20-09-2025, Naharlagun:
Major Policy Shift at TRIHMS
Doctors and faculty at the Tomo Riba Institute of Health and Medical Sciences (TRIHMS), Itanagar, have been presented with a pivotal choice: continue receiving the Non-Practicing Allowance (NPA) or surrender it for the freedom to pursue private medical practice. This comes in response to a formal order issued by the newly appointed dean-cum-director Dr N K Bezbaruah on Friday, marking a significant change in how government medical professionals balance public duties and private interests.
Details of the Directive
Under the new directive, all doctors must submit a formal undertaking to the Finance Branch by September 25. The order stipulates that those who opt to retain the NPA—an incentive equal to 20% of their basic pay—are not permitted to engage in any private or laboratory work. Conversely, those who wish to practice privately must voluntarily forgo the NPA, making themselves available for government-assigned emergency duties when required.
The NPA, introduced through the 7th Central Pay Commission and applicable to various government health services, serves as a financial deterrent against private practice, ensuring that doctors remain focused on public healthcare delivery. The allowance comes with safeguards, including a ceiling on total salary plus NPA, and compliance with state government regulations.
Faculty Reactions and National Policy Alignment
Reactions from within TRIHMS have generally been positive. A senior doctor, speaking anonymously, noted that the policy provides clarity and legal sanction for doctors wishing to undertake private clinical work, as long as they comply with National Medical Commission (NMC) provisions permitting such work outside regular duty hours.
The new order also reiterates the state government’s commitment to implementing recommendations of the 7th Central Pay Commission, modernizing employment conditions for medical personnel and aligning with evolving national policies.
Implications for TRIHMS and Public Health
This move has far-reaching consequences for healthcare in Arunachal Pradesh. It may help TRIHMS retain talented professionals by offering them autonomy over their career choices. At the same time, it protects the integrity of public healthcare by ensuring emergency duties and essential services are prioritized. By providing clear options, the policy removes ambiguity that has long surrounded private practice among government doctors.
The introduction of this opt-in system at TRIHMS represents a careful balancing act between public interest and professional flexibility. As Arunachal Pradesh’s premier medical institute adjusts to new norms, the policy is likely to be watched closely by medical institutions and policymakers across India.
