Project Report Medical College

Application for Letter of Intent (LoI) and Letter of Permission (LoP) of the Central Government to establish a new Medical College in Bhopal (M. P) Detailed Project Report L. N. Medical College & Research Centre (LNMCRC) J. K Hospital & Medical Research Centre ————————————————- (JKHMRC), Bhopal (M. P) ————————————————- ————————————————- ————————————————- ————————————————- ————————————————- ———————————————— ————————————————- ————————————————- ————————————————- ————————————————- ————————————————- ————————————————- A new Medical College project promoted and managed by: H. K. KALCHURI EDUCATION TRUST 31, SHYAMLA HILLS, BHARAT BHAWAN ROAD BHOPAL – 462 002 (MP) Ph.

: 0755 – 2660930 ; Fax: 0755 – 2661179 Email : lnctchairman@gmail. com Web site : lnctbpl. in Detailed Project Report of L.

N. Medical College & Research Centre (LNMCRC) and J. K Hospital & Medical Research Centre (JKHMRC), Bhopal (M. P) Detailed Project Report Techno – Economic – Feasibility Report of a new Medical College & Hospital ___________________________________________________________________________________________________________________________________ Detailed Project Report Prepared by: MediSys Project Consultants Pvt. Ltd Admn. Office: 202 – Saba Apartments D-3, Sector 44, Noida 201 301. NCR Delhi Tel: (Mob): 98 711 33772 email : drmsdeen@hotmail. com , drmsdeen@gmail. com medisys@consultant. com visit us www.

edisys. co. in -Index- 1. Copy of the covering letter …………………………………………………………………………… 11 2. FORM – I : Application for Letter of Intent & Permission of the Central Government to establish a New Medical College…………………14 2. 1. Particulars of Applicant – ………………………………………………………………………………… 14 3. List of Enclosures for Project Profile – Annexure Profile (as separate enclosure)– ……………………………………………………………………………… 16 4.

List of References & Govt. Notifications to Establish a New Medical College……………………………………………………………………………………………… 17 5. PART – I: Desirability & Prima-facie Feasibility of Setting up a Medical College at Bhopal, Madhya Pradesh…………………………………….. 18 5. 1. Eligibility Criteria – ………………………………………………………………………………. 18 5. 2. Qualifying Criteria – ……………………………………………………………………………… 18 5. 2. . Objectives ………………………………………………………………………………………………. 18 5. 2. 2. Land Details …………………………………………………………………………………………… 19 5. 2. 3. Essentiality Certificate ………………………………………………………………………… 19 5. 2. 4. University Affiliation……………………………………………………………………………. 19 5. 2. 5. Time Bound Program ………………………………………………………………………….. 9 5. 2. 6. Admission of Students ………………………………………………………………………… 20 5. 2. 7. Grant of Permission & Completion of the Project ………………………….

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20 5. 2. 8. Medical College as an Independent Institution ……………………………… 20 5. 2. 9. Teaching Hospital ………………………………………………………………………………… 20 5. 2. 10. Performance Bank Guarantee (PBG) …………………………………………….. 21 6.

Basic Infrastructural Facilities and Managerial & Financial Capabilities…………………………………………………………………………………………………. 22 6. 1. Infrastructural facilities for the proposed LNMCRC ………………………… 22 6. 1. 1. L. N. Medical College & Research Centre (LNMCRC)& J. K Hospital and Medical Research Centre (JKHMRC)– Hospital Planning and Management …………………………………………………………………………… 22 6. 1. 2. Organization of the JHHMRC – Hospital …………………………………………………….. 3 6. 1. 3. JKHMRC – Hospital Services – presently available ………………………………….. 23 6. 1. 4. JKHMRC – Hospital Supportive Services – presently available .. ……….. 24 6. 1. 5. JKHMRC – Hospital Engineering Services – presently available…………… 25 6. 1. 6. JKHMRC– Administrative Services………………………………………………………………. 25 6. 1. 7. JKHMRC – Staff Requirements and other Infrastructure/ Building Requirements …………………………………………………………………………………. 25 6. 1. 8.

