Dr. James Nyikal

All parliamentary appearances

Entries 801 to 810 of 3161.

• 26 Jun 2019 in National Assembly: committee within the National Government Constituencies Development Fund (NG-CDF) which is not working because of limited funds. Although we are starting with a little amount, it is important that it is established then we can move to populate it. Finally, the most important thing is that it is providing regulations. This money is a lot and there is a danger of it being misspent. I support. view
• 26 Jun 2019 in National Assembly: Thank you, Hon. Temporary Deputy Speaker, for giving me this opportunity. My colleagues, Members of the Committee and other Members, The electronic version of the Official Hansard Report is for information purposes only. Acertified version of this Report can be obtained from the Hansard Editor. view
• 26 Jun 2019 in National Assembly: have outlined the problems that our referral hospitals face. I would like to look at a few policy issues. Referral hospitals are a national function and their main function is teaching and national referral if they are working properly. They are Kenyatta National Referral and Teaching Hospital, Moi Teaching and Referral Hospital, The National Spinal Injury Referral Hospital and Mathari National Teaching and Referral Hospital. view
• 26 Jun 2019 in National Assembly: Let me talk about the National Spinal Injury Hospital and Mathari National Teaching and Referral Hospital. We have been told the Spinal Injury Hospital is dilapidated, but there is even a major policy issue that it has no legal structure. It is being run from the Ministry. That alone makes it very difficult if we were to fund it. The Committee has recommend that we need to give them legal structures to run as autonomous institutions. view
• 26 Jun 2019 in National Assembly: It has no proper referral system. This is where you take care of all the people’s spinal injuries who are on wheel chairs and cannot move. It is important that when they have been treated and they have healed, they should be taken back to their homes and have a system that will help. That does not exist. What, therefore, happens is that people stay there longer than they need. That is something we should look at. view
• 26 Jun 2019 in National Assembly: If you look at Mathari National Teaching and Referral Hospital, Hon. Oluoch was right when he said that a patient asked the former President, Mzee Kenyatta, whether he was there as a patient also. The big thing is that it is old, dilapidated and congested, but it also got a major issue - the maximum security part. The patients in the maximum security section are patients who are unwell, have had criminal offenses and have been sent there by court. These are patients who will not be discharged by medical staff. You have to go through the judicial system to ... view
• 26 Jun 2019 in National Assembly: All these hospitals have one thing in common namely, they are congested, their equipment are poor and they have low funding. Therefore, they have problems. The other issue is that of a national referral system. However much money we put in Kenyatta National Hospital, it will not improve if the surrounding county structures are not working. If Kiambu, Machakos, Kajiado and Makueni are all sending their patients to Kenyatta, there is no way Kenyatta National Hospital will work. Within Nairobi, there are about eleven health facilities and about three hospitals and all of them are not working optimally. So, everybody ... view
• 26 Jun 2019 in National Assembly: There is a training role at the KNH. We have said that the doctors who work there as postgraduates are being referred to as students, but they are fully trained doctors. They are doing a postgraduate training and they are the main staff of the hospital, and yet some are not paid because they are considered students. Some are sponsored by counties and are paid by those counties. Look at this. Why would a person who is working at Kenyatta National Hospital be paid by Kisumu County or Makueni County and yet the work they are doing in Kenyatta The ... view
• 26 Jun 2019 in National Assembly: National Hospital belongs to Kenyatta National Hospital? We have recommended that we get training positions which are paid for by the national Government so that when these doctors go for postgraduate training, they are paid through that and the counties can have their money back and even employ doctors on contract and not employ doctors for Kenyatta National Hospital. That has been said many times and we need to do it. Nobody should do full time work at no pay merely because he or she is being called a student. view
• 26 Jun 2019 in National Assembly: The other hospital that we have that will be a referral hospital and is just starting is Kenyatta University Hospital. The two main referral hospitals, both Moi and Kenyatta have a dual management where all the senior staff are university staff, while the hospital is a parastatal under the Ministry. This has always been a problem. In the case of Kenyatta University, the Committee recommends that for once, we should have a fully university hospital run and managed by the hospital. That recommendation came to this House. This recommendation was given here. Unfortunately, a Legal Notice was signed and once ... view