INTRODUCTION:
Are you planning to build or restructure a Neurology center in India? Looking for information about the major neurology 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 dialysis center 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 neurology centers, 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.hospaccxconsulting.com
Over 30 million people suffer from various neurological disorders in India. Stroke is one of the leading causes of death and disability in India. The incidence of stroke in rural areas is more than the national average. The main reason for this is the lack of awareness of neurological disorders. 70% of the neurologists work in Tier I cities, hence people in need of treatment from Tier II and III cities or rural areas are forced to travel long distances. All the major hospitals are in metro cities like Mumbai, Delhi, Bangalore, Hyderabad, Chennai, Pune, boast high-end neurology departments.
LEADING NEUROLOGY HOSPITALS:
- Medanta the Medcity – Gurugram
- SIMS Hospital – Chennai
- Sir H.N.Reliance Foundation Hospital and Research Centre – Mumbai
- Apollo Hospitals – Chennai
- Indraprastha Apollo Hospitals – Delhi
- KIMS Hospitals – Hyderabad
- Kauvery Hospital – Chennai
- Apollo Health City – Hyderabad
- Fortis Hospital – Bengaluru
- Jaslok Hospital & Research Centre – Mumbai
A neuroscience center is a hospital comprising of only one specialty: Neurology
Neuroscience center majorly has four main units:
- Neuro-medicine unit
- Neurosurgery unit
- Interventional cath lab/ specialized stroke unit
- Neuroimaging unit
Each unit treats a separate set of neurological disorders/diseases. Individual set up of either unit is possible. The neuro medicine unit relies heavily on diagnostics, so an in-house diagnostic department or tie-up with a diagnostic center is necessary.
A complete neuroscience center requires a capital investment of a minimum Rs.30-35 crore including infrastructure and diagnostic machines like CT, MRI, Cath lab etc. Cost might vary depending on the location and area of the center.
Common surgeries at a neurology hospital
- Simple to Complex Brain Tumour Surgery
- Minimally Invasive Spinal Surgery
- Endovascular Neurosurgery
- Endoscopic Brain Surgery
- Endoscopic Skull Base Surgery
- Epilepsy Surgery
- Nerve and Plexus Surgery
- Pediatric Neurosurgery
- Complex Spine Surgery
Common diseases/disorders at a neuro-medicine center are:
- Cerebrovascular disease, such as stroke
- Headache disorders
- Movement disorders (Parkinson’s disease)
- Neurodegenerative disorders (Alzheimer’s disease, Lou Gehrig’s disease)
- Brain Infections
- Seizure disorders (Epilepsy)
- Spinal cord disorders
- Speech and Language disorders
Telestroke unit:
Immediate intervention is of the utmost importance when it comes to the management of stroke. Currently, interventional stroke management is available only at leading neurology hospitals in India. To overcome this barrier of accessibility, telestroke was initiated.
Telemedicine enabled stroke management unit or a telestroke unit just might be the future of stroke management in India. Many states have started operating a mobile telestroke unit too.
AREA 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 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
- 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.
- 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 hectare
- 500 beds and above = 6.5 hectare (4.5 hectare for hospital and 2 hectare for residential)
LICENCES:
- Certificate of registration of hospital with the municipal authorities
- IMC/SMC registration certificate (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.)
- Dentist Regulations, 1976
- 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 Lunacy Act, 1912 (Applicable only if a Psychiatry dept is there in the hospital)
- Indian Nursing Council Act 1947 (Whether nurses are registered with NCI).
- Minimum wages act, 1948 (For contract employees)
- Pharmacy Act, 1948
- SC and ST Act, 1989
- Protection of Human Rights Act, 1993
- Urban Land Act, 1976
- Right to Information Act 2005
(Licenses and legal requirements are subject to change in accordance with new government laws)
CONCLUSION:
There are several ancillary services in neuroscience that have a promising future. The growing geriatric population and a general focus on neurological health, makes neurology centres an attractive investment opportunity. High functioning neurology centres are unquestionably the need of the hour.
If you need any support in Planning and Designing a neurology center you can
contact us: Hospaccx healthcare business consulting Pvt. Ltd on: info@hhbc.in
Or you can visit our website www.hospaccxconsulting.com.
