outs. In my previous speeches, I emphasised the critical importance of mental health breaks, or "time-outs". These are essential in managing stress and preventing burnout. And I mentioned burnout extensively in my maiden speech. Most recently, Liverpool Football Club manager, Jurgen Klopp, cited being burnt out and opted to take a break and everyone, opposition teams especially, embraced it. It shows that people know what burnout means. It is physical and psychological impact and the poignant fact is that no one is immune to it. Thus, allowing time-outs without stigma must be the way forward for us.[+3 sentences] Creating a culture where it is acceptable to take a moment for mental well-being can make a significant difference in the schools and workplaces. It is about recognising and respecting our mental health needs as much as our physical health needs. If I can use Sara’s example again as a context, she can take a mental health time-out anytime during the semester. We can even allow her to take it twice. However, if she takes it the third time, her case would automatically be flagged and a counsellor automatically must intervene.[+21 sentences] It is a way to encourage students like Sara to acknowledge their struggles without fear of judgement, ensuring that they are not alone. This blend of empowerment and care creates an environment where students or workers feel seen and supported, fostering a culture of understanding and early intervention. Mr Speaker, I want to introduce a new letter to the acronym – another "S", which now extends the acronym to "LASTS", and I hope our commitment to advancing mental health lasts forever. The final "S" refers to spiritual health, another component of the seven health dimensions. Spiritual health transcends religious practices. It is about cultivating inner peace and a sense of purpose, values and connection, regardless of one's faith and belief system. In nurturing this dimension, we embrace practices that foster a sense of meaning and resilience, crucial aspects of self-coping mechanisms in our holistic approach to mental health. Spiritual health is not to be conflated with religious faith, even if it could encompass it. Spiritual health emerged in many conversations with the community, especially the Indian and Malay/Muslim communities and engagement sessions with the young people too. Just two weeks ago, at a young PAP annual mental health dialogue, a young lady shared her five "F"s for good mental health. What are the five "F"s? Family, Friends, Fitness, which is also health, Finances and Faith. I could not agree more. Faith is a positive force for society. Faith has shown to be a strong societal pillar and we have seen this during the COVID-19 pandemic. Singaporeans drew strength from their diverse faiths and demonstrated remarkable unity and compassion, embodying the universal principle of neighbourly care found across religions. Given the intertwined nature of community and religious life in Singapore, religious organisations have a unique opportunity to serve as platforms to advance our mental health efforts. By doing so, they can offer support, foster understanding and promote well-being within their communities, further illustrating faith's positive role in societal health and resilience. Sir, I hope that this broader understanding of spiritual health will enrich our strategy, ensuring it caters to the diverse needs of our society more holistically as we move towards a community-centric, beyond the medical approach. Mr Speaker, in Malay, please. : Sir, in my interactions with community leaders, including religious teachers through PERGAS, they spoke about the erroneous views that still persist about mental health issues. The perception that spirituality is the only solution to mental health issues was often highlighted. Most of the time, individuals who face mental health issues are accused of lacking in piety or not performing their prayers enough. Such views not only blame the ones who need help, but it also aggravates their mental health condition.[+3 sentences] In addition, some people feel that individuals who suffer from mental health issues are actually being possessed by spirits and need religious intervention to get better. This can give rise to stigma and fear in the community, causing individuals who need professional help to instead face stress and isolation. I recognise that in order to understand and treat mental health issues effectively, we do not need to separate spiritual issues from medical and professional therapy. While spirituality can form one aspect of support, it cannot be the only solution for complex mental health issues. To me, both are equally important and, in fact, both methods should be employed.[+20 sentences] Most importantly, treatment must be prompt. We should also focus on raising awareness about mental health because it is our responsibility to eradicate any stigma associated with mental health issues and provide appropriate support for individuals who need help. It is my hope that we can build a more caring society that is prepared to help individuals who suffer from mental health issues without judging them. : Mr Speaker, in lieu of this being a Mental Health Motion, I took note of the time and made sure that I kept my speech short. I also want to give our many Members the chance to share their concerns from the community. Before I conclude, I would like to take this opportunity to thank those who have engaged us and supported our efforts in mental health within the community. For me, it was Dr Jonathan Kuek and Total Wellness Initiative as well as Sabrina Ooi and Calm Collective, who form part of the Jalan Besar Mental Wellness Network. Likewise, organisations like Samaritans of Singapore (SOS), Singapore Association for Mental Health, Mental Act, Mental Health Film Festival, Club Heal, PERGAS and Silver Ribbon Singapore share the same passion and aspirations for advancing mental health in Singapore. There are many others and I apologise if I missed them out. I want to emphasise our collective responsibility in advancing mental health in Singapore. This journey is not for the Government alone but for every segment of our society. Our schools and Institutes of Higher Learning are crucial in nurturing a supportive environment for our youth, integrating mental health literacy into their curriculum and providing adequate counselling resources. Employers and workplaces must create cultures where mental health is prioritised and where employees feel safe to discuss their mental and well-being, and seek necessary support. Community organisations, including religious groups, have the unique capacity to offer support networks and foster a sense of belonging and purpose, which is crucial for our nation's mental resilience. Finally, every individual. Every individual must be empowered and encouraged to take charge of their mental health, seek help when needed and support those around them. As we move forward with this strategy, remember, no strategy is perfect. What is important is that we remain committed to refining our approach, ensuring it remains relevant and practical. In a recent dialogue session, I was asked about my aspirations for mental health in Singapore, and my answer is simple – it is about nurturing a resilient community that cares for one another, where anyone who needs help is able to get it without stigma and fear. Together, let us build a nation where mental health is not just an aspiration, but a reality for all. I look forward to the speeches from the rest.
Mr Speaker51 words
[+2 sentences]Thank you, Dr Wan Rizal, and also for your understanding. You kept well within the time limit that you were given. Coincidentally, last Sunday, I attended the 18th anniversary of Silver Ribbon, which was set up to combat the mental health stigma through better literacy.
Mr Speaker4 words
[+1 sentence]Ms He Ting Ru.
Ms He Ting Ru (Sengkang)2706 words
[+6 sentences]Mr Speaker, today, many would rightly acknowledge the work done in improving access to treatments and interventions for those suffering from poor mental health and the breaking down of stigma. I also note that many officeholders, including the Deputy Prime Minister, are slated to speak and this is attention long overdue. However, today I wish to focus my speech to call for a more holistic and well-rounded approach to mental health, which looks beyond lifting people out of situations of poor mental health. I will speak on three broad areas: first, a call for a thriving and flourishing society to be built into policy formulation as an objective; second, for institutions and agencies to include and accurately promote good nutrition as part of our national mental health and well-being strategy; and third, for the promotion of structural barriers to mental health support and therapy. When we look at the larger picture, mental health is a fundamental part of our overall health. Globally, WHO has indicated that depression is one of the leading causes of disability and noted that people with severe mental health conditions die as much as two decades early due to preventable physical conditions. One hundred and ninety-four member states, including Singapore, have signed up to the WHO Comprehensive Mental Health Action Plan 2013-2030, which commits us to meet global targets for transforming mental health. The plan is wide-ranging and includes ensuring that member states strengthen information systems, evidence and research for mental health to better understand the needs of the local population, ensuring that data is disaggregated by sex and age, and reflects the diverse needs of sub-populations. It calls for early intervention through evidence-based psychosocial and non-farmacological interventions based in the community, avoiding institutionalisation and medicalisation. While many of these are points echoed in the national health and mental health and well-being strategy as well as in the Government's recently announced push for more community-located delivery of mental health services, I hope that we can also take inspiration from the ethos behind the WHO plan which, I think, is summarised best in the WHO's Constitution itself, and I quote, "Health, is a state of complete physical mental and social well-being and not merely the absence of disease or infirmity." Many of us know instinctively that this definition makes sense and should be what we aim towards as a society.[+20 sentences] Mental and social well-being does not mean just the absence or suppression of depression psychosis or any other mental health condition. What we need to consider, as part of today's debate on mental health, is to look beyond decreasing rates of mental ill-health and to discuss how to elevate well-being. Having a thriving society has to stem from a study of how we can facilitate human flourishing. It is about, in the words of Liber Marskey, growing the seeds rather than removing the weeds. I do not mean this replaces the importance and hard work undertaken by psychologists, psychiatrists, therapists and other workers and volunteers in the mental health sector who spent so much of their life working to tackle challenges brought about by mental illness and neurodiversity. It is, without doubt, that we are in a much better position today to understand, reliably diagnose and provide the necessary support, medication and treatment, for those suffering from various neuropsychiatric conditions. Workers' Party MPs have, previously, called on the Government to ensure those in the mental health sector are supported in their work, for instance, by providing sufficient staffing and by facilitating financial support for those seeking the qualifications to become a counsellor. That said, we should not rely solely on the disease model that has dominated psychology since the second world war. Instead of asking, solely, how can we make miserable people less miserable, I would like us to also ask, "What is right with you?" Research in the last two decades has given us a better understanding of how we can measure and apply concepts of engagement, meaning and accomplishments in achieving well-being for individuals, organisations and societies, and that these areas are clear means by which we can improve well-being. In short, how can we go from ill-mental health to promote maximum flourishing? This is not just about positive thinking or even toxic positivity but, instead, it is about figuring out how we can support our citizens in their journey to become the best versions of themselves. The research shows that understanding and ultimately playing to our strengths, has the added advantage of helping us face adversity in a way that does not breakdown our well-being. It is why we end up finding that people can still thrive in conditions of severe deprivation or conflict. We need to entrench ideas of harnessing our strengths as individuals and as a society and use our own unique strengths as a solid foundation to build our future path forward. We can start this by helping our people understand what their own strengths are. The strengths-based approach is already being undertaken in the social work sphere, and I believe that the experience the Ministry of Social and Family Development (MSF) has here could inform more opportunities for Government agencies and institutions to be able to apply this approach to other areas of policy. As policymakers and political leaders, we should not look to the lowest common denominator and perpetuate an environment, which takes away the factors that people need to flourish. Aside from strengths, meaning, accomplishment and gratitude, another area which promotes well-being, is to identify an up-to-date common set of values as a nation which we embody. To support this expanded approach to mental health, we should consider findings from existing longitudinal research on well-being. Assoc Prof Siok Kuan Tambyah and other researchers, repeated their Quality of Life survey in Singapore in 2022 and found significant decline in Singaporean's satisfaction of life between 2016 and 2022, and a drop in overall well-being between 2011 and 2022.[+17 sentences] The authors also note that Singaporeans have, and I quote, "...become less happy, enjoyed life less and, have felt a decreased sense of achievement. They also felt that they did not have control over their lives and a sense of purpose." An interesting observation from this research is also the positive correlation between Singaporeans' satisfaction, with five out of six recognised democratic rights, and their overall satisfaction with life. The findings further indicated a decline in satisfaction of democratic rights across the years in 2011, 2016 and 2022. The authors also note that more in-depth research is required to determine specific concerns and to implement initiatives to better engage the citizenry and, I believe, that this is worth looking further into. Presently, there are also ongoing studies that dwell into the allocation of financial resources within Singaporean families toward the families' well-being. These findings will be instructive, particularly in an environment marked by stresses associated with resource scarcity, in the wake of cost-of-living and climate-related concerns. Such studies may also prove to be pivotal in shaping our national policies spanning, economic, housing, health and social domains, all of which are aimed at fostering a holistic advancement of overall well-being. We can leverage such findings to set the trajectory of our policies to better support Singaporean families. The research initiatives I mentioned above also dovetail nicely with WHO recommendations to ensure that high-quality research and data are available to specific societies and populations, so that we better understand the driving factors that enable Singaporean families to flourish. We also have to consider high-quality research in areas such as positive physical health. Studies in the US and Europe have found that patients with more optimism suffer from statistically significant lower rates of cardiovascular disease and decreased mortality rates. While the effects are comparatively smaller for other diseases such as infectious illness and cancer, they remain noteworthy. At the moment, I am not aware of similar research being done in Singapore to explore the potential correlation between traits such as optimism and improved physical health. If the findings are replicated here, this would further reinforce the call to delve deeper into understanding how to enable our citizens to flourish beyond just being free from physical and mental health pathologies, but also to flourish in all aspects of their well-being. Next, no discussion about enhancing and protecting mental health in a holistic manner can be done without mentioning our diet and lifestyle. The emerging field of research about the effect that our everyday diet has on our well-being and mood is one that has much to offer. For example, some studies have found that individuals on traditional Mediterranean and Japanese diets – which are high in vegetables, fruits, unprocessed grains, fermented foods, fish and seafood – experience a significant reduction in the risk of depression, ranging between 25% and 35%.[+8 sentences] Conversely, it has also been found that a diet that is high in refined sugars correlates to impaired brain function. It would be a shame if we do not seriously consider the scientific evidence surrounding foods that support good mental health and implement policies that make it easier to ensure that our diets complement and support our brains. The field of nutritional psychiatry is an emerging one. Nevertheless, I hope that we can use our education and public health systems to include ways in which we can facilitate incorporating eating for a healthy brain into our everyday life. This means eating more varieties of vegetables, fruits and less processed foods, as well as ensuring that we have adequate intake of healthy fats and fibre, all of which also promote good physical health. We can begin by intensifying efforts to amplify and update existing healthy eating initiatives. The existing Healthy Dining Programme should emphasise clearly that healthy eating goes far beyond just merely counting calories. Aside from eating to reduce chronic illnesses such as diabetes and cardiovascular diseases, it should also consider the importance of consuming a variety of food types to promote maximal healthy brain function. Steps to increase awareness of and to reduce our consumption of refined sugars – which are bad for both our physical and mental health in the long-run – through the introduction of the Nutri-Grade sugar level labelling laws are a good start. We should also explore the possibility of heeding WHO’s calls to implement an effective sugar tax that is equitable and does not punish those on lower incomes.[+13 sentences] As the affordability of healthier food options remains a barrier to achieving healthy dietary practices, we must increase accessibility to healthier and more nutritious foods to as wide a segment of the population as possible. In a fast-paced society with escalating concerns about the ever-rising costs of living, the prospect of incorporating whole foods, often more expensive than readily available highly processed options, adds another layer of concern. With a global surge in food prices, it is the lower-income groups with the least resources that would face greater barriers to healthier food options. The costs – both financial and also time costs – associated with eating healthily have to be mitigated further, to ensure that the ability to eat for a healthy brain is not one which is exclusive to those with greater economic means. One way to achieve affordability and accessibility of healthier food choices is to ensure that our Government policies really lean into supporting the promotion of healthy diets. For example, in our drive to reach "30 by 30" for food sufficiency, we need to ensure that the bulk of the home-produced food would meet nutritional criteria. The WHO has indicated that countries can stimulate the supply of nutritious food by creating large-scale predictable demand and making production and procurement of such foods more economically viable, and I believe that changes to our policies can be made to accommodate these aims. Other areas which are promising and should be given more attention include supporting research which is specific to our geography and population, especially as it appears that we do have unique biological responses to certain foods. I spoke during last year’s Committee of Supply (COS) about the work being done by local enterprise, AMILI, to better understand the gut microbiome in local populations. Given the gut-brain axis links the emotional and cognitive centres of the brain with peripheral intestinal functions, we should continue to pursue research in this area to better understand our own population’s needs and which foods would best support mental health and well-being, and to harness newer technologies such as artificial intelligence to bring down the costs associated with tailoring healthy food choices to specific sub-groups in the population. Employers, too, in their drive to support employee well-being, should consider ways in which to encourage healthy and mindful eating. Small initiatives such as offering fruit and nut instead of sugary snacks and biscuits in the office pantry, providing more accessible storage and food preparation areas, providing access to water in more places and having regular healthy eating weeks or events to help employees understand how to incorporate eating for a healthy mind and body into their daily lives can go a long way. Lastly, to further enhance mental health support and break down the social stigma, we can do more to continue removing barriers to mental health support and therapy. In respect of the upcoming guidelines for insurers to adopt fair and responsible practices towards persons with disabilities and those with mental health conditions, our regulators should ensure that guidelines prohibit insurers from declining applications on the basis of their disabilities or mental health conditions. Any differential treatment of persons with disabilities and mental health conditions should also be justified by accurate and relevant actuarial or statistical data, and there should be a mechanism by which insurers justify this. Insurers should also be required to make transparent their grounds for differential treatment or rejection of applications from persons with disabilities or mental health conditions.[+4 sentences] This will go a long way in ensuring that no one gets left behind. The current lack of regulation of mental health workers is another area which warrants more attention. While it is undoubtedly the case that there are many dedicated and committed workers in the mental health space that are doing amazing work in raising the well-being of our society, we have to move beyond providing guidance on professional and ethical conduct for psychologists, counsellors and therapists. Setting up a regulating body with input from bodies, such as the Singapore Association for Counselling and Singapore Psychological Society, will ensure a universal standard of care and quality of care in the provision of such services to support mental health, and to ensure that there is at least a baseline level of training, expertise and ethical practice that underline the provision of such services. We should also look to establish safeguards, such as requiring those who work with children to be subject to mandatory background checks, for the protection of vulnerable minors.[+1 sentence] Finally, I would like to reiterate a call made in my Cost of Living speech last November. I hope that the Government would consider allowing the use of MediSave to access mental health services in other practice settings aside from purely psychiatric settings, particularly in the private sector.[+5 sentences] It would not be a big step to use our 3Ms framework to better improve access to mental health treatments and interventions, as MediSave is already being approved for use for mental health services at places like IMH and polyclinics. To close, although we have experienced headwinds in recent years and are rightly focusing on how to support increasing incidences of poor mental health, it would be remiss of us to not look more holistically at how to increase well-being. We have to build on research about how positive interventions at the personal, community and policy level can have a protective factor through challenging times, and also to look at how our nutrition can better support us in our quest for good mental health. All of us have a role to play in working to improve our own well-being, and given that happiness spreads more easily than depression, the hope is that increased well-being can continue to ripple and spread to the wider community, so as to increase flourishing for all. With that, I support the Motion.
Mr Speaker4 words
[+1 sentence]Dr Tan Wu Meng.
Dr Tan Wu Meng (Jurong)1050 words
[+11 sentences]Mr Speaker, I declare that I am a medical doctor working at a public hospital and I have worked in the private sector before. I stand in support of the Motion in the name of Dr Wan Rizal, my Parliamentary colleague. Today, I will speak on insurance and, in particular, I direct my questions to the Ministers-in-charge of the Monetary Authority of Singapore (MAS) as well as the Minister for Health. May I start by drawing the Ministries' attention to the National Mental Health and Well-Being Strategy 2023? I read through it, 49 pages. In the entire report, the word "insurance" appears just once in a footnote on page 28. Yet, insurance today is an integral part of the healthcare landscape. It helps pool risk and safeguard Singaporeans from catastrophic bills arising from catastrophic unexpected illness. In the public healthcare system, we have MediShield Life under the Ministry of Health (MOH). But in addition to MediShield Life, many Singaporeans purchase health insurance from the private sector too – Integrated Shield Plans, critical illness cover, life insurance and other forms of general insurance – hoping to attain peace of mind and support for their families should the unforeseen or unimaginable happen. So, it is a serious matter when a fellow Singaporean is worried about being denied insurance coverage or worried about being at the receiving end of an unreasonable or disproportionate decision by their insurer. Last year, on 19 September 2023, I raised a Parliamentary Question to the Minister for Health on what happens when young Singaporeans encounter stigma from insurers or are declined insurance coverage because of a mental health condition. This question arose partly from a The Straits Times Forum letter earlier that year – dated 18 July 2023 – where a worried parent, Tan Hui In, shared about how their teenage daughter was turned away by two large insurance companies because of a mental health diagnosis.[+10 sentences] She could not get coverage for hospitalisation or critical illness, not even for non-pre-existing conditions unrelated to mental health. I have young Clementi residents who follow these issues and are concerned as well. Some are going through a tough time and want to seek help. But sometimes these young Clementi friends also asked themselves, "What if they are subsequently labelled with a mental health diagnosis and thereafter cannot get insurance from a commercial insurance company?" Even if the actual number is not large, the effect, the sense of fear and anxiety about whether one might someday be denied insurance upon being labelled with the diagnoses, that fear extends beyond the number of persons who are actually affected and denied coverage. And so, I put it to the Government and I put it to the Ministers, that all the efforts in the plan, all the efforts to increase subsidy for mental health care, in the mental health care ecosystem, all the efforts to improve access at multiple levels in the community and through various intermediaries, all the efforts to make workplaces more inclusive and more fair to persons with mental health conditions, I put it to the Government that we risk these policies and proposals not coming to their full potential or possibly even being undermined, as long as this issue of the private insurance market is not addressed. I raised broader issues of insurance coverage 11 years ago, in 2013, in an op-ed piece in The Straits Times. And I would just like to revisit some of what I said. As I said 11 years ago, in a well-functioning market of insurance providers and potential clients, an efficient outcome would be for the applicant's additional risk to be appropriately priced in through a higher premium. But what we see instead is, even if someone has that additional risk from the pre-existing condition, the insurance company, more often than not, according to my residents, regards them as someone they would not want to insure at all. In short, instead of a slope of additional premiums based on incremental risks, there is a cliff which people fall off when they are left out from the private insurance market.[+5 sentences] Yes, indeed, there is MediShield Life in our public care system but, as the Minister for Health pointed out yesterday in response to my PQ on the private healthcare sector, the Minister for Health himself has acknowledged there is an important role for private healthcare ecosystems and that presumably includes the role of commercial insurance in the private sector in addition to the MediShield Life framework. I also mentioned previously that with modern computational methods – 21st century mathematics, in short; it is not completely rocket science – it should not be too difficult for insurers to estimate and calculate the right price for the additional risk. But, again, we see perverse outcomes, and I think many Members in this House will have observed this with your own residents where that incremental increase in risk leads to a total denial of insurability from that insurance firm. Sir, this is one area of market failure where regulators can step in. While insurance in general is a business, the commercial health insurance market can and should serve a public good. [restates an earlier point]As I said during the 2020 debate on the President's Address, when the invisible hand of the market becomes unbalanced, sometimes we need the visible hand of the regulator to attain the appropriate outcome for our people, in this case, to make sure that insurance companies make decisions which are reasonable and proportionate. So, I call upon this Government to get MAS on board, look at improvements and reforms to the insurance sector, especially for young Singaporeans who may be facing mental health and mental wellness concerns and young Singaporeans who may then be labelled with a diagnosis, with their whole life ahead of them. Because, Mr Speaker, as I have said before in this House, healthcare is about all our lives – your life and mine.[+2 sentences] The lives of our loved ones. The life of every Singaporean. And therefore, it is a serious matter when a young Singaporean runs the risk of not being able to get insurance coverage for life. And let us all remember, it could happen to anyone of us, or any one of our loved ones.[+1 sentence] I stand in support of the Motion.
Mr Speaker3 words
[+1 sentence]Ms Hazel Poa.
Ms Hazel Poa (Non-Constituency Member)1635 words
[+12 sentences]Mr Speaker, Sir, mental health issues are not only a personal struggle, it is also a challenge to the whole society that demands our collective attention and concerted efforts. It is heartening that the Government has published a National Mental Health and Well-Being Strategy, outlining comprehensive moves to tackle this challenge from multiple angles. I support the measures proposed in the paper and would like to make a few additional suggestions and seek some clarifications. Mental health disorders have been rising over the years to become one of the most common illnesses. Has there been a study to examine what are the possible causes or the common risk factors? If causal effects cannot be determined, can we identify the risk factors that are common in many of the mental health cases? For example, do many of the patients come from dysfunctional families or perhaps parents with a history of mental health issues? Are the cases correlated to socioeconomic status or poor performance in work or school? Do patients have a supportive environment in terms of family members, friends, teachers, bosses or colleagues? If we are able to identify the highest risk factors, it can guide us on where we should focus our efforts. If such a study has been done, can MOH share the results? If not, would MOH consider doing one? Pre-COVID-19, post-natal depression affected one in 14 women, while pre-natal depression affected one in eight women.[+1 sentence] It is critical that we improve our capacity to care for, treat and support women going through pre- and post-natal depression and anxiety as we make efforts to increase our birth rate. Owing to concerns over the rise in the number of pregnant women or new mothers with depression, KK Women's and Children's Hospital (KKH) has introduced depression screening for all pregnant women since early last year.[+7 sentences] Can MOH update us on how effective this measure has been and whether there are plans to expand this to all hospitals and clinics including private ones? In hospitals, patients' historical medical records are at the fingertips of the doctors in charge as these contain critical information for medical decisions. For patients with mental health disorders, are their mental health conditions and history also similarly available to the doctors? Often, doctors need to brief patients on the possible side effects of certain treatments or the risks of surgery or present difficult choices for the patient to make. Patients with mental health issues may not be able to handle such information or choices. If doctors have access to mental health information as well it can help them better know how to handle communication with the patients. Mr Speaker, I would next like to turn our attention to the youths. Recently, the teenager who killed a River Valley High School student was sentenced to 16 years' imprisonment for his actions. We have learnt through the trial proceedings that his major depressive disorder was one of three major factors that contributed to the killing.[+10 sentences] This underscores the urgency of prioritising the mental well-being of our students. During the Parliamentary Sitting on 27 July 2021, after this tragic incident, I urged the Minister for Education to consider implementing measures to monitor our students' mental well-being regularly and systematically, similar to the way we monitor their academic achievements and physical fitness every year. Today, I would like to reiterate this call. This can be in the form of questionnaires that measure stress level, anxiety and depression. Similar tools have also been developed in MindSG and Mindline, which allow users to do self-assessments on their own stress levels and mental health risks. These tools, however, rely on the users themselves taking the initiative. The students who most need help may not take this initiative. Conducting a mental health assessment each year using developed tools will help us identify students who need help and proactively reach out to them so that we can prevent such a tragic incident from happening again. In his Ministerial Statement, the Minister stated that the Ministry of Education (MOE) will strengthen the support network in our schools and ensure that all teachers will receive enhanced professional development on mental health literacy as a baseline. I would like to ask the Minister for an update on the progress and whether all teachers have received adequate training on mental health literacy? The Minister also said that MOE aims to deploy more than 1,000 teacher-counsellors in the next few years.[+11 sentences] Could I ask how many teacher-counsellors are deployed in schools as of today and what is the counsellor-student ratio? What percentage of schools have two or more school counsellors? Do larger schools have enough counsellors to serve the entire school population? These are crucial metrics that define the effectiveness of mental health support in our educational institutions and should be tracked as part of our national mental health strategy. Specifically for the students and teachers of River Valley High School who were involved in the tragic incident, I would like to ask the Minister what support had been provided to them over the past few years to monitor their mental well-being and assist them in getting over the incident? Are they still coping well within our education system or has anyone fallen out of the system? How many teacher-counsellors are deployed in River Valley High School today? In my conversations with people with mental health conditions, one of the biggest concerns is jobs – finding a job and keeping it. Both job seekers and employees have reported an increase in discrimination due to mental health conditions. Would the Government consider some form of wage subsidy for employers who recruit staff with mental health conditions, similar to the way we used subsidies to encourage employers to employ older workers in the past? Hopefully, such a subsidy can compensate for the discrimination. Another way is to encourage the option of four-day work week for employees with mental health conditions to reduce their stress levels and make working more manageable and sustainable. This can come with a pro-rated pay, just like other part-time employees.[+16 sentences] Mr Speaker, in closing, I would like to speak about the importance of being kind. When we were going through very tough times together during the COVID-19 pandemic, we saw many acts of kindness towards one another in the community. People gave out free masks, opened their homes to Malaysian workers who were stranded in Singapore after the Movement Control Order shut down the Causeway and made special efforts to support food and beverage (F&B) businesses that were suffering. A few weeks ago, my father had a stroke when he was out alone. He was unable to use his handphone to contact us. Fortunately, a student, who was nearby, came to his assistance. She contacted our family and shared her location with me. With that location, I was able to inform the Singapore Civil Defence Force (SCDF) and the ambulance reached the scene in 10 minutes! To the SCDF officers involved, I wish to thank you for being so excellent at your job. The student continued to stay with my father until the ambulance came, which is a great comfort to us when we could not be there. Her kindness is much appreciated by my family. I am grateful for all the people who shine like silver when the clouds are dark. I hope that as memories of the pandemic recede, we will not forget to continue to be gracious, kind and empathetic to the people around us, especially those who may be facing difficulties in their lives. This will go a long way towards improving the collective mental health of our society. In Mandarin, please. (In Mandarin): Recently, a teenager who killed a student from River Valley High School was sentenced to 16 years in prison. During the trial, we learnt that his major depressive disorder was one of the contributing factors of the murder.[+4 sentences] I once again urged the Minister of Education to regularly monitor the mental health of students, just as we monitor their academic performance and physical health every year. This will help us proactively reach out to students in need and prevent such tragedies from happening again. In my conversations with individuals suffering from mental illness, I have found that employment is one of their biggest concerns. In recent years, there have been signs of increasing discrimination against individuals with mental health conditions. Could the Government consider providing wage subsidy to employers to encourage them to hire individuals with mental illness?[+14 sentences] Mr Speaker, finally, I would like to talk about the importance of kindness. During the pandemic, we have seen many acts of kindness. People gave out masks for free, opened their homes to Malaysian workers stranded in Singapore and made special efforts to support the struggling F&B industry. A few weeks ago, my father had a stroke while he was out alone. He was unable to use his phone to contact us. Fortunately, he received help from a nearby female student. She contacted our family and shared her location with me, allowing me to inform the SCDF. The ambulance arrived at the scene within 10 minutes! I want to express my gratitude to the SCDF for their excellent response. And the student continued to accompany my father until the ambulance arrived. I would like to thank her for her kindness. I hope that even as the pandemic gradually becomes a thing of the past, we will continue to show kindness and compassion to those around us, especially those facing difficulties in life. This will help to improve the collective mental health of our society. : Mr Speaker, the Progress Singapore Party supports the Motion. Our collective commitment to the mental well-being of our citizens will define us as a compassionate and progressive society.
Mr Speaker13 words
[+2 sentences]I am glad that your father is well now. Mr Yip Hon Weng.
Mr Yip Hon Weng (Yio Chu Kang)1692 words
[+7 sentences]Mr. Speaker, Sir, mental health is a globally complex issue. It often remains unseen and hidden beneath societal stigmas, especially in the context of Singapore and Asian cultures. A specific challenge lies in individuals' struggles to seek help. While the report rightly identifies the need for more accessible services, I want to draw attention to a demographic needing specific focus – the mental well-being of our seniors. Why focus on our seniors? Singapore is moving towards a super-aged society, with smaller family sizes becoming the norm. Our high-stress, high-cost living environment sets the stage for concerns like social isolation, loneliness and dementia among our seniors. A 2022 CNA commentary highlighted the rising number of senior suicides. There is a 60% increase amongst those aged 70 to 79 from 2021 to 2022.[+1 sentence] This highlights the urgency of prioritising mental health support for seniors. Around 5.5% of elderly Singaporeans experience depression, as per the Well-being of the Singapore Elderly (WiSE) study.[+30 sentences] This seemingly small percentage translates to thousands of individuals silently battling mental health challenges. The question is this: are we equipped, as a society, to handle these challenges? While MOH and the Agency for Integrated Care (AIC) have made strides, there are areas for enhancement. First, Mr Speaker, Sir, we need a more targeted approach. The senior populace is diverse; individuals in their 60s differ significantly from those in their 70s and 80s. Our seniors are not of the same shade. Engaging seniors effectively requires recognising differences in education, independence, employment status and technological acumen. I vividly remember challenges when I was leading the Silver Generation Office, particularly engaging Merdeka Generation seniors. Through perseverance, we succeeded in rallying these seniors, fostering a connection rooted in mutual understanding of shared trials and tribulations. Our outreach must reflect diverse profiles by tailoring interventions and support to each cohort's needs. A growing adversity is the lack of a comprehensive understanding of the evolving cohort of older adults. Moving forward, we must categorise our seniors into segments for effective interventions, including the well and active, the potentially at-risk and inactive, those frail and inactive due to physical or having mental health issues, individuals living independently, digitally adept and with fewer familial support systems, seniors who are financially stable and seniors from the lower socioeconomic group. Leveraging the strengths and ambitions of different cohorts is critical, especially among the professionals, managers, executives and technicians (PMETs). We must also shift the societal mental model from viewing elders as a burden to valuing their contributions and reframing their silver years as a different phase of life. A promising avenue lies in senior employability. A re-evaluation of our workforce's HR systems is paramount. By allowing older individuals to choose to continue working, we not only address manpower shortages but also provide them with a profound sense of purpose and financial independence. I commend the Ministry of Manpower's (MOM) consideration to legislate against workplace discrimination and address ageism. This is an important step towards extending retirement and re-employment ages. The synergy between keeping our seniors meaningfully engaged in the workforce and enhancing their mental well-being is undeniable. It is an endeavour that not only benefits that individual but also contributes significantly to the fabric of our society. Second, Mr Speaker, Sir, we need a greater focus on building social networks for our seniors. Loneliness and the lack of social interaction are major risk factors for mental health issues in seniors. Beneath the surface of seemingly ordinary lives, unseen ebbs and tides of depression and anxiety can sometimes pull our seniors under. Studies consistently underscore the pivotal role that social connections play in fostering longevity and overall well-being. Encouraging informal networks to flourish can provide invaluable opportunities for socialisation among our seniors. The Healthier SG initiative and the emphasis on social prescriptions align with promoting well-being. We should champion more grassroots initiatives and urge organisations, like the Housing and Development Board (HDB) and National Parks Board (NParks), to create more physical spaces conducive for these communities to congregate. Age-friendly environments with green spaces, accessible walkways and safe communal areas become vital. These initiatives encourage seniors to venture beyond their homes, fostering social awareness, exercise and a sense of safety and comfort. Last month, Yio Chu Kang implemented several Dementia-Friendly Neighbourhood (DFN)-inclusive infrastructures based on a ground-up and community-based research study.[+1 sentence] As part of a joint project by AIC, Singapore University of Technology and Design and the Centre for Liveable Cities, we conducted evidence-based research on the relationship between persons living with dementia, their caregivers and the built environment in Singapore's predominantly high-rise and high-density urban context. Adopting an ethnographic research-based approach, the study built on the first-hand feedback gathered from over 100 Yio Chu Kang residents, comprising of persons living with dementia, caregivers and residents, to enhance the neighbourhood to better meet their evolving needs. From the study, several DFN inclusive infrastructures were built and tested across Yio Chu Kang. This is to enable persons with early to moderate stages of dementia to live and age well in the neighbourhood. We also launched two publications based on the findings. These will serve as future references for the building sector stakeholders like the Town Councils, urban planners, architects and designers to build more DFNs nationwide.[+7 sentences] Third, Mr Speaker, Sir, we must continue empowering seniors through digital tools and technology. Limited access to mental health services, especially for those with mobility issues, can be a barrier. Expanding telehealth options and making services more readily available in eldercare facilities can bridge this gap. While the Government's efforts to assist seniors in embracing technology are commendable, harnessing technology to create interest groups and leverage existing digital social networks is imperative. An exemplary initiative is the use of platforms like Vintage Radio, catering to individuals aged 60 and above. This platform serves as a conduit to disseminate information on critical health issues, such as sarcopenia. Moreover, it encourages the formation of local groups, fostering opportunities for gatherings centred around activities like tea sessions, exercise regimens or sessions discussing healthy lifestyle choices. Spurring initiatives like this through incentives or grants is essential.[+14 sentences] Fourth, Mr Speaker, Sir, seniors with mental health concerns must have convenient and affordable access to quality mental health services. The silent struggles with mental health are particularly stark for our seniors. From the gnawing isolation that fuels depression to the constant worry that fuels anxiety, these invisible burdens weigh heavily on their hearts and minds. These conditions, often masquerading as loneliness or physical ailments, can impact their daily lives significantly, robbing them of any joy and fulfilment they deserve. Misconceptions about mental health often prevent seniors from seeking help. Raising awareness and normalising conversations about mental well-being is imperative. Currently, the lack of options for assistance is pressing. We can gain insights form other developed countries with ageing populations by understanding the ratio of seniors to geriatric counsellors, caseloads and waiting times. Another important aspect is the proactive implementation of preventive measures against mental health issues among seniors. Identifying effective therapies and interventions to prevent the onset of mental health conditions is paramount. We should assess the optimal age to begin initiatives aimed at supporting seniors' mental well-being. In conclusion, Mr Speaker, Sir, mental health among seniors necessitates a multifaceted approach. Our strategy needs to evolve to meet the diverse needs of today's senior cohort, recognising differences between various age groups, particularly the baby boomer generation and the PMETs. Preparing them for life transitions involves leveraging their strengths and aspirations, fostering social activity through work or engagement in interest groups. Reviewing workforce HR systems to enable flexible roles for older individuals can address manpower concerns, instil financial independence and provide a sense of purpose.[+24 sentences] Secondly, our perception of mental health must transcend the mere absence of illness. WHO defines mental health as a state of well-being encompassing psychological, emotional and social aspects. We must pivot our focus from solely discussing mental illness to adopting a holistic, person-centric approach, acknowledging the five key components: physical, emotional, intellectual, financial and social. By prioritising mental healthcare, we can bolster productivity, enhance self-image and fortify relationships. Maintaining positive mental health and treating any poor mental health conditions are critical to stabilising constructive behaviours, emotions and thoughts. We must address isolation and loneliness through a holistic and person-centric approach. Technology serves as a force multiplier in enhancing mental healthcare. The use of telehealth to deliver services and support demonstrates promise. Initiatives that leverage technology not only streamline access but also create opportunities for innovation in mental healthcare delivery. Lastly, it is pertinent to underscore the significance of accessible and affordable professional geriatric mental healthcare. This vital resource extends much-needed support to seniors grappling with various mental health challenges. Mr Speaker, Sir, amid these challenges, let us never forget the inherent resilience of our seniors. Our Pioneer and Merdeka Generations have weathered storms and setbacks throughout their lives. They possess a wealth of experience, wisdom and strength that we should tap into. By fostering a supportive environment, acknowledging their struggles and celebrating their victories, we can empower them to thrive, even amidst their mental health challenges. Therefore, I urge each of us, legislators, Government officials, healthcare professionals, family members and every resident, to play our part in creating a society that prioritises the mental well-being of our seniors. Let us champion open conversations about mental health, break down the stigma and normalise seeking help. Support community initiatives, volunteer time, resources and expertise to build social connections and combat isolation. Advocate for accessible and affordable mental health services, ensure every senior has the resources they need to care for their mental well-being. Embrace and respect our seniors, recognise their contributions, value their wisdom and celebrate their resilience. Mr Speaker, Sir, investing in the mental health of our seniors is not just a moral imperative. It is an investment in the future of our society. By working together, we can build a brighter tomorrow where every senior in Singapore can age with dignity, purpose and hope. Together, let us ensure that our Silver Generation shines not just because of their past contributions, but also because of the bright future we create for them today.
Mr Speaker3 words
[+1 sentence]Dr Syed Harun.
Dr Syed Harun Alhabsyi (Nominated Member)2444 words
[+11 sentences]Mr Speaker, in the context of this Motion, I declare that I am a psychiatrist in private practice. I hold a Visiting Consultant Psychiatrist appointment in a restructured hospital and I am the Honorary Secretary of the Singapore Psychiatric Association. Mr Speaker, as a mental health professional, seeing that this Motion is tabled today and responded to by at least 28 Members of the House, my heart is full and I say this on behalf of the very many colleagues who work with me in the mental health space. I am confident that the range and scope of what we will discuss today and put forth to the House will be wide ranging and impactful and it will inform the way we, as a country, see mental health and well-being. I am hopeful that this will lead to meaningful change in the way we view discourse over mental health and how it informs public policy from herein. Mental health and well-being are not just an issue that resides in the realm and domain of healthcare and, for that, I am grateful to the five hon Members of the House who had put forth this Motion for us to debate and consider. Importantly, that the debate is happening highlights two things. The first is that the issue of mental health and well-being permeates through and is relevant to all aspects of our individual lives whether it be in school, at work or at home. This is even before we venture into the realm of mental illness. Mental health and well-being features in how we socially interact with one another, impacts how we perform and fulfil our roles at work and has a very direct relationship to our physical health as well. The second is that there is a now wider awareness, realisation and imperative at the national level in recognising the cost to our society if we do not act and leave things as they be. As mentioned by the hon Member of Parliament, Dr Wan Rizal, a recent study conducted by Duke-NUS Medical School and IMH estimated the total economic burden of lost productivity due to anxiety and depression in Singapore to be S$15.7 billion.[+1 sentence] This was based on survey data from 5,725 adults collected via an online panel between April and June in 2022, with the results made public in April 2023. The Singapore Mental Health Study of 2016 also found that the average annual excess cost associated with mental disorders per person was estimated to be close to $4,000 and at a population level, the incremental costs of mental disorders in Singapore is about $1.7 billion per year.[+18 sentences] These costs tend to come from absenteeism, reduced productivity and direct medical care, including hospital visits and admissions. There is also increasing awareness of the longer-term costs relating to intermediate and long-term care services, as well as indirect medical costs on family members and caregivers. Similar patterns, Mr Speaker, and cost trends relating to mental health are evident not only in Singapore but the world over, and the costs of ignoring mental health and well-being are staggering. To that end, that the Government has promulgated the National Mental Health and Well-being Strategy paper published in October 2023 is much welcomed. I see this as a great start. It covers good breadth and, importantly, gives a frame and structure towards the national strategy in dealing with mental health and well-being. I imagine many hon Members speaking today will approach the Motion with a wider population-level concern relating to the strategy paper. The scope of my contribution to this debate will consider the professional aspects of clinical delivery of mental health, particularly at tier 4 of the Tiered Care Model articulated in the said strategy paper. Tier 4 services are of high intensity, delivered by psychiatrists, psychologists and other multidisciplinary mental healthcare professionals in hospital settings, both inpatient and outpatient, to support those with high mental health needs. These services comprise specialist-led psychiatric assessments, psychological and medical interventions, including acute and emergency services. As far as the National Mental Health and Well-being Strategy paper goes, tier 4 is the sharp tip of the strategy that deals with the most acute, challenging and complex of psychiatric cases. Mr Speaker, what is palpable is that in tier 4, the forward developmental plans on healthcare manpower and competency are less articulated. I note that the strategy paper states that tier 4 services largely reside in hospitals which have their own competency development plans for clinical staff and would not be covered by the National Mental Health Competency Training Framework. However, it is important to ensure that tier 4 services keep up and remain in tandem with the larger national need and demand for mental health services. I would like to surface four points for consideration at this tier of mental health services as we move to forward this Motion in advancing mental health for Singapore. Firstly, Singapore needs more psychiatrists. I say this, conscious that I am one such psychiatrist, but it is not out of self-absorption of my specialty that I say this. I argue that the numbers speak for themselves when taken in relative comparison to the number of psychiatrists per population in other developed countries and the widening waiting times for psychiatric visits in Singapore over the years. The number of psychiatrists in Singapore is estimated to be 4.4 out of 100,000 per population.[+5 sentences] This was the number given by the Ministry of Health (MOH) in response to a Parliamentary Question (PQ) by former Nominated Member of Parliament (NMP) Assoc Prof Walter Theseira in January 2020, four years ago. However, when compared to other developed countries, according to WHO data from dated numbers between 2015 and 2017, I could not find any data which was a bit more recent. Based on that data, Norway has 48 per 100,000, Switzerland has 43, New Zealand has 28, Australia has 13, Japan has 11 and the US has 10 per 100,000 population. This is in relative comparison to Singapore at 4.4. The second point is also that the waiting time for patients over the years also indicates a widening of waiting times for psychiatric subsidised visits in our public hospitals. In response to a PQ by former NMP Ms Anthea Ong in January 2020, the median waiting time for new subsidised appointments to see a psychiatrist across public hospitals was 27 days in 2018.[+1 sentence] So, in 2018, it was 27 days. The answer to another PQ in 2021 to a question by Mr Leon Perera on waiting times was that the median waiting time for the IMH was 29 days in 2020.[+1 sentence] So, 27 days for all public hospitals in 2018 and 29 days for IMH in 2020. Yet, more recently and more alarmingly, in July 2023, to a similar question by the hon Member Mr Yip Hon Weng, the median waiting time for new subsidised psychiatric appointments was 45 days.[+2 sentences] So, we see a leap of that from 27, 29 and then 45 days, as of the response last year. As I emphasised in my Adjournment Motion in October 2023, median times, while helpful for healthcare planning of resources, only reflect 50% of the patient experience, and there is another 50% of patients referred to a psychiatrist that is seen beyond 45 days. Based on another Parliamentary reply in August 2023 to hon Member Ms He Ting Ru on 2022 figures, MOH also responded that 95% of subsidised patients were given an initial psychiatric appointment within three months.[+13 sentences] So, we have a data point for 95% within three months, which is about 90 days, as of 2022. For sure, Mr Speaker, the numbers of psychiatrists are not everything in the delivery of mental healthcare. However, if we were to be serious about wanting to ensure that we are adequately resourced with expertise in our midst, surely, we need to look hard at these numbers and recognise how much better we can and should be in our delivery of mental healthcare services, especially at the specialist level of care where our patients are most vulnerable. A good critical mass of experts in the field further helps us develop deeper expertise in sub-specialty areas, such as community psychiatry, child and adolescent psychiatry, psychogeriatrics, addictions, forensic psychiatry and psychiatric rehabilitation, and in key emerging treatment modalities, such as neurostimulation services for our patients. The same experts can also inform other aspects of community care and education in the other tiers of the National Mental Health and Well-being Strategy. Today, I posit that this is difficult and hardly possible because the same experts are stretched to meet the bursting demand for inpatient and outpatient care services. My second point, Mr Speaker, is in relation to clinical services provided by clinical psychologists. As we finesse our mental health strategy towards improving care, the Government should consider the feasibility of a regulatory framework for clinical psychologists. This would be especially important for those working in tier 4 and in clinical settings in the community. Where clinical psychologists are concerned, there must be clarity over the prerequisite training and experience in clinical settings as they interface with patients regularly, patients who are vulnerable and are seeking care for their mental health needs. While psychologists' skillsets may be transferable to areas such as sports, education and organisations, the specific training for clinical psychologists needs to be further deliberated, structured and regulated in clinical settings, such as hospitals and outpatient clinics, and with the availability of adequate supervision. Respectfully, there are many different branches of psychology, such sports psychology, education psychology and organisational psychology, but clinical psychology skillsets required in the delivery of mental healthcare and clinical services are, indeed, distinct and different. To register my point, Mr Speaker, there are 641 psychologists registered under the directory of psychologists maintained by the Singapore Psychological Society (SPS). This list is by no means exhaustive and indicative of the total number of psychologists in Singapore, as not all psychologists maintain this association with SPS. However, when one filters the search to include only clinical psychologists, the number then whittles down to 292 clinical psychologists only.[+6 sentences] It remains the case that MOH does have a regulatory framework for other allied health specialties, such as occupational therapists, physiotherapists and speech therapists, and we should allow for no less for clinical psychologists to give assurance to patients that the standards of care are high, commensurate with their needs and they can be assured of quality of care. From a healthcare manpower planning standpoint, accreditation and regulation would allow the Ministry sight of how many clinical psychologists the country and our public hospitals now have and need to ensure timely and accessible care as part of the wider National Mental Health and Well-being Strategy. My third point relates to accessibility of tier 4 and its associated mental healthcare services and speaks to what I shared at the Adjournment Motion in October 2023. The Government can and should do more to ensure tier 4 services continue to be accessible to Singaporeans, even as it seeks to buttress the overarching national strategy over the initial three tiers of care. I note the Government intends to increase psychiatric beds by 2030, but it is also important that for mental healthcare, the capacity for inpatient beds, rehabilitation programmes, psychiatric nursing homes and outpatient clinics keeps in tandem with the anticipation in demand in the coming years. In fact, hon Member Mr Yip Hon Wing's speech earlier spoke to the varied and increasing complex mental healthcare needs in Singapore's ageing society now and in the foreseeable future. It will continue to be a moving target, but we must plan forward as specialist resource and infrastructure take time, even years, to come to fruition. I also urge the Government to consider subsidies of greater quantum and wider coverage for psychotropic medications as well as other treatment modalities, including evidence-based neuro-stimulation treatment, such as repetitive transcranial magnetic stimulation as well as electroconvulsive therapy.[+2 sentences] The better our subsidy and financial support coverage for treatment options at tier 4, the more focused treatment approaches can be and with good outcomes for our patients. In terms of insurance coverage for accessibility to mental healthcare services, as passionately expressed and outlined by hon Member and fellow medical professional Dr Tan Wu Meng, I urge the Government to maintain sight of this developing space to ensure adequate, fair and equitable insurance coverage for all. In light of this, Mr Speaker, my fourth and final point would be to call for the Government to articulate, as part of its strategic impetus, measurable targets for all four articulated focus areas across the four tiers of its Tiered Care Model for the National Mental Health and Well-being Strategy. For tier 4, at least one cluster of measurable targets I can offer to be met over the next five to seven years would be that the median and 95th percentile of waiting times for access to psychiatrists and psychologists must drop. I believe that we should articulate a clear target on what is a reasonable waiting time for a patient referred from primary care services to specialist-type services and, in my humble view, I think the last patient referred to a psychiatric service, meaning the 100th percentile, should have access to a psychiatrist, at the very latest, within six weeks for a first visit.[+7 sentences] This is because under the National Mental Health and Well-being Strategy, this patient would have already exhausted all the initial three tiers of care and there is urgency in the need for specialist assistance by this point. It makes sense that this could be reduced if the expressed strategy were to achieve its full potential. If the proximal three tiers are effective and adequately address mental health needs early, it would follow that at tier 4, there would be less referrals overall to our specialist services in hospitals and this, in turn, lends capacity to manage the care of higher intensity, specialist-led cases. Furthermore, if we set our mind to it and acknowledge that this is the outcome we wish to attain as part of our standard of care at tier 4 and that mental health and well-being are important as a priority for our nation, then we must galvanise the resources necessary to realise this vision. Mr Speaker, I am in full support of the vision that the Government has in articulating the National Mental Health and Well-being Strategy. Beyond the health issue, there is great impetus in the social and economic domains to be realised for Singapore in the medium to longer term. Notwithstanding my comments, I am in support of this Motion.
Mr Speaker3 words
[+1 sentence]Mr Edward Chia.
Mr Edward Chia Bing Hui (Holland-Bukit Timah)2280 words
[+6 sentences]Mr Speaker Sir, I am pleased to speak today as a co-proposer of the Motion and in support of hon Member Dr Wan Rizal. I will focus my speech on the case for better support for mental wellness at the workplace. My speech will build upon parts of my Adjournment Motion on Strengthening Mental Wellness at the Workplace which I delivered last January in this House. Most adult Singaporeans spend most of their time at the workplace. Hence, suffice to say that better support at the workplace will make a significant difference to the overall wellness of our society and create positive ripple effects for other segments in our community. For example, greater mental health literacy acquired at the workplace can equip parents to support their children back home and empower neighbours to support one another in the community. In the realm of productivity measurements, the Asia-Pacific Workplace Mental Health Study by Intellect, a Singapore-based mental health tech company, reveals profound insights. It demonstrates how absenteeism and productivity improved significantly – by 4.83% and 6.89% respectively – within just six weeks of active engagements with their services, such as self-help in-app content, personalised coaching and counselling from mental health professionals. According to the Mental Health Toolkit for Employers, published by the National Council of Social Service (NCSS), every $1 invested in workplace adjustments generates average returns of $5.60, reduces average annual medical expenses by 13.3% and increases the average yearly income per person by 6.5%. Improved levels of employee morale and productivity observed in mental health-friendly companies also reduce retraining and hiring costs, which average $3,650 per employee in Singapore.[+4 sentences] Such findings are consistent with realities on the ground. For example, in the 2023 Health and Well-being Survey by the National University of Singapore’s (NUS) Office for Health and Well-being revealed that workplace mental health interventions can help to activate the building blocks for human flourishing. These building blocks were measured as positive emotion, engagement, relationships, meaning and accomplishments and health, PERMA + H, a model developed by Dr Seligman at the University of Pennsylvania. The survey revealed that employees from departments who promote mental health are 2.53 times more likely to have a high PERMA score, compared to those who are not. Another notable example is Singtel's iCare programme, encompassing mental, physical and financial well-being, which resulted in enhanced job satisfaction, stress management and emotional resilience among employees. iCare garnered strong support within months of its launch and 82% of employees felt strongly supported by the organisation and their managers in their overall well-being.[+27 sentences] This demonstrates that investing in mental wellness directly benefits a firm's bottom line, aligning with strategic economic goals and sustainable business growth. Mr Speaker, Sir, I wish to be clear that investing in mental health resources at the workplace is not merely to improve the firm’s bottom line. It is to help every Singaporean thrive in the workplace and not just survive. It is about helping every Singaporean to maximise their potential and derive purpose and meaning in their endeavours. MOH’s Health and Well-being Strategy for 2023 acknowledges the increasing prevalence of mental health disorders and emphasises preventive care. It proposes a tiered care model that focuses on supporting employers, customising care, reducing stigma, improving employment opportunities for individuals with mental health conditions, promoting re-integration and preventing discrimination. I support these measures proposed to improve workplace mental health and well-being. I echo the call for more support to be rendered to employers. This is a collective responsibility – while employers set the tone, every member of the organisation must contribute to systemic improvements in workplace mental health. I have five suggestions to enhance the support to employers further. One, harmonising existing measurement tools. As it is often said: "You can’t improve what you don’t measure." Enhancing the effectiveness of existing measurement tools is crucial in improving mental wellness at the workplace. Currently, tools like iWorkHealth and Human Capital Diagnostic Tool (HCDT) operate in silos, focusing on specific aspects of workplace well-being without interconnection. iWorkHealth is an online, self-administered psychosocial health assessment tool for companies and employees to identify common workplace stressors, while HCDT evaluates the broader organisational health and human capital aspects. This approach limits the understanding of how individual and organisational factors interplay in workplace mental health. To better support mental health at work, we should blend tools like iWorkHealth and HCDT. iWorkHealth looks closely at each person's mental health while HCDT checks the overall health of a company. By combining them, we can obtain a fuller picture – understanding both what each employee is going through and how the workplace might be affecting them. This way, companies can create better plans to help everyone, considering both individual needs and the work environment. In addition, we need to promote greater awareness and adoption of these measurement tools among employers. Hence, I would like to ask the Government if there are any specific plans in the pipeline to promote greater adoption. Two, scaling up Well-being Champions Networks to share best practices. The recent launch of the online portal Kaleidoscope, as part of the newly minted Well-being Champions Network, is one such example of how various tools and resources can be consolidated into a single platform to promote more effective access to workplace mental health resources. Using Kaleidoscope, members of the network can access physical and online networking events, workshops and training, an online forum to discuss issues with fellow members and expert personnel, tailored virtual consultations with professional consultants and a directory of curated articles, case studies and best practices. I would like to ask what is the current membership criteria for admission into the network. And what are the plans to increase the membership numbers? I would also like to clarify if the services offered through the network are accorded free of charge to members or what are the benefits for members beyond networking. For reference, Hong Kong has established a Mental Health Workplace Charter under its Occupational Safety and Health Council Ordinance, which is a statutory board. The 1,200 and more signatories of the Charter are entitled to free access, sponsored by the Charter, to one in-house mental wellness workshop, one advisory session with professional consultants and mental health first aid courses.[+12 sentences] Three, organisational wellness framework. I wish to emphasise the dynamic nature of well-being, which varies along a spectrum, with individuals experiencing fluctuations over time. Recognising this, the WellNUS Mental Health Framework plays a pivotal role in mapping out the various stages of an individual’s well-being journey, providing a systematic approach to identify necessary initiatives and key stakeholders for support. A framework serves as a blueprint for employers, especially our SMEs in supporting their employees across different stages – from maintaining well-being, through periods requiring intervention and support, to recovery and the critical transition back to work. Crucially, this framework facilitates the smooth reintegration of employees into the workforce. It ensures that as they return, they do so to an environment that actively supports and nurtures their recovery. Wider adoption of this framework can significantly enhance the support provided to employers and employees across various sectors, leading to a more inclusive and supportive workplace. This is not merely a matter of policy but ensuring effective translation on the ground. Establishing an organisational framework is a good first step but we must recognise that organisations engaging in different activities will have different work settings and stressors. Hence, it is necessary to contextualise the framework based on industry and workplace nuances. However, contextualisation and customisation often limit the scalability of a framework. So, the next logical step is to contextualise the framework for organisations in similar trade and workplaces. This is an opportunity for the Government to partner with trade associations and chambers (TACs) to contextualise and scale up organisation mental health frameworks. So, I call on the Government to partner up with our TACs to implement industry-based mental health frameworks and offer funding through productivity solutions grants schemes.[+5 sentences] This will better support TACs in customising the organisation framework for their members and adopting mental health tech solutions. Four, scaling up of HR professionals and Chief Human Resource Officer (CHRO)-as-a-service. In my Adjournment Motion speech last January in this House, I highlighted the potential of broadening the roles of Human Resource (HR) managers, or other relevant managers, to encompass workplace mental well-being. We need to empower HR managers to oversee well-being policies, programmes and strategies within organisations, a move that balances efficacy with financial prudence. The Institute of Human Resource Professionals (IHRP) has been instrumental in this area. A significant initial step would be the integration of mental wellness competencies into the existing frameworks for HR professionals. So, I propose that MOM works closely with IHRP to refresh its Body of Competencies to include these vital mental wellness aspects.[+2 sentences] In addition, I hope that MOM can consider initiating collaborations between NUS and IHRP to infuse the organisation's mental health framework into existing HR frameworks. We must also recognise the constraints faced by SMEs, which often operate with leaner teams and limited resources. To further support employers who do not have the available resources to expand HR capacities, I propose that MOM deliver services through a CHRO-as-a-service programme.[+8 sentences] A similar model exists with the Chief Technology Officer (CTO)-as-a-Service programme by the Infocomm Media Development Authority (IMDA) that enables SMEs to engage digital consultants. Through a relevant organisation such as IHRP, MOM can consider offering CHRO-as-a-service and adopting the workflow as a possible tool to guide companies in improving mental wellness policies at the workplace. Beyond HR professionals, we need every employee to play an active role in strengthening mental wellness at the workplace. I wish to reiterate my previous call to SkillsFuture, urging the introduction of new Continuing Education and Training (CET) courses, specifically in the realms of peer support and managerial support training. As we move forward, I propose that SkillsFuture Singapore (SSG) updates its core critical skills courses. This update will enable employers to access a growing pool of individuals trained in implementing mental wellness policies and initiatives, a critical step in fostering a supportive work environment. A key skill set that we should aim to cultivate across all levels of our workforce is psychological first aid. WHO defines psychological first aid as a method to support people in crisis, focusing on meeting basic needs, showing care and concern, and respecting their culture, dignity, and capabilities. The primary objective of psychological first aid training is to empower every employee with the knowledge and skills necessary to assist colleagues in distress until they receive professional help or the crisis is resolved.[+2 sentences] This approach is akin to traditional physical first aid but focuses on mental health crises. Regarding the critical core skills training under SkillsFuture, there are already mentions of relational skills, soft skills, developing people and self-management but a notable lack of "psychological first aid". A search for "psychological/mental health first aid courses" returns less than 10 partially funded results. Hence, there is a need to include psychological first aid training as a distinct and essential critical core skill, widen the pool of providers and funding for such courses and offer a clearer tiered outline for such training in the curriculum.[+7 sentences] By making psychological first aid training a more prominent and integral part of our skills development framework, we ensure that our workforce is not only professionally competent but also mentally resilient and supportive, creating a healthier, more compassionate workplace for all Singaporeans. And five, recognising employers who implement mental wellness policies. A critical aspect of promoting mental wellness at the workplace is recognising and incentivising employers who take proactive steps. The annual National Workplace Safety and Health CARE, or Culture of Acceptance, Respect and Empathy, Award is a commendable initiative, spotlighting organisations that exemplify outstanding mental well-being practices. These organisations are celebrated as model employers, setting a benchmark for others. In our quest to create a more robust recognition system, partnerships are key. The National Volunteer and Philanthropy Centre's (NVPC) Company of Good framework, which now includes mental wellness policies in its evaluation criteria, presents an excellent partnership opportunity. By aligning the Company of Good recognition scheme with the MOM and Workplace Safety and Health (WSH) Council’s efforts, we can create a unified platform.[+5 sentences] This consolidation not only streamlines the recognition process but also makes it easier for job seekers and consumers to identify exemplary employers. Moreover, a unified approach can potentially draw more attention and resources, and reduce duplications and wastages, thus elevating the profile and impact of these awards. Mr Speaker, Sir, I believe these five recommendations will empower employers to strengthen mental wellness in the workplace. One, implement a comprehensive tool for employers to measure workplace mental wellness considering individuals and organisational factors. Two, scale up best practices sharing opportunities for employers. Three, offer a customised organisational mental health framework supported by the Productivity Solutions Grant for implementation of policies, training, and programmes.[+7 sentences] Four, provide HR professionals, CHRO-as-a-service, and individual workers with mental health literacy to effectively implement frameworks and policies. And five, consolidate recognitions, such as WSH Care awards and NVPC Company of Good, to facilitate the identification of exemplary employers, promoting a positive cycle of prioritising workplace mental wellness. Mr Speaker, Sir, in my maiden speech in Parliament, I shared that our enterprises and entrepreneurs have not only economic value but deep social value. Our enterprises are agents of social change. Strengthening mental wellness at the workplace is a social mission worth advancing. Let us partner with our enterprises to make mental wellness a cornerstone of our national economic and social strategy. That way, every Singaporean can maximise their potential and derive purpose and meaning in their endeavours.
