Valuable & Good Source of Infomation from past topic thread:
www.sgforums.com/forums/1390/topics/122714
FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.
Questions on how to downgrade, where to find doctors for downgrade, chao keng and malingering will be modified.
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Extracted from here:
NSmen must update their NS HRCs if they should develop any new medical condition or if their existing medical condition has worsened which might affect their ability to perform their duties during ICT. Arrangements will then be made for them to attend a medical review at the SAF medical centre to assess their fitness for NS.
The NSmen MUST bring along all investigation results and memorandums from his external physician/specialist during the medical review. Depending on the outcome of the medical review, the NSman may be given a medical certificate to defer him from ICT, be scheduled for a medical board to downgrade him if his medical condition is significant, or referred to a restructured hospital for further investigation. In the event that the medical officer determines that the NSman’s medical condition will not affect his ability to participate in the ICT, he will allow the NSman to attend the ICT.
Physical Employment Status (PES)
PES A (L1) = Fit for all combat vocations. (Full BMT)
PES B (L1) = Fit for most combat vocations. (Full BMT)
All PES A and B1 will be followed by the L-Code (Land Deployability Code) as follows:
L1 – Fit for all field duties including frontline duty.
Can be deployed in Manoeuvre vocations and be involved in direct combat.
PES Bp = Fit for obese Full BMT (applicable to obese recruits).
============================================================
PES B2 (formerly called C1) - Fit for some combat vocations. Required to take IPPT but can be excused up to 2 static stations in IPPT.
PES B2 grading will be followed by the L-Code (Land Depolyability Code) as follows:
L1 – Fit for all field duties including frontline duty. Can be deployed in Manoeuvre vocations and be involved in direct combat.
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support Vocations at all echelons.
============================================================
PES C = Fit for combat service support vocations. (Modified BMT)
Further subdivided into:
PES C2 - Do not have to take IPPT for NSF/ NSman, except regulars who are required to take Alternative Aerobic Fitness Test (AAFT).
PES C9 - All servicemen not required to take IPPT.
PES C grading will be followed by L-Code (Land Deployability Code) as follows:
L2 – Fit for most field duties. Can be deployed in Manoeuvre vocations of Brigade HQ level units and above, and/or Combat Support vocations in frontline units of Battalion and above, and/or Combat Service Support vocations at all echelons.
L3 – Able to bear firearms and operate in a field environment. Can be deployed in Combat Support vocations of Brigade HQ and above, and/or Combat Service Support vocations at all echelons.
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
============================================================
PES D = Temporary unfit for grading and pending further review.
============================================================
PES E = Fit for administrative duties only.
PES E1 - Able to participate in simple observance parades and LIFE activites.
PES E9 - Unfit for any forms of physical activities; field duties/exercises.
PES E grading will be followed by the L-Code (Land Deployment Code) as follows:
L9 – Able to bear firearms and protect themselves, others and property. Can be deployed in Combat Support vocations in Main Support Area, and/or Combat Service Support vocations of Brigade HQ and above.
PES F = Medically unfit for any form of service.
Upgrading Or Downgrading Of PES
(From Admin Point Of View)
Downgrade To PES C/D/E (Perm or Temp)
Downgrade to a certain PES status will mean that you due to your medical condition you are no longer fit to be in your current vocation.
This means that you will be re-vocate to a vocation that suits this PES status.
1.) Re-vocation is done by the SAF and not choosen by the soldier.
2.) Re-vocation depends on PES grading.
3.) Re-vocation will also mean you can be re-depolyed to another formation, unit or camp altogether.
Upgrade From PES C/D/E
For: Enlisted as PES E or Temp PES E Status
PES E Upgrade to PES A, B or C will mean a re-vocation. You will be required to take your BMT in accordance to your PES status (in Tekong). And subsequent Re-vocate to your new vocation.
