The National Kidney Foundation Annual Report

Con

Our Vision & Mission, 2 Core Values and Culture

Quality Patient Care Kidney Transplantation

22

Chairman’s Message

4

Peritoneal Dialysis

24

CEO’s Message

6

Haemodialysis 28

Board of Directors

8

Portable Subsidy

32

Children's Dialysis

34

Holistic Rehabilitation

36

tents Organisation Chart

Corporate Governance 12

Our Vision & Mission

Giving

10

Life & Hope through

affordable, sustainable & quality renal care and education & prevention of kidney disease in partnership with the community

Medical and Nursing Care 42 Supporting Research in Kidney Disease

44

Education & Prevention

Financial Statements

Community, Corporates & Schools 48

Overview 64

Community Partnerships Encouraging Volunteerism 54 Raising Funds to Help Patients

56

Our Benevolent Donors

60

Dialysis Centres Our Caring Sponsors

66

Our Committed Volunteers 63

Enhancing Organisational 45 Capabilities

Our Core Values

I ntegrity C ompetency T eamwork

Our Culture

5Cs

Commitment Communication Compassion Collaboration Consistency e

t A healthy diet of less sugar and less salt pro

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Chairman’s message Your continued support will help us to tackle the rise in kidney failure cases by increasing patient capacity for dialysis, promoting kidney transplant, expanding our home dialysis programme and most importantly, empowering people to take charge of their health through education and prevention.

4

I would like to express my utmost thanks for your kindness and compassion in enabling our needy kidney patients to overcome adversities and lead fulfilling lives. Our work would not be possible without your unwavering support. Singapore now ranks 4th on a global scale for both incidence and prevalence of kidney failure and ranks 1st in diabetes-induced kidney failure. There is one new case of kidney failure every five hours. We are now serving over 3,500 patients, which is more than 90% of the needy kidney patients in Singapore. In the coming years, the number of patients will increase further given the ageing population and rising diabetic rate in Singapore. To cope, we have to build more dialysis centres to meet the growing demand. I am happy to share that three new dialysis centres started operations in 2015. Together, with better space planning, we increased patient capacity by 378 or about 13%, helping greatly to meet the increasing demand for dialysis. I am extremely grateful to the three generous sponsors for making these new centres a reality – Le Champ which donated $2.1 million for the centre at Yishun; The Singapore Buddhist Lodge (SBL) with a $2 million gift for the centre at Bukit Merah; and the Kwan Im Thong Hood Cho Temple with a $2.3 million donation for the centre at Kolam Ayer. These centres started operations in February, August and September respectively. Beyond this, more new dialysis centres are in the pipeline. However, we are concern that even with this, it will not be enough. We have plans to have a larger centre with a patient capacity many times more than the average capacity of 120 of a typical NKF dialysis centre to cater for the increasing demand and complexities of patient conditions. Ensuring that our programme is sustainable is our top priority as the cost of treatment for a patient is about $23,000 a year. With your compassionate support, we are able to help our needy patients with high subsidies – 45% of our patients pay zero; and in total, about 60% pay $50 or less a month. With prudent cost management and planning, we ensure our costs are kept low, making operations more sustainable. In fact, our administrative overheads are all covered by government grants and have every dollar you donate go entirely to patient care.

Encouraging kidney transplant will help ensure our programme remains viable and sustainable as it offers the best treatment option with better clinical outcome than other treatment options such as dialysis. In this regard, we have partnered with the media to feature kidney transplant stories and dispel the myths and fears of donating one’s kidney. We also continue to look at ways to further enhance our Kidney Live Donor Support Fund and encourage family members and friends of patients to seriously consider donating their kidneys for transplantation. Besides promoting kidney transplant and providing quality haemodialysis at our satellite dialysis centres, we are pushing on strongly with our homebased peritoneal dialysis (PD) programme, a good alternative to haemodialysis. Through your kind patronage, we were able to further increase the subsidy to PD patients and enhance our PD Home Support Programme to provide more comprehensive care. With higher subsidies, a 4-fold increase in PD nurses and greater home support from more medical social workers, dieticians and volunteers, we will pump in $7.63 million to benefit PD patients over the next three years. More importantly, we are concurrently pressing ahead with our education and prevention efforts to curb the rise of kidney disease. I am happy to share that we have reached out to 1.4 million people to create awareness of kidney disease through our various healthcare initiatives and empower the community to take charge of their health. To continue providing dialysis and do more in kidney disease prevention, NKF needs to work hand-in-hand with the community such as caring people like you. Once again, we thank you for joining us in our journey to help the needy kidney patients and promote kidney health in Singapore; and, I look forward to your continued support. Yours sincerely

Koh Poh Tiong Chairman

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CEO’s message I am grateful for your steadfast support and generosity which has enabled our needy kidney patients to face the future with courage and dignity. Kidney failure is a debilitating disease. Many of those afflicted with it are breadwinners with young children who find themselves unable to look after their families because treatment is very expensive. Many others are elderly and dependent on their children for their livelihood but their children do not have the means to support them. There are still others with no children or family support. I visit these needy patients at our dialysis centres often to understand how they are doing. Each one of them and their loved ones go through tremendous emotional and financial hardship. With the surge in kidney failure cases, many more needy patients are turning to us for help. As the largest kidney foundation, we cannot turn them away when they come knocking at our door. We have to save them and rebuild their lives. At the same time, we have to do whatever we can to prevent the onset of kidney disease so people will not have to suffer its ill consequences. Last year, I mentioned the 5Ps – Patients, People, Purpose, Process and Passion. I am now happy to share with you the progress in these areas. Patients' needs always come first. We are committed to giving needy patients quality, affordable dialysis and all-rounded care so that they can cope with their illness, support their families and lead meaningful lives. Hence, our Patient Advocacy Programme is constantly being enhanced to meet the evolving needs of patients, more so as they are getting older, sicker, less ambulant and having multiple co-morbidities. Our Patient Advocates has grown to 205, providing more support to fellow patients.

6

A new initiative to improve patient outcomes through physical activity is our partnership with Exercise is Medicine Singapore – a programme spearheaded by the American College of Sports Medicine and Changi Sports Medicine Centre. We also introduced an Occupational Therapy Rehabilitation Programme to facilitate patients’ independence in daily activities. Prevention is better than cure. We want to keep people as people and not patients. It is critical to create awareness of the disease and its consequences as well as encourage and motivate people to take the correct action. Our Kidney Health Education bus has reached out to over 8,000 people since its launch last year and we have plans to have more such buses to benefit the masses, in particular, targeting the high risk groups. In this regard, we will be launching a diabetes bus as 65% of kidney failure cases are caused by diabetes, the highest rate worldwide. Another new initiative we launched this year was our TV drama serial Life is Beautiful to get audiences thinking about kidney health and how to lead a healthier lifestyle, which attracted 900,000 viewers. We also stepped up our Healthy Mondays programme, which includes health screenings and talks, reaching out to 92 organisations and encouraging over 2,200 employees to take care of their health. It is important that we begin with the end in mind. As such, our life-saving work is done with a purpose. With the increase in patients and a limited number of renal physicians, we embarked on a plan to have nurse-led dialysis centres where dedicated nurses are empowered to do more advanced clinical work, providing well-rounded quality care to patients for better clinical outcomes. We have achieved a one-year patient survival

Kidney failure is irreversible. Patients need to watch their diet and fluid intake for the rest of their lives unless they get a kidney transplant. However, the leading causes of kidney failure are largely preventable. We must be advocates for kidney health and do all we can to prevent kidney disease. rate of 93%, one of the highest worldwide. Our renal doctor receiving the Ministry of Health’s Healthcare Humanity Award and two nurses receiving the Nurses’ Merit Awards are testaments to our commitment to have skilled renal personnel who provide stewardship, compassion and excellence to serve patients. We continuously strive to enhance our processes by providing skills training for career growth, talent retention and improving productivity. Winning the Singapore HEALTH Award (Gold) and 2 Asia Recruitment Awards reflect our commitment to foster harmony, inclusiveness and good health in the workplace. Our employee retention rate is more than 92% compared to the healthcare industry’s 84.5%. We do our work with prudence and passion. We must have a heart for people especially as we are a voluntary healthcare organisation caring for the underprivileged in society. Hence, we collaborate with restructured hospitals, government ministries, healthcare agencies, community leaders, schools, institutions, corporations, volunteers and people from all walks of life to help poor patients as well as build resilience against kidney disease. Passion is also seen in our new joinees. In the past one year, many fresh graduates and mid-career switchers joined the non-profit sector as they find greater meaning in the social mission of giving back to society. NKF’s average age is now 35. You are our valued partner in our mission. We look forward to continue working closely with you to give Life and Hope to needy kidney patients while reaching out to the community for a healthier nation with lower incidence of kidney failure. Stay healthy. Stay happy.

Yours sincerely

Edmund Kwok Chief Executive Officer

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Board of Chairman MR KOH POH TIONG

Members

MR SOON HONG TECK

MR ArthuR Lang

DR ABDUL RAZAKJR BIN OMAR

PROF A. VATHSALA

MR JOHNNY HENG

MS LEE HUAY LENG

MR LAWRENCE WONG

MR BENNETT NEO

DR CHONG YOKE SIN

DR WILLIAM WAN MR KENNETH CHOO

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Every life saved is v

Chief Executive Officer Chief Executive Officer

Organisation

Chart

Edmund Kwok

Allied Health and Corporate & Community Relations

Allied Health and

Chua Wei Bin (Allied Health) Adeline Sim (Admissions) Desmond Ang (Exercise & Fitness)

Corporate & Community Relations

Thomas Lee (Medical Social Work) Job Loei

(Patient Advocacy & Rehabilitation)

Jeslyn Low

(Corporate & Community Relations/ Volunteer Management)

Jane Guo (Community Partnerships) Yap Chai Kian (Corporate Affairs)

Chairman

Clinical Services/Medical Services/Nursing Services

Clinical Services

Assoc. Prof Evan Lee (Clinical Services)

Medical Services

CEO

Dr Mooppil Nandakumar (Medical Services)

Nursing Services

May Chua (Clinical Affairs) Chow Pek Yee (Dietetics) Rowena Yeo (Nursing Services)

Allied Health and Corporate & Community Relations

Operations & Strategic Planning

Clinical Services

Human Resource

Finance, IT & Business Project Management

Kaldip Kaur (Haemodialysis)

Support Services

Chua Chor Guek

(Quality Management) Medical Services

Nursing Services

Operations & Strategic Planning Lim May Lan

Admissions

Exercise & Fitness

Community Partnerships

Corporate Affairs

Clinical Affairs

Dietetics

Haemodialysis

Quality Management

Medical Records Office

Operations

(Operations & Strategic Planning) Finance

Information Technology

Bio-medical Engineering

Facilities

Chong Kwek Foo

(Medical Records Office)

Operations & Strategic Planning

James Tan (Operations) Ang Chee Wee

(Strategic Planning & Outreach)

Human Resource Medical Social Work

Patient Advocacy & Rehabilitation

Volunteer Management

Peritoneal Dialysis Community Support Programme

Strategic Planning & Outreach

Irene Leng (Human Resource) Purchasing

Human Resource

Finance, IT & Business Project Management

Finance, IT & Business Project Management Liew Yok Yin (Finance, IT & Business Project Management)

Ingrid The (Finance) Catherine Goh (Information Technology) Support Services Andrew Wong (Support Services/Facilities) Ganesan Sundaramurthy

Support Services

10

(Bio-medical Engineering)

Joyce Tong (Purchasing) oss

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Kidney failure may lead to j

Key Corporate Governance Initiatives NKF is committed to lawful and ethical behaviour in all our activities and requires that our Board members, employees, volunteers and consultants conduct themselves in a manner that complies with all applicable laws, regulations and internal policies. In keeping with this commitment and NKF’s interest in promoting open communication, NKF has complied with the Code of Governance for Charities and IPCs. NKF’s Governance Evaluation Checklist for the period 1 July 2014 to 30 June 2015 can be viewed at the Charity Portal www.charities.gov.sg.

