Manpower ration for ESIC hospital 2024.pdf

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Panchdeep Bhawan, CIG Marg, New Delhi- 02
Phone: 011-23215489, VOIP; 10011037
Email: medl-ho@esic.nic.in
Website: www.esic.qov,in
c'.r.*.fr.
E.S,I.C.
No. v-14111/ s/2019/PolicylMed.I(1206) Datedr 20.02.2024
OTFICE MEMORANDUM
Sub: ESIC decisions on review of norms for deployment of Doctors, Nurses, and
Paramedical Staff & Other allied cadres and administrative manpower in ESIC
Health Care Institutions.
In continuation to this office letter oF even no. dated 07.07.2024, it is informed that a
book on the "Human Resource Norms for ISIC Hospitals and Dispensaries" has been
released by the Honorable Labour and Employment Minister in the 193rd meeting of the
Corporation held on 10.02.2024.
A soft copy of the book is enclosed for ready reference for the user units.
Accordingly, you are requested to take further actions so as to implement these
Encl: As above
(Dr. M Kumar)
OSD (Medical Services)
l PPS/PS to DG/FC/CVO
2. The Medical Commissioner (MA)/ Insurance Commissioner (P&A)-with request to take
necessary action, please.
3. All MCslICs, ESIC Hqrs
4. All MCs/lCs, Zonal Offices
5. All Dean, rSIC Medical College & Hospitals
6. All the Medical Superintendent, ESIC Hospitals
7. All the Regional Directors
8. All the DIMS
9. wCM w;th request to upload on ESIC official website.
To
decisions thereby enabling strengthening of the in-house medical services.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS AND
DISPENSARIES

The sustenance of a strong primary, secondary and tertiary health care delivery
system, as envisaged by the ESI Corporation is contingent on the deployment
of a competent, motivated and accountable health workforce. Human resources
for health are the keystone to develop and sustain a capable and resilient health
care system.
It is imperative to construct a rational and inclusive framework for human
resource management, development and successful implementation of health
care strategies and delivery of comprehensive health care to ESI beneficiaries.
These guidelines are intended for implementation and adaptation in order to
facilitate in-house medical care facilities in all ESI health care institutions. The
guidelines shall facilitate the ESI ecosystem in drafting robust human resource
policies, thus enabling effective short term and long-term planning for enhanced
medical manpower.
All the contributors have taken sincere and stupendous efforts for bringing up this
pertinent document at such an opportune time when health system and priorities
are being reshaped to improve and expand the health landscape of India.
Feedback and suggestions of the ESI health care institutions based on their
experiences are welcome to keep the guidelines abreast of the evolving health
care needs of the ESI beneficiaries.
Preface

Sr. No. Content Page No.
1. Background 1
2. Broad Considerations 2-6
3. Salient features 7
4. List of Services 8-10
5. Bed Distribution 11-12
6. Manpower Norms for 100 Bedded Hospital 13-28
12. Nursing Officer norms for all hospitals 116
13. Outsourced services norms for all hospitals 117-124
14. Blood Bank Norms for 300 Bedded and above Hospital 125-127
15. Norms for ESIC Dispensaries 128-130
16. Diagnostic Centre / Polyclinic 131
17. Mobile dispensary 132
Index

