[AVBC 2025] Transiting Breast Cancer Survivors to the Community: The NCIS Breast Cancer Survivorship Programme
Care Continuum
Care Process & Redesign
Appropriate & Value-based Care Conference
National University Health System
27 November 2025
The NCIS BCSP aims to right site low risk Breast Cancer Survivors (BCS) to the community. The NCIS BCSP demonstrates substantial cost savings through reduced cost to patients while optimising healthcare resource utilisation.
Year Submitted: 2025
Published Date: 27 November 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Productivity, Cost Saving, Value Based Care, Patient Reported Outcome Measures, Patient Satisfaction, Care Continuum, Intermediate and Long Term Care ＆ Community Care, Right-Siting
About this Content
Aims
The NCIS BCSP aims to right site low risk Breast Cancer Survivors (BCS) to the community.
Background
Despite BCS having excellent prognosis, they remain in tertiary institutions for annual surveillance.
Methods
BCS in remission after 5 years of active surveillance and no longer on treatment were referred to primary care providers with a Survivorship Care Plan (SCP) including mammogram and preventative health recommendations.
Results
There were substantial cost savings from transition of BCS care to primary care providers. Patients were surveyed post 1-year discharge for their satisfaction on a 5-point Likert Scale. Compliance with primary care providers visits, re-referral rates to the hospital and survivorship outcomes were tracked.
Conclusion
The NCIS BCSP demonstrates substantial cost savings through reduced cost to patients while optimising healthcare resource utilisation.
Lessons Learnt
The successful transition of care to primary care providers is evidenced by low re-referral and relapse rates and positive patient-reported outcomes.
Keywords
Breast Cancer, Survivorship, Cost Saving, Community Care, Patient Satisfaction
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Cancer Institute, Singapore |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Oncology |
Project Lead(s) | Jennifer Mei Chein Low |
Project Member(s) | Jing Jing Hong |
Connect with this contributor!
Jennifer Mei Chein Low - jennifer_low@nuhs.edu.sg