Page 1

If we cannot add days to life, let us add life to days.

DOVER PARK HOSPICE Annual Report 2006 - 2007


OUR VISION

To be the Centre of Excellence for Palliative Care Services, Education and Research. OUR MISSION To provide comfort, relief of symptoms and palliative care to patients with advanced disease regardless of age, race or religion, and to support the grieving families.


CONTENTS

Organisation Overview

02

Chairman’s Message

04

Finance & Administration Committee

05

Fund Raising Committee

06

Medical Professional Audit Committee

09

Patient Statistics

20

Honorary Visiting Consultants

24

Volunteer Committee

25

Public Education Committee

30

Honorary Treasurer’s Report

32

Investment Committee

33

Our Donors

34

Financial Statements

36

DOVER PARK HOSPICE Annual Report 2006 - 2007

1


ORGANISATION OVERVIEW

2

Dover Park Hospice

10 Jalan Tan Tock Seng Singapore 308436

DOVER PARK HOSPICE Annual Report 2006 - 2007

Charity Number: 1019 Date: 20 April 1994 ROS Registration No: ROS275/92WEL Date: 19 November 1992

15TH GOVERNING COUNCIL – 2006/2007

TRUSTEES OF THE ENDOWMENT FUND

Khoo Kim Geok, Jacqueline Ms Seet Ai Mee Dr Wong Pakshong, Michael Mr

Chairman

Tan Tee Jim Mr

Date appointed 21 Aug 04

Vice Chairman Chey Chor Wai Mr

26 Aug 06

Honorary Secretary

Lim Hsiu Mei Ms

26 Aug 06

Honorary Treasurer

Tan Heem Juay Mrs

26 Aug 06

Members

Chin, Michael Mr

12 Aug 02

Chionh, Mavis Ms

26 Aug 06

Choo, Helen Ms

27 Aug 05

Foo, Marlene Ms

12 Aug 02

Lee, Lionel BG 27 Aug 05 (Ret) A/Prof

DBS Bank Ltd Overseas Chinese Banking Corporation

Lim, Jerry Dr

27 Aug 05

Ooi, London Lucien 02 Aug 03 A/Prof

Orchard, Freddy Mr

26 Aug 06

Quek, Diana Mrs

02 Aug 03

Seet Ai Mee Dr

26 Aug 06

Tan Keng Jin Mr

02 Aug 03

Wang Look Fung Ms 27 Aug 05

AUDITORS: KPMG CERTIFIED PUBLIC ACCOUNTANTS Bankers General Account DBS Bank Ltd Overseas Chinese Banking Corporation Endowment Fund

Fund Manager Of The Endowment Fund Lion Capital Management Ltd


ORGANISATION OVERVIEW

OBJECTIVES AND ACTIVITIES

Dover Park Hospice (DPH) is registered with the Registrar of Societies on 19 Nov 1992 and as a charity on 20 Apr 1994. The hospice is governed by its Constitution which establishes its objects and powers.

a) to provide a programme of active, compassionate care primarily directed towards improving the quality of life for the dying;

The hospice has 2 categories of members: • Individual members • Institutional members

THE GOVERNING COUNCIL The Governing Council charts the direction of the hospice and acts as the custodians of public trust. Members of the Governing Council are elected at general meetings. No member of the Council shall serve for a continuous period of more than 6 years. The Treasurer may not be re-elected to the same or a related post for a consecutive period of more than two years.

MEMBERS INDUCTION New members have the following tools/kits to enable them to carry out their functions: 1) Council Member’s Kit 2) Terms of Reference for DPH Committees 3) Powers of the Governing Council

ORGANISATION STRUCTURE 7 sub-committees comprising mainly Council members assist in the management of the hospice. These committees are: Finance and Administration, Fund Raising, Volunteers, Medical Professional Audit, Investment, Publicity and Public Education. The powers of a sub-committee are circumscribed by the authority vested in it by the Governing Council. The day-to-day operational management of the hospice rests with the CEO (who is also the Medical Director) and the Finance and Administration Manager.

b) to construct, maintain, improve, develop, control, manage and operate facilities for the provision of hospice care in Singapore for needy persons regardless of race or religion; c) to provide or assist in providing counselling and financial assistance to hospice patients and/or their families; d) to undertake alone or in conjunction with other institutions research into the management of terminal illnesses and into methods of alleviating suffering arising from and to publish results of such research; e) to aid, assist and to give relief in any manner and to any extent to any charitable institution whose object or objects are similar to or comparable with the objects of the hospice; and f) to organize meetings, courses, seminars and conventions to educate members of the caring professions and the general public on the modern concepts of hospice care.

DOVER PARK HOSPICE ENDOWMENT FUND The Dover Park Hospice Endowment Fund was established on 1 September 1996 to receive contributions and donations for the purpose of providing inpatient care to the terminally ill. The beneficiary of the fund is Dover Park Hospice. The Endowment Fund was established under Article 14 of the Dover Park Hospice Constitution. According to this article, income earned on the Endowment Fund shall be applied by the Governing Council for the purposes of the hospice. No capital of the Endowment Fund shall be expended without the approval of members of the hospice at a general meeting. The purpose of the Endowment Fund is to provide a constant stream of income to the hospice to supplement the income from the General Fund, the amount of which is subject to uncertainty.

DOVER PARK HOSPICE Annual Report 2006 - 2007

3

ABOUT US


CHAIRMAN’S MESSAGE

4

DOVER PARK HOSPICE Annual Report 2006 - 2007

families and loved ones. In this regard, I am pleased to note that, yet again, we have a winner at the Healthcare Humanity Award. She is Assistant Nurse, Daw Kyi. The award is in recognition of her outstanding work. Like our previous winners, she is an inspirational role model as she always goes the extra mile to provide care and comfort to the patients. I am also pleased to note that the professionalism and expertise of our staff have been recognized during the past year. Recently, Dr Noreen Chan and Dr Kok Jaan Yang were appointed by the Specialist Accreditation Board to be members of the Palliative Medicine Sub-Specialty Training Committee and to become accredited trainers for the subspecialty. Mr Edward Poon was invited by Alice Lee Centre for Nursing Studies at the NUS to be a guest lecturer and tutor in palliative care, professional nursing and ethics. The hospice became the only inpatient hospice in Singapore to be accredited as one of the training centres in Palliative Medicine.

Tan Tee Jim Chairman 15th Governing Council

The past 12 months have been exciting and rewarding for Dover Park Hospice. After more than a decade in operation, the building housing the hospice was showing signs of wear and tear. Hence, last year, we had a major renovation. Now our patients enjoy an even more serene environment. Despite the renovation and the many interruptions, our clinical staff still managed to provide the highest quality of care and support to the patients as well as their

I would also like to congratulate Dr Kok Jaan Yang on his appointment as a Visiting Consultant to the Department of Haematology-Oncology at the National University Hospital, Ms Sylvia Lee on being registered as an Advanced Practice Nurse by the Singapore Nursing Registration Board and Dr Caroline Lim on being awarded the Lien Foundation–SHC Palliative Care Medical Scholarship to pursue a 1-year part-time Palliative Care Course conducted by the Flinders University, Australia. Last but not least, I am very grateful to and would like to thank all our dedicated and hardworking volunteers, including Council members and committee members. My special gratitude also to all our donors and supporters for their generous contributions and donations. Truly, Dover Park Hospice is as successful as it is because of the good people it has managed to attract to help it achieve its vision and mission. I wish all of you the very best in the coming year.


FINANCE & ADMINISTRATION COMMITTEE

DONORS BOARD

Dover Park Hospice ended the year with a surplus of $261,000 due to prudent financial management, and to successful fundraising events.

The old wooden board has been replaced by a Touch screen. With the Touch screen, it will be easier to update donors’ record, and this new interactive technology will allow visitors to search for, and view information about donors and about Dover Park Hospice.

Income for FY 2006/2007 was $3.91 million with an expenditure of $3.65 million. Expenditure, as expected, was largely on staff cost at 61%; establishment cost - including utilities, maintenance, computer system, safety, insurance and depreciation - was at 20%, patient care cost (excluding manpower) was at 8%, fundraising expense was at 8% and administration 3%.

STAFF In 2006, we bade farewell to Ms Lorraine Chung (F & A Manager) and Daren Chua (Asst Manager, Community Programmes) and welcomed Dr Ong Wah Ying (Resident Physician), Ms Ng Geok Khim (Asst Manager, Community Programmes) and Ms Shirlyn Lim (Executive Officer) into our fold. Dr Kok Jaan Yang was promoted to Consultant. Ms Sylvia Lee returned from her post-Masters training in USA and was promoted to Palliative APN (Advanced Practice Nurse), the first in Singapore.

FACILITIES IMPROVEMENT DPH’s 10-year old facilities underwent major renovation under the Ministry of Health’s cyclical maintenance scheme. Work was done on the building, carpark, garden and compound walls, and worn-out internal fittings were replaced; the ageing air-conditioning and oxygen supply systems were changed, and the fish pond cleaned and filters changed. The project committee was headed by Council member Mr Michael Chin and comprised staff members Dr Kok Jaan Yang, Mr Mazlan Matob, DON Mr Edward Poon and CEO/MD Dr Noreen Chan. The parties involved in the project were DP Architects Pte Ltd, Beca Carter Hollings and Furner, Uninec Construction Pte Ltd and WT Partnership. Work was completed in March 2007 at a cost of $905,000, well within budget.

THE FUTURE Going forward, DPH intends to review its policies and processes to strengthen corporate governance and to improve transparency. This goes hand in hand with its commitment to quality patient care. DPH aims to strengthen existing relationships with the Singapore Hospice Council and its member organisations, to advance the cause of hospice and palliative care. It will continue to build on partnerships with educational institutions – including ITE’s, polytechnics and National University of Singapore – to develop palliative care training for healthcare professionals at all levels, and to encourage research in this field.

DOVER PARK HOSPICE Annual Report 2006 - 2007

5

FINANCE


FUND RAISING COMMITTEE

6

OVERVIEW

DOVER PARK HOSPICE Annual Report 2006 - 2007

Chairman Mr Tan Keng Jin

The hospice is very fortunate in having a team of enthusiastic and accomplished fundraisers, as well as supporters, who work tirelessly in raising funds to support the operation of the hospice. Apart from all the organized events, the hospice was also very fortunate to receive several substantial cash donations to augment our fundraising efforts. We managed to raise a total of $1.4 million through public donation drives and 4 self-managed events.

Members Mr Tan Tee Jim Dr Jerry Lim Mrs Pearl Lim Mr David Lim Mrs Diana Quek Dr Tan Kee Wee Mr Allen Pathmarajah Ms Annette Lim Mr Katsuji Iwatake Mr Lin Chung Yin Mrs Viola Iau Ms Wang Look Fung

Staff Co-ordinator Mr Daren Chua (until 30 June 2006) Ms Ng Geok Khim (from 24 July 2006)

ACTIVITIES CONDUCTED BY 3RD PARTY Date

Description

Amount ($)

Apr 06

2006 JP Morgan Chase Corporate Challenge

6,133.00

Oct 06

Warren Charity Open 2006

41,861.80

Dec 06

SICC May Day Charity 2006

20,000.00

Dec 06

Gammon Hospice Charity Run

22,000.00

Dec 06

Confrerie Des Chevaliers Du Tastebin

60,700.00

Total

150,694.80

DOVER PARK HOSPICE FUNDRAISING EVENTS SP Mailer 06 In October 2006, DPH’s Appeal for Donation Flyers was sent together with Singapore Power bills to 1.2 million households in Singapore. Some 4,145 individuals/ organizations donated to DPH , a total of over $400,000. Gross Amount Collected 414,390.33

Expenses Incurred $ %(against gross) 76,004.29 18.34


FUND RAISING COMMITTEE

The “Food of Love” – Musical Charity Dinner

DPH Charity Ball was held on 25 January 2007 at the Shangri-La Hotel, Island Ballroom. The Speaker of Parliament Mr Abdullah Tarmugi and Mrs Abdullah were Guests-of-Honour. Performances by Rahimah Rahim, Max Surin, Horace Hutapea and Angela Brown brought back beautiful memories for our guests. The event was hosted by veteran broadcaster, Brian Richmond.

The event was held on 14 March 2007 at Marina Mandarin Hotel, Vanda Ballroom and was attended by about 170 guests. The show was organised and performed by playwright, musician and producer Craig Christie and his cast from NoMates Productions - Jacqueline Hoy, Andrew Page, Cathy Woodhouse and Vicky Jacobs from Australia. It was a night of fun and laughter.

Committee members:

Committee members:

1.

Mrs Gerti Iwatake, Chairman

1. Mr. Tan Keng Jin, Chairman

2.

Mr. Tan Keng Jin, Co-Chairman

2. Ms Annette Lim

3.

Ms Annette Lim, Treasurer

3. Mrs Y L Lee

4.

Mr Tan Tee Jim

4. Ms Chan Kah Mei

5.

Mrs Alice Chong

5. Mr Derrick Quek

6.

Ms Anita Mitter

6. Ms Inderpal Kaur

7.

Mrs Linda Soo Tan

8.

Ms Lori Campbell Rose

9.

Mrs Maniza Jumabhoy

Gross Amount Collected

10. Mrs Neelam Bhojwani

59,222.00

11. Mrs Prema Thiele 12. Mrs Shalini Chand 13. Ms Wang Look Fung Gross Amount Collected 654,305.00

Expenses Incurred $ %(against gross) 154,071.00 23.55

Expenses Incurred $ %(against gross) 17,766.14 30

DOVER PARK HOSPICE Annual Report 2006 - 2007

7

Charity Ball 2007


FUND RAISING COMMITTEE

8

Charity Golf Tournament 2007

DOVER PARK HOSPICE Annual Report 2006 - 2007

DPH Charity Golf Tournament was the last event for the Financial Year. It was held on 28 March at Laguna National Golf & Country Club. Our Guest-of-Honour was Dr Balaji Sadasivan, Senior Minister of State, Ministry of Foreign Affairs and Ministry of Information, Communications and the Arts. About 120 golfers braved the early rain. Volunteer emcee, Mr Joe Moreira, hosted the evening programme that added much spice and life to the event. Committee members: 1.

