JUDGMENT : Rajiv Sharma, J. 1. On the oral application of petitioner, the Medical Council of India is added as respondent no.6 in the petition. 2. The present petition has been filed highlighting the lack of basic facilities in Government Medical College, Haldwani, District Nainital and its associate hospitals i.e. Dr. Sushila Tewari Memorial Hospital and Swami Rama Cancer Hospital & Research Center. 3. According to the averments made in the petition, the institution is plagued with absenteeism. The poor patients are not getting specialized treatment. Number of posts are lying vacant. Patients are not getting the medicines from the hospital. There is a tendency among the doctors to refer the patients to other hospitals. It is a 650 bedded hospital. 1500 patients come to the hospital daily. The District Magistrate, Nainital has carried out the surprise visits from time to time. 4. Respondent no.2-Principal, Govt. Medical College, Haldwani has filed the counter affidavit. According to the averments made by the respondent no.2, 500 MBBS students are trained at different departments and approximately 120 Post Graduate (MD/ MS) students are undergoing training. There are 23 different Departments as per the details given in paragraph no.5 of the counter affidavit. The hospital does not fall under the administrative control of the Department of Medical Health & Family Welfare, Govt. of Uttarakhand. It falls under the control of the Department of Medical Education. For this reason, free medicines cannot be provided. The patients come to the hospital from Kumaon Region. The patients also come from the nearby districts of State of Uttar Pradesh. The hospital is providing best medical facilities. The students, particularly, post-graduate MD/MS students are the MBBS qualified doctors, who are pursuing their studies and training, are retained in the hospital for a maximum time in a day. 500 patients are treated in the In-patient Department (I.P.D.) daily. 5. Petitioner has filed rejoinder affidavit to the counter affidavit filed by the respondent no.2. Petitioner has referred to the information sought by him from the respondent-College. A startling revelation has been made that Swami Rama Cancer Hospital & Research Institute currently has the Department of Radiotherapy only. Here, the conventional radiotherapy is delivered and also Brachytherapy is done. Simple forms of chemotherapy are often performed but complex form of chemotherapy is not feasible due to lack of medical oncology department. There is no Surgical Oncology Department yet. Here, the conventional radiotherapy is delivered and also Brachytherapy is done. Simple forms of chemotherapy are often performed but complex form of chemotherapy is not feasible due to lack of medical oncology department. There is no Surgical Oncology Department yet. The Department of General Surgery and ENT often perform cancer surgeries when possible. The Departments of Medical Oncology, Surgical Oncology are due to be brought in when the institute is upgraded to State Cancer Institute. There are no Neurology, Gastrology, Nephrology, Urology or Cardiology Departments in the hospital. The details of the doctors including Professor, Assistant Professor/Reader, Assistant Professor/Lecturer, Tutor/Demons., Pharma Chemist subject-wise are given in Annexure No.1 to the rejoinder affidavit. There is no independent Cardiology Department. 6. Respondent No.2 has filed the supplementary counter affidavit. According to the averments made in the supplementary counter affidavit, ‘Chemotherapy’ is performed in Four Forms; (1) Neo-adjuvent- It is provided in the hope of regression in size of tumor so that the border line inoperable tumor can become operable. (2) Adjuvent- This form of Chemotherapy is provided after completion of surgery to minimize the chance of reoccurrence; doze intensified Chemotherapy is required which is not feasible under current facilities. (3) Concurrent:- This form of Chemotherapy is provided along with radiotherapy. Concurrent therapy is to enhance the sensitivity of tumor cells towards radiation. (4) Pallative:- When there is no cure possible, then this form of Chemotherapy is given to decrease the symptom and suffering of the patient. The first two forms of Chemotherapy (Neo-adjuvent and Adjuvent) need to be performed under the strict guidance of Medical Oncologist/Surgical Oncologist, as the case may be. However, 3rd and 4th form i.e. Concurrent and Pallative forms of Chemotherapy are performed by the Radio Oncologist. 7. Advertisements were called for to fill up the posts of Super-Specialty Consultants i.e. Gastreology, Nephrology, Neurology and Cardiology. As many as 2,42,905 patients were admitted as indoor patients between 2005 to 2015. Death rate comes to 4.72%. 11,477 patients died while undergoing treatment. Various category patients i.e. Below Poverty Line (BPL) Category, Mukhyamantri Swasthya Bima Yojna (MSBY) patients are given free medicines. Details of the posts advertised in 2014-15 are given in the affidavit. 8. Government Medical College, Haldwani (formerly known as U.K. Forest Hospital Trust Medical College) is only medical college in Haldwani, Uttarakhand, India . It was established in 1997. Various category patients i.e. Below Poverty Line (BPL) Category, Mukhyamantri Swasthya Bima Yojna (MSBY) patients are given free medicines. Details of the posts advertised in 2014-15 are given in the affidavit. 8. Government Medical College, Haldwani (formerly known as U.K. Forest Hospital Trust Medical College) is only medical college in Haldwani, Uttarakhand, India . It was established in 1997. It is affiliated with Hemvati Nandan Bahuguna Medical University . The foundation of the medical college was laid on 19th March 1997, by Shri Romesh Bhandari , the then governor of Uttar Pradesh . In May 2004, the college started its first intake of 100 MBBS students. Uttarakhand Forest Hospital Trust" was dissolved in the month of April, 2010. Five Institutions were taken over by the Department of Medical Education to operate under the name of Government Medical College, Haldwani from 1 May 2010. The total intake of MD/MS courses is 100 and 65 respectively. The Government Medical College, Haldwani is the first post graduate college in Uttarakhand, recognised by the Medical Council of India and the Government of India. The Govt. Medical College Haldwani has two hospitals associated with it - Dr. Sushila Tiwari Memorial Hospital and Swami Rama Cancer Hospital & Research Center. Swami Rama Cancer Hospital & Research Center was inaugurated on 22nd February, 2010. However, there is only one Department which is functional i.e. Radiotherapy. The lack of oncological disciplines of medical oncology, surgical oncology, haematological oncology, gynaecological oncology and pediatric oncology is acutely affecting the population of the state at present. 