nd meeting held on 20.08.2020 has approved following guiding …€¦ · 15.2 Till arrangement of...

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Enclosure to letter no. U-13/14/38/2020Med-I(ESIC/SC)

dated 28.09.2020

ESI Corporation during its 182nd meeting held on 20.08.2020 has

approved following guiding principles/instructions/measures to be taken

for strengthening overall delivery of medical care services in ESIC

Hospitals/Medical education institutions, as under:-

1. Maximum number of the super speciality branches to be sanctioned as per the size and facilities of the hospital, including available regular specialists in Broad specialities (Annexure 1 to 6). The start of super-specialty services may vary from hospital to hospital depending on the work load, availability of space etc.

2. Based on the specialty-wise number of super speciality referrals, the

disciplines to be considered for commissioning at the various ESIC Hospitals for providing in-house services to IPs (and reduction of referral expenditure), in order of preference, are as under:

Super-specialty Associated Broad Specialty

1. Nephrology General Medicine

2. Medical Oncology General Medicine

3.Anesthesiology and Critical Care for related super specialty branches e.g. Cardiac, Neuro

Anesthesia

4. Cardiology General Medicine

5. Neonatology Pediatrics

6. Neurology General Medicine

7. Urology General Surgery

8. Neurosurgery General Surgery

9. Endocrinology &Metabolism General Medicine

10. Gastroenterology General Medicine

11. Surgical Gastroenterology General Surgery

12. Surgical Oncology General Surgery

13. Burns & Plastic Surgery General Surgery

14. Cardiothoracic Surgery General Surgery

15. Interventional Radiology Radio-diagnosis

16. Hematology General Medicine

17. Trauma & Emergency Orthopedics; General Surgery

18. Pediatric Surgery General Surgery

19. Physical Medicine & Rehabilitation

Orthopedics

20. Radiotherapy

21. Reproductive medicine & surgery Obstetrics & Gynecology

22. Rheumatology General Medicine

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3. The indicative number of specialist / super specialist for sanction should be adequate (minimum number as per Annexure 1 to 6) and be in line with the statutory requirement of National Board of Examinations (NBE) for starting DNB courses in broad specialities/super specialities respectively. So as to meet the requirement of DNB/FNB. Further, In case it is planned to start DM/MCH, course the faculty as per regulatory requirement is to be sanctioned.

4. To start with, one super-specialist at entry level and one Consultant is to be

engaged wherever two posts are sanctioned in a department. Departments where three posts are sanctioned, two Consultants and one super-specialist at entry level are to be engaged. The higher post may be filled up by specialist in lower post as per feasibility. (Remuneration as per Annexure 7)

5. In addition to Super-specialists, one post of Specialist in the concerned Broad Specialty should also be sanctioned to maintain continuity of super-specialty services in event of unforeseen non-availability of the super-specialist (due to attrition etc.). In general, the concerned Broad Specialty would support the super-specialty. These specialists could be placed on regular basis / full time contract basis / part-time contract basis, in that order, on remuneration as per Annexure 8, if placed on contract.

6. The number of Senior Residents/ IMO preferably with PG Degree in super-specialty disciplines to be sanctioned in any discipline, as Annexure 7. This is an indicative list and the numbers in a discipline may vary in any ESIC Hospital depending on the workload and availability as assessed by the Dean/MS of the Hospital. No. of senior residents / IMOs preferably with PG qualification in any speciality giving 24X7 services should be minimum 6. The number may be increased as per increase in working station accordingly.

7. Sanction and release of all requisite manpower posts e.g. Senior Residents,

IMO, Jr. Residents, nursing, paramedical and technical posts to be ensured.

The rotational policy of trained manpower within/ outside the hospital should

consider the special skills acquired during their period of posting in the

interest of smooth functioning of super speciality department. These posts

shall be filled by the MS/ Dean subject to the availability of infrastructure &

equipment simultaneously. The Deans & Medical Superintendents shall

make an effort to create infrastructure & facilities so that the speciality/ super

speciality services can be started in short time.

8. MS/ Dean to make efforts to start the departments with infrastructural changes, if required. MS has been empowered to get the changes done by having a committee constituted at their level for speedy implementation.