Mr. Tan Keng Jin, Chair

2.

Mr Tan Tee Jim

3.

Dr Jerry Lim

4.

Ltc Chan Chik Weng

5.

Mr Tan Ching Khoon

6.

Mr Katsuji Iwatake

7.

Mr Lin Chung Yin

8.

Mr Chan Hua Bee

9.

Mr Olof Thoren

10. Mr Yatiman Yusof 11. Mr Harry Vincent Chew

Gross Amount Collected 105,990.00

Expenses Incurred $ %(against gross) 28,139.24 26.55


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

9

MEDICAL REPORT Patient Care

Chairman

Dover Park Hospice’s Patient Care Statistics for the FY2006/2007 (1st April 2006 to 31st March 2007) are presented at the end of MPAC Report.

BG(Ret) A/Prof Lionel Lee

Career Development & Manpower Movement Dr Kok Jaan Yang was promoted to Consultant grade from 1st July 2006. In the following month, he was appointed as a Visiting Consultant to the Department of Haematology-Oncology, National University Hospital (NUH). He and our CEO/Medical Director, Dr Noreen Chan, provide inpatient palliative consultative service to NUH, totaling four sessions (or two days) per week. Dr Chan continues to provide Visiting Consultant service to the National Cancer Centre and Singapore General Hospital. Our Registrar, Dr Caroline Lim Huey Wen was awarded the Lien Foundation –Singapore Hospice Council Palliative Care Medical Scholarship to pursue the one-year part-time Graduate Certificate in Health (Palliative Care) Course conducted by the Flinders University, Australia. Dr Ong Wah Ying joined us on 1st November 2006 as our Resident Physician. Dr Ong obtained her MMed (Family Medicine) in 2003 and is due to be our first Palliative Medicine Subspecialty Trainee when the programme starts in May 2007.

Dr Jerry Lim Dr Chen Ai Ju A/Prof Tay Boon Keng A/Prof Pang Weng Sun A/Prof London Lucien Ooi Dr Denis Nyam

Training and Education Both Dr Noreen Chan and Dr Kok Jaan Yang were appointed by the Specialist Accreditation Board (SAB) as two of the five pioneer members of the newly formed Palliative Medicine Sub-Specialty Training Committee (SSTC). Their main role is to oversee the implementation of the subspecialty training programme in Singapore scheduled to start in May 2007. Both Dr Noreen Chan and Dr Kok Jaan Yang are accredited trainers for the subspecialty. Dover Park Hospice was also accredited as one of the training centres in Palliative Medicine, the only inpatient hospice in Singapore to have been recognized thus far. DPH doctors continued to be active in undergraduate and postgraduate medical training in the last FY2006/2007. Dr Noreen Chan is the Chair of the Doctors’ Subcommittee of the Singapore Hospice Council (SHC). This subcommittee is responsible for coordinating the monthly SHC Palliative Medicine Journal Club, as well as organizing a twice-yearly postgraduate course in Palliative Medicine. Our Consultant, Dr Kok Jaan Yang, is the Clinical Co-ordinator of the Medical Student Posting in Palliative Care for the Doctor’s Subcommittee. Both Dr Chan and Dr Kok were appointed Clinical Tutors in Palliative Care with the Yong Loo Lin School of Medicine, National University of Singapore.

DOVER PARK HOSPICE Annual Report 2006 - 2007

We received a total referral of 670 and admitted a total of 410 patients for the year. This was despite partial closure of our facilities for renovation works which lasted from July to December 2006. The main source of referrals came from Singapore General Hospital/ National Cancer Centre (43.4%), followed by Tan Tock Seng Hospital (26.2%) and National University Hospital (13.0%). The vast majority of our patients had cancer (92.7%) but the proportion of non-cancer diagnosis was on the rise (7.3%) with end-stage renal failure forming 47% of the non-cancer diagnoses. We also had two patients with terminal AIDS.

Members


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

10

DOVER PARK HOSPICE Annual Report 2006 - 2007

Dr Noreen Chan was the leader of the SVO Specialist Team (Palliative Care) which visited Ho Chi Minh City in April 2006 and November 2006. Dr Kok Jaan Yang went as a member of the SVO Specialist Team (Palliative Care) that visited Hanoi in November 2006. This 3-year project is a collaboration between the Singapore International Foundation (SIF), National Cancer Centre (NCC) and Asia Pacific Hospice and Palliative Care Network (APHN), and is funded by the APB (Asia Pacific Breweries) Foundation. The aim of the project is to help build up Palliative Care services in Vietnam. In addition to the above, our doctors were also involved in lecturing at various courses, conferences and seminars (more details in the Training Report).

NURSING REPORT Quality Management In order to provide a higher standard of care and safety of our patients and staff, a team of our nurses and a group of students from the Singapore Polytechnic, jointly developed the patient’s communicator, the food trolley and the fall device. Another team of our nurses worked with Score Management to reduce the number of linens lost. Ensuring staff safety in the workplace was important in our setting. We conducted infection control class, Flu Epidemic Readiness exercise and immunization programme for the staff. Director of Nursing, Mr Edward Poon was appointed a committee member of the Healthcare Advisory Sub-Committee of Ministry of Manpower to focus on staff safety in the work place. Quality Audit DPH continued to maintain a high standard of Nursing Care. The following internal quality assessment audit was done as a requirement by MOH. DPH was give top score of 100% in all areas.


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

Audit % Infection Control

Psychosocial care and support at DPH continued to hold equal importance, together with excellent medical and nursing care. It covered a wide spectrum of issues from emotional, spiritual, interpersonal and practical support. Family members of these patients would receive the necessary support to help them accept the patients’ illness, and to work out the end-of-life issues.

100

Environment 100 Medication 100 Maintenance and Care of Equipment

100

Services 100 Resident Safety

100

Documentation and medical records

100

To further develop and strengthen the provision of psychosocial care, a psychosocial committee comprising some members of the Clinical team was formed. Patient and Family Support Group (PFSG)

Achievements Ms Sylvia Lee became one of the few pioneers in Singapore who is fully registered as an Advanced Practice Nurse by the Singapore Nursing Board Registration board. Mr Edward Poon was appointed by the Alice Lee Centre for Nursing Studies at NUS as a guest lecturer and tutor in palliative care, professional nursing and ethics. Mr Edward Poon was invited by Perak Palliative Care Association as guest a speaker at the workshop on caregiver training. He also gave a talk at Perak University School of Nursing. Staff Nurse, Ms Halijah Bte Jantan completed her course at Nanyang Polytechnic and was awarded Advanced Diploma in Health Science (Palliative Care). Training Officer, Ms Serene Tan completed the course on Graduate Certificate in Health (Palliative Care) which was jointly organised by the National Cancer Centre Singapore and the Flinders University. Nursing Education & Training We were honoured to have Professor Maragret O Connor, from Monash University to visit our hospice and give a talk at the SHC Journal Club organised by DPH.

2 members of the PFSG are trained counsellors while most received some basic counselling training. Under the activation of the social worker or psychosocial committee, they provide additional befriending support to the patients and family members. They also follow the family members through the bereavement period, sometimes attending the funeral wake of the patients. Rose for Remembrance A simple memorial service was organised biannually for the family members and caregivers of our late patients, giving them an opportunity to acknowledge their losses together and to work towards closure. In October 2006, DPH organized a combined Remembrance Service for the bereaved families from the various hospice services in Singapore in conjunction with the World Hospice Day. Approximately 130 family members attended the service. Inter-agency Collaboration Our medical social worker (MSW) is an active member of the Social Work Oncology Network (SWON), which held quarterly meetings to address common issues and problems in oncology practice. The SWON also encouraged learning about the various agencies within the group, so as to facilitate the handing over of case management when patients were being transferred from one agency to the other.

DOVER PARK HOSPICE Annual Report 2006 - 2007

11

SOCIAL SERVICE REPORT


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

12

The MSW was also a co-facilitator at the Enreach retreat which was organised by National Cancer Centre for cancer patients and their families. Social Work Student Attachment DOVER PARK HOSPICE Annual Report 2006 - 2007

Two social work students from NUS chose DPH for their ten-week placement from 8 May to 14 July 2006. They had hands-on experience in handling cases and exposure to the various aspects of social work field as well as palliative care. They were closely supervised by the MSW, and conducted a simple study on the subject of Hope in a palliative care setting. Financial Assistance Financial burdens continue to form the main bulk of our patients’ and their families’ concerns. DPH continues to offer heavy subsidies over and above that offered by MOH. Those families that may require more assistance are also referred to other appropriate social agencies.

RESEARCH REPORT

and advise on the development of palliative care research at DPH. The other roles of DRACO were to: 1. Review palliative care research and development programme to ensure alignment with the overall strategy.

DPH Research Advisory Committee (DRACO)

2. Provide quality assurance framework for research and development programme.

A DPH research advisory committee was formed in 2006. It is chaired by DON Edward Poon and comprised clinical and social science research expertise to monitor

3. Monitor the ethical probity of all research and development activities 4. Provide external referees to MPAC if required


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

13

Below were some research projects carried out from 2006-2007:

RESEARCH PROJECTS Research projects carried out from 2006-2007: No

Topic

Done By

Completed

Presented

1

An evaluation of the effectiveness of the palliative care foundation course

Edward Poon

2006

16th International Congress on care of the Terminally Ill Sept 2006

2

A hermeneutic phenomenology study of older Chinese Singaporean with life threatening illness receiving palliative care in an inpatient hospice.

Edward Poon, Dr Chow YL, Dr Prema K, Prof Margaret O Connor

To be complete in 2015

Preliminary finding presented at 6th Asia Pacific Nurses Convention July 2006

3

The audit on use of benzodiazepam in an inpatient hospice

Edward Poon, Dr Caroline, Dr Ong HY

Completed 2006

SHC Journal Club

4

A review on the care of the dying patients in DPH after 4 years of implementation of Integrated Care Pathway.

Dr Kok JY

Completed Dec 2006

To be presented at 10th Congress of the European Association of Palliative Care in Budapest, Hungary, June 2007

Research Collaboration Work with Other Organisations Edward Phoon was involved in The Singapore Palliative Care Project organized by the NUS Alice Lee Nursing Centre. He also sits on the Singapore Hospice Council Research Committee and is a member of the evidence-based nursing committee at NUS. He was invited to conduct a workshop on qualitative research at the SingHealth Nursing Conference.

DOVER PARK HOSPICE Annual Report 2006 - 2007

Research Projects


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

14

TRAINING REPORT Dover Park Hospice continued to provide palliative care training to educational institutions in Singapore. These included medical students, dental students, ITE nursing students (oncology), NYP Advanced Diploma students (oncology, medical/surgical, neuroscience, palliative care, gerontology). Our most recent groups included dental therapy and radiotherapy students. Such clinical placements include structured programmes on Palliative Care and Group Therapy through which students interacted with our patients, bringing them much joy and companionship. DOVER PARK HOSPICE Annual Report 2006 - 2007

Dover Park Hospice continued to provide in education and training of staff at all levels. In-house courses were conducted on a regular basis. Weekly multi-disciplinary team meetings, journal clubs and continuing nursing and medical education were conducted to meet the educational needs of all staff. DPH sponsored motivated staff in international and local conferences and seminars to present their research findings or to acquire new skills to improve the care of our patients. Edward Poon, our nursing director, did a poster presentation in the 16th International Congress on Care of the Terminally Ill (Montreal, Canada) on “ An Evaluation of the Effectiveness of the Palliative Care Foundation Course�. Dr Caroline Lim, our Registrar, will be commencing the Graduate Certificate in Health (Palliative Care), which is jointly organized by the National Cancer Centre Singapore, and the Flinders University, South Australia, under the sponsorship of DPH and Lien Foundation-SHC Palliative Care Medical Scholarship. Conferences, Seminars And Lectures Attended (Local & Overseas) Date

Title

Organizer

Attended by

15-18 May 06 5-8 Jun 06 29-30 Aug 06

Train-The-Trainer Programme (Coaching Skills,Instructional Skills & Planning & Implementing OJT)

ITE

Serene Tan & Bedah Bte Samath

12-14 Jul 06

6th Asia Pacific Nurses Convention, Singapore

Singapore Nurses Association

Edward Poon & Lim Cheng Hoe

5,12 Aug 06

Dummies Introduction to Research in Palliative Care

Singapore Hospice Council

Bedah Bte Samath & Halijah Bte Jantan

28-30 Jul 06

Biennial Scientific Meeting of the Pain Association of Singapore

The Pain Association of Singapore

Dr Caroline Lim

31 Aug 06

Bringing Your Fundraising Challenges to the Fundraising clinic

NVPC

Ng Geok Khim

1-3 Sep 06

3rd Asia Pacific Symposium on Pain Control

Mundipharma

Dr Kok Jaan Yang

6-8 Sep 06

Developing Volunteer Programme Managers as Strategic Leaders in NPO

NVPC

Joshua Loh

26-29 Sep 06

16th International Congress on Care of the Terminally Ill, Canada

4-6 Oct 06

End-of-Life Care Training

TTSH

Jenny Wong

26 Oct 06

Strategic Fundraising from a Local Perspective

NVPC

Ng Geok Khim

2-5 Oct 06 4-7 Dec 06

Train-The-Trainer Programme (Course Design & Curriculum Development for Skills Training, Test Construction)

ITE

Serene Tan

Edward Poon & Sylvia Lee


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

15

Date

Title

Organizer

Attended by

18 Nov 06

NYP 12th Annual Research Seminar

NYP

Edward Poon, Sylvia Lee & Serene Tan

15 Jan 07

Symposium on Understanding Bereavement

KKH

Jenny Wong

5-6 Mar 07

HRM-System, Policies & Practices

SHRI

Heng Hiang Hiang

Education / Training Activities Conducted Date

Course / Lecture

Organizer (O) / Speaker (S)

Attended by

3 Apr 06

“Issues in Palliative Care”

Mr Edward Poon (S)

NYP, Advanced Diploma Nurses (Palliative Care)

4 Apr 06

Medical Student Posting in Palliative Care

Co-organised with Singapore Hospice Council

4th year Medical Students

8 Apr 06

Refresher Course on “Management on Chronic & Cancer Pain”

Dr Noreen Chan (S)

