Lok Sabha Question No. 2034 (UNSTARRED), answered on 2018-12-21
Subject: SCI and TCCC
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PREM SINGH CHANDUMAJRA, ASHOK SHANKARRAO CHAVAN, T. RADHAKRISHNAN, VIJAY KUMAR S.R., S. RAJENDRAN, SUDHEER GUPTA, RAMACHANDRAN MULLAPPALLY, KUNWAR HARIBANSH SINGH

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2034 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## SCI AND TCCC

## 2034. PROF. PREM SINGH CHANDUMAJRA:

SHRI ASHOK SHANKARRAO CHAVAN:

SHRI T. RADHAKRISHNAN:

SHRI S.R. VIJAYAKUMAR:

SHRI S. RAJENDRAN:

SHRI SUDHEER GUPTA:

SHRI MULLAPPALLY RAMACHANDRAN:

KUNWAR HARIBANSH SINGH:

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

- (a) the details of the State Cancer Institute (SCI) and Tertiary Care Cancer Centre (TCCC) in the country, State/UTwise;
- (b)  whether  proposals  for  setting  up of  SCI  and  TCCC  from  various  States  have been received  and  if  so,  the  details  along with  present  status  thereof,  State/UT - wis includ ing Kerala ;
- (c) whether the Government has received request from State of Kerala to include Malabar Cancer Centre under the scheme and if so, the details and present status thereof;
- (d) the details of the criteria for setting up and strengthening the SC I and TCCC in the country;
- (e) the amount allocated/utilized by th  Government for setting up and strengthening of each SCI  and  TCCC  inthe  country  during  each  of  the  last  three years  and  the  current  year, State/UT - wise; and
- (f) the details of the equipm ent which is necessary for SCI and TCCC and the role of SCI and TCCC in providing facilities to cancer patients in the country?

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

- (a)& (b): The  details  of  proposals  for  setting  up  of State  Cancer  Institute  (SCI)  and Tertiary  Care  Cancer  Centre  (TCCC)  received  from  various  States/UTs  including  Keral under the Strengthening of Tertiary Care Cancer facilities scheme is at Annexure - I . The list of SCIs and TCCCs approved till date under the scheme, is at Annexure - II .
- (c): A  request  was  received  from  the  Government  of  Kerala  for  setting  up  TCCC  at Malabar Cancer Centre, Kannur. However, the same was not agreed to since Government Medical  College, Kozhikode  was  already  envisaged  for  assistance  as  a  TCCC  under  the scheme, to cater to the north part of Kerala and one SCI and one TCCC was envisaged t set up in Kerala.

(d): The  scheme  envisages  to  upgrade  existing  institutions  for  Cancer  care. Under  the scheme, one time  non - recurring  grant  is  given.  State/UT  Governments  recommend  the proposals  of  the  eligible  Institute/Medical  College  which  are  fulfilling  the requirements and conditions of the scheme along with the commitment to provid e State share of funds. As per the scheme guidelines, the Institution can be a Government Medical Col Hospital or erstwhile Regional Cancer Centre  inter alia with experience in cancer tr and functional departments of Medicine, Surgery, Gynecol ogy, ENT, Anesthesia, Pathology inter - alia,  to  be  eligible  for  assistance  under  the  scheme.  Autonomous  Institutions Central or State Government, are also eligible for assistance under the scheme.

(e): The d etails of funds released as 1 st installmen t of Central share to State Governments for setting up of SCI and TCCC during last three years and the current year, State/UT - wise , is at Annexure - III .

(f) : A ssistance  under  this  scheme  is  for  procurement  of  radio  therapy  equipmen diagnostic equipment, surgical equipment, enhancement of indoor patient facility for cancer and such other purposes relevant for diagnosis, treatment and care of cancer.

It is envisaged that SCIs will be the apex institutions in the State for cance activities and expected to mentor and coordinate the activities of other Institutes in th dealing with the tertiary care for cancer.  SCI will provide outreach services, diag referral treatments, undertake research, participate in cancer registry programm e and enhance the manpower capacity in the State in the field of cancer care. TCCC will undertake s activities, though at a lower scale.

