Delhi taps PPP mode for diagnostic upgrade in state-run hospitals
New Delhi: Delhi govt has decided to hire a consultant to work out the modalities for commissioning and operating radiological diagnostic services at state-run hospitals on a public-private partnership (PPP) basis.
Officials said the consultant will visit the selected hospitals to assess the approach, location and connectivity, evaluate the population served, demand for radiological diagnostics, assess the volume and variety of services being offered by labs in the vicinity, and identify the service gaps that PPP could help address.
The consultant will also carry out a financial analysis of the project and will help in the legal onboarding of the concessionaire.
With the state-run hospitals abysmally short of diagnostic facilities, the Delhi cabinet decided last month to install Magnetic Resonance Imaging (MRI), CT scan, and ultrasound machines on a PPP basis. Of the 35 hospitals run by Delhi govt, only three — Lok Nayak, GB Pant and Indira Gandhi Hospital — are equipped with MRI machines.
Similarly, ultrasound and CT scan machines are not available in all hospitals. The waiting time at these facilities goes up to several months.
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Patients seeking treatment at other hospitals are forced to either wait for diagnostic tests or pay huge costs out of their own pocket for radiological imaging in private centres. In case of a malfunction, repairing the machines also takes a lot of time.
"The health and family welfare department has decided to expand and enhance diagnostic services across its health facilities. For achieving this, radiological diagnostic labs with CT scan, MRI and ultrasound machines will be set up in select govt hospitals for providing quality services onsite at affordable user charges on a PPP mode," said an official.
A Delhi govt official said the consultant, or the transaction advisor, will assist in selecting credible private partners for operating and maintaining the services. "From preparing and submitting the inception report, which will serve as the core document for all activities related to the scope of services, to working out an integrated plan that covers detailed tasks and activities, and a resource deployment strategy, the transaction advisor will help at every stage," the official said.
A crucial task, said an official, to be assigned to the advisor is the financial analysis of the project. He added that the consultant will look into capital and operational expenditure estimates and revenue, will carry out cash flow analysis, analyse business models, requirement of the viability gap funding and other parameters. "Commercial arrangements, profit and cost sharing, identifying potential risks in the PPP model, including operational, financial risks, and developing a risk mitigation strategy will be done by the consultant," said an official.
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