(1) One receipt of an application for appeal, and after considering the records referred therein the State Government may confirm, modify or set aside the order or pass such other order in relation thereto as it may deem just and proper.
(2) Pending final Disposal of an appeal the State Government may, for sufficient cause, stay the execution of the order against which appeal has been made.
1 'SCHEDULE - I" (See- Rule-7) Schedule of Fees S. No Item Registration fee (in Rupees) Fee for issue of a duplicate certificate of registration & license (in Rupees)
(1) (2) (3) (4)
(1) For Nursing home and Maternity Home-
(i) up to 10 beds 600.00
(ii) above 10 beds but up to 20 beds
1050.00
(iii) above 20 beds but up to 30 beds
1350.00
(iv) for each additional bed above 30 beds
45.00
100.00
(2) For Physio-Therapy establishment
600.00
100.00
(3) For out-Door Clinics 600.00
(4) For Clinical Laboratory 600.00 1 For Schedule I of the principal rules, new modified Schedule I has been substituted vide amendment in the M.P. Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extra-ordinary) dated 17-1- 2007 ( see foot note on page 2) 6
SCHEDULE II (See rule-17) Requirement of Nursing Home 1"(a) Location and Surroundings. — The nursing homes to be established shall not be adjacent to on open sewer, drain or public lavatory or to a factory emitting smoke or abnoxious odour.";
(b) Building .— (i) The building used for the nursing home shall comply with the relevant municipal byelaw in force from time to time.
(ii) The rooms of the nursing home shall be well ventilated and lighted and shall be kept in clean and hygienic conditions.
(iii) The wall of the labor room and operation theatre up to a height of four feet from the floor shall be of such construction as to render in water proof. The flooring shall be such as not to permit retention or accumulation of dust. There shall be no chinks or crevices in the walls or floors.
(iv) Aseptic conditions shall be maintained in labor room and the operation room.
(v) Adequate arrangements shall be made for isolating specific and infections cases.
(c) Space accommodation for the patients etc .—
(i) The floor space in nursing home shall be 100 square feet for one bed and additional 60 square feet 2 for every additional bed in the room.
(ii) A labor room/operation theatre shall be provided with minimum floor space of 160 sq. feet 3.
(iii) A duty room shall be provided from the nursing staff on duty.
(iv) Adequate space for storage of medicines, food articles, equipments etc. shall be provided.
(d) Water Supply .— The water used in the nursing home shall be pure and of drinkable quality.
(e) Health, clothing and sanitary requirements or staff .— (i) The staff, employed shall be free from any contagious disease and shall be provided with clean uniforms suitable to the nature of their duties.
(ii) The workers shall be medically examined at the time of employment and periodical so
(f) Equipment and linen, etc.— The nursing has shall provide and maintain :—
(i) Adequate number of commodes, bed-pans and slop sinks with flushing arrangements;
(ii) High pressure sterilizer and instrument sterilizer;
(iii) Oxygen cylinder or cylinders and necessary attachment for giving oxygen;
4 (iv) omitted
(v) Adequate equipments, instruments and apparatus;
(vi) Adequate quantity of bed-sheets, mattresses, pillows, blankets, draw sheets and other linens; and
(vii) An almirah under lock and key for poisonous substances ;
1 The Clause (a) of schedule II of principal Rules 1997 has been substituted vide amendment in the M.P. Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extraordinary) dated 17-1-2007( see foot note on page 2) 2&3 In sub clause (i) of clause (c) of Schedule II of principal rules 1997, for the figures and words “75 sq. feet”, the figures and words “60 sq. feet”, and in sub clause (ii) of clause (c)of Schedule II, for the figures and words “180 sq. feet”, the figures and words “160 sq. feet” has been substituted by amendment vide supra.
4 In sub-clause (iv) of clause (f) of Schedule II the words “ Apparatus for transfusion” has been omitted by amendment dated
16.11.2007 published in MP Gazette (Extra-ordinary) no. 548 dated 16.11.2007 (see foot note page 3) 7
(viii)The in-patients shall be provided with minimum furniture and linen as below :— For each in-patient :— Cot with mattress One Bed Side-locker One Chair/Stool One Blanket One Bed Sheet/Counter pane Two to be changed every day Pillow with case counter pane One 1 “Deleted” 2 “(ix) Proper arrangement of prevention of mosquitoes and fly etc. shall be provided by nursing homes."
(g) Food .— If the nursing home provides diet to the patients, it shall be prepared and served under hygienic condition.
