Dr Mishra Committee prepares Port Hospital report



By Vikas Vaidya



With the increasing need of healthcare facilities in India, Government is mooting out various ideas through which hospitals and doctors can be available in ample number. With this thought, now Government is creating Port hospitals on all shores in the country. This is the brainchild of our own Nagpurian Nitin Gadkari who happens to be the Minister of Shipping too. These hospitals are being created on Public Private Partnership (PPP) basis. The report in this regard was prepared by another Nagpurian Dr Vedprakash Mishra, Chairman of Academic Committe of Medical Council of India (MCI) and was submitted. This PPP model will pave way for the hospitals like Daga, Railways to be converted into medical colleges.
The Ministry of Shipping, Government of India, may avail the model of starting of a medical college as has been evoked by the Government of Union Territory of Andaman and Nicobar where under the concerned State Govt. availing his own District Hospital has started a State run and managed medical college, having full control on the admission of students thereto.
The Committee has recommended that the Ministry of Shipping, Government of India, availing its owned more than 200 bedded Port Hospitals and getting it converted into a teaching hospital may venture in starting of a medical college owned and managed by the Central Government itself thereby having complete and total control of the same.
Alternatively, the Central Government following the PPP model as contemplated in the notification of the MCI transfer a more than 200 bedded Port Hospital at Mumbai to a Society/Trust or Company, for starting of a medical college and protecting its interest in respect of admissions of students under the Government quota at the said medical college and patient care in the affiliated hospital of the concerned medical college on mutually agreed terms and conditions ensuring that the services that are being catered to the registered employees continue to be on the same terms and conditions for all times without causing any prejudice to their legitimate claim and entitlement.

25% Quota for admission and patient care


The committee has recommended that Central Government under its quota could admit students on 25% of the total admissions annually and also can have say in 25% of the patient care in the affiliated hospital of the said medical college. Already 300 district hospitals are being transfered. There will be a quota of 15% for Non Resident Indians (NRI). These students will be charged higher fees that would be compensating for the fee charged against with 25% Central Government quota as a cross subsidy mode.
The committee further recommended  that the upgradation to tertiary care facilities could be worked up in a manner that a particular super speciality stands assigned to a specific Port Trust Hospital, which then becomes the super speciality centre for all referral purposes by the remaining Port Hospitals.
All these initiatives as proposed would be under Public Private Partnership Mode and therefore, could not end up in any financial liability on the Central Govt. and the proposed venture even for the starting of the Postgraduate courses would be in tune with the one which has been worked out for starting of a medical college in tandem with Port Trust Hospital Mumbai, including the financial implications and appropriate balancing of the resultant liabilities in an illustrative manner.
Gadkari expressed gratitude to Dr. Mishra for undertaking the responsibility in a devoted manner and dispensing the same in an elegant manner. The report has been drafted in a very pain staking manner and is exhaustive in character. It has brought out the genius, the commitment and the vision of Dr. Mishra.

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