Latest in healthcare
Cabinet approves setting up of new AIIMS in Bhatinda
The Union Cabinet chaired by Prime Minister Narendra Modi has approved the establishment of a new AIIMS at Bhatinda in Punjab under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).
The institution shall have a hospital with capacity of 750 beds, which will include emergency/trauma beds, Ayush beds, private beds and ICU speciality and super speciality beds. In addition, there will be an administration block, Ayush block, auditorium, night shelter, hostels and residential facilities, according to an official statement issued here on Wednesday.
The cost of the project for establishment of the new AIIMS in Bhatinda shall be Rs 925 crore. The above cost estimate does not include recurring costs (wages & salaries and operation & maintenance expenses). The recurring expenditure will be met by the respective new AIIMS from their annual budgets through Grant-in-Aid to them from Plan Budget Head of PMSSY of Ministry of Health and Family Welfare.
The new AIIMS at Bhatinda will provide super specialty health care to the population while creating a large pool of doctors and other health workers in this region that can be available for primary and secondary level institutions/facilities being created under the National Health Mission (NHM). The institute will also conduct research on prevalent regional diseases and other health issues and provide for better control and cure of such diseases.
The project will be completed in a period of 48 months from the date of the approval by the Government of India. It consists of a pre-construction phase of 15 months, a construction phase of 30 months and stabilization/commissioning phase of three months.
The population in Punjab and adjoining regions will be benefited by this AIIMS.
The Central Sector Scheme, Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) was first announced in August 2003 with the primary objective of correcting the regional imbalances in availability of affordable/reliable tertiary level healthcare in the country in general, and to augment facilities for quality medical education in under-served or backward states, in particular.
Under this scheme AIIMS have been established in Bhubaneswar, Jodhpur, Raipur, Rishikesh, Bhopal and Patna while work of AIIMS Rae Bareli is in progress. Also, three AIIMS in Nagpur (Maharashtra), Kalyani (West Bengal) and Mangalagiri in Guntur (Andhra Pradesh) have been sanctioned in 2015.
Stop salary of absentee doctors: DM
District magistrate UK Singh has ordered the civil surgeon to withhold the salary and issue show a cause to five doctors at the sadar hospital for dereliction of duty.
Civil surgeon Dr Shreenath said though he is yet to receive the DM's order, the medical officers would be served show cause notices as soon as the DM's order reaches his office. The doctors against whom action is to be taken are Dr Raman Baranwal (physician), Dr RK Gupta (orthopaedic), Dr Rayees (eye), Dr Pankaj Kumar (physician) and Dr K Ranjan (physician).
Sources in the DM office said doctors have been sacked by the DM on the civil surgeon's report who made a surprise inspection made on Monday and Tuesday (July 25 and 26) had found five doctors absent while others were late. The sadar hospital is the only government hospital which lacks even primary health care facilitie.
Dr K Ranjan, a senior physician of the hospital who was on duty in the emergency ward of the hospital at that time at once started examining the blood pressure (BP) of the patient, but he found the instrument was out of order. The doctor called for another instrument, but to his surprise that too was non-functional. The doctor then requisitioned for the third which was also out of order. On getting information, the civil surgeon visited the hospital and found many doctors missing. He then submitted a report to the DM following which action was taken against five," said sources.
Indian-Origin Doctor Gets 8-Year Jail For Sexually Assaulting Patients In UK
An Indian-origin gynaecologist was today sentenced to eight years in prison in the UK for sexual assault against his female patients.
Dr Mahesh Patwardhan was sentenced at Woolwich Crown Court for four counts of sexual assault between July 31, 2008 and September 24, 2012.
Judge Alice Robinson told the court in south London that the impact statement from one of his victims was "one of the most harrowing I've ever read".
"You knew about the serious sexual abuse she suffered as a child," she told the 53-year-old medic, who was in court with his anaesthetist wife, son and daughter.
Dr Patwardhan was also convicted of two counts of fraud relating to falsely billing private medical insurers for work he did not perform.
The doctor had already been struck off by the UK's General Medical Council (GMC) in October 2014 and publicity from that case prompted more victims to come forward, local newspaper 'News Shopper' reports.
One of his victims had attempted suicide and said Dr Patwardhan ruined her life, Judge Robinson told the court.
The assaults took place at Queen Elizabeth Hospital in Woolwich and Blackheath Hospital in Lewisham, south-east London, between 2008 and 2012.