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
1
1. Background:
Employees' State Insurance Corporation (ESIC), established by the ESI Act, 1948 is an
organisation under Ministry of Labour and Employment, Government of India. The ESI
Scheme under the Act was started on 24th February, 1952 at Delhi and Kanpur with
25,000 Insured persons (IPs). The ESI Scheme has made giant strides during the last 68
years. At present, the ESI Scheme covers about 3.43 crores IPs with total beneficiaries
of 13.31 crores (2022-23). As such, ESI Scheme covers almost 10% of the population
of India. As on date, the medical care to ESI beneficiaries is being provided through a
large network of medical infrastructure comprising 55 ESIC hospitals, 106 ESIS
hospitals, 1574 dispensaries including Indian Systems of Medicine (ISM), Diagnostic
Centres, 927 Insured Medical Practitioners (IMP) clinics and 20 Employers Utilisation
Dispensaries (EUDs). Besides, the corporation has a large number of tie-up
arrangements of medical institutions to provide medical services to the ESI
beneficiaries.
The existing staffing norms were framed in 2002 and supplemented from time to time
in view of the new facilities/services introduced such as, DCBOs, m-EUDs, AYUSH
Hospitals, medical colleges and super specialty services etc. With the increase in ESI
beneficiaries and expanding infrastructure focused to provide the reasonable care in an
efficient and effective way, there is a felt need to review the staff norms in ESIC.
Moreover, the advancement in medical science and the introduction of information
technology also necessitates this.
The manpower norms have been provided after due deliberations, taking a holistic and
futuristic approach to strengthen the manpower, with the objective of improving the
quality of health services provided by ESIC.
The staffing norms of various health institutions as available in the public domain have
been considered, in addition to the norms laid down by IPHS and SIU Norms revision
of staffing norms for ESIC hospitals and dispensaries.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
2
2. Broad Considerations:
The broad considerations for deployment of Doctors, Nurses and Allied and Healthcare
Professionals in Hospitals and Dispensaries of ESIC are as under: -
1. These norms are for 100 bedded to 1000 bedded ESI hospitals. For
Medical Colleges and PGIMSR, sanction of manpower based on NMC
norms shall be applicable.
2. IPHS norms 2022 have provision of basic minimum health care services;
whereas ESI mandate is to provide all available services which also
include tertiary level care to its beneficiaries.
3. The broad objectives for deployment of Doctors, Nurses, Allied &
healthcare professionals Staff in dispensaries and hospitals of ESIC are: -
a) To specify the minimum assured services that are expected to be
provided at different levels of ESIC Hospitals & Dispensaries.
b) To provide guidance on strengthening human resources to improve
the overall health related outcomes.
c) To achieve and maintain an acceptable standard of the quality of
care at public facilities.
d) To facilitate monitoring and supervision of the facilities.
4. Clinical care includes curative, palliative, and rehabilitative services
along with services for implementation of National programmes (as
appropriate), provision of drugs, diagnostic services,
administrative/maintenance services and other support services.
5. Apart from curative services, there should be a strong focus on health
prevention, promotion, palliation and rehabilitation.
6. Important relevant Circulars, issued from time to time, after 2002 to
supplement the existing staffing norms have also been referred to and
reviewed before incorporation in the norms.
7. There have to be inter alia, revision of norms every five years considering
the vast pace of expansion in ESI medical infrastructure and advancement
in medical services and in accordance with the NMC/AIIMS norms.
8. These norms are aimed to build in-house specialty and super specialty
services at ESIC Hospitals specifically in hospitals beyond bed capacity
of 300 beds.
9. The Secondary Health Care Services must include specialist care,
operative services, and blood transfusion facilities rendered through
adequate infrastructure, manpower, drugs, diagnostics and equipment.
The Hospital serves as the first level in the health system for secondary
care.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
3
10. The Secondary Health care is expected to provide comprehensive health
care requirements of the beneficiaries of the corporation in a
comprehensive mode, including their medical/surgical and RCH
requirements.
11. The scope of secondary care shall include the following core specialties:-
a) General Medicine
b) General Surgery
c) Orthopaedics
d) Obstetrics and Gynaecology
e) Paediatrics
f) ENT
g) Ophthalmology
h) Anaesthesia
i) Laboratory Services
j) Radiology
12. The vision is to ensure development of robust secondary care services in
hospitals up to bed capacity of 300 under the following heads: -
a) General Medicine and Allied (Emergency Medicine, Respiratory
Medicine, Dermatology & STD, Psychiatry etc.)
b) General Surgery and Allied (ENT, Eye, Orthopaedics)
c) Obstetrics & Gynaecology and Paediatrics- Inherently involve an
integrated approach to develop good quality RCH services as per
National Policy Objectives.
13. In addition, any specialised secondary care service as per need may be
made available.
14. Hospitals up to 300 beds should primarily focus on providing quality
secondary medical care. However, secondary care hospital may develop
the super specialty service with benchmark standards based on the
geographical need, disease profile and epidemiological analysis of the
location. These super specialty treatment services can serve as additional
pillars to address the super specialty needs of the beneficiaries as
mandated by assessment of local disease profiles, such as Oncology,
Nephrology and Cardiology of the concerned hospital/area. Based on the
local context and supported by data, other super specialties service may
be developed with the approval of Headquarters.
15. The Super Specialty Services of a Hospital can also be utilised to cater
the other nearby hospitals. The 300 bedded hospital can also be developed
as centre of excellence for specific Super Specialty Services as per the
geographical needs and disease profile of the area.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
4
16. The Medical Officers with PG qualifications or adequate experience in
the field, and the Senior Residents are mandatorily required for running
hospitals for round the clock services.
17. In case of referral requirement for tertiary care services, the patient should
be referred to ESIC Hospital/ Medical College providing tertiary care
service in the field of requirement. Further requirement for the referral to
be met with as per the Referral Policy of ESIC.
18. A new hospital can provisionally start with 30 or 50 beds and should be
expanded to its approved bed capacity of 100.
19. Provision of day care beds should be kept in the bed distribution criteria
of hospitals. These day care beds can also be efficiently utilised for
Haemodialysis and Chemotherapy procedures.
20. The strength in the norms for staff and equipment in different
departments/specialties are indicative and suggested keeping in view the
occupancy/workload of the hospital/ OPD workload of the departments
where indoor facility is not required such as dental, radiology, labs etc.
and also the leave reserve.
21. The workload needs to be reviewed periodically every three years and
norms be revised accordingly.
22. The prescribed minimum norms of NMC and affiliating university in
case of Medical College and PG Institute, the NBE norms for DNB
courses and other regulatory authorities, wherever mandatory, must be
adhered to.
23. Medical Officers with post graduate qualification should preferably be
posted in the hospital.
24. The ICU beds are additional beds and not to be counted against total bed
strength as minimum number of 10% of total bed strength. For better
management, one type of ICU facility should be up to 10-12 beds
preferably (ICCU/Medical ICU/ Surgical ICU/Respiratory ICU/ Gynae
ICU/PICU/NICU etc.)
25. In each broad specialty some beds may be marked for HDUs. This should
be located preferably around the nursing counter in the wards as per
existing norms.
26. Emergency services should be available 24*7 in all ESI hospitals and an
effort must be made to develop emergency care in ESI dispensaries.
27. In case a hospital is upgraded by addition of beds, additional staff shall
be sanctioned with the approval of Headquarters.
28. Nursing Officer strength shall be worked out as per SIU norms.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
5
29. It is suggested to train the manpower, in all cadres, in adequate number,
through
(a) In house training or
(b) On short fellowship programs in Govt. Institutes or
(c) By higher studies, so as to build the capacity and utilise in ESI.
30. For in house training, each ESIC medical College can be a zonal training
centre thereby utilising its existing infrastructure and the faculties.
31. PG/DNB students in the hospital and tutors in medical college hospital
shall be counted as Academic Junior Residents. In hospitals where no
PG/DNB students are there, it is recommended to have JRs in ratio of 1
ESIC JR for every 10 commissioned beds of the hospital limiting to
maximum of 50 ESIC JRs in one hospital. However, this strength should
be counted over and above the sanctioned post of JRs.
32. Number of senior residents in each specialty has been proposed. They
may be recruited by the competent authority after workload analysis. In
case of functional requirement additional SR may be sanctioned by ESIC
Headquarter after examining justified demands of the Hospitals.
33. Leave vacancy arrangement as and when an employee working against
the sanctioned post proceeds on leave beyond 3 months should be within
DOP of the head of unit.
34. The existing guidelines of GOI namely ‘Kayakalp’ guidelines for clean
hospitals may be adopted. The number of housekeeping workers/staff to
be provided shall be decided keeping in view the layout of facilities, area
involved and the workload. Thus, the number of such staff may vary from
hospital to hospital and dispensary to dispensary.
35. Deployment against leave and training, reserve of 10% staff will be from
the central pool depending upon the need.
36. For setting up of super specialty departments, the beds shall be utilised
from the broad specialty.
37. Additional manpower (depending on the workload) shall be provided for
running family welfare services in the hospital as per statutory norms.
38. Specialists/Super specialists should be recruited on full time basis. Part
time/full time contractual specialists/super specialists should only be
made available when full time specialists/Super Specialists are not
available.
39. As per the present policy, support services like watch and ward,
housekeeping, laundry and kitchen are to be provided on outsourced
basis. The outsourcing is to be based on the basis of actual operational
beds.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
6
40. It is desired that all ESIC Hospitals to develop in house dialysis services
for providing better dialysis care to the beneficiaries of the corporation.
Day care Haemodialysis service is to be developed based on the ‘Hub and
Spoke Model’ with assistance from nearest ESIC Hospital having
Nephrology Super-specialty service. The faculty/trained doctors of the
mentor hospital to do the necessary hand holding in development of day
care dialysis centre of hospitals up-to 200 beds. Further, the doctors from
the mentor hospital may be diverted to train doctors and staff of the
hospitals developing such facility.
41. ESI Hospitals to develop at-least 04 (four) guest rooms to provide
accommodation to visiting faculty from other hospitals.
42. No specialty service to be closed in the event of any specialist proceeding
on leave. Leave forecast of all the specialists should be assessed by the
Medical Superintendent well in time and suitable replacement if required
should be projected to Headquarters for leave replacement. The
Headquarters to ensure timely placement of specialist to ensure continuity
of services.
43. Dispensary Norms: As per the existing ESIC norms for setting up of ESI
Dispensary, a minimum of 3000 Insured Persons population is required
for a 02-doctor dispensary, 5000 IP population for 03 doctor dispensary
and 10000 IP population for 05 doctor dispensary. Instead of considering
the present IP population, health facilities may be created based on
projected futuristic number of IP population in upcoming 03 years in case
of dispensaries. The Norms for the dispensaries have been provided
accordingly.
44. Hiring of contractual manpower against the sanctioned posts is to be done
on the basis of bed occupancy and workload of the hospital.
45. Any other instructions as approved by the competent authority from time
to time are to be implemented as per requirement of the location.
46. It is desired that the staff of each cadre should perform duties according
to their job cards as per ESIC/MoH&FW (as applicable).
47. The sanctioned manpower is for fully functional status of the hospital and
the actual manpower to be deployed should be based on number of
commissioned beds, workload, Bed Occupancy Rate and as per need
assessment made by Medical Superintendent of the concerned hospital.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
7
3. Salient features:
The salient features of recommended norms are as under:
1. Norms have been prepared for the hospitals with bed strength 100, 200,
300, 500, 750 and 1000.
2. Provision of additional 10 % of beds strength as ICU beds in every
hospital.
3. Provision of 10 % of beds as HDU in each broad specialty in every
hospital.
4. Implementation of various programs under National Health Mission such
as LaQshya program, etc.
5. Provision of emergency and trauma department in each hospital.
6. Provision of CT and MRI facilities in all 300 beds and above ESI
hospitals.
7. Provision of Super specialty services (SST) including chemotherapy in
all ESI hospitals (Ref: Super specialty table of norms below).
8. Provision of advance lab tests and automation.
9. Need for NABL/NABH accreditation.
10.Dispensing of all drugs at hospital level.
11.The job profile of all nursing and Allied & healthcare professionals’
cadre, the existing RRs, the approved norms of equipment, IPHS
standards and other relevant ESIC guidelines have been referred to.
12.Various guidelines/directions of GoI such as Kayakalp guidelines for
clean hospital, CDSO regulations for Blood bank etc. were
considered/referred.
13.Provision of compensatory off for staff performing round the clock duties.
14.There is a separate policy for setting up of AYUSH hospitals and
dispensaries.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
8
4. List of Services:
i. Broad Specialty and super specialty services under the ESI scheme are
provided to the ESI beneficiaries in the following disciplines:
Sr.
No.
Specialty Broad Specialty Super specialty
1. Medicine &
Allied
Medicine Cardiology
Endocrinology & Metabolism
Haematology
Gastroenterology
Medical Oncology
Nephrology
Neurology
Rheumatology
Emergency
Medicine
Respiratory
Medicine
Dermatology &
STD, ART
Psychiatry
2. Surgery & Allied Surgery Burns & Plastic Surgery
Cardiothoracic Surgery
Neurosurgery
Surgical Gastroenterology
Surgical Oncology
Urology
ENT
Eye
Orthopaedics
3. Anaesthesiology Anaesthesiology Anaesthesiology and Critical
Care
4. Obstetrics &
Gynaecology
Obstetrics &
Gynaecology
Reproductive Medicine &
Surgery
5. Paediatrics Paediatrics Neonatology
Paediatric Surgery
6. Emergency
including Trauma
Emergency
including Trauma
Trauma & Emergency

