healthcare reforms

The Tamil Nadu government has announced a series of healthcare reforms, including a new health insurance scheme for senior citizens, annual free health check-ups for people aged 30 and above, and a major expansion of medical infrastructure and healthcare workforce. The announcements were made in the Tamil Nadu Assembly as the government outlined plans to modernise the State’s healthcare system and address emerging and future health challenges. The 87-year-old Tamil Nadu Public Health Act, 1939, will be replaced with a new comprehensive legislation designed to address contemporary healthcare requirements. The proposed law will also include a provision making unsupervised home births outside hospitals a punishable offence. The government also plans to establish ‘TN Medicity’, a world-class integrated healthcare hub bringing together clinical services, medical research, medical tourism and AYUSH facilities. An initial allocation of ₹10 crore will be made to prepare the Detailed Project Report for the proposed project. Free Annual Health Checks for People Above 30 Under the proposed ‘Nalam 360 – Annual Free Health Check-up for All’ initiative, residents aged 30 years and above will receive 14 basic health tests every year at no cost. The programme will be implemented across 1,257 government healthcare facilities in Tamil Nadu. The tests will cover key health indicators, including blood pressure, ECG, haemoglobin, complete haemogram, random blood sugar, urea, creatinine, total cholesterol, serum bilirubin, urine albumin and VIA screening. For the first time in the State, the Health Department will also introduce Home Based Diagnostic Services in metropolitan areas. The initiative will facilitate sample collection and testing at people’s homes through a public-private partnership model. New Health Policy and Institutions The government will introduce a ‘Positive Health Policy’ aimed at promoting holistic health and wellbeing at the individual, family and community levels. A ‘Nalam 360’ mobile application will accompany the initiative. Another proposed legislation, the ‘TN Institutions of State Importance in Health Care Act’, will facilitate the creation of institutions of State importance focused on delivering advanced and world-class medical services. Expansion of Healthcare Workforce To address staffing requirements, the government will create 2,500 permanent staff nurse positions. Existing nurses working on consolidated pay will also be absorbed into regular time-scale positions. In addition, 1,695 nursing posts on consolidated pay will be created at an estimated cost of ₹42.72 crore. The Medical Services Recruitment Board will recruit 3,594 medical personnel across 24 categories, including pharmacists, nursing assistants, village health nurses and ophthalmic assistants. The Health Department will also create 284 temporary super-speciality posts across 25 disciplines, including neurology, cardiology and nephrology. These positions will be placed on time-scale pay and are intended to strengthen access to specialised healthcare at the district level. The posts will also provide opportunities for doctors completing postgraduate medical education each year, particularly those posted in government hospitals under bond conditions. The government has further announced several infrastructure initiatives, including construction of new hospital buildings and procurement of additional medical equipment, as part of its broader effort to strengthen healthcare delivery across Tamil Nadu. Source: The Hindu