Dr. Zahid Pervaiz
History and Introduction
is the oldest and largest hospital of the country, serving the
humanity since 1871.
Mayo Hospital was completed in 1870 and it started patient care
in 1871. It was named after the Earl of Mayo, the then Viceroy
and the Governor General of India.
Encompassing over 52.8 acres of land and the main building with
boundary having 11 gates, the hospital is one of the largest hospitals
in South East Asia and is a centre of excellence for public benefit.
It had bed capacity of 300 beds on the Day of Independence (1947)
but now is extended up to 2399 beds. The father of the nation,
Quaid-e-Azam Muhammad Ali Jinnah also paid tribute to services
rendered by this hospital on his visit to Mayo Hospital dated
is located in the heart of Lahore City and is surrounded by busy
commercial and thickly populated residential areas with famous
Anarkali Bazaar, Nila Gumbad, Urdu Bazaar and the Walled City
of Old Lahore around it.
its construction in 1871, the Mayo Hospital was affiliated as
a teaching hospital with the King Edward Medical College which
came into being in 1860. The hospital was used to be managed by
the Medical Superintendent under the administrative control of
Government till 1999 when the whole setup was declared as Autonomous
Medical Institution and the Mayo Hospital became Allied Hospital
of King Edward Medical College. The Principal KEMC and the M.S.
Mayo Hospital were placed under the administrative control of
a newly created post of Chief Executive. In 2002, the Board of
Governors took over the charge of the institution under PMHI Ordinance
2002, according to which the posts of Principal Executive Officer
(PEO) / Dean and Deputy Dean were created. In the next year 2003,
under another PMHI Ordinance 2003, the Board of Governors was
replaced with the Board of Management under which Principal KEMC
was declared Head of Institution consisting of KEMC & Mayo
In year 2005, according
to another Provincial Assembly of Punjab Act vide notification
No. PAP-Legis– 2(19/2005 / 724), dated 12 May, 2005, the
King Edward Medical University (KEMU) came into existence to which
Mayo Hospital is to be declared as attached hospital for teaching
purposes. The hospital so attached, however, has been placed under
the administrative control of Govt. of the Punjab, the same administrative
setup which existed since 1871 up to 1999.DEVELOPMENTAL STAGES
of the Main Building of Mayo Hospital
of Albert Victor Hospital (AVH) Block (Private Block)
Block (Old) 1952: Out Patient Department Block
1984: New Accidents
& Emergency Block & Pediatric Surgery Block.
of Physical Medicine and Rehabilitation.
It is based on:
implementation of Government commitment i.e. “Health for
Command on communication
of Authority (Finance and Administration)
of social security through the availability of 100% commodities
for 100% patients on 100 % occasions.
SATISFACTION RATIO (CSR)
Measures for the
achievement of CSR:
Communication to attendants
change towards the good of humanity, i.e., a new culture introduced,
the patients and the attendants have been declared the guests
of the hospital
3. Clinical /
Surgical Audit on the feedback of all the cases admitted or entertained
in Mayo Hospital to ensure that no patient is left unattended
or at the mercy of indifferent, unprofessional or casual attitude.
