INTRODUCTION: Are you planning to build or restructure a in India? Looking for information about the major gastroenterology centers that are available in India? Are you looking to find out which part of the of the city is best to venture in or what all facilities are available and what all should be planned for a new setup? In this article Hospaccx Healthcare Consultancy has mapped all on major players in terms of gastroenterology hospital scenario in India.  Below is the superficial and macro level survey. If you need a refined market and financial feasibility or any other study related to gastroenterology hospital you can contact Hospaccx Healthcare business consulting Pvt. Ltd on info@hhbc.in or hospaccx.india@gmail.com Or you can visit our website on www.hhbc.in Gastroenterology is a specialty branch that deals with the diseases of the digestive system i.e. esophagus, stomach, small intestine, colon and rectum, pancreas, gallbladder, bile ducts, and liver. It majorly has two sub-specialties: Hepatology and Proctology. Irritable bowel syndrome, Gastro-oesophageal reflux disease, polyps, Hepatitis C, pancreatitis, gastric ulcers, colon cancer, and bowel cancer are the main gastrointestinal diseases prevalent in India. Gastroenterology encompasses many industries Diagnostics play a vital role in gastroenterology. The global Gastrointestinal disorder, therapeutics, and diagnostic industry market was at $49.6 billion and is expected to reach $63.8 billion in 2021. It is expected to grow at a Compound Annual Growth Rate (CAGR) of 4.3%. Along with therapeutics, gastroenterology also boasts a Gastrointestinal (GI) device market. ,  The GI device market includes equipment involved in the gastrointestinal procedures, diagnosis, treatment analysis, testing, and others. The GI device market is expected to reach $13.54 billion by 2027 with a CAGR of 6.7%. AMBULATORY SURGERY MARKET:

• Globally, 60% of the surgeries performed were daycare or short stay surgeries also known as ambulatory surgery.
• The global ambulatory surgery market is expected to grow by CAGR of almost 6% and reach Rs 242 trillion by 2024, from Rs 155 trillion in 2015
• In India, since 2015, ambulatory surgeries are on a rise especially in the fields of gastroenterology, ophthalmology, and orthopedic
• The Indian ambulatory surgery market was valued at Rs 250 billion and is expected to grow at a CAGR of 15%

TOP PLAYERS IN THE FIELD OF GASTROENTEROLOGY:

• Asian Institute of Gastroenterology, Hyderabad 
• Apollo Hospitals, Greams Road
• BLK Super Specialty Hospital
• Indraprastha Apollo Hospital, New Delhi
• Manipal Hospital, Bangalore
• Fortis Memorial Research Institute, Gurgaon
• Aster CMI, Hebbal
• Wockhardt Hospitals
• Continental Hospital, Hyderabad
• Fortis Hospital, Bannerghatta Road
• Max Superspecialty Hospital, Saket
• Fortis Hospital, Kolkata
• Nanavati Hospital, Mumbai
• Ruby Hall Hospital, Pune

Invasive diagnostic procedures like: endoscopy, colonoscopy,  INFRASTRUCTURE NORMS: 

• The size of a hospital depends upon the hospital bed requirement, which in turn is a function of the size of the population it serves. As per the Indian Public Health Standards (IPHS), 2012, the calculation of the number of beds is based on‐

             • annual rate of admission as 1 per 50 population               • average length of stay in a hospital as 5 days

• Minimum Land area requirement are as follows: 

-Up to 100 beds = 0.25 to 0.5 hectare              -Up to 101 to 200 beds = 0.5 hectare to 1 hectar             -500 beds and above = 6.5 hectare (4.5 hectare for hospital and 2 hectare for   residential)

• Bed occupancy is determined by the population size of the city/ district and the annual rate of admission. A thorough evaluation of location, size of the land, and cost, factor in this decision
• Setting up a hospital in a Tier I city is more expensive than Tier II and III cities, but the revenue generation is quicker

LICENCES TO SET UP A HOSPITAL:

• Certificate of registration of hospital with the municipal authorities
• IMC/SMC registration certificate (IMC Regulations, 2002)
• Charges for consultation as well as other procedures/services (IMC Regulations 2002)
• Regulations Building Permit and Licenses (From the Municipality)
• No objection certificate from the Chief Fire Officer “License under Bio-Medical Management and Handling Rules, 1998.
• No objection certificate under Pollution Control Act.
• Narcotics and Psychotropic substances Act, 1985
• Vehicle Registration Certificates (For all hospital vehicles.)
• Atomic energy regulatory body approvals (For the structural facility of radiology dept, TLD badges, etc)
• Boilers Act, 1923(If applicable)
• License for the Blood Bank (To be displayed in the Blood Bank)
• Transplantation of Human Organs Act 1994(If applicable)
• PNDT Act, 1996 (PNDT stands for Prenatal diagnostics test. To be displayed in the Radiology department that this is followed. )
• Drugs & Cosmetics Act, 1940
• Electricity Act, 1998
• ESI Act, 1948 (For contract employees)
• Environment Protection Act, 1986
• Fatal Accidents Act 1855
• Guardians and Wards Act, 1890
• Indian Nursing Council Act 1947 (Whether nurses are registered with NCI).
• Minimum wages act, 1948 (For contract employees)
• Protection of Human Rights Act, 1993
• Registration of Births and Deaths Act, 1969
• Urban Land Act, 1976
• Right to Information Act 2005

(Licenses and legal requirements are subject to change in accordance with new government laws) SCOPE OF GASTROENTEROLOGY CENTERS:

• World Gastroenterologist Organisation recommends 1 Gastroenterologist per 50000 of population, but India only has a total of 1000 registered gastroenterologists as per the last count
• Poor diet, sleeping habits, and lifestyle has increased the prevalence of gastrointestinal diseases
• With an increase in demand of Gastroenterology and no saturation in Tier II and III cities, Gastroenterology centers show a promising future
• As GI diagnostic forms a major part of treatment guidelines, outsourcing the diagnostic tests can ease the burden on operating and capital costs in the initial stages
• Single specialty hospitals have shown tremendous growth over the past decade and are gaining the interest of equity firms

CONCLUSION: The Asia Pacific region is expected to register the highest growth in Gastrointestinal Diseases Market, with China and India at the forefront. Considering consistent growth of the submarkets i.e. GI diagnostics and therapeutics, GI devices, and the clinical services, gastroenterology is swiftly making its place in the Indian healthcare industry. If you need any support in Planning and Designing a Gastroenterology center you can contact us: Hospaccx healthcare business consulting Pvt. Ltd on: info@hhbc.in Or you can visit our website www.hhbc.in