Safeguarding the bedrock of our healthcare system: recommendations to strengthen healthcare worker health in tertiary healthcare institutions.

Healthcare systems face rising demand from aging populations and chronic disease while the healthcare workforce is itself aging and under strain. Employer-based workplace screening may identify unmet health needs, but its value depends on reliable linkage to continuing care and iterative use if aggregated, de-identified data. Drawing on Singapore General Hospital's 2024 mass health screening programme, a rapid review of relevant policy and literature, and multidisciplinary expert input, this policy brief reconceptualizes employer-based screening as the entry point to an integrated, longitudinal occupational health strategy. Six priorities are proposed in this policy brief: integration with national preventive and primary care pathways; evidence-based and equitably financed screening and follow-up; data-informed workforce planning; worker-centered design; preventive oral health; and health promotion beyond screening. We also highlight transferable principles beyond the Singaporean context that may be applied to other health systems.