Different Services to All Patients attending at District Hospitals
GOVERNMENT OF WEST BENGAL
DIRECTORATE OF HEALTH SERVICES
HOSPITAL ADMINISTRATION BRANCH
SWASTHVA BHAWAN, GN-29, SECTOR-V, SALT LAKE, KOLKATA – 700091
File No. HFW-40099/58/2022-HA/192 Dated. 30.12.2022
CIRCULAR
State government is committed to provide different services (procedure and diagnostic) to all patients attending at District Hospitals of the State. To implement this commitment, different services have been categorized as “Essential” and “Desirable” at District Hospital of State depending upon the feasibility, necessity and availability of resources where the service category is defined as follows:
“Essential” – Mandatory service to be done at all district hospitals.
“Desirable” – Expected service to be provided at specific district hospitals depending upon availability of expert HR and availability of necessary equipment.
The category wise services are hereby enclosed in Annexure-I.
All concerned are hereby informed.
Enclosure: As stated.
Director of Health Services
West Bengal
No. HFW-40099 dated 30.12.2022, Source
Annexure – I
Sl No. | Name of service (Essential) Category: Procedure & Diagnostic
1 | Electrocardiography (ECG)
2 | Thrombolytic therapy
3 | Echocardiography
4 | DC Cardioversion
5 | Nitro-glycerine (NTG)/ Lidocaine infusion
6 | Injection (I/M, subcutaneous & l/V)
7 | Nebulisation
8 | Enema
9 | Cast application
10 | NG tube Insertion
11 | Immunization
12 | Suture removal
13 | Skin scraping for fungus/ AFB
14 | Dressing
15 | Sitz bath
16 | Catheterization/ Suprapubic Catheterisation
17 | Bowel Wash
18 | Blood Transfusion
19 | CVP line insertion
20 | Thoracocentesis
21 | Abdomen Paracentesis
22 | PICC (Perpherally Inserted Central Catheter) line insertion
23 | Lumbar Puncture
24 | ET intubation
25 | Stomach wash
26 | Venous cutdown
27 | Resuscitation and Ventilation
28 | Intra lessional injection
29 | Chemical Cautery
30 | Skin Biopsy
31 | Punch Biopsy
32 | Pleural Aspiration
33 | Lumbar Puncture
34 | Abdominal Tapping
35 | Liver biopsy
36 | Liver aspiration
37 | Fibreoptic endoscopy
38 | Haemodialysis
39 | Bone Marrow Biopsy
40 | FNAC
41 | Cytological examination of body fluids
42 | Chemotherapy
43 | Dialysis
44 | Peritoneal hemodialysis/ Sustained Low Efficiency Daily Dialysis (SLEDD)
45 | Peripheral Joint Injections
Sl No. | Name of service (Essential) Category: PMR
46 | Computerized Tractions (lumbar & Cervical)
47 | Short Wave Diathermy
48 | Electrical Stimulator with Tens
49 | Electrical Stimulator
50 | Ultra Sonic Therapy
51 | Paraffin Wax Bath
52 | Infra Red Therapy
53 | Shoulder Wheel
54 | Exercycle
55 | Shoulder Pulley
56 | Post Polio Exercise
57 | Obesity Exercises
58 | Breathing Exercises & Postural Drainage
Sl No. | Name of service (Essential) Category: ENT
59 | Packing (anterior & posterior nasal)
60 | I & D Septal Abscess (unilateral & Bilateral)
61 | Sub Mucosal Resection (smr)
62 | Septoplasty
63 | Fracture reduction nose
64 | Fracture reduction nose with septal correction
65 | Rhinoplasty
66 | Septoplasty With Reduction Of Turbinate (sub-mucosal Diathermy (smd))
67 | Adenoidectomy
68 | Tonsillectomy
69 | Adenoidectomy + Tonsillectomy
70 | Frenuloplasty (Tongue tie excision)
71 | Direct laryngoscopy
72 | Hypopharyngoscopy
73 | Direct laryngoscopy & biopsy
74 | Preauricular sinus excision
75 | Foreign Body Removal (Ear and Nose)
76 | Stitching of cut lacerated wounds (CLW’s)
77 | Dressings
78 | Syringing of ear
79 | Chemical cauterisation (Nose & Ear)
80 | Eustachian tube function test
81 | Vestibular function test/ Caloric test
82 | Audiogram (Pure tone and Impedance)
83 | Therapeutic removal of granulations (Nasal, aural, oropharynx)
84 | Punch Biopsy (Oral Cavity & oropharynx)
85 | Cauterization (Oral, oropharynx, aural & nasal)
86 | Mastoid abscess I & D
87 | Mastoidectomy
88 | Stapedotomy
89 | Examination under microscope
90 | Myringotomy
91 | Myringoplasty
92 | Tympanoplasty
93 | Hearing aid analysis and selection
94 | Tonsillectomy, Mastoidectomy, Stapedotomy (D)
Sl No. | Name of service (Essential) Category: Ophthalmology
95 | Refraction (using Snellen’s Chart)
96 | Refraction (using auto refractometer)
97 | Syringing and probine
98 | Foreign body removal (Conjunctival)
99 | Foreign body removal (Corneal)
100 | Suture removal
101 | Sub-conjunctival injection
102 | Retrobulbar injection (Alcohol etc.)