The day before one complainant was due to have a hysterectomy, Patwardhan conducted a breast exam, despite the patient telling him she had recently had a mammogram.
During his trial, the jury was told he even asked one woman to reveal her tattooed bottom.
The India-born gynaecologist had denied all charges of sexual assault as well as the two counts of fraud.
National Organ Transplant Programme (NOTP)
Donation rate up, but long road ahead: In an interview to TOI, Union health minister J P Nadda listed the steps his ministry is taking towards building the infrastructure required to make organ donation, retrieval and transplantation an integrated transparent process
How does the government plan to minimise the gap between demand and supply of organs?
Organs are a national resource; we cannot afford to waste even one. The government is aware of the problem and measures are being taken to bridge the gap. Many more are required. The government is working on a two pronged strategy. First is prevention of diseases that lead to organ failure thereby reducing the demand for organs. Steps have been taken to identify causes that lead to organ failure and take remedial measures. Kidney failure accounts for the highest number of organ failure cases as a result of diabetes and high blood pressure. Efforts are on to prevent incidence through emphasis on healthy life style, encouraging physical activities and Yoga under the Swachh Bharat Swasth Bharat campaign.
The second part is enhancing awareness to encourage organ donation and strengthening the infrastructure for organ transplant through the national programme for prevention and control of non-communicable disease (NCD) and national organ transplant programme (NOTP). Under NOTP , focus is on promoting organ donation from the deceased.
Around 1.5 lakh people die in road accidents annually in India. Majority are healthy and young. They are ideal potential donors. While our first priority is to save lives of such trauma victims, in cases of death, their organs can be donated. We plan to integrate trauma care with the organ donation programme.
How do you plan to institutionalise organ donation?
Bridging the gap between demand and supply requires a consistent calibrated institutional machinery. Efforts are being made to substantially increase the number of hospitals involved in processes of organ retrieval and transplantation. Every hospital with ICU facility and a competent team of doctors is a potential retrieval centre and is to be linked with hospitals having transplantation facility .
Apex organisation National Organ and Tissue Transplant Organization (NOTTO) has been set up at Safdarjung Hospital, Delhi, to coordinate activities, and is responsible for awareness and capacity building for donation and transplantation. It will also establish an online network between organ retrieval, transplant centres and tissue banks across the country and maintain a digital national registry of donors and trans plants. A website, http:www.notto.nic.in, has been launched for this. Online and offline pledging facility for organ tissue donation is also available. A 24x7 toll free helpline is 1800114770.
Five regional organisations are being set up in Tamil Nadu, Maharashtra, Assam, Bengal and Chandigarh. Similar organisations are proposed at the state level. Every hospital undertaking transplant, retrieval or banking is given a unique ID by NOTTO when they register. Recognising the need to ensure availability of trained supporting manpower, the government is encouraging specialised courses in dialysis medicine and transplant coordination. Every hospital that starts retrieval and transplantation can employ two transplant coordinators at the government's expense.
Organ donation is not just a health ministry programme but is an endeavour that requires cooperation from departments across the Centre, states, law enforcement authorities, NGOs and citizens. An inter-ministerial committee headed by the health secretary to coordinate nationwide activities to promote organ donation held its first meeting this February.
Are there any campaigns on this issue, perhaps similar to anti-tobacco awareness initiative or the immunisation drive?
Donation and optimal utilisation of organs is critical; so awareness is high on the government's priority. PM Narendra Modi highlighted the importance of organ donation in his Mann Ki Baat broadcasts in October and November 2015. That gave a tremendous impetus. In india, organ donation day is celebrated since 2010; the sixth anniversary was on last November 27 when NOTTO was launched. Plus, a publicity drive is on through every medium available and talks by experts.
How can the process of cadaver donation be made hassle-free?
Online networking, registry , a dedicated 24x7 call centre and involvement of ministries concerned, states, and NGOs can go a long way in addressing coordination problems. At the institutional level, there is a provision for dedicated transplant coordinators at retrieval and transplant centres and also at trauma centres. Of late, we have seen some praiseworthy efforts to facilitate timely transport of donated organs and successful transplantation that displayed the highest level of coordination. I thank all agencies concerned and trust such efforts will blossom into a national movement. The media highlighted the noble acts that will sensitise society about the importance of organ donation and saving lives.
Any plans to incentivise donors to encourage organ donations?
Organ donation is a noble act; government appreciates the gestures. This is, however, a sensitive issue and needs wider consultation, debate.