Lok Sabha Question No. 795 (UNSTARRED), answered on 2015-07-24
Subject: Upgradation of Medical Colleges
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JAY PRAKASH NARAYAN YADAV, PANKAJ CHOWDHARY, RANGASWAMY DHRUVANARAYANA, P. KARUNAKARAN, K. C. VENUGOPAL, SHER SINGH GHUBAYA, KUNWAR PUSHPENDRA SINGH CHANDEL, RODMAL NAGAR, DALPAT SINGH PARASTE, RAVNEET SINGH

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.795**

**TO BE ANSWERED ON 24** **TH** **JULY, 2015**

**Upgradation of Medical Colleges**

**795. 	SHRI JAI PRAKASH NARAYAN YADAV:**

**SHRI PANKAJ CHAUDHARY:**

**SHRI R. DHRUVA NARAYANA:**

**SHRI P. KARUNAKARAN:**

**SHRI K.C. VENUGOPAL:**

**SHRI SHER SINGH GHUBAYA:**

**SHRI KUNWAR PUSHPENDRA SINGH CHANDEL:**

**SHRI NAGAR RODMAL:**

**SHRI DALPAT SINGH PARASTE:**

**SHRI RAVNEET SINGH:**

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

(a) the medical colleges/institutions upgraded under the Pradhan Mantri Swasthya Suraksha Yojna (PMSSY) and the Centrally Sponsored Scheme for Strengthening and Upgradation of State Governments' Medical Colleges in the country, phase-wise;

(b) the funds sanctioned, released and utilised for the above purpose along with the cost sharing formula between the Centre and States, college and State/UT-wise;

(c) the number of new proposals for strengthening and upgradation of medical colleges and institutions received by the Government along with the present status of each of these proposals during each of the last three years and the current year, State/UT-wise;

(d) whether the Government proposes to upgrade district/referral hospitals into medical colleges and if so, the details thereof along with the hospitals identified and criteria adopted for the purpose, State/UT-wise; and

(e) the health infrastructure including hospital beds likely to be added and the expenditure likely to be incurred thereon, State/UT-wise?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a)&(b): Government of India has taken up upgradation of 13 existing Government Medical Colleges (GMCs) in the first phase, at an approved cost of Rs.120 Crore (central contribution- Rs.100 Crore and State share- Rs.20 Crore) per institute and 6 more  GMCs in the second phase of PMSSY, at an approved cost of Rs.150 crore (Central contribution-Rs.125 Crore and State share-Rs.25 crore) per institute.  Details of upgradation projects completed and the projects in progress alongwith funds sanctioned/released for upgradation of these Institutions are given at Annex-I.

In addition, 39 Government Medical Colleges/Institutions have been approved for upgradation under Phase III of PMSSY with outlay of Rs.150 Crore per medical college.   Fund sharing between Centre and State is Rs.120 core and Rs.30 crore respectively.  List of GMCs approved under Phase-III of PMSSY is at Annex-II. Further 12 more GMCs have been announced for upgradation under the scheme during the Budget Speech 2014-15.

Besides this, this Ministry is also running a Centrally Sponsored  scheme for “Strengthening and Up-graduation of State Government Medical Colleges for increasing Post Graduate seats,” with funding pattern of 75% by Central Government and 25% by State Government for starting new PG disciplines and increasing PG seats. Under the scheme 72 medical colleges in 20 States have been funded **(Annexure-III).**

Govt. of India is implementing another CSS for Strengthening of existing government medical colleges to increase the UG Seats with proposed central assistance of Rs. 7,500 crore and State/UT share of Rs. 2,500 crore. The funding pattern is 90:10 by Central and State Governments respectively for North Eastern States and Special category States and 70:30 for other States with the upper ceiling cost pegged at Rs. 1.20 crore per seat.

(c): The details of proposals received for upgradation of existing Government Medical Colleges under PMSSY are as under:-

| State            | Proposals received   | Proposals received   | Proposals received   | Proposals received   |
|------------------|----------------------|----------------------|----------------------|----------------------|
|                  | 2012-13              | 2013-14              | 2014-15              | 2015-16              |
| Andhra Pradesh   |                      |                      | 1                    | NIL                  |
| Himachal Pradesh |                      | 1                    |                      |                      |
| Orissa           | 2                    |                      |                      |                      |
| Rajasthan        |                      |                      | 1                    |                      |
| Telengana        |                      |                      | 1                    |                      |
| Tripura          |                      | 1                    |                      |                      |

The proposals received from Himachal Pradesh, Orissa and Tripura were considered while finalizing upgradation under PMSSY Phase-III.   Proposals received during 2014-15 have been considered to be taken up in subsequent phases.

