Lok Sabha Question No. 117 (UNSTARRED), answered on 2015-11-30
Subject: Shortage of Doctors/Staffs in ESI Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: TAMRADHWAJ SAHU, P.K.SREEMATHI TEACHER

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

## UNSTARRED QUESTION NO. 117 TO BE ANSWERED ON 30.11.2015

## SHORTAGE OF DOCTORS/STAFFS IN ESI HOSPITALS

†117. SHRI TAMRADHWAJ SAHU: SHRIMATI P.K. SREEMATHI TEACHER:

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

- (a)whether  there  is  a  shortage  of  doctors,  including  specialists/ superspecialists,  medical  and  para-medical  staff  in  the  hospitals run by the Employees' State Insurance Corporation (ESIC) in various States including Kerala;
- (b)if so, the total number of posts sanctioned, in position and existing vacancies  of  the  said  categories  in  these  hospitals  under  ESIC, State/UT-wise and the reasons for shortfall and the steps taken to fill up the vacancies;
- (c)whether  there  is  also  a  shortage  of  hospital  beds  and  medical equipment in these hospitals and if so, the details thereof, and the reasons therefor;
- (d)whether the healthcare of ESIC beneficiaries is being affected due to shortage of health professionals and medical equipment; and
- (e)if so, the corrective action taken/being taken by the Government in this regard?

## ANSWER

## MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI BANDARU DATTATREYA)

(a) & (b): Yes, Madam. State/UT-wise vacancy position in the cadres of General Duty Medical Officers (GDMOs), specialists, super specialists  and  para-medical  staff  in  Employees'  State  Insurance Corporation (ESIC) hospitals is at Annex.

Main reasons for shortfall, inter-alia, includes nonavailability  of  adequate  number of applicants for  the appointment to the posts of specialists/super-specialists in ESIC, high attrition rate in all cadres of Doctors.

Steps have been taken to fill-up the vacancies which interalia  includes  conversion  of  40%  posts  of  GDMO  to  Senior  Residents and sanction of 10 additional posts of Senior Residents per 100 beds, Medical  Superintendents  are  authorized  to  appoint  Doctors  in  all cadres  except  GDMO  on  contract  basis.  ESIC  has  also  decided  to engage  the  services  of  EdCIL  (INDIA)  Limited,  for  expeditiously completing the recruitment process.

- (c): There is no shortage of hospital beds and medical equipments in ESI hospitals.  Employees' State Insurance Corporation hospitals  are  generally  well  equipped.    Adequate  powers  have  been delegated to Medical Superintendents of Employees' State Insurance Corporation hospitals for procurement of required equipment at their level.
- (d) & (e): ESIC has taken up the following steps to ensure delivery of health care services to ESI beneficiaries:-
- A)  To  over  come  the  shortage  of  health  professionals  till  regular incumbents join, the Medical Superintends of ESIC hospitals have been delegated powers as under:-
- i)  recruitment  of  Senior  Residents  against  sanctioned  posts  and
- against the vacant posts of medical officers.
- ii) recruitment of part time/contractual specialists;
- iii) recruitment of contractual Medical Officers and
- iv) hiring of Nurses and paramedical staff through agencies.
- B) Procurement of medical equipment having unit cost upto Rs.25.00 lac.
- C)  Entering  into  tie-up  arrangement  with  private/public  hospitals  for the  medical  services,  which  are  not  available  in  ESIC  hospitals  and which can not be provided within reasonable time.

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STATEMENT REFERRED TO IN REPLY TO PART (a) & (b) OF LOK SABHA UNSTARRED QUESTION NO.117 FOR 30.11.2015 BY SHRI TAMRADHWAJ SAHU AND SHRIMATI P.K. SREEMATHI TEACHER REGARDING SHORTAGE OF DOCTORS/STAFFS IN ESI HOSPITALS.