Governance Roles and Responsibilities of Board of Directors

Composition of our Board of Directors

The Board acts in the best interest of NKF with the aim of improving the quality of care for patients who are afflicted with kidney disease. It also ensures there are adequate resources for the operations and programmes of NKF and that such resources are effectively and efficiently managed; that there are processes in place to ensure NKF complies with all applicable laws, rules and regulations; and there is an appropriate code of conduct, which upholds the core values of NKF and processes to ensure compliance with the code.

The Board strives to ensure that Board members as a group has core competencies in areas such as accounting and finance, management, law, medicine, strategic planning and technology and that it incorporates a degree of diversity. All Board members must be independent. Independence refers to not having any family, employment, business and other relationships with NKF, any related companies or their officers that could interfere or be reasonably perceived to interfere, with the exercise of the Board member’s independent judgment made in the best interest of NKF. The CEO is an ex-officio non-voting member of the Board and attends all Board meetings. In addition, other members of management are invited from time to time to attend and make presentations at Board meetings.

Day-to-day management of NKF is delegated by the Board to the management team headed by the Chief Executive Officer (CEO). Initiation of new programmes and activities, changes in current programmes and significant transactions require the approval of the Board. The Board also reviews and approves the annual budget prepared by management. Board members are expected to avoid actual and perceived conflicts of interest. Where Board members have personal interest in business transactions or contracts that NKF may enter into, or have vested interest in other organisations that NKF has dealings with or is considering to enter into joint ventures with, they are expected to declare such interests to the Board as soon as possible and abstain from discussion and decision-making on the matter. Where such conflicts exist, the Board will evaluate whether any potential conflicts of interest will affect the continuing independence of Board members and whether it is appropriate for the Board member to continue to remain on the Board. The Board has also ensured that NKF is in compliance with requirements in Financial Reporting Standards (FRS), the Recommended Accounting Practices for Charities (RAP6) and the Code of Governance for Charities and Institutions of a Public Character (IPCs).

12

The Board believes that to be effective, it should not be too large, whilst at the same time, ensuring that there is a sufficient range and diversity of expertise and viewpoints. In light of regulations for charities and IPCs, the Board needs to have a minimum of 10 members. As at end of the financial year, the Board had 12 members. The Board met 4 times during the financial year on the following dates:

NKF BOARD MEETINGS HELD:

9 September 2014



10 November 2014



22 January 2015



19 May 2015

NKF has a Whistle Blowing Policy and a Fraud Reporting Policy that provides employees with accessible channels to the Chairman of the Board, the Chairman and members of the Audit Committee and the internal auditor (partner in charge) for reporting suspected fraud, corruption, dishonest practices or other similar matters. During the financial year, there were no complaints reported by employees. NKF also has a Reserve Policy to provide clarity in the Foundation’s management of our reserves and assures stakeholders that we are well managed and have a strategy for building up reserves, that is, the unrestricted funds that are freely available for operating purposes in order to ensure long term sustainability. Reserve Policy Statement

Our current year reserves of $292 million are only adequate to fund about 2.7 years of projected annual operating expenditure. in S$'000

Current Year

Previous Year

(as at 30 Jun 2015)

(as at 30 Jun 2014)

% increase/ decrease

Unrestricted Funds (Reserves) 291,839

274,485* +6%

Restricted/Designated Funds 25,644

27,633 -7%

Total Funds

317,483

296,696 +5%

2.7

3.1* -0.4



No. of Years Reserves Coverage of Annual Operating Expenditure

* Restated to reflect impact of change in accounting treatment to defer donations for capital expenditure to match expenses incurred.



in S$ million

Projected Operating Expenditure

FY 2015/16

FY 2016/17

FY 2017/18

Total for 3 years

100 110 118 328

With an ageing population, patients are sicker, more frail and need more medical attention. We would need to build more dialysis centres to cope with the rising kidney patient population, while doing more to retard the disease upstream through education and prevention efforts. All these will lead to increasing operating expenses. Annual operating expenditure, for the purpose of the Statement of Reserves, represents the total gross annual expenditure of the Foundation adjusted for inflation and projected capacity increases. Taking into consideration projected income from dialysis treatment, NKF’s reserve coverage at 5.1 years was 0.2 years lower than last year and slightly above the Board’s target of 5 years. Our average cost to support a patient is

000 $23,

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Corporate Governance

12 Committees to Cover Key Areas of Management NKF has 12 committees to assist the Board in covering key areas of management and improve our oversight of management and accountability to stakeholders. All committees have written terms of reference, which are approved by the Board. Minutes of committee meetings are provided to the Board. Audit Committee The Audit Committee reviews the efficiency and effectiveness of the Foundation’s material internal controls, including operational and compliance controls, risk management and evaluate adherence; ascertains the adequacy of the Foundation’s corporate governance, policies and procedures and the extent of adherence thereto; serves as an independent and objective party to review the integrity of the financial information presented by management to the members, regulators and the general public; provides communication between the Board and both the external and internal auditors; and reviews and ascertains the extent of independence of the external and internal auditors. Chairman

Mr Soon Hong Teck

Chairman

Members

Mr Kenneth Choo

Mr Chay Yee Meng Mr Ling Guan Heng Dr Mak Yuen Teen

Committee Meetings Held: 22 July 2014 2 September 2014 15 January 2015 1 April 2015

Tender Committee The Tender Committee is a sub-committee of the Finance Committee. The Committee supports and advises the Finance Committee on the procurement process to help ensure cost efficiency and that it is transparent and competitive. It reviews risk implications, which may arise from the purchases and proposes measures to avoid or minimise such risks. It independently evaluates the tenders submitted for each purchase in excess of $500,000.

Members

Mr Keith Ng

expenditure that are beyond the delegated authority of the Finance Committee, it recommends to the Board for approval. The Committee also oversees the Tender Committee.

Chairman

Members

Dr Mak Yuen Teen

Dr Stephen Chew

Committee Meetings Held: 27 July 2014 25 August 2014 20 October 2014 22 January 2015 25 March 2015 22 June 2015

Mr Alfred Shee

Donor Relations Committee The Donor Relations Committee reviews and ensures that NKF has the appropriate policies and procedures to comply with the Code of Governance’s “Good Fundraising Practices”; reviews and approves all fundraising programmes on a yearly basis; and helps raise awareness and garner support for financial and other assistance needed by the Foundation. Chairman

Mr Bennett Neo

Members

Mr Lawrence Kim

Mr Benjamin Lee

Mr Lee Ho Wah

Investment Committee

Ms Phua Chiew Pheng

Mr Tag Sin Siew

The Investment Committee recommends, for approval by the Board, the investment policy to meet the investment objectives of NKF in accordance with the investment policy, suitably qualified external fund managers (FMs) to implement the investment policy. Where external FMs are appointed, the Committee also monitors and assesses the performance of the appointed external FMs, reports to the Board on the investment performance of funds under FMs’ management and advises on matters relating to investment administration. Chairman

Members

Mr Lawrence Wong

Mr Peter Michael Heng

Ms Carmen Lee

Mr Lee Tiong Seng

(till 30 June 2015)

Ms Regina Lim

Mr Arthur Lang

Mr David Tan

Mr Kim Teo

Ms Tng Kwee Lian

Mr Lawrence Wong

Dr Tan Seng Hoe

Committee Meetings Held: 15 July 2014 17 October 2014 7 January 2015 7 April 2015

Mr Tan Aik Peng

Finance Committee The Finance Committee reviews the financial performance of NKF on a monthly basis and reports the results to the Board on a quarterly basis. Its functions include annual review of operating and capital expenditure budget and recommends to the Board for approval; review of quarterly financial performance against budget, and review and approval of Finance Policies and Procedures. It also reviews and approves all extra-budgetary expenditure beyond the delegated management authority. In respect of extra-budgetary

14

Committee Meetings Held: 12 August 2014 28 October 2014 14 January 2015 6 May 2015

Committee Meetings Held: 13 August 2014 5 November 2014 17 February 2015 15 May 2015

(from 1 July 2015)

Ms Tan Min Lan

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Corporate Governance

IT Committee

Outreach Committee

The IT Committee oversees major IT project implementation, reviews the annual IT budget and ensures budget compliance. Chairman

Dr Chong Yoke Sin

Members

Mr Teo Chin Seng

Mr Linus Tham

Committee Meetings Held: 23 April 2014 28 August 2014 20 January 2015 27 May 2015

The Medical Advisory Committee advises the CEO and Medical Services in the clinical areas and serves as a link between the restructured hospitals and NKF.

Professor A. Vathsala

Chairman

Members

Assoc. Prof Evan Lee

Assoc. Prof Chan Choong Meng

Dr Tan Seng Hoe

Chairman

Members

Dr Abdul Razakjr Bin Omar

Dr Elly Sabrina Binte Ismail

Ms Haslinda Ali

Dr Stanley Liew

Mr Mohd Nizam Bin Ismail

Mr Noor Azlan Musa

Ms Siti Zulaiha Amin Eilyaas

Mr Sujimy Mohamad

Dr Zuraimi Bin Mohamed Dahlan

Committee Meetings Held: 4 August 2014 26 September 2014 12 November 2014 24 February 2015 7 May 2015

Assoc. Prof James Yip

Medical Advisory Committee

Advisor

The Outreach Committee helps strengthen NKF’s outreach initiatives to actively educate the community; forms collaborations for better coordination of prevention efforts; and encourages and empowers the community to take charge of their health.

Dr Adrian Liew

Committee Meetings Held: 29 September 2014 16 February 2015 11 May 2015

Dr Reshma A Merchant

Patient Advocacy and Volunteer Committee The Patient Advocacy and Volunteer Committee spearheads the volunteer and patient-related initiatives. The Committee focuses on raising the community’s awareness of NKF’s volunteer programmes, providing volunteering opportunities and ensuring volunteers’ welfare, training and responsibilities are met. The Committee’s mandate also includes developing patient rehabilitation programmes to meet patients’ needs, managing and nurturing patient advocates and collaborating with external partners to adopt or provide rehabilitation services for patients.

Professor Yap Hui Kim

Chairman

Vice-Chairman

Members

Mr Johnny Heng

Ms Shirley Wong

Mr Simon Neo

Mr Adrian Tan

Dr Mabel Thng

Mr Wong Joo Seng

Committee Meetings Held: 15 July 2014 27 September 2014 17 February 2015 23 April 2015

The Medical Review Panel comprising nephrologists from the restructured hospitals reviews patients who fail the medical review for admission into NKF’s haemodialysis programme and wish to appeal against the rejection due to medical grounds. Members

Dr Chionh Chang Yin

16

Dr Titus Lau

Dr Rajat Tagore

Oats help to build strong bones, teeth and connective tissue

Medical Review Panel (MRP)

Mr Tom Tang

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Corporate Governance

Patient Appeal Committee The Patient Appeal Committee reviews appeal cases of patients seeking financial and social assistance as well as for admission into NKF’s dialysis programme. These cases fall outside NKF’s approved criteria for assistance and are referred to the Committee by NKF’s Admissions and Medical Social Work departments. The Committee deliberates on these appeal cases and after careful consideration, makes recommendations to the CEO to accept, reject or provide alternative assistance to the applicants. In addition, the Committee reviews and provides recommendations for patients with behavioural or adherence issues. Chairman

Vice-Chairman

Committee Meetings Held: 22 September 2014 14 May 2015

Members

Patient Care Ms Esther Lim

Dr Wong Loong Mun

Ms Hui Soh Heng

Ms Leow Sok Fen

Ms Jane Straaten

Ms Tay Poey Noy Mr Yeo Say Ann

Remuneration Committee The Remuneration Committee exercises policy oversight of the Human Resource function in NKF. It ensures that NKF has appropriate remuneration policies and decides on the remuneration of its Senior Executives. The Committee also reviews and approves employee compensation and benefit packages, which include performance incentive plans recommended by NKF’s management. Chairman

Members

Mr Koh Poh Tiong

Mr Chua Hoe Sing Mr Ronald Tan

Committee Meetings Held: 26 September 2014 5 January 2015 4 March 2015

Ms Wong Su-Yen

Research Committee The Research Committee reviews and selects clinical and translational research projects in the area of renal and renal-related diseases and ensures good stewardship and accountability for the way the fund is disbursed.