Under the newly introduced Centrally Sponsored Scheme (CSS) for “Up-gradation of existing State Government /Central Government Medical Colleges to increase MBBS seats in the country,” 21 proposals have been approved till date. No funds have been released under this scheme due to non-availability of funds. **Annexure IV**

(d):	Centrally Sponsored Scheme for **“establishment of new medical colleges by upgrading district/referral hospitals** ” with fund sharing between the Central Government and States in the ratio of 90:10 for NE/special category States and 75:25 for other States. The proposed central assistance share is Rs. 8457.40 crore and State/UT share is Rs. 2513.70 crore.  The total cost of establishment of one Medical College under the scheme is Rs.189 crore.

**Criteria for identification of Districts under the Scheme:**

i	District Hospitals/referral hospital with bed strength of 200 or more.

2. District/Referral hospitals of the districts where there is no medical college.
3. Preference to underserved areas.

**A total of 22 colleges have been approved under the scheme and funds to the tune of Rs. 128.53 crore have been released to the States.**

List of 58 proposed medical colleges is enclosed at **Annexure V.**

(e):   The upgradation programme under PMSSY broadly envisages improving health infrastructure through construction of Super Speciality Blocks/Trauma centres etc. and also procurement of medical equipment.   As per the work approved and taken up at various GMCs under PMSSY Phase-I and Phase-II, approximately 3600 beds are to be added.    In the case of GMCs under PMSSY Phase-I and Phase-II, the expenditure of Rs.120 crore  and Rs.150 Crore per institute respectively is likely to be incurred for completion of the upgradation projects.

**Annexure-I**

Details of upgradation projects completed and also those in progress alongwith funds sanctioned/released  under PMSSY Phase-I and II.

(Rs. Crore)

| **S.**  **No**           | **State**        | **Name of institution**                                                                        | **Physical Progress**   | **Funds sanctioned/ released**   |
|--------------------------|------------------|------------------------------------------------------------------------------------------------|-------------------------|----------------------------------|
| **Ist phase**            |                  |                                                                                                |                         |                                  |
| 1                        | Andhra Pradesh   | Sri Venkateswara Institute of Medical Sciences, Tirupati                                       | 99%                     | **57.87**                        |
| 2                        | Jammu & Kashmir  | Govt. Medical College, Jammu                                                                   | Completed               | **110.19**                       |
|                          | Jammu & Kashmir  | Govt. Medical College, Srinagar                                                                | 99.5%                   | **96.62**                        |
| 3                        | Jharkhand        | Rajendra Institute of Medical Sciences, Ranchi                                                 | Completed               | **84.85**                        |
| 4                        | Karnataka        | Govt. Medical College, Bangalore                                                               | Completed               | **95.32**                        |
| 5                        | Kerala           | Govt. Medical College, Thiruvananthapuram                                                      | Completed               | **83.94**                        |
| 6                        | Tamil Nadu       | Govt. Mohan Kumaramangalam Medical College, Salem                                              | Completed               | **93.565**                       |
| 7                        | Telengana        | Nizam Institute of Medical Sciences, Hyderabad                                                 | Completed               | **94.93**                        |
| 8                        | Uttar Pradesh    | Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow                               | Completed               | **90.80**                        |
| 8                        | Uttar Pradesh    | Institute of Medical Sciences, Banaras Hindu University, Varanasi                              | Completed               | **97.67**                        |
| 9                        | West Bengal      | Kolkata Medical College, Kolkata  9. OPD & Academic Blocks  (1  st  stage of construction) | Completed.              | **45.66**                        |
| 9                        | West Bengal      | 2. Super Speciality Block  (2  nd  stage of construction)                                      | Tender under process    |                                  |
| 10                       | Gujarat          | BJ Medical College, Ahmedabad                                                                  | 93%                     | **72.37**                        |
| 11                       | Maharashtra      | Grants Medical College, Mumbai                                                                 | 87%                     | **83.06**                        |
| **2**  **nd**  **Phase** |                  |                                                                                                |                         |                                  |
| 1                        | Maharashtra      | Govt. Medical College, Nagpur                                                                  | 40%                     | **77.81**                        |
| 2                        | Punjab           | Govt. Medical College, Amristar                                                                | 99%                     | **79.66**                        |
| 3                        | Himachal Pradesh | RP Govt. Medical College, Tanda                                                                | Civil work completed    | **85.03**                        |
| 4                        | Uttar Pradesh    | JNMC, Aligarh                                                                                  | 99%                     | **73.08**                        |
| 5                        | Haryana          | PGIMS, Rohtak                                                                                  | 61%                     | **53.25**                        |
| 6                        | Tamil Nadu       | Govt. Medical College, Madurai                                                                 | 14.85%                  | **19.55**                        |

