Lok Sabha Question No. 2979 (UNSTARRED), answered on 2017-03-20
Subject: Shortage of Doctors/Staff in ESI Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: DODDAALAHALLI KEMPEGOWDA SURESH, PARVATAGOUDA CHANDANAGOUDA GADDIGOUDAR

## GOVERNMENT OF INDIA

## MINISTRY OF LABOUR AND EMPLOYMENT

## LOK SABHA

UNSTARRED QUESTION NO. 2979 TO BE ANSWERED ON 20.03.2017

## SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS

2979. SHRI D.K. SURESH: SHRI P.C. GADDIGOUDAR:

Will  the  Minister  of  LABOUR  AND  EMPLOYMENT  be  pleased  to state:

- (a)whether  there  is  a shortage  of  doctors,  including  specialists/ superspecialists,  medical  and  para-medical  staff  in  the  hospitals run by the Employees' State Insurance Corporation (ESIC) in various States and if so, the details thereof, State/UT- wise;
- (b)the  total  number  of  posts  sanctioned,  in  position  and  existing vacancies of the said categories in these hospitals, State/UT-wise and  the  reasons  for  shortfall  and  the  steps  taken  to  fill  up  the vacancies;
- (c)whether  it  has  come  to  the  notice  of  the  Government  that  some doctors of ESI hospitals are reportedly engaged in Private Practice;
- (d)if so, the details thereof and the action taken by the Government in this regard; and
- (e)the steps taken/being taken by the Government to ensure availability of doctors and better delivery of healthcare services to ESI beneficiaries?

## ANSWER

## MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI BANDARU DATTATREYA)

- (a) & (b): The vacancies in the grade of General Duty Medical Officer (GDMO),  Specialists,  Nursing  and  Para-medical  posts  in  Employees' State  Insurance  Corporation  (ESIC)  hospitals  exist.    State/UT-wise details  of  sanctioned,  in-position  and  vacancies  are  at  Annexure. Reasons for these vacancies are as under:

Contd…2/-

1. There is general shortage of doctors particularly in the specialists cadre in the country.
2. Doctors leave the job for better opportunity outside ESIC hospitals or for pursuing higher studies.
3. Delay in recruitment process.

ESIC has taken a number of steps for filling the vacancies like:-

- (i)  40%  of  the  sanctioned  posts  under  the  GDMO  sub  cadre  in  ESIC hospitals are being filled with Senior Residents by Medical Superintendents at local level.
- (ii) In addition, 10 Senior Residents posts per 100 beds have also been sanctioned over and above the sanctioned post of GDMOs.  These are also filled by Medical Superintendents locally.
- (iii)  The  Medical  Superintendents  have  been  authorized  to  recruit super  specialists  and  specialists  on  contract  basis  till  the  regular incumbents become available. They have been authorized to engage, under certain situations, retired Nursing and Para-Medical staff or to hire such personnel through agencies on short term basis.
- (iv)  Process  for  the  current  round  of  recruitment  of  GDMOs  and Specialists has been completed.
- (v) Offer of appointment to 91 GDMO Doctors and 41 Specialists have been issued.
- (vi)  Examinations  for  recruitment  for  2488  posts  of  Nursing  &  ParaMedical cadres have been completed.
- (c) & (d): Yes,  Madam.  Disciplinary  proceedings  against  28  Doctors have  been  initiated  for  their  indulgence  in  private  practice.  Out  of these, 24 Doctors have been penalized.
- (e): Referred in reply (a) & (b) above.

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STATEMENT REFERRED TO IN REPLY TO PARTS (a) & (b) OF LOK SABHA UNSTARRED QUESTION NO.2979 FOR 20.03.2017 BY SHRI  D.K. SURESH & SHRI P.C.GADDIGOUDAR REGARDING SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS.

| STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   | STATE-WISE VACANCY POSITON OF ESI CORPORAITON   |
|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|
| S N                                             | NAME OF THE REGION                              | GENERAL DUTY OFFICERS                           | GENERAL DUTY OFFICERS                           | MEDICAL                                         | MEDICAL                                         | SPECIALISTS                                     | SPECIALISTS                                     | NURSING & PARA-MEDICAL                          | NURSING & PARA-MEDICAL                          | NURSING & PARA-MEDICAL                          |
| S N                                             | NAME OF THE REGION                              | SANCTI- ONED                                    | IN- POSITION                                    | VACA- NCY                                       | SANCTI- ONED                                    | IN- POSITION                                    | VACA- NCY                                       | SANCTI- ONED                                    | IN- POSITION                                    | VACA- NCY                                       |
| 1                                               | ASSAM                                           | 26                                              | 25                                              | 1                                               | 12                                              | 10                                              | 2                                               | 103                                             | 87                                              | 16                                              |
| 2                                               | BIHAR                                           | 31                                              | 31                                              | 0                                               | 12                                              | 10                                              | 2                                               | 101                                             | 62                                              | 39                                              |
| 3                                               | CHHATISGARH                                     | 0                                               | 1                                               | -1                                              | 0                                               | 0                                               | 0                                               | 0                                               | 0                                               | 0                                               |
| 4                                               | DELHI                                           | 638                                             | 465                                             | 173                                             | 154                                             | 106                                             | 48                                              | 3704                                            | 2857                                            | 847                                             |
| 5                                               | GUJARAT                                         | 82                                              | 70                                              | 12                                              | 64                                              | 28                                              | 36                                              | 833                                             | 339                                             | 494                                             |
| 6                                               | HARYANA                                         | 89                                              | 50                                              | 39                                              | 48                                              | 29                                              | 19                                              | 959                                             | 287                                             | 672                                             |
| 7                                               | HIMACHAL PRADESH                                | 40                                              | 19                                              | 21                                              | 18                                              | 11                                              | 7                                               | 213                                             | 109                                             | 104                                             |
| 8                                               | JAMMU & KASHMIR                                 | 33                                              | 20                                              | 13                                              | 12                                              | 7                                               | 5                                               | 136                                             | 54                                              | 82                                              |
| 9                                               | JHARKHAND                                       | 59                                              | 47                                              | 12                                              | 30                                              | 17                                              | 13                                              | 220                                             | 153                                             | 67                                              |
| 10                                              | KARNATAKA                                       | 130                                             | 138                                             | -8                                              | 69                                              | 42                                              | 27                                              | 1052                                            | 897                                             | 155                                             |
| 11                                              | KERALA                                          | 201                                             | 96                                              | 105                                             | 80                                              | 34                                              | 46                                              | 1288                                            | 778                                             | 510                                             |
| 12                                              | MADHYA PRADESH                                  | 53                                              | 31                                              | 22                                              | 41                                              | 18                                              | 23                                              | 440                                             | 161                                             | 279                                             |
| 13                                              | MAHARASHTRA                                     | 83                                              | 30                                              | 53                                              | 50                                              | 23                                              | 27                                              | 491                                             | 323                                             | 168                                             |
| 14                                              | ODISHA                                          | 28                                              | 17                                              | 11                                              | 12                                              | 7                                               | 5                                               | 92                                              | 63                                              | 29                                              |
| 15                                              | PUNJAB                                          | 87                                              | 45                                              | 42                                              | 46                                              | 26                                              | 20                                              | 593                                             | 315                                             | 278                                             |
| 16                                              | RAJASTHAN                                       | 80                                              | 60                                              | 20                                              | 44                                              | 22                                              | 22                                              | 585                                             | 341                                             | 244                                             |
| 17                                              | TAMIL NADU                                      | 86                                              | 80                                              | 6                                               | 44                                              | 19                                              | 25                                              | 712                                             | 537                                             | 175                                             |
| 18                                              | TELANGANA                                       | 80                                              | 45                                              | 35                                              | 54                                              | 27                                              | 27                                              | 589                                             | 389                                             | 200                                             |
| 19                                              | WEST BENGAL                                     | 82                                              | 56                                              | 26                                              | 40                                              | 8                                               | 32                                              | 582                                             | 381                                             | 201                                             |
| 20                                              | TOTAL                                           | 1908                                            | 1326                                            | 582                                             | 830                                             | 444                                             | 386                                             | 12693                                           | 8133                                            | 4560                                            |

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