Health services in government hospitals in Haryana were hit on January 11 as doctors suspended OPD work in support of their demands, prompting the authorities to declare their stir as illegal by invoking the Essential Services Maintenance Act.

The doctors are demanding the creation of specialist cadres for them and stopping the direct recruitment of senior medical officers.
Buckling under pressure amid the Covid crisis, the government acceded to one of the key demands of the doctors with the Chief Minister giving in-principle approval to the creation of specialist cadre post for MD or MS doctors.

Emergency services and COVID-19 vaccination drive continued in the state but OPD services were affected due to the strike, said Rajesh Sheokand of Haryana Civil Medical Services Association, a body representing government doctors. Health Minister Anil Vij tweeted, "ESMA has been invoked in Haryana, now for six months health workers won't be able to go on strike. This step has been taken as a group of doctors has gone on strike which is creating obstacle in steps being taken to contain the COVID surge.

The Essential Services Maintenance Act (ESMA) allows the government to declare a strike illegal in the public interest. An official statement issued on January 11 evening said the doctors will not be given any administrative work and will practice in their concerned speciality only.

When asked about ESMA being invoked, the Health Minister told reporters that the decision was taken keeping in view the surge in COVID cases in the state. The entire country is fighting Covid and taking steps to contain the virus spread. Amid this, a group of doctors going on strike is not acceptable, especially when an in-principle decision was taken with regard to their demands, he said.
"I had accepted their demands and sent these to the chief minister and other relevant departments. We had a positive approach towards their demands. After meeting with the chief minister yesterday, in-principle approval was also given.

"However, they (the doctors) said even if in-principle approval was given, they will still go on strike. It seems there is someone behind them who wants to create obstacles in this fight against Covid, so we had to invoke ESMA," the health minister, who also holds the home portfolio, said

Regarding in-principle approval to the creation of specialist cadre post for MD or MS doctors, the statement said, "In-principle approval has been granted today wherein the government will create a special sub cadre for specialists who will be designated as Consultant or Senior Consultants.

Earlier, a doctor with MBBS qualification and MD/MS qualification used to be in the same cadre. "However, with the creation of specialist cadre posts these doctors will be able to focus on their work which will definitely protect their interest. Moreover, the specialist cadre doctors will now be posted in leading hospitals rather than Primary Health Centres (PHCs) which will ensure their swift promotions thereby nurturing their talent," the statement said.

The chief minister said the doctors have a very pivotal role to play in the society especially in the present crisis situation and the government is committed for their welfare, the statement quoting him as said. The government order invoking ESMA said strike by doctors or other categories of employees of health department including those engaged on contract, honorarium basis etc and working in various entities including National Health Mission, Food and Drug Administration, Ayush, Haryana, has been prohibited for a period of six months.

"...An emergent public health situation has arisen due to surge in Covid cases and any strike by employees of health department, Haryana, at this time shall gravely affect the health and essential services required to safeguard the life of community," the order said.

Haryana has seen a surge in COVID cases during the past fortnight. OPD services in government hospitals were affected in Gurgaon due to the strike called by the doctors. However, emergency services in all health centres continued as usual. Doctors from various hospitals gathered at Sector-10 Civil Hospital at 9 am to register their protest. Several patients had to return back as OPD services remained non-functional in the district.