103 | Tonometry
104 | Biometry/ keratometry
105 | Automated perimetry
106 | Pterygium excision
107 | Syringing & probing
108 | Perforating corneo-scieral injury repair
109 | Glaucoma surgery (e.g. Trabeculectomy)
110 | Wart excision
111 | Stve/chalazion surgery
112 | Cauterization (thermal)
113 | Conjunctival resuturing
114 | Corneal scraping
115 | Lid abscess Incision & drainage (l&D)
116 | Uncomplicated lid tear
117 | Indirect ophthalmoscopy
118 | Retinoscopy
119 | Examination under General Anaesthesia
120 | Canthotomy
121 | Paracentesis
122 | Air Injection & Resuturing
123 | Enucleation without implant
124 | Cataract extraction with IOL (including Phacoemulsification)
125 | Small lid tumour excision
126 | Conjunctival Cyst
127 | Capsulotomy
128 | Evisceration
Sl No. | Name of service (Essential) Category: Paediatric Medicine
129 | Immunization (As per National Immunization Schedule)
130 | Vit K for premature babies
131 | Neonatal resuscitation
133 | Umbilical Vein/ Artery Catheterization
134 | Phototherapy
135 | ET & TT Intubation
136 | Lumbar Puncture
137 | Venous Cut Down
138 | Venipuncture
139 | Ng Tube Insertion
Sl No. | Name of service (Essential) Category: Gynae & Obst.
140 | Colposcopy
141 | Female Sterilization (mini Laparotomy & Laparoscopic Ligation]
142 | Antenatal check-up
143 | Intranatal check-up
144 | Postnatal checkups
145 | Antenatal corticosteroid to mother in case of pre term babies
146 | Normal vaginal delivery
147 | Assisted breech delivery
148 | Forceps delivery
149 | Cervical/ Perineal tear repair
150 | Caesarean section
151 | Ectopic pregnancy surgery (unruptured/ ruptured)
152 | Examination Under Anaesthesia (EUA)
153 | Dilatation & Curettage (D&C)
154 | MTP (Medical Method & Surgical Methods
155 | IUD services (insertion & removal)
156 | Contraceptives including emergency contraceptives
157 | Fine Needle Aspiration Cytology (FNAC)
159 | Cervical VIA Staining
160 | Cervical Biopsy
161 | Endometrial Aspiration and Biopsy
162 | Cervical Cautery (Electro/ Cryo Cautery)
163 | Bartholin Cyst Excision
164 | Emergency exploratory laparotomy
165 | Hysterotomy
166 | Sling operation
167 | Tuboplasty
168 | Haematocolpos Drainage Colpotomy
169 | Ovarian Cystectomy/ oophorectomy
170 | Vaginal hysterectomy
171 | Abdominal hysterectomy
172 | Salpingo-oophorectomy
Sl No. | Name of service (Essential) Category: Ortho Surgery
173 | Femoral neck nailing with or without plating replacement prosthesis/ Upper femoral osteotomy
174 | Innominate osteotomy/ open reduction of hip dislocation
175 | DHS/ Richard screw plate
176 | Synovial or bone biopsy from Hip
177 | Girdle stone Arthroplasty
178 | Open Reduction Internal fixation (ORIF) of femur, Tibia, Humerus, Radius, Ulna, Sternum
179 | Open reduction and Internal fixation bimalleolar fracture
180 | Fracture dislocation of ankle
181 | Montaggia fracture dislocation
182 | Fracture medial/ lateral condyle of humerus
183 | Olecranon fracture
184 | Repair of Fracture Patella, Calcaleus, Talus
185 | Single forearm bone fracture
186 | External fixation – Pelvis, femur, tibia, humerus, forearm
187 | External fixation of hand & foot bones; Tarsals, metatarsals, Phalanges, Carpals, Metacarpals
188 | Excision head fibula
189 | Excision Lower end of ulna
190 | Drainage of fracture
191 | Interlocking nailing of long bones
