Lok Sabha Question No. 4352 (UNSTARRED), answered on 2019-01-07
Subject: Setting up of Super Speciality Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: DEVUSINH JESINGBHAI CHAUHAN

## GOVERNMENT OF INDIA MINISTRY OF LABOUR AND EMPLOYMENT LOK SABHA

## UNSTARRED QUESTION NO. 4352 TO BE ANSWERED ON 07.01.2019

## SETTING UP OF SUPER SPECIALITY HOSPITALS

## 4352. SHRI DEVUSINH CHAUHAN:

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

- (a)whether the Government/ESIC has set up/proposes to set up super speciality hospitals in the country and if so, the details thereof;
- (b)the details of funds sanctioned/issued in this regard during the last three  years  and  the  current  year  along  with  the  current  status  of construction of these super speciality hospitals, State/UT-wise;
- (c)whether  the  Government  is  aware  of  the  poor  condition  of  ESI hospitals  situated  in  backward  and  tribal  areas  of  the  country particularly in Gujarat and Maharashtra and if so, the details thereof and  the  schemes  formulated/steps  taken  by  the  Government  to improve the condition of such ESI hospitals; and
- (d)the  budgetary  provision  made  for  the  implementation  of  the  said
- schemes during the current financial year?

## ANSWER

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

- (a): ESI  Corporation  has  set  up  two  super  specialty  hospital  at Sanath Nagar, Telangana and Asaramam, Kollam, Kerala. Further, ESI Corporation  has  given  approval  for  setting  up  of  super  specialty hospital  at  Varanasi,  Uttar  Pradesh  and  Bhubaneswar,  Odisha.  In addition,  super  specialty  services  are  also  available  at  various  ESIC Hospitals, as per the detail placed at Annexure-I.
- (b): The  details  of  funds  sanctioned/issued  during  the  last  three years and the current year along with the current status of construction of super speciality hospitals, State/UT-wise is at Annexure-II.

(c): ESIC has carried out survey of its buildings, including hospitals and dispensaries and categorized those as 'very good, good, poor and dilapidated  conditions'.  (Annexure-III)  Buildings  in  poor  conditions have been identified for carrying out special repairs while buildings in dilapidated conditions will be demolished and reconstructed. Further,  ESIC  Regional  offices  have  been  given  direction  to  go  for special / Annual Repair Maintenance of buildings. Across the country, including Gujarat and Maharashtra, ESI Hospitals are established based on ESI norms, in ESI Scheme implemented area irrespective of backward or tribal area. Further,  ESI  Corporation  formulates  various  schemes  from  time  to time,  in  order  to  improve  the  conditions  of  ESI  Hospitals  across  the country. Some of such steps are, as under:-

-  Formation of State level ESI Society so that they have financial freedom to take decision for improvement of medical services
-  Project Implementation Plan (PIP) for state ESI Scheme.
-  Enhancement of 50% of bed strength, if bed occupancy is more than  70%  in  ESIC/ESIS  hospitals  for  the  last  consecutive  three years.
-  ESIC provides Rs.200/- per IP per annum over and above ceiling to  the  State  Government,  where  the  bed  occupancy  in  all  the State  ESIS  Hospitals  is  more  than  70%  during  the  concluded financial year.

(d): Under State ESI Scheme, Budgetary provision are made comprehensively  based  on  total  number  of  Insured  Persons  in  the State. As such, no separate scheme related budgetary provision exist. State wise details of budgetary provision for current financial year is placed at Annexure-IV. ****                                                ******

ANNEXURE-I STATEMENT  REFERRED  TO  IN  REPLY  TO  PART  (a)  OF  LOK  SABHA  UNSTARRED QUESTION NO. 4352 FOR 07.01.2019 BY SHRI DEVUSINH CHAUHAN REGARDING SETTING UP OF SUPER SPECIALITY HOSPITALS.

Super Speciality Services

|   Sl. No. | State       | Hospital                | SST Services (in-house)                                                                |
|-----------|-------------|-------------------------|----------------------------------------------------------------------------------------|
|         1 | Karnataka   | Rajaji Nagar, Bangalore |  Plastic surgery  Urology  Oncology  Endocrinology  Gastro Enterology  Neurology |
|         2 | Maharashtra | Andheri                 |  Nephrology  Urology  Plastic surgery  Cardiology  Neurology                      |
|         3 | Delhi       | Basai                   |  Nephrology  Dialysis  Urology  Cardiology  Paediatric surgery  Plastic Surgery  |

## STATEMENT REFERRED TO IN REPLY TO PART (b) OF LOK SABHA UN-STARRED QUESTION NO. 4352 FOR 07.01.2019 BY SHRI DEVUSINH CHAUHAN REGARDING SETTING UP OF SUPER SPECIALITY HOSPITALS.