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Chairman

Members

Professor A. Vathsala

Assoc. Prof Chan Choong Meng

Dr Mooppil Nandakumar

Dr Chionh Chang Yin

Assoc. Prof Evan Lee

Dr Tan Chieh Suai Professor Yap Hui Kim

Dr Grace Lee

Dr Yeo See Cheng

Committee Meetings Held: 8 October 2014 15 April 2015

Dr Martin Lee

Total Subsidies to Patients and Beneficiaries

Patient Care NKF helps kidney patients through the following ways:

$28.9 needy kidney patients

Kidney Live Donor Support Programme

2 Peritoneal dialysis at home

3,566

The total kidney patient and beneficiary population at 3,566 represented a 8% increase and the amount of subsidies for dialysis, medication and auxiliary services given out was $28.9 million for the financial year.

3 Haemodialysis at our 28 dialysis centres

Amount of Subsidies ($'000)

Programmes

As at 30 Jun 2015

As at Year ended Year ended 30 Jun 2014 Variance (%) 30 Jun 2015 30 Jun 2014 Variance (%)

Haemodialysis



Peritoneal Dialysis

342

330

4%

1,077

1,428

-25%

Portable Subsidy

312

272

15%

3,673

3,661

0%

Children’s Dialysis (including funding to Children’s Kidney Centre)

21

19

11%

960

921

4%

Kidney Live Donor

24 21 14% 43 30 43%

2,867 2,672 7% 20,732 20,733 0%

26,485 26,773 -1%

5

Patient Welfare

2,366 1,868 27%

Total



3,600 3,500 3,400 3,300 3,200 3,100 3,000

Children with kidney failure through the Children’s Kidney Centre

3,566 3,314 8% 28,851 28,641 1%

4 Portable funding for patients who dialyse at private dialysis centres

% 70

se

3,033

3,091

2,832

2,574

2,600 2,500

2,398

2,400 2,300 2,100

in

a cre

3,314

2,722

2,700

2,200

3,566

RISING TREND OF NKF’S KIDNEY PATIENT AND BENEFICIARY POPULATION

2,900 2,800

Patients

1

million in subsidies for

Total Number of Patients and Beneficiaries

2,256 2,093

2,000 1,900 1,800 1,700

Jun-06

Jun-07

Jun-08

Jun-09

Jun-10

Jun-11

Jun-12

Jun-13

Jun-14

Jun-15

Year Kidney Live Donor (from 2010)

20

Children’s Dialysis

Portable Funding (started in 2008)

Peritoneal Dialysis

Haemodialysis

Singapore is world number 1 for diabetes-induced

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Quality Patient Care

Kidney

Mr Lee Geok Thiam, 60, is grateful to his oldest son Daryl for giving him one of his kidneys in January 2015. In fact, all his three children offered to donate their kidneys to their father.

“ I wanted to donate my kidney to my father as I want him to have a better quality of life. Giving my kidney has not affected me as I’m back to my normal life after the operation. ” Daryl Lee, 36

Transplantation The Kidney Live Donor Support Fund promotes kidney transplantation as this offers best-long-term survival and quality of life. 24 applicants have received funding approved by the Transplant Ethics Committee and NKF’s management. NKF will continue to look at ways to further enhance the funding coverage and encourage family members of patients to consider donating their kidneys to a loved one.

“I am afraid that my donor’s health will be affected.”

We can help dispel your fears and anxieties. 6299 0200 [email protected] www.nkfs.org

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Living kidney donations make lives better

“I am wondering if I will suffer wage loss during my recovery after donating my kidney?”

Better

Life

After Transplant

“I found out about this transplant fund (NKF’s

Kidney Live Donor Support Fund) and applied. It’s a great help. After the transplant, I lead a healthy lifestyle and no longer need to schedule my life around the thrice-weekly dialysis sessions.” Mr Lee Geok Thiam

Kidney transplantation is the best solution to

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Quality Patient Care

Quality Patient Care

Peritoneal Dialysis NKF’s comprehensive PD Community Support Programme provides home-based support for PD patients and their caregivers to help patients to start and stay well on PD. To better serve PD patients, NKF

two new PD initiatives. launched

Increase in Subsidy With more subsidies and enhanced support, NKF will pump in a total of

$7.63

About

$7.63 million in three years

This is an innovative programme (PD Community Support Programme) “ that lets patients receive dialysis in the comfort of their homes. It makes a difference to each patient – they don’t have to work within the operating hours of the haemodialysis centres, and they can save on travelling time. It gives them control over their schedules and of their lives.

”

Mr Heng Swee Keat (then Minister for Education) Minister for Finance

4-fold increase

in PD nurses since the home support programme started in 2011

million over the next 3

years to benefit PD patients who carry out dialysis treatment at home.

Over 350 had benefited from

1,353

home visits

Dietetic Support Many kidney patients have some degree of malnutrition and are not eating enough when they start dialysis. Dietitians go to their homes to clarify their doubts on PD diet and help them adapt and keep up to their nutritional requirements.

Comprehensive PD Home Support

24

Stepped-up Nurses Support

Psychosocial Support

New PD patients and their families need to adapt what they have learnt in the hospital to the home-based setting. NKF provides patients with an extended period of hand-holding up to one month with daily home visits to help them gain confidence and continue with regular home support after that.

Besides dedicated support from medical social workers, volunteers also serve as companions to patients staying alone or to the elderly patients with elderly caregivers on a regular basis. They also help with grocery shopping and light housekeeping.

80% of our patients are 51 y

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Quality Patient Care

Being Independent

PD

on

Began Home-based Treatment Jit Wee was put on automated peritoneal dialysis (APD), which is carried out during the night while he sleeps. As he sometimes experienced numbness in his fingers due his diabetes, his mother would help him with the treatment procedure. Under her care, he did not suffer from any infections. Although Jit Wee lost his mother to cancer about five years ago, he has strong support from his aunts and extended family.

Helping Beneficiaries on Peritoneal Dialysis

Rising Trend of Beneficiaries on peritoneal dialysis

cre 256% in

300

Patients

Asparagus is effective against urinary tract infections and kidney stones

In the area of peritoneal dialysis, the number of beneficiaries was 342 for the financial year. In total, $1.08 million in the form of subsidies were given out.

400

213

Jun-08

Jun-09

317

330

304

342

284

261

Flexibility and Convenience Now living on his own, Jit Wee, who does data entry work from home, carries out PD on his own every day. He said, “I can do it conveniently at home. There is no needling and no pain. I also travel overseas without worrying about looking for a hospital.” A PD nurse visits him at home to ensure that he continues to do well in his treatment and provide the necessary support.

198

200

96

100

0 Jun-06

Jun-07

Jun-10

Jun-11

Jun-12

Jun-13

Jun-14

Jun-15

Year

“Whenever I go on holidays, I just need to ensure that I bring along sufficient PD solution so that I can do my dialysis.”

PROFILE OF BENEFICIARIES ON PERITONEAL DIALYSIS

Age ≤60

≥61

50% 50% 26

211

a se

Although Mr Loh Jit Wee, 39, took insulin and medication for his diabetes since his teenage years, his condition was not very well controlled. He also has a family history of diabetes on his mother’s side. It was no surprise that he was diagnosed with kidney failure at age 27.

Race

Gender Male

Female

42% 58%

Mr Loh Jit Wee

Chinese

Malay

Indian

Others

64%

28%

5%

3% ses

Diabetes accounted for almost q of kidney failure ca

re

apo

ng in Si

Quality Patient Care

Haemodialysis 45%

High Subsidies for Haemodialysis Patients 99% of our patients receive NKF subsidies and other forms of subsidies while the remaining are full-paying patients, which is capped at 10% of NKF’s haemodialysis patient population.

of haemodialysis patients

paid

$0

60%

and in total, about paid $50 or less a month

Rising Trend of haemodialysis PATIENTS 3,000

4 5% inc

2,500

Patients

2,000

Patients’ Co-payment Per Month (incl. GST)

1,976

2,037

2,161

2,297

rease

2,672

2,330

2,398

Jun-10

Jun-11

2,497

2,867

2,518

1,500 1,000

As Asat at30 30Jun Jun2015 2015 $0

As at 30 Jun 2014

Increase/Decrease 2015 VS 2014

No. of Patients % of Patients No. of Patients % of Patients No. of Patients % Change

391

14%

541

20%

-150

-6%

$51 - $200

428

15%

424

16%

4

-1%

$201 - $400

322

11%

273

10%

49

1%

$401 & above

395

14%

335

13%

60

1%

2,840

99%

2,638

99%

202

0%

No. of Full-paying Patients* Total No. of Patients

Jun-06

Jun-07

Jun-08

Jun-09

Jun-12

Jun-13

Jun-14

Jun-15

Year

PROFILE OF HAEMODIALYSIS PATIENTS

Age ≤60

≥61

Race

Gender Male

Female

Chinese

Malay

Indian

Others

63%

29%

7%

1%

27 1% 34 1% -7 0% 2,867

100%

2,672

100%

195

*There are full-paying patients who receive sponsorships mainly from government organisations.

28

0

1,304 45% 1,065 40% 239 5%

$1 - $50

Total No. of Subsidised Patients

500

–

48% 52%

57% 43%

0

d $5

45% of haemodialysis patients paid $0 and in total, about 60% pai

ss or le

onth

am

Quality Patient Care

Our 28 Dialysis Centres with

Mr Victor Jonathan Garnell, 64, used to drink canned carbonated drinks to quench his thirst, sometimes up to four cans a day. His late father also loved soft drinks and they would compete with each other to finish them. This contributed to both father and son having diabetes.

More in the Pipeline

Leading

Did Not Take Doctor’s Advice Victor did not listen to his doctor to control his sugar intake and exercise regularly. He would eat food with lots of coconut milk. In 2006, Victor’s kidneys eventually failed and he had to start dialysis. With the affordable, quality treatment and care he is receiving, he is coping well. Encouraging Others to Lead Healthier Lives Victor is also a volunteer, actively encouraging others in the community to take care of their health through NKF’s public awareness outreach programme.

Healthier

25 dialysis centres up to 2014 3 new dialysis centres in 2015

3 new dialysis centres

Le Champ-NKF Dialysis Centre (Yishun) started operations in Feb 2015 $2.1 million sponsorship from Le Champ (South East Asia) Pte Ltd 20 dialysis stations serving 120 patients The Singapore Buddhist LodgeNKF Dialysis Centre (Bukit Merah) started operations in Aug 2015 $2 million sponsorship from The Singapore Buddhist Lodge 9 dialysis stations (phase 1)* serving 54 patients

Capacity increased from

542

479 to dialysis stations with an overall patient capacity of

Kwan Im Thong Hood Cho Temple NKF Dialysis Centre (Kolam Ayer) started operations in Sep 2015 $2.3 million sponsorship from Kwan Im Thong Hood Cho Temple

30

122

new ones

3,252

*Phase 2 pending

26 dialysis stations serving 156 patients

Replaced old dialysis machines with

$3.08 million

to upgrade and replace medical instruments and equipment

Eat slowly — food should be chewed thoroughly before swallowing

Our latest

5 new dialysis centres in 2016 and beyond

Lives “ Please watch your diet

and don’t eat too much sweet things.

