**Executive Summary**
This document is a response to Lok Sabha Unstarred Question No. 2158, scheduled for December 12, 2025, regarding the shortage of medical staff in Government hospitals. The Minister of State in the Ministry of Health and Family Welfare provides answers to questions about complaints, shortages, government steps, audits, and nationwide reforms. The response clarifies that 'Public Health' and 'Hospitals' are State subjects, and State Governments are responsible for adequate medical resources.
**Key Points / Main Content**
* **State Subject:**
* Public Health and Hospitals are under the purview of State Governments.
* State Governments are responsible for ensuring the availability of adequate medical staff, essential medicines, and materials in Government hospitals.
* **Central Government Hospitals (Delhi):**
* Information regarding complaints of shortages is not maintained centrally.
* Hospitals such as Atal Bihari Vajpayee Institute, Dr. Ram Manohar Lohia Hospital, Vardhman Mahavir Medical College, Safdarjung Hospital, and Lady Hardinge Medical College, and Associated Hospitals have doctors, paramedical staff, and medical supplies available round-the-clock.
* These hospitals continually optimize patient load management through augmentation of facilities, manpower deployment, and process improvements. Functioning is reviewed through visits/inspections.
* **Measures to Strengthen Service Delivery (Central Government Hospitals/Institutes):**
* Regular recruitment and filling of vacant posts through various commissions and tests (UPSC, SSC, Nursing Officer Recruitment CET, Common Recruitment Examination).
* Expansion of bed capacity, renovation/upgradation of wards, critical care units, OTs, and diagnostic services.
* Adoption of patient-flow management practices (OPD tokenisation, digital queue systems, emergency triage).
* **National Health Mission (NHM) Support:**
* Financial and technical support is provided to States/UTs based on Programme Implementation Plans to strengthen healthcare systems.
* Incentives and honorarium are provided to encourage doctors to address the shortage of human resources (detailed in the Annexure).
* **NHM Incentives and Honorarium for Doctors:**
* Hard area allowance for specialist doctors serving in rural and remote areas.
* Honorarium for Gynecologists/Emergency Obstetric Care (EmoC) trained, Pediatricians & Anesthetist/Life Saving Anaesthesia Skills (LSAS) trained doctors.
* Incentives for doctors and Auxiliary Nurse Midwife(ANM) for ensuring timely Antenatal Care checkup and recording, for conducting Adolescent Reproductive and Sexual Health activities.
* Negotiable salary options for States to attract specialists ("You Quote We Pay").
* Non-monetary incentives: preferential admission to post-graduate courses for staff serving in difficult areas and improved accommodation arrangements in rural areas.
* Support for multi-skilling of doctors and skill upgradation of existing human resources.
**Impact Analysis**
**Stakeholder: State Governments**
* **Impact:** Bear the primary responsibility for ensuring adequate medical resources and staffing in their respective Government hospitals.
* **Action Required:** Utilize available support from the NHM, implement strategies to attract and retain medical professionals, and continuously improve healthcare infrastructure and processes.
**Stakeholder: Central Government Hospitals/Institutes (Delhi)**
* **Impact:** Required to maintain optimal patient load management, ensure round-the-clock availability of medical staff and supplies, and undergo regular inspections.
* **Action Required:** Continue to augment facilities, deploy manpower effectively, improve processes, and actively participate in recruitment drives through the specified commissions and tests.
**Stakeholder: Medical Professionals**
* **Impact:** Can benefit from incentives and honorariums provided under the NHM for serving in rural and remote areas, as well as opportunities for skill upgradation and preferential admissions to postgraduate courses.
* **Action Required:** Consider serving in underserved areas to avail of the incentives and improve healthcare access in those regions.
**Stakeholder: Patients/Public**
* **Impact:** Aim to improve access to quality healthcare services and reduce shortages of medical staff and supplies in Government hospitals.
* **Action Required:** N/A
Key Entities Referenced
National Health Mission (NHM): A nationwide program providing financial and technical support to states/UTs to strengthen healthcare systems, including addressing shortages of medical staff through various incentives.
Ministry of Health and Family Welfare: The primary government ministry responsible for the questions addressed regarding shortage of medical staff.
Government hospitals: Subject of the question: shortfalls in medical staff, essential medicines and materials.
Lok Sabha: Parliamentary body that raised the question regarding shortage of medical staff.
Delhi: Location where Central Government Hospitals are concerned in particular for availability of medical staff, medicines and materials.
GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENTOFHEALTHAND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2158
TOBE ANSWERED ON 12.12.2025
SHORTAGEOFMEDICALSTAFF
2158. SHRIVIJAYAKUMARALIASVIJAYVASANTH:
SHRISURESHKUMAR SHETKAR:
Will the Minister of HEALTHANDFAMILYWELFAREbe pleasedtostate:
(a) whether many complaints/cases have been received during the last three years and the
current year regarding shortage of medical staff, essential medicines and materials in
Government hospitals across metrocities, if so, the detailsthereof;
(b) whether it is a fact that Government hospitals continue to face critical shortages while
private corporate hospitals manage highpatient loadsefficiently, if so, the detailsthereof along
with the response of the Government inthis regard;
(c) the immediate steps the Government has taken to ensure availability of doctors, nurses and
medicalsupplies inGovernment hospitals inmetrocities, especiallyduring peak case loads;
(d) whether anindependentaudit/inquiry hasbeenconductedbythe Government to
investigate systemic gaps causing shortages in Government hospitals, if so, the findings
thereofandif not,the reasons therefor; and
(e) the manner in which the Government plan to implement nationwide reforms to prevent
shortages, improve patient care and ensure that public hospitals match the efficiency of
corporate hospitals inhandling highpatientinflow?
ANSWER
MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE
(SHRIPRATAPRAOJADHAV)
(a) to (e) ‘Public Health’ & ‘Hospitals’ are State subjects. State Governments make efforts
for availability of adequate medical staff, essential medicines and materials in Government
Hospitals of theirrespective States.Government hospitals cater to a huge patient load owing to affordability and
accessibility of health care services for all sections of the society. The patient influx in
Government hospitals is significantly higher in comparision to most of the private hospitals.
Augmentation of healthcare facilities to ensure adequate medical staff, essential medicines and
materials is a continuous process undertaken on the basis of functional requirement of the
Hospitals.
Information related to complaints/cases regarding shortage of medical staff, essential
medicines and materials in Government hospitals across metro cities is not maintained
centrally. As far as Central Government Hospitals of Delhi i.e. Atal Bihari Vajpayee Institute
of Medical Sciences & Dr. Ram Manohar Lohia Hospital, Vardhman Mahavir Medical College
& SafdarjungHospital, LadyHardinge Medical College & AssociatedHospitals are concerned,
doctors, paramedical staff and medical supplies in various departments are available round-the
- clock to cater to patients. These hospitals continuously work to manage patient load
optimally through augmentation of facilities, manpower deployment and process
improvements. Also, these hospitals are reviewed for their functioning through
visits/inspections from time totime.
The following measures have been undertaken in Central Government hospitals/
Institutes tostrengthen service deliveryandavoidshortage of staff:
(i). Regular recruitment and filling-up of vacant posts through Union Public Service
Commission, Staff Selection Commission, Nursing Officer Recruitment Common Eligibility
Test, Common RecruitmentExaminationandcontractual engagementasperrules.
(ii). Expansion of bed capacity and renovation/upgradation of wards, critical care units,
OTsanddiagnostic services.
(iii). Adoption of patient-flow management practices including OPD tokenisation, digital
queue systems andemergency triage tohandle highpatient loadefficiently.
Also, under National Health Mission(NHM), financial and technical support is
provided to the States/UTs to strengthen their healthcare systems based on the Programme
Implementation Plans submitted by the States/UTs within their overall resource envelope. In
order to address shortage of human resources, under NHM, types of incentives and
honorarium providedfor encouragingdoctors are at Annexure.Annexure referred to in the reply to part (a) to (e) of Lok Sabha unstarred question
number2158foransweron12.12.2025.
Types of incentives and honorarium provided for encouraging doctors and other staff to
addressshortage of humanresources underNationalHealth Mission (NHM)
(i) Hard area allowance to specialist doctorsfor serving inrural andremote areas.
(ii) Honorarium to Gynecologists/ Emergency Obstetric Care (EmoC) trained, Pediatricians &
Anesthetist/ Life SavingAnaesthesia Skills(LSAS) traineddoctors isalso provided toincrease
availabilityof specialists inrural & remote areas.
(iii) Incentives for doctors and Auxiliary Nurse Midwife(ANM) for ensuring timely Antenatal
Care checkup and recording, for conducting Adolescent Reproductive and Sexual Health
activities.
(iv) States are also allowed to offer negotiable salary to attract specialists including flexibility
instrategiessuch as “You Quote We Pay”.
(v) Non-Monetary incentives such as preferential admission in post graduate courses for staff
serving in difficult areas and improving accommodation arrangement in rural areas have also
beenintroducedunderNHM.
(vi) Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists.
Skill upgradation of existing human resources is another major strategy under NHM for
achievingimprovement inhealthoutcomes.