Hospital / Clinic / MTP

Centre Registration

Procedures

Dr. Dange-Walavalkar V. S.,

Lady Medical Officer,

Pimpri Chinchwad Municipal Corporation.

Registration Procedure

Mandatory with

Local Supervisory Body

as per

THE BOMBAY NURSING

HOMES REGISTRATON ACT, 1949

Where to apply-

With Local Supervisory body

When to apply-

New Registration – To apply immediately upon starting or intending to start

Renewal – 30 Days before the end of previous registration

For Hospital /nursing Home Registration apply in Prescribed Form B as given in BNHRA, 1949. With necessary documents proofs as follows-

Proof of Residential Address of persons working in hospital.

Proof of Technical Qualification of doctors and other staff working in hospital

How to apply-

Documents to be attached Papers regarding the Place of Nursing

Home-

Index 2/Leave & License Agreement

Property Tax receipt (Before 4 months ago)

Water Bill (Before 4 months ago)

Affidavit on 100/- Rs stamp paper regarding the place form owner.

Registration of place under Bombay Shop Act

Documents to be attached contd- MPCB Certification

Fire NOC for Hospital above 50 bed or height of hospital building more than 15 Meters (49.2 feet) according Circular on 17/12/2011 by Hon. Principal Secretary of Family Welfare Bureau, State of Maharashtra

Every application for registration or renewal of registration shall be

accompanied, by fees, prescribed as-

Rs 100/- up to 10 beds, Rs 200/- more than 10 beds,

per year. ( As per Notification given by Public

Health Department , Mantralaya , Maharashtra State on 7.4.1994)

For Clinics/PathLabs

Only registration for Bio Medical Waste is required. (Form available on PCMC official web site. )

Documents required for the Clinic/Path Labs’ registration

Proof of Technical Qualification of doctors.

Papers regarding the Place of Clinics.

Index 2/Leave & License Agreement.

Property Tax receipt (Before 4 months ago)

Water Bill (Before 4 months ago)

Registration of place under Bombay Shop Act.

Receipt of payment done for Bio Medical Waste disposal.

On the receipt of an application for registration according to rule

5 (1) of BNHRA in form B format,

the local supervising authority shall-

register the applicant in respect of the nursing home named in the application and

issue to him a certificate of registration in the prescribed form.

REGISTRATION - why necessary

As per BNHRA,1949 –

No person shall carry on the nursing home without Registration

Every person intending to carry on a

nursing home shall make an application for registration or the renewal of registration to the local supervising authority.

Hospital /nursing Home Registration Form B/Clinic

registration for Biomedical Waste available on official web site of

PCMC -

www.pcmcindia.gov.in

(Use Browser- IE 9 & Above version/

Mozilla Firefox/Google Chrome)

www.pcmcindia.gov.in

www.pcmcindia.gov.in

www.pcmcindia.gov.in

A certificate of registration issued under this section shall subject to the provision of section 7, (who so ever has been convicted of an offence under this act leading to cancellation of registration.) and in force and shall be valid until 31st of March of 3rd year next following the day on which such certificate is issued and renewed, as the case may be.

The LSA shall, on the receipt of an application for registration, register the applicant in respect of the nursing home named in the application and issue to him a certificate of registration in the prescribed form.

The certificate of registration issued

with respect of nursing home shall be kept affixed in a conspicuous place in the nursing home

Local supervising authority may refuse to register the applicant on the following grounds

Non-Fitness of the applicant or his agent to carry on the nursing home-

The nursing home is not under the

management of a person who is holding a degree in medical sciences and who is resident in the home.

If there is not a prescribed proportion of qualified nurses employed in the nursing home

That in the case of a maternity home it has not got on its staff a qualified midwife.

Non Fitness of the premises with regard to situation, construction, accommodation, staffing or equipment

Use of the premises for any improper or undesirable purposes

Penalty for non Registration

Imprisonment which may extend to six months

Or

Fine which may extend to ten thousand rupees

Or

Both

(applicable all over in Maharashtra)

Refusal or Cancellation of Registration

Subject to the provisions of this Act, the

LSA may at any time cancel the registration of a person in respect of any nursing home

OR

Refuse an application for the registration on the ground that person has been convicted of an offence under this Act.

Notice of refusal or cancellation of registration

The LSA shall give not less than one calendar month’s notice of its intention and every such notice shall state the ground on which the LSA intends to cancel or refuse the registration

Provision for showing cause Provision for appeal to State Government against

such order of refusal. The decision of the State Government on any such appeal shall be final.

Penalty for offences under Act Whoever contravenes any of the

provisions of this Act shall be punished with fine which may extend to 5000 and in the case of a continuing offence to a further fine of 50 rupees in respect of each day on which the offence continues after such conviction.

(Applicable all over Maharashtra)

Record of patients The keeper of a Nursing Home shall keep and

maintain. (a) In the form appended to these by-laws a

register of patients received into the Nursing Home;

(b) A correct alphabetical index of the names of the patients admitted to the nursing home;

(c) A daily record of health of every patient who may be suffering from acute illness;

(d) A daily record of health of every woman admitted to the nursing

(e) Delivery and of every child born to such woman in nursing Home; and

(f) A daily and weekly record of health of other patients.

Record of child and Maternal Death

The Keeper of nursing home shall keep and maintain a register special form, of maternal and infant deaths occurring in the nursing home, and submit monthly returns there of to the Executive Health Officer.

Notice of death occurring in Nursing Home

If any death occurs in a nursing home, the keeper of the nursing home shall within 24 hours from the occurrence of the death given in writing the notice of such death to the Executive Health Officer of the Corporation or the Registrar of Births and Deaths for the District.

