1. INTRODUCTION

The Insurance Medical Services Department under the administrative control of Labour and Rehabilitation Department, Government of Kerala is set up for the effective implementation of ESI Scheme in the state. The Insurance Medical Services Department provides medical care to the Insured Persons and their family members through ESI dispensaries and ESI hospitals. There are 12 ESI hospitals working under the Insurance Medical Services Department. For improving the functioning of these hospital, it is proposed to constitute Hospital Development Committees (HDC). The salient points in the various Government orders regarding constitution and working of HDCs in Health Services and Department of Medical Education have been adopted as guidelines for this proposal.

II. OBJECTIVE

The objective of the Committee is to keep constant vigil on the working of the ESI hospitals in the state, to render necessary assistance by way of voluntary service and financial contribution so as to meet exigencies, to ensure steady development of the institution and to take up responsibilities for the better functioning and improvement of the institution.

III. STRUCTURE OF HDC

The structure of HDCs in ESI Hospital Peroorkada, ESI Hospital Ezhukone, ESI Hospital Alappuzha, ESI Hospital Vadavathoor, ESI Hospital Ernakulam, ESI Hospital Olarikkara, ESI Hospital Palakkad, ESI Hospital Feroke and ESI Hospital Thottada, ESI Hospital Parippally, ESI Hospital Udyogamandal and Hospital, Mulamkunnathukavu will be as follows.

Official Members

Non-Official Members

IV. AUTHORITY TO CONSTITUTE HDCs

Government will constitute the Development Committees of ESI Hospitals

V. TERM OF THE COMMITTEE

The term of the Committee will be a period of 3 years from the date of orders of constitution of the committee.

VI. RULES AND PROCEDURES

1. Membership

1.1.  Nominations made against vacancies arising in the middle of the term should be limited to the period by which the term of the other nominated members of the committee expires.

1.2.  If a nominated member absents himself / herself for three consecutive meetings, the member shall be liable of be removed from the committee. The Committee may recommend the restoration of membership of a member so removed on application of the individual concerned if the committee is satisfied that there were sufficient reasons for the absence. The Chairman may restore the membership on recommendations of the committee.

1.3.  In the case of an official member when he himself is unable to attend the meeting due to other preoccupation, he may depute one of his subordinates to represent him at the meeting.

1.4.  If an MLA or an MP nominated as a non-official member of the committee absent himself / herself for three consecutive meetings due to other inevitable preoccupations it shall not be taken as sufficient reason for his / her removal from the committee.

2. Meeting

The committee shall meet at least once in three months. The proceedings and recommendations of the committee shall be forwarded to Secretary to Government, Department of Labour and Director of Insurance Medical Services for information.

3. Quorum for the meeting

One fourth of the members shall form the quorum of the committee subject to the condition that at least one of the members  present shall be a non-official. The Chairman shall normally preside over the meeting of the committee. In the absence of the Chairman, the members present shall elect a chairman for the particular meeting.

4. Executive committee

4.1    An executive committee shall be constituted which would periodically meet and take decisions on day to day affairs.

4.2. The composition of the committee shall be as follows

• Chairman of the HDC
• All official members
• Mayor of the Corporation / Chairman of the Municipality, President of Block and Grama Panchayat which the ESI Hospital is situated.
• Local MLA
• Local MP
• One representative of employer
• One representative of employee
• Two other members of HDC to be nominated by the Chairman

4.3 The Chairman of the HDC shall also be the Chairman of the Executive Committee .

4.4    All powers of the HDC shall be exercised by the Executive Committee subject to the overall guidance and control of HDC except the following.

1. Approval of budget estimate
2. Approval of annual audited statement
3. Any other matters of importance reserved by the Chairman for consideration of the HDC.

5. Finance Management

5.1.    HDC shall not incur an expenditure of more than 35% of its revenue on establishment.

5.2.    HDC shall deposit their revenue in any one of the nationalised banks in joint account of Chairman and Secretary.

5.3.    HDC can collect contributions from the public in cash or kind for the betterment of hospitals.

6. Institution Visits

6.1.    The individual members of the committee may arrange with the Superintendent of the ESI Hospital to visit the institution at any time during working hours.

6.2.    A ‘Visitor’s book’ shall be opened in each institution for the members to note their remarks.

VII. POWER OF GOVERNMENT TO ISSUE DIRECTIONS

The Government shall have the power to issue directions to the committee in the conduct of any of its affairs and the committee shall be bound to comply with such directions.