‘Breakthrough for nursing’: Tan Tock Seng Hospital to roll out flexi-shifts for nurses by end-2024

SINGAPORE – Tan Tock Seng Hospital will roll out a flexi-work arrangement for all 2,500 nurses in 27 inpatient wards by the end of 2024, making it the first public hospital to do so.

Typically, the nurses work three routine shifts a day, starting from 7am for the first eight-hour shift, to 8pm for the 12-hour night shift. With this initiative, they can now opt for a mix of routine and flexible shifts each week, as long as they fulfil the 80-work-hour requirement every fortnight. The hospital has also redesigned nursing, with nurses on flexi-shifts handling specific duties, while those on the routine shifts continue with the full duties.

Dr Hoi said TTSH is starting with the inpatient wards but plans to eventually scale up to all the nurses in the hospital, which now totals about 4,000. Several focus group discussions with nurses were held in 2023 to find out about their challenges at work, and the issues that came up included a lack of flexibility in shift start and end times.

She used to rotate among the three shifts, but has since October 2023 opted for two rotational shifts a week so she can spend more time with her two-year-old son.Nurses save up to 10 minutes per patient with AI that senses when they leave their bed

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