9. Delegation of Power of MS/ Dean to purchase equipment to Rs.50 lac has been enhanced.

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10. Bigger hospitals in a state to do hand holding of smaller hospitals in adjoining hospitals in developing a speciality/ super speciality.( tagging to be done

11. Justification for setting up department/services to be based on creating in-

house facility rather than pure financial justification, i.e. reduction of

expenditure on referrals.

12. As 500+ bedded hospitals are attached to ESIC Medical Colleges, these

can eventually become a centre for all speciality/ super specialty referrals

for smaller ESIC hospitals and could be converted to regional centres.

They may be upgraded to centres of excellence as regards broad and

super specialties. In this regard a committee at Hqrs. is being constituted

to look into the requirement of the field units and giving approvals in a time

bound manner.

13. The process of starting DNB/fellowship in speciality/ super specialty

courses, subject to satisfaction of NBE norms, should be immediately

initiated at all ESIC Hospitals as per the applicability. This would ensure

adequate availability of Residents (Senior/Junior) who are vital for round

the clock patient care services and the only sustainable way of ensuring

quality care in house for the IPs and their dependants.

14. MS/ Dean to start the process of NABH/ NABL Accreditation (in step wise

manner), so as to have all quality care parameters in place required to

establish SST / Teaching Departments. MS/Dean are entitled to hire

consultant for the same. Training Programmes to be organized according

to level of hospital.

15. Recruitment and Remuneration for super specialist:

15.1 Recruitment Rules to be framed by Medical Administration in line with

AIIMS pay scales to attract required manpower.(Annexure 9).

15.2 Till arrangement of recruitment of regular super-specialists is available,

the incumbents may be recruited on contract basis, i.e. full time / part-time.

The remuneration for full time contractual super specialist is as under (the

details are at Annexure 10):-

Super Specialist (entry level) Consultant (senior level) Approved remuneration

Rs 2,00,000/month

Rs 2,40,000/ month

The engagement may be done as per experience clause of existing

RRs with terms and conditions.

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Terms & Conditions of Full Time Contractual Super specialist are as

per Annexure 7 & 8, respectively

15.3 Super Specialist on Part-time Contract basis :The engagement may

be done as per experience clause of existing RRs with terms and

conditions, as under:

The Super specialists may be engaged after due-diligence for one year from the date of joining as per options in table give below:

Option PT Super Specialist

Fixed remune-ration (16 hrs/ week)

Charges for Emergency visit

Additional remuneration beyond 16 hrs/week*

1 Super Specialist (Entry Level)

₹ 1,00,000/-

₹20,000 ₹1200 for every additional hour

Consultant (Sr. Level)

₹ 1,50,000/-


2 Super Specialist (Entry Level)

₹ 1,00,000/-

Nil Plus Fixed %of CHGS rates on case to case basis**


₹ 1,50,000/-


*The additional hour of work is to be justified by MS/ Dean. ** fixed remuneration (retainer) plus fixed percentage of the CGHS rates for procedures and investigations on case to case basis.

The percentage has been fixed depending upon the duration of procedure, the prevailing market rate, nature of the procedure generated in the department.

Other terms & conditions for contractual full time/ part time Super Specialist is as per Annexure 7.

15.4 In event of non-availability of the Super-specialist (part-time) as above, Dean/ MS will keep a panel of Super-specialists ready (based on inviting applications for same following due procedure) in advance, to meet the exigency arising after start of super speciality services in any discipline due to sudden stoppage of services by the Super specialist for whatsoever reason. The same panel may be utilized by MS/Dean for occasional procedures required for which full time / part time super specialist/ specialist are not available for the required expertise. MS/ Dean may

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obtain the services at the following percentage of CGHS rates (interim, till finalization of rates, Specialty-wise by duly constituted Committee).

Value of procedure / investigation (CGHS rates)

% of CGHS rates offered to empaneled Super specialists

Upto₹. 1000

90%

₹ 1000 to up to ₹ 5000

80%

₹ 5000 to up to ₹10000

60%

Above ₹ 10000

50%

16. Recruitment and Remuneration for specialist:

16.1 Recruitment Rules would have to be framed by Medical Administration

in line with AIIMS pay scales to attract required manpower.