192 | Debridement & secondary closure
193 | Percutaneous fixation (small and long bones)
194 | Closed Fixation of hand/ foot bone, Shoulder dislocation, knee dislocation, Acromioclavicular or Sternoclavicular Joint, Clavicle, Ankle Bimalleolar
195 | Open reduction
196 | Ankle trimalleolar Open reduction,
197 | Wrist dislocation on intercarpal joints, MP & IP Joints
198 | Fasciotomy leg/ forearm
199 | High Tibial Osteotomy
200 | Arthrodesis (shoulder, elbow, wrist, hip, knee, ankle)
201 | Triple arthrodesis, Arthrodesis – MP & IP Joints
202 | Excision of exostosis-long bones, (single/ double)
203 | Curettage/ bone grafting of bone tumour of femur/ tibia, Flumerus & forearm
204 | Surgery tumours of small bone, hand and foot
205 | Debridement & primary closure of compounds fracture of tibia, Femur forearm without fixation
206 | Debridement of hand/ foot
207 | Debridement primary closure of compound fractures of tibia.
208 | Debridement & primary closure of compounds fracture of tibia, Femur, forearm forearm with fixation
209 | Tendon surgery soft tissue release in club foot
210 | Internal fixation of small bone (single, two, more than two)
211 | Tendon surgery (repair and lengthening)
212 | Surgery of chronic osteomyelitis (Saucerization, sequestrectomy of femur, humerus, tibia) Fibula radius ulna (Clavicle) and wrist, Ankle, hand foot
213 | Amputation (thigh or arm, leg or forearm, feet or hand, digits)
214 | Disarticulation of hip or shoulder (disarticulation of knee elbow/ wrist/ ankle; fore-quarter or hind-quarter)
215 | POP Application (Hip spica, Shoulder spica POP Jacket; A-K/A-E POP; B-K/B-E POP)
216 | Corrective osteotomy of long bones
217 | Excision arthroplasty of elbow & other major joints
218 | Excision arthroplasty of small joints
219 | Surgery of hallus valgus
220 | Bone surgery (Needle biopsy, axial skelton, non-axial)
221 | Removal of nail AO plates
222 | Removal forearm nail, Screw
223 | Fracture lower end of radius,
224 | Fracture medial malleolus
225 | Skeletal traction femur, Tibia, Calcaneus, Elbow, Bone grafting (small grafting and long bone)
226 | Soft tissue biopsy
227 | Skin graft (small, medium and large)
228 | Patellectomy
229 | Olecranon fixation
230 | Open ligament repair of elbow, Ankle & wrist
231 | Arthrotomy of hip/ shoulder/ elbow
232 | Carpal tunnel release
233 | Dupuytren’s contracture release
234 | Closed nailing of long bones
235 | Removal of external fixation
236 | Removal of implant
237 | Excision of soft tissue tumour muscle group
Sl No. | Name of service (Essential) Category: Gen. Surgery
238 | Minor surgery
239 | I & D abscess
240 | Gland biopsy
241 | Small soft tissue tumour (Benign)
242 | Exploratory laparotomy
243 | Colostomy
244 | Prepuceal dilatation & Meatotomy
245 | Reduction of Paraphimosis
246 | Torsion of testis
247 | Umbilical hernia/ epigastric hernia repair
248 | Inguinal herniotomy (unilateral & bilateral)
249 | Deep abscess
250 | Appendicectomy
251 | Fissurotomy or fistulectomy
252 | Haemorrhoidectomy
253 | Circumcision
254 | Hydrocelectomy
255 | Herniorrhaphy
256 | Suprapubic cystostomy
257 | Diagnostic laparoscopy
258 | Non-Scalpel Vasectomy (NSV)
259 | FNAC
260 | Superficial & total parotidectomy
261 | Intra-oral removal of submandibular duct calculus,
262 | Abscess drainage (including breast & perianal),