J. K Hospital and Medical Research Centre as referral Hospital…………….. 26 6. 2. Hospital as a Teaching Hospital with its expansion program………… 28 6. 2. 1. Number of Beds as per MCI ………………………………………………………………………….. 28 6. 3. Distribution of Beds as per MCI …………………………………………………………. 29 6. 4. Built up area of the upcoming Teaching Hospital …………………………… 30 6. 5. Teaching Hospital built-up area (building wise) …………………………….. 31 6. 6.

Projected built up area for a new Medical College buildings (150 annual admissions) in two phases …………………………………………… 32 6. 7. Teaching Staff for a proposed new Medical College & Hospital…….. 33 6. 8. Number of Students Hostel & Staff quarters – year wise requirements ………………………………………………………………………………………. 34 6. 9. Staff Quarters year wise requirements- Nos & Built up area…………35 6. 10. Hostel Buildings year wise requirements……………………………………….. 36 6. 11.

College of Nursing – proposed College of Nursing ……………………….. 37 6. 12. Consolidated built up area for proposed new College of Nursing ………………………………………………………………………………………………. 38 7. Managerial & Financial Capabilities of the Trust ……………………………….. 39 7. 1. Managerial Capabilities ………………………………………………………………….. 39 7. 1. 1. H. K. Kalchuri Education Trust, Bhopal ………………………………………………….. 39 7. 1. 2.

Composition of the Trust …………………………………………………………………………. 39 7. 1. 3. Particulars of the Members of Present Trustees ………………………………… 40 7. 1. 4. Project Consultant – MediSys Project Consultants, Private Ltd, New Delhi……………………………………………………………………………………………………… 42 7. 1. 5. Specialist Advisory Committee / Other Key Personnel ……………………… 43 7. 1. 6. Governing Council / Board – H. K. Kalchuri Education Trust ……………. 3 7. 1. 7. Present Governing Council ………………………………………………………………………. 43 7. 1. 8. Organizational Structure of H. K. Kalchuri Education Trust: ……………… 44 7. 2. Financial Capabilities of H. K. Kalchuri Education Trust– ……………. 45 8. FORM – I PART – II : Techno-Economic Feasibility Report- Proposed Medical College :- …………………………………………………………………… 46 8. 1. Name and Address of the Medical College ……………………………………. 46 8. 2.

Market Survey and Environmental Analysis ……………………………….. 46 8. 2. 1. National Medical Education Policy ………………………………………………………… 46 8. 2. 2. Medical Manpower in India (Planning commission report) …………….. 46 8. 2. 3. State Govt. Medical/Medical Education Policy & its main Features.. 46 8. 2. 4. Main Features of State Medical Education Policy ……………………………….. 48 8. 2. 5. Present Health Care Scenario of the State ……………………………………………. 49 8. . Healthcare Status of Madhya Pradesh-An Overview and Availability of Doctors in the State and need for Increase …………. 50 8. 3. 1. Demographic Profile of the State ……………………………………………………………. 50 8. 3. 2. Vital Statistics ……………………………………………………………………………………………… 51 8. 3. 3. Beds (Sanctioned) in Government Medical Institution ………………………. 52 8. 3. 4. Number Of Medical Institutions and Clinics …………………………………………. 3 8. 3. 5. Districts Wise Number Of Allopathic Institutions And Beds – 1998-99 ……………………………………………………………………………………………………… 54 8. 4. Healthcare facilities of Bhopal ……………………………………………………….. 55 8. 4. 1. Government Hospitals ……………………………………………………………………………….. 55 8. 4. 2. Private Hospitals of Bhopal ………………………………………………………………………. 55 8. 4. 3.

