Josiah Tan
Re - Defining The Future of Healthcare

Thesis Supervisor: Richard Ho

Site: Queenstown, Singapore

With the prediction that by the end of 2030, there will be a considerable increase in the proportion of elderly citizens globally, many of which are in their 80s, Singapore faces an ageing population that draws consequences for her society. It is with no doubt that with the aged citizens in Singapore, there are many considerations to take note.  By placing special emphasis on these elderly citizens, the dangers of isolating them from the rest of the society is easy, with nursing homes, rehabilitation centres and day centres. It is a common practice that they are left out to fend for themselves. As the Merdeka generation age, the number of “boomers” would cause a shift in many of the policies in place for the elderly citizens in Singapore. Problems that would adversely affect not only the elder citizens but also the general population. 

Singaporeans tend to high-light these problems as separate problems that should be dealt with cautiously, but by understanding that there will be no drastic changes in the multiple facets of ageing , be it mentally, their social functions and physical realms of our elderly citizens, there is an opportunity for better integration between the different generations in Singapore. Living longer is a global trend of our time, as Singaporeans age quicker than many of our peers facing the same issue, people would need more care than ever.


This thesis is thus aimed to uncover the architectural possibilities of how the build environment can connect the needs of the elderly citizen to a larger network of support. Aiming at the larger population of elderly citizens by year 2030, the analysis of the various challenges and issues that emerge from the different aspects that revolves around the current healthcare landscape of Singapore, to caregivers will face soon.


Singapore Faces a decreasing population since year 2016. (Figure 1.1) With the fertility rate of the country dropping, the downward trend has been steadily reflecting a deduction in numbers since 1976 with a fertility rate well below 2.1.  


As the thesis seeks to uncover the varying scaled of community healthcare in Singapore that is viable for the future. By understanding the different criteria that suits home-based healthcare, were the main considerations during the process of site selection.

Exceeding Japan’s life expectancy’s first place has paramount impact on how we embrace life. The mortality rates due to illnesses such as stroke, heart diseases and even cancer has saw a significant reduction by 16% from year 2010 across to year 2017. 

Site Requirements

- The proximity of the Community Club

- The proximity of RCs and SCs found in the site

- The existing healthcare infrastructure of various medical facilities to support the re-defined homebased healthcare model.

- Ample space for redevelopment through circulation for Universal Design

Site 1

Sandwiched between the Queenstown Community Club and the Queenstown Ployclinic, the Care Giver focused building supports the caregiver and reduces the dependency on the primarcy healthcare infrastructure.

Site 2 - 46 Queens’s Close Void Deck

By utilising the existing infrastructure of block 46, the Home - Help centre serves to provide services to the neighbouring elder citizens staying in close proximity to the center. 

Site 1 - Polyclinic and  Queenstown Community Club

While most of the caregivers in Singapore are those that did not have formal training, due to certain reasons, might pose to be detrimental to the elderly citizens in the long run. The problems of an untrained caregiver might handle situations that could ultimately hurt the individuals, 

tasks such as transfers from the car to the wheelchair, or from the wheelchair to the bed when performed poorly would cause hurt to both the caregiver and the elder. These tasks can be exhausting and overwhelming when there is little control over the situation. The building sets to place training and care support for the caregivers.