Lok Sabha Question No. 281 (STARRED), answered on 2022-08-05
Subject: Critical Care/Emergency Centres along National Highways
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Anurag Sharma

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

## LOK SABHA STARRED QUESTION NO. 281 TO BE ANSWERED ON THE 5 TH  AUGUST, 2022

## CRITICAL CARE/EMERGENCY CENTRES ALONG NATIONAL HIGHWAYS

## *281. SHRI ANURAG SHARMA:

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

- (a) whether the Government  proposes to provide financial support to State Governments/NGOs/private  hospitals  to  establish  critical  care/emergency  centres along the National Highways or strategically important places in the country;
- (b) if so, the details thereof; and
- (c) the steps taken by the Government to provide adequate financial/medical support to State Governments to cater to the medical needs of people of underserved regions?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  c) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 281* FOR 5 TH  AUGUST, 2022

(a) to (c) During 11 th five  year  plan  (2007-2012)  and  12 th five  year  plan  (20122017) under the "National Programme for Prevention & Management of Trauma and Burn Injuries' (NPPMT&BI), 196 Trauma Care Facilities (TCFs) were sanctioned in Government  Hospitals/  Medical  Colleges  across  the  country.  Many  of  them  are located  close  to  National  Highways.  Approvals  were  granted  on  the  basis  of proposals received from the States as per norms of the Scheme.

The TCFs provide emergency support and critical care depending on the level of  the  facility.  Level  III  TCF provides  initial  evaluation  and  stabilization  in  the district/  sub  district  hospital.  Level  II  TCF  provides  definitive  care  in  the  district hospital/  medical  college  hospitals.    Level  I  TCF  provides  the  highest  level  of definitive  and  comprehensive  care  for  patients  with  complex  injuries  in  medical college hospitals.

NPPMT&BI  is  a  Centrally  Sponsored  Scheme  and  under  this  scheme  an amount of Rs 773.2 Cr has been released to the State Governments till date and there is no provision for providing financial support to NGOs etc. Beyond 12 th Five Year Plan, there is no provision of identification of new trauma care facilities under this Scheme  and  the  financial  support  is  in  terms  of  release  of  the  balance  share  of Central  assistance  within  the  total  approved  cost  of  the  approved  facilities/  units during the 11 th and 12 th FYP.

Under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), setting up of 22 new All India Institute of Medical Sciences (AIIMS) and 75 projects of upgradation of  Government  Medical  Colleges/Institutions  (GMCIs)  have  been  approved  in various phases so far. These  AIIMS  broadly  consists  of a hospital, trauma centre/emergency facilities, medical college, nursing college, residential complexes, auditorium,  night  shelter  and  allied  facilities  /  services  with  focus  on  research. Upgradation  of  Government  Medical  Colleges  (GMCs)  under  PMSSY  broadly involves  construction  of  Super  Speciality  Block  (SSB)  and/or  Trauma  Centre  /  or other facilities  and/or  procurement of medical equipment. These projects are being implemented  by  Ministry  of  Health  &  Family  Welfare  directly  through  Executing Agency and Procurement Support Agency (PSA) and funds are released directly to these agencies and as such no funds are released to the State Government.

The Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PMABHIM), launched in FY 2021-22 with total financial outlay of Rs. 64,180 crores for five years (FY 2021-22 to FY 2025-26), is a Centrally Sponsored Scheme with some

Central Sector Components to strengthen the Public Health Infrastructure, effectively manage and respond towards any future pandemics and outbreaks.

Under the CSS component of the scheme, the financial and technical support is provided  to  all  the  States/UTs  for  establishment  of  50  to100  bedded  Critical  Care Hospital  Blocks  in  all  the  districts  with  more  than  5  Lakhs  population  along  with establishment of Referral linkages in the remaining districts.

Further, the Central  sector  scheme  'Human  Resource  Development  for Emergency Medical Services' provides for setting up and equipping Skill Centers in Medical Colleges under States/UTs to impart skill-based training on emergency life support  for  different  categories  of  health  functionaries  working  in  emergency departments and those providing pre - hospital care.

Government  of  India  extends  support  to  States  to  make  health  services accessible,  affordable  and  available  to  underserved  regions.  The  Government  of India  has  taken  several  steps  which  includes  implementation  of  National  Health Mission - Free Drugs and Free Diagnostics initiative to provide essential drugs and diagnostics free of cost in public health facilities.

As  part  of  Ayushman  Bharat,  the  Government  is  supporting  the  States  for transformation  of  Sub  Health  Centres  and  Primary  Health  Centres  into  1.5  lakh Health  and  Wellness  Centres  across  the  country  for  provision  of  Comprehensive Primary Health Care (CPHC)  that includes preventive healthcare and health promotion  at  the  community  level  with  continuum  of  care  approach.  Under  this programme, CPHC services of an expanded range of services, that are universal and free to users, with a focus on wellness, are provided, closer to the community. These centres provide Comprehensive Primary Health Care (CPHC), including Reproductive and Child Health (RCH), Communicable Diseases, NonCommunicable Diseases (NCD), mental health, ENT, Eye Care, Oral health, Elderly and  palliative  health  care  and  primary  emergency  care  services  along  with  Health promotion  and  wellness  activities  like  Yoga.  Further  Ayushman  Bharat,  Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage up to Rs. 5 Lakh per family per year to around 10.74 crore poor and vulnerable families as per Socio Economic Caste Census (SECC).

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