FB   
 
Powered bysps
        Society for Policy Studies
 
 

 
Is corporatisation a panacea for specialist retention?
Posted:Aug 10, 2017
 
Print
Share
  
increase Font size decrease Font size
 
The government’s recent announcement at the meet the press session on the corporatisation of Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) as a solution to retain specialists may be easier said than done.
 
The arguments advanced for the corporatisation is to get away from the clutches of the Royal Civil Service Commission (RCSC) so that higher salary or allowances could be paid. This is only based on the assumption that specialists leave the system due to low salary or allowance.  But one can suspect that the issue is beyond financial incentives alone.
 
In national interest, the issue merits an in-depth study by the commissioned committee before embarking on a decision to make JDWNRH a corporation.  JDWNRH enjoys a special status and is at the centre of health services in Bhutan. It has a direct relevance to the mandate of the health ministry.  Once it is corporatised, made into a State Owned Enterprise (SOE), and bound by the Companies Act of Bhutan 2016, the ministry may have complicated relations with JDWNRH once it’s severed from the civil service’s umbilical cord and made a commercial entity.
 
The Constitution states that the State shall provide free access to basic public health services in both modern and traditional medicines. This constitutional mandate may not go down well with the commercialisation of a core institute such as the JDWNRH, which is the apex and epicenter of health services in the country.
 
A pertinent issue that would arise with corporatisation would be the equation between health workers, including specialists and doctors, of JDWNRH and other hospitals/BHUs in the country. Or are all health workers going to be with the JDWNRH?
 
If the strategy is to retain specialists through better salary and allowances, the government has the legal option to capitalise on the provision in the Civil Service Act of Bhutan. Section 55 of the Act states, “Salary, allowances, benefits and other emoluments of the civil servants shall be determined by the Royal Government as per the Constitution.” As there is a system of paying allowances for scarce professions even now, it may be worthwhile to explore this option before venturing into corporatisation.
 
The efforts made by the government to address the specialist shortage issue are appreciated. However, getting the strategy wrong could bring much bigger problems in the health sector and the health of the public at large.
 
 
 
 
 
Print
Share
  
increase Font size decrease Font size
 

Disclaimer: South Asia Monitor does not accept responsibility for the views or ideology expressed in any article, signed or unsigned, which appears on its site. What it does accept is responsibility for giving it a chance to appear and enter the public discourse.
Comments (Total Comments 0) Post Comments Post Comment
Review
 
 
 
 
spotlight image Relations between India and Morocco go back a millennium with the first recorded links dating to the 14th century, when the famous traveller and writer from Tangier, Ibn Batuta, travelled to India.
 
read-more
Stepping up action against terrorists attacking India, President Donald Trump's Administration has declared Hizb-ul Mujahideen (HM) a “global terrorist organisation” in an attempt to choke off financial and other support to it.
 
read-more
On 14 August 1947 Pakistan, consisting of East and West Pakistan, celebrated its independence. The 14th was chosen for the ceremony because Lord Mountbatten who came to Karachi as the Chief Guest had to later leave for Delhi where ot the midnight stroke India was to declare its independence.
 
read-more
The Doklam stand-off and a variety recent opinion pieces in magazines and newspapers draws attention to the poor state of defence policy preparedness and the lack of meaningful higher defence control in India. 
 
read-more
The two ideologically divergent ruling partners - the Peoples Democratic Party (PDP) and the Bharatiya Janata Party (BJP) - in Jammu and Kashmir are headed for a showdown as the debate over the abrogation of Article 35A of the Constitution of India heats up.
 
read-more
At the root of the present Doklam crisis is China’s intrusion into Bhutanese territory for its road building projects. These connectivity projects are integral to President Xi Jinping’s dream project, the Belt and Road Initiative (BRI). India and Bhutan were the only two countries that did not participate in the first forum
 
read-more
Come October, America’s crude war of revenge on Afghanistan will enter its seventeenth year.
 
read-more
A vast majority of countries want to eliminate the existential threat of nuclear catastrophe, and rightly so. But achieving a world free of nuclear weapons is easier said than done, and there is a risk that some attempts to do so could prove self-defeating.
 
read-more
It is a privilege to be invited to this most prestigious of law schools in the country, more so for someone not formally lettered in the discipline of law. I thank the Director and the faculty for this honour.
 
read-more
Column-image

As talk of war and violence -- all that Mahatma Gandhi stood against -- gains prominence across the world, a Gandhian scholar has urged that the teachings of the apostle of non-violence be taken to the classroom.

 
Column-image

Interview with Hudson Institute’s Aparna Pande, whose book From Chanakya to Modi: Evolution of India’s Foreign Policy, was released on June 17.

 
Column-image

This is the continuing amazing spiritual journey of a Muslim man from Kerala who plunged into Vedic religion after a chance encounter with a Hindu mystic under a jackfruit tree in the backyard of his house when he was just nine. It is a story w...

 
Column-image

History is told by the victors but in our modern age, even contemporary events get - or are given - a slant, where some contributors soon get eclipsed from the narrative or their images tarnished.

 
Column-image

Humans have long had a fear of malignant supernatural beings but there may be times when even the latter cannot compare with the sheer evil and destructiveness mortals may be capable of. But then seeking to enable the end of the world due to it...

 
Subscribe to our newsletter
Archive