9. The Parliament has enacted the ‘Indian Medical Council Act, 1956’ (hereinafter to be referred as ‘the Act’). Section 10-A provides for permission for establishment of new medical college, new course of study etc. The Medical Council of India (MCI) can make the Regulations under Section 33 of the Act to carry out the purposes of the Act. 10. The MCI has framed and published the ‘Minimum Requirements for 100 MBBS Admissions Annually Regulations in the year 1999 which were up to August, 2017. Schedule-I of the Regulations deals with the accommodation in the medical college and its associated teaching hospitals. The Department-wise Staff Requirements-Non-Clinical and Department-wise Staff Requirements-Clinical Department reads as under:- “DEPARTMENTWISE STAFF REQUIREMENTS-NON-CLINICAL (1) * DEPARTMENT OF ANATOMY Staff Strength Required 1. Professor 1 2. Assoc. Prof./Reader 1 3. Asstt. Prof. /Lecturer 2 4 Tutors/Demonstrators 4 5. Technician 1 6. Schedule-I of the Regulations deals with the accommodation in the medical college and its associated teaching hospitals. The Department-wise Staff Requirements-Non-Clinical and Department-wise Staff Requirements-Clinical Department reads as under:- “DEPARTMENTWISE STAFF REQUIREMENTS-NON-CLINICAL (1) * DEPARTMENT OF ANATOMY Staff Strength Required 1. Professor 1 2. Assoc. Prof./Reader 1 3. Asstt. Prof. /Lecturer 2 4 Tutors/Demonstrators 4 5. Technician 1 6. Dissection Hall Attendants 4 7. Store Keeper cum Clerk-cum Computer Operator 1 8. Sweepers 2 As per the terms of Notification published on 02.12.2008 in the Gazette of India. (2) * DEPARTMENT OF PHYSIOLOGY Staff Strength Required 1 Professor 1 2 Assoc. Prof/Reader 1 3 Asstt. Prof./ /Lecturer 2 4 Tutors/Demonstrators 4 5. Technician 1 6 Store Keeper cum clerk cum Computer operator 1 7 Sweepers 2 xxx xxx xxx (3) * DEPARTMENT OF BIOCHEMISTRY Staff Strength Required 1 Professor 1 2 Assoc. Prof./Reader 1 3 Asstt. Prof./Lecturer 1 4 Tutors/Demonstrators 4 5 Technical Asstt./Technician 2 6. Store-Keeper cum clerk cum Computer operator 1 7. Sweepers 2 8. Lab Attendant 1 xxx xxx xxx (4) *DEPARTMENT OF PATHOLOGY Staff Strength Required 1 Professor 1 2 Assoc. Prof./Reader 3* 3 Asstt. Prof./Lecturer 3 4 Tutors/Demonstrators 4* 5 Technical Asstt./Technician 4 6 Lab. Attendants 2 7 Steno cum Computer Operator 1 8 Store Keeper cum Record Keeper 1 9. Sweepers 2 * As per the terms of Notification published on 03.11.2010 in the Gazette of India. (5) *DEPARTMENT OF MICROBIOLOGY Staff Strength Required 1 Professor 1 2 Assoc. Prof. 1 3 Asstt. Prof. 2 4 Tutors/Demonstrators 3 5 Technical Asstt./Technician 7 6 Lab. Attendants 2 7 Store Keeper cum Record clerk 1 8 Steno cum Computer Operator 1 9 Sweepers 2 xxx xxx xxx (6) *DEPARTMENT OF PHARMACOLOGY Staff Strength Required 1 Professor 1 2 Assoc. Prof./Reader 1 3. Asstt. Prof./Lecturer 2 4 Tutors/Demonstrators 2 5. Laboratory Attendants 2 6. Store Keeper cum clerk cum Computer operator. 1 7. Sweepers 2 xxx xxx xxx (7) *DEPARTMENT OF FORENSIC MEDICINE Staff Strength Required 1 Professor 1 2 Assoc. Prof./Reader 3 Asstt. Prof. /Lecturer 1* 4 Tutors/Demonstrators 2 5 Technical Asstt./Technician 2 6 Laboratory Attendants 2 7 Steno Typist 1 8 Store Keeper cum clerk cum Computer Operator 1 9 Sweepers 4 Note:- In case of postmortem work of more than 500 annually, two additional Tutors/Demonstrators shall be provided. * As per the terms of Notification published on 03.11.2010 in the Gazette of India. * As per the terms of Notification published on 03.11.2010 in the Gazette of India. (8) * DEPARTMENT OF COMMUNITY MEDICINE Staff Strength Required 1 Professor 1 2 Assoc. Prof./Reader 2 3 Asstt. Prof. /Lecturer 2 4. Epidemiologist-cum-Assistant Professor 1 5 Statistician-cum-Assistant Professor 1 6 Tutors/Demonstrators 4 7 Medical Social Worker 1 8 Technical Asstt./Technicians 1 9 Stenographers 1 10 Record keeper cum clerk cum Computer Operator 1 11 Store Keeper 1 12 Sweepers 1 STAFF FOR RURAL TRAINING HEALTH CENTRE (INCLUDING FIELD WORK AND EPIDEMIOLOGICAL STUDIES.) 1 Medical Officer of Health-cum-lecturer/Assistant Professor 1 2 Lady Medical Officer 1 3 Medical Social Workers 2 4 Public Health Nurse 1 5 Health Inspector/Health Assistant (Male) 1 6 Health Educator 1 7 Technical Asstt./Technician 1 8 Peon 1 9 Van Driver 1 10 Store Keeper cum Record Clerk 1 11 Sweepers 2 URBAN TRAINING HEALTH CENTRE 1. Medical officer of Health-cum-Lecturer/Assistant Professor 1 2. Lady Medical Officer 1 3. Medical Social Workers 2 4. Public Health Nurse 1 5. Health Inspectors 2 6. Health Educator 1 7. Technical Assistant/Technicians 2 8. Peon 1 9. Van Driver 1 10. Store Keeper 1 11. Record Clerk 1 12. Sweepers 2 Note: The Urban and Rural Training Health Centres should be under the direct administrative control of the Dean/Principal of the college.” * As per the terms of Notification published on 03.10.2010 in the Gazette of India. C. DEPARTMENT WISE STAFF REQUIREMENTS-CLINICAL DEPARTMENTS (1) GENERAL 1. Each department shall have a Head of the Department of the rank of full time Professor who shall have overall control of the Department. 2. The Staffing pattern of the departments shall be organized on the basis of units. 3. A Unit shall have not more than 30 beds in its charge. However, in departments of Tuberculosis & respiratory diseases, Dermatology, Veneralogy & Leprosy, Psychiatry, Ophthalmology & ENT one unit shall be of MCI sanctioned strength for that speciality even if the total number of beds is less than 30. 