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Video: Patient at Shimla’s Covid-Care Facility Complains of Mismanagement, Spending from Pocket for Medicines
Shimla-With visible stress on Himachal Pradesh’s health system, like the rest of the nation, complaints regarding medical mismanagement are surfacing. Delay in reports of RT-PCR results is a common grievance. However, on May 10, a family alleged that their kin died as 108 ambulance ran out of oxygen while it was on the way to the hospital. In another case, a woman referred from Kinnaur allegedly died due to delay of five hours in admission to the DDU hospital in Shimla.
A Covid-19 patient admitted to the dedicated Covid care facility in Ayurvedic Hospital, Chhota Shimla, complained that the staff was not co-operative and that doctors did not monitor him frequently.
Sanjay Shah, a resident of Bihar, alleged that he had tested positive on April 24, 2021, at the Indira Gandhi Medical College in Shimla. He was then referred to DDU Covid-care hospital where he was admitted for 11 days after which he was discharged and referred to the Ayurvedic Covid-care hospital. With the help of a fellow patient, he recorded a video explaining his problem and shared it with Himachal Watcher.
Sanjay alleges that he was being asked to arrange for expensive medicine from private medical stores. An acquaintance of Sanjay then had to borrow money and arrange the prescribed medicines. “They conducted a medical check-up and asked me to arrange some medicine, which cost me nearly Rs. 4000,” Sanjay said.
Bill of medicines that the patient had to buy from private medical store
“I am tired. It’s been 17 days,” he said.
Sanjay also complained that doctors rarely visit him for checkups. While using the toilet, Sanjay carries his IV stand along with him, which he said is very cumbersome. He said all he wants is that doctors visit him daily and that he should be informed properly about the treatment and the use of medicines for which he had to pay by seeking financial help from his acquaintances
When inquired regarding this complaint, the Medical Superintendent of Ayurvedic hospital, told Himachal Watcher that Shah was being administered with antibiotics through IV, but now he is on oral doses.
Regarding the complaint about the availability of doctors and regular check-ups, the MS said that this hospital is more of a step-down facility for Covid-19 patients, and consultations regarding the cases are undertaken from a panel of specialists at the IGMC Shimla through a WhatsApp group. If required, the patients are referred to DDU or IGMC, he said. On being asked about the medicines Sanjay was asked to arrange, the MS said that the IGMC panel sometimes prescribes medicines that are not available in both the hospitals. Under such circumstances, the patient is asked to buy such medicines from private medical stores.
When MS was asked how Sanjay should arrange for his medicine from outside the hospital, he had no clear answer. Responding to Sanjay’s complaint regarding the inconsistent visit of doctors, the MS said that the entire medical staff wears PPE kits, which makes it hard for patients to differentiate between doctors and other healthcare workers who visit the ward.
The MS of Deen Dayal Upadhyay Hospital told Himachal Watcher that currently there are a total of 21 patients at their facility while the hospital staff is working around the clock in three shifts. In each shift, the hospital has appointed at least one doctor, a pharmacist, a nurse, and two Class IV employees. The Medical Superintendent also said that recently a pharmacist had created a scene as he refused to enter the ward, after which the hospital did take action against him.
In another case of medical mismanagement in the state capital, a resident of Chhota Shimla had alleged that his mother was denied admission to the facility despite her condition being critical due to low oxygen saturation. The son then had to make arrangements for oxygen support at his residence with the help of an NGO.
Shimla-Himachal Pradesh Government employees working in different departments before January 3, 2022, would be given a higher scale at par with other employees on completion of two years tenure of regular service. A higher pay scale was also announced for the Junior Office Assistants (IT) on completion of two years of regular service.
Chief Minister Jairam Thakur made these announcements during the Karamchari Maha Sammelan of the Himachal Pradesh Non-Gazetted Employees Federation at the hotel Peterhof on Sunday.
He appreciated the role played by the employee especially frontline workers in the battle against the pandemic.
He said most of the government employees in the state have been given revised pay scales and on average, every employee has got the benefit of a 12 to 15 percent salary hike. There has also been an increase in the pension of about 1.50 lakh pensioners of the state. The financial benefits of Rs. 7801 crore have been given to state government employees and pensioners from the year 2018 to 2022. The pensioners who retired before 2016 are getting the benefit of a 15 to 20 percent increase in the pension while around 40 thousand pensioners who retired after 2016 would be benefitted soon, he said.
He said the daily wages were Rs. 210 in the year 2017 which has been increased by the present state government to Rs. 350. Similarly, 12 per cent interim relief annually has been provided to government employees and pensioners during the present government’s tenure. He said the Himachal government has provided Dearness Allowance to its employees and pensioners on the lines of Punjab and Central governments from the due date. The Punjab government has given only 5 percent interim relief to the employees while the Himachal government has provided 21 percent interim relief to its employees.