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
9
7. Radiology and
imaging
Radiology Ultra-
Sonography
Diagnostic and Interventional
Radiology for e.g. CT MRI
etc.
8. Laboratory
services
Pathology Flow Cytometry,
Immunohistochemistry,
Molecular studies etc.
Biochemistry
Microbiology
9. Dental Orthodontics,
Endodontics, Oral
Maxillo Facial
Surgery,
Prosthodontics
etc.
10. Rehabilitation
Services
Physical Medical
& Rehabilitation
Physiotherapy
Occupational
therapy
Speech therapy
11. Immuno
Haematology
Blood Transfusion
Bone Marrow Transplant and
other Blood Cancer treatment
12. Geriatric
Medicine
- -
13. Family Medicine -
14. Radiotherapy - Radiation Oncology
Note: -
Any other services may be added or appropriately included in the specialty/super
specialty in future.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
10
ii. Super-Specialty Services in Hospitals up-to 300 Beds:
Hospitals up to 300 beds should primarily focus on providing quality secondary care
services.
However, Secondary Care Hospitals of up-to 300 beds can develop Super Specialty
service from amongst the following with the approval of the Headquarters.
1. Medical Oncology
2. Nephrology
3. Cardiology
4. Any other Super Specialty based on local context and supported by local
disease data.
The super- specialties should be developed as per the benchmark standards based on
the geographical need, disease profile, epidemiological analysis of their location and
number and pattern of referrals being generated from that hospital for a particular Super
Specialty.
These Super Specialty Treatment services can serve as additional pillars to address the
Super Specialty needs of the beneficiaries as mandated by assessment of local disease
profiles (Cancer, Kidney Failure, etc.) of the concerned.
The Super Specialty Services of 1 (One) individual Hospital can be utilised to cater to
the other nearest hospital as per the requirement.
The 300 bedded hospitals can be developed as centre of excellence for the specific
Super Specialty Services they intend to develop as per their geographical needs and
disease profile of the area.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
11
5. Bed Distributions in different hospitals:
Specialty Branch 100 200 300 500 750*** 1000***
1. Medicine &
Allied# (10%
of the Total
Bed Strength
shall be HDU
in each
specialty)
(i) Medicine 30 50 70 120 195 240
(ii) Respiratory
Medicine
2 10 10 16 25 30
(iii)
Dermatology
0 0 7 10 10 20
(iv) Psychiatry 0 0 7 10 20 30
2.Surgery &
Allied# (10%
of the Total
Bed Strength
shall be HDU
in each
specialty)
(i) Surgery 16 30 60 100 195 240
(ii) ENT 0 5 8 12 20 20
(iii) Eye 0 5 8 12 20 30
(iv)
Orthopaedics
12 30 30 60 95 120
3.Obstetrics &
Gynaecology*
25 40 60 100 125 150
4. Paediatrics 15 30 40 60 95 120
Total Beds 100 200 300 500 800 1000
Emergency
including
Trauma**
10 20 30 50 70 80
ICU***(10%
of the total
Bed Strength)
10 20 30 50 75 100
Further, from the above bed distribution, day care beds as detailed below are to be
mandatorily marked for day care services.
Specialty 100 200 300 500 750*** 1000***
Day Care Beds 4 8 10 15 20 25

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NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
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Note: -
 # The bed distribution as above is indicative only, the local administration may
allot bed to each broad specialty as per local need.
 *Additional Beds and Planning for Implementation of LAQSHYA
 **Beds not to be counted under Total Bed Strength. @- 10% beds initially and
may increase up-to 15% if the bed occupancy is 80% or more per year.
 ***In case, the Stand-alone institution running NMC recognised PG Courses,
Number of Beds in a specialty to be adjusted under its Broad Specialty e. g. Total
Bed strength in Medicine & Allied or Surgery & Allied for purpose of NMC
requirement for PG seats as per the Clinical Material and availability of Faculty.
 In case of super specialty services, beds shall be shared with the respective broad
specialty branch as per need.
 Additional staff may be sanctioned for additional beds sanctioned beyond 10 %
of the total bed strength as per the facility to be developed.
 Separate rooms should be provided to ESIC Pensioners and staffs opting for
treatment in ESIC hospitals as per their eligibility (like Private room, semiprivate
and general wards).

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
13
6. MANPOWER NORMS
FOR
100 BEDDED HOSPITALS

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
14
Specialists, Medical Officers and SR/JR- 100 beds
Sr.
No.
Department Specialists MO SR
1. Anaesthesiology
[Functional
Operation Theatre
Table (OT), Pre-
Anaesthesia Check-
up Clinic]
i. 01 Specialist per major functional
OT Table in the facility where number of
functional OT Tables is between 01 to
06. In all such cases 01 additional post of
Specialist will be sanctioned.
ii. 01 Specialist per major functional
functional OT Tables is between 07 to
08. In such cases 02 additional posts of
0 6
2. Biochemistry 1 0 1
3. Pathology 1 0 1
4. Microbiology 1 0 0
5. Chest 1 0 1
6. Dermatology 1 0 1
7. ENT 1 0 1
8. Eye * 1 0 1
9. Medicine 2 6 5
10. Obstetrics & Gynae 3 6 5
11. Orthopaedics 2 2 4
12. Paediatrics 2 5 5
13. Radiology** 1 0 2
14. Surgery 2 4 4

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
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15. Psychiatry 1 0 0
16. Dental 1 (Endodontist) 1 0
Note: -
 *Wherever an eye bank is established 1 additional specialist
 ** one additional specialist for CT already adjusted for 200beds and above, one
additional specialist to be considered when MRI + DEXA available. One
additional specialist for DSA. Radiologist is required for Ultrasound.
 ICU can be manned by Critical Care Specialist/Anaesthesiologist/Medicine
Specialist/Pulmonary Medicine specialist or Paediatric Specialist.
 The Recommendations are for Standard Bed Capacity Hospitals. However, the
recommended strength can be reviewed as per the Patient Load.
 Blood Storage Units: All hospitals less than 300 bedded to have a blood Storage
unit.
 In hospitals where more than 1 additional shift of lab/diagnostic is functional, no
additional Medical Doctor would be sanctioned; they are to be deployed from
the Residents/Medical Officers. However, Technicians’ posts can be augmented
depending on the no. of additional shifts. The additional posts will have to be
created with approval of the competent authority following due process.
 ESIC JR: It is recommended to have JRs in ratio of 1 ESIC JR for every 10
sanctioned bed of the hospital limiting to maximum of 50 ESIC JR in one
hospital.
 PG/DNB students in the hospital and tutors in medical college hospital are to be
counted as Academic Junior Residents.
 If post graduate doctors are not available for Senior Residents, MBBS doctor
without PG degree with two years of experience out of which 1 year of
experience in the concerned specialty from government hospital/ private
hospital, (not a private clinic), may be appointed for 01 Yr. as Senior Resident
on contract basis.
 Sanctioned strength of Senior Residents and Medical Officers is to be treated as
combined strength so that in case of unavailability of Resident Doctors in a
particular specialisation, the vacant position can be interchanged with Medical
Officers and vice-versa.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
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Super Specialty Department- 100 beds
(Before starting a Super Specialty in a hospital, separate approval of the competent
authority shall be obtained based on the following norms to be applied separately in
case of each Super Specialty)
Department 100 beds
Super Specialist IMO/SR
1. Cardiology 1 1
2. Medical Oncology* 1 1
3. Nephrology 1 0
Note: -
 Functionality of the Super-specialty is the Responsibility of the Parent
Department.
 Recommended cardiologist is 01(One) only, additional cardiologist is to be
provided if ICCU, Echo Cardiography, TMT etc. facilities are made available.
 5 no. of Senior Residents will be provided to any Super Specialty with round the
clock service-
 Nursing and Allied & healthcare professionals’ staff may be sanctioned by ESIC
HQ after receiving due justification as per defined statutory requirements for
development of Super-specialty discipline.
 In case of non-availability of Super specialty SR (MCh, DM, DrNB, FNB) for
SST departments, the SR may be recruited with the concerned Broad Specialty
qualification.
 * Chemotherapy units are to be established in all ESIC Hospitals 100 beds and
above.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
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Manpower for Department of Accident and Emergency
Specialist Medical Officer/Senior Resident Nursing Officer* MTS**
1 6 As Per SIU Norms 5
Note: -
 *The hospitals to calculate nursing requirement as per IPHS/SIU norms. In the
Emergency, there should be one nurse each to cover the triage area, paediatric
area and isolation area. Apart from these at least two to cover the red, yellow
zone and green zones each. The Nursing Officer will be required over three shifts
to provide the 24/7 services.
 ** The services of MTS may also be utilized for stretcher bearer requirements.
 For Specialist in Accident and Emergency services, Postgraduates in Critical
Care are to be preferred. However, Anaesthesiologist/Anaesthetist/Medical
Medicine Specialist/Pulmonary Medicine specialist or Paediatric Specialist may
be considered if Critical Care specialist is not available.
 As the emergency beds are not included in the sanctioned bed strength but this
is essential and critical care service department, the requirement of support staff
is to be made available for emergency department as well through the outsourced
agency for the hospital.

