Reps move to include nurses, pharmacists, other health practitioners in headship of teaching hospitals
Members of the House of Representatives on Wednesday expressed overwhelming support for a bill that seeks to reconstitute the Governing Boards of Federal University Teaching Hospitals across the country.
The lawmakers expressed their support after the debate on the private member bill for an Act to amend the University Teaching Hospitals (Reconstitution of Boards etc.) Act, 2004,’ sponsored by Hon. Bamidele Salam.
In his lead debate, Hon. Salam, a member representing Ede North/Ede South/Egbedore/Ejigbo Federal Constituency of Osun State explained that the seeks to restructure the composition of the Governing Boards of tertiary health institutions with a view to making them more vibrant and efficient.
The Bill further aims to: “review the terminology of the heads of the hospitals, redefine the qualification of the Head of hospitals, provide a definite tenure of office of the heads of the hospitals, including students of Health Sciences in the training programmes of the hospitals and include hospitals established post-enactment of the extant legal framework in the schedule and for other related matters.
“It could be recalled that, currently, the terminology used in referring to the Head of tertiary health institutions in Nigeria is called ‘Chief Medical Director’. He is accountable to the Board of the institution. The Chief Medical Director is responsible for the execution of policies and matters affecting the day to day management of the affairs of the Hospital.
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“Before one can be qualified to be appointed as CMD, the person must be Medical/Dental Practitioner registered with the Medical and Dental Council of Nigeria of not less than 10 years post qualification.
“In addition, the person must be a fellow (s) of either the National Postgraduate Medical College of Nigeria or the West African Postgraduate Medical College or its equivalent registered by Nigeria’s Medical and Dental Council.
“Furthermore, the person must have been a consultant for a minimum of 5 years. Administrative qualification and experience is only an added advantage, amongst others. The Medical/Dental Practitioners who solely enjoy the privilege of being made the Chief Medical Director constitute not more than 5% of the total number of medical personnel in the Health Industry.
“The current legal regime excludes other health professionals – Pharmacists, Nurses, Social workers, Occupational therapists and physiotherapists, Psychologists, Bereavement Counsellors, Paramedics, Dieticians, Lab Scientists’ and Speech Pathologists, amongst others- from becoming a Chief Medical Director.
“Section 5 of the Principal Act, which provides for the appointment of the CMD, also provided the functions of the Office of the CMD, which includes: the execution of policies and matters affecting the day to day management of the affairs of the Hospital. A cursory study of these responsibilities reveals that the burden is purely administrative; it has nothing to do with a particular professional in the health profession.
“In the United Kingdom, to become a hospital administrator, one doesn’t have to be a medical practitioner. All you need is to be a Graduate from High School (4 years); Obtain a Bachelor’s degree in healthcare administration, business administration, or a clinical discipline (4 years); and a master’s degree in healthcare administration (MHA) or a related graduate degree (2 years).
“In the United States, there isn’t one specific path to follow to get a hospital administrator’s job. You may begin your career in some other role with that goal in mind (some start as Doctors or Nurses) and be promoted to the position. However, it’s common for hospital administrators to earn a relevant degree—and an increasing number of employers now require a master’s as well.
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“Generally speaking, there are four basic steps to becoming a hospital administrator: Get a bachelor’s degree in health systems management and health services or related disciplines; Get a master’s degree in n hospital administration or healthcare administration; Gain experience and other certifications such as American College of Healthcare Executives (ACHE) Accreditation or Certified Medical Manager (CMM) Accreditation etc.
“It is clear from the above cross-country discussion that to be appointed as a Chief Executive Officer, one doesn’t have to be a medical doctor. Persons with Bachelor’s in Management or Administration with requisite experience can be appointed to head a hospital. Similarly, in the composition of the Board of the Hospitals, other critical stakeholders were not included. Greater attention was only paid to medical doctors.
“Against this background, this Bill is proposed to address all these challenges and include all other health professionals in the capacity building and administration of the Federal Hospitals in Nigeria and related issues,” he noted.