**Annexure-II**

**Details of medical colleges/institutions approved for upgradation under PMSSY Phase-III**

|   S. No. | **Name of State**   | **Name of Medical College/ Institutions**                                                                                                            |
|----------|---------------------|------------------------------------------------------------------------------------------------------------------------------------------------------|
|       1. | Andhra Pradesh      | Siddhartha Medical College, Vijayawada  Govt. Medical College, Anantpur                                                                              |
|       2. | Assam               | Guwahati Medical College, Guwahati  Assam Medical College, Dibrugarh                                                                                 |
|       3. | Bihar               | Srikrishna Medical College, Muzaffarapur  Govt. Medical College, Darbhanga                                                                           |
|       4. | Goa                 | Goa Medical College, Panaji                                                                                                                          |
|       5. | Gujarat             | Govt. Medical College, Rajkot                                                                                                                        |
|       6. | Himachal Pradesh    | Indira Gandhi Govt. Medical College, Shimla                                                                                                          |
|       7. | Jharkhand           | Patliputra Medical College, Dhanbad                                                                                                                  |
|       8. | Karnataka           | Vijayanagar Institute of Medical Sciences, Bellary  Karnataka Institute of Medical Sciences, Hubli                                                   |
|       9. | Kerala              | Kozhikode Medical College  T.D. Medical College, Alappuzha                                                                                           |
|      10. | Madhya Pradesh      | Govt. Medical College, Rewa  Netaji Subhash Chandra Bose Medical College, Jabalpur  GR Medical College, Gwalior                                      |
|      11. | Maharashtra         | Govt. Medical College, Aurangabad  Govt. Medical College,  Latur  Govt. Medical College, Akola  Shri Vasantrao Naik Govt. Medical College, Yavatmal. |
|      12. | Orissa              | MKCG Medical College, Behrampur  VSS Medical College, Burla.                                                                                         |
|      13. | Punjab              | Govt. Medical College, Patiala                                                                                                                       |
|      14. | Rajasthan           | SP Medical College, Bikaner  RNT Medical College, Udaipur  Govt. Medical College, Kota                                                               |
|      15. | Tamil Nadu          | Thanjavur Medical College, Thanjavur  Tirunelveli Medical College, Tirunelveli                                                                       |
|      16. | Telangana           | Rajiv Gandhi Institute of Medical Sciences, Adilabad  Kakatiya Medical College, Warangal                                                             |
|      17. | Tripura             | Agartala Govt. Medical College, Tripura                                                                                                              |
|      18. | Uttar Pradesh       | Govt. Medical College, Jhansi  Govt. Medical College, Gorakhpur  MLN Medical College, Allahabad  LLR Medical College, Meerut.                        |
|       19 | West Bengal         | BS Medical College, Bankura  Govt. Medical College, Malda  North Bengal Medical College, Darjeeling                                                  |

