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To cater for new and emerging models of care that are no-longer premises based (e.g. home care, telemedicine), there are a total of 4 possible Mode of Service Delivery (MOSDs) under the Healthcare Services Act (HCSA).
Figure 1: The four Mode of Service Delivery under the Healthcare Services Act (HCSA)
Tables 1 to 16 below indicate the allowable MOSDs for each Licensable Healthcare Service and their respective Specified Services (if applicable).
Acute Hospital Service
Table 1: Allowable Mode of Service Delivery for Acute Hospital Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Acute Hospital Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Collaborative Prescribing Service | ✓ | ☓ | ☓ | ☓ |
Emergency Department Service | ✓ | ☓ | ☓ | ☓ | |
Radiation Oncology & Radiation Therapy | ✓ | ☓ | ☓ | ☓ | |
Proton Beam Therapy | ✓ | ☓ | ☓ | ☓ | |
Ambulatory Surgical Centre Service
Table 2: Allowable Mode of Service Delivery for Ambulatory Surgical Centre Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Ambulatory Surgical Centre Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Collaborative Prescribing Service | ✓ | ☓ | ☓ | ☓ |
Liposuction | ✓ | ☓ | ☓ | ☓ | |
Radiation Oncology & Radiation Therapy | ✓ | ☓ | ☓ | ☓ | |
Proton Beam Therapy | ✓ | ☓ | ☓ | ☓ | |
Assisted Reproduction Service
Table 3: Allowable Mode of Service Delivery for Assisted Reproduction Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Assisted Reproduction Service | ✓ | ☓ | ☓ | ✓¹ |
Specified Services | Pre-implantation Genetic Testing for Monogenic/Single Gene defects and/or Chromosomal Structural Rearrangements | ✓ | ☓ | ☓ | ✓¹ |
¹Remote provision of the Assisted Reproduction Service can only be offered when the relevant requirements as set out in Regulation 55 of the Assisted Reproduction Service Regulations are met, and where the licensee is already providing the service via the Permanent premises Mode of Service Delivery.
Blood Banking Service
Table 4: Allowable Mode of Service Delivery for Blood Banking Service.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Blood Banking Service | ✓ | ✓ | ✓ | ☓ |
There are no Specified Services offered under the Blood Banking Service.
Clinical Laboratory Service
Table 5: Allowable Mode of Service Delivery for Clinical Laboratory Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Clinical Laboratory Service | ✓ | ✓ | ✓ | ☓ |
Specified Services | Anatomic Pathology | ✓ | ☓ | ☓ | ☓ |
Chemical Pathology | ✓ | ✓ | ✓ | ☓ | |
➢ Glycated Haemoglobin | ✓ | ✓ | ✓ | ☓ | |
Clinical Toxicology | ✓ | ✓ | ✓ | ☓ | |
Cytology | ✓ | ☓ | ☓ | ☓ | |
Cytogenetics | ✓ | ☓ | ☓ | ☓ | |
Hematology | ✓ | ✓ | ✓ | ☓ | |
➢ Malaria Parasite Testing | ✓ | ✓ | ✓ | ☓ | |
Histocompatibility | ✓ | ☓ | ☓ | ☓ | |
Immunology | ✓ | ✓ | ✓ | ☓ | |
➢ Human immunodeficiency Virus Screening | ✓ | ✓ | ✓ | ☓ | |
➢ Human immunodeficiency Virus confirmation | ✓ | ✓ | ✓ | ☓ | |
Medical Microbiology | ✓ | ✓ | ✓ | ☓ | |
➢ Acid-fast Bacilli Smear Testing | ✓ | ☓ | ☓ | ☓ | |
➢ Molecular SARS-CoV-2 testing for Coronavirus 2019 (COVID-19) | ✓ | ✓ | ✓ | ☓ | |
Molecular Pathology | ✓ | ☓ | ☓ | ☓ | |
➢ Pre-implantation genetic testing for monogenic or single gene defects | ✓ | ☓ | ☓ | ☓ | |
➢ Pre-implantation genetic testing for chromosomal structural rearrangements | ✓ | ☓ | ☓ | ☓ | |
Transfusion medicine | ✓ | ☓ | ☓ | ☓ | |
Community Hospital Service
Table 6: Allowable Mode of Service Delivery for Community Hospital Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Community Hospital Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Collaborative Prescribing Service | ✓ | ☓ | ☓ | ☓ |
Blood Transfusion Service | ✓ | ☓ | ☓ | ☓ | |
Cord Blood Banking Service
Table 7: Allowable Mode of Service Delivery for Cord Blood Banking Service.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Cord Blood Banking Service | ✓ | ☓ | ☓ | ☓ |
There are no Specified Services offered under the Cord Blood Banking Service.