(h) Nursing staff and Midwives .— (i) Services of nurse shall be provided at the scale of four nurses for 20 beds with a minimum of three nurses in a nursing home/maternity home of 10 beds. In case of a nursing home having 50 beds or more services of one nursing sister for every 50 beds or part thereof shall also be provided.
(ii) 2 Midwives for 1 to 10 beds in case of maternity homes only.
(i) Records .— Separate stock register shall be maintained by the nursing home for (i) equipment,
(j) Services of Registered Medical Practitioners shall be provided at the scale indicated below :— 3 (i) One qualified Medical Practitioner for every 15 patient bed strength or part thereof, Two for every 30 patients bed strength or part thereof with a minimum of 3 qualified medical practitioners in a nursing home having less than 45 beds.";
(ii) One Medical Practitioners for every fourty new out-patients or part thereof per day.
(iii) One Medical Practitioner for every 50 old patients or part therefore per day.
(k) Services of one Medical Practitioner on duty shall be available at all time for attending to emergency call of the indoor patients.
(l) Services of one pharmacist if drug store is maintained.
(m) Services of one qualified Medical Practitioner and X-ray Technician if X-ray facility is provided.
(n) Services of qualified Medical Practitioner and Technician if pathological and laboratory facility is provided.
(o) Services of physiotherapist if physio-therapy facility is provided.
(p) Certificate of Registration and License shall be displayed in the nursing home at a prominent place.
(q) All records and registers maintained shall bear Registration and License number of the nursing home.
Similarly all documents and stationery including treatment charts, reports, cash memos, bills etc., used by the nursing home shall bear this number.
1 In sub-clause (viii) of clause (f) of Schedule II of principal rules 1997, under the heading “for each in patient” the words “Mosquito net one” are omitted vide amendment in the M.P. Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extra-ordinary) dated 17-1-2007( see foot note on page 2 ) 2 After sub-clause (viii) of clause (f) of Schedule II of principle rules 1997, a new clause “(ix)” has been added by amendment dated
17.1.2007 vide supra 3 For subclause (i) in Caluse (j) of Schedule II of principal rules 1997, modified sub-clause (i) has been substituted by amendment dated 16.11.2007 published in MP Gazette (Extra-ordinary) no. 548 dated 16.11.2007 (see foot note page 3) 8
(r) The keeper of the nursing home shall maintain a complaint book and make it available to the complainant for recording complaint. The complaint book shall be made available to the supervising authority or a person authorized on this behalf of inspection.
1 (s) Rate list of various medical services being provided by the nursing home shall be kept compulsorily on the counter and on demand it shall be shown to the patient or his/her family member. 2 The information to this effect shall also be displayed prominently at registration counter. The supervising authority shall also be kept informed of the rate list and of the amendments, if, any, made therein.
(t) The keeper of the nursing home shall not engage any government servant for any work including consultation without express permission of the Government obtained by such government servant in this behalf and in the event of engagement of any government servant in the nursing home the keeper thereof shall furnish to the supervising authority details of engagements of such government servant on full-time/part-time basis along with the emoluments paid to him by the nursing home.
(u) The keeper of the nursing home shall take care and ensure that the nursing home or the clinical establishment is not used for unsocial or immoral purposes or both.
1 The clause (s) of Schedule II of principal rules 1997 is substituted by new modified clause (s) vide amendment in the M.P.
Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extra-ordinary) dated 17-1-2007( see foot note on page 2 ) 2 in the substituted clause (s) (vide supra), for the words “ the rate list so available shall be displayed on the notice board also”, the words “ The information to this effect shall also be displayed prominently at registration counter” has been substituted by amendment dated 16.11.2007 published in the MP Gazette (Extra-ordinary) no. 548 dated 16.11.2007 (see foot note on page 3) 9
SCHEDULE III (See Rule 18) Requirements of Clinical Establishment
(1) Location, building and surroundings .— 1 (i) The Clinical Establishment shall not be adjacent to an open sewer, drain or public lavatory or to a factory emitting smoke or abnoxious odour.
(ii) The Clinical Establishment shall not be located in a dingy, damp or otherwise unsuitable building.
The building used for clinical establishment shall be kept in clean and hygienic conditions.
(iii) The building used for clinical establishment shall have adequate water and electricity supply arrangements. Drainage shall be so provided as not to pose any risk or danger to any person.
(iv) The building shall have lavatory facility with flushing arrangements.