**Annexure III**

| **S. No**   | **State/UTs**    | **Central Government Share**   | **Fund Released**   |
|-------------|------------------|--------------------------------|---------------------|
| 1           | Assam            | 35.41                          | 17.71               |
| 2           | Andhra Pradesh   | 138.88                         | 69.64               |
| 3           | Bihar            | 55.82                          | 29.06               |
| 4           | Chandigarh       | 34.17                          | 17.09               |
| 5           | Chhattisgarh     | 24.55                          | 12.275              |
| 6           | Goa              | 16.6                           | 16.07               |
| 7           | Gujarat          | 22.22                          | 22.22               |
| 8           | Himachal Pradesh | 10.88                          | 10.05               |
| 9           | Jammu & Kashmir  | 28.18                          | 14.08               |
| 10          | Jharkhand        | 33.005                         | 16.49               |
| 11          | Kerala           | 40.838                         | 21.455              |
| 12          | Madhya Pradesh   | 65.82                          | 31.91               |
| 13          | Maharashtra      | 259.34                         | 129.57              |
| 14          | Orrisa           | 14.77                          | 5.54                |
| 15          | Punjab           | 44                             | 44                  |
| 16          | Rajasthan        | 103.79                         | 103.54              |
| 17          | Tripura          | 18.41                          | 7.29                |
| 18          | Uttarakhand      | 9.41                           | 7.65                |
| 19          | Uttar Pradesh    | 41.3                           | 38.53               |
| 20          | West Bengal      | 126.6825                       | 112.77              |
|             | **Grand Total**  |                                | **726.94**          |

**Annexure- IV**

**Proposals approved for up-gradation of existing Government medical colleges to incur UG seats***

| **S. No.**   | **State**      | **Name of Medical College**            | **No. of Seats to Increase**   |
|--------------|----------------|----------------------------------------|--------------------------------|
| 1.           | Punjab         | Govt. Medical College, Patiala         | 150 to 200                     |
|              |                | Govt. Medical College, Amritsar        | 150 to 200                     |
| 2.           | Tamil Nadu     | Govt. Medical College, Coimbatore      | 150 to 250                     |
|              |                | Govt. Medical College, Kanyakumari     | 100 to 150                     |
|              |                | Govt. Medical College, Tirunelveli     | 150 to 250                     |
|              |                | Govt. Medical College, Madurai         | 155 to 250                     |
| 3.           | Uttarakhand    | Govt. Medical College, Haldwani        | 100 to 150                     |
| 4.           | Madhya Pradesh | Gandhi Medical College, Bhopal         | 150 to 250                     |
|              |                | G R Medical College , Gwalior          | 150 to 250                     |
|              |                | S. S.  Medical College, Rewa           | 100 to 150                     |
|              |                | MGM Medical College, Indore            | 150 to 250                     |
|              |                | NSCB Medical College, Jabalpur         | 150 to 250                     |
| 5.           | Rajasthan      | RNT Medical College, Udaipur           | 150 to 250                     |
|              |                | Govt. Medical College, Kota            | 100 to 250                     |
|              |                | Govt. Medical College, Jhalawar        | 100 to 150                     |
|              |                | JLN Hospital & Medical College, Ajmer  | 150 to 250                     |
| 6.           | Odisha         | VSS Medical College, Burla             | 150 to 250                     |
|              |                | MKCG Medical College, Behrampur        | 150 to 250                     |
| 7.           | Andhra Pradesh | Government Medical College, Ananthapur | 100 to 150                     |
|              |                | RIMS, Srikakulam                       | 100 to 150                     |
|              |                | RIMS, Kadapa                           | 100 to 150                     |