AVAILABLE IN MAYO HOSPITAL
1. Central ICU
with Central Oxygen (O2) & Suction System
2. Standard CCU
Angioplasty, Cardiac Bypass, Heart Valves Replacement and all
sorts of Cardiac Operations and procedures
4. Radio Isotope
Cardiology / Thallium Scan / Echocardiography / ETT
5. Spiral CT,
Color Doppler and Ultrasonography on latest machines
6. Renal Transplantation
and Renal Haemodialysis
7. All Dermatological
on latest machines
9. Latest Physiotherapy
Equipment, Rehabilitation Center and Orthopaedic Workshop
EMG, EEG and all kind of sophisticated Neuro-surgical operations
of Plastic Surgery and cosmetology
of Fascio-maxillary, Jaw and Dental Surgery
13. All kinds
of Orthopaedic Operations under competent consultants
14. All kind of
Eye and ENT Operations
15. Surgical Operations
of all kind for neonates, children, young and old patients
16. Radio Isotope
Thyroid, Liver, Bone, Brain and other organs scanning, Hormonal
Assays and Viral Markings are being done in Atomic
WISE ACHIEVEMENTS AND THEIR CONTINUITY IN THE NEXT PHASE
24th May, 2003
100% Free Accident & Emergency Department
24th May, 2003
100% Free Pediatric Medicine Emergency Department
24th May, 2003
100% Free Pediatric Surgical Emergency Department
2003 100% Free Three Units of Department of Ophthalmology
2003 100% Free Eye Operation Theatre
14th April, 2004
100% Free Pediatric Surgery Operation Theatre
17th June, 2004
100% Free East & West General Surgery Operation Theatres
6th August, 2004
100% Free Diabetic Clinic
7th October, 2004
100% Free ENT Operation Theatre
100% free ENT operation theatre 100% free treatment and medicines
in Tuberculosis & Chest Diseases Wards
4th January, 2005
100% Free Pediatrics Medical Ward
11th March, 2005
100% Free Cardiac Surgery Operation Theatre, Ward & ICU
1st April, 2005
100% Free Chest Surgical Wards
1st April, 2005
100% Free All the four units of surgical wards (Pre and post op
care and medicines)
2nd June, 2005
100% Free Pediatric Surgery ICU
2nd June, 2005
100% Free Pediatric Surgery Ward
2005 100% Free Dermatology OPD
2005 100% Free Radiotherapy & Oncology Ward
2006 100% Free Provision to All the Medical Wards
Achievements quarter 2, 2003 Provision of 100% commodities in
Accident & Emergency
a) Main Accident
b) Emergency Operation
Theatre (COT/ NEOT)
c) Paeds. Medicine
d) Paeds. Emergency
4, 2003 Provision of 100% free services in the Institute of Ophthalmology
(all the three Eye Units made free), even including the provision
of Intra Ocular Lens (IOLs) This facility covers all the costly
ophthalmic procedures like Vitreo-retinal surgeries, which in
private sector may cost up to Rs. 80,000/-
4, 2003 100% free diabetic clinic with the provision of oral anti-diabetic
agents & insulin injection like HUMULIN. The provision of
100% free medical coverage for both indoor and outdoor patients
of Tuberculosis (TB) has been ensured. The entire equipment requiring
repair has either been replaced or repaired. A kind of Repair
Free Atmosphere maintained in the best interests of people including
the Neuro-Angiography Machine recently repaired and installed.
1, 2004 Installation and commissioning of Angiography Machine
in Cardiology Department including renovation of cardiac surgery
Operation Theatre has been carried out. Angiographies are being
performed on new machineInstallation and commissioning of Angiography
Machine in Cardiology Department including renovation of cardiac
surgery Operation Theatre has been carried out. Angiographies
are being performed on new machine.
2, 2004 Pediatric operation theatres have been declared free for
surgery with the provision of all medicines and surgical disposables
including Shunts and all types of sutures Provision of 100% free
surgical coverage to patients in ENT operation theatre Provision
of shelter and overnight stay facilities for attendants of patients
(initiation of service facilities for the above purpose in Quaid-e-Azam
2, 2004 Provision of 100% free operation facilities to all patients
in main general surgery operation theatres of Mayo Hospital. East
Operation Theatre, West Operation Theatre, North Operation Theatre
and South Operation theatre
2, 2004 100% free medicine coverage extended to Pediatric Medical
Ward including even providing anti cancerous chemotherapy, and
third & fourth generation antibiotics in all sections of Pediatric
Medical Units:,General Medicine (Nephrology), Oncology, Neonatal
ICU, Isolation Ward, Diarrhoea Section, Paeds ICU
3, 2004 PC-1 approved, foundation stone laid down by Honorable
Chief Minister for the construction of Multi-storey surgical tower.
This will include state of the art operation theaters and wards
including Helipad for trauma patients.