## STATE AND HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON

| Sl. N o.   | NAME OF THE REGION   | NAME OF HOSPITAL/   | GENERAL DUTY MEDICAL OFFICERS   | GENERAL DUTY MEDICAL OFFICERS   | GENERAL DUTY MEDICAL OFFICERS   | SPECIALISTS   | SPECIALISTS   | SPECIALISTS   | NURSING & PARA-MEDICAL   | NURSING & PARA-MEDICAL   | NURSING & PARA-MEDICAL   |
|------------|----------------------|---------------------|---------------------------------|---------------------------------|---------------------------------|---------------|---------------|---------------|--------------------------|--------------------------|--------------------------|
| Sl. N o.   | NAME OF THE REGION   | Unit                | SANCTION ED                     | IN- POSITI ON                   | VACAN CY                        | SANCTION ED   | IN- POSITI ON | VACAN CY      | SANCTION ED              | IN- POSITI ON            | VACAN CY                 |
| 1          | ASSAM                | Beltola             | 26                              | 25                              | 1                               | 12            | 10            | 2             | 77                       | 66                       | 11                       |
| 2          | BIHAR                | Phulwarish arif     | 31                              | 31                              | 0                               | 12            | 10            | 2             | 100                      | 61                       | 39                       |
| 3          | CHHATTISGARH         | SMC* 0              |                                 | 1                               | -1                              | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 4          | DELHI                | DMD 638             |                                 | 465                             | 173                             | 154           | 106           | 48            | 3673                     | 2872                     | 801                      |
| 5          | GUJARAT              | Bapunagar 28        |                                 | 49                              | -21                             | 28            | 18            | 10            | 415                      | 266                      | 149                      |
| 6          | GUJARAT              | Naroda              | 14                              | 9                               | 5                               | 18            | 5             | 13            | 149                      | 13                       | 136                      |
| 7          | GUJARAT              | Vapi                | 31                              | 10                              | 21                              | 18            | 5             | 13            | 188                      | 35                       | 153                      |
| 8          | GUJARAT              | SMC*                | 0                               | 2                               | -2                              | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 9          | GUJARAT              | MR*                 | 9                               | 0                               | 9                               | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 10         | HARYANA              | Gurgaon             | 47                              | 27                              | 20                              | 30            | 17            | 13            | 236                      | 152                      | 84                       |
| 11         | HARYANA              | Manesar             | 40                              | 18                              | 22                              | 18            | 12            | 6             | 207                      | 107                      | 100                      |
| 12         | HARYANA              | Faridabad           | 1                               | 1                               | 0                               | 0             | 0             | 0             | 465                      | 9                        | 456                      |
| 13         | HARYANA              | SMC*                | 0                               | 3                               | -3                              | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 14         | HARYANA              | MR*                 | 1                               | 1                               | 0                               | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 15         | HIMACHAL PRADESH     | Baddi               | 40                              | 19                              | 21                              | 18            | 11            | 7             | 211                      | 136                      | 75                       |
| 16         | JAMMU & KASHMIR      | Jammu               | 33                              | 20                              | 13                              | 12            | 7             | 5             | 136                      | 58                       | 78                       |
| 17         | JHARKHAND            | Namkum              | 30                              | 25                              | 5                               | 12            | 10            | 2             | 100                      | 74                       | 26                       |
| 18         | JHARKHAND            | Adityapur           | 27                              | 19                              | 8                               | 18            | 7             | 11            | 104                      | 75                       | 29                       |
| 19         | JHARKHAND            | SMC*                | 0                               | 2                               | -2                              | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 20         | JHARKHAND            | MR*                 | 2                               | 1                               | 1                               | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 21         | KARNATAKA            | Rajajinagar         | 87                              | 97                              | -10                             | 51            | 30            | 21            | 778                      | 665                      | 113                      |
| 22         | KARNATAKA            | Peenya              | 40                              | 34                              | 6                               | 18            | 12            | 6             | 207                      | 192                      | 15                       |
| 23         | KARNATAKA            | SMC*                | 0                               | 6                               | -6                              | 0             | 0             | 0             | 0                        | 0                        | 0                        |
| 24         | KARNATAKA            | MR*                 | 3                               | 1                               | 2                               | 0             | 0             | 0             | 0                        | 0                        | 0                        |