Hon. Salam who solicited the support of members explained that the objectives of the Bill seek to, “review the terminology of the heads of the hospitals; redefine the qualification of the Head of hospitals; provide a definite tenure of office of the heads of the hospitals; including students of Health Sciences in the training programmes of the hospitals; and have hospitals established post-enactment of the extant legal framework in the schedule.
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“Hospital administration is a speciality within healthcare administration; it is one of the most advanced leadership careers in healthcare. It focuses on the overall operation of hospitals and other significant health facilities and requires both healthcare experience and administrative/management acumen.
“The purpose of the bill, therefore, is to strengthen the administration mechanism of University Teaching Hospitals through the broadening of its administrative heads and entrench greater professionalism in the management of our medical tertiary institutions.
“The Bill will also considerably reduce inter-disciplinary rivalry within the teaching hospitals by ensuring that all critical stakeholders are involved in the composition of the Boards of the teaching hospitals.
“This Bill is in tandem with global best practices with special references to the United Kingdom, United States of America and other countries where medical training have been successfully implemented through collaborative efforts of all practitioners,” Hon. Salam explained.
NAN
Thank you Hon salami for standing on justice.history will never forget you
I didn’t know that sane people still exist in nigeria. I thought everyone is selfish and egocentric. If this scale through, hospital will be compete to be like those on in US….
Kudos to this bill
We have credible legislators in this country with great insights and wisdom to do the needful for our progress.May this bill see the light of the day. Kudos Hon Benjamin!
Your credibility and intellectuality speaks volumes about hospital administration I pray that this bill will sell through in Jesus name amen
Kudos Hon Benjamin this bil is a giant stride in the right direction may this bil scals through to bring to an end to profesional dishamoney in the health sector.
This is highly recommended and welcome development in the entire health care system in Nigeria and when it is successful our health care system will be more robust like in the developed nations such as UK, US Canada and co.
Day by day we are on the way
Thanks you hon salami
You deserve more than your position
God bless you Sir
It was not flesh and blood that put these great ideas into the head of Hon Salami, it was God himself. This bill is what will redefine the Nigerian Heath sector for the better
Thank you Hon Salami for this effort. This is long overdue as the health sector in Nigeria is on the brink of total collapse as a result of the skewness in the leadership (inexperience individuals) and governing board membership.Other members of the health sector like the Radiographers,Lab Scientist, Pharmacist, Nurses and Physiotherapist can do better.
Honestly speaking I am overwhelmed, so we still have same people representing us in the house, please this bill should be allowed to be passed without fair or favour of any profession, Nigeria is on her way to greatness
A Welcome development, kudos to the exceptional law maker
The problem is health care financing. We have leadership problems all over the country. It’s only wishful thinking to assume our hospitals will become like the American hospitals. Mark my words – if this bill sails through, our tertiary institutions will be worse off. We’re not ready yet for this yet.
Wao. This is a very welcome development and it will ensure proper day to day management of the hospitals and our healthcare system will be transformed gradually. This bill shouldn’t be delayed at all. The health sector management is not for any particular health Professional but for competent individuals who can Lead others to achieve the common goal of quality healthcare delivery.
Nigeria is only country patient has access to drug without Doctor’s prescription. We can induct every rules and regulations done in US. Here in Nigeria everyone is a Doctor… prescribe, inject, admit and operate. In US and other countries, medical doctors prescription is only route of drug access to all patients. This has to be considered as well.
This is great news. Let’s wait and see it goes.
I wish to seize this opportunity to thank Hon. Salami for sponsorship of the Bill.This is a welcomed development. It will foster the spirit of togetherness, and reduce the unnecessary rivalry among health care providers. The talents of the other members of the health sector can also be explored.
Hope this bill is not borne out of sheer ignorance or a hidden motive. Otherwise, how can a paramedical staff who only knows a narrow aspect of medicine/dentistry becomes saddled with running such a complex organisation. This can only end in failure. A medical doctor is the only member of hospital staff who has not only been thoroughly trained in medicine and surgery but also in pharmacy, nursing, laboratory science, physiotherapy etc.
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