16.2 Till arrangement of recruitment of regular specialists is available, the

incumbents may be recruited on contract basis, i.e. full time / part-time. The

remuneration recommended for full time contractual specialist is as under

(the details are at Annexure 8):-

The consolidated remuneration of Specialist on full time basis (Broad

Specialty) is, as under :

City X Y Z

Rate for Level 11 Junior Specialist (3 yrs experience post PG as per RR)

Rs 1,12,000 Rs 1,06,000 Rs 1,00,000

Rate for Level 12 Senior Specialist (5 yrs exp post PG as per RR)

Rs 1,29,000 Rs 1,23,000 Rs 1,16,000

16.3 Specialist on Part-time Contract basis : Specialists may be engaged after due-diligence for one year from the date of joining with the options as under:

Options PT Specialist

Fixed remuneration (16 hrs/week)


Additional remuneration beyond 16 hrs/week

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1 PT with NO case to case basis

₹ 60,000 ₹15,000 ₹ 800 / hr for every additional hour

2 PT with case to case basis in Anesthesia, Pediatrics, Radiology & Medicine

₹ 60,000 Nil Fixed %of CHGS rates on case to case basis

The engagement will be on terms and conditions as per Annexure 2.

The details of fixed remuneration and rates for specialist services as in Annexure 10.

16.4 Other options for hiring services of specialist/ super specialist already

available/ issued from Hqrs. Office from time to time may also be explored by MS/ Dean.

17. Before appointing the faculty and other support staff, the head of the

institution should ensure that they have adequate infrastructural facility to

run the speciality.

18. Speciality should be created on priority where referrals are maximum. 19. Engagement should be preferred in the following order: (i) on regular

recruitment (ii) full time contractual engagement (iii) part time contractual engagement (fixed retainer ship + case-to-case basis).

20. Rates may be modified as and when new CGHS rates come into enforcement.

21. The percentage of CGHS rate recommended for different procedures of different broad and super specialities are to be implemented on interim basis till the committee of different disciplines examines and approves new rates.

22. For ESIC Medical Colleges and stand alone, ESIC PGIMSR, the MCI /ESIC norms, whichever is higher, will be applicable.

23. Detailed examination by Medical Services Division will be carried out to club

various smaller hospitals for development of specialities /super specialities

as all facilities cannot be made available in each small hospital. To facilitate

the same, hospitals may choose the disciplines of super speciality

mentioned in the table as per feasibility, infrastructure, justification and local

conditions i.e. if one super speciality is started in one ESIC Hospital then

other super speciality may be developed in another nearby ESIC Hospital.

XXXXXXXXX

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Annexure 1 of Enclosure to letter no. U-13/14/38/2020Med-I(ESIC/SC)

dated 28.09.2020

Bed wise sanctioned post of specialists 100 beds

I. Broad Specialty for 100 beds

S.N Department

Sanctioned Proposed Full Time

ESIC IPHS

1. Medicine 2 2 2

2. Surgery 2 2 2

3. ENT 1 1 1

4. Eye 1 1 1

5. Pediatrics 2 3 2

6. Radiology 2 1 2

7. Respiratory Med. 1 0 1

8. Dermatology 1 1 1

9. Dentistry 1 1 1$

10. Pathology 1 1 1+1~

11. Obs & Gynae 2 2 3

12. Orthopedics 1 1 2

13. Anesthesia 2 2 3

14. Microbiology 0 1 1

15. Biochemistry 0 0 1

16. Psychiatry 0 1 1

17. Blood Bank 0 0 0

TOTAL 19 19 24 +1~ + 1$

~To look after Blood Bank

$ The proposal has been kept considering 1 Junior Residents ( ESIC JR) shall be recruited in Dentistry

20% of total posts to be sanctioned over and above the proposed full time consultants, to be filled up only against leave vacancy/deputation/training on contractual basis by MS/Dean

6 no of IMO(Preferably PG in Specialty)/Senior Resident will be provided to any specialty with round the clock services

In case Full Time Contractual Specialist does not join; then part time contractual specialist may be engaged as per options in Annexure 8

The rate of remuneration of Contractual full time/part time Specialist is as per Annexure 8

8

II. Super Specialty for 100 beds

S No Department Sanctioned

Consultant/ Super Specialist

IMO/Senior Resident

1 Cardiology 0 1 4

2 Nephrology* 0 1 2

3 Oncology 0 1 5

Total 3 11

6 no of IMO(preferably PG in specialty)/Senior Resident will be provided to any specialty

with round the clock services

@One extra Specialist from concerned broad specialty may be sanctioned to maintain

continuity of super specialty services in event of unforeseen non-availability of super

specialist.