| 25   |                | Asramam        |   57 |   30 |   27 |   25 |   16 |   9 |   337 |   276 |   61 |
|------|----------------|----------------|------|------|------|------|------|-----|-------|-------|------|
| 26   | KERALA         | Ezhukone       |   60 |   28 |   32 |   19 |    5 |  14 |   249 |   179 |   70 |
| 27   | KERALA         | Parippally     |   40 |   20 |   20 |   18 |    6 |  12 |   496 |   171 |  325 |
| 28   | KERALA         | Udyogamandal   |   40 |   12 |   28 |   18 |    7 |  11 |   156 |   128 |   28 |
| 29   | KERALA         | SMC*           |    0 |    2 |   -2 |    0 |    0 |   0 |     0 |     0 |    0 |
| 30   | KERALA         | MR*            |    4 |    4 |    0 |    0 |    0 |   0 |     0 |     0 |    0 |
| 31   | MADHYA PRADESH | Indore         |   53 |   31 |   22 |   41 |   18 |  23 |   453 |   168 |  285 |
| 32   | MAHARASHT RA   | Andheri        |   83 |   30 |   53 |   50 |   23 |  27 |   763 |   334 |  429 |
| 33   | ODISHA         | Rourkela       |   28 |   17 |   11 |   12 |    7 |   5 |    97 |    60 |   37 |
| 34   |                | Ludhiana       |   53 |   20 |   33 |   31 |   13 |  18 |   359 |   199 |  160 |
| 35   | PUNJAB         | Chandigarh -UT |   33 |   22 |   11 |   15 |   13 |   2 |   142 |   109 |   33 |
| 36   | PUNJAB         | SMC*           |    0 |    2 |   -2 |    0 |    0 |   0 |     0 |     0 |    0 |
| 37   | PUNJAB         | MR*            |    1 |    1 |    0 |    0 |    0 |   0 |     0 |     0 |    0 |
| 38   | RAJASTHAN      | Bhiwadi        |   27 |   14 |   13 |   12 |    5 |   7 |   112 |    85 |   27 |
| 39   | RAJASTHAN      | Jaipur         |   52 |   42 |   10 |   32 |   17 |  15 |   462 |   262 |  200 |
| 40   | RAJASTHAN      | SMC*           |    0 |    3 |   -3 |    0 |    0 |   0 |     0 |     0 |    0 |
| 41   | RAJASTHAN      | MR*            |    1 |    1 |    0 |    0 |    0 |   0 |     0 |     0 |    0 |
| 42   | TAMIL NADU     | Coimbatore     |    2 |    2 |    0 |    0 |    0 |   0 |     0 |     0 |    0 |
| 43   | TAMIL NADU     | K. K. nagar    |   52 |   57 |   -5 |   32 |   16 |  16 |   585 |   455 |  130 |
| 44   | TAMIL NADU     | Tirunelveli    |   27 |   14 |   13 |   12 |    3 |   9 |   110 |    86 |   24 |
| 45   | TAMIL NADU     | SMC*           |    0 |    4 |   -4 |    0 |    0 |   0 |     0 |     0 |    0 |
| 46   |                | MR*            |    5 |    3 |    2 |    0 |    0 |   0 |     0 |     0 |    0 |
| 47   |                | Nacharam       |   56 |   27 |   29 |   32 |   16 |  16 |   285 |   214 |   71 |
| 48   |                | Sanathnagar    |   22 |   13 |    9 |   22 |   11 |  11 |   290 |   187 |  103 |
| 49   |                | SMC*           |    0 |    5 |   -5 |    0 |    0 |   0 |     0 |     0 |    0 |
| 50   |                | MR*            |    2 |    0 |    2 |    0 |    0 |   0 |     0 |     0 |    0 |
| 51   | WEST BENGAL    | Joka           |   82 |   56 |   26 |   40 |    8 |  32 |   488 |   364 |  124 |
|      | TOTAL          |                | 1908 | 1326 |  582 |  830 |  444 | 386 | 12430 |  8058 | 4372 |

*SMC - State Medical Commissioner, MR - Medical Referee.

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