Do not follow in my footsteps, because the consequences can be dire. ”

Mr Victor Jonathan Garnell

n

ctio

Kidney failure results in diet an

stri id re u l f d

Quality Patient Care

Relieved by

Portable

Lifeline

Subsidy

Mr Balachandram, 59, was born with a hole in his heart. Suffering from diabetes, he had been warned by his doctor that he was at a high risk of contracting kidney failure. His kidneys eventually failed around 2010.

$3.67

Our Portable Subsidy Programme Helps Kidney Patients with Other Medical Complications

To ensure that no needy patient is deprived of dialysis, in NKF continued to support patients through our Portable Subsidy Programme. Needy patients, who pass the means test but cannot be admitted to NKF’s haemodialysis programme because they suffer from other medical complications, are provided with subsidies to receive treatment.

PROFILE OF BENEFICIARIES ON PORTABLE SUBSIDY PROGRAMME

Age ≤60

Receiving Highly Subsidised Treatment He had to stop work as a crane operator because of his ill health. Due to his congenital heart problems, NKF provides him with high subsidies so that he can receive specialised treatment at a private dialysis centre near his home. He only has to pay $260 a month for his dialysis.

millon

subsidies were given out

312

needy beneficiaries

compared to 272 the previous year

Rising Trend of Beneficiaries on PORTABLE SUBSIDY PROGRAMME

400

Gender

≥61

Male

Female

312

41% 59%

60% 40%

Patients

300

272

00 5,1

200

Malay

Indian

%

in

ea cr

se

236

187

119

Race Chinese

Grateful for Support Balachandram is thankful to the donors of NKF for giving him the chance to continue leading a fulfilling life with his wife and four children.

105

Others

“ The NKF subsidy is very helpful.

100 41

0

64% 32

24%

12%

0%

6 Jun-08

Jun-09

Jun-10

Jun-11

Year

Jun-12

Jun-13

Jun-14

Jun-15

Without it, I would have to pay a lot more for my dialysis.” Mr Balachandram

y

urne

t jo icul LifeDrops helps encourage patients along their diff

Quality Patient Care

Children’s Dialysis

Pursuing

Assisting Young Kidney Patients through Children’s Dialysis Fund

Funding for the Children’s Kidney Centre amounted to

NKF's Children’s Dialysis Fund subsidised the treatment costs of 21 young patients suffering from kidney failure as well as sponsor the running costs of the Children’s Kidney Centre at the National University Hospital.

$960,000

Dreams

Come What May

At the age of two, Charmaine Tan had only 20 per cent of normal vision which was caused by a rare genetic disorder characterised by progressive scarring and the development of cysts in the kidneys. This eventually led to kidney failure at 13. BENEFICIARIES ON CHILDREN'S DIALYSIS PROGRAMME

PROFILE OF CHILD BENEFICIARIES ON DIALYSIS

Age ≤10

Gender

≥11

Male

23

23

Female

22 21

21

33% 67%

Race Chinese

Malay

Indian

Others

Patients

20

43% 57%

20

20 19

19 18

18

17

17

With support from NKF, “ Charmaine is able to get

17

16 15

52% 34

43%

5%

0%

Providing Relief to the Family Charmaine started dialysis treatment to sustain her life. “I was overwhelmed by the medical bills,” said her mother. “We were struggling to make ends meet as my husband was a lorry driver and the sole breadwinner.” So it was a great relief to her parents when NKF provided subsidies for Charmaine’s treatment and they did not have to pay anything.

0 Jun-08

Jun-09

Jun-10

Jun-11

Year

Jun-12

Jun-13

Jun-14

Jun-15

subsidised treatment and specialised care at the Children’s Kidney Centre. Mdm Lee, Charmaine’s mother

”

Remaining Positive Unfortunately, Charmaine’s eyesight continued to deteriorate until she could no longer see. While she does not know what the future holds for her, she remains optimistic to pursue her dreams of getting a degree and becoming a Literature teacher. “Although these past years have not been easy, seeing her smiling and coping well warms my heart,” said her mother. nce

sista

40% of our patients need mo

as bility

Quality Patient Care

Holistic Rehabilitation for Patients

We do all we can to provide patients with the best care and support. Our care beyond dialysis is a holistic approach where we not only look after the disease itself, but also patients’ emotional, economic and social needs. Many of our patients are old, frail and have mobility problems. To meet their increasingly complex needs, we have rolled out many new initiatives.

“My house at Jelapang Road is very far from my current dialysis centre at Simei. My wife has to take leave to accompany me to dialysis thrice weekly using a taxi. Not only are the travelling expenses very high, I often feel very tired from travelling. When I dialyse at this new centre (Bukit Panjang 2) at Bangkit Road, it will be much easier on me and my wife.” Mr Pang Tong Toon

Patient welfare subsidies totalled

$2.37 million an increase of

27%

Right-Siting of Patients Over 300 needy kidney patients are on the waiting list to receive treatment at a dialysis centre of their choice. With more new dialysis centres, we are able to right-site them, enabling them to reduce travelling time and transport fees. Helping Neediest Patients with Basic Food Necessities

Social Welfare

662

patients received

40%

subsidies amounting to

$1.6 million

of patients require mobility assistance

Over

80%

of patients are 51 years and above

NKF provided basic food necessities to poor patients through our Grains of Hope programme.

Providing Transport Subsidies Needy patients who require special transport services to and from dialysis centres were given subsidies for taxi, ambulance and van assistance expenses. Needy patients also received $30 per month to top up their EZLink cards.

439

patients

About

received food vouchers and basic necessities once every 2 months

72% of patients

in the Grains of Hope programme have a monthly gross household per capita income of $600 or less

Bursaries totalling

$24,000 were given to 49 financially needy students from families of needy kidney patients

Bursary Awards for Patients’ Children and Grandchildren Caring individuals and organisations like the Singapore Buddhist Lodge support us through bursary awards for patients’ children and grandchildren to excel in their studies. As such, needy patients do not have to compromise on giving their loved ones a good education so that they can do well and contribute back to society in the future.

n

atio

36

Alight one bus stop earlier and walk

to y

ou

stin r de

Quality Patient Care

Papayas help reduce deterioration of arteries and lessen the risk of heart disease

194 malnourished

Physical Well-being Based on the belief in the value of physical exercise in improving patient health outcomes, supervised exercise classes are conducted to help patients offset the adverse effects of deconditioning due to sedentary lifestyle and prevent premature disability. Partnering Exercise is Medicine Singapore (EIMS), a programme spearheaded by the American College of Sports Medicine and Changi Sports Medicine Centre, NKF strongly promotes physical activity and exercise as a standard part of patients’ disease prevention and treatment. New Occupational Therapy (OT) Rehabilitation Programme This new programme facilitates independence in daily activities and optimise functional capacity of patients. We also have a post rehabilitation programme tailored for patients who are discharged from OT.

31

patients

referred for free dental services

patients

“ I fell and broke my hip and was hospitalised for 3 months. I relied on others to move around. I joined NKF’s OT programme and am actively doing physical rehabilitation with the exercise specialists. Now, I feel more relaxed, energised and independent.” Mdm Marissa Lee

benefited from high energy and/or high protein oral nutrition supplements

Medical Welfare Providing for Patients’ Nutritional Needs 56% of newly-screened patients have some degree of malnutrition. These patients were supplemented with high energy and/or high protein oral nutrition supplements during each dialysis session and those with chewing difficulties needing dental treatment were referred to the Tzu Chi Foundation’s free dental services. Subsidised Chest-X-rays

373

patients

benefited from subsidised chest x-ray services since 2014

NKF collaborates with SATA CommHealth who provide heavily subsidised chest x-rays at minimal or no charge to help patients in the early detection and intervention of cardiac conditions. Eye and Foot Screenings Our Staged Diabetes Empowerment Programme (SDEP) continued to provide diabetic patients with knowledge and tools to manage their own conditions through behaviour modification. We also collaborate with the Diabetic Society of Singapore (DSS) to provide subsidised eye and foot screenings through their mobile service at the dialysis centres for patients’ convenience. Home Glucose Monitoring Kits We also continue to provide free glucose monitoring kits to encourage diabetic patients to monitor their blood glucose levels diligently.

About

500

“ After joining the exercise class 1½ years ago, my weight has reduced. I’m fitter, more confident and able to climb the overhead bridge to the dialysis centre.”

diabetic patients

are using the free glucose monitoring kits at home

Mdm Sakyah

38

nt

tme

Early detection through appropriate screening helps ensure timely trea

-up

llow

fo and

Quality Patient Care

“Talking to fellow patients and bringing smiles to their faces during dialysis centre visits warm my heart.”

“There’s an intrinsic reward in working with and helping patients. It's wonderful to see them being uplifted.” Ms Lim Shu Jing Staff of Patient Advocacy and Rehabilitation

Patient Advocate Mr Eu Aik Wah

900 patients

Patient Advocacy We provide buddies for our new patients to help them in their rehabilitation journey. These advocates are trained to become patient counsellors who encourage and coach new patients at dialysis centres. They also volunteer their services in NKF’s Community Outreach Programme to give back to society. They visit patients at hospitals to share their dialysis experience and provide support to pre-dialysis patients. Monthly gatherings are held to enrich patients’ lives through bonding and sharing.

attended the monthly patient gatherings with their caregivers

205

100 patients

Patient Advocates

25

Advocate Leaders “ It is a meaningful experience to help and guide other patients by sharing my personal experiences so that they feel reassured.”

participated in various enrichment activities, such as visiting senior activity centres and nursing homes and working on community projects (marshals at Singapore Sports Hub Opening, SG50 rangoli-making and SEA Games mascot decorations)

Patient Advocate Mr Azmi Saini who provides psycho-emotional support to newly-diagnosed kidney patients at the hospital

Recognising Caring Employers of Patients NKF held our first Extraordinary Employers’ and Courage Awards Ceremony on 3 November 2014 to recognise employers who are supportive of needy kidney patients by offering them jobs or special concessions to help them re-integrate with society. Patients who have taken proactive steps to improve their lives, are gainfully employed and serving their employers long received the Courage Awards during the event graced by Mr Tan Chuan-Jin, Minister for Social and Family Development (then Minister for Manpower).

40

Courage Award Extraordinary Employer Award Recipients Recipients Mr Johari Marzuki

Singapore Power

Mr Lau Chin Seng

Wing Tai Holdings Limited

Mr Lim Cheng Soon

SIA Engineering Company

Mr Mohamed Hairi Bahari Mr Muhammad Aliwara Ramat Mdm See Poh Suan Mr Sze Lee Beng Mr Darren Lee

Kentucky Fried Chicken Management Pte Ltd

Ms Lim Sheng Yun

Family Support and Advanced Care Family support is crucial in patients’ rehabilitation journey. However, their families also experience a sense of loss and helplessness seeing their own family members suffering. Our medical social workers collaborate with external agencies like Family Service Centres, Social Service Offices and other Voluntary Welfare Organisations to ensure the diverse needs of our patients are well met.

UTC Aerospace Systems

Beams of Hope

McDonald’s Singapore

NKF launched our storybook Beams of Hope, which features 45 inspiring kidney patient stories. These patients demonstrate strength, perseverance and resolve that kidney patients have because of the compassion of caring people in the community.