*Increased staff for Nephrology may be as per norms developed by HOD Nephrology ESIC

PGISMR Basaidarapur (Annexure )

Medical Superintendent to recruit the super specialist/consultant/senior resident in

Super Specialties only after due diligence has been exercised for feasibility of starting

these super specialty disciplines, regarding number of regular doctors, staff and

infrastructure. If there is increased workload the proposal may be sent to

Headquarters for additional sanction.

Headquarters to take feedback from Medical Superintendent/Dean before regular

recruitment about the success of running of these disciplines on pilot basis.

In case of non-availability of Full time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure . The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7.

9


dated 28.09.2020

Bed wise sanctioned post of specialists 200 beds

I. Broad Specialty for 200 beds

S.N Department

Sanctioned Proposed Full Time

ESIC* IPHS

18. Medicine 2 2 3

19. Surgery 2 2 2

20. ENT 1 1 1

21. Eye 1 1 1

22. Pediatrics 2 3 3

23. Radiology 2 1 2+1@



26. Dentistry$ 1 1 2$

27. Pathology 1 2 1

28. Obs & Gynae 2 3 3


30. Anesthesia 2 2 3




34. Blood Bank& 0 0 1

TOTAL 19 22 31+1@ + $ *Sanctioned for 100 bed hospital, 200 bed sanctioning not available for ESIC

$ The proposal has been kept considering 2 Junior Residents ( ESIC JR) shall be recruited in Dentistry

& Under Deptt of Pathology

@ only if CT/MRI facility available 6 no of IMO/Senior Resident will be provided to any specialty with round the clock services

$ 20% of total posts to be sanctioned over and above the proposed full-time consultants, to be filled up only against leave vacancy/deputation/training on contractual basis by MS/Dean


The rate of remuneration of Contractual full time/part time Specialist is as per Annexure 8.

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II. Super Specialty for 200 beds

S No Department Sanctioned

Consultant/Super Specialist

IMO/Senior Resident

1 Cardiology 0 1+1* 4

2 Nephrology* 0 1 2

3 Oncology 0 1 1

4 Burns and Plastic Surgery

0 1 2

5 Endocrinology 0 1 2

6 Gastroenterology

0 1 2

7 Hematology 0 1 2

8 Neonatology 0 1 2

9 Neurology 0 1 2

10 Urology 0 1 2

Total 10+1 21

*Only if TMT/ECHO/CCU started

6 no of IMO/Senior Resident will be provided to any specialty with round the clock services


PGISMR Basaidarapur (Annexure 5a)








In case of non-availability of Full time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure 7. The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7

11


dated 28.09.2020

Bed wise sanctioned post of specialists for 300 beds

I) Broad Specialty for 300 beds

S.N Department

Sanctioned* Proposed Full time

ESIC* IPHS

1. Medicine 2 3 4

2. Surgery 2 3 4

3. Obs & Gynae 2 4 4


5. ENT 1 2 2

6. Eye 1 2 2

7. Pediatrics 2 4 4

8. Radiology 2 2 3+1@



11. Anesthesia 4 3 4+2^

12. Pathology 2 3 2




16. Blood Bank & 0 0 2

17. Dentistry 2 2 2$

Total 27 33 44+1@+2^

No norms exist for 300 beds in ESIC. The nearest is for 250 bed hospital

$ The proposal has been kept considering 2 Junior Residents (ESIC JR) shall be recruited in Dentistry


@ only if CT/MRI facility available

^ As ICU incharge

6 no of IMO (preferably PG in specialty) /Senior Resident will be provided to any specialty with round the clock service

20% of total posts to be sanctioned over and above the proposed full-time consultants, to be filled up only against leave vacancy/deputation/training on contractual basis as per MS/Dean



