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Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts - Health - Nairaland

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Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by justirich(m): 7:02am On Aug 04, 2015
Medical practitioners, under the aegis of the National
Association of Residents Doctors, have called on
President Muhammadu Buhari to institute a forensic audit of the 54 federal tertiary hospitals in the country.

NARD President, Dr. Prince Dan-Jumbo, who spoke at a
briefing in Lagos on Monday, said the audit would help
clear or establish allegations of mismanagement of funds and inflated spending on personnel that the association had levelled against the management of some teaching hospitals.

He stated that the call was part of the association’s
resolutions at the end of its National Executive Council
meeting held at the weekend at Obafemi Awolowo
University Teaching Hospital, Ile-Ife, Osun State, with the
theme, ‘A Vibrant Residency Training Programme: An
Imperative for National Development’.

Dan-Jumbo accused the Chief Medical Directors of 34
federal health institutions of disobeying a circular issued
by the Federal Government that skipping should be
implemented for doctors as it was done for health
workers.
According to him, the non- implementation of the circular is responsible for the pockets of strike by resident doctors in these tertiary institutions in the country.

Dan-Jumbo said, “Some management of some teaching
hospitals have claimed that they do not have funds to pay resident doctors who are supposed to benefit from this policy. But our parent body – Nigerian Medical Association-had directed that these institutions, which claim they don’t have the financial backing to commence payment, to open their records for forensic personnel audit. They are yet to do so.

“NARD also wrote to the Ministry of Finance in the past
administration that it should audit these hospitals. We
were rebuffed by the Federal Ministry of Health to go home and face our studies. But we cannot continue an era whereby people, who have been given the mandate to manage these institutions, now turn them to private
business when Nigerians are in dire need of health care.
“As doctors and stakeholders in the sector, who are willing to render service, we cannot fold our hands and watch innocent Nigerians die over the greed and selfish interest of management of these institutions. That is why we are calling on our members to engage with these institutions so as to know their true financial strength and not to ask for any bailout,”


http://www.punchng.com/news/resident-doctors-demand-probe-of-teaching-hospitals-accounts
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by madridguy(m): 7:03am On Aug 04, 2015
Ok
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by mecuzee(m): 7:04am On Aug 04, 2015
Please be patient as we have a long queue on EFCC list.
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by heykims(m): 7:04am On Aug 04, 2015
hmm
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by heykims(m): 7:06am On Aug 04, 2015
Only if the masses know those CMDs milk hospital funds, they will know that doctors and politicians have the same mentality...
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by justirich(m): 7:07am On Aug 04, 2015
mecuzee:
Please be patient as we have a long queue on EFCC list.
grin
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by IamOpemipo(m): 7:09am On Aug 04, 2015
Btw Hospital managin directors and yahoo boiz, abeg who scam pass..??
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by justirich(m): 7:13am On Aug 04, 2015
IamOpemipo:
Btw Hospital managin directors and yahoo boiz, abeg who scam pass..??
presently the former. lol
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by kahara(m): 7:30am On Aug 04, 2015
Those CMDs need special probe. They live like kings in a midst of workers. Ditto VCs of versities. They wield maximum corruptible powers.

1 Like

Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by IamOpemipo(m): 7:35am On Aug 04, 2015
justirich:

presently the former. lol

They shld pls com 2 ma hosp, boiz are sufferin ere, and dose peeps dnt giv a fvck..

Peeps can't do nothing, strike action is even useless dis days..

4k shii., mak I jus sip trophy upon dis mata
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by IamOpemipo(m): 7:35am On Aug 04, 2015
justirich:

presently the former. lol
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by soonest(f): 1:02pm On Aug 04, 2015
Na still una. Nigerian health care system shall be great no matter what the devil does.
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by Nobody: 6:45pm On Aug 04, 2015
Our teaching hospitals need total overhaul...alot of corruptions being perpetuated by our almighty CMDs.

UCH has been on strike for the past 3months and hope of calling it off is not in sight .


Cc @dominique kindly help us to loud this by putting it on the frontpage.