## Annexure-I

List of proposals received for setting up of SCIs and TCCCs under Strengthening of Tertiary Care Cancer scheme of NPCDCS.

|   S. No | States/UTs        | Tertiary Care Cancer Centre (TCCC)                                                                                                                | State Cancer Institute (SCI)                                                                              |
|---------|-------------------|---------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|
|       1 | Andhra Pradesh    | ACSR Government Medical College, Nellore                                                                                                          | Kurnool Medical College, Kurnool                                                                          |
|       2 | Assam             | Assam Medical College, Dibrugarh                                                                                                                  | Gauhati Medical College &Hospital, Guwahati                                                               |
|       3 | Arunachal Pradesh | Government Hospital, Naharlagun                                                                                                                   | -                                                                                                         |
|       4 | Bihar             | 1. Dharbhanga Medical College, Dharbhanga 2. Jawaharlal Nehru Medical College, Bhagalpur                                                          | Indira Gandhi Institute of Medical Sciences (RCC), Patna                                                  |
|       5 | Chhattisgarh      | Central Hospital, SECL, Manendragarh, District Koriya                                                                                             | Chhattisgarh Institute of Medical Sciences, Bilaspur                                                      |
|       6 | Delhi             | Lok Nayak Hospital (Maulana Azad Medical College)                                                                                                 | -                                                                                                         |
|       7 | Gujarat           | 1. Pandit Deen Dayal Upadhyay Medical College, Rajkot 2. Government Medical College and SSG Hospital, Vadodara                                    | Gujarat Cancer Research Institute (RCC), Ahmedabad                                                        |
|       8 | Goa               | Goa Medical College, Panaji, Goa.                                                                                                                 | -                                                                                                         |
|       9 | Haryana           | Civil Hospital, Ambala Cantt                                                                                                                      | -                                                                                                         |
|      10 | Himachal Pradesh  | 1. Indira Gandhi Medical College (RCC) Shimla 2. Lal Bahadur Shastri Govt. Medical College & Hospital, Mandi                                      | -                                                                                                         |
|      11 | Jammu& Kashmir    | 1. District Hospital, Kishtwar, 2. District Hospital, Udhampur 3. District Hospital, Kupwara,                                                     | 1. Government Medical College (RCC)Jammu 2. Sher-I-Kashmir Institute of Medical Sciences (RCC), Srinagar. |
|      12 | Jharkhand         | MGMMedical College, Jamshedpur                                                                                                                    | Rajendra Institute of Medical Sciences , Ranchi                                                           |
|      13 | Karnataka         | 1. Mandya Institute of Medical Sciences, Mandya 2. Gulbarga Institute of Medical Sciences, Gulbarga                                               | Kidwai Memorial Institute of Oncology(RCC), Bangaluru                                                     |
|      14 | Kerala            | Govt. Medical College, Kozhikode                                                                                                                  | Regional Cancer Centre, Thiruvananthapuram                                                                |
|      15 | Madhya Pradesh    | 1. G. R. Medical College, Gwalior 2. District Hospital, Vidisha                                                                                   | Netaji Subhas Chandra Bose Medical College, Jabalpur.                                                     |
|      16 | Maharashtra       | 1. Vivekanand Medical Foundation& Research Centre, Latur 2. Rashtrasant Tukdoji Regional Cancer Hospital &Research Centre, Nagpur                 | Government Medical College, Aurangabad                                                                    |
|      17 | Manipur           | Regional Institute Of Medical Sciences (RIMS) , Imphal                                                                                            | -                                                                                                         |
|      18 | Nagaland          | District Hospital, Kohima                                                                                                                         | -                                                                                                         |
|      19 | Mizoram           | Civil Hospital Aizawl                                                                                                                             | -                                                                                                         |
|      20 | Odisha            | 1. Burla Medical College (Dist. Sambalpur) 2. M.K.C.G. Medical College Hospital, Berhampur 3. District Hospital, Bhawanipatna, District Kalahandi | Regional Cancer Centre, Cuttack                                                                           |

| 21.   | Punjab        | 1. District Hospital, Hoshiarpur 2. District Hospital, Fazilka                                                                                                                                  | Government Medical College, Amritsar           |
|-------|---------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
| 22.   | Rajasthan     | 1. S. P. Medical College, Bikaner 2. Govt. Medical College/District Hospital, Jhalawar                                                                                                          | SMS Medical College, Jaipur                    |
| 23.   | Sikkim        | Multispecialty Hospital at Sichey, Sikkim                                                                                                                                                       | -                                              |
| 24.   | Tamil Nadu    | Madurai Medical College &Hospital, Madurai                                                                                                                                                      | Cancer Institute (RCC) Adyar, Chennai          |
| 25.   | Telangana     | -                                                                                                                                                                                               | M.N.J. Institute of Oncology (RCC), Hyderabad  |
| 26.   | Tripura       | -                                                                                                                                                                                               | Cancer Hospital(RCC), Agartala                 |
| 27.   | Uttar Pradesh | 1. Sanjay Gandhi Institute of Medical Sciences, Lucknow 2. Jawaharlal Nehru Medical College, AMU, Aligarh 3. Government Medical College, Jhansi 4. Institute of Medical Sciences (BHU) Varanasi | Kamla Nehru Memorial Hospital (RCC), Allahabad |
| 28.   | Uttarakhand   | Himalayan Institute of Medical Sciences, Dehradun                                                                                                                                               | Government Medical College, Haldwani           |
| 29.   | West Bengal   | 1. Government Medical College, Burdwan 2. Murshidabad Medical College& Hospital 3. Sagore Dutta Memorial Medical College and Hospital, Kolkata                                                  | -                                              |
| Total | Total         | 44                                                                                                                                                                                              | 20                                             |