PES A/B/C Downgrade/Upgrade BMT Recourse
This section is applicable to those who downgraded or upgraded to any of the PES A/B/C
1.) If the person completed and PASSED his BMT course then dun need to recourse liao. This applicable to those who downgrade/upgrade after BMT.
2.) If the person completed but FAILED his BMT then recourse is a must. This is regardless if he is downgraded or upgraded. As long as u neber pass ur BMT u have to redo again. Of course in accordance to ur PES status.
3.) If the person OOC during BMT and downgrade. Then yes, u must go for recourse. Yes, even those OOC just before the POP. No choice.
This is because, u neber complete and pass ur BMT.
4) PES C Need to do Reservist?
Yes.
5) PES E Need to do Reservist?
Maybe, if need.
Put on Reserve Holding List (RHL) =/= Mindef Reserve (MR) / Stand down
FYI, PES is http://en.wikipedia.org/wiki/PULHHEEMS.
1) Go to Public Hospital / Private Specialist.
Note: You will be classified as a subsidised patient if your first visit is via:
2) Consult specialist, and
do whatever medical check ups required. E.g. physical
exam, blood test, x-ray, CT scan, MRI scan.
3) Specialist gave a finalised clinical diagnosis.
4) Get the specialist to write you a
memo which is to be given to
SAF MO. Those who can and are willing to spend some
more money can get him/her to write you a specialist report,
which is more precise and detailed.
Note: For not to
waste time and money, please be more direct yet humble. Request the
specialist to write about reviewing of PES and medical
board / anything specific such as any
excuses to your conditions.
5) Book an
medical review appointment using the eHealth module @ www.ns.sg (for NSman
Reservists).
Just go down to your camp medical centre
(for NSFs).
Call CMPB @ 6373 1340 to request another
PES review (for Pre-Enlistees after CMPB
Checkup).
6) Make a trip down to the respective unit camp medical centre. Give the MO whatever supporting documents you have in hand. E.g. Specialist memo/report (most usually the case and highly recommended), x-ray films, CT/MRI scan report, blood investigation lab report... etc.
7) MO will decide whether you are deemed eligible for KIV downgrade, according to the criterias set in the "PES Bible" directive. E.g. Diagnosis, Extent of Diagnosis, Degree of Diagnosis/Injury/Illness/Disease...etc.
8) If deemed so, you will sign an acknowledgement notice of Medical Board, whereby your case statement is prepared for review discussion at the monthly medical board meet (usually at the Formation/Division HQ) with another NSF CPT MO and the Chairman (SAF Regular Medical Doctor of MAJOR rank or above). Your Medical Board result will be post mailed to you by your respective NSHRC (Formation NS Hub).
Time and time again, the questions for Medical Review (Downgrade) is repetitive. Therefore, this serves as a general SOP for Medical Board.
Extract from www.mindef.gov.sg/nsmen:
NSmen must update their NS HRCs if they should
develop any new medical condition or if their existing medical
condition has worsened which might affect their ability to perform
their duties during ICT. Arrangements will then be made for them to
attend a medical review at the SAF medical centre to assess their
fitness for NS.
The NSmen MUST bring along all investigation results and
memorandums from his external physician/specialist during the
medical review. Depending on the outcome of the medical review, the
NSman may be given a medical certificate to defer him from ICT, be
scheduled for a medical board to downgrade him if his medical
condition is significant, or referred to a restructured hospital
for further investigation. In the event that the medical officer
determines that the NSman’s medical condition will not affect his
ability to participate in the ICT, he will allow the NSman to
attend the ICT.
Medical screening is a series of medical tests done at the Medical Classification Centre (MCC) at CMPB (location map).
The objective of these tests is to ascertain your medical condition and accord you a suitable Physical Employment Status (PES). Based on your PES, you will be assigned to a suitable vocation.
Here are the various PES gradings:
Note that if you are given a PES D grading, it means that more time/tests are required to confirm your medical condition. This normally takes about 2-3 months. However, this duration may be longer depending on your medical condition.