4, 2004 Establishment of state of the art Central ICU
quarter 1, 2005 First time ever in the history of Pakistan in
any hospital, cardiac surgery has been declared free
Up to April, 2006,
323 patients underwent cardiac surgeries like CABG and Valve replacement
Achievements quarter 2, 2005 All the four surgical units along
with chest surgery (whole surgical floor) have been declared free
of cost for all. Provision of 100 % free medicines to Pediatric
4, 2005 Provision of 100% free medical treatment in both the Dermatological
Units. Provision of 100% free medical treatment in the Oncology
Achievements quarter i, 2006 Provision of 100% free medical treatment
in the four medical units (medical floor).
For this purpose
a fully functional pharmacy has been established at medical floor.
Vision quarter 2, 2006 To declare following units free: Orthopedics
3, 2006 To declare rest of the Hospital free for all patients
APRIL, 2003 TO Dec., 2005
UNDER GRANT 16
DURING YEAR 2004-05
Rs. 157.00 M
DURING THE YEARS
ALLOCATION Rs. 28.00 M
EXPENDITURE = 27.9918 M
UNDER ADP SCHEMES
(997) MODERNIZATION OF UROLOGY OPERATION THEATRE”.
ALLOCATION = Rs.
EXPENDITURE = Rs. 9.929 M
2004-2005 UNDER ADP SCHEME 999
COMPLETION OF CHILDREN’S MEDICAL SPECIALTY BLOCK
• ALLOCATION = Rs. 13.5 M
• EXPENDITURE = Rs. 13.217 M
• UNDER ADP SCHEME 996
OF RENAL TRANSPLANTATION AND HAEMODIALYSIS UNIT
• EXPENDITURE Rs. 7.123 MILLION
UNDER ADP SCHEME
PURCHASE OF RADIOTHERAPY
• ALLOCATION Rs. 74.825 MILLION
• EXPENDITURE Rs. 74.232 MILLION
GOAL AND THE CONTINUITY OF ITS ACHIEVEMENTS
of 100% Free of Cost coverage in Hospital will be ensured through
Macro and Micro Financial Management Un-interrupted availability
of resources and its rational utilization will be sought as hot
pursuit. The essence would be to see through that this exceptional
policy becomes natural to the hospital even in the future though
a system of working.
factors are important:
and desire of hospital administration to provide 100% free medical
treatment to 100% patients at 100% occasions.
• Delay is harmful for the implementation of plans.
• Proper analysis of available resources, planning, documentation,
implementation, management, monitoring, control and evaluation
through feedback is essential.
The above said
achievements have been made without incurring any additional expenses
or demanding any further funds from the Government. It is all
through better financial management, control and communication
with all concerned. 1-3 monitoring / surprise visits in any time
of day or night of different departments by the Medical Superintendent
have made the difference.
the Zonal Heads (Addl. Medical Superintendents, Deputy Medical
Superintendents, Chief Pharmacist, Deputy Chief Nursing Superintendent
and Nursing Superintendents) has been made mandatory.
with Senior Registrars, Registrars, Nursing staff, Administrative
staff in addition to Technical, Tender and different Hospital
committees, have been scheduled on regular basis.
Through these meetings, concerned officials and staff are inspired
and motivated. They are focused on ethical and moral values and
the noble cause of their profession. Their refined attitude ensures
quick and quality health services towards humanity in distress.
The above achievement,
an unparallel feat of any Government Department is the result
of dynamic leadership of Chaudhry Pervaiz Elahi, Chief Minister,
Punjab and the support of Dr. Tahir Ali Javed, Minister for Health,
Government of the Punjab. It can not go without saying that it
would not have manifested itself so glaringly without the fine
piece of administration and management by Dr. Fayyaz Ahmed Ranjha,
Medical Superintendent, under the able guidance of Prof. Dr. Mumtaz
Hasan, Principal KEMC .
