IMA seeks special consideration for small clinics

The Kerala chapter of the Indian Medical Association (IMA) has sought special consideration for small clinics and expressed concern over their inclusion under the Clinical Establishments Act.

Leaders of the association said certain provisions of the Act could restrict the functioning of small clinics, affecting their ability to deliver essential healthcare services. To highlight these concerns, doctors will stage protests at district medical offices across the State on Friday (February 13, 2026) and submit a memorandum.

The protests will highlight the demand that hospitals with up to 15 beds be exempted from the purview of the Act and that consultation-only clinics be allowed to provide basic diagnostic services.

“Lack of clarity on the provisions and awareness among officials about the exemptions provided by the government for small clinics has affected the functioning of these centres. Most of these clinics have to offer essential services and not just prescriptions to patients. There are concerns about whether these clinics will be able to function properly,” said M.N. Menon, State president, IMA.

The association said over 100 outpatient establishments had been shut down in the past five years. According to association office-bearers, the closure of such small clinics would force patients to seek treatment at larger hospitals, thereby increasing the financial burden on the public.

“These small-scale hospitals are vital to the public healthcare system as they provide essential services in rural areas. If they shut down, the public will end up paying more for medical treatment. It is important that adequate support be provided to these institutions,” they said.

Dr. Menon said the protest was a move to draw attention to the issue. “The government has been considerate and is taking into account our suggestions. But it is not translating into reality,” he added.