Wednesday, March 21, 2018

TN Bill seeks to regulate clinical establishments


Sources: Dinamalar ePaper

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Bill seeks to regulate clinical establishments in State

SPECIAL CORRESPONDENT 

CHENNAI, MARCH 21, 2018 00:00 IST

It will authorise the government to prescribe minimum standards for facilities, services

With the aim of streamlining medical establishments in the State, the Tamil Nadu government on Tuesday introduced a Bill in the Assembly that seeks to suitably amend the Tamil Nadu Private Clinical Establishment (Regulation) Act, 1997, to provide for registration and regulation of all clinical establishments in the State, and to prescribe minimum standards for facilities and services to be provided by them.

The first among the duties and responsibilities of every clinical establishment is to “administer first aid and take other lifesaving or stabilising emergency measures in all medico-legal or potentially medico-legal cases, such as road accidents, accidental or induced burns or poisoning or criminal assaults and the like, when the victims present themselves at the clinical establishment.”

Penalties for violations

The Bill, once enacted, will authorise the government to prescribe minimum standards for facilities and services in respect of different categories of clinical establishments under all recognised systems of medicine.

Introduced in the House by Health Minister C. Vijaya Baskar, the Bill also provides for the constitution of a State Level Advisory Committee to advise the government on the regulation of these establishments, District Committees for the registration of these units, besides providing for the levy of penalties in case of any contravention of the rules. Anyone operating a clinical establishment without obtaining due registration would be liable for punishment with a fine of Rs. 5,000 (which may extend to Rs. 50,000).

General hospitals, including dental hospitals, maternity hospitals, dispensaries, consulting rooms, clinics, polyclinics and nursing homes are to come under the ambit of ‘clinical establishments’.

Any institution or centre, where a physically or mentally-ill, injured or infirm person is admitted either as an in-patient or an out-patient with or without the aid of operative procedures, also comes under the purview of the Act.

While the Director of Medical and Rural Health Services would be the ex officio chairperson of the State-level advisory committee, district committees would be chaired by the respective deputy directors of Medical and Rural Health Services. The decision to amend the Act follows the recommendations made by a committee , following the enactment of the Clinical Establishment Act, 2010, by the Centre.

Though the State government had earlier enacted the Tamil Nadu Private Clinical Establishment (Regulation) Act, 1997, the provisions of the Act were not implemented due to non-framing of the rules.


Also read the related stories

Clinical Establishment Act to cover all govt., pivate hospitals

SPECIAL CORRESPONDENT

CHENNAI, MARCH 23, 2018 00:00 IST

Rules for basic amenities to be notified

The State is poised to have a Clinical Establishment Act that will cover private and government hospitals, nursing homes, dispensaries and diagnostic facilities, including those under AYUSH.

The law, an amendment of the existing Tamil Nadu Private Clinical Establishment Act enacted first in 1997, will bring under its ambit all clinical establishments, would be in effect after the Governor’s approval.

Health Minister C. Vijaya Baskar said on Thursday that rules would be framed after the Act had been approved. The rules would delineate the basic requirements for a medical establishment — be it a diagnostic centre, dispensary, nursing home, clinic or hospital.

“The aim is to ensure that basic amenities required for quality care are maintained in a healthcare facility. The Act would cover private and government facilities. We have consulted all doctors’ associations, including AYUSH, and they all wanted such an Act. The Assembly has also approved it,” he said.

9 months to register

The existing establishments would be given nine months to register with the government and the new ones would get six months. The details of all the registered hospitals would be on public domain. No concession would be given to any hospital, Dr. Vijaya Baskar said.

“The idea is not to punish but to ensure quality care. The norms would specify the requirement for a facility, the number of beds, the intensive care unit requirements, space, number of doctors and nurses. This would give people an assurance of quality of the hospital and the quality of care given by it,” Dr. Vijaya Baskar explained.

Health Secretary J. Radhakrishnan said within two three days of passing the Act the rules would be in place. The Act and the rules would be framed in consultation with the Law department and within a week the rules would be in force.

Establishments that do not comply with the rules would be fined a minimum of Rs. 5,000 and a maximum of Rs. 50,000. Repeat offences could lead to cancellation of their registration, he added.

The Act was envisaged to bring under one law all facilities instead of the present system of separate laws to govern scan centres, family planning centres, and organ donations.

Sources: http://www.thehindu.com


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