SGH, PGMI

5 May 06

“Ethical Issues in Pain Management”

Dr Noreen Chan (S)

NYP, Advanced Diploma Nurses (Palliative Care)

9,16,23,30 Jun 06

4th Palliative Care Course for HealthCare Assistant

DPH (O)

Nursing Aides Hospices/ Nursing Homes

14 Jun 06

“Cancer Pain Management”

Dr Noreen Chan (S)

The Cancer Institute, Medical Officers

21 Jun 06

“End of Life Issues”

Dr Noreen Chan (S)

The Cancer Institute, Medical Officers

28, 29 Jun 06

Basic Nursing Care Course for Volunteers

DPH (O)

DPH Volunteers

19 Jul 06

“Staffing & Patient Enrolment”

Mr Edward Poon (S)

NYP, Advanced Diploma Nurses (Palliative Care)

20-22 Jul 06

18th postgraduate Course in Palliative Medicine

Co-organised with Singapore Hospice Council

Doctors

28 Jul 06

Biennial Scientific Meeting of the Pain Association of Singapore “Cancer Pain”

Chairperson & Speaker Dr Noreen Chan

Medical Professionals

16 Aug 06

“Cancer Pain”

Dr Noreen Chan (S)

MSW

25 Aug, 1 Sep 06

Basic Counselling Course

DPH – Lectured by Mr Gilbert Fan (NCC)

Staff Nurses & Social Workers from Acute Hosp/Hospices/Nursing Homes

1 Sep 06

3rd Asia Pacific Symposium on Pain Control “Cancer Pain in the Clinical Setting”

Dr Noreen Chan (S)

Medical Professionals

1-3 Sep 06

NCC “Enreach Retreat”

Co-Facilitator-Jenny Wong

Cancer Patients and Family

DOVER PARK HOSPICE Annual Report 2006 - 2007

Conferences, Seminars And Lectures Attended (cont’d) (Local & Overseas)


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

16

Education / Training Activities Conducted (cont’d)

DOVER PARK HOSPICE Annual Report 2006 - 2007

Date

Course / Lecture

Organizer (O) / Speaker (S)

Attended by

9,16,23,30 Sep 06

5th Palliative Care Course for Health Care Assistant

DPH (O)

Nursing Aides Hospices/ Nursing Homes

10 Sep 06

“How to cope with caring for the aged and sick”

Dr Kok Jaan Yang & Mr Edward Poon (S)

Perak Palliative Care Society

15 Oct 06

Neurology Palliative Care Symposium “Experience of In-patient Hospice”

Dr Noreen Chan (S)

Medical Professionals

18 Oct 06

“Nasopharygeal Carcinoma”

Dr Noreen Chan (S)

MSW

30 Oct 06

Palliative Care & Community Services

Mr Edward Poon (S)

ITE, Nurses (Oncology Module)

6, 13,14,16-18, 27,28,30,31 Oct 1, 6,7,17,23 Nov 06

Certificate in Palliative Care Foundation Course in the Hospice/Nursing Home

DPH (O)

Staff Nurses from Acute Hosp/Hospices/Nursing Homes

2 Nov 06

“Qualitative Research”

Mr Edward Poon (S)

SingHealth Nursing Conference

17, 22 Nov 06

“Hospice Care & care of the Terminally Ill”

Mr Edward Poon (S)

Ngee Ann Polytechnic, Diploma in Nursing

28 Nov 06

“Introduction to Cancer Pain”

Dr Kok Jaan Yang (S)

NUH nurses

4-5 Dec 06

Palliative Care Workshop (Pain Society of Malaysia & Hospital Selayang)-Assessment of Palliative Care Patients & Symptom Control

Dr Noreen Chan (S)

Medical Professionals

12 Dec 06

“Pain Assessment in Cancer”

Dr Kok Jaan Yang (S)

NUH nurses

20 Dec 06

“Cancer Pain Management”

Dr Noreen Chan (S)

The Cancer Institute, Medical Officers

27 Dec 06

“End of Life Issues”

Dr Noreen Chan (S)

The Cancer Institute, Medical Officers

6 Jan 07

NUH GP Seminar “Palliative Care Made Easy”

Dr Noreen Chan & Dr Kok Jaan Yang (S)

Medical Professionals

19 Jan 07

19th Postgraduate Course in Palliative Medicine

Co-organised with Singapore Hospice Council

Doctors

22 Jan 07

Palliative Care for older person

Mr Edward Poon (S)

ITE, Nurses (Oncology Module)

10 Feb 07

GDFM

Dr Kok Jaan Yang (S)

Medical Professionals

2,9,15,23 Feb 07

6th Palliative Care Course for HealthCare Assistant

DPH (O)

Nursing Aides Hospices/ Nursing Homes

20,21 Mar 07

Medical Student Posting in Palliative Care

Co-organised with Singapore Hospice Council

4th year Medical Students

17,18 Apr 07

Medical Student Posting in Palliative Care

Co-organised with Singapore Hospice Council

4th year Medical Students


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

17

Date

Title

Presented by

5 Apr 06

Product Training : Role of Aromatherapy in Palliative Care

Dianna Olivia Lim, AromArt Int’l PL

12 Apr 06

Journal Review: Midazolam as Adjunct Therapy to Morphine in relief of Dyspnoea

Dr Caroline Lim

19 Apr 06

Journal Review: Artificial Hydration Therapy, Laboratory Findings & Fluid Balance In Terminally Ill Patients with Abdominal Malignancies

Dr Albert Lim

26 Apr 06

Experiential Sharing : SVO-APBF Specialist Team Project : Report from Ho Chi Minh City

Dr Noreen Chan, Mazlan

3 May 06

Topical Sharing : HIV/AIDS “Testing HIV Positive in Singapore”

Roger Winder

10 May 06

Topical Sharing : HIV/AIDS “Medical Perspective in HIV/AIDS care”

Dr Chong Poh Heng, Victoria Medical House

17 May 06

Topical Sharing : HIV/AIDS “Nursing Perspective in HIV/AIDS care”

Jeff Thayala, CDC, TTSH

7 Jun 06

Journal Review : Approaching death : A phenomenologic study of 5 older adults with advanced cancer

Edward Poon

14 Jun 06

Experiential Sharing : Palliative Care in HuaLien, Taiwan, Heart Lotus Ward

Dr Caroline Lim

21 Jun 06

Topical Sharing : Needs of Patients of different religion : “Caring for the terminally ill patient who is a Christian”

Dr Chen Jer Shih

12 Jul 06

Topical Sharing : Needs of Patients of different religion : Muslim patients

Mazlan Matob

19 Jul 06

Topical Sharing : The religious needs of Chinese terminally ill patients

Edward Poon

26 Jul 06

Journal Review : 1) Management of diabetes during last days of life 2) Diagnosis of Dementia

Dr Joe Ng, Serene Tan

16 Aug 06

The relationship between satisfaction with social support, affect balance, and hope in cancer patient.

Jenny Wong

13 Sep 06

1) Post Conference Sharing: Impact of Pain; 2) Post Intensive I (Grad Cert in Health (PC))

1) Dr Caroline Lim 2) Serene Tan

8 Nov 06

Post Conference Sharing: 16th International Congress on Care of the Terminally Ill, Canada

Edward/Sylvia

22 Nov 06

Experiential Sharing : SVO-APBF Specialist Team Project : Report from Ho Chi Minh City and Hanoi

Dr Noreen Chan & Dr Kok Jaan Yang

10 Jan 07

Journal Review : Drugs given by syringe driver: a prospective multicentre survey of palliative care services in the United Kingdom

Edward Poon

24 Jan 07

Journal Review : IAHPC List of Essential Medicines for Palliative Care

Dr Noreen Chan

7 Feb 07

Journal Review : Use of Ketamine in Palliative Care

Dr Kok Jaan Yang

DOVER PARK HOSPICE Annual Report 2006 - 2007

DPH Weekly Journal Club


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

18

DOVER PARK HOSPICE Annual Report 2006 - 2007

DPH Weekly Journal Club (cont’d) Date

Title

Presented by

14 Feb 07

Video viewing : How children cope when their parents have terminal illness

Jenny Wong

14 Mar 07

Journal Review : Palliative Sedation: Nurses Perception

Sylvia Lee

21 Mar 07

Techniques of Management of Lymphoedema

Aprata, Physiotherapist Rehab Asia P/L

Visitors and Attachment Programme Date

Visitor

Remarks

31 Mar, 7,11Apr 06

Civil Service College 25th Foundation Course

Attachment

27 Apr 06

Vietnam, Hanoi, Ms Ng ToHang

Visit

3-7 Apr 06

ITE Nursing (Oncology)

Attachment

17-21 Apr 06

ITE Nursing (Oncology)

Attachment

8-11 May 06

ITE Nursing (Oncology)

Attachment

8 May – 14 Jul 06

NUS, Social Work Field Practice

Attachment

18 May 06

NUS, Social Work Field Practice (NCC)

Visit

5-6 Jun 06

NYP, Advanced Diploma Nurses (Community Health)

Visit

7-9 Jun 06

Philippines, Dr Garry M Guce

Attachment

14 Jun 06

Philippines, Dr Jesus Eugenio

Visit

14 Jun – 26 Jul 06

Medical student, Grace Cheng

Attachment

7,14,21 Jul 06

NYP, Advanced Diploma Nurses (Neurology)

Visit

13, 20, 27 Jul 06

NYP, Advanced Diploma Nurses (Oncology)

Visit

19 Jul 06

Papua New Guinea, Modilon Gen Hosp, Dr Gertrude Didei

Visit


MEDICAL PROFESSIONAL AUDIT COMMITTEE (MPAC)

19

Date

Visitor

Remarks

21 Jul 06

NYP, Advanced Diploma Nurses (Medical- Surgical)

Visit

4,11,18, 25 Jul 06

NUS, Dental Student

Attachment

24 Jul – 18 Aug 06

Medical student, Beverly Siew

Attachment

25 Jul 06

NUS Medical Student Posting

Attachment

1 Aug 06

NUS Medical Student Posting

Attachment

1,8,15 Aug 06

NUS, Dental Student

Attachment

3 Aug 06

NYP, Advanced Diploma Nurses (Oncology)

Visit

4 Aug 06

NYP, Advanced Diploma Nurses (Medical- Surgical)

Visit

8 Sep 06

NYP, Advanced Diploma Nurses (Medical- Surgical)

Visit

11-15 Sep 06

NYP, Advanced Diploma Nurses (Palliative Care)

Attachment

25–29 Sep 06

NYP, Advanced Diploma Nurses (Oncology)

Attachment

2-6 Oct 06

NYP, Advanced Diploma Nurses (Oncology)

Attachment

9-13 Oct 06

NYP, Advanced Diploma Nurses (Oncology)

Attachment

9-13 Oct 06

NYP, Advanced Diploma Nurses (NeuroScience)

Attachment

16-20 Oct 06

NYP, Advanced Diploma Nurses (Oncology)

Attachment

16-20 Oct 06

NYP, Advanced Diploma Nurses (NeuroScience)

Attachment

8 Nov 06

Japan, Kanazawa University Hospital and Saiseikai Kanazawa Hospital

Visit

6-8 Nov 06

Nursing Student, Andy Chua

Attachment

6-10 Nov 06

NYP, Advanced Diploma Nurses (NeuroScience)

Attachment

6-10 Nov 06

NYP, Advanced Diploma Nurses (Medical- Surgical)

Attachment

13-17 Nov 06

NYP, Advanced Diploma Nurses (NeuroScience)

Attachment

13-17 Nov 06

NYP, Advanced Diploma Nurses (Medical- Surgical)

Attachment

13-17 Nov 06

NYP, Student Job Shadowing

Attachment

University of South Australia, Master in Social Science (Counselling), Student Practicum

Attachment

20-24 Nov 06

RJC, Student Job Shadowing

Attachment

23 Nov 06

Taiwan, Taipei City Hospital

Visit

4-15 Dec

Flinders University, Graduate Certificate in Palliative Care, Student Practicum

Attachment

4-16 Dec

Malaysia, Hospital Raja Perempuan Zainab II : Dr Mohd Arif K Abdullah & Sister Zainon Binti Che Ngah

Attachment

8-12 Jan 07

NYP, Radiotherapy Students

Attachment

26 Jan 07

Malaysia, Hospice Klang

Visit

29 Jan-2 Feb 07

NYP, Radiotherapy Students

Attachment

5-9 Feb 07

NYP, Radiotherapy Students

Attachment

22 Mar 07

Parkway Hospitals (S) Pte Ltd, Oncology Nursing Students

Visit

30 Mar 07

Germany, Mrs Karin Stoiber & team

Visit

DOVER PARK HOSPICE Annual Report 2006 - 2007

Visitors and Attachment Programme (cont’d)


