Dr Ramaswamy Akhileswaran
CEO & Medical Director of HCA Hospice Care
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“Getting the scholarship is like winning something big
unexpectedly. I will use this opportunity to hone my knowledge and skills. The learning and
interactions during the programme with international leaders from the non-profit sector will
definitely stimulate my thinking. This will also help me to look at ways to advance the mission
of HCA Hospice Care and more importantly, contribute more to the social service sector in
Singapore.” |
A specialist in Radiation Oncology and Palliative Medicine, Dr Akhilesh
joined HCA as its Medical Director in 2001. He assumed the position of CEO in 2007.
HCA Hospice Care runs three main programmes: Hospice Home Care, Hospice Day Care and
Caregiver Training. It runs the largest hospice home care service in Singapore, looking after
75% of all the hospice patients in the island.
Comprising a doctor, nurse, medical social worker and volunteers, the HCA home care team
looks after patients who have a life-limiting illness like cancer or any other end-stage disease
with an expected life expectancy of one year or less. These patients are seen in their own homes by
the home care team. The home care service is free of charge to all patients. HCA looks after more
than 800 patients at any given time.
The Day Care centre is for similar patients who are relatively well and symptom-free. They are
transported to and from their homes to the centre for physical and psychosocial rehabilitation.
They spend the day at the centre doing group exercises and other activities. Patients are charged
$15 per visit but this may vary based on a means test. The charge includes the transportation,
food, activities and medical consultations when needed.
The caregiver training is aimed at helping the caregivers cope physically and psychologically
with the care of patients at home. The training is conducted in two 3-hour sessions every week at
our satellite centres.
Dr Akhilesh was instrumental in turning HCA around financially salvaging it from the verge of
closure. He is especially proud of the “Hospice into the Community” programme that
was implemented in 2003. Four satellite centres were set up around the island to increase the
visibility of hospice care in the community. Regular training sessions were also started for doctors
and nurses. The student education programme was set up in 2004 to help primary, secondary and
tertiary students interact with the elderly sick in the community and, to date, more than 16,000
students from 60 educational institutions have successfully completed this programme.
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