12

II) Super Specialty for 300 beds

S No Department Sanctioned*


IMO/Senior Resident~

35. Anesthesiology and Critical Care for related super specialty branches e.g. Cardiac, Neuro

0 3@ 4

36. Burns & Plastic Surgery 1 2 4

37. Cardiology 2 3@ 4

38. Cardiothoracic Surgery 0 2 4

39. Interventional Radiology 0 1 2

40. Endocrinology & Metabolism 1 2 2

41. Gastroenterology 1 2 2

42. Hematology 1 2 2

43. Medical Oncology

1 3@ 2

44. Neonatology 0 3 5

45. Nephrology* 1 3@ 4

46. Neurology

1 2 2

47. Neurosurgery 0 2 2

48. Pediatric Surgery 1 2 2


0 2 2

50. Radiotherapy 0 1 1

51. Reproductive medicine & surgery

0 2 2

52. Surgical Gastroenterology 0 1@ 2

53. Surgical Oncology 0 1@ 2

54. Trauma 0 2@ 4

55. Urology 1 2 2

56. Rheumatology 0 2 1

Total 11 45 57 No norms exist for 300 beds in ESIC. The nearest is for 250 bed hospital

6 no of IMO (preferably PG in specialty) /Senior Resident will be provided to any specialty with

round the clock service

@ One extra Specialist from concerned broad specialty may be sanctioned to maintain

continuity of super specialty services in event of unforeseen non - availability of super

specialist


PGISMR Basaidarapur (Annexure 11)

13








In case of non-availability of Full time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure 7. The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7

14


dated 28.09.2020


I) Broad Specialty for 400 bed

S.N Department

Sanctioned* Proposed Full time

ESIC* IPHS

18. Medicine 3 5 5

19. Surgery 3 4 4

20. Obs & Gynae 3 6 6


22. ENT 2 2 2

23. Eye 2 2 2


25. Radiology 3 2 4+1^



28. Anesthesia 6 4 6@

29. Pathology 2 4 3




33. Blood Bank & (Under Deptt of Pathology)

1 0 2

34. Dentistry+ 2 3 3 Total 41 42 58 +1^+$

Norms for 500 beds in ESIC as 400 beds not available

@ Includes ICU Incharge

^ only if CT/MRI facility available and assessment of workload

+ The proposal has been kept considering 2 Junior Residents (ESIC JR) shall be recruited in Dentistry


@ only if CT/MRI facility available

6 no of IMO (preferably PG in specialty) /Senior Resident will be provided to any specialty with round

the clock service

$20% of total posts to be sanctioned over and above the proposed full-time consultants, to be filled

up only against leave vacancy/deputation/training as per MS/Dean



15




IMO/Senior Resident


0 3@ 4






63. Gastroenterology 1 2@ 2



1 3@ 2



68. Neurology

1 2@ 2




0 2 2


73. Reproductive medicine & surgery 0 2 2



76. Trauma 0 2 4

77. Urology 1 2 2


Total 11 45 57 Norms for 500 beds in ESIC





specialist



16








In case of non-availability of Full-time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure 7. The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7.

17


dated 28.09.2020


I) Broad Specialty for 500 bed

S.N Department

Proposed Full time

ESIC* IPHS Proposed

35. Medicine 3 5 8

36. Surgery 3 4 6

37. Obs & Gynae 3 6 6


39. ENT 2 2 3

40. Eye 2 2 3


42. Radiology 3 2 5+1^



45. Anesthesia 6 4 7@

46. Pathology 2 4 3




50. Transfusion Medicine & Hematology

1 0 3

51. Dentistry& 2 3 3 Total 41 42 70 +1@+$

Norms for 500 beds in ESIC


& The proposal has been kept considering 2 Junior Residents ( ESIC JR) shall be recruited in Dentistry

^ only if CT/MRI facility available

$ 20% of total posts to be sanctioned over and above the proposed full time consultants, to be filled up only against leave vacancy/deputation/training as per MS/Dean

6 no of IMO/Senior Resident will be provided to any specialty with round the clock services

Norms applicable for Medical College/PGIMSR as per MCI or ESIC, whichever is higher shall be considered for teaching hospitals.



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IMO/Senior Resident


0 3@ 4









1 3@ 2


89. Nephrology 1 3@ 4

90. Neurology

1 2@ 2




0 2 2





98. Trauma 0 2@ 4

99. Urology 1 2 2


Total 11 45 57

Norms for 500 beds in ESIC




continuity of super specialty services in event of unforeseen non - availability of super specialist



19

Norms applicable for Medical College/PGIMSR will be as per regulatory MCI or ESIC, whichever is higher.








In case of non-availability of Full time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure 7. The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7.