PATIENT STATISTICS FOR 1 APRIL 2006 - 31 MARCH 2007

20

Table 1 Summary Of Referrals, Admissions, Discharges & Death No. Of Patients 670

TOTAL ADMISSIONS

410

New Patients

398

Re-admissions

12

TOTAL DEATHS AND DISCHARGES

405

Deaths

347

Discharges

58

Table 2 Admissions And Referrals FY2002/2003 to FY2006/2007 Years

Admissions

New Referrals

FY2002/03

489

895

FY2003/04

372

773

FY2004/05

416

744

FY2005/06

446

680

FY2006/07

410

670

Chart 1 Admissions And Referrals FY2002/2003 to FY2006/2007

No. of Patients

DOVER PARK HOSPICE Annual Report 2006 - 2007

NEW REFERRALS

1000 900 800 700 600 500 400 300 200 100 0

FY2002/2003

FY2003/2004

FY2004/2005 Financial Year

Admissions New Referrals

FY2005/2006

FY2006/2007


PATIENT STATISTICS FOR 1 APRIL 2006 - 31 MARCH 2007

21

Source

Table 4 Result of Referrals No. of Patients

%

SGH/NCC

291

43.4

Result Of Referrals ACCEPTED

89.9

%

TTSH

175

26.2

REJECTED

3.4

NUH

87

13.0

DIED BEFORE ASSESSMENT

1.6

HCA

41

6.1

CANCELLED BEFORE ASSESSMENT

5.1

AH

23

3.4

CGH

27

4.0

KKWCH

6

0.9

OTHERS

20

3.0

TOTAL

670

100.0

Chart 3 Result of Referrals Accepted 89.9%

Chart 2 Source of Referrals

Cancelled Before Assessment 5.1% Died Before Assessment 1.6%

OTHERS KKWCH CGH AH HCA NUH TTSH

3.0

Rejected 3.4%

0.9 4.0 3.4

Table 5 Outcome of Patients Accepted

6.1 13.0

Outcome

26.2

SHG/NCG

43.4 Percentage of Referrals (%)

%

ADMITTED

68.3

CANCELLED BY PATIENTS/ FAMILY/ WARD

14.8

DIED BEFORE ADMISSION/ TOO ILL

16.9

Chart 4 Outcome of Patients Accepted

Admitted 68.3%

Died Before Admission/ Too Ill 16.9% Cancelled by Patients/ Family/ Ward 14.8%

DOVER PARK HOSPICE Annual Report 2006 - 2007

Table 3 Source of Referrals


PATIENT STATISTICS FOR 1 APRIL 2006 - 31 MARCH 2007

22

Table 6 Gender of Patients Admitted Gender

Table 10 Length of Stay of Patients Admitted FY2006/2007 %

Length of Stay

No. of Patients

%

254

62

Less than 1 Day

5

1.2

Female

156

38

1 - 7 Days

119

29.0

TOTAL

410

100.0

8 - 14 Days

86

21.0

15 - 21 Days

44

10.9

22 - 30 Days

47

11.5

31 - 60 Days

60

14.6

Table 7 Age Groups of Patients Admitted FY2006/2007 Age Group (Years)

No. of Patients

%

61 - 90 Days

25

6.1

< 20

1

0.2

More than 90 Days

24

5.9

20 - 45

23

5.6

TOTAL

410

100.0

46 - 55

54

13.4

56 - 65

109

26.5

66 - 75

112

27.3

> 75

111

27

TOTAL

410

100.0

Chart 5 Length of Stay of Patients Admitted 40.0 35.0

Table 8 Ethnic Groups of Patients Admitted Ethnic Group

No. of Patients

%

Chinese

353

86.1

Malay

33

8.1

Indian

12

2.9

Others

12

2.9

TOTAL

410

100.0

Table 9 Religion of Patients Admitted Religion

No. of Patients

%

Buddhist

180

44.8

Christian

72

17.5

Taoist

63

15.3

Muslim

41

10.0

Free Thinker

27

6.6

Hindu

9

2.2

Unknown

18

3.6

TOTAL

410

100.0

Percentage. of Patients

DOVER PARK HOSPICE Annual Report 2006 - 2007

No. of Patients

Male

29.0

30.0 25.0

21.0

20.0 14.6

15.0

10.7

10.0 5.0 0

11.5 6.1

5.9

61 - 90 Days

More than 90 Days

1.2 Less than 1 Day

1-7 Days

8 -14 Days

15 - 21 Days

22 - 30 Days

Length of Stay (in Days)

31 - 60 Days


PATIENT STATISTICS FOR 1 APRIL 2006 - 31 MARCH 2007

23

FY2006/2007

FY2005/2006

FY2004/2005

FY2003/2004

FY2002/2003

Main Diagnosis Groups

No. of Patients (%)

No. of Patients (%)

No. of Patients (%)

No. of Patients (%)

No. of Patients (%)

Cancer

380 (92.7%)

399 (92.8%)

389 (93.5%)

355 (95.4%)

460 (94.1%)

30 (7.3%)

31 (7.2%)

27 (6.5%)

17 (4.6%)

29 (5.9%)

410

430

416

372

489

Not Cancer TOTAL

Table 12 Types of Cancer Types of Cancer

No. of Patients

%

Lung

119

31.3

Colorectum

56

14.7

Hepatobiliary

23

6.1

Stomach

23

6.1

Head & Neck (except NPC)

9

2.4

Breast

35

9.2

Pancreas

18

4.7

Urogenital

22

5.8

Gynaecological

13

3.4

Nasopharyngeal

11

2.9

Blood & Lymphatics

20

5.3

Skin, Soft Tissue/ Musculoskeletal

6

1.6

Other Gastrointestinal

7

1.8

Central Nervous System (CNS)

5

1.3

Unknown Primary

13

3.4

TOTAL

380

100.0

Types of Non-Cancer

No. of Patients

%

Chronic Renal Failure

14

46.7

Heart Failure

4

13.3

AIDS

2

6.7

Motor Neurone Disease

0

0

Others

10

33.3

TOTAL

30

100.0

Table 13 Types of Non-Cancer

DOVER PARK HOSPICE Annual Report 2006 - 2007

Table 11 Main Diagnosis Groups


HONORARY VISITING CONSULTANTS

24

DOVER PARK HOSPICE Annual Report 2006 - 2007

Anesthesiology Cardiology

Dr Yeo Sow Nam

Gynaecology

MBBS M Med FANZCA FFPMANZCA FAMS

Dr Ho Tew Hong MBBS(S’pore) M Med(O&G-S’pore)

FRCOG (UK) MRCOG (UK) FAMS

Dr Susan Quek

Dr Ilancheran Arunachalam

MBBS M Med (Int Med) FAMS

MBBS M Med(O&G) FAMS MRCOG (UK)

Colorectal Surgery Dr Teoh Tiong Ann

Neurology

Dr Ho King Hee

MBBS M Med FRCS (Ed) FAMS

MBBS (S’pore) MRCP(UK) FAMS

Dr Denis Nyam

MBBS M Med (S’pore) FRCS( Ed)

Neurosurgery Dr Yeo Tseng Tsai

FRCS (Glasgow) FAMS

MBBS FRACS(Neurosurgery)

Dental Dr Tay Kwang Hua

Oncology Dr Ang Peng Tiam

BDS (S’pore)

MBBS MMed(Int Med) MRCP(UK)

Dr Lewis Lee Kim Chuan

FRCP(Edin) FAMS(Med Onco) FACP(USA)

BDS(S’pore) MDS(Oral Surgery)

FDSRCS(Edin) FAMS)

Dermatology Dr Lawrence Leong Yoong Onn

FAM MB(Dublin) FRCP(Ed) MRCP (Ed)

ENT Dr Mark Khoo

Opthalmology Dr Lim Kuang Hui

MBBS MD DO (UK) FRCS (Ire) FAMS

Orthopaedic A/Prof Tay Boon Keng Surgery MBBS FRCS (Ed) FRCS(Ed) FAMS FACS Dr Yeo Khee Quan

MBBS MMed(Surg) FRCS(Edin) MCh(Orth)

MBBS(S’pore) FRCS(Ed)

FAMS LLB(Hons)

Dr Ravi Seshadri

MBBS (S’pore) FRCS (Ed) FRCS(Glasg)

Otolaryngology

A/Prof Christopher Goh

FAMS (ORL)

MBBS(S’pore) FRCS (Edin) FRCS (Glasg)

Prof Yeoh Kian Hian

FAMS (ORL)

MBBS (HK) FRCS (Ed) FAMS

General Surgery Prof Low Cheng Hock

Plastic Surgery Prof Lee Seng Teik

MBBS (Adelaide) FAMS (S’pore) FRCS (Ed)

MBBS M Med FRACS FAMS

A/Prof Abu Rauff

MBBS (Calcutta) FRCS (Gen Surg)

Radiology Dr Kho Kwang Mui

FRCS (Ed) FAMS

Dr Ngoi Sing Shang

MBBS M.Med(Surg) (S’pore)

FRCS(Ed) FRCS(Glas) FAMS

Rehabilitation Dr Kong Keng He Medicine MBBS MRCP(UK) MMED(Int Med) FAMS Respiratory Dr Alan Ng Wei Keong Medicine MBBS M Med (S’pore) MRCP(UK) Urology Dr David Consigliere

Geriatric Medicine A/Prof Pang Weng Sun

MBBS M Med(Int Med) MRCP(UK) FAMS

MBBS FAMS DMRD (UK)

MBBS FRCS(Glasgow) FAMS(Urology)


VOLUNTEER COMMITTEE REPORT 1 APRIL 2006 - 31 MARCH 2007

25

VOLUNTEER ROLES IN DPH

As of 30 March 2007, there were 350 volunteers registered with DPH to assist in a variety of volunteering tasks.

Volunteer Committee Chairman Ms Marlene Foo

Group Leaders ABC Group Mr Douglas Yeo Patient & Family Ms Jenny Wong

S/N Activities & Programmes

No of vol

01

Befriending, direct caregiving & feeding

97

02

Assisting in Activities of Daily Living

34

03

Administrative duties eg. newsletter, library, medical records

9

04

Public Education & Community Involvement Programmes

5

05

Musicians (piano)

3

06

Patients’ Grooming & Haircut

5

07

Volunteer Drivers

3

08

Massage Therapy

17

09

Patients’ Outing

24

10

Monthly Birthday Parties

19

11

Gardening, potted plant therapy

4

12

Arts & Crafts (fundraising through sale of items)

11

13

Professional Services eg. dentists, lawyers, dieticians etc

15

14

Festive Celebrations eg. Lunar New Year,

52

15

Committee & Council Members

16

16

Pet Assisted Therapy

6

17

Roti Kaya Session

30

Support Group Chinese Group Mr Koh Wee Chee English Group Mr Joshua Loh Malay Group Mr Muhd Agus Outing Group Mrs Ong Kim Ling Pearlie’s Angels Mrs Pearl Lim

Volunteer Coordinator Mr Joshua Loh

DOVER PARK HOSPICE Annual Report 2006 - 2007

Volunteers are an important ‘social capital’ and resource, greatly valued by the management of DPH. They act as friends to the patients and are a source of companionship and emotional support to patients and their loved ones. The volunteers also play a part in promoting awareness of hospice at their own workplaces, social circles and families. In essence, they are partners and co-workers in achieving our mission of providing best care to patients.


VOLUNTEER COMMITTEE REPORT 1 APRIL 2006 - 31 MARCH 2007

26

DOVER PARK HOSPICE Annual Report 2006 - 2007

ACTIVITIES/SERVICES FOR PATIENTS & FAMILIES

FESTIVE SPECIAL EVENTS

Volunteers continued to organise and provide a variety of activities/services for patients and their families:

The following festive events were organised during the year:

S/n Activities

Date

Event

13 May 06

Vesak Day Night

Chinese Group

14 May 06

Mother’s Day Rose giving

Chinese Group

9 Aug 06

National Day Party for Patients

Chinese Group

Group I/c

01 Patients’ Outing (Every Thursday)

Outing Group

02

Patients’ Birthday Parties (Every 1st Saturday of the Month)

Malay Group

03

Patient Animal Therapy (Once a month)

PAT Group

04

Rose for Remembrance Day (Twice a year)

05

Legal Clinic (Free legal advice & Wills at special rates)

Volunteer Lawyer

06

Dental Clinic (Free dental care for patients of DPH/HCA)

Volunteer Dentists

07

Entertainment for Patients (Patrick Foo & Lai Kok Fung)

Volunteer Musicians

08

Patients’ Happy Hour (Every Friday 5pm)

All Volunteers

09

SOKA Roti Kaya Kopi Session with patients

SOKA volunteers

10

Monthly lunch time soup for patients

ABC/ Malay Group

Pearlie’s Angels

30 Oct 06 Mooncake Festival Party 18 Nov 06

Hari Raya Puasa

Group I/c

Chinese Group Malay Group

4 Dec 06 Annual Christmas Outing

Outing Group

3 Mar 07 Lunar New Year Celebration

Chinese Group


VOLUNTEER COMMITTEE REPORT 1 APRIL 2006 - 31 MARCH 2007

27

ACTIVITIES/TRAINING FOR VOLUNTEERS

In-house Training Programmes Date

Training Programme

Trainer(S)

Attendance

15 Apr 06

Volunteer Orientation

Evelyn Ho, Joshua Loh

27

15 Jul 06

Volunteer Orientation

Evelyn Ho, Joshua Loh

34

4 Nov 2006

Volunteer Orientation

Evelyn Ho, Joshua Loh

38

9 & 10 Jun 06

Aromatherapy & Facial Massage

Dianna Olivia Lim

13

28 & 29 Jun 06

Basic Nursing Course for volunteers

Edward Poon

24

5 Aug 06

Developing your communication & Listening Skills

Victor Lam

8

9 Sep 06

Testing HIV Positive: A death sentence?

Roger Winder

6

External Training Programmes for Volunteers Date

Training Programme

Attendance

1 & 8 Jul 06

SHC Lay Volunteer Training

5

18 & 28 Nov 06

SHC Lay Volunteer Training

7

External Training Programme Date

Course/conference Title

Attendee(s)

16 May 06

Screening & Interviewing Volunteers

Joshua Loh

7 Jul 06

Risk proof your Volunteer Programme

Joshua Loh

17 Aug 06

Supervising Volunteers

Joshua Loh

11 Sep 06

Minute Writing Course

Joshua Loh

6-8 Sep 06

Developing Volunteer Programme Managers as Strategic Leaders in Non-profit Organisations

Joshua Loh

DOVER PARK HOSPICE Annual Report 2006 - 2007

Training is an essential tool for retaining and motivating volunteers. It is also to affirm them of their value to DPH. A series of training programmes were organised for the volunteers to help them learn skills that are relevant to their volunteer work such as assisting patients with activities of daily living, communication skills and basic counselling.


