Indira Gandhi Institute of Medical Sciences, Patna, Patna

History of Indira Gandhi Institute of Medical Sciences – Patna

"It is worthwhile to mention that even on a cursory  perusal of statistics of the treatments provided in the All India Institute of  Medical Sciences and Post-Graduate Institute of Chandigarh, it appears that a large number of patients from Bihar are admitted into the A.I.I.M.S., New  Delhi and  P.G.I., Chandigarh and Vellore for the treatment of heart diseases, neurosurgery, Cancer therapy,  renal dialysis,  renal transplantation surgery,  portal hypertension,  obstructive jaundice and other serious diseases imposing an unbearable financial burden on the patients and their relations”. 

In this background, the State Government after consultation with the leading specialists of the country took the decision to set up an Institute at par with the level and standards of the All India Institute of Medical Sciences, New Delhi. It was contemplated that the Institute will serve not only the residents of Bihar State, but the large stretches of the northeast region comprising Sikkim, Nepal, Bhutan etc. in the matter of preventive and curative treatment on most modern line with economic cost. The Institute has been named after the late Prime Minister Srimati Indira Gandhi with a view to translating those aims into reality.

Indira   Gandhi   Institute of Medical Sciences   an   autonomous Institution of the state of Bihar is being established by I.G.I.M.S.  Act, 1984, the reamble of the I.G.I.M.S. Act'84 runs as follows:-

      " To establish an Institution in the State of Bihar with a view to develop clinical services in super specialties of the highest standard,  a system of supportive supervision and continued education for the medical and health functionaries and to promote services, research and education in the field of Community Medicine and allied subjects.".

AIMS AND OBJECTIVES

The objects of the Institute are set out in the Section-2  of the Act as follows :-

1. to develop an apex centre for delivery of health and medical care of the highest standard.
2. to train specialists of high order in different branches of medical services.
3. to  improve  the  health services   in  the  State  through appropriate  linkages  and  referral system  with   Medical College and District and Sub-divisional hospitals.
4. to develop the continued education programme and award degrees,  diplomas and certificates and post graduate degrees.
5. to develop[  clinical research centre  for conducting investigation on the problems of human health and diseases peculiar to and prevalent in this part to the country.
6. to develop Community Health Research Centre to study and find out solutions to the problems of health of  the community with particular emphasis on reproductive biology and population control, and 
7. to develop research and training in basis services relevant to the problems and needs of the community.

    (Under section 17 of Act 10 of 1984) the following policy decision was laid down in clear terms.

       "The   Indira Gandhi Institute of Medical Sciences has been established on the pattern of All India Institute of Medical Sciences, New Delhi with effect from 19.11.1983.

PROJECT & OTHER COMMITTEES

With view to prepare outlines of the Institute and a project report, Health Department in its memo No. 657(1) dated 3.3.81 constituted a Project Committee  under the Chairmanship of Dr. Atma Prakash, the  then  Professor and Head of Department of Surgery, A.I.I.M.S., New Delhi only two  meetings of  the  Project Committee was formally reconstituted by  the  State  Govt. under the Chairmanship of Dr. B.N.Tandon, Professor and Head of  Department of Gastroenterology and Human Nutrition. The Project Committee consisted of the following persons at present :-            

1. Dr. B. N. Tandon, Chairman, Prof. & Head of the Deptt., All India Institute of Medical Sciences, New Delhi.
2. Prof. R.P. Sinha, Head of the Deptt., Hospital Administration, A.I.I.M.S., New Delhi.
3. Dr. C. Prakash, Director, Medical College, Rohtak, Haryana.
4. Prof. B.N.Ghosh, Director,  All India Institute of Hygiene & Public Health, 110, Chittaranjan Avenue, Calcutta-73
5. Dr. T. Dorairajan, Prof. of Paediatric Surgery, Institute of Child Health, Halls Road, Egmore, Madras.
6. Dr. Rameshwar Sharma, B-32, Vijay Path, Tilak Nagar, Jaipur.
7. Dr. G.B. Parulkar, Director, G.S. Medical College, Parel, Bombay.
8. Dr. Banjamin Pulimood, Prof. of Medicine & Principal,Christian Medical College, Vellore.
9. Dr. H.K. Chuttani, Director, G.B.Pant Hospital, New Delhi.
10. Dr. B.N.Sethi, Principal & Prof. & Head, Psychiatry Deptt. K.G.Medical College, Lucknow.
11. Development Commissioner, Govt. of Bihar.
12. Finance Commissioner, Govt. of Bihar
13. Secretary, Medical Education & Family Welfare, Govt. of Bihar.          