20


dated 28.09.2020


I) Broad Specialty for 750 beds

S.N Department MCI Norms* Proposed Full time#

52. Medicine 14 12

53. Surgery 14 10

54. Obs & Gynae 10 10

55. Orthopedics 8 6

56. ENT 3 3

57. Eye 4 4

58. Pediatrics 8 8

59. Radiology 5 8

60. Respiratory Med. 3 4

61. Dermatology 3 3

62. Anesthesia 11 11@

63. Pathology 9 4

64. Microbiology 5 3

65. Biochemistry 4 2

66. Psychiatry 3 3

67. Transfusion Medicine and Hematology

3 3

68. Dentistry& 3 3

Total 110 97 + $ Norms as in medical colleges as per MCI norms for 150 MBBS admissions + post graduation, bed

requirement 650 + 100 =750


& The proposal has been kept considering 2 Junior Residents ( ESIC JR) shall be recruited in Dentistry

$ 20% of total posts to be sanctioned over and above the proposed full time consultants, to be filled up only against leave vacancy/deputation/training as per MS/Dean

6 no of IMO (preferably PG in specialty) /Senior Resident will be provided to any specialty with round the clock service

Norms applicable for Medical College/PGIMSR will be as per regulatory MCI or ESIC, whichever is higher.



21




IMO/Senior Resident


0 3@ 4









1 3@ 2

110. Neonatology 0 3@ 5


112. Neurology

1 2@ 2




0 2 2





120. Trauma 0 2@ 4

121. Urology 1 2 2


Total 11 45 57 Norms for 500- 1000 beds in ESIC not available. Nearest is for 500 beds





specialist



22








In case of non-availability of Full-time consultant/ Super Specialist, the consultant/Super Specialist shall be hired as per options in Annexure 7. The rate of remuneration of Contractual full time/part time Super Specialist is as per Annexure 7.

23


dated 28.09.2020

I. Consolidated remuneration shall be revised as and when the RR are framed based on AIIMS RR and pay scales

II. The following rates are proposed for Super Specialty

A.) Proposed for Full time Contractual Fixed Remuneration

Super Specialist (entry level)

Consultant (senior level)

Existing * 1.75 lac with revision of 2.5 % every year w.e.f. 2018

proposed Rs 2,00,000/month

Rs 2,40,000/ month

* As per the ESIC approved terms and condition No A-12/16/6/2018 (contractual)-Exam Dated 23.1.2018

Terms and condition applicable to the Full time Contractual Specialist will be:

The Specialist/ Super specialists may be engaged on full time contract basis with consolidated remuneration for a minimum period of three years. The contract would be extendable yearly based on satisfactory performance.

Engagement may be done presently based on experience clause in existing RR's of few specialist and super specialist branches.

Available on call 24x7.

The Super specialist / Specialist shall be responsible for all cases undergoing treatment under his supervision in that specialty discipline.

He will be entitled for the leave @ 04 days for each month of work on pro-rata basis in a calendar year. In the event, the Super specialist prefers not to avail the leave; the same may be enchased to a maximum limit of 30 days.

The selected specialist must have a professional indemnity policy which should cover the period as desired by ESIC in the bid. The policy is meant to cover professional liability falling on them as a result of error and omissions committed by them while rendering professional services. The minimum sum assured per annum should be Rs.30 lac for Anaesthesiologists, Cardiac Surgeon, Neuro Surgeons, Plastic Surgeons etc. (2) rs.20 lakhs for General Surgeons, Gynaecologist, Obstetrician etc. (3) for Physicians

24

Dentists, Radiologists, Pathologists etc. It should be at least of Rs.10 lacs. A copy of the Insurance & Premium and receipt must be submitted within 7 days from the date of engagement.

Other T&C would be in line with those issued vide HQ Letter dated 23.01.2018 (Copy enclosed)

B). Proposed rate for fixed remuneration + with rate for additional hour/ Case to case of fixed percentage of CGHS rate

PT Super Specialist

Fixed remune-ration (16 hrs/ week)


Additional remuneration beyond 16 hrs/week*

Existing ₹ 82,000 ₹20,000 ₹ 2000 for every additional 2 hours (Annexure 12)

Proposed

Option 1

Super Specialist (Entry Level)

₹ 1,00,000/-



₹ 1,50,000/-


Option 2

Super Specialist (Entry Level)

₹ 1,00,000/-



₹ 1,50,000/-


*The additional hour of work is to be justified by MS/ Dean. ** fixed remuneration (retainer) plus fixed percentage of the CGHS rates for procedures and investigations on case to case basis.