VOLUNTEER COMMITTEE REPORT 1 APRIL 2006 - 31 MARCH 2007

28

APPRECIATING OUR VOLUNTEERS At DPH, we value our volunteers and show our appreciation for their invaluable contributions through events and programmes organised for them. Volunteers’ Appreciation Night DOVER PARK HOSPICE Annual Report 2006 - 2007

On 6 January 2007, Volunteers’ Appreciation Night was organised for the volunteers who have dedicated much time and gave unconditional love to our patients. The theme of the party “A Royal Good Time” was set to the colour purple to signify royalty. Everyone came dressed in different shades of purple. With the kind sponsorship of Ms Helen Choy, two portrait artists were hired to provide sketches to the first twenty participants to the party. Ms Choy also added an element of nostalgia to the evening with her ‘kacang puteh’ stall. As a tribute to our volunteers’ tireless efforts, we compiled a list of homemade recipes from volunteers who love to cook, including two from our Medical Director and one from a staff nurse, and printed them into a 24 page cookbook. The booklets were officially launched by Chairman Mr Tan Tee Jim on that night. Every volunteer and staff received a free copy of the booklet. The remaining cookbooks were on sale to the public at $10 per booklet. Volunteer Annual Retreat – Malacca The Malay volunteers organised a two day retreat to Malacca from 8 to 9 July 2006. 34 volunteers participated. “Cooking with Love”. On 24 March 06, Malay volunteers opened up their cooking class to other varieties of ethnic food. A class on Indian Chapati and Cottage Cheese Curry was conducted by Ms Jayasree Unnithan. Line Dancing for Staff Line dancing classes for staff and nurses was started in September 2006 by Mr Patrick Ng and Mrs Ruby Ng who volunteered as instructors. The objective of the programme was to provide an avenue for our caregivers to relax and de-stress. After several lessons, the participants


VOLUNTEER COMMITTEE REPORT 1 APRIL 2006 - 31 MARCH 2007

29

gave an impressive line-dancing performance for the volunteers at the Annual Volunteer Appreciation Night on 6 January 2007.

OTHER ACTIVITIES/HIGHLIGHTS DOVER PARK HOSPICE Annual Report 2006 - 2007

Roti-Kaya-Kopi Session DPH’s own Ah Kun style Roti-kaya-kopi session has continued into the third year under the auspices of Soka volunteers on the 1st and 3rd Sunday of the month. It has continued to bring relief and smiles whenever the aroma of that special coffee brew is carried into the wards. What originally started as a short term project has now expanded beyond expectations. We would like to express our heartfelt gratitude to all Soka volunteers who have sustained their services to our patients and staff. Hari Raya Puasa cum Birthday Celebration On the 18 November, Malay volunteers led by Mr Agus, organised a special birthday party for the patients by combining it with Hari Raya Puasa celebration. Participants were entertained with music, song and dance by Mata Hati Productions and a Silat troupe performance. Remembrance Service and Hospice Awareness Week On 7th October, DPH volunteers organised the Rose for Remembrance at the Biopolis to bring the memorial service to the wider community. Participants were HCA Hospice Care, St Joseph’s Home & Hospice and Metta Home and their guests. 35 volunteers provided assistance at the service. The Arts and Craft volunteers raised $484 for the hospice at the morning fair. Once again, thanks to Far East Flora for the kind sponsorship of the roses. In addition, Evelyn was featured in TODAY paper’s coverage of hospice awareness. Sunshine Gardening Group The ‘Pot your Favourite Plant’ programme has served well for the patients since it started in 2005. Volunteers continued to provide this diversional therapy for the patients and pot the plants on the patients’ behalf.

The pots are kept at the patients’ bedside. We thank Mr Peter Soh, Mrs Pearl Lim and Hwa Chong students for donating pots and plants to the hospice. Volunteers’ Fundraising/Sponsorship Initiatives Last year the Arts & Craft group raised a total of $2700 from the sale of their handicraft to visiting CIP students, corporate staff and during volunteer orientation programmes.


PUBLIC EDUCATION COMMITTEE 1 APRIL 2006 - 31 MARCH 2007

30

PUBLIC EDUCATION HOSPICE AWARENESS Our volunteers and staff took part in the following Service Learning and Community-Involvement-Programmes.

DOVER PARK HOSPICE Annual Report 2006 - 2007

Date

Organisation/ Institutions

Speaker

7th Jun 06

Raffles Institution Interact Club

Evelyn Ho

17th Jun 06

Ministry of Community Youth & Sports

Evelyn Ho

4th Jul 06

CHIJ St Nicholas Girlsâ&#x20AC;&#x2122; School

Joshua Loh

13th & 14th Jul 06

Singapore Management Univeristy Matriculation

Joshua Loh

22nd Jul 06 St Andrews Junior College

Joshua Loh & Evelyn Ho

28th Jul 06

MUIS, the Islamic Religious Council of Singapore

Joshua Loh & Agus

Ms Mavis Chionh

30th Sep 06

Telok Ayer Methodist Church

Lee Lay Heng

Members

14th Oct 06

Lasallian Youth Group

Lee Lay Heng

11th Nov 06

Merrill Lynch

Tan Kee Wee

18th Nov 06

ITE College East

Lee Lay Heng

25th Nov 06

Colin Ng & Partners

Tan Kee Wee

30th Dec 06

Church of Our Saviour

Lee Lay Heng

22nd Jan 07

Zhenghua Secondary School

Tan Kee Wee

10th Feb 07

Singapore Management University Sociology Students

Lee Lay Heng

3rd Mar 07

Raffles Institution Interact Club

17th Mar 07

Singapore Management University Sociology Students

Lee Lay Heng

24th Mar 07

National Junior College

Lee Lay Heng

Chairman

Ms Evelyn Ho Dr Tan Kee Wee Ms Lee Lay Heng Ms Lim Hwee Hwa Mr Joshua Loh

Evelyn Ho


PUBLIC EDUCATION COMMITTEE 1 APRIL 2006 - 31 MARCH 2007

31

We extend our appreciation to the following: CHIJ St Nicholas Girls’ School String Ensemble Performance.

DOVER PARK HOSPICE Annual Report 2006 - 2007

Ms Helen Choo, principal of CHIJ St Nicholas Girls’ School and her School’s award winning string ensemble which played in Dover Park Hospice on 4th and 21st July 2006. RI students and MCYS boys The RI Interact Club for the photo-frames and ribbons they made for the patients. The 5 boys assigned from Ministry of Community Youth and Sports (MCYS) to help out with our Sunshine Gardening group in-patient plant therapy as part of community service while they were on probation. Together with students from the RI Interact Club, they took turns in watering, potting and giving them to the patients.. We would also like to thank Mr Janus of Raffles Institution for donating a sofa set to DPH. Singapore Chinese Orchestra Care Series The Singapore Chinese Orchestra which performed for Dover Park Hospice patients as part of their Care Series. After the performance, the band members were invited to DPH’s Evening @ Dover Park awareness-cumappreciation dinner which was scheduled to coincide with SCO’s performance. The audiences were treated to a repertoire of Chinese oldies. Lasallian Youth Commission The Lasallian Youth Commission a group of youths from the two Lasallian schools in Singapore namely, St Joseph’s Institute and St Patrick’s School who recited poetry, sang songs, played the piano and assisted in serving meals to the patients.

MUIS the Islamic Religious Council of Singapore Members from MUIS, the Islamic Religious Council of Singapore, who visited DPH to learn more about hospice care and Dr Albakri Ahmad, the director of MUIS, who came again on the 5th Aug to take part in the monthly birthday party at the invitation of the Malay Group Volunteers. Merril Lynch 40 staff from Merril Lynch who gave out 35 goody bags, and entertained our patients with guitar music and songs as part of the American Chamber Community Day.


HONORARY TREASURER’S REPORT

32

DOVER PARK HOSPICE Annual Report 2006 - 2007

In accordance with the requirements of Recommended Accounting Practice (RAP) 6 on “Accounting & Reporting by Charities”, the Hospice has presented, with effect from the financial year ended 31 March 2007, the amalgamated financial statements of the Hospice’s unrestricted Accumulated Fund and its restricted funds, including its Endowment Fund. The financial statements of the Endowment Fund were presented separately in the Annual Report in previous years.

Income - (Accumulated and Restricted Funds) Chart

Patient Fees 6% Grants 18% Others 4%

For the financial year ended 31 March 2007, the Hospice had a surplus of $2.35 million compared to a surplus of $1.30 million in the previous year. $2.09 million of this year’s surplus was generated by the Endowment Fund, whereas the Accumulated Fund generated the balance of $0.26 million. The $1.05 million increase in this year’s surplus arose mainly from the higher net income from fund-raising activities (an increase of $0.66 million) as well as a higher net gain on the remeasurement of investments held for trading (an increase of $1.12 million). These increases were partially offset by lower gains on the disposal of investments (a decrease of $0.59 million).

Donations (including Income from Fund Raising) 34% Investment Income (Accumulated Fund) 2% Investment Income (Restricted Fund) 36%

Expenditure Fundraising Cost Staff Cost (Charitable Activities)

$ 276,864 $ 1,867,345

Staff Cost (Governance Activities)

$ 376,680

Rental

$189,000

Patient Care

$ 281,785

Income - (Accumulated and Restricted Funds)

Investment Management Expenses

Donation (including Income from Fund Raising

Depreciation

$ 260,997

Others

$ 395,352

$ 3,724,921

Investment Income (Accumulated Fund) Investment Income (Restricted Fund)

$ 2,084,266 $ 143,807

$ 76,898

$ 2,169,661

Patient Fees

$ 362,048

Grants

$ 1,101,103

Others

$ 218,109

Staff Cost (Charitable Activities) 50% Staff Cost (Governance Activities) 10% Rental 5% Patient Carr 8$

$ 6,078,994

Investment Management Expenses 2% Depreciation 7% Others 11% Fundraising Cost 7%


INVESTMENT COMMITTEE

33

The Investment Committee meets quarterly to review the status and investment strategy of the fund in the light of developments in financial markets. These meetings are also attended by representatives from the external fund manager. They report on the performance and prospective investment stance for the funds under its management. The Investment Committee has decided on an investment policy for the Endowment Fund that reflects certain principles. Firstly, as it is a long term Fund, it should have a long term exposure to equities. The evidence is that over time, equities outperform bonds and cash. However, equities in the short term can fluctuate greatly in value. As long term capital preservation of the Fund is paramount, the Investment Committee has set limits on the equity exposure of the Fund. It has instructed the external fund manager to operate within a band of 30-45% for equities. The second principle adopted for funds under management is portfolio diversification. Thus the Fund is also invested in bonds, within an operating range of 50-70%. Bonds can provide protection when equity markets fall and income as well. Some cash is also held. Over the financial year under review, the Endowment Fund rose by about 14%from $14.49 m as at end March 2006 to $16.58 m as at end march 2007. The increase reflected the rise in global equity markets, including the Singapore equity market, over the year. Singapore equities did well, responding to the robust Singapore economy, good corporate earnings and inflows of foreign funds. Over the year, the Fund continued to lock in profits from the rise in equities. Thus, its allocation to equities rose slightly from 38% equities as at end March 2006 to 39% as at end March 2007.â&#x20AC;?

Chairman Mr Freddy Orchard

Members Ms Jacqueline Khoo Dr Seet Ai Mee Mrs Tan Geok Lin Mr Michael Wong Pakshong

DOVER PARK HOSPICE Annual Report 2006 - 2007

â&#x20AC;&#x153;The Dover Park Hospice Endowment Fund is managed in two portions. The larger portion, comprising about 70% of total funds, is managed by an external fund manager. The other portion is managed internally by the Investment Committee.


OUR DONORS

34

Dover Park Hospice wishes to express its gratitude to all the corporations, organisations and individuals for the generosity and support for the past year.  Thank you for helping us bring comfort and care to people who need it most. Without your generosity, none of the work done by Dover Park Hospice would have been possible. It is a privilege to have your support. 

DOVER PARK HOSPICE Annual Report 2006 - 2007

We would like to acknowledge every donor but due to space constraint, we have listed only those who donated $1,000 and above. Donors List A & M Engineering Pte Ltd ABN AMRO Asia Securities (S) Pte Ltd Ad-Meth Mech-Field Pte Ltd Alistair Thompson Ang Jwee Herng Ang Seong Kong, Samuel APS Asset Management Pte Ltd Architects 61 Pte Ltd Asiagroup Leasing Pte Ltd Azam Tankers Pte Ltd Balanced Engrg & Construction Pte Ltd Beaufort Sentosa Development Pte Ltd Beca Carter Hollings & Ferner (SEA) Pte Ltd Ben Chng Kee Cheong Bengawan Solo Pte Ltd BGC International Boey Cheok Wah Boon Suan Lee Brother International Singapore Pte Ltd Bulgari South Asian Operations Pte Ltd CAF America Cecilia, Tan Hong Lye Chan Guek Cheng, Noreen Chan Hua Bee Chan Keng Meng Chan Weng Luen Chand, Vikram Kumar Chartered Asset Management Pte Ltd Cheah Yin Pau, Vincent Chee Teng Hsiu Chen Su Lan Trust Chen Wei Ching Chen Wei Pang, Clifford Cheong Choon Sin Chew Kah Chuan Chew Soo Noi Chew Teck Soon Chey Chor Wai Chiang Hock Seng, Patrick Chin, Michael Chionh Sze Chyi, Mavis Chitty, Anthony Chong Meng Chong Yew Ming, Andre Choo Chieh Chen, Helen Choo Peng Yong Chow Joo Ming Choy Weng Keat Chu Geok Woon Chua Onn Pheng Chua, Bill Chun Lai Wah, Connie Clydesbuilt Development Pte Ltd Corrugated Box Mfrs Association

Courts (Singapore) Limited Coventry, Richard C Cycle & Carriage Industries Pte Ltd Cycle & Carriage-Fulco Motor Dealer Pte Ltd Datacraft Asia Ltd DHL Express (S) Pte Ltd DP Architects Pte Ltd Echo of Nature Pte Ltd Eng Lee Koon, Eva Escrow Management Consultants Pte Ltd Executor of Estate of Aw Hoon Poh Exion Asia Pte Ltd First State Investments (S) Focus Investments Pte Ltd Focus Network Agencies (S) Pte Ltd Gammon Construction Limited Gammon Pte Ltd GFI Group Pte Ltd Gillian, Andrew Goh Hak Su Colon & Rectal Centre Goh Khoon Lim Goh Kian Lay Goh Yew Lin Grand Team Technologies Pte Ltd Great Eastern Life Assurance Co Ltd Hall, Gary Han Seng Juan Hartley, Andrew Heng Hang Song, Francis Heng Ting Meng Hexacon Construction Pte Ltd Heyring, Giles Hiap Heng Heavyequipment Co Pte Ltd Hiap Seng Engineering Ltd Ho Ai Lian Ho Kwai Fong Ho Sin Hui, Philip Hoe, Susan Hor Weng Hong How Eng Siew Hsieh Fu Hua HSL Constructor Pte Ltd Huntleigh Healthcare Pte Ltd Hup Soon Construction Co (Pte) Ltd ICAP AP(S) Pte Ltd Iwatake, Katsuji JGC Singapore Pte Ltd Jumabhoy, Iqbal Keller Foundations (S.E.Asia) Pte Ltd Keppel Corporation Ltd Keppel Fels Limited Keppel Land International Ltd Key Point (S) Pte Ltd Kho Kwang Mui

