Aim(s) To evaluate ACP 2.0 programme in TTSH by doing comparative evaluation of 3 aspects namely, training, practice and implementation from FY2017 to FY2022, and the effects of COVID-19 pandemic on the programme.

Methodology Retrospective analysis of ACP data in TTSH and historical developments of the TTSH ACP 2.0 programme was conducted. New developments that were implemented included:

• Trial of Tele-ACP in FY21–22

• Implementation of ACP FYI-flag in EPIC system

• Self-registration of access to AIC ACP IT portal by TTSH ACP facilitators

• Virtual ACP training in FY20–22

• Physical and virtual ACP talks and webinars in partnership with community partners

Results The following results were observed:

• 1121 participants attended ACP facilitation training from FY17–21. There was a 39% decrease in training enrolment in FY20 due to COVID-19 pandemic but a 52% increase was recorded in FY21 after training was converted to virtual format.

• Reduction in number of completed ACP with 12% drop in FY20 and 14% decrease in FY21. Total number of 5312 ACP were completed from FY17–21.

• 240 staff were trained as ACP advocates from FY17–21

• 24 tele-ACP were conducted from April 2021 to March 2022 with monthly average of 2 tele-ACP sessions.

Conclusion COVID-19 pandemic has affected ACP training and facilitation significantly due to nation-wide strict no-visitation policy in hospital, safe distancing measures and general uneasiness of patients and families to visit hospital. In spite of these challenges, the ACP team persevered with continual engagement with different clinical disciplines. The implementation of virtual training, Zoom meetings, webinars and tele-ACP helped to improve the overall outcomes in awareness, educational talks, training and facilitation.