S.K. Rosenbauer Pte Ltd

Grapefruit reduces cholesterol, boosts energy and immunity

Our care go

es b

nd eyo

ysis

dial

Quality Patient Care

Medical & Nursing Care

“I used to think that by going on dialysis, a patient cannot live a Fractional clearance fruitful life for long. But look at of urea (Kt/V) is one key indicator for measuring me. I am still alive and active dialysis adequacy after more than 35 years.”

95%

of patients

achieved desired outcome of Kt/V ≥1.2

Dedicated nurses are empowered and trained to do more advanced clinical work and ensure patient care is not compromised. They are more pro-active in dealing with patient medical conditions and preventing recurring problems at the frontline, allowing doctors to focus more on complex cases. The nurse-led dialysis centres enable NKF to provide wellrounded quality care in a robust dialysis care setting for better clinical outcomes.

“I feel comfortable being attended to by nurses as I see them often and am close to them. Their compassion has helped me in my journey towards better health.” Mdm Koh Swee Choo

Ms Lucy Lu Advanced Clinical Nurse

Achieving Excellent Clinical Outcomes

for one year and 72% for five years

NKF continuously strives to achieve excellent patient outcomes by providing high quality dialysis. We use high flux synthetic membrane dialysers. Our water quality for dialysis always achieves and often exceeds internationally recommended quality standards. We also conduct regular reviews and timely intervention in our patient management. As a result of these efforts, NKF has one of the highest survival rates worldwide. Humanitarian Awards - A Testament to Quality Renal Care NKF’s doctor and nurses have won prestigious awards, which is a testament of our commitment to have skilled renal personnel who provide stewardship, compassion and excellence to serve the needs of our patients. Nurses’ Merit Award Two NKF Nurses, Sadanandan Arockia Sophia and Swarna Lakshmi Jaidave received the Ministry of Health’s prestigious Nurses’ Merit Award. This is the first time two NKF nurses were honoured in the same year since the Award started in 1976. Ms Sadanandan Arockia Sophia (left) and Ms Swarna Lakshmi Jaidave (right)

Permanent catheter* infection rate in our centres is

low at 2.66**

NKF’s survival rates are one of the highest worldwide at

93%

Empowering Nurses to Lead the Dialysis Centres

“Being in charge of a nurseled centre empowers me to guide and Empowered Nurses lead the frontline undergo 156 hours of nurses to provide rigorous training in better patient leadership, care, ultimately psychosocial skills making a positive and impact in their critical thinking lives.”

Mr Richard Tay NKF’s longest surviving patient

against international benchmark of 4.68

*Used for blood to flow from patient to the machine and back ** Per 100 patient months

95%

of new patients achieved Hb level of ≥10gm/dl within 6 months. Improving patients' haemoglobin level results in better physical tolerance and quality of life

Healthcare Humanity Award NKF’s Director of Medical Services, Dr Mooppil Nandakumar received the Healthcare Humanity Award (HHA) from Mr Gan Kim Yong, Minister for Health. The annual HHA recognises and honours a multidisciplinary mix of doctors, nurses and allied health professionals who are inspirational role models.

“ I chose to be a healthcare worker because of the immense sense of satisfaction you derive when you see the smiling face of a patient and family members when the patient recovers from their illness or does well with treatment.” Dr Nandakumar with close to 20 years of service Intermediate Long-Term Care Quality Festival Poster Competition 2015 A team of NKF nurses won our first Gold in this competition by Ministry of Health’s Agency for Integrated Care for a pilot study where nurses and medical social workers collaborate to serve patients’ psychosocial needs. rs yea

42

5

an 3

Our longest surviving patient has been on dialysis for

e th mor

Quality Patient Care

Supporting

Research in Kidney Disease

Enhancing

Organisational

Capabilities

Commitment towards Continuous Learning and Development

The Venerable Yen Pei-NKF Research Fund continues to support renal research in the areas of clinical and translational research. The 13th Grant Call in January 2015 attracted many applicants from the restructured hospitals and academic institutions. The awarded projects were insightful and of good quality. NKF followed up with the 14th Grant Call in July 2015 specifically for projects focusing on prevention of kidney diseases/failure.

Approved proposals

3

Total projects awarded since 2007

Ongoing projects

90

20

Completed and soon to be completed projects

70

Details of Grant Calls Awarded in FY 2014/15 Grant Call Date 13th Grant Call

Jan 2015

Proposals Proposals Total Amount Received Approved Approved 11

3

$228,730

Building the Kidney Confidence Programme: A phase 1 study to understand facilitators and barriers to timely decisions around dialysis initiation.

44

Dr Terina Seow Ying Ying

Nursing Course Sponsorships We provide nursing course sponsorships for diploma, advanced diploma, degree and master’s progamme.

“ At NKF, I have been given many opportunities to take up various courses such as the Advanced Diploma in Nephrology with Nanyang Polytechnic. This course has greatly widened my knowledge in the field of renal nursing and has helped me manage my patients more efficiently in the dialysis centre. The knowledge and skills gained have made me a more competent and confident nurse.” Ms Cynthia Wong Senior Staff Nurse

Approved Projects for FY 2014/15 13th Grant Call Project Title Recipient

NKF continued to enhance staff's technical and soft skills training for career growth, talent retention and higher level of patient care.

Expected Date of Completion Dec 16

Characterisation of Autoantibodies (Autoantibodies to PLA2R (Anti-PLA2R Ab) and Autoantibodies to Thrombospondin Type-1 Domain-Containing 7A (Anti-THSD7A)) in Patients with Idiopathic Membranous Nephropathy and their Correlation with Disease Activity and Clinical Outcomes

Dr Mok Yanjia Irene

Jun 18

Role of Zinc a2 Glycoprotein in the Development and Progression of Albuminuria in Type 2 Diabetes Patients with Renal Insufficiency

Dr Moh Mei Chung

Jun 18

Breakfast is the most important meal of the day

Internship Programme for Students from Higher Learning Institutions Internship opportunities were provided for polytechnic and university students to enable them to have experiential insight into dietetics, exercise & fitness, medical social work, nursing, patient rehabilitation and bio-medical engineering. The internship programme provides NKF a platform for talent recruitment upon their graduation.

We provided

11

tertiary students

with internship opportunities in various healthcare fields

“ My time with NKF was enriching. It gave me great satisfaction to know that the work I had done would go far in helping kidney patients. I am motivated to seek a career in the healthcare industry and social sector.” Intern Quek Zhi Rui Business Management undergraduate Singapore Management University

nts

atie

t

bou

We have given Life & Hope to a

0p 8,00

Quality Patient Care

“ Having a harmonious relationship and strong team bonding among the staff in the dialysis centre helps to create a positive work environment. A happy workplace boosts productivity and competency, which in turn benefits patients as staff can work well together to manage patient care.” Ms Judy Zhang Xia Clinical Nurse Manager

More than

Human Resource Awards - A Testament to Excellence in Employee Wellness, Engagement and Productivity NKF received the following awards, which is a testament of our continuous efforts to foster employee wellness, harmony and inclusiveness in the workplace, which boosts productivity to better serve kidney patients. Gold in the Singapore HEALTH Award NKF won Gold in the Singapore HEALTH Award 2014. The HEALTH (Helping Employees Achieve LifeTime Health) Award, held biennially by the Health Promotion Board, acknowledges organisations that care deeply about employees’ health and well-being.

92%

employee retention rate compared to the healthcare industry’s 84.5%

Employee Engagement Index

HR Asia Recruitment Awards NKF won Gold in the “Best Diversity & Inclusion Strategy” and Silver in the “Best Employer Brand Development” categories. This is the only regional recruitment awards dedicated predominantly to inhouse talent acquisition teams in Asia and judged solely by senior HR professionals. It acknowledges companies from around Asia-Pacific leading the way in talent acquisition strategy and execution, raising recruitment standards and inspiring excellence.

increased to

5.09out of 6 from 4.85 in 2013

“ We will strive on for an ideal workplace where employee engagement level and productivity continues to be high so that our patients can continue to receive the best treatment and care.” Gold in the “Best Diversity & Inclusion Strategy” category

46

Silver in the “Best Employer Brand Development” category

Mr Edmund Kwok CEO, NKF

Education &Prevention

Kidney Health Education Bus Our kidney health education bus with interactive exhibits continues to bring preventive healthcare to the community’s doorstep and encourage them to lead a healthy lifestyle through fun and experiential learning.

Education &Prevention With an ageing population and increased incidences of diabetes and hypertension, kidney failure is on the rise. NKF is committed to stem out this rising trend by preventing the onset of kidney disease. With our $10 million Education and Prevention Fund, we are pushing ahead with our efforts to create awareness of kidney disease through early detection, intervention and prevention. We want to empower people to take care of their health and save on medical costs over the long term.

1.4

Kidney Discovery Centre

Our Kidney Discovery Centre (KDC) has hands-on exhibits where visitors experience a journey that makes them understand better the functions of kidneys and the plight of kidney patients, bringing home with them clear messages on the importance of taking care of their health.

Many schools participate in our outreach activities which include assembly talks, health booths and roadshows to create awareness on kidney health. Through this partnership, students add a new dimension to their school learning, care for their kidneys by adopting a healthy lifestyle and develop compassion and social entrepreneurship through our Champs programme. Healthy Mondays

94%

of visitors surveyed gave

NKF continued to organise Healthy Mondays for organisations, comprising activities such as health talks and health screenings to motivate employees to create a culture of wellness and start the week off healthy.

positive feedback on the KDC

million

people reached through education and prevention initiatives

Schools Outreach Programme

over

Over

Over

26,000

people visited the KDC since its opening in 2011

“ The students have a lot of take-back from this place (Kidney Discovery Centre). It’s very informative and makes the textbook come alive. The diagrams, dialysis machine and hands-on activities allow them to apply what they have learned so that it becomes relevant.”

30,000

8,000 people

visited our Kidney Health Education Bus

students

benefited from our Schools Outreach Programme

92 organisations participated in Healthy Mondays benefiting

over

2,200

people

Mr Lim Yuen Tuck Teacher at Fairfield Methodist School (Secondary)

48

ysis

Patients go through 4 hours of dial

e thric

kly

wee

Education & Prevention

To lose 0.5kg of fat, a person has to burn approximately 3,500 calories

Collaborated with Geng Sihat, reaching out to

“I find the supermarket tour very useful and informative. I now have a better idea of how to choose healthier food, especially through reading the labels on the packaging.”

400,000

people in the Malay community

Mdm Haslinah Lilian Tay

Over

13,000

Targeted Programme for High Risk Groups

We work with different organisations to reach out to different groups in the community to raise awareness of the importance participated in our health of kidney health among high risk screenings, health talks, groups such as the elderly, those roadshows and dialysis with diabetes as well as family centre open house events members of kidney patients. As part Community Health of our outreach initiatives, we are Programmes collaborating with Geng Sihat (sihat means healthy in Malay), a movement NKF continued our education started by the community to empower the Malay and prevention efforts by community to take control of their health. Members of collaborating with grassroots and religious Geng Sihat participate in healthy programmes such organisations and social service agencies to as supermarket tours, exercises, cooking classes and conduct various health programmes for the health screenings. Health messages through a radio community to know more about kidney disease and campaign also benefited the Malay community. prevention.

people

“ I am pleased that we can proactively take the initial step towards moving the community to a better era of health through such an informal community platform.”

Public Education through Mass Media NKF also reaches out to the community by partnering with the media to spread the messages through various events, channels and media stories.

Life is Beautiful TV drama series had a

900,000 viewership

Life is Beautiful NKF’s Life is Beautiful 20-episode television drama series from 5 March to 8 April 2015 brought to attention how kidney failure not just affects the patient but also his or her family and encouraged viewers to look after their health.

“ Health is precious and not only is it a gift for oneself, ensuring that we remain healthy is also the best gift we can give to our families.” NKF’s new “Live Right” Ambassador Isa Halim. He is a role model, raising awareness in the community on the importance of making healthy lifestyle choices, especially among the youths.