Khoo Kim Geok, Jacqueline Khoo Teck Puat Foundation Khoo, Christina Kiang Kian San Kong Chee Hoong Kong Eng Huat Koo Kin Leong KPMG Kuan Im Tng Temple (Joo Chiat) Kuok (Singapore) Limited Kwan Im Thong Hood Cho Temple Kwek, Patrick Lam Ah Leng Lam Sut Leng, Veronica Lau Chun Wah, Davy Lau Tuan Lin Lee & Lee Lee Ewe Choon Lee Foundation Lee K H, Lionel Lee Kim Tah Foundation Lee Raymond Crymble Lee Siew Mei, Margaret Lee Siew Yang, Joy Lee Soh Guat Lee, Mona Leong Khay Huay Kuan Leong Lai Siong Leong Say Haur Leong Yin Lin Leow Seng Lam Lim Boon Heng Lim Eng Hock Lim Ho Seng Lim K T, Jerry Lim Soo Haia Lim Yee Heng Lin Chung Ying Lion Asiapac Ltd Lion Capital Management Ltd Loh Kim Kang, David Loke, Dorothy Loo Lay Yan, Judy Low, Amy Low Lee Sing Ma Kah Who, Paul Macquarie Securities (S) Pte Ltd Mandarin Group Volunteers Mangala Vihara (Buddhist Temple) Map Pacific Pte Ltd Marina Mandarin Singapore Marzo, James Mariano Maunsell Consultants (S) Pte Ltd MCL Land Ltd


OUR DONORS

35

Meinhardt (Singapore) Pte Ltd Merrill Lynch International Bank Ltd Minister Mentor Lee Kuan Yew Mohamed Rafin Bin Kadim Mok Lei Piar MSI Global Pte Ltd Muk, Veronica Mun Hean Singapore Pte Ltd Mun Siong Engineering Pte Ltd Myriad Forte Construction Pte Ltd Nanyang Sacred Union Natsteel Asia (S) Pte Ltd NCT Technology Pte Ltd Neo, Ronnie Ng Bee Bee Ng Cheng Huat Ng Hark Seng Ng Lee Noi Ng Peng Hong Ng Poh Tiong Ngee Ann Development Pte Ltd Ngoi Surgery Pte Ltd Nippon Express (S) Pte Ltd Oh Min Shing, Cynthia Okaya Singapore Pte Ltd Ong Beng Guek Ong Kim Ling Ong Peng See, Pansy Ong Suat Lee Orchard, Freddy Out Of The Box Pte Ltd Outward Bound Singapore Pang Mui Hua PCS Security Pte Ltd Perak Lodge Hospitality Pte Ltd Petra Food Ltd Plant Engineering Construction Pte Ltd Poh Huat Heng Corporation Pte Ltd Pois Boutique Prebon Yamane (S) Ltd Premier Security Co-operative Ltd Prospect Investment Pte Ltd Prudential Assurance Co S’pore (Pte)Ltd Putten, Van Quek Bee Heong Quek, Robert R E & S Enterprises Pte Ltd Rajah, C R Rajamanickam K Vemala Renault Enterprise Roche Singapore Pte Ltd Rotary IMC Pte Ltd Rubina Watch Co Pte Ltd Saw Swee Hock Seng Choon Hock Seok Keng Hoe, Sylvia Shankar’s Emporium Pte Ltd Shao Fook Engrg & Construction Works Shaw Foundation Pte Siemens Ptd Ltd Sim & Wong LLC Sim & Yeo Co Pte Ltd Sim Lian Construction Co (Pte) Ltd Sim Puay Kia, Patrick Singapore Buddhist Youth Mission Singapore Exchange Ltd

Singapore Petroleum Company Limited Singapore Press Holdings Foundation Ltd Singapore Totalisator Board SingHealth Polyclinic Sinha, Neel Sir Stamford Raffles Lodge No 7444 E.C. Soh Cheng Kwang Soh Chung Hian Soh, Lotus Soo, Linda Sorensen, Lars Stuart Anderson’s Black Angus Asia Pte Ltd T.M. Transport Contractors Pte Ltd Tampines Chinese Temple Tan Chin Chai Tan Chin Tuan Foundation Tan Ching Khoon Tan Hwai Lak Tan Kay Hui Tan Keng Jin Tan Khiaw Ngoh Tan Kim Lwi, Agnes Tan Min-Li Tan Mon Ching, Florence Tan Peck Sim Tan Pei-San Tan Phaik Har, Aileen Tan Puay Yong Tan Seow Choo Tan Teck Lee, Jacob Tan Tee Jim Tan Wai See Tan Wee Seng, Gerard Tan Whei Tat, Valerie Tan Yan Chuan Tan Ying Hsien Tan Yoke Sei Tan, Angela G Tan, Dixie Tan, Mary Tan, Steven Tanny Chan Tay Boon Keng Tay Eng Seng, Patrick Tay Thian Chye Tay, Sylvia Tech-Park Technology & Services Teo Chee Hean Teo Miang Yeow Tet Alliance Asia Pte Ltd The Babbitt Trading Pte Ltd The Blue Sky Foundation The Estate of Late Mr Fung Lok Nam The Heart Clinic Pte Ltd The Macquarie Bank Foundation Thean Lip Ping Thomas, Jenne Edward Thong Sheng Engineering Co Pte Ltd Thorburn, Neil Tie N S, Edmund TLC Medical Practice Pte Ltd Toh Han Li Toh Soo Ling, Serene Tok Eng Seng Tomlin, Robert M Transview Golf Pte Ltd

Transview Holdings Ltd Tropics Ventures Pte Ltd Trustees of Isaac Manasseh Meyer United Premas Ltd Universitas 21 Global Pte Ltd UOB Life Assurance Ltd Vac-Tech Engineering Pte Ltd Warren Golf & Country Club Weller, Steven Wiluan, Kris Taenar Wing Ship Marine Services Pte Ltd Wing Wah Industrial Services Pte Ltd Witt, Michael A Wong Ah Mui Wong Lian Choo Wong Partnership Wong Pui Ying Woon Teck Seng Yan Palace Restaurant Holdings Pte Ltd Yap Eu Hian Yap Len Hiang, Vicky Yatiman Yusof Yeo Chee Yeow, Alan Yeo, Violet Yim Wing Kuen, Jimmy Yoong Noeline, Cora Yuen Ming Wah Yuli Inc. - Fine Jewellery Ziegler, Richard

Donation in memory of Chan Mong Chee Chee Wah Chew Chiu Yong Fee Chong See Eng Chua Kim Gek Lye Swee Leong, Darrell Heng Yong Song Kintan Ahmad Koh Hang Joo Kok Kum Loke Kua Seng Hock Kwek Ang Nyea Lau Nooi Kiong Lee Chew Lim Lee Keng Lee Keng Mui Lee Teng Whatt Lim Seng Wong & Lee Boon Chew Low Wah Yoong Ng Choo & Goh Sun Hong Ng Kay Tin Ong Yan Hai Lee Cheng Huat, Richard Rosiana Ang Teck Oon, Samuel Tan Moi Kiap Tay Chye Beng Ong Geok Lan, Violet Wee Sey Pen Yao Song Fang Yeo Hor Fun Yong Keng Tat

DOVER PARK HOSPICE Annual Report 2006 - 2007

Donors List


INDEPENDENT AUDITORS’ REPORT

Members of Dover Park Hospice (Registered under the Societies Act, Chapter 311) 36

We have audited the financial statements of Dover Park Hospice (the Hospice), which comprise the balance sheet as at 31 March 2007, the statement of income and expenditure, statement of changes in funds and cash flow statement for the year then ended, and a summary of significant accounting policies and other explanatory notes, as set out on pages 37 to 56. Governing Council’s responsibility for the financial statements

DOVER PARK HOSPICE Annual Report 2006 - 2007

The Governing Council is responsible for the preparation and fair presentation of these financial statements in accordance with the Singapore Financial Reporting Standards. This responsibility includes: designing, implementing and maintaining internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error; selecting and applying appropriate accounting policies; and making accounting estimates that are reasonable in the circumstances. Auditors’ responsibility Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with Singapore Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgement, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the Governing Council, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. Opinion In our opinion: (a)

the financial statements are properly drawn up in accordance with the Singapore Financial Reporting Standards to present fairly, in all material respects, the state of affairs of the Hospice as at 31 March 2007 and the income and expenditure, changes in funds and cash flows of the Hospice for the year ended on that date;

(b)

the accounting and other records required by the regulations enacted under the Societies Act to be kept by the Hospice have been properly kept in accordance with those regulations; and

(c)

the fund-raising appeals held during the year ended 31 March 2007 have been carried out in accordance with Regulation 6 of the Societies Regulations issued under the Societies Act, Chapter 311 and proper accounts and other records have been kept of the fund-raising appeals.

KPMG Singapore Certified Public Accountants 2 August 2007


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

BALANCE SHEET AS AT 31 MARCH 2007

Note 2007 2006 $ $

22,833,276

21,264,247

Total assets

27,673,169

25,237,024

Funds of the Hospice: Restricted funds Endowment Fund 7 16,581,893 14,489,070 Paediatric Fund 8 - 23,529 Fellowship Fund 9 - Unrestricted fund Accumulated Fund 7,873,595 7,588,816 Total funds

24,455,488

22,101,415

Non-current liabilities Advance membership subscriptions 350 350 Deferred capital grants 10 2,914,202 2,958,470

2,914,552

2,958,820

Current liability Accrued operating expenses and other payables 11 303,129 176,789 Total liabilities

3,217,681

3,135,609

Total funds and liabilities

27,673,169

25,237,024

STATEMENT BY GOVERNING COUNCIL In our opinion, the financial statements set out on pages 37 to 56 are drawn up so as to present fairly, in all material respects, the state of affairs of the Hospice as at 31 March 2007 and of the results, changes in funds and cash flows of the Hospice for the year ended on that date in accordance with the Singapore Financial Reporting Standards. The Governing Council has, on the date of this statement, authorised these financial statements for issue. On behalf of the Governing Council Tan Tee Jim & Chairman, Governing Council 2 August 2007 The accompanying notes form an integral part of these financial statements.

Tan Heem Juay Hon Treasurer, Governing Council

37

DOVER PARK HOSPICE Annual Report 2006 - 2007

Non-current assets Property, plant and equipment 3 4,839,893 3,972,777 Current assets Financial assets 4 14,503,418 14,632,187 Deposits, prepayments and other receivables 5 983,750 316,661 Cash and cash equivalents 6 7,346,108 6,315,399


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

STATEMENT OF INCOME & EXPENDITURE YEAR ENDED 31 MARCH 2007

38

2007 2006 Accumulated Restricted Total Accumulated Restricted Total Note Fund Funds Funds Fund Funds Funds $ $ $ $ $ $

DOVER PARK HOSPICE Annual Report 2006 - 2007

Incoming resources Incoming resources from generated funds Voluntary income 12 917,463 - 917,463 883,507 - Income from fund-raising activities 12 1,166,743 - 1,166,743 320,462 - Investment and interest income 13 143,807 2,169,661 2,313,468 144,820 1,545,967 Consultancy fee 83,960 - 83,960 - - Contribution to Endowment Fund - 60 60 - 100 Others 43,557 - 43,557 14,860 - 2,355,530 2,169,721 4,525,251 1,363,649 1,546,067 Charitable activities Patient fees 362,048 - 362,048 Grants 1,101,103 - 1,101,103 Amortisation of deferred capital grants 14 90,592 - 90,592 1,553,743 - 1,553,743 Total incoming resources

3,909,273 2,169,721 6,078,994

883,507 320,462 1,690,787 100 14,860 2,909,716

301,899 1,222,518

- -

301,899 1,222,518

85,960 1,610,377

- -

85,960 1,610,377

2,974,026 1,546,067

4,520,093

Resources expended Cost of generating funds Fundraising costs 16 (276,864 ) - (276,864 ) (89,129 ) Investment management expenses 17 - (76,898 ) (76,898 ) - (276,864 ) (76,898 ) (353,762 ) (89,129 ) Charitable activities Charitable activities 18 (2,841,449 ) - (2,841,449 ) (2,573,440 ) Governance 19 (529,710 ) - (529,710 ) (497,611 ) (3,371,159 ) - (3,371,159 ) (3,071,051 )

-

(89,129 )

(56,467 ) (56,467 )

(56,467 ) (145,596 )

- - -

(2,573,440 ) (497,611 ) (3,071,051 )

Total resources expended (3,648,023 )

(3,216,647 )

(76,898 ) (3,724,921 )

(3,160,180 )

(56,467 )

Net incoming resources 15 261,250 2,092,823 2,354,073

(186,154 )

1,489,600

1,303,446

STATEMENT BY GOVERNING COUNCIL In our opinion, the financial statements set out on pages 37 to 56 are drawn up so as to present fairly, in all material respects, the state of affairs of the Hospice as at 31 March 2007 and of the results, changes in funds and cash flows of the Hospice for the year ended on that date in accordance with the Singapore Financial Reporting Standards. The Governing Council has, on the date of this statement, authorised these financial statements for issue. On behalf of the Governing Council Tan Tee Jim & Chairman, Governing Council 2 August 2007 The accompanying notes form an integral part of these financial statements.