263 | Wound debridement
264 | Excision branchial cyst or Fistula or Sinus
265 | Excision of lingual thyroid,
266 | Hemithyroidectomy (Sub-total thyroidectomy/ lobectomy)
267 | Cysts and benign tumour of the palate
268 | Excision submucous cysts
269 | Fibroadenoma/ Lump Excision
270 | Simple mastectomy
271 | Modified radical mastectomy (multi-disciplinary approach)
272 | Sectoral mastectomy/ microdochectomy/ lumpectomy
273 | Wedge biopsy
274 | Mammary fistula excision
275 | Inguinal hernia repair
276 | Inguinal hernia repair with mesh
277 | Femoral hernia repair
278 | Epigastric/ ventral hernia repair
279 | Recurrent Inguinal hernia repair
280 | Ventral hernia repair with mesh
281 | Operation of strangulated ventral, Inguinal or Incisional hernia
282 | Recurrent Incisional hernia repair
283 | Diaphragmatic hernia repair
284 | Exploratory laparotomy,
285 | Gastrostomy or Jejunostomy
286 | Simple closure of perforated ulcer
287 | Ramstedt’s Operation
288 | Gastro-Jejunostomy
289 | Vagotomy & drainage procedure
290 | Adhesionolysis or division of bands
291 | Mesenteric cyst
292 | Retroperitoneal tumour excision
293 | Burst abdomen repair
294 | Splenectomy
295 | Drainage of Pseudo pancreatic cyst (Cystogastrectomy)
296 | Retroperitoneal drainage of Abscess
297 | Emergency appendicectomy
298 | Appendicular abscess drainage
299 | Interval appendicectomy
300 | Resection and anastomosis
301 | Intussusception, Intestinal fistula repair
302 | Multiple resection and anastomosis
303 | Intestinal perforation repair
304 | Open Drainage of liver abscess
305 | Drainage of Subdiaphragmatic Abscess/ Peri gastric abscess
306 | Hydatid cyst excision (abdominal)
307 | Cholecystectomy (Open and laparoscopic)
308 | Choledocholithotomy & choledochoduodenostomy
309 | Right hemicolectomy
310 | Sigmoid & descending colectomy
311 | Haemorrhoidectomy
312 | Sphincterotomy and fissurectomy
313 | Tube caecostomy
314 | Closure of loop colostomy
315 | Rectal prolapse repair
316 | Anal sphincter repair
317 | Thiersch’s operation
318 | Imperforate anus with low opening repair
319 | Pilonidal sinus repair
320 | Fistula in ano (low level) repair
321 | Fistula in ano (high level) with Stenosis repair
322 | Colostomy
323 | Perianal abscess drainage
324 | Ischiorectal abscess
325 | Ileostomy or colostomy
326 | Sigmoid myotomy
327 | Circumcision
328 | Partial amputation of penis
329 | Total amputation of penis
330 | Orchidectomy (unilateral & bilateral)
331 | Hydrocele (unilateral & bilateral)
332 | Excision of multiple sebaceous cysts of scrotal skin
333 | Reduction of paraphimosis
334 | Other Surgical Procedures
335 | Suturing of large laceration
336 | Suturing of small wounds
337 | Repair torn ear lobule
338 | Small superficial tumour excision
339 | Large superficial tumour excision
340 | Incision and drainage of abscess
341 | Lymph node biopsy
342 | Excision biopsy of superficial lumps
343 | Excision biopsy of large lumps
344 | Infection haemorrhoids/ ganglion/ keloids
345 | Removal of foreign body (superficial)
346 | Removal of foreign body (deep)
347 | Excision biopsy of ulcer
348 | Excision of sebaceous cyst
349 | Excision carbuncle
350 | Excision multiple cysts
351 | Excision soft tissue tumour muscle group
352 | Muscle biopsy
353 | Repair of Tongue tie
354 | Debridement of wounds
355 | Diabetic foot debridement/ management