4. The minimum staff complement of each unit shall consist of the following, namely:- (a) Professor/Reader - 1 (b) Lecturer. – 1 (c) Senior Resident/Tutor/Registrar - 1 (d) Junior Residents - 3 to 4 In addition to the above staff, additional Sr. 4. The minimum staff complement of each unit shall consist of the following, namely:- (a) Professor/Reader - 1 (b) Lecturer. – 1 (c) Senior Resident/Tutor/Registrar - 1 (d) Junior Residents - 3 to 4 In addition to the above staff, additional Sr. Residents and Junior Residents shall be provided according to the load in Burn Ward ICU, emergency, ICCU, Nursery, Labour Room and in other critical/intensive care unit/units for providing services round the clock. (2) DEPARTMENT OF GENERAL MEDICINE The Number of units, beds and staff for each department shall be as follows: (a) GENERAL MEDICINE No. of units/beds: 4/120`Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 3 3. Asst.Professor/Lecturer 4 4. Tutor / Registrar/Sr. Resident* 6** 5. Junior Residents 12 *With three years Resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. (b) TUBERCULOSIS & RESPIRATORY DISEASES No. of units/beds: 4/120 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 4. Tutor/Registrar/Sr. Resident* 2** 5. Junior Residents 3 * With three years Resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India (c) DERMATOLOGY VENEREOLOGY & LEPROSY No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 4. Tutor/Registrar/Sr. Resident* 2** 5. Junior Residents 3 * With three years Resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India (d) PSYCHIATRY No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 3. Asst.Professor/Lecturer 1 4. Tutor / Registrar/Sr. Resident* 2** 5. Junior Residents 3 * With three years Resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India The following ancillary staff shall be provided. Staff Strength required 1. E.C.G. Technician 1 2. Technical Asstt./Technician 3 3. Lab. Attendants 4 4. Store Keeper 1 5. Steno Typist 1 6. Record clerks 2 7. T.B. and Chest Diseases Health Visitors 2 8. Psychiatric Social Workers 2 (3) DEPARTMENT OF PAEDIATRICS No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 2 4. Tutor / Registrar/Sr. Resident* 3** 5. Junior Residents 6 ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Child Psychologist 1 2. Health Educator 1 3. Technical Asstt./Technician 1 4. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 2 4. Tutor / Registrar/Sr. Resident* 3** 5. Junior Residents 6 ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Child Psychologist 1 2. Health Educator 1 3. Technical Asstt./Technician 1 4. Lab attendant 1 5. Store Keeper 1 6. Record clerks 1 7. Social worker 1 (4) DEPARTMENT OF GENERAL SURGERY No. of units/beds: 4/120 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 3 3. Asst.Professor/Lecturer 4 4. Tutor / Registrar/Sr. Resident* 6** 5. Junior Residents 12 * With three years Resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 3 2. Laboratory Attendants 4 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 2 (5) DEPARTMENT OF ORTHOPAEDICS No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 2 4. Tutor / Registrar/Sr. Resident* 3** 5. Junior Residents 6 * with three years resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Laboratory Attendants 1 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 1 (6) *DEPARTMENT OF OTO-RHINO-LARYGOLOGY No. of units/beds: 1/20 Staff strength required 1. Professor 1 2. Assoc. Professor/Reader 1 3. Asst. Professor/Lecturer 4. Tutor / Registrar/Sr. Resident* 2** 5. Junior Residents 3 * with three years resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Laboratory Attendants 1 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 1 6. Audiometry Technician 1 7. Speech Therapist 1 (7) *DEPARTMENT OF OPHTHALMOLOGY No. of units/beds: 1/20 Staff strength required 1. Professor 1 2. Assoc. Professor/reader 1 3. Asst.Professor/Lecturer 4. Tutor / Registrar/Sr. Resident* 2** 5. Junior Residents 3 * with three years resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Technical Assistant/ Technician 1 2. Lab Attendant 1 3. Stenotypist 1 4. Store keeper 1 5. Record Clerk 1 6. Asst.Professor/Lecturer 4. Tutor / Registrar/Sr. Resident* 2** 5. Junior Residents 3 * with three years resident experience. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. The following ancillary staff shall be provided. 1. Technical Assistant/ Technician 1 2. Lab Attendant 1 3. Stenotypist 1 4. Store keeper 1 5. Record Clerk 1 6. Refractionist 1 (8) *DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Associate Professor/Reader 2* 3. Assistant Professor/Lecturer 3* 4. Tutor / Registrar/Sr. Resident* 3** 5. Junior Residents 6 The following ancillary staff shall be provided. 1. Antenatal Medical officer-cum-lecturer/Assistant Professor 1 2. Maternity and Child Welfare Officer-cum-lecturer/Assistant Professor 1 3. Social Worker 2 4. Technical Asstt./Technicians 2 5. Lab Attendants 2 6. Stenographer 1 7. Record Clerk 1 8. Store Keeper 1 * As per the terms of Notification published on 03.11.2010 in the Gazette of India. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. (9) *DEPARTMENT OF RADIO-DIAGNOSIS 1. Professor 1 2. Assoc. Professor/ Reader 1 3. Asst. Professor/Lecture 1* 4. Tutors/Registrars/Sr.Residents 5** 5. Radiographic technicians 8 6. Dark room assistant 4 7. Stenographers 1 8. Storekeeper 1 9. Record clerk 1 * As per the terms of Notification published on 03.11.2010 in the Gazette of India. ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. (10) *DEPARTMENT OF RADIO-THERAPY (OPTIONAL) 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 2 4. Tutors/Registrars 3 5. Physicist 1 6. Radiotherapy technicians (for every treatment unit) 2 7. Dark room assistant 1 8. Stenographer 1 9. Storekeeper 1 10. Record clerk 2 (11) DEPARTMENT Of ANAESTHESIOLOGY Staff strength required 1. Professor 1 2. Assoc.Professor/Reader 2 3. Asst.Professor/Lecturer 3 4. Tutors/Registrars/Senior Residents 8** The staff in the department shall consist of : 1. Technical Asstt. Technicians 8 2. Stenotypist 1 3. Record clerk 1 4. Store keeper 1 ** As per the terms of Notification published on 04.11.2010 in the Gazette of India (12) DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION (OPTIONAL) Staff Strength required 1. Professor 1 2. Assoc.Professor/Reader 3. Asst.Professor/Lecturer 1 4. Senior Residents 2 5. House Surgeon/Junior Resident 1 The staff in the department shall consists of : 1. Physiotherapists 2 2. Occupational Therapists 2 3. Speech Therapists 1 4. Prosthetic and Orthotic Technicians 2 5. Workshop Workers 6 6. Professor 1 2. Assoc.Professor/Reader 3. Asst.Professor/Lecturer 1 4. Senior Residents 2 5. House Surgeon/Junior Resident 1 The staff in the department shall consists of : 1. Physiotherapists 2 2. Occupational Therapists 2 3. Speech Therapists 1 4. Prosthetic and Orthotic Technicians 2 5. Workshop Workers 6 6. Clinical Psychologist 1 7. Medico-social Worker 1 8. Public Health Nurse/Rehabilitation Nurse 1 9. Vocational Counsellor 1 10. Multi-rehabilitation Workers/(MRW)/Technician/Therapist 4 11. Stenographer 1 12. Record Clerk 1 13. Store keeper 1 14. Class IV workers 4 (13) DEPARTMENT OF DENTISTRY Staff Strength required 1. Professor 1 2. Assoc.Professor/Reader 1 3. Asst.Professor/Lecturer 4. Tutor/Registrar/Sr. Residents 2** 5. Dental Technicians 4 6. Store Keeper cum clerk 1 ** As per the terms of Notification published on 04.11.2010 in the Gazette of India. Note: Where Dental College or Dental wings of medical Colleges exist, the services of teachers of these may be utilized in the instruction of medical students in Dentistry and no separate staff in the Medical College shall be necessary. # The above Schedule II – “Staff Requirements” under the heading “Department-wise Staff Requirements- Non-Clinical and Clinical departments the “Staff Strength Required” for the following departments shall be substituted as under:- DEPARTMENTWISE STAFF REQUIREMENTS-NON-CLINICAL (1) *DEPARTMENT OF ANATOMY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 3 5. Technician 1 6. Dissection Hall Attendants 4 7. Store Keeper cum Clerk-cum Computer Operator 1 8. Sweepers 2 (2) * DEPARTMENT OF PHYSIOLOGY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 3 5. Technician 1 6. Store Keeper cum clerk cum Computer operator 1 7. Sweepers 2 (3) *DEPARTMENT OF BIOCHEMISTRY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 3 5. Technical Asstt./Technician 2 6. Store-Keeper cum clerk cum Computer operator 1 7. Sweepers 2 8. Lab Attendant 1 (4)* DEPARTMENT OF PATHOLOGY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 2 3. Asstt. Prof. 3 4. Tutors/Demonstrators 4 5. Technical Asstt./Technician 4 6. Lab. Attendants 2 7. Steno cum Computer Operator 1 8. Store Keeper cum Record Keeper 1 9. Sweepers 2 (5) *DEPARTMENT OF MICROBIOLOGY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 3 5. Technical Asstt./Technician 7 6. Lab. Attendants 2 7. Store Keeper cum Record clerk 1 8. Technical Asstt./Technician 4 6. Lab. Attendants 2 7. Steno cum Computer Operator 1 8. Store Keeper cum Record Keeper 1 9. Sweepers 2 (5) *DEPARTMENT OF MICROBIOLOGY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 3 5. Technical Asstt./Technician 7 6. Lab. Attendants 2 7. Store Keeper cum Record clerk 1 8. Steno cum Computer Operator 1 9. Sweepers 2 (6)* DEPARTMENT OF PHARMACOLOGY Staff Strength Required 1. Professor 1 2. Assoc. Prof. 1 3. Asstt. Prof. 1 4. Tutors/Demonstrators 2 5. Laboratory Attendants 2 6. Store Keeper cum clerk cum Computer operator 1 7. Sweepers 2 (7) *DEPARTMENT OF FORENSIC MEDICINE Staff Strength Required 1. Professor 1 2. Assoc. Prof. 0 3. Asstt. Prof. 1 4. Tutors/Demonstrators 2 5. Technical Asstt./Technician 2 6. Laboratory Attendants 2 7. Steno Typist 1 8. Store Keeper cum clerk cum Computer Operator 1 9. Sweepers 4 Note:- In case of postmortem work of more than 500 annually, two additional Tutors/Demonstrators shall be provided. (8) * DEPARTMENT OF COMMUNITY MEDICINE Staff Strength Required 1. Professor 1 2. Assoc. Prof. 2 3. Asstt. Prof. 2 4. Epidemiologist-cum-Assistant Professor 1 5. Statistician-cum-Tutor 1 6. Tutors/Demonstrators 3 7. Medical Social Worker 1 8. Technical Asstt./Technicians 1 9. Stenographers 1 10. Record keeper cum clerk cum Computer Operator 1 11. Store Keeper 1 12. Sweepers 1 STAFF FOR RURAL TRAINING HEALTH CENTRE (INCLUDING FIELD WORK AND EPIDEMIOLOGICAL STUDIES) 1. Medical Officer of Health-cum-lecturer/Assistant Professor. 1 2. Lady Medical Officer 1 3. Medical Social Workers 2 4. Public Health Nurse 1 5. Health Inspector/Health Assistant (Male) 1 6. Health Educator 1 7. Technical Asstt./Technician 1 8. Peon 1 9. Van Driver 1 10. Store Keeper cum Record Clerk 1 11. Sweepers 2 *URBAN TRAINING HEALTH CENTRE 1. Medical officer of Health-cum-Lecturer/Assistant Professor 1 2. Lady Medical Officer 1 3. Medical Social Workers 2 4. Public Health Nurse 1 5. Health Inspectors 2 6. Health Educator 1 7. Technical Assistant/Technicians 2 8. Peon 1 9. Van Driver 1 10. Store Keeper 1 11. Record Clerk 1 12. Sweepers 2 Note: The Urban and Rural Training Health Centres should be under the direct administrative control of the Dean/Principal of the college. C. DEPARTMENT WISE STAFF REQUIREMENTS-CLINICAL DEPTT. (1) GENERAL 1. Health Inspectors 2 6. Health Educator 1 7. Technical Assistant/Technicians 2 8. Peon 1 9. Van Driver 1 10. Store Keeper 1 11. Record Clerk 1 12. Sweepers 2 Note: The Urban and Rural Training Health Centres should be under the direct administrative control of the Dean/Principal of the college. C. DEPARTMENT WISE STAFF REQUIREMENTS-CLINICAL DEPTT. (1) GENERAL 1. Each department shall have a Head of the Department of the rank of Professor except in the departments of Dermatology, Venereology & Leprosy, Psychiatry & Dentistry where Associate Professor may be the Head of the Department who shall have overall control of the Department. 2. The Staffing pattern of the departments shall be organised on the basis of units. 3. A Unit shall have not more than 30 beds in its charge. However, in departments of Tuberculosis & respiratory diseases, Dermatology, Veneralogy & Leprosy, Psychiatry, Ophthalmology & ENT one unit shall be of MCI sanctioned strength for that speciality even if the total number of beds is less than 30. 