Tan Heem Juay Hon Treasurer, Governing Council


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

STATEMENT OF CHANGES IN FUNDS YEAR ENDED 31 MARCH 2007 Restricted Funds Accumulated Endowment Fellowship Paediatric Total fund fund fund fund fund $ $ $ $ $

At 1 April 2005 5,416,571 Net incoming/(outgoing) resources for the year (186,154 )

12,999,470

2,358,399

1,489,600

-

-

1,303,446

- -

1,303,446 -

23,529 20,797,969

Total recognised gains/(losses) for the year Transfer to accumulated fund

(186,154 ) 2,358,399

1,489,600 -

- (2,358,399 )

At 31 March 2006

7,588,816

14,489,070

-

23,529 22,101,415

14,489,070

-

23,529 22,101,415

2,092,823

-

-

2,354,073

261,250 23,529

2,092,823 -

- -

- (23,529 )

2,354,073 -

7,873,595

16,581,893

-

At 1 April 2006 7,588,816 Net incoming resources for the year 261,250 Total recognised gains for the year Transfer to accumulated fund At 31 March 2007

The accompanying notes form an integral part of these financial statements.

39

- 24,455,488

DOVER PARK HOSPICE Annual Report 2006 - 2007


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

CASH FLOW STATEMENT YEAR ENDED 31 MARCH 2007

40

Note 2007 2006 $ $

DOVER PARK HOSPICE Annual Report 2006 - 2007

Operating activities Net incoming resources for the year 2,354,073 1,303,446 Adjustments for: Depreciation of property, plant and equipment 260,997 190,347 Amortisation of deferred capital grants (90,592 ) (85,960 ) Contribution to Endowment Fund (60 ) (100 ) Interest income (511,778 ) (416,740 ) Dividend income (272,077 ) (249,192 ) Accretion of bond discount - (4,648 ) Gain on disposal of investments (283,387 ) (870,587 ) Gain on remeasurement of investments (1,241,226 ) (122,458 ) Loss on disposal of property, plant and equipment - (14,946 ) 215,950 (270,838 ) Changes in working capital Deposits, prepayments and other receivables (682,112 ) (165,984 ) Accrued operating expenses and other payables 126,340 38,193 Cash flows from operating activities

(339,822 )

(398,629 )

Investing activities Purchase of property, plant and equipment (1,128,113 ) (189,549 ) Interest received 526,801 407,706 Proceeds from disposal/(purchase) of financial assets 1,925,459 (638,628 ) Cash flows from investing activities

1,324,147

(420,471 )

Financing activities Deferred capital grants received during the year 46,324 Contribution to Endowment Fund 60 100 Cash flows from financing activities

46,384

Net increase/(decrease) in cash and cash equivalents Cash and cash equivalents at beginning of the year

1,030,709 6,315,399

100 (819,000 ) 7,134,399

Cash and cash equivalents at end of the year 6 7,346,108 6,315,399

The accompanying notes form an integral part of these financial statements.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

41

These notes form an integral part of the financial statements.

1

DOMICILE AND ACTIVITY

Dover Park Hospice (the Hospice) is a society registered with the Registrar of Societies under the Societies Act, Chapter 311, and has its registered office at 10 Jalan Tan Tock Seng, Singapore 308436.

The principal activities of the Hospice are those relating to the provision of inpatient care to the terminally ill.

The Hospice is approved as an institution of a public character (“IPC”) under the provisions of the Income Tax Act. The Hospice’s tax exempt status has been extended for another year from 9 October 2006 to 8 October 2007.

The Hospice is registered as a charity under the Charities Act, Chapter 37 since 20 April 1994.

2

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

2.1

Basis of preparation

The financial statements have been prepared in accordance with Singapore Financial Reporting Standards (FRS).

The financial statements have been prepared on the historical cost basis except for certain financial assets and financial liabilities which are measured at fair value.

The financial statements are presented in Singapore dollars which is the Hospice’s functional currency. All financial information is presented in Singapore dollars, unless otherwise stated.

The preparation of financial statements requires management to make judgements, estimates and assumptions that affect the application of accounting policies and the reported amounts of assets, liabilities, income and expenses. Actual results may differ from these estimates.

Estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised and in any future periods affected.

The accounting policies used by the Hospice have been applied consistently to all periods presented in these financial statements.

2.2

Funds structure

The Accumulated Fund is available for use at the discretion of the Council in furtherance of the Hospice’s objects.

The Endowment Fund was established under Article 14 of the Dover Park Hospice Constitution. The objectives of and restrictions over the Endowment Fund are stated in note 7 to the financial statements.

Other restricted funds include the Fellowship Fund and the Paediatric Fund. The objectives of these funds are stated in notes 8 and 9 to the financial statements respectively.

DOVER PARK HOSPICE Annual Report 2006 - 2007

The financial statements were authorised for issue by the Hospice’s Governing Council on 2 August 2007.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

42

2

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT’D)

2.3

Property, plant and equipment

Owned assets Property, plant and equipment are stated at cost less accumulated depreciation and impairment losses.

DOVER PARK HOSPICE Annual Report 2006 - 2007

Depreciation Depreciation is provided on a straight-line basis so as to write off the items of property, plant and equipment over their estimated useful lives as follows:

Building Facilities improvement Office equipment Plant and equipment Medical equipment Furniture and fittings Motor vehicles Computer equipment

50 years 15 years 5 years 5 years 10 years 5 years 10 years 3 years

Property, plant and equipment costing less than $1,000 each are fully written off in the accounting period of their acquisition.

Depreciation methods, useful lives and residual values are reviewed, and adjusted as appropriate, at each reporting date.

2.4

Financial instruments

Non-derivative financial instruments Non-derivative financial instruments comprise investments in equity and debt securities, deposits, prepayments and other receivables, cash and cash equivalents and accrued operating expenses and other payables.

Non-derivative financial instruments are recognised initially at fair value plus, for instruments not at fair value through income and expenditure, any directly attributable transaction costs. Subsequent to initial recognition, non-derivative financial instruments are measured as described below.

A financial instrument is recognised if the Hospice becomes a party to the contractual provisions of the instrument. Financial assets are derecognised if the Hospice’s contractual rights to the cash flows from the financial assets expire or if the Hospice transfers the financial asset to another party without retaining control or transfers substantially all the risks and rewards of the asset. Regular way purchases and sales of financial assets are accounted for at trade date, i.e., the date that the Hospice commits itself to purchase or sell the asset. Financial liabilities are derecognised if the Hospice’s obligations specified in the contract expire or are discharged or cancelled.

Cash and cash equivalents comprise cash balances and bank deposits. Bank overdrafts that are repayable on demand and that form an integral part of the Hospice’s cash management are included as a component of cash and cash equivalents for the purpose of the statement of cash flows.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT’D)

2.4

Financial instruments (cont’d)

Investments at fair value through income and expenditure

An instrument is classified as at fair value through income and expenditure if it is held for trading or is designated as such upon initial recognition. Financial instruments are designated as fair value through income and expenditure if the Hospice manages such investments and makes purchase and sale decisions based on their fair value. Upon initial recognition, attributable transaction costs are recognised in the income and expenditure when incurred. Financial instruments at fair value through income and expenditure are measured at fair value, and changes therein are recognised in the income and expenditure statement.

Other

Other non-derivative financial instruments are measured at amortised cost using the effective interest method, less any impairment losses.

Impairment of financial assets

A financial asset is considered to be impaired if objective evidence indicates that one or more events have had a negative effect on the estimated future cash flows of that asset.

An impairment loss in respect of a financial asset measured at amortised cost is calculated as the difference between its carrying amount, and the present value of the estimated future cash flows discounted at the original effective interest rate.

Individually significant financial assets are tested for impairment on an individual basis. The remaining financial assets are assessed collectively in groups that share similar credit risk characteristics.

Impairment losses are recognised in the income and expenditure statement.

An impairment loss is reversed if the reversal can be related objectively to an event occurring after the impairment loss was recognised. For financial assets measured at amortised cost and available-for-sale financial assets that are debt securities, the reversal is recognised in the income and expenditure statement. For availablefor-sale financial assets that are equity securities, the reversal is recognised directly in equity.

2.5

Impairment – non-financial assets

The carrying amounts of the Hospice’s non-financial assets are reviewed at each reporting date to determine whether there is any indication of impairment. If any such indication exists, the assets’ recoverable amounts are estimated.

An impairment loss is recognised if the carrying amount of an asset or its cash-generating unit exceeds its recoverable amount. A cash-generating unit is the smallest identifiable asset group that generates cash flows that largely are independent from other assets and groups. Impairment losses are recognised in the income and expenditure statement unless it reverses a previous revaluation, credited to equity, in which case it is charged to equity. Impairment losses recognised in respect of cash-generating units are allocated first to reduce the carrying amount of any goodwill allocated to the units and then to reduce the carrying amount of the other assets in the unit (group of units) on a pro rata basis.

DOVER PARK HOSPICE Annual Report 2006 - 2007

43

2


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

44

DOVER PARK HOSPICE Annual Report 2006 - 2007

2

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT’D)

2.5

Impairment – non-financial assets (cont’d)

The recoverable amount of an asset or cash-generating unit is the greater of its value in use and its fair value less costs to sell. In assessing value in use, the estimated future cash flows are discounted to their present value using a pre-tax discount rate that reflects current market assessments of the time value of money and the risks specific to the asset or cash-generating unit.

An impairment loss in respect of goodwill is not reversed. In respect of other assets, impairment losses recognised in prior periods are assessed at each reporting date for any indications that the loss has decreased or no longer exists. An impairment loss is reversed if there has been a change in the estimates used to determine the recoverable amount. An impairment loss is reversed only to the extent that the asset’s carrying amount does not exceed the carrying amount that would have been determined, net of depreciation or amortisation, if no impairment loss had been recognised.

2.6

Employee benefits

Defined contribution plans

Obligations for contributions to defined contribution plans are recognised as an expense in the income and expenditure statement as incurred.

2.7

Deferred capital grants

Grants and donations received to construct, furnish and equip the Hospice and to purchase depreciable assets are taken to the deferred capital grants account. Deferred capital grants are recognised in the income and expenditure statement over the periods necessary to match the depreciation of the assets acquired.

2.8

Income tax expense

Income tax expense comprises current and deferred tax. Income tax expense is recognised in the income and expenditure statement except to the extent that it relates to items recognised directly in equity, in which case it is recognised in equity.

Current tax is the expected tax payable on the taxable income for the year, using the tax rates enacted or substantively enacted at the balance sheet date, and any adjustment to tax payable in respect of previous years.

Deferred tax is recognised using the balance sheet method, providing for temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for taxation purposes. Deferred tax is not recognised for the initial recognition of assets or liabilities in a transaction that is not a business combination and that affects neither accounting nor taxable profit. Deferred tax is measured at the tax rates that are expected to be applied to the temporary differences when they reverse, based on the laws that have been enacted or substantively enacted by the balance sheet date.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT’D)

2.8

Income tax expense (cont’d)

A deferred tax asset is recognised to the extent that it is probable that future taxable profits will be available against which temporary differences can be utilised. Deferred tax assets are reviewed at each balance sheet date and are reduced to the extent that it is no longer probable that the related tax benefit will be realised.

2.9

Operating leases

Where the Hospice has the use of assets under operating leases, payments made under the leases are recognised in the income and expenditure statement on a straight-line basis over the term of the lease. Lease incentives received are recognised in the income and expenditure statement as an integral part of the total lease payments made. Contingent rentals are charged to the income and expenditure statement in the accounting period in which they are incurred.

2.10 Incoming resources

(i)

Donations and income from fund raising projects are recognised as and when received.

(ii)

Grants and subsidies are recognised as income to match the related expenditure.

(iii)

Membership subscriptions are recognised on an accrual basis.

(iv)

Revenue from rendering services is recognised when the services are rendered.

2.11 Finance income

Finance income comprises interest income on funds invested, dividend income, gains on disposal of financial assets, gains in fair value of financial assets through income and expenditure and foreign exchange gain that are recognised in the income and expenditure statement. Interest income is recognised as it accrues, using the effective interest method. Dividend income is recognised on the date the Hospice’s right to receive payment is established.

DOVER PARK HOSPICE Annual Report 2006 - 2007

45

2


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

46

2

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTâ&#x20AC;&#x2122;D)

2.12 Resources expended

DOVER PARK HOSPICE Annual Report 2006 - 2007

All expenditure is accounted for on an accrual basis and has been classified under headings that aggregate all costs related to that activity. Cost comprises direct expenditure including direct staff costs attributable to the activity. Where costs cannot be wholly attributable to an activity, they have been apportioned on a basis consistent with the use of resources. These include overheads such as utilities, amortisation of renovations and support costs.

(i)

Allocation of support costs

Support costs comprise staff costs relating to general management, human resource and administration, budgeting, accounting and finance functions and have been allocated to fundraising, charitable activities and governance based on the estimated amount of time spent on each activity.

Costs of generating funds

(ii)

The costs of generating funds are those costs attributable to generating income for charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the charityâ&#x20AC;&#x2122;s objects.

Charitable activities

(iii)

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. The total costs of charitable expenditure include an apportionment of support costs.