Mr Speaker3 words
[+1 sentence]Mr Mark Lee.
Mr Mark Lee (Nominated Member)1084 words
[+7 sentences]Mr Speaker, Sir, in March 2021, our company experienced a profound loss with the passing of a cherished colleague, Mdm X. She had been a part of our team since 2008 and was known for her quiet dedication and tireless work ethic. Often staying late into the night, Mdm X was battling a private challenge unknown to us, a struggle with hoarding. A tragic fire at her home, fuelled by the very items that once brought her comfort, ultimately led to her untimely death. She was just 48 years of age. This event deeply affected both myself and our entire company, highlighting a stark reality. Despite our close-knit interactions over 13 years, we were unaware of the mental health struggles Mdm X faced. In response to this tragedy, we took proactive steps to strengthen our community within the company. We restructured our teams into smaller cell-groups of 20, aiming to enhance camaraderie.[+3 sentences] With the support from the company, these groups engage in informal outings and fitness activities, encouraging open dialogue and support, not just in physical health but in all aspects of life. They share photographs and positive affirmations, building a network of assistance and encouragement and creating a safe space for members to seek help and peer support. This incident underscores the critical role businesses play in promoting mental health and well-being as part of a national effort. The recent publication of a National Mental Health and Well-being Strategy is a significant step forward. This strategy highlights the iWorkHealth online tool, developed by MOM and its partners.[+1 sentence] This tool is invaluable and I wished our company would have had this tool earlier. My first recommendation is for the Government to look into ways to engage and incentivise more companies to use the tool and support the implementation of suggested interventions to address specific workplace stressors identified in the report.[+3 sentences] I also hope the Government will continuously engage with businesses for feedback after the roll-out to continue improving on this tool. Not all organisations are the same. Similarly, not all HR professionals have the necessary skillsets and experience to handle workplace mental health issues. My second recommendation is for the Government to continue supporting companies to train HR professionals and senior managers, working closely with organisations like Singapore Human Resources Institute (SHRI) and IHRP, to build up these capabilities within the HR community.[+21 sentences] This will make the appointment of mental well-being champions more effective. Mr Speaker, in my 18 September maiden speech, I called on the Government to create a detailed framework for acknowledging companies that back important national initiatives. These include enhancing Government-Paid Paternity Leave (GPPL) and Government-Paid Maternity Leave (GPML), embracing the tripartite standard, obtaining Progressive Wage Mark accreditation, and now, supporting a forward-thinking workplace culture that emphasises the mental well-being of employees. Implementing such a framework would significantly speed up our nation's efforts to forge a workforce that is both more inclusive and equitable. My third recommendation therefore continues to emphasise the importance of recognising companies that support these national-level initiatives and highlighting those that excel in these areas. We should consider integrating this recognition framework with tangible economic incentives, such as prioritisation in Government procurement processes, already associated with Progressive Wage Mark accreditation and possibly, temporary enhancements to foreign workforce access. Such measures would serve as a strong motivation for businesses to align with these national objectives. Another focus area covered in the paper is the customisation of mental health support for specific occupational needs. Working with MHA and Ministry of Defence to strengthen mental health support for Police officers and National Servicemen is a good start. But there is scope to expand this approach to other occupational groups, such as frontline services sectors that are susceptible to specific mental health stressors. As suggested by my hon colleague, Mr Edward Chia, my fourth recommendation is for the Government to support sectoral agencies and trade associations and chambers to work together to develop a holistic mental health support system for their sector. I have spoken quite a bit on mental health and well-being, and this is an opportune moment to emphasise that workplace well-being is a multifaceted concept that cuts across physical health, emotional wellness, social connectivity, financial security and professional growth and fulfilment. At the foundation of holistic well-being is physical health. As a fundamental baseline, companies must provide a stable environment for employees to work safely and without risks to health. But the responsibility of a company goes beyond that. It is therefore essential to encourage workplaces to promote physical activity, offer healthier meal options and facilitate regular health screening. Emotional well-being, influenced by the workplace atmosphere, plays a pivotal role here. Business leaders should take the lead in championing a respectful, collaborative and cohesive workplace setting where disputes can be resolved amicably, and a culture of inclusion and communication is celebrated. Companies must be intentional about defining and implementing work-life harmony strategies that balance operational and commercial demands alongside employees' need to recharge, spend time with loved ones and pursue personal passions. Finally, an employee's financial security and professional growth significantly impacts their overall well-being. Companies should provide employees with structured opportunities for continuous learning, skills development and career advancement. Adjacent to this is the principle of workplace fairness, which companies must uphold so that all employees, both locals and foreigners, have a fair and merit-centred basis to chart out their career paths.[+1 sentence] In conclusion, in our rightful pursuit to address mental health, we must tread carefully. We cannot let our focus on mental well-being erode the very resilience that has been the cornerstone of our success. We do not wish in the long-term, in the name of mental health support, see our competitive edge dulled, our youth's ambition softened by an over-promise of comfort and an under-preparation for challenge.[+2 sentences] Our approach must be different. It must blend empathy with endurance. We must build support systems that acknowledge mental health, not as a sign of weakness, but as an aspect of our humanity. But equally, we must guard against a culture where resilience is mistaken for indifference, where perseverance is confused with silent struggling.[+3 sentences] This balanced approach aims to foster an environment where empathy and endurance coexist, ensuring mental well-being is recognised and supported without diminishing the value of resilience. On a lighter note, to everyone celebrating Chinese Lunar New Year and facing a mental health issue from relatives, remember, a healthy dose of bak kwa and pineapple tarts will help. Mr Speaker, Sir, I support the Motion.
Mr Speaker36 words
[+5 sentences]Order. I propose to take a healthy break now. I suspend the Sitting and I will take the Chair at 4.45 pm. Sitting accordingly suspended at 4.25 pm until 4.45 pm. Sitting resumed at 4.45 pm.
Mdm Deputy Speaker3 words
[+1 sentence]Ms Mariam Jaafar.
Ms Mariam Jaafar (Sembawang)3316 words
[+14 sentences]Mdm Deputy Speaker, I am grateful for the opportunity to co-sponsor this Motion. Mental health must be a key priority for this House and this Government. My speech today will focus on an area I am passionate about: the mental health and well-being of our children and youth. My speech takes into account the plans announced in the National Mental Health and Well-being Strategy and considers how we can do even more for our children and youth. We often talk about the potential of youth; about how they are our hopes and dreams, and how they will shape the future. We tell them that the world is full of rainbows to follow and opportunities to seize. But youth can also be a difficult time, with many transitions. Childhood is a time when we form the basis for our relationships and friendships, which greatly influence our future physical and mental health throughout our lives. Then you start school and, all too quickly, academic pressures build up, pressure to meet the expectations of teachers and principals, parents and, more often than not, our own. Adolescence and young adulthood are thought to be particularly tumultuous times in neuro-psychological and physical development, when mental disorders typically emerge. The second Singapore Mental Health Study, conducted in 2016, revealed a significant association between younger age and mental disorders. In particular, young adults aged 18 to 34 had the highest lifetime prevalence for any mental disorder. In 2017, it was reported that mental illness was the largest contributor to years lost to disease among young people aged 10 to 34 in Singapore. Fast forward a few years, the statistics tell us the problem has not only persisted, it is getting worse. The Samaritans of Singapore (SOS) reported that suicide among youths aged 10 to 29 has gone up, from 94 in 2018 to 125 in 2002; more than 500 young lives lost in the past five years. In a 2023 NUS study, one in three youths reported internalised mental health symptoms, such as depression, anxiety and loneliness, while one in six experienced externalised symptoms like hyperactivity, rule breaking and aggression, while 12% met full diagnostic criteria for having at least one mental health disorder.[+1 sentence] This all puts pressure on the system. The volume of calls and texts for help to social services agencies and suicide hotlines has increased significantly year on year, and residents have told me that it can be very difficult to get through the hotline. Similarly, as has been mentioned, it takes months to get an appointment at IMH and other hospitals or polyclinics.[+42 sentences] Not only are we seeing rising numbers, we are also seeing more severe and complex mental health needs amongst our children and young people, including among those with learning disorders and autism. We can identify determinants of health and their impact on mental health and well-being, which include social, economic, cultural, relational and physical environments, such as housing and diet. Some children and youths are still feeling the effects of isolation and uncertainties due to the pandemic. Some parents are dealing with their own mental health and well-being issues. They are stressed, worried about their jobs, families, money problems, the rising costs of living, nevermind recognising their children’s needs and helping them to develop resilience. To help these children, we need to also help their parents. Mdm Deputy Speaker, it is abundantly clear that a shift is needed in how we approach mental health. To relieve the pressure that is building up and increasing the risk of a mental health tsunami where the system simply cannot cope any longer, we need to focus on prevention and on population health. If this sounds familiar, it is because we have come to this conclusion before when we launched Healthier SG. And this brings me to a core tenet – if the disease burden of mental health is up there with more commonly understood diseases, mental health and how we deal with it must be on par with physical health. The principles of Healthier SG must equally apply and, indeed, mental health must be integrated in the Healthier SG framework. There is no Healthier SG without a mentally Healthier SG. I welcome the shift envisioned in the National Strategy, moving from a focus on treatment and institutionalisation, to focus equally on prevention and early identification and intervention in the community, on building an effective mental health ecosystem. I welcome the plans to do more upstream, addressing societal driving forces, raising awareness and building mental resilience and coping abilities in our people. Specifically for youths, I would like the focus areas and interventions identified, including a post-discharge intermediate facility for youths at risk of suicide, scaling up mental health literacy efforts for children and youths starting from preschools, improving the support to parents and promoting safe use of the online space and digital mental health platforms. Mdm Deputy Speaker, I would like to share the mental health stories of three young Singaporeans, to bring to life the challenges they go through as well as to highlight the opportunities to make a difference. The first, A, is a young Woodlands resident. She was in Primary 1 when the pandemic struck. She developed a phobia of falling sick and dying. She started to refuse to go to school or would cry in school until the teachers called her parents to pick her up. She developed chest and stomach pains that resulted in frequent trips to the doctors and the Accident and Emergency department. But each time, the finding would be, "Everything is normal. We do not know what is wrong." This went on for more than a year until her mother asked for a referral to a psychologist. Finally, she was diagnosed with anxiety. She was then referred to her school counsellor. While the school had failed to identify the early signs, once diagnosed, they gave A very good support. She had an anxiety toolkit of coping mechanisms. Whenever she felt a panic attack attacking, she could leave class immediately and run to the counsellor’s office. The counsellor would often sit with her at recess and talk to her. She would not be scolded for being late for school. Her teacher sent her daily personal notes of encouragement. Today, A is more resilient. She has joined a co-curricular activity (CCA) after school and has a close group of friends. Her parents credit the school’s accommodative and flexible approach as being key to helping her get better. In contrast, the subject of my second story, B, did not get the same support from her school. Now, in her earlier 20s, B had always been anxious about her academic performance, even though she did well. But the transition from her all-girls secondary school to a top junior college (JC) was a difficult one. She was harassed by a group of boys. They made comments about her, her looks and her body on social media. The harassment spilled over into the physical world. She developed severe anxiety and it affected her grades, which made her anxious. She did not want to go to school. She saw the school counsellor but did not find the sessions particularly helpful or empathetic. "They were not really focused on me", she said. "Like they would give me study tips when what I needed was someone to help me with my emotions." She developed self-harming behaviours, in part, influenced by her peers, and then made her first suicide attempt.[+6 sentences] She was then referred to a psychiatrist and a psychologist at a restructured hospital, whom she still sees today. She eventually dropped out of JC to go to polytechnic. The people were nicer, the teachers kinder and more patient, but she still struggled. Then she went to university in Australia, where she experienced a very different culture, one where people were much more open about their mental health. The university had tailored Disability Support Plans for students with physical or mental issues. She estimated 30% of students were on some sort of support plan. Her support plan, after consultations with a psychiatrist and general practitioner (GP), included exemptions from public speaking and presentations, and extra time for exams and locations in a different room.[+29 sentences] This open culture extends to the workplace. She had a part-time job. Her colleagues and supervisors were open, understanding and supportive of one another’s mental health needs. After another episode which forced her to leave her job for three months, she was surprised to be warmly welcomed back to work. "It was like they were really happy to see me back", she said. In the community there were regular large-scale mental health carnivals to raise awareness and help people learn coping skills. There would be specific organisations presenting to different audiences, for example, people from the military or parents who had lost a child to suicide. Often, the speakers would have mental health conditions themselves or be caregivers. The specificity helped to make people feel that there were people who really understood what they were going through. Now, back in Singapore and looking for a job, B feels a lot of uncertainty about her future. But her self-awareness and understanding of her condition helps. Her mother told me it had been a struggle to learn how to support her daughter and she is still learning. Finally, I share the story of C, as recounted to me by his mother, my Woodlands resident. He was a playful child who liked to play pranks on people. But at the tender age of 14, he was diagnosed with bipolar disorder after his first suicide attempt. He struggled, despite seeking treatment at the Child Guidance Clinic, despite the strong support of his mother, who was both his caregiver and the sole breadwinner for the family as C’s father also had bipolar disorder. He refused to see a school counsellor or psychologist after the first session. His condition deteriorated further when he entered National Service (NS) and turned 18, when he was transitioned from the Child Guidance Clinic to IMH. He hated going to IMH. He did not feel like he belonged with "all those crazy people" he would see in the waiting room. He attempted suicide again and was discharged from NS. He started working but found it difficult to hold down jobs. Of course, he never declared his condition. When he became unstable due to anxiety, employers considered him a risk and terminated his employment. He had no one to turn to at work who understood. Despite all these struggles, C got married and he and his wife bought a Build-To-Order (BTO) flat and had a baby. His wife was aware of his condition and supported him, making sure he took his medication, and his mother supported them financially. But his mother-in-law started belittling him, calling him a "useless idiot" and accusing him of faking illness so he did not have to work, even after his mother went to see her to try and make her understand. They accorded him little dignity and respect and even kept his baby from him. The stresses of his life, in trying to keep his job, trying to get his colleagues, bosses and in-laws to understand his bipolar disorder and the weight gain due to the medications led him to eventually succumb to taking methamphetamine to cope with his anxiety. He wanted to stop but, when he sought help, the IMH hotline told him to get help from the National Addictions Management Service (NAMS) for addiction, but NAMS told him they could not help him on his addiction because of his bipolar condition. In mid-2023, C told his mother he had been terminated from his job as a temporary staff after two months because he could not meet his key performance indicators (KPIs).[+12 sentences] Not long after, he took methamphetamine again, this time, a huge dose. His wife then filed for divorce and moved her parents into their home. His sister told his mother that his wife should just divorce him because of his bipolar condition, just like his mother had eventually divorced her own bipolar husband. His mother took him back to her house and took him to NAMS. He was sent to hospital to detox. After his discharge, he went back to NAMS and was told he was fine, to go home and just come back for counselling in 10 days. Back at home, he did seem better. He asked for his favourite food and started eating again, he talked about plans for the future. But two days after coming back, in the evening, he went out for a walk. He did not allow his mother to accompany him, insisting he was fine. But a couple of hours later, his mother received his suicide note over WhatsApp. It said he could not bear the cravings any longer and he did not want to be a burden to his family any longer. C ended his life by hanging himself in the stairwell of the multistorey car park that evening.[+4 sentences] It was his own brother who found him after a frantic search. When I heard C’s story, I wept for C and for his mother who had lost her first-born son. She has a second son who suffers from depression, a bright boy in primary school whose life trajectory changed when he went to an elite boys' secondary school and found himself unable to keep up. She has a mother who has dementia. She worked multiple jobs to support all of them. But at no time during all the doctor and hospital visits for C, his brother or their father, her ex-husband, did anyone ask her how she, the caregiver, was coping.[+6 sentences] These stories can be hard to listen to. But they are real, and they point to the scale and complexity of the challenge, and this is why Dr Wan Rizal, Dr Tan Wu Meng, Mr Yip Hon Weng, Mr Edward Chia and I have filed this Motion and why so many Members are rising to speak. The National Strategy on Mental Health and Well-being is a very important step. I believe we can do even more, particularly in the difficult area of driving societal change. No amount of Government interventions with new structures, new care models, new resources and new legislations will work if we do not, as a society, transform. If we do not, as a society, become more aware of what people around us are going through and make it safe for people to be more open about the mental health challenges that they or their loved ones face; if we do not accept that not everyone is able to deal with it no matter how much they try; if we do not become more understanding and compassionate; and if we do not stand together to act to improve the mental health and well-being of every Singaporean. How can we further strengthen key care settings: (a) families; (b) schools, including universities; (c) community; (d) primary care, (e) acute care; and (f) online space?[+12 sentences] I would like to touch on the first four today. Firstly, families. The National Strategy recognises the need to better equip parents to support their children’s mental health and well-being. It highlights strong relationships with their children as a foundation for strengthening children’s mental and emotional resilience, as well as parenting in a digital age. I cannot agree more. I would like to see us invest more in building these early relationships, beyond the parents' toolbox. We need a range of avenues in the community, virtually and physically, for parents to be supported on the ups and downs of family life in order to address the desire for privacy and the need be able to reach out widely and at scale to foster a more open culture. We need to take a population health approach that addresses health inequalities and social determinants of health on the mental health of youths and ensures that the strategy is inclusive. Support for parents' mental health must also be prioritised, especially more vulnerable parents. We need more family therapies. Social services agencies play a critical role. All this will take time. In parallel, the issue of consent is one that will need to be addressed so children can get help even if their parents are not in the right state to support them, and I look forward to details on how the Government will address this.[+22 sentences] Secondly, schools. It is timely that the Government is committed to promote mental health literacy, starting now at the preschool level. We can do more to make our schools more accommodating to students' mental health needs, including at critical transition points. The idea of support plans and accommodations based on their specific needs experienced by B in Australia and A in Singapore come to mind. There should be greater consistency in how schools acknowledge and address these challenges. This cannot be subject to the personal ambitions or dispositions of the school leaders. We must drive common understanding and best practice sharing among principals, teachers and parents. Mdm Deputy Speaker, the academic stresses faced by our students is a topic that comes up regularly in this House. While MOE is constantly refining the education system, we know, in our society, it will be difficult to escape a certain level of academic pressure. But that makes it all the more important that we be very intentional in building a reservoir of positive experiences in school that students can dig into when the going gets tough. In surveys, students say that they are most comfortable talking to their friends with their anxieties and problems, ahead of parents, teachers or school counsellors. So, let us not underestimate the power of school activities that help students form friendships and be quick to dismiss them, or of making an extra effort to support the kids who sit by themselves or who have learning disabilities. Thirdly, the community. There are several community agencies, civil organisations and frontline staff involved in the mental health ecosystem. We know that the community is the best site for care for many. But we also know that the quality varies. Even experienced doctors, teachers and social workers can miss the signs, as was in A. How can we ensure that the quality of care in the community will meet the requirements? How will we ramp up capacity fast enough? Beyond standard processes, training and tools, how do we structure measures and incentives to drive the outcomes we want, which ultimately must be better care for our people? Community partners I talk to also cite better collaboration with the public health system as a key enabler of better outcomes. Finally, primary care. The Government plans to increase the capacity and capability of mental health services in polyclinics and GPs.[+1 sentence] This is much needed. Wide awareness of the availability of mental health services in polyclinics can help to destigmatise mental health, especially given the stigma around IMH. I urge the Minister to consider making mental health services available in all polyclinics and not just all new polyclinics.[+2 sentences] GPs will also play an important role. But we must also recognise that the support today is very patchy. Anecdotally, although we have a few PCN-MH in Woodlands, only one has made any referrals to our appointed CREST partner.[+1 sentence] It is not clear whether this is down to the patients or the GPs. In the context of youths, we should assess whether youths prefer a different setting from the GP setting, such as specialist youth drop-in centres.[+1 sentence] I would like to ask the Minister how MOH understands the pattern of needs among youths in the primary care setting. I would also value the Minister's vision for mental health support from GPs under Healthier SG, including whether GPs will perform regular mental health screening and serve as the primary gateway or gatekeeper for referrals.
Mdm Deputy Speaker7 words
[+1 sentence]Ms Mariam Jaafar, you have one-and-a-half minutes.
Ms Mariam Jaafar349 words
Across all these settings, we require a robust workforce plan to recruit, train and retain a workforce with experience and competencies in working with young people.[+7 sentences] I would like to say a few words in Malay. : I have just shared a true story about C, who struggled with bipolar disorder. C was Malay. When he lost his job, his mother-in-law belittled him and peppered him with insults like “useless idiot”. Unfortunately, such a response is not uncommon in our community. Many older people do not have a good understanding of mental health issues. We should recognise that they are key to increasing mental health awareness. We should not downplay the amount of effort that is desperately needed. Nonetheless, our community possesses certain traits that are helpful. We have many social workers within our community. We also have many Malay/Muslims who are frontline workers such as Police officers, SCDF officers, teachers and nurses; all of whom would certainly have a good understanding of mental health.[+4 sentences] If they are able to raise awareness of mental issues in their own families, we will be able to raise this awareness with more people. Our community will certainly be more supportive and more understanding towards this issue. In other words, we can make changes from deep within our own community. : Mdm Deputy Speaker, I am not a betting person, but I would bet that every single one of us in this Chamber has had a personal brush with mental health, whether in our families, our friends or ourselves. I have and perhaps that is why this is personal. As leaders, we can help to create a new openness about mental health by being open ourselves about our own personal experiences.[+2 sentences] Let us work together to create a society that is kinder and more understanding, especially for our children and youths. Let us work together to create a society where our children and youth know that whether it is coping with the normal stresses of life or battling more debilitating mental health conditions, they are not alone.
Mdm Deputy Speaker3 words
[+1 sentence]Ms Usha Chandradas.
Ms Usha Chandradas (Nominated Member)2608 words
[+6 sentences]Mdm Deputy Speaker, I rise in support of this Motion and would like to bring to the attention of the Government two issues that relate to the arts community. First, I would like to speak about the importance of art-related therapies in alleviating mental health conditions; and second, I will address the mental health concerns faced by arts and cultural workers themselves. The hon Member, Dr Wan Rizal, in moving this Motion, briefly mentioned the role of art in wellness initiatives and I will be expanding on this idea as well. To provide some background, the term "arts therapies" is generally understood to refer to the four separate professions of music therapy, drama therapy, art therapy and dance movement therapy. Each of these arts therapies requires specialist training in their own art form and in the application of these art forms in a clinical therapeutic setting. For ease of reference, when using the term "arts therapies" in my speech, I will be referring to the wider understanding of the term and when I refer to "art therapy" in the singular, it will be to describe the particular form of psychotherapy that helps people to effect change and growth through the use of art media and creative outlets, in a supported and safe environment. LASALLE College of the Arts, which is now part of the University of the Arts Singapore, has offered a Master's level degree in Art Therapy since 2006. It will also be launching a Master's programme in Music Therapy come August 2024.[+1 sentence] According to a 2022 op-ed written for Today Online by Mr Ronald Lay and Mr Lay is the programme leader of the Master's of Arts in our Therapy programme at LASALLE, 198 qualified art therapists have graduated from his programme. From a training perspective, this amounts to over 177,000 hours of documented clinical art therapy services provided across Singapore by postgraduate trainees.[+13 sentences] Art has an important part to play in both preventative and curative healthcare. There is a whole sliding scale of uses of art for therapeutic purposes. On one end of the spectrum, you have arts as they are practised by the individual. So, quite simply put, if you or I engage in the act of, say, painting, this act of painting allows us to immerse ourselves in an activity which is meditative and contemplative. It might allow us to momentarily lose focus on our troubles and this is an example of what is sometimes referred to as the "therapeutic value of art". I am glad that the Government presently supports many art and cultural wellness initiatives through the good work of the National Arts Council (NAC) and the National Heritage Board (NHB), as well as their partners in the private sector. On the other end of the spectrum, we have the notion of "art psychotherapy", and this is where a third-party professionally trained practitioner engages in a form of psychotherapy that utilises art media and creative outlets as its primary mode of expression and communication. Art and music therapy, for example, allow participants to express themselves, when words are not enough to express their thoughts and emotions. It is especially useful in cases where such participants are non-verbal or pre-verbal, and where modalities like cognitive behavioural therapy cannot work. Both curative and preventative healthcare are needed as part of a holistic approach to public health. This is something that the National Mental Health and Well-being Strategy 2023 advocates for with its tiered approach. Having said that, the Strategy does not expressly mention anything about the role that the arts can play. This is in contrast to the policy positions that have been taken overseas. In Greece, a Memorandum of Cooperation for Cultural Prescription has been signed between the Ministry of Culture and Sports and the Ministry of Health.[+9 sentences] This sets out specific cross-governmental programmes of work to train artists, cultural workers and healthcare workers concurrently on the design, implementation and development of cultural prescription programmes. It also raises awareness of such schemes with the public. In Wales, Memorandums of Understanding have been signed between the Welsh National Health Service (NHS) Confederation and the Arts Council of Wales. These set out efforts to work together for the advancement of arts, health and well-being. In September last year, I asked the Minister of Health the extent to which art therapy is included as part of HPB's initiative towards helping communities to achieve better mental health. He replied that HPB does incorporate art-related activities, for example, mindful colouring, in their mental well-being workshops and acknowledged that "the appropriate inclusion of art, music, exercise and social interactions into our daily routine will be good for all of us." However, he also stated that evidence on the effectiveness of art therapy was said to be "still evolving." The Minister is not wrong in his focus on an evidence-based approach and, indeed, one common misconception about the field of art therapy is that its statistics and data are not as detailed or rigorous as the clinical data typically relied upon in the medical profession. On this point, I would like to emphasise that a good deal of research is being done and has been done in the field. In 2019, the WHO Evidence Network released a landmark scoping review of over 3,000 research studies that explore the effect of the arts on health and well-being.[+9 sentences] The studies looked at participation in performing arts, visual arts, literature and engagement with culture and heritage. Overall, the review concluded that the arts could have key roles to play in the prevention of ill health, the promotion of good health and the management and treatment of a range of different conditions. There are many examples of studies that have been conducted in the field. But for today’s purposes, I would like to highlight a 2017 UK report by the All-Party Parliamentary Group on Arts, Health and Well-being. This report was issued in the UK and it spotlighted a scheme called the Artlift Arts on Prescription Scheme. This was administered in Gloucestershire County in the UK. Here, health professionals referred patients with diverse mental and physical conditions to an eight-week arts programme. A University of Gloucestershire evaluation, using the Warwick Edinburgh Mental Well-Being Scale, showed significant improvements in the well-being and moods of patients. With larger sample sizes being observed in 2014 and 2017, the findings remained consistent. Statistical analysis revealed a remarkable 37% drop in GP consultation rates and a 27% decrease in hospital admissions. By considering the reduced costs to the NHS in relation to the cost of the Artlift interventions, it was determined that there was a real saving of £216 per patient.[+24 sentences] This underscores the compelling impact of art-based interventions on mental health outcomes. The points I would like to communicate here are simply this. First, there are quantifiable health and cost benefits in the utilisation of art as a form of wellness and in personal artistic experiences, as well as in the field of art psychotherapy. We see this locally, from the experience of other countries and also from the research of the WHO. These benefits support the case for a formal acknowledgement by the Government, of the arts as an important device in our arsenal of tools to promote better mental well-being. The arts and arts therapies have a key role to play in every tier of Singapore's National Mental Health and Well-being Strategy. Next, having identified the importance of the arts and art therapies, resources should be put in place to ensure that more relevant data is obtained, and that the practitioners of the arts therapies and arts wellness initiatives, are themselves well-supported. We have all the basic building blocks for this in Singapore and more. We have masters-level educational programmes in art and music therapy. We have a brand-new University of the Arts with excellent research capabilities and we have professional associations such as the Art Therapists’ Association Singapore (ATAS). We also have an Association of Music Therapy Singapore. We already have entities like the Assisi Hospice, Singapore Cancer Society and various hospitals, amongst others, that not only work with our art schools but have also put in place dedicated art therapy and arts wellness programmes. These are in place for their staff, patients and beneficiaries. Our national mental wellness strategies should explicitly include these arts therapies and arts-related wellness initiatives. I urge the Government to commit resources towards supporting our arts community in this direction. There are a few ways in which the support can be rendered. First, as I have said, we can dedicate more funding towards the research of arts therapies and arts wellness initiatives. In this way, we will be able to mine more data on their efficacy. While it is possible to rely on foreign research findings, cultural specificity in data is also important. The kinds of therapies and methods that might work in a Singapore context might not be applicable elsewhere and vice versa. Private charities like the Red Pencil are already doing significant work in gathering data on the effects of art therapy, and their activities and those of other like them should be supported by the Government. Next, I would also like to urge the Government to consider engaging with the arts therapies communities to assist them, if required, in implementing some kind of formal accreditation and regulation system. The Art Therapists’ Association Singapore is one example of a non-partisan not-for-profit professional body which is run and regulated by its members. It was established in 2008 to represent the emerging profession of art therapy in Singapore, and it seeks to advance its' members growth and development. In 2021, when asked in a PQ filed by the hon Member Mr Muhamad Faisal Abdul Manap on whether there are plans to recognise art therapists as allied health professionals, the Minister for Health replied that there was no need to legally regulate the practice of art therapy.[+4 sentences] The view taken was that art therapy by its nature does not pose significant risk of harm to patients. With respect, I beg to differ with the position that has been articulated by the Minister. As explained to me by various members of the art therapist community, there is a clear difference between a situation where an individual engages in art-making or creative activities on their own for their personal enjoyment and therapeutic benefit, and a situation where a third-party practitioner uses art therapy techniques as interventions for diagnosed physical and mental health conditions. As the Minister has himself observed in his reply to my PQ filed last year, these kinds of interventions should be guided by professional recommendations. Regardless of this, in Singapore, anyone can hold themselves out as being an art therapist.[+19 sentences] Because of the lack of local regulation and accreditation, it is not necessary for people to be trained in any particular way. I have been told anecdotally by art therapy practitioners that there can be unethical or uninformed use of art therapy by untrained persons, who may design programmes and art-based interventions intended for vulnerable populations. These include people who have diagnosed with mental health conditions or who have special needs. When this happens, harm can be inflicted and there is no recourse for such populations. In the UK, by contrast, arts therapists are included as allied health professionals and accordingly, they are subject to a level of regulation and accountability. Here we see that regulation protects vulnerable populations, enhances confidence in the field and stimulates growth in the profession. That being said, I also recognise that regulation in the field of arts therapies is not a straightforward exercise. Practitioners themselves are divided on the issue, and there is some acceptance of the idea that certain art-based interventions and modalities can be delivered well by experienced practitioners who do not have a formal post-graduate education. However, what all practitioners I have spoken to agree that the idea is that harm can be caused, and especially amongst vulnerable patients. Minimally, frameworks should be put in place to stop this from happening. Whether they have to do with formal frameworks of better consumer education, there are certainly steps that can be taken to protect vulnerable populations. In his 2022 op-ed for Today Online, Mr Ronald Lay rightly points out that art therapy as a discipline is relatively new in Southeast Asia and that postgraduate art therapy training at LASALLE is the only one of its kind in Singapore and in Southeast Asia. With growing interest in the field, there is an opportunity here to create new and better jobs for our creatively inclined communities. To this end, further professional development and support for the field of art therapies, and arts-related wellness, is something that I urge the Government to consider seriously. Next, Mdm Deputy Speaker, I would like to address the mental health issues faced by the arts community itself. Now, this is a community that is composed of a great number of self-employed people. As much as we wish to consider a whole-of-Singapore effort to implement a national strategy to enhance mental health and well-being, we should not forget the specificities related to individual groups within the wider community. In a similar vein, the National Mental Health and Well-being Strategy correctly identifies that an individual's mental health is not just affected by his or her own psychological well-being but is shaped by larger driving forces in society. This includes a combination of biological, social and environmental factors. In a recent research report from Queen's University Belfast, which involved a survey of nearly 600 creatives across a range of artforms, it was found that the likelihood of mental health problems in the arts sector was three times that of the general population. The most common diagnosed disorders were anxiety at 36% of the group and depression at 32%. This was linked with job precarity in the industry and included factors like erratic and short-term employment, low pay, work-over and under-load, and time away from loved ones.[+6 sentences] These are problems that affect our arts and cultural workers in Singapore too. The National Arts Council's Arts Resource Hub has done good work in supporting the arts community. One of its recent projects involved hosting a gathering led by CITRUS Practices. This is a group that does important work in providing free resources for the care, support and wellness of arts workers. Initiatives like this should be encouraged and supported further, ideally with funding from the Government where this is required. While our National Mental Health and Well-being Strategy identifies the issues faced by workers in a traditional employment situation, there is scant detail on the problems faced by the self-employed. As we know, at least one-third of the arts and cultural workforce operates on a self-employed basis.[+6 sentences] This is something that I had spoken about previously as well. While we seek to improve mental health and well-being for employees in a workplace environment, we should also remember to protect and respect the mental health of third-party service providers. These are service providers who may work with us on a self-employed basis or on a freelance basis. Workers such as these may not have access to things that the rest of us take for granted, like paid medical or childcare leave. It is not right, for example, for organisations to prioritise the mental well-being of their permanent staff internally while pushing third-party service providers or freelancers to work to the point of burnout. In order for our National Mental Health and Well-being Strategy to be effective, we must not forget the self-employed and we should ensure that positive mental wellness initiatives extend to everyone.
Mdm Deputy Speaker4 words
[+1 sentence]Ms Ng Ling Ling.
Ms Ng Ling Ling (Ang Mo Kio)1838 words
[+2 sentences]Mdm Deputy Speaker, I rise in support of the Motion raised. Madam, MOH launched the National Mental Health and Well-Being Strategy in October 2023, which signals the Government's recognition that mental health is a significant issue that ought to be tackled coherently and comprehensively at the national level. Several Members of this House have mentioned the concerning data from the National Population Health Survey 2022 which shows that the prevalence of poor mental health has increased significantly between 2020 and 2022 from 13.4% to 17%.[+1 sentence] This is almost one in five Singaporeans prone to mental health suffering. What is of greater concern is the higher proportion of poor mental health among our younger adults aged 18 to 29 at 25.3%, or one in four young adults.[+17 sentences] I believe that the National Mental Health and Well-Being Strategy and today's Motion are important steps towards creating a mental health inclusive society in which every individual with a mental health challenge can feel safe to be accepted, supported and most importantly, to recover. I would like to focus my speech on three aspects: one, caregiver support for those looking after individuals afflicted by mental illnesses; two, the accessibility and affordability of mental health treatment in primary and community settings; and three, work accommodation for individuals with mental health conditions. Firstly, we need to continue strengthening caregivers' support for those who are caring for loved ones afflicted by mental illnesses, especially at the onset of the conditions and when the conditions are recurring and chronic. In 2020, a survey by the Singapore Management University (SMU) showed that three in four caregivers are tired and exhausted from caring for persons with mental health issues and nine out of 10 of them require the hiring and specialised training of a domestic helper. These caregivers can be parents, spouses or even children, depending on which stage of life that the mental health conditions afflict an individual. Undoubtedly, caregivers of persons with mental health conditions can be bewildered and confused on what is the best course of support, especially at the onset of the mental illness in their loved ones. Even for those who achieve remission, a relapse can also be very hard for their caregivers to accept and to provide support. We can imagine the emotional anxiety and physical exhaustion that they may experience resulting from having to monitor the mental conditions and physical symptoms of their loved ones and looking out for their needs. By prioritising the needs of their loved ones over themselves, many caregivers can themselves fall into depression as they have to struggle with also complex emotions of anger, disappointment, exhaustion and guilt. Although there are resources available for caregivers in general, such as training programmes, support groups and counselling services, as mental illnesses can be more complex and can occur at different life stages, I would like to suggest for more tailored care and support for caregivers for persons with mental illnesses. Social service agencies such as Caregivers Alliance Limited have been making remarkable contributions to these fronts, but more resources may be needed to scale caregivers' support programmes as we see the prevalence rates for mental health conditions increase. I feel that more can be done for this group of vulnerable caregivers, especially those dealing with chronic and recurring care recipients. I would thus like to propose for the Government to enable more research and to develop strategies to address the unique needs of caregivers dealing with loved ones afflicted with recurring or chronic mental illnesses. For example, will the National Mental Health Competency Training Framework guide mental health practitioners in acquiring the knowledge, skills and competencies required? Can these be also extended and contextualised to family caregivers to strengthen the collaborative relationship between practitioners and caregivers of persons with mental illness? Second, one of the major focuses of the National Mental Health and Well-Being Strategy is the expansion and improvement in access to mental health services in the primary and community settings. I support the shift of mental health treatment in the community closer to home to increase care access. As stated in the strategy report, 17 out of the 24 polyclinics today already provide mental health services.[+3 sentences] By 2030, this will be extended to more polyclinics, including new ones. This is certainly a step in the right direction. However, in Singapore, a substantial portion of primary care family doctors are operating out of private GP clinics. Although it is encouraging to see that since 2012, more than 400 GPs have been trained under the Mental Health General Practitioner Partnership Programme (MHGPP), this is still less than a quarter of about 1,700 GP clinics in Singapore.[+9 sentences] Several of my Jalan Kayu residents shared with me that GP clinics are often more convenient and perceived as less stigmatising for them to approach for mental health challenges concerns, as compared to the mental health section of polyclinics or even psychiatric wards of public hospitals. However, the ease and costs of receiving both medication and counselling intervention in the primary and community settings still have their gaps as they may be delivered by different professionals from different organisations at different locations. Let me illustrate this with an example. For an individual with early onset of mental challenge symptoms like prolonged insomnia and low moods and clinically diagnosed for depression and/or anxiety, he or she may benefit from the counselling therapy as the first line of treatment and some medication from a GP. However, he or she is unlikely to receive both care at the same GP clinic at the same time, especially for the counselling therapy component. If they need a certain type of prescription medication not carried by the GP, this will also pose some difficulties in their access to the needed care. Counselling therapy sessions in the private setting also usually cost more than in polyclinics or public hospitals. Usually, individuals facing mental health challenges are already scared, overwhelmed and in distress when diagnosed. Such fee gradients and wait-time between medication and counselling at their GP private clinics in the neighbourhood versus public polyclinics and hospitals' psychiatric wards may increase patients' psychological burdens and disrupt treatment follow-up. While I appreciate schemes to make mental health treatment at GP clinics to be more affordable and accessible, such as the CHAS subsidies at CHAS GP clinics under the Chronic Disease Management Programme and MediSave support, I believe that more can be done to enable individuals, who require both medication and counselling therapy in the primary and community setting to get more seamless help.[+1 sentence] I hope that the Government can elaborate on more plans and protocols to manage the cost and facilitate the referral and provision of both medication and counselling therapy in the primary and community care settings. For example, instead of having the patients navigate a myriad of different professionals for medication and counselling support in different places, would MOH consider adopting approaches, such as Collaborative Care Model in the US, by resourcing private GPs within the MHGPP, to organise their GP-led team to include behavioural therapists and counselling therapists and, focus on providing evidence-based and goal-oriented mental health care for intervention, preferably at designated time or at the convenience of a GP clinic.[+10 sentences] Lastly, I wish to address the need for employers and co-workers to understand accommodation needed by individuals with mental health conditions. We know that while work is essential for economic and social reasons, it can be challenging for those affected by mental illness to sustain employment. Studies in Europe have shown that, although most persons with severe mental illness are willing to seek competitive employment, they are nevertheless substantially excluded from the workforce. To better support persons with mental health conditions, workplace intervention and accommodation is necessary to help those who desire employment, which will allow them to achieve financial independence and security, contributing to their sense of belonging to a community and boosting their self-confidence and positive identity. I am heartened to know that one of the Government's key focuses in the National Mental Health and Well-Being Strategy, is on improving workplace mental health and well-being. This includes enhancing mental well-being in the workplace, tackling workplace discrimination and strengthening employment support for individuals with mental health conditions. I am also encouraged by the moves of various companies in the private sector that has introduced flexible work arrangements and welfare policies to support the mental well-being of employees with differing needs. I believe that helping persons with mental illness seek or stay in employment, is an important part of mental health intervention to be incorporated in their care and treatment plan. Nevertheless, stigma and discrimination inevitably continue to exist within some workplaces. I would like to ask, whether the Government will systematically roll out initiatives to better educate employers and train co-workers to better understand and facilitate work accommodations for colleagues with mental health conditions? For example, many people are not aware that common mental health conditions, such as depression and anxiety, have almost 50% chance of a first relapse and a higher chance of further episodes of relapses thereafter.[+3 sentences] It should not be a surprise that such common mental health conditions are included in the Chronic Disease Management Programme in Singapore. Because, they are, unfortunately, often chronic in nature. I have heard of stories of inclusive work teams who, out of good intentions, had thought that helping a colleague with mental health condition to discontinue medication is a sign towards recovery, just to be shocked to see their colleague suffer a relapse after a high workload period. To enable more inclusive workplaces, appropriate education for employers and co-workers is, thus, crucial. Hence, I would like to propose for the Government to leverage on the tripartite relationship between employers, the Government and the union to work with the mental health professionals to promulgate more accurate understanding of mental health conditions and some form of Individual Placement and Support (IPS) plans for appropriate accommodation for persons with mental health conditions to integrate and sustain employment for as long as possible?[+7 sentences] In conclusion, Mdm Deputy Speaker, let me quote from the Constitution of the WHO, which states, "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." Mental health is more than merely an absence of mental disorders or disabilities. Rather, it is a state of well-being in which an individual can realise his or her abilities and potential to work productively and make contributions to the society. Today's Motion and the National Mental Health and Well-Being Strategy are a commitment to the holistic well-being of every Singaporean. It is a pledge to foster a society where mental health is no longer seen as a stigma, but as part of a nation's collective responsibility. As our nation starts incorporating mental health as a key pillar of our healthcare policy, I believe that as a united people, we can work together to build a more resilient, compassionate and mentally healthy Singapore. Notwithstanding my considerations raised, I support the Motion.
Mdm Deputy Speaker3 words
[+1 sentence]Mr Melvin Yong.
Mr Melvin Yong Yik Chye (Radin Mas)1718 words
[+3 sentences]Thank you, Mdm Deputy Speaker. I stand in support of the Motion. It is no secret that Singapore and Singaporeans are stressed. According to the 2023 Cigna Healthcare Vitality Study, Singaporeans are more stressed than the global average. The study also reported that, 16% of Singaporean respondents felt unable to manage their stress loads.[+12 sentences] Another study from the National Youth Council (NYC) and the Institute of Policy Studies (IPS) Social Lab, found our young people and young workers experiencing high levels of burnout and that their mental well-being had still not fully recovered from the impact of the COVID-19 pandemic. Union leaders, too, have told me that their fellow colleagues, across all workforce segments – rank and file, PMEs and freelancers – are highly stressed at the workplace. The main reason cited was how it is almost impossible to disconnect from work when we live in a hyper-connected and global world. We must, therefore, do more to prevent, identify and treat mental health-related issues at the workplace. Let me start by commending the Government's launch of the National Mental Health and Well-being Strategy in October 2023. The strategy aims to create an effective mental health ecosystem, comprising accessible and good quality clinical care, with a supportive community and society. Instead of an over-emphasis on mental disorders, the Government has recognised that the state of mental well-being is intertwined with a supportive community. I fully agree with this. And I argue that our workplaces, where most of us spend most of our waking hours, must form a key part of societal support. We need strong upstream measures to address workplace mental health stresses. Madam, I have spoken on numerous occasions, both in and out of this House, about the need for workers to have a right to disconnect, one that is contextualised to the realities of our global workforce and one that will help ensure employees have protected time to rest and to recharge. Since I first mooted the idea of the right to disconnect in this House in 2020, several countries have moved ahead with their own versions of the right to disconnect. In 2023, Luxembourg amended its labour code to require that a right of disconnection, outside working hours, must be implemented at the company or sector level.[+7 sentences] Belgium passed a law in February 2022 that allowed civil servants to disconnect after hours without a fear of reprisals. Closer to home, the Philippines is debating a Bill that seeks to give workers the right to disconnect after work hours. Locally, union leaders have told me that there are exemplary practices at the company level that provide workers with the ability to switch off after work. I am glad that senior public sector leaders in MOM and MOH, just to name a couple of examples, have made it a point to tell staff that they do not need to feel obligated to respond to emails or work messages sent after work hours, unless it is expressly marked as urgent. We should make this workplace culture the norm rather than the exception. In November 2020, we published the Tripartite Advisory on Mental Well-being at Workplaces that set out practical guidance on measures that employers can adopt to support their employees' mental well-being. The Advisory also called on employers to recognise the need for staff to have adequate rest outside work hours, in recognition that the work-from-home arrangement had blurred the lines between work and personal life. In March 2021, MOM launched a new assessment tool, called iWorkHealth, to help companies identify common workplace stresses among employees.[+18 sentences] The tripartite partners further refresh the Tripartite Advisory on Mental Well-being at Workplaces in 2023 to include the setting up of a peer-support system to help employers create a supportive environment for employees in need and to de-stigmatise mental health issues at work. These examples show that the close working relationship between the Labour Movement, the Government and the employers have resulted in successful and tangible measures that have helped to advance mental health outcomes at the workplaces. But let us work and agree on a set of Tripartite Guidelines that establish principles on, what a right to disconnect could mean for different sectors and for different job roles. After a few years, we could then review how effective the guidelines are and to consider further action, including legislation, if necessary at the point of time. Mdm Deputy Speaker, in some ways, Parliament, too, recognises the right to disconnect. Standing Order 2 expressly states that, Parliamentary proceedings shall be interrupted at 7.00 pm, unless the Leader of the House moves a business Motion to extend the day's Sitting beyond that moment of interruption. After all, Members should be accorded ample time to rest and to recharge and to prepare for the next day's Sitting. On this, I am sure that all Members would not disagree with me. Individuals, too, can play our part. We only have 24 hours in a day. Lack of adequate downtime can lead to job burnout, decreased job satisfaction and reduced productivity. It is, therefore, crucial for individuals to re-evaluate our approach to work and life. By prioritising, focusing and scheduling downtime, we can reduce stress, enhance our creativity, improve our productivity and, more importantly, lead a healthier and more balanced life. In addition to disconnecting after work, we need to have trained personnel at the workplace that can identify and do basic triage of early mental health symptoms. Deploying such trained mental health ambassadors at the workplace can help employers maintain a well-adjusted and mentally healthy workforce, thereby ensuring high levels of productivity. Union leaders can play this important role of mental health ambassadors. Today, NTUC has trained over 1,700 union leaders in workplace safety and health. And the Labour Movement stands ready to partner with our tripartite partners in training and deploying mental health ambassadors at all workplaces. To help our youths and young adults deal with stress, Young NTUC and the NTUC LearningHub have jointly developed a course to provide peer-to-peer mental well-being support and psychological first-aid skills to distressed colleagues and peers.[+2 sentences] This course is WSQ-certified and supported by the WSH Council and, I encourage all youths to sign up for this course to become a peer supporter. Madam, lay-offs also contribute a significant level of stress at the workplace. Statistics by MOM show that the number of retrenchments in Singapore more than doubled in 2023.[+18 sentences] It is now commonplace to read about company retrenchments, due to restructuring and cutbacks. Recent examples include Alphabet, Amazon and Lazada, which show that even the workers in growth sectors, such as technology and e-commerce, are not spared. Retrenched workers are more than a statistic. They are men and women who must deal with a sudden loss of income and a disrupted career. Some may feel a deep embarrassment about being retrenched, even if the layoffs were unrelated to their own work performance. Layoffs also affect the "surviving" employees within the company. Those who are retained often take on an immense amount of additional workload and they constantly wonder if they will be the next to get laid off. I, therefore, hope that companies can recognise that retrenchments should be done as a last resort. So, what can employers do to limit the psychological impact of a retrenchment exercise? First, communication should come from the top, with the leadership team owning the message. But it also needs to be a two-way process, allowing all employees to have their questions answered. Second, every impacted group needs support that is tailored to their needs. Providing more generous compensation packages for retrenched workers can help to alleviate immediate financial concerns. Employers can work with NTUC on job placements and training for new job roles. Third, employers need to think carefully about job redesign and workload distribution for the remaining roles of those who are left behind in the company. Retrenchments are never pleasant, but there are ways for employers to undertake the process with compassion and to treat all employees – whether they are staying or leaving – with utmost dignity. Companies which retrench irresponsibly should not be let off the hook for the stress and mental trauma that they cause. Mdm Deputy Speaker, workers today are subjected to high levels of workplace stress, be it through a retrenchment exercise, a relentless workload or the inability to disconnect after work. I hope that there can be greater support to help with the treatment of workplace mental health challenges. This can be achieved through a widespread adoption of Employee Assistance Programme (EAP) providers. EAPs are professionally conducted programmes that are designed to engage employees to deal with their personal and relational difficulties that may impede their work performance. I, therefore, welcome the Government’s current efforts to subsidise the fees of some of these services.[+13 sentences] However, more can be done to improve the affordability of mental healthcare. We should also grow the industry and increase capacity to reduce waiting times. Assurance must also be given to employees that their confidentiality is protected and it would not affect their personnel records with the company. I urge more companies to adopt EAP services and to engage credible EAP service providers. The Labour Movement has and will continue to help drive the adoption of EAP services at workplaces to safeguard workers’ mental health. Mdm Deputy Speaker, the challenges arising from workplace stress have been on the rise even before the COVID-19 pandemic exacerbated the issue. It was recently reported that the findings from the 2022 Quality of Life Survey found that Singaporeans have become less happy over the past decade, despite real incomes rising over this period. Even high net worth individuals in Singapore are found to be concerned with their work-life balance, according to a recent study reported in The Business Times. Mental health issues at the workplace affect everyone, regardless of socioeconomic status and designation. We need to tip the balance and advance mental health outcomes at the workplace. We must prevent workplace burnout by doing more for workers to have the right to disconnect. We should train and deploy workplace mental wellness ambassadors to help identify early mental health challenges and, where necessary, we certainly need a proliferation of EAP providers to treat and to address mental health challenges. Madam, I support the Motion.
Mdm Deputy Speaker3 words
[+1 sentence]Ms Jean See.