4. The minimum staff complement of each unit shall consist of the following, namely:- (a) Professor/Assoc.Prof. - 1 (b) Assistant Prof. - 1 (c) Senior Resident - 1 (d) Junior Residents - 2 In addition to the above staff, additional Sr. Residents and Junior Residents shall be provided according to the load in Burn Ward ICU, emergency, ICCU, Nursery, Labour Room and in other critical/intensive care unit/units for providing services round the clock. C. DEPARTMENTWISE STAFFREQUIREMENTS CLINICAL DEPTT. (1) GENERAL 1. Each department shall have a Head of the Department of the rank of Professor except in the departments of Dermatology Venereology and Leprosy, Psychiatry and Dentistry where Associate Professor may be the Head of the Department who shall have overall control of the Department. 2. The Staffing pattern of the departments shall be organized on the basis of units. 3. A Unit shall have not more than 30 beds in its charge. However, in departments of Tuberculosis & Respiratory Diseases, Dermatology Venereology & Leprosy, Psychiatry, Ophthalmology & ENT one unit shall be of MCI sanctioned strength for that speciality even if the total number of beds is less than 30. 4. The minimum staff complement of each unit shall consist of the following, namely:- (a) Professor/Assoc. Prof. – 1 (b) Assistant Prof. However, in departments of Tuberculosis & Respiratory Diseases, Dermatology Venereology & Leprosy, Psychiatry, Ophthalmology & ENT one unit shall be of MCI sanctioned strength for that speciality even if the total number of beds is less than 30. 4. The minimum staff complement of each unit shall consist of the following, namely:- (a) Professor/Assoc. Prof. – 1 (b) Assistant Prof. – 1 (c) Senior Resident – 1 (d) Junior Residents (JR) - 2 (Except in the departments of Tuberculosis & Respiratory, Psychiatry and Dermatology Venereology & Leprosy, Otorhino-laryngology and Ophthalmology where JR is one per unit) In addition to the above staff, additional Sr. Residents and Junior Residents shall be provided according to the load in Burn Ward ICU, emergency, ICCU, Nursery, Labour Room and in other critical/intensive care unit/units for providing services round the clock. (2) MEDICINE AND ALLIED SPECIALITIES The Number of units, beds and staff for each department shall be as follows; (a) GENERAL MEDICINE No. of units/beds: 4/120 Staff strength required 1. Professor 1 2. Assoc.Prof. 3 3. Assistant Prof. 4 4. Sr. Resident* 4 5. Junior Residents 8 *With three years Resident experience in a teaching institute in the department of General Medicine with or without PG qualification. (b) TUBERCULOSIS & RESPIRATORY DISEASES No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Prof. 0 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of TUBERCULOSIS & RESPIRATORY DISEASES with or without PG qualification. (c) DERMATOLOGY VENEREOLOGY & LEPROSY No. of units/beds: 1/10 Staff strength required 1. Professor 0 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of DERMATOLOGY VENEREOLOGY & LEPROSY with or without PG qualification. (d) PSYCHIATRY 1. Professor 0 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 No. of units/beds: 1/10 Staff strength required 1. Professor 0 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of PSYCHIATRY with or without PG qualification. The following ancillary staff shall be provided. Staff Strength required 1. E.C.G. Technician 1 2. Technical Asstt./Technician 3 3. Lab. Attendants 4 4. Store Keeper 1 5. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of PSYCHIATRY with or without PG qualification. The following ancillary staff shall be provided. Staff Strength required 1. E.C.G. Technician 1 2. Technical Asstt./Technician 3 3. Lab. Attendants 4 4. Store Keeper 1 5. Steno Typist 1 6. Record clerks 2 7. T.B. and Chest Diseases Health Visitors 2 8. Psychiatric Social Workers 2 DEPARTMENT OF PAEDIATRICS No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 2 4. Sr. Resident * 2 5. Junior Residents 4 *With three years Resident experience in a teaching institute in the department of PAEDIATRICS with or without PG qualification. The following ancillary staff shall be provided. 1. Child Psychologist 1 2. Health Educator 1 3. Technical Asstt./Technician 1 4. Lab attendant 1 5. Store Keeper 1 6. Record clerks 1 7. Social worker 1 (4) DEPARTMENT OF GENERAL SURGERY & ALLIED SPECIALTIES (a) DEPARTMENT OF GENERAL SURGERY No. of units/beds: 4/120 Staff strength required 1. Professor 1 2. Assoc.Prof. 3 3. Asst.Prof. 4 4. Sr. Resident * 4 5. Junior Residents 8 *With three years Resident experience in a teaching institute in the department of GENERAL SURGERY with or without PG qualification. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 3 2. Laboratory Attendants 4 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 2 (b) DEPARTMENT OF ORTHOPAEDICS No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 2 4. Sr. Resident * 2 5. Junior Residents 4 *With three years Resident experience in a teaching institute in the department of ORTHOPAEDICS with or without PG qualification. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Laboratory Attendants 1 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 1 (c) DEPARTMENT OF OTO-RHINO-LARYGOLOGY No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of GENERAL SURGERY with or without PG qfn. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 3 2. Laboratory Attendants 4 3. Store keeper 1 4. Steno-Typist 1 5. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of GENERAL SURGERY with or without PG qfn. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 3 2. Laboratory Attendants 4 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 2 (b) DEPARTMENT OF ORTHOPAEDICS No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 2 4. Sr. Resident * 2 5. Junior Residents 4 *With three years Resident experience in a teaching institute in the department of ORTHOPAEDICS with or without PG qualification. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Laboratory Attendants 1 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 1 (c) DEPARTMENT OF OTO-RHINO-LARYGOLOGY No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of OTO-RHINO-LARYGOLOGY with or without PG qualification. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Laboratory Attendants 1 3. Store keeper 1 4. Steno-Typist 1 5. Record Clerks 1 6. Audiometry Technician 1 7. Speech Therapist 1 (d) DEPARTMENT OF OPHTHALMOLOGY No. of units/beds: 1/10 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Sr. Resident * 1 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of OPHTHALMOLOGY with or without PG qualification. The following ancillary staff shall be provided. 