Annexure-II List of State Cancer Institutes (SCIs) and Tertiary Care Cancer Centres (TCCCs) approved till date.

|   S No | State            | Name of the Institute                                                 | SCI/ TCCC   |
|--------|------------------|-----------------------------------------------------------------------|-------------|
|      1 | Andhra Pradesh   | Kurnool Medical College, Kurnool                                      | SCI         |
|      2 | Assam            | Gauhati Medical College &Hospital, Guwahati                           | SCI         |
|      3 | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                    | SCI         |
|      4 | Delhi            | Lok Nayak Hospital                                                    | TCCC        |
|      5 | Gujarat          | Gujarat Cancer Research Institute, Ahmedabad                          | SCI         |
|      6 | Goa              | Goa Medical College, Panaji                                           | TCCC        |
|      7 | Haryana          | Civil Hospital, Ambala Cantt                                          | TCCC        |
|      8 | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                 | TCCC        |
|      9 | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                       | TCCC        |
|     10 | Jammu &Kashmir   | Sher-i-Kashmir Institute of Medical Sciences, Srinagar                | SCI         |
|     11 | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                        | SCI         |
|     12 | Karnataka        | Kidwai Memorial Institute of Oncology (RCC), Bangaluru                | SCI         |
|     13 |                  | Mandya Institute of Medical Sciences, Mandya                          | TCCC        |
|     14 | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                            | SCI         |
|     15 |                  | Government Medical College, Kozhikode                                 | TCCC        |
|     16 | Madhya Pradesh   | G.R. Medical College, Gwalior                                         | TCCC        |
|     17 | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital& Research Centre, Nagpur | TCCC        |
|     18 |                  | Government Medical College, Aurangabad                                | SCI         |
|     19 |                  | Vivekanand Foundation &Research Centre, Latur                         | TCCC        |
|     20 | Mizoram          | Mizoram State Cancer Institute, Aizawl                                | TCCC        |
|     21 | Nagaland         | District Hospital, Kohima                                             | TCCC        |
|     22 | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                       | SCI         |
|     23 | Punjab           | Government Medical College, Amritsar                                  | SCI         |
|     24 |                  | Civil Hospital, Fazilka                                               | TCCC        |
|     25 | Rajasthan        | S P Medical College, Bikaner                                          | TCCC        |
|     26 |                  | SMS Medical College, Jaipur                                           | SCI         |
|     27 |                  | Jhalawar Medical College &Hospital, Jhalawar                          | TCCC        |
|     28 | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim   | TCCC        |
|     29 | Tamil Nadu       | Cancer Institute (RCC), Adyar, Chennai                                | SCI         |
|     30 | Telangana        | MNJ Institute of Oncology& RCC, Hyderabad                             | SCI         |
|     31 | Tripura          | Cancer Hospital (RCC), Agartala                                       | SCI         |
|     32 | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow     | TCCC        |
|     33 | West Bengal      | Government Medical College, Burdwan                                   | TCCC        |
|     34 |                  | Murshidabad Medical College & Hospital, Berhampore, Murshidabad       | TCCC        |
|     35 |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata Total     | TCCC        |

Total: 35 (15 SCIs and 20 TCCCs)