Ms See Jinli Jean (Nominated Member)1410 words
[+3 sentences]Thank you, Mdm Deputy Speaker. I appreciate Dr Wan Rizal and fellow Parliamentarians' initiative of putting forth this Motion. A 2022 survey on the well-being of small business owners by global small business platform, Xero, revealed a startling paradox. Compared with peers in Australia and the UK, Singapore’s small business owners ranked highest in levels of work-related stress.[+10 sentences] Other data points that made me sit up: 39% were taskmasters who found it hard to take a break from work, while 41% expressed a low sense of fulfilment from work. Driven by a constant sense of responsibility and duty to their business, it is inevitable that many small business owners work intensive hours in intense focus. The pool includes freelancers and self-employed persons, a less visible group of our Singapore workforce, whom my fellow NMP Ms Usha Chandradas also spoke about. For brevity, I will refer to them as freelancers. Spurred on by pandemic fears and financial losses and challenged by the increasingly uncertain business outlook, freelancers as diverse as photographers, sports coaches and private hire vehicle drivers have been working relentlessly to rebuild their confidence, business and savings. Many are now feeling overworked and burnt out. In my capacity as a labour representative, I would like to give voice to the concerns of three groups of freelancers who are hard-hit by internal and external stressors. They are the platform workers, working caregivers and mature-age small business owners. I would also suggest three approaches that could contribute to improving their mental health and well-being. First, platform workers. A 2022 IPS study of private hire drivers and food delivery riders found that 84% worry about not having enough retirement savings, while 88% worry about not being able to cope financially if an accident or serious illness befalls them or a family member. Unsurprisingly, 94% reported facing moderate to high financial stress.[+1 sentence] What is more worrying is that while nearly two-thirds surveyed professed resilience to the uncertainties of platform work, this is not reflected in their state of health. A significant 44% of private hire vehicle drivers reported that since they started driving, their health has been on the decline.[+36 sentences] Because of global challenges and inflation, platform workers expect operating costs to continue to rise. However, many worry that their incomes are not keeping pace. This is because job allocation and trip fares are at the mercy of the black box algorithm of platform operators. Uncertainty can be unsettling. The upcoming changes in legislation are intended to better protect platform workers. Nonetheless, it is only if the changes are reinforced by shared responsibility of the tripartite of Government, platform worker associations and platform operators can these changes translate to positive outcomes of sustainable livelihood and improved well-being of platform workers. To platform workers, sustainable livelihood means knowing that for the same amount of work done, they will receive consistent, transparent and fair compensation, and not inconsistent and fluctuating amounts, whilst improved well-being means giving platform workers the assurance that platform operators’ pursuit of profit and returns to shareholders are not at the expense of platform workers’ health and safety. In this regard, I echo the platform workers’ hope for a brighter tomorrow as we await the new legislation to come onstream this year. Second, freelancers who are working caregivers. The same IPS study revealed that 46% of the platform drivers and riders surveyed were unable to find other work due to personal reasons, such as caregiving responsibilities. For instance, a condition such as dementia impacts more than those living with the condition. Dementia affects about one in 10 in Singapore aged 60 and above. This number is set to rise as Singapore ages. The CEO of Dementia Singapore, Jason Foo, shared in a 2022 The Straits Times article: "For every person with dementia, one or two family caregivers have to change their entire lifestyle, or give up work, to care for the person with dementia". I know of individuals who switched to freelancing because of caregiving responsibilities. I know, too, of freelancers who dialled back on work because of caregiving duties. Unplanned circumstances can be stress-inducing. This suggests a need for an inclusive, enlightened and supportive ecosystem for freelancers with caregiving responsibilities. Freelancers who are caregivers should be uplifted and supported with the same degree of accommodation and care as what we seek for employees with caregiving responsibilities. In respect of the freelancer ecosystem, I would like to ask that service buyers and platform operators give leeway in service delivery or incentive framework if the freelancer or platform worker must respond urgently to caregiving emergencies. Similarly, care facilities, such as hospitals and homes, could extend consideration to freelancers who are juggling caregiving and income-earning responsibilities. Some freelancers shared their frustrating experiences when liaising with different agencies and facilities that, in turn, have different levels of empathy and responsiveness to these freelancers in need. Allow me to relate the experience of Ms T, a private hire car driver and sole breadwinner. Ms T found herself stranded after a second fall at home worsened her aged mother's injury. Ms T sought help from the social worker when she found it challenging trying to juggle the logistics and finances of caring for her mother at home while trying to make ends meet driving. Ms T was told by the social worker that Ms T’s mother did not qualify for subsidised nursing home care. When Ms T tried to find out the reason for rejection, she was ignored. Ms T was left feeling stranded, stressed, tired and helpless. Freelancers, such as Ms T, feel they are held hostage to unproductive and frustrating processes. They find themselves unable to assert their need for empathy and expedience and thus, suffer in silence. Freelancers with caregiving responsibilities would benefit from an integrated approach to supporting care recipients and their caregivers. This entails a whole-of-nation commitment to build an inclusive, enlightened and supportive ecosystem. Last, mature freelancers. The Xero study of small business owners found that Singapore’s small business owners under age 30 had higher overall well-being levels than those over 50. This could be a consequence of rapid digitalisation. The acceleration of digitalisation during the pandemic compelled businesses to adapt to new consumer demands. NTUC’s National Instructors and Coaches Association (NICA) represents freelancers who are instructors teaching sports, arts, exercise or enrichment. During the pandemic, NICA was quick to roll out digital literacy and skills training to equip coaches and instructors to conduct virtual classes. Despite support from NICA, many mature NICA members struggled with the transition.[+1 sentence] Unprecedented disruption can be worrying. This suggests a need for the Government to partner bodies, such as NICA, to provide targeted and sustained funding support for mature freelancers to procure and upskill in digital technologies and harness these technologies for productivity and business development.[+10 sentences] Many from this group are financially stretched to part with funds upfront for updated software and technology. Mature freelancers who are trying hard to cope with the pace of change while overcoming the digital divide by upskilling would certainly appreciate targeted and sustained funding support from the Government. I would like to conclude on a positive note. Circling back to the same Xero survey, Singapore’s small business owners ranked second in terms of overall well-being and life satisfaction. Therefore, despite the challenges, freelancers are generally optimistic about the future. I had earlier shared the stresses of three groups of freelancers, in particular, platform workers, working caregivers and mature small business owners. I had also suggested three approaches to uplift their mental health and well-being. Allow me to recap how, as a whole-of-nation, we could provide the solidarity and support to improve freelancers’ mental health and well-being. First, stakeholders could commit to a shared responsibility towards freelancers’ well-being. Second, a national level commitment to build an inclusive, enlightened and supportive ecosystem to support freelancers with caregiving responsibilities. Third, the Government could collaborate with freelancer-centred associations to provide mature freelancers with targeted and sustained funding support for upskilling and to procure new software and digital technologies.[+4 sentences] This empowers mature freelancers with the confidence and ability to strive for sustainable business and longevity of livelihood. These three approaches can be the game-changers for platform workers, freelancers with caregiving needs and mature freelancers in Singapore. They give freelancers and self-employed persons the confidence to pursue professional progress and personal happiness as viable intertwined priorities and could be practical next steps in the articulation of this Motion. Mdm Deputy Speaker, I support the Motion.
Mdm Deputy Speaker3 words
[+1 sentence]Mr Keith Chua.
Mr Keith Chua (Nominated Member)202 words
[+3 sentences]Mdm Deputy Speaker, I stand in full support of the Motion for a whole-of-Singapore effort to forge a national strategy to address mental health and well-being. May I, first, declare my interests serving on the Boards of Social Service Agencies providing various levels of support for persons in rehabilitation and recovery from mental health conditions. I am also a member of WG3 that contributed toward the National Mental Health and Well-Being Strategy. Mental health issues affect a wide percentage of our population in varying degrees of severity.[+2 sentences] The onset can take us totally by surprise or can be the result of life's challenges. It can be triggered at home, in school and at work by an emotional experience or a bereavement. Support for mental health issues require a combination of access to primary healthcare, social support, family support and caregiving. There may also need to be financial support both for meeting the cost of services and where there is a loss of income. I have been a volunteer in mental health services for about 30 years, and over this period, our mental health services have seen several areas of increasing support with the introduction of more services and also more treatment options.
[Mr Speaker in the Chair]1437 words
[+72 sentences]We have seen the move toward recovery in the community. We are gradually addressing the issues of stigma that have long prevented persons with mental health conditions from seeking help. We are seeing more individuals re-integrated back to employment and educational institutions. In the more recent years, we can state with increased confidence to persons with mental health conditions that recovery is possible. While we have progressed, we need to keep improving across all areas of mental health and well-being. The National Mental Health and Well-being Strategy launched in October 2023 will bring further enhancements to building up effective mental health services across four areas of focus and calls for a whole-of-society approach. I would like to add some observations and suggestions in the areas of early intervention, suicide risk and early prevention, support in recovery and removing stigma and normalising mental health. Identifying mental health issues early remains a key area to try to reduce the eventual severity by accessing professional support and where necessary treatment, including counselling and medication. IMH has excellent services in early detection and intervention. Unfortunately, the continuing existence of stigma associated with mental health issues continues to hold back individuals from seeking proper care and help early. I am encouraged by the response to a question I raised in November that MOE will be ready to step up counselling support in our schools and Institutes of Higher Learning (IHLs) if and when necessary. One of the areas we need to resolve is where parents withhold consent for their children's treatment. We should address this as a matter of priority. In the workplace, we also see improving understanding of mental health and wellness. We need to continue to bring on board the CEOs, senior executives and HR professionals to better understand mental health issues in the workplace. Recent studies have shown the economic cost of mental health issues and more companies, whether SMEs or larger companies, need to proactively embrace conducive working environments. Many of my colleagues have mentioned this already. Our seniors also are vulnerable to loneliness and isolation and, as a community, we need to ensure that as we move toward an ageing society, we have in place the necessary support systems to address mental health issues, including cognitive functions. Suicide continues to be an area of concern with the vulnerable groups being teenagers and young adults and the seniors. Our community can play a role in identifying individuals with suicidal ideation and guide them in seeking support and professional help where appropriate. It was noted in response to a PQ that a number of individuals who completed suicide did not have any record of seeking help. We need to find avenues to address this particular area. As mentioned in the October report under Competency 6, efforts must be taken to identify those at risk of suicide and intervene effectively. As we build up our care and support systems, we must do all we can to prevent the next suicide. Support in recovery is a key part in helping everyone with mental health issues. Recovery is an individual journey, and everyone will recover at a different pace. This means that our support systems need to be able to accommodate each individual. Some may recover at a faster pace, others may take longer. In providing professional support, we may need to review the often-used quantitative approach. Rather, a more qualitative approach would ensure appropriate levels of care and support tailored to each individual. I do hope the tiered approach will help us move in this direction. The KPIs, for example, set for service providers who are supported by public funding, should also be reviewed to enable adequate care and support in programmes, such as our Community Intervention Teams (COMITs). Every person with a mental health condition has their individual journey of recovery. About 20 years ago, one of the organisations I volunteered with piloted a clubhouse model for recovery. The clubhouse model can be either residential or daycare. The model engages members in recovery in a whole variety of activities and at a level and pace that the individual member can manage. These would range from the simpler to the more advanced roles. Members can be engaged with cleaning, administration, preparing meals, planning and running activities, pursuing hobbies, arts and crafts, finding jobs and providing support to those who have jobs. One area that we found limited our model was the absence of an allowance, such as a disability allowance provided for in some other countries. And these are for those members who were not yet ready to return to work and earn some income. In Hong Kong, for example, there is access to disability allowance and the clubhouse model works quite well there for persons who find this suitable recovery track. In studying their model, it was found that the availability of a disability allowance did not necessarily become a disincentive for members to eventually return to work when they were ready. I have long advocated for the consideration of some form of financial support for those persons in our community in recovery. As mental illness is not classified as a disability in Singapore, there is no specific access to financial support during the period where a person is unable to return to work. In some cases, this can be years, especially for the more severe cases. While there is the provision of ComCare Short-to-Medium-Term Assistance (SMTA) for persons with lower income and unable to work for extended periods, can we review the provision of a disability allowance scheme where individuals who have financial difficulties during the treatment and recovery can receive adequate support until they are ready to return to earning income? In Asia, places like South Korea, Japan and Hong Kong provide various levels of disability allowances which include mental illness. Similar support is available in Australia, England and the US. The availability of some form of disability allowance extends the rehabilitation options and programmes for persons in recovery. I understand that IMH is reviewing the implementation of the clubhouse concept for helping persons in recovery, having recently sent teams to study this, operating both in Hong Kong and in China. I would like to acknowledge the many employers who, over the years, have stepped forward to provide employment opportunities for persons in recovery. You have made invaluable contributions to helping so many reintegrate and recover. We need more employers to step forward and provide opportunities for persons in recovery to find suitable jobs. In helping persons in recovery to return to the workplace, there are employee assistance programmes that support both the individuals and the employers. There is a cost attached to providing these employment opportunities. In order to support more companies to step forward and here, I am thinking of particularly the SMEs which may provide, in many cases, a more suitable and conducive environment for re-employment, I would suggest that we consider schemes where employers can be provided with credits for employing persons in recovery. This could be by expanding the Enabling Employment Credit scheme in place for persons with disabilities to include persons with mental health conditions as more flexible arrangements are often required. Social enterprises have also been established to provide employment opportunities for persons in recovery. The common challenge for social enterprises has been financial sustainability. Notwithstanding this fundamental challenge, a few have found ways to stay financially sustainable and continue to offer hope to many persons in recovery. I would like to thank you for your continued commitment and perseverance. Our society has to keep working toward normalising mental health and wellness. The stigma associated with mental health issues remain but perhaps, we are seeing this gradually becoming less of a hindrance for people seeking proper help and towards accepting persons in recovery in our community. Recovering in the community is still the better approach for persons with mental health issues. Better understanding of mental health issues will reduce stigma. Stories of recovery will provide better understanding. As we build mutual respect as a nation, we will encourage acceptance of those in our midst who are differently abled and more vulnerable. Mr Speaker, Sir, we must continue to do all we can to help those in our community seek early help for mental health issues. We must continue efforts to find ways to intervene effectively to help those at risk of suicide. We must provide the necessary support structures for persons to recover at their own pace and do so with dignity. We need to continue to reduce and eventually remove stigma associated with mental illness. Mr Speaker: Miss Rachel Ong.
Miss Rachel Ong (West Coast)2109 words
[+1 sentence]Mr Speaker, my speech will focus on encouraging help-seeking behaviours in our youths and working adults. A 2022 study by Duke-NUS Medical School revealed that only half of those with anxiety and depressive mental disorders in Singapore were formally diagnosed. A lesser 31% sought mental healthcare and still lesser consulted a mental health provider. This is a treatment gap, or gap between those who need treatment and those who actually get treated, of almost 70%.[+2 sentences] We must reduce barriers and increase entry points to help-seeking. First, encouraging help-seeking in youths. For the fourth consecutive year, suicide has been the leading cause of death among our 10- to 29-year-olds, and 30% of youths who committed suicide in 2022 were 10- to 17-year-olds.[+9 sentences] This makes supporting help-seeking for our under-18s critical. May I propose five interventions for our youths? First, age requiring parental consent. I am encouraged that the Government is presently reviewing the age of consent for youths to access counselling or therapy. Common law states 21 as the age of consent, while some local mental health providers generally require parental consent to serve those under 18. But requiring parental consent, whether at age 18 or 21, discourages help-seeking in many youths. Some do not want their parents to know at the onset, especially if parents are unsupportive. Some fear disappointing their parents or believe it would further burden their already burdened parents. There are also instances where parents have declined medication for their child simply because of stigma. If our young people are deemed responsible enough to drive as well as bear arms in NS at the age of 18, they should not be held back from accessing mental health services and taking ownership of their mental well-being. I urge the lowering of age of consent for mental health services to 18 years old, including interventions requiring medication.[+30 sentences] Youths aged 14 to 16 report more serious symptoms than those other youths with depression and anxiety. Mental health support must be readily accessible for our youths from 14 to 18 years old. For this group, may I ask the Government to consider tiered guidelines for the types of mental health services that would or would not require parental consent? For example, access to mental health screening, assessment or basic counselling could be tier 1 services not requiring parental consent. This supports the good work many youth counselling agencies are already doing. Tier 2 services requiring parental consent could include interventions requiring medication, hospital admissions or surgical procedures. Where parents are deemed absent or unwilling to make decisions beneficial for the child, MSF could be invited to step in on behalf of the child or the Gillick Competency Test can be applied by a certified clinician. At the same time, it is vital we protect our 14- to below 18-year-olds from errant mental health practitioners. This leads to my next point: proper licensing of mental health practitioners serving youths. As we upgrade the capabilities of our mental health service providers, we need to ensure proper certification and licensing of professional mental health service providers, particularly those who list themselves as psychologists, counsellors and therapists. This is crucial for those who treat youths below 18. Presently, the only mental health practitioners that are properly regulated are psychiatrists, who fall under the purview of the Singapore Medical Council. Anyone can refer to themselves as a therapist or counsellor. To ensure the safety of our youths, mental health services they have access to should be regulated and licensed. There must be strong disciplinary consequences to violations of professional conduct and ethics. This will perhaps ease the concerns of our parents and also promote safe help-seeking behaviours in our youths. Third, leveraging social media. In our work at Trybe, a youth non-governmental organisation (NGO), we observe an increasing trend in youths educating themselves on mental wellness via social media resources. Some sources have been particularly helpful, supporting our youths in their mental wellness journey, but some have provided inaccurate or incomplete information. We have youths telling our counsellors, "I know you are using CBT on me, and I know the next question you're about to ask", or "I want another therapy approach". This view of believing that they know what CBT, short for Cognitive Behavioural Therapy, or any one approach, is all about is an inaccurate view of therapy as a whole. Different therapy approaches are not a menu meant to fit personal preferences alone. Good therapists draw on various techniques and tools to meet the client's needs at different points of the therapy. Such information on social media can create mistaken notions of what therapy is, when actually, if approached consistently, would bring out the best results for the client. Social media has become and will continue to be a regular source of information and news for our youths. We should continue to leverage social media to support youths in their mental wellness journey as there remains many positive influences. But to reduce misinformation, the Government could explore co-curating a list of social media accounts on mental wellness together with our youths, validating accounts recommended by our youths themselves. Fourth, intervention programmes for transition years. I was heartened to hear that HPB conducts Mental Wellness Skills Equipping Programmes addressing life transition years from preschool to Primary 1 as well as Primary 6 to Secondary 1. I would also like to propose that the Government look into the transition years of Secondary 2 to Secondary 3. Youths and counsellor friends shared observations that there seems to be a marked increase in mental health issues and stressors for youths entering Secondary 3, or the 15-year-olds, especially among the females.[+12 sentences] The pressure at this transitional stage stems from various reasons: the increased pressure and workload due to the approaching "O" levels, the adjustments to new classmates from streaming, and greater awareness of one's sexuality, relationship and identity issues. Others active in their CCAs are given increased leadership responsibilities when the Secondary 4 students step down from their positions, all these while navigating in these formative years. A more in-depth survey could be done to gain further insights on this unique transitional age for our Singapore students. As we develop resources for school intervention programmes, might we consider a more collaborative approach with our youths? In the UK, in preparation for Children's Mental Health Week, the team gathers feedback from primary and secondary students on what and how they would like to learn about mental health in school. Downloadable resources are then developed for students from four-year-olds to 18-year-olds, to facilitate conversations during mental health week in families and in schools. Two interesting findings from the feedback were received: first, getting students to lead lessons on mental health; and second, for school assemblies on the topic to be short and engaging. The resources are used in over 500 schools across the UK and downloaded over 200,000 times in 2022 alone. Who knows what we may uncover as we work together with our youths for their mental health. Fifth, incorporate mental health check-ups in schools. HPB's Youth Preventive Health and Dental Services conducts annual health screening for our students in primary and secondary schools. Meanwhile, the Youth Integrated Team (YIT) also conducts mental health screening for youths at risk of mental illnesses. Considering these two available platforms, may I propose for basic mental health assessments to be incorporated as part of the annual health screening?[+23 sentences] This supports early intervention and normalises mental health discussions at school-going age for our students and parents. On interventions to encourage help-seeking in adults. First, insurance. The issue of lack of insurance coverage for people with mental illness has been raised by several Members last year, specifically, the challenge in obtaining insurance for physical health conditions outside of the mental illness individuals have or used to have. This gap impedes help-seeking behaviours in adults who may not afford treatment without the support of insurance. A psychiatrist friend related how patients have requested to be officially discharged or not to be treated at all, just so they can purchase physical health insurance. In one case, a patient's financial consultant shared with him that buying accident and health insurance would be impossible if he remained on medication. Senior Parliamentary Secretary Rahayu Mahzam had responded in Parliament that those wishing to top up subsidised services and MediShield Life may do so via private insurers. These insurers are expected not to indiscriminately reject an application based solely on declared information, including mental health conditions. However, such incidents happen in far greater frequency than reported. In a published interview from 2020, Ms Linda Lui reported that after fully recovering from a field accident as an army cadet, she experienced post-traumatic stress disorder (PTSD). This happened a year after she returned to civilian life. And as she sought therapy in a Government institute, her doctors advised her not to disclose her PTSD diagnosis because it would complicate things and affect the insurance coverage she had bought prior to the diagnosis. She states, "I chose to remain silent about my mental health in order to protect my physical health". The fear expressed by her and her doctors are not unfounded. In another published interview, Ms Vas shared how countless insurance companies denied her applications to be insured against critical illness and hospitalisation on account of her bipolar disorder diagnosis. This is even after her doctor certified her physically healthy and compliant to her medications. In her interview, Ms Vas also revealed the multiple appeal letters made to various insurance companies, including an appeal by her MP. They were all submitted to no avail. These appeals only add mental load to their already mentally burdened state. Given ongoing examples of rejection, coupled by warnings from doctors and insurance brokers not to declare their illnesses, one's options are to conceal, skip treatment or go without insurance. There are private insurers that do insure those with mental illnesses. However, their premiums are often unaffordable for the masses. In Ms Vas' case, she finally found an insurer, at a premium of $8,000.[+6 sentences] Individuals recovering or have recovered from mental illness should not be penalised for boldly seeking help for their mental health. Yet, the discrimination against people recovering or have recovered from mental illness when obtaining insurance for physical health conditions can be daunting. May I propose for the Inter-Agency Taskforce on Mental Health and Well-being to take on this complex but necessary task to clarify with insurance companies when exclusions are discriminatory against people with mental illnesses and to also outline the recourse available for individuals facing the discrimination? Second, support workplace leave policies. Mental health clinics often operate during work hours and weekend slots get filled very quickly. This means when an individual needs to seek mental health support on a weekday, they would need to take leave from work. Under current MOM guidelines, paid outpatient sick leave requires employees to be certified unfit for work by a medical professional registered under the Medical or Dental Registration Act. Since only psychiatrists are licensed under the Medical Registration Act, those seeing psychologists, counsellors and mental health therapists will not qualify for paid medical leave.[+4 sentences] Individuals then hesitate to seek treatment due to their limited annual leave and the risk of it being known that they are seeing a mental health professional. Some companies have implemented a 14-day well-being leave in place of the traditional medical leave. It allows staff to take leave for physical or mental illness for when their dependants require care or to take time-off for their own personal well-being, all without the need for medical certification. This benefits parents, caregivers and individuals across a broad spectrum. For individuals seeking mental health support, this also provides a level of privacy. I submit for consideration modifying the traditional medical leave system to recognise a broader range of interventions for mental health.[+2 sentences] This will meet the evolving needs of Singapore. Third, mental health check-ups in national health screening. As with the youths, mental health check-ups could be incorporated as part of the national health screening programme for adults or as part of workplace health screening. Such a check-up incorporated into our National Healthcare Plan will communicate the importance of mental wellness, encourage conversations and advocate for early help-seeking.[+4 sentences] Mr Speaker, renowned neuro-psychiatrist and expert on resilience, Dr Boris Cyrulnik states, "No child is doomed by their past. But if we abandon injured people, there will be no resilience". By reducing institutional barriers and increasing entry points to help-seeking, we will show up meaningfully for the individuals in need, raising the resilience of our people and society. With that, Mr Speaker, I support the Motion.
Mr Speaker4 words
[+1 sentence]Mr Ong Hua Han.
Mr Ong Hua Han (Nominated Member)1620 words
[+4 sentences]Sir, the Motion tabled today is timely, given we have just launched our National Mental Health and Well-Being Strategy last October. A topic of national significance requires a collective effort to achieve our shared objective. This is not just a medical issue, but a national and social one. I support this Motion. According to a study conducted by the Instant Group in 2022, employees in Singapore are the most overworked in the Asia Pacific, clocking an average of 45 hours per week.[+7 sentences] Even for us "kiasu" Singaporeans, this is probably not the statistic we are most proud of. In my line of work, a fast-paced demanding working life is also my personal experience. For many adult Singaporeans, a majority of their waking hours is spent working. With digitalisation, now augmented by artificial intelligence, more will be demanded of workers than ever before. Yesterday's work-life balance has become today's work-life integration. It is crucial then that the mental well-being of Singaporeans has to be looked after at the workplace. I am glad that our national strategy, under focus area 4, recognises this clearly. In the employment landscape, over 70% of Singapore's workforce is employed by small and medium enterprises (SMEs).[+5 sentences] Unlike larger corporations, SMEs generally do not include mental health coverage in their medical benefits. With tighter budgets and limited human resources, SMEs are more cautious in structuring their employee mental health benefits, preferring to start with basic inclusions, like having a 24/7 counselling hotline. In contrast, multinational corporations (MNCs) have more at their disposal. Employee Assistance Programmes (EAPs), third-party vendor-led sessions and mental health toolkits are not uncommon finds at leading MNCs. While there has been a sharp increase in companies including mental health coverage from 2020 to 2023, MNCs are mostly behind driving this. Regardless, the need for mental health support in SMEs is pressing, and 75% of SME employees believe that mental wellness is a key factor for their overall well-being.[+13 sentences] To encourage such companies to implement well-being programmes and mental health coverage, the cost of adoption must be reduced. Digital tools are now able to provide objective data on the mental health landscape of an organisation using employee self-assessments. The Tripartite Advisory on Mental Health and Well-being at Workplaces recommends organisations to use iWorkHealth, a digital self-administered tool, to understand the general state of employee well-being. A few hon Members who spoke before me have also mentioned this useful tool. Other national level digital tools such as MindSG, Mindline and Let’s Talk, are also highlighted in the Mental Health Strategy Report. While these tools are a step in the right direction, there is a need to find more innovative ways to encourage SMEs to leverage technologies or platforms that help them better understand and support employee well-being in a cost-effective way. Well-meaning SMEs looking to advance their mental health support often find themselves constrained by a lack of expertise. Under the Total WSH Programme by the WSH Council, companies will be paired with Total WSH Service Providers who will work with them to assess health, mental well-being and safety risks in the workplace before introducing specific interventions. A programme like this has the potential to amplify the mental health resources available to SMEs, in a consistent and scalable manner. At this point, I have three questions. Could the Government share an update on whether this programme has been successful, and what more can be done to encourage SMEs to participate? What were some of the learnings, workplace adjustments or best practices that companies can easily adopt? Would it be feasible for MOM and WSH Council to expand grant coverage to include consultancy costs, so that SMEs can better deliver the "how to" in addition to the "what to" on the mental health matters? The utilisation rate of Employee Assistance Programmes (EAPs) in the private sector is notoriously poor.[+25 sentences] On average, they range between 1% and 3%. It would be insightful to understand how the Public Service Division’s EAPs compare. Low utilisation rate in the private sector can be attributed to a lack of trust towards companies, stigma around calling a counsellor and unconvincing communication regarding the benefits of EAPs. The Tripartite Advisory on Well-Being at Workplaces recommends that companies assure employees that conversations with EAP providers will be kept confidential. This is absolutely critical to ensure that EAPs are used at all. Addressing mental health concerns within the workplace requires confidentiality, support, and the eradication of stigma. This is especially important for those grappling with chronic mental health conditions. A 2021 study showed that only six in 10 respondents were willing to work with someone with mental health conditions. This shows that stigma is still at large. The long-term hidden nature of chronic mental health conditions requires ongoing support and more understanding. For someone with these conditions, to disclose or not to disclose is a real dilemma. Given this, the upcoming Workplace Fairness Legislation, which recognises mental health as a "protected characteristic", is highly relevant. For employees and employers alike to navigate this new landscape confidently, clarity is essential. Can the Government clarify how this legislation will protect employees who choose to disclose their mental health conditions or even invisible disabilities? How will it guarantee that such disclosures result in genuine support and prevent any form of further stigma or discrimination? Such clarifications will go a long way to enable those who need help, to seek the right support. Improper handling of mental health disclosures creates an environment where employees may hesitate to seek help due to fears of repercussions or discrimination. Someone once shared with me a real conversation they had at an SME. When they sought support for mental health concerns, the response from their manager was dismissive: "Don't tell me. I don't want to know. If you want help, tell HR and have it on your record." When an employee discloses their mental health condition to their supervisor, there is also an implicit expectation of confidentiality, if not support. When this information is further freely shared with senior management or other employees without consent or regard, trust is eroded, giving rise to the impression that open disclosure can be punished. Such fears or lack of trust cannot be allowed to fester, for it is trust and psychological safety that make up the foundation of a truly inclusive and supportive workplace. In the public sector, the Government has a significant opportunity to play a leading role in promoting the normalisation of working with individuals facing mental health conditions. Could the Government shed light on the support measures and initiatives in place for public service officers' mental health and share data on the percentage of officers who accessed mental health support for each of the years between 2020 and 2023?[+9 sentences] This will help us gain valuable insights into the effectiveness of current support measures, helping us understand what has worked and what has not. Government initiatives such as the well-being champions network tap on managers to identify signs of burnout and stress among employees. Some companies have also trained mental health first aiders to create a peer support network. This is important. I have personally heard stories where workplace peers were able to spot an employee showing signs of distress, signs even their family missed. While trained managers and peers play a key role in workplace well-being, it is essential to acknowledge that they do not replace expert help. When addressing workplace mental health, we must not forget that they shoulder an emotional burden in the service of others, on top of their regular workload. We must not neglect their well-being too. Moving on from the workplace, I would also like to touch on the more vulnerable groups in our society before I close. In the US, a study by the Centers for Disease Control and Prevention, found that adults with disabilities report experiencing more mental distress than those without disabilities. It was estimated that in 2018, 32.9% of adults with disabilities experienced frequent mental distress, defined as 14 or more reported mentally unhealthy days in the past 30 days.[+5 sentences] This is a significant proportion. When addressing disability, we cannot focus on just the medical dimension alone. We must not neglect the mental health risk that comes with feelings of limitation, lack of agency or loneliness. For instance, it is common for mental health conditions like depression to accompany those who acquire disability in adulthood, as they navigate profound adjustments to a new reality. Living with chronic or severe illnesses is emotionally challenging. A study conducted in the UK shows patients with a chronic physical condition were less likely to have sought treatment for mental health.[+2 sentences] The demands of managing the chronic physical condition may lead to the failure to spot mental health symptoms, both by doctor and patient, during clinic visits. Developing personalised mental health plans that address the emotional aftermath of illness is essential for a patient’s long-term well-being. In the Singaporean context, while we make mental health a national agenda, it may make sense for the national strategy to also include a dedicated approach to identify and look after the mental health of our more vulnerable residents.[+6 sentences] It would be helpful to know if the Government will consider this when implementing our mental health strategy. Addressing this is relevant to all Singaporeans. The unpredictability of life means we cannot discount the possibility that any one of us could acquire disability or significant health challenges in future, especially as we age. Mr Speaker, navigating the complexities of mental health issues is no small effort. In our national approach, we must strive for authentic solutions and stay well clear of well-being washing. When we do this well, I am positive that every Singaporean will benefit.
Mr Speaker7 words
[+1 sentence]Deputy Leader, Senior Minister of State Zaqy.
[+1 sentence]Mr Speaker, Sir, I rise in support of the Motion. A 2023 study conducted by Duke-NUS Medical School and IMH suggested that anxiety and depression could be costing Singapore nearly $16 billion a year as a result of absenteeism, reduced productivity and healthcare resources.[+14 sentences] But beyond dollars and cents, mental health conditions are often deeply painful and cost individuals years of lost hope, fractured relationships with care partners and family who are unable to cope with the strain, ending of careers as their lives spiral into a form they do not recognise and feelings like stress and guilt as they struggle to cope on the surface. Sometimes, this lasts a lifetime and recovery is not linear. In Cheng San-Seletar, student volunteers, corporate partners, grassroots leaders and agency representatives commemorate World Mental Health Day every October. We host a campaign incorporating self-care activities, nature and opportunities to form social networks among neighbours and friends. On the first day, we door knock more than 18,000 households to ask "How Are You?" checks on our residents and share access to mental health resources. The idea is to reach in and start a conversation on mental health in the community because mental health illnesses can be incredibly isolating and lonely, and it is not always easy to take the first step to seek help. Our message is that you are not alone and that we are here for you. Efforts continue for the rest of the year, working with community partners, including through our Calm Corners, which are rolled out at void decks in every zone. However, the work to raise awareness and increase outreach is only a start. I am heartened by the launch of the National Mental Health and Well-Being Strategy by the Inter-agency Taskforce, and I am supportive of the four focus areas. I am also grateful for all healthcare workers and many different individuals whose work has brought us here. The efforts in the strategy will take significant effort and resources, not just from Government but also from the different sectors, private sector as well as all of society in tackling stigma and creating a culture of care. It will also take time, and I note that the National Mental Health Office is likely to only be established by 2025. But Sir, the issues are pressing here and now, and we must tackle them with haste. The prevalence of poor mental health rose from 13.4% in 2020 to 17% in 2022.[+4 sentences] And Singapore recorded more suicides across all age groups in 2022, with a significant increase amongst the elderly and youth populations. Today, I will raise three key points on access and affordability to mental health treatment and support, caring for the mental health of our seniors and support for vulnerable groups. Sir, we often tell those facing mental health challenges that they should reach out and seek help. While readiness to do so is, indeed, the first step, we must also consider the financial capacity of such individuals and the ease at which they can access mental health support. Last year, MOH shared that the median waiting time for a new subsidised appointment was 45 days to see a psychiatrist and 42 days to see a psychologist.[+2 sentences] Past surveys have also cited high cost as a deterrent, resulting in a treatment gap which often leads to mental health conditions worsening over time. While there are helplines and some free counselling sessions available, long-term dedicated care and medication can cost patients hundreds or even over $1,000 per visit. Subsidies for Pioneer Generation, Merdeka Generation and CHAS card holders are up to $540 annually for the management of mental illnesses under the Chronic Disease Management Programme for only certain conditions.[+10 sentences] This leads us to a crucial point – the Government's role in shaping the insurance market to promote affordable and accessible mental health coverage, as well as general health and hospitalisation coverage for everyday Singaporeans facing mental health challenges. It is already tough enough for individuals facing mental challenges to get through their daily life, many of whom have to stop work and are faced with difficulties when asked to declare whether they have gone through or are currently facing mental health challenges, as they try to sign up for even simple hospitalisation insurance to try and avoid further financial stress. Underwriting coverage for mental illnesses is complex given the diverse ways these disorders impact individuals. As several hon Members in this House, including just two before me, Miss Rachel Ong, have urged the Government to do more in this front, I will spare Members' well-being and not repeat the same points but I, too, reiterate this call to Government, as well as private insurers and would like to just ask if the Government has considered encouraging private insurers to launch innovative, affordable insurance products and if the Government has considered mental health parity laws to prohibit health plans from imposing barriers on access to mental health. My second point. Sir, as a Member of Parliament looking after a ward with many elderly, I was disappointed that the strategy did not call out what we can better do for elderly mental health. Unlike youth mental well-being and health, there are few community organisations or ground-up groups which focus on supporting the mental health needs of seniors and, given our ageing population, I call on the Government to do more in this area. Chronic health conditions, reduced mobility, retirement, empty nests and the passing of close friends – these are just some of the difficult moments that our seniors go through as time passes on. At the same time, digital transformation and a built environment, unlike the kampongs they grew up in, often feel alienating. While efforts to destigmatise mental health conditions and encourage help-seeking behaviours are well-intentioned, some seniors expressed difficulty discussing mental health as it is considered taboo. This sentiment is also reflected in the National Population Health Survey 2022, as the proportion of residents least willing to seek help from healthcare professionals or their informal support networks are older adults aged 60 to 74. This trend is worrying especially as the percentage of seniors' death by suicide in 2020 reached a significant high in 29 years.[+5 sentences] With a tiered care model, the provision of care is shared with community partners with trained personnel on the ground. However, staff are often stretched, managing many cases. We must encourage everyone to be eyes and ears, equip ourselves with knowledge and destigmatise early screening and help-seeking as the norm to provide timely interventions for our seniors. In my constituency, community partners such as the mailmen and women from Sing Post monitor changes in mail collection patterns in blocks with a high number of elderly and participating hawkers are trained to recognise simple signs of depression and dementia before referring seniors to the nearest Active Ageing Centre (AAC) or our community clubs. One of the biggest threats to our seniors' well-being is social isolation. In 2022, 78,600 households are seniors aged 65 years and above living alone. This is double the number 10 years ago and the number is forecasted to rise further.[+6 sentences] It is not only seniors who live alone who experience loneliness. In a study on social disconnection and its impact on the health of older adults by the NUS, the findings found that most socially disconnected individuals are living with family members. In another research by the Centre for Ageing Research and Education, a significant percentage of older Singaporeans staying in multi-generational households indicated feeling lonely. These trends could stem from poor familial relationships or the lack of interaction between family members, as everyone is busy with their lives or on their digital devices. On this note, how can adult children and grandchildren be better equipped with skills to talk about mental health with seniors? Beyond immediate family, how can wider community initiatives and befrienders reaching out to seniors to reassure them and encourage participation in community efforts? On early screening and detection, I am heartened that the Healthier SG exercise will include mental health services by training GPs to manage mental health cases and work with communities and hospitals to meet the needs.[+33 sentences] I would like to ask on the progress of this uptake. Likewise, I understand Age Well SG will scale up the quality and quantity of AACs to increase meaningful engagement with our seniors. The Silver Generation Office also does good work. They are reaching out to seniors at greater risk of isolation. This is likely to naturally engage the more active seniors. What are the efforts in place for seniors who are isolated or already experiencing mental health issues and how will efforts and resources, such as COMIT, be better resourced under the strategy? Sir, our seniors have worked hard in the early years, and my wish is for seniors to age purposefully with good mental well-being. It deeply saddened our community when we lost some of our elderly residents to suicide, especially during COVID-19. I hope that the task force will consider developing a more targeted approach for seniors. On my final point, I echo the points raised by hon Member Mr Ong Hua Han. Persons with disabilities are not only more likely to experience mental distress but also factors associated with a higher occurrence of mental health conditions, including financial stress. This intersectionality of disability, socioeconomic factors and healthcare access plays a pivotal role in shaping mental health outcomes within the Singaporean context. Key measures should include ensuring that screening, care and support services are not only accessible but tailored to the unique needs of this population. There is a dearth in specialist healthcare for persons with disabilities, especially in our heartlands. Beyond Government policies to promote inclusivity, efforts by employers and wider society aimed at enhancing educational and employment opportunities and fostering an open environment are essential towards reducing disparities and creating access. We should also start early. How is mental health included in health education lessons, for example, in our special needs schools? Sir, briefly in Malay, please. : A young man who was no longer cheerful and suddenly lost interest in his favourite sports; a woman who often cries after giving birth or perhaps an uncle who started to distance himself from others after losing his job. Mental health challenges affect all levels of society, both young and old. This issue is a pressing one. Thus, we should speak more about mental well-being in our normal conversations, especially when it concerns our senior citizens who may feel lonely. Apart from being patient with them and praying for them, we should be tactful when giving advice and words of encouragement to those in need. We can also persuade and help them to seek advice from specialists, such as counselling and therapy, or to get enough medication. We should not feel embarrassed to seek support because such prompt assistance can help to save jobs, family or even the lives of loved ones. Finally, let us focus on listening actively and caringly if anyone comes to us for a shoulder to cry on. Sometimes, they are not seeking our advice or expertise to solve their problems. They simply need a friend to pour their hearts out to. : Finally, Sir, alongside strategies to improve service coordination and care systems, we must consider local training and education pathways and spaces for professionals, such as clinical psychiatrists, to help the system cope with increased load, even as we move beyond tackling mental health crises to upstream intervention. Further, as we encourage peer support, clarity on the qualifications and certifications necessary for practitioners or peer supporters at various tiers besides the expected relevant skills and knowledge will be helpful. It is well and good to say that it is okay not to be okay. But think about perhaps the neighbour below who says they hear noises coming from your house and cannot control their emotions, lashing out at you in the corridor. Consider the hoarder, who perhaps arrived at this state because of the loss of loved ones years ago and has unprocessed trauma. Imagine a loved one, who was always a pillar of support for you, but now cannot get out of bed on the bad days. At the end of the day, it is true understanding, empathy and recognition that counts and can make a difference in someone's mental health journey. The Government's commitment to mental well-being is instrumental in shaping a society where everyone, irrespective of background, can lead fulfilling lives, but this must be amplified by collaborative efforts with non-governmental organisations, philanthropy, the private sector, you and I. It will take all of society to destigmatise, talking about mental health and normalise health-seeking behaviour. Some people dismissively say that those dealing with mental health conditions are weak but personally, oftentimes, they are the strongest people I know, for holding on despite the pain.[+1 sentence] Let us be mindful of the language and terms that we use and let us be kind to one another, especially when it is hard. To anyone facing a mental health condition and to their loved ones, we see you, we recognise you, you are worthy, and we are so glad that you are here.[+2 sentences] Sir, I support the Motion. Mr Speaker: Assoc Prof Razwana Begum.
Assoc Prof Razwana Begum Abdul Rahim (Nominated Member)2386 words
[+2 sentences]Mr Speaker, I stand in support of this Motion. By many indicators, the mental health status of an increasing number of Singaporeans is low and getting worse every year. Data from the 2022 National Population Health Survey shows that the percentage of Singaporeans with poor mental health has increased from just over 13% in 2020, to 17% in 2022.[+4 sentences] The situation is even worse for our young people. The same data shows that approximately 25% of those living with a mental illness are between 18 and 29 years of age. These figures tell us that approximately one in six Singaporeans is currently living with a mental illness of some sort and that one in four of those are young people. Mr Speaker, commensurate with the increasingly poor mental health of many Singaporeans is an increase in the number of suicides. Data from the Samaritans of Singapore (SOS) shows that in 2022, there were 476 deaths by suicide, up from 452 in 2020 and 397 in 2018, an increase of 20% over four years.[+33 sentences] The same data shows that suicide is the leading cause of death for people between 10 and 29 years of age, accounting for almost one in every three deaths in this age group. As a social worker and counsellor, I am distressed but not surprised by this data. Life is tough for many people, including many young people, and it is getting tougher. The impact of social media, climate change, global insecurity and uncertain employment, housing and relationship options present a bleak picture for many. Suicide appears to be increasingly commonplace and this is deeply distressing. I have seen first-hand the impact that suicide can have on partners, friends, colleagues, even strangers, and I have recently witnessed the impact on my own children following the suicide of a long-term friend of theirs. Mr Speaker, in response to such disturbing data, Singapore is taking the issue of mental health and suicide seriously, evident by this Motion and by comments made by my fellow Parliamentarians. I am also pleased to note that our Government is strengthening our existing mental health frameworks by developing the National Mental Health and Well-being Strategy, a strategy that I support. Mr Speaker, I would now like to make some additional comments relevant to the Motion before us today. My comments fall into three areas targeted at accessible mental health services, suitability to practice and workplace mental health and well-being. First, targeted and accessible mental health services. Mr Speaker, Singapore is progressively introducing a suite of mental health services across various touchpoints and various platforms so as to assist ensure that people can access assistance when and where they need it. Mr Speaker, while this expansion of services is positive, it is important that we consider the accessibility of these services to vulnerable populations in our society. WHO defines vulnerable populations as, and I quote, "Those who, due to factors usually considered outside their control, do not have the same opportunities as other, more fortunate groups in society." There are many causes of vulnerability, including physical, social, cultural, economic and environmental factors, all of which can make it difficult for certain groups of people to access appropriate mental health services. For example, children, young people, the elderly, women, men, migrant workers, those under the care of others, people living with a disability, or living in poverty, or who are unemployed, or, somewhat ironically, people living with a mental illness. All of these people, in fact, all Singaporeans, can sometimes face barriers to not only recognising that they need assistance, but also seeking assistance and then accessing the appropriate care. Mr Speaker, this Motion calls for a whole-of-Government approach to strengthening mental health and well-being. This is a positive approach. However, it is important that the Government also works closely with the private and community sectors and, importantly, with people of all ages, backgrounds and capabilities. It is also important that we do not simply introduce more and more services but that we acknowledge and address existing and emerging factors that increase vulnerability and are an impediment to positive mental health and well-being. Mr Speaker, mental health is a vital component of overall well-being and is characterised by an individual's awareness of their abilities, capacity to manage life's stressors, productive work and contribution to their community. In essence, mental health extends beyond the mere absence of mental disorders and is intrinsic to overall quality of life. Mr Speaker, with this definition in mind, I would now like to make some comments about quality of life, particularly for children. Mr Speaker, it is frequently said that children in Singapore are blessed, and against many measures, this is true. Singapore is one of the safest countries in the world, has an exceptional education and health system and offers world-class sport and recreation opportunities. However, as the National Population Health Survey and SOS data I referenced earlier indicates, this is clearly not enough. Something is missing and many of our children are struggling. It is, however, essential to remember that the difficulties that many of our children are experiencing, are not a reflection of their own character, resilience or strength but a reflection of the world in which they live. Mr Speaker, significant attention is given in the literature to the concept of adverse childhood experiences (ACEs). ACEs are potentially traumatic events that occur in childhood and can include experiencing violence, abuse or neglect; growing up in a family with mental health or substance use problems; witnessing violence in the home; living in poverty or insecure housing; chronic unemployment; parental separation; or household members being in prison. ACEs are correlated with future chronic health problems, mental illness and substance use problems. ACEs can also negatively impact education, job opportunities, earning potential and future relationships. In 2020, the Singapore Mental Health Study reported that the lifetime prevalence of ACEs in a sample of 6,000 adults living in Singapore, was 64% or, Mr Speaker, two in every three adults.[+6 sentences] For this group, we need to consider a holistic systemic approach. It is not just about providing mental health services. We need to consider what more can be done to alleviate ACEs. We cannot eliminate all factors, but we can do more to identify and mitigate these risk factors. Mr Speaker, just because we offer mental health services, we cannot guarantee take-up of these services. We need to create an environment where individuals can access the services they need, when they need them, without any perceived or actual stigma, adverse consequences or reprisals. In 2021, a national study by the National Council of Social Service (NCSS) on societal attitudes towards mental health, showed persistent stigma across Singaporean society.[+4 sentences] We need to address this stigma. We need to do more to make Singapore a community where children can safely say to their parents, their friends and their teachers that they are struggling; that they are not ok. This change will take time. However, with a coordinated and sustained effort by the Government, private and community sectors, we can get there. Data from SOS indicates, that an increasing number of young people are calling their service seeking support, with a 127% increase in calls from young people between 10 and 19 years of age.[+15 sentences] While this is positive, in that it suggests that young people are becoming more willing to ask for help, it is still alarming that so many young people feel they need mental health support. Mr Speaker, as we work towards implementing the national strategy, we also need to consider the provision of mental health services from the lens of a child. Everything and anything we do, from designing services, developing policies, undertaking community education campaigns, need to be informed by the views of children. We do things with children, not to or for children. We also need to consider cultural and religious preference or influences and, again, to do this effectively, we need to speak with the consumer. Mr Speaker, we also need to ensure that all of services are trauma-informed. Trauma-informed practice is an approach that recognises that trauma is common, that people accessing services may be affected by trauma and, that trauma can have a significant impact on how a person sees and interacts with the world. Trauma-informed practice is an approach that is holistic, empowering, strengths-focused, collaborative and reflective. Trauma-informed practice can be individual- or service-based and it can be whole-of-community. For example, research suggests that exposure to nature can reduce stress and increase overall well-being. Finland has actively embraced this idea and their integration of nature into urban spaces has been associated with positive mental health outcomes. Mr Speaker, my second focus area relates to suitability to practice. It is essential that those delivering therapeutic services are suitably qualified and regulated. This was highlighted by my fellow Nominated Member of Parliament hon Dr Syed Harun. I am sharing my perspective as an educator. While Singapore currently offers a world-class suite of post-secondary and tertiary courses in counselling and psychology, neither counselling nor psychology are currently a regulated profession and counsellors and psychologists do not need to be registered to offer services. This means that, in Singapore, anyone can call themselves a counsellor or a psychologist and charge for their services. This situation is inconsistent with other developed countries and, as part of the national strategy, I encourage the Government to consider introducing mandatory registration for anyone offering services under the banner of "counsellor" or "psychologist".[+14 sentences] We do, however, need to recognise the invaluable assistance that suitably trained volunteers can offer to their friends, colleagues and the community. Peer-to-peer support networks, particularly among young people, are an essential component of a mental health service system and should be actively encouraged, maintained and valued. At this point, I would like to share an example of a youth-led safety and well-being initiative, developed by Public Safety and Security students at the Singapore University of Social Sciences. Mr Speaker, before I do so, I should note that I am Head of the programme. The initiative was called "ReKnew" and was established by a group of students to provide a safe space to discuss sexual abuse. The group adopted an approach based on the principles of restorative justice and they established learning circles to educate and empower students to discuss difficult topics in an open and safe environment. Mr Speaker, this example highlights the need to de-medicalise and normalise conversations about mental health and the power of compassionate and skilled youth-led peer support. It also demonstrates that it is important that we do not over-pathologise mental health and that we do not assume that everyone who is having a bad day is having a mental health crisis. Sometimes, all that is needed is someone to ask, genuinely, "Hey, are you okay?" and to care about what the person says in return. Mr Speaker, my final focus area relates to workplace mental health and well-being. In any discussion about mental health and well-being, it is essential to discuss the workplace, and this was also highlighted by hon Member Mr Melvin Yong. Mr Speaker, not only do we need to work towards all workplaces being environments where employees can safely reach out to their colleagues and supervisors for support, we also need to step back and consider the negative impact many workplaces have on their employees' mental health and well-being. Singapore has an international reputation as being a place where people work long hours. In a 2019 study of 40 cities conducted by American security solutions company, Kisi, Singapore ranked as the second-most overworked city. In another report by Mercer, titled the “Rise of the Relatable Organization” released in 2022, it indicated that 85% of employees said that they felt at risk of burnout; and almost 50% said that they intended to leave their job in the next 12 months.[+14 sentences] The post-COVID-19 trend of working from home has not helped this situation. While flexible working arrangements have definite benefits and are preferred by many employees, working from home also comes at a cost. The 2022 Cigna 360 Global Well-Being Survey showed that those currently working in a hybrid model are most likely to feel stressed and to work outside normal hours at least once a week. The "always-on" mentality has become the norm. Yet, it comes at a price. Not only do employees have less time to spend with their family and friends to enjoy recreational pursuits or have real holidays, the prevailing hustle culture has had a profoundly negative impact on our mental health. The culture of working long hours needs to change. It is a workplace hazard and needs to be treated as such by employers and employees. Mr Speaker, achieving work-life balance is a shared responsibility between employers and employees. Employers have a duty of care, to provide a safe working environment for all employees, and reasonable working hours should be considered as one of those duties. At the same time, employees need to take responsibility to prioritise their health and well-being and to stop treating working in the evening or on weekends as something to be proud of or something that they just have to do. A collaborative effort between employees and employers will ensure a healthier and more fulfilling professional and personal life for everyone involved. Mr Speaker, many employers around the world have moved towards a four-day work week, with many of these employers reporting increased productivity, improved staff retention and improved staff well-being. Employee's performance should be outcome-based, and employers should model and reward reasonable hours. To conclude, as we develop this national strategy, it is important to remember that mental illness is not a personal flaw or sign of weakness.[+1 sentence] It is a normal reaction to an abnormal or unpleasant situation. While we cannot live in a protective bubble and completely eradicate all stress and distress from our lives, we do have an obligation to reflect on our society and our culture and to consider how our expectations and the world we have created is making us ill. The National Strategy is an opportunity for the Government to work hand-in-hand with the private and community sectors to make Singapore a place where we can all thrive and when we stumble, to be picked up and looked after with care and compassion.
Mr Speaker4 words
[+1 sentence]Mr Xie Yao Quan.
Mr Xie Yao Quan (Jurong)1464 words
[+5 sentences]Mr Speaker, Sir, I went through a rough patch recently. Looking back, I think it was early signs of burnout. Luckily, I was aware of what I was going through. I detected the signs, and I took steps to care for myself. And I am grateful that the self-care worked. I became better and I feel okay enough now to be able to make this speech in Parliament. I decided that I would share in the speech, in Parliament, that I did not feel so okay, not too long ago.[+43 sentences] I think this is what breaking stigma is all about and needs to be about. It is about normalising the struggles and challenges that so many of us have gone through or will go through at some point in time. It is about shining a light on these common experiences, deeply personal but actually common experiences, because they should not remain in the shadows of our minds and souls and we should chase these shadows away. It is about normalising the process – the journey of coping, of regaining health and well-being and of becoming better. It will take all of us, a whole-of-society effort. It cannot be the start of policy interventions or legislation. It takes the whole of society to talk more openly about our own mental health journeys. Imagine a day, when parents tell their children, “Look, daddy and mummy have our struggles too, we may not fully understand yours, the struggles you are going through, but we know what it is like to be trying to cope on your own, so let’s help each other get through our challenges together.” Imagine a day when bosses and supervisors in workplaces can tell their employees, “Look, we too have bad days, please tolerate and hold space for us, just as we must for all of you and let’s work together to protect and promote mental health on our jobs”. I look forward to such a day. How do we get there? I have said this before during COS 2022, and I will say it again. Our words, our language and our actions, which shape our everyday discourse and interactions, really matter. When we are careless with our words and actions, or worse, when we choose to deliberately exploit and weaponise mental health with our words and actions, these set all of us back. These tear people down, they build walls back up and they set the whole of society back in our journey to eliminate stigma. I recently met Lisa Chan. This may be a familiar name to some of us. Lisa and her father have been coming out and sharing their story about Lisa’s struggles with depression and her journey in healing and recovery. Their story clearly resonates with others because Lisa has gathered quite a following on social media. And, by the way, this is alongside her full-time work because Lisa is also a thriving professional. So, there are folks whom Lisa may be meeting for the first time but who already know of her and her story through social media. Lisa tells me some of these people, meeting her for the first time have gone, “Oh, so you are the girl with depression!” To be clear, there is no ill intent behind these words. Indeed, these words may be borne of excitement, of resonance and of gratitude to Lisa for coming out and encouraging others with her story. And to Lisa’s credit, being the incredible person that she is, she totally took these words in her stride. But such words, while coming from a good place, can cut quite deeply. And so, we need to be aware and we need to be conscious that our words and actions really matter and we need to learn the right language. On the other hand, when our words and actions are understanding, authentic and sensitive, it helps someone else to reach out to us. And it can also help us to reach someone who may need our help and care. So, let us build a kind, compassionate environment, a society free of stigma for mental health challenges, starting with our words and our actions. Mr Speaker, the national strategy on mental health and well-being is an ambitious one, and rightly so. The second point I like to make is to just remind all of us, as we forge ahead in this strategy – there is so much enthusiasm and support for the strategy in this House – let us remind ourselves that those who will operationalise this strategy and those who are providing care for the mental health and well-being of others, also need care themselves. And they may need care in different ways. They may have different care needs. I wish to highlight two groups. First, the professionals in healthcare, social services, education, in the Home Team and even municipal services. As we try to strengthen all of these roles as touchpoints for mental health, let us remember that they are at the frontline, they are the ones dealing with difficult cases, sometimes very raw experiences. And they need care too. I recently met a gentleman working on sexual trauma cases. His hobby is climbing. He was very active in school. So, I took the chance to ask if he still climbs regularly now that he is working. He said yes, in fact, he has to because it is his "me time" to get away from the cases that he is working with and, in his words, to “keep his sanity”. So, the professionals who give care need care too. There are more than 100,000 of these professionals that we are envisaging in the national strategy.[+1 sentence] They need care and we need to care for them. The second group of persons who provide care are the laypersons in our community, family members who are caregivers to persons living with mental health conditions in the community.[+1 sentence] It is certainly ideal for persons with mental health conditions to remain plugged into the community while coping with their conditions, but we all know that some in the community are really not coping well. And in these situations, caregivers bear the brunt. I have a resident, who is caregiver to not one but two family members dealing with mental health conditions.[+2 sentences] They were not coping well, they had disruptive behaviour but they were being kept in the community. One day, my resident lost his cool and got into a physical altercation with the family members. Police came, Police investigated, Prosecutors looked at it and, in the end, decided to proceed to charge my resident in Court.[+9 sentences] He spoke to my team, and we helped him defend himself against the charges. Thankfully, he got a compassionate sentence. But the point is, caregivers can break, and caregivers need care too. To summarise, as we aim to build what my hon colleague Dr Wan Rizal has described as "a next frontier in our national strategy for mental health and well-being", let us remember those professionals and caregivers standing at this new frontier and let us systematically take care of their mental health and well-being too. Let us make this a key workstream, a concerted vertical in our national strategy for mental health and well-being – caring for those who give care. Mr Speaker, as I look at the national strategy before us, the final point I will make is this: how do we fund this entire plan, how do we fund this ambitious national strategy for mental health and well-being? I will offer two thoughts. First, I think insurance must play a bigger role. This includes private insurance providers for sure. My hon colleague Dr Tan Wu Meng has spoken about this very eloquently. But it must surely be about our universal national healthcare insurance MediShield in the first instance. MediShield must do more because medications, counselling and therapy, they all cost money. And we know that the MediSave500/700 scheme alone is seldom sufficient.[+9 sentences] So, MediShield must do more. But besides MediShield, I think philanthropy and charities must play a key role too. That is the second thought I will provide here. In the past, we have had philanthropy and charities anchoring intermediate and long-term care in our healthcare landscape. Think about community hospitals and nursing homes. And more currently, we have philanthropy looking deep into new frontiers in our healthcare landscape, like palliative care and special needs. I think we need mental health to become another new and next frontier for strategic philanthropic action, for breakthrough private-public-people partnerships. I call on all stakeholders in the space to seriously think about funding and supporting mental health, and the national strategy for mental health and well-being in a big way, as a whole-of-society. With these, I support the Motion.