*No funds available under the scheme for year 2014-15

**Annexure V**

| **List of identified States/districts under the scheme for "Establishment of new Medical Colleges attached with district/referral hospitals"**   |                   |                      |                                                 |
|--------------------------------------------------------------------------------------------------------------------------------------------------|-------------------|----------------------|-------------------------------------------------|
| **S.No.**                                                                                                                                        | **State/UT**      | **No. of Districts** | **Name of the Districts**                       |
| 1                                                                                                                                                | Assam             | 4                    | Nagaon                                          |
| 1                                                                                                                                                | Assam             | 4                    | North Lakhimpur                                 |
| 1                                                                                                                                                | Assam             | 4                    | Karbi Anglong at Diphu                          |
| 1                                                                                                                                                | Assam             | 4                    | Dubri                                           |
| 2                                                                                                                                                | Bihar             | 3                    | Samastipur                                      |
| 2                                                                                                                                                | Bihar             | 3                    | Saran (Chhapara)                                |
| 2                                                                                                                                                | Bihar             | 3                    | Purnia                                          |
| 3                                                                                                                                                | Chhattisgarh      | 2                    | Rajnandgaon                                     |
| 3                                                                                                                                                | Chhattisgarh      | 2                    | Sarguja                                         |
| 4                                                                                                                                                | Haryana           | 1                    | Bhiwani                                         |
| 5                                                                                                                                                | Himachal Pradesh  | 3                    | Chamba                                          |
| 5                                                                                                                                                | Himachal Pradesh  | 3                    | Nahan (Sirmour)                                 |
| 5                                                                                                                                                | Himachal Pradesh  | 3                    | Hamirpur                                        |
| 6                                                                                                                                                | Jharkhand         | 3                    | Dumka                                           |
| 6                                                                                                                                                | Jharkhand         | 3                    | Palamu                                          |
| 6                                                                                                                                                | Jharkhand         | 3                    | Hazaribagh                                      |
| 7                                                                                                                                                | Jammu & Kashmir   | 5                    | Anatnag                                         |
| 7                                                                                                                                                | Jammu & Kashmir   | 5                    | Doda                                            |
| 7                                                                                                                                                | Jammu & Kashmir   | 5                    | Baramullh                                       |
| 7                                                                                                                                                | Jammu & Kashmir   | 5                    | Kathua                                          |
| 7                                                                                                                                                | Jammu & Kashmir   | 5                    | Rajauri                                         |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Chindwara                                       |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Ratlam                                          |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Shivpuri                                        |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Shahdol                                         |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Vidisha                                         |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Datia                                           |
| 8                                                                                                                                                | Madhya Pradesh    | 7                    | Khandwa                                         |
| 9                                                                                                                                                | Maharashtra       | 1                    | Gondia                                          |
| 10                                                                                                                                               | Odisha            | 5                    | Balesore                                        |
| 10                                                                                                                                               | Odisha            | 5                    | Bolangir                                        |
| 10                                                                                                                                               | Odisha            | 5                    | Koraput                                         |
| 10                                                                                                                                               | Odisha            | 5                    | Baripada (Mayurbhanj)                           |
| 10                                                                                                                                               | Odisha            | 5                    | Puri                                            |
| 11                                                                                                                                               | Punjab            | 1                    | SAS Nagar                                       |
| 12                                                                                                                                               | Rajasthan         | 7                    | Bharatpur                                       |
| 12                                                                                                                                               | Rajasthan         | 7                    | Dungapur                                        |
| 12                                                                                                                                               | Rajasthan         | 7                    | Barmer                                          |
| 12                                                                                                                                               | Rajasthan         | 7                    | Alwar                                           |
| 12                                                                                                                                               | Rajasthan         | 7                    | Churu                                           |
| 12                                                                                                                                               | Rajasthan         | 7                    | Bhilwara                                        |
| 12                                                                                                                                               | Rajasthan         | 7                    | Pali                                            |
| 13                                                                                                                                               | West Bengal       | 5                    | Birbhum (Rampur Hat)                            |
| 13                                                                                                                                               | West Bengal       | 5                    | Coochbihar                                      |
| 13                                                                                                                                               | West Bengal       | 5                    | Purulia                                         |
| 13                                                                                                                                               | West Bengal       | 5                    | Uttar Dinajpur (Distt. Hosp. Raiganj)           |
| 13                                                                                                                                               | West Bengal       | 5                    | South 24 Paraganas                              |
| 14                                                                                                                                               | Uttar Pradesh     | 5                    | Faizabad                                        |
| 14                                                                                                                                               | Uttar Pradesh     | 5                    | Bahraich                                        |
| 14                                                                                                                                               | Uttar Pradesh     | 5                    | Basti                                           |
| 14                                                                                                                                               | Uttar Pradesh     | 5                    | Firozabad                                       |
| 14                                                                                                                                               | Uttar Pradesh     | 5                    | Shahjehanpur                                    |
| 15                                                                                                                                               | Uttarakhand       | 1                    | Almora                                          |
| 16                                                                                                                                               | Arunachal Pradesh | 1                    | Papun Pare General Hosp. , Naharlagun, Itanagar |
| 17                                                                                                                                               | Meghalaya         | 1                    | West Garo Hills, Tura                           |
| 18                                                                                                                                               | Mizoram           | 1                    | Referral Hospital at Falkwan                    |
| 19                                                                                                                                               | Nagaland          | 1                    | Kohima (Naga Hospital)                          |
| 20                                                                                                                                               | A & N Islands     | 1                    | Port Blair                                      |
|                                                                                                                                                  | Total             | 58                   |                                                 |