Thursday, August 14, 2008

Pay commission and Doctors


The Cabinet has approved promotions under the Dynamic Assured Career Progression Scheme up to Senior Administrative Grade for doctors with 20 years of service.

Counting of Dearness Allowance on Non-Practising Allowance as on January 1, 2006 for fixing their pay in revised pay bands has also been approved.



Dr Marwah

Sunday, June 15, 2008

THINGS TO KNOW ABOUT BLOOD DONATIONS

WORLD BLOOD DONOR DAY 14 JUNE

THINGS TO KNOW ABOUT BLOOD DONATIONS

  • 90% of individuals that are eligible to donate blood are not currently doing so.