Lok Sabha Question No. 4347 (UNSTARRED), answered on 2017-08-11
Subject: PPP Mode for Treatment of NonCommunicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KUNWAR HARIBANSH SINGH, C. N. JAYADEVAN, SUDHEER GUPTA, ASHOK SHANKARRAO CHAVAN, SUNIL BALIRAM GAIKWAD, BIDYUT BARAN MAHATO, T. RADHAKRISHNAN, VIJAY KUMAR S.R.

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

## LOK SABHA UNSTARRED QUESTION NO. 4347 TO BE ANSWERED ON   11 TH AUGUST, 2017

## PPP MODE FOR TREATME NT OF NON -COMMUNICABLE DISEASE S

## 4347. KUNWAR HARIBANSH SINGH:

SHRI C.N. JAYADEVAN:

SHRI SUDHEER GUPTA:

SHRI ASHOK SHANKARRAO CHAVAN:

DR. SUNIL BALIRAM GAIKWAD:

SHRI BIDYUT BARAN MAHATO:

SHRI T. RADHAKRISHNAN:

SHRI S.R. VIJAYAKUMAR:

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

- (a)  whether  the  Government  proposes a  Public  Private  Partnership  (PPP)  mode to  provide diagnosis and treatment for three non-communicable diseases;
- (b) if so, the details of the guidelines along with the aims and objectives thereof;
- (c) whether the Gove rnment has sought assistances from the World Bank in this regard and if so, the details thereof;
- (d) whether the Government has written to all the States/UTs for comments on the draft model concessionaire agreement and guidelines prepared with the help of the World Bank and working groups;
- (e) if so, the response of the State Governments thereto; and
- (f) the steps taken to bring down the healthcare cost and stop exploitation of patients?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a) to (e) : Niti  Aayog  with  the  technical  assistance  of  the  World  Bank  Group  and  i consultation  with  Ministry  of  Health  and  Family  Welfare  is  working  to  develop  a  Mo Concessionaire  Agreement  for  the  provision  of  preventio n  and  treatment  services  for  Non -Communicable  Diseases  such  as  Cardiovascular  Diseases,  Oncology  and  Pulmonology  at  the district level.  This is with the objective to bring advanced healthcare systems where clear unmet need.  The States would ha ve the option to adopt and/or to customize before rolling out as well as to decide the group of patients who can be provided free services.  Nit shared the draft framework with the States for their inputs.  As informed by Niti Aayog States na mely Tamil Nadu, Haryana and Odisha have furnished their suggestions in this regar

(f): Health is a State subject, it is the responsibility of the State/Union Territory Go to  take  steps  to  protect  patients  from  exploitation.  The  Government  of  I ndia  has  enacted  the Clinical Establishments (Registration and Regulation) Act, 2010. In terms of this Act Central Rules thereunder, the clinical establishments are inter alia required to display at a conspicuous place in their premises , both in the local language and English. Further, with view  to  determine  costs,  the  National  Council  for  Clinical  Establishments  has  prepa standard list of medical procedures and a standard template for costing medical procedur the same have been shared with the States and Union Territories. Further action in the matte be required to be taken by States/UTs.

In order to provide affordable health care services to the people of the country, e the poor, the Government has taken sev eral steps which inter - alia include:

- Increase in public spending on healthcare by Centre and States.
- Under National Health Mission, Free Drugs and Free Diagnostic initiative provides esse drugs and diagnostics free of cost in public health faciliti es.
- Implementation  of  Janani  Shishu  Suraksha  Karyakaram  (JSSK),  Rashtriya  Bal  Swasthya Karyakaram (RBSK), Rashtriya Kishor Swasthya Karyakaram (RKSK) and implementation of  programmes  of  Revised  National  Tuberculosis  Control  Programme  (RNTCP),  National Vector  Borne  Disease  Control  Programme  (NVBDCP),  National  Leprosy  Eradication Programme (NLEP), National AIDS Control Programme (NACP) etc. where free treatment is provided to patients of Tuberculosis(TB), HIV, Vector borne diseases etc.
- Pradhan Mantri National Dialysis Programme for free dialysis services to the poor in d hospitals.
- Making available tertiary health care services in the public sector through strength hospitals,  establishment  of  AIIMS  in  the  States  and  up -gradation  of  existing  Government medical colleges across the country.
- Making available quality generic med icines at affordable prices to all, under 'Jan Aushadhi Scheme', in collaboration with the State Governments.
- Price capping of Cardiac Stents.
- Rashtriya  Swasthya  Bima  Yojana  (RSBY)  which  provides  for  smart  card  based  cashless health insurance on family fl oater basis