The percentage has been fixed depending upon the duration of procedure, the prevailing market rate, nature of the procedure generated in the department.

The retainer remuneration (fixed income) will be as per following terms and conditions: - Minimum working hour will be 16 per week (as already

approved) as per directions of MS/ Dean. Available on call 24x7. He / She will not be entitled for any kind of leave or benefits.

25

The amount of fixed remuneration will be applicable upto100 new cases, 100 old cases and 50 IPD cases, per month. Beyond this will be charged as per CGHS Rate

Cross Reference Charges of indoor ward patients from broad specialties to be paid @ of OPD Consultation Charges.

Cross Reference Charges of ICU patients from broad specialties to be paid @ of IPD Consultation Charges.

Rates for case to case basis as fixed for any particular branch are in the Annexure 12 to 20.

In the case of more than one Super specialist engaged through various options i.e. regular/full time contractual engagement/fixed remuneration + case to case basis Dean/MS will ensure appropriate distribution of work among the super specialists.

The selected specialist must have a professional indemnity policy which should cover the period as desired by ESIC in the bid. The policy is meant to cover professional liability falling on them as a result of error and omissions committed by them while rendering professional services. The minimum sum assured per annum should be Rs.30 lac for Anaesthesiologists, Cardiac Surgeon, Neuro Surgeons, Plastic Surgeons etc. (2) rs.20 lakhs for General Surgeons, Gynaecologist, Obstetrician etc. (3) for Physicians Dentists, Radiologists, Pathologists etc. It should be at least of Rs.10 lacs. A copy of the Insurance & Premium and receipt must be submitted within 7 days from the date of engagement.

Other T&C would be in line with those issued vide HQ Letter

dated 23.01.2018 (copy enclosed)

B.) In event of non-availability of the Super-specialist full time contractual/

fixed remuneration with case to case basis as above, Dean/ MS will keep a

panel of Super-specialists ready to meet the exigency and may obtain their services at

the following percentage of CGHS rates:

Value of procedure / investigation (CGHS rates)

% of CGHS rates offered to empaneled Super specialists

Upto₹. 1000 90%

₹ 1000 to up to ₹ 5000 80%

₹ 5000 to up to ₹10000 60%

Above ₹ 10000 50%

A committee of different super specialist needs to be constituted in each discipline to

decide upon the percentage of CGHS rates for case to case basis, till then interim present

rates may be offer.

26


dated 28.09.2020

III. Consolidated remuneration shall be revised as and when the RR are

framed based on AIIMS RR and pay scales

IV. A) The proposed consolidation for full time contractual specialist is

as under:

City X Y Z

Existing rate (as Level 11 Junior Specialist) *

Rs1,01,000 Rs 92,000 Rs 86,000

Proposed rate for Level 11 Junior Specialist (3 yrs exp post PG as per RR

Rs 1,12,000 Rs 1,06,000 Rs 1,00,000

Proposed for Level 12 Senior Specialist (5 yrs exp post PG as per RR)

Rs 1,29,000 Rs 1,23,000 Rs 1,16,000

* as per memorandum No A-12/16/6/2018 (contractual)-Exam Dated 23.1.2018

Explanation for the consolidated salary

i) Proposed for Level 11 (Junior Specialist Grade II)

City X Y Z

Basic Pay Rs 67700 Rs 67700 Rs 67700

NPA Rs 13,540 Rs 13,540 Rs 13,540

DA Rs 13,810 Rs 13,810 Rs 13,810

HRA Rs 16,248 Rs 10,832 Rs 5,416

Total Rs1,11,298 Rs 1,05,882 Rs1,00,466

Proposed Rs 1,12,000 Rs 1,06,000 Rs 1,00,000

ii) Level 12 (Senior Specialist Grade II)

City X Y Z

Basic Pay Rs 78,800 Rs 78,800 Rs 78,800

NPA Rs 15,760 Rs 15,760 Rs 15,760

DA Rs 16,075 Rs 16,075 Rs 16,075

HRA Rs 18,912 Rs 12,608 Rs 6304

Total Rs1,29,547 Rs 1,23,243 Rs1,16,939

Proposed Rs 1,29,000 Rs 1,23,000 Rs 1,16,000

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B) As per calculation of the circular the rates come out as modified rate

According to terms and conditions based on the Memorandum of ESIC No A-

12/16/6/2018 (contractual)-Exam Dated 23.1.2018 modified consolidated salary for

Full Time contractual specialist.

