Lok Sabha Question No. 363 (UNSTARRED), answered on 2024-02-05
Subject: Performance of State Run ESIs
Ministry: LABOUR AND EMPLOYMENT
Asked by: E. T. Mohammed Basheer

## GOVERNMENT OF INDIA MINISTRY OF LABOUR AND EMPLOYMENT

## LOK SABHA UNSTARRED QUESTION NO. 363

## TO BE ANSWERED ON 05.02.2024

## PERFORMANCE OF STATE RUN ESIS

363.  SHRI E.T. MOHAMMED BASHEER:

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

(a)whether  the  Government  is  aware  that  there  are  large  number  of under performing State run ESI's in the country; (b)if so, the details thereof;

(c)whether the Government have made any survey in this regard; and (d)the steps taken by the Government for activising such ESI hospitals? ANSWER

## MINISTER OF STATE FOR LABOUR AND EMPLOYMENT (SHRI RAMESWAR TELI)

(a) to (d): As reported on various occasions, some of the State run ESI hospitals  have  lack  of  in-house  medical  care  services.     List  of underutilised ESIS hospitals having bed occupancy less than 60 % are place at Annexure.

Health is a state subject and ESIS hospitals are under the direct  administrative  control  of  the  respective  State  Govts. However, ESIC has taken up the issue of improvement of ESIS hospitals with the state  authorities  at  various  forums.  In  the  conference  for  Labour Secretaries  held  in  June  2023  and  Nov  2023, ESIC  and  the  state representatives discussed about the importance of provision of medical services, posting of medical and para-medical staff as per sanctioned strength, procurement of required equipment and para-medical staff as per the sanctioned strength to improve the patient care in all state ESIS

hospitals.

Further, to improve the functioning of ESIS hospitals, ESIC has sent request to all State Govt. to hand over their ESIS hospitals under the complete control of ESIC for improving the medical services. In  addition  to  this,  ESIC  has  also  requested  all  the  State  Govts.  in respect of newly approved ESI hospitals to give consent for running the hospitals by ESIC directly. Opening of these newly approved hospitals will address the shortage of ESI hospitals.

ESI  Corporation  has  taken  various  initiatives  to  improve  the quality of services in State run ESI hospitals, as under:

- a. ESIS hospitals of all the states are fully financially supported by ESIC through On-Account Payment (OAP) of prescribed ceiling of Rs 3000/- per IP per annum.
- b. ESIC provides Rs.200/- per IP per annum over and above the ceiling to the State Govt., where the bed occupancy in all the State run ESIS hospitals is more than 70% during the concluded financial year.
- c. Formation of ESI State Society at state level so that they have adequate administrative and financial freedom to take decisions for improvement of medical services.
- d. For regular monitoring of the performance of ESIS hospitals, ESIC has  given  instructions  to  the  Zonal  Medical  Commissioners  to carry  out  periodic  inspections  and  ensure  the  improvement  of medical services in ESIS hospitals.

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## ANNEXURE REFERRED TO IN REPLY TO PART (a) TO (d) OF LOK SABHA UNSTARRED QUESTION  NO.  363  FOR  05.02.2024  ASKED  BY  SHRI  E.T.  MOHAMMED  BASHEER REGARDING PERFORMANCE  OF  STATE  RUN  ESIs

