Lok Sabha Question No. 1143 (UNSTARRED), answered on 2021-12-03
Subject: Linking of Government District Hospital with Private Medical Colleges
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Debasree Chaudhuri, Rajeshbhai Naranbhai Chudasama

- f)

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

## LOKSABHA UNSTARRED QUESTION NO. 1143

## TO BE ANSWERED ON THE 3 RD  DECEMBER, 2021

## LINKING OF GOVERNMENT DISTRICT HOSPITAL WITH PRIVATE

## MEDICAL COLLEGES

## 1143:  MS. DEBASREE CHAUDHURI: SHRI RAJESHBHAI CHUDASAMA:

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

- a) whether the Government is going to link Government district hospitals with the private medical colleges under Public Private Partnership (PPP) model;
2. b)
3. if so, the details thereof;
- c) whether the Government is aware that this move to commercialize public health system will  convert  almost  half  of  the  hospital  beds  into  paid  beds  and  further  reduce  poor people's access to public health institutions;
- d) if so, reaction of Government thereon;
- e) whether the Government is facing scarcity in resources  and finances to  meet the basic
7. health needs of common citizens; and
8. if so, the details thereof and the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

a) to (f) Government of India has been considering linking Government district hospitals with the private medical colleges under Public Private Partnership (PPP) mode. The Establishment of medical colleges in Public Private Partnership (PPP) mode has been allowed under  the  National  Medical  Commission  Regulations.  Clause  2(5)  of  the  Establishment  of Medical College Regulations, 1999 prescribes that the appropriate Government may allow the utilisation of the facilities of the hospital owned and managed by it for establishing a Medical College  by  a  person/  agency/  trust/  society/  company  by  entering  into  a  Memorandum  of

Understanding for this purpose. The hospital to be transferred should be minimum 300 beds with necessary  infrastructural  facilities  capable  of  being  developed  into  teaching  institution  for  the purpose  of  medical  college.  It  has  been  prescribed  that  while  transferring  the  Government Hospital facility, the State Government may safeguard the interest of State particularly in respect of  admission  of  students  under  Government  Quota  in  the  medical  college,  patient  care  and implementation of all government health programme in affiliated hospital of medical college

Government of India has taken various steps to strengthen the health care system.

The National Health Policy-2017 recommends progressively achieving Universal Health Coverage (UHC) and minimizing disparities on account of gender, poverty, caste, disability, all forms  of  social  and  geographical  barriers.  Government  of  India  proposes  establishment  of 1,50,000 Ayushman Bharat- Health and Wellness Centres (AB-HWCs) by December 2022, as the platform to deliver Comprehensive Primary Health Care (CPHC) closer to the home. Under Ayushman Bharat, the existing Sub-health Centres (SHCs) and Primary Health Centres (PHCs) are being transformed into AB-HWCs to deliver Comprehensive Primary Health Care (CPHC) that  includes  preventive,  promotive,  curative,  palliative  and  rehabilitative  services  which  is universal, free and close to the community.

The Government has continued to allocate more funds to strengthen the National Health Mission (NHM).  Rs.31,100.00 Crores have been allocated to NHM during the year2021-22 BE as against Rs.27,989.00 Crores in 2020-21 BE i.e. an increase of 11.1%.

Further to strengthen the Public Health Infrastructure, the following initiatives have been taken:

-  Emergency Response and Health System Preparedness Package under Rs. 8257.88 Crs have been provisioned to provide support to States/UTs which includes funds for health infrastructure strengthening, expansion of laboratory network and surveillance etc.
-  In addition, 'Provisions have also been ensured in India COVID-19 Emergency Response & Health System Preparedness Package; Phase-II having and outlay of Rs. 23,123 crores (with  Rs.  15,000  Cr  as  Central  component  &  Rs.  8,123  Cr  as  State  Component)  to support to State/ UT level including for ramping up health infrastructure including those in rural, tribal and peri-urban areas closer to the community. The number of hospital beds

& ICU including HDUs for paediatric care are ramped up in the ECRP-II also in addition to other activities.

-  Further,  PM  Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM)  with  an outlay of Rs. 64,180 crores till 2025-26 envisages increased investments in public health and  other  health  reforms  to  safeguard  against  future  public  health  emergencies  by focusing in health infrastructure.