Governance costs

(iv)

Governance costs comprise all costs attributable to the general running of the Hospice in providing the governance infrastructure and in ensuring public accountability. These costs include costs related to constitutional and statutory requirements, and include an apportionment of overhead and support costs.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

47

3

PROPERTY, PLANT AND EQUIPMENT

Cost At 1 April 2005 4,538,567 - 14,177 60,915 449,179 262,903 Additions - - 14,459 6,510 99,998 13,618 Disposals - - - - - -

At 31 March 2006 4,538,567 - 28,636 67,425 549,177 276,521 105,804 173,205 5,739,335 Additions - 1,025,363 - - 89,171 - - 13,579 1,128,113

At 31 March 2007 4,538,567 1,025,363 28,636 67,425 638,348 276,521 105,804 186,784 6,867,448

Accumulated depreciation At 1 April 2005 875,519 - 11,818 52,801 265,593 193,268 Depreciation for the year 90,771 - 3,635 4,081 43,456 28,757 Disposals - - - - - - At 31 March 2006 Depreciation for the year

966,290 90,772

At 31 March 2007 1,057,062

97,328 164,565 5,587,634 46,324 8,640 189,549 (37,848 ) - (37,848 )

61,640 153,420 1,614,059 10,581 (37,848 )

9,066 190,347 - (37,848 )

- 15,453 56,882 309,049 222,025 34,3723 162,486 1,766,558 68,359

3,432

5,357 48,340

21,792

10,580 12,365 260,997

68,359 18,885 62,239 357,389 243,817

44,953 174,851 2,027,555

Carrying amount At 1 April 2005 3,663,048 - 2,359 8,114 183,586

69,635

35,688 11,145 3,973,575

At 31 March 2006 3,572,277

54,496

71,431 10,719 3,972,777

At 31 March 2007 3,481,505

32,704

60,851 11,933 4,839,893

- 13,183 10,543 240,128 957,004

9,751

5,186 280,959

DOVER PARK HOSPICE Annual Report 2006 - 2007

Plant Furniture Facilities Office and Medical and Motor Computer Building improvement equipment equipment equipment fittings vehicles equipment Total $ $ $ $ $ $ $ $ $


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

48

4

FINANCIAL ASSETS

2007 2006 Managed Managed by Managed Managed by internally fund manager Total internally fund manager Total $ $ $ $ $ $ DOVER PARK HOSPICE Annual Report 2006 - 2007

Held-for-trading - Quoted equity securities 1,830,400 4,673,591 6,503,991 - Quoted debt securities 994,650 6,489,777 7,484,427 - Quoted non-cumulative, non-convertible preference shares 515,000 - 515,000

1,617,850 3,938,400 981,001 5,784,324 511,000

-

5,556,250 6,765,325 511,000

3,340,050 11,163,368 14,503,418

3,109,851 9,722,724 12,832,575

Held-to-maturity - Quoted debt securities - - -

1,799,612

Total

3,340,050 11,163,368 14,503,418

-

1,799,612

4,909,463 9,722,724 14,632,187

The effective interest rate of held-for-trading quoted debt securities as at balance sheet date is 3.62% (2006: 3.41%).

Held-to-maturity debt securities at 31 March 2006 had an interest rate of 4.25%. The debt securities matured during the year.

5

DEPOSITS, PREPAYMENTS AND OTHER RECEIVABLES

2007 2006 $ $ Interest receivable Deposit Prepayments Amount due from Ministry of Health Patient fees receivable Other receivables

44,659 11,190 13,127 750,892 40,710 123,172

59,682 11,190 35,003 154,598 20,145 36,043

983,750

316,661


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

49

6

CASH AND CASH EQUIVALENTS

Cash at bank and in hand Deposits with financial institutions

1,570,575 5,775,533

2,894,816 3,420,583

7,346,108

6,315,399

The effective interest rates per annum at the balance sheet date ranged from 1.70% to 3.30% (2006: 1.60% to 2.35%). Interest rates reprice within one year.

Included in cash at bank and in hand is $827,731 (2006: $688,179) held on behalf of the Hospice by an external fund manager. The Hospice considers this amount as cash and cash equivalent as it is able to utilise this amount for its operating requirements on short notice.

7

ENDOWMENT FUND

The Endowment Fund is represented by the following:

2007 2006 $ $ Financial assets Deposits, prepayments and other receivables Cash and cash equivalents

14,503,418 13,238 2,065,237

12,832,575 12,749 1,643,746

16,581,893

14,489,070

The Endowment Fund comprises:

2007 2006 $ $ Capital account 9,786,046 9,785,986 Accumulated surplus 6,795,847 4,703,084

16,581,893

14,489,070

DOVER PARK HOSPICE Annual Report 2006 - 2007

2007 2006 $ $


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

50

DOVER PARK HOSPICE Annual Report 2006 - 2007

7

ENDOWMENT FUND (CONT’D)

The Endowment Fund was established on 1 September 1996 to receive contributions and donations, which may consist of cash or other donations, for the purpose of providing inpatient care to the terminally ill.

The Endowment Fund was established under Article 14 of the Dover Park Hospice Constitution and comprises capital account and accumulated surplus. According to Article 14, the surplus of the Endowment Fund may be applied by the Council for the purposes of the Hospice. No capital of the Endowment Fund shall be expended without the approval of members of the Hospice at a general meeting.

The purpose of the Endowment Fund is to provide a constant stream of income to the Hospice to supplement the income from the Accumulated Fund, the amount of which is subject to uncertainty.

8

PAEDIATRIC FUND

The Paediatric Fund was set up by the Hospice on 19 November 1992, through the appropriation of a sum of $23,529 from the Accumulated Fund, with the intention of subsidising patients from the paediatric ward.

As the Hospice did not have any patients for the paediatric ward since registration, the Governing Council is of the view that the maintenance of a separate fund for this purpose is not required.

On 1 April 2006, the Governing Council approved the transfer of the remaining amounts in the Paediatric Fund to the Hospice’s Accumulated Fund.

9

FELLOWSHIP FUND

The Fellowship Fund was set up by the Hospice on 15 July 1999, through the appropriation of a sum of $1,800,000 from the Accumulated Fund, for the sponsorship of overseas training attachments for doctors and other staff members leading to degrees or diplomas.

As the training of doctors and staff members since 1999 has been funded mainly by designated donations, and the Fund has not been utilised, the Governing Council is of the view that the maintenance of a separate fund for this purpose is not required.

On 1 April 2005, the Hospice merged the Fellowship Fund back to the Hospice’s Accumulated Fund. The merger resulted in a transfer of $2,358,399, being the fund balance as at 1 April 2005, from the Fellowship Fund to the Accumulated Fund.


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

51

DEFERRED CAPITAL GRANTS

Note 2007 2006 $ $ Government Grants At 1 April 2,734,491 2,814,861 Amortisation for the year 14 (80,370 ) (80,370 )

At 31 March

2,654,121

2,734,491

Non-Government Grants At 1 April 223,979 229,569 Contribution received during the year 46,324 Amortisation for the year 14 (10,222 ) (5,590 )

At 31 March

260,081

223,979

2,914,202

2,958,470

Deferred capital grants comprise government grants received from the Ministry of Health and contributions received from donors to construct, furnish and equip the Hospice.

11

ACCRUED OPERATING EXPENSES AND OTHER PAYABLES

2007 2006 $ $ Accrued operating expenses Advance membership subscriptions Employeesâ&#x20AC;&#x2122; short-term accumulating compensated absences Other payables

114,864 68,429 400 538 61,232 49,946 126,633 57,876

303,129

176,789

12

INCOMING RESOURCES FROM GENERATED FUNDS

Included in voluntary income and income from fundraising activities are donations for which tax-exempt receipts have been issued of $1,940,821 (2006: $1,116,907).

DOVER PARK HOSPICE Annual Report 2006 - 2007

10


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

52

13

INVESTMENT AND INTEREST INCOME

2007 2006 $ $

DOVER PARK HOSPICE Annual Report 2006 - 2007

Accretion of bond discount Interest income from banks Interest from bonds Dividend income Gain on disposal of: - Quoted investments - Unquoted investments Gain on remeasurement of investment held-for-trading (net) Gain on foreign exchange (net) Others

- 134,302 377,476 272,077

4,648 140,172 276,568 249,192

283,387 - 1,241,226 - 5,000

858,533 12,054 122,458 12,216 14,946

2,313,468 1,690,787

14

AMORTISATION OF DEFERRED CAPITAL GRANTS

2007 2006 Note $ $

Amortisation of deferred capital grants: - Government 10 80,370 - Non-government 10 10,222

80,370 5,590

90,592

85,960

15

NET INCOMING RESOURCES

The following items have been included in arriving at net incoming resources:

2007 2006 $ $ Depreciation Staff costs Non-audit fees paid to auditors of the Hospice Audit fees paid to auditors of the Hospice Contributions to defined contribution plans included in staff costs Loss on disposal of property, plant and equipment Operating lease expense

260,997 2,244,025 4,500 42,000 142,016 - 189,000

190,347 2,070,387 3,200 20,000 126,704 14,946 189,000


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

53

16

FUNDRAISING COSTS

Fundraising events Other expenses

265,517 11,347

75,647 13,482

276,864

89,129

17

INVESTMENT MANAGEMENT EXPENSES

2007 2006 $ $

Management fee Investment charges Other charges

18

72,340 2,789 1,769

50,328 2,397 3,742

76,898

56,467

CHARITABLE ACTIVITIES

2007 2006 $ $ Depreciation Staff costs Rental Patient care expenses Other expenses

260,997 1,867,345 170,100 281,785 261,222

2,841,449 2,573,440

190,347 1,682,807 170,100 243,706 286,480

DOVER PARK HOSPICE Annual Report 2006 - 2007

2007 2006 $ $


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

54

19 GOVERNANCE 2007 2006 $ $

DOVER PARK HOSPICE Annual Report 2006 - 2007

Staff costs Rental Other expenses

376,680 18,900 134,130

387,580 18,900 91,131

529,710 497,611

20

REMUNERATION OF EMPLOYEES

The number of employees whose remuneration exceeded $50,000 in the year were as follows:

2007 2006

Number of employee in bands: $50,001 to $100,000 $100,001 to $150,000 Above $150,000

The number of staff employed by the Hospice as at 31 March 2007 was 51 (2006: 48).

The Hospice receives services from its volunteers. The volunteers are not remunerated for their services.

21

KEY MANAGEMENT PERSONNEL

None of the members of the Council received remuneration for their contributions.

22

INCOME TAXES

As at 31 March 2007, the Hospice has not complied with the conditions of Section 13(M)(2)(b) of the Income Tax Act, Chapter 134, for the year of assessment 2007. This section requires the Hospice to apply not less than 80% of the amount of donations received in the preceding year for charities or charitable objects within Singapore if the Hospice is to be exempted from income tax. Subject to the approval by the Comptroller of Income Tax for a waiver of the expenditure requirement for the year of assessment 2007, there is a potential tax liability. The potential tax liability has not been provided for in the financial statements as the Governing Council is of the opinion that the Comptroller is likely to allow for a waiver of the expenditure requirement for the year of assessment 2007.

There is no tax charge for the current year as the Hospice is a registered charity.

10 - 2

3 1 1


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

FINANCIAL INSTRUMENTS

Risk management is integral to the whole operation of the Hospice. The Hospice has a system of controls in place to create an acceptable balance between the cost of risks occurring and the cost of managing the risks. The Council continually monitors the Hospice’s risk management process to ensure that an appropriate balance between risk and control is achieved.

Credit risk

Credit risk is the potential financial loss resulting from the failure of a counterparty to settle its financial and contractual obligations to the Hospice, as and when they fall due.

Cash and fixed deposits are placed with banks and financial institutions which are regulated. Investments and transactions involving financial instruments are allowed only with counterparties that are of high credit worthiness.

At the balance sheet date, significant concentration of credit risk relates to cash at bank and fixed deposits placed with a local bank and a foreign bank in Singapore and financial assets held on behalf by a fund manager. The maximum exposure to credit risk is represented by the carrying amount of each financial asset.

Liquidity risk

The Hospice monitors and maintains a level of cash and cash equivalents deemed adequate by the Council to finance the Hospice’s operations and to mitigate the effects of fluctuations in cash flows.

Interest rate risk

The Hospice’s exposure to changes in interest rates relates primarily to interest-earning financial assets.

24

RELATED PARTY TRANSACTIONS

For the purposes of these financial statements, parties are considered to be related to the Hospice if the Hospice has the ability, directly or indirectly, to control the party or exercise significant influence over the party in making financial and operating decisions, or vice versa, or where the Hospice and the party are subject to common control or common significant influence. Related parties may be individuals or other entities.

The Hospice is governed by the Governing Council. All members of the Council are volunteers and receive no monetary remuneration for their contribution to the Hospice.

During the year ended 31 March 2007, the Hospice had no significant related party transactions.

DOVER PARK HOSPICE Annual Report 2006 - 2007

55

23


FINANCIAL STATEMENTS YEAR ENDED 31 MARCH 2007

NOTES TO FINANCIAL STATEMENT

56

DOVER PARK HOSPICE Annual Report 2006 - 2007

25

NEW ACCOUNTING STANDARDS AND INTERPRETATIONS NOT YET ADOPTED

The Hospice has not applied the following accounting standards and interpretations that have been issued as of the balance sheet date but are not yet effective:

• FRS 40 Investment Property • FRS 107 Financial Instruments: Disclosures and the Amendment to FRS 1 Presentation of Financial Statements: Capital Disclosures • FRS 108 Operating Segments • INT FRS 107 Applying the Restatement Approach under FRS 29 Financial Reporting in Hyperinflationary Economies • INT FRS 108 Scope of FRS 102 Share-based Payment • INT FRS 109 Reassessment of Embedded Derivatives • INT FRS 110 Interim Financial Reporting and Impairment • INT FRS 111 FRS 102 Group and Treasury Share Transactions • INT FRS 112 Service Concession Arrangements • Amendments to FRS 2 Inventories • Amendments to FRS 7 Cash Flow Statements • Amendments to FRS 19 Employees Benefits • Amendments to FRS 27 Consolidated and Separate Financial Statements • Amendments to FRS 33 Earnings Per Share • Amendments to FRS 34 Interim Financial Reporting • Amendments to FRS 36 Impairment of Assets • Amendments to FRS 105 Non-current Assets Held for Sale and Discontinued Operations • Amendments to FRS 106 Exploration for and Evaluation of Mineral Resources • Amendments to INT FRS 29 Service Concession Arrangements: Disclosures • Amendments to INT FRS 104 Determining whether an Arrangement contains a Lease

FRS 107 and amended FRS 1, which become mandatory for the Hospice’s 2008 financial statements, will require extensive additional disclosures with respect to the Hospice’s financial instruments and share capital. This standard does not have any impact on the recognition and measurement of the Hospice’s financial statements.

The Hospice has not considered the impact of the initial application of the standards and interpretations which have been issued but are not yet effective, on the financial statements of the Hospice.

26

COMPARATIVE INFORMATION

In accordance with the requirements of Recommended Accounting Practice 6 Accounting and Reporting by Charities, the Hospice has presented, with effect from the financial year ended 31 March 2007, the amalgamated financial statements of the Hospice’s unrestricted Accumulated Fund and its restricted funds, including its Endowment Fund. The financial statements of the Endowment Fund were presented separately in the Annual Report in previous years.


DOVER PARK HOSPICE 10 Jalan Tan Tock Seng Singapore 308436 Tel: 6355 8200 Fax: 6258 9007 email: info@doverpark.org.sg www.doverpark.org.sg

Dover Park Hospice Annual Report 2007  

A razorSHARK design. 2007, August.