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NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
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ICU Staff
Designation Manpower Norms for 100 Beds
Each ICU shall consist of at least 10-12 Beds
with ventilators.
Specialist 1
Senior Resident/Medical Officer 5 for Each functional ICU
OT Assistant 1 OTA for every 2-6 ventilator bed, 2OTA for
7-12 ventilator bed, 3 OTA for 13-18 ventilator
bed, 4 OTA for 19-24 ventilator bed/shift
OT Technician 2
Sr. OT Technician 1
Senior Technical Assistant 0
Nursing Cadre* As per IPHS/ SIU norms
Note: -
 ICU includes Medical ICU, Respiratory ICU, Surgical ICU, Obstetric ICU,
Critical/Trauma ICU etc.
 ICU can be manned by Critical Care Specialist/Anaesthesiologist/Medicine
Specialist/Pulmonary Medicine specialist or Paediatric Specialist (for
NICU/PICU only).
Neonatal Intensive Care Unit(Level-III) #
Senior Resident/Medical
Officer
Each unit shall consist of 10-12 Beds (including
ventilator beds and step-down beds). For each
functional unit, 06 Senior Residents/Medical
Officers
OT Assistant 1 OTA for every 2-6 ventilator bed, 2OTA for 7-
12 ventilator bed, 3 OTA for 13-18 ventilator
OT Technician@ 2
Sr. OT Technician@ 1

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19
Paediatrics Intensive Care Unit (Level-III) #
Officer
Each unit shall consist of 10-12 Beds (including
ventilator beds and step-down beds). For each
functional unit, 06 Senior Residents/Medical
Officers
OT Assistant 1 OTA for every 2-6 ventilator bed, 2OTA for 7-
12 ventilator bed, 3 OTA for 13-18 ventilator
OT Technician@ 2
Note: -
 @ When OT Technicians, Senior OT Technicians (OTA, Sr OTA) are available
for NICU, the additional OTA, Sr OTA will not be provided for PICU. The OTA,
Sr. OTA will provide services at both NICU and PICU. However, the OTA, Sr.
OTA will be provided for PICU if these staff are not available for NICU.
 *The hospitals to calculate nursing requirement as per IPHS/SIU norms. In adult
critical care areas, the nurse: bed ratio should be 1:1 for ICU and 1:2 for HDU.
In case a facility with a hybrid critical care unit (i.e., with both ICU and HDU
beds in the same unit), distribution of nursing care for ICU and HDU beds should
be in the same ratio described above, i.e., 1:1 and 1:2 for ICU and HDU beds
respectively. For paediatric critical care beds, a nurse to bed ratio of 1:3 for
SNCU and 1:2 for NICU/PICU/Paediatric HDU is to be maintained. Considering
an 8-hour shift, nurses will be needed in three shifts to cover a 24-hour period
and this will be needed for calculating staff requirements.
 # To start / run, round the clock NICU and PICU services, MS has to submit
detailed proposal with justification to Hqrs to get sanction of manpower as per
provisions above. Same provisions shall be applicable to ICU Services as well.
 For Round the Clock ICU services, norms of ISCCM have been referred.

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20
Allied Healthcare Professionals - 100 beds
Posts Norms
A OT Staff
1. OT Assistant
*2/Functional OT
(major)+ additional 4
for emergency OT
(24*7)
2. OT Technician 2
3. Sr. OT Technician 1
Note:
1. *When OT Assistant/ OT Technician are granted upgradation under MACP
scheme, the job profile will not change.
2. Sr. OT Technician/Senior Technical Assistant will be supervising the gas
manifold. No separate staffs for gas manifold as same may run through ARM
agency.
Posts Norms
B
Plaster room/
Orthopaedic
Staff/Dressers
1. Plaster Assistant 5
2. Plaster Technician 2
3. Dressers 2
Posts Norms
C
Central Sterile
Supply Department
(CSSD Staff)
1. CSSD Assistant 4
2. CSSD Technician 1
3. Senior CSR Technician 1
4. MTS 1

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Posts Norms
D ECG staff
1. ECG Technician 5
2. Senior ECG Technician 1
3. ECHO
Additional 1 technician
per ECHO machine for
300 bedded hospitals
having cardiology as In-
house Super specialty
service
4. TMT and HOLTER Addition 1 technician
Posts Norms
E
Cath lab Staff (24
Hour service)*
Per Shift
1. Cath Lab Assistant 3
2. Cath Lab Technician 2
3. Senior Cath Lab Technician 1
Note:
*To be provided only if Cardiology services are developed.
Posts Norms
F Dialysis technician
1. Dialysis Technician
1 dialysis technician per
3 dialysis machine/per
shift
Posts Norms
G Lab staff
1.
Junior Medical Laboratory
Technologist
10
2. Lab Technician 4
3. Senior Technical Lab Assistant 1
Note:
1. Three separate labs function in the hospital (Pathology, Microbiology and
Biochemistry) and emergency lab. The distribution of the above staff is to be
made according to the three separate lab function & emergency lab.

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Posts Norms
H Radiology staff
1. JR Radiographer 4
2. Radiographer 2
3.
Sr. Technical Assistant
(Radiology) 1
4. MTS 4
Note:
1. Round the clock X ray facility if available additional 3 junior radiographer to
be sanctioned
2. Round the clock X ray, and CT facility if available 3 junior radiographer and
1 radiographer and 1 technical assistant to be additionally sanctioned CT
round the clock.
3. Round the clock X ray, CT and MRI facility if available 5 junior radiographer
and 3 radiographer and 1 technical assistant to be additionally sanctioned
4. If DEXA scan, mammography and IITV facilities if available additional
junior radiographer of 1.5 personal rounded to the next numeral to be
sanctioned for each facility
Posts Norms
I Physiotherapy
1. Physiotherapist 1
Posts Norms
J
Occupational
therapy
1. Occupational therapist 1
Posts Norms
K Ophthalmology staff
1. Optometrist 1
Posts Norms
L Dental staff
1. Dental Mechanic 1

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23
Posts Norms
M Respiratory lab staff
1. Respiratory lab Assistant 1
Note:
For Sleep Lab additional 1 Respiratory lab technician and 1 technical assistant may
be sanctioned with proper justification.
Posts Norms
N Dietician
1. Dietician 1
Posts Norms
O
Pharmacist
(Allopathic)
1. Pharmacist 6+2*
2. Senior Pharmacist (NFG) 3
3. Pharmacy Officer (NFG) 1
4. Sr. Pharmacy Officer (NFG) 1
Note:
* To be sanctioned if medical procurement and issue of stores for attached
dispensaries/DCBO is being done by the hospital.
The pharmacist numbers in the hospital to be increased so that sufficient manpower
is available for dispensing of drugs from hospital pharmacy/ home delivery to avoid
repeated dispensary visits by patients.
The above is based upon the distribution of works of pharmacists in hospitals.
Calculation is based upon approx. estimate of OPD attendance and indoor beds.
AYUSH Pharmacist: One post in each hospital in each discipline where facility for
the respective therapy exists. Additional post in each discipline should be sanctioned
when the patient load is more than 100 per day.

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24
Posts Norms
P ENT Staff
1. Speech therapist * One post in each hospital
where facility for speech
therapy and audiometry
exist, additional post of
speech therapy and
Audiometry technician
to be created with
increase in number of
patients. One speech
therapist for 12 patients
per week.
2. Audiometer technician 1 audiometer technician
for 15 audiometry per
day average
Notes:
* At present there are no sanctioned positions of Speech Therapist in ESIC.
Whenever it is decided to start speech therapy in ESIC Hospital, proposal may be
submitted to the Headquarters based on the above norms. Simultaneously, process
to be initiated to frame recruitment regulations in respect of these posts.
Posts Norms
Q MSW and other
staffs
1. Medical social worker / Social
guide/ Social worker
2
Posts Norms
R Medical Record
Department
1. Medical Record Assistant 4
2. Medical Record Technician 2
3. Medical Record Officer 1

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25
Posts Norms
S
Librarian
1. Library Assistant 1
2. MTS Support Staff 1
Notes:
For Doctors, Residents and PG students’ library shall preferably be functional 24X7.

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26
Administration (Medical)
Designation 100 beds
Medical Superintendent 1
Deputy Medical Superintendent 1
Medical Officer (I/c Medical Stores) 1
Administration (Non-Medical)
Administration (Non-Medical) Officers to be deployed from
administrative cadre of ESIC
Dy. Director (Admin) 1
Dy. Director (Finance) 1
Asst. Director (DDO/Cash) # 1
Note: -
 #Officer in charge of DDO/Cash shall not be entrusted any procurement related
work.
 All the officers in the administrative cadres in a hospital will report directly to
the MS. In cases where JD posts are available, ADs and DDs, as the case may
be, will report to the MS through the JD concerned of the respective stream
(Admin/Finance).