“Out of the total interim relief amount given to the employees and pensioners amounting to about Rs. 6500 crore, Rs. 3500 crore has been paid during the tenure of our government” added the Chief Minister.
He said that the state government has increased the government contribution for NPS employees from 10 percent to 14 percent benefitting more than one lakh employees. The NPS employees are being given the benefits of retirement and death gratuity at par with employees falling under the old pension scheme. The government has also increased the upper limit of death gratuity from Rs. 10 lakh to Rs. 20 lakh.
The Chief Minister said the state government has also increased the honorarium of para-workers working in various departments. The salary of outsource workers has been hiked by Rs 1,500 per month.
Non-Gazetted Employees Federation President Ashwani Thakur thanked the Chief Minister for providing various financial and other benefits to different categories of government employees.
New Delhi-The Centre has issued a notification to the States informing that the provisions of the Disaster Management (DM) Act, 2005 will not be invoked in the country after March 31. The Union Health Ministry said that the use of face masks and following hand hygiene will continue.
It implies that most of the Covid-related rules and restrictions would end.
Union Home Secretary Ajay Bhalla issued the notification which said that the decision was taken following the overall improvement in the situation and the preparedness of the government in dealing with the COVID-19 pandemic.
However, local authorities and State police can still invoke fines and criminal cases against persons violating COVID-19 norms under the Indian Penal Code (IPC), a senior government official said.
The DM Act was invoked on March 24, 2020, due to the pandemic
“Over the last seven weeks or so there has been a steep decline in the number of cases. The total caseload in the country stands at 23,913 only and the daily positivity rate has declined to 0.28%. It is also worth mentioning that with the combined efforts, a total of 181.56 Cr vaccine doses have been administered,” the notification said.
“I would like to mention that in view of the nature of the disease, we still need to remain watchful of the situation. Wherever any surge in the number of cases is observed, the States/UTs may consider taking prompt and proactive action at a local level, as advised by MoHFW (Health Ministry) from time to time,” the notification said.
The Indian government had issued various guidelines and measures for the first time on March 24, 2020, under the Disaster Management Act to curb the COVID-19 situation in the country, which have been modified several times thereafter.
India currently has 23,087 active COVID-19 cases and recorded 1,778 new cases and 62 deaths in the last 24 hours. The daily positivity rate has also declined to 0.28%.
Shimla-A meeting of the Himachal Pradesh Cabinet was held on March 20, 2022, under the chairmanship of Chief Minister Jai Ram Thakur.
The excise policy for the financial year 2022-23 was approved. Approval was also given for the renewal of retail excise vends in the state for the financial year 2022-23 at the renewal fees of 4% of the value of unit/vend.
The State Government said that wants to enhance the government revenue and curb the smuggling of country liquor from the neighbouring states by a reduction in its price.
The brands of Country Liquor will be cheaper as license fees have been reduced. This will help in providing good quality liquor at a cheaper rate to the consumers.
In the new excise policy, the 15% fixed quota of country liquor for manufacturers and bottlers to be supplied to the retail licensees has been abolished. According to the government, this step will give the retail licensees to lift their quota from the suppliers of their choice and further assure the supply of good quality country liquor at competitive prices. The MRP of country liquor will be cheaper by 16% of the existing price.
In this year’s policy, the Gaudhan Vikas Nidhi Fund has been enhanced by Re.1/- from the existing Rs.1.50 to Rs.2.50.
The fixed annual license fee of Bars has been rationalized by abolishing the area-specific slabs of license fee. Now throughout the State, there will be uniform license slabs based upon the room capacity in hotels.
Rates of the annual fixed license fee of Bars in the tribal areas has been reduced considerably.
Further, all the above stakeholders will have to install CCTV cameras at their establishments as it was made mandatory for them.
Wholesale vends and retail vends, the penalty provisions under the H.P. Excise Act, 2011 have been made more stringent.
An end to end online Excise Administration System would be established in Himachal Pradesh, the government said.
HP Government estimates a collection of Rs 2131 crore revenue during the year, which will be Rs. 264 crores higher than the financial year 2021-22 – growth of 14% in state excise revenues.
The Cabinet also gave its nod to amend Himachal Pradesh Disaster Relief Manual-2012 to include deaths due to biting of honey bees, hornet and wasps, accidental drowning and deaths due to accidents of vehicles (including land, water and air) under this Manual.
The Cabinet gave its approval for filling up 11 posts of ‘A’ Class Tehsildar in Revenue Department through direct recruitment on regular basis through Himachal Pradesh Public Service Commission.
HP State Toll Policy 2022-23
The HP Cabinet also gave its nod to HP State Toll Policy for the year 2022-23 which envisages auction cum tender for all the toll barriers in the State. During the year 2021-22, toll revenue has registered a growth of 20 percent of the previous year’s revenue.
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