Details of funds sanctioned/issued for construction of Super Speciality Hospitals

|         |                                                           |           | Sanctioned Cost            | Funds issued/released Year wise (in Rs. Crore)   | Funds issued/released Year wise (in Rs. Crore)   | Funds issued/released Year wise (in Rs. Crore)   | Funds issued/released Year wise (in Rs. Crore)   | Current Status                                                                                                                                                         |
|---------|-----------------------------------------------------------|-----------|----------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Sl. No. | Name of Super speciality Hospital                         | State/UT  | (In Rs. Crore)             | 2015- 16                                         | 2016- 17                                         | 2017- 18                                         | 2018- 19 (Till Oct., 18)                         |                                                                                                                                                                        |
| 1.      | ESIC Super speciality Hospital at Sanath Nagar, Hyderabad | Telangana | 131.22                     | 0.00                                             | 0.00                                             | 0.00                                             | 0.00                                             |  Completed and functioning.  Funds released before 2015-                                                                                                             |
| 2.      | ESIC Super speciality Hospital at Asramam                 | Kerala    | 12.17                      | 0.00                                             | 0.00                                             | 0.00                                             | 0.00                                             | 16.  Completed and functioning.  Funds released before 2015- 16.  For construction of additional floor over existing Super speciality block, work assigned to CPWD. |
| 3.      | ESIC Super speciality Hospital at Varanasi                | UP        | 141.97                     | 0.00                                             | 1.01                                             | 18.81                                            | 36.78                                            |  Construction work is under progress.                                                                                                                                 |
| 4.      | ESIC Super speciality Hospital at Bhubaneswar             | Odisha    | Funds yet to be sanctioned | 0.00                                             | 0.00                                             | 0.00                                             | 0.00                                             |  Construction including A&E work assigned to CPWD.                                                                                                                    |

## ANNEXURE-III

## STATEMENT REFERRED TO IN REPLY TO PART (c) OF LOK SABHA UN-STARRED QUESTION NO. 4352 FOR 07.01.2019 BY SHRI DEVUSINH CHAUHAN REGARDING SETTING UP OF SUPER SPECIALITY HOSPITALS.

| Sl. No.   | Region           | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Category   | Gra    |
|-----------|------------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|--------|
| Sl. No.   | Region           | A          | A          | A          | A          | B          | B          | B          | B          |            |            |            |            | D          | D          | D          | D          | nd     |
| Sl. No.   | Region           | H          | D          | O          | Total      | H          | D          | O          | Total      | H          | D          | O          | Tot al     | H          | D          | O          | To tal     | Tot al |
| 1         | Andhra Pradesh   | -          | 4          | -          | 4          | 1          | 3          | 6          | 10         | 3          | 5          | 4          | 12         | -          | 1          | 2          | 3          | 29     |
| 2         | Assam            | -          | -          | -          | 0          | -          | -          | -          | 0          | 2          | -          | 1          | 3          | -          | -          | -          | 0          | 3      |
| 3         | Bihar            | -          | -          | -          | 0          | -          | -          | -          | 0          | 2          | 5          | -          | 7          | -          | -          | -          | 0          | 7      |
| 4         | Chhattisgarh     | -          | -          | -          | 0          | -          | -          | -          | 0          | -          | 3          | 2          | 5          | -          | -          | -          | 0          | 5      |
| 5         | Delhi            | 2          | -          | -          | 2          | -          | 19         | 2          | 21         | 2          | 8          | 4          | 14         | -          | 2          | 5          | 7          | 44     |
| 6         | Goa              | -          | 1          | -          | 1          | 1          | 3          | -          | 4          | -          | 2          | -          | 2          | -          | -          | -          | 0          | 7      |
| 7         | Gujarat          | 2          | 1          | -          | 3          | 5          | 13         | -          | 18         | 2          | 19         | -          | 21         | 2          | 21         | -          | 23         | 65     |
| 8         | Haryana          | 3          | 4          | -          | 7          | 1          | 9          | 3          | 13         | 3          | 3          | -          | 6          | 1          | 5          | 2          | 8          | 34     |
| 9         | Himachal Pradesh | -          | -          | -          | 0          | 1          | -          | -          | 1          | 1          | -          | -          | 1          | -          | - -        |            | 0          | 2      |
| 10        | Jammu & Kashmir  | 1          | -          | -          | 1          | -          | -          | -          | 0          | -          | -          | -          | 0          | -          | -          | -          | 0          | 1      |
| 11        | Jharkhand        | -          | -          | -          | 0          | 1          | -          | -          | 1          | -          | -          | -          | 0          | 2          | - -        |            | 2          | 3      |
| 12        | Karnataka        | 4          | -          | 2          | 6          | 5          | 35         | 6          | 46         | 7          | 4          | 10         | 21         | -          | -          | -          | 0          | 73     |
| 13        | Kerala           | -          | 2          | -          | 2          | -          | 9          | -          | 9          | 10         | 34         | -          | 44         | - 1        | -          |            | 1          | 56     |
| 14        | Madhya Pradesh   | -          | 3          | -          | 3          | 1          | 6          | -          | 7          | 4          | 11         | -          | 15         | 2          | 1          | -          | 3          | 28     |
| 15        | Maharashtra      | 1          | 2          | -          | 3          | 5          | 1          | 5          | 11         | 1          | -          | 4          | 5          | 1          | -          | 1          | 2          | 21     |
| 16        | Odisha           | 1          | -          | -          | 1          | 1          | 4          | -          | 5          | 1          | 5          | -          | 6          | 3          | 1          | -          | 4          | 16     |
| 17        | Pondicherry      | -          | -          | -          | 0          | 1          | 3          | -          | 4          | 1          | -          | -          | 1          | -          | -          | -          | 0          | 5      |
| 18        | Punjab           | -          | -          | -          | 0          |            |            | -          |            |            | 17         | -          | 24         | -          | -          | -          |            | 29     |
|           |                  |            |            |            |            | 2          | 3          |            | 5          | 7          |            |            |            |            |            |            | 0          |        |