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27
Administration (Non-Medical)-OS/SSO onwards
Designation
Bed Capacity wise
Norms
100
Office Superintendent 3
Assistant 4
Caretaker (Assistant/ UDC)
There is no sanctioned post of Caretaker in the Corporation.
Employees from Assistant/UDC cadre may be designated as
indicated in the next column. 1
UDC 7
LDC 3
MTS 7
Senior Translation Officer # 1
01 PPS/PS/Steno for Medical Superintendent, 01 PS for each Deputy MS.
1 Steno for 2 Dy. Directors. Accordingly, additional posts of Steno will be sanctioned
based on no. of Dy. Director in hospital.
Note: -
 # based on ESIC OL requirement in its hospital where technical posts are more
than ministerial posts, OL cadre posts have been recommended on beds strength.
Engineering Division
Post Norms- 100 beds
Junior Engineer (Civil) 1
Junior Engineer (Electrical) 1

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Blood Storage Unit
Designation
Bed Capacity wise Norms
100
Medical Officer 1*
Blood Bank Technician 2*
Sr. Blood Bank Technician 0
MTS 1*
Note: -
 *In-charge of laboratory services will hold the charge of BSUs. The existing doctor
and technician working under the laboratory services should be additionally designated
to work in the BSU. To provide round the clock services, additional staff will be
required as above.

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29
7. MANPOWER NORMS
FOR

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30
Specialists, Medical Officers and SR/JR- 200 beds
Sr.
No.
1. Anaesthesiology
[Functional Operation
Theatre Table (OT), Pre-
Anaesthesia Check-up
Clinic]
i. 01 Specialist per major
functional OT Table in
the facility where number
of functional OT Tables
is between 01 to 06. In all
such cases 01 additional
post of Specialist will be
sanctioned.
ii. 01 Specialist per major
is between 07 to 08. In
posts of Specialist will be
sanctioned.
3 9
3. Pathology 1 0 1
5. Chest 1 0 1
7. ENT 1 0 2
8. Eye* 2 0 2
9. Medicine 3 6 6
14. Surgery 3 4 6
16. Dental 1 (Endodontist) 1 0
–

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Note: -
 *wherever an eye bank is established 1 additional specialist
additional specialist to be considered when MRI + DEXA available. one additional
specialist for DSA. Radiologist is required for Ultrasound.
 ICU can be manned by Critical Care Specialist/Anaesthetist/Medicine
 Blood Storage Units: All hospitals less than 300 bedded to have a blood Storage unit.
additional Medical Doctor would be sanctioned; they are to be deployed from the
Residents/Medical Officers. However, Technicians’ posts can be augmented
depending on the no. of additional shifts. The additional posts will have to be created
with approval of the competent authority following due process.
 ESIC JR: It is recommended to have JRs in ratio of 1 ESIC JR for every 10 sanctioned
bed of the hospital limiting to maximum of 50 ESIC JR in one hospital.
 If post graduate doctors are not available for Senior Residents, MBBS doctor without
PG degree with two years of experience out of which 1 year of experience in the
concerned specialty from government hospital/ private hospital, (not a private clinic),
may be appointed for 01 Yr. as Senior Resident on contract basis.
combined strength so that in case of unavailability of Resident Doctors in a particular
specialization, the vacant position can be interchanged with Medical Officers and
vice-versa.

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32
Super Specialty Department
authority shall be obtained based on the following norms to be applied separately in
case of each Super Specialty)
Department 200 beds
1. Cardiology 1 2
2. Medical Oncology* 1 2
3. Nephrology 1 2
Note: -
 *Chemotherapy units are to be established in all ESIC Hospitals 100 beds and
above.
Department.
 Recommended cardiologist is 01(One) only, additional cardiologist is to be
provided if ICCU, ECHO Cardiography, TMT etc. facilities are made available.
 5 Senior Residents will be provided to any Super Specialty with round the clock
service-
 Nursing and Allied & healthcare professional staff may be sanctioned by ESIC
development of Super-specialty discipline
SST departments, the SR may be recruited with the concerned Broad Specialty
qualification.

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33
Manpower for Department of Accident and Emergency- 200 beds
Specialist Medical Officer/
Senior Resident Nursing Officer* MTS**
Note: -
Emergency, there should be one nurse each to cover the triage area, paediatric
Care are to be preferred. However, Anaesthetist/Medical Specialist/Pulmonary
Medicine specialist or Paediatric Specialist may be considered if Critical Care
specialist is not available.
is to be made available for emergency department as well through outsourced

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34
ICU Staff
Each ICU shall consist of at least 10-12 Beds with
ventilators.
Specialist 2
Officer
5 for Each functional ICU
OT Assistant
1 OTA for every 2-6 ventilator bed, 2OTA for 7-12
ventilator bed, 3 OTA for 13-18 ventilator bed, 4 OTA for
19-24 ventilator bed/shift,
OT Technician 3
Sr. OT Technician 1
Note:
 ICU can be manned by Critical Care Specialist/Anaesthetist/Medical
Specialist/Pulmonary Medicine specialist or Paediatric Specialist (for
NICU/PICU only).

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Officer
Each unit shall consist of 10-12 Beds (including ventilator
beds and step-down beds). For each functional unit, 06
Senior Residents/Medical Officers
OT Assistant
19-24 ventilator bed/shift
OT Technician@ 3
Paediatrics Intensive Care Unit(Level-III) #
Senior
Resident/Medical
Officer
Each unit shall consist of 10-12 Beds (including ventilator beds
and step-down beds). For each functional unit, 06 Senior
Residents/Medical Officers
OT Assistant
1 OTA for every 2-6 ventilator bed, 2OTA for 7-12 ventilator bed,
3 OTA for 13-18 ventilator bed, 4 OTA for 19-24 ventilator
bed/shift
OT Technician@ 3
Sr. OT
Technician@ 1
Notes: -
 @ When OT Technicians, Senior OT Technicians (OTA, Sr OTA) are available
for NICU, the additional OTA, Sr OTA, will not be provided for PICU. The
OTA, Sr OTA will provide services at both NICU and PICU. However, the OTA,
Sr OTA will be provided for PICU if these staff are not available for NICU.
critical care areas, the nurse: bed ratio should be 1:1 for ICU and 1:2 for HDU.

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36
In case a facility with a hybrid critical care unit (i.e., with both ICU and HDU
beds in the same unit), distribution of nursing care for ICU and HDU beds should
be in the same ratio described above, i.e., 1:1 and 1:2 for ICU and HDU beds
respectively. For paediatric critical care beds, a nurse to bed ratio of 1:3 for
SNCU and 1:2 for NICU/PICU/Paediatric HDU is to be maintained. Considering
an 8-hour shift, nurses will be needed in three shifts to cover a 24-hour period
and this will be needed for calculating staff requirements.
 # To start / run, round the clock NICU and PICU services, MS has to submit
detailed proposal with justification to Hqrs to get sanction of man-power as per
provisions above. Same provisions shall be applicable to ICU Services as well.

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AND DISPENSARIES
37
Allied Healthcare Professionals- 200 beds
Posts Norms
A OT Staff
1. OT Assistant
*2/Functional OT
for emergency OT
(24*7)
2. OT Technician 3
3. Sr. OT Technician 1
Note:
1. When OT Assistant/ OT Technician are granted upgradation under MACP
manifold. No separate staffs for gas manifold as same may run through
ARM agency.
Posts Norms
B
Plaster room/
Orthopaedic
Staff/Dressers
1.
Plaster Assistant
6
2.
Plaster Technician
3
3. Dressers 3
Posts Norms
C
Central Sterile
Supply Department
(CSSD Staff)
1. CSSD Assistant 6
4. MTS 1

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38
Posts Norms
D ECG staff
1. ECG Technician 6
3.
Senior ECG Technical
Assistant 1
4. ECHO
service
Posts Norms
E
Cath lab Staff (24
Hour service)*
Per Shift
Note:
Posts Norms
shift
Posts Norms
G Lab staff
1.
Technologist
13
2. Lab Technician 4
Note:
Three separate labs function in the hospital (Pathology, Microbiology and Biochemistry)
and emergency lab. The distribution of the above staff is to be made accordingly.

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AND DISPENSARIES
39
Posts Norms
H Radiology staff
1. Jr. Radiographer 5
2. Radiographer 3
3.
(Radiology) 1
4. MTS 4
Note:
1. Round the clock X ray facility if available additional 3 junior radiographers
to be sanctioned
2. Round the clock X ray, and CT facility if available 3 junior radiographers
and 1 radiographer and 1 technical assistant to be additionally sanctioned
round the clock
3. Round the clock X ray, CT and MRI facility if available 5 junior
radiographers and 3 radiographers and 1 technical assistant to be additionally
sanctioned
Posts Norms
I
Physiotherapy
Posts Norms
J
Occupational
therapy
1. Occupational therapist
1
Posts Norms
K Ophthalmology staff
1. Optometrist 1
2. Sr. Optometrist 1

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AND DISPENSARIES
40
Posts Norms
L Dental staff
2. Dental Hygienist 1
Posts Norms
Note:
Posts Norms
N Dietician
1. Dietician 1
Posts Norms
O
Pharmacist
(Allopathic)
1. Pharmacist 8+2*
Note:
*To be sanctioned if medical procurement and issue of stores for attached
The pharmacist in the hospital to be increased so that sufficient manpower is
available for dispensing of drugs from hospital pharmacy/ home delivery to avoid
repeated dispensary visits by patients.
The above is based upon the distribution of work of pharmacists in hospitals.