"On the basis of detailed outlines of the Institute prepared by the Project Committee, Prof.  R.K. Shahu, Prof. & Head of Deptt., Architecture & Planning Department, Roorkee University submitted a detailed Project report. According to the Project report, a total outlay of Rs.110/- crores  was envisaged out of which Rs.70/- crores was to be spent  on  the Institute  building  hospital and machines equipment,  infrastructures   on various  services  and  the  remaining 40 crores was to  be  spent  on  the residential  buildings.  It is proposed to take a loan from HUDCO.  and bodies concerned with institutional finance. The remaining amount of Rs.70/- Crores is to be not out of the plan budget of the State Government".           

HOSPITAL COMPLEX

The Institute will have an ultra modern hospital with fully equipped 1000 beds after it is fully developed. As mentioned above, according to the decision  of  the  State Govt. the construction of the  Institute  will  be completed in 4 phases covering a total period of 6 years. According to  the Project  Report,  the  following departments will  be  established  in  the following order :-

1ST PHASE

       1.       Tropical Diseases.

       2.       Family practice and community medicine.

       3.       Paediatric Medicine & paediatric Surgery.

       4.       Cardiology, Pneumnology, respiratory unit, cardiothoracic and vascular surgery.

       5.       Oncology, Cancer Control & cure.

       6.       Neurology & Neurosurgery

       7.       Anesthesiology.

2ND PHASE

       1.       Endocrinology.

       2.       Mental Health.

       3.       Obstetrics, Gynaecology & Reproductive Biology.

       4.       Plastic Surgery with burns.

       5.       Orthopaedics & Rehabilitation Centre.

       6.       Traumatology & Accident CEntre. This unit will be set up under an independent administrative unit.

3RD PHASE

       1.       Ophthalmology

       2.       E.N.T.

       3.       Yoga & Naturopathy.

       4.       Centre for conducting research work and ancient system of medicine & clinical pharmacology.

4TH PHASE   

1. Development of clinical Research & Community Research.   

 "According to section 5 of the I.G.I.M.S. Act of 1984, all the financial and administrative powers are vested in the Board of Governors under the Chairmanship of Minister, Health & Family Welfare. According to the provision to the Section 5.          

FINANCIAL INVOLVEMENT

The  cabinet  in its meeting on 27.01.83, accorded approval  to  the non-recurring  cost  of  Rs. 80 crores( which was  concerned  with  by  the planning  and  Finance  Departments  subject  to  the  condition  that   no additional  financial  burden beyond this amount shall be incurred  by  the Institute without prior permission of the Government in four phases, (first phase  4.50 crores, second phase-15 crores, third phase 10  crores,  fourth phase 5 crores). and to be completed in 6 years from 1983. The cabinet also sanctioned funds for recurring expenditure as under:-      

                                      (Rupees in crores)

       First year                  -         0.33

       Second year              -         1.50

       Third year                 -         4.50

       Fourth year               -         6.50

       Fifth year                  -         8.50

       Sixth/Seventh year   -         10.00

The  preparation of physical development plan was entrusted  to  the University  of Roorkee whose Head of Department of  Architectural  planning was the  Chief  Consultant.  The University on its own hired other professional experts, M/s Hospital Environment Consultants, Chandigarh.

The  Consultants  submitted the Project report and  master  plan  on November  19,  1984,  which was accepted by the Project  Committee  of  the Institute in principle.        

PHYSICAL PLANNING  CONCEPTS OF  MEDICAL  ARCHITECTURE    

(a)      The job of physical development plan was entrusted to the University of Roorkee whose Head; of deptt. of Architecture planning  was  the Chief  consultant.  The University on their own hired; other professional expertise   M/s Hospital   Environment   Consultants - Chandigarh. The  consultants  submitted project report and master plan  on  19^th November,1984  which  was  discussed with  the  Governing  body  and external experts. The final reports, pages, drawings and model  were 

shown to his Excellency, the Governor of Bihar.  The C.M., Health Minister and Senior Secretaries of the Govt. of Bihar   and Commissioners in Patna on the same; day (i.e.19th Nov., 84) on Mrs. Indira Gandhi's Birthday. The Governing body finally accepted the consultant's proposals in principle.

(b)        LAND:- Land measuring 500 acres has already been acquired. The existing building has been renovated to house two specialities which are now; functioning.  The guest house has also been commissioned.