(2) Equipment .— (1) The equipment used in the clinical establishment shall be maintained is safe working condition. Where any testing or diagnostic or other equipment requires certification/approval from a statutory or executive agency appointed by government of India of the state Government no equipment without such certification/approval shall be installed and/or used.
(3) Stock Register.— Stock register shall be maintained in the clinical establishment for equipments, instruments and other articles used in carrying out tests, examination etc.
(4) Services of Medical Practitioners and technicians.— (i) The clinical establishment shall be provided with the services of a Medical Practitioner having recognized qualification 3 in the field in which diagnostic tests or examination are carried out. Having regard to the work load in the clinical establishment, services of adequate number of such qualified medical practitioners shall be provided.
(ii) Services of qualified technician or technicians to operate the equipments or to carry-out tests/examination shall be provided.
(iii) In case the clinical establishment provides physio-therapy facilities, services of a qualified physiotherapist shall be provided.
(5) (i) The keeper or owner of the clinical establishment shall maintain a complaint book and make it available to the complainant for recording complaint. The complaint book shall be made available to the supervising authority or a person authorized on his behalf for inspection.
2 (ii) Rate list of various medical services being provided by the clinical establishment shall be kept compulsorily on the counter and on demand shall be shown to the patient or his/her family members. 3 The information to this effect shall also be displayed prominently at registration counter. The supervising authority shall also be kept informed of the rate list and of the amendments, if any, made therein.
(6) The keeper of owner of the clinical establishment shall not engage any government servant for any work including consultation without express permission of the Government obtained by such a government servant in this behalf and in the event of engagement of any government servant in the clinical establishment, the keeper or owner thereof shall furnish to the supervising authority details of engagement of such government servant on full-time/part-time basis along with the emoluments paid to him by the clinical establishment.
1 In Clause (1) of Schedule III of Principal Rules 1997, the sub-clause (i) is sucbstituted vide new modified sub-clause (i) vide amendment in the M.P. Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extra-ordinary) dated 17-1-2007( see foot note on page 2 ) 2 In clause (5) of Schedule III of principal rules 1997, the sub-clause (ii) is substituted by new modified sub-clauseclause (ii) by amendment dated 17.1.2007 (vide supra) 3 in the substituted clause (ii) (vide supra) of clause (5) of Schedule III, for the words “ the rate list so available shall be displayed on the notice board also”, the words “ The information to this effect shall also be displayed prominently at registration counter” has been substituted by amendment dated 16.11.2007 published in the MP Gazette (Extra-ordinary) no. 548 dated 16.11.2007 (see foot note on page 3) 10 FORM – ‘A’ (See rules 3 and 6) Application for Registration/Renewal of registration under sub-section (1) of Section 4 of Madhya Pradesh Upcharyagriha Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973
PART- A - GENERAL
(1) Full name of the applicant * _____________________________
(2) Full residential address of the applicant * _____________________________
(3) Technical qualifications if any, of applicant _____________________________
(4) Nationality of the applicant _____________________________
(5) Situation of the registered or principal office** of the Company, Society, Association or other body corporate.
_____________________________
(6) Name and other particulars of the nursing home or the clinical establishment in respect of which the registration is applied for.
_____________________________
(7) Place where the nursing home/clinical establishment is situated.
_____________________________
(8) Whether the applicant is interested in any other nursing home/clinical establishment or business and, if so, the place where such nursing home/clinical establishment is situated or where such business is conducted.
_____________________________ * In case application is made on behalf of a Company, Society, Association or other body corporate, the name and residential address of the person in charge of the management of such Company, Society, Association or Body Corporate should be given.
** This item is applicable only when the application is made on behalf of a Company, Society, Association or other Body Corporate.
PART - B - NURSING HOME
(9) Brief description of construction, site and equipment of the nursing home or any premises used in connection therewith as detailed below:— _____________________________
(i) Floor space of bed rooms provided for patients giving number of beds.
_____________________________
(ii) Arrangement made for medical check-up and for immunization of the employees.
_____________________________
(iii) Floor space of kitchen, servants rooms and other rooms giving details of user and area of each room.
_____________________________
(iv) Details of arrangements made for sanitary convenience for patients and employees giving their numbers.
_____________________________
(v) Details of arrangements made for storage and service of food.
_____________________________ 11
(10) Whether the nursing home or any premises used in connection therewith are used or are to be used for purposes other than that of carrying on a nursing home.
_____________________________
(11) (a) Number of beds for maternity patients.
(b) Number of beds for other patients.
_____________________________
(12) Names, ages and qualifications of the members of the nursing staff in the nursing home.
_____________________________
(13) Place where the nursing staff is accommodated.
