The IMA will be writing to the state government and the local body making a demand to establish a new entity or relax the norms of the Bombay Nursing Homes Registration Act, under which the centres are registered.
At present, there are more than 200 such centres in Pune alone and people are opting for day care surgery models due to its low cost. Surgeries at these centres allow for treatment without an overnight stay. As the patient is treated in an outpatient setting, it is also known as ‘outpatient surgery’.
These centres cover specialities like general surgery, gynaecology, orthopaedics, skin, ENT, ophthalmology, plastic and cosmetic surgery, paediatric surgery, urology, gastrointestinal and dental procedures.
The IMA, in its letter, will bring to the fore several issues like the number of nurses required at a centre.
Stringent provisions of the effluent treatment plants (ETP) and sewage treatment plants (STP) and biomedical waste have to be followed by the centres at present. The IMA wants these centres to be exempted from pollution norms. The association also wants the fire safety norms to be relaxed as there are no patients who stay overnight at the centres.
Dr Sanjay Patil, president of IMA, Pune, said that the day care surgical centres or medical centres that are registered under the Bombay nursing home act technically don’t fall under its ambit. Patil said, “The centres have to follow the norms that are not necessary. We will write to the state government and the local body to consider our demand and if required will take the help of the central body to push our demand.”
Dr Ramchandra Hankare, Pune Municipal Corporation (PMC)’s health chief, said, “The current process is going smooth. PMC has its own limitations and the issue has to be escalated to the state authorities only after which can we implement changes. We cannot make changes to these centres as PMCdoesn’t have power for it.”
Dr Nandkishore Gosavi, ENT consultant and surgeon at Navjeevan Hospital in Hadapsar, said that the government should support such day care surgical centres as the cost is the prime factor which attracts patients. Gosavi said, “The patients trust the doctors and the cost is also minimal. There is a need for a new entity or special provisions for such centres. The centres are established by doctors from different branches and several procedures are done. New norms being added to the nursing home act will make it difficult for the day care centres to function.”