More information on Medical Classification Centre (NS Portal).
Commitment to Care
Want to find out more about the SAF medical system? Follow a recruit from his pre-enlistment medical examination to his encounters with the medical service during his BMT.
Medical Classification Centre
Location and
Operating Hours
Our
Address
MCC is located at Level 1, CMPB Podium.
Central Manpower Base (CMPB)
3 Depot Road
Singapore 109680
Our Operating Hours
Mondays - Fridays: 8:00 am to 5:00 pm
Saturdays, Sundays and Public Holidays: Closed
Pre-enlistment
Medical Screening
Prior to enlistment, all pre-enlistees have to undergo a thorough
medical examination at the Medical Classification Centre (MCC)
within the Central Manpower Base (CMPB). This examination allows
the medical fitness of a pre-enlistee to be assessed and this
subsequently determines his Physical Employment Status (PES).
Medical
Screening Appointment Preparations
As part of the e-documentation, you are also required to select
your preferred medical appointment date as well as to complete the
medical questionnaire (e7F). You will need to go through the
medical questionnaire form with your parents / guardian so that
useful medical information about you is captured.
To ensure that your medical experience with us is pleasant and that
the overall screening process is not unnecessarily delayed, we have
compiled a checklist for you:
Clinical
Examinations
The medical screening process takes on average 150 minutes to
complete and there is a series of test that you will have to
undertake.
Registration
Station
At MCC Registration Counter, you will be required to submit your
e7F. As a form of verification, you will be asked for your NRIC or
any form of photo identification (e.g. driving license, school
pass.)
Clinical Laboratory
Station
At the Clinical Laboratory Station blood samples are drawn for
G6PD, haemoglobin and blood group typing tests. Simple urine tests
to detect the presence of blood, protein and glucose (sugar) will
also be carried out for you at the Station.
Dental
Station
At the Dental Station, the Dental Officer will carry out an oral
examination and Dental Charting. A Dental X-ray or
Orthopantomography (OPG) will also be conducted.
X- ray
Station
A Chest x-ray (CXR) screening will also be conducted for you at the
X-ray Station for the radiological assessment of your heart and
lungs.
Eye
Station
At the Eye Station routine eye tests are carried out to detect eye
abnormalities and test your visual and refractive error.
ENT
(Ear, Nose & Throat) Station
At ENT Station an audio test or audiogram will be conducted to
detect hearing abnormalities.
Station 6 (Clinical Examination Station)
Station 6 is the Clinical Examination Station, you will undergo
height, weight and blood pressure measurements. An
electrocardiogram (ECG) will also be done for you in the ECG
Room.
After completion of all the clinical
investigations and measurements, you will then be examined and
evaluated by a Medical officer.
Station
6 Counter (Post Clinical Screening)
Once you have completed the above series of medical screening, you
will be medically classified with a PES grading.
Station 6 Counter will also issue instructions for the pre-enlistee
if the pre-enlistee is to return to MCC for any further medical
investigations.
Other
Services
MCC Eye
Clinic
The Specialist Eye Clinic at MCC provides medical assessment for
eye conditions. An appointment will be made for you during the
screening procedure should it be deemed necessary. Please bring all
documents regarding any known eye condition for your
appointment.
MCC ENT (Ear, Nose and Throat) Clinic)
The Specialist ENT Clinic provides pre-enlistment assessment for
ENT complaints. You will be informed if there is a need for you to
attend this clinic.
MCC Specialist Psychiatric Clinic
The Specialist Psychiatric Clinic at MCC aims to assess the
suitability of a pre-enlistee with regard to psychiatric conditions
already known or discovered during the screening process. It is
essential to have one parent accompany you should an appointment be
made for you and it would greatly shorten the delay to enlistment
if you bring all your pre-existing psychiatric medical records for
your appointment.