137 years old
building Infrastructure needs rebuilding New blocks to be built
Increasing confidence of community on free treatment in Mayo hospital
and the competency of health care providers is now pressing hard
on the existing budget which needs revision and increase
Yardstick Financial Year 2004-2005
(Rs) (Expenditure / Bed / Day 1799 Beds
(Rs) Expenditure / Bed / Day 2399 Beds
Rs. 871, 828,000/- Rs. 1086 Rs. 1013
Rs. 60,505,000/- Rs. 487 Rs. 454
& EMERGENCY BLOCK
MAYO HOSPITAL, LAHORE
hospital is 1799 bedded, tertiary care teaching hospital, where
as 195 beds are available in the Accident and Emergency Department
of Mayo hospital, Lahore. The hospital emergency services like
diagnostic facilities, provision of medicines/equipment, Ancillary'
services and manpower, (doctors and para-medical) staff are up
to the mark. As a routine all the emergencies related to Surgical,
Medical, Orthopeadic, EYE, ENT, pead Surgery, pead medicine, chest
diseases; Neuro Surgery and maxillofacial Surgery cases are being
given prompt emergency treatment and are managed accordingly.
However due to certain constraints manpower in all the fields
is deficient as compared to the workload in Accident and Emergency
Department which requires uptime recruitment.
Emergency Block, Mayo Hospital, Lahore
IN A&E DEPARTMENT
& Emergency Department Mayo Hospital Lahore is the largest
Emergency of the Pakistan. More then 800 to 1000 new patients
get benefit from this emergency daily. Administrative staff of
Accident & Emergency Department along with energetic and miraculous
leader ship of. Medical Superintendent Dr.Fayyaz Ahmad Ranja,
is working hard for provision of excellent services to the ailing
humanity. Under the dynamic leadership of worthy M.S. a lot of
improvements have been made. Main achievements are as under:-
Before the arrival
of Dr. Fayyaz Ahmad Ranja Accident & Emergency Department
used to provide 30 -40 % medicines but now, by the grace of Almighty
Allah has enabled us to provide 100% Free medicines to all the
patient attending in Accident &Emergency Department.
We have established
a separate pharmacy in Emergency operation theatre with help of
Almighty Allah; we are providing 100% free pre &operative
medicine Isurgical items and diagnostic facilities.
• Air conditioners
of NEOT and COT have started working and now the work department
is trying to increase its potential under the control and forceful
grip of Medical Superintendent.
• By the efforts of worthy Medical Superintendent 03 brand
new Air conditioners have been installed in the Emergency Ground
• Sanitary work completed in Accident & Emergency Lab.
with installation of new pipes and sanitary fittings.
• Freezers of Mortuary of A&E department were out of
order for the last 6months, but now with personnel interest of
Worthy Medical Superintendent both freezers are functional.
equipment is constantly and routinely checked by the Bio-medical
Engineer and keeps it functional by doing necessary service and
• New instrument costing Rs.15, 00,000/- have been provided
by the Medical Superintendent and in this way leparotmy and vascular
repair, facilities have been enhanced in N.E.O.T. iv). New Oven
of 4-liter capacity has also been provided the N.E.O.T. recently
increasing sterilization capacity.
• Mike has
been installed at the reception for announcement and better communication
with the attendants of the patients.
• Process of initiation of computerized collection of data
is under process.
• 05 new computer have been installed in Accident Emergency
Department .Inshallah we will be able to computerize all the data
of Accident Emergency Department very soon.
All the bath room
with new sanitary fittings have been tried to be made for time
and neat clean. General bathroom of main ward are constantly watched
a. Two hour change over duty of all wards cleaner in three shifts.
b Responsibility of ward cleaner is to make the bath room neat
Banning of entries of outsiders in the bathrooms. To prevent sanitary
fittings from theft.
All the beds, Trolleys, I/V stands, Almarah as and other tools/instruments
have been painted after necessary repair in the whole department.
• Duty roster
and attendance of all staff working in Accident Emergency Department
are constantly watched. We are trying to maintain duty roster
of Senior Registrars.
• Plastic chairs have been placed in front of OT's for sitting
of attendants of the patients.
