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Installation of CT scan machines in State medical colleges by private agencies, West Bengal
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Subject Area="Public / private partnership (including NGOs)." Objective="Improved hospital services."
Details for Reform Option "Installation of CT scan machines in State medical colleges by private agencies, West Bengal"
Summary

Action: Computed Tomography (CT) scan machines have been installed and are being run by private agencies in 7 Government institutions in West Bengal. The terms and conditions state that free services should be given to at least 35 poor patients per hospital and to not more than 615 cases per month at approved government rates. The private agency can then carry out as many scans as it wishes, at its own prices, but the government is then entitled to 25% commission from each scan. The private partners bear all capital and operational and maintenance costs for running the facilities while the government provides rent-free accommodation. The entire system must be made available to undergraduates and post-graduate students for training and teaching purposes at pre-designated times. The private agencies must submit their accounts weekly to officers of the Department of Health and Family Welfare (DoHFW) and make them available to hospital administrators during spot checks. Results: No evaluation has yet been undertaken. However, services have been made available to patients at Government hospitals at rates which are much lower than the market rates (Rs. 800/- for brain scan). The number of patients has increased considerably. Therefore the initial tenure of agreement of two years has been extended.

Cost Most of the cost (both capital and running cost including maintenance and electricity) is borne by the private agency. The tendering procedures cost approximately INR 15,000.
Place 7 Medical colleges including BS Medical College, Bankura; NRS Medical College, Kolkata; Medical College, Kolkata; SSKM Hospital, Kolkata; R.G.Kar Medical Colege, Kolkata; National Medical College, Kolkata; Midnapore Medical College, Midnapore.
Time Frame As required for tendering procedures and evaluation of the proposals to be completed approximately two months to assign contract and four weeks for private agencies to set up at the hospital and a total of 8 months to issue the Government order.
Advantages

Cost effective: ensures fully working equipment at hospital without any major cost to the government.

Challanges

None reported.

Prerequisites

Private agencies willing to carry out such work. Political commitment to private/public partnerships.

Who needs to be consulted

State Government health departments; hospital administration; private agencies.

Risks

Sustainability

Good. The agreement has been working for three years and is continuing.

Chances of Replication

Assumed good, since it has already been replicated and is now functional in 7 medical college & hospitals.

Comments

The Department of Health & Family Welfare, Government of West Bengal, has brought out a policy document on ‘Health Sector Reform’ and developed a ‘Strategic Framework’ which has dealt at length on partnership with private sector and NGOs. It has developed a ‘Draft policy for Public Private Partnership in the Health Sector’ which is available on their website for public feedback. See entry on “Establishing a Public Private Partnership Policy, West Bengal”.

Contact

Submitted By

Clare Kitchen, Research Consultant, ECTA, New Delhi. November 2004.

Status Active
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