Feedback from the Singapore delegates and all placement areas was extremely positive and our visitors have already implemented several quality improvement programmes since being back in Singapore.
A team of four clinicians from Singapore visited Greater Manchester as we’ve developed one of the most progressive and integrated delirium care models in England, making significant strides in community-based detection, prevention, and management of delirium. You can find out more about our work on delirium here
Working with colleagues across Greater Manchester we developed a month long clinical observer-ship and the team visited us 24th February to 21st March 2025. The visit was funded by the Singapore government.
We visited Greater Manchester to see how delirium is addressed across different care settings. We were particularly interested in how various care providers work together to improve delirium detection and management, from patients’ homes all the way to hospital care. Dr Lim Jun Pei, Consultant in Geriatric Medicine at Tan Tock Seng Hospital
The observer-ship focused on enabling the clinicians to learn how health and care services work together across Greater Manchester to improve delirium care. During their visit, the team spent time in GP practices, hospitals, and community settings including local voluntary sector groups, seeing first-hand how different services in Greater Manchester work together to detect and manage delirium effectively.
The visiting clinicians also had the invaluable opportunity to learn directly from people with lived experience of delirium, gaining a deeper understanding of the real-world impact of the condition and the support that makes a difference.
Our Singapore colleagues identified Greater Manchester as a beacon of good practice in delirium care. It was a privilege to showcase the ongoing good work happening in our communities and our hospitals and enabled us to reflect on how much has been achieved over the last few years through the commitment and enthusiasm of locality teams. We learned a lot from Dr Jun Pei Lim and the team, exchanging ideas for improvement, and plan to stay in contact and collaborate on projects in the future. Professor Emma Vardy, NHS GM Delirium Clinical Lead, Northern Care Alliance NHS Foundation Trust Consultant Geriatrician and Frailty lead, Honorary Clinical Chair Manchester Academic Health Science Network at the University of Manchester
We undertook a detailed evaluation of the visit to gather feedback, experiences, impacts and any lessons learned.
The feedback from the Singapore delegates and all placement areas was extremely positive. The placement hosts really valued showcasing their work, seeing it as an opportunity to reflect on how much they have achieved working with us in Dementia United on the delirium programme.
Hosting the delegates was a very enjoyable and educational experience – this provided a platform for us to learn about their work, but also to learn more about work happening across disciplines within our own institution. Dr Sarah Fox, University of Manchester
The Singapore delegates felt inspired by the passion, innovation and partnership working that they observed in Greater Manchester, including the value of co-production with people with lived experience and have commenced several quality improvement programmes since being back in Singapore. This has included knowledge dissemination, workforce training with the development of an e-learning module for all registered nurses, which achieved 90% completion and received positive feedback. They have also used the insights from Greater Manchester’s geriatrician-led frailty pathway to develop a dedicated frailty workflow in their equivalent Hospital@Home, thereby improving clinical confidence and outcomes in managing complex, frail patients in the community.
Our visit to Greater Manchester was an enriching experience. We had the opportunity to learn from and exchange best practices with dedicated teams working to advance dementia care and improve the lived experiences of individuals with delirium. Our hosts were generous in sharing their insights and resources, and their passion for their work was truly inspiring. Since our return, we have shared our learnings across various platforms, generating valuable discussions within our institution on strengthening delirium management across different care settings. Dr Lim Jun Pei, Consultant, Geriatric Medicine, Tan Tock Seng Hospital, Singapore
Download the full evaluation report: Evaluation of the Singapore delirium clinical observer-ship hosted by Greater Manchester version FINAL
The visiting clinicians had the invaluable opportunity to learn directly from people with lived experience of delirium, gaining a deeper understanding of the real-world impact of the condition and the support that makes a difference.
We also collated information about each visit with photos and quotes from the visiting team and their hosts
Download our communications round up report: Singapore Visit Communications Round Up May 2025