Dr Abdul Razakjr Omar Founder of Geng Sihat SG

50

y

alth

Obesity can weigh you down so start exercising and

he stay

Education & Prevention

Love Life Love Your Kidneys In conjunction with World Kidney Day, NKF organised “Love Life Love Your Kidneys” on 14 and 15 March 2015 at the National Library Building to raise awareness of kidney health and the benefits of peritoneal dialysis (PD) to over 800 participants.

Community Partnerships

Health Messages at MRT Stations and Bus Hubs We partnered with Moove Media who provided free media space to spread health messages at North East Line MRT stations and bus hubs to encourage healthy living. Useful items with health messages were given out to participants at our year-round events and activities to promote a healthy lifestyle.

52

Spreading the message of kidney health through the mass media.

NKF Circle of Hearts Volunteers provided friendship, care and emotional support to help patients cope better with their long-term illness. Therapeutic Programmes

Community Partnerships Encouraging

Volunteerism

Volunteers committed

13,000 hours amounting to

$260,000*

Over

1,700

Mushrooms are slow-release energy food, which helps stave off hunger pangs

of man hours

54

volunteers benefited more than

Volunteers made

160 trips

1,000 patients

to escort patients with mobility issues for hospital visits

More than

200 hours

were spent during the Mind Stimulation Activities

240

“It is important for us to take time off from our busy lives to look at a different side of the world. For most of us, it is just a 9 to 5 job but for the patients, dealing with health issues and coming for dialysis 4 hours every other day is for a lifetime.”

volunteers benefited from 13 training workshops

Mr Gordon Ng volunteer from Credit Suisse AG

* based on the average $20 per hour wage of service sector employee (Source: NVPC, Dec 2010)

With the evolving needs of the patients, new therapeutic programmes were introduced to improve patients’ wellbeing. The Hospitalisation Visitation Programme was introduced where volunteers provided befriending and counselling support to patients who have been hospitalised for more than a month. Another new programme is pet-assisted therapy where the Cat-Assisted Therapy Singapore conducted sessions using therapy cats to help patients in their recovery and well-being. Volunteers also continued to provide regular clinical therapeutic sessions to patients through the Mind Stimulation Activities (MSA). This programme has received the recognition and support from the Psychotherapy Association of Singapore (PAS), SIM Psychology Society, NUS Psychology Society and James Cook University (Singapore). Training Programmes

Appreciating Volunteers

Training programmes are provided to equip volunteers with the necessary skills to help patients

NKF celebrated Volunteer Appreciation Day 2014, with over 280 volunteers from all walks of life at the NKF Centre on 18 October 2014 to recognise their efforts.

in their rehabilitation journey. Other yearround workshops included mobility transfers for patients on home dialysis, mind stimulation activities, understanding psychosocial aspects of chronic haemodialysis and counselling for critically-ill patients.

“ I understand more about the social and psychological effects of kidney failure on patients. When visiting the patients, I will be able to understand more of where they are coming from.” Ms Lidia Wong Yan Xin who attended the training on developing an empathic understanding of kidney patients

ts

tien

id

dy k

NKF supports 90% of the Nation’s nee

pa ney

Community Partnerships

Raising Funds

to Help Patients

NKF presented our Charity Musical “Titoudao” to do more for peritoneal dialysis (PD) patients and increase awareness of this treatment as a good alternative to haemodialysis.

Date: 7 March 2015 (Gala Night)

Fundraising expenses amounted to

13.9%

of the total funds raised,

well below the 30% as stipulated by the Charity Regulations

$13.9 million

raised through LifeDrops, contributing to

67% of the

overall donations

Guest-of-Honour: Mr Heng Swee Keat Minister for Finance (then Minister for Education)

LifeDrops is our major source of donation where donors give conveniently through automatic monthly deductions. This way of giving enables us to keep fundraising expenses low and the savings can be channeled to help even more needy patients.

“ Even a small donation every month goes a long way towards helping kidney patients. LifeDrops is very easy and practical and I hope more people can join me as kidney patients need a lot of support from the community in their treatment and rehabilitation.”

“ I’m happy to support LifeDrops as it helps ensure a steady stream of funds for the poor patients who require long-term and expensive treatment.” Ms Han Yong May Associate Editor cum News Editor, Lianhe Zaobao. 55 staff from Lianhe Zaobao supported NKF by joining as LifeDrops donors. The Newspaper also appealed to the public to join the scheme and help needy patients.

Time: 6.30pm – 10pm

Venue: Drama Centre Theatre National Library Building

Monthly Giving through LifeDrops

Mr Christopher Tan Founder of Smartec Pte Ltd

56

Charity Musical “Titoudao”



Amount Raised: Over $700,000 Expenses: $200,575

Prosperity for Generations Four generous well-wishers came together to organise the “S R Nathan SG50 Charity Programme”, in which our former President of Singapore commissioned 138 pairs of porcelain vases to raise funds for charities. NKF was privileged to receive a pair of these limited edition vases to raise funds for our needy patients.

Date: 12 April 2015 (Campaign Launch)

Time: 2pm – 4pm Venue: Wisma Atria Mall Amount Raised: Over $400,000 Expenses: $9,450

ev Every dollar you donate will go entirely to patient care and education & pr

on enti

s

tive

initia

Community Partnerships

“At FedEx we are committed to support the social needs of the local communities where our team members live and work, so we welcome this opportunity to leverage our logistics expertise to deliver food provisions and household necessities to the families of kidney patients in Singapore who need them most.”

“Budak Pantai & Friends” Charity Concert In celebration of our Nation’s 50th Birthday, NKF collaborated with Budak Pantai, an a cappella group, to organise “Budak Pantai & Friends” Charity Concert. Made up of Gordon, Mike, Joe, Kah Keh and Danny, they performed with other local groups such as The Main Wayang Singers, Dance Thrilogy and many other friends to raise funds for needy patients.



Date: 4 June 2015



Time: 7.30pm – 9.30pm



Venue: Esplanade Concert Hall Amount Raised: Over $200,000

Mr Khoo Seng Thiam Managing Director, FedEx Singapore

Expenses: $34,994

FedEx Cares Week

Dialysis Machine Sponsorship

In conjunction with FedEx Cares Week, FedEx Singapore donated $12,000 to provide basic groceries and household necessities for NKF’s neediest patients. Their staff packed the items and over 100 staff and 20 FedEx vans were deployed to personally deliver the items to 370 patients on 20 September 2015, bringing cheer and joy to their homes.

28 caring donors contributed over $1 million to sponsor 55 new dialysis machines. As one machine can benefit six patients, 330 needy patients are benefiting from these machines. NKF carried out platemounting ceremonies at various dialysis centres to recognise dialysis machine donors.

Caring Buddhist Temples Raise Funds for Kidney Patients In conjunction with Vesak Day celebrations this year, 25 Buddhist Temples raised about $100,000 through the Vesak Day Charity Drive “The Spirit of Benevolence”.

Yuhua Grassroots Leaders and Residents Raise Funds for New Dialysis Centre To benefit needy patients in the west, Yuhua Citizens’ Consultative Committee (Yuhua CCC) with the support of Ms Grace Fu, Minister for Culture, Community and Youth and MP for Yuhua, came forth to build a new dialysis centre in Jurong East Street 21 through several SG50 fundraising initiatives. Yuhua CCC and its residents raised $1.2 million, matched dollar-for-dollar by the Government. Guest-of-Honour at the Yuhua-NKF Dialysis Centre Fundraising Dinner on 22 May 2015 was Mr Tharman Shanmugaratnam, Deputy Prime Minister.

Grassroots Organisations/Community Support towards A.K. Giver Programme Kembangan-Chai Chee Citizens’ Consultative Committee (CCC), Yio Chu Kang CCC and Tampines West CCC continued their support for our A.K. (Artificial Kidney) Giver Programme with donations of $17,280, $12,240 and $10,000 respectively which benefited 110 needy patients. Donors’ Appreciation Movie Screening In appreciation for our donors’ steadfast support, over 200 donors were treated to the movie screening Ah Boys To Men 3: Frogmen on 23 February 2015 at GV Vivo City. The screening was kindly sponsored by Director Jack Neo and Mr David Low, Group CEO of Futuristic Store Fixtures Pte Ltd.

SCAL’s Unwavering Support for Needy Patients The Singapore Contractors Association, committed $900,000 to sponsor a new dialysis centre in Yishun, making it the second dialysis centre they have sponsored. Funds will be raised from their Annual Charity Golf Tournament in 2015 and 2016 and matched dollar-for-dollar by a government grant.

Thong Teck Sian Tong Lian Sin Sia donated $450,000 to replace 22 old dialysis machines at their sponsored dialysis centre in Woodlands. On top of their regular gifts toward the recurrent operating cost of their sponsored dialysis centres, the Singapore Buddhist Welfare Services and Toa Payoh Seu Teck Sean Tong also took the initiative to donate a new dialysis machine for the additional station at their centres in Hougang and Yishun respectively.

SG50 Insurance Golf - Swing for Charity 2015 As part of the insurance industry’s contribution to celebrate Singapore’s 50 years of independence, General Insurance Association of Singapore, Life Insurance Association of Singapore, Singapore Reinsurers’ Association and other individuals in the insurance-related industry organised the SG50

58

Insurance Golf – Swing for Charity 2015 on 15 July 2015 to benefit the needy in society. NKF was grateful to receive a $135,000 donation as one of the beneficiaries. s’ e

ient

More funds are needed to refine the treatment to better meet pat

ing volv

ds

nee

Community Partnerships

Our

Benevolent Donors

“I’m happy to contribute in whatever way I can to help needy patients cope with the high cost of dialysis and provide a lifeline for them. I’m also encouraged that I get a tax-deduction of 3 times the value of my donation.” Madam Yee Mei Lin @ Jean Ang, who is on the monthly LifeDrops scheme, donates new dialysis machines and helps out as a volunteer. Our gratitude to all our donors for their strong support, compassion and generosity in helping to save and rebuild lives. Below are our donors who have made outright contributions of $5,000 and above or monthly donations of $100 and above from 1 July 2014 to 30 June 2015. Individuals Ang Boon Hong Ronnie Ang Chai Luan Joyce Ang Chor Meng Ang Hun Khoon Anwar Edward Au Miew Wei Bharvani Rajan Bhaskaran Segaran Nair Boey Siew Fook Michael Boh Chek Kwong Chai Chin Loon Chan Michael Chan Aik Hui (Dr) Chan Chee Kong Chan Chee Soon Peter Chan Chow Siang Avril Chan Hian Siang Chan Kuan Heng @ Sek Tat Sum Chan Mei Lide Chan Sook Fun Yvonne Chan Tio Yong Michael Chan Tur Wei Chan Yok Yue Chandrapaul Obed Benedict Chang Kuan Wee Stephen

60

Chang Mee Hong Cheah Lai Ching Cheah Phui Kheng Adrienne Chee Keng Lian Chee Wai Heong Josephine Cheong Chin Joo Gerald Cheong Kok Hom Cheong Wai Fong Florence Cheung Chuan Woo Chew Ngee Kwoon Chew Poon Niam Chew Siew Lay Chia Chee Ming Timothy Chia Hung King Chin Hang Ping Chng Hak Loy Chong Kok Yong Chong Wee Kee Chong Yeh Sun Choo Boon Loon Choo Hui Leng Choo Lay Hwa Chow Joo Ming Chow Yuen Yong Alvin Chua Ai Gek Delia

