Lok Sabha Question No. 378 (STARRED), answered on 2017-08-11
Subject: Resident Doctors
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRTI (JHA) AZAD

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 378 TO BE ANSWERED ON THE 11 TH AUGUST , 2017 RESIDENT DOCTORS

## *378. SHRI KIRTI AZAD:

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

- (a) whether the Government is aware of the extreme workload of Resident Doct in Government hospitals where they often work for 30 hours at a stretch and the details thereof;
- (b) whether the Government has any pla n of action to decrease the workload of Resident doctors and if so, the details thereof;
- (c) whether the Government has increased the number of doctors in the rat population and if so, the details thereof;
- (d) whether the mortality ratio in Govern ment hospitals is more or less the same as in the private hospitals and if so, the details thereof; and
- (e)  the  steps  being  taken  by  the  Government  to  improve  the  functioning  of Government hospitals?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( e) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 378* FOR 11 TH AUGUST , 2017

(a)& (b): Health  being  a  State  subject,  no  such  information  is  maintai centrally. However, as far as Central Government Hospitals in Delhi namely Dr. R am M anohar Lohia  (RML),Safdarjungand  Lady  Hardinge  Medical  College (LHMC) & Associated Hospitals are concerned ,resident doctors are normallynot allowed  to  work  for  more  than  12  hours  at  a  stretch  as  per  residency  sc However, due to exigencies of work, they sometimes might be required to perform their duty beyond 12 hours.

(c): The Government has taken v arious steps to increase the number of doctors. These efforts include -

- (i) The ratio of teachers to students has been revised from 1:1 to 1: all MD/MS disciplines and 1:1 to 1:3 in subjects of Anaesthesiolo Forensic Medicine, Radiotherapy, Medica l Oncology, Surgical Oncology  and  Psychiatry.  Further,  teacher:  student  ratio  in  pu funded Government Medical Colleges for Professor has been increased  from  1:2  to  1:3  in  all  clinical  subjects  and  for  Ass ciate Prof essorfrom  1:1  to  1:2  if  the  Asso ciat e Prof essoris  a  unit  head. This would result in increase in number of PG seats in the country.
- (ii) DNB qualification has been recognized for appointment as faculty take care of shortage of faculty.
- (iii) Enhancement of maximum intake capacity at MB BS level from 150 to 250.
- (iv) Enhancement of age limit for appointment/ extension/ re - employment against posts of teachers/dean/principal/ director in medical co from 65 - 70 years.
- (v) relaxation in the norms of setting up of Medical College in te rms of requirement  for  land,  faculty,  staff,  bed/bed  strength  and  o infrastructure.
- (vi) Strengthening/up - gradation of State Government Medical Colleges for starting new PG courses/Increase of PG seats.
- (vii) Establishment of New Medical Colleges by upgrading district/referral hospitals preferably in underserved districts of the country.
- (viii)  Strengthening/  up - gradation  of  existing  State  Government/Central Government Medical Colleges to increase MBBS seats.

(d) :Data of mortality rates of private hospitals vis - à- vis Go ernment Hospitals is notcentrally maintained.

(e): Public Health and H ospitalsare being State subject, the primary responsibility to provide health care services to the citizens lies with the pective State/UT Governments. It is t he responsibility of the State G overnment to make efforts to improve conditions of Government Hospitals. However, under Natio Health  Mission  (NHM),  support  is  extended  to  States/UTs  to  strengthen  t healthcare sys tem for providing of accessible, affordable and quality health care all  the  citizens  based  on  proposals  submitted  by  the  States  /  UTs  in Programme Implementation Plans under which assistance is provided fo infrastructure strengthening, capacity b uilding, human resource, medical equipments, etc.

As  far  as  Central  Government  Hospitals  as  stated  above  are  concerne creation  of  new  posts  including  the  post  of  doctors  in  these  hospital continuous process and is taken up as per requirement and availability of resources.

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