Mr Speaker3 words
[+1 sentence]Mr Darryl David.
Mr Darryl David (Ang Mo Kio)1754 words
[+22 sentences]Mr Speaker, the subject of mental health has often been regarded as a stigmatised topic in Singapore. While the attitudes toward the mental health, especially among younger Singaporeans, are changing, it remains a topic that many people would rather not talk about. Much of this stigma could have arisen from two sources. First, as a society, Singapore has traditionally placed a high value on success as represented by academic achievements and/or material acquisition. Often, the two are linked. With academic achievement, you should end up being able to acquire more materially. While these societal measures of success are slowing changing, there is still a sizeable proportion of the population that equates academic success at every level of education and having a well-paying job, a high-flying career and material acquisition as the pinnacle of accomplishments in life. Acknowledging that one is facing mental health struggles could thus be perceived as being incongruent with these societal ideals of success and be further misinterpreted as a form of weakness or failure. Second, the general lack of understanding of what constitutes mental health could have led to a conflation between “mental health” and “mental disorders.” The distinction between the two, Sir, is important. A better understanding of the differences between them could possibly be a game-changer that might help to destigmatise the conversation around mental health. Mental health refers to a state of psycho-emotional well-being where individuals can cope with normal daily stressors, being able to lead a fruitful, productive and fulfilling life. Mental disorder, on the other hand, refers to diagnosable mental condition that affects the way people think, behave, function and interact with others. All of us probably have had mental health issues at one time or another, just like how we have all probably had issues with our physical health. Having a state of poor mental health does not necessarily mean that we have a psychiatric disorder, although persistently poor mental health over prolonged period could lead to mental disorders. It is therefore important that we identify symptoms of poor mental health early and provide targeted interventions before mental health challenges progress to mental disorders. I would now like to talk about the cost of poor mental health. In the World Mental Health Day 2023 Report published by Ipsos, close to half of respondents in Singapore placed mental health as the biggest healthcare challenge faced by the country today, with cancer coming in second, and stress, which is highly correlated with mental health, in third place. Close to 50% of respondents reported being depressed to the point of feeling hopeless for weeks and roughly one-third of respondents had self-hurt and suicidal thoughts. The same study also reported that about a quarter of respondents experienced debilitating mental health and stress-related issues that impeded their daily lives on several occasions in a year. Close to 40% of respondents took time off from work due to mental health and stress, with 15% having done so on multiple occasions. These results correspond with a similar study published by Duke-NUS Medical School and IMH in June 2023. This study has been referenced already in the debate so far. It reported that up to 15% of the sample showed symptoms of poor mental health, and when extrapolated to the national level, poor mental health could cost Singapore $16 billion a year in terms of loss in productivity, absenteeism and medical care.[+1 sentence] What is telling from these studies is not the number of people reporting poor mental health, but the low number of people who have proactively sought interventions for their mental health conditions. Only a quarter of those suffering from mental health conditions in the Duke-NUS Medical School and IMH study sought intervention from a mental health professional.[+2 sentences] One of the reasons provided by the Ipsos study on why the treatment gap exists despite the general belief among Singaporeans that mental health is just as important as physical health, is because of the belief that the national healthcare system in Singapore does not reflect the same level of importance for mental health as it does with physical health. Perhaps, there is a kernel of truth in this belief. According to a Parliamentary reply by MOH in 2021, there are 4.5 psychiatrists and 9.7 psychologists per 100,000 residents in Singapore. This is far lower than the ratio of 280 doctors to 100,000 residents in Singapore.[+17 sentences] In the same vein, there is only one mental hospital in Singapore, the IMH, that is serving a population of more than five million people. There is also a perceived social stigma of seeking treatment at IMH since IMH sees both patients experiencing mental health and mental disorders, and people tend to associate individuals seeking treatments at IMH, regardless of their underlying conditions, as “crazy” even though they might not be suffering from mental disorders. The fact that IMH is colloquially referred to as “Siao Lang Keng” or the “mad house” in Hokkien is a reflection of this. The general unwillingness to acknowledge that one is experiencing mental wellness challenges in fear of being labelled as a “failure” or being perceived as “weak”, the low ratio of mental health professionals to population and social stigma of seeking interventions at IMH for mental health issues will exert and is already exerting a toll on the community. We thus need to consider the social cost of not seeking treatment for mental health issues. First, not seeking early and timely intervention due to stigma and the lack of accessibility to mental healthcare will erode the human capital potential of those experiencing mental wellness issues. Their overall well-being and functionality could be compromised, limiting their ability to realise their full potential as well as their ability to lead a fulfilling life in the long run. Second, the caregivers of those experiencing mental health challenges are likely to be their immediate family members who might not be equipped with the right knowledge to provide care. We have heard many Members already speak about this. These family members are likely to experience the stress of caregiving due to the lack of caregiving knowledge and training, possibly experiencing mental health challenges themselves in the long run. Sir, the social impact of not seeking intervention early is not insignificant. We need to pay more attention to how we can better support early intervention by making structural changes to our mental health ecosystem and the wider social attitudes towards help-seeking. I would like to offer some suggestions here. First, to talk about how we can enhance the mental health ecosystem. One of the ways to encourage individuals to seek help early is to normalise help-seeking. I would like to suggest for an inter-Ministerial workgroup comprising MOH, MOE, MOM and the Ministry of Communications and Information (MCI) to look into how we can better promote mental health awareness in schools, workplaces and the general public. I would like to ask MOE to consider blending mental wellness practices, such as mindfulness and grounding techniques, into the formal school curriculum or co-curriculum in primary, secondary and even post-secondary levels to promote the understanding and the importance of mental wellness at a young age, and to teach our young students in school how to deal with these mental challenges in what is, admittedly, a rather stressful time of their life, especially in primary school, such as the lead-up to the Primary School Leaving Examination (PSLE), for example. In a similar vein, I hope that MOM will consider setting up a demand aggregation contract at a national level to strengthen the adoption of Employee Assistance Programmes (EAPs) which are confidential professional assistance programmes designed to help employees manage work and non-work stressors among companies in Singapore. To mitigate the cost and complexities of setting up EAPs by individual companies, I would like MOM to consider pre-selecting a panel of EAP providers for companies to send their employees to.[+3 sentences] This will bring affordable and professionally managed interventions into workplaces instead of having companies to design their own support schemes from scratch. On the public front, a greater level of awareness must be created on what constitutes mental health and how having poor mental health or poor mental well-being is different from having a psychiatric disorder or psychiatric illness. I would like to suggest for MOM and MCI to run awareness campaigns about the differences between the two and to destigmatise help-seeking behaviour by educating the public that those who seek help for mental wellness issues are not "crazy" but are merely unwell, very much like how someone could have caught a flu or some illness during a particular influenza or season, where people tend to fall ill more regularly. To further support the public education on the differences between mental health and mental disorder and to promote help-seeking, I would like to also suggest to MOH to consider splitting the functions of IMH into different institutions. Just as we have specialised medical centres like the National Skin Centre, National Heart Centre, National Cancer Centre and so on, can we not have a National Mental Wellness Centre that focuses on subsidised interventions for mental health, while IMH continues to provide medical interventions mainly for psychiatric disorders?[+8 sentences] So, delinking mental health interventions from psychiatric interventions provided by IMH will further help to "de-label" and destigmatise help-seeking. The lynchpin in the national mental healthcare plan is the number of mental healthcare professionals and the availability of caregiver support programmes in Singapore. I would like to ask if MOH has specific plans to train more mental healthcare professionals in Singapore and to bring these numbers up, closer to the number of general healthcare professionals here? Once the numbers of mental healthcare professionals are brought up, would MOH consider setting up community-based mental wellness interventions and caregiver support programmes, perhaps, even in the polyclinics so that these resources are more widely accessible in the heartlands, leaving the proposed National Mental Wellness Centre to focus on more specialised and deeper interventions? Mr Speaker, Sir, early identification and intervention on mental health conditions are essential to the success of the national plan to promote mental wellness. Since the COVID-19 pandemic, the issue of mental wellness has taken on greater importance and urgency. I am glad that we are paying more attention to the issue today, and I hope that the Government and, indeed, the whole of society, will adopt a more targeted approach to promote the topic and to make mental healthcare more accessible to those who need it. I end my speech in firm support of the Motion.
Mr Speaker3 words
[+1 sentence]Ms Hany Soh.
Ms Hany Soh (Marsiling-Yew Tee)1707 words
[+3 sentences]Mr Speaker, I stand in support of the Motion in recognising, amongst other issues, the importance of mental health and calling for a whole-of-Singapore effort to enhance mental health and well-being. This is aligned with the Government's National Mental Health and Well-being Strategy introduced last year. My speech today will focus on the topic of mental wellness during and after pregnancy. Studies have shown that about one in 10 women experience postnatal depression within the first three months of giving birth, with those who were depressed during pregnancy most likely to be depressed after delivery.[+13 sentences] I wish to share my personal experience of being in this category when I was expecting my eldest daughter. My daughter was born five years ago, but even today, I can still remember vividly feeling delighted, yet fearful about being a first-time mom. The lack of sleep, coupled with the stress and anxiety of raising a newborn as a rookie mom caused me to be constantly exhausted, both mentally and physically. I was also unable to provide enough for my baby through breastfeeding alone, which intensified my feelings of guilt, sadness and frustration. Looking back, most of the stressors I faced then actually centred around social stigmas and expectations. My own troubles with breastmilk production stemmed from the normalised expectation that all mothers should be able to provide sustenance for their children exclusively by themselves. And like many working mothers, I also wrestled with my priorities of fulfilling my motherly duties while juggling my work obligations as a litigation lawyer, all of which contributed to much worry and stress that consequently sapped my energy. Today, my daughter is an active, healthy and happy child. Even so, part of me still finds it difficult to forgive myself for not being able to provide her with the best in those early days, even though I know that I had done my best then. Having gone through some difficult times during my first pregnancy, I can empathise with fellow moms who struggle with the stresses of raising their children. The experience, combined with the knowledge gained over the past few years through my interactions with fellow like-minded mommies, also helped me to prepare myself mentally for the arrival of my second bundle of joy last year, a baby boy. During my confinement following the birth of my second child, I came across news articles about fellow mothers who had died by suicide with their infant children. The stories were tragic, but they also serve as reminders about the importance of recognising every mother's mental well-being during pregnancy and throughout the months after delivery. Between April 2021 and March 2022, KK Women's and Children's Hospital (KKH) has seen a 47% increase in its patients who screened positive for postpartum depression, compared to the same period the previous year.[+9 sentences] This result does not come as a surprise to me. I am, therefore, heartened that one of the focus areas of our national mental health strategy pertains to strengthening mental health services for pregnant women. As we look into the well-being of mothers, I hope we may hopefully also be solving a pain point in our national birthrates. Currently, various hospitals in Singapore, such as the National University Hospital (NUH) and KKH, have implemented their own respective measures to identify signs of postpartum depression. These are critical initiatives to enable early detection and ensure individualised care can be given at the earliest opportunity to prevent mummies' conditions from worsening. But we will need to ensure that all hospitals in Singapore, public and private, that provide obstetrics and gynaecology services, are uniformly equipped with the relevant capabilities and resources to provide early detection and timely intervention to parents showing signs of requiring psychological support. Just as the monitoring of physical health is paramount for postpartum mums, so, too, should we devote resources to ensure their mental well-being after birth. Under the new national strategy announced last year, I note that more hospitals, polyclinics and GPs will be providing mental health services. In this regard, I hope that MOH will ensure that these services will be provided to new parents facing issues in this area to encourage them to seek help through these various avenues. Since 2019, specialists from KKH have begun to partner and train Punggol Polyclinic nurses, as part of the collaboration between SingHealth Polyclinics and Temasek Foundation to enhance their knowledge on postpartum depression in women.[+2 sentences] Can we expect to have more polyclinics provide mental health-related services during the regular routine check-ups for the babies? Apart from checking and ensuring that the various milestones of the newborn are met, I propose that these trained doctors and nurses also should take the opportunity to enquire about the parents' psychological states and advise them on the help and support available should they require it. A study by the NUS Alice Lee Centre for Nursing Studies in 2021 revealed that support from peers can help to reduce the risk of mummies developing postpartum depression.[+4 sentences] As such, besides investing more resources in our healthcare system to improve coverage for mental wellness, I believe that we, as a community, should also band together to do our part towards increasing awareness of postpartum depression and provide a peer support network to ease the anxieties of mothers of newborn babies. In 2021, I chanced upon an article on the Internet about Depressed Cake Shop Singapore and its founders, Debbra Lee and Tracy Heah, where they shared about their respective postpartum depression experience and how they eventually decided to set up a campaign to raise awareness in this aspect through baking or purchasing of grey cakes with a pop of colour, with grey symbolising depression and a spot of colour signifying hope. I subsequently reached out to both of them to explore the possibility of working together to better support fellow mothers out there with their emotional well-being. The three of us hit it off right away from our first meeting and we began discussing ideas to collaborate with the objective of sharing practical tips to restore our mental health and accumulate our mental wealth to Woodgrove residents. In 2022, together with Depressed Cake Shop Singapore and with our community partner, the Singapore Association for Mental Health (SAMH), we organised and invited young parents with their children to attend a cookie decoration session at our Fuchun Communiity Club, in which SAMH shared several signs to identify if one is suffering from depression and the resources available in the community that can be used for support.[+4 sentences] Last year, in collaboration with Mumpreneurs Go Places, the PAP Women's Wing Woodgrove branch continued to reach out to our community on mental wellness through a series of workshops, with one session focusing particularly on equipping participants with tips to practise self-care amidst busy schedules between work and family care commitments. In Mandarin, please. (In Mandarin): From pregnancy to the birth of the baby, mothers often spend a lot of effort in caring for the newborn, neglecting that they themselves have also undergone many significant changes both physically and mentally. This often leads to postpartum depression. Research also shows that when mothers suffer from depression, out of every two husbands, one will also suffer from depression.[+6 sentences] Postpartum depression needs to receive attention and support from society, regardless of gender. If not treated promptly, it will not only have adverse effects on individual health, marriage, family life and career, but also affect the development of the baby. : I am thankful that throughout my two pregnancies, my husband was always by my side, providing both assistance and comfort, which he still does today. We both believe that parenthood is a partnership of equals. Our shared experience has taught me that fathers too deserve recognition and support, and increasingly so as they got more involved in parenting. Similarly, they also deserve the same level of emotional support as they are equally susceptible to the effects of stress and depression from parenting-related causes. I am heartened to know that there are many who share the same opinion. During a focus group discussion organised by the PAP Women’s Wing last year, the feedback which we gathered from over 60 participants showed a consensus that, apart from having the need to do more to support mothers, more also needs to be done to support new fathers, as they too may be prone to suffering from depression in silence while trying to support their wives through this challenging period.[+4 sentences] With that said, social stereotypes that push men towards the supposed ideal image of a strong, uncomplaining individual do exist, thus discouraging them from openly sharing emotions and getting support for depression. While that affects the mental well-being of men in general, it is more pronounced for fathers who would have to grapple with even more pressing worries and doubts. Therefore, one way to improve support for our fathers is to reduce the social stigma of men seeking emotional help, whether through friends and family, or via professional counselling services. By reassuring dads that seeking a listening ear is permitted and even encouraged, we can do much to improve their emotional and mental well-being. Another way to reduce the stress of fathers is to work together with corporate entities to introduce new measures that allow them to play the role of caretaker while still maintaining a presence at work.[+5 sentences] Much has been said in recent years about the benefits of remote working in terms of achieving work-life balance, but it may be worth more of exploring an expanded version of remote working, especially for dads to cope with the arrival of their newborn and further ease the transition from paternity leave to resuming normal duties at work. In recent years, the topic of mental health has increasingly become a serious issue both in Singapore and around the world. I applaud our Government for their foresight in focusing on this area, as lack of issues and action will lead to even more widespread problems in Singapore in the future, economically, socially and security-wise. By tackling these issues head on, we will be able to ensure that Singaporeans will be further equipped to weather the storms as one united people. I support this Motion.
Mr Speaker3 words
[+1 sentence]Mr Sharael Taha.
Mr Sharael Taha (Pasir Ris-Punggol)1080 words
[+2 sentences]Mr Speaker, the Motion under discussion emphasises the critical importance of mental health across health, social and economic domains, advocating for a comprehensive national mental health ecosystem and a collective effort throughout Singapore to bolster mental health and well-being. This has been widely discussed by fellow Parliamentarians today, reflecting a societal shift towards greater openness and our concerted effort and action on this issue. The discussion continues as this will be a work-in-progress as we refine our approach and we come to a collective agreement on what we do about it. Hence, I am glad in October 2023, MOH has taken the lead by launching the National Mental Health and Well-being Strategy focusing on four main areas: one, expanding mental health services; two, enhancing early identification and intervention by service providers; three, promoting mental health and well-being; and four, improving mental health in the workplace.[+23 sentences] I will focus my speech on the call for whole-of-Singapore effort to implement this strategy of promoting the mental health and well-being of two particular groups of people – seniors staying alone and senior caregivers in our community, and on improving workplace mental health and well-being. On promoting the mental health and well-being of seniors staying alone and senior caregivers in the community, we need to work on de-medicalising and normalising conversations surrounding mental health, increase mental health literacy and improve societal attitudes and reduce stigma towards individuals with mental health needs, as mentioned by many of fellow Parliamentarians today. Beyond policies and Ministry effort, we need the wider community to have the right knowledge and understanding about mental health conditions that will aid their recognition, management or prevention. This includes the ability to recognise symptoms of mental health conditions and to know where to seek help. Hence, it becomes increasingly important to strengthen the informal support networks in the community. Let me share with you three cases of our residents in Pasir Ris East. Last Friday, I met Mdm Tan during our house visit. Mdm Tan is 70 years old and taking care of her bedridden mother with dementia. She shared with me how difficult it was to be caring for her own mother when she herself was getting older. But she said with a smile, "As hard as it is, it is my duty as she is my mother". One of our other residents, Mdm Elena, is herself in her mid-60s. She has no siblings and is not married. She is taking care of her two elderly parents; her father in his 90s goes to the daily dementia care home and her mother, who is in her 80s, has dementia and stays at home. Another one of our residents, Mr Aziz, is a kidney dialysis patient in his 70s and taking care of his mother with dementia, who is in her 90s. There are many individuals like Mdm Tan, Mdm Elena and Mr Aziz who are retirees but themselves caring for their parents. Caregivers can undergo an immense amount of stress, what more when the caregivers themselves are dealing with their own challenges. Beyond policies from MOH, how can the community come together to support individuals like this better? In Pasir Ris, our community volunteers through our Pasir Ris East care store, visit the families every third Saturday of the month to catch up with them and check on how they are doing. For Mdm Elena, some of the grassroots leaders, such as Mr Charlie Cheong, offer to care for her parents while she gets a haircut, goes to the market or takes the day off from caregiving. How can we continue to encourage more from the community to come forward and provide assistance to support the mental burden of such caregivers, especially in our fast-ageing society? To borrow the words of fellow MP Mariam Jaafar in her speech earlier, "We must care more for each other in our society." Secondly, on improving workplace mental health and well-being, we know that good work is beneficial for our mental health. A healthy state of mental well-being can also contribute to improved productivity. According to data collected from MOM, one in three employees found it challenging to cope with work demands and pressures or felt exhausted physically or mentally from work. Based on a survey conducted by MOM, there was an increase in the proportion of job seekers who faced discrimination due to mental health conditions, from 2.9% in 2021 to 5% in 2022, as well as an increase in the proportion of employees who felt that they were discriminated at work due to mental health conditions, from 3.2% in 2021 to 4.7% in 2022. The National Mental Health and Well-being Strategy aims to address these issues by improving mental health literacy at work, reducing stigma, supporting the employment of individuals with mental health conditions, customising mental health support according to occupational needs and preventing discrimination through fair employment practices.[+7 sentences] While companies can also put in policies to prevent workplace discrimination in their organisation and to prevent the discrimination for mental health and encourage mental well-being at the workplace, translating these strategies into practice poses significant challenges. For example, how do managers manage conversations and, in particular, performance appraisals, as it is the season now, for colleagues or subordinates with mental health conditions without making them feel discriminated, especially if their performance is affected by it when compared to other peers? How do we then balance and manage the expectation with the rest of the team too? These issues cannot be legislated. But the devil is in the details when we try to translate the intent into practice. If we want the approach towards mental health to change in the workplace, employers, employees and the people leaders must be equipped with the right skillset to drive that change. Should that skillset be made available as a guideline for employees on the "do"s and the "don’t"s or should we impose it as a legal requirement by MOM? Or will it be something where we highly encourage employers to upskill their employees from a SkillsFuture perspective, as suggested by fellow Parliamentarian Mr Edward Chia?[+1 sentence] Mr Speaker, Sir, as I have mentioned earlier, the discussion continues and is a work-in-progress. I am glad that our society continues to have this discussion as we refine our approach and come to a collective agreement on what we, as a whole-of-nation; Government, businesses, organisations, communities and individuals, can work together towards our inclusive society.[+1 sentence] I stand in support of the Motion.
Mr Speaker3 words
[+1 sentence]Ms Carrie Tan.
Ms Carrie Tan (Nee Soon)2140 words
[+3 sentences]Mr Speaker, my dear colleagues, I am well aware it has been a long day, and everyone is tired and even if your brains and minds are tired, I hope that you will be with me and open your hearts and your spirits to hear what I have to say. I would first like to declare myself and my interest as a self-employed transformative and healing coach. There are three points I wish to highlight about mental health to contribute to our collective understanding of it so that we can properly contemplate what this means to our nation. First of all, we all have mental health. It is not just mental illness, which is unfortunately what one in two Singaporeans consider it to be, according to a survey by MOH.[+9 sentences] By framing mental health as just a healthcare challenge, we risk adopting the traditional language of health, which pathologises and creates a chronic reliance on only formal healthcare institutions and medication. This relegates the ownership of recovery to the field of experts, such as psychologists and psychiatrists, which are in very short supply and also renders the individual dependent on the formal healthcare system’s capacity, which has its limitations. This is neither sustainable, nor true. Mental health is something that every person can own, and be equipped to take care of for ourselves, until it deteriorates to a point where clinical assistance is necessary and that is where clear navigation and adequate resourcing of expert and clinical interventions are important. But I urge us to think and to go one step further, to also equip individuals. We can encourage a wide variety of activities that are personal-based to help Singaporeans access knowledge for maintaining their mental well-being. There are activities such as yoga and meditation, as our colleague Mr Darryl David said, mindfulness practices, and different forms of traditional, art-based, music-based and somatic-based approaches to mental, emotional and spiritual wellness, which are all available currently, although relegated as "alternative wellness". It is time, I say, to mainstream these options because they are derived from the rich and deep history, wisdom and heritage of our Asian cultures. They cater to the varied cultural, faith and spiritual beliefs of Singaporeans and offer individuals more options towards holistic wellness that are accessible, and which resonate with each individual’s inclinations and preferences. I support my colleagues, Mr Darryl David, Mr Xie Yao Quan and Assoc Prof Razwana Begum's, call for mindfulness for authentic listening and authentic care, which all fall under social emotional literacy and empathic care. And hence, I recommend extending SkillsFuture funding for such learning.[+8 sentences] This will accelerate and propagate emotional wellness skills more widely so that everyone can equip themselves to maintain good mental health as a lifelong endeavour. Mental health, just like physical health, is a journey that requires daily awareness and maintenance, starting with emotional literacy. The Government can do its part to help make such knowledge and training more ubiquitous and accessible for the common man and woman on the street. And here, I would like to share an example on what happens when I go to my training workshops. As a facilitator, I often ask the participants: "How are you feeling now?" And often, the replies I get are "Okay lor" or "Like that lor". It tells me that Singaporeans are sorely lacking in the emotional vocabulary to be able to identify and even acknowledge our own emotions. One key point I would like to make, most importantly, is let us recognise the invisible forces that are undoing our mental health and mental health efforts. How is it that eight in 10 Singaporeans recognise mental health to be important and as important as physical health, yet less than half of us actively think about our mental well-being or how we are feeling on a day-to-day basis?[+2 sentences] What is the invisible force that is taking our attention away from something that all of us agree to be important, so important that we have a Motion in this Chamber today? Our attitude towards stress at work illustrates this. In 2020, our Parliamentary colleague, Mr Melvin Yong, God bless his heart, proposed a "Right to Disconnect" law mandating downtime from work for better mental health.[+29 sentences] What is illuminating is that despite acknowledging its intentions, there were many concerns over its feasibility. For example, would bosses and other colleagues see a desire for greater work-life balance as a sign of lower motivation compared to their peers competing for the same limited opportunities? What happened to the age-old wisdom, in Chinese, “休息是为了走更长远的路”, meaning "Rest is to help us travel even further"? How have we, as a society, come to equate rest with lower motivation? What has caused this collective judgement that demonises the act of rest and restoration? In a recent commentary on CNA by NUS lecturer Jonathan Sim, he talks about youth "hustle culture" and warns of the perils of a lack of the ability to introspect. He observed that, for many university students, introspection is sidelined as a, I quote, "stagnant inactivity" because pausing to do it "does not seem to contribute directly to any measurable progress". He notes, and I quote, "the inability to sit alone with their thoughts and the tendency to bury themselves in work or digital distractions, creating a superficial busyness that masks an inability to process deeper emotions". This does not just afflict youths, but many successful adults as well, including many of us in the Chamber. In my role as a healing coach, I have come across many accomplished professionals and leaders who baulk at the idea of slowing down. Are we somehow living within a bubble where a constant need to be achieving something has made slowing down something that terrifies people? Does rest ironically create more stress? The term "stress-laxing" is found in UrbanDictionary.com, feeling stressed because you are relaxing and not working, the cause of your stress in the first place! What kind of ludicrous phenomenon is this! We must ask ourselves. We have to recognise what is creating this "pressure cooker" bubble we are all living in. The very narrative of our nation's survival and success thus far has been fuelled by the notion of scarcity which then fuels an endless culture of competition and a sense of inadequacy. This is, unintentionally, of course, encapsulated by our classic National Day song "Stand Up for Singapore." If you recall the lyrics, we are first called to stand up for Singapore to do the "best you can", only to be called a few lines later to also "be prepared to give a little more." I love this song. I love to sing it with pride and increasingly, I recognise, some irony. Are we perhaps the only country in the world where our best is still not enough? To be clear, I am not calling for slackness because reaching our fullest potential does require hard work. I am also not a proponent of the "lie flat" movement either. In fact, I am trying to solve or prevent it. Learning from hypercompetitive Asian societies, like South Korea and China where the 躺平, or "lie flat" movement has begun as a silent rebellion by youths against a system in which many feel hopeless about ever catching up with, we must be mindful of the long-term costs of a "pressure cooker" society. We can see this already happening when new technology emerges, such as AI, what a helpful tool, to help us be more productive. But instead of working less, we end up cramping more expectations into our workplans to achieve even more. What is stopping us from reaping the benefits and advantages of technology to avail ourselves the precious time to rest, to nurture relationships and to enjoy our families? Last year, Duke-NUS Medical School reported just depression and anxiety alone could conservatively cost Singapore $16 billion annually.[+14 sentences] An economically prosperous yet chronically unhealthy Singapore would be a hollow success. In an individual, chronic stress and tension entrenches the flight or fight response as a default reaction. In an ecosystem, chronic stress entrenches similar responses, such as demanding, defending, deflecting or sometimes, a collective numbing, which manifests as a lack of ownership. This may hurt to hear but our Civil Service is one of the most afflicted. I do not blame our civil servants because they take the brunt of overwhelming workloads that inadvertently cause mental and emotional burnout. We surely must agree that a burnt-out and emotionally "checked out" people is not what will create progress. The inability to slow down is a serious symptom that we are disregulated as an ecosystem and society. We must take daring steps to foster a collective restoration of our societal nervous system. We need new norms. The "Right to Disconnect" has to be seen as a necessity, not as a problematic "nice-to-have". Do we have the gumption to allow a collective slowing down, to cater time and space for our collective mental and emotional restoration? It may sound illogical or even terrifying to some, to cater for a period of slowing down, especially when imagined in economic terms. But I challenge the notion that growth and productivity is only possible with relentless hard work, especially in this technologically abundant era. Growth is possible with more collaboration in place of competition. Collaboration is more possible when we are well-regulated in our bodies and minds to allow for better listening and more empathy that then fosters more trust. This needs to be a whole-of-Government effort and I recommend the current Inter-agency Taskforce to become a permanent National Well-being Office, not under MOH but directly under the Prime Minister’s Office.[+2 sentences] This office should consist of well-being champions from each Ministry and Statutory Board, and include a consultative committee of representatives from the private and people sectors. Their role can be as resource persons, sounding boards as well as act as inter-Ministry bridgers to ensure the well-being lens is present in policy discussions and formulation across Ministries. To this end, a National Well-being Index adapted from existing Quality of Life surveys will be helpful to keep this Office's duties on track and accountable for outcomes.[+3 sentences] This will actualise what Singaporeans have already expressed in many Forward SG conversations, that desire for a different vision for Singapore, in the paths available, the aspirations and the definitions of success. Singaporeans want to thrive, without being in a constant rat race. How might we enable a deeper sense of fulfilment than the never-ending chasing of KPIs, material or financial success? The 2022 Quality of Life survey results show that those who took a more balanced approach to life, valuing traditionalism, sustainability and family relationships over material success were more satisfied than those who valued materialism over these intangible things.[+3 sentences] It tells us that the answer lies in the intangibles, the quality of our relationships with ourselves, with the people around us, as well as with our planet earth. This aspect of life requires a slowing down introspection in order to be nurtured. If slowing down feels foreign, selfish or even un-Singaporean, we can seek inspiration from our National Pledge. In outlining Singapore's national objectives, it lists "happiness" ahead of "prosperity" and "progress". And here, "happiness" can be taken to mean and referred to the overall sense of security and satisfaction that our people feel as Singaporeans, not just happiness as a fleeting emotion.[+1 sentence] Such sense of security and satisfaction is critical to mental well-being. To improve on this sense of security, let us have the courage to take a pause and the gumption to try a different narrative than scarcity.[+3 sentences] Let us focus on our abundance and on an attitude of gratitude to foster the collective sense of security. What do we wish to see in our children's and youths' faces? Certainly not stress, not anxiety or the blank disconnected faces like what we are seeing increasingly today, afflicted and glazed over by digital addictions, anti-depressants or sleeping aids that they use to cope with the disconnection within them untended to and unheld by our collective lack of mindful presence and the constant doubting of what is enough. I wish to see children and youths who are healthy, strong in their minds and bodies, with curiosity and connection alive in their eyes. I wish to see a workforce that is free from the burden of relentless and unnecessary busyness, rejuvenated and revitalised to have a high sense of ownership in every interaction, because people, who are well-rested, will have sufficient mental and emotional bandwidth to do so. I hope by the end of 2024, all of us, including us in this Chambers, would have taken enough pauses to introspect and to reconnect within ourselves and to acquire the language for emotional awareness, to be a more emotionally regulated, emotionally secure and mentally well society.
Mr Speaker39 words
Ms Carrie Tan, you would be happy to note that in my former corporate role, I introduced at my workplace, some four to five years ago, that we do not have any meetings on Friday afternoons.[+1 sentence] Dr Wan Rizal.
Adjournment of Debate›Motions4 turns · 40w
· 0 highlighted
motion-2313
Dr Wan Rizal (Jalan Besar)27 words
[+2 sentences]Mr Speaker, I beg to move that the debate be now adjourned. . (proc text)]
Mr Speaker8 words
[+1 sentence]Dr Wan Rizal, resumption of debate, what day?
Dr Wan Rizal2 words
[+1 sentence]Tomorrow, Sir.
Mr Speaker3 words
[+1 sentence]So be it.
Adjournment›Motions2 turns · 38w
· 0 highlighted
motion-2314
Speaker not recorded14 words
[+2 sentences]. (proc text)]
Mr Speaker24 words
[+4 sentences]Parliament will be adjourned till tomorrow, 7 February. And we will start the Sitting at 10.30 am. Order, order. Adjourned accordingly at 8.15 pm.
Protection for Employees from Unfair Retrenchment Practices and Exploitative Employment Contracts›Oral Answers to Questions19 turns · 2,937w
· 21 highlighted
oral-answer-3411
Dr Tan Wu Meng73 words
asked the Minister for Manpower over the past five years (a) how many unionised firms have carried out a retrenchment exercise without notifying the Ministry; (b) what sectors are these firms in; (c) what policy measures exist to ensure responsible human resource practices and tripartism are maintained when a firm decides to retrench employees, especially at a unionised firm; and (d) what action can be taken against firms and employers who are recalcitrant.
Assoc Prof Jamus Jerome Lim53 words
asked the Minister for Manpower (a) whether the Ministry tracks the prevalence of restricted stock units (RSUs) that are issued as compensation for mid-level employees in companies; and (b) if so, whether the Ministry condones the forfeiting of unvested RSUs by companies even in the event of a retrenchment, rather than a resignation.
Assoc Prof Jamus Jerome Lim140 words
asked the Minister for Manpower (a) whether the Ministry tracks the prevalence of non-compete clauses in employment contracts for mid-level employees in companies; (b) if so, whether the Ministry condones the enforcement of such clauses even in the event of a retrenchment rather than a resignation of employees; and (c) what efforts have the Ministry taken to better protect employees from exploitative employment contracts.[+3 sentences] The Minister for Manpower (Dr Tan See Leng): Mr Speaker, good morning and thank you for prioritising the balance of my Parliamentary Questions (PQs) to be answered this morning. May I now have your permission to address together three oral PQs for today’s Sitting, Question Nos 1 to 3 in today's Order Paper? My response will also cover the matters raised in the two written questions by Mr Christopher de Souza scheduled for 7 February 2024.
Mr Speaker839 words
[+7 sentences]Please go ahead. Dr Tan See Leng: This builds on my response to retrenchment-related issues at yesterday’s Sitting. Dr Tan Wu Meng and Mr Christopher de Souza asked about the measures to ensure responsible retrenchment practices and actions that can be taken against recalcitrant employers. Let me first re-emphasise that Singapore’s approach is a balanced one that protects workers, but, contemporaneously, we also want to give businesses the flexibility to adjust to market conditions. This balanced ecosystem ultimately creates more good jobs and sustains them for Singaporeans. And it ensures that even when workers are retrenched, the chances of them finding another good job are high. This is demonstrated by our low long-term unemployment and high labour force participation rates. On responsible practices, we worked closely with the tripartite partners to formulate clear guidance for employers when undertaking cost-cutting measures. This guidance is contained in the Tripartite Advisory on Managing Excess Manpower and Responsible Retrenchment (TAMEM).[+18 sentences] TAMEM also guides unionised companies to notify their unions early about an upcoming retrenchment exercise. Where it is provided for in the collective agreement, the norm is one month before notifying the employees. If an employer does not follow the TAMEM, the Tripartite Alliance for Fair and Progressive Employment Practices (TAFEP) will engage the employer to adhere to the advisory. Most employers are cooperative when approached by TAFEP or the Ministry of Manpower (MOM). This shows that our tripartite advisories are working well without the need for additional penalties, which may negatively affect the wider business environment in Singapore. Unionised companies, in particular, have an interest to maintain a good working relationship with their unions as it is a long-term partnership and should not need penalties to do so. Let me assure Members of the House that the majority of unionised companies have a good relationship with their unions to secure win-win outcomes. We also work with tripartite partners to assist the affected workers in a timely manner, after we receive the mandatory retrenchment notifications (MRNs). MOM has not received any cases of unionised companies who have not submitted MRNs after carrying out a retrenchment exercise. More importantly, we continue to help workers upskill, reskill and remain employable. This is so that they can find new and better jobs even when they face disruptions. Assoc Prof Jamus Lim raised questions on non-compete clauses and restricted stock units (RSUs). To be clear, MOM will not, will never, and does not condone any exploitative employment contracts. On non-compete or restraint of trade clauses in employment contracts, the civil courts have clear established principles on when such clauses are acceptable and can be upheld in court; and when such clauses are unreasonable, unjustified and thus, declared void. The civil courts will assess if there is a genuine business need and whether the company has scoped the clause reasonably based on sector, geographical areas and duration. The courts will also balance employers’ needs to safeguard their businesses and employees’ ability to earn a living and take into account that the clause should not be used to help businesses gain unfair advantages. Employees who believe that they are affected by unreasonable or unjustified restraint of trade clauses can seek assistance from their unions, TAFEP or MOM. We understand that overly restrictive restraint of trade clauses can disadvantage retrenched employees and create difficulties in finding employment. MOM and the tripartite partners are, hence, also developing a set of tripartite guidelines to provide guidance on the reasonable use of such clauses. This will help educate employers and shape norms, similar to how TAMEM is used. These guidelines are currently being finalised and we target to release them in the second half of this year.[+6 sentences] On RSUs, under the Employment Act, only non-workmen, which means those who are not mainly involved in manual labour, may be paid salary via stock options such as RSUs. Such matters are best discussed between the employer and employee as part of their employment contract negotiations. Employment contracts should clearly indicate the conditions under which unvested RSUs are forfeited. As these RSUs are typically given to employees in senior positions, they would be able to negotiate the terms with their employers. Hence, MOM does not track the prevalence of RSUs issued. Employees with disputes over RSUs may file a claim with the Tripartite Alliance for Dispute Management (TADM) for mediation, failing which the claim may be referred to the Employment Claims Tribunals for adjudication. For claims that exceed the claims limits of the Tribunals, employees would need to start a civil claim at the Courts.[+1 sentence] In conclusion, we understand that for employees, the loss of employment is a much more destructive and disruptive process that goes beyond the loss of wages. [chair housekeeping]We will continue to work with companies to educate them on possible cost-saving measures, so that retrenchment remains a last resort.[+1 sentence] The Government will also continue to work closely with tripartite partners to protect workers’ interests and ensure at the same time that Singapore remains a competitive global hub that continues to provide good jobs.
Mr Speaker4 words
[+1 sentence]Dr Tan Wu Meng.
Dr Tan Wu Meng (Jurong)319 words
[+11 sentences]I thank the Minister for his answers to my two PQs yesterday and today. I declare that I have Clementi residents who are affected by the recent Lazada e-commerce retrenchments and that there are sisters and brothers in the Labour Movement who are concerned at the initial reports of what had happened. I have two supplementary questions to the Minister. Firstly, can I draw the Minister's attention to the MOM statement on its website about the role of MRNs? To summarise the first paragraph, the MOM website basically says that for specified companies, notifying MOM of retrenchment exercises will allow the tripartite partners to help affected employees find alternative employment and/or identify relevant training to enhance employability. Can I ask the Minister, given that in some cases, the retrenchments may be very substantial and involve large numbers of workers, is there a role for mandating earlier notification to MOM when a firm retrenches a very large number of employees, so that help can be provided to the employees early on, in line with the policy objectives on the MOM website? Secondly, Mr Speaker, one of the Clementi families who contacted me mentioned that during the retrenchment, the company told the retrenched worker that they could not disclose information on the terms of the retrenchment to anyone. I understand this was a verbal instruction, but verbal instructions do have weight when a worker is worried about what will happen next. Can I ask the Minister, does MOM have a position on such non-disclosure arrangements when it pertains to a worker sharing information with a Government agency such as MOM, or for that matter, with a key tripartite partner such as the union? Because some residents have said they are worried. When they face such clauses, they are worried about whether they feel comfortable to share with MOM about what has happened or with their Member of Parliament, for that matter.
Dr Tan See Leng277 words
[+4 sentences]I thank the Member for his supplementary questions. I want to reassure the hon Member that MOM takes care of all workers, in addition to his Clementi resident. In terms of TAMEM and TAFEP, we cover every constituency, every division and every Group Representation Constituency (GRC), including from the west to the east, from the south to the north. That includes residents living in Sengkang and Aljunied GRCs. From 2019 to 2023, MOM received around 16,300 MRNs.[+6 sentences] The important point to note is that the compliance rate over the years has continued to improve. I do not have the entire spectrum of statistics, but this five-day MRN period strikes a balance between allowing employers sufficient time to finalise their decisions and collate the required information for submission, while still allowing for the prompt provision of career facilitation services and programmes to assist the affected workers. For the hon Member, when you run a business, most companies do not want to retrench their employees at will. For them, retrenchment is always a last resort. Plans are extremely fluid, and plans can change just before retrenchment. Because employers can and would want to adopt other or alternative cost-cutting measures, perhaps the redeployment of affected employees to other roles; hence, we have to strike that very fine balance. When you talk about whether there have been late submissions, it is important to note that today, from 2019 to 2023, from our MRN data, nine in 10 eligible employees received retrenchment benefits.[+2 sentences] For the rest who do not, we continue to work with them. There is TADM, and the unions will continue to represent them, so long as they are unionised.
Speaker not recorded107 words
[+2 sentences]To the hon Member's resident who was affected, he has also written to me. We have replied. The terms of the settlement are indeed confidential. We respect the tripartite agreement and the conciliation that has been reached.[+1 sentence] We respect the wishes of all parties. But the Food, Drinks and Allied Workers Union (FDAWU) will be able to represent Dr Tan's resident in this particular instance.[+1 sentence] So, I hope that that gives you that reassurance that, indeed, in this retrenchment exercise, MOM has been actively, pre-emptively and proactively working behind the scenes with each of our tripartite partners to ensure a swift resolution to this very unfortunate incident.
Mr Speaker4 words
[+1 sentence]Assoc Prof Jamus Lim.
Assoc Prof Jamus Jerome Lim (Sengkang)152 words
[+6 sentences]Thank you, Speaker and thank you to the Minister for his extended discourse on protections for retrenchment. I wish to take a step back in the process toward the pre-employment aspects of this. I accept that Minister has shared about the plans for stronger regulation in this matter that will be announced in due course. If I could enquire about the possibility of, perhaps, even outright prohibitions on non-competes, but specifically for mid-level and lower-level employees? While I understand that there are certainly benefits for the inclusion of these kind of clauses, including non-competes for senior roles, my concern has to do with the danger of this kind of inclusion of such boiler-plate language for mid-level and low-level roles because of the chilling effect it can have for employment in general. Moreover, just like Dr Tan's residents, many of our mid-level and lower-level resident employees cannot afford legal recourse, unlike senior employees.
Dr Tan See Leng409 words
[+5 sentences]I thank Assoc Prof Jamus Lim for his supplementary question. First, we do not have intention to introduce more regulations. So, let us be clear on that part of it. We have, prior to this incident, planned quite extensively and worked on various initiatives with our tripartite partners to come up with guidelines on such clauses. And as I have said, it so happened that the Lazada retrenchment happened at this time. But even before news of this broke out, we were already planning to see how we can establish guidelines to offer higher knowledge, understanding between companies and employers, and also to elevate the level of understanding for these non-compete clauses and restrictive type of covenants for our workers. That has resulted in a set of new guidelines which is worked out with all of the tripartite partners and which we will be releasing in the second half of this year. So, you can understand that when you set up a new set of guidelines, a lot of pre-work thinking, thought process, engagement and dialogues would have gone on behind the scenes in coming up with this set of guidelines. We are very clear in terms of RSUs or non-compete clauses that, in general, manual workers, workmen who are not involved in strategic budgets, operations and so on, will be protected against these restrictive clauses.[+5 sentences] Having said that, it would not be possible for us to regulate every single negotiated contract because the nature of businesses, from financial services, fintech to manufacturing, to all kinds of professional services and so on – if there is a one-size-fits-all solution, I would really like to hear how that could ever be possible. What we have undertaken is a nuanced approach where any senior-level employee, in terms of the negotiation, can always reach out to TADM and if it exceeds beyond certain claim limits, there is also the civil courts for them to take action. Assoc Prof Lim was saying that this group of mid-level employees may not have the ability to do so. Generally, we will help them but in the negotiation of RSUs, stock options, in lieu of actual wages and so on, I think most of them are at a different level of seniority, maturity and experience when they negotiate and enter into such contracts. I hope that we should not think of smearing across as a one-size-fits-all policy because I think that would be setting ourselves back.
Mr Speaker2 words
[+1 sentence]Mr Murali.
Mr Murali Pillai (Bukit Batok)63 words
[+2 sentences]Mr Speaker, Sir, on a point of information, may I convey to the hon member Assoc Prof Jamus Lim, from a civil law perspective, these restraints of trade clauses are prima facie unenforceable, unless they are shown, and the burden is on the employer to be reasonable and there is a legitimate proprietary interest to protect? So, that is the position at law.
Mr Speaker4 words
[+1 sentence]Assoc Prof Jamus Lim.
Assoc Prof Jamus Jerome Lim59 words
[+2 sentences]And if I could clarify to the Member Mr Murali that, that is precisely because why I mentioned the dangers of these boiler-plate language – because of the chilling effect. Even if they are unenforceable in a court of law, the danger is that they have a negative effect on employee rights, even before they can be potentially challenged.
Mr Speaker4 words
[+1 sentence]Mr Yip Hon Weng.
Mr Yip Hon Weng (Yio Chu Kang)61 words
[+3 sentences]Thank you, Mr Speaker. I have a short supplementary question for the Minister. Can the Minister share whether MOM has any of these early warning or intelligence capabilities that can ascertain which unionised companies intend to carry out retrenchment exercises, so that the tripartite partners can do some preparatory or advance work to help workers that are about to be retrenched?
Dr Tan See Leng336 words
[+3 sentences]I thank Mr Yip for his question. I think, in an ideal world, we would like to have information available to us at our fingertips all the time. But, as I have shared earlier on, retrenchments typically are one of the last resort measures that a company would resort to. And not just retrenchment as an exercise, the number of retrenched employees is also one of those fluctuating numbers; and again, it is something that I believe for the senior management of any particular company, if they should even eventually contemplate going down that route, it would be a very painful measure. So, for MOM or the tripartite partners to have advanced knowledge, I do not think that it is possible.[+9 sentences] However, having said that, there are other proxy indicators, for instance, like market disruptions, geopolitical uncertainties, disruptions in terms of transformation, new technology – these are things that we face as an open economy. Hence, our preventive, pre-emptive and very proactive stance has always been to make sure that all of our workers continue to be equipped to have that resilience to withstand all of these disruptions by upskilling and reskilling. And we do not just support the workers. We have indeed rolled out significant number of measures to support our businesses as well to help them transform. So, you have the Industry Transformation Maps (ITMs), pari passu with that with the Job Transformation Maps, we have rolled out Career Conversion Programmes to help businesses and employees with conversions in terms of their careers. And we also work very closely with our Labour Movement, our brothers and sisters, in rolling out Company Training Committees, which is spearheaded by the National Trades Union Congress (NTUC). And there are e2i and Workforce Singapore (WSG) to help these workers. We believe that a very comprehensive holistic solution is much better than trying to understand and pick out which one particular company is going to have retrenchments and and try to stop it. I hope this reassures the Member.
Mr Speaker31 words
[+3 sentences]I will just say that there are employers, and there are employers. Let us move on. I think I we are only at Question No 3. Next question, please, Dr Tan.
Prevalence of Complaints of Discrimination and Unfair Treatment in Police Force and Involvement of External Experts in Reviews›Oral Answers to Questions3 turns · 161w
· 1 highlighted
oral-answer-3412
Dr Tan Wu Meng76 words
[+1 sentence]asked the Minister for Home Affairs (a) whether the investigation into the tragic death of a police officer and the concerns raised regarding racial discrimination will involve external experts and reviewers beyond the Singapore Police Force (SPF); (b) whether a process invoking the Inquiries Act (2007) will facilitate such external review and help retain confidence in the SPF; and (c) what mechanisms exist for SPF officers to highlight racial discrimination whether against themselves or fellow officers.
Mr Darryl David53 words
asked the Minister for Home Affairs (a) for each year in the past five years, how many internal allegations and complaints of prejudice, discrimination or unfair treatment are handled in the Singapore Police Force; and (b) what is the respective percentage of such allegations and complaints against the total number of police officers.
The Minister of State for Home Affairs (Ms Sun Xueling) (for the Minister for Home Affairs)32 words
[+1 sentence]Mr Speaker, Sir, Minister Shanmugam will be delivering his answers to Oral Question Nos 4 and 5 as part of a Ministerial Statement on Allegations Surrounding Suicide of Sgt Uvaraja s/o Gopal.
Expected Additional Property Tax Collections Following November 2023 Announcement of Increase›Oral Answers to Questions17 turns · 2,212w
· 14 highlighted
oral-answer-3413
Mr Pritam Singh61 words
[+1 sentence]asked the Deputy Prime Minister and Minister for Finance (a) how much additional property taxes does the Government expect to collect in 2024 following the decision to increase property taxes as announced by the Ministry on 30 November 2023; and (b) how much property tax does the Government expect to collect in 2025 after accounting for the one-off rebate in 2024.
The Second Minister for Finance (Mr Chee Hong Tat) (for the Deputy Prime Minister and Minister for Finance)48 words
[+2 sentences]Mr Speaker, my response will cover Question No 6 on today’s Order Paper, as well as related questions by Mr Lim Biow Chuan and Ms Joan Pereira in yesterday’s Sitting, and by Mr Yip Hon Weng1 for a subsequent Sitting. May I have your permission to proceed, Sir?
Mr Speaker2 words
[+1 sentence]Please proceed.
Mr Chee Hong Tat332 words
[+7 sentences]Thank you, Sir. Mr Speaker, property tax is a tax on property ownership, and it is our principal means of taxing wealth. Property tax payable is based on the annual value (AV) of the property, which is the estimated annual rent of the property. We have seen from past data that AV rises and falls based on market trends. Mr Lim Biow Chuan and Mr Yip Hon Weng asked how property AVs are assessed. The Inland Revenue Authority of Singapore (IRAS) takes reference from rental transactions for similar properties over the course of the year. IRAS also takes into account the property’s attributes such as its location, age, land and floor area, improvement works last done and whether there are specific features like swimming pools. For 2024, most owner-occupied residential properties saw their AV increase by more than 20% due to the increase in market rentals from 2022 to 2023. In addition, as announced in Budget 2022 as a form of wealth tax, property tax rates were increased in two steps in 2023 and 2024, for high-value owner-occupied private properties with AVs above $30,000, as well as all non-owner-occupied properties.[+4 sentences] These moves were intended to enhance the progressivity of our wealth taxes, which I recall Members from both sides of the House had supported during the 2022 Budget debate. Mr Lim also asked if the property taxes on owner-occupied properties can be mitigated. The Government has indeed done so. One, property tax rates on owner-occupied properties are lower than non-owner-occupied properties. Two, to cushion the impact of the increase on owner-occupiers, the Government has provided a property tax rebate of up to 100%, capped at $1,000. With the rebate, owner-occupiers of Housing and Development Board (HDB) 1- and 2-room flats continue to pay no property tax; for owner-occupiers of other HDB flat types, the average property tax increase is less than $3 per month; and for half of private property owner-occupiers, their increase in property tax was less than $15 per month.
Speaker not recorded88 words
On Mr Pritam Singh's query on property tax collections, after accounting for the 2024 property tax rebate, the 2024 residential property tax revenue is expected to be around $600 million higher than the 2023 PT collections. Around two-thirds of the increase is contributed by non-owner-occupied properties.[+2 sentences] Sir, the Government closely monitors the rental market and reviews the AVs every year. On Ms Joan Pereira's question about future property tax rebates, we are prepared to consider if such rebates are needed when we review AVs and property tax payable.
Mr Speaker3 words
[+1 sentence]Mr Pritam Singh.
Mr Pritam Singh (Aljunied)180 words
[+8 sentences]Thank you to the Minister for the reply on this Parliamentary Question. On the expected property tax collection, in Budget 2022, the Finance Minister announced that the two-step increase in the property tax would raise the property tax revenue by $380 million per year. I believe the Minister said that the collection expected is $600 million. Can he, please, clarify the difference? The second question I have pertains to some feedback that has been received, since people received the absolute dollar amount increase they are expected to pay this year. One, which is quite common, has been a request, other than the rebate, to consider whether a differential rate for property tax can be considered, specifically for those with multiple properties as opposed to those with a single property? This feedback tends to come from those who are retired and senior. So, it is a query to the Minister, whether the Government would consider such a differentiated regime, other than the solution which it has, to moderate or mitigate the rise in property tax, which is the one of rebate?
Mr Chee Hong Tat333 words
[+21 sentences]Mr Speaker, to Mr Singh's first question. Indeed, the 2024 residential property tax revenue is higher than what we had originally anticipated when we debated this issue in Budget 2022. The higher-than-expected property tax collection was largely due to higher AVs, that arose as a result of the higher market rentals for residential properties. And to cushion this impact, what we have done, is to provide rebates for owner-occupied properties. The rebate is done for both 2023 and 2024. The rebate is on a scale, depending on the property type. For this year, the rebate is up to 100% but capped at $1,000. So, for HDB 1- and 2-room flats, for example, it is 100%. So, they do not pay property tax. For 3-room flats, it is 70%; 4-room flats, 50%; 5-room flats, 40%. If you go all the way to the private properties, it is 15%, capped at $1,000. With these rebates, as I have shared earlier in my main reply, the increase in the property tax for owner-occupied properties, including for private properties, would be cushioned. Of course, there are different ways to do this. We are open to exploring whether there are other ways to help seniors and retirees, who are staying in private properties or who may need a bit more time, to pay for their property taxes by instalments. This is something that we are open to considering. If I may just share one comment on Mr Singh's question about whether there is a differentiated rate. Today, there is already a differentiated rate. Because if you have multiple properties, you can only claim owner-occupation for one of them. The subsequent properties would be non-owner-occupied, and the rates would then be higher, and you do not get the rebate for those subsequent non-owner-occupied properties. But for the people who are staying on their own and have only one property, that is owner-occupied. The rates are lower compared to non-owner-occupied properties and we provide them with this property tax rebate.
Mr Speaker4 words
[+1 sentence]Mr Lim Biow Chuan.
Mr Lim Biow Chuan (Mountbatten)179 words
[+5 sentences]Thank you, Mr Speaker. Sir, I am aware that we had agreed previously on the need to increase taxes on properties. But within my constituency, several of my residents, in fact, 50% of my residents are in private estates and a number of them are retirees. They have no source of income, absolutely no source of income. Some of them have told me that their increase has gone up by almost 30%. So, the impact of the increase in property tax on them is actually quite high. So, may I ask the Minister whether the Ministry of Finance (MOF) will consider reviewing the hefty tax increase on owner-occupied properties and, perhaps, consider a higher amount of rebate, rather than have it capped at $1,000?[+3 sentences] At the end of the day, the impact on them is absolute, in terms of absolute dollar value. It is high since they do not have any increase in, say, pension or they have got absolutely no income. So, what do they do when they face a huge property tax bill that has increased substantially?