MCC
Specialist Orthopedic Clinic
The specialist orthopedic clinic has the purpose of grading a
pre-enlistee with regard to any orthopedic problems. A medical
officer will be in attendance together with a senior doctor from
one of the restructured hospitals. Here we will grade you based on
your orthopedic problems. Please bring all medical reports and
X-ray films for this visit.
Medical
Review
A pre-enlistee with any abnormalities noted during the medical
screening will be required to undergo medical review. This can take
several forms as appropriately decided by the Medical
Officer.
Referral to SAF
Military Medicine Institute (MMI) / Government / Restructured
Hospitals
The pre-enlistee may be referred to SAF MMI, government /
restructured hospitals for further investigations. If the referral
is required, he will be given a set of documents to bring along as
well as information regarding the date, time and venue.
Medical Referral Management System |
Medical Referral Management System or MRS allows you (pre-enlistee) to access personal medical information any time at your convenience and to undertake medical related business within a single setting. Following are some of the MRS functions: i) Online Medical Information System. You can view your personal medical information and be kept informed through MRS of pending medical appointments. ii) Application for a new Letter Of Identity (LOI). You can apply for a LOI that waives consultation and investigative fees up to the point of diagnosis instead of travelling to Central Manpower Base to obtain the document. iii) Reminder. Worried that you would forget your medical appointment? Just update your contact details and you would receive reminder through your preferred channel. We look forward to bringing you the hassle free experience medical screening process! |
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
Notes:
Revocation/ Post Out matters are none of medical centre business. Medical centre can only recommends a revocation/ post out. Please note that all actual manpower matters are all handled by the NS unit's S1 Manpower Branch. Therefore, please go to check with S1 Manpower Officer/ DyS1 Officer/ Chief Clerk.
As mentioned above, for all revocation/ post out matters, please check directly with the S1 Manpower Branch for all manpower issues.
Originally posted by Crocuta:Ummm, hi >w<
Well, I have been looking at this thread for a while (till it kinda closed few hours ago...), and I am very thankful and appreciative of all the information I have obtained and learnt here.
However... I do have a rather simple question now, I wish someone could reply. >w< It's... like...
I got my PES Status on the 26th, it is PESC9L3. So... the thing I wanted to ask is, will it... will my PES Status suddenly like, change? You know, become B or something outta sudden...
Simplistically, will there be... like, another checkup? The doctor there did not indicate if this was a TEMP or PERM status (he left the columns unchecked), so I don't know.
Any and all help much appreciated, once again!
Thanks~ >w<
It is likely to be permanent, since the doctor did not ask you to go for another check-up.
Even if is to change, it is unlikely to jump from C9L3 to B, unless you are having some sort of temporary injury now.
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
You are hereby required under Section 10 of the Enlistment Act (Cap 93), to report for enlistment on 19 Apr 2010 at 09:30AM to CMPB. YOU WILL BE SERVING A RESTRICTED FORM OF NATIONAL SERVICE AND WILL NOT BE REQUIRED TO UNDERGO BMT AS LONG AS YOUR MEDICAL FITNESS REMAINS. AFTER THE ENLISTMENT PROCEDURE AT CMPB, YOU WILL BE POSTED TO UNIT HQ BASE.
I'm temp PES E9L9 for 6 months. I've a few qns...
A) Will I be going thru a 5.5 day or 4 week induction programme? what will I be expecting inside?
B) The letter does not specify what to bring at all. Does that mean I don't have to stay in? If not, how long will I be confined and when will be my first bookout?
C) What is unit HQ base? Where is it and what vocation will I most likely be doing?
Originally posted by AFORL:You are hereby required under Section 10 of the Enlistment Act (Cap 93), to report for enlistment on 19 Apr 2010 at 09:30AM to CMPB. YOU WILL BE SERVING A RESTRICTED FORM OF NATIONAL SERVICE AND WILL NOT BE REQUIRED TO UNDERGO BMT AS LONG AS YOUR MEDICAL FITNESS REMAINS. AFTER THE ENLISTMENT PROCEDURE AT CMPB, YOU WILL BE POSTED TO UNIT HQ BASE.
