Permissions Required To Open A Hospital In India.
The set-up of hospitals in India are mainly of two types:
i.e. Government hospital and Private Hospitals. Furthermore, they could be
general, specialty or multi-specialty hospitals. The rules and regulations that
are required to comply for setting up a private hospital in India are;
First things first.
Decide first,What Facilities one has to going to be
offered and whether its providing primary care?secondary or teritiary care? Depending
on this,one should select the location which is very crucial for successful running of any
hospital.
Location of the Hospital is required to be chosen well.
Whether there are already some hospitals in the locality?
Are they going to be competitive or symbiotic?
Whether the locality has a good transportation facility
or is close to a railway station?
One must look for a non-agricultural land particularly
designed for hospitals.
All the
electricity supply, as well as the water supply, should be easily available and
that is required to be checked before purchasing any land for the hospital set
up.
The Procedure for a small Hospital Set Up in India
Registration under the central clinical establishment act, 2017 / or hospital registration act of states where ever
state act is present.
Depend upon the category,hospitals should fulfill the
minimum requirement to get registered.
Permits to construct a new hospital:
Land and construction
A Hospital could be set up only on a no- Agriculture land
could be used. The numerous approval, as well as permissions required from the
local authority and the government, should be obtained before starting any
hospital.
Electricity and water
A hospital needs approximately 100 liters of water per
bed each day. The water requirement for the various hospitals would be
different from project to project based on whether the hospital is a primary or
specialized hospital, etc. The concerned
municipal authority permission should be obtained for making available the
water as well as electricity facilities.
Sewage
well planned sanitary measures for disposal of waste as well as drainage
system which includes tanks, pipelines, etc. and permission from the local
authorities should be obtained.
Biomedical Waste
The large hospitals must have an incinerator for disposal
of bio-disposal waste, for instance, body parts or tissues.
As smaller
hospitals are not able to afford such cost,they have to get the Municipal corporation permission for such
disposal of waste and it must not be harmful to the people living at a nearby
location.
Fire and Health License
Approval of Fire Department is required for a large
hospital as well as a health certificate from the local authority after
installation of all the beds and equipment within the Hospital. A NOC from Fire
the department shall also be required for small hospitals and it would be the
responsibility of the hospital management to prove that the hospital would not
cause any harm or loss of life and requires to be procured from the local
municipal council.
Regulations relating to Employment of Staff
·
Employment of employees (Doctors, Nurses,
Pharmacists) only after proper credentialing.
·
Prevention of sexual harassment of women
employees at the workplace
·
Responsibility of the employer for the safety
of work forces
·
Rules governing the employment of staff
·
Immunization / other measures for the
protection of staff from Occupational Health hazards.
Sign Boards
Rules for the size, contents as well as the correct place for signboards
(IMC Regulations 2002)
Information that requires be displayed at
the Hospital are:
- Certificate of registration of hospital with the District
registering authority and municipal authorities
- IMC/SMC degree registration
certificate.
- Charges for consultation as well as other
procedures/services .
- Clinic timings, closed days.
For
big corporate/ multispeciality hospitals:
>Registration under companies’ Act, 2013
This act is applicable when the hospital established it
under the ownership of a corporation. The act needs that the corporation is
registered and fulfills the requirement of incorporation like memorandum of
association, articles of association, capital structure formation, securities
allotment, account audits, etc.
>Director Index No (DIN NO) for each director
This comes under the Ministry of Corporate Affairs,
Government of India. It is a compulsory registration required for each director
who wants to be a part of a corporation. It is a onetime registration for
directors.
>Registration under societies registration act, 2001
In case the hospital is being established under the
ownership of society, the society registration act is required.
>FSSAI license for operating a kitchen
FSSAI license comes under the Food Safety and Standards
Authority of India under the Ministry of Health and Family Welfare, Government
of India. The license is necessary if the hospital runs an in house kitchen for
the patients as well as attendants.
>Permit to store LPG cylinder
If the hospital store has an LPG cylinder in large
quantity for usage in the hospital's Kitchen or hospital purposes, the hospital
must have a permit of Controller of Explosives under the Petroleum act, 1934.
Pharmacy registration for medical shop
This comes under the Office of the Drug Controller. There
are different licenses for medical shops attached to hospitals (IP) and
standalone medical shops. There are minimum requirements for the registration
like the minimum size of the shop ( 250 – 300 ft) as well as requirements of
Air conditioner and Refrigerator. This license is valid for 5 years.
Trademark registration
Indian Trademarks Act 1999 is not a mandatory activity
and is essential only if the hospital wants to trademark its logo or name
>Vehicle registration for ambulances
The ambulance bought by the hospital must be registered
under RTO, Transport Department, and state government.
>Arms licenses under arms act 1959
If arms are possessed by the hospital or its employees (for
example by security guards), a license for the same should be available
Planning the Hospital Infrastructure
- One must take care of these things
- Qualifications of Doctors as well as their registration
numbers
- Working hours for Nurses as well as their shift timings
- Medical equipment as well as instruments purchased
- Computers as well as other hardware devices set up
- Engineers as well as staffs required for maintenance,
plumbing, medical gas pipelines, air conditioning, etc.
The other important license required are (Depend on the applicability):
- Regulations Building Permit and Licenses (From the
Municipality)
- No objection certificate from the Chief Fire Officer
"License under Bio-Medical Management and Handling Rules, 1998.
- No objection certificate under Pollution Control Act.
- Narcotics and Psychotropic substances Act, 1985
- Vehicle Registration Certificates (For all hospital
vehicles.)
- Atomic energy regulatory body approvals (For the
structural facility of radiology dept, TLD badges, etc)
- Boilers Act, 1923(If applicable)
- MTP Act, 1971 (MTP stands for Medical termination of
pregnancy. To be displayed in the Gynaec and Obs department)
- License for the Blood Bank (To be displayed in the Blood
Bank)
- Transplantation of Human Organs Act 1994(If applicable)
- PNDT Act, 1996 (PNDT stands for Prenatal diagnostics
test. To be displayed in the Radiology department that this is followed. )
- Dentist Regulations, 1976
- Drugs & Cosmetics Act, 1940
- Electricity Act, 1998
- ESI Act, 1948 (For contract employees)
- Environment Protection Act, 1986
- Fatal Accidents Act 1855
- Guardians and Wards Act, 1890
- Indian Lunacy Act, 1912 (Applicable only if a Psychiatry
dept is there in the hospital)
- Indian Nursing Council Act 1947 (Whether nurses are
registered with NCI).
- Also one must check whether pharmacists are registered
with Pharmacy Council of India.)
- Insecticides Act, 1968
- Lepers Act Maternity Benefit Act, 1961
- Minimum wages act, 1948 (For contract employees)
- Pharmacy Act, 1948
- SC and ST Act, 1989
- Protection of Human Rights Act, 1993
- Registration of Births and Deaths Act, 1969
- Urban Land Act, 1976
- Right to Information Act 2005
- Registration for transplantation of human organ Act, 1994
(in case the hospital varies out human organ transplantation or organ
harvesting, it shall be registered under this Act)
- Excise permit to store spirit (to store spirit beyond a certain quantity, the
hospital must obtain a permit from state excise department)
All the Best
