new delhi all central and state government hospitals managing covid patients have been directed to ensure that no patient is refused admission due to lack of a valid identity card and a positive test report for coronavirus the centre has told the supreme court in an affidavit on the points raised by the top court the centre submitted that the ministry of health and family welfare has intimated all state governments regarding the policy of setting up threetier health infrastructure for appropriate management of suspect confirmed covid19 cases as the vaccination of the entire country is not possible in one stretch due to the very suddenness of the pandemic and limited availability of vaccine doses vulnerability is the prime consideration it said the centres affidavit was submitted late sunday night in a suo motu case by the apex court for ensuring essential supplies and services during the covid19 pandemic it further said that the guidance document issued in this regard on april 7 2020 envisagesmandates setting up of covid care centre ccc for mild cases and these have been set up in hostels hotels schools stadiums and lodges both public and private functional hospitals like community health centres chcs etc which may be handling regular noncovid cases may also be designated as covid care centers as a last resort dedicated covid health centre dchc that shall offer care for all cases that have been clinically assigned as moderate these should either be a full hospital or a separate block in a hospital with preferably separate entryexitzoning private hospitals may also be designated as covid dedicated health centres these hospitals would have beds with assured oxygen support the centre said it said that a dedicated covid hospital shall offer comprehensive care primarily for those who have been clinically assigned as severe these hospitals should either be a full hospital or a separate block in a hospital with preferably separate entryexit private hospitals may also be designated as covid dedicated hospitals these hospitals would have fully equipped icus ventilators and beds with assured oxygen support it said the centre further said it is submitted that the central government has also directed that the hospitals under the central government state governments and union territory administrations including private hospitals in states and uts managing covid patients shall ensure requirement of a positive test for covid19 virus is not mandatory for admission to a covid health facility if clinically hospitalisation is necessary otherwise a suspect case shall be admitted to the suspect ward of ccc dchc or dhc as the case may be no patient will be refused services on any count this includes medications such as oxygen or essential drugs even if the patient belongs to a different city no patient shall be refused admission on the ground that heshe is not able to produce a valid identity card that does not belong to the city where the hospital is located the government told the apex court that admissions to the hospital must