CLINICAL ESTABLISHMENT ACT & RULES Where we need to stress ! CLINICAL LABORATORY Dr. X – Pathologist : working part time in several laboratories in and around Kolkata Mr. Y – Biochemist : working part time in several laboratories in and around Kolkata. Mr. Z – Technologist : working part time in several laboratories in Kolkata. CLINICAL LABORATORY How many laboratories these part time Pathologists / Biochemists actually visit ? Whether the technicians are really efficient? Whether the tests are actually done ? Whether the Pathologists / Biochemists/ Technicians shown during new or renewal of license are actually working? CLINICAL LABORATORY Many collection centre and small laboratories are functioning without license !! Many laboratories have opened collection centres in medicine shops – against Rule 11 D(C) . DIAGNOSTIC Same applies to Diagnostic section : USG, X Ray Who is actually doing the USG & X-Ray? Whether the sonologists are sufficiently trained? Display in a prominent place time of VISIT of the Consultant ----- NOT DONE !( Rule 11C) The pathologist/biochemist/radiologist are required to put their signature along with date in the report issued by the Diagnostic Unit ---- NOT DONE !! NURSING HOMES Nursing personnel : Whether nursing personnel are actually working as has been shown during new or renewal of license ? To how many nursing homes these nursing personnel are attached ? Whether they are sufficiently trained ? In most of the nursing homes special ayas are termed as NURSES!! NURSING HOMES Whether the attending physicians visit the patient regularly ? What is the time interval between admittance of a patient & attendance of the physician to the patient who is critically ill ? Whether the nursing home is sufficiently equipped to deal an emergency ? Whether the patient actually need ICU admission / ventilatory support ? NURSING HOMES Whether the nurses and the medical officers are trained in ICCU techniques ? Many nursing homes and hospitals are charging separately for Oxygen, Pulse Oxymeter, RMO and Nursing staff --- which is contrary to the CE Rules. INFORMATION BOOKLET on PACKAGE TREATMENT ---- AVAILABILITY in Hospitals and Nursing Homes.( Rule 11A XXVII)?? PHYSICAL THERAPY ESTABLISHMENT An establishment where Massaging, Electrotherapy, Hydrotherapy , Remedial Gymnastics or similar work is usually carried on, for the purpose of treatment of diseases or of infirmity or for IMPROVEMENT of Health , or for the purpose of RELAXATION or for any other purpose whatsoever, whether or not analogus to the purposes hereinbefore mentioned . PHYSICAL THERAPY ESTABLISHMENT How many therapy establishments are aware of this ACT / Rules? As per definition the massging centres, fitness centres, aromatherapy centres, herbal centres come under the purview of CE Act & Rules. How many of these centres are actually applying for License under CE Act & Rules? PHYSICAL THERAPY ESTABLISHMENT Rule 11C(II) states that these establishments shall be under DIRECT SUPERVISION of a PROPERLY QUALIFIED EXPERT on the particular type of treatment---- Properly qualified expert is not defined in the Rules. AROMATHERAPIST ?? What will be the recognized qualification ? Should Yoga Therapy be included ? As it is carried out for improvement of Health. OTHER AREAS . ALTERNATIVE MEDICINE – Role of alternative medicine in improvement of Health. Whether Alternative Medicine comes under the purview of the ACT & Rules? Homeopathy, Ayurved & Unani treatment ? Optical Houses and optometrists ? Mobile Dispensaries? NGOs treating patients or performing Diagnostic tests– Contrary to Rule 11A (XXIII) OTHER AREAS. Charges- Medicines- Requirement, Supplied and Billed. Whether charges are displayed for the convenience of the patient party? Whether it is necessary to communicate the fees of a doctor by the Nursing Home/ Hospital Authority? Whether the establishment is hygienic? OTHER AREAS. RULE 22(V) : REGULATION:- All emergency patients attending a clinical establishment , wherever registered medical practitioners are engaged, must be attended primarily without considering the financial capability of the patient TO SAVE LIFE, and then, may be referred with suitable medical report about the ailments , as early as possible to he nearest Government Hospital if necessary. It is also the responsibility of the patient or his party to pay all the DUES before being released from the clinical establishment. GOVERNMENT SECTOR INSUFFICIENT MANPOWER. Are the Inspecting Officers trained? NOT SUFFICIENT FUND. No action can be taken against a medical practitioner by the Govt. NO PROVISION for PENALTY for running an establishment without license. CO-OPERATION between different sectors are lacking. GOVERNMENT SECTOR ACT 5B – State Level Committee for the State of West Bengal DISTRICT LEVEL COMMITTEE – for the district FUNCTION— Advice to thee Government for the Implementation of the PROVISION of the Act The Area of KOLKATA as defined in Clause 9 of section 2 of KMC will constitute a district THANK YOU. A presentation by Dr. Tanmoy Mukherjee.