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        HOSPITAL FEES REGULATIONS, 1971 (LI 706).

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IN exercise of the  powers conferred on the Minister responsible for Health by section 11 of the Hospital Fees Act, 1971 (Act 387), and with the approval of the Cabinet, these Regulations are made this 18th day of October, 1971.

Regulation 1—Fees Payable.

Subject to the provisions of the Act and these Regulations, the basic fees specified in the Schedules hereto shall be payable in respect of services rendered in a hospital.

Regulation 2—Exemptions under Section 2 (b).

No fees (other than fees for special amenities) shall be paid in respect of services rendered in a hospital to any person suffering from—

(1) cerebro-spinal meningitis

(2) chicken-pox

(3) cholera

(4) diphtheria

(5) kwashiorkor

(6) leprosy

(7) malnutrition

(8) measles

(9) onchocerciasis

(10) poliomyelitis (acute)

(11) relapsing fever

(12) schistosomiasis

(13) smallpox

(14) tetanus

(15) trachoma

(16) trypanosomiasis

(17) tuberculosis (all forms)

(18) typhoid

(19) typhus

(20) venereal disease

(21) whooping-cough

(22) yaws

(23) yellow fever.

Regulation 3—Exemptions under Section 2 (d).

No fees (other than fees for special amenities) shall be paid in respect of services rendered in a hospital to any of the following classes of persons working or studying within the Health Service—

Doctors, dentists, nurses, midwives, nursing auxiliaries, pharmacists, pharmacy assistants, laboratory technicians, laboratory attendants, X-ray technicians, X-ray attendants, labourers, mortuary employees and other hospital employees (exclusive of clerical and administrative staff), students and certificated blood donors.

Regulation 4—Exemptions under Section 3 (3).

No fees shall be paid by any person in respect of any of the following laboratory examinations carried out on him during out-patient attendance—

(1) antibody investigation

(2) blood films

(3) blood grouping and cross matching

(4) direct sputum examination

(5) direct stool examination

(6) direct urine examination

(7) genotyping

(8) haemoglobin estimation

(9) sickling tests.

Regulation 5—Storage of Dead Bodies.

(1) The person liable to pay for the cold storage of a dead body shall be the person requesting the service.

(2) No fees shall be paid for the cold storage of a dead body at the request of any department of state.

(3) The  medical officer concerned may in his discretion waive the fees payable for cold storage of a dead body where there is delay in releasing the body to relatives due to post-mortem examination, the coroner’s report or difficulty in tracing the relatives of the dead person.

SCHEDULES

FIRST SCHEDULE

HOSPITAL OUT-PATIENT ATTENDANCE FEES

Institutions and services       Amount          

1. Rural Health Centre      ..       ..         …    Free   

2. Rural Health Post  ..      ..        ..        …    Free   

3. District Hospital/Urban Health Centre/Polyclinic..      ..        ..        …   N¢0.20 per attendance plus cost of drug supplied.           

4. Regional/ Central Hospital:

Accra

Out-patient attendance for specialist consultation:

(a) Patients referred from Urban Health Centre, District Hospital or General Practitioner.

(b) Private patients (attending at their own  insistence).  

N¢1.00 for first attendance, N¢0.50 for each subsequent visit.

N¢10.00 per attendance.    

5. Regional/Central Hospital:

Outside Accra           Rates as notified by the Director of Medical Services by notice published in the Gazette.           

6. Appointment Service     ..        ..       ...     N¢4.00          

7. Special Follow-up Clinic        ..       …     Free   

8. Electro-convulsive therapy    ..        …     N¢2.00 per course of treatment.    

9. Physiotherapy  ..       ..           ..        …     N¢2.00 per course of treatment.    

SECOND SCHEDULE

HOSPITAL ACCOMMODATION AND MAINTENANCE FEES

Class of Persons      Amount          

1. Persons of 18 years and over accommodated and maintained in an ordinary ward with catering facilities   …       

N¢1.00 per day*       

2. Persons under 18 years accommodated and maintained in an ordinary ward with catering facilities:      ..        ..           …      

N¢0.50 per day*       

3. Persons accommodated and maintained in an amenity ward    ..        ..           …     N¢5.00 per day plus cost of extra services provided at request of patient.  

* Where food is not provided by the hospital (with the approval of the medical officer concerned) or where the hospital does not have catering facilities, the fees for accommodation  and maintenance in any ordinary ward shall be reduced by one half.

THIRD SCHEDULE

Service           Amount          

Examinations (All inclusive)            

1. Medical Board examination  ..      ..     ..       ..    N¢12.00        

2. Medical examination for insurance purposes  . ..          N¢10.00        

3. Medico-legal reports           ..         ..    ..        ..    N¢10.00        

4. Other medical examinations          ..    ..        ..    N¢4.00          

Laboratory and X-ray Examinations                      

1. Miniature, chest X-ray  ..      ..        ..     ..      ..     Free   

2. Minor—involving not more than two films ..     .. N¢2.00          

3. Major—involving more than two films and the attendance of a doctor   ..       ..    ..      ..       …        

N¢5.00          

FOUTH SCHEDULE

MEDICAL AND SURGICAL IN-PATIENT TREATMENT FEES

Service           Amount          

1. General treatment (excluding operation) per stay up to 14 days ..      ..         ..        …       …           

N¢5.00          

2. Theatre charge

(a) minor (including delivery)      ..        …      …

(b) major  ..          ..          ..           ..        …      …     

N¢5.00

N¢10.00        

FIFTH SCHEDULE

DENTAL TREATMENT FEES

Service           Amount          

1. Diagnosis

(a) Attendance fee      ..        ..          ..

(b) Radiological examination and report . 

N¢0.20 per visit

Half of amount in Third Schedule.  

2. Conservation

(a) Minor                ..        ..        ..       ..

(b) Medium    ..      ..        ..        ..        ..

(c) Major  ..    ..      ..        ..        ..        ..

Gold fillings   ..      ..         ..        ..        ..

Inlays and crowns   ..        ..         ..        ..     

N¢2.00

N¢4.00

N¢6.00

Per cost of material

Per cost of material 

3. Surgical Treatment

(a) Extractions: 1 to 5 teeth        ..         ..

(b) Over 5 teeth      ..        ..        ..         ..

(c) Minor surgery   ..        ..        ..         ..

(d) Major surgery   ..      ..        ..        …       

N ¢ 2.00

N ¢ 4.00

N ¢ 5.00

N ¢ 10.00      

4. Dentures

(a) All types    ..    ..        ..        ..         ..

(b) Repairs and additionals ..       ..       ..

(c) Orthodontic appliances ..       ..       ..     

Per cost of material

Per cost of material

Per cost of material 

SIXTH SCHEDULE

MISCELLANEOUS FEES

Service           Amount          

1. Cold storage of persons who die in hospitals.  First two days—Free*

Third and subsequent days—N¢10.00 per day per body.          

2. Cold storage of persons who die out of hospitals.        N¢10.00 per day per body  

3. Orthopaedic appliances and protheses.            At cost.          

*The two free days shall be the first two weekdays (exclusive of public holidays) upon which the body is stored. Where any Saturday, Sunday or public holiday immediately precedes, falls between or immediately follows those two weekdays, that Saturday, Sunday or public holiday shall also be counted as a free day in the calculation of fees payable.

S. D. DOMBO

Minister Responsible for Health

Date of Gazette Notification: 2nd November, 1971.