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AND DISPENSARIES
41
Posts Norms
P ENT Staff
1.
Speech therapist*
One post in each hospital
speech therapy and
audiometry technician
to be created with
per week.
2.
Audiometer technician
1 audiometer technician
for 15 audiometries per
day average
Note:
*At present there are no sanctioned positions of Speech Therapist in ESIC.
be initiated to frame recruitment regulations in respect of these posts.
Posts Norms
Q MSW and other staff
1.
Medical social worker / Social
2
Posts Norms
R
Medical Record
Department

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AND DISPENSARIES
42
Posts Norms
S
Librarian
Notes:
For Doctors, Residents and PG student’s library shall preferably be functional
24X7.

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ESIC HOSPITALS
AND DISPENSARIES
43
Dy. Director (Admin)
1
Asst. Director (DDO/Cash) #
1
Note: -
work.
 All the officers in the administrative cadres in a hospital will report directly to
the MS. In cases where JD posts are available, ADs and DDs, as the case may
be, will report to the MS through the JD concerned of the respective stream
(Admin/Finance).

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44
Designation
Bed Capacity wise
Norms
200 beds
Assistant 6
Care Taker (Assistant/ UDC)
There is no sanctioned post of Care Taker in the Corporation.
indicated in the next column. 1
UDC 11
LDC 4
MTS 10
Junior Translation Officer # 1
01 PPS for Medical Superintendent, 01 PS for each Deputy MS.
1 Steno for 2 Dy. Director. Accordingly, additional posts of Steno will be sanctioned
based on no. of Dy. Director in hospital.
Note: -
than ministerial posts, OL cadre posts have been recommended on beds strength
Post Norms

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45
Blood Storage Unit
Designation
200 beds
Medical Officer 1*
Blood Bank Technician 2*
Sr. Blood Bank Technician 0
MTS 1*
Note: -
 *In-charge of laboratory services will hold the charge of BSUs. The existing doctor
and technician working under the laboratory services should be additionally
designated to work in the BSU. To provide round the clock services, additional staff
will be required as above.

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AND DISPENSARIES
46
8. MANPOWER NORMS
FOR

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
47
Specialists, Medical Officers and SR/JR -300 beds
Sr.
No.
1. Anaesthesiology
[Functional Operation
Theatre Table (OT), Pre-
Anaesthesia Check-up
Clinic]
i. 01 Specialist per major
is between 01 to 06. In all
post of Specialist will be
sanctioned.
ii. 01 Specialist per major
is between 07 to 08. In
posts of Specialist will be
sanctioned.
iii. 01 Specialist per major
is more than 8. In such
cases 03 additional posts
of Specialist will be
sanctioned.
3 10
3. Chest 2 1 2
5. Dental
2
(Endodontist, Prosthodontist)
2 0
6. ENT 2 0 2
7. Eye* 2 0 2
9. Medicine 5 8 6

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48
12. Pathology 2 0 2
16. Surgery 4 4 6
Note: -
 ** One additional specialist for CT already adjusted for 200beds and above, one
additional specialist to be considered when MRI + DEXA available. one additional
specialist for DSA. Radiologist is required for Ultrasound.
 Blood Bank/ Centre: All Hospitals having bed strength equal to or more than 300
beds to have a blood bank center.
additional Medical Doctor would be sanctioned, they are to be deployed from the
Residents/Medical Officers. However, Technicians’ posts can be augmented
depending on the no. of additional shifts. The additional posts will have to be created
with approval of the competent authority following due process.
 ESIC JR: It is recommended to have JRs in ratio of 1 ESIC JR for every 10 sanctioned
bed of the hospital limiting to maximum of 50 ESIC JR in one hospital.
 If post graduate doctors are not available for Senior Residents, MBBS doctor without
PG degree with two years of experience out of which 1 year of experience in the
concerned specialty from government hospital/ private hospital, (not a private clinic),
may be appointed for 01 Yr. as Senior Resident on contract basis.
combined strength so that in case of unavailability of Resident Doctors in a particular
specialization, the vacant position can be interchanged with Medical Officers and
vice-versa.

HUMAN RESOURCE
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49
authority shall be obtained based on the following norms to be applied separately
in case of each Super Specialty)
Department 300 beds
1. Cardiology 2*
2
2. Medical
Oncology**
2 2
3. Nephrology 1+1*** 2
Note: -
 *One extra Specialist from concerned broad specialty may be sanctioned to maintain
continuity of super specialty services in event of unforeseen non - availability of
super specialist.
 **Chemotherapy units are to be established in all ESIC Hospitals 100 beds and
above.
 ***If Dialysis machines are more than ten.
 Functionality of the Super-specialty is the Responsibility of the Parent Department
 Recommended cardiologist is 01(One) only, additional cardiologist is to be provided
if ICCU, ECHO Cardiography, TMT etc. facilities are made available.
 5 no. of Senior Residents will be provided to any Super Specialty with round the
clock service-
 Nursing and Allied & healthcare professionals’ staffs may be sanctioned by ESIC
 In case of non-availability of Super specialty SR (MCh, DM, DrNB, FNB) for SST
departments, the SR may be recruited with the concerned Broad Specialty
qualification.

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50
Note: -
Emergency, there should be one nurse each to cover the triage area, Paediatric area
and isolation area. Apart from these at least two to cover the red, yellow zone and
green zones each. The Nursing Officer will be required over three shifts to provide
the 24/7 services.
 **The services of MTS may also be utilized for stretcher bearer requirements.
 For Specialist in Accident and Emergency services, Postgraduates in Critical Care
are to be preferred. However, Anaesthetist/Medical Specialist/Pulmonary Medicine
specialist or Paediatric Specialist may be considered if Critical Care specialist is not
available.
 As the emergency beds are not included in the sanctioned bed strength but this is
essential and critical care service department, the requirement of support staff is to
be made available for emergency department as well through outsourced agency for
the hospital.

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51
ICU Staff
ventilators.
Specialist 3
Officer
OT Assistant
OT Technician 4
Sr. OT Technician 2
Note:-
Specialist/Pulmonary Medicine specialist or Paediatric Specialist (for NICU/PICU
only).

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Officer
OT Assistant
OT Technician@ 4
Senior Technical
Assistant @ 1
Paediatrics Intensive Care Unit (Level-III)#
Senior
Resident/Medical
Officer
OT Assistant
bed/shift
OT Technician@ 4
Sr. OT
Technician@ 2
Senior Technical
Assistant @ 1
Note:
 #To start / run, round the clock NICU and PICU services, MS has to submit detailed
proposal with justification to Hqrs to get sanction of man-power as per provisions
above. Same provisions shall be applicable to ICU Services as well.
 @ When OT Technicians, Senior OT Technicians and Senior Technical Assistant

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53
(OTA, Sr OTA, STA) are available for NICU, the additional OTA, Sr OTA, STA
will not be provided for PICU. The OTA, Sr OTA, STA will provide services at
both NICU and PICU. However, the OTA, Sr OTA, STA will be provided for PICU
if these staff are not available for NICU.
critical care areas, the nurse: bed ratio should be 1:1 for ICU and 1:2 for HDU. In
case a facility with a hybrid critical care unit (i.e., with both ICU and HDU beds in
the same unit), distribution of nursing care for ICU and HDU beds should be in the
same ratio described above, i.e., 1:1 and 1:2 for ICU and HDU beds respectively.
For Paediatric critical care beds, a nurse to bed ratio of 1:3 for SNCU and 1:2 for
NICU/PICU/Paediatric HDU is to be maintained. Considering an 8-hour shift,
nurses will be needed in three shifts to cover a 24-hour period and this will be needed
for calculating staff requirements.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
54
Posts Norms
A OT Staff
1. OT Assistant
*2/Functional OT
for emergency OT
(24*7)
2. OT Technician 4
3. SR. OT Technician 2
4. Senior Technical Assistant 1
Notes:
1. When OT Assistant/ OT Technician are granted upgradation under MACP
manifold. No separate staffs for gas manifold as same may run through
ARM agency.
Posts Norms
B
Plaster room/
Orthopaedic
Staff/Dressers
1. Plaster Assistant 6
2. Plaster Technician 3
3. Dressers 4
Posts Norms
C
Central Sterile
Supply Department
(CSSD Staff)
1. CSSD Assistant 8
5. MTS 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
55
Posts Norms
D ECG staff
1. ECG Technician 7
3.
Assistant 1
4. ECHO
service
Posts Norms
E
Cath lab Staff (24
Hour service)*
Per Shift
Note:
Posts Norms
shift
Posts Norms
G Lab staff
1.
Technologist
18
2. Lab Technician 6
Notes:
Biochemistry) and emergency lab. The distribution of the above staff is to
be made accordingly.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
56
Posts Norms
H Radiology staff
1. JR Radiographer 8
2. Radiographer 4
3.
(Radiology) 1
4. MTS 4
Notes:
to be sanctioned
2. Round the clock X ray, and CT facility if available 3 junior radiographers
and 1 radiographer and 1 technical assistant to be additionally sanctioned CT
round the clock
sanctioned
junior radiographer of 1.5 personnel rounded to the next numeral to be
Posts Norms
I Physiotherapy
2. Senior Physiotherapist 1
Posts Norms
J
Occupational
therapy
1. Occupational therapist 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
57
Posts Norms
K
Ophthalmology staff
1. Optometrist 2
Posts Norms
L
Dental staff
Posts Norms
2. Respiratory lab Technician 1
Notes:
Posts Norms
N Dietician
1. Dietician 1
2. Senior Dietician 1
Posts Norms
O
Pharmacist
(Allopathic)
1. Pharmacist 12+3*
4. Sr. Pharmacy Officer (NFG)
1
Note:
* To be sanctioned if medical procurement and issue of stores for attached