## Annexure-III

(Rs. in crore)

| S. No   | State/UT         | Name of the Institute                                                  | SCI/ TCCC       | Amount Released   | Amount Released   | Amount Released   |           |    Total |
|---------|------------------|------------------------------------------------------------------------|-----------------|-------------------|-------------------|-------------------|-----------|----------|
|         | Andhra Pradesh   | Kurnool Medical College, Kurnool                                       | SCI             | 2015-16 -         | 2016-17 -         | 2017-18 54.00     | 2018-19 - |  54      |
| 1 2     | Assam            | Gauhati Medical College& Hospital, Guwahati                            | SCI             | -                 | 08.43             | 30.00             | 42.5025   |  80.9325 |
| 3       | Bihar            | Indira Gandhi Institute of Medical Sciences, Patna                     | SCI             | 33.06             | -                 | -                 | -         |  33.06   |
| 4       | Delhi            | Lok Nayak Hospital                                                     | TCCC            | -                 | 25.40             | 4.47              | -         |  29.87   |
| 5       | Goa              | Goa Medical College, Panaji                                            | TCCC            | -                 | -                 | 8.3519            | 11.8981   |  20.25   |
| 6       | Haryana          | Civil Hospital, Ambala Cantt                                           | TCCC            | -                 | 9.2253            | 2.925             | 8.0997    |  20.25   |
| 7       | Himachal Pradesh | Indira Gandhi Medical College, Shimla                                  | TCCC            | 14.87             | -                 | -                 | -         |  14.87   |
| 8       | Himachal Pradesh | Shri Lal Bahadur Shastri Medical College, Mandi                        | TCCC            | -                 | -                 | 12.1932           | 17.443    |  29.6362 |
| 9       | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                         | SCI             | -                 | -                 | 22.95             | -         |  22.95   |
| 10      | Karnataka        | Mandya Institute of Medical Sciences, Mandya                           | TCCC            | 17.257            | -                 | -                 | -         |  17.257  |
| 11      | Kerala           | Regional Cancer Centre, Tjiruvananthapuram                             | SCI             | -                 | 46.957            | -                 | -         |  46.957  |
| 12      | Madhya Pradesh   | G.R. Medical College, Gwalior                                          | TCCC            | -                 | -                 | 18.90             | -         |  18.9    |
| 13      | Maharashtra      | Rashtrasant Tukdoji Regional Cancer Hospital & Research Centre, Nagpur | TCCC            | -                 | 15.3196           | 4.8564            | -         |  20.176  |
| 14      |                  | Government Medical College, Aurangabad                                 | SCI             | -                 | -                 | 43.515            | -         |  43.515  |
| 15      |                  | Vivekanand Foundation& Research Centre, Latur                          | TCCC            | -                 | -                 | 20.25             | -         |  20.25   |
| 16      | Mizoram          | Mizoram State Cancer Institute, Aizawl                                 | TCCC            | 14.64             | -                 | -                 | -         |  14.64   |
| 17      | Nagaland         | District Hospital, Kohima                                              | TCCC            | -                 | 13.23             | -                 | -         |  13.23   |
| 18      | Odisha           | Acharya Harihar Regional Cancer Centre, Cuttack                        | SCI             | -                 | 35.829            | -                 | -         |  35.829  |
| 19      | Punjab           | Government Medical College, Amritsar                                   | SCI             | -                 | 51.58             | -                 | -         |  51.58   |
| 20      |                  | Civil Hospital, Fazilka                                                | TCCC            | -                 | 20.119            | -                 | -         |  20.119  |
| 21      | Rajasthan        | S P Medical College, Bikaner                                           | TCCC            | 17.123            | -                 | -                 | -         |  17.123  |
| 22      |                  | SMS Medical College, Jaipur                                            | SCI             | -                 | 40.6683           | 4.1394            | -         |  44.8077 |
| 23      |                  | Jhalawar Medical College& Hospital, Jhalawar                           | TCCC            | -                 | -                 | 19.755            | -         |  19.755  |
| 24      | Sikkim           | Multispecialty Hospital at Sochygang (Sichey), near Gangtok, Sikkim    | TCCC            | -                 | -                 | 23.01             | 6.01      |  29.02   |
| 25      | Telangana        | MNJ Institute of Oncology & RCC, Hyderabad                             | SCI             | 18.12             | -                 | -                 | -         |  18.12   |
| 26      | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow      | TCCC            | 11.43             | -                 | -                 | -         |  11.43   |
| 27      | West Bengal      | Murshidabad Medical College & Hospital, Berhampore, Murshidabad        | TCCC            | -                 | 10.9793           | 0.005             | -         |  10.9843 |
| 28      |                  | Sagore Dutta Memorial Medical College and Hospital, Kolkata            | TCCC            | -                 | -                 | 20.25             | -         |  20.25   |
| Total   | Total            | Total                                                                  | 126.50 277.7375 |                   |                   | 289.5709          | 85.9533   | 779.762  |

Note: Government of India share is 60% (90% for Himalayan and North Eastern States and 100% for UTs).