_____________________________
(14) Names, ages and qualifications of the resident or visiting physicians or surgeons in the nursing home.
_____________________________
(15) (a) Whether the nursing home is under the supervision of a qualified medical practitioner and if so his or her name, age and qualifications.
(b) omitted 1 _____________________________ _____________________________
(16) (a) Whether the maternity home being maintained within the nursing home is under the supervision of a qualified nurse or a midwife and if so, their names, age and qualifications.
_____________________________
(b) Whether any unregistered medical practitioner or unqualified nurse, unqualified midwife is employed for nursing of patient in the nursing home.
_____________________________
(17) Whether any person of alien nationality is employed in the nursing home and if so, his name and other particulars.
_____________________________
(18) Fees charged to patients.
_____________________________ 2 Note: The desired information under various clauses shall be attached as annexure in appropriate clause.
1 In Clause (15) of Part –B of Form A of principal rules 1997, the sub-clause (b) has been omitted vide amendments dated
16.11.2007 published in the Madhya Pradesh Gazette (extra-ordinary) no. 548 dated 16-11-2007( see foot note on page 3) 2 After clause 18 of Part-B of Form A, this note has been added by amendment dated 16.11.2008 (vide supra) 12
PART - C CLINICAL ESTABLISHMENT
(19) Description, location, size and type of the building to be used for clinical establishment.
_____________________________
(20) Type of clinical establishment.
_____________________________
(21) Facilities for carrying out tests/examination or giving treatment available in the clinical establishment.
_____________________________
(22) Details of equipment.
_____________________________
(23) Name/s, age/s and qualifications of the medical practitioner under whose overall charge the clinical establishment shall function.
_____________________________
(24) Name/s, age/s and qualifications of the technicians employed in the clinical establishment.
_____________________________
(25) Fees charged from patients.
_____________________________ 1 Note: The desired information under various clauses shall be attached as annexure in appropriate clause
PART- D (FOR RENEWAL)
(26) No and date of expiry of the certificate of registration.
_____________________________
(27) Details of the fee deposited. _____________________________ I solemnly declare that the above statements are true to the best of my knowledge and belief.
Date _____________ _______________ Signature of the applicant 1 After clause 25 of Part-C of Form A, this note has been added vide amendments dated 16.11.2007 published in the Madhya Pradesh Gazette (extra-ordinary) no. 548 dated 16-11-2007( see foot note on page 3) 13 FORM ‘B’ (See rule 5 and 6) Certificate of Registration under Sub-Section (3) of Section 4 of the Madhya Pradesh Upcharyagriha Taha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugypan) Adhiniyam, 1973 No ……………………..
This is to certify that Shri/Smt. ……………………..…………………….. has been registered under the Madhya Pradesh Upcharyagriha Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973 in respect of …………………….. (here insert the name of Nursing Home/Clinical Establishment) situated at …………………….. and has been authorized to carry on the said Nursing Home/Clinical Establishment 1 under the--------- ----------------------(here insert the name of recognized system of medicine viz:
Allopathy/Ayurvedic/Homoeopathy/Unani/Siddha/Naturopathy) system of medicine.
Registration No. ……………………………..……… Name of Registration ……………………..………… Place ……………………..………………………….
Date of issued of certificate ……………………..…… This certificate of registration shall be valid up to 31st March, …………..
…………………………………………… Signature of the Supervision Authority 1 In form –B, after the words Nursing Home/Clinical Establishment, he words “ under the -------------------------- (here insert the name of recognized system of medicine viz: Allopathy/Ayurvedic/Homoeopathy/Unani/Siddha/Naturopathy) system of medicine.” Has been added vide amendments dated 16.11.2007 published in the Madhya Pradesh Gazette (extra-ordinary) no. 548 dated 16-11- 2007( see foot note on page 3) 14 FORM ‘B B’ (See Rule 5 and 6) Form the License under Section 4 of the Madhya Pradesh Upcharyagriha Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973 No.............................
License is hereby granted to Shri/Smt..............................................................
Registered vide No.....................dated.................... under rule..................... of the Madhya Pradesh Upcharayagrah Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugypan) Rules, 1997 in respect of ......................................... to carry on the said Nursing Home/Clinical Establishment 1 under the-------------------------------(here insert the name of recognized system of medicine viz: Allopathy/Ayurvedic/Homoeopathy/Unani/Siddha/Naturopathy) system of medicine, for a period from .................................... to 31st March, .................................. subject to terms and conditions specified in Schedule - II of the said rules.