Chua Bee Suan Angela (Mrs) Chua Chong Cheng Chua Chor Chuan Chua Guek Liang Molly Chua How Kian Joseph Chua Joseph Chua Soh Kheng Chua Swee Meng William Chua Tong Hai Chua Yeow Kiang Raymond Chung Lai Leng Ruth Dilhan Pillay Sandrasegara Ee Boon Kwee Er Soon Yap Fazilah Abdul Aziz Fenny Maynard Foo Peng Chuan Foo Yoke Khan Foong Yeow Meng Foong Yim Ping Regina Goh Ah Chye Goh Ah Jee Goh Ah Lek Goh Seak Choon Goh Teck Leong Andy

Goh Wee Hiong Lawrence Grimberg Joseph Guee Swei Cheng Jacqueline Han Chen Kong Jeffrey Hatim Fidahusein Nakhoda Hee Chong Yin Heng Siang Yong Ho Bock Wee Louis Ho Boon Cheong Ho Guan Qi Ho Sen Loong David Ho Yoke Wah Hooy Siew Kuen Serene Huang Li Coco Huang Meng Ching Huang Shew Jay Jenny Hwang Soo Jin Jaon Bohari Judy Yeo Ker Thian Lai Khaw Boon Wan Khoo Eng Lian Khoo Kim Geok Jacqueline Khoo Yew Chuan Benjamin Klassen Johan Jerome

Koh Bee Suan Koh Hui Hong Koh Liang Mui Jenny Koh Wee Nah Kong Hung Lau Paul Kwan Yuen Ching Natasha Kwek Ai Ser Kwok Ngat Khow Lam Kwok Chong Lau Jenni Lau Poh Seng Lau Wai Leong Titus (Dr) Law Beng Kok Leau Chee Yung Lee Ah Suan Hydrim Lee Chee Yong Matthew Lee Cheng Ho Lee Chew Loh Stanley Lee Chong Sian Lee Hood Yew Alfred (Dr) Lee How Giap Lee Mo Cheng Mike Lee Nguet Kwang Lee San Min Paul Lee Tee Chin Lee Wan Choy Lee Xiao Qing Lee Yih Chyi Lee-Goh Gaik Choo Peggy (Mrs) Leong Chee Onn Leong Wing Yew Ernest Leong Yen Wah Li Junsheng Lie Cindy (Mrs) Liew Cheng Song Liew Ken Foon Lim Ah Hiong Jane Lim Aik Ching (Mrs) Lim Ban Lee Lim Cher Kia Aloysius Lim Choo Leng Lim Christine (Mrs) Lim Chwee Kim Lim Geok Hwa (Dr) Lim Hock Chee Lim Juat Tu Lim Keng How Jason Lim Khim Hoe Lim Kong Hiong Lim Leong Chuan Lim Lu Giok Amy Lim Mei Guei Michelle (Mrs) Lim Saw Ching Lim Swek Nee Amy Lim Tiong Seng Lim Tiong Yee

Lim Wee Meng Lawrence Lim Wee Phing Lin Wai Hung Lin Zikai Edwin Linn Yeh Ching (Dr) Liu Jun Rong James Liu Yining Lo Szi Wei Longman Simon John Low Kin Chiang Richard Low Meng Cheng Low Suat Tin Joni Low Wai Sing Low-Chee Gek Eng Lily (Mrs) Lui Man Chi Mary Lum Kah Weng Daniel Lye Shoon Fong Lawrence Mai Ah Ngo Mohd Nasrul Abdullah Mok Kwok Wah Lawrence Mok Kwong Weng Muhammad Khairi Darus Na Boon Chong Neo Lay Kuan Hazeline Neo Siong Heng Neo Tiam Boon Ng Ah Teck Ng Cheng Thye Ng Ek Chong @ Djajusman Ng Hoon Hoi Ng Khim Han Ng Poh Seng Ng Seh Tiong Ng Siok Hoong Ng Soon Kheng Ng Tiong Jin Ng Tya Ah Andrew Ng Wee Lee Willy Ng Woo Hong Nganthavee Suckchai Ngo Chun Yong Andrew Nyan Yew Loong James Oan Chim Seng Oh Thay Lee Ong Boon Kong Ong Chee Khoon Ong Chin Eng Andrew Ong Ching Khiam Ong Eng Siong Ong Guan Hwa Ong Hian Seng Jerry Ong Ing Woei Dennis Ong Kim Chee Ong Kok Chye Steven Ong Siu Ming Ong Swee Hoo

Ooi Kooi Tin Pang Pok Parthasarathy Subramanian Phang Soo Chin Phang Weng Wan Jay Phoon Kum Yuen Phoon Kwong Yun Ian Phua Hong Swee Phua Kim Guan Po Chee Chow Kavin Poh Cheng Lam Anthony Poh Liong Pin Poh Sin Choon Quah Kee Swee Quek Gim Pew Roch Cyril Alexander Saw Cheng Chye Seah Chong Teck Seah Siew Suan Seah Swee Poh See Lay Hoon Seek Ngee Huat Sendy Prasetyo Khowantono Sharma Kapil Dev Sheila Christine Anselmi Sim Bee Wah Michelle Sim Hwee Kheng Sim Khien Fwee Jeffrey Sim Poh Ping Sim Siew Thong Singam K K Siti Faridah Khairoman Sng Elvin Sng Cheng Hai So Chee Meng Kenneth Soh Kim Chua Soh Lee Yong Soo Choi Pheng Soumini Nair Soundararajan N Sum Mei Ling Sumarta Tenny Susan Jacob Sze Chun Chau Tam Letitia Tan Bee Hiok Tan Beng Kiat Eric Tan Bo Tan Tan Boon Hock Hansel Tan Chim Hoon Tan Choon King Tan Chuan Yeow Tan Eng Chye Tan Huay Mien Carina Tan Kah Tin Tan Kian Huat Albert

Tan Kiat Hwee John Tan Kok Hwee Michael Tan Kuan Guan Derek Tan Lee Eng Tan Mun Choy Kenneth Bertram Tan Peng Juoi William Tan Se Hok David Tan Seok Kee Jennifer Tan Seow Leng Tan Siew Leng Tara Tan Siew Teck Lawrence Tan Song Chiang Tan Tow Kwang Christopher Tan Wai See Tan Wai Yean Tan Wee Teng Tan Wye Tong Jason Tan Yen Pew Tan Yeo Chiam Danny Tan Yew Seng Tan Yit Poh Tang Kian Cheong Tay Eng Kng Tay Hwee Pio Tay Kheng Hin Tay Kok Leong Tay Soon Seng Tay Woon Teck Teng Kar Moi Teng Mui Mui Teo Beng Teck Teo Cher Kian Teo Poh Heng Teo See See Teo Seng San Teo Soon Chwe Raymond Teo Tiong Aun Teoh Hooi Leng Ter Kim Cheu Than Siang Yean Thian Boon Hua Thio Gim Hock Thong Fook Sang Albert Toh Beng Heng Toh Cheng Wan Toh Han Song Jim Toh Hing Wah Jairo Toh Joo Huat Tong Kien Seng Tong Ming Shen Tuan Shi-Ann Li Voo Li Yin Jeanne Marie Wang Jern Hung Way Suk-Yee Catherine Wee Hian Ann Windersalam Shanmugasundar n

wee

Average patients’ lifespan is bet

12 10 –

rs

yea

Community Partnerships 62

Our Committed Volunteers

A Special Tribute NKF is forever grateful to the late Mr Lee Bock Guan, who passed on in August 2015, for his selfless giving to humanity. While he was President of The Singapore Buddhist Lodge, he benefited needy kidney patients by building new dialysis centres, helping them cope with living costs and encouraging them to face the future with optimism.

Singapore Buddhist Youth Mission Singapore Totalisator Board Steen Consultants Pte Ltd Super Coffee Corporation Pte Ltd SUTL Corporation Pte Ltd Tampines Chinese Temple Tampines Court Pte Ltd

Individuals

Organisations

Tampines West Citizens' Consultative Committee

Wong Hein Jee Lester Wong Kok On Wong Shueh Lih Shirley Wong Soon Chee Annie Wong Thien Yang Malcolm Wong Tim Meng Wong Yung Yee Woo Chee Seng Raymond Woo Phay Keow Susan Woon Cheong Ming Walter Woon Mui Lang Woon Wee Hao Wuan Poh Fatt Wilson Yassemin Md Said Yee Mei Lin @ Jean Ang Yeo Eng How Albert Yeo Lee Hoon Lily Yeo Li Noi Doreen Yeong Wee Yong Joseph (Dr) Yip Ai Kia Yogasundaram Krishnan Yong Kon Yoon Eugene Yu Li Pin Yu Lo Si Rosy Yuen May Foong Jennifer Zaleha Tamby Zhang Yu

Addall.Com Pte Ltd

TC Chua Construction Pte Ltd Teambuild Engineering & Construction Pte Ltd

Adventra Pte Ltd Aegis Building & Engineering Pte Ltd

Tek Feng Lau San Tang The Buddhist Union

Alliance Concrete Singapore Pte Ltd

The Great Eastern Life Assurance Co Ltd

American International Industries (Pte ) Ltd

The Northern Trust Company The Singapore Buddhist Lodge

Anson Tailor

Thomson Shin Min Foundation

Asia Pacific Breweries (Singapore) Pte Ltd

Thong Teck Sian Tong Lian Sin Sia

Baxter Healthcare (Asia) Pte Ltd

Tian Kong Buddhist Temple

BHCC Construction Pte Ltd

Tiong Aik Construction Pte Ltd

Chong Hood Lim Association Core Building Specialists Pte Ltd CSC Holdings Ltd CSD Sealing System Pte Ltd Daikin Airconditioning (Singapore) Pte Ltd Dong Jian (Singapore) Pte Ltd E.id Projects Pte Ltd

Kembangan-Chai Chee CCC Koh Kock Leong Enterprise Pte Ltd

Penta-Ocean Construction Co Ltd Peri Asia Pte Ltd

Koo Chye Ba Sheng Hong Premier Structure Pte Ltd Temple San Qing Gong Pte Ltd Prima Limited Koon Teck Tng Temple Puat Jit Buddhist Temple

Kuan Im Tng Temple (Joo Chiat) Qi Heng Construction Pte Ltd Le Champ (South East Asia) QS-First Pte Ltd Pte Ltd Edward De Bono Training Raffles Medical Group Ltd Private Limited Lentor Ambulance Pte Ltd Roche Singapore Pte Ltd Fortinet Singapore Pte Ltd Li Shao-Bo Zhen Qi Yun Xing Rotork Controls (Singapore) Fresenius Medical Care S'pore Society Pte Ltd Pte Ltd Lian Soon Construction Pte Ltd RSM Chio Lim LLP G-Force Network Pte Ltd Lorong Koo Chye Sheng Hong Ryobi Kiso (S) Pte Ltd Temple Association Global Hydraulics Pte Ltd Sakyadhita Loyang Tua Pek Kong Grandwork Interior Pte Ltd Samwoh Corporation Pte Ltd Meiban Group Pte Ltd Hexacon Construction Pte Ltd Mitsubishi Electric Asia Pte Ltd SATS Staff Association Highway International Pte Ltd Sembcorp Design & Nanyang Primary School Ho Lee Construction Pte Ltd Construction Pte Ltd New Creation Church Hock Lian Seng Infrastructure Sheng Hong Temple Pte Ltd Ngai Chin Construction Pte Ltd Showy Private Limited Hoe Kee Hardware Pte Ltd Nuform System Asia Pte Ltd Siem Seng Heng & Co. Pte Ltd Hwa Seng Builder Pte Ltd Obayashi Singapore Sin Hong Thai Engineering Janssen, a division of Johnson Private Limited Pte Ltd & Johnson Pte Ltd OES Construction Pte Ltd Singapore Buddhist Welfare J'Kids Amusement Pte Ltd Pavilion Foundation Limited Services JYC-NCL Pte Ltd Pei Hwa Foundation Limited Ebenezer NDT Services Pte Ltd