2 Likes

Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by Evanscoth(f): 8:31pm On Aug 04, 2015
PMB should include health sector in his prtiority list .
Probing tertiary hospital won't be a bad idea especially those in the western part of the country where patients pay higher bill.
A procedure of 6000 naira in the northern part of the country costs 15000 in the western part of the country.we have corrupt administrators and COMMAND here and there

1 Like

Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by titoyota: 10:01pm On Aug 04, 2015
COMMUNIQUE ISSUED AT THE END OF AN EMERGENCY CONGRESS OF THE ASSOCIATION OF RESIDENT DOCTORS, UNIVERSITY COLLEGE HOSPITAL, IBADAN HELD ON 4TH AUG., 2015.

We, the Executive Committee of the Association of Resident Doctors University College Hospital, Ibadan Branch (ARD.UCH), arising from an Emergency Congress held today 4th August, 2015 hereby present this Communique to reemphasize the issues bordering on the industrial dispute between the Association and the Hospital Management.

OBSERVATION

Disparity Created/Fostered by One-sided Implementation of Skipping Directive
By the Head of Service’s circular dated 19 December 2013 with Reference Number HCSF/EPO/EIR/63755/T1/195, all (Chief) Medical Directors of all Federal Government Teaching Hospitals were directed to apply the skipping of grade level of all health workers, including Medical Officers pending the outcome of appeal filed in Court by the Federal Ministry of Health (FMH).
In 2014, however, the Chief Medical Director of UCH (CMD.UCH), flagrantly contravened the HCS Circular by applying the skipping to other health workers except doctors – and paying their salaries in line with the skipping – despite the fact that no supplementary financial provision was immediately made for same in the 2014 personnel allocation to UCH.
On 29th July, 2015 following the prolonged refusal of the UCH Management to honor the said directive of the Head of Civil Service of the Federation, the Federal Ministry of Health issued another circular with Ref. No: C.2262/T/111 expressly directing all Chief Medical Directors (UCH inclusive) to implement the content of the circular from the Office of the Head of Service of the Federation of 19th December, 2013.
Discrimination in Pension Management and Misappropriation of Pension Funds
In 2014, the whole country heartily welcomed the then newly enacted Pension Reforms Act 2014 which rectified the mischief in the erstwhile Pension Act. The Pension Reforms Act provided that “There shall be established for any employment in the Federal Republic of Nigeria, a contribution pension scheme”…“which shall apply to all employees in the Public Service of the Federation, the Federal Capital Territory, State and Local Governments and Private Sector.”–Section 4(1) and (2) of the Pension Reform Act 2014.
The Pension Reform Act 2014 further mandates employers to ensure that all persons in its employment are registered under the current Contribution Pension Scheme and that both the employees and the employers contribute to the minimum statutorily stipulated percent of each employee’s salary to the Contributory Pension Scheme.
In defiance to the above statutory provisions, the UCH Management has refused to enroll Resident Doctors employed in UCH under the Pension Contributory Scheme and has unlawfully tagged them as “non-pensionable” staff; while other members of hospital staff and colleagues in contemporary institutions are duly and properly enrolled on the Contributory Pension Scheme according to the Pension Reform Act of 2014. The National Pension Commission, in its letter to the Federal Ministry of Health dated 12 February 2015, had clearly stated that all persons in the employ of the Federal Government must be enrolled under the Contributory Pension Scheme.
Whilst the Resident Doctors have tried to live with this illegal marginalisation, it is further heart-wrenching that the UCH management mismanaged and misappropriated previous employees’ pension contributions deducted by UCH from Resident Doctors from October 2013 until October 2014 contrary to the obligation to remit same under the Pension Scheme. This action has not only deprived Resident Doctors of their right to a Retirement Saving Account (RSA) with a pension fund manager, but also impeded their right to have their complementing employer’s (Federal Government) contribution paid into their RSA.
Recently, the UCH Management refunded 10-month out of 13-month contributions made by the Resident Doctors. However, the refund was in actual fact, not made from the Resident Doctors’ contributions because the said contribution had been misappropriated, but was made from surreptitiously and fraudulently inflated supplementary budget to the Federal Government in December 2014.
By so doing, the Management by this cunning contrivance has unjustly deprived both the Federal Government and the UCH Resident Doctors (Federal Government employees) of their rights under the pension scheme.

