· Singapore edition: online, self-paced courses with certificate

Complaints, insight and remediation

Raising Concerns and Speaking Up

Speaking up about patient risk, colleagues and serious wrongdoing under the Singapore professional codes, institutional speak-up policies and the Healthcare Services Act

  • 3hours (estimated)
  • 10sections
  • 20final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written for Singapore's boardsUpdated 25 October 2026

What you will learn

  • Place a concern on the spectrum from real-time challenge to board complaint or agency report, and explain how the route chosen affects what happens and what protection applies.
  • Identify the speaking-up duties in the SMC Ethical Code and Ethical Guidelines (including D4, A5 and section E) and in the SNB Code for Nurses and Midwives, and how the SDC, SPC, AHPC and OOB codes fit the same pattern.
  • Match common concerns to the body designed to deal with them, including the institution, the professional boards, MOH, CPIB, the Police, HSA, the PDPC, MSF and MOM.
  • Explain how the SMC and other boards handle complaints about colleagues' performance, health and conduct, including interim orders and health processes.
  • Use institutional speak-up and whistleblowing policies and the Healthcare Services Act roles of Principal Officer and Clinical Governance Officer to raise concerns about services and systems.
  • Describe the specific protections that exist in Singapore, and their limits, including confidentiality, informer protections, wrongful dismissal law and the risks of going public.
  • Escalate a real-time concern that is not heeded, and prepare and write a clear, factual concern while complying with the PDPA and your code.
  • Respond to a concern raised with you in a way that is safe, fair and supportive, and contribute to a speaking-up culture in diverse teams.
  • Show insight and evidence of change if you have failed to raise a concern.

Who this course is for

Registered health professionals in Singapore: doctors, nurses and midwives, dentists and oral health therapists, pharmacists, allied health professionals, optometrists and opticians, plus managers and clinical leaders who receive concerns.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a board inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

This course teaches health professionals in Singapore how to raise concerns effectively, lawfully and fairly: from a real-time challenge at the bedside, through institutional speak-up and whistleblowing channels and the responsibilities of licensees under the Healthcare Services Act 2020, to complaints to the professional boards and reports to statutory agencies such as CPIB, HSA, the PDPC and MSF. It is honest about protection: Singapore has no single general whistleblower statute, so the course explains which policy, statute or code protects which route.

It is written for doctors, nurses and midwives, dentists and oral health therapists, pharmacists, allied health professionals, optometrists and opticians in public and private settings, and for managers and clinical leaders who receive concerns. Realistic Singapore cases cover hospitals, polyclinics and GP clinics, nursing homes, private dental and imaging centres, retail pharmacies, locums and agency staff, alongside the SMC Ethical Code and Ethical Guidelines, the SNB Code for Nurses and Midwives and the other boards' codes.

Silence about known risks appears again and again in reviews of avoidable harm. The course helps you choose the right route, protect patient privacy under the PDPA, write a clear concern, recognise and respond to retaliation, receive concerns well as a leader, build a speaking-up culture in diverse teams, and show insight if you ever failed to act.

Course details

Learning time
Approximately 3 hours of learning (estimated time including knowledge checks, reflection and assessment)
Standards covered
SMC Ethical Code and Ethical Guidelines (2016) A5, C7, C13, D1 to D4 and E, and Handbook on Medical Ethics (2016); SNB Code for Nurses and Midwives (2018); SDC Ethical Code and Ethical Guidelines (2018); SPC Code of Ethics (2015); AHPC and OOB codes; Medical Registration Act 1997 (as amended); Healthcare Services Act 2020 and MOH Licence Conditions for Serious Reportable Events; PDPA 2012; Prevention of Corruption Act 1960; Vulnerable Adults Act 2018; Tripartite Guidelines on Wrongful Dismissal
Format
Self-paced, gated lessons with knowledge checks, case studies and reflection
Assessment
20 scenario-based questions, 80% to pass (16 of 20)
Outcome
Certificate of completion and a written reflection for your CME or CPE records
Alignment
Mapped to the speaking-up and patient-safety expectations of the SMC, SNB, SDC, SPC, AHPC and OOB codes (independent; not endorsed by them)