Transfer of ownership

Immediately the transfer of the ownership or management of nursing home the transferor and the transferee shall jointly communicate the transfer affected to the LSA.

Change of address

A person registered under the Act in respect of a nursing home shall communicate to the local supervising authority not later that seventy-two hours after such change.

Change in staff

Any change in the medical, nursing or midwifery staff together with the dates on which such changes has taken place shall be communicated to the local supervising authority immediately and in any case, not later than three days of such change.

Lost certificate

In the event of certificate of registration being destroyed, the holder may apply to the LSA for a fresh certificate and the LSA may, if it thinks fit, issue such certificate upon payment of a fee of Rs. 5 A certificate issued under this rule shall be marked “Duplicate”.

Court Jurisdiction

No court, other than that of a Presidency Magistrate or a Magistrate of the first class shall take cognizance of or try any offence under this Act

Nothing in this Act shall

apply to Any nursing home carried on by

Government or a local authority or by any other body of persons approved by the State Government in this behalf; and

Any asylum for lunatics or patients suffering from mental diseases, within the meaning of the Indian Lunacy Act 1912

Complete Procedure involving Hospital Registration in Medical Department, PCMC

Application in Form B to be submitted with Citizen Facilitation Center (C.F.C.)

File Received at Medical Department

Sent for Inspection with the Hospital / Dispensary M.O. belonging to the Area of hospital

Inspection Report forwarded to Medical Dept.

Verification of all documents submitted with the application

Certification Prepared

Forwarded to C.F.C. from Medical Dept. for further distribution

Hospital owner receives the Certification of Registration on showing the receipt of file form submission

MTP Centre Registration

Mandatory as per MTP Act 1971

which provides guidelines for the legalization in terms of

-Where it can be performed

-Who can perform

-The Reasons/Causes for which it can be performed

No termination of pregnancy shall be made at

any place other than

(a) a hospital established or maintained by Government, or

(b) a place for the time being approved for the purpose of this Act by Government.

How to register a MTP Centre

Submission of Application with Local Appropriate Authority

Apply in form A - Clearly specifying for registration up to 12/20 weeks

Duly fill in Form B

Attach necessary Documents

Form A for MTP centre registration -

Available on PCMC official website,

Along with the list of Essential Equipments/ Instruments, Drugs, Emergency Drugs, Supplies which should be available in the MTP centre.

List Of Documents to be attached with Form A

1. Attested copies of Degree, MMC Registration

certificate & its renewal for the Doctors offering services in the centre.

2.Undertaking on own letter head of the Gynaecologist, Anaesthesiologist attached to the hospital.

3. Registration under Bombay Nursing Homes Registration Act (True copy) for the hospital

4. Letter from nearest blood bank (Mention the distance of hospital from Blood Bank)

5. Swab Report of the O.T.

Penalty for not approving the Place

As per section 4, MTP Act, Any person being owner of a place which is not approved is punishable with rigorous imprisonment for a term which shall not be less than two years but which may extend to seven years.

Experience and training under clause (d) of Section 2:-

A registered medical practitioner shall have one or more of the following experience or training in gynaecology and obstetrics, namely;

(a) In the case of a medical practitioner, who was registered in a State Medical Register immediately before the commencement of the Act, experience in the practice of gynaecology and obstetrics for a period of not less than three years;

(b) In the case of a medical practitioner, who is registered in a State Medical Register:-

(i) if he has completed six months of house surgency in gynaecology and obstetrics; or

(ii) unless the following facilities are provided therein, if he had experience at any hospital for a period of not less than one year in the practice of obstetrics and gynaecology ; or

(c) if he has assisted a registered medical practitioner in the performance of twenty-five cases of medical termination of pregnancy of which at least five have been performed independently, in a hospital established or maintained or a training institute approved for this purpose by the government.

(i) This training would enable the Registered Medical Practitioner (RMP) to do only 1st Trimester terminations (up to 12 weeks of gestation). (ii) For terminations up to twenty weeks the experience or training as prescribed under sub rules (a), (b) and (d) shall apply .

(d) In case of a medical practitioner who has been registered in a State Medical Register and who holds a post-graduate degree or diploma in gynaecology and obstetrics, the experience or training gained during the course of such degree or diploma.

Documentations to be maintained at the MTP centre

Form C – Consent form

Form I – Opinion Form

Form II – Information for Reporting

Form III – Admission Register

Admission Register, Consent forms are

not to be kept open to inspection,

should kept in Safe Cust0dy.

The certificate of registration issued For MTP centre shall be kept affixed in a conspicuous place in the nursing home/Hospital.

The place shall be inspected within 2 months of receiving the application and certificate of approval may be issued within the next 2 months, or in case any deficiency has been noted, within 2 months of the deficiency having been rectified by the applicant.

In Case of MMA

In the case of termination of early pregnancy up to 7 weeks using RU-486 with Misoprostol, the same may be prescribed by a Registered Medical Practitioner (RMP) as defined under clause (d) of section 2 of the Act and Section 4 of MTP Rules-

at his clinic, provided such a Registered Medical Practitioner has access to a place approved under Section 4 of the MTP Act, 1971 read with MTP Amendment Act, 2002 and Rules 5 of the MTP Rules.

For the purpose of access, the RMP should display a Certificate to this effect from the owner of the approved place.

MTPs carried out in a clinic by Medical Methods are to be entered in the Admission

Register and reported to the Appropriate Authority on a monthly basis.

Inspection of a place

A place approved under rule 5 may be inspected by the Chief Medical Officer of the District, as often as may be necessary with a view to verify whether termination of pregnancies is being done therein under safe and hygienic conditions.

Cancellation or suspension of certificate of approval