Number of Registered Doctors with State Medical Council (source: Medical Council of India 2007-08) – a comparative analysis ………………………………………………………………………………………………………….. 59 8. 4. 4. State wise details of Govt. / Private Medical Colleges & their allotted Medical Seats (MCI 2007-08 and as on April 2008) ……………. 61 8. 4. 5. State wise details of Number of Medical seats in Govt. / Private Medical Colleges …………………………………………………………………………. 3 8. 4. 6. All India Comparative Status of Registered Medical Doctors with State Councils (MCI 2007-08) ……………………………………………….. 66 8. 4. 7. Need and availability of trained Medical manpower & Gap Analysis ………………………………………………………………….. ……………….. 66 8. 4. 8. Healthcare of Madhya Pradesh at a Glance ……………………………………. 70 8. 4. 9. Healthcare Indices – ……………………………………………………………………. 70 8. 4. 10.

Morbidity and Mortality – ……………………………………………………………. 71 8. 4. 11. Hospitals, Dispensaries & Hospital Beds – ………………………………………. 72 8. 4. 12. Heath Care Infrastructure in Madhya Pradesh ……………………………….. 74 8. 4. 13. Availability & requirement of medical manpower in the state : ………….. 74 8. 4. 14. Health care status at Bhopal : ………………………………………………………. 74 8. 4. 15. Need for a Healthcare Institution at Bhopal, Madhya Pradesh…………… 75 8. 4. 16.

Desirability & Feasibility of Establishing a New Medical College at Bhopal, M. P – Gap Analysis …………………………………………… 76 8. 4. 17. No. of Medical Institutions / Clinics available in the Catchments Area ………………………………………………………………………… 77 8. 4. 18. List of Hospitals in & around catchment areas: ……………………………….. 78 8. 4. 19. Augmentation of Medical Health Care – NGOs / VHOs Involvement ………………………………………………………………………………. 78 8. 4. 20.

Desirability & Feasibility – Summary and Conclusion ………………………. 80 8. 5. Site Characteristic and Availability of External Linkages – ………. 82 8. 5. 1. Topography & Location……………………………………………………………….. 82 8. 5. 2. Plot Size…………………………………………………………………………………….. 82 8. 5. 3. Permissible FSI ………………………………………………………………………….. 82 8. 5. 4. The ground coverage …………………………………………………………………… 2 8. 5. 5. Building Height ………………………………………………………………………….. 83 8. 5. 6. Road Access ………………………………………………………………………………. 83 8. 5. 7. Availability of Public Transport ……………………………………………………. 83 8. 5. 8. Electric Supply …………………………………………………………………………… 83 8. 5. 9. Water Supply …………………………………………………………………………….. 84 8. 5. 10.

Sewage Connection …………………………………………………………………….. 84 8. 5. 11. Tele-Communications………………………………………………………………….. 84 8. 6. Educational Program …………………………………………………………………. 85 8. 6. 1. Proposed Annual Intake of Students ………………………………………………. 85 8. 6. 2. Admission to the Medical Course – ‘Eligibility Criteria’ (MCI) …………….. 85 8. 6. 3. Selection of Students……………………………………………………………………. 6 8. 6. 4. Method of Admission …………………………………………………………………… 88 8. 6. 5. Reservation / Preferential Allocation Seats …………………………………….. 88 8. 6. 6. Training Period and Time Distribution (MCI) …………………………………. 88 8. 6. 7. Phase Distribution and Timing of Examinations : ……………………………. 91 8. 6. 8. General Considerations and Teaching Approach ……………………………… 93 8. 6. 9. Objectives of Medical Graduate Training Program ………………………….. 95 8. 7.

Examination Regulations (MCI) ………………………………………………… 96 8. 7. 1. Proposed Schedule of Internal Assessment and University Examination ……………………………………………………………………………… 96 8. 7. 2. Attendance ………………………………………………………………………………… 97 8. 7. 3. Internal Assessment ………………………………………………………………….. .. 97 8. 7. 4. University Examinations ……………………………………………………………… 98 8. 7. . Syllabi for MBBS Course of Study (MCI) ………………………………………… 99 8. 8. Facilities available in the Teaching Hospital ……………………………… 99 8. 8. 1. Medical – Clinical Services …………………………………………………………… 99 8. 8. 2. Hospital Supportive Services ………………………………………………………. 100 8. 8. 3. Hospital Engineering Services ……………………………………………………. 100 8. 8. 4. Hospital Beds – Number & Distribution (as per MCI) : …………………… 101 9.

