Lok Sabha Question No. 4590 (UNSTARRED), answered on 2016-08-12
Subject: CGHS Empanelled Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SANJAY SHAMRAO DHOTRE

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

## LOK SABHA UNSTARRED  QUESTION NO. 4590 TO BE ANSWERED ON 12 TH AUGUST, 2016

## CGHS EMPANELLED HOSP ITALS

## 4590. SHRI SANJAY DHOTRE:

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

- (a) whether the Government is aware that in the Central Government Health Scheme (CGHS) empanelled  hospitals  are refering  CGHS  beneficiaries  for  admission/ bed  in  the  situation  of serious illness, whereas gen eral patients get the bed at the same time easily;
- (b)  if  so,  the  details  thereof  and  the reasons  therefor  along  with  the  number  of complaints received in this regard;
- (c) whether the Government has put in place any mechanism or established any authority/agency for addressing the grievances of such CGHS beneficiaries, if so, the details thereof and if not, the reasons therefor; and
- (d) the other remedial steps taken/ proposed to be taken in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINIS TRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

( a)  &  (b):    There  are  some  such  complaints  in  respect  of  some  hospitals  empanelled  u CGHS.  Details of complaints against hospitals empanelled in Delhi/NCR under CGHS is annexure:

Information in respect of other CGHS cities is being collected and will be laid Table of the House.

- (c) : Government has issued directions to the empanelled hospitals to display names of Nodal  Officers  alongwith  their  contact  details  at  the  rece ption  counter  to  assist/address  the grievances of CGHS beneficiaries.
- (d): The following remedial steps have been taken by the Government:
- I. Issue of Show Cause Notice to hospitals against which complaints have been received .
- II. ( Penalty  of  15%  of  the performance  Guarantee  imposed  on  hospitals  on  violation  of provisions of MoA.
- III. Warning letters issued to erring hospitals .
- IV. As  per  the  Memorandum  of  Agreement  signed  with  hospitals  CGHS  can  inspect hospitals at any time and in the event of repeated default there is a provision for removal of hospitals from CGHS panel.

Annexure Details of complaints against hospitals empanelled in Delhi/NCRunder CGHS

| Sl. No.   | Name of the Hospital                                                            | Nature of Complaints/ Name of the complainant                                                                                                  | Action Taken Report                                                                                                                                                                                                                                                                                                        |
|-----------|---------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Year 2015 | Year 2015                                                                       | Year 2015                                                                                                                                      | Year 2015                                                                                                                                                                                                                                                                                                                  |
| 1         | Dr. B.L. Kapoor Memorial Hospital, Pusa Road, New Delhi -110005.                | Complaint of Dr R.K. Mehta was received taking necessary action regarding denial of admission to his mother in emergency.                      | A warning letter has been issued to MS hospital vide letter dated 22.06.15 to follow the CGHS guidelines strictly.                                                                                                                                                                                                         |
| 2         | Pushpanjali Crosslay Hospital Ghaziabad                                         | Complaint of sh. Praveen Kumar Jain. Regarding refusal of entertaining to his mother Smt. Kanta Jain refuses to treat such patient under CGHS. | The Competent Authority has taken a decision vide letter dated 30.5.16 followed by reminder dated 1.8.16 to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of Pushpanjali Crosslay Hospital Ghaziabad.                                                                                        |
| 3         | Balaji Action Hospital Paschim Vihar, New Delhi                                 | Complaint of sh. P.N. Valecha regarding refusal of treatment                                                                                   | A Warning was issued to MS of the hospital by a letter dated 8.2.16 to follow CGHS guidelines strictly and be more considerate towards patients.                                                                                                                                                                           |
| 4         | Max Superspeciality Hospital FC 50, C&D Block Shalimar Bagh, New Delhi -110088. | Complaint of Sh. Swami Nath regarding denial of admission to his wife Smt. Bimla Shukla                                                        | The Competent Authority has taken a decision vide letter dated 28.4.16 followed by reminder dated 13.7.1 6 to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of Max Superspeciality Hospital FC 50, C&D Block Shalimar Bagh, New Delhi.                                                       |
| 5         | Max Super speciality Hospital, FC 50, C&D Block Shalimar Bagh, Ne w Delhi       | Complaint of Sh. Rajesh Khattar regarding denial of admission/treatment to his mother, Smt. Raj Kumari Khattar in emergency                    | The Competent Authority has taken a decision vide letter dated 28.4.16 to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of Max Superspeciality Hospital, FC 50, C&D Block Shalimar Bagh, Ne w Delhi and the recovery amount has been received from the concerned bank and deposited in Govt. |
| 6         | Dr. B.L. Kapur Memorial Hospital.                                               | Complaint of Sh. Phoolchand Sharma regarding non -honouring the permission letter                                                              | account on 1.7.16. The Competent Authority has taken a decision vide letter dated 22.4.16 followed by reminder dated 1.8.16 to                                                                                                                                                                                             |