| 19   | Rajasthan     | 2   | 2   | -   |   4 | -   | 15   | -   |   15 | 3   | 6   | -   |   9 | -   | 4   | -   |   4 |   32 |
|------|---------------|-----|-----|-----|-----|-----|------|-----|------|-----|-----|-----|-----|-----|-----|-----|-----|------|
| 20   | Taminadu      | -   | -   | -   |   0 | 5   | 48   | -   |   53 | 3   | 7   | 0   |  10 | 1   | -   | -   |   1 |   64 |
| 21   | Telangana     | 2   | -   | -   |   2 | 3   | 4    | -   |    7 | 2   | 4   | -   |   6 | -   | 1   | -   |   1 |   16 |
| 22   | Uttar Pradesh | 2   | -   | -   |   2 | -   | -    | 4   |    4 | 12  | 9   | 1   |  22 | -   | 1   | -   |   1 |   29 |
| 23   | Uttarakhand   | -   | -   | -   |   0 | -   | -    | -   |    0 | -   | -   | -   |   0 | -   | -   | -   |   0 |    0 |
| 24   | West Bengal   | -   | 1   | -   |   1 | 14  | 2    | -   |   16 | 1   | -   | -   |   1 | -   | -   | -   |   0 |   18 |
|      | Total         | 20  | 20  | 2   |  42 | 47  | 177  | 26  |  250 | 67  | 142 | 26  | 235 | 12  | 38  | 10  |  60 |  587 |

## H = Hospital; D = Dispensary; O = Other Buildings (RO/SRO/SQ etc.)

| Categories:-                                     |                                                               |
|--------------------------------------------------|---------------------------------------------------------------|
| 'A' - Very Good (No repair is required);         | 'B' - Good (Minor repair is adequate)                         |
| 'C' - Poor (Renovation/Retrofitting is adequate) | 'D' - Very Poor (Reconstruction is required after demolition) |

STATEMENT REFERRED TO IN REPLY TO PART (d) OF LOK SABHA UN-STARRED QUESTION NO. 4352  FOR  07.01.2019  BY  SHRI  DEVUSINH  CHAUHAN  REGARDING  SETTING  UP  OF  SUPER SPECIALITY HOSPITALS.

Budget Estimate 2018-19

|   SL. NO. | Name of State/UT   | Budget Estimate (Rs. In Lakh)   |
|-----------|--------------------|---------------------------------|
|         1 | Andhra Pradesh     | 16,465.34                       |
|         2 | Assam              | 2,841.33                        |
|         3 | Bihar              | 3,278.82                        |
|         4 | Chandigarh         | 3,736.82                        |
|         5 | Chhattisgarh       | 6,883.80                        |
|         6 | Goa                | 4,677.85                        |
|         7 | Gujarat            | 23,922.74                       |
|         8 | Himachal Pradesh   | 4,649.76                        |
|         9 | Haryana            | 48,233.36                       |
|        10 | Jammu and Kashmir  | 3,961.52                        |
|        11 | Jharkhand          | 5,179.21                        |
|        12 | Karnataka          | 54,048.19                       |
|        13 | Kerala             | 15,085.63                       |
|        14 | Madhya Pradesh     | 12,860.83                       |
|        15 | Meghalaya          | 218.32                          |
|        16 | Maharashtra        | 70,771.53                       |
|        17 | Mizoram            | 1.54                            |
|        18 | Nagaland           | 29.74                           |
|        19 | Odisha             | 8,948.66                        |
|        20 | Puducherry         | 1,892.12                        |
|        21 | Punjab             | 18,032.25                       |
|        22 | Rajasthan          | 20,431.89                       |
|        23 | Sikkim             | 263.99                          |
|        24 | Tamil Nadu         | 64,121.50                       |
|        25 | Tripura            | 188.05                          |
|        26 | Uttar Pradesh      | 30,655.54                       |
|        27 | Uttarakhand        | 9,851.38                        |
|        28 | Telangana          | 26,938.22                       |
|        29 | West Bengal        | 29,166.08                       |

*******