[POP Collect 2025] NHGP ENRICH: ENgaging and empoweRIng our Community for better Health
Care Continuum
Care Process & Redesign
POP Collect
National Healthcare Group
5 June 2025
ENRICH is a social prescribing intervention for patients aged 60 years and above with mild to low-moderate disease. ENRICH is effective in improving patient engagement and health outcomes through community activities and partnerships.
Year Submitted: 2025
Published Date: 05 June 2025
Tags: Care Process ＆ Redesign, Patient Satisfaction, Value Based Care, Care Continuum, Preventive Care, Patient Education, Community Health, Health Promotion
About this Content
Aims
ENRICH is a social prescribing intervention for patients aged 60 years and above with mild to low-moderate disease complexity, to engage and empower them in the community for better health outcomes.
Background
ENRICH is aligned with national Healthier SG (HSG) initiatives and addresses patient’s social determinants of health and health behaviours, which contributes to 80% of health outcomes.
Methods
Suitable patients are identified by the healthcare team during their HSG Health Plan discussion or chronic consultations and referred to the ENRICH Link Worker. The Link Worker provides active listening to understand patients’ preferences and aligns them with the care team’s assessment to recommend suitable community activities.
Results
916 patients engaged as of Mar 2025. 93% patient satisfaction with recommendations. 71% continued with other community activities. 100% would recommend ENRICH to others. Patients who completed the recommended community activity showed an average improvement in physical activity level per week by 57.1 min.
Conclusion
ENRICH is effective in improving patient engagement and health outcomes through community activities and partnerships.
Lessons Learnt
The initiative shows that engaging patients in community activities can lead to improved health outcomes and high satisfaction rates.
Keywords
ENRICH, social prescribing, community, health outcomes, Link Worker
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Kallang Polyclinic, Ang Mo Kio Polyclinic, Geylang Polyclinic, Hougang Polyclinic, Khatib Polyclinic, Sembawang Polyclinic, Toa Payoh Polyclinic, Woodlands Polyclinic, Yishun Polyclinic |
Platform(s) | POP Collect |
Healthcare Professional Group(s) | Medical, Healthcare Administration, Allied Health |
Applicable Specialty or Discipline | General Practice, Healthcare Administrators, Geriatric Medicine |
Project Lead(s) | Valerie Teo |
Project Member(s) | Say Tian Ling |
Connect with this contributor!
Dr Sze Kai Ping - Kai_Ping_SZE@nhgp.com.sg
Project Attachment
845_NHGP__ENgaging_and_empoweRIng_our_Community_for_better_Health.pdf