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
58
The numbers of pharmacist in the hospital to be increased so that sufficient
manpower is available for dispensing of drugs from hospital pharmacy/ home
delivery to avoid repeated dispensary visits by patients.
Posts Norms
P ENT Staff
speech therapy and
to be created with
per week.
day average
Note:

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
59
Posts Norms
Q
MSW and other
staffs
1.
3
Posts Norms
R
Medical Record
Department
Posts Norms
S
Librarian
2. Librarian Gr. II 1
Note:
For Doctors, Residents and PG student’s library shall preferable be functional
24X7.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
60
Note: -
work.
 All the officers in the administrative cadres in a hospital will report directly to the
MS. In cases where JD posts are available, ADs and DDs, as the case may be, will
report to the MS through the JD concerned of the respective stream
(Admin/Finance).
 *As per IPHS Norms-2022(Essential)
Bio Medical Engineer* 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
61
Designation
Bed Capacity wise
Norms
300
Assistant 10
There is no sanctioned post of Care Taker in the Corporation.
indicated in the next column.
1
UDC 18
LDC 7
MTS 13
01 Steno for 2 Dy. Director. Accordingly, additional posts of Steno will be
sanctioned based on no. of Dy. Director in hospital.
Note: -
Post Norms

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
62
9. MANPOWER NORMS
FOR
500 BED HOSPITALS

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
63
Specialists, Medical Officers and SR/JR - 500 beds
Sr.
No.
1. Anaesthesiology
[Functional
Operation Theatre
Table (OT), Pre-
Anaesthesia
Check-up Clinic]
i. 01 Specialist per major functional
functional OT Tables is between 01 to 06.
In all such cases 01 additional post of
ii. 01 Specialist per major functional
functional OT Tables is between 07 to 08.
In such cases 02 additional posts of
iii. 01 Specialist per major functional
functional OT Tables is more than 8. In
such cases 03 additional posts of Specialist
will be sanctioned.
4 14
3. Pathology 4 0 5
5. Chest 3 2 3
7. ENT 3 2 2
8. Eye* 3 2 2
9. Medicine 8 8 10
10. Obstetrics &
Gynae
8 8 9
14. Surgery 6 8 8
16. Dental 3 (Endodontist, Prosthodontist & OMFS) 3 0
17. Physical Medicine
& Rehabilitation
2 0 2
18. Community
Medicine
1 0 0

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
64
19. Reproductive
Medicine and
Surgery
0 0 2
20. Radiotherapy 0 0 1
Note: -
additional specialist to be considered when MRI + DEXA available. one
 Blood Bank/ Centre: All Hospitals having bed strength equal to or more than 300
beds to have a blood bank center.
additional Medical Doctor would be sanctioned, they are to be deployed from
the Residents/Medical Officers. However, Technicians’ posts can be augmented
depending on the no. of additional shifts. The additional posts will have to be
created with approval of the competent authority following due process.
hospital.
on contract basis.
combined strength so that in case of unavailability of Resident Doctors in a
particular specialization, the vacant position can be interchanged with Medical
Officers and vice-versa.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
65
Super-Specialty Services in Hospitals for 500 Beds
Sr.
No.
Department Bed Capacity wise Norms
500 beds
1. Anaesthesiology with Surgical Super
Specialty
One for each surgical
super specialty
2
2. Critical Care Medicine 2 5
3. Burns & Plastic Surgery 2 4
4. Cardiology 2#@
4
5. Cardiothoracic Surgery Nil Nil
6. Diagnostic and Interventional Radiology 1 2
7. Endocrinology & Metabolism 2 2
8. Haematology 2 2
9. Gastroenterology 2 2
10. Medical Oncology 2@ 2
11. Neonatology 2 2
12. Nephrology 2@
3

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
66
13. Neurology 2 2
14. Neurosurgery 2 2
15. Paediatric Surgery 2 2
16. Surgical Gastroenterology 1@ 1
17. Surgical Oncology 1@ 2
18. Urology 2 2
19. Rheumatology 1 1
Note: -
 #Only if TMT/ECHO/CCU started
Department.
@ One extra Specialist from concerned broad specialty may be sanctioned to
maintain continuity of super specialty services in event of unforeseen non -
availability of super specialist
 5 no. of Senior Residents will be provided to any Super specialty with round the
clock indoor service
 Nursing and Allied & Healthcare Professionals’ staffs may be sanctioned by
ESIC HQ after receiving due justification as per defined statuary requirements
for development of Super-specialty discipline
SST, the SR of Parent Broad Specialties to be considered.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
67
Manpower for Department of Accident and Emergency – 500 bed
Note: -
Emergency, there should be one nurse each to cover the triage area, Paediatric
Care are to be preferred. However, Anaesthetist/Medicine Specialist/Pulmonary
Medicine specialist or Paediatric Specialist may be considered if Critical Care
specialist is not available.
is to be made available for emergency department as well through outsourced

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
68
ICU Staff
ventilators.
Specialist 6
Officer
OT Assistant
OT Technician 6
Sr. OT Technician 3
Note: -
Critical/ Trauma ICU etc.
Specialist/Pulmonary Medicine specialist or Paediatric Specialist (for NICU/
PICU only).

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
69
Officer
OT Assistant
OT Technician@ 6
Senior Technical
Assistant @
2
Officer
OT Assistant
OT Technician@ 6
Senior Technical
Assistant @
2

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
70
Note:-
both NICU and PICU. However, the OTA, Sr OTA, STA will be provided for PICU
if these staff are not available for NICU.
critical care areas, the nurse: bed ratio should be 1:1 for ICU and 1:2 for HDU. In
case a facility with a hybrid critical care unit (i.e., with both ICU and HDU beds in
the same unit), distribution of nursing care for ICU and HDU beds should be in the
same ratio described above, i.e., 1:1 and 1:2 for ICU and HDU beds respectively.
For Paediatric critical care beds, a nurse to bed ratio of 1:3 for SNCU and 1:2 for
NICU/PICU/Paediatric HDU is to be maintained. Considering an 8-hour shift,
nurses will be needed in three shifts to cover a 24-hour period and this will be needed
for calculating staff requirements.
 #- To start / run, round the clock NICU and PICU services, MS has to submit detailed
proposal with justification to Hqrs to get sanction of man-power as per provisions
above. Same provisions shall be applicable to ICU Services as well.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
71
Posts Norms
A OT Staff
1. OT Assistant
*3/Functional OT
for emergency OT
(24*7)
2. OT Technician 8
3. SR. OT Technician 3
Note:
1. *When OT Assistant/ OT Technician are granted upgradation under MACP
2. Sr. OT Technician/Senior Technical Assistant will be supervising the gas manifold.
No separate staffs for gas manifold as same may run through ARM agency.
Posts Norms
B
Plaster room/
Orthopaedic
Staff/Dressers
1.
Plaster Assistant
8
2.
Plaster Technician
4
3. Dressers 6
Posts Norms
C
Central Sterile
Supply Department
(CSSD Staff)
1. CSSD Assistant 12
5. MTS 2

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
72
Posts Norms
D
ECG staff
1. ECG Technician 8
3.
Assistant 2
4. ECHO
per ECHO machine
service.
Posts Norms
E
Cath lab Staff (24
Hour service)*
Per Shift
Note:
Posts Norms
F
Endoscopy
Technician*
1. Endoscopy Technician 1
2. Senior Endoscopy Technician 1
Note:
*To be provided only if Gastroenterology Services are developed.
At present there are no sanctioned positions of Endoscopy Technician in ESIC.
Whenever it is decided to start endoscopy in ESIC Hospital, proposal may be

