CAG castigates SGPGI functioning...
THE COMPTROLLER and Auditor General has cast serious aspersions on the functioning of the prestigious Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGI) that had been set up with an objective to make it a ?centre of excellence? in the field of medical care and research in Uttar Pradesh.india Updated: May 15, 2006 01:13 IST
THE COMPTROLLER and Auditor General has cast serious aspersions on the functioning of the prestigious Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGI) that had been set up with an objective to make it a ‘centre of excellence’ in the field of medical care and research in Uttar Pradesh.
There were serious lapses in the maintenance of patients care record and patient care. No norms had been fixed for deployment of doctors to ensure satisfactory patient care, observed the CAG. Although there was an acute shortage of doctors (43 per cent) at least 30 doctors were working in non-medical departments in contravention to the government orders (GOs) that bar deployment of doctors on non-medical activities, said the CAG.
The CAG has made startling revelations with regard to the patient-record and the patient care after conducting a sample scrutiny of the records of 200 patient files including 13 death cases.
The scrutiny revealed that no case history was available in 16 cases. Important proforma like vital chart and investigation chart were not available in 18 cases. In four cases nurses’ records were not maintained while the nursing staff did not follow prescription of doctors in four cases. Some medicines were not given to patients while some other patients were given the medicines twice instead of once. In five cases doctors’ progress notes regarding treatment of patients were not maintained while details of investigation summary in 13 cases were not maintained, said the CAG in its reports submitted before the Vidhan Sabha this week.
Taking serious exception to the SGPGI’s failure on various fronts the CAG has observed that the institute failed to evolve a monitoring system as to how long each OPD patient had to wait for consultation with the doctor and how many patients had to return without consultations due to paucity of time. The CAG has also pointed out serious lapses on the part of SGPGI in laying down a system to maintain and monitor a waitlist for surgeries in various specialties and investigations to ensure that the institute could take corrective steps to bridge the gaps in capacity and infrastructure. Besides pointing out paucity of doctors (43 per cent) there was also shortage of nurses by 49 per cent.
This deprived the patients of quality time in diagnosis, treatment and medical care. As per the recommendation of the Nursing Council of India (NCI) patient-nurse ratio for critical and intensive care is required to be 1:1, for rest of indoor cases 3:1 and leave reserve, 30 per cent of the total nursing staff. A comparison of these norms with actual deployment of nursing staff in the institute revealed shortages in cadres of nurses from 27 per cent to 49 per cent.
“Patient care was bound to suffer as a result of shortages of nursing staff,” said the CAG. The CAG further observed that against the targeted creation of 1,800-bed capacity by the end of 2003, only 684 beds had been provided by the end of March 2005, said the CAG, adding the annual accounts were finalised with delays ranging up to more than 20 years.
...Indicts PWD for ‘squandering’ money
THE STATE Public Works Department (PWD) paid a sum of Rs 29.15 crore to a consultancy firm of Netherland which ‘escaped’ without completing the job entrusted to it. The PWD simply watched helplessly and failed to recover the amount as there was no penalty or recovery clause in the agreement it had signed with the consultancy firm. As such, the entire amount of Rs 29.15 crore went down the drain. The five-year agreement was signed between the consultancy firm and the PWD in June 1999 for a total amount of Rs 37.36 crore.
This lapse on the part of the PWD officials has been detected in the latest report of the Comptroller and Auditor General of India (CAG) tabled in the Vidhan Sabha on Friday.
According to the report, the PWD signed the agreement with the firm for its services as an advisory agency in the World Bank-aided road project to prepare detailed report on ‘upgradation and maintenance of state highways and main district roads’.
The firm was supposed to identify the roads, prepare project reports, feasibility reports and also to function as an advisory agency on implementation of the ambitious road construction and maintenance project, besides doing other related work.
The PWD, however, did not find its work satisfactory in 16 projects while the firm did not even work on 39 other projects it was supposed to work on under the agreement.
The report says payments to the firm were not made on the basis of quality of work or on other vital factors mainly because no such clauses were included in the agreement. A sum of Rs 29.15 crore was paid to the firm without going by the quality of work or without ensuring whether the task given to it was actually completed or not. The firm kept on receiving huge sums on regular intervals without any verification whatsoever from any corner.
In response to the queries raised by the CAG in this regard, the PWD officials made an abortive bid to justify the payment on the plea that the payments were made as per terms and conditions of the World Bank. However, the CAG dubbed the reply as dissatisfactory and argued that it was clear in the World Bank guidelines that terms and conditions for any such agreement could be amended as per local needs and requirements. The officials also failed in their duty to get the performance securities deposited from the firm.The State Government, however, preferred to maintain a studied silence over the issue.