Lok Sabha Question No. 4619 (UNSTARRED), answered on 2019-07-22
Subject: Shortage of Staff in ESIC Hospitals in Maharashtra
Ministry: LABOUR AND EMPLOYMENT
Asked by: Sanjay Sadashivrao Mandlik

## GOVERNMENT OF INDIA

## MINISTRY OF LABOUR AND EMPLOYMENT

## LOK SABHA

## UNSTARRED QUESTION NO. 4619 TO BE ANSWERED ON 22.07.2019

## SHORTAGE OF STAFF IN ESIC HOSPITALS IN MAHARASHTRA

4619. SHRI SANJAY SADASHIV RAO MANDLIK:

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 particulary in Maharashtra 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 SANTOSH KUMAR GANGWAR)

- (a) & (b): Yes, Sir. There is a general shortage of Medical Officers, Specialists/Super  Specialists  and  Nursing  &  Para-medical  staff  at  Employees' State  Insurance  Corporation  (ESIC)  Hospitals.    State/UT-wise  details,  including Maharashtra  are  at  Annexure.  The  vacancy  position  is  dynamic  in  nature  and keeps changing due to new joining, retirement, attrition and other reasons, which are as under:

## Reason for the vacancies:-

- (i)  ESIC,  with  an  objective  to  expand  the  scheme  across  the  country  has been  opening  new  hospitals  regularly.  Sanction  of  manpower  for  these hospitals adds to the vacancy position.

- (ii) Capacity of existing hospitals is also expanded which results in sanction of new posts.
- (ii)  There  is  a  general  shortage  of  General  Duty  Medical  Officer  (GDMO), Specialist and Super Specialist in the country.
- (iii)  Medical  Officers  leave  job  for  better  opportunity  outside  ESIC  or  to pursue higher studies.
- (c): Yes,  Sir.  It  has  come  to  the  notice  that  a  few  doctors  of  some  ESI Hospitals are reportedly engaging themselves in private practice.
- (d): Complaints of private practice against 11 Doctors of various ESIC Hospitals have been received by the vigilance as on date. Out of the above, in respect of 02 (two) cases, disciplinary proceedings have already been initiated against them.
- (e): Steps taken by the ESI Corporation to meet the shortage:

Regular  recruitment  in  respect  of  GDMO,  Specialist,  Super  Specialist, Teaching Faculty and Nursing & Paramedical Staff has already been initiated/finalized.

## Current Status:

- (i)  ESIC  has  released  advertisement  on  21 st   December,  2018  for  filling  up
- about 2360 vacancies for Paramedical & Nursing cadre posts in 21 States.
- (ii) Advertisement has been released on 5th October, 2018 for filling up about 771 posts of Insurance Medical Officer Grade-II.  250  Offer  of  Appointment have  already  been  issued  to  qualifying  candidates  and  candidates  have already started joining in Delhi/Uttar Pradesh Region.
- (iii)  Advertisement has been released on 24th December, 2018 for filling up 257 posts of Specialist Gr. II (Junior Scale) and 72 posts of Specialist Gr. II (Senior ScaleSuper Specialties) in 19 States. Result in respect of Gujarat/Madhya Pradesh Region has already been declared.
- (iv) Field units have already been delegated the authority to engage GDMOs, Specialists  and  Teaching  faculties  on  contractual  basis  to  tide  over  the crisis of deficit in Medical Officers' cadres.
- (v) Field Units have also been authorized to engage Nursing and paramedical staff through outsourcing as per instructions issued from time to time as per actual requirement.

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STATEMENT REFERRED TO IN REPLY TO PART (a) OF LOK SABHA UN-STARRED QUESTION NO. 4619  FOR  22.07.2019  BY  SHRI  SANJAY  SADASHIV  RAO  MANDLIK  REGARDING  SHORTAGE  OF STAFF IN ESIC HOSPITALS IN MAHARASHTRA.

