Lok Sabha Question No. 4477 (UNSTARRED), answered on 2020-03-20
Subject: Seats in Medical Colleges/Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Upendra Singh Rawat, Meenakashi Lekhi

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

LOK SABHA UNSTARRED QUESTION NO. 4477 TO BE ANSWERED ON 20 TH MARCH, 2020

## SEATS IN MEDICAL COL LEGES/HOSPITALS

## 4477. SHRI UPENDRA SINGH RAWAT: SHRIMATI MEENAKASHI LEKHI:

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

- (a) whether any steps have been taken by the Government to increase the number of seats of male andfemale doctors/nurses in medical colleges and hospitals inthe country, State/UT -wise;
- (b)  the  details  of  the  high  fees  structure  in  private hospitals  which  discourage  students  from middle and lower salary group families to pursue the medical education; and
- (c) the corrective steps being taken by the Government in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Public  health  and  hospitals  being  a  State  subject,  the  primary  responsibility  to availability of human healthcare professi onals in public health facilities lies with the State/ Governments.  However,  under  the  National  Health  Mission  (NHM),  financial  and  technica support is provided to States/UTs to strengthen their healthcare systems including supp engagement of doc tors on contractual basis, based on the requirements posed by the States/ in their Programme Implementation Plans (PIPs) within their overall resource envelope.

The Government has taken various steps to further increase the availability of h resou rce in the country which include:

- i. Establishment  of  New  Medical  Colleges  attached  with  district/referral  hospital underserved districts of the country.
- ii. Strengthening/ upgradation of existing State Government/Central Government Medical Colleges to increa se MBBS and PG seats.
- iii. Relaxation in the norms for setting up of Medical College in terms of requiremen faculty, staff, bed strength and other infrastructure.
- iv. Minimum requirement of land for establishment of medical college in metropolitan ci as no tified under Article 243P(c) of the Constitution of India has been dispensed wi
- v. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- vi. DNB  qualification  has  been  recognized  for  appointment  as  faculty  to  take  care shortage of faculty.
- vii. Enhancement of age limit for appointment/ extension/ re - employment  against  posts  of teachers/dean/principal/ director in medical colleges upto 70 years.
- viii. The ratio of teachers to students for Professor has been revised from 1:1 to 1:2 MD/MS discipl ines and 1:1 to 1:3 in all clinical subjects in Government funded medi colleges and in Private medical colleges with 15 years standing. Further, for Ass Professor, the said ratio has been revised from 1:1 to 1:2 and 1:3 if he/she is a inall clinical subjects in Government medical colleges and in Private medical col with  15  years  standing.  This  would  result  in  increase  in  number  of  PG  seats  in country.
- ix. By amending the regulations, it has been made mandatory for all medical colleg es to start PG  courses  within  3  years  from  the  date  of  their  MBBS  recognition  /continuation recognition.
- x. Colleges are allowed to apply for PG medical courses in clinical subjects at the 4 th renewal. It will serve to advance the process for start ing PG medical courses by more than 1 year.
- xi. Provision has been made in the regulations to offer less number of seats to the ap medical college, in case, it falls short of minimum prescribed requirements of a intake to avoid wastage of human re sourc s.
- xii. A Consortium (a group of 2 or upto 4 private organizations) has been allowed to esta a medical college.
- xiii. The requirement of land to construct building for School/College of Nursing and Ho has been relaxed.
- xiv. The requirement of a 100 beded pa rent hospital has been relaxed for hilly and tribal are for School/College of Nursing and Hostel.
- xv. The student teacher ratio for M.Sc(N) programme has been relaxed from 1:5 to 1:10.
- xvi. Student patient ratio for Nursing Institutions has been relaxed from 1:5 to 1:3.
- xvii. Distance  from  Nursing  School  to  hospital  has  been  relaxed  from  15  km  to  30  km However, for hilly and tribal areas the maximum distance is 50 km. Super speciality hospital can start M.Sc.(N) without having under graduate programme.

(b)&(c): Inthe case of government medical colleges, the respective State governments responsible  for  fixation  of  fee  and  in  the  case  of  private  unaided  medical  colleges, structure  is  decided  by  the  Committee  set  up  by  the  respective  State  Government  unde r  the Chairmanship  of  a  retired  High  Court  Judge  in  pursuance  of  the  directions  of  the  Hon'ble Supreme  Court  of  India. Clause  (i)  of  Sub - section  (1)  of  Section  10  of  National  Medical Commission Act, 2019 provides for framing of guidelines for determination of fees and all other charges  in  respect  of  fifty  percent  of  seats  in  private  medical  institutions  and  deem universities which are governed under the provisions of the Act.