I'm temp PES E9L9 for 6 months. I've a few qns...
A) Will I be going thru a 5.5 day or 4 week induction programme? what will I be expecting inside?
B) The letter does not specify what to bring at all. Does that mean I don't have to stay in? If not, how long will I be confined and when will be my first bookout?
C) What is unit HQ base? Where is it and what vocation will I most likely be doing?
Hi all. I just got my down pes letter. I was downgraded from Pes A to C2L2 for tearing my knee ligament completely. Under remarks, it says "Normal duties".
I am an engineer recce. I got reservist in June. Will I be revocated or will i stay in this vocation?
Originally posted by gutripper:Hi all. I just got my down pes letter. I was downgraded from Pes A to C2L2 for tearing my knee ligament completely. Under remarks, it says "Normal duties".
I am an engineer recce. I got reservist in June. Will I be revocated or will i stay in this vocation?
if u still left only one ICT
then u will not be revocated
if you still left many ICT to clear
then u will be revocated
however it takes time too,
need to sent u for courses etc
Hi all, I Currently studying in Jc 2nd year, going for pre-enlistee checkup soon.
A orthopaedic specialist from private hospital has written a specialist letter for me regarding the problems, may I know what Pes and/or excuse will I be given?
Severe bilateral pes planus & MRI reveals mild bulging discs at L3-L4 and L4-L5 with slight narrowing of the spinal canal and root canal.
Thank you.
Notes:
Revocation/ Post Out matters are none of medical centre business. Medical centre can only recommends a revocation/ post out. Please note that all actual manpower matters are all handled by the NS unit's S1 Manpower Branch. Therefore, please go to check with S1 Manpower Officer/ DyS1 Officer/ Chief Clerk.
As mentioned above, for all revocation/ post out matters, please check directly with the S1 Manpower Branch for all manpower issues.
Originally posted by noahnoah:
if u still left only one ICTthen u will not be revocated
if you still left many ICT to clear
then u will be revocated
however it takes time too,
need to sent u for courses etc
Hai~~~ I don't want to be revocated sia. Admin life will be so boring after spending time as a combatant =(
My coming ICT is my second reservice but my first high key.
Notes:
Revocation/ Post Out matters are none of medical centre business. Medical centre can only recommends a revocation/ post out. Please note that all actual manpower matters are all handled by the NS unit's S1 Manpower Branch. Therefore, please go to check with S1 Manpower Officer/ DyS1 Officer/ Chief Clerk.
As mentioned above, for all revocation/ post out matters, please check directly with the S1 Manpower Branch for all manpower issues.
Notes:
Revocation/ Post Out matters are none of medical centre business. Medical centre can only recommends a revocation/ post out. Please note that all actual manpower matters are all handled by the NS unit's S1 Manpower Branch. Therefore, please go to check with S1 Manpower Officer/ DyS1 Officer/ Chief Clerk.
As mentioned above, for all revocation/ post out matters, please check directly with the S1 Manpower Branch for all manpower issues.
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!
Medical Referral Management
System
Medical Referral Management System or MRS allows you (pre-enlistee)
to access personal medical information any time at your convenience
and to undertake medical related business within a single
setting.
Following are some of the MRS functions:
i) Online Medical Information System.
You can view your personal medical information and be kept informed
through MRS of pending medical appointments.
ii) Application for a new Letter Of Identity
(LOI).
You can apply for a LOI that waives consultation and investigative
fees up to the point of diagnosis instead of travelling to Central
Manpower Base to obtain the document.
iii) Reminder.
Worried that you would forget your medical appointment? Just update
your contact details and you would receive reminder through your
preferred channel.
We look forward to bringing you the hassle free experience medical
screening process!