Misappropriation of Staff Salaries

Recently, we also became aware of the high-level misappropriation of funds within the Hospital’s salary payment platform, which has led to the under-payment of UCH Resident Doctors for years.
As in most federal institutions, the UCH management has two portals of Federal Government staff salary payment. These are IPPIS and GIFMIS. The IPPIS platform allocation is the platform that is used for paying salaries of permanent staff such as Hospital Consultants, Nurses and other permanent hospital employees, while the GIFMIS employed for paying the salaries of temporary hospital staff including Honorary Consultants, Resident Doctors, House Officers and Interns. However, members of UCH’s contract/auxiliary staff sub-contracted to UCH for the provision of certain services ought to be paid from the UCH management’s internally generated revenue, and not under the IPPIS or under the GIFMIS.
It is surprising however to know that UCH management have surreptitiously placed contract/auxiliary workers on the GIFMIS platform, although they normally ought to be paid from the Management’s internally-generated revenue. As such, these fund-misappropriating scheme by the UCH management has automatically led to financial deprivation and underpaying members of staff who are on the GIFMIS platform, including Resident Doctors.
Furthermore, the inclusion of such contract/auxiliary workers and Retired Nursing Officers and Radiographers etc in the GIFMIS platform has led to the enrolment of several ghost workers on the hospital payroll. These have been brought to the UCH Management attention.
Deplorable, Indecent and Inadequate Work-Conditions
We have also observed the deplorable condition under which UCH Resident Doctors are made to work in the Hospital. UCH Resident Doctors, for example, have been reduced to sleeping in cars when on call-duty. This is understandably so because UCH call-rooms are extremely indecent and deplorable or totally unavailable.
Currently, UCH has insufficient ad-hoc call-rooms, most of which are attached to patients’ side-room toilet that are likewise awfully dilapidated. One can only feel for these helpless patients who seem to be at the hospital management’s mercy for health-care, but at the same time are at a loss of what infection they may be leaving the hospital with on the positive assumption of receiving a cure from the various ailments that brought them to the Hospital in the first place.
Seeing the hospital management’s indifference to these problems, many doctors have resorted to making efforts to fixing some of these rooms but only on a surface level. Repeated appeals have been made to the UCH Management but nothing has been done about it for many years now.
Unlawful Denial of Promotions
In the last four years, UCH-led management has repeatedly disregarded and refused to apply the provisions of the Civil Service Scheme for Medical Officers in the hospital. Clauses 1 to 3 of the Civil Service Scheme provide for the different grade levels of Medical Officers, their requirement for entry and advancement. From these provisions of Civil Service Scheme, the appointment of Medical Officers is a permanent one, and their promotion, unlike that of Registrars, is not subject to mandatory taking and passing Postgraduate Primary examination.
Contrary to these standard directives in the Federal Civil Service Scheme, the Hospital management has made Medical Officers the targets of anti-Civil Service policies, which include but are not limited to unlawful insertion of mandatory specialist-training and examination clauses in Medical Officers’ appointment letters and subsequent denial of promotion or termination of their employment.
Welfare of Trainee Doctors
Residency training is a time-bound programme wherein Resident Doctors are expected to pay total attention to training, and are not allowed to participate in other profit-making businesses while still in the programme. On this basis, there has always been need for the system to ensure salaries, promotion and other related matters are given the attention needed to sustain services.
In UCH, however, delayed payment of salaries has been the order of the day even when there is no national undertone to it. Our members are owed up to 20 months promotion arrears, examination and update refund, together with other emoluments. We have made concerted effort to ensure these matters are attended to by the UCH management, but nothing has been done.