Details of underutilised ESIS hospitals having bed occupancy less than 60 %

|   SI. No | Name of State   | Name of ESIS hospital       |   Bed occupancy ratio during financial 2022-23 |
|----------|-----------------|-----------------------------|------------------------------------------------|
|        1 | Andhra Pradesh  | Visakhapatnam               |                                             30 |
|        2 | Andhra Pradesh  | Rajamahendravaram           |                                             48 |
|        3 | Andhra Pradesh  | Vijayawada                  |                                              0 |
|        4 | Goa             | Margao                      |                                             22 |
|        5 | Gujarat         | Bhavnagar                   |                                             29 |
|        6 | Gujarat         | Jamnagar                    |                                             15 |
|        7 | Gujarat         | Kalol                       |                                             55 |
|        8 | Gujarat         | Rajkot                      |                                             15 |
|        9 | Gujarat         | Rajpur, Hirpur              |                                             58 |
|       10 | Gujarat         | Surat                       |                                              3 |
|       11 | Gujarat         | Vadodara (General Hospital) |                                             48 |
|       12 | Haryana         | Ballabhgarh (Faridabad)     |                                             56 |
|       13 | Haryana         | Bhiwani                     |                                             16 |
|       14 | Haryana         | Jagadhari                   |                                             30 |
|       15 | Haryana         | Panipat                     |                                             41 |
|       16 | Karnataka       | Mangalore                   |                                              3 |
|       17 | Karnataka       | Belgaum                     |                                              0 |
|       18 | Karnataka       | Dandeli                     |                                              1 |
|       19 | Karnataka       | Hubli                       |                                             39 |
|       20 | Karnataka       | Indra Nagar                 |                                             37 |
|       21 | Kerala          | Ernakulam                   |                                             24 |
|       22 | Kerala          | Feroke, Kozhikode           |                                             33 |
|       23 | Kerala          | Vadavathoor, Kottyam        |                                             18 |
|       24 | Kerala          | Thottada                    |                                             13 |
|       25 | Kerala          | Alleppy                     |                                             46 |
|       26 | Kerala          | Peroorkada                  |                                             36 |
|       27 | Kerala          | Mulamkunnathukavu           |                                             34 |
|       28 | Kerala          | Olarikkara                  |                                             26 |
|       29 | Kerala          | Palakkad                    |                                             42 |
|       30 | Madhya Pradesh  | Dewas                       |                                             41 |
|       31 | Madhya Pradesh  | Gwalior                     |                                             16 |
|       32 | Madhya Pradesh  | Indore (T.B.)               |                                             51 |
|       33 | Madhya Pradesh  | Nagda                       |                                              0 |
|       34 | Madhya Pradesh  | Bhopal                      |                                             24 |
|       35 | Maharashtra     | Aurangabad                  |                                             49 |
|       36 | Maharashtra     | Kandiwali                   |                                             46 |
|       37 | Maharashtra     | Nasik                       |                                             44 |

|   SI. No | Name of State   | Name of ESIS hospital   |   Bed occupancy ratio during financial 2022-23 |
|----------|-----------------|-------------------------|------------------------------------------------|
|       38 | Maharashtra     | Parel,MGM               |                                             26 |
|       39 | Maharashtra     | Thane                   |                                             14 |
|       40 | Maharashtra     | Ulhasnagar              |                                              0 |
|       41 | Maharashtra     | Vashi                   |                                             12 |
|       42 | Maharashtra     | Worli                   |                                             18 |
|       43 | Maharashtra     | Chinchwad               |                                             35 |
|       44 | Maharashtra     | Sholapur                |                                             34 |
|       45 | Maharashtra     | Mulund                  |                                             27 |
|       46 | Odisha          | Kansbahal               |                                              2 |
|       47 | Odisha          | Choudwar                |                                             13 |
|       48 | Odisha          | Jaykapur                |                                              1 |
|       49 | Puducherry      | Gorimedu Hospital       |                                             37 |
|       50 | Punjab          | Hoshiarpur              |                                             26 |
|       51 | Punjab          | Jalandhar               |                                             36 |
|       52 | Punjab          | Mandi, Gobindgarh       |                                              3 |
|       53 | Punjab          | Mohali                  |                                             40 |
|       54 | Punjab          | Phagwara                |                                             25 |
|       55 | Punjab          | Amritsar                |                                             33 |
|       56 | Rajasthan       | Bhilwara                |                                             30 |
|       57 | Rajasthan       | Jodhpur                 |                                              4 |
|       58 | Rajasthan       | Pali                    |                                              5 |
|       59 | Tamilnadu       | Hosur                   |                                             57 |
|       60 | Tamilnadu       | Madurai                 |                                             50 |
|       61 | Tamilnadu       | Ayanavaram, Chennai     |                                             34 |
|       62 | Tamilnadu       | Sivakasi                |                                             54 |
|       63 | Tamilnadu       | Tirucharapally          |                                             52 |
|       64 | Tamilnadu       | Vellore                 |                                             58 |
|       65 | Telangana       | R.C. Puram              |                                             50 |
|       66 | Telangana       | Sirpurkagarnagar        |                                             47 |
|       67 | Telangana       | Warangal                |                                             44 |
|       68 | Uttar Pradesh   | Sarvodaynagar           |                                             19 |
|       69 | Uttar Pradesh   | Pandunagar              |                                             24 |
|       70 | Uttar Pradesh   | Kidwainagar             |                                             17 |
|       71 | Uttar Pradesh   | Azadnagar               |                                             18 |
|       72 | Uttar Pradesh   | Agra                    |                                             17 |
|       73 | Uttar Pradesh   | Prayagraj               |                                             21 |
|       74 | Uttar Pradesh   | Modinagar               |                                             11 |
|       75 | Uttar Pradesh   | Aligarh                 |                                             11 |
|       76 | Uttar Pradesh   | Saharanpur              |                                              2 |
|       77 | Uttar Pradesh   | Pipri                   |                                              3 |

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