356 | In-growing toe nail removal
357 | Burn dressing all grades
358 | Ear lobules repair one side (bilateral)
359 | Simple wound
360 | Complicated wound
361 | Simple Injury fingers
362 | Multiple fingers injury
Sl No. | Name of service (Essential) Category: Dental Surgery
363 | Dental abscess drainage/ dental cleaning/ gingivitis
364 | Impaction of teeth
365 | Scaling (crown and root) and polishing
366 | Trauma including vehicular accident
367 | Root canal treatment
368 | Dental extractions
369 | Intra Oral X-ray/ Intra Oral Peri-Apical radiograph (IOPA)
370 | Fracture wiring
Sl No. | Name of service (Desirable) Category: Procedure & Diagnostic
1 | Pericardial tapping
2 | Pleural biopsy
3 | Pericardial tapping
4 | Exchange transfusion
6 | Arterial catheterization
7 | Bone marrow aspiration
8 | ICD insertion
9 | Trigger Finger Injections
Sl No. | Name of service (Desirable) Category: PMR
10 | Ultraviolet therapy
11 | Electric vibrator
12 | Vibrator belt massage
13 | Mechanical tractions (lumber & cervical)
14 | Supinator Pronator Bar Exercises
15 | Gripper Exercises
16 | Vissco weight cuffs Exercises
17 | Walking bars Exercises
18 | Cerebral Palsy – Massage
Sl No. | Name of service (Desirable) Category: ENT
19 | Nasal endoscopy & endoscopic sinus surgery
20 | Antral puncture (unilateral & bilateral)
21 | Inter nasal antrostomy (unilateral & bilateral)
22 | Trans antral procedures (Biopsy, excision of cyst and angiofibroma excision)
23 | Trans antral biopsy
24 | Bronchoscopic F B removal
25 | Brainstem auditory evoked response
Sl No. | Name of service (Desirable) Category: Ophthalmology
26 | Enucleation with implant
27 | Corneal perforation/ lris prolapse surgery
28 | Anterior chamber wash
Sl No. | Name of service (Desirable) Category: Gynaecology & Obst.
29 | Laparoscopy (diagnostic and therapeutic)
30 | Cervical PAP smear
31 | Vacuum assisted delivery
32 | Craniotomy-dead Foetus/ Hydrocephalus
33 | Hysteroscopy
Sl No. | Name of service (Desirable) Category: Ortho Surgery
34 | Inter-condylar fracture of humerus and femur
35 | Knee synovectomy/ meniscectomy
36 | Synovectomy of major joint shoulder/ hip/ elbow
37 | Total Hip Replacement (D)
38 | Total Knee Replacement (D)
39 | Upper GI Endoscopy (Oesophagus, stomach, duodenum) (Diagnostic and Therapeutic)
40 | Big soft tissue tumour
41 | Branchial cyst/ fistula/ sinus
42 | Thyroglossal cyst and fistula
43 | Pyloric stenosis (Ramsted’s Operation)
44 | Gastrostomy
45 | Hypospadias single stage (first stage)
46 | Orchidopexy (unilateral & bilateral)
47 | Rectal polyp removal
48 | Sacrococcygeal teratoma
49 | Intussusception (Simple Reduction)
50 | Volvulus of colon
51 | Orchidopexy (unilateral & bilateral)
52 | Congenital deformity repair (Extra digit, Syndactyly, Constriction rings)
53 | Reconstruction of hand (Tendon repair)
54 | Small wound skin graft
55 | Finger Injury with skin graft
56 | Polio Surgery
57 | Crush injury hand
58 | Full thickness graft
59 | Sigmoidoscopy and Colonoscopy
60 | Laparoscopy (diagnostic and therapeutic)
61 | Meatotomy
62 | Trocar cystostomy
Sl No. | Name of service (Desirable) Category: Dental Surgery
63 | Periodontal surgeries
64 | Sub mucus fibrosis (SMF)
65 | Light Cure Crowning
66 | Subluxation and arthritis of Temporomandibular Joints
67 | Pre-cancerous lesions and Leukoplakias