Amid the grave breach of ethics and law by medical establishments like the Khyati Multispeciality Hospital, Gujarat Health Minister Rushikesh Patel held a meeting of the State Council under the Clinical Establishments (Registration and Regulation) Act, 2010 in Gandhinagar on Saturday.

The meeting reviewed the current provisions of the Clinical Establishment Act, the necessary amendments under this legislation, and detailed discussions regarding hospital registrations currently taking place.

It was discussed that;

• All public and private medical institutions, including those run by trusts, providing services in all recognized medical systems like Allopathy, Ayurveda, Homeopathy, Naturopathy, Yoga, Siddha, and Unani, such as hospitals, maternity homes, nursing homes, dispensaries, clinics, laboratories, radiology centres, and all other medical institutions, need to register under the Clinical Establishment Act 2021.
• Immediate registration under the Clinical Establishment Act 2021.
• Registration must be done immediately on the portal https://clinicalestablishment.gipl.in
• The last date for registration will be  March 12, 2025.
• Any institution found operating without registering under the Clinical Establishment Act 2021 will be subject to legal action, including sealing the hospital and a fine of up to ₹5 lakh in each case.
• To establish a digital registry for clinical establishments at the national, state, and district levels. He mentioned that introducing a registration system would help curb malpractice by unauthorised practitioners. 
• To improve the quality of healthcare, the Act would lead to effective regulation of treatment methods through enhanced stakeholder participation and treatment protocols.
• Medical facilities offering services in allopathy, Ayurveda, homoeopathy, Siddha, and Unani practices must also complete mandatory registration.
• The Act also stipulates phased registration based on the number of beds for clinics, consulting rooms, polyclinics, and hospitals with 15 to over 100 beds. Standalone laboratories and other diagnostic units are also required to register by paying the prescribed fee.
• It applies to hospitals, maternity homes, nursing homes, dispensaries, clinics, and sanatoriums providing medical services for diagnosing, treating, or managing illnesses, injuries, physical conditions, or pregnancies through recognised medical practices.

The Gujarat Clinical Establishments (Registration and Regulation) Act, 2021, was published in the Gazette on May 22, 2021, and implemented across the state on September 13, 2022. The rules under this Act were notified in the Gazette and came into effect on March 13, 2024.

As of November 28, 2024, 5,534 healthcare institutions in the state have registered under this Act, including 2,328 government and 3,015 private institutions. Among these:

4,018 are allopathic hospitals

185 are AYUSH hospitals

437 are homeopathy clinics

77 are dental clinics

108 are ESI hospitals.

So far, 4,601 hospitals with fewer than 50 beds and 322 hospitals with more than 50 beds have completed registration under this Act.

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