Delhi govt plans feasibility studies for 11 under-construction hospitals in PPP model
New Delhi (PTI): The Delhi government is planning feasibility studies to operationalise 11 under-construction hospitals through the Public-Private Partnership (PPP) mode, officials said. This initiative aims to expedite the functioning of key healthcare infrastructure projects across the national capital.
The 11 hospitals include Jwalapuri Hospital with 691 beds, Madipur Hospital with 691 beds, Hastsal Hospital with 691 beds, Siraspur Hospital with 1,164 beds, an ICU-bedded hospital at Shalimar Bagh with 1,430 beds, an ICU-bedded hospital at Sultanpuri with 525 beds, CNBC Hospital at Geeta Colony with 610 beds, Guru Teg Bahadur Hospital with 1,912 beds, an ICU-bedded hospital at Sarita Vihar with 336 beds, an ICU-bedded hospital at Raghubir Nagar with 1,565 beds, and an ICU-bedded hospital at Kirari with 458 beds.
The Directorate General of Health Services, Delhi, has issued a Request for Proposal (RFP), inviting proposals from Transaction Advisors empanelled with the Department of Economic Affairs, Ministry of Finance.
Each hospital has been identified as a unique project due to variations in location, shape, size, capacity, and likely clinical services. The Transaction Advisor will conduct studies for each hospital individually and submit detailed reports. Notably, the proposed ICU-bedded hospital at Kirari, which is still in the planning phase, will also address aspects related to the initiation of construction and subsequent operationalisation.
The consultancy will begin by preparing an Inception Report, which will serve as the foundation for all related activities. This report will include an integrated plan covering detailed tasks, activities, and a phase-wise resource deployment plan.
The Transaction Advisor will present case studies on hospital PPP projects in India and abroad, analyzing techno-commercial structures, pros and cons, and key learnings. The advisor will also prepare a Technical and Transaction Structuring Report, which will cover site and land use assessment, review of documentation, assessment of regulatory compliance, evaluation of construction progress, legal considerations, risk identification, utility service analysis, and expansion possibilities.
The infrastructure use assessment will evaluate hospital facilities against applicable norms such as the Clinical Establishments Act, NMC guidelines, Indian Public Health Standards, and NABH standards. This assessment will also consider the scope for expanding clinical services, modifications required for support infrastructure, parking and ambulance access, and phased development plans.
A healthcare demand assessment will involve a catchment area analysis, review of existing hospitals, identification of service gaps, and the definition of an appropriate service mix and hospital configuration, including bed allocation, OT, ICU, and OPD services.
Financial analysis will address revenue models, cost estimates, financial statements, funding and financing mechanisms, and safeguards for cashless treatment for referred patients.
The PPP option analysis will define the roles and responsibilities of the involved parties, identify suitable PPP models, outline commercial arrangements, and determine patient mix, including both free and paid patients.
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Real Madrid fines Valverde and Tchouaméni half a million euros each for altercation
Barcelona (AP): Real Madrid slapped players Federico Valverde and Aurélien Tchouaméni with half-a-million-euro ($588,000) fines on Friday for their altercation during practice.
The massive fines came a day after the midfielders tussled when the team trained. Valverde said in a post on social media on Thursday that no punches were thrown. But Valverde knocked his head on a table and he suffered a small cut that required a brief hospital visit.
On social media, Valverde initially called it a “meaningless fight” with a teammate and said “everything has been blown out of proportion."
His employers, however, considered it a significant enough breach of team discipline to nail both Valverde and Tchouaméni with fines that bite even the bank account of a top soccer player. The half-a-million euro penalties reflect the reputational damage the club was enduring in a chaotic end to a disappointing season.
In a statement, the 15-time European champion said its disciplinary action was concluded after both players expressed to the club “their complete remorse for what happened and apologized to one another.”
Madrid added they also apologized to their teammates, the coaching staff and club supporters, as well as showing their willingness to accept whatever disciplinary action the club deemed “opportune.”
Tchouaméni was back training with Madrid on Friday, two days before they play at Barcelona in a clasico. Madrid has to win otherwise Barcelona will be crowned La Liga champion.
After being notified of the fine, he posted a public apology to the club and its fans on social media.
“What happened this week in training is unacceptable,” Tchouaméni wrote. "I say this while thinking about the example we are expected to set for young people, whether in football or at school.
“Above all, I am sorry for the image we projected of the club.”
Valverde was not at practice due to the head knock.
Both players are set to play in the World Cup next month, with Tchouaméni playing for France and Valverde for Uruguay.
Chaotic end to a poor season
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The run-in between the players, who for seasons have played side by side in Madrid's midfield, came after they argued this week in previous training sessions. But tempers boiled over on Thursday. Spanish media was rife with reports that the players previously disagreed over the club's decision to let coach Xabi Alonso go after just months on the job.
It was not the only altercation involving Madrid players during training this week. Álvaro Carreras confirmed he was in a “minor” incident with a teammate. Spanish media said he and fellow defender Antonio Rüdiger got into a scuffle.
Álvaro Arbeloa, the coach who was promoted from Madrid's reserve team when Alonso was fired in January, will face tough questions on what went wrong inside the changing room when he gives a press conference on Saturday ahead of the clasico at Camp Nou.
Madrid is facing a second consecutive campaign without a major trophy amid rumors in the Spanish media that club president Florentino Pérez is considering bringing back Jose Mourinho to straighten out his underperforming team.