Functional Program – Proposed New Medical College (after letter of intent) ………………………………………………………………… 103 9. 1. Minimum Physical Requirements for Teaching Hospital ………… 103 9. 2. Provisional carpet / built-up area (building wise)- Teaching Hospital …………………………………………………………………….. 104 9. 3. Projected built up area for a new Medical College buildings (150 annual admissions) ………………………………………….. 105 9. 4. Teaching Staff for a new Medical College & Hospital ………………. 06 9. 5. Number of Students Hostel & Staff quarters – year wise requirements ……………………………………………………………………………. 107 9. 6. Staff Quarters year wise requirements- Nos & Built up area 108 9. 7. Hostel Buildings year wise requirements ………………………………… 109 9. 8. College of Nursing – College of Nursing …………………………………… 110 9. 9. Consolidated Built up area for a new College of Nursing ………… 111 10. Proposed Equipment Program (after letter of intent) …………….. 112 10. 1.

Instruments & Equipments of Medical College – …………………….. 112 11. Proposed Manpower Program (after letter of intent) …………….. 137 11. 1. Teaching Staff – Medical College & Medical Hospital………………. 137 11. 1. 1. Minimum Staffing Pattern for MBBS Course – 150 Admission (MCI) ……………………………………………………………………………………… 137 11. 1. 2. Teaching & Other Staff Available in the Medical College and Hospitals …………………………………………………………………………………. 37 LNMCRC & JKHMRC, Bhopal – 5 -5 – 11. 1. 3. Proposed dept. wise Ancillary Staff for Medical College & Hospitals …………………………………………………………………………………. 148 11. 2. Minimum Basic Qualification and Teaching Experience Required for Teachers for Under-Graduate Medical Studies (MCI)……………………………………………………………………………. 155 11. 2. 1. Medical Staff ……………………………………………………………………………. 155 11. 3.

Recruitment of Staff for the Proposed Medical College …………… 155 11. 4. Provisional Salary Structure for Teaching Faculty ………………….. 155 12. Proposed building program – New Medical College ……………….. 157 13. Planning and Layout – New Medical College & Hospital …………. 158 13. 1. Plan of Medical College & Medical Hospital Complex ……………… 158 13. 2. Architectural Layout Plans ………………………………………………………. 158 13. 3. Section, Elevations …………………………………………………………………… 158 13. . Floor-wise Area Calculations of Medical College & Hospital ……………………………………………………………………………………. 158 13. 5. Ancillary Buildings and Miscellaneous ……………………………………. 158 13. 6. Student Hostel Buildings …………………………………………………………. 158 13. 7. Buildings for Staff Quarters …………………………………………………….. 158 14. Phasing and Scheduling – of Medical College ………………………….. 159 14. 1. Phasing and Schedule – Medical College & Teaching

Hospital ……………………………………………………………………………………. 159 14. 1. 1. Commencement and Completion of Building Design ………………………. 159 14. 1. 2. Local Body Approvals ……………………………………………………………….. 159 14. 1. 3. Civil Constructions ……………………………………………………………………. 159 14. 1. 4. Provision of Engineering Services ……………………………………………….. 159 14. 1. 5. Equipments ……………………………………………………………………………… 59 14. 1. 6. Recruitment of Staffs (Teaching) …………………………………………………. 159 14. 1. 7. Phasing of Commissioning …………………………………………………………. 159 14. 2. Phasing and Schedule – Medical College & Medical Hospital ……………………………………………………………………………………. 160 14. 2. 1. Commencement and Completion of Building Design ………………………. 160 14. 2. 2. Local Body Approvals ……………………………………………………………….. 160 14. 2. 3.