Mr Chee Hong Tat299 words
[+6 sentences]Mr Speaker, I understand the concerns that Mr Lim is raising on behalf of his residents. I also have residents who are in a similar situation. Certainly, I think, we empathise with the situation that the retirees are in because they moved into their houses many years ago. Now that they are growing older, they enjoy the company of their neighbours. They like staying in the neighbourhood, their nice community. And we understand that for some of them, this increase in the property tax is increasing the amount they need to pay. To the point about whether we can provide more help through property tax rebates, this is something which, in my main reply, I said, Ms Joan Pereira had also asked, we are prepared to consider and to take a look and see what we can do to help, not just seniors but also other families who are facing a large increase in their property tax bills.[+1 sentence] Sir, if I may also share some data with Mr Lim and the House. While it is true that some households may face a higher increase, depending on the AV of the property, because the larger the property, the higher the AV, the larger the magnitude of the increase would be. But, if we look at private properties across the board and, after the rebate – the 15% rebate capped at $1,000 – half of private property owner-occupiers will see their property tax payable increase by less than $15 per month.[+3 sentences] So, yes, it is an increase, but with the property tax rebate, the increase has been cushioned for a large number of private property owners. There will be some, because of the AV of the properties that they stay in, being on the higher side. They will face larger increases.
Mr Speaker4 words
[+1 sentence]Mr Yip Hon Weng.
Mr Yip Hon Weng (Yio Chu Kang)80 words
[+4 sentences]Thank you, Mr Speaker. I am heartened that the Minister has shared that IRAS is prepared to take into consideration the various circumstances of the owners in the assessment of property tax, such as giving help. I have a short supplementary question. Are there avenues for property owners to challenge the AV assessments, if they do not quite agree with how the AV is assessed, which is based on various factors, such as rental rates, physical attributes and so forth?
Mr Chee Hong Tat209 words
[+1 sentence]Mr Speaker, taxpayers can file an objection to IRAS if they disagree with the assessment. They can provide the grounds of objection, including evidence to support the different AV. And, if they are not satisfied with the outcome of the objection, they can appeal to the Valuation Review Board within 30 days of IRAS' decision.[+5 sentences] The Valuation Review Board is an independent tribunal, chaired by a district judge from the State Courts. Sir, I also want to clarify one point that, I think, is sort of embedded in what Mr Yip asked, which is how IRAS assess the AVs. In my main reply, I mentioned a few factors that they look at – the location, the age and the condition of the property. But there is also one point that I would like to share with the House, which is that when IRAS reviews the AVs of the residential properties every year, they will look at, generally, what is in the market, and they will exclude outliers. If you have one particular property in the neighbourhood, which is an outlier – the rental is particularly high – IRAS would disregard that and it will look at the general market trends in coming up with the assessment for the AVs.
Mr Speaker6 words
[+1 sentence]Last supplementary question, Mr Dennis Tan.
Mr Dennis Tan Lip Fong (Hougang)85 words
[+2 sentences]Thank you, Mr Speaker. Just to weigh in on the discussion on the AV applicable to properties where the owners are retirees and there are no income-earning occupiers in these properties. Instead of ad hoc assistance, I do not know what the Minister was alluding to when he said that IRAS may look into providing assistance.[+1 sentence] Instead of ad hoc assistance, can IRAS consider having a separate category of owner-occupied property tax rate for properties where they are solely occupied by owners who are retirees?
Mr Chee Hong Tat299 words
[+11 sentences]Mr Speaker, I understand where Mr Dennis Tan is coming from, but I hope he would also appreciate that, from the implementation point of view, it would be very, very challenging and very difficult for IRAS to be able to differentiate the different types of properties depending on who are the occupiers. There are retirees who stay with their families. They own the property; their children and family stay with them. There are those who stay on their own, but their children stay nearby, or they stay somewhere else, and they come and visit their parents. So, every family would have a different situation. Instead of doing that, what we have done is not to provide differentiated rates based on the very varied circumstances that different households would face, but we will provide help through the rebates, which I think is a fair and progressive way. Because, as I mentioned earlier, if you stay in a smaller property, especially HDB flats, you get a higher percentage of the rebate. If you stay in a private property, you will still get a rebate, but it is 15% and is capped at $1,000. It has helped to reduce the property tax payable for many of the households. But, of course, if you stay in a very big house and your AV is very high, then this impact of the property tax rebate may not be as significant because your increase is much higher and it is capped at $1,000. For the large majority of private property owners who stay in the properties like terraces and especially, some of the estates that I think Mr Tan would be familiar with; for this category, for many of them, the property tax rebate has helped to cushion the increase in the property tax payable.
Exploring Alternative Burial Processes to Reduce Demand on Land to Build Columbaria›Oral Answers to Questions12 turns · 1,272w
· 9 highlighted
oral-answer-3414
Ms Carrie Tan63 words
[+1 sentence]asked the Minister for Sustainability and the Environment (a) whether the Ministry has considered innovative ways to process the remains of those who have passed on so as to reduce the demand for land to build columbaria in the future; and (b) whether approaches such as allowing ash scattering around trees and resizing of urns and niches have been and will be considered.
Ms Carrie Tan50 words
[+1 sentence]asked the Minister for Sustainability and the Environment in view of the ageing population and projected rise in death rates, whether the Ministry will consider channelling resources towards efforts to change the mindsets of Singaporeans and destigmatise after-death facilities and amenities, such as through public communications and Forward SG dialogues.
The Senior Parliamentary Secretary to the Minister for Sustainability and the Environment (Mr Baey Yam Keng) (for the Minister for Sustainability and the Environment)19 words
[+1 sentence]Mr Speaker, may I have your permission to answer Parliamentary Question Nos 7 and 8 on today's Order Paper?
Mr Speaker3 words
[+1 sentence]Yes, you do.
Mr Baey Yam Keng176 words
[+1 sentence]I thank the Member for raising the issue, which is an important topic, given our rapidly ageing population. Annual deaths in Singapore are expected to increase, from about 25,000 today to about 60,000 by the 2060s.[+5 sentences] The National Environment Agency (NEA), therefore, works closely with land use planning agencies such as the Urban Redevelopment Authority (URA) to plan ahead for more after-death facilities, such as funeral parlours, wake halls and columbaria, to ensure adequate capacity. With an increasingly ageing population, such facilities will inevitably be a more prevalent feature of our urban landscape. Singaporeans, by and large, accept the need for such facilities, which are developed in a way that is sensitive to and integrated with the surrounding community. For example, the Mount Vernon Funeral Parlour Complex, which is being built, will be integrated with a nearby park with lush greenery to provide a visual screen. Today, most bereaved families will opt to cremate the body of their loved ones if the deceased's religion does not require burial and will typically place cremated ashes in niches.
Speaker not recorded346 words
[+2 sentences]To provide more options for the public, in May 2021, NEA introduced Inland Ash Scattering (IAS) at the Garden of Peace in Choa Chu Kang Cemetery as an additional option for managing cremated ashes. IAS requires less land compared to traditional niches and the fee for IAS is also lower in comparison to niche fees. Since its introduction, there has been increasing demand for IAS, with the number of applications increasing steadily from about 900 in 2021 to about 2,000 in 2023. A second IAS facility, the Garden of Serenity, is being constructed together with the new Mandai Crematorium Complex, which will make IAS more accessible when it is opened in 2025.[+5 sentences] Besides IAS and niches, families can also place ashes of departed loved ones at home or scatter them at sea. NEA will continue to study methods of intensifying land use and design at future facilities to minimise the land required and optimise land usage. But as the Member rightly pointed out, the acceptance of after-death facilities in their neighbourhood or even some distance from where they live vary. More can be done to improve the acceptability of after-death facilities and all of us – in this Chamber and beyond – can do our part. This starts with raising awareness of end-of-life planning and post-death matters. To create awareness and make it easier for individuals to plan ahead, My Legacy@LifeSG was launched in 2020 as a one-stop portal on end-of-life planning and post-death matters.[+4 sentences] There are also ongoing efforts to work with stakeholders, such as the Singapore Hospice Council, to engage the public to normalise conversations on death and dying. These conversations are necessary, although they can sometimes be difficult. Beyond destigmatising after-death facilities and explaining why such facilities are needed, it is also important to understand and address the concerns that stakeholders have, especially when actual sites have been identified for development of such facilities. This way, when our loved ones pass on at some point, we can be assured that they can be provided with a dignified sending-off and a proper resting place.
Mr Speaker3 words
[+1 sentence]Ms Carrie Tan.
Ms Carrie Tan (Nee Soon)171 words
[+4 sentences]Speaker, I appreciate Senior Parliamentary Secretary Baey Yam Keng's response. I think it lacks no emphasis that Singapore is land scarce and we have an ageing population, and my residents are very fully well aware of that. But they also would like to ask the Ministry, is it not all the more imperative that the Ministry needs to take more urgency to look at more innovative and sustainable ways of treating our loved ones' remains, rather than to fall back on the conventional and convenient solution of concentrating the niches and columbaria in one area? I think with announcement of the Mandai Columbarium complex, where about half of Singapore's niches are going to be located in the north, residents are expecting that the Ministry can do more to accelerate the conversations on this and accelerate different solutions to see how we can decentralise niches, so that this disamenity does not need to be unfairly concentrated in one area, but can be seen as an amenity that is accessible to all Singaporeans.
Mr Baey Yam Keng246 words
[+1 sentence]Mr Speaker, there are currently about 70 private and Government columbaria at different locations across the island of Singapore, it is not just in the north. The Ministry of Sustainability and the Environment (MSE) and NEA work closely with the Ministry of National Development (MND) and URA to safeguard sites for the development of after-death facilities in the medium and long term.[+4 sentences] And this is to support the needs of all Singaporeans. And these sites are distributed across the whole of Singapore. When developing the after-death facilities, we do prioritise the design to be sensitive. As I have mentioned, an example is the Mount Vernon Funeral Parlour Complex with lush greenery around, so that it provides a screen and is visually pleasant in the surrounding. In particular, the after-death facilities that are provided by the Government are also intended to be simple and secular to serve the needs of all Singaporeans. The services provided at these facilities are also much cheaper than those provided by other providers which are mostly affiliated to places of worship or privately owned commercial entities.[+3 sentences] We will continue to look at other options and ways of managing our loved ones' ashes and also in terms of the models of columbaria and designs. This will help us to maximise and also intensify land use. We will also look at other practices overseas and assess its suitability and more importantly, public acceptance of such new technologies, new ways and innovation in Singapore's context.
Mr Speaker6 words
[+2 sentences]Last supplementary question. Ms Carrie Tan.
Ms Carrie Tan89 words
[+2 sentences]Again, I thank Senior Parliamentary Secretary Baey Yam Keng for his valiant efforts to explain these needs. I would like to emphasise, suggest and also secure commitment from the Ministry that they will accelerate efforts to look into the other and innovative ways of treating after-death remains, such as looking into options like scattering ashes around trees and potentially even looking into solutions such as cremation diamonds, which are all solutions that require very little space and would be more viable and tenable for the long run in Singapore.
Mr Baey Yam Keng100 words
[+1 sentence]Yes, we are aware of options, like scattering ashes at trees. These are things that we will need to look at and how to turn ashes into diamonds or other things that people can keep for remembrance.[+1 sentence] I think these are innovative ideas. But as I have said, when the Government looks at providing such services or facilities, we have to make them affordable for most, if not all Singaporeans.[+1 sentence] Of course, if there are private operators who are offering such different types of services, we can work with them and they can offer these more interesting options for Singaporeans.
Impact of Red Sea Shipping Disruptions on Singapore Consumers and Businesses›Oral Answers to Questions5 turns · 511w
· 8 highlighted
oral-answer-3415
Ms See Jinli Jean39 words
[+1 sentence]asked the Minister for Trade and Industry (a) what will be the impact of the recent global shipping disruptions on local consumers and businesses; and (b) whether the Government will consider having more mitigating measures to counter such impact.
The Minister of State for Trade and Industry (Mr Alvin Tan) (for the Minister for Trade and Industry)44 words
[+2 sentences]Sir, I would like to point the Member to the Ministry of Trade and Industry's (MTI) written responses to the related questions Question Nos 39 and 40 in yesterday's Order Paper. However, I welcome any supplementary questions the Member may have on this topic.
Mr Speaker2 words
[+1 sentence]Ms See.
Ms See Jinli Jean54 words
[+2 sentences]Thank you, Minister of State. Given that lower-income households spend large proportion of their income on food and much of Singapore's food is imported, to what extent does the Ministry anticipate these shipping uncertainties to impact the prices of essential food items that matter most to the lower-income families in the near and mid-term?
Mr Alvin Tan372 words
[+3 sentences]Sir, I thank Ms Jean See for her supplementary questions. It is an important question and it is a good reminder that incidents very far away can have an impact on a small resource-constrained nation like ours. I would like to assure the Member and Members of this House that the Government is closely attuned and monitoring, as well as acting on what is happening and the implications downstream. First, there have been minimal disruptions to our critical supplies including food. The proportion of goods shipped from Europe by sea is small compared to Singapore's total global imports. In fact, the majority of our critical goods, including food, are delivered either by air freight from Europe or do not pass through the Red Sea.[+2 sentences] The Government agencies do have also many tools in the toolbox that we can use to act against any of these disruptions. Let me explain a few to assure the Member. First, Government agencies and other commercial partners have adequate measures in place to ensure that most of our critical supplies, including food, are adequately stocked and that we can activate alternative sources if needed.[+1 sentence] So, that is effectively stock-piling critical supplies, including food. Second, we continue to expand and diversify our trade linkages and strengthen global supply chains. Third, we have monetary policies to manage imported inflation. The Member would know that the Monetary Authority of Singapore (MAS) had announced that it will keep the exchange rate policy banned on a steady appreciation part.[+3 sentences] In line with this, Singapore's food import costs should continue to fall and exit downward pressure on food inflation over the course of the year. And finally, fiscal policy, which I think we will discuss more in this year's Budget. And that is to help with the cost of living, including lower-income households. The Member will be aware of the $1.1 billion Cost-of-Living Support Package announced in September 2023, as well as the Assurance Package, which together, will buttress many of the cost-of-living concerns that lower-income households will face.[+1 sentence] I would like to assure the Member, as well as Members of this House, that the Government will continue to monitor development in food prices and we will take the necessary measures, if needed.
Seeking Clarifications on Compliance with Foreign Interference (Countermeasures) Act›Oral Answers to Questions2 turns · 255w
· 5 highlighted
oral-answer-3416
Ms He Ting Ru71 words
[+1 sentence]asked the Minister for Home Affairs since the Foreign Interference (Countermeasures) Act 2021 came into full force on 29 December 2023 and with the wide drafting of some of the provisions of the Act, what options are available to politically significant persons who wish to seek clarifications about complying with provisions of the Act, especially those beyond the guidelines which are periodically issued by the Registrar of Foreign and Political Disclosures.
The Minister of State for Home Affairs (Ms Sun Xueling) (for the Minister for Home Affairs)184 words
During the passing of the Foreign Interference (Countermeasures) Act (FICA) in 2021, we have explained that FICA needs to be drafted to deal with the different ways in which foreign actors who want to do us harm can interfere in our domestic politics.[+3 sentences] We have also seen, both in Singapore and overseas, examples of how these threats can be manifested, including through journalists and academics. Examples were shared in this House. Interactions with Politically Significant Persons (PSPs), which may, at first glance, appear normal, may in fact be a vector for foreign interference. FICA gives us the levers to prevent, detect and disrupt these threats.[+1 sentence] FICA imposes obligations on PSPs. If a PSP is unsure, the normal process will be to take legal advice – this is what people do when they want to know about how a law applies. They can also refer to the information kit provided by the Registry of Foreign and Political Disclosures. The Ministry of Home Affairs has been interacting with Members of Parliament, including those from the Workers' Party, giving briefings, answering questions and also responding to feedback.
Conditions Eligible for Treatment Subsidies under Chronic Disease Management Programme›Oral Answers to Questions5 turns · 633w
· 8 highlighted
oral-answer-3417
Ms Carrie Tan78 words
[+1 sentence]asked the Minister for Health (a) how are feedback and requests from the public, medical professionals, and Members of Parliament weighted when considering whether a condition should be included in the Chronic Disease Management Programme (CDMP) to be eligible for treatment subsidies; and (b) whether the Ministry will consider creating an additional category to subsidise treatment costs of non-CDMP conditions such as glaucoma which if left untreated can impair the Instrumental Activities of Daily Living of senior persons.
The Senior Parliamentary Secretary to the Minister for Health (Ms Rahayu Mahzam) (for the Minister for Health)195 words
[+1 sentence]Mr Speaker, conditions under the Chronic Disease Management Programme (CDMP) are regularly reviewed by the Clinical Advisory Committee (CAC). Most recently, gout, allergic rhinitis and chronic hepatitis B were added to the CDMP from 1 July 2022. In selecting conditions for review for inclusion in the CDMP, feedback and requests from medical professionals, the public and Members of Parliament are taken into account. The CAC consults clinical experts and considers factors such as disease prevalence, potential benefits of early intervention to patients' outcomes and the availability of evidence-based clinical guidelines for appropriate care of the condition. Eligible patients seeking care for non-CDMP chronic conditions, including glaucoma, can still receive up to 75% subsidies at polyclinics and Specialist Outpatient Clinics (SOCs). Seniors aged 60 and above can also tap on Flexi-MediSave to pay up to $300 per year for the treatment of their non-CDMP chronic conditions at polyclinics, SOCs or the Community Health Assist Scheme (CHAS) clinics. Patients who cannot afford the remaining co-payment after subsidies and MediSave can apply for further financial assistance, such as MediFund at public healthcare institutions.[+1 sentence] No Singaporean will be denied access to appropriate healthcare due to an inability to pay.
Mr Speaker3 words
[+1 sentence]Ms Carrie Tan.
Ms Carrie Tan (Nee Soon)111 words
[+3 sentences]Mr Speaker, I thank the Senior Parliamentary Secretary Rahayu Mahzam for her response. I would like to clarify whether the Ministry of Health is looking at any plans to review the medical subsidy system to also factor in conditions that may not currently be classified as chronic, but has a significant impact in potentially affecting the activities of daily living for elderly, given that if we do not mitigate this condition, the caregiving costs that will be incurred will be significant in the long run. And that it is imperative to help elderly residents be able to manage this condition which affect their mobility and independence of living much more upstream.
Ms Rahayu Mahzam246 words
[+1 sentence]Mr Speaker, I appreciate the concerns raised by the Member. Since the introduction of the CDMP in 2006, there has been a gradual expansion of chronic conditions which are covered by CDMP.[+1 sentence] The CAC meets quite regularly, and they do review different conditions over time. In the past few years, looking at the different revisions that have happened, there is a frequency of about changes that happen in every three to five years.[+8 sentences] So, I think this will be a continuing effort on our part to look at all the different data and information to see what are the other conditions that can be included. The Member raised a point about looking ahead and considering how some of these conditions will impact people. Indeed, this is the thinking behind how we review the conditions that are included under CDMP because we do look at the disease burden and how the complications can arise if there is no early intervention. We look at the availability of evidence-based clinical guidelines for the appropriate care. So, these are all things that we do consider. In fact, we take into account some of the downstream effect if some efforts are not taken in to put in place. I do appreciate the Member's feedback. In fact, her inputs are useful because, as I mentioned earlier, even inputs from the Members of Parliament are also taken into account as we review the subsidies under all our different frameworks as well as CDMP.
Value of Unspent CDC Vouchers and Initiatives to Encourage Individuals to Donate these Vouchers›Oral Answers to Questions5 turns · 1,156w
· 9 highlighted
oral-answer-3418
Mr Saktiandi Supaat78 words
asked the Minister for Culture, Community and Youth (a) what is the dollar amount of Community Development Council (CDC) vouchers left unspent and expired on 31 December 2023; (b) what is the number and percentage of households which (i) donated their CDC vouchers in 2023 and (ii) did not completely utilise their CDC vouchers before they expired; and (c) how do we ensure that CDC Vouchers go to those who need them and do not go to waste.
The Minister of State for Culture, Community and Youth (Ms Low Yen Ling) (for the Minister for Culture, Community and Youth)226 words
[+1 sentence]Mr Speaker, the Community Development Council (CDC) Vouchers Scheme 2023 is part of the Government's continuing efforts to help Singaporean households cope with their daily expenses and to support heartland merchants and hawkers. It forms a part of the wider Assurance Package, and the $1.5 billion Support Package announced in October 2022 to provide additional relief for cost of living for all eligible Singaporean households. About 97.7% of the 1.27 million Singaporean households claimed the CDC 2023 vouchers at the end of the Scheme on 31 December 2023.[+2 sentences] This includes the newly formed households claiming their CDC vouchers for the first time. This marked the highest amount and percentage of vouchers claimed compared to all the previous rounds. Of the vouchers claimed, more than $360 million, or 96.5%, was spent at the participating hawkers, heartland merchants and supermarkets.[+3 sentences] Similar to the 2021 and 2022 vouchers, Singaporean households had the option to help the needy by donating their unused 2023 vouchers before 31 January 2024. They could contribute to participating charities that support a range of causes, such as animal welfare, arts and heritage, children and youth, the environment, migrant community, persons with disabilities and more. The CDCs will then give the respective charities the cash equivalent of the CDC vouchers that are donated to them. Any unspent and undonated vouchers will be returned to the Government.
Mr Speaker3 words
[+1 sentence]Mr Saktiandi Supaat.
Mr Saktiandi Supaat (Bishan-Toa Payoh)130 words
[+8 sentences]Mr Speaker, I would like to thank the Minister of State for the detailed statistics that she shared. I have two supplementary questions, Mr Speaker. One is, most of us understand that the CDC vouchers have been positively received by Singaporeans. Can the Minister of State give us the update on the CDC vouchers, in particularly, the Minister of State mentioned just now the claim rate has improved. But is it as high or better than last year? What are the drivers, and can it be even higher? The second supplementary question is, since the option for households to donate their CDC vouchers has started, has there been more charities wanting to get on board the list of recipients? Can the Minister of State please provide an update on this?
Ms Low Yen Ling719 words
[+9 sentences]Mr Speaker, I want to thank the Member, Mr Saktiandi Supaat, for the two supplementary questions. In my main reply, I mentioned that, in terms of the claim rate for 2023, it is the highest claim rate at 97.7%. But we always strive to improve. As the Member Mr Saktiandi Supaat mentioned, we are very grateful that the CDC Vouchers Scheme has been widely used and well-received by Singaporean households. Indeed, coincidentally, today is 6 February. It has been about a month since Deputy Prime Minister Lawrence Wong has launched the 2024 CDC Vouchers Scheme. So, allow me to just give an update. It has only been a month, and we all know that Singapore households have a whole year to claim and use the vouchers. But do allow me to give an interim update as of 6 February. As of today, 1.208 million Singaporean household have claimed the 2024 CDC vouchers.[+1 sentence] This represent 95% of all Singaporean households, that is, 95% of the 1.27 million Singaporean households. As of 6 February, more than $255 million of the claimed vouchers have been spent.[+2 sentences] This represents 42% of the claimed vouchers. I can give a further breakdown, but it is really interim because it has only been a month. Of the $255 million, $99 million was spent at participating merchants and hawkers, while the remaining $156 million had been spent at the participating supermarkets, probably because of the promotion campaigns that had been rolled out by the supermarkets to support all Singaporean households to use the vouchers to defray their household expenses.[+18 sentences] For the second supplementary question on the donation, allow me to give some background. The main objective of the CDC Vouchers Scheme, as directed by the Government to us, is to support Singaporean households to use this to defray their household expenses. But we heard feedback from Singaporean households, especially in 2022. The CDC Vouchers donation scheme was started then because we received feedback from Singaporeans who wished to donate their unused CDC vouchers to help others in need. Because of that, we started concerted efforts to roll out these options to Singaporeans. The number of charities has increased steadily since we started this scheme in December 2022. Back then, the total number of participating charities was about 270. As of today, 327 charities are on board and that represents about a 20% increase in participating charities. We want to welcome more to come onboard. They cover a wide array of causes. They champion various causes, community and social causes, like environment sustainability, animal welfare, arts and heritage, children and youth, the migrant community, and persons with disabilities. I must also clarify that these participating charities are Institutions of Public Character. The Member also asked for an update on the number of the 2023 vouchers. I would like to inform him that the numbers for the donation of 2023 vouchers are yet to be released because they are being collated and checked across the different causes and recipient charities. I want to assure him that we will certainly share the number in due course and encourage other participating charities to come on board the donation scheme. The CDC will give the respective charities in the CDC Voucher donation scheme the cash equivalent of the CDC vouchers 2023 that are donated to them. Any unspent and any undonated vouchers will have to be returned to the Government. Allow me to recap a little for Mr Saktiandi Supaat. For the earlier tranche of 2021 and 2022 CDC vouchers, 9,880 households donated close to $1.19 million dollars to 245 charities.[+5 sentences] And I recall one of the top charities that received the most donation is Children's Cancer Foundation – it received an aggregate donation of about $80,000. So, even as the CDC Vouchers Scheme is designed to support all Singaporean households to defray their household expenses, their expenses on daily necessities and essential services, I think it has also served a secondary purpose of doing good, especially for Singaporeans who want to donate their CDC vouchers. The top three charity sectors that received the highest donation amounts for the 2021 to 2022 vouchers, are, first, the healthcare-related charities. I cited Children's Cancer Foundation. The second category is the families and children's charities; and the third category is the youth and children's charities.
Falsification of Crash Test Results by Japanese Carmaker and Impact on Cars in Singapore›Oral Answers to Questions6 turns · 721w
· 9 highlighted
oral-answer-3419
Speaker not recorded48 words
[+1 sentence]13 Mr Saktiandi Supaat asked the Minister for Transport (a) whether the admitted falsification of crash test results by a Japanese carmaker impacts cars that are sold and driven in Singapore; and (b) if so, what investigation or course of action will the Ministry take in that regard.
The Senior Minister of State for Transport (Dr Amy Khor Lean Suan) (for the Minister for Transport)90 words
The Land Transport Authority (LTA) is aware of the admitted falsification of crash test results by a Japanese vehicle manufacturer – Daihatsu – and has taken action to identify whether any of the affected cars are sold and driven in Singapore. First, LTA cross-checked against its vehicle records and found that none of the affected vehicles, based on the published chassis numbers by the vehicle manufacturer, have been registered in Singapore to date. Second, the relevant motor dealers have confirmed that they did not sell any of the affected vehicles.
Mr Speaker3 words
[+1 sentence]Mr Saktiandi Supaat.
Mr Saktiandi Supaat (Bishan-Toa Payoh)146 words
[+9 sentences]Mr Speaker, I thank the Senior of Minister of State. It is good to know that the chassis numbers are zero literally. But can I clarify again? Because I read that the falsification reports affect 64 models across a few different brands – Daihatsu, Toyota, Mazda and Subaru, based on a drive.com article on 22 December. The question is, if it does come in, as there are risks of parallel importers bringing in these vehicles in the future, how can Singaporean motorists or even commercial or non-commercial drivers know how far back it goes? If these vehicles come in, what safety issues are in question? The question is safety issues. The article mentioned the airbag issues. Is that a concern for drivers in Singapore, because what if these vehicles come in or sneak in, one, two, three, four or five; I am not sure how many.
Dr Amy Khor Lean Suan417 words
[+4 sentences]I thank the Member for his supplementary questions. First, let me say that this issue first surfaced in April 2023 when Daihatsu, a unit of Toyota, made a public announcement regarding procedural irregularities, firstly, to pass certification tests. This consisted of unapproved modification of door trim for side collision tests and using passengers side data as driver side data for pole-collision tests. An independent third-party committee was then commissioned by Daihatsu in May last year to investigate these irregularities. The committee, as the Member has noted, identified 64 vehicle models, which included the Daihatsu models as well as models produced by Daihatsu but supplied as OEM models to Toyota, Mazda and Subaru, and sold as the respective makes. Three engines, including those that had already been discontinued were affected. But, as mentioned in my reply, the LTA checked and there was no vehicle registered in Singapore that fall within the affected chassis range reported in the recall of these vehicles.[+1 sentence] In fact, what happened was Daihatsu and Toyota followed up an initiated recall for their Cast and Pixis Joy models in January this year. Beyond just checking our vehicle register, we reached out to Toyota Motor Asia Pacific as well as their authorised motor dealers for the various mix to confirm that they have not sold any of these affected vehicles to date. So, as it is, there is no cause for concern in this respect.[+2 sentences] But regardless, what is important is for the owners to maintain their vehicles regularly and then consult the dealers if they notice any safety issues. As the Member has rightly pointed out, in future, this is an evolving issue over time. LTA will closely monitor the developments of this issue and subsequently, if we do find any affected vehicles and if they are identified, we will work with the Toyota Motor Asia Pacific as well as the relevant authorised motor dealers for the necessary follow-up actions.[+4 sentences] The follow-up actions will be that these dealers and importers are mandated under law to notify us, LTA, as well as the affected owners and then take the necessary steps to rectify the defects. The vehicle owners can also check our OneMotoring website because we maintain an electronic vehicle recall system and the vehicle owners can check if their vehicles are affected under this system. If so, they will also be updated on the progress of the rectification works. This is also mandated by LTA that the dealers have to update the rectification works progress.
Speaker not recorded17 words
[+1 sentence]In addition, OneMotoring also has a report of all the recalls submitted over the last six months.
Application Rates for Scheme that Exempts Persons with Disabilities from Paying COE Premiums and Additional Registration Fees for Vehicles›Oral Answers to Questions8 turns · 557w
· 8 highlighted
oral-answer-3420
Mr Ong Hua Han83 words
[+1 sentence]asked the Minister for Social and Family Development regarding the Disabled Persons Scheme (DPS) which exempts eligible Singapore citizens with permanent disabilities from paying COE premiums and Additional Registration Fees when purchasing a vehicle (a) how many of such applications were received in 2023; (b) which three years had the highest number of applications since the launch of the scheme; (c) what is the number of applications received in each of those years; and (d) whether the DPS is still serving its purpose.
The Senior Parliamentary Secretary to the Minister for Social and Family Development (Mr Eric Chua) (for the Minister for Social and Family Development)103 words
[+1 sentence]Mr Speaker, the Disabled Persons Scheme (DPS) is a means-tested scheme which exempts eligible Singapore Citizens with permanent disabilities who are unable to use public transport and require a vehicle to earn a living from paying premiums for the Certificates of Entitlement (COEs) and Additional Registration Fees (ARF) when they purchase a vehicle. The number of applications for DPS has steadily declined from 93 in 2015 to 20 in 2023. As we continue to push ahead with our efforts to make public transport accessible to all persons with disabilities, we will monitor the take-up of the scheme and review the need for DPS.
Mr Speaker4 words
[+1 sentence]Mr Ong Hua Han.
Mr Ong Hua Han (Nominated Member)37 words
[+3 sentences]I thank the Senior Parliamentary Secretary for his answer. I have a supplementary question. What is the Government's view on the tiered means-testing approach for DPS with proportionate COE and ARF reimbursements to support more in-need individuals?
Mr Eric Chua98 words
[+1 sentence]I thank the Member for his supplementary question. The last review of DPS was actually conducted in 2017 and, in that exercise, we updated the income ceiling for the scheme so that we can keep up with the changes in per capita incomes of Singaporeans. And as I have mentioned in my main reply, what we commit to do is to make sure that we review DPS.[+1 sentence] I think it is timely as part of the larger transport ecosystem, so that it can make public transport more accessible to more and, if we can, all persons with disability.
Mr Speaker4 words
[+1 sentence]Dr Tan Wu Meng.
Dr Tan Wu Meng (Jurong)110 words
[+4 sentences]I thank the Senior Parliamentary Secretary for his answer. I had previously raised a Parliamentary Question on DPS and a supplementary question as well on the pace of reviews. Would the Ministry have an updated sense on whether the change in per capita household incomes (PCHIs), compared to the 2017, has resulted in a smaller proportion of potential applicants qualifying for DPS? Can there also be some additional closer looks at situations where a person with disabilities may themselves be a caregiver to young children because, in Clementi, we do have residents who have started families, are raising children and are, therefore, shouldering additional caregiver duties and responsibilities at home?
Mr Eric Chua118 words
[+1 sentence]I thank the Member Dr Tan for his supplementary question. In my private exchanges with Member Mr Ong Hua Han, as well as other persons with disabilities and caregivers, I understand that DPS is a matter of concern to the community. But as I mentioned in my main reply, we do need the means-tested tiering to keep up with the PCHI of today's levels. And as I mentioned earlier in my supplementary reply to Mr Ong Hua Han, we are reviewing DPS. We understand that we need to keep the scheme relevant, but in the context of our more holistic review of the entire transport ecosystem for persons with disabilities and the caregivers.[+1 sentence] So, this is our commitment.
Update on Number of Mpox Cases and Transmission Data›Oral Answers to Questions5 turns · 378w
· 2 highlighted
oral-answer-3421
Mr Melvin Yong Yik Chye56 words
[+1 sentence]asked the Minister for Health (a) how many cases of mpox was diagnosed in Singapore for each quarter of 2022 and 2023; (b) what drove the surge in mpox cases in the fourth quarter of 2023; and (c) whether there are any signs of a continued surge in local mpox transmission and imported cases in 2024.
The Senior Minister of State for Health (Dr Janil Puthucheary) (for the Minister for Health)74 words
[+1 sentence]Mr Speaker, since mpox was made legally notifiable on 30 June 2022, the Ministry of Health (MOH) has been reporting up to 20 cases per quarter, with 18 cases in Q3 2022, 20 cases in Q4 2023, and zero to six cases in between. The increase in cases in the last quarter of 2023 corresponded with a rise in cases globally and regionally. No new mpox cases were reported in Singapore in January 2024.
Mr Speaker3 words
[+1 sentence]Mr Melvin Yong.
Mr Melvin Yong Yik Chye (Radin Mas)55 words
[+2 sentences]Sir, I thank the Senior Minister of State for his reply. I would like to ask the Senior Minister of State if the Ministry intends to issue advisories for Singaporeans planning to travel to countries where mpox is more prevalent, so that they can be better aware of how to protect themselves against the virus.
Dr Janil Puthucheary190 words
[+6 sentences]Mr Speaker, I thank Mr Yong for the question. The advisory when travelling is the same as the advice given in Singapore. So, the fact of travelling does not change the advice and if I may, I will just quote from our general advice that we have provided that is worth highlighting. The following precautions are advised: that individuals should monitor their health, maintain a high standard of personal hygiene, frequent hand washing after going to the toilet or when hands are soiled, avoiding contact with persons who are unwell or objects that became contaminated with infectious fluids, such as soiled clothing, bedding or towels. The avoidance of high-risk sexual activities, such as having multiple partners and casual sex when travelling, the avoidance of contact with wild animals that could harbour the virus and, in particular, the consumption of bush meat. This advice applies whether travelling or not, and, in addition, to seek medical attention if one develops symptoms, such as the sudden onset of high fever, swollen lymph nodes and rash and, when doing so – obtaining medical attention – informing the clinical team of recent travel and exposure.
Factors for Decline in Happiness Measure in Quality of Life Survey›Oral Answers to Questions5 turns · 710w
· 10 highlighted
oral-answer-3422
Mr Yip Hon Weng78 words
[+1 sentence]asked the Minister for Culture, Community and Youth following the latest Quality of Life survey which found a decline in happiness among Singaporeans over the past decade (a) whether the Ministry can elaborate on specific local factors that may be contributing to this trend; (b) whether any study has been done to correlate between the observed decline in happiness and the rise in mental health issues; and (c) what initiatives can be taken to achieve better survey results.
The Minister of State for Culture, Community and Youth (Mr Alvin Tan) (for the Minister for Culture, Community and Youth)388 words
[+1 sentence]Sir, the Member is referring to the National University of Singapore's (NUS) 2022 Quality of Life (QOL) survey, which found that Singaporeans' well-being decreased between 2016 and 2022. The authors of this survey measured well-being using a variety of scales, including the satisfaction with life scale and the Cantril self-anchoring scale, which is also used as the primary happiness measure by the World Happiness Report of the United Nations' Sustainable Development Solutions Network.[+3 sentences] This could be attributed to a variety of factors. It could reflect Singaporeans’ emotions as they weathered the COVID-19 pandemic when we had fewer opportunities to interact with one another or to participate in arts, culture and sports activities or through volunteering. All of these are determinants of well-being. In the World Happiness Report 2023 that I cited earlier, Singapore is the happiest country in Asia and the 25th happiest country in the world.[+2 sentences] It is worth noting that this report's Happiness score is used interchangeably with Subjective Well-being, and the score is based on the Gallup World Poll Life Today Cantril-ladder Life Evaluation question. As I mentioned earlier, there would be also varying definitions of happiness. One definition is that happiness is a state of feeling or showing pleasure or contentment and is distinct from mental health needs or issues. We are not aware of existing studies done in Singapore that correlate both. But, as a whole, the Government has implemented a holistic approach to enhance Singaporeans’ mental health and mental well-being through the national strategy we announced in October 2023. The SG Mental Well-being Network is the community pillar to this strategy. Through the Network, we bring together partners and citizens to strengthen mental well-being and mental health outcomes. We have also set up Well-being Circles in the communities to strengthen community and peer support and equip citizens with skills to care for their own mental well-being and that of others around them.[+2 sentences] We are also working with schools and employers to create environments which support mental well-being. I look forward to further discussing the topic of mental health and mental well-being with the Member in the debate on the Motion that he has filed jointly with other People's Action Party Members of Parliament in the House and thank him for his leadership in advancing mental health and mental well-being in our nation.
Mr Speaker18 words
[+3 sentences]Mr Yip, we have a full debate later. Do you still want to ask a supplementary question? Okay.
Mr Yip Hon Weng (Yio Chu Kang)120 words
[+7 sentences]My supplementary question is not related to the debate. Thank you, Mr Speaker. I thank the Minister of State for his reply. Has the Ministry considered the impact of rising living costs, housing affordability and job insecurity on happiness levels? Can the Ministry share specific data on these? Next, I understand that the QOL survey is done by NUS and not by the Government, but it is still a useful report to measure residents' quality of life. Can the Ministry share how the Ministry of Culture, Community and Youth (MCCY) will use the findings and recommendations from the survey, including how the findings are effectively communicated to and acted upon by relevant stakeholders across different Government agencies and community organisations?
Mr Alvin Tan106 words
[+1 sentence]Sir, I thank Mr Yip for his questions. The short answer to his second question is, in fact, yes, and we look at NUS' QOL survey among many other reports that MCCY either commissions or does inhouse. And all of these surveys and studies do inform how we work on the ground in terms of engaging different levels in the community – our youths, seniors and people who are working – and these effectively inform our National Mental Health and Well-being Strategy, which we will go into detail again in the debate later on.[+1 sentence] So, I hope that the Member will be happy with my answer.
Number of Cases of Dengue Inspection Officers being Refused Entry into Homes and Penalties Meted Out›Oral Answers to Questions6 turns · 753w
· 8 highlighted
oral-answer-3423
Mr Melvin Yong Yik Chye65 words
[+1 sentence]asked the Minister for Sustainability and the Environment (a) how many cases of refusal of entry to the National Environment Agency’s (NEA) dengue inspection officers have been reported in the past three years; and (b) whether the Ministry has any plans to increase the penalties for individuals who refuse entry to NEA’s dengue inspection officers for inspection under the Control of Vectors and Pesticides Act.
The Senior Parliamentary Secretary to the Minister for Sustainability and the Environment (Mr Baey Yam Keng) (for240 words
[+1 sentence]the Minister for Sustainability and the Environment): Mr Speaker, most residents allow the National Environment Agency's (NEA) officers to inspect their premises after the officers have explained the need to conduct checks for mosquito breeding and stem dengue transmission. In the past three years, NEA has encountered about six instances of refused entry for every 100 inspection attempts at residential premises.[+2 sentences] In such instances, NEA would offer to reschedule the inspection to another time. Eventually, most of them will comply and facilitate our inspections. Under the Control of Vectors and Pesticides Act 1998 (CVPA), notices to require residents to make their premises available for inspection may be served to those who repeatedly refuse entry to NEA inspection officers.[+1 sentence] Individuals who fail to comply with the notice can be charged under section 45 of CVPA for obstructing or hindering NEA officers from performing their duties. Offenders are liable on conviction to a fine not exceeding $5,000 or to imprisonment for a term not exceeding three months, or to both. We have not had the need to charge anyone under section 45 for repeated refusal to entry in the past three years and we do not have any plans to increase the penalties at this point in time.[+1 sentence] In light of the increasing number of dengue cases, I urge all individuals and premises managers to take urgent action to break the disease transmission by adopting good housekeeping habits to prevent mosquito breeding.
Mr Speaker3 words
[+1 sentence]Mr Melvin Yong.
Mr Melvin Yong Yik Chye (Radin Mas)137 words
[+6 sentences]Mr Speaker, I thank the Senior Parliamentary Secretary for his answer. I note from the Senior Parliamentary Secretary's reply that the number of people who refused entry to NEA officers are relatively small. I would like to ask the profiles of such people who refused entry to NEA inspection officers. Are they predominantly the elderly? This is because, in my constituency, I have a large proportion of the elderly and, during my visits, I commonly hear from my elderly residents that they are very wary about opening their doors to strangers, even to those who seemingly wear uniforms because there are afraid of scams. So, my question is: how does NEA plan to create awareness of the role of the NEA inspection officers and to assuage elderly residents that these officers and their inspections are actually legitimate?
Mr Baey Yam Keng260 words
People who refused entry for NEA inspections span across a wide spectrum and there is no predominance of senior citizens.[+2 sentences] As mentioned in my reply, most of them do eventually allow access to their premises after engagement and explanation, and NEA has not had the right to take harsher action against them. These residents also find that after they have allowed the officers to enter their premises, they also learned from the officers about potential breeding grounds for mosquitoes and how they could prevent such habitats from building up and invading their homes. Besides the NEA polo t-shirts that the officers wear, they also carry an authority card that residents can check against. They can verify the identity of the officers by calling the NEA contact centre at 6225 5632.[+1 sentence] So, perhaps the Member can also help us to provide the number to his residents so that they can call by phone to check the authority card number against NEA records or, for those who can use the Internet, they can also check using the NEA website. Our officers will also share these verification methods with residents who raise any concerns about their authenticity, and we will continue to raise awareness of our dengue officers' work through periodic outreach.[+1 sentence] We could also look at, for example, in dengue cluster areas, perhaps putting up posters, with the support of local advisors, using their notice boards, to assure residents that NEA is doing the inspection to contain the spread of dengue and also how they may verify the identity of these officers.
Mr Speaker48 words
[+2 sentences]Order. End of Question Time. [Pursuant to Standing Order No 22(3), written answers to questions not reached by the end of Question Time are reproduced in the Appendix, unless Members had asked for questions standing in their names to be postponed to a later Sitting day or withdrawn.]
Allowing Banks to Adopt Singpass as Primary Method to Verify and Update Addresses of Account Holders›Written Answers to Questions2 turns · 127w
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written-answer-15692
Mr Yip Hon Weng37 words
[+1 sentence]asked the Prime Minister whether the Government will consider allowing banks to adopt Singpass as the primary method (i) to verify the addresses of bank account holders and (ii) for bank account holders to update their addresses.
Mr Lawrence Wong (for the Prime Minister)90 words
[+4 sentences]Banks are allowed to adopt Singpass services, such as Myinfo, to obtain and verify their customers' personal particulars. This has been widely implemented for online banking channels. The extent of adoption at bank branches varies and depends on individual banks' considerations, such as the profile of branch customers and their respective preferences and the extent of information technology integration needed. The Monetary Authority of Singapore encourages banks to integrate Singpass services into their branch systems so that customers have a choice between digital and physical identity card verification at branches.
Estimated Increase in Frequency of Flights from Tengah Air Base After Relocation of Paya Lebar Air Base›Written Answers to Questions2 turns · 275w
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written-answer-15693
Ms Hazel Poa47 words
[+1 sentence]asked the Minister for Defence (a) what is the estimated increase in the frequency of flights from Tengah Air Base after operations from Paya Lebar Air Base (PLAB) are relocated there prior to PLAB's decommissioning in 2030; and (b) what are the noise mitigation measures being explored.
Dr Ng Eng Hen228 words
[+7 sentences]The decision to relocate the Republic of Singapore Air Force (RSAF) capabilities and activities at Paya Lebar Air Base (PLAB) elsewhere was taken with the paramount consideration that it would not weaken Singapore's ability to defend itself. Thus, Tengah and Changi Air Bases were expanded to make up for the closure of PLAB. After the relocation of PLAB, the RSAF estimates a 15% to 20% increase in the frequency of flights at Tengah Air Base. To minimise the impact of aircraft noise on residents in the vicinity of our airbases, the RSAF has in place several noise abatement measures. These include conducting about 50% of RSAF flying training requirements overseas, shifting some of the local flying requirements to simulators, planning for local flying routes away from residential areas where possible and adjusting flying training tempo and hours during school examinations period. The Ministry of Defence and the RSAF have also worked with Government agencies, such as the Housing and Development Board, and the National Environment Agency, on noise mitigating measures for new infrastructure developments in the vicinity of air bases, such as Tengah New Town. Examples of measures adopted for public housing include thicker window glass for better sound insulation when windows are closed, façade designs with overhangs or canopies to deflect and abate noise transmission and orientating buildings away from the direct line of aircraft flight paths.
Instant Approvals of Exit Permit Applications Since 2018 and Update on EP Approval Process›Written Answers to Questions2 turns · 216w
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written-answer-15694
Mr Leong Mun Wai74 words
[+1 sentence]asked the Minister for Defence (a) for each year since 2018, what is the percentage of Exit Permit (EP) applicants who receive instant approvals; (b) whether the Ministry has ceased to instantly approve EP applications and, if so, why; (c) what is the median time taken to approve an EP if it is not instantly approved; and (d) what can applicants do to accelerate the approval process if their EP is not instantly approved.
Dr Ng Eng Hen142 words
[+7 sentences]Exit Permits (EPs) are required to maintain the Singapore Armed Forces (SAF) and Home Team's operational readiness at all times. Pre-enlistees and full-time national servicemen (NSFs) who are disrupted from full-time National Service (NS) must apply for an EP if they intend to remain overseas for a period of three months or longer. NSmen need only apply for an EP if remaining overseas for 12 months or longer. About 85% of the EPs issued between 2018 and 2023 were processed and issued on the same day. Of the remaining 15% of applications, the median time taken for approval is around seven days. A longer time is taken when applicants are required to provide additional documentation, resolve outstanding NS-related offences or are scheduled for upcoming NS activities. Applicants can accelerate the process by providing additional documents promptly and resolving any outstanding NS-related offences.
Ensuring Security of Singapore's Global Trade Routes and Shipping Lanes Amid Geopolitical Tensions›Written Answers to Questions2 turns · 349w
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written-answer-15695
Mr Mohd Fahmi Aliman87 words
[+1 sentence]asked the Minister for Foreign Affairs (a) what is Singapore's strategy to ensure the security of its trade routes and shipping lanes amid geopolitical tensions, particularly with the threat posed to ships heading to Israel as articulated by the Houthis; (b) what diplomatic and trade policy initiatives will be undertaken to address the potential impact on global trade routes and to safeguard Singaporeans' business interest; and (c) how does the Ministry plan to ensure that Singaporean shipping companies and vessels are adequately prepared to navigate these challenges.
Dr Vivian Balakrishnan262 words
[+9 sentences]The Houthis' attacks on vessels in the Red Sea region, a major sea line of communication, have disrupted the flow of trade and threatened the safety and freedom of navigation through the area. To safeguard free and open access to trade routes and shipping lanes, Singapore will continue to work with the international community, including the relevant littoral states and agencies, such as the International Maritime Organisation, in accordance with international law. For instance, Singapore is a member of the 41-nation Combined Maritime Forces and has participated in multinational counter-piracy operations in the Gulf of Aden under Combined Task Force (CTF) 151. Mr Mohd Fahmi Aliman would also be aware of our participation in Operation Prosperity Guardian, under CTF 153: Red Sea Maritime Security. In addition, Singapore has hosted the Regional Cooperation Agreement on Combating Piracy and Armed Robbery against Ships in Asia Information Sharing Centre since 2006 and the Information Fusion Centre since 2009. These centres enable rapid information-sharing and engagement with the commercial shipping community on maritime security incidents, which allow timely and appropriate actions to be taken. Our agencies have been engaging operators of Singapore-registered ships to remind them to exercise vigilance, follow instructions from the local authorities and take necessary precautionary measures when transiting through the Red Sea region. We will continue to monitor the impact of such disruptions to global trade on our businesses. We stand ready to serve as a catch-up port to help diverted vessels from the Red Sea and to work with our businesses to manage their supply chains and strengthen their contingency plans.
Maintaining Singapore's Diplomatic Neutrality and Relations in East Asia and Safeguarding Singapore's Interests›Written Answers to Questions2 turns · 275w
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written-answer-15696
Mr Mohd Fahmi Aliman84 words
[+1 sentence]asked the Minister for Foreign Affairs (a) in the wake of China's demarches made to Singapore for the congratulatory message to Taiwan's new President, whether this will have any impact on the bilateral diplomatic relations between Singapore and China; (b) what steps are the Ministry undertaking to safeguard Singapore's diplomatic interests and relationships in regions where China holds significant influence; and (c) how does Singapore plan to reinforce its commitment to diplomatic neutrality while simultaneously maintaining diplomatic ties with Taiwan and other nations involved.
Dr Vivian Balakrishnan191 words
[+8 sentences]The first part is addressed by my answer to Mr Dennis Tan's question on 5 February. [Please refer to "Impact of China's Demarches In Reaction to Singapore's Congratulatory Message to Taiwan's Newly-elected President on Bilateral Relations", Official Report, 5 February 2024, Vol 95, Issue 120, Written Answers to Questions for Oral Answer not Answered by End of Question Time section.] On the second and third parts, I would like to make two important clarifications. First, Singapore does not have "diplomatic ties" with Taiwan. We are friends with both sides of the Taiwan Strait and we conduct our relations with the Mainland and Taiwan in a way that is consistent with our "One China" policy. Second, Singapore's foreign policy is not predicated on maintaining "diplomatic neutrality" but is driven by our national interests and principles. In this context, we have pursued wide-ranging and mutually beneficial cooperation with all our international partners, including China, and will continue to do so. From time to time, countries may disagree with each other given their different interests. When this happens, it is important for there to be constructive and amicable dialogue to understand each other's positions.
Update on Cost of Installing Traffic Enforcement Camera at Signalised Intersection›Written Answers to Questions2 turns · 107w
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written-answer-15699
Mr Leong Mun Wai47 words
[+1 sentence]asked the Minister for Home Affairs (a) what is the cost of installing a traffic enforcement camera at a signalised intersection; and (b) whether the Traffic Police plans to deploy more such enforcement cameras for detecting red light running offences in addition to the current cameras deployed.
Mr K Shanmugam60 words
[+3 sentences]The cost of installing a new traffic enforcement camera at a signalised intersection ranges between $100,000 and $170,000, depending on the site conditions. The Traffic Police adopts a risk-based approach and deploys traffic enforcement cameras at locations which are more prone to accidents and traffic violations. It assesses the situation on our roads and where merited, will install such cameras.
Impact of GST Increase on Core Inflation and Mitigating Measures for Price Stability›Written Answers to Questions2 turns · 189w
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written-answer-15700
Mr Liang Eng Hwa47 words
[+1 sentence]asked the Minister for Trade and Industry (a) whether the latest increase in GST rate is expected to affect core inflation; (b) what are the other key drivers that could push up inflation this year; and (c) what mitigating measures will be used to manage price stability.
Mr Gan Kim Yong142 words
[+6 sentences]The Monetary Authority of Singapore's (MAS) Core Inflation is projected to average 2.5% to 3.5% in 2024, compared to 4.2% in 2023. The Goods and Sales Tax rate increase is estimated to contribute slightly less than one-percentage point to core inflation, which has been taken into account in the projection. Other contributors to core inflation include higher electricity and gas tariffs in the first quarter of the year arising from the increase in oil prices towards the end of 2023, as well as higher water prices from April due to increases in production costs, as announced earlier. MAS has announced that it will keep the exchange rate policy band on a steady appreciation path. This will continue to dampen imported inflation and support medium-term price stability. The Government will continue to monitor inflation trends and help households and businesses adjust where necessary.
Data on Investigations Against Caterers for Failing to Provide Time Stamps for Catered Meals›Written Answers to Questions2 turns · 140w
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written-answer-15704
Mr Louis Ng Kok Kwang61 words
[+1 sentence]asked the Minister for Sustainability and the Environment in each year of the past five years, how many investigations have been brought against caterers or companies for (i) failing to provide a time stamp for every catered meal and (ii) serving food beyond four hours from the time the food is cooked and kept between 5° Celsius and 60° degree Celsius.
Ms Grace Fu Hai Yien79 words
[+2 sentences]In the past five years, the Singapore Food Agency (SFA) has taken 18 enforcement actions against caterers and companies for failing to affix a "consume by" timestamp, and 29 enforcement actions against caterers and companies for affixing time-stamp labels with false or misleading information on the "ready-to-eat" or "consume by" time. SFA has not taken any enforcement actions against caterers or companies for serving food beyond four hours from the time the food is cooked, based on the timestamp.
Combining Results From Separate Sittings of National Examinations for Admission Into Institutes of Higher Learning›Written Answers to Questions2 turns · 207w
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written-answer-15708
Ms Hazel Poa72 words
[+1 sentence]asked the Minister for Education (a) whether students are able to combine results from separate sittings of (i) GCE "O" level examinations when applying for admissions into educational institutions like polytechnics and junior colleges and (ii) GCE "A" level examinations when applying for admissions into universities; (b) whether the same arrangement will apply to the planned Secondary Education Certificate examinations from 2027; and (c) whether the same arrangements apply to international students.
Mr Chan Chun Sing135 words
[+5 sentences]Under the current Joint Admissions Exercise, applicants from the Ministry of Education (MOE) schools may combine results from two separate sittings of the GCE "O" level examination when applying for admission to junior colleges (JC), Millenia Institute (MI), polytechnics or the Institute of Technical Education. This arrangement will continue under the Singapore-Cambridge Secondary Education Certificate examinations from 2027. For admission to autonomous universities, applicants from JCs and MI are required to use the results from their H2 content-based subjects and General Paper or Knowledge and Inquiry subjects taken at the same sitting of the GCE "A" level examinations. They are allowed to combine these results with their results from Project Work, Mother Tongue Language and H1 content-based subjects from a separate sitting. These arrangements and requirements apply to local and international students from MOE schools.
Statistics on Students Taking Tamil and Five Non-Tamil Indian Language in 2013 and 2023›Written Answers to Questions2 turns · 215w
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written-answer-15711
Mr Pritam Singh72 words
[+1 sentence]asked the Minister for Education (a) how many students sat for Tamil and the five non-Tamil Indian languages (NTILs) at the PSLE, “N”, “O” and “A” level examinations respectively, in 2023; (b) what was the number of students who sat for the same examinations in 2013; and (c) what is the total Ministry subvention or grant allocated to the teaching and development of each of these languages in 2013 and 2023 respectively.
Mr Chan Chun Sing143 words
[+6 sentences]The absolute number of students offering Tamil (TL) and Non-Tamil Indian Languages (NTIL) varies, depending on the cohort size. Overall, the proportion of students who took TL at PSLE, "N" level and "O" level examinations was around 4% to 5% in 2013 and 5% to 6 % in 2023. For NTIL, the proportion was around 1% in 2013 and 2% in 2023. "A" level Tamil candidature fluctuated between 2% and 3% between 2013 and 2023, depending on the number of students who have done well in Higher Tamil at "O" level and need not offer Tamil at the "A" levels. Candidature for "A" level NTIL is also around 2% to 3%. The Ministry of Education’s funding has also increased accordingly, based on the enrolment of Singapore Citizens and Permanent Residents in the respective languages, with more support for TL as an official MTL.
