In accordance with clause b of sub section 4 of section 9 of the Transplantation of Human Organs and Tissues Act

## Policy Analysis Report: Reconstitution of Hospital Based Authorization Committee for Indraprastha Apollo Hospital, Delhi **1. Executive Summary:** This report analyzes a notification issued by the Government of the National Capital Territory (GNCT) of Delhi on April 19, 2021, regarding the reconstitution of the Hospital Based Authorization Committee (HBAC) for Indraprastha Apollo Hospital, Delhi. The notification serves as an amendment, superseding a previous notification from 2014. The core purpose of this amendment is to establish a new committee with specific members, as detailed in the document, for overseeing organ and tissue transplantation authorization within the specified hospital. Key findings indicate a restructuring of the committee's composition, reflecting a potential shift in expertise or priorities related to transplantation authorization. **2. Introduction:** This report provides an analysis of the GNCT of Delhi's notification concerning the reconstitution of the Hospital Based Authorization Committee for Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, Delhi. The analysis is based solely on the information provided within the text of the notification. **3. Policy Overview:** * **Amendment:** This notification amends a previous notification issued by the Ministry of Health and Family Welfare, Government of India, No. S.O. 217E dated January 20, 2014, as it pertains to Indraprastha Apollo Hospital, Delhi. * **Core Objective:** The core objective is to reconstitute the Hospital Based Authorization Committee for Indraprastha Apollo Hospital. This committee is responsible for authorizing organ and tissue transplantation procedures within the hospital, in accordance with the Transplantation of Human Organs and Tissues Act, 1994 and related rules. **4. Background and Rationale:** This notification amends an earlier notification from 2014. The likely reason for this specific amendment is to update the composition of the Hospital Based Authorization Committee. This could be due to several reasons, such as: * Changes in hospital staff or expertise. * A need for different perspectives or expertise on the committee. * Routine periodic updates to ensure the committee functions effectively. * Potentially, a need to address specific issues or challenges encountered by the previous committee. **5. Key Provisions / Changes:** This notification focuses specifically on changes to the composition of the Hospital Based Authorization Committee. * **What Specific Part of the Original Policy is Being Changed:** The composition of the Hospital Based Authorization Committee for Indraprastha Apollo Hospital. * **What the New Rule/Provision Is:** The notification specifies the names and positions of the new members of the committee. These include: 1. Dr. Ritu Rawat, Dy. Director Medical Services, Indraprastha Apollo Hospitals, New Delhi (Chairman) 2. Dr. J. M. Dua, Sr. Consultant, Internal Medicine, Indraprastha Apollo Hospitals, New Delhi (Member) 3. Dr. P. N. Dubey, Senior Consultant, Peadiatrics Indraprastha Apollo Hospitals, New Delhi (Member) 4. Mr. A. S. Awasthi, Retd. Director, Higher EduSpl. Secy. Education, Government of NCT of Delhi (Member) 5. Mr. R. C. Goyal, Officer on Special Duty Holy Family Hospital, New Delhi (Member) 6. Secretary Health or nominee, Government of National Capital Territory of Delhi (Member) 7. Directorate General Health Services, Government of National Capital Territory of Delhi (Member) * **Explain the Difference or the Effect of This Specific Change:** The change is a complete replacement of the previous committee members with a new set of individuals. This likely brings in new perspectives and expertise to the authorization process, potentially influencing the types of cases reviewed, the standards applied, or the overall efficiency of the committee. The inclusion of members from outside Apollo Hospital, specifically from Holy Family Hospital and the Government, introduces external oversight and potentially broader perspectives into the committee's deliberations. **6. Target Audience and Stakeholders:** The target audience and stakeholders directly affected by this change are: * Indraprastha Apollo Hospital, particularly its medical staff involved in organ and tissue transplantation. * Patients seeking organ and tissue transplants at Indraprastha Apollo Hospital. * The members of the newly reconstituted Hospital Based Authorization Committee. * The Directorate General of Health Services, GNCT of Delhi. * The Ministry of Health and Family Welfare, Government of India (indirectly). **7. Implementation Aspects (Inferred):** * **Responsible agency/bodies mentioned?** The Government of the National Capital Territory of Delhi (GNCTD), specifically the Department of Health and Family Welfare, is responsible for implementing this notification. The Indraprastha Apollo Hospital is responsible for working with the newly appointed committee. * **Any timelines or procedures specified in the text?** The notification states that the reconstitution is effective "from the date of notification," which is April 19, 2021. Beyond that, no specific timelines are mentioned within the text. It is inferred that standard procedures relating to transplantation authorization would follow as defined in the Transplantation of Human Organs and Tissues Act, 1994 and related rules. * Implementation aspects related specifically to the changes: The implementation of the changes involves ensuring that the new committee members are informed of their roles and responsibilities and that the committee begins functioning according to the established protocols for transplantation authorization. **8. Expected Outcomes / Impact of Changes:** The likely intended outcome of these specific changes is to ensure a robust, efficient, and transparent process for authorizing organ and tissue transplantation at Indraprastha Apollo Hospital. The updated committee composition may lead to: * Improved decision-making in authorization processes. * Enhanced oversight and accountability. * Increased public confidence in the transplantation program at the hospital. * A more diverse range of perspectives being considered during the authorization process due to the inclusion of members from outside the hospital. **9. Conclusion:** The notification regarding the reconstitution of the Hospital Based Authorization Committee for Indraprastha Apollo Hospital represents a significant update to the governance of organ and tissue transplantation at the hospital. The change in committee composition suggests a focus on maintaining a high standard of oversight and expertise in this critical area of healthcare. The reconstitution is within existing frameworks provided by the Transplantation of Human Organs and Tissues Act, 1994 and related regulations. This amendment ensures continued compliance with regulations and potentially enhances the quality and transparency of transplantation services provided by Indraprastha Apollo Hospital.

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