Civil Constructions ………………………………………………………………….. .. 160 14. 2. 4. Provision of Engineering Services & Equipments …………………………… 160 14. 2. 5. Recruitment of Staffs (Teaching) …………………………………………………. 160 14. 2. 6. Phasing of Commissioning …………………………………………………………. 160 LNMCRC & JKHMRC, Bhopal 6 -6 – 15. Financial Profile Medical College and Hospital ………………………. 161 15. 1. Project Cost and Capital Budgeting Process …………………………….. 61 15. 2. Means of Finance and Project Cost ………………………………………….. 161 15. 3. Revenue Assumptions………………………………………………………………. 161 15. 4. Expenditure Assumptions………………………………………………………… 161 15. 5. Operating Results – Income Expenditure Statements ……………… 161 15. 6. Cash Flow Analysis …………………………………………………………………… 161 15. 7. Projected Balance Sheet …………………………………………………………… 161 16.

Form – I Part – III : Hospital Details…………………………………………. 162 16. 1. Name and address of the existing Hospital ……………………………… 162 16. 2. Details of the proposed Hospital ……………………………………………… 162 16. 2. 1. Bed Strength ……………………………………………………………………………. 162 16. 2. 2. Bed Distribution ……………………………………………………………………….. 162 16. 2. 3. Built up area – Phase- I ……………………………………………………………… 62 16. 2. 4. Clinical & Paraclinical disciplines………………………………………………… 162 16. 2. 5. Out Patient Department & OPD attendance, department wise………….. 163 16. 2. 6. Architectural and layout plans ……………………………………………………. 163 16. 2. 7. List of Medical and allied equipments…………………………………………… 163 16. 2. 8. Capacity and configuration of Hospital Engineering Services ………….. 163 16. 2. 9. Hospital services and administrative, supportive Services ………………. 164 16. 2. 10.

Other Ancillary and supportive services ……………………………………….. 164 16. 2. 11. Category wise staff strength * …………………………………………………….. 164 17. Up gradation and expansion Program …………………………………….. 165 17. 1. Details about additional land for the project proposal ……………. 165 17. 1. 1. Land Particulars ………………………………………………………………………. 165 17. 1. 2. Plot size …………………………………………………………………………………… 65 17. 1. 3. Authorized land usage ……………………………………………………………….. 166 17. 1. 4. Geography ………………………………………………………………………………. 166 17. 1. 5. Soil Conditions …………………………………………………………………………. 166 17. 1. 6. Road access ……………………………………………………………………………… 166 17. 1. 7. Availability of Public Transport ………………………………………………….. 66 17. 1. 8. Electric Supply …………………………………………………………………………. 167 17. 1. 9. Water Supply …………………………………………………………………………… 167 17. 1. 10. Sewage Connection …………………………………………………………………… 167 17. 1. 11. Telephone Lines ………………………………………………………………………… 168 17. 2. Upgraded Medical Program ……………………………………………………… 169 17. 2. 1.

Preclinical Departments – Phase – I (2008-09) : …………………………… 169 17. 2. 2. Para-clinical Departments – Phase – II (2009-10) …………………………. 169 17. 2. 3. Clinical Departments (2010 – 2012) …………………………………………….. 169 17. 2. 4. Specialty wise bed distribution : ………………………………………………….. 170 17. 3. Building expansion program ……………………………………………………. 171 17. 3. 1. Staff housing ……………………………………………………………………………. 71 17. 3. 2. Students / Staff hostels ………………………………………………………………. 171 LNMCRC & JKHMRC, Bhopal – 7 -7 – 17. 3. 3. Other Ancillary buildings …………………………………………………………… 171 17. 3. 4. Phase wise Project Proposal ……………………………………………………….. 172 17. 4. Planning and layout …………………………………………………………………. 173 17. 4. 1. Layout plan ……………………………………………………………………………… 173 17. 4. 2.