Seal …..……………………….
Supervising Authority 1 In form –BB, after the words Nursing Home/Clinical Establishment, he words “ under the -------------------------- (here insert the name of recognized system of medicine viz: Allopathy/Ayurvedic/Homoeopathy/Unani/Siddha/Naturopathy) system of medicine.” Has been added vide amendments dated 16.11.2007 published in the Madhya Pradesh Gazette (extra-ordinary) no. 548 dated 16.11.2007( see foot note on page 3) 15 1 FORM- 'C' (See rule 10) Registration under section (3) of Section 4 of the Medhya Pradesh Upcharyagriha Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973 Name (in full) of the applicant
(1) Full address of the applicant
(2) Nationality of the applicant
(3) Name and other particulars of the nursing home/clinical establishment in respect of which the applicant is registered.
(4) Place where the nursing home/clinical establishment is situated
(5) Institution's bed strength & its distribution Specialty wise distribution Maternity
(6)
(7)
(8)
(9) ICU
(10) Others
(11) Total Beds
(12) Number and date of registration
(13) Date of renewal of registration
(14) FORM – ‘D’ (See rule 14) Registration patients admitted to .................................................. nursing home S.No. Reference No. of patient Full name and Address of patient Date of admission Nature of diseased at the time of admission
(1) (2) (3) (4) (5) Additional particulars to be filled in respect of If the patient suffered from an infections disease during his stay in the home, the nature of such disease and action taken Date and hour of delivery/miscarriage or abortion as the case may be Sex of child whether born alive or dead Maternity Cases the name and address of persons attending to delivery
(6) (7) (8) (9) Method of feeding of each child in the nursing home and the period In the case of patient of child the date and hour of the death Date of discharge of the patient from the nursing home Remarks
(10) (11) (12) (13) 1 For Form-C of principle rules 1997, this modified form –C has been substituted vide amendments dated 16.11.2007 published in the Madhya Pradesh Gazette (extra-ordinary) no. 548 dated 16-11-2007( see foot note on page 3) 16 FORM – ‘E’ (See rule 15) Registration of patients examined or treated or in respect of whom any test is carried out in .................................................................. (Clinical Establishment) S.No. Reference No. of patient Full name and Address of patient Date or dates when examined or test carried out Name and other particulars of the Doctor or hospital by whom/which referred for test
(1) (2) (3) (4) (5) Additional particulars to be filled in respect of physiotherapy clinic Type of test carried out Fee charged for test/Examination Particulars of the disease/ailment for which treated Total period of treatment Total fee charged Remarks
(6) (7) (8) (9) (10) (11) By order and in the name of the Governor of Madhya Pradesh P.K. MEHROTRA, Principal Secy.
17 1 Bhopal, the 17th January 2007 In exercise of the powers conferred by sub-section (1) of Section 7 of Madhya Pradesh Upcharyagriha Tatha Rujopchar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Adhiniyam, 1973 (No. 47 of 1973), the State Government, hereby, authorizes the following officers as specified in column (2) to exercise powers within their respective jurisdiction as specified in column (3) of the Table below for the purpose of said Act and the rules made there under : – TABLE S.No. Designation of Authorized Officer Jurisdiction
(1) (2) (3)
1. Principal Secretary/Secretary, Health Whole of State of Madhya Pradesh 2 Health Commissioner Whole of State of Madhya Pradesh
3. Director, Public Health & Family Welfare Whole of State of Madhya Pradesh
4. Director, Medical Services Whole of State of Madhya Pradesh
5. Regional Director of Health Services Respective Region/Zone
6. All Joint Directors, Health Services (Head Quarter) Whole of State of Madhya Pradesh
7. Regional Joint Director, Health Services Respective Region/Zone
8. All Deputy Directors, Health Services (Head Quarter) Whole of State of Madhya Pradesh
9. Chief Medical & Health Officer Respective District 10 Civil Surgeon-Cum-Chief Hospital Superintendent Respective District 11 Specialist (Any Discipline of Modern System of Medicine Allopathy) duly authorized by the Chief Medical & Health Officer Respective District By order and in the name of the Governor of Madhya Pradesh R.A. KHANDELWAL, Dy. Secy.
1 Vide amendment in the M.P. Upcharayagriha Tatha Rujopachar Sambandhi Sthapanaye (Registrikaran Tatha Anugyapan) Rules, 1997 published in the Madhya Pradesh Gazette (extra-ordinary) dated 17-1-2007 (see foot note on page 1 ), this new table has been added.