Question : Shortage of Doctors-Nurses

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the shortage of doctors/ nurses and the number of patients has increased in Central Government Hospitals in Delhi, particularly in the Kalawati Saran Children’s Hospital during each of the last three years and the current year;

(b) if so, the details thereof, hospital and cadre-wise along with the reasons therefor;

(c) whether the Government has conducted any study/enquiry in this regard;

(d) if so, the details and the outcome of such study/enquiry; and

(e) the steps taken by the Government to bridge the gap between the sanctioned and actual strength of doctors and nurses in the said hospitals along with the progress made in this regard so far?

Answer given by the minister

ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(DR. HARSH VARDHAN)

(a) to (e): A statement is laid on the Table of the House








STATEMENT REFERRED TO IN REPLY TO LOK SABHA
STARRED QUESTION NO. 164* FOR 29TH NOVEMBER, 2019

(a) & (b) The sanctioned strength, incumbency status as well as the vacancy position of doctors & nurses in the Central Government Hospitals in Delhi, namely Safdarjung Hospital (SJH) & Vardhman Mahavir Medical College (VMMC), Dr. Ram Manohar Lohia Hospital & Atal Bihari Vajpayee Institute of Medical Science (RML & ABVIMS) and Lady Hardinge Medical College (LHMC) and Kalawati Saran Children Hospital (KSCH) during last three years and current year is at Annexure-I and II. Further, the number of patients who attended the In Patient Department (IPD) as well as Out Patient Department (OPD) in these hospitals during last three years and current year is at Anneuxre-III.

A total of 223 number of posts of Assistant Professor have been created since 2016 in the above referred Hospitals to ensure better care of patients. Further, in KSCH there is no shortage/vacancy in the sub-cadres of General Duty Medical Officers (GDMOs)/Teaching& Non-Teaching Specialist as on date. The details of sanctioned and filled up positions in respect of doctors and nurses in KSCH are at Annexure-IV.

(c) & (d) As per available information, no such specific study with regard to shortage of doctors & nurses in Central Government Hospitals in Delhi has been conducted by the Government. However, the positions with respect to the shortage of doctors/nurses are being reviewed from time to time by the Government and necessary action for creation/recruitment of posts are undertaken as per requirement.


(e) The Government has taken various steps to increase availability of doctors & nursing officers in these hospitals, as stated under:


(i) Every year on the basis of vacancies projected by the Ministry of Health and Family Welfare, Union Public Service Commission conducts combined Medical Officers Service Examination for recruitment of Medical Officers of GDMO sub-cadre of Central Health Service. The Commission also conducts interviews for recruitment of Specialist doctors in Teaching, Non-Teaching and Public Health sub-cadre of Central Health Service (CHS).
(ii) Pending recommendations from Union Public Service Commission (UPSC), concerned units are permitted to make contractual appointment against the vacant posts, as a stop gap arrangement, in public interest.
(iii) To fill up the vacancies of nurses in three Central Government Hospitals viz SJH, Dr. RML Hospital and LHMC & Associated Hospitals, examinations for appointment of Nurses on regular basis as per recruitment rules are being conducted from time to time. Examinations were conducted in February, 2019 and September, 2019 to fill up the vacant posts of Nursing Officers in Central Government Hospitals viz. Safdarjung, Dr. RML and Lady Hardinge Medical College & Associated Hospitals. Further, the hospitals have been permitted to make contractual appointment against the regular vacant posts of nurses, as a stop gap arrangement, in public interest.
(iv) Diplomate of National Board (DNB) qualification has been recognized for appointment as faculty to take care of shortage.
(v) Starting of Bachelor of Medicine, Bachelor of Surgery (MBBS) Course with intake of 100 students in ABVIMS, RML Hospital.
(vi) Strengthening/up-gradation of Central Government Medical Colleges & Institutes for starting new Post Graduate courses/Increase of Post Graduate seats.
(vii) Establishment/Upgradation of State Government Medical Colleges for starting new PG courses/increase PG seats.
(viii) Strengthening/ up-gradation of existing State Government/Central Government Medical Colleges to increase MBBS seats.
(ix) Establishment of new Medical Colleges by upgrading district/referral hospitals preferably in underserved districts of the country.
(x) The ratio of teachers to students has been revised from 1:1 to 1:2 for all Doctor of Medicine (MD)/ Master of Science (MS) disciplines and 1:1 to 1:3 in subjects of Anaesthesiology, Forensic Medicine, Radiotherapy, Medical Oncology, Surgical Oncology and Psychiatry in all medical colleges across the country. Further, teacher:student ratio in public funded Government Medical Colleges for Professor has been increased from 1:2 to 1:3 in all clinical subjects and for Associate Professor from 1:1 to 1:2 if the Associate Professor is a unit head. This would result in increase in number of PG seats in the country.
(xi) Enhancement of maximum intake capacity at MBBS level from 150 to 250.

Further, a number of measures/steps have been taken, in recent past, by Government to retain the doctors in Government by making the service attractive for these health professionals as per following details:

(i) The superannuation age of CHS doctors and dental doctors working under the Ministry of Health and Family Welfare has been enhanced to 65 years.
(ii) Enhancement of age limit for appointment/extension/re-employment against posts of teachers/Dean/Principal/Directors in Medical Colleges upto 70 years.
(iii) Introduction of time-bound promotion for doctors under Dynamic Assured Career Progression (DACP) Scheme, without linkage to vacancies, upto Senior Administrative Grade (SAG) level,
(iv) The benefit of Non-Functional Up-gradation (NFU) has been extended to CHS doctors upto Higher Administrative Grade
(v) The duration of study leave to pursue higher studies/research work has been increased from 24 months to 36 months for CHS doctors
(vi) The Ministry has started Foundation Training Programme (FTP) for newly recruited General Duty Medical Officers in Central Health Service, to equip theme professionally to handle patient care service more effectively.
(vii) Doctors are encouraged to attend international seminars, conferences in health sector to increase their professional capabilities and for further their career advancement.
(viii) In addition to Annual Allowance, all CHS doctors are entitled to Non-Practicing Allowance (NPA) @ 20% of their basic pay subject to the condition that the sum of basic pay and NPA does not exceed Rs. 2,37,500 which is the average of the apex level pay and pay of Cabinet Secretary.

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