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Health institutes back to federation: 18th Amendment SC decision

By Dr. Abdul Razzak Shaikh,

ON 16TH January 2019, the supreme court of Pakistan has declared that Jinnah Post Graduate Medical Centre (JPMC). National Institute of Cardio Vascular Diseases (NICVD) National Institute of Child Health (NICH), Shaikh Zaid Medical complex Lahore (SZMC) and National Museum of Pakistan, Karachi (NMP) were declared a part of federal government and their devolution to provinces to be unconstitutional without lawful authority and of no legal effect and all the orders, directions issued having also no legal effect.

In 90 days all the institutes will back from province to federation. Earlier Sindh High court has also given the same decision in favor of original petitioners of JPMC, NICVD; NICH & NMP will be the parts of the federation. These all the institutes were already remained under federal government before the 18th Amendment and were devolved as per amendment. Now the honorable court has given a verdict in favor of petitioners of the high court.

What will be the fate of consultant working in JPMC, NICH was promoted from BPS-18 to BPS-21 by Jinnah Sindh medical university (JSMU) under control of Sindh Government. Presently they are in lien for 2 years from Health department government of Sindh. They all have got promotion of higher ranks with attachment JSMU.

Same way NICVD has appointed a lot of consultants and very big network in the field of cardiology free of cost with the financial support of Sindh government.

The JPMC started in 1930 in medical Corps hospital meant for medical aid to military personnel exclusively. In 1942 it was renamed as the British General Hospital and remained as such till 1947. In 1947 it was changed in the name of Jinnah Central hospital with the approval of Quaid e Azam Muhammad Ali Jinnah and latter on Jinnah postgraduate medical center (JPMC).

Presently JPMC is well established with the necessary emergency system having a cyber knife for cancer patients the Asia number one free of caste and well-established Radiology department.

The National Institute of Cardiovascular Diseases (NICVD) Karachi was established in 1963. Since its inception, the NICVD has played a pivotal role in caring for patients with heart disease in Pakistan. NICVD is the first tertiary cardiac care institute in South Asia as well as the flagship facility for cardiology in Pakistan with a focus on superior care for patients, education and training for medical professionals, and research and development in cardiology.

NICVD caters to the cardiovascular needs of a vast majority of patients from all provinces of Pakistan as well as patients from other neighboring countries. It is responsible for training the bulk of local cardiac physicians, nurses, and paramedics throughout the country.

Besides “Chest Pain Unit” seven Satellite Centers were also working free of caste. On 15 August 2017, the Chief Minister Syed Murad Ali Shah presided over the NICVD Governing body meeting of the National Institute of Cardiovascular Diseases (NICVD) decided  that, the National Institute of Cardiovascular Diseases (NICVD), which has recently established its satellite center at the Civil Hospital Larkana would extend this facility by making such centers functional by the end of the current year or in the beginning of 2018 in SEHWAN,TANDO MUHAMMAD KHAN, Sukkur, Khairpur, Nawabshah, Mithi and Hyderabad, Which are now fully working free of caste.

Mr.Bilawal Bhutto Zardari chairman PPP on Thursday in his speech in National Assembly, terming the Sup­reme Court’s decision to give control of Karachi three major Hospitals to the federal government an “attack” on the 18th constitutional amendment,  that they “will not let anyone snatch the rights of the provinces.

We have not yet seen the detailed court order. But if the Supreme Court has really snatched these institutions from Sindh, then people will take it as an attack on the 18th amendment and it will be difficult for us to explain it to them, the young PPP chairman said while speaking on a point of order on the day Chief Justice Mian Saqib Nisar retired from office.

Mr.Bilawal Bhutto-Zardari said the people would ask how a decision made by the elected representatives with a two-thirds majority could be declared void by one or two non-elected people with a single stroke of the pen.

You are seeking money from the world. If the [federal] government will keep these hospitals, what will happen? he said, adding that he wanted a guarantee from the Centre that it would ensure the provision of Rs14 billion for continuing free treatment at the National Institute of Cardio Vascular Diseases (NICVD), one of the three hospitals whose control the court had handed over to the federal government.

Presently two main issues will arise with these institutes, my opinion that as many of consultants have been joined Jinnah Sindh Medical University and got promotion from BPS-18 to BPS-21are still on lein they must be treated in the same status as they are now. If they were given the previous status when these institutes were under the federal government that will be un-justification with them.

The NICVD has now very vast network free of cost in the province of Sindh by giving the Billions of Budget from Sindh government has been suggested that board of Directors under the chairman of Sindh Chief minister continued, so the process started by the PPP government must be on a way.

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