Update on Child Development Account Not Being Matched to CPF Ordinary Account Interest Rate›Written Answers to Questions2 turns · 174w
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written-answer-15712
Mr Leong Mun Wai59 words
[+1 sentence]asked the Minister for Social and Family Development (a) why are the interest rates for the Child Development Account (CDA) not pegged to the CPF Ordinary Account (CPF OA) interest rate; and (b) whether the Government has considered taking measures to encourage banks to increase CDA interest rates to match the CPF OA interest rate and, if not, why.
Mr Masagos Zulkifli B M M115 words
[+5 sentences]The Child Development Account (CDA) interest rate should not be compared against the CPF Ordinary Account interest rate. The CDA is meant to support parents in child-raising and parents can use the monies to defray healthcare and educational costs. The CDA is thus similar to a spending account and attracts commensurate interest rates. The banks have the discretion to set the interest rates for the CDA based on their commercial considerations, while parents have the option to decide which bank to open their child’s CDA with. While we do not dictate the interest rates of the CDA, deposits in the CDA will receive a dollar-for-dollar matching from the Government, up to the Government co-matching cap.
Statistics on Caseload Ratios at Family Service Centres in 2022 and 2023›Written Answers to Questions2 turns · 91w
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written-answer-15713
Mr Louis Ng Kok Kwang30 words
[+1 sentence]asked the Minister for Social and Family Development for FY 2022 and FY 2023 respectively, what are the average and median social worker to caseload ratios at Family Service Centres.
Mr Masagos Zulkifli B M M61 words
[+2 sentences]I refer to the reply to the Member’s oral question in February 2023. The average and median social worker to caseload ratio at Family Service Centres in Financial Year 2022 remains unchanged at 1:19 and 1:20 respectively.
Statistics on Infants on Waitlist for Place at Infant Care Centre›Written Answers to Questions2 turns · 278w
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written-answer-15716
Mr Liang Eng Hwa53 words
[+1 sentence]asked the Minister for Social and Family Development (a) whether the Ministry tracks the current number of infants on a waitlist for a place at an infant care centre; (b) what is the average waiting time; and (c) how many new infant care places are likely to be ready in 2024 and 2025.
Mr Masagos Zulkifli B M M225 words
[+11 sentences]Currently, parents may register their interest for infant care with a preschool, which can either confirm a place or place them on a waitlist. From the point of registration of interest, waiting time typically ranges from a few weeks to a few months as it is influenced by various factors. In particular, some parents prefer to send their children to a specific centre. If the centre is full, they may have to wait longer. In 2023, there were around 14,600 centre-based infant care places. Of these, about 10,500, or 72%, were taken up. In 2022, the Early Childhood Development Agency (ECDA) observed that a handful of districts were experiencing tighter supply in infant care places due to factors such as COVID-19 related delays in preschool construction and higher demand for infant care from families. ECDA has worked closely with Anchor Operators in such districts to expand capacity, step up recruitment efforts and divert manpower internally so that their centres can enrol more children. By the end of 2023, the number of districts with tighter supply has fallen. ECDA is continuing with efforts to increase infant care supply and improve preschool utilisation in the remaining districts with tighter supply. ECDA is working closely with Anchor Operators to build more than 1,500 new infant care places in 2024 and will continue to ramp up supply beyond 2024.
Accomplishments of raiSE Since Inception and Support for Social Enterprises in High Interest Rate Business Environment›Written Answers to Questions2 turns · 251w
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written-answer-15717
Mr Melvin Yong Yik Chye53 words
[+1 sentence]asked the Minister for Social and Family Development (a) what does the Ministry consider to be the key accomplishments of the Singapore Centre for Social Enterprise (raiSE) since its inception in 2015; and (b) how does raiSE plan to better support social enterprises to scale amidst the current high interest rate business environment.
Mr Masagos Zulkifli B M M198 words
[+7 sentences]Since its inception in 2015, Singapore Centre for Social Enterprise (raiSE) has supported Social Enterprises (SEs) through capacity-building programmes, networking platforms and provided funding of over $16 million to more than 200 SEs. As a result of these efforts, the collective revenue of raiSE's members has also grown from $179 million in 2020 to $216 million in 2022. In 2022, raiSE members employed over 1,000 individuals, which include persons with disabilities and lower-wage workers, and provided $15 million in subsidies to support the disadvantaged or build capacity for social services agencies. Social enterprises, like many other businesses, may face challenges in the current operating environment. raiSE will continue to support social enterprises to scale through its accelerator programme. To date, about $900,000 in funding has been given to 18 social enterprises, which went on to attract an additional $1.4 million in follow-on funding from private sector investors. All business owners, including social enterprises, can also visit the GoBusiness portal (gobusiness.gov.sg) for more information on other Government schemes available. For example, social enterprises can also apply for the Productivity Solutions Grant that provides financial support for business to adopt pre-scoped IT solutions, equipment and consultancy services to improve productivity.
Withdrawals Made by Singaporeans and Permanent Residents Under MediSave Care›Written Answers to Questions2 turns · 76w
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written-answer-15718
Ms Nadia Ahmad Samdin36 words
[+1 sentence]asked the Minister for Health in the last two years, what are the number of Singaporeans and permanent residents who have made withdrawals under MediSave Care from (i) their own accounts and (ii) their spouse’s accounts.
Mr Ong Ye Kung40 words
[+2 sentences]In 2022 and 2023, close to 4,700 Singapore Citizens and Permanent Residents made MediSave Care withdrawals from either their own accounts, their spouse’s or a combination of both. Of these, around 120 withdrawals were made solely from a spouse’s account.
Update on Centralised Cooling System Sign-ups by Tengah Estate Residents and Reported Issues›Written Answers to Questions2 turns · 383w
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written-answer-15719
Ms Hazel Poa62 words
[+1 sentence]asked the Minister for National Development (a) how many households who have collected their keys in the Tengah estate have signed up for the centralised cooling system; (b) of these households, how many have reported issues with the centralised cooling system, such as water leaks and airflow problems; and (c) how much has been spent by SP Group to rectify these issues.
Mr Desmond Lee321 words
[+13 sentences]Tengah Town is Singapore’s first smart and sustainable town, planned with green and sustainable features, and smart technologies. One such initiative is the development of a Centralised Cooling System (CCS) in the Housing and Development Board (HDB) flats in collaboration with the Singapore Power Group (SP Group). The CCS pilot at Tengah provides HDB homebuyers the option to subscribe to a more energy-efficient cooling solution, compared to conventional air-conditioning systems. The keys for the first few precincts of HDB flats in Tengah have been progressively handed over to residents since end August 2023. SP Group, as the provider of the CCS, undertakes the management of CCS sign-ups, as well as construction, installation, operations and maintenance of the CCS. As of end December 2023, about 2,500 of the households that have been informed to collect keys have signed up for the CCS. The Ministry of National Development and HDB are aware of feedback from some Tengah residents relating to water seepage and condensation, and SP Group has put in place a systematic reporting and rectification process to resolve these issues as quickly as possible. SP Group has also looked into other feedback received from residents about the CCS, and while it has resolved the majority of the defects, it is working closely with residents to address the remaining feedback. SP Group has also waived CCS charges for the whole of 2023 as a goodwill gesture, even as they work on addressing some of the CCS installation and user experience issues. SP Group is unable to share more details on its project operating costs. As we implement and pilot new systems at scale, like the CCS in Tengah, we can expect some teething issues to surface. However, these do not detract from the sustainability or technological viability of the CCS. HDB will continue to monitor the feedback on the CCS and support SP Group to ensure the smooth roll-out of CCS in Tengah.
Approving Creation of Trust Over HDB Flat and Protecting Parents' Interest when Relations Break Down›Written Answers to Questions2 turns · 333w
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written-answer-15723
Mr Murali Pillai84 words
[+1 sentence]asked the Minister for National Development (a) in the past five years, on how many occasions did HDB exercise its discretion under section 58(9) of the Housing Development Act to provide approval for a trust to be created over a HDB flat; and (b) whether HDB will consider allowing the creation of a trust interest which favours parents who provide monies to their children to buy a flat in return for being able to live together, to protect these parents when relations break down.
Mr Desmond Lee249 words
[+8 sentences]Under section 58(9) of the Housing and Development Act, no trust may be created over a Housing and Development Board (HDB) flat without HDB’s prior written approval. This is to prevent parties from making use of trusts to circumvent HDB’s rules. On a case-by-case basis, HDB may allow the creation of a trust over a HDB flat, such as in favour of a minor child beneficiary following the demise or divorce of the parents, or if the flat owners are mentally incapacitated. Where a trust is created for a minor child beneficiary, the flat must be transferred to the child once he/she reaches the eligibility age of 21 years old to own the flat. This is in pursuant to the Civil Law Act that a person must be of full age (that is, aged 21 and above) to have the capacity to enter into a contract for the sale, purchase, mortgage, assignment or settlement of any land, among others. Over the past five years, HDB has approved 99 requests for the creation of a trust over a HDB flat. Parents who plan to provide monies for their children to buy a HDB flat in return for living together, have the option to co-own the flat with their children, if they meet the prevailing eligibility conditions. This is a more direct way of protecting the parents’ interests in situations such as the breakdown of parent-child relations, so there is no need for parents to set up trusts for this purpose.
Statistics of Retirees Downgrading to HDB Flats from Private Properties›Written Answers to Questions2 turns · 102w
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written-answer-15724
Mr Chong Kee Hiong25 words
[+1 sentence]asked the Minister for National Development in each year of the last two years, how many retirees have downgraded from private properties to HDB flats.
Mr Desmond Lee77 words
[+2 sentences]There were about 370 households each in 2022 and 2023, where: (a) all buyers and their spouses in a flat purchase were aged 55 and above, (b) the household had owned private residential property at the time of the flat application or had disposed of one in the past 30 months, and (c) declared that they did not earn an income. These households bought new short-lease 2-room Flexi flats or Community Care Apartments, or non-subsidised resale flats.
Compliance with Industry Standard for Sound Proofing in HDB Flats›Written Answers to Questions2 turns · 270w
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written-answer-15726
Mr Melvin Yong Yik Chye37 words
[+1 sentence]asked the Minister for National Development (a) whether HDB flats are required to comply with an industry standard for sound proofing; and (b) if so, how does this standard compare to high-rise private residences such as condominiums.
Mr Desmond Lee233 words
[+11 sentences]There is currently no local standard for intra-building soundproofing for residential developments. The Housing and Development Board (HDB) takes a holistic approach when designing flats to mitigate noise and to provide a pleasant living environment for residents. This includes factoring in acoustic insulation and soundproofing. For new flats located close to land traffic noise sources, such as major arterial roads and Mass Rapid Transit (MRT) tracks, HDB carries out a Noise Impact Assessment (NIA) during the design consultancy stage to assess the potential noise impact on the new residential development. Based on the NIA, HDB puts in place the appropriate noise mitigation measures. For such flats, HDB has also introduced facade designs with overhangs or canopies to deflect and abate land transport noise transmission into the dwelling units. Within the flat, the internal partition walls are built of Severe Duty grade drywall system and are filled with sound insulation materials. These high-quality drywalls provide the acoustic insulation and performance suitable for residential use, comparable to concrete walls of similar thickness. New Build-To-Order projects launched since February 2023 are also built with thicker floor slabs, which help to further reduce noise and impact transmission. This is generally similar to the specifications for high-rise private residential developments. For high-rise private residential developments, the onus is on the developers to design their projects with proper structural sound attenuation to provide a pleasant living environment for residents.
Recent Studies on Temperatures in HDB Rental Flats Versus Other Types of Flats›Written Answers to Questions2 turns · 268w
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written-answer-15727
Ms He Ting Ru60 words
[+1 sentence]asked the Minister for National Development in view of record-high temperatures in Singapore (a) whether recent studies have been conducted on the temperatures in HDB rental flats in comparison to other types of flats; (b) if so, what are the results; and (c) if not, whether the Ministry will commission such studies to better understand the effects on such flats.
Mr Desmond Lee208 words
[+10 sentences]To prepare Singapore for rising temperatures, the Government adopts a science-based and proactive heat mitigation and adaptation strategy. The Housing and Development Board (HDB) conducts environmental modelling for all new flats, including rental flats. This guides the siting of flats and design of building façades layouts to harness existing wind corridors and optimise wind flow. We also adopt strategies, such as orienting residential blocks in the North-South direction to reduce heat gain from solar radiation and maximise ventilation in flats and around the estate. Over the years, HDB has intensified our efforts to mitigate the effects of climate change and create a better living environment for all our residents. Under the HDB Green Towns Programme, HDB is studying the application of cool coating on the façades of around 130 HDB sold and rental blocks. Previous trials indicate that this could potentially reduce the overall ambient temperature by up to 2°C. The learning points from the pilot will help HDB formulate its plans for the wider application of cool coatings in HDB towns. HDB is also introducing more greenery to the top decks of selected multi-storey car parks in HDB estates to mitigate heat gain. HDB is committed to building a sustainable and liveable environment for all our residents.
Prudence in Use of Public Funds to Maximise Benefit for Singaporeans at SGPO›Written Answers to Questions2 turns · 234w
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written-answer-15728
Mr Yip Hon Weng75 words
[+1 sentence]asked the Minister for Culture, Community and Youth (a) how will the Singapore Government Partnerships Office (SGPO) ensure prudence in the use of public funds and maximise benefit for Singaporeans; (b) how will SGPO's performance be evaluated; (c) whom will the SGPO report to for projects involving significant public funds and inputs; (d) whether SGPO’s focus will extend beyond social projects; and (e) for projects under SGPO involving public facilities, who determines the management responsibilities.
Mr Edwin Tong Chun Fai159 words
[+9 sentences]The Singapore Government Partnerships Office (SGPO) was established to take the lead and strengthen the Government’s partnerships and engagements with citizens. The Office serves as a first stop for individuals and interest groups keen to partner the Government. Through the Partners Portal on the SGPO website, citizens can submit proposals for partnership ideas. These proposals are not limited by domain. The Office will connect these individuals and groups with relevant Government agencies and existing resources to help turn ideas into action. Government agencies who hold the policy domain for proposed partnership ideas will take the lead in assessing these proposals and comply with existing funding and procurement guidelines. SGPO is in the initial weeks of operation and is closely tracking citizen proposals submitted through the Partners Portal. It is also taking this time to assess and finetune its systems and processes, including the appropriate metrics. The Office will update the public on citizen-Government partnership proposals at an appropriate time.
Statistics of Neighbour Dispute Resolutions by GRLs from 2020 to 2023›Written Answers to Questions2 turns · 362w
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written-answer-15729
Mr Gerald Giam Yean Song75 words
[+1 sentence]asked the Minister for Culture, Community and Youth (a) in each year from 2020 to 2023, how many residents (i) sought help from or (ii) were referred to People's Association grassroots leaders (GRLs) to assist in resolving neighbour disputes; (b) what proportion of such facilitations resolved the neighbour disputes; (c) what training are GRLs provided to perform these duties; and (d) whether all GRLs who are deployed for these duties are first sent for training.
Mr Edwin Tong Chun Fai287 words
[+12 sentences]The People’s Association's (PA) core mission is to promote racial harmony and social cohesion and build a strong and resilient community in Singapore. This is achieved through our network of volunteers on the ground, serving and connecting with our residents across all neighbourhoods in Singapore. Amongst these volunteers are our Grassroots Leaders (GRLs), who are the critical backbone of our volunteer network, and they serve our community actively. They help to bond residents to promote neighbourliness, gather feedback for the Government to improve our policies and services, and be the last mile in our policy communications and delivery. They have become established and trusted leaders in their communities because of their sincerity, patience, good knowledge of Government policy and rapport built with their neighbours over the years. From time to time, there will be local neighbour disputes of different natures arising from a variety of factors, such as personal differences and local neighbourhood disamenities. As residents involved in these neighbour disputes are often known to the GRLs, GRLs would step in to try and resolve these conflicts peacefully and amicably by providing informal counselling and mediation. GRLs do not track the number of neighbour disputes that they have had to assist in, as such interventions are part of their day-to-day volunteer work in the community. To better support GRLs in mediating community disputes, PA provides training in basic mediation techniques and skills for nominated GRLs. PA has also developed protocols to guide trained GRLs on the steps to take during mediations. These steps include visiting neighbours in pairs and maintaining neutrality throughout the mediation process. Developing a core group of GRLs trained in mediation would also support the Government’s efforts in strengthening the Community Dispute Management Framework.
Measures to Enhance Adoption and Adherence to Tripartite Standards›Written Answers to Questions2 turns · 222w
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written-answer-15730
Ms See Jinli Jean67 words
[+1 sentence]asked the Minister for Manpower (a) whether there are plans to introduce levers for the greater adoption of and adherence to the Tripartite Standards (TS); (b) what are the mechanisms to address actual and suspected breaches of the TS by companies; and (c) what are the considerations leading to the removal of companies as a TS adopter after they have been found in breach of the TS.
Dr Tan See Leng155 words
[+6 sentences]The Tripartite Standards (TS) enable employers with good workplace practices to distinguish themselves as progressive employers. Employers adopt the TS on a voluntary basis and use the TS logo in publicity and recruitment materials, such as the MyCareersFuture job portal, to be seen as a progressive employer. MOM and the Tripartite Alliance for Fair and Progressive Employment Practices (TAFEP) continue to work with tripartite partners to reach out to employers through promotional campaigns, briefings and clinics to encourage the take-up and implementation of TS. When TAFEP receives a complaint on an employer’s non-adherence to any TS, they will work with the employer to realign company policies and practices to the TS. Organisations will need to provide documents and information about their practices to demonstrate that their practices meet the TS requirements. If the organisation does not do so in a timely manner, TAFEP will remove the public listing of the organisation as a TS adopter.
Career Transition Programme Take-up Rate by Full-time Platform Workers Aged 35 and Below›Written Answers to Questions2 turns · 110w
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written-answer-15731
Ms See Jinli Jean68 words
[+1 sentence]asked the Minister for Manpower (a) for the past three years, what is the take-up rate of career transition programmes among workers aged 35 and below who are transitioning to other careers from working full-time as platform workers, such as taxi drivers, private-hire car drivers and delivery workers; (b) of which, how many have successfully transited; and (c) what are the reasons for those whose transitions are unsuccessful.
Dr Tan See Leng42 words
[+2 sentences]The Government offers various programmes that support individuals to switch to new jobs, including Workforce Singapore’s Career Conversion Programmes and Career Trial and SkillsFuture Singapore’s SkillsFuture Career Transition Programme. We do not track whether participants in these programmes were full-time platform workers.
Threshold for 20-Year Payout Under CPF Retirement Sum Scheme›Written Answers to Questions2 turns · 183w
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written-answer-15732
Mr Leong Mun Wai36 words
[+1 sentence]asked the Minister for Manpower what is the Retirement Account savings threshold that determines whether payouts under the Retirement Sum Scheme will last for 20 years from the payout eligibility age or for a shorter period.
Dr Tan See Leng147 words
[+6 sentences]There is no single Retirement Account (RA) savings amount which would determine whether payouts would last for 20 years after the Payout Eligibility Age (PEA) under the Retirement Sum Scheme (RSS) because there are many factors which would affect the payouts. These factors include whether and when members receive further inflows to their RA after the PEA. Members on the RSS can check their payout duration and quantum by logging into their individual Central Provident Fund (CPF) account. Members turning 65 in 2023 who had set aside the Basic Retirement Sum will be automatically included on CPF LIFE1 and receive lifelong payouts2. To help more Singaporeans attain basic retirement adequacy, we are introducing the Majulah Package and will be enhancing the Workfare Income Supplement, Silver Support Scheme and the Matched Retirement Savings Scheme. More details will be announced at Budget and the Committee of Supply debates 2024.
Possibility of Using CPF MediSave for Migrant Domestic Workers' Medical or Hospitalisation Expenses›Written Answers to Questions2 turns · 194w
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written-answer-15733
Mr Zhulkarnain Abdul Rahim72 words
[+1 sentence]asked the Minister for Manpower (a) in cases where employers of foreign domestic helpers are unable to afford the medical or hospitalisation expenses of their employees, whether the employer may use part of his savings in his CPF MediSave account to pay for such expenses; and (b) what are the measures to help raise awareness among potential employers on the importance of comprehensive medical and hospital insurance coverage for their domestic helpers.
Dr Tan See Leng122 words
[+7 sentences]MediSave is intended to help Singapore Citizens and Singapore Permanent Residents meet their healthcare needs especially in old age. It cannot be used to pay for bills incurred by their Migrant Domestic Workers (MDWs). Employers of MDWs are required to purchase medical insurance with an annual claim limit of at least $60,000. This is sufficient to cover about 99% of all hospital bills for MDWs. Employers can also purchase more comprehensive medical insurance to cover larger hospital bills. The Ministry of Manpower informs prospective employers of the requirement at the point of work permit application and during the mandatory Employer’s Orientation Programme. We also remind current employers through various channels, such as the media, our website, employment agencies and electronic direct mailers.
Average Speed of Vehicles on Expressways and Corresponding Traffic Accident Numbers›Written Answers to Questions2 turns · 108w
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written-answer-15734
Mr Murali Pillai46 words
[+1 sentence]asked the Minister for Transport whether the Ministry has annual data from 2019 to 2023 on (i) the average speed of vehicles on Singapore’s expressways during peak hours (ii) which expressways are significantly more congested than others and (iii) which are the three most accident-prone expressways.
Mr Chee Hong Tat62 words
[+3 sentences]From 2019 to 2023, the average speed on Singapore’s expressways during peak hours was about 60 kilometres per hour. Ayer Rajah Expressway (AYE), Central Expressway (CTE) and Pan Island Expressway (PIE) experienced heavier traffic during the peak hours. On a per lane-kilometre basis, Bukit Timah Expressway (BKE), CTE and Seletar Expressway (SLE) had the highest traffic accident rates involving injuries or deaths.
Express Public Buses Linking Bukit Batok West Extension to Central Business District›Written Answers to Questions2 turns · 106w
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written-answer-15735
Mr Leong Mun Wai30 words
[+1 sentence]asked the Minister for Transport (a) whether LTA has considered launching express public buses from Bukit Batok West Extension to the Central Business District; and (b) if not, why not.
Mr Chee Hong Tat76 words
[+2 sentences]Bukit Batok West Extension residents who prefer to travel by express bus services to the Central Business District (CBD) on weekday mornings can take Service 991 or 992 to Bukit Batok West Avenue 3 and connect to express Services 174e or 868E. As an alternative, residents can also take Services 941, 991, 992 or 993 to either Bukit Batok or Jurong East Mass Rapid Transit (MRT) stations and use the MRT to travel to the CBD.
Regulating and Ensuring Fair Practices and Consumer Protection in Car-sharing Industry›Written Answers to Questions2 turns · 119w
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written-answer-15736
Dr Wan Rizal45 words
[+1 sentence]asked the Minister for Transport (a) what steps are being taken to ensure fair practices and consumer protection in the growing car-sharing industry; and (b) how does the Ministry plan to balance the need for regulation with the promotion of innovative and cost-effective transportation solutions.
Mr Chee Hong Tat74 words
[+3 sentences]Car-sharing complements the public transport network by providing an option for commuters who may require occasional use of a self-driven car. Like all fleet operators, car-sharing operators are responsible for ensuring that only vehicles meeting roadworthiness standards are deployed on the roads. The Ministry of Transport and Land Transport Authority are monitoring the developments in the car-sharing industry and will be consulting industry stakeholders on the appropriate approach to take to address potential concerns.
Reducing MRT Noise Levels at Jurong West Jewel and Jurong West Crystal BTOs›Written Answers to Questions2 turns · 142w
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written-answer-15738
Mr Patrick Tay Teck Guan41 words
[+1 sentence]asked the Minister for Transport whether the Land Transport Authority can build noise barriers along the stretch of MRT tracks next to the HDB BTO Jurong West Jewel and Jurong West Crystal projects to reduce railway noise levels from passing trains.
Mr Chee Hong Tat101 words
[+3 sentences]The Housing and Development Board (HDB) blocks at Jurong West Jewel and the upcoming Jurong West Crystal are situated more than 50 metres away from the Mass Rapid Transit (MRT) viaduct and were built with noise abatement features, such as window restrictors which help residents to angle window openings to reduce railway noise. A multi-storey car park has also been built between the viaduct and the HDB blocks, which further buffers railway noise. As the noise levels measured at these HDB blocks are below the National Environment Agency’s noise limit, there are no plans to build noise barriers along these stretches.
Factors Contributing to Increased COE Prices in Recent Bidding Exercise›Written Answers to Questions2 turns · 251w
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written-answer-15739
Mr Saktiandi Supaat29 words
[+1 sentence]asked the Minister for Transport what are the contributing factors for the increase in COE prices for cars in the recent bidding exercise that concluded on 17 January 2024.
Mr Chee Hong Tat222 words
[+8 sentences]The Certificate of Entitlement (COE) quota supply in the second bidding exercise of January 2024 was similar to the first bidding exercise in early January, so the price increases were due to higher demand. More than nine in 10 of Category A (Cat A) COEs and about nine in 10 of Cat B COEs were won by individual car buyers who are Singapore residents. Car-leasing companies, which largely bid for vehicles to be leased as Private Hire Cars (PHCs), won 3% of Cat A and 2% of Cat B COEs. COE prices can fluctuate due to several factors, such as higher demand for new cars due to events like car shows. From February 2023 to January 2024, Singapore residents won about three in four of Cat A and about two in three of Cat B COEs. Car-leasing companies won 21% of Cat A and 24% of Cat B COEs, lower than the 27% of Cat A, and comparable to the 24% of Cat B COEs they won in the preceding one year. This shows that the increase in COE prices in 2023 compared to 2022 was not mainly due to car-leasing companies. As the Ministry of Transport earlier stated, the COE quota for Categories A, B and C will continue to increase in 2024 before reaching the peak supply period from 2026.
Redesignating Strata-titled Landed Homes as Restricted Access Homes for Registering and Licensing of EV Chargers›Written Answers to Questions2 turns · 153w
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written-answer-15740
Mr Sitoh Yih Pin34 words
[+1 sentence]asked the Minister for Transport whether LTA will consider redesignating developments with only strata-titled landed homes as restricted access homes for the registration and licensing of electric vehicle chargers for private charging at home.
Mr Chee Hong Tat119 words
[+5 sentences]Under the Electric Vehicles Charging Act (EVCA), all EV chargers must be approved and registered by the Land Transport Authority before they can be used in Singapore. For public safety, chargers installed in non-restricted access locations are subject to more stringent inspection and fire safety requirements. Strata-titled developments, including strata-titled landed homes, are regarded as non-restricted access locations as they tend to have shared facilities, such as common basement carparks and shared chargers. Only EV charging operators (EVCOs) providing EV charging services to the public will require a licence to operate. Chargers operated by landed homeowners to charge their households’ vehicles or chargers operated by fleet owners to charge only vehicles in their fleets, do not require a licence.
Assessing Effectiveness of Road Markings during Heavy Rain and Considerations for Weather-resistant Markings›Written Answers to Questions2 turns · 153w
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written-answer-15741
Ms Nadia Ahmad Samdin54 words
[+1 sentence]asked the Minister for Transport (a) how frequently does the Ministry conduct assessments on the effectiveness of current road markings during heavy rain; and (b) whether there are plans to implement more weather-resistant and visible reflective markings to improve visibility in adverse weather considering the increased frequency of adverse weather due to climate change.
Mr Chee Hong Tat99 words
[+5 sentences]The Land Transport Authority (LTA) regularly inspects road markings to ensure it is fit for use, including to ensure it is visible. The inspections are conducted once a week for expressways and once every two months for other roads. Since July 2023, LTA has adopted video analytics technologies to better detect poor road markings under various weather conditions. LTA has been implementing more weather-resistant and visible reflective markings since adopting the Singapore Standard SS589 in 2017, which replaced the previous Singapore Standard SS498. The SS589 has more stringent requirements for better visibility in wet weather conditions and at night.
Singapore Shipping Industry's Green Transition while Maintaining Competitiveness›Written Answers to Questions2 turns · 139w
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written-answer-15742
Ms Nadia Ahmad Samdin33 words
[+1 sentence]asked the Minister for Transport (a) how is Singapore’s shipping sector undergoing the green transition while remaining competitive; and (b) what proportion of Singapore firms in the maritime sector have a decarbonisation strategy.
Mr Chee Hong Tat106 words
[+5 sentences]The International Maritime Organization (IMO) has set the target for shipping to reach net-zero greenhouse gas emissions by or around 2050. Based on the Maritime Census 2022, 85% of ship owners and operators in Singapore, weighted by revenue, had a decarbonisation strategy, or had tracked and/or measured their emissions. We expect this percentage to increase over time. The maritime sector’s green transition has brought about new opportunities for businesses and new job roles for workers. The Maritime and Port Authority of Singapore will continue to work with our tripartite partners to upskill our workforce and enhance Singapore’s competitiveness as a hub port and international maritime centre.
Statistics of Financial Abuse and Exploitation of Vulnerable Adults Reported in Past Five Years and Current Preventive Measures›Written Answers to Questions3 turns · 287w
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written-answer-15743
Assoc Prof Jamus Jerome Lim47 words
[+1 sentence]asked the Minister for Social and Family Development (a) in each of the past five years, how many cases of financial abuse and exploitation of vulnerable adults have been reported; and (b) what are the common types of relationship which suspects and perpetrators have with the victims.
Assoc Prof Jamus Jerome Lim45 words
[+1 sentence]asked the Minister for Social and Family Development (a) what are the existing measures to detect and identify financial exploitation and abuse of vulnerable adults; and (b) what recourse do vulnerable adults have if they are suspected to be financially abused by their family members.
Mr Masagos Zulkifli B M M195 words
[+10 sentences]Financial abuse is an emerging issue and the Ministry of Social and Family Development (MSF) is concerned with its potential negative effects on victim-survivors and the wider community. Over the past five years, MSF’s Adult Protective Service has investigated five to 18 cases per year involving alleged financial abuse. Often, the perpetrator was an immediate family member of the victim-survivor. Cases include adult children forcing their parents to monetise assets for their benefit and withdrawing money from their parents’ bank accounts without their knowledge. Some cases also allegedly involved the use of violence, which caused physical harm or distress to the victim-survivor. There are industry guidelines for frontline professionals, such as banking staff, to help them detect signs of financial abuse when transacting with customers. Victim-survivors or their families may, in certain circumstances, be able to sue the perpetrator to recover assets lost. Depending on the facts, the perpetrator may also be liable for criminal offences. Social workers may also detect cases of financial abuse when assisting clients facing family violence. Persons facing domestic violence, including financial abuse should seek assistance from a Family Service Centre or call the National Anti-Violence and Sexual Harassment Helpline.
Considerations for Installation of Alert Buttons for Vulnerable Seniors and Estimated Out-of-pocket Costs›Written Answers to Questions3 turns · 344w
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written-answer-15744
Mr Zhulkarnain Abdul Rahim54 words
[+1 sentence]asked the Minister for National Development whether there are plans to offer the installation of personal alert buttons for seniors at risk of falls, beyond those living in public rental housing or studio apartments, to any HDB household upon request, as part of the Home Improvement Programme or the Enhancement for Active Seniors programme.
Ms He Ting Ru71 words
[+1 sentence]asked the Minister for National Development (a) how many elderly residents aged 65 and above who currently live alone reside in homes that are installed with wireless alert systems; (b) what is the projected number of such residents in 2030; (c) whether there are plans to include the installation of wireless alert systems under the HDB EASE programme, and (d) if so, what are the estimated out-of-pocket costs for such installation.
Mr Desmond Lee219 words
[+8 sentences]There are currently about 10,000 seniors staying in public rental housing that have the wireless Alert Alarm System (AAS) installed. These seniors can call for help during emergencies by pressing the alert buttons placed within their homes, which are linked to a 24/7 hotline that responds to callers in distress. As part of the Age Well SG programme, we will progressively expand the provision of this system to all seniors aged 60 and above staying in public rental housing. This will allow us to better care for these lower-income and vulnerable seniors who often lack family support. The expansion is expected to benefit around 26,800 more seniors staying in public rental housing. The Housing and Development Board (HDB) currently does not provide the wireless AAS to seniors staying in sold flats. The set up of an AAS involves not only the installation of the physical hardware like the alert buttons, but also ensuring that operators who are providing the round-the-clock response service have adequate resources to do so. The Ministry of National Development and HDB will continue to review the Enhancement for Active Seniors (EASE) programme, including taking in feedback from seniors as well as healthcare sector stakeholders and professionals, to ensure that there is a suitable range of items offered under EASE to meet the needs of seniors.
Breakdown of Students Admitted to ITE and Consideration of Points Computation for Admission›Written Answers to Questions3 turns · 215w
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written-answer-15745
Ms Hazel Poa57 words
[+1 sentence]asked the Minister for Education (a) in the past three years, what is the annual number of students who apply to ITE; (b) of these, what is the number of students who gain admission to ITE broken down by (i) "O" level qualifications (ii) Normal (Academic) level qualifications (iii) Normal (Technical) level qualifications and (iv) other qualifications.
Ms Hazel Poa56 words
[+1 sentence]asked the Minister for Education with regard to admissions into Institutes of Technical Education (a) how is the allocation of places between "O" level and "N" level students decided; and (b) how are the grades on subjects taken at the different Normal (Academic) and Normal (Technical) levels taken into account when computing the points for admission.
Mr Chan Chun Sing102 words
[+5 sentences]Between 2021 and 2023, around 12,700 secondary school students from all streams applied to Nitec and Higher Nitec courses at the Institute of Technical Education (ITE) each year. Subject grades taken at different levels are converted to ITE aggregate points, which are then used for admission. Each year, around 10,900 students enrolled in ITE. Most of the students who did not enrol in ITE were Normal (Academic) students who progressed to other pathways, such as Secondary 5 or the Polytechnic Foundation Programme. The Ministry of Education will continue to cater sufficient post-secondary places for all secondary school students across the different pathways.
Impact of 2023 UN Climate Change Conference on Singapore's Sustainability Goals›Written Answers to Questions4 turns · 581w
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written-answer-15747
Mr Christopher de Souza32 words
[+1 sentence]asked the Minister for Sustainability and the Environment how the four paradigm shifts announced at the 2023 UN Climate Change Conference will impact the Sustainable Development Goals that Singapore has committed to.
Mr Christopher de Souza40 words
[+1 sentence]asked the Minister for Sustainability and the Environment whether the 2023 UN Climate Change Conference provided an opportunity for Singapore to further relations with the global community to tackle common issues, such as agri-food production, water management and renewable energy.
Mr Christopher de Souza35 words
[+1 sentence]asked the Minister for Sustainability and the Environment whether an update can be provided on the outcome of Singapore's participation at the 2023 UN Climate Change Conference, especially in regard to the Sustainable Development Goals.
Ms Grace Fu Hai Yien474 words
[+17 sentences]At the United Nations (UN) Climate Change Conference 2023 (COP-28), the UAE COP-28 Presidency announced four paradigm shifts: (a) fast-tracking the energy transition; (b) transforming climate finance; (c) putting nature, people, lives and livelihoods at the heart of climate action; and (d) ensuring inclusivity. The four paradigm shifts were aimed at galvanising the global community at COP-28 to close the implementation gap needed to keep the temperature goals of the Paris Agreement within reach. These shifts are aligned with Singapore's climate ambition and the UN 2030 Sustainable Development Agenda. Singapore's participation at COP-28 helped to further the Sustainable Development Goals (SDGs) in several ways. First, we supported the UAE COP-28 Presidency and the global shared climate agenda by, inter alia, co-facilitating ministerial consultations on climate mitigation and co-chairing the joint contact group for the First Global Stocktake of the Paris Agreement. These efforts contributed to the successful adoption of the UAE Consensus. The UAE Consensus calls on countries to transition away from fossil fuels, accelerate the phasedown of unabated coal power, phase out inefficient fossil fuel subsidies and triple renewable energy and double energy efficiency globally by 2030. These are important initiatives that will better position the world towards achieving SDG 7 on Affordable and Clean Energy and SDG 13 on Climate Action. Second, Singapore contributed to global efforts in strengthening resource resilience in key areas, such as food and water, in line with SDG 2 on Zero Hunger and SDG 6 on Clean Water and Sanitation. Singapore was among 159 countries that signed the COP-28 UAE Declaration on Sustainable Agriculture, Resilient Food Systems and Climate Action. The Declaration's intent is to strengthen the resilience of agriculture and food systems to the impacts of climate through closer collaboration and partnerships. We also participated actively in key discussions like the Informal Ministerial Meeting on the Follow-up of the UN 2030 Water Conference, which continued discussion on key issues, such as strategies to improve global water quality and sanitation. Third, Singapore launched initiatives and platforms to facilitate cooperation towards the SDGs. These include the Financing Asia's Transition Partnership (FAST-P) blended finance initiative, which aims to mobilise up to US$5 billion, or S$6.7 billion, for Asia's energy transition; and agreements on carbon market cooperation with countries, such as Costa Rica, Fiji, Rwanda, Senegal and Papua New Guinea. The COP-28 Singapore Pavilion also hosted more than 70 events that drew over 6,000 visitors and served as a platform for facilitating partnerships in sectors, such as finance, water and food, transport and nature-based solutions to address sustainable development challenges. Singapore's active participation at COP-28 is a testament to our support for global efforts to implement the SDGs. Singapore supports the UAE Consensus and will work to implement its outcomes, including through the Singapore Green Plan 2030, which is our whole-of-nation blueprint aligned with the UN's 2030 Sustainable Development Agenda.
Breakdown of Food Consumption in Singapore and Ensuring Food Security Beyond 2030›Written Answers to Questions4 turns · 528w
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Mr Chua Kheng Wee Louis52 words
[+1 sentence]asked the Minister for Sustainability and the Environment in each year of the last 10 years (a) what is the actual output of food produced locally; and (b) what is the percentage of local consumption for food produced locally, as broken down by (i) meat (ii) seafood (iii) fruits and (iv) vegetables.
Mr Chua Kheng Wee Louis48 words
[+1 sentence]asked the Minister for Sustainability and the Environment based on the Singapore Food Agency's tender plans for farm land, what is the expected (i) number of local food farms and (ii) production capacity of local food farms with a breakdown by food types, in the next three years.
Mr Gerald Giam Yean Song63 words
[+1 sentence]asked the Minister for Sustainability and the Environment (a) whether Singapore is on track to meet the Government's 30-by-30 target to raise Singapore's food self-production level to 30% of total food needs by 2030; (b) whether there are any sectors that lag behind and what is being done to support them; and (c) what are the plans to enhance food security beyond 2030.
Ms Grace Fu Hai Yien365 words
[+14 sentences]The 30 by 30 vision is an ambition to grow the capability and capacity of our local agri-food sector to produce 30% of our nutritional needs locally by 2030. The agri-food sector is nascent and, like other sectors, has been hard hit by headwinds, including manpower and supply chain disruptions and increasing costs of production arising from COVID-19, geopolitical tensions and climate change. These challenges have delayed the development of farm infrastructure and plans to scale up production. The Singapore Food Agency (SFA) has been supporting our local farms to address these challenges and to facilitate their capability and capacity development. For example, SFA has committed $60 million to the Agri-food Cluster Transformation Fund to co-fund the adoption, test-bedding and development of productive, resource-efficient and sustainable farming technologies and systems to help farms increase their productivity. SFA also supports the industry in achieving greater offtake for local produce via various initiatives, including launching the Farm-To-Table Recognition Programme in March 2023 to encourage food businesses to procure local produce and supporting an industry-led Alliance for Action on Local Produce Demand Offtake and Consumer Education. As of 2022, there are 257 licensed food farms in Singapore. Local farms produced 609 million pieces of eggs, 4,400 tonnes of seafood and 19,900 tonnes of vegetables, or around 29%, 8% and 4% of our food consumption for those items respectively. SFA expects production output to gradually increase over the next few years, as more productive farms become operational. We do not track the other categories of foods as they are not grown locally in large quantities. The Member may wish to refer to the Singapore Food Statistics published annually by SFA for further available details. While we are implementing initiatives in support of our 30 by 30 vision, the actual production output of our farms depends on consumer demand for their products. Whenever we choose to purchase local produce, we help to improve the commercial viability of our farms. Local production is just one part of our overall strategy to ensure our food security over the longer term and SFA will continue to implement a multi-pronged approach to strengthening Singapore's food security, which includes efforts to diversify our import sources.
Sensitivity Training for Officers and Tracking Workplace Discrimination within Police Units through Peer Support Programmes›Written Answers to Questions3 turns · 133w
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Mr Zhulkarnain Abdul Rahim36 words
[+1 sentence]asked the Minister for Home Affairs whether there is any regular or mandatory sensitivity training for commanders and key officers in the Police to detect and deter workplace or any other discrimination in their respective units.
Mr Zhulkarnain Abdul Rahim48 words
[+1 sentence]asked the Minister for Home Affairs whether the Police will consider tracking its counselling or para-counselling services through its peer support programmes and assess whether there is any trend of alleged discrimination cases within a unit, while ensuring the confidentiality and anonymity of the police officers being assisted.
Mr K Shanmugam49 words
[+1 sentence]I have delivered my answers to Parliamentary Written Question Nos 6 and 7 as part of the Ministerial Statement at the Sitting on 6 February 2024.
Expediting Approval of Food and Essential Items Vending Machines for Jurong West Jewel BTO Residents›Written Answers to Questions2 turns · 246w
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Mr Patrick Tay Teck Guan51 words
[+1 sentence]asked the Minister for National Development whether the Ministry can expedite the approval process to set up vending machines for food and essential items at the HDB BTO Jurong West Jewel project as residents have shifted in and there are no convenience stores nearby to buy food and other daily necessities.
Mr Desmond Lee195 words
[+8 sentences]Housing and Development Board (HDB) towns are designed to be self-sufficient while ensuring easy access to a wide range of facilities, including commercial facilities, to the meet the needs of residents. Most HDB residents would generally be able to access a commercial facility within 400 metres from their homes, or a walk of five to 10 minutes. This is the same for residents of Jurong West Jewel, who are currently served by an eating house and a convenience store within a 400-metre radius. HDB is also building an eating house, a minimart, and shops at Jurong West Crystal, an upcoming Build-To-Order site adjacent to Jurong West Jewel. When completed, these new facilities will provide additional food and beverage and retail options for Jurong West Jewel residents. To better meet the needs of residents, HDB is assessing the market and technical viability of setting up vending machines for food and essential items at Jurong West Jewel. After HDB completes the technical assessment and identifies a suitable site, the site will be let out via an open tender. This ensures a fair and competitive selection process, in line with the approach taken for HDB’s other commercial properties.
Installation of Glazed or Cladded Windows for Jurong West Crystal BTO Flats near MRT Tracks›Written Answers to Questions2 turns · 213w
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Mr Patrick Tay Teck Guan35 words
[+1 sentence]asked the Minister for National Development whether there are plans to install special extra glazed or cladded windows for the new HDB BTO Jurong West Crystal flats that are located next to the MRT tracks.
Mr Desmond Lee178 words
[+6 sentences]In the context of our high-density environment and with Housing and Development Board (HDB) flats designed for natural ventilation, it is not possible to completely sound-proof a unit. The effectiveness of special glazed windows is also limited, as residents would need to close their windows to cut down noise, which would restrict natural ventilation. As such, HDB takes a holistic approach in designing HDB flats to mitigate noise. During the design consultancy stage for Jurong West Crystal, a Noise Impact Assessment was carried out to understand the noise impact of the Mass Rapid Transit (MRT) tracks nearby, to guide deployment of the appropriate noise mitigation measures to deflect and abate the transmission of noise into the flats. HDB has located the multi-storey car park to front the MRT track as a noise buffer, will build vertical fins along the building façade to reduce direct exposure to noise and will provide window restrictors within the flats. Collectively, these measures will minimise noise transmission and meet the National Environment Agency’s requirements for indoor noise, while keeping the flats naturally ventilated.
Balancing Needs of Developers and Data Owners in Proposed Model AI Governance Framework›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 378w
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Ms See Jinli Jean80 words
[+1 sentence]asked the Minister for Communications and Information with regard to the proposed Model AI Governance Framework for Generative AI, whether the Ministry will consider (i) introducing a licensing model which balances the needs of AI developers who require access to training data and the owners or right holders of such data who should be fairly compensated for the use of their works and (ii) extending consultations on the draft framework beyond technology firms to workers and consumer groups across industries.
Mrs Josephine Teo298 words
[+13 sentences]Nominated Member of Parliament (NMP) Ms See had deferred a related question on artificial intelligence (AI) governance, scheduled for the Sitting on or after 1 March 2024. The hon Member may thus wish to withdraw or amend the Parliamentary Question. As outlined in the refreshed National Artificial Intelligence Strategy (NAIS 2.0), Singapore is fostering a trusted environment for AI so that our businesses and people can develop and use AI confidently. We have been consultative in our approaches, including when we released the 2019 Model AI Governance Framework and the open sourcing of our testing framework and software toolkit, AI Verify, in 2023. We welcome all stakeholders, including consumer groups and our tripartite partners, workers and employers, to provide input to our AI governance initiatives. Most recently, the ASEAN Guide on AI Governance and Ethics was endorsed at the Fourth ASEAN Digital Ministers' Meeting in Singapore last week, following consultations with a wide range of stakeholders, including ASEAN Dialogue Partners, that is, China, Japan and the US, Development Partners like the International Telecommunication Union and industry players across ASEAN. We also announced the proposed "Model AI Governance Framework for Generative AI" at the World Economic Forum in January to seek views internationally. The draft Framework is currently open for public feedback until 15 March 2024. As we have explained in past Sittings, AI is an evolving and fast-changing technology. Both its uses and users are also constantly growing and evolving. While there is broad consensus on the importance of trustworthy and responsible AI globally, governance approaches are still nascent. Singapore will continue to monitor these developments and review our governance frameworks and regulations to ensure that they remain fit-for-purpose. We will continue to be consultative in our approach and welcome views of all stakeholders, including our tripartite partners.
Feedback Submitted for Enhancement to Community Dispute Management Framework›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 725w
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Mr Gerald Giam Yean Song83 words
[+1 sentence]asked the Minister for Culture, Community and Youth (a) how many individuals or organisations have submitted feedback during the public consultation on the proposed enhancements to the Community Dispute Management Framework (CDMF) from 11 to 31 May 2023; (b) what are the salient points of feedback received; (c) when will the enhancements to the CDMF be implemented; and (d) what are the reasons for the long duration for the implementation of the current review since it was first announced on 24 August 2020.
Mr Edwin Tong Chun Fai642 words
[+19 sentences]The Community Dispute Management Framework (CDMF), introduced in 2014, aims at facilitating effective resolution of neighbour disputes, and fostering a more gracious and harmonious living environment. Since then, agencies have introduced upstream as well as downstream measures to improve the management of neighbour disputes, ranging from (a) public education to promote neighbourliness and amicable dispute resolution, through initiatives, such as the Singapore Kindness Movement's Be Greater campaign and Singapore's Friendly Neighbourhood Award, and the recently concluded Noise Experiential Lab to raise awareness of how our everyday actions at home can create noises and affect our neighbours, and practical ways to reduce noise levels and better communicate with our neighbours; (b) the setting up of a Community Advisory Panel on Neighbourhood Noise to develop community norms, which reflect a shared understanding of the acceptable behaviours to manage noise disturbances among residents; (c) developing mediation capabilities among grassroots leaders to informally mediate disputes; and (d) increasing awareness and accessibility of community mediation, while increasing the capacity of the Community Mediation Centre (CMC) to handle a higher load. As part of our ongoing efforts to improve the management of neighbour disputes, it was earlier announced that an inter-agency committee, comprising the Ministry of Culture, Community and Youth, Ministry of Law and Ministry of National Development, is reviewing the framework to ensure its continued effectiveness. The review is a comprehensive one, encompassing three broad areas of enhancements to better manage neighbour disputes. Since we announced the review, steps have also already been taken to lay the groundwork to implement these enhancements. First, piloting a unit of dedicated personnel with the powers to investigate and enforce against residents weaponising noise against others. The Municipal Services Office has already stood up an initial team that is currently working closely with the Housing and Development Board (HDB), grassroots and other agencies to develop operational protocols to address such severe neighbour noise cases where neighbours intentionally cause noise disturbances over a prolonged period. Second, enhancing the mediation framework to resolve more neighbour disputes at an earlier stage, including through mandatory mediation and by allowing settlement agreements to be registered as a court order. Third, enhancing the Community Disputes Resolution Tribunals (CDRT) processes to simplify the service journey for affected residents, and equipping it with the necessary tools to deliver quick and effective relief for affected residents. We are studying these measures carefully as neighbour disputes can be complex and multifaceted, and we need to take into account various considerations in developing operationally feasible solutions, to strike an appropriate balance. In this regard, we had conducted a public consultation in May 2023 as well a series of engagement sessions with members of the public, academic experts and frontline officers in July 2023, and received more than 400 responses. Overall, respondents were supportive of the enhancements. A summary of the public feedback and our response can be found on the REACH website. It is not desirable for the Government to step in and resolve all differences between neighbours all the time, so as not to take away the community’s capacity to resolve private disputes when they first occur. Where our private actions impinge on the lives of others and the peace of the neighbourhood, neighbours are encouraged to proactively engage with one another and come to a compromise in the first instance, with intervention by the Government only when necessary. We will continue to work with Singaporeans and community stakeholders to strengthen the spirit of neighbourliness and graciousness through shared social norms. We are intending for the existing legislation to be amended in 2024, to effect the enhancements to the CDMF. This will, among other steps, enable the pilot unit to be operationally ready and effective, alongside enhancements to the mediation framework and the CDRT processes. Further details on the implementation process of the proposed enhancements will be provided in due course.
Redemption of CDC Vouchers for Individuals Who Have Changed Addresses or Rented Out Their Homes›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 296w
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Mr Yip Hon Weng57 words
[+1 sentence]asked the Minister for Culture, Community and Youth since the launch of the Community Development Council (CDC) Vouchers Scheme 2024 (a) how many claimants have outdated addresses or residences that are rented out; (b) what is the Ministry doing to prevent mis-redemption; and (c) what action is being taken to penalise those selling the CDC Vouchers online.
Mr Edwin Tong Chun Fai239 words
[+10 sentences]The Community Development Council (CDC) Vouchers Scheme 2024 was launched on 3 January 2024 as part of the Government’s continuing efforts to help Singaporean households cope with their daily expenses and support heartland merchants and hawkers. Every Singaporean household is eligible to claim $500 worth of CDC Vouchers 2024. Similar to previous rounds, Singaporean households will not be disadvantaged due to outdated addresses or co-tenanted living situations, as long as they can provide proof, such as a tenancy agreement or marriage certificate, that they are not from the same household and have not claimed the CDC vouchers before. Those with difficulty claiming their vouchers can approach their nearest community club for assistance. We encourage residents to update their National Registry Identity Card (NRIC) information promptly upon moving to a new address, as this will facilitate their CDC voucher claim. The CDC vouchers are not for resale nor exchangeable for cash. With the widespread participation of heartland merchants and supermarkets in the CDC Vouchers Scheme, residents have ample options to redeem their vouchers. The scheme makes it convenient for residents to buy a variety of essential goods and services to defray their daily expenses. The CDCs are working closely with online reselling platforms to prevent or stop the reselling of CDC vouchers on such channels. Members of the public who spot any such activities should promptly report them to the CDCs via the People's Association contact helpline at 6225 5322.
Counselling for Couples undergoing Assisted Reproduction Technology Treatment at Public Hospitals›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 168w
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Mr Louis Ng Kok Kwang41 words
[+1 sentence]asked the Minister for Health for couples undergoing Assisted Reproduction Technology treatment at public hospitals (a) what topics are covered under the compulsory counselling for such couples; and (b) what is the mean number of counselling sessions that these couples attend.
Mr Ong Ye Kung127 words
[+5 sentences]All Assisted Reproduction (AR) centres are required to provide couples with key information on the AR procedure, such as estimated costs, success rates and procedural risks. It is mandatory for all AR centres to ask couples if they would like to receive psychosocial counselling prior to and during any AR procedure and refer couples for such counselling should the couple request or if the AR practitioners assess so. This is to help couples be mentally and emotionally prepared for the AR procedure. The psychosocial counselling will be tailored to each couple’s unique situation and may include topics such as coping with stress and anxiety and managing expectations from AR procedure. The Ministry of Health does not track the mean number of psychosocial counselling sessions that couples attend.
Ensuring Good Distribution of GP Clinics Offering 24-hour and After-office Hours Services›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 142w
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Mr Patrick Tay Teck Guan51 words
[+1 sentence]asked the Minister for Health whether the Ministry will look into ensuring that there is a good distribution of general practitioner (GP) clinics which offer 24-hour and after-office hours services across constituencies and precincts, so that there is affordable and accessible after-hours GP assistance instead of taxing on acute hospital services.
Mr Ong Ye Kung91 words
[+4 sentences]There are more than 1,300 general practitioner (GP) clinics in Singapore, which are on the Community Health Assistance Scheme (CHAS) and where Singapore Citizens can enjoy subsidies when receiving medical care. Currently, about 500 CHAS GP clinics operate after-office hours, with 20 operating 24 hours. Extended operating hours is however a business decision made by the private GP clinics and not a Ministry of Health (MOH) planning parameter. Residents in need of affordable and accessible services may search for clinics via https://www.chas.sg/clinic-locator for clinics near them and the clinics’ opening hours.
Permitting Motorcycle Helmets Approved under International Safety Standards for Use in Singapore›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 169w
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Mr Murali Pillai59 words
[+1 sentence]asked the Minister for Home Affairs (a) whether the Traffic Police can consider allowing motorcyclists to use helmets that are approved by other international motorcycle helmet safety standards in addition to those locally approved to the Singapore Standard 9:2014; and (b) if so, whether upstream measures may be implemented to guard against the import of counterfeit helmets from overseas.
Mr K Shanmugam110 words
[+7 sentences]The Singapore Standard 9:2014 was developed in 2014 in consultation with industry and technical experts. All motorcycle helmets must meet this standard today. The Traffic Police and key stakeholders from public and private sectors, including testing laboratories and academia, have convened a working group to review the motorcycle helmet standard. This is supported by the Singapore Standards Council, overseen by Enterprise Singapore. The review will include assessing whether other overseas and international standards meet our local safety requirements. We will provide an update when the working group completes its review this year. Time is needed for the review due to the need for industry consultation and review of overseas publications
Individuals Charged under Section 165 of Penal Code›Written Answers to Questions for Oral Answer Not Answered by End of Question Time4 turns · 266w
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Mr Gerald Giam Yean Song60 words
[+1 sentence]asked the Minister for Home Affairs (a) how many individuals have been charged under section 165 of the Penal Code from 1965 to 2023; (b) how many are convicted; (c) what is the average (i) fine and (ii) prison sentence; and (d) what are the considerations for charging an individual under section 165 instead of the Prevention of Corruption Act.
Mr K Shanmugam33 words
[+1 sentence]It is not possible to confirm who or how many individuals were charged under section 165 of the Penal Code from 1965 to 2023 because records were not kept for the entire period.
Speaker not recorded13 words
[+1 sentence]This Parliamentary Question appears to be referencing the charges brought against Mr Iswaran.
Speaker not recorded160 words
[+6 sentences]First, let me say that cases against Ministers are very rare in Singapore. Since Independence, there have only been three reported instances, involving Mr Wee Toon Boon in 1975, Mr Teh Cheang Wan in 1986 and now Mr Iswaran. Mr Teh Cheang Wan committed suicide as investigations were ongoing. The Attorney-General's Chambers (AGC) does not generally give reasons in public why a specific charge has been brought, under one provision as opposed to another provision. These are matters of prosecutorial discretion, exercised on the basis of several possible factors, including the evidence available. Thus, if Mr Giam’s real question is why there are charges under section 165 of the Penal Code against Mr Iswaran when there have been no Ministers charged with this offence before, then the direct response is that this is only the second case in 58 years to be brought in Court against a Minister and AGC makes the decision based on the facts of each case.
