Lok Sabha Question No. 2327 (UNSTARRED), answered on 2019-07-08
Subject: Shortage of Staff in ESI Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: Y. S. Avinash Reddy

## GOVERNMENT OF INDIA

## MINISTRY OF LABOUR AND EMPLOYMENT

## LOK SABHA

UNSTARRED QUESTION NO. 2327

TO BE ANSWERED ON 08.07.2019

## SHORTAGE OF STAFF IN ESI HOSPITALS

2327. SHRI Y.S. AVINASH REDDY:

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

- (a)whether it is a fact that the ESI hospitals are running with shortage of staff which is leading to crisis in the ESI Hospital services to the
- employees and if so, the details thereof;
- (b)whether  any  study  has  been  conducted  by  the  Government  to evaluate the present state of affairs, if so, the details thereof; and
- (c)the steps being taken by the Government to fill up the vacant posts in  ESI  hospitals  at  least  in  view  of  the  health  factor  of  the employees?

## ANSWER

## MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI SANTOSH KUMAR GANGWAR)

- (a): There is a general shortage of doctors and other healthcare staff in the country including ESI hospitals. However, ESI beneficiaries are provided required medical care services through empanelled private/Govt.  hospitals  if  the  same  is  not  available  in  ESI  hospitals. Details  regarding  shortage  of  staff  in  ESI  hospitals  is  placed  at Annexure.
- (b): ESI Corporation, from time to time, conducts inspection visit to evaluate state of affairs of  various medical services provided by ESI Hospitals. Details regarding various ways through which such evaluation is carried out, are as under:

-  Field visit by ESI Corporation Member to ESI health Institutions to review/recommend on the status of health services.
-  Submission  of  ESI  Hospital  inspection  report  to  ESIC  Head Quarters Office by Regional Director/State Medical Officer of the respective visiting states.
-  Regular submission of D.O. letter by Medical Superintendents to ESIC Head Quarters Office, on the status of services provided by respective hospitals.

Besides,  a  Task  force  has  been  constituted  by  Government  of India to improve services at ESI Hospital.

- (c): Steps being taken to fill up vacant posts in ESIC Hospital, are as under:
- i. 40% of the sanctioned posts under the General Duty Medical Officer (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 specialist  and  specialists  on  part  time  contract  basis  till  regular incumbents become available.
- Medical Superintendents of ESIC hospitals have also been authorized to  engage,  under  certain  situations,  Nursing  &  Para-medical  staff
- iv. through agencies on short term basis.
- v.
- Recruitment of Nursing & Para-medical staff on regular basis.

Further,  Steps  taken  to  fill  up  vacant  posts  in  ESIS  Hospital,  are  as under:

- 1)  ESI  Corporation  is  encouraging  various  State  Governments  to  set up a State Level Society which shall speed up filling of vacant posts in
2. ESI Hospitals in the State.
- 2) The State Government has been asked to maintain minimum level
4. of manpower, vis-à-vis sanctioned strength as per ESIC Norms.
- 3) ESI Corporation has decided to bear entire expenditure within the ceiling  on  medical  care  incurred  by  the  State  Government  for  an initial period of 3 years w.e.f. 2018-19.

*                                                     ******

STATEMENT  REFERRED  TO  IN  REPLY  TO  PART  (a)  OF  LOK  SABHA  UNSTARRED  QUESTION  NO.  2327  FOR  08.07.2019  BY  SHRI  Y.  S.  AVINASH REDDY REGARDING SHORTAGE OF STAFF IN ESI HOSPITALS.

