Memorandum to A.P. state health minister regarding fire safety NOC relaxation for small hospitals and single window provision.

To

Hony.Minister of Health &Family welfare.

Govt.of A.P.

Sub:grievences of Small hospitals regarding fire safety regulations & registration of  Health care establishments and provision of single window facility for every thing concerned with hospital regulations.-Request.

Respected sir

Namaste.

1.Small hospitals ( BELOW 20 BEDS) are unable to comply with fire safety regulations,which are utopian in nature. Due to these stringent Fire safety regulations, small hospitals can’t get registration or renewal of registration from DMHO office. Due to this ,many hospitals are not able to deliver their clinical services,where as the un-qualified persons (quacks) doing medical practise  illegally over whom,there is no check or regulation.

  “We are not against implementing fire safety norms but a clinic or  five-bed daycare center or a 20bed nursing home cannot have similar fire safety norms maintained by a corporate hospital. We are appealing the government to relax rules for small hospitals, nursing homes, clinics.

2. the old practitioners and their nursinghomes can not cope with new fire safety regulations,as it is difficult to change the civil structures(internal and external staircases and emergency exits etc...) and to provide other  necessary arrangements as per amended  fire safety norms.

3.small hospitals can’t bear the cost to implement all clauses of fire safety act. It is tough for a small hospital to install fire sprinklers, maintain a dedicated power supply and water tanks for fire safety measures. It costs about Rs.25 lakh to install the fire safety norms . If a hospital and nursing home is operated on lease basis in the first floor of a commercial complex, the Fire Department insists clearance for the entire complex from the doctor,where as it could have been  demanded from complex owner.unless occupancy certificate is issued by fire safety department,how can high rise building  owner  allowed to rent out to hospital?

4. Relaxing the  fire safety norms  for small hospitals  will pave the way for 100%registration of health care establishments in our state.

5.if the Fire safety  authorities implicate rules strictly, no hospital in our state could get registered with DMHO.

Last year in September, on our request, the MOH -HS constituted a Cabinet Sub- Committee to finalize and release the new fire safety norms for small hospitals and clinics.but still, no concrete proposals from the authorities came out.

sir,we are herewith Requesting your good office and  the office of  Director General, State Disaster Response and Fire Services, sri.K.satyanarayana, to look into the travails of small nursing homes in meeting the impractical regulations of the existent A.P. fire safety norms act-2012.

So, please consider our request and do the needful.

our demand:

1.There should be no need of getting Noc' from fire safety department for those hospitals residing in the buildings of below 15meters height.

2.Single window registration of the hospitals (includes biowaste generation permission from pollution control board and liasion permission with biowaste disposal company and NOC of fire safety dept.)with District registering authority @Respective DMHO offices.

 with best regards

DR.C. SRINIVASA  RAJU

Chairman -   Hospital Board of India - IMA AP STATE.

COPY TO:

Director General, State Disaster Response and Fire Services,