Legal Approvals Required to Run a Clinic or Hospital in India
Posted by legalitysimplified on March 13th, 2020
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In today’s legal landscape, commencing a private practice as a health care service provider be it a small Clinic, individual practice, diagnostic services, a single specialty hospital or multi-specialty hospital attracts licensing and compliance requirements. As a first step, before starting a Clinic/ hospital, it is imperative for you to become aware of the various legal requirement. You can see below a list of the licenses you need, and the basic compliance’s which you should stick to, so you can stay on the right side of the law.
These compliance requirements may vary depending on the services you offer. Say, for example, if you are a dentist with an x-ray machine, then you will need to obtain a registration for using the X-Ray. Similarly, the type of services you deliver typically enhances your own licenses.
See the reference below for different health care services/ speciality and the license under relevant laws:
Besides the above laws, your clinic/ hospital will also need to adhere to the Clinical Establishment Act, pollution control norms, fire safety norms, and other central and state-specific labor laws.
Here is the list of license you will need for the infrastructure you use for the clinic/ hospital:
Approvals relating to the infrastructure:
In order to run a small clinic, you will need a consulting room of a minimum of 100 square feet. Naturally, depending on the services you render the space requirements also change. Keep in mind, for each specialty (see the list we have mentioned above) you offer the space requirement will be multiplied and it is governed under the respective laws mentioned against each specialty.
The basic approvals required for the Building, if owned by you, is:
If the building/ space is taken on lease/ rent, then you will need a Lease deed/ rent agreement, which shall be renewed on expiry of the lease. Also, ensure that the owner has obtained the above-mentioned approvals for the building.
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Irrespective of whether you are a small single practitioner Clinic or a multi-specialty hospital, you need a registration certificate under Clinical Establishments (Registration and Regulation) Act, 2010. Each state has passed its own rules, and accordingly, the procedure followed for obtaining the license also varies.
You will need to obtain consent from the State Pollution Control Board for generation of bio-medical waste if your clinic/ hospital generates any waste such as soiled waste, linens, sharp waste, etc. This authorization is given for a non-bedded category if you have only outpatient consulting. Typically such authorizations are valid until revoked, i.e for a lifetime. However, if there is any change in the quantum of waste being generated, then a revised approval has to be obtained.
Apart from this, you will need consent to establish and consent to operate the hospital from the Pollution control board depending on the bed size. See our article on how to obtain pollution consents.
Approvals related to medical professionals and employees:
Besides approvals and licenses for the Clinic, the doctor, nurses and other medical professionals you employ also need to have the right registration, such as:
If your clinic/ hospital have an attached pharmacy or you dispense drugs to your patients from the clinic/ hospital, then you need:
Above all, if you have put in the work, and obtained the licenses, Display them:
Here the thumb rule is, when in doubt, just display, and display all the licenses you obtain, specifically, every Clinic/ hospital shall display:
Apart from obtaining the approval, you will need to maintain some mandatory records under the Law such as:
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About the Authorlegalitysimplified
Joined: March 5th, 2020
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