## State-wise, details regarding shortage of staff in ESI Hospitals across the country .

| Sl. No.            | Name of Hospital     | Medical Officers   | Medical Officers   | vacancy            | vacant position of Para-Medical including Nursing staff   |
|--------------------|----------------------|--------------------|--------------------|--------------------|-----------------------------------------------------------|
| Sl. No.            | Name of Hospital     | Sanctioned         | In- position       | vacancy            | vacant position of Para-Medical including Nursing staff   |
| 1                  | Andhra Pradesh       |                    |                    |                    |                                                           |
| I                  | Visakhapatnam        | 26                 | 21                 | 5                  |                                                           |
| II                 | Vijayawada           | 23                 | 19                 | 4                  |                                                           |
| III                | Rajamundry           | 18                 | 12                 | 6                  |                                                           |
| IV                 | Tirupati             | 32                 | 24                 | 8                  |                                                           |
| V                  | Adoni                | 10                 | 7                  | 3                  |                                                           |
| TOTAL              | TOTAL                | 109                | 83                 | 26                 | 335                                                       |
| 2                  | Assam                | Assam              | Assam              | Assam              |                                                           |
| I                  | Beltola              | 45                 | 37                 | 8                  |                                                           |
| TOTAL              | TOTAL                | 45                 | 37                 | 8                  | 54                                                        |
| 3 Bihar            | 3 Bihar              | 3 Bihar            | 3 Bihar            | 3 Bihar            |                                                           |
| I                  | Phulwari Sharif      | 43                 | 38                 | 5                  |                                                           |
| II                 | Dalmianagar          | *                  | *                  | *                  |                                                           |
| III                | Munger               | *                  | *                  | *                  |                                                           |
| TOTAL              | TOTAL                | 43                 | 38                 |                    | 135                                                       |
| 4 Chandigarh Admn. | 4 Chandigarh Admn.   | 4 Chandigarh Admn. | 4 Chandigarh Admn. | 4 Chandigarh Admn. |                                                           |
| I                  | Ramdarbar Chandigarh | 58                 | 49                 | 9                  |                                                           |
| TOTAL              | TOTAL                | 58                 | 49                 | 9                  | 43                                                        |
| 5 Delhi            | 5 Delhi              | 5 Delhi            | 5 Delhi            | 5 Delhi            |                                                           |
| I                  | Basaidarapur ODC     | 384                | 255                | 129                |                                                           |
| II                 | Jhilmil              | 159                | 132                | 27                 |                                                           |
| III                | Okhla                | 101                | 91                 | 10                 |                                                           |
| IV                 | Rohini               | 158                | 108                | 50                 |                                                           |
| TOTAL              | TOTAL                | 802                | 586                | 216                | 212                                                       |
| 6 Goa              | 6 Goa                | 6 Goa              | 6 Goa              | 6 Goa              |                                                           |
| I                  | Margao               | 51                 | 30                 | 21                 |                                                           |
| TOTAL              | TOTAL                | 51                 | 30                 | 21                 | 108                                                       |
| 7 Gujarat          | 7 Gujarat            | 7 Gujarat          | 7 Gujarat          | 7 Gujarat          |                                                           |
| I.                 | Bapunagar            | 128                | 92                 | 36                 |                                                           |
| II                 | Naroda (Chest)       | 40                 | 15                 | 25                 |                                                           |
| III                | Rajpur Hirpur        | 24                 | 15                 | 9                  |                                                           |
| IV                 | Kalol                | 16                 | 6                  | 10                 |                                                           |
| V                  | Baroda               | 43                 | 32                 | 11                 |                                                           |