Maintaining Safety of Outdoor Workers Given More Frequent Occurrences of Extreme Weather Situations›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 224w
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Ms See Jinli Jean82 words
[+1 sentence]asked the Minister for Manpower with higher occurrences of extreme weather situations indicated in the Third National Climate Change Study, whether the Ministry will consider (i) updating and expanding relevant measures to maintain the safety of outdoor workers, including platform delivery riders, during these occurrences and (ii) bringing awareness to outdoor workers, including freelancers and platform workers, on their right to remove themselves from imminent danger arising from bad weather without fear of reprisal or penalty by employers, hirers, or platform operators.
Dr Tan See Leng142 words
[+6 sentences]The Ministry of Manpower (MOM) regularly reviews Workplace Safety and Health (WSH) measures to address the risks faced by outdoor workers. In November 2022, the WSH Council worked with platform operators, employers and the National Delivery Champions Association on a set of guidelines to enhance the safety of delivery platform workers, including in adverse weather. For example, delivery riders would be permitted to seek shelter, without being subject to penalty or bonus arrangements, during bad weather. MOM also recently introduced new measures to reduce heat stress for outdoor workers, such as requiring employers to identify and redeploy workers vulnerable to heat stress in extreme hot weather. MOM regularly disseminates information on such workplace safety measures through channels, such as MOM’s website and social media platforms, unions, the WSH Council and industry partners. Employers are also encouraged to disseminate information to their workers.
Expansion of Non-Traditional Sources Occupation List to Include Healthcare Cleaners›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 81w
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Mr Gan Thiam Poh18 words
[+1 sentence]asked the Minister for Manpower whether the Non-Traditional Sources Occupation List can be expanded to include healthcare cleaners.
Dr Tan See Leng63 words
[+2 sentences]The occupations on the Non-Traditional Source (NTS) Occupation List were selected carefully based on sector agencies’ recommendations, taking into account factors, such as the impact on local employment and wages, and the potential for automation. The Ministry of Manpower will work with sector agencies to assess whether healthcare cleaners should be placed on the NTS Occupation List as part of our regular review.
Discretion for HDB Housing Loan Applicants who Exceed Eligible Income Ceilings by Small Margins›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 190w
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Mr Murali Pillai53 words
[+1 sentence]asked the Minister for National Development (a) whether HDB will consider exercising discretion in enabling applicants whose monthly income exceed the income ceilings applicable to them by a small margin to apply for HDB housing loans; and (b) if so, what factors will HDB consider in exercising such discretion in favour of applicants.
Mr Desmond Lee137 words
[+7 sentences]To prioritise the Housing and Development Board (HDB) housing loans for households who need them more, applicants have to meet the prevailing income ceiling to qualify. Currently, the monthly income ceiling for families is $14,000, which covers about eight in 10 Singaporean households. The income ceilings are $21,000 for extended families and $7,000 for singles purchasing flats under the Single Singapore Citizen Scheme. On a case-by-case basis, HDB may exercise flexibility to grant the HDB housing loan to applicants whose monthly income exceeds the applicable income ceiling. In assessing appeals, HDB considers applicants’ individual circumstances, including whether they have other viable financing options. Those who require assistance can approach HDB. Those who are not eligible for an HDB housing loan may approach financial institutions regulated by the Monetary Authority of Singapore for housing loan and financing options.
Recourse for BTO Flat Owners When Rectified Defects in Their Units Recur after Defects Liability Period›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 347w
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Mr Chua Kheng Wee Louis68 words
[+1 sentence]asked the Minister for National Development (a) what is the recourse for residents of new HDB BTO projects should defects that surfaced and are rectified during the Defects Liability Period (DLP) recur after the DLP; and (b) what is the framework upon which compensation for damages caused by such defects are determined; and (c) whether such compensation is borne by the building contractor, HDB or the town council.
Mr Desmond Lee279 words
[+11 sentences]The Housing and Development Board (HDB) provides a one-year Defects Liability Period (DLP) to new flat owners from the date they collect their keys. For any defects reported during the one-year DLP, HDB will arrange for the building contractor to carry out the necessary repairs. As most defects would emerge within the first year, a one-year DLP is sufficient for the majority of new flat owners and is in line with the industry practice for private developments. In addition, HDB provides owners of all new flats launched from 2005 a five-year warranty for ceiling leaks and external wall seepage and a 10-year warranty for spalling concrete. Flat owners are responsible for the maintenance of their flats. Town Councils are responsible for the maintenance of the common properties, including external walls of HDB flats. Nonetheless, if a maintenance issue within the flat is reported to HDB after the DLP, HDB will investigate the likely cause and advise flat owners on the follow-up action based on the specific circumstances of each case. Should flat owners report defects that recur after the DLP, even though it was rectified during the DLP, HDB will carry out an investigation to determine the likely cause. If it is assessed to be due to an inherent defect or quality issue, HDB will recall the building contractor to rectify it at no cost to the flat owner. Should the flat owner raise any compensation claim, it will be assessed on a case-by-case basis. On the other hand, if it is assessed to be due to fair wear and tear or a lack of maintenance, the cost of repair will be borne by the party responsible for maintenance.
Effectiveness of Enhanced Crow Trapping Measures›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 208w
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Mr Liang Eng Hwa47 words
[+1 sentence]asked the Minister for National Development (a) whether the enhanced crow trapping measures undertaken by NParks have shown positive results; and (b) whether there will be additional resources and efforts by the Ministry to address the growing population of crows and its menace in the housing heartlands.
Mr Desmond Lee161 words
[+8 sentences]Over the past few years, the National Parks Board (NParks) has been ramping up its islandwide crow trapping efforts. In addition to deploying more crow traps, NParks has been enhancing trapping efficacy by designing new traps and targeting the deployment of the traps in sites with high crow densities and feeding activity. In 2023, the number of crows trapped across Singapore doubled compared to 2022. However, crow trapping alone is not sufficient to manage the crow population. NParks has also stepped up its other crow management efforts, such as to survey and remove crow nests in trees and to enforce against illegal bird feeding. These efforts have collectively helped to address the presence of crows in affected areas. Keeping the crow population under control requires a collective community effort on a sustained basis. As bird feeding and human-generated food sources are key drivers of crow population growth, we urge the community to avoid feeding birds and to keep our environment clean.
Encouraging Child Protection Officers to Remain in Profession›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 366w
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Mr Louis Ng Kok Kwang22 words
[+1 sentence]asked the Minister for Social and Family Development what are the measures being studied to improve the retention of Child Protection Officers.
Mr Masagos Zulkifli B M M344 words
[+15 sentences]My response will also cover another related question raised by the Member on the salaries of the Child Protection Officers (CPOs), which is scheduled for the next Sitting. I invite the Member to seek clarifications, if need be. If my response has addressed the related question, it may not be necessary for the Member to proceed with the question for the next Sitting. The Child Protective Service (CPS) has taken a multi-pronged approach to improve the well-being and retention of our CPOs and to ensure that they have meaningful and fulfilling careers within the Service. Our CPOs are paid based on the civil service scheme of service. However, in recognition of the demanding nature of child protection work, our CPOs receive an additional field allowance on top of their base pay. To support the growth and wellness of CPOs, they undergo a comprehensive training programme and receive professional support on mental wellness and development through structured supervisions, coaching and peer support. To address the workload of our CPOs and help them work more efficiently, the Ministry of Social and Family Development (MSF) has implemented technological solutions, such as data analytics and robotic process automation. These tools are designed to optimise our operations. Additionally, we are reviewing the job scopes of our CPOs to ensure they focus more on their core functions of social investigation and intervention and less on administrative tasks. MSF will continue these efforts to better support our CPOs. The public, including members of this House, can also do their part to support the CPOs and other social service professionals who deal with child abuse cases. Firstly, to accept that child abuse is often difficult to detect and not every child abuse case can be prevented despite our best efforts. Secondly, to not presume that when a child has been abused, the case officer must have been negligent in their duty. Thirdly, to help them bring down the incidence of child abuse by being vigilant and reporting suspected cases of abuse to the police or the National Anti-Violence and Sexual Harassment Helpline.
Plans to Meet Future Increases in Demand for Preschool Places and Early Childhood Educators›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 317w
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Mr Melvin Yong Yik Chye48 words
[+1 sentence]asked the Minister for Social and Family Development whether ECDA has plans to meet the demands arising from any future increase in the number of babies born so as to ensure that there are sufficient (i) preschool places and (ii) early childhood educators to provide quality preschool education.
Mr Masagos Zulkifli B M M269 words
[+11 sentences]The Government is committed to enhancing access to affordable and quality preschools. We have more than doubled the number of full-day preschool places in the last decade and there are now over 200,000 places, sufficient to cater to every resident child aged three and above. This is despite a fall in the number of babies born over the period. We are on track for 80% of preschool places to be Government-supported by around 2025, up from over 60% today. The Early Childhood Development Agency (ECDA) will continue to plan for future demand for preschool places, taking into account the projected resident birth cohort. ECDA works closely with the Housing and Development Board (HDB) to develop new childcare centres in tandem with Built-To-Order (BTO) developments so that places will be built in areas where families with young children are concentrated. For older or expanding housing estates, ECDA will also work with HDB and existing operators to activate available void deck and communal spaces for centre additions and extensions if additional childcare capacity is necessary. We estimate that another 1,500 more educators will be needed to support the sector’s expansion in the coming years. To attract and retain quality early childhood educators, ECDA has reviewed salaries to ensure they correspond with educators’ contributions and professional skills. We have also announced measures to improve conditions for educators, such as for preschools to move towards a five-day week from 2025. Parents can also help make the profession more attractive by appreciating the work of the educators, and having reasonable expectations on educators, such as when to expect replies to messages sent at night.
Monthly Rentals Paid By Non-Subsidised Hawkers›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 129w
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Mr Chua Kheng Wee Louis57 words
[+1 sentence]asked the Minister for Sustainability and the Environment in each year of the last 10 years (a) what is the median monthly rent for a stall at hawker centres managed by NEA-appointed operators; and (b) what is the relative difference of such rents compared to NEA-managed hawker centres in a comparable locale, in dollar and percentage terms.
Ms Grace Fu Hai Yien72 words
[+3 sentences]The median stall rental at Socially-conscious Enterprise Hawker Centres (SEHCs) is generally comparable to that at similar hawker centres managed by the National Environment Agency (NEA), taking into account stall sizes and amenities. In 2023, the median monthly stall rent at SEHCs and non-subsidised stalls at NEA-managed hawker centres were $1,700 and $1,625, respectively. Median rents at SEHC and NEA hawker centres have remained stable since the commencement of the SEHC centres.
Instances of Price Escalation Attributed to Recent GST Increase to 9%›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 136w
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written-answer-na-15677
Mr Edward Chia Bing Hui81 words
[+1 sentence]asked the Minister for Trade and Industry (a) whether there has been an increase in the number of complaints lodged with the Committee Against Profiteering since 1 January 2024, regarding elevated charges by companies attributing price adjustments to the recent GST hike to 9%; (b) whether the Ministry has observed any instances of price escalation occurring simultaneously among enterprises operating within similar sectors; and (c) whether the Ministry intends to scrutinise such instances for any potential breach of competitive market practices.
Mr Gan Kim Yong55 words
[+2 sentences]The Committee Against Profiteering (CAP) reviews and investigates feedback on unjustified price increases of essential products and services that use the Goods and Services Tax (GST) increase as an excuse. The CAP has not seen a significant increase in such feedback in January 2024 and has not received allegations of anti-competitive behaviour during this period.
Status of Government Projects Planned with Mr Ong Beng Seng’s Companies›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 105w
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Assoc Prof Jamus Jerome Lim44 words
[+1 sentence]asked the Minister for Trade and Industry (a) whether Government projects that have been planned with Mr Ong Beng Seng’s companies will (i) proceed as planned or (ii) have the contracts reviewed; and (b) whether the terms of any such contracts have been amended.
Mr Gan Kim Yong61 words
[+1 sentence]This question has been addressed in the combined oral reply to Parliamentary Question Nos 25 to 27 on the Order Paper for the 5 February 2024 Sitting. [Please refer to "Reviewing F1 Contracts with Singapore Government and Strengthening Guidelines for Investment-oriented Agencies that Engage with Private Entities", Official Report, 5 February 2024, Vol 95, Issue 120, Oral Answers to Questions section.]
Roll-out of Autonomous Buses and Taxis›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 136w
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written-answer-na-15683
Mr Chua Kheng Wee Louis55 words
[+1 sentence]asked the Minister for Transport (a) what the state of the roll-out of autonomous buses and taxis is in Singapore; (b) what are the main impediments to an expeditious implementation of plans for autonomous vehicle services; and (c) what are the plans and timelines for overcoming these challenges and rolling out such services in Singapore.
Mr Chee Hong Tat81 words
[+4 sentences]As of January 2024, there have been a total of five autonomous bus trials and one autonomous taxi trial conducted in Singapore. One of the autonomous bus trials, which is conducted at Ngee Ann Polytechnic, is ongoing. There has been progress in autonomous vehicles (AV) technology in recent times. However, AV developers would have to further develop specific capabilities for our local conditions, such as the perception and sensing capabilities of AVs under complex traffic environment and during inclement weather conditions.
Passenger Load at Sengkang MRT Station and LRT System, and Measures to Meet Commuter Demand›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 296w
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written-answer-na-15684
Mr Gan Thiam Poh43 words
[+1 sentence]asked the Minister for Transport (a) what is the current passenger load at Sengkang MRT station and the Sengkang LRT system during morning peak hours; and (b) what further measures will LTA implement to meet commuter demand for public transport services at Sengkang.
Mr Chee Hong Tat253 words
[+9 sentences]Currently, most commuters boarding the North East Line at Sengkang Mass Rapid Transit (MRT) station in the morning peak are able to board the first arriving train. With the opening of the North East Line extension to Punggol Coast station in 2024, the Land Transport Authority (LTA) will add six new trains to the North East Line, which will shorten wait times for commuters. Based on ground observation, apart from Compassvale and Renjong Light Rapid Transit (LRT) stations, most commuters using the Sengkang LRT are able to board the first arriving train. Trains arriving at Compassvale and Renjong stations are more crowded as they are the last stops on the east and west loop respectively before Sengkang Town Centre station where most passengers alight. LTA has procured 25 two-car trains to boost the Sengkang-Punggol LRT capacity. The new trains will be delivered progressively from this year onwards and will double the number of two-car trains in Sengkang-Punggol LRT fleet by 2027. LTA will also enhance Sengkang Town Centre station to improve commuter flow. In addition to the MRT and LRT systems, residents in Sengkang Town are served by 37 bus services, travelling to destinations such as Ang Mo Kio, Tampines, Pasir Ris and Changi Airport, including two City Direct Services that run during the morning peak to bring Sengkang commuters directly to the city. LTA has also been implementing improvements to Sengkang bus services to meet new demand, such as adjusting the route of Service 102 to serve new housing developments in Fernvale.
Port of Singapore's Ability to Accommodate Adjustments to Eastern Sector Capacity Due To "Long Island" Project›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 111w
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written-answer-na-15685
Mr Dennis Tan Lip Fong63 words
[+1 sentence]asked the Minister for Transport, with regard to the reconfiguration of anchorages in the Eastern Sector of the Port of Singapore arising from the "Long Island" project off East Coast Park, whether the Western Sector of the Port of Singapore or elsewhere within the Port of Singapore currently have any capacity to absorb or accommodate the current capacity located in the Eastern Sector.
Mr Chee Hong Tat48 words
[+2 sentences]The Maritime and Port Authority of Singapore (MPA) is working with the industry to implement initiatives that can optimise the use of our anchorage space. The detailed configuration of the anchorages within the Port of Singapore will be determined following upcoming technical studies for the "Long Island" project.
Gap Fillers at Platforms of MRT Stations across all MRT Lines›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 113w
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Mr Ong Hua Han29 words
[+1 sentence]asked the Minister for Transport (a) whether LTA plans to implement gap fillers consistently across all MRT lines; and (b) if so, when does LTA target to accomplish this.
Mr Chee Hong Tat84 words
[+4 sentences]All trains on the North East Line, Downtown Line and Thomson-East Coast Line are fitted with gap fillers. Installation of gap fillers on Circle Line trains is being carried out progressively and will be completed by 2025. More than half of the North-South and East-West Line trains are progressively being decommissioned, and by 2026, will be replaced with 106 new trains which come with gap fillers. We are currently reviewing whether the remaining North-South and East-West Line trains could be retrofitted with gap fillers.
Schedule for Review of Pensions and Benefits of Retired Public Service Officers›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 139w
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Mr Darryl David34 words
[+1 sentence]asked the Prime Minister (a) whether there is a regular schedule for the review of pensions and benefits of retired Public Service officers; and (b) if so, how often are such reviews scheduled for.
Mr Chan Chun Sing (for the Prime Minister)105 words
[+4 sentences]The Member may refer to the Parliamentary Question answered on 20 October 2022. There is no fixed schedule for reviews. The Government continually considers the adequacy of its benefits provisions, taking into factors such as inflation, fiscal cost as well as other national policies. For example, Government pensioners also benefit from other forms of national support, including the Pioneer and Merdeka Generation packages, Goods and Services Tax (GST) vouchers and Community Development Council vouchers.
Study of Fertility Leave for Public Service Officers›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 103w
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written-answer-na-15689
Mr Louis Ng Kok Kwang37 words
[+1 sentence]asked the Prime Minister (a) whether an update can be provided on the study of fertility leave for public servants; and (b) if such a study has not been conducted, whether the Government will study this proposal.
Mr Chan Chun Sing (for the Prime Minister)66 words
[+2 sentences]We have assessed that there is no need to introduce fertility leave as a separate leave provision at this juncture. Public officers who are undergoing fertility-related procedures can already tap on their current leave provisions, such as outpatient sick leave or hospitalisation leave, or request for flexible work arrangements from their supervisors, such as flexi-time and hybrid work arrangements to undergo or recuperate from the treatment.
Monitoring of General Insurers' Compliance with Singapore General Insurance Code of Practice in Processing Claims›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 232w
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Mr Murali Pillai53 words
[+1 sentence]asked the Prime Minister (a) whether the Monetary Authority of Singapore (MAS) monitors general insurers’ compliance of the requirements under Paragraph 6.2 of the Singapore General Insurance Code of Practice when they process claims; and (b) whether the MAS investigates complaints by claimants whose claims are not processed in accordance with the requirements.
Mr Lawrence Wong (for the Prime Minister)179 words
[+6 sentences]The Singapore General Insurance Code of Practice is issued by the General Insurance Association of Singapore (GIA) and sets out guidelines and standards as best practices for its member insurers to follow. Paragraph 6.2 of the Code relates to GIA member insurers’ commitment to process claims on a timely basis, with service standards stated therein. If a GIA member has not fulfilled its obligations with the Code, the policyholder may refer the matter to GIA. The Monetary Authority of Singapore (MAS) in its Guidelines on Risk Management Practices for Insurance Business establishes supervisory expectations for all insurers to set out clear procedures for notification, assessment and settlement of claims, and monitor the claims handling process. MAS expects insurers to have in place an internal dispute resolution process to handle all consumer complaints and feedback independently, effectively and promptly. As part of MAS’ ongoing supervision of insurers, complaints received from consumers relating to non-adherence of disclosed service standards will be referred to the relevant insurer to handle and MAS will track that an appropriate response is provided to the consumer.
Convening of Electoral Boundaries Review Committee and Revision to Report Format›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 224w
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written-answer-na-15691
Mr Gerald Giam Yean Song77 words
[+1 sentence]asked the Prime Minister (a) whether the Electoral Boundaries Review Committee (EBRC) has been convened; (b) if not, whether he will announce the formation of the EBRC as soon as it is constituted; and (c) whether he will require the EBRC, in its report, to provide detailed reasons for each constituency boundary change, beyond the considerations for sizes of constituencies to ensure fair representation and the need for adjustments to the electoral boundaries arising from population shifts.
Mr Chan Chun Sing (for the Prime Minister)147 words
[+7 sentences]The Electoral Boundaries Review Committee (EBRC) has not been convened. I had previously mentioned in this House that the work of the EBRC is essentially to consider the latest changes in population shifts and housing developments to determine the electoral boundaries for use at future elections. Its composition includes senior civil servants who are experts in these technical areas. They independently consider the relevant data before making their recommendations. Hence, it will not be practicable for the EBRC to explain the technicalities and details of every change that it recommends. And, as a matter of practice, the Committee should be allowed to carry out its work professionally, away from media attention or public pressures. I would like to reassure the Member that there will be sufficient time between the release of EBRC’s report to the time of election for candidates and political parties to make their preparations.
Studies on Socioeconomic Impact of Climate Mitigation Efforts and Effect of Heat Stress on Vulnerable Groups›Written Answers to Questions for Oral Answer Not Answered by End of Question Time3 turns · 525w
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Mr Dennis Tan Lip Fong55 words
[+1 sentence]asked the Minister for Sustainability and the Environment (a) whether further studies are being conducted to ascertain the socioeconomic impact of mitigation efforts for the different emissions scenarios laid out in Singapore's Third National Climate Change Study; (b) if so, what mitigation efforts will the Ministry be looking at; and (c) if not, why so.
Ms He Ting Ru81 words
[+1 sentence]asked the Minister for Sustainability and the Environment, in light of the Third National Climate Change Study which reported that annual mean temperatures are projected to rise by 0.55 degree Celsius per decade under the high emissions scenario, (a) whether the Ministry will commission studies of the effects of heat stress on vulnerable groups of the population, such as the elderly, children and outdoor manual workers in the construction industry; and (b) if so, what is the timeline for such studies.
Ms Grace Fu Hai Yien389 words
[+17 sentences]Singapore's Third National Climate Change Study (V3) produced an updated set of climate projections for Singapore and the Southeast Asia region up to the year 2100 and beyond. V3 studied the three different emission pathways of high, medium and low greenhouse gas emissions to explore the range of climate outcomes for Singapore and the Southeast Asian region. These updated climate projections enable the Government to develop and refine our climate adaptation plans to ensure that Singapore remains resilient to the impact of climate change. Agencies involved in the Resilience Working Group include the Urban Redevelopment Authority (URA), National Parks Board (NParks), Public Utilities Board and National Environment Agency, which are tasked to review and update the adaption plans in their respective areas. One example is Singapore’s heat resilience efforts. Agencies including URA and NParks adopt a science-based and proactive heat resilience strategy to help Singaporeans cope with rising temperatures. First, we are implementing national-level strategies to cool our urban environment, such as by infusing more greenery and scaling up the use of cool materials on buildings. Second, we are strengthening the community’s resilience to heat. For example, the Ministry of Sustainability and the Environment (MSE) and NEA launched the Heat Stress Advisory last year for the general population. Working with the Ministry of Health, we advised the more vulnerable segments, such as the elderly and children, to exercise greater caution. The Ministry of Manpower and Ministry of Education also issued sector-specific guidelines for outdoor workers and students respectively. Third, we are deepening our understanding of the science behind how rising temperatures affect Singapore and our residents. We are investigating the impact of heat on specific population segments. We have commissioned studies under the Cooling Singapore 2.0 project to investigate the impact of heat on different segments of the population. NEA has also launched the second grant call under the Climate Impact Science Research Programme for new research proposals in areas such as food security, human health and sea level rise. MSE will continue to work with other agencies to better understand the effects of climate change in Singapore and our population and put in place the necessary adaptation and risk mitigation measures. We will ensure that the built environment is resilient and prepared for a range of climate scenarios and empower the community to take the necessary protective measures.
Publicity Efforts to Encourage Uptake of Routine Vaccinations for Adults›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 159w
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Ms He Ting Ru55 words
[+1 sentence]asked the Minister for Health (a) what is the assessed impact of publicity and outreach efforts to encourage increased uptake in routine vaccinations for adults, in particular, for the seasonal flu vaccinations; and (b) whether further subsidies or free vaccinations will be considered for a wider group of people in order to boost uptake rates.
Mr Ong Ye Kung104 words
[+5 sentences]To promote vaccinations under the National Adult Immunisation Schedule (NAIS), the Ministry of Health (MOH) has been conducting public education campaigns, sending targeted SMS messages to recommended groups, and enhancing subsidies for vaccinations. Under Healthier SG, vaccinations under NAIS are now made free to enrolled residents. In recent months, we have seen a significant increase in vaccination take-up rates. From January to November 2023, more than 277,000 flu vaccinations were administered to persons aged 65 years and above, 150% and 50% higher than the numbers in the preceding two years. MOH will continue to monitor uptake rates and review our vaccination policy where necessary.
Assessing Impact of Support Measures on Firm-level Productivity Improvements›Written Answers to Questions for Oral Answer Not Answered by End of Question Time2 turns · 223w
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written-answer-na-15759
Mr Edward Chia Bing Hui49 words
[+1 sentence]asked the Minister for Trade and Industry (a) how does the Ministry assesses the impact of productivity support measures on firm-level productivity improvements; (b) what correlation has been observed between these schemes and wage growth; and (c) how have these measures influenced firm competitiveness in local and international markets.
Mr Gan Kim Yong174 words
[+10 sentences]The Government has a range of measures to support enterprises in boosting their productivity. We assess the productivity impact of these measures at the national level. From 2017 to 2022, national productivity in terms of real value-added per worker grew by 2.0% per annum. Over the same period, real gross median income for full-time employed residents grew at a commensurate 1.8% per annum. Productivity growth has thus supported real wage growth over the past few years. Over the longer term, however, for real wage growth to be sustainable, it needs to be accompanied by strong productivity growth. The steady growth in productivity has also contributed to our competitiveness. Over the past five years, Singapore has retained our position as one of the top five most competitive economies in the IMD World Competitiveness Rankings. It is thus vital for enterprises and workers to press on with efforts to raise productivity, as this will contribute to better wages for workers and enhanced competitiveness for our enterprises. The Government will render its full support throughout this journey.
[+2 sentences], (proc text)] [(proc text) That this House recognises the importance of mental health as a health, social and economic issue; affirms the importance of a robust national mental health ecosystem; and calls for a whole-of-Singapore effort to implement a national strategy to enhance mental health and well-being. – . (proc text)]
Mr Speaker3 words
[+1 sentence]Mr Vikram Nair.
Mr Vikram Nair (Sembawang)1107 words
[+9 sentences]Mr Speaker, one of the grim figures that made me sit up last year was an article in July indicating that the suicide rate in Singapore for 2022 had risen to 476, the highest in 20 years and a more than 25% increase from the year before. It also indicated that the rise in suicide rates was the highest amongst the elderly and the young. This was a perturbing figure and I have come across more than one case of residents affected by suicide. The cases of two teenagers were particularly sad. In one case, I spoke to the parents who were utterly devastated, saying they could not understand how their daughter who appeared to be a well-behaved and obedient child, suddenly decided to take her own life. In another case, I heard from a young resident whose best friend decided to take her own life. The friend was utterly devasted by this and had to deal with depression herself. There are two related questions that arise. The first is, whether these people had undetected mental health issues, including depression and/or the inability to deal with some difficult or stressful situation the person was facing. A United Nations (UN) study indicated that about 90% of the people who committed suicide had some underlying mental health concerns.[+1 sentence] The second is whether, even if such issues were detected, the interventions to deal with them were adequate. In response to the Parliamentary Questions that several other Members of Parliament and I filed on the topic, the Ministry of Health (MOH) indicated that the best interventions were to build mental resilience, spot early indicators, encourage help seeking and support those in crisis. The Ministry highlighted several initiatives it had to address this, including Health Promotion Board's (HPB's) MindSG portal, movements by HPB and the National Council of Social Services (NCSS), to encourage people to seek help, components in school curriculum to encourage children to get help and HPB's campaigns for parents to train them to identify signs of mental health issues in their children; and then, once people come forward, there are well-being centres in the community to help people, as well as mental health hotlines.[+10 sentences] Based on the response provided by the Senior Minister of State Janil Puthucheary at that time, it did seem like this was a matter that the Ministry was taking seriously. I do have some further clarifications and suggestions in this regard. In relation to the clarifications, it will be helpful if the Government is able to share how it tracks the effectiveness of its outreach programmes. For example, do the HPB's programmes targeted at parents reach all parents? Do the HPB and NCSS' campaigns, targeted at encouraging people to get help, reach their intended audience? One way to gauge this would be if we can identify whether, of the people who ultimately committed suicide, there was a way to track whether any of these programmes had reached them? The second is to track the effectiveness of the interventions once people come forward to ask for help. For this, an important statistic would be tracking how many of those who had committed suicide had come forward to seek assistance and were, therefore, "known" cases. I understand that the main intervention for those seeking assistance now is administered by social service agencies at the community level. However, dealing with people with suicidal tendencies is a complex matter and where, for example, there may be underlying conditions, such as depression, there may be a need for professional intervention from psychologists or psychiatrists. In a supplementary question I had asked at that time, I suggested that the Government consider subsidising or providing such professional services under the ambit of MediSave or MediFund, so that financial barriers to getting such assistance will also be reduced.[+12 sentences] This will be particularly important for, say, students or the elderly who may wish to seek assistance but may be concerned about whether they have the means to do so. A related aspect of this is to encourage insurance policies to cover or provide for mental health assistance as a rider. While the largest increase in suicides was amongst the elderly and young, the largest number is still amongst the working adult population. In this regard, in workplaces, it may also be useful to have such access to mental health assistance for employees as a benefit. In many European countries and the United States (US), for example, companies have an Employee Assistance Programme (EAP) where employees can seek assistance for mental health issues on a confidential basis. As this is provided by employers, the costs of doing this can generally be aggregated over a large pool of employees. I should declare that my mother is a psychologist who currently provides EAP services to several companies and this was where I actually learnt about this service from. Her end-customers are generally multinational companies who offer EAP as an employee benefit. The consultations with the psychologists are confidential, so the employees do not have to worry about stigma in seeking assistance. I understand that employees come forward with a wide range of issues, from dealing with family breakdowns to coping with the fear of retrenchment exercises when companies go through such exercises. Both scenarios are generally traumatic for people and they also bring with them financial insecurity for the employees, which may make them reluctant to seek assistance privately. In these scenarios, having an employment benefit that gives them access to professional mental health assistance, in this case, trained psychologists or counsellors, can make a huge difference. Where it is provided by employers, there is no additional financial burden to the State; while if the employer is large, the cost of the service can be aggregated. I understand that the provision of such programmes amongst local employers, particularly in the small and medium enterprises (SME) sector, which make up most of our local employers, is very low. So, I would suggest that the Government consider the best practices in mental health programmes provided by employers in other countries and whether such programmes can be made more widely available in Singapore, say, either through legislation or through the tripartite framework. For example, if small employers may not be individually able to provide such a programme, it may be possible for the National Trades Union Congress (NTUC) to provide, an umbrella programme that SMEs can sign up for and for which they can contribute to. I think, ultimately, an important aspect of mental health care is making access to professional mental health more affordable and accessible, and both the Government and employers can play an important part in this.
Mr Speaker4 words
[+1 sentence]Ms Yeo Wan Ling.
Ms Yeo Wan Ling (Pasir Ris-Punggol)1271 words
[+8 sentences]Mr Speaker, I wholeheartedly affirm the Motion and believe the time is now, for each and every one of us, to be active stakeholders in building a robust and compassionate Singaporean mental health ecosystem. Our Government with their national-level programmes, such as Healthier SG, National Mental Health and Well-Being Strategy, ground mobilisation of more general practitioners (GPs) and increasing capacity for medical psychiatric care, has indeed given importance and priority in this matter. Yet, if our nation is a tapestry, mental health is the thread that weaves through every level of our nation. Community, neighbourhoods, families and individuals. The heart of mental health matters. It is not about unique issues but about solutionings that are always nuanced and personal. I put it to the House that complementing our national initiatives must be a network of localised support comprising of energised outreach, awareness and authentic friendships. Indeed, ground-up initiatives are invaluable as they address, in a spot-on manner, mental health issues faced by real individuals whilst rallying the support and understanding of real-life neighbours in the communities we all live in. In Punggol Shore, it was through home visits by our volunteers that we had identified special needs adults. Some were in their 50s and 60s, undiagnosed and received no support for their conditions.[+15 sentences] They are out of the national system of care, as they were simply never registered in the system in the first place. Some lead quiet, isolated lives, depending on neighbours and the Residents' Committees to keep a discreet watch on their well-being. Some lead more colourful lives and are called unkindly, sometimes, as weird and strange. Yet there are some, who are fully dependent on their caregivers, many of whom, are sole caregivers who have given up their lives and livelihoods to take care of their wards. These families living in our midst are often stressed, worried and financially challenged. I met Mr Tan and his sister, not their real names, about two years ago, when there was a fire in their block. Both were in their 50s and despite the fire, Ms Tan refused to be evacuated. Ms Tan later shared that she suspects that her brother has special needs and is a recluse as he refuses to leave their home. After their parents passed away, she stopped work and became his full-time caregiver. She is frustrated about the situation and worried about what will become of her brother if something happens to her. She told me that she would rather die in the fire at home, with her brother, than go through the trauma of forcing her brother to leave the house, climb down the stairs and wait at the fire refuge area with strangers while waiting for the Singapore Civil Defence Force (SCDF) to give the all-clear. While both the Tans were physically unharmed in the fire, the state of their mental wellness calls for care and support. We need to do more for families like the Tans. Local support can certainly alleviate some of the stress and loneliness, be it the reassuring familiarity of neighbours checking in on you or participating in nearby community events. However, in order for local support to be effective and inclusive, the community needs awareness and specialised training. In support of families like the Tans, Punggol Shore started a training and support programme for our grassroots leaders in partnership with Caregivers Alliance, a non-profit organisation.[+13 sentences] Most of our Resident Networks now have a volunteer leader with higher awareness of mental health issues, especially those faced by caregivers and their senior or special needs wards. This has impacted the way we organise our community events and conduct our home visits. We hope to scale our local training, as we believe that more volunteers and the community-at-large would benefit from such training and awareness. In the same thread, livelihoods are a major contributor to mental wellness and, for caregivers, jobs in the community are always warmly welcomed for better work-life balance. Can more be done by our local merchants on local job creation? Can we encourage and equip our heartland merchants to embrace flexible work arrangements (FWA), especially with the upcoming Tripartite Guidelines for FWA requests? How about our local Community Development Councils (CDCs) promoting local job creation and FWAs with the heartland merchant networks that they have created so successfully with the CDC Voucher programmes? With tailwinds helping along in the creation of livelihood opportunities for our caregivers, let us seize the moment and secure a peace of mind for our caregivers. Support for the mental health of our caregivers is a multifaceted one – providing support and respite in the care for their wards, creating caregiver support groups and the providence of local jobs. Local stakeholders and the organisation of our local stakeholders are critical in sustainable mental health support. Indeed, this is where ground-level initiatives, like the Positivity Pizza Movement, become invaluable. Led by the youths for our youths in Punggol Shore, this movement promotes mental well-being in our youth community. Mr Speaker, studies have shown that our youths had a challenging time during COVID-19 and, coupled by stresses of school and a complicated social media landscape, our young ones are navigating a world that is complex and isolating beyond the one we grew up in. Through this movement, volunteers from across all communities in Punggol Shore, our seniors, youths, women groups, sports teams and our religious organisations, have come together to sew pizza plushie keychains with a common aim of making 20,000 pizzas to gift every single one of our youths in Punggol Shore.[+3 sentences] It is our community's way of telling our youths that it is okay not to be okay and the whole Punggol Shore Community has our youths' backs. The inspiration for the movement was at an encounter I had with a young Punggol resident. C, not her real name, came up to me when I was doing my regular rounds at a local mall. I knew C when she was in primary school and was happy to note that she was in her secondary school uniform. I asked about her transition to Secondary 1 and to my dismay, she shared that she was having a really hard time and has considered self-harm and suicide.[+5 sentences] While we were speaking, C saw a keychain plushie I had on my bag and she said, "Ms Yeo, that's really very cute. May I have it so that I know that people care?" To C, if you are watching this, know that people do care and thank you for reaching out and trusting others with your burdens that day. You have started a movement. Mr Speaker, in our modern world, where the pace of life seems only to accelerate and the digital landscape can create both connection and isolation, local communities stand as beacons of support and resilience. Localised strategies are effective at mobilising communities because they resonate with the unique fabric of each locality.[+2 sentences] When initiatives like the Positivity Pizza movement are driven by the people who care about and understand the dynamics of their own community, supported by the warmth of common shared spaces, there is a profound authenticity that connects with residents on a very personal level. These localised efforts tap into the values, traditions and shared experiences of the community, fostering a sense of belonging and collective responsibility. While we continue to build the vital national-level infrastructure and systems, I remind and call on our Government to not forget the local-level support and to provide more resources to local networks to build strong local mental health advocates and stakeholders.[+1 sentence] Mr Speaker, I support the Motion.
Mr Speaker3 words
[+1 sentence]Mr Shawn Huang.
Mr Shawn Huang Wei Zhong (Jurong)1927 words
[+1 sentence]Mr Speaker, one out of seven adolescents experience mental disorder. Whilst for younger children in the US, one out of six are diagnosed with a mental disorder, with anxiety and depression taking 40%; conduct disorder at 20%; and Attention Deficit Hyperactivity Disorder at 19.5%.[+5 sentences] This age group is particularly vulnerable as it accounts for 13% of the global burden. In fact, based on the Mental Health Foundation, 10% of children and young people from age five to 16 have a clinically diagnosed mental problem. Yet, 70% of children and adolescents who experienced mental health problems have not had appropriate interventions at a sufficiently early age. What does this mean for Singapore? Even if we take a conservative approach and with all estimates, take a discount and assume one out of eight instead of one out of seven. With an annual cohort of 35,000, from Primary 1 to tertiary education, we will have close to 57,000 students diagnosed with mental health disorders.[+3 sentences] This projection is based on diagnosed figures. The number for those who are undiagnosed will be far greater. It would probably be one out of seven or one out of six, a value closer to those reporting countries. With these statistics, a secondary school with about 1,000 students will have over 120 students diagnosed with mental disorders and many more undiagnosed with developing conditions.[+1 sentence] The global statistics for suicide amongst children and adolescents show that, every year, 47,000 end their own lives. If assuming similar parameters, approximately 30 of such suicides would have occurred each year in Singapore.[+44 sentences] Suicide is the most tragic outcome of a mental health condition. However, anything short of that, the consequences of failing to address children and adolescents' mental health conditions will extend to adulthood, impairing both physical and mental health and limiting opportunities to lead fulfilling lives as adults. The math is clear. This is the problem definition that we are facing. The question is: do we have the resources to manage mental health challenges? So, how about the science of it? Gamma-aminobutyric acid (GABA) and dopamine are two critical neurotransmitters in the brain that play significant roles in regulating various physiological and psychological processes. GABA is the primary inhibitory neurotransmitter, which helps to calm down nerve activity, reducing neural excitability throughout the nervous system. Dopamine, on the other hand, is a neurotransmitter that is involved in reward, motivation, memory, attention and even regulating body movements. The levels of activity of these neurotransmitters can change over time due to various factors, including age, stress, environmental influences and hormonal changes. So, to put it simply, if you are driving, you can view dopamine as the accelerator and GABA as the brakes – both essential and both countering and balancing the needs. But as children approach puberty, it is marked by significant changes in hormones, including increases in estrogen and testosterone. These hormones have been shown to influence GABA neurotransmission. For example, estrogen can modulate GABA receptor expression and function, potentially altering the efficacy of GABAergic inhibition. Testosterone has been implicated in the modulation of GABAA receptors, which might inhibit signalling. But this is not it. During puberty, the brain undergoes substantial restructuring and pruning of neural connections. The maturation of neural circuits, especially in the prefrontal cortex and limbic system, involves changes in the balance between excitatory and inhibitory neurotransmission. As the brain rewires itself for adult functioning, as part of puberty, the role and regulation of GABA may shift, leading to a temporal reduction in inhibitory effects on the neural circuits. Members must be wondering why I am highlighting these evolving conditions. It is important because it is a critical period. At this juncture, puberty also coincides with the most critical period of neuroplasticity, where the brain is particularly sensitive to environmental inputs and experiences. The changes in GABA transmission during this time may reflect the brain's adaptation to these inputs, altering synaptic strength and connectivity in a way that requires modification of inhibitory signalling. This also means that the brain is developing, forming and setting the foundations of its neurochemical activity which may have a long-lasting impact throughout life. So, imagine being a child or an adolescent having to manage these changes. It is made more difficult because the change is not overnight. It is a gradual but relatively rapid change, which requires a keen sense of self-awareness and learning how to self-manage and respond. It is a swirl of changing chaos for a young individual. So, imagine those who grew up driving an automatic transmission all their lives and, suddenly, in a short period of time, they have to learn and drive a manual transmission but with an additional complication that the sensitivity of the accelerator, brakes and clutch is constantly changing. Imagine how many times the engine would have grinded to a halt and having to learn and restart again. Given all these, we have yet to include the environmental influences, genetic factors and adverse experiences, such as abuse, neglect, exposure to violence, exposure to adversity, pressure to conform with peers and the exploration of identity, quality of home life and relationships with peers, bullying, harsh parenting and socio-economic problems. This is no longer a simple scenario of travelling or driving along an expressway. Imagine being caught in a traffic jam within the car park at Plaza Singapura on a weekend. You are going up a spiral slope on the next level. You are a newly minted driver, driving a manual transmission vehicle with constantly changing accelerator and brakes and clutch. A sequence of clutch, brake, gear, brake, accelerator, clutch, accelerator, brake. It is a very difficult task, challenging. So, the math is clear. The science is evolving with greater clarity. We must be where the help is needed, where the children and adolescents are. We need better coordination and targeted resourcing. Our student councillors are managing an overwhelming caseload. Our student welfare officers are working in parallel. Teachers trained in counselling are doing their level best, juggling the multiple hats and roles. The Response, Early Intervention and Assessment in Community Mental Health (REACH) team, our community-based health service, has received more than 1,500 referrals per year. But based on mathematical projections, over 5,000 per year will need help. That is a possible deficit of 3,500 per year.[+8 sentences] Our child protective services caseloads will need more capacity. They are already prioritising severe cases. But we need to get the required help to those in the moderate and mild risk levels to prevent further escalation. Some are irreversible. Family Service Centres (FSCs) with counsellors and psychologists are leaning forward and assisting schools and families in need. Guidance branch and psychological service branches are working hard on the cases. We need more trauma specialists. We need specialists that have deep skills to manage cases, such as the "hidden youth syndrome", which is also known as hikikomori. In Singapore, the ratios of psychiatrists and psychologists to population are 4.6 and 9.7 per 100,000, respectively.[+35 sentences] These are much lower than the Organisation for Economic Co-operation and Development (OECD) countries. It is not uncommon to wait for two to three months for a diagnosis, whilst the child continues to lose time in school, stacking on the challenges further. Our methodology and the typical observe, orient, decide and act (OODA) framework, though still relevant, will be less effective here. Each year, we are looking at a mass transition. All our kids will be facing this. Some will face greater difficulty and others less. We should not leave it to chance because the transition is a 100% certainty of occurrence. But how it is navigated will have less certain outcomes. So, let us sharpen our emphasis and target resources on this specific transition to ensure that all our kids have a more certain outcome. In the spirit of KidSTART, where we are rooted in the belief that every child deserves a strong start in life, regardless of their socio-economic background, this guiding principle is embodied in KidSTART's comprehensive approach to supporting early childhood development for children from low-income families. It is designed to ensure that these children have access to the same opportunities for healthy development as their peers, recognising the profound impact that the early years on a child's future health, well-being and educational achievement. KidSTART celebrates its 10th anniversary and, likewise, we should do the same for our children's mental health transition. I suggest establishing a national mental health and transition programme for kids and adolescents. KidsSoar, a progamme that is dedicated and focused on mental health transitions for children and adolescents, which is a certainty, embodies a philosophy centred around understanding, supporting and nurturing emotional and psychological well-being of young individuals, to be pre-emptive, preventative and, if needed, resourced to support recovery. This programme should be designed to acknowledge the importance of mental health as a critical component of overall health and to ensure that children and adolescents are equipped to navigate life's challenges with resilience, a programme that is compassionate and understanding, that empowers, through education and practice, inclusive and accessible, and holistic in approach. This will reflect the spirit of our unwavering commitment to the growth and healing of young minds. It acknowledges that the journey may be long and challenging, but we believe in the potential for growth, healing and positive change. We must do more, and we must do more today. In a world that often moves at an overwhelming pace, there are struggles of the mind that can be as debilitating as those of the body. There lies a group of unsung heroes dedicated to the art and science of healing not just the individual, but the very fabric of our society. I would like to take this opportunity to pay homage to the mental health workers – psychiatrists, psychologists, counsellors, social workers, psychiatric nurses and all those who labour in the vast and complex network in the field of mental health. This tribute is a salute to their unwavering commitment, their compassion and the profound impact they have made on the lives of those they touch. Their work often goes beyond the call of duty. With every individual they help, they weave a stronger and more compassionate fabric for our society, ensuring that no one has to walk the path of mental challenges alone. They see beyond the stigma and labels, reaching out to the person struggling in the shadows, offering them a lifeline, a listening ear and the promise of a brighter tomorrow. In times of crisis, their calm and steady presence provides the anchor many need to weather their personal storms. They remind us that it is okay to be not okay and that seeking help is a sign of strength, not weakness. Their work is a testament to the idea that mental health is an integral part of overall health, deserving of the same attention, care and respect. Let this tribute be a reminder of the gratitude and respect that they so richly deserve. Their dedication, patience and compassion light the way forward for all of us, as we strive towards a future where mental wellness is prioritised and cherished. To those who are stuck in traffic on a slope with a manual transmission, fear not. We are here with you on this journey. For me, with sincere appreciation and a grateful heart, I give thanks and tribute to all those who have taught me how to drive. May our children soar to greater heights to the moon and beyond and above all their mighty things. Mr Speaker, I support the Motion.
Mr Speaker5 words
[+1 sentence]Deputy Prime Minister Lawrence Wong.
The Deputy Prime Minister and Minister for Finance (Mr Lawrence Wong)2371 words
[+10 sentences]Mr Speaker, I rise in support of the Motion and I thank Dr Wan Rizal, Mr Edward Chia, Ms Mariam Jaafar, Dr Tan Wu Meng and Mr Yip Hon Weng for moving this Motion as well as all Members who have spoken passionately about the issue. Mental health has grown in importance, both in Singapore and across the world. In the past, people dealt with mental health issues privately. It was always in the shadows and not something we talk about publicly. In recent times, attitudes have shifted, for the better. People are more informed about mental health and more willing to talk about this openly. COVID-19 also brought mental health issues to the forefront. Because across the world, people had to cut back social interactions and isolate themselves from family and friends. And this took a toll on mental health. It happened in Singapore too. After the circuit breaker was introduced, we observed an increase in the utilisation of mental health services and more calls to the Institute of Mental Health's (IMH's) mental health helpline. That is why we set up the COVID-19 Mental Wellness Taskforce, which later became the Interagency Taskforce on Mental Health and Well-being, chaired by Senior Minister of State Janil Puthucheary.[+1 sentence] The work of the Taskforce builds on previous national efforts to improve the quality and accessibility of mental health services in Singapore. The Taskforce has published the National Mental Health and Well-being Strategy, which sets out concrete plans to plug existing gaps and to strengthen our mental health ecosystem.[+2 sentences] We will now translate these plans into action. Our plans are not static. We will continue to evolve and update them, including taking on board the many useful suggestions from Members in this debate. So, let there be no doubt: the Government is making mental health and well-being a key priority in our national agenda.[+37 sentences] To understand the approach in this new strategy, we must, first, appreciate the full range of mental health issues. On one end of the spectrum are mental health issues that require medical treatment, like bipolar disorder and schizophrenia. These conditions can be debilitating, severely affecting a person's ability to carry out important daily activities. On the other end of the spectrum are issues affecting mental well-being, like anxiety and stress. While these typically do not require medicalisation, it does not mean that we should take them lightly. If not addressed well, poor mental well-being can also affect our ability to lead our lives productively. Because mental health issues lie on a spectrum, it means we need a broad suite of solutions. Not all mental health issues need to be treated in a specialist healthcare institution. It is the same when we have a physical ailment. We do not go to a specialist for treatment immediately when we experience some symptoms of ill-health. Instead, we see our family doctor first. If it is more serious, the matter gets referred to specialist care. So, improving mental health is not just about hiring more psychiatrists or building more capacity at IMH. We will certainly do that. But we also need to strengthen capabilities across our entire spectrum of care, including at our polyclinics and GPs and across other settings, like schools, workplaces and in the community, so that more timely support can be rendered to those in need. In our strategy, we are redoubling our efforts to better understand the issues that young people face, something that many Members spoke about. It has never been easy to be a teenager. Teenage angst has always been part of the growing up process. Teenagers have to learn about themselves, take on new responsibilities and prepare for adulthood. But something has changed around the world. Since around the early 2010s, because the current generation of young people are expressing more concerns about their mental health than previous cohorts, many countries have reported increases in suicidal ideation as well as mental health conditions, like anxiety, and depression, amongst their youths. Last year, the US Surgeon-General called the increasing mental health needs of US youths as the "defining public health crisis of our time". Even the Nordic countries, consistently ranking high in global happiness and well-being surveys, they, too, are reporting rises in youth anxiety, depression and a variety of mental illnesses. So, we see a similar trend in Singapore. It is not at the same high levels as some other countries, where the mental health issues are conflated with other difficult issues, like drug abuse, homelessness and street violence. But it is, nevertheless, a worrying trend and we are taking it seriously. So, we are linking up with researchers from around the world to try and understand the root causes behind this recent surge in youth mental health issues. Some think that heavy social media usage is a major cause. Indeed, the constant pressure to present a positive image online, the fear of missing out, the algorithms that flood news feeds with stories that are designed to spark outrage and the issues of cyber-bullying. All these can take a toll on one's mental health. Furthermore, the more time spent on the Internet or social media means more sleep deprivation, less physical exercise and less real-life interactions. All of which are important for healthy brain development at a young age. But other researchers think that there is more to it. That it is not just about more online safeguards, that we also need to loosen up in the real world and give our children more space for free play and autonomy. Because when children have less room to play and explore or to interact and build social skills at an early age, they are also less likely to grow up with the sense of independence and confidence to take charge of their own lives. The bottom line is that more work will need to be done to better understand what has changed globally in recent years. It is an area that requires further research and study to identify the key causal factors and the interplay between the factors, so that we can design and put in place appropriate interventions, based on data and evidence, to better help our young people. These are some of the considerations behind our national strategies.[+1 sentence] Let me highlight quickly several key moves we will be making, with several targets we aim to achieve by 2030 or earlier. We will increase capacity at IMH and the redeveloped Alexandra Hospital for those that need specialist care. Capacity at long-term care facilities will also be increased to provide step-down care for those who need it. We will increase the number of public sector psychiatrists and psychologists by about 30% and 40%, respectively. We will introduce mental health services to all polyclinics and 900 more GP clinics.[+12 sentences] We will equip and train an additional 28,000 frontline personnel and volunteers. They serve across our community and social service touchpoints, so they can identify people struggling with mental health and offer early assistance. We will also redouble our existing efforts. The Ministry of Education (MOE) is on track to achieving its target of deploying more than 1,000 teacher-counsellors across our schools. This is on top of the basic counselling skills that all teachers will be trained in as well as the one to two counsellors that every school will have to support students with more challenging social and emotional needs. We will provide parents with resources to support their children's mental health and well-being needs. We will establish more peer support networks in the community, including in schools, institutes of higher learning (IHLs), workplaces and amongst our national servicemen. These networks will have trained peer leaders who can spread the message on the importance of mental health and provide a first-line response to their friends or colleagues who need help. My colleagues, Senior Parliamentary Secretaries Rahayu Mahzam and Eric Chua, Minister of State Gan Siow Huang and Senior Minister of State Janil Puthucheary, will elaborate later on some of these areas. These are significant moves. They will require more coordinated efforts across the Government – more training, people and, ultimately, Government spending. But we will set aside the resources to advance this important agenda. Through these moves, we aim to reduce waiting times and make mental health services more accessible and closer to where individuals are, be it at homes, schools or workplaces. We aim to keep mental health services affordable and we will do so through our national healthcare financing framework of Government subsidies and the 3Ms – MediSave, MediShield and Medifund – which will cover all cost-effective mental health treatments.[+31 sentences] Importantly, no one in Singapore will be denied access to appropriate care because of an inability to pay. Several Members also spoke about private insurance coverage outside of healthcare, including in areas like life insurance. Life insurers in Singapore have, in fact, offered coverage to persons with mental health conditions. But the underwriting of such persons can be a complex matter, as our own data is limited and insurers here typically reference the underwriting guidelines of global life reinsurers. We will study and review how this coverage can be improved and ensure that financial institutions deal fairly with all their customers, including those with mental health conditions. Importantly, we will have a bigger focus on preventive care, so that everyone can take proactive steps and take charge of their own mental health. We will start young in schools. We want our children to develop good cyber habits, so they learn to use the Internet and social media safely and responsibly. To be clear, our approach is not to remove all stress. That is not going to help our children. Instead, we want our children to learn to deal with stress at age-appropriate levels. We want them to develop self-belief and resilience and grow up with the confidence to tackle challenges, stresses and demands that they will surely encounter later in life. We will continue to integrate mental well-being into our Healthier SG and other preventive health programmes. We sometimes think of body and mind as separate entities, but they are closely linked, each affecting the other greatly. Staying active; exercising regularly; connecting with friends in person, not online; learning new skills; contributing to a larger purpose. All these sound like commonsensical advice, but they are not so easy to do and they are foundational habits that will enable all of us to improve our overall well-being. Sir, the Government is fully committed to doing more to improve mental health and well-being. But for all these plans to work, we also need to change our attitudes and mindsets. We need to do more to destigmatise mental health conditions so that people do not hesitate to seek help. Stigma reduces a complex and difficult problem into unhelpful labels and stereotypes. It opens people struggling with mental health to discrimination, such as in the job market. It may cause them to be socially ostracised. It makes them feel ashamed, isolated and stops them from seeking treatment. As I mentioned just now, we do see attitudes shifting. But the stigma remains and we can do much more to build a society where we help one another cope with life's stressors, are considerate of one another's feelings and carve out safe spaces for them. We also need to change our mindsets about what we consider success in life. It is good to have a culture in Singapore that values hard work, promotes excellence and encourages everyone to aspire and strive to do better. But we should not be unwittingly drawn into a rat race of hypercompetition and endless comparisons with one another just to get ahead of others, but end up worse off as a society. In fact, this was one of the key points from our Forward Singapore engagements. The vast majority of Singaporeans wish to see a more inclusive Singapore Dream. One where we are not pressured to conform to narrow definitions of success, where we embrace excellence and talents across many different areas and find meaning and purpose in what we do. The Government is making policy moves in this direction by reviewing our education system, narrowing wage gaps and strengthening safety nets, so that everyone can be better assured of their basic needs at every life stage and can have the space to venture forth and be the best version of ourselves.[+7 sentences] But we cannot make this happen through policy alone. Our attitudes, our mindsets must also change and align with our shared aspirations for a refreshed Singapore Dream. Indeed, to achieve all of these goals, we must work together. There are many ground-up initiatives and community and social services organisations already working in different ways to meet the mental health and well-being needs of Singaporeans. I know from personal experience, having served as Patron to the Samaritans of Singapore for more than 10 years. I have interacted with many of the volunteers there and seen first-hand, their commitment and dedication to save lives. We value the collaborations and partnerships with all of you. Through the SG Mental Well-being Network, we have been linking up with many groups and volunteers to address the diverse needs of our people, be it befriending lonely seniors or providing a safe space for youths to talk about their mental health struggles. The setting up of the National Mental Health Office will enable us to coordinate these partnership efforts more effectively and to better synergise and maximise our efforts on the ground.[+2 sentences] I call on all Singaporeans, who are passionate about this issue of mental health and well-being, to join us in this national movement. We have lots to do and a full agenda ahead of us. The Government has set out clear plans and deliverables.[+5 sentences] But the issues are complex and we do not have all the answers. We want everyone on board, so we learn together and continue to finetune our strategies based on your feedback and ideas and our shared experiences and insights. Together, let us build a Singapore where everyone matters, where everyone has a place and where everyone belongs. Together, hand-in-hand, let us improve the mental health and well-being of all Singaporeans. Mr Speaker, I support the Motion.