Course curriculum

10 sections · 26 lessons · 3 hours (estimated) · 20-question final assessment

  1. 1Speaking up in Singapore: duty, scope and silence3 lessons
    • What "raising a concern" covers, from a quiet word to a formal report
    • What the Singapore codes expect of you
    • Why professionals stay silent, and what silence costs
  2. 2Choosing the right route3 lessons
    • A route map for Singapore concerns
    • Concern, complaint, grievance or report?
    • Escalation ladders and when to skip a rung
  3. 3Concerns about a colleague: reporting to the professional boards4 lessons
    • Performance and competence concerns: what the boards do with a report
    • Health concerns and impairment
    • Conduct concerns, boundary breaches and the boards' response
    • Fairness to the colleague you raise a concern about
  4. 4Institutional and statutory channels4 lessons
    • Institutional speak-up and whistleblowing policies
    • Concerns about services and systems under the Healthcare Services Act
    • Statutory agencies and what they offer
    • Going outside: social media, the press and the risks of going public
  5. 5Protections and their limits3 lessons
    • Confidentiality and anonymity: what you can realistically expect
    • Retaliation: what protection exists and what to do
    • What receivers should do, and what you can expect
  6. 6Raising a concern well: preparation, writing and self-care3 lessons
    • Preparing: facts, evidence and patient privacy
    • Writing a concern
    • Advice, support and looking after yourself
  7. 7Receiving concerns, culture and accountability3 lessons
    • When someone raises a concern with you
    • Building a speaking-up culture in Singapore's diverse teams
    • When you did not speak up: insight and remediation
  8. 8Conclusion and key points1 lesson
    • Conclusion and key points
  9. 9References and further reading1 lesson
    • References and further reading
  10. 10Your reflective account1 lesson
    • Your reflective account

Assessment and certificate

Final assessment

20scenario-based questions

  • Pass mark 80%: 16 correct out of 20
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

Does Singapore have a whistleblower protection law for health professionals?

Singapore does not have a single, general whistleblower statute covering every concern a health professional raises. Protection comes from institutional speak-up and whistleblowing policies, specific statutes for specific reports (such as informer protections in corruption matters and the Vulnerable Adults Act), wrongful dismissal law and the professional codes. The course explains which applies to which route.

When must a doctor report a colleague to the SMC?

Guideline D4 of the SMC Ethical Code and Ethical Guidelines requires doctors to put patients' welfare first and, where they reasonably believe a colleague's performance, fitness to practise or misconduct has harmed patients or puts them at imminent risk, to report to the relevant authorities. The course explains when that means the institution and when the SMC.

What does the SNB Code expect of nurses who see unsafe practice?

Principles 4 and 5 of the SNB Code for Nurses and Midwives ask nurses and midwives to take appropriate action when people's safety is in jeopardy, report unsafe clinical practices and alert the appropriate authority to situations that may endanger health or safety.

Can I go to the media or social media with a patient-safety concern?

The course explains that going public carries no general legal protection in Singapore and risks breaching patient confidentiality, the PDPA, your employment terms and defamation law. It shows how to use the boards, MOH and statutory agencies instead, and recommends taking advice before any public disclosure.

Who should I tell about unsafe systems in a clinic or hospital?

Under the Healthcare Services Act 2020, licensed services have a Principal Officer responsible for day-to-day management and compliance and, for prescribed services, a Clinical Governance Officer for clinical oversight. These roles, the quality office and, if internal routes fail, MOH as licensing authority are the usual routes.

What can I do if I face retaliation after raising a concern?

Record what happens, report the reprisal under your organisation's policy, use the grievance procedure and get advice from your union, professional association, indemnity provider or a lawyer. The course explains the Tripartite Guidelines on Wrongful Dismissal and their limits.

Who is this course for, and does it count for CME or CPE?

It is for doctors, nurses and midwives, dentists and oral health therapists, pharmacists, allied health professionals, optometrists and opticians in Singapore. It takes about three hours with a 20-question assessment at 80%.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: the Acts that set up each professional board, the boards' own codes and guidance, and the Ministry of Health. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 25 October 2026

Related courses

All courses
Patient safety and medicines3 hours

Adverse Event Reporting and Learning

Recognise, grade and report harm and near misses, from your institution's incident system to MOH serious reportable events, HSA, the PDPC and the coroner, then turn the report into learning.

20-question final assessment, 80% pass

Patient safety and medicines3 hours

Human Factors and Patient Safety

Why capable professionals make errors and how to prevent them: cognition, fatigue, situational awareness, design, AI, teamwork, speaking up and fair accountability.

20-question final assessment, 80% pass

S$1253 hours (estimated) · 20 questions
Enrol now