City X Y Z

Existing Rate Rs1,01,000 Rs 92,000 Rs 86,000

Modified rate * based on 2.5% increment for 2 years (w.e.f.2018)

Rs 1,06,113 Rs 96,657 Rs 90,354

A chosen over B for making remuneration attractive, within the existing scale.

Terms and condition applicable to the Full time Contractual Specialist will be:

(i) Specialist shall be recruited for a period of 3 years with annual evaluation

and term renewed every year based on satisfactory performance

(ii) Private practice will not be allowed

(iii) Available on call 24x7.

(iv) The specialist shall be responsible for all cases undergoing treatment

under his supervision in his discipline.

(v) He will be entitled for the leave @ 04 days for each month of work. On

prorate basis in a calendar year. In the event, the specialist prefers not to

avail the leave, the same may be encashed to a maximum limit of 30 days/

year.

(vi) Age of specialist may be upto 67 years as per memorandum number

L11/12/03/Misc(PF)/2009/MEC dated 16.12.2011 (copy enclosed)

(vii) The selected specialist must have a professional indemnity policy which should cover the period as desired by ESIC in the bid. The policy is meant to cover professional liability falling on them as a result of error and omissions committed by them while rendering professional services. The minimum sum assured per annum should be Rs.30 lac for Anaesthesiologists, Cardiac Surgeon, Neuro Surgeons, Plastic Surgeons etc. (2) rs.20 lakhs for General Surgeons, Gynaecologist, Obstetrician etc. (3) for Physicians Dentists, Radiologists, Pathologists etc. It should be at least of Rs.10 lacs. A copy of the Insurance & Premium and receipt must be submitted within 7 days from the date of engagement.

(viii) Other T&C would be in line with those issued vide HQ Letter dated 23.01.2018 as in (copy enclosed)

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II.) Part Time proposed fixed remuneration + per hour/ Case to case of fixed percentage CGHS rate

Part Time Specialist Fixed Remuneration (For 16 hr/week)

Visiting Charge in case of emergency call

Additional Remuneration above 16 hr/ week

Existing remuneration as per (Memorandum of ESIC No A-12/16/6/2018 (contractual)-Exam Dated 23.1.2018)

Rs 60,000 Rs 12,000 Rs 1000 for every additional 2 hour

Part Time with no case to case remuneration

Rs 60,000 Rs 15,000 Rs 800/hr for every additional hour#

Part Time with case to case (Anesthesia/Pediatrics/Radiology/Medicine)

Rs 60,000 Rs 15,000 Fixed percentage of per CGHS rate on case to case basis

# Additional hours to be justified by Medical Superintendent

Terms and conditions for Part time contractual

(i) Period of contract one year from the date of joining (ii) Minimum working hour will be 16 per week (as already approved) as per

directions of MS/ Dean. (iii) He will not be entitled for any kind of leave or benefits.

(ix) Available on call 24x7 as he will be drawing emergency call charges

(x) The specialist shall be responsible for all cases undergoing treatment under

his supervision in his discipline.

(xi) Age of specialist may be upto 67 years as per memorandum number

L11/12/03/Misc(PF)/2009/MEC dated 16.12.2011 (Copy enclosed).

(xii) The selected specialist must have a professional indemnity policy which should cover the period as desired by ESIC in the bid. The policy is meant to cover professional liability falling on them as a result of error and omissions committed by them while rendering professional services. The minimum sum assured per annum should be Rs.30 lac for Anaesthesiologists, Cardiac Surgeon, Neuro Surgeons, Plastic Surgeons etc. (2) rs.20 lakhs for General Surgeons, Gynaecologist, Obstetrician etc. (3) for Physicians Dentists, Radiologists, Pathologists etc. It should be at least of Rs.10 lacs. A copy of the Insurance & Premium and receipt must be submitted within 7 days from the date of engagement.

(xiii) Other T&C would be in line with those issued vide HQ Letter dated 23.01.2018 as in (Copy enclosed)

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