The Senior Parliamentary Secretary to the Minister for Health (Ms Rahayu Mahzam)3722 words
[+2 sentences]Mr Speaker, Deputy Prime Minister Wong had explained the operating context that we are in and the approach we are taking, as we navigate the issues of mental health in our community. He highlighted an important starting point in our approach: that mental health issues lie on a spectrum and that, this means we need a broad suite of solutions. We also need to meaningfully organise the services and support available, so that people have access to the help they need, when they need it.[+2 sentences] Allow me to build on this point. Let me start by sharing data that we have from the Singapore Youth Epidemiology and Resilience study, conducted by the National University of Singapore (NUS) in collaboration with MOE. This study showed that while 37% of respondents reported having internalising symptoms, like depression and anxiety, only 12% of respondents met the full criteria for at least one of the mental disorders. Furthermore, 6% of the respondents, who previously met the criteria for at least one mental disorder more than a year ago, no longer had the symptoms.[+17 sentences] This means that while individuals may experience symptoms of poor mental health, they may be due to transient stressors and do not necessarily warrant the same intensity of interventions needed for individuals diagnosed with mental disorders. Receiving care in the community as the first line of support, rather than at hospitals, is therefore, more appropriate. The cornerstone of our National Mental Health and Well-Being Strategy is the tiered care model. It sets the foundation for how our mental health services should be organised, with different care levels, depending on the intensity of interventions needed. This, ultimately, helps us to provide the right care at the right time, based on the individual's needs. Right-siting of care to the community is part of a much larger shift of mental health care. Countries, like Australia, Canada and the United Kingdom (UK), have implemented a similar model for their mental health care systems. Although more research studies are still being done, existing studies suggest that a tiered model of mental health care delivery, where mental health care can be easily accessible in community settings, is a better approach compared to concentrating services in the hospital settings. The Senior Minister of State for Health will speak more on our tiered care model later. For the tiered care model to be effective, we also need to encourage the right mindsets, allocate resources and build support within the community to empower people. I will, therefore, be addressing the mental health promotion efforts, community mental well-being initiatives, the affordability of mental health services as well as the manpower needs in providing mental health care. As shared by Dr Wan Rizal when he spoke on the importance of mental health literacy, raising awareness on mental health is crucial in shifting our societal values and attitudes towards making mental well-being, one of our priorities. We have made progress in this area as we see improvement in the public's attitudes towards individuals with mental health conditions. However, we recognise that stigma around mental health issues persist in our society. Our efforts include encouraging help-seeking, reducing stigma and discrimination against people with mental health conditions through public campaigns and targeted initiatives for youths, seniors, caregivers, women, persons with disabilities and minorities. At the national level, HPB's "It's OKAY to Reach Out" campaign and NCSS' Beyond the Label movement, aim to normalise conversations around mental health and encourage help-seeking. These efforts are sustained through social media outreach and online portals. In a post-campaign survey of 800 youths, HPB found that 78% of respondents were motivated to reach out for emotional support when they needed it.[+1 sentence] HPB's MindSG offers mental health resources, curated by professionals, including tools for users to assess their mental health risks and search for support or services, based on their needs. As of 31 December 2023, the portal has garnered more than four million page views, from over two million users since its launch in November 2021.[+14 sentences] The portal will be enhanced, progressively, to introduce more topics and features. In schools, HPB offers training for students going through critical transition years, specifically from Primary 6 to Secondary 1. These programmes are carried out in partnership with schools, to equip students with skills to better cope through these transitions. Additionally, in 2023, HPB has trained more than 2,200 students from IHLs as peer supporters, equipping them with empathetic listening and basic mental health first-aid skills. At workplaces, HPB trains management staff and conducts workshops to enable people to better cope at work and support their colleagues. In 2023, more than 55,000 working adults have benefitted from HPB's mental wellness programmes. Besides HPB-led initiatives, the Workplace Safety and Health (WSH) Council also launched the "Take Time to Take Care" campaign, to remind employees to look after their own and their colleagues' well-being. In the community, Well-Being Circles have been established across various neighbourhoods to raise awareness on mental health, the available resources and to empower citizens with skills to look after their own mental well-being as well as that of others. We will continue to encourage the formation of more Well-Being Circles, so that more in the community will have access to the support when they need it. Apart from community-wide efforts in mental health promotion, there are also several initiatives that target specific groups. According to the 2022 National Population Health Survey, youths aged 18 to 29 years old formed the largest proportion of people with poor mental health in Singapore. Currently, we have community mental health teams, known as Community Outreach Teams (CREST)-Youth and Youth Integrated Teams (YITs), dedicated to support youths with mental health needs. CREST-Youth, reaches out to youths and parents to promote early identification of mental health symptoms and provide basic emotional support. YITs, carry out mental health assessments and provide psychosocial interventions for youths who need more intensive support. As of September 2023, we have four YITs that have supported over 3,000 youths and parents; and eight CREST-Youth teams that have reached over 87,000 youths and parents. By 2030, we will be expanding to 15 YITs and CREST-Youth teams each, across the island.[+1 sentence] In addition to these community mental health teams, the Response, Early Intervention and Assessment in Community Mental Health (REACH) teams work closely with schools to provide mental health assessments and interventions, for students aged six to 19 years old. CHAT, another mental health service which supports youths aged 16 to 30 years old, has assessed over 7,000 youths at risk of developing mental health conditions, as of September 2023.[+24 sentences] To support youths at risk of suicide or severe self-harm, an intermediate residential facility will also be developed. Not all youths who present with suicidal behaviour, suffer from mental health conditions. Instead, they may have experienced social stressors, such as having difficulties coping with schoolwork and being bullied. Therefore, this facility will cater to this group of youths, aged 10 to 19 years old, to support them within a safe environment. In the facility, youths will be supported by a multi-disciplinary team, consisting of psychiatrists, psychologists, social workers, nurses and live-in care staff. Services provided will include: identifying the needs of youths in crisis; providing psychosocial interventions, such as counselling and supportive medical attention, where necessary; and, facilitating the transition of youths with support from community partners before they are discharged. In the course of supporting the mental health of our youths, there have been ground feedback on the need for parental consent for children and youths below 21 years old, which could hinder their access to mental health support. I thank the Members who have raised this issue earlier. We recognise the importance of our youths' continued access to mental health services, and I appreciate Miss Rachel Ong's earlier suggestion, of having tiered guidelines for the requirement of parental consent on mental health services. In this regard, I would like to lay out several considerations that MOH is reviewing as we navigate this issue. These include, balancing the need for youths' access to appropriate treatment; the involvement of the family and social support in youths' care journey; protection of the youths in view of the risks associated with treatments; and the level of maturity and understanding of the child. Above all, our priority, is to ensure that any approach taken is in the best interest of the child and that they can receive timely mental health care. We are studying this issue and exploring meaningful options to address it. Several Members, like Mr Yip Hon Weng and Ms Nadia Samdin, spoke about the need to do more to support our seniors with mental health needs. Currently, seniors are supported by CREST, to identify their mental health needs and provide basic emotional support and referrals to appropriate service providers. In addition, Active Ageing Centres work with CREST providers, in serving as community nodes, to conduct activities that engage and connect seniors within the community. We have 73 CREST teams island-wide, of which, 65 teams can support seniors at-risk of mental health needs. We understand that some seniors may be reluctant to seek help or accept support for their mental health needs, due to stigma. As part of their outreach efforts, the Silver Generation Ambassadors who come across these seniors would also share about mental health resources in the community and encourage them to seek help. We are glad that there are also community initiatives, carried out by Members in their constituencies, that reach out to these seniors. We are also looking at mental well-being issues of our seniors and tackling the social phenomenon of loneliness, as part of the holistic Age Well SG strategy, announced last November. For caregivers, who have or are at risk of developing depression, anxiety and burnout, due to their caregiving role, CREST can provide dedicated support. These teams support caregivers in self-care, stress management and future planning, such as making a Lasting Power of Attorney and Advanced Care Planning. Where necessary, they will also link caregivers with counselling services and peer support groups, like the Caregiver Support Network. As of September 2023, there are six Caregiver CREST tea,s and over 2,300 caregivers have been supported.[+37 sentences] The Agency for Integrated Care (AIC) also administers the Caregiver Training Grant, which provides subsidies for caregiver training, including psychosocial management of behavioural issues. For caregivers, who need short-term support to have their loved ones taken care of, some MOH-funded psychiatric nursing homes offer the Nursing Home Respite Care programme, which provides eligible clients with short periods of stay – typically ranging from a week to a month. Such arrangements, allow caregivers some time off, with the assurance that their loved ones are safely cared for in the nursing home. I thank Ms Hazel Poa and Ms Hany Soh for their suggestions on the support for postpartum women and their spouses. Several efforts are ongoing to support the mental health of women. For example, the National University Hospital (NUH) Women's Emotional Health Services (WEHS), provides both antenatal and postnatal mental health screening as well as individualised treatment interventions, for women who need more support. The NUH WEHS team, also works closely with community partners and social service providers to coordinate and provide continuity of care to those who need it. Similarly, the Postnatal Depression Intervention Programme in KK Women's and Children's Hospital (KKH), provides routine post-natal depression screening for all pregnant women; and those with depressive symptoms will be referred to the appropriate services available. Mental health services, including mental health screening for mothers, are also available in polyclinics. To support fathers and spouses, NUH will be extending its mental health screening to support them. The programme allows for early intervention, case management and multi-disciplinary treatment. In 2020, the KKH Psychosocial Trauma Support Service also began providing trauma-focused assessments and interventions to women experiencing psycho-emotional difficulties that arose from traumatic incidents. I thank Ms Nadia Samdin for her suggestions on meeting the holistic health needs of persons with disabilities (PwDs). MOH is committed to working with partners to deliver holistic care for PwDs. To address their healthcare needs, MOH works with community partners to provide the Home Personal Care service, which offers a range of services, including assistance with personal hygiene, housekeeping and simple maintenance exercises. Over the past years, we have also collaborated with the College of Family Physicians Singapore to offer a Family Practice Skills Course to equip general practitioners in caring for persons with intellectual disabilities; and, piloted a Community Integrated Health Team, in partnership with a social service agency; as well as, a specialist outreach team from IMH, to offer home- or community-based care for persons with intellectual disabilities, who have complex health needs. We will continue to build these capabilities in the community to support more caregivers and families of PwDs. In the Malay/Muslim community, we have organisations, like Club Heal, which has championed mental health issues for years. New initiatives are also in place. I lead M3's Focus Area on Community Health, which was introduced last year. M3 is a collaboration between the Islamic Religious Council of Singapore (MUIS), MENDAKI and Malay Activity Executive Committees Council (MESRA). The newly introduced Focus Area on Community Health, aims to promote healthy lifestyles and empower residents to spearhead ground-up efforts, within their own community – including efforts on mental health and well-being. In towns, like M3@Jalan Besar, youth peer support groups have been set up and the community is rallied to co-create solutions. We will continue to roll out such initiatives, to enhance residents' mental well-being in the different towns. Mr Speaker, please allow me to say a few words in Malay. : There has been increasing awareness of mental health issues within the Malay/Muslim community. We are fortunate to have organisations, like Club Heal, which has championed this issue for many years. It is important that we continue to reinforce these efforts and garner more support from the community. As part of the National Mental Health and Well-Being Strategy, efforts are being undertaken to ensure that support and initiatives are readily available in our community. I currently lead the M3 Focus Area on community health and well-being. It was introduced last year. This new Focus Area aims to promote a healthy lifestyle and empower residents to spearhead efforts in their own communities. One cornerstone of this endeavour is addressing mental health and mental well-being issues in our community. I welcome efforts being done at the towns such as M3@Jalan Besar led by Dr Wan Rizal. Peer support groups for youths have been set up and the community is invited to co-create solutions. We will continue to implement such initiatives to improve the mental well-being of residents across Singapore. (In English): Let me touch on the affordability of mental health services. In this regard, we have made efforts to reduce out-of-pocket costs through various schemes available. For outpatient mental health treatment offered at polyclinics and public specialist outpatient clinics, eligible patients can receive subsidies of up to 75%. Additionally, individuals who hold Community Healthcare Assistance Scheme (CHAS), Pioneer Generation and Merdeka Generation cards are eligible for subsidies of up to $540 per year for mental health conditions, including depression, anxiety disorders, bipolar disorder and schizophrenia under the Chronic Disease Management Programme.[+1 sentence] These subsidies are available at public specialist outpatient clinics, polyclinics and participating GP clinics. Patients can also use up to $500 or $700 from MediSave each year, depending on the complexity of their condition, at selected clinics.[+3 sentences] For patients aged 60 years and above, they can use an additional $300 each year from their Flexi-MediSave to offset out-of-pocket payments for their outpatient mental health treatment. Patients may also receive subsidised or free counselling services provided by various community service providers. For inpatient services, all Singaporeans and Permanent Residents are covered under MediShield Life, regardless of preexisting conditions. Patients who require inpatient mental health treatment can claim up to $160 per day, capped at 60 days per year, from MediShield Life; and up to $150 per day from MediSave, within an annual MediSave limit of $5,000.[+4 sentences] MediShield Life and MediSave claim limits are regularly refreshed to ensure that they remain sufficient to cover nine in 10 subsidised bills. On top of MediShield Life, Integrated Shield Plans (IPs) and other private health insurance plans may provide additional coverage for mental health treatment. Today, all IP insurers offer plans that cover in-patient mental health treatment and the amount of coverage is decided by the insurers. For lower-income Singaporeans who require more financial assistance to pay for their remaining healthcare bills, they may apply for MediFund, which serves as a safety net for needy Singaporeans. No Singaporean will be denied access to appropriate healthcare due to their inability to pay.[+13 sentences] I share Dr Tan Wu Meng's concern regarding denied access to private insurance for persons with mental health conditions. Several other Members have also raised this concern. This should be considered within the larger context of our healthcare financing system where all Singaporeans are eligible for subsidies and are covered under MediShield Life, which is a national risk pool that helps to ensure its sustainability. On the other hand, IPs and other private health insurance products are optional. Private insurers may exclude pre-existing conditions from coverage upon underwriting, including mental health conditions, informed by actuarial and commercial considerations. Such a process allows insurers to ensure their risk pool remains sustainable, as they, otherwise, have to increase premiums for all policyholders. Depending on their underwriting assessment frameworks, insurers may still offer coverage to applicants with pre-existing conditions but with exclusions or higher premiums. It allows this group of applicants to still benefit from some coverage without adversely affecting other policyholders. Notwithstanding, MOH and the Monetary Authority of Singapore (MAS) fully expect all insurers to deal fairly with their customers. Insurers are expected to carry out an objective assessment of every application based on reliable information or data relevant to the risks being insured. Insurers should not indiscriminately reject an application solely on the basis of declared personal information, including mental health conditions. Where an application is rejected or approved with higher premiums or additional conditions, insurers should properly explain to the customer the basis for the underwriting decision. MOH and MAS take this seriously, and MAS will take action against insurers whose practices are in breach of its regulations or guidance. MOH and MAS will review this issue and consider how insurance coverage for persons with mental health conditions can be improved.[+9 sentences] I also thank Dr Tan Wu Meng for highlighting the Forum Letter by Ms Tan Hui In. MAS does not have records of her feedback in its complaints database. If Dr Tan Wu Meng has additional information to share about this specific case, he can share it with MAS. Then, MAS can promptly look into it with the relevant insurers, if the complainant consents to it. Members of the public with similar feedback can also write to MAS and MAS will investigate accordingly. On the feedback on long waiting times to access mental health treatment services, MOH will, similarly, look into the issue. Let me move to the point on manpower for mental health care. One of the key considerations is the adequacy of mental health professionals, including psychiatrists and psychologists. As of 2022, there were 203 registered psychiatrists and 212 psychologists in the public sector. To meet the anticipated increase in demand for mental health services, the Government aims to increase the number of psychiatrists by about 30% to 260 and the number of psychologists by about 40% to 300, in the public sector by 2030.[+3 sentences] However, solely increasing the number of psychiatrists and psychologists will be insufficient and unsustainable to meet increasing demands for mental health services. This is also one of the reasons why we have developed the tiered care model. With the tiered care model, more patients will receive timely care in the community, provided by appropriate mental health professionals, such as counsellors. This will allow psychiatrists and psychologists to focus on patients with more complex mental health needs. We are, thus, committed to continue to raise the capability and capacity of our community service providers, while monitoring the changes in demand for mental health services to ensure continued adequacy of the manpower required for mental health care.[+15 sentences] Mr Speaker, issues surrounding mental health has garnered attention globally and in Singapore. I am encouraged by the efforts and progress we are making, as a nation, in tackling this extremely important and challenging area. In particular, we have made advancements in integrating various aspects of our social, education and health sectors. To illustrate, let me share the story of Mr Chee Soon Weng. Mr Chee was an experienced teacher and managed students with challenging behavioural issues. This took a toll on his mental health and over time, he suffered from comorbid anxiety and depressive disorder. As a result, Mr Chee transited from a student-facing role to an administrative and research position at work. At home, he also encountered issues with his family due to his mood. He then approached the Methodist Welfare Service's FSC under the Ministry of Social and Family Development (MSF), who identified his mental health needs and referred him to one of our COMIT Anglican Care Centre teams for support. Through weekly counselling and psychoeducation on symptoms and treatment plans, Mr Chee made significant progress in his mental health. Today, Mr Chee is coping well with his new position at work and his relationship with his family has also improved. Mr Chee's story underscores the importance of integrating social service and health sectors to enhance mental health care for individuals. In closing, I would like to record my gratitude to Members who have raised this Motion. It has given us the opportunity to highlight the mental health efforts that we have developed and implemented through the years, as well as hear various feedback and suggestions on how we can do more. I would also like to take this opportunity to thank all our community service providers for their unwavering dedication and their instrumental role in implementing these initiatives on the ground. The Government is committed to continue working with the healthcare clusters and community partners to develop and review our strategies to uplift the mental health of our nation.[+1 sentence] Mr Speaker, I support this Motion.
Mr Speaker5 words
[+1 sentence]Senior Parliamentary Secretary Eric Chua.
The Senior Parliamentary Secretary to the Minister for Social and Family Development (Mr Eric Chua)1429 words
[+2 sentences]Mr Speaker, I support this Motion and thank my Parliamentary colleagues for their continued advocacy and ideas to improve the mental health and well-being of our people. As mentioned by the Senior Parliamentary Secretary Rahayu Mahzam, the tiered care model is the foundation of our National Mental Health and Well-being Strategy. I will elaborate further on our initiatives to implement the tiered care model. We will (a) set up first-stop touchpoints to facilitate help-seeking; (b) train frontline social service professionals; and (c) develop a practice guide to enhance service integration between health and social service providers.[+14 sentences] Mr Speaker, we have a vibrant and thriving mental health services landscape today, with over 200 different services available, including hotlines, websites and in-person services. These services target different levels of mental health needs – from community-led mental health promotion, self-help and peer support at Tier 1, to the most intensive level of care in hospitals and specialist clinics at Tier 4 of our tiered care model. There are also many ground-up initiatives across sectors, such as those under the Beyond the Label Collective, to address the mental health and well-being needs of our people and reduce stigma. I thank all for your passion, determination and for rising to the occasion. These services and ground-up initiatives serve as the foundation of our work, building upon the larger National Mental Health and Well-being Strategy. In spite of our vibrant mental health services landscape, we have heard feedback, however, that help-seeking can be overwhelming as many do not know where, when and how to seek help. This is a key issue for us, as there remains a treatment gap. Many who need help are not getting the help that they need; and far too many get help far later than they should. The complex web of services available can, indeed, have the unintended consequence of deterring help-seeking. We want to make it easy for anyone to seek help. No going at it alone or figuring out your way by yourself. We will set up first-stop touchpoints; essentially "go-to places" for mental health support. Our first-stop touchpoints will identify their clients' mental health needs and provide the appropriate service. This can mean relevant information, immediate mental health support and intervention, or referrals. We want to make sure that individuals with mental health conditions are well-supported, especially when they have taken the crucial first step to reach out for help.[+2 sentences] Our first-stop touchpoints will include the following. One, a number to call or text. We will set up a new National Mental Health Hotline and Text Service by 2025, which will connect callers and texters to the most appropriate support or services to meet their needs.[+9 sentences] For example, callers and texters with no or minimal mental health needs and want to learn well-being skills can be referred to Well-being Circles in the community. On the other end of the spectrum, those with suicidal tendencies may be connected to the Samaritans of Singapore's (SOS') Hotline and Care Text for support. Two, a digital platform, such as Mindline or MindSG. It does not matter which resource users visit first, since both link to each other. Both websites contain curated content by mental health experts, self-assessment tools and links to other resources, including our in-person touchpoints for mental health support. Mindline also has an online forum named "Ask a Therapist", where users can engage with verified professionals and a Wysa AI-enabled chatbot, where users can share their emotions safely and anonymously without the fear of being judged, anywhere and anytime. Third, a place to seek help. We will build up and promote in-person touchpoints, including community mental health teams such as CREST, as in-person first-stop touchpoints, so that the public knows where to seek help. With this move, we hope that the public will become more aware of the existence of the many social service agencies in our community providing psychotherapy and emotional support and not just clinics and hospitals. While first-stop touchpoints are more specialised in delivering mental health services, we also want to equip 1,500 frontline social service professionals with basic mental health capabilities.[+9 sentences] In the course of their work, social service professionals often encounter clients with unmet mental health needs. In fact, many may not recognise that they are in need of mental health support themselves. For our 500 frontline staff across our Social Service Offices, we plan to train them in psychological first aid. We also intend to train another 1,000 frontline social service professionals to be capable of identifying mental health concerns, provide casework and counselling and refer clients to appropriate services. These social service professionals will be trained by 2030. Directing clients to appropriate services at the get-go does not mean the job is done. An individual's mental health needs can change over time. To provide a seamless care experience for clients, service providers across the social service and health sectors need to work ever closer together. Today, different providers have different screening, assessment, collaboration, referral, IT and data-sharing practices. To provide a more seamless experience for those seeking mental health services, the task force brought together professionals from both social service and healthcare sectors to develop a practice guide, which we aim to launch by the end of this year. The practice guide will standardise: one, common mental health screening and assessment tools, essentially, common language and tools to help service providers identify their clients' level of mental health needs; two, common collaboration and referral workflows, to guide service providers to determine which service provider to refer their client to, depending on their level of mental health needs and other factors, such as age and cost and how they can collaborate to serve the best interests of the client; and three, common IT system and data sharing guidelines, to streamline referral processes while safeguarding and addressing clients' concerns about confidentiality.[+8 sentences] The practice guide will help to better ensure that clients are referred to and receive mental health resources or interventions appropriate to their needs. When their needs change, the support for them can be adjusted accordingly, that is, stepped up to higher-intensity services or stepped down to lower-intensity services, as needed. While there are good examples of collaboration and coordination across social service and healthcare sectors today, not all cases are handled in a systematic and consistent manner. To help raise overall practice standards and the experience for those seeking help, the practice guide will clearly lay out the kinds of services different agencies in the social and health sector should provide and how they should work with one another to serve clients with mental health needs. At the end of the day, it is all about serving individuals with mental health support needs better. Mr Speaker, in Mandarin, please. (In Mandarin): Mr Speaker, we hope that any Singaporean in need of mental health support will not have to navigate their help-seeking journey alone and as a result, feel lost or afraid. Seeking help should not be a lonely experience. To address this, we will establish first-stop touchpoints to help Singaporeans find appropriate mental health services. These include: first, a number to call or text; second, a comprehensive website for self-help; and third, a place for Singaporeans to seek help.[+2 sentences] Further, social service professionals often encounter individuals with mental health needs in the course of their work. Many of these individuals may not even be aware of their own mental health needs. To address this, we will provide basic mental health training for 1,500 social service professionals.[+7 sentences] Finally, we will also develop a practice guide, so that both healthcare and social service professionals can collaborate more seamlessly in screening, assessment, referral, IT and data sharing practices. There is only one ultimate goal: to provide more comprehensive and client-centric services for Singaporeans with mental health needs. : Mr Speaker, our mission at hand is one that is salient and pressing. Our national mental health strategy lays the foundation and gives us direction so that we can collectively get to a better place in terms of our mental health. Beyond plans, policies and programmes, perhaps, more importantly so, we need a further shift in mindsets surrounding mental health and people with mental health conditions. Much has been done, but more work remains. With the help of Members of this Chamber from both sides of the aisle and beyond, I have every confidence that Singapore can be a paragon where stigma surrounding mental health is a thing of the past and where help-seeking is well-facilitated. With that, I support the Motion.
Mr Speaker6 words
[+1 sentence]Minister of State Gan Siow Huang.
The Minister of State for Manpower (Ms Gan Siow Huang)1885 words
[+4 sentences]Mr Speaker, Sir, I rise in support of the Motion. Many adults spend substantial time at work and, sometimes, work can be stressful and affect one's mental well-being. It is, thus, important that we look at how workplaces can support mental well-being of employees and what each of us can do to create kinder, more inclusive workplaces. I will, first, touch on the plans to support general mental well-being of employees. In November last year, the WSH Council launched the Well-being Champions Network.[+6 sentences] This is a community of practice for Well-being Champions to exchange best practices and access more resources and training. Who are these Well-being Champions, you might ask? A Well-being Champion is typically a management-level employee or individual whom the company empowers to lead the well-being agenda and implement mental well-being measures in the company. One such Well-being Champion, who has joined the Network, is Mr Hon Lip Yung, General Manager of a local SME. The Network allows Mr Hon to learn from Well-being Champions of other companies on how they implement mental well-being initiatives. Mr Hon is now looking forward to attending training with other members in this Network, which is aligned to Tier 1 of the National Competency Training Framework. The training, worth $400 per person, is complimentary for one champion per company. The Network has 275 members from 145 companies with close to 175,000 employees.[+16 sentences] We will work closely with the various Government agencies, tripartite partners and trade associations to expand the network. Peer support is another important part of strengthening workplace mental well-being support. NCSS and HPB are working together to enhance training for peer supporters and develop a framework to support them. The peer supporters would be equipped to provide emotional support and lend a listening ear to colleagues at the workplace. I agree with Mr Edward Chia's suggestion that every company should have a framework to support their employees' well-being. Employers may refer to the Playbook on Workplace Mental Well-being for step-by-step guidance to implement mental well-being initiatives. HR leaders play an important role in this ecosystem. I encourage more HR professionals to join the Mental Well-being Champions Network. The Institute of Human Resource Professionals (IHRP) has also established the Body of Competencies for HR professionals, which identifies the execution of employee benefits, including mental well-being initiatives, as an expected functional competency for HR professionals. The Ministry of Manpower (MOM) will continue to partner IHRP to equip and support the HR industry on this front. I agree with Mr Mark Lee and other Members on the importance of both physical and mental health. This is why MOM and the WSH Council take a Total WSH approach to workers' well-being, focusing on both physical and mental health. On Mr Ong Hua Han's interest in the support for SMEs, the Total WSH programme provides SMEs with free access to qualified consultants who can advise them on how to manage safety and health in an integrated way and provide intervention programmes, such as mental well-being workshops. We have streamlined the administrative overheads for SMEs to participate more easily and fully. I agree with Mr Edward Chia that it is important for a company to measure the state of mental well-being of its employees. Companies can use MOM's iWorkHealth assessment tool, which is a free online, company-administered tool to better understand their employees' state of mental well-being, including the workplace stressors that the employees are facing. We have taken in companies' feedback to leverage iWorkHealth as a pulse survey to monitor their employees' state of mental well-being on a more frequent basis. I am pleased to announce that we are launching the iWorkHealth Lite. iWorkHealth Lite is a dipstick survey for companies to gauge the employees' work stress and burnout and it can be completed in five minutes.[+14 sentences] Mr Edward Chia also suggested harmonising the iWorkHealth tool with the Human Capital Diagnostic Tool. We will consider this. We need to balance between harmonising tools for ease and gaining an overview of the organisation's environment and workforce, while ensuring that the tools and surveys are kept functional, purposeful and at a reasonable length for the employees. I thank Dr Wan Rizal for highlighting the need for one to set aside time to rest outside of working hours; and Assoc Prof Razwana Begum's point that one has to have reasonable working hours. Ms Carrie Tan and Mr Melvin Yong also suggested introducing the "Right to Disconnect", sometimes, known as after-hours work communication policy to people. Guidance on how to implement such a policy is in the Tripartite Advisory on Mental Health and Well-being at Workplaces. We will continue to work with our tripartite partners, including NTUC and the Singapore National Employers' Federation, to raise awareness of the importance of setting after-hours work communication policy while managing both employees' and business needs. At the same time, the tripartite partners are pushing for greater adoption of work-life harmony measures, such as health and wellness programmes and unrecorded time-off for personal and family matters. I share Mr Melvin Yong, Mr Darryl David, Mr Vikram Nair and Mr Ong Hua Han's call in getting more companies to subscribe to the EAP. Employers may refer to the refreshed EAP service providers list in the Tripartite Advisory, which includes EAP service providers offering subsidised rates and details of their offerings, such as indicative pricings and areas of specialisation. Apart from EAP services, individuals experiencing mental distress or just needing a listening ear, can tap on the new National Mental Health Hotline and Text Service from 2025. There are also free online resources, such as Belle the helpbot and Mindline.sg. Ms Jean See will be happy to note that self-employed individuals and freelancers can tap on such free resources, too. I note Ms Hazel Poa and Assoc Prof Razwana Begum's suggestion for a four-day work week. Companies that find four-day work week feasible and workable for their business and employees are free to do so.[+12 sentences] However, as with any work arrangement, this may only work well for certain sectors and jobs. I encourage employers to proactively discuss with employees the types of FWAs that suit both their business context and their employees' specific needs, including for caregivers who might have special needs, as mentioned by Ms Yeo Wan Ling. Supportive companies that demonstrate exemplary mental well-being practices can be recognised through the annual WSH Culture of Acceptance, Respect and Empathy Award. I acknowledge Ms Ng Ling Ling, Ms Mariam Jaafar and other Members' concern for the mental health of our young adults, especially for those adjusting to their first careers. The National Youth Council's Mentoring SG Movement provides accessible mentoring programmes to support youths in managing life transitions. Young NTUC is one of our partners which has put in place several initiatives, such as career preparation workshops for youths. I would like to assure Ms Carrie Tan that the Public Service Division is taking the lead to strengthen the mental well-being support of our civil servants. This includes providing a range of well-being programmes and resources to equip them with the skills and knowledge for self-care; joining the Well-being Champions Network; having a whole-of-Government confidential counselling services hotline for public officers to speak to trained counsellors; and building a community of Wellness Ambassadors, who are trained peer supporters. The Public Service will continue to strengthen support for our public officers' mental well-being. I will now cover how we are supporting the employment and employability of individuals with mental health conditions who are on recovery. Mr Keith Chua has suggested stronger support for individuals with mental health conditions who are looking for a job. To drive inclusivity in training, SkillsFuture Singapore (SSG) is working with training providers to raise awareness of mental health and well-being in adult learners, develop customised training courses and increase accessibility of some mainstream courses to cater to trainees with mental health conditions. In relation to Mr Edward Chia and Ms Carrie Tan's suggestions to equip Singaporeans with skills in psychological first aid and mental health literacy through SkillsFuture, SSG currently provides funding for more than 100 courses in the area of mental health, including psychological first aid and mental health literacy.[+5 sentences] For those who require customised employment support, agencies, such as IMH, the Singapore Anglican Community Services and the Singapore Association for Mental Health provide services to place them with suitable employers, advise employers on job task adaptations and train supervisors to better support these employees. One such company is Konica Minolta, which has partnered the IMH Job Club since 2016 to recruit individuals in recovery. They are paired with a peer buddy and the company works closely with IMH to effect workplace adjustments, such as moderating their workload and tasks to a more suitable pace. Through the joint support by IMH and the employer, these individuals gain and sustain meaningful employment. We are looking to help employment support agencies expand their partnerships with trade associations and chambers, to encourage more companies to come onboard to hire and retain employees recovering from mental health conditions. On Mr Keith Chua's and Ms Hazel Poa's suggestion to look at some form of wage subsidies for employers that hire these individuals, I would like to say that mental health conditions vary in severity and fluctuate over time.[+8 sentences] It is difficult to calibrate salary support to cater to fluctuations in the conditions of the individual. Today, eligible individuals with mental health conditions are given training allowance as they work on equipping themselves with skills to return to employment. Finally, I would like to speak on the stigma and potential workplace discrimination associated with mental health. I share Ms Ng Ling Ling and Mr Sharael Taha's concerns that individuals with mental health conditions require stronger support. As highlighted by Mr Ong Hua Han, persons with disabilities need even greater help as they could be more vulnerable to mental health illnesses. To this end, NCSS, together with the Beyond the Label Collective Workplace Workgroup members, is developing case studies and videos to increase awareness of best practices of inclusive employment and to guide employers on how to support employees when mental health issues arise. Employers may also refer to NCSS' Mental Health Toolkit on adjustments they may make for their individuals with mental health conditions, including having a phased return-to-work programme and providing a buddy or mentor. NCSS is also working with employment support agencies to develop a common framework to refer, assess and support individuals with varying readiness to return to work. On the issue of workplace discrimination, as raised by Dr Wan Rizal and other Members, the upcoming Workplace Fairness Legislation sends a strong signal that there is no place for discrimination against employees and jobseekers with mental health conditions.[+4 sentences] Employees should be treated fairly and based on merit, even if they have chosen to disclose their mental health conditions. The Government is committed to working with employers to strengthen support for employees' mental well-being. To the employers, we encourage you to tap on resources that are available. To employees, let us strive to show kindness, support and understanding to those around us. To those of you recovering from mental health conditions and other vulnerable groups seeking employment, you are not alone. We will support you in the pursuit of meaningful employment.[+1 sentence] Together, we can build a more inclusive society.
Mr Speaker7 words
[+1 sentence]Senior Minister of State Dr Janil Puthucheary.
The Senior Minister of State for Health (Dr Janil Puthucheary)3477 words
[+10 sentences]Mr Speaker, I rise in support of the Motion. I want to thank Dr Wan Rizal, Mr Edward Chia, Ms Mariam Jaafar, Dr Tan Wu Meng and Mr Yip Hon Weng for putting forward this Motion on advancing mental health and highlighting the need for a whole-of-Singapore effort to implement a national strategy to enhance mental health and well-being. I would also like to thank my colleagues who had just spoken, sharing on efforts in the health, social, education, workplace and community sectors; and many Members of Parliament, who have supported the various mental health initiatives and provided suggestions for improvements. I would also like to record my thanks to all the members of the task force, political office holders, people that we have consulted, community representatives, the Civil Service officers as well as the professionals that have contributed to not just the development of the strategy, but so much of what we have done since we launched the strategy to implement these programmes into action. What is it that we are trying to do? What is it that we are trying to achieve? As many colleagues have emphasised, mental health exists on a spectrum and requires a comprehensive approach involving the entire government and society. Instead of managing mental disorders only or solely, largely in hospital-based settings, the aim is to bring mental health support closer to individuals' everyday environment. Their homes, workplaces and social circles. By integrating care within the community, mental health support can be seamlessly delivered within natural social settings, such as schools and workplaces; and leveraging existing social and support networks, such as families, friends and coworkers. The National Population Health Survey in 2022 reported that our residents are more willing to seek help informally from their social circles, rather than formally from healthcare professionals.[+19 sentences] By shifting the focus of our efforts, the centre of gravity, into the community, by broadening the number of professions and processes that can be involved in mental health and by engaging larger and larger circles of the community, we are hoping to do a number of things in terms of changing what we do for mental health in Singapore. The first of many, I will just highlight three, but the first is increasing access to our mental health services ecosystem. We want to be able to make it easy for people to find the help that they need and access the touchpoints that will provide them the interventions that they will find useful. The second, is to make sure that we make these interventions effective and certainly, for persons with mild mental health concerns or mental health conditions that are mild, care in the community, where they are able to continue to interact with their social circles, with their friends, with their family, with their workplace, have that normal routine of life, interventions in those settings may be more effective than removing the person from the natural rhythm of their life, institutionalising them and providing a very clinical response. The third reason is that by involving a much wider variety of partners and more and more members of the community, we hope to be able to drive that shift in attitude that so many Members of this House have spoken about as being key to changing our approach towards mental health here in Singapore. That is what we are trying to achieve and why we are trying to do this. How we are doing so, I will go on to explain some of the details, and in particular, the tiered care model. This has been brought up by Senior Parliamentary of State Rahayu Mahzam. It has been a central part of the strategy and has been discussed. I will highlight that this tiered care model is not something we need members of the public to internalise or use as a guide on how they seek services. Someone with mental health concerns does not need to look at the strategy and ask, "Am I a Tier 1?" That is not the point. The tiered care model is an internal way of organising our services. It is an internal way of thinking how we will invest the development of our services, shift the development of our professional capacity and capability, and integrate the various parts of our system with each other. But the reason we explained it and, I will now explain it, is to make the point that we are very serious about what we want to do. We are very serious about reorganising how we deliver our services and how we develop our capacity and our capability. So, in explaining the breadth and depth of what we are doing, I will need to explain a little bit about how the tiered care model will be developed and implemented. It will guide the delivery of our mental health services according to the severity of mental health needs and apply across a variety of settings. It serves as a framework, a foundation for strategic enhancements to our mental health ecosystem. Our overall goal is to improve access to care and mitigate unwarranted medicalisation and to reduce stigma. Because not every mental health issue needs to be addressed by a psychiatrist, just as not every medical condition needs to be treated as an inpatient by a specialist. So, as has been discussed, there will be four levels of mental health support: from mental health promotion, self-help and peer support at Tier 1, to the most intensive level of care in hospitals and by specialist clinics at Tier 4.[+1 sentence] Based on the severity of symptoms, individuals can tailor care according to their needs. Individuals with severe symptoms of mental health conditions will benefit from hospital-based psychiatric and medical treatment. Those with mild to moderate symptoms are best supported by mental health practitioners in primary care and community settings.[+10 sentences] The majority of individuals, who may experience mental distress periodically without mental illness, could be best supported by peer supporters in schools or workplaces, as well as using self-help resources, including online. Overall, we aim to ensure that individuals with mental health needs receive the right support at the right time. This reflects a more nuanced and responsive approach to mental health. Senior Parliamentary Secretary Eric Chua shared about the Practice Guide that is being developed by the Interagency Taskforce on Mental Health and Well-Being together with key stakeholders from the health, social and education sectors. This will translate the core concepts into practical steps to help practitioners effectively apply this tiered approach; make the framework work for their clients and for their patients; and enhance the integration and coordination of our mental health support system. We have already put in place implementation teams, working groups and committees to execute our various plans and strategies. The processes in this Practice Guide will be piloted with some of the service providers and fine-tuned before being disseminated to mental health practitioners across our ecosystem by the end of the year. GP clinics and polyclinics are important touchpoints for all of us, especially for individuals with mental health needs. They are community-based, easily accessible and we know that there is a strong association between physical and mental health conditions. So, the primary care service, primary care doctor and primary care clinic are ideally placed to treat the patient's physical and mental health conditions simultaneously and holistically. Today, 19 out of the existing 25 polyclinics provide mental health services.[+2 sentences] These services at polyclinics are helmed by multi-disciplinary teams with family physicians, psychologists, medical social workers and nurses. In addition, over 450 GPs in GP clinics are trained to support persons with mental health needs under the Mental Health General Practitioner Partnership. To ensure that more patients with common mental health conditions, such as anxiety and depression, have access to mental health services in a primary care setting, we aim to make these services available in all polyclinics and 1,350 Healthier SG GP clinics by 2030.[+3 sentences] Expanding mental health support in the community beyond healthcare settings is essential. Today, 73 CREST work tirelessly to raise awareness, detect and refer individuals with mental health needs to the appropriate services. Eight of these teams currently cater to youths. By 2030, we will expand the number of outreach teams to 90 and we will have 15 teams that cater to youths.[+4 sentences] The CREST teams work on awareness, detection and referrals. We have another set of teams, which are the Community Intervention Teams (COMIT). They provide mental health assessments and psychosocial interventions. Today, we have 29 of such teams, with four of them catering to youths. By 2030, we will expand the number of these teams as well to have 50 COMIT teams, with 15 catering to youths.[+28 sentences] MOH is working with AIC to publicise these services as well, so that more people can benefit from access to these community-based mental health services. Other than expanding mental health services in primary and community care settings, we must also continue to ensure the safety and quality of services. I thank Dr Syed Harun, Ms He Ting Ru, Miss Rachel Ong and Assoc Prof Razwana Begum for their suggestion to introduce regulatory frameworks for psychologists and other professionals. I would point out that this space is not entirely a vacuum today. There are, indeed, some regulatory processes and frameworks in place. Today, services provided by clinical psychologists in healthcare institutions are subjected to the clinical governance framework of these healthcare institutions and existing healthcare legislations, such as the Healthcare Services Act. In a non-healthcare setting, such as MSF-funded early intervention programmes, the operators do, indeed, employ mental health professionals, including clinical psychologists, to provide therapy services. These funding agreements for these services specify the minimum qualifications and training required before staff can be deployed to provide such services. So, there are some regulatory frameworks in place. But Members have made the point that perhaps it is insufficient for our situation today and, potentially, insufficient for the outcome of the shift that our national mental health strategy will engender. Psychology practice is evolving and already encompasses diverse fields with their own unique safety concerns. So, MOH has been working already with agencies, service providers and professional associations to update the risk assessment and that updating of the risk assessment will have to take into account, then, what developments occur in the field in the near future; review and study these findings; and study the possible need to regulate clinical psychologists. So, I thank Members for their suggestions. There is, I think, not a consensus among the suggestions within the House from which professions need what type of regulation. So, we will study all the suggestions that are being made very seriously and look at these possibilities. But beyond the regulation of clinical psychologists, building the competencies of other mental health practitioners and the community to effectively support individuals with mental health needs is another critical component of our strategy. So, we have introduced the National Mental Health Competency Training Framework to enhance the capabilities of practitioners across the various tiers of care. This framework will complement existing professional standards for mental health professionals, such as psychologists and counsellors. It provides guidance to service providers in acquiring the necessary competencies which will then be aligned with the tiered care model. Importantly, this national mental health competency training framework is designed to be inclusive and it encompasses all practitioners and individuals involved in mental health support. So, one single, national mental health competency training framework, from lay responders, like peer supporters, to mental health professionals, like psychologists and counsellors. As we step-up our capability building efforts, a substantial pool of peer supporters and service providers across Tiers 1, 2 and 3 will have the necessary baseline competencies to support individuals with mental health needs over the next two years. We will equip a wide spectrum of practitioners and enhance the overall capability of the community to provide effective support for individuals with mental health needs. But we will also engage peer supporters and frontline personnel that are not within the healthcare and social space. They will be trained to identify mental health needs and provide psychological first aid, if needed. So, the term is appropriate. Just as you do not need to be a healthcare worker to provide first aid, it is something that all of us can do. We want to train people to be able to provide psychological first aid, even if they are not a healthcare worker or a care professional. Today, over 48,000 frontline personnel, including school teachers and officers from agencies, such as the Singapore Police Force (SPF), Housing and Development Board (HDB), Central Narcotics Bureau (CNB), Social Service Offices and FSCs, have been trained, together with 54,000 volunteers, to recognise and provide basic emotional support to individuals in need and to refer these individuals for further support as needed. The eventual goal is to extend this training approach to over 130,000 frontline personnel and volunteers by 2030.[+11 sentences] So, to have a broad network of support and individuals for mental health needs. We have created the learning modules. AIC has worked on this and put it online: awareness of the signs and symptoms of mental health conditions; and how to support individuals. They are accessible and open to the public. There are courses that you can go for psychological first aid. So, caregivers for individuals with mental health needs may also find it beneficial to participate in these courses and enhance their ability to care for their loved ones, the care recipients. The issue here is supporting individuals with mild symptoms of mental health conditions. How to identify the individuals, prevent an escalation of their symptoms and de-escalate a mental health crisis and formulating a safety plan for individuals with suicide risk. Next to this, we have plans around what to do to support individuals with moderate symptoms of mental health conditions. For that, service providers are trained to conduct mental health assessments and provide psychotherapy. So, we distinguish those 130,000 frontline personnel and volunteers focused on mental health needs of people with mild conditions; and then a separate tier of interventions for individuals who can support people with mental health needs that are moderate in nature, with moderate symptoms – providing assessments, psychotherapy to reduce the severity of their symptoms. To raise the capabilities of these practitioners, MOH and the Ministry of Social and Family Development (MSF) are collaborating with NUS, the Nanyang Technological University (NTU) and Singapore University of Social Sciences (SUSS), to develop an onboarding course for practitioners providing Tier 3 support to equip participants with skills to provide Cognitive Behavioural Therapy (CBT) for a range of common mental health conditions, including depressive and anxiety disorders, schizophrenia, obsessive compulsive disorders and insomnia. We aim to upskill 80 practitioners a year through these courses, starting from this year.[+13 sentences] This is part of our commitment to proactively upskill practitioners in the community to effectively support individuals with diverse mental health needs. Mr Keith Chua, Ms Mariam Jaafar, Mr Yip Hon Weng and Mr Vikram Nair highlighted concerns about persons with suicide risk. The causes of suicide are multifaceted and it requires a holistic, multi-agency approach to address them. For example, in schools and IHLs, students at risk of suicide are supported by school counsellors, referred to REACH, Community Health Assessment Team (CHAT) or emergency services in hospitals. CareLine, a 24/7 social support hotline, provides tele-befriending as well as emergency response services to seniors in distress and it is operated by staff who can speak various dialects. Those in crisis can access crisis helplines, such as the Samaritans of Singapore's (SOS') Hotline and Care Text and IMH's Mental Health helpline. Under the National Mental Health Competency Training Framework, service providers in the community would be equipped with suicide risk assessment and intervention skills, so that individuals with suicide risk can be detected early and be provided with the relevant interventions. But we will continue to work on this and find ways to do what we do better and to make sure that every individual who needs help can find it. As a safety net to meet the care needs of individuals with severe and chronic mental health conditions, MOH will be expanding our hospital and our long-term care capacity. This will be supported by plans to expand the pool of psychiatrists and psychologists in our public healthcare institutions, as has already been shared. So, the balance of that capacity increase will be different, depending on whether we are talking about inpatient psychiatric beds at places like IMH and the redeveloped Alexandra Hospital compared to, for example, long-term psychiatric care capacity. We hope that with all the things we are doing with our mental health strategy, while we will increase inpatient acute psychiatric capacity, the need for that will not be so significant because of the things we are doing upstream in the population and within the community. But we will continue to need some increase in facilities in long-term psychiatric care capacity. Today, we have almost 1,000 acute psychiatric beds.[+1 sentence] By 2030, this will be 1,070. Today, we have 3,000 step-down residential care beds – long-term psychiatric care facilities. By 2030, we will have 3,500 of such beds.[+17 sentences] So, the balance is on the long-term residential psychiatric care. So, even though we are expanding our capacity to provide mental health support for persons with severe mental health needs, it does not mean that we are adopting a purely medicalised approach towards mental health. There is room for non-medical interventions, such as art-based interventions, to play a bigger part in promoting mental well-being. To cultivate mental wellness, we need to live healthily. That means having friends, having adequate sleep, a healthy diet, taking part in sports, arts and volunteer work. These are not medical interventions, but they make a huge difference to an individual's life and a huge difference to an individual's health. The National Mental Health and Well-Being Strategy puts forth a comprehensive and holistic approach to addressing mental health issues across many different facets of society. It encompasses a preventive component as well as curative perspectives. We want to tackle the whole continuum of mental health issues coherently, with an emphasis on community, schools and workplace settings. We want to foster a whole-of-society approach, uniting efforts across different sectors to build a mentally healthy and resilient population. After we launched the strategy last year, in late 2023, we have continued to engage with professionals and stakeholders in the space, and we have sought their feedback on the strategy and how the implementation was going. All of them supported the strategy recommendations, but consistently, all of them – professionals working in the mental healthcare space, whether they are healthcare workers or they are social workers in the community and within institutions – raised concerns about persistent stigma and the need for stronger partnerships. The need for stronger partnerships between clients and providers, but also partnerships across different service providers. It is very important that we must not forget these fundamentals even as we talk about all the other things that we are doing around the implementation of the strategy. We will continue to address these issues as we go forward. There are many initiatives rolled out by the various Ministries and agencies to support individuals with mental health needs. Ms Carrie Tan asked about the need to transition the current interagency task force to a permanent national well-being committee. We have a plan for a whole-of-Government coordination, which is the National Mental Health Office. It will be established by 2025 with officers from the health, social and the education sectors to oversee the implementation of the strategy to ensure cohesive alignment of policies and programmes at the national level and to track the progress and impact of the strategy.[+8 sentences] Actually, these teams and officers have already begun work. They began work in supporting the work of the Inter-Ministry Taskforce. They are the ones that worked together to put the strategy in place and they are already working together to implement our various programmes and recommendations. So, the work will continue and the work is not done. Members have highlighted issues that we have to continue to study, whether it is about the regulation of some professionals, issues to do with how insurance is made available and issues to do with stigma and access. So, we are quite clear that the work is not done and there is need for continued work in this space. I would like to thank all the Ministries and agency officers who have come together to better support and advance the mental health and well-being of our population. The collective dedication and commitment of our Government agencies and the whole of our society are instrumental in driving positive change and fostering better mental health for all.
Mr Speaker13 words
[+1 sentence]I would like to invite Dr Wan Rizal to make his closing speech.
Dr Wan Rizal (Jalan Besar)911 words
[+5 sentences]Mr Speaker, on behalf of the Government Parliamentary Committee for Health, Dr Tan Wu Meng, Ms Mariam Jaafar, Mr Yip Hon Weng and Mr Edward Chia, I extend our profound appreciation to all Members who have actively participated in this pivotal debate. I was deeply moved by the stories and struggles shared in this Chamber. In fact, I was crying when one of the stories was being shared about suicide. Over the years, I have heard many, many stories. But to hear from Members, from each and every Member, shows how much we care for the communities we serve. Thirty-one Members of the House took part in this Motion, including Deputy Prime Minister Lawrence Wong, showcasing the undeniable importance of mental health in our lives and society.[+33 sentences] The voices of the Nominated Members of Parliament, with their unique insights and connections to the communities they serve, have been particularly striking. Their contributions have not only enriched our debate but have also underscored the urgency of addressing mental health with compassion and action. Mental health is everyone's business and I am glad that everyone agrees that business as usual is no longer acceptable. The diversity of topics discussed, spanning different sectors and age groups, has highlighted our collective understanding that mental well-being cannot be compartmentalised. In our spirited discussions over the last two days, we have delved deep into the myriad aspects of mental health, from increasing understanding and literacy to tackling the practicalities of cost, insurance and the critical support for caregivers. Yet, amidst all these important conversations, one subject has notably stood out. Touching the core of our humanity, shared by Dr Janil Puthucheary earlier as well, which is the stigma surrounding mental health. It is not just a societal issue. It is profoundly personal, affecting individuals and families in every corner of our community. The stigma mutes voices that need to be heard. It isolates those who feel alone in their struggle and deepens the wounds of those silently suffering. The story shared in our debate have underscored the urgent necessity to breakdown these walls of silence and isolation and our mission is clear to foster a society where conversations about mental health are met with open arms and understanding hearts, not judgement. We need to cultivate an environment that encourages everyone to seek help about fear to talk openly without shame. The mission spans across every facet of our society, from our schools to our workplaces, from our healthcare institutions to the very fabric of our communities. Sir, as I speak about stigma, we cannot overlook the heroes often in the shadows too – the caregivers. Their journey of is one of love, resilience and, sometimes, silent struggle. They face their own set of challenges, bearing emotional and financial burdens, all while navigating the stigma associated with mental health. In one of my many conversations I had with the community, the caregivers often come forth and shared their challenges and hope that, through this strategy, our efforts would support them further. Sir, mental health is an issue that touches all aspects of life, requiring a united, inclusive approach. The Government's response, led by Deputy Prime Minister Lawrence Wong, no less, is deeply appreciative and highly encouraging. I would like to thank Senior Minister of State Dr Janil Puthucheary, Minister of State Gan Siow Huang, Senior Parliamentary Secretaries Rahayu Mahzam and Eric Chua, for their comprehensive reply. It is a testament to our Government's unwavering commitment to advancing mental health care in Singapore. But, more than policies and plans, the debate that we had, has been a powerful reminder of why we do what we do. It is about the people we serve, the lives we hope to improve and the community we wish to build. A Singapore where mental health is a priority for everyone. The strategy that has been laid out is just the beginning. It is a promise of action, a roadmap towards a future where every Singaporean knows they are not alone in their struggles. As we move forward, let us remember that our efforts today are for the long term. The impact of our work might not be immediately visible, but we are planting seeds for a future where mental health is openly discussed, supported and prioritised. As we look ahead, I invite every Member of this House to stand with us in this commitment. This is more than just a Motion. It is a pledge to our fellow Singaporeans that their well-being is our priority. The journey may be long and challenging, but it is a journey worth taking together. By supporting this Motion, we are choosing to be part of a compassionate community that recognises the importance of mental health and well-being. I can assure you, as members of the Government Parliamentary Committee of Health, we will continue to pursue this effort on mental health and ensure that the strategy is being implemented.[+6 sentences] We are committing to a future where everyone feels supported, valued and understood. Let us seize the opportunity to make a lasting difference in the lives of our people. I urge you, Members of this House, to support this Motion, not just for the health of our nation but for the well-being of every individual who calls Singapore home. May our commitment and sustained efforts towards mental health last. Together, we can and we will make mental health and well-being a reality for all. We will take action.
Mr Speaker11 words
[+2 sentences]Are there any clarifications for Dr Wan Rizal? Ms Usha Chandradas.
Ms Usha Chandradas (Nominated Member)16 words
[+1 sentence]Mr Speaker, I have a clarification for Senior Minister of State Janil Puthucheary, if I may?
Mr Speaker2 words
[+1 sentence]Go ahead.
Ms Usha Chandradas62 words
[+1 sentence]I would like to clarify what is MOH's position on the regulation of art psychotherapists. The Senior Minister of State has acknowledged that art interventions are an important part of our mental health and wellness strategies. But I would like to clarify, will the Ministry be engaging with arts wellness practitioners as well as our arts therapies communities to further this strategy?
Dr Janil Puthucheary111 words
[+4 sentences]Mr Speaker, I thank Ms Usha Chandradas for the question. We will be very happy to follow-up with her and other practitioners to look to see how we will engage with the practitioners, provide for an appropriate level of access, depending on the effectiveness of the various components of the intervention. As has been brought up in the House, actually, Members have differing views as to how far regulation should go – which professions should be regulated, which interventions should be regulated, which settings should be regulated. It is something that we are studying and we will be very happy to study it together with the professionals involved in the space.
Mr Speaker22 words
[+3 sentences]I am sorry I missed your hand just now, Ms Usha Chandradas. Any other Member has any clarifications? Yes, Ms Carrie Tan.
Ms Carrie Tan (Nee Soon)93 words
[+3 sentences]Speaker, I would like to seek clarification from Deputy Prime Minister Lawrence Wong. When he articulated that the National Mental Health Office will continue to drive this effort, may I ask, whether it will be residing within MOH and, if so, how will the Prime Minister's Office ensure that the well-being initiatives and policies are well-coordinated across Ministries? Because, for example, education policies will have an impact on manpower and manpower policies can have an impact on family life; and all these contribute to the levels of stress and bandwidth and all that.
Mr Lawrence Wong29 words
[+1 sentence]Mr Speaker, it still resides in MOH. The coordination office and function are in MOH. But rest assured that it will be empowered to effectively coordinate across the whole-of-Government.
Mr Speaker64 words
[+3 sentences]Any other clarifications from any Member? No. [(proc text) Resolved, "That this House recognises the importance of mental health as a health, social and economic issue; affirms the importance of a robust national mental health ecosystem; and calls for a whole-of-Singapore effort to implement a national strategy to enhance mental health and well-being." (proc text)]