| VI                 | Surat                   | 21                 | 14                 | 7                  |      |
|--------------------|-------------------------|--------------------|--------------------|--------------------|------|
| VII                | Rajkot                  | 17                 | 10                 | 7                  |      |
| VIII               | Bhavnagar               | 12                 | 10                 | 2                  |      |
| IX                 | Baroda (Chest)          | *                  | *                  | *                  |      |
| X                  | Vapi                    | 56                 | 22                 | 34                 |      |
| XI                 | Jamnagar                | 17                 | 10                 | 7                  |      |
| XII                | Ankleshwar              | 58                 | 12                 | 46                 |      |
| TOTAL              | TOTAL                   | 432                | 238                | 194                | 1127 |
| 8 Haryana          | 8 Haryana               | 8 Haryana          | 8 Haryana          | 8 Haryana          |      |
| I.                 | Faridabad MC & Hospital | 150                | 57                 | 93                 |      |
| II.                | Jagadhari               | 15                 | 12                 | 3                  |      |
| III.               | Panipat                 | 13                 | 10                 | 3                  |      |
| IV.                | Ballabgarh              | 33                 | 22                 | 11                 |      |
| V                  | Bhiwani                 | 21                 | 6                  | 15                 |      |
| VI                 | Gurgaon                 | 89                 | 67                 | 22                 |      |
| VII                | Manesar                 | 68                 | 40                 | 28                 |      |
| TOTAL              | TOTAL                   | 389                | 214                | 175                | 801  |
| 9 Himachal Pradesh | 9 Himachal Pradesh      | 9 Himachal Pradesh | 9 Himachal Pradesh | 9 Himachal Pradesh |      |
| I                  | Parwanoo                | 8                  | 8                  | 0                  |      |
| II.                | Baddi                   | 68                 | 48                 | 20                 |      |
|                    | TOTAL                   | 76                 | 56                 | 20                 | 134  |
| 10 Karnataka       | 10 Karnataka            | 10 Karnataka       | 10 Karnataka       | 10 Karnataka       |      |
| I                  | Rajajinagar             | 418                | 317                | 101                |      |
| II                 | Indiranagar             | 70                 | 66                 | 4                  |      |
| III                | Dandeli                 | 15                 | 2                  | 13                 |      |
| IV                 | Devangare               | 26                 | 21                 | 5                  |      |
| V                  | Hubli                   | 31                 | 15                 | 16                 |      |
| VI                 | Mysore                  | 43                 | 32                 | 11                 |      |
| VII                | Mangalore               | 31                 | 6                  | 25                 |      |
| VIII               | Shahbad                 | *                  | *                  | *                  |      |
| IX                 | Belgaum                 | 29                 | 8                  | 21                 |      |
| X                  | Peeniya                 | 69                 | 61                 | 8                  |      |
| XI                 | Gulbarga                | *                  | *                  | *                  |      |
| TOTAL              | TOTAL                   | 732                | 528                | 204                | 888  |
| 11 Kerala          | 11 Kerala               | 11 Kerala          | 11 Kerala          | 11 Kerala          |      |
| I.                 | Alleppy                 | 16                 | 12                 | 4                  |      |
| II                 | Asramam                 | 108                | 84                 | 24                 |      |
| III                | Ernakulam               | 17                 | 14                 | 3                  |      |
| IV                 | Ezhukone                | 94                 | 33                 | 61                 |      |
| V                  | Mulamkunnathukam        | 14                 | 7                  | 7                  |      |
| VI                 | Olarikara               | 21                 | 13                 | 8                  |      |
| VII                | Palakkad                | 16                 | 4                  | 12                 |      |
| VIII               | Perookada               | 28                 | 27                 | 1                  |      |
| IX                 | Udyogmandal             | 74                 | 62                 | 12                 |      |
| X                  | Vadavathur              | 17                 | 13                 | 4                  |      |
| XI XII             | Feroke Thottada         | 22 16              | 20 7               | 2 9                |      |
| TOTAL              | TOTAL                   | 443                | 296                | 147                | 228  |