Emergency Ambulance Service
Table 8: Allowable Mode of Service Delivery for Emergency Ambulance Service.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Emergency Ambulance Service | ☓ | ☓ | ✓ | ☓ |
Specified Services | Adult General Critical Care Service | ☓ | ☓ | ✓ | ☓ |
Adult Cardiac Critical Care Service | ☓ | ☓ | ✓ | ☓ | |
Paediatric Critical Care Service | ☓ | ☓ | ✓ | ☓ | |
Isolation Service | ☓ | ☓ | ✓ | ☓ | |
Human Tissue Banking Service
Table 9: Allowable Mode of Service Delivery for Human Tissue Banking Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Human Tissue Banking Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Adipose Tissue | ✓ | ☓ | ☓ | ☓ |
Amniotic membrane | ✓ | ☓ | ☓ | ☓ | |
Birth tissue (excluding amniotic membrane) | ✓ | ☓ | ☓ | ☓ | |
Bone (excluding bone marrow) | ✓ | ☓ | ☓ | ☓ | |
Cardiac tissue | ✓ | ☓ | ☓ | ☓ | |
Connective tissue membrane | ✓ | ☓ | ☓ | ☓ | |
Dura mater | ✓ | ☓ | ☓ | ☓ | |
Epithelial membrane (except skin) | ✓ | ☓ | ☓ | ☓ | |
Haematopoietic stem cell (including bone marrow) | ✓ | ☓ | ☓ | ☓ | |
Lymph tissue | ✓ | ☓ | ☓ | ☓ | |
Nervous tissue | ✓ | ☓ | ☓ | ☓ | |
Ocular tissue | ✓ | ☓ | ☓ | ☓ | |
Parathyroid tissue | ✓ | ☓ | ☓ | ☓ | |
Skeletal muscle tissue | ✓ | ☓ | ☓ | ☓ | |
Skin tissue | ✓ | ☓ | ☓ | ☓ | |
Smooth muscle tissue | ✓ | ☓ | ☓ | ☓ | |
Tendon, ligament or cartilage tissue | ✓ | ☓ | ☓ | ☓ | |
Vascular tissue | ✓ | ☓ | ☓ | ☓ | |
Outpatient Dental Service
Table 10: Allowable Mode of Service Delivery for Outpatient Dental Service and its Specified Service.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Outpatient Dental Service | ✓ | ✓ | ✓ | ✓² |
Specified Service | Dental Cone Beam Computed Tomography (CBCT) | ✓ | ☓ | ✓ | ☓ |
²Remote provision of Outpatient Dental Service can only be offered in conjunction with another Mode of Service Delivery (e.g., Permanent premises).
Outpatient Medical Service
Table 11: Allowable Mode of Service Delivery for Outpatient Medical Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Outpatient Medical Service | ✓ | ✓ | ✓ | ✓ |
Specified Services | Blood Transfusion Service (for Oncology and Haematology Specialties only) | ✓ | ☓ | ☓ | ☓ |
Collaborative Prescribing Service | ✓ | ✓ | ✓ | ✓ | |
Electrocardiography Stress Testing (EST) Service | ✓ | ☓ | ✓ | ☓ | |
Endoscopy Service³ | ✓ | ✓ | ✓ | ☓ | |
Liposuction | ✓ | ☓ | ☓ | ☓ | |
Proton Beam Therapy | ✓ | ☓ | ☓ | ☓ | |
Radiation Oncology & Radiation Therapy | ✓ | ☓ | ☓ | ☓ | |
³Endoscopy services allowed under Outpatient Medical Service (Temporary premises) will be limited to nasopharyngoscopy and cystoscopy which does not involve any sedation, biopsy, or removal of foreign body. Please refer to the Licence Conditions for Outpatient Medical Service Licensees Providing or Intending to Provide Endoscopy Service [PDF, 164KB] for more details.