(c)   PHYSICAL DEVELOPMENT PLAN SUBMITTED BY; CONSULTANTS.

       As (a) TWIN campus approach. 

1. MEDICAL/HEALTH SCIENCES COMPLEX:  130 Acres Institutional buildings and housing.

             2.   MEDICAL TECHNOLOGY COMPLEX & RESIDENCE.

                                                          (500 Acres & 370 Acres).

              Residential Campus.

1. Sector-1 3250 houses have been provided for 5 categories as per GOI space norms.
2. Sector-2 Proposal for emerging Technical areas identified by the Ministry of Education related to medicine but not estimated in the present proposal.
3. Sector - 3. For further expansion but currently to be used for infrastructure support services for hospitals. The two campuses since are physically apart will have shuttle bus services. Housing has been restricted to 70% of contemplated employees as per the 7th plan approach of the Planning Commission. Even U.S.A. figures are  4.5  to  5 employees per patient in spite of the high level of sophistication and automation.

(d)       LAND  USE  PATTERNS: It will not be high density campus  but  with        garden  city concept ensuring environmental and  ecological  balance        within  frame  work  of Patna development  authority  Bye-laws.  

            The proposed land use pattern is as follows.                   

STARTING HOSPITAL

The Institute starting functioning from the day it was inaugurated by former President of India, Gayani Jail Singh Jee on 19.11.1983 and the following departments started functioning.

       CLINICAL DEPARTMENT

                                 Gastroenterology

                                 G.I. Medicine

                                 Nephrology

                                 Community Medicine

                                 Anesthesiology

      SUPPORTIVE DEPARTMENTS:

                                 Histopathology

                                 Radiology                                            

                                 Microbiology

                                 Biochemistry.

Due  to  inadequate financial support from the  Govt.,  the  dreamed project  of  1000 bedded hospital with 32 faculty,  Officers,  medical  and paramedical  staff  was  again  revised. It was proposed to provide the following departments in phase one for 500 beds.

PROPOSAL FOR 500  BEDS

FACILITIES PROVIDE3D IN THE PROJECT ESTIMATE:

It is proposed to provide the following departments in phase-I for 500 bedded).

FIRST  PHASE

 In the first phase, the following departments are to be set up expanded, and developed on a priority basis.

1.     Tropical Diseases (G.I. Medicine and G.I. Surgery).

2.     Endocrinology and Community Medicines.

3.     Paediatric Medicine and Paediatric Surgery.

4.     Pneumnology, Respiratory unit, and Vascular Surgery.    

5.     Nephrology and Urology including renal dialysis and transplants.

6.     Neurology and Neuro-Surgery. 

7.     Oncology (Cancer Control) and cure.

8.     Anesthesiology

9.     Ophthalmology.

10.    Cardiology and Cardiothoracic Surgery.

The following subdivisions for 500 bedded (as 172 beds, 164 beds, and 164 beds) are made based on the availability of the finance. 

I.      172 beds.

       Estimated Cost  -         5.00 Crores.

       Period          -         6 (six) months.

       Highlights      -  (1)    Strengthening of the existing departments and starting some new departments as 

                                         (a)    Tropical   Diseases    (G.I. Surgery, G.I. Medicine).

                                         (b)    Nephrology and Urology including Renal dialysis and transplant.

                                         (c)    Community Medicine.

                                        (d) Anesthesiology and all the supportive departments.

                                 (2)    Starting of Polyclinics, some portion of the Wards   

II.  In proposed first 164 beds (making the total beds 336 bedded

       I. Estimated cost   -     2728.50 Lakh

          Period           -     ONE  YEAR

          Highlights       -     Starting the following department

                           1.    Endocrinology

                           2.    Pneumnology, Respiratory unit & Vascular Surgery.

                                 3.    Pediatrics medicine & paediatric Surgery.

III. In proposed  2nd  164 beds (making the total bed strength  500  as proposed in the Ist phase.

       Estimated cost      -     2536.00 lakh

       Period              -     ONE YEAR

       Highlights          -     Starting the following departments:-

                           1.    Neurology and Neuro Surgery.

                           2.    Ophthalmology.

                           3.    Cardiology and Cardiothoracic Surgery.

  ALTERNATIVELY.

                           1.    Mental Health

                           2.    Plastic Surgery including Burn.

                           3.    Yoga and Naturopathy.

                          4.    Centre for basic research work in the ancient systems of   Medicines and Clinical Pharmacology.               

                           5.    Clinical research center and community research center.                      

                           6.     E.N.T.