Dialysis patients can only consume 500ml – 1,000ml of fluids daily

Tiong Seng Contractors (Pte) Ltd Toa Payoh Seu Teck Sean Tong TTJ Design & Engineering Pte Ltd Tuas Pek Kong Keng Management Council Turbo One Pte Ltd

We are thankful to all our volunteers for their contributions and efforts to help our patients in their journey towards rehabilitation. Individuals who received NKF's Outstanding Award: Edwin Khoo Latipah Bte Mohd Noor Selamat Bin Haji Ahmad

Organisations/Religious Groups/Educational Institutions who received NKF's Certificate of Appreciation: Great Eastern Life Assurance NTU Office of Global Education Aaxonn Pte Ltd Co Ltd & Mobility Anglican High School Hwa Chong Institution NUS Psychology Society Antiants Envirocare Pte Ltd Hwa Chong International School OOCL (Singapore) Pte Ltd Bedok Methodist Church Paya Lebar Methodist Girls' Boscombe Life Community Hwa Chong Junior College School (Secondary) Innova Junior College Services Pei Hwa Secondary School Buddhist Compassion Relief James Cook University Raffles Institution Tzu Chi Foundation JCU 360 Club SATS Ltd Changi Simei Community Jitterbugs Swingapore Centre Jurong Spring Community Centre SIM Psychological Society Changkat Changi SIM School of Human LeonGold Trading Co Pte Ltd Secondary School Development & Social Services Masjid Hajjah Rahimabi Kebun Choa Chu Kang Secondary Singapore Buddhist Youth Mission Limau School Singapore Customs Nanyang Polytechnic, Ci Yuan Community Centre School of Information Technology Singapore Kindness Movement Youth Club Ngee Ann Polytechnic SmartLab Clementi Community Community Service Interest SMU Rotaract Club Centre Group Swiss Cottage Secondary School Compassionate Arts Group NTU International Student Centre The Northern Trust Company Croda Singapore Pte Ltd NTU Nanyang Business (Singapore Branch) Dirad Pte Ltd School Tourism & Hospitality Whampoa Community Centre Management Club Expat Giving Yishun Town Secondary School Federal Express (S) Pte Ltd Individuals who received the National Council of Social Service 5 Years Long Service Award:

Ang Poh Suan Aw Soh Tin Jenny V3 Construction Pte Ltd Chandrika D/O Retnam Vobis Enterprise Pte Ltd Chang Kum Fatt Whizz-work Pte Ltd Chia Meng Choon Wing Ship Marine Services Chong Guan Hong Jacinta Pte Ltd Alice Woh Hup (Private) Limited Chong Lee Nam Daphne Yahya Abdulhussain Lukmanji Chong Yong Poey Perry Saif Charity Trust Choy Yin Fong Christina Yan San Metals Pte Ltd Chu Chui Pun Catherine Yio Chu Kang CCC Community Eswaravaka Dananjaya Development & Welfare Fund Reddy Committee Faizah Binti Abdul Kadir Yixin Precision Engineering Foo Siew Ling Vivian Pte Ltd Gaw Shun Ting Yongnam Engineering & Hoon Siew Jee Construction (Pte) Ltd Hum Wai Hon Humphrey YTL Starhill Global Property Kamsiah Binte Abdullah Management Pte Ltd UBS AG

Wong Siew Cheong

Khatijah Bte Kassim Khoo Chiew Heok Rosalyn Khoo Pak Tiang Kelly Kuah Poh Chin Kerry Kuar Siow Poh Brenda Lim Keon Hui Angie Lim Poh Heoh Irene Lim Siew Xin Loh Kok Yew Muthusamy Sellammal Myint Zu Myaing Ng Yu Xuan Nor Sayati Binte Shafie Mrs Osgodby Nurhaizirah Binte Nasir Ponraj Sudhakar Ruzianah Binti Sarip San Thu Sandiah D/O Suppiah

Sanjana Balakrishnan Sarinah Binte Aziz Seet Qihui Seow Hui Huang Shue Lin Pak Sng Siang Kee Soh Eng Ann Soh Kok Kheng Philip Sripornsawan Tanakanya Suhana Binte Adi Tan Hai Peng Tay Cheng Choo Susan Ting Tau Nay Wee Chia Ling Wong Siew May @ Choy Yuet Ho Wong You Cheong Eric Yu Chuan Feng Yu Ting Ting Zhang Xinying Sharon

NKF has made every effort to ensure accuracy of the information. We apologise should there be any omissions or errors.

To survive, most patients rely on l

me ifeti

ysis

dial

Financial Statements OVERVIEW OF FINANCIAL RESULTS FOR THE YEAR ENDED 30 JUNE 2015

FY 2014/15

FY 2013/14

“Every dollar donated goes entirely to patient care and education & prevention initiatives as we are able to cover all administrative expenses through government grants with prudent cost management.”

Treating a patient costs $23,000 per annum;

45% of patients pay $0

Variance

S$’000 S$’000 S$’000

Income from Dialysis

30,318 28,697 1,621

MOH Subvention

12,751

7,743

5,008

(27,103) (23,516) (3,587)

This is funded by: Donations - LifeDrops

13,890

13,958

(68)

6,815

7,730

(915)

(2,868)

(2,511)

(357)

Rental Income

991

970

21

Sundry Income

37

29

8

Total Donations and Other Income

18,865

20,176

(1,311)

Deficit from Operations after Donations and Other Income

(8,238)

(3,340)

(4,898)

Government Grants

18,844

14,635

4,209

Administrative Expenses

(7,326)

(6,545)

(781)

Total Surplus/Deficit from Operations

3,280

4,750

(1,470)

Investment Income (Net)

2,757

2,889

(132)

Total Surplus/Deficit for Financial Year

6,037

7,639

(1,602)

Donations - Others Fundraising Expenses

The full set of audited financial statements is available at on printing costs as well as care for the environment.

64

66%

of dialysis cost,

34%

Administrative expenses are only

9%

of overall operating expenses

covered by government grants and other income

1. Overall results for FY 2014/15 was a surplus of $6.0 million made up of surplus from operations of $3.3 million and investment income of $2.7 million. Red peppers are top metabolism boosters, helping the body to burn fat

Deficit from Operations

(70,172) (59,956) (10,216)

100% of donations can only cover

with the balance

Less Expenses

Mr Kenneth Choo Finance Committee Chairman

2. Deficit from operations of $27.1 million was higher than last financial year by $3.6 million (15%). This was due to the significant increase in number of dialysis patients and beneficiaries which had risen by 252 to 3,566. 3. Deficit from operations was fully funded by donations and other income of $18.9 million, and the balance deficit of $8.2 million was supported by government grants. 4. Administrative expenses at 9% of overall operating expenses were fully funded by government grants. 5. Net investment income was largely the same as last year.

www.nkfs.org to save ion

ndit

f re o

1 in every 9 adults has diabetes and almost half were not awa

r co thei

Our Caring

Dialysis Centre Sponsors

Thanks to our caring sponsors, NKF has been able to set up dialysis centres across Singapore, providing convenience and easy access to kidney patients living or working in the heartlands. Dialysis Centres Aljunied

NKF Hong Kah Dialysis Centre Blk 536, Jurong West St 52, #01-497 Singapore 640536

Ang Mo Kio 1

Hougang 1

Japan Airlines – NKF Dialysis Centre Blk 17, Ang Mo Kio Ave 9, #03-01 Singapore 569766

Ang Mo Kio 2

Western Digital – NKF Dialysis Centre Blk 633, Ang Mo Kio Ave 6, #01-5155 Singapore 560633

Ang Mo Kio 3

Pei Hwa Foundation – NKF Dialysis Centre Blk 565, Ang Mo Kio Ave 3, #01-3401 Singapore 560565

Bedok

Singapore Pools – NKF Dialysis Centre Blk 27, New Upper Changi Road, #01-694 Singapore 462027

Bukit Batok

NTUC Income – NKF Dialysis Centre Blk 103, Bukit Batok Central, #01-237 Singapore 650103

Bukit Merah

The Singapore Buddhist Lodge – NKF Dialysis Centre Blk 128 Bukit Merah View #01-22 Singapore 150128

Bukit Panjang 1

25 dialysis centres up to 2014

New Creation Church – NKF Dialysis Centre Blk 274, Bangkit Road, #01-54 Singapore 670274

3 new dialysis centres in 2015

Clementi

5 new dialysis centres in 2016 and beyond

NKF Clementi Dialysis Centre Blk 326, Clementi Ave 5, #01-175 Singapore 120326

Ghim Moh

Woh Hup – NKF Dialysis Centre Blk 1, Ghim Moh Road, #01-358 Singapore 270001

66

Kick start your system with a glass of warm water to flush out waste matter

Tampines 1

Hong Kah

Hong Leong – NKF Dialysis Centre Blk 102, Aljunied Crescent, #01-265 Singapore 380102

Singapore Buddhist Welfare Services – NKF Dialysis Centre Blk 114, Hougang Ave 1, #01-1298 Singapore 530114

Hougang 2

National Trade Union Congress/ Singapore Pools – NKF Dialysis Centre Blk 935, Tampines St 91, #01-333 Singapore 520935

Tampines 2

Wong Sui Ha Edna – NKF Dialysis Centre Blk 271, Tampines St 21, #01-99 Singapore 520271

NKF Hougang – Punggol Dialysis Centre Teck Whye Leong Hwa Chan Si Temple – Blk 628, Hougang Ave 8, #01-108 NKF Dialysis Centre Singapore 530628 Blk 113, Teck Whye Lane, #01-666 Jurong West Singapore 680113 Sheng Hong Temple – Toa Payoh NKF Dialysis Centre Singapore Airlines – NKF Dialysis Centre Blk 744, Jurong West St 73, #01-19 Blk 225, Toa Payoh Lor 8, #01-54 Singapore 640744 Singapore 310225

Kim Keat

Tay Choon Hye – NKF Dialysis Centre 81 Kim Keat Road, Singapore 328836

Kolam Ayer

Kwan Im Thong Hood Cho Temple – NKF Dialysis Centre Blk 43 Bendemeer Road #01-1018 Singapore 330043 (Kolam Ayer)

Pasir Ris

Tampines Chinese Temple – NKF Dialysis Centre Blk 180, Pasir Ris St 11, #01-06 Singapore 510180

Serangoon

Upper Boon Keng

Sakyadhita – NKF Dialysis Centre Blk 19, Upper Boon Keng Road #01-1220, Singapore 380019

Woodlands 1

Thong Teck Sian Tong Lian Sin Sia – NKF Dialysis Centre Blk 825, Woodlands St 81, #01-30 Singapore 730825

Woodlands 2

NKF Woodlands Dialysis Centre Blk 365, Woodlands Ave 5, #01-490 Singapore 730365

Insurance and Financial Practitioners Association of Singapore (IFPAS) – NKF Dialysis Centre Blk 201, Serangoon Central, #01-30 Singapore 550201

Yishun 1

Simei

Yishun 2

Kwan Im Thong Hood Cho Temple – NKF Dialysis Centre Blk 101, Simei St 1, #01-892 Singapore 520101

Toa Payoh Seu Teck Sean Tong – NKF Dialysis Centre Blk 203, Yishun St 21, #01-239 Singapore 760203 Le Champ-NKF Dialysis Centre Blk 639 Yishun Street 61 #01-168 Singapore 760639

We strive to ensure no needy patient is dep

lysis

f dia

do rive

The images represent NKF’s efforts to provide quality, affordable treatment to needy kidney patients and creating greater awareness of kidney disease through education and prevention in partnership with a caring community.

The National Kidney Foundation Annual Report

81 Kim Keat Road, Singapore 328836

UEN: 200104750M