1. Technical Assistant/Technicians 1 2. Lab Attendants 1 3. Steno-Typist 1 4. Store keeper 1 5. Record Clerks 1 6. Refractionist 1 (5) DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY No. of units/beds: 2/60 Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 2 4. Sr. Resident * 2 5. Junior Residents 4 *With three years Resident experience in a teaching institute in the department of OBSTETRICS AND GYNAECOLOGY with or without PG qualification. The following ancillary staff shall be provided. 1. Antenatal Medical officer-cum-lecturer/Assistant Professor 1 2. Maternity and Child Welfare Officer-cum-lecturer/Assistant Professor 1 3. Social Worker 2 4. Technical Asstt./Technicians 2 5. Lab Attendants 2 6. Stenographer 1 7. Record Clerk 1 8. Store Keeper 1 (6) DEPARTMENT OF RADIO-DIAGNOSIS 1. Professor 1 2. The following ancillary staff shall be provided. 1. Antenatal Medical officer-cum-lecturer/Assistant Professor 1 2. Maternity and Child Welfare Officer-cum-lecturer/Assistant Professor 1 3. Social Worker 2 4. Technical Asstt./Technicians 2 5. Lab Attendants 2 6. Stenographer 1 7. Record Clerk 1 8. Store Keeper 1 (6) DEPARTMENT OF RADIO-DIAGNOSIS 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Senior Residents * 2 5. Radiographic technicians 8 6. Dark room assistant 4 7. Stenographers 1 8. Storekeeper 1 9. Record clerk 1 *With three years Resident experience in a teaching institute in the department of RADIO-DIAGNOSIS with or without PG qualification. (7) DEPARTMENT OF RADIO-THERAPY (OPTIONAL) 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 2 4. Sr. Residents * 3 5. Physicist 1 6. Radiotherapy technicians (for every treatment unit) 2 7. Dark room assistant 1 8. Stenographer 1 9. Storekeeper 1 10. Record clerk 2 *With three years Resident experience in a teaching institute in the department of RADIO-THERAPY with or without PG qualification. (8) DEPARTMENT OF ANAESTHESIOLOGY Staff strength required 1. Professor 1 2. Assoc.Prof. 2 3. Asst.Prof. 4 4. Sr. Resident 3 5. Junior Residents 4 The staff in the department shall consist of : 1. Technical Assistant/Technicians 8 2. Steno-Typist 1 3. Record Clerks 1 4. Store keeper 1 *With three years Resident experience in a teaching institute in the department of ANAESTHESIOLOGY with or without PG qualification. (9) DEPARTMENT OF PHYSICAL MEDICINE AND REHABILITATION (OPTIONAL) Staff strength required 1. Professor 1 2. Assoc.Prof. 3. Asst.Prof. 1 4. Sr. Resident 2 5. Junior Residents 1 *With three years Resident experience in a teaching institute in the department of PHYSICAL MEDICINE AND REHABILITATION with or without PG qualification. The staff in the department shall consists of : 1. Physiotherapists 2 2. Occupational Therapists 2 3. Speech Therapists 1 4. Prosthetic and Orthotic Technicians 2 5. Workshop Workers 6 6. Clinical Psychologist 1 7. Medico-social Worker 1 8. Public Health Nurse/Rehabilitation Nurse 1 9. Vocational Counsellor 1 10. Multi-rehabilitation Workers/(MRW)/Technician/Therapist 4 Non-medical Personnel Stenographer 1 Record Clerk 1 Store keeper 1 Class IV workers 4 (10) DEPARTMENT OF DENTISTRY Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Jr. Resident 1 5. Dental Technicians 4 6. Clinical Psychologist 1 7. Medico-social Worker 1 8. Public Health Nurse/Rehabilitation Nurse 1 9. Vocational Counsellor 1 10. Multi-rehabilitation Workers/(MRW)/Technician/Therapist 4 Non-medical Personnel Stenographer 1 Record Clerk 1 Store keeper 1 Class IV workers 4 (10) DEPARTMENT OF DENTISTRY Staff strength required 1. Professor 1 2. Assoc.Prof. 1 3. Asst.Prof. 1 4. Jr. Resident 1 5. Dental Technicians 4 6. Store Keeper cum clerk 1 Note: Where Dental College or Dental wings of medical Colleges exist, the services of teachers of these may be utilized in the instruction of medical students in Dentistry and no separate staff in the Medical College shall be necessary. # As per the terms of Notification published on 03.07.2015 in the Gazette of India. $ In terms of Notification published on 10.03.2017 in the Gazette of India.” 11. Schedule III deals with Equipment for various departments in the College and Hospital. It is necessary to have MRI and Mammography for Department of Radio Diagnosis. There is no MRI or Mammography available in the Govt. Medical College, Haldwani. 12. There are no facilities like Neo-adjuvent, and Adjuvent for Cancer patients. Swami Rama Cancer Hospital & Research Institute has been established in the year 2010 but till date, the Oncology Department is not in existence. There is no Medical Oncologist, Surgical Oncologist, Gynecological Oncologist or Pediatric Oncologist in the medical college. Swami Rama Cancer Hospital & Research Institute is functional since 22.2.2010 and it is shocking that till date, no Specialists have been appointed except the opening of Department of Radiotherapy. Swami Rama Cancer Hospital & Research Center has virtually become defunct in absence of specialists. 13. The time has come when the State Government should accord Swami Rama Cancer Hospital & Research Institute as the State Cancer Institute by providing it the latest state of art equipment including Positron Emission Tomography (PET), Magnetic Resonance Imaging (MRI), Computed Tomography (CT) Scan and Specialists namely Medical Oncologists, Surgical Oncologists, Hematological Oncologists, Gynecological Oncologists and Pediatric Oncologists at the earliest. The facilities provided to the Cancer Hospital in a big building are confined only to the Concurrent and Pallative Chemotherapy. The posts in Clinical and Non-Clinical Branches are lying vacant. There are no details of the persons who applied and were selected pursuant to the advertisement issued by the Medical College. The facilities provided to the Cancer Hospital in a big building are confined only to the Concurrent and Pallative Chemotherapy. The posts in Clinical and Non-Clinical Branches are lying vacant. There are no details of the persons who applied and were selected pursuant to the advertisement issued by the Medical College. The posts are required to be filled up of Teaching as well as Non-Teaching Staff in all the Departments as per the Minimum Standard Requirements for the Medical College for 100 Admissions Annually Regulations, 1999. The Equipment is to be provided as per Schedule III of the Regulations at the earliest. 