PESHAWAR: Through the proposed Khyber Pakhtunkhwa Medical and Health Institution (regulation and healthcare services) Act 2013, the provincial government had planned to introduce fundamental changes in administrative cadre of tertiary care hospitals to improve management and health delivery system of these institutions.
However, some doctors and employees of health department launched a campaign to stop the Act from reaching the Assembly.The government intended to further empower and change composition of the management councils to administer and manage affairs of these medical institutions.
Through the Act, the government also planned to introduce reform in the Provincial Medical and Health Regulatory Authority to curb quackery and save precious lives.Previously, chief executives of the teaching hospitals headed the management councils of their respective institutions. If the Act is passed, the government will select a chairperson from amongst principals/deans of medical or dental colleges, or deans of the postgraduate medical institutions to head the management council.
Also, principals/deans postgraduate institutions excluding chairperson of the management council, chief executive, medicinal superintendent and director finance of the same medical institution would serve as members of the management council.
The government would also appoint three non-official persons with experience in health services and three officials of finance, law and establishment departments as members of the management council.
A non-official member of the council will hold the office for a period of three years but can be removed by the government after assigning a reason.Senior officials of the health department hoped the Act, copy of which is available with The News, would help streamline governance of the hospitals.
They said some members of the medical fraternity having affiliation with the ruling Awami National Party (ANP) started creating misconception about the Act among the doctors and other employees of health department.They said these doctors wanted the ANP parliamentarians to play their role in rejecting the Act.
“Chief Minister Haider Hoti and other senior lawmakers are in favour of reforms in health delivery system as it would discourage mafia in the health department. However, some selfish doctors launched malicious propaganda against the Act as they don’t want reforms,” a senior official of the health department opined.
He said the previous system had badly failed to deliver. “I have reached the conclusion that we are uselessly spending Rs350,000 on each chief executive every month for the sake of nothing. There is strong mafia in the hospitals that doesn’t want to be accountable to anyone. But there are some intelligent doctors who can play pivotal role in putting the system on the right track and restore trust of the patients in public sector hospitals,” the official said on condition of anonymity.
At the district level, the management committees will administer and manage affairs of health institutions and have executive district officer (EDO-health) as its chairperson.The medical superintendent of the hospital would act as its member while the government would appoint two or three non-official members from among renowned social workers.
There would be an Academic Council in each medical or dental college comprising of heads of all units of basic sciences and heads of all units of essential specialties.After the commencement of the Act, the government would establish the provincial Medical and Health Regulatory Authority.
The HRA would consist of a chairperson, to be appointed by the government, who would be a serving government officer not below the rank of BPS-20, with representative of the establishment, home and tribal affairs, finance, not below the rank of additional secretary, as its members.
The government will select four non-official members having extensive experience in health services as members for HRA.The HRA would be responsible for financial and administrative control of all district medical and health regulatory authorities at district level.
It would be authorised to set standards for establishment of facilities for clinical care in private health and medical institutions, to set standards and define yardsticks for provisions of preventive, promotive, curative, rehabilitative, environmental and occupational health on modern and scientific lines for the practice of traditional medicines including ayurvedic, homeopathic Tibb, medical, dentistry, nursing and paramedical profession in accordance with the requirements of the Pakistan Medical and Dental Council.