Prayers

After long and tedious repeated appeal, plea, negotiation spanning over 17- months with the hospital management without much result, we wish to appeal to all relevant authorities of the Federal Government to set up an investigative and audit panel which will look into the Resident Doctors’ complaints regarding the UCH Management’s activities. We specifically request that the Investigating panel to be set up shall act as follows:

To inquire into the UCH Management’s deliberate disregard for the Head of Civil Service of the Federation’s directive on skipping of grade level and the consequent creation of imbalance by one-sided application of the skipping.
To inquire into the continuous disregard for the provisions of the Civil Service Scheme on Medical Officers’ career path at the University College Hospital.
To audit the source of funding for payment of teaching and shift duty allowances for undeserving staff at the University College Hospital.
As advised by our National body, to conduct a forensic audit of the misappropriated billions of naira yearly allocated by the Federal Government to the hospital for development and maintenance of structures and personnel. These billions, we believe, will help to reshape the hospital and bring it back to what it is meant to be.
To investigate the deliberate delay in the promotion of members of staff in the hospital by UCH Management despite regular and up-to-date submission of confidential report of Resident Doctors by various clinical departments.
To (i) enroll all Resident Doctors under the Contribution Pension Scheme, (ii) pay all the backlog of employers and employees’ contribution to the Retirement Savings Account, (iii) trace the yet to be accounted pension contribution deducted from Resident Doctors’ Salaries by UCH hospital management between October 2013 and October 2014.
Immediate enrolment of all Resident Doctors employed by the UCH Management Board through the FMH on the IPPIS platform to save monies for the government and block other leakages and misappropriation that seem to be the order of the day at UCH and other Federal Health Institutions in the country.
We appeal to the general members of the public and the Federal Government to prevail on the UCH Management to step down her high-handedness in the interest of the Nigerian public by “dropping her ego” and implementing the directives of the Federal Government so that industrial harmony and optimum service is restored.

CONCLUSION

We reaffirm our commitment to the positive government of change of President Muhammadu Buhari, while we also appeal that he takes particular note of steps that will be taken by the UCH management in the next few days in resolving the ongoing crises at the University College Hospital, Ibadan.

2 Likes

Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by titoyota: 10:20pm On Aug 04, 2015
Resident doctors accuse UCH management of mismanagement


The striking Resident Doctors Association, University College Hospital, Ibadan, has accused the management of the institution of wasting several billions of naira allocated to it by the Federal Government as annual subvention.

In a communiqué, read by the President of the association in the UCH, Dr. Lukman Ogunjimi, after the ARD congress held on Tuesday, the doctors alleged that the UCH management had ignored their agitations since they embarked on the on May 1.

The ARD contributes 670 doctors to the hospital’s work force and the strike has since paralysed normal medical services in the hospital with about 1,000 beds empty.

Among several other demands, the doctors are asking the hospital to honour a circular issued by the Office of the Head of Service of the Federation on the welfare of their members and other issues relating to promotion.

In the communiqué, the resident doctors demanded a probe into it the financial activities of the hospital to clarify allegation of mismanagement in the institution.


The document added, “We specifically request that the investigation panel be set up to inquire into the UCH management’s deliberate disregard for the Head of Civil Service of the Federation’s directive on skipping of grade level. The panel should inquire into the continuous disregard of the hospital for the provision of civil service scheme of medical officer’s career path at UCH.

“The panel should also conduct a forensic audit into the misappropriated billions of naira yearly allocated by the FG to the hospital for development and maintenance of structures and personnel.”

Meanwhile, the Chief Medical Director of UCH, Prof. Temitope Alonge, has assured the doctors that issues that could be addressed within the hospital would be looked into.

Alonge refused to commit himself to the issue of skipping of grade level because according to him, the financial implication is not captured in the hospital budget.

source: http://www.punchng.com/news/resident-doctors-accuse-uch-management-of-mismanagement/
Re: Resident Doctors Ask President Buhari To Probe Teaching Hospitals’ Accounts by justirich(m): 10:24pm On Aug 04, 2015
Wow. Issues profundus

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