|    |                                                                                      | issued by CMO i/c CGHS WC, Dev Nagar in r/o treatment of his wife, Smt. Sarbati Devi                                                                        | impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of Dr. B.L. Kapur Memorial Hospital.                                                                                           |
|----|--------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 7  | Max Super Speciality Hospital, Indraprastha Extension, Patparganj, Delhi.            | Complaint of Sh. Pratap Singh Adhikari regarding non -honouring the permission letter issued by CMO i/c CGHS WC, Lodhi Road -II.                            | As the matter is sub -judice, therefore, kept pending till judgment of District Consumer Redressal Forum.                                                                                                  |
|    | Year 2016                                                                            | Year 2016                                                                                                                                                   | Year 2016                                                                                                                                                                                                  |
| 8  | Max Super Speciality Hospital, 2, Press Enclave Road, Saket , New Delhi              | Complaint of Sh. Sudhir Mohan Rastogi regarding denial of admission/non - honouring the permission letter issued by CMO i/c CGHS WC, Andrews Ganj           | The Competent Authority has taken a decision vide letter dated 1.8.16 to impose 15% (i.e. Rs. 1, 50,000/ -) of PBG as Liquidated Damages from the PBG of the Hospital                                      |
| 9  | Max Super Speciality Hospital, East Block, 2 press Enclave Road, Saket, New Delhi    | Complaint from Dr. Ved Parkash Chandna regarding non -honouring the permission letter issued by the Competent Authority                                     | The Competent Authority has taken a decision vide letter dated 28.7.16 to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of the Hospital .                                    |
| 10 | Saroj Super Speciality Hospital, Sector -14 Extn., Madhuban Chowk, Rohini, New Delhi | Complaint of Sh. Jagan Singh regarding denial of admission to him in emergency.                                                                             | The Competent Authority has taken a decision to impose 15% (i.e. Rs. 75 ,000/ -) of PBG as Liquidated Damages from the PBG of Saroj Super Speciality Hospital .                                            |
| 11 | Dr. B.L. Kapur Memorial Hospital, Pusha Road, New Delhi                              | Complaint of Sh. Jeewan Lal regarding denial of admission to his daughter, Ms K Kusum even of producing prior permission letter.                            | The Competent Authority has taken a decision vide letter dated 7.6.16 to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liquidated Damages from the PBG of Dr. B.L. Kapur                                     |
| 12 | Max Superspeciality Hospital, FC 50, C&D Block Shalimar Bagh, Ne w Delhi             | Complaint of Dr. Bharat Bhushan Sharma regarding non -honouring the permission letter issued by the Competent Authority and asked to deposit Rs. 23,000/ -. | The Competent Authority has taken a decision to impose 15% (i.e. Rs. 1,50,000/ -) of PBG as Liqu idated Damages from the PBG of Max Superspeciality Hospital, FC 50, C&D Block Shalimar Bagh, Ne w Delhi . |
| 13 | Medanta The Medicity, Sector -38, Gurgaon, Haryana                                   | Complaint of Sh. Braham Dutt Sharma regarding non -honouring the permission letter issued by the Competent Authority and asked to deposit Rs. 70,000/ -(    | A SCN was issued to MS of the hospital by a letter dated 22.4.16 followed by reminder dated 18.7.16 to submit their explanation on the matter and the reply is still awaited.                              |

|   14 | Max Super Speciality Hospital (earlier known as Saket City Hospital), Mandir Marg, Press Enclave Road, New Delhi              | Complaint of Sh. Salekh Chandra Sharma regarding denial of admission /treatment to his wife, Smt. Shakuntla Sharma in emergency   | A SCN was issued to Director of the centre by a letter dated 29.6.16 to submit their explanation on the matter the reply is still awaited.   |
|------|-------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------|
|   15 | Max Smart Super Speciality Hospital (earlier known as Saket City Hospital), Mandir Marg, Press Enclave Road, Saket, New Delhi | Complaint from Sh. Ramdas regarding denial of admission to him in emergency with the plea of non - availability of beds.          | A SCN was issued to MS of the hospital by a letter dated 2.8.16 to submit their explanation on the matter the reply is still awaited.        |