14. The poorest of poor patients visit the medical college. They have a fundamental right to be treated by the Specialists. It is the duty cast upon the State Government to provide free medicines/drugs to the poorest of poor. 15. In the newspaper item published by the ‘Times of India’ on June 13, 2018 under the Caption ‘Health spending pushed 55 million Indians into poverty in a year’. The study was published by the British Medical Journal. According to the article, the Cancer has the highest probability of resulting in ‘catastrophic expenditure’ for a household. 16. The World Health Organization (WHO) has defined the ‘Cancer’ as “the uncontrolled growth and spread of cells. It can affect almost any part of the body. The growths often invade surrounding tissue and can metastasize to distant sites. Unfortunately, India is the largest contributor with the number of cancer deaths falling at 2.2 million per year. The primary cause is that 70 percent of cancer patients consult a doctor at the terminal stage. Those who approach in the first stage of cancer most often have 85 per cent chances of cure; in stage 2, there is 60 per cent chance of cure, stage 3 falls to 30 per cent and those who start treatment at stage 4 will not survive for more than 5 years," as per the Oncologist Surgeon and Vice Chairman of Asian Cancer Institute. According to WHO, nearly 1 in 6 deaths is due to cancer. The use of tobacco is the most important risk factor for cancer and is responsible for approximately 22% of cancer deaths. 17. The WHO has issued the ‘Guide to Cancer Early Diagnosis’. According to the guidelines, the patient with cancer needs to be able to access high-quality, affordable treatment in a timely manner. The use of tobacco is the most important risk factor for cancer and is responsible for approximately 22% of cancer deaths. 17. The WHO has issued the ‘Guide to Cancer Early Diagnosis’. According to the guidelines, the patient with cancer needs to be able to access high-quality, affordable treatment in a timely manner. Effective management of cancer requires a multi-disciplinary approach and the development of a treatment plan that is documented and informed by a team of trained providers. The goal is to ensure that as many patients as possible initiate treatment within one month of the diagnosis being confirmed. The three steps of early diagnosis, from symptom onset to initiation of treatment should generally be less than 90 days to reduce delays in care, avoid loss to follow up and optimize the effectiveness of treatment. The cancer care should be delivered in a time-sensitive manner. 18. According to the report of WHO, more than 14 million people are diagnosed with cancer, the majority of whom live in low-and middle-income countries. In 2015, 8.8 million died from cancer, representing one in six deaths globally. Two thirds of global cancer deaths are in less developed countries, where case fatality rates are higher due to late-stage presentation and less accessible treatment. The core components of cancer control have been described previously in the WHO Cancer control: knowledge into action series. The report has defined early diagnosis and screening, Assessing capacity for early diagnosis and impact of early diagnosis. 19. According to the WHO, Cancer is to a large extent avoidable. Many cancers can be prevented. Cancers can be detected early in their development, treated and cured. Even with late stage cancer, the pain can be reduced, the progression of the cancer can be slowed. According to this report, physicians play a crucial role in interdisciplinary palliative care. Nurse is the team member who will typically have the greatest contact with the patient. Nurses need the specialist training that is appropriate to the cultural and economic circumstances in which they work. 20. According to the data, between 2006 to June, 2018, 2958 Cancer patients were examined and Chemotherapy was given to 1059 patients at Stage 3 and Stage 4 in Swami Rama Cancer Hospital & Research Center. 21. Though the State Government has made an endeavour to provide medicines under the “Jan Aushadhi Kendra’ but still the patients do not get the medicines. 21. Though the State Government has made an endeavour to provide medicines under the “Jan Aushadhi Kendra’ but still the patients do not get the medicines. 22. Learned Counsel appearing for the State Government was asked to seek instructions about the latest status of the strength of teaching and non-teaching employees in the Medical College to see whether it conforms to the Minimum Standard Regulations for the Medical College. 23. Mr. B.S. Parihar, learned Standing Counsel appearing for the State has supplied the necessary details in a tabular form. The information supplied is taken on record. 24. A startling revelation has been made that 4 posts of Professors, 4 posts of Associate Professor/Reader, 1 post of Medical Superintendent, 1 post of Dean are lying vacant in the medical college. 29 posts of Tutor/Registrar/Sr. Resident and 68 posts of Junior Resident and 1 post of Deputy Librarian are lying vacant. In total, 129 posts in this category are lying vacant. 25. There are 310 sanctioned posts of Staff Nurse out of which 142 have been filled up on regular basis and 64 posts have been filled up through UPNL. Nursing is the backbone of any medical institute. In all, 104 posts of Staff Nurse are lying vacant. 26. Now, as far as the technical staff is concerned, 380 posts are lying vacant. These posts are required to be filled up on emergent basis. The hospitals cannot be left sick. 27. Every citizen has a fundamental right to health. The State has the obligation to provide best medical services to its citizens. The poorest of poor cannot go to the private hospitals. Since the latest equipment is not available with the respondent-Medical College, the parents are referred to other hospitals including private hospitals. 