| 12            | Madhya Pradesh    | Madhya Pradesh   | Madhya Pradesh   | Madhya Pradesh   |      |
|---------------|-------------------|------------------|------------------|------------------|------|
| I             | Indore (Gen)      | 155              | 104              | 51               |      |
| II            | Indore (T.B.)     | 10               | 11               | -1               |      |
| III           | Ujjain            | 17               | 9                | 8                |      |
| IV            | Gwalior           | 36               | 21               | 15               |      |
| V             | Bhopal            | 38               | 20               | 18               |      |
| VI            | Dewas             | 25               | 16               | 9                |      |
| VII           | Nagda             | 19               | 10               | 9                |      |
| TOTAL         | TOTAL             | 300              | 191              | 109              | 418  |
| 13 Orissa     | 13 Orissa         | 13 Orissa        | 13 Orissa        | 13 Orissa        |      |
| I             | Kansbahal         | 15               | 10               | 5                |      |
| II            | Choudwar          | 22               | 16               | 6                |      |
| III           | Jaykapur          | 9                | 4                | 5                |      |
| IV            | Brajrajnagar      | 7                | 3                | 4                |      |
| V             | Bhubaneshwar      | 25               | 22               | 3                |      |
| VI            | Rourkela          | 47               | 26               | 21               |      |
| TOTAL         | TOTAL             | 125              | 81               | 44               | 210  |
| 14 Puducherry | 14 Puducherry     | 14 Puducherry    | 14 Puducherry    | 14 Puducherry    |      |
| I             | Gorimedu Hospital | 19               | 19               | 0                |      |
| TOTAL         | TOTAL             | 19               | 19               | 0                | 60   |
| 15 Maharastra | 15 Maharastra     | 15 Maharastra    | 15 Maharastra    | 15 Maharastra    |      |
| I             | Andheri           | 251              | 203              | 48               |      |
| II            | Ulhasnagar        | 26               | 16               | 10               |      |
| III           | Thane             | 28               | 14               | 14               |      |
| IV            | Mulund            | 47               | 29               | 18               |      |
| V             | MGM               | 92               | 73               | 19               |      |
| VI            | Washi             | 29               | 8                | 21               |      |
| VII           | Worli             | 47               | 25               | 22               |      |
| VIII          | Kandivali         | 44               | 19               | 25               |      |
| IX            | Sholapur          | 37               | 20               | 17               |      |
| X             | Nasik             | 43               | 29               | 14               |      |
| XI            | Nagpur            | 36               | 27               | 9                |      |
| XII           | Aurangabad        | 27               | 14               | 13               |      |
| XIII          | Chinchwad         | 36               | 21               | 15               |      |
| XIV           | Kolhapur          | *                | *                | *                |      |
| XV Bebvewadi  | XV Bebvewadi      | 59               |                  | 48               |      |
| TOTAL         | TOTAL             | 802              | 11 509           | 293              | 1277 |
| 16 Punjab     | 16 Punjab         | 16 Punjab        | 16 Punjab        | 16 Punjab        |      |
| I             | Amritsar          | 18               | 18               | 0                |      |
| II            | Jalandhar         | 16               | 16               | 0                |      |
| III           | Ludhiana          | 130              | 90               | 40               |      |
| IV            | Mohali            | 10               | 10               | 0                |      |
| V             | Phagwara          | 15               | 10               | 5                |      |
| VI            | Rajpura           | *                | *                | *                |      |
| VII           | Hoshiarpur        | 8                | 8                | 0                |      |
| VIII          | Mandi Gobindgar   | 5                | 3                | 2                |      |
| TOTAL         | TOTAL             | 202              | 155              | 47               | 426  |
| 17 Rajasthan  | 17 Rajasthan      | 17 Rajasthan     | 17 Rajasthan     | 17 Rajasthan     |      |
| I             | Jaipur            | 129              | 74               | 55               |      |

