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ASHFAQ YUSUFZAI — PUBLISHED about 10 hours ago
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PESHAWAR: The Khyber Pakhtunkhwa Health Department is fast moving to implement the Health Reforms Law as posts of the chief executive (CE) and medical superintendent (MS) have been abolished in the four teaching hospitals of the province to improve patient care.
In the first phase, the CEs and medical superintendents in the four teaching hospitals are being replaced by the hospital and medical directors, respectively.
Sources told Dawn that the Search and Nomination Council, formed by the government for implementation of the Health Reforms Act 2015, is appointing the hospital and medical directors for an interim period of six months at the Khyber Teaching Hospital, Lady Reading Hospital and Hayatabad Medical Complex in Peshawar and Ayub Teaching Hospital, Abbottabad.
10-member BoG at each hospital to have seven members from private sector
The medical superintendents, who are government employees of administrative cadre in BPS-20, will be posted somewhere else, whereas the CEs, who are employees of the respective hospitals and appointed on temporary basis, would revert to their original posts.
The hospitals are also hiring the services of nursing and finance directors. The four directors are being hired from the existing staff till the appointment of permanent people on these posts.
The new model, a brainchild of an US-based Pakistani doctor, aims to grant complete administrative and financial autonomy to the hospitals with each having a 10-member board of governors (BoG) to be in place within two months. Three BoG members will come from the government side and seven from private sector, which will run the respective hospitals.
To make the BoG powerful, there will be no voting right to the official members regarding decision-making about the hospitals.
The sources said that the health department had also drafted rules to put into practice the new law which would be sent soon to the government for approval. Following implementation of the law, the hospitals will continue to receive grant-in-aid from the government as usual but the revenue which they generated and used to deposit with the government would now be retained by them to be utilised for making the patient care effective.
The legislation also seeks to jack up salaries of staff in line with the market rates in the private institutions with a view to providing them a competitive environment.
As opposed to the previous mechanism when CE of the respective hospital used to be chairman of the management committee, BoG will select its chairman from private sector who will play a lead role in making the new system work, according to the sources.
The law resembles with recommendations made by a three-member committee comprising experts from the US, UK and Germany in 2006 after evaluating functioning of the four hospitals. However, successive governments hesitated to implement the recommendations and give complete autonomy to the hospitals as they didn’t want to lose their influence.
The new system leaves no room for the government to intervene, they said. It is in line with the Pakistan Tehreek-i-Insaf agenda to strengthen health care network in the province. Several meetings have taken place with PTI chairman Imran Khan in this regard.
The sources say that the hospitals will see marked improvement as they will operate round-the-clock unlike the past when they would be closed after 2:00pm and received only the critically ill and injured people. As opposed to the institution-based practice (IBP) launched by the military-led government in 2000 where doctors were forced to comply, it has now been made voluntary.
Published in Dawn, March 18th, 2015
Posts of MS, CE abolished in teaching hospitals - Newspaper - DAWN.COM
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PESHAWAR: The Khyber Pakhtunkhwa Health Department is fast moving to implement the Health Reforms Law as posts of the chief executive (CE) and medical superintendent (MS) have been abolished in the four teaching hospitals of the province to improve patient care.
In the first phase, the CEs and medical superintendents in the four teaching hospitals are being replaced by the hospital and medical directors, respectively.
Sources told Dawn that the Search and Nomination Council, formed by the government for implementation of the Health Reforms Act 2015, is appointing the hospital and medical directors for an interim period of six months at the Khyber Teaching Hospital, Lady Reading Hospital and Hayatabad Medical Complex in Peshawar and Ayub Teaching Hospital, Abbottabad.
10-member BoG at each hospital to have seven members from private sector
The medical superintendents, who are government employees of administrative cadre in BPS-20, will be posted somewhere else, whereas the CEs, who are employees of the respective hospitals and appointed on temporary basis, would revert to their original posts.
The hospitals are also hiring the services of nursing and finance directors. The four directors are being hired from the existing staff till the appointment of permanent people on these posts.
The new model, a brainchild of an US-based Pakistani doctor, aims to grant complete administrative and financial autonomy to the hospitals with each having a 10-member board of governors (BoG) to be in place within two months. Three BoG members will come from the government side and seven from private sector, which will run the respective hospitals.
To make the BoG powerful, there will be no voting right to the official members regarding decision-making about the hospitals.
The sources said that the health department had also drafted rules to put into practice the new law which would be sent soon to the government for approval. Following implementation of the law, the hospitals will continue to receive grant-in-aid from the government as usual but the revenue which they generated and used to deposit with the government would now be retained by them to be utilised for making the patient care effective.
The legislation also seeks to jack up salaries of staff in line with the market rates in the private institutions with a view to providing them a competitive environment.
As opposed to the previous mechanism when CE of the respective hospital used to be chairman of the management committee, BoG will select its chairman from private sector who will play a lead role in making the new system work, according to the sources.
The law resembles with recommendations made by a three-member committee comprising experts from the US, UK and Germany in 2006 after evaluating functioning of the four hospitals. However, successive governments hesitated to implement the recommendations and give complete autonomy to the hospitals as they didn’t want to lose their influence.
The new system leaves no room for the government to intervene, they said. It is in line with the Pakistan Tehreek-i-Insaf agenda to strengthen health care network in the province. Several meetings have taken place with PTI chairman Imran Khan in this regard.
The sources say that the hospitals will see marked improvement as they will operate round-the-clock unlike the past when they would be closed after 2:00pm and received only the critically ill and injured people. As opposed to the institution-based practice (IBP) launched by the military-led government in 2000 where doctors were forced to comply, it has now been made voluntary.
Published in Dawn, March 18th, 2015
Posts of MS, CE abolished in teaching hospitals - Newspaper - DAWN.COM