## Staff Position in respect of Medical Officer/Specialist/Super Specialist/Nursing & Para-medical Staff

| Sl. No.   | STATE            | GDMO   | GDMO   | GDMO   | SPECIALIST/SU PER SPECIALIST   | SPECIALIST/SU PER SPECIALIST   | SPECIALIST/SU PER SPECIALIST   | PARA-MEDICAL   | PARA-MEDICAL   | PARA-MEDICAL   | NURSING   | NURSING   | NURSING   | TOTAL   | TOTAL   | TOTAL   |
|-----------|------------------|--------|--------|--------|--------------------------------|--------------------------------|--------------------------------|----------------|----------------|----------------|-----------|-----------|-----------|---------|---------|---------|
| Sl. No.   | STATE            | S      | I      | V      | S                              | I                              | V                              | S              | I              | V              | S         | I         | V         | S       | I       | V       |
| 1         | ASSAM            | 26     | 16     | 10     | 12                             | 10                             | 2                              | 58             | 43             | 15             | 49        | 39        | 10        | 145     | 108     | 37      |
| 2         | BIHAR            | 57     | 32     | 25     | 24                             | 10                             | 14                             | 146            | 41             | 105            | 155       | 32        | 123       | 382     | 115     | 267     |
| 3         | DELHI NCR        | 392    | 246    | 146    | 219                            | 140                            | 79                             | 3693           | 2389           | 1304           | 1697      | 1125      | 572       | 6001    | 3900    | 2101    |
| 4         | GUJARAT          | 87     | 60     | 27     | 80                             | 28                             | 52                             | 589            | 151            | 438            | 460       | 131       | 329       | 1216    | 370     | 846     |
| 5         | HIMACHAL PRADESH | 40     | 22     | 18     | 21                             | 7                              | 14                             | 113            | 61             | 52             | 96        | 68        | 28        | 270     | 158     | 112     |
| 6         | JAMMU& KASHMIR   | 26     | 24     | 2      | 12                             | 7                              | 5                              | 94             | 35             | 59             | 50        | 36        | 14        | 182     | 102     | 80      |
| 7         | JHARKHAND        | 57     | 47     | 10     | 30                             | 8                              | 22                             | 116            | 79             | 37             | 104       | 67        | 37        | 307     | 201     | 106     |
| 8         | KARNATAKA        | 87     | 122    | -35    | 26                             | 47                             | -21                            | 971            | 698            | 273            | 627       | 428       | 199       | 1711    | 1295    | 416     |
| 9         | KERALA           | 157    | 64     | 93     | 66                             | 39                             | 27                             | 482            | 410            | 72             | 316       | 352       | -36       | 1021    | 865     | 156     |
| 10        | MADHYA PRADESH   | 49     | 33     | 16     | 41                             | 17                             | 24                             | 293            | 143            | 150            | 178       | 114       | 64        | 561     | 307     | 254     |
| 11        | ODISHA           | 26     | 17     | 9      | 12                             | 7                              | 5                              | 59             | 40             | 19             | 38        | 33        | 5         | 135     | 97      | 38      |
| 12        | MAHARASHTRA      | 112    | 72     | 40     | 104                            | 25                             | 79                             | 639            | 238            | 401            | 409       | 156       | 253       | 1264    | 491     | 773     |
| 13        | PUNJAB           | 76     | 55     | 21     | 46                             | 26                             | 20                             | 355            | 202            | 153            | 245       | 194       | 51        | 722     | 477     | 245     |
| 14        | RAJASTHAN        | 114    | 62     | 52     | 56                             | 30                             | 26                             | 430            | 190            | 240            | 292       | 160       | 132       | 892     | 442     | 450     |
| 15        | TAMILNADU        | 83     | 75     | 8      | 20                             | 21                             | -1                             | 521            | 318            | 203            | 322       | 231       | 91        | 946     | 645     | 301     |
| 16        | TELANGANA        | 58     | 44     | 14     | 11                             | 27                             | -16                            | 665            | 257            | 408            | 249       | 170       | 79        | 983     | 498     | 485     |
| 17        | UTTAR PRADESH    | 231    | 167    | 64     | 60                             | 0                              | 60                             | 304            | 74             | 230            | 309       | 48        | 261       | 904     | 289     | 615     |
| 18        | WEST BENGAL      | 39     | 40     | -1     | 11                             | 9                              | 2                              | 550            | 235            | 315            | 255       | 177       | 78        | 855     | 461     | 394     |
| 19        | UTTRAKHAND       | 27     | 0      | 27     | 0                              | 0                              | 0                              | 3              | 4              | -1             | 2         | 0         | 2         | 32      | 4       | 28      |
| 20        | ANDHRA PRADESH   | 0      | 0      | 0      | 0                              | 0                              | 0                              | 0              | 2              | -2             | 0         | 2         | -2        | 0       | 4       | -4      |
| 21        | CHATTISGARH      | 54     | 0      | 54     | 0                              | 0                              | 0                              | 1              | 1              | 0              | 0         | 0         | 0         | 55      | 1       | 54      |
| TOTAL     | TOTAL            | 1798   | 1198   | 600    | 851                            | 458                            | 393                            | 10082          | 5611           | 4471           | 5853      | 3563      | 2290      | 18584   | 10830   | 7754    |

- S - Sanctioned

I - In strength

- V - Vacancy

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