| II               | Kota                           | 22   | 19   | 3   |     |
|------------------|--------------------------------|------|------|-----|-----|
| III              | Jodhpur                        | 23   | 10   | 13  |     |
| IV               | Bhilwara                       | 20   | 9    | 11  |     |
| V                | Pali                           | 17   | 4    | 13  |     |
| VI               | Bhiwadi                        | 45   | 27   | 18  |     |
| VII Alwar        | VII Alwar                      | 41   | 10   | 31  |     |
| TOTAL            | TOTAL                          | 297  | 153  | 144 | 750 |
| 18 Tamil Nadu    | 18 Tamil Nadu                  |      |      |     |     |
| I                | Chennai                        | 59   | 43   | 16  |     |
| II               | Madurai                        | 17   | 16   | 1   |     |
| III              | ODC K.K. Nagar                 | 198  | 128  | 70  |     |
| IV               | Vellore                        | 13   | 7    | 6   |     |
| V                | Sivakasi                       | 17   | 12   | 5   |     |
| VI               | Salem                          | 16   | 12   | 4   |     |
| VII              | Hosure                         | 12   | 7    | 5   |     |
| VIII             | Tirucharapally                 | 14   | 11   | 3   |     |
| IX               | Tirunelveli                    | 47   | 36   | 11  |     |
| X                | Coimbatore                     | *    | *    | *   |     |
| TOTAL            | TOTAL                          | 393  | 272  | 121 | 791 |
| 19 Uttar Pradesh | 19 Uttar Pradesh               |      |      |     |     |
| I                | Pandunagar, Kanpur             | 6    | 10   | -4  |     |
| II               | Azadnagar, Kanpur (Chest)      | 18   | 3    | 15  |     |
| III              | Modinagar                      | 15   | 4    | 11  |     |
| IV               | Naini Allahabad                | 11   | 9    | 2   |     |
| V                | Kanpur (MAT)                   | 18   | 8    | 10  |     |
| VI               | Sarojininagar, Kanpur, Lucknow | 49   | 27   | 22  |     |
| VII              | Sahibabad                      | 55   | 16   | 39  |     |
| VIII             | Agra                           | 13   | 9    | 4   |     |
| IX               | Saharanpur                     | 12   | 4    | 8   |     |
| X                | Kidwainagar                    | 15   | 2    | 13  |     |
| XI               | Bareilly                       | 12   | 2    | 10  |     |
| XII              | Jajmau-Kanpur                  | 40   | 6    | 34  |     |
| XIII             | Noida                          | 172  | 109  | 63  |     |
| XIV              | Aligarh                        | 14   | 2    | 12  |     |
| XV               | Pipri                          | 12   | 2    | 10  |     |
| XVI              | Varanasi                       | *    | *    | *   |     |
| TOTAL            | TOTAL                          | 462  | 213  | 249 | 975 |
| 20 West Bengal   | 20 West Bengal                 |      |      |     |     |
| I                | Asansol                        | 29   | 27   | 2   |     |
| II               | Bellur Belly                   | 30   | 23   | 7   |     |
| III              | Baltikuri                      | 52   | 45   | 7   |     |
| IV               | Gourhati                       | 41   | 34   | 7   |     |
| V                | Budge-Budge                    | 38   | 37   | 1   |     |
| VI               | Kalyani                        | 36   | 34   | 2   |     |
| VII              | Manicktola                     | 96   | 87   | 9   |     |
| VIII             | Kamarhati                      | 112  | 79   | 33  |     |

| IX       | Sealdah                | 41                     | 41              | 0               |     |
|----------|------------------------|------------------------|-----------------|-----------------|-----|
| X        | Uluberia               | 31                     | 29              | 2               |     |
| XI       | Serampore              | 42                     | 35              | 7               |     |
| XII      | Bandel                 | 43                     | 36              | 7               |     |
| XIII     | Joka, Thakurpur, ODC   | 427                    | 144             | 283             |     |
| XIV      | Durgapur               | 50                     | 31              | 19              |     |
| TOTAL    | TOTAL                  | 1068                   | 682             | 386             | 796 |
| 21       | Jharkhand              | Jharkhand              | Jharkhand       | Jharkhand       |     |
| I        | Maithan                | 14                     | 5               | 9               |     |
| II       | Adityapur              | 56                     | 31              | 25              |     |
| III      | Ranchi                 | 44                     | 42              | 2               |     |
| TOTAL    | TOTAL                  | 114                    | 78              | 36              | 474 |
| 22       | Jammu & Kashmir        | Jammu & Kashmir        | Jammu & Kashmir | Jammu & Kashmir |     |
| I        | Bari Brahma (Jammu) 52 | Bari Brahma (Jammu) 52 | 40              | 12              |     |
| TOTAL 52 | TOTAL 52               | TOTAL 52               | 40              | 12              | 88  |
| 23       | Talengana              | Talengana              | Talengana       | Talengana       |     |
| I        | Nacharam               | *                      | *               | *               |     |
| II       | Nizamabad              | *                      | *               | *               |     |
| III      | R.K. Puram             | 63                     | 57              | 6               |     |
| IV       | S.S. Sanathnagar       | 100                    | 67              | 33              |     |
| V        | Santhnagar             | 159                    | 86              | 73              |     |
| VI       | Sirpurkagarnagar       | 18                     | 14              | 4               |     |
| VII      | Warangal               | 17                     | 15              | 2               |     |
| TOTAL    | TOTAL                  | 357                    | 239             | 118             | 892 |

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