Sections …………………………………………………………………………………… 173 17. 4. 3. Elevations ……………………………………………………………………………….. 173 17. 4. 4. Floor wise area calculation of the Hospital……………………………………. 173 17. 4. 5. Floor wise area calculation of ancillary buildings ………………………….. 173 17. 5. Up gradation of Hospital engineering services ………………………… 173 17. 5. 1. Power Supply ………………………………………………………………….. ………. 74 17. 5. 2. Vertical transportation ……………………………………………………………… 174 17. 5. 3. Waste disposal …………………………………………………………………………. 174 17. 5. 4. Other Engineering services ………………………………………………………… 174 17. 6. Up graded Equipment program ……………………………………………….. 176 17. 6. 1. Upgraded Instrument & Equipment of the Hospital ……………………….. 176 17. 7. Up graded manpower program ………………………………………………… 17 17. 8. Phasing and scheduling of expansion scheme …………………………. 217 17. 9. Project cost of the expansion scheme – Financial Profile …………. 217 17. 10. Means of financing in the project …………………………………………….. 217 17. 11. Revenue assumptions ………………………………………………………………. 217 17. 12. Expenditure assumptions ………………………………………………………… 217 17. 13. Operating results ……………………………………………………………………… 217 18.

Time Bound Program schedule …………………………………………………. 218 18. 1. Chart – I – Time Bound Program (MCI) – ………………………………… 219 19. Financial Profile – LNMCRC & J. K. Hospital & Medical Research Centre ………………………………………………………………………… 232 19. 1. Project Cost – Capital Budgeting Process …………………………………. 232 19. 2. Means of Finance & Project Finance –……………………………………… 235 19. 3. Revenue Assumption from the Hospitals – ……………………………… 35 19. 4. Revenue Assumption from the Medical College – ……………………. 236 19. 5. Projected Schedule of Income from the Project Operation – ………………………………………………………………….. …………………. 236 19. 6. Expenditure Assumption for the Hospitals – …………………………… 236 19. 7. Expenditure Assumptions for the Medical College – ……………….. 237 19. 7. 1. Chemicals, Consumables and Disposables for the College ………………… 238 19. 7. 2. Stationeries, Printing and Office Expenditures ………………………………. 38 19. 7. 3. Hospital Administrative Service Expenditures ………………………………. 238 LNMCRC & JKHMRC, Bhopal 8 -8 – 19. 8. Projected Operating Results – Income Expenditure Statements – …………………………………………………………………………….. 238 19. 9. Projected Profitability Statements Including Depreciation – ……………………………………………………………………………………… 238 19. 10. Cash Flow Analysis – ………………………………………………………………… 38 19. 11. Project Finance – Calculation for the Interest and Repayment Schedule of the Principle –……………………………………. 238 19. 12. Projected Balance Sheet of the Health Care Projects – ……………. 238 19. 13. Calculation for Depreciation Statements – ……………………………… 238 19. 14. Note by Financial Advisor / Chartered Accountants (given separately) ……………………………………………………………………………….. 238 19. 15. Notes Forming Part of the Capital Budgeting Process – ………….. 38 19. 15. 1. Land : …………………………………………………………………………………….. 239 19. 15. 2. Buildings : ……………………………………………………………………………….. 239 19. 15. 3. Instruments and Equipments : ……………………………………………………. 239 19. 15. 4. Furniture and Fixtures : …………………………………………………………….. 240 19. 15. 5. Intangibles and Other Miscellaneous Fixed Assets :………………………… 240 19. 15. 6.

Margin money for Performance Bank Guarantee : ………………………… 240 19. 15. 7. Interest on Project Finance :……………………………………………………….. 240 19. 15. 8. Escalation in the Construction Cost : ……………………………………………. 240 19. 15. 9. Project Finance and Release of Funds : ………………………………………… 241 19. 15. 10. Monitoring and Evaluation of the Project : …………………………………… 241 19. 15. 11. Project Expansion Program : ……………………………………………………… 241 19. 5. 12. Details of Cost of Construction ……………………………………………………. 242 19. 16. Calculation Assumptions for Project Cost and Capital Budgeting Process – ……..