28. It is surprising to note that the Medical College has no Department of Neurology, Gastrology, Nephrology, Urology or Cardiology. These Departments are essential for public health. The State Government is required to take immediate steps for creation of these Departments in the Govt. Medical College, Haldwani at the earliest. The surgeries of the cancer patients are required to be undertaken only by the Oncologists/ Medical Surgeons from their respective branches. 29. A startling revelation has been made in the daily edition of ‘The Pioneer’ dated 3rd July, 2018 that 61 Ambulances are lying idle in the compound of office of Director General (Health). Medical College, Haldwani at the earliest. The surgeries of the cancer patients are required to be undertaken only by the Oncologists/ Medical Surgeons from their respective branches. 29. A startling revelation has been made in the daily edition of ‘The Pioneer’ dated 3rd July, 2018 that 61 Ambulances are lying idle in the compound of office of Director General (Health). The ambulances are required to be refurbished immediately to make them functional. Ambulances which have completed their maximum mileage are required to be replaced. 30. It has also come into light that there is also acute shortage of doctors in Kumaon Division as per the daily edition of ‘Amar Ujala’ dated 3rd July, 2018. There is shortage of 267 doctors in Kumaon Region. The total posts sanctioned are 981 out of which only 714 doctors are working and 267 posts are lying vacant. 31. There is no Trauma Center in the Medical College. The Trauma Center is required for the simple reason that due to the terrain and geographical conditions of the State, the fatal accidents do occur wherein the passengers receive serious injuries. They are required to be operated upon immediately by the Neurosurgeons. The Trauma Center is a must in every Medical College. 32. Petitioner has also placed on record the details of the budgetary provision. A sum of Rs.23.00 crores was spent for the construction of Swami Rama Cancer Hospital & Research Center. The system cannot permit non-utilization/under utilization of building constructed at the cost of Rs.23.00 crores. The amount is contributed by the tax payers. The system is accountable for every pie spent by the government. Budgetary provisions are available for the medical college but still the latest equipment is not purchased for the reasons best known to the management of the Medical College. 33. Accordingly, the present petition is disposed of by issuing the following mandatory directions:- A. The respondent-State is directed to make Swami Rama Cancer Hospital & Research Institute fully functional by creating the posts of Medical Oncologists, Surgical Oncologists, Hematological Oncologists, Gynecological Oncologists and Pediatric Oncologists within three months from today by holding the walk-in interviews. The State is also directed to upgrade the status of Swami Rama Cancer Hospital & Research Institute to the State Cancer Institute within three months. The State is also directed to upgrade the status of Swami Rama Cancer Hospital & Research Institute to the State Cancer Institute within three months. The State is also directed to give incentives to the specialists to join premier institution in the State of Uttarakhand by giving them at least 15 advance increments, suitable accommodation and conveyance befitting their status. B. Since Swami Rama Cancer Hospital & Research Institute is the constituent hospital of Medical College, the State Government is directed to provide the latest state of art equipments/machinery required under the Minimum Standard Requirements of the Medical College for 100 Admissions Annually Regulations, 1999 for training and teaching of the MBBS and MD/MS students within two months. C. The respondent-State is directed to establish the Nephrology, Neurology, Urology and Cardiology Departments in the Medical College within three months. Thereafter, the posts shall be filled up within a further period of three months by holding the walk-in interviews. D. The State Government is directed to establish the Trauma Center in Government Medical College, Haldwani and make it functional within three months from today as per the standard procedure. E. The State Government is directed to fill up all the posts of teaching staff as well as non-teaching staff, lying vacant in the Medical College, within three months from today to provide quality treatment to the patients. The first preference shall be given to the teaching faculty including clinical and thereafter to non-clinical and nursing. F. The State Government is directed to deploy 61 newly acquired ambulances after refurbishing them within one month from today. G. The State Government is directed to fill up all the vacancies of Medical Officers in Kumaon Division within four months from today. H. The State Government is directed to install the MRI/ PET, Mammography and other state of art equipment for treatment of patients and training and teaching of MBBS and MD/MS students within three months from today. I. The State Government is directed to provide essential life saving drugs/medicines to the patients free-of-cost. J. The Principal of the Medical College is directed to ensure absolute hygiene in the hospital and if necessary, by outsourcing the same. K. The State Government may consider constructing Inns/Sarays for the attendants of patients in the close vicinity of the hospital. I. The State Government is directed to provide essential life saving drugs/medicines to the patients free-of-cost. J. The Principal of the Medical College is directed to ensure absolute hygiene in the hospital and if necessary, by outsourcing the same. K. The State Government may consider constructing Inns/Sarays for the attendants of patients in the close vicinity of the hospital. L. The Medical Council of India shall carry out the inspection of the Medical College immediately after six months to ensure that all the parameters laid down by it are followed in letter and spirit by the respondent-Medical College failing which it shall be open to the MCI to take action, as envisaged under law, against the Medical College for non-fulfilling the minimum standards. 28. All pending applications stand disposed of accordingly.