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
73
Posts Norms
G Dialysis technician
shift
Posts Norms
H Lab staff
1.
Technologist
27
2. Lab Technician 9
Note:
Biochemistry) and emergency lab. The distribution of the above staff is to
be made accordingly.
Posts Norms
I Radiology staff
1. Jr. Radiographer 11
2. Radiographer 9
3.
(Radiology) 3
4. MTS 8
Note:
to be sanctioned
2. Round the clock X ray, and CT facility if available 3 junior radiographers and
1 radiographer and 1 technical assistant to be additionally sanctioned CT
round the clock
sanctioned

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
74
Posts Norms
J
Physiotherapy
2. Senior Physiotherapist 1
Posts Norms
K
Occupational
therapy
1. Occupational therapist
3
Posts Norms
L
Ophthalmology staff
1.
Optometrist 2+2*
3. Optometry Officer 1
*For Centre of excellence
Posts Norms
M
Dental staff
1.
Dental Mechanic
2
Posts Norms
N Respiratory lab staff
1. Respiratory lab Assistant 2+1*
2. Respiratory lab Technician 1
Notes:
* Staff for Bronchoscopy

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
75
Posts Norms
O Dietician
1. Dietician
2
2. Senior Dietician 1
Posts Norms
P
Pharmacist
(Allopathic)
1. Pharmacist 15+4*
Notes:
*To be sanctioned if medical procurement and issue of stores for attached
The number of pharmacists in the hospital to be increased so that sufficient
manpower is available for dispensing of drugs from hospital pharmacy/ home
delivery to avoid repeated dispensary visits by patients.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
76
Posts Norms
Q ENT Staff
speech therapy and
to be created with
per week.
day average
Notes:
Posts Norms
R
MSW and other
staffs
1.
6
2. Clinical Psychologist*# 1
3. Health Educator /Community
Nurse*#
1
Notes: *As per IPHS Norms
#In the existing RR of ESIC, no such posts are available, but IPHS Norms has
recommended for provisions Clinical Psychologist and Community nurse. RRs be
examined/created as per functional requirements and promotional avenues in ESIC
Hospitals.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
77
Posts Norms
S
Medical Record
Department
Posts Norms
T
Librarian
2. Librarian Gr. II 2
3. Librarian Gr. I 1
Notes:
For Doctors, Residents and PG student’s library shall preferably be functional 24X7.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
78
Note: -
work.
 All the officers in the administrative cadres in a hospital will report directly to the
MS. In cases where JD posts are available, ADs and DDs, as the case may be, will
report to the MS through the JD concerned of the respective stream
(Admin/Finance).
 *As per IPHS Norms-2022(Essential)
Joint Director (Admin) 1
Joint Director (Finance) 1
Bio Medical Engineer* 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
79
Designation
500 beds
Assistant 20
There is no sanctioned post of Care Taker in the
Corporation. Employees from Assistant/UDC cadre may
be designated as indicated in the next column. 2
UDC 35
LDC 10
MTS 17
Assistant Director (Official Language) # 1
1 Steno for 2 Dy. Director. 1 PA for 1 Joint Director. Additional posts of Steno will
be sanctioned based on no. of Dy. Director in hospital.
Note: -
Post Norms
Assistant Executive Engineer/Assistant
Engineer (Civil) 1
Assistant Executive Engineer/Assistant
Engineer (Electrical) 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
80
10. MANPOWER NORMS
FOR
750 BED HOSPITALS

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
81
Specialists, Medical Officers and SR/JR - 750 beds
Sr.
No.
1. Anaesthesiology
[Functional
Operation
Theatre Table
(OT), Pre-
Anaesthesia
Check-up
Clinic]
i. 01 Specialist per major functional OT
Table in the facility where number of
functional OT Tables is between 01 to 06. In
all such cases 01 additional post of Specialist
will be sanctioned.
ii. 01 Specialist per major functional OT
functional OT Tables is between 07 to 08. In
such cases 02 additional posts of Specialist
will be sanctioned.
iii. 01 Specialist per major functional OT
functional OT Tables is more than 8. In such
cases 03 additional posts of Specialist will be
sanctioned.
6 20
3. Pathology 5 0 7
5. Chest 4 2 5
7. ENT 4 3 3
8. Eye* 4 3 3
9. Medicine 10 10 14
10. Obstetrics &
Gynae
10 10 12
14. Surgery 8 10 10
16. Dental 4 (Endodontist, Prosthodontist, OMFS,
Periodontist)
4 0
17. Physical
Medicine &
Rehabilitation
2 0 2
18. Community
Medicine
1 0 0

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
82
19. Reproductive
Medicine and
Surgery
0 0 2
20. Radiotherapy 0 0 1
Note: -
 * wherever an eye bank is established 1 additional specialist
 ** one additional specialist for CT already adjusted for 200beds and above,
one additional specialist to be considered when MRI + DEXA available. one
 The Recommendations are for Standard Bed Capacity Hospitals. However,
the recommended strength can be reviewed as per the Patient Load.
 Blood Bank/ Centre: All Hospitals having bed strength equal to or more than
300 beds to have a blood bank center.
 In hospitals where more than 1 additional shift of lab/diagnostic is functional,
no additional Medical Doctor would be sanctioned, they are to be deployed
from the Residents/Medical Officers. However, Technicians’ posts can be
augmented depending on the no. of additional shifts. The additional posts will
have to be created with approval of the competent authority following due
process.
hospital.
 PG/DNB students in the hospital and tutors in medical college hospital are to
be counted as Academic Junior Residents.
on contract basis.
 Sanctioned strength of Senior Residents and Medical Officers is to be treated
as combined strength so that in case of unavailability of Resident Doctors in
a particular specialization, the vacant position can be interchanged with
Medical Officers and vice-versa

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
83
Super-Specialty Services in Hospitals for 750 Beds
Department Bed Capacity wise Norms
750 beds
Sr. No. Super Specialist IMO/SR
1. Anaesthesiology with Surgical Super
Specialty
One for each
surgical super
specialty
3
2. Critical Care Medicine 2 5
3. Burns & Plastic Surgery 2 4
4. Cardiology 2#@ 4
5. Cardiothoracic Surgery 2 4
6. Diagnostic and Interventional
Radiology
1 2
7. Endocrinology & Metabolism 2 2
8. Haematology 2 2
9. Gastroenterology 2 2
10. Medical Oncology 3@ 3
11. Neonatology 2+1* 3
12. Nephrology 2@ 3
13. Neurology 2 2
14. Neurosurgery 2 2
15. Paediatric Surgery 2 2
16. Surgical Gastroenterology 1@ 1
17. Surgical Oncology 1@ 2
18. Urology 2 2
19. Rheumatology 1 1

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
84
Note:-
 * In case of NICU level-4
 @ One extra Specialist from concerned broad specialty may be sanctioned to
maintain continuity of super specialty services in event of unforeseen non -
availability of super specialist
 #Only if TMT/ECHO/CCU started
 Functionality of the Super-specialty is the responsibility of the parent Department.
 5 no. of Senior Residents will be provided to any Super specialty with round the
clock indoor service
 Nursing and Allied & Healthcare Professionals’ staffs may be sanctioned by ESIC
HQ after receiving due justification as per defined statuary requirements for
 In case of non-availability of Super specialty SR (MCh, DM, DrNB, FNB) for SST,
the SR of Parent Broad Specialties to be considered.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
85
Note: -
Emergency, there should be one nurse each to cover the triage area, Paediatric area
and isolation area. Apart from these at least two to cover the red, yellow zone and
green zones each. The Nursing Officer will be required over three shifts to provide
the 24/7 services.
 For Specialist in Accident and Emergency services, Postgraduates in Critical Care
are to be preferred. However, Anaesthetist/Medical Specialist/Pulmonary Medicine
specialist or Paediatric Specialist may be considered if Critical Care specialist is not
available.
 As the emergency beds are not included in the sanctioned bed strength but this is an
essential and critical care service department, the requirement of support staff is to
be made available for emergency department as well through outsourced agency for
the hospital.

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
86
ICU Staff
ventilators.
Specialist 7
Officer
OT Assistant
OT Technician 9
Sr. OT Technician 6
Note: -
Specialist/Pulmonary Medicine specialist or Paediatric Specialist (for NICU/PICU
only).

HUMAN RESOURCE
NORMS FOR
ESIC HOSPITALS
AND DISPENSARIES
87
Officer
OT Assistant
OT Technician@ 9
Senior Technical
Assistant @ 4
Senior
Resident/Medical
Officer
OT Assistant
bed/shift
OT Technician@ 9
Sr. OT
Technician@ 6
Senior Technical
Assistant @ 4
Note: -

Manpower ration for ESIC hospital 2024.pdf

Manpower ration for ESIC hospital 2024.pdf

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Manpower ration for ESIC hospital 2024.pdf