/INTERVIEW OF THE PATIENT
Superintendent has passed the direction to AMS(A&E) and DMS(A&E)
for cross questioning to the Emergency patients/attendants time
to time and assessment of the quality of service provided in Accident
&Emergency Department. We have initiated this task and it
has made marvelous improvement in patients' satisfaction rat
• Completion of canopy near Accident & Emergency Department,
(ELLAHI MEHEMAN KHANA) where the patient's attendants are sitting.
• Deputed three ward attendant /Khidmat-Gar to facilitate
the patient attendants and serving them with cold water round
• Deputed three Ward cleaner for sanitation in canopy &
the vicinity round the clock.
• Reconstruction of passage from A&E to canopy to facilitate
patient attendants & doctors.
• Construction of shed at reception.
• Opening of X-Ray door from surgical side, to facilitate
seriously/dangerously injured patients for X-Rays.
• Successful implementation of 100% provision of free medicine
& surgical items to all patients visiting in Accident &
• Procurement of two new operation tables in NEOT.
• All air conditioners in Accident & Emergency, COT
& NEOT made functioning.
• Web site of Mayo Hospital has been made functional on
Internet for latest information.
• C.C.TV has been installed in Accident & Emergency
department made functional to detect the mismanagement of the
• First of all by the Grace of Almighty Allah, and after
going through the day & night work hard by DR. FAYYAZ AHMED
RANJHA, to provide the Image intensifier facilities to the Emergency
patients, which is available for doing Orthopedic Operations to
avoid blood loss of severely injured patients. We are heartily
grateful to the Worthy Medical Superintendent, Mayo Hospital,
Lahore for this grate achievement.
• Extension of NEOT & installation of two new operation
tables to facilitate surgeon in Accident & Emergency/NEOT
by increasing operation tables from 2 to 4.
• M.O.T. near New Casualty Emergency Operation Theater with
well equipped new instrument & two new operation tables which
are functioning round the clock.
• Two new X-Ray's machines have been launched and working
for rendering services to the Emergency patients.
• New Bio-chemistry analyzer was also installed in A&E
Lab and functioning .
• Shifting of blood Bank from 1st floor to Ground floor
• Centralized oxygen supply in COD, Medical & Surgical
• ground floor .
• Installation of curtain & accessories in female ward
• Centralized Oxygen and other gases supply in COT &
• Installation of new kits in Accident & Emergency&
• Renovation of DMS /AMS Office .
• Recruitment/selection of new energetic and dedicated staff
for A&E Department .
• Training program for doctors/nurses & paramedics about
quality Health Care, Interpersonal communication & evidence
based medicine learning programme .
• Incentive, Reward and compensation program for Emergency
BRIEFING OF A & E LAB MAYO HOSPITAL LAHORE
A & E Lab
is working around the clock in three shapes. First shifts or 6
hours each, starting from 8.A.M in the morning by the night shift
is or twelve hours i.e. 8. P.M to 8. A.M.
No. of Patients range is 100-125 within average of more than 100
patients per day. Total No. of tests ranged from 700, - 900 with
an average of 100 per day. So an average per month is 23000 to
All kinds of tests being performed including LFTs, RFTs, routine
urine examinations, blood sugar, cerium electrolytes, currently
we are performing the blood gases because of non-availability
of the solutions and reagents.
1. Senior Consultant
1Il. Medical Officer
IV, Medical Technologist
2. Para Medical
I Lab Technicians
II. Lab Assistants
III Lab Attendants
IV. Ward Attendants
Lab Cleaner 1
Demand of Instrument
An efficient and
vigilant handling with the careful compiling of the results within
minimum time limits regarding all quality control measures.
tests are free of cost, so the income generating sources wards
are in the same building, i.e. neuro-surgery, plastic surgery
and (1)1) cases after the time limits of the main laboratory.
and Viable Plan for generating more income
instruments by the latest . technologies based equipment.
Specify the time
limit of the emergency patients.
Charges for every
duplicate by the Lab.
a proper Receptionist in all the three shifts
Increase the qualified
and trained staff.