Medical Transport Service
Table 12: Allowable Mode of Service Delivery for Medical Transport Service.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Medical Transport Service | ☓ | ☓ | ✓ | ☓ |
There are currently no Specified Services offered under the Medical Transport Service.
Nuclear Medicine Service
Table 13: Allowable Mode of Service Delivery for Nuclear Medicine Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Nuclear Medicine Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Nuclear Medicine Imaging⁴ | ✓ | ☓ | ☓ | ☓ |
Others⁵ | ➢ Planar Nuclear Medicine Imaging and Uptake Studies | ✓ | ☓ | ☓ | ☓ |
➢ Positron emission tomography-computed tomography | ✓ | ☓ | ☓ | ☓ | |
➢ Single-photon emission computed tomography | ✓ | ☓ | ☓ | ☓ | |
➢ Single-photon emission computed tomography-computed tomography | ✓ | ☓ | ☓ | ☓ | |
Nuclear Medicine Therapy | ✓ | ☓ | ☓ | ☓ | |
Nuclear Medicine in vivo Assay | ✓ | ☓ | ☓ | ☓ | |
⁴Nuclear Medicine Imaging, which includes all imaging modalities such as PET-CT, SPECT and PET-MRI, is a Specified Service under the Nuclear Medicine Service. Other Nuclear Medicine Services include Nuclear Medicine Therapy and/or Nuclear Medicine in vivo Assay. The allowable MOSD for Nuclear Medicine Imaging, Nuclear Medicine Therapy and/or Nuclear Medicine in vivo Assay is Permanent premises.
⁵There is no need to seek approval for each Nuclear Medicine Imaging modalities, Nuclear Medicine Therapy and/or Nuclear Medicine in vivo Assay. However, licensees are to notify MOH before the provision of such services.
Nursing Home Service
Table 14: Allowable Mode of Service Delivery for Nursing Home Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Nursing Home Service | ✓ | ☓ | ☓ | ☓ |
Specified Services | Collaborative Prescribing Service | ✓ | ☓ | ☓ | ☓ |
Hospice Service | ✓ | ☓ | ☓ | ☓ | |
Blood Transfusion Service⁶ | ✓ | ☓ | ☓ | ☓ | |
⁶Blood Transfusion Service will only be allowed in nursing homes with approval for the Hospice Service. Nursing homes which choose to offer Blood Transfusion Service, must first apply for the Hospice Service specified service.
Outpatient Renal Dialysis Service
Table 15: Allowable Mode of Service Delivery for Outpatient Renal Dialysis Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Outpatient Renal Dialysis Service | ✓ | ✓ | ☓ | ✓⁷ |
Specified Services | Collaborative Prescribing Service | ✓ | ✓ | ☓ | ✓ |
High-dependency Haemodialysis (for licensees offering haemodialysis only) | ✓ | ☓ | ☓ | ☓ | |
⁷Remote provision of Outpatient Renal Dialysis Service can only be offered in conjunction with another Mode of Service Delivery (e.g. Permanent premises).
Radiological Service
Table 16: Allowable Mode of Service Delivery for Radiological Service and its Specified Services.
Mode of Service Delivery | |||||
|---|---|---|---|---|---|
Permanent premises | Temporary premises | Conveyance | Remote | ||
Licensable Healthcare Service | Radiological Service | ✓ | ✓ | ✓ | ☓ |
Specified Services | Plain Radiography | ✓ | ✓ | ✓ | ☓ |
Mammography | ✓ | ✓ | ✓ | ☓ | |
Fluoroscopy | ✓ | ☓ | ☓ | ☓ | |
Computed Tomography | ✓ | ☓ | ☓ | ☓ | |
Cone Beam Computed Tomography | ✓ | ☓ | ☓ | ☓ | |
Magnetic Resonance Imaging | ✓ | ☓ | ☓ | ☓ | |
Minimally invasive image guided biopsy of breast, thyroid, superficial lump or bump, or any superficial lymph node | ✓ | ☓ | ☓ | ☓ | |
Others⁸ | Bone Densitometry | ✓ | ✓ | ✓ | ☓ |
Ultrasonography | ✓ | ✓ | ✓ | ☓ | |
⁸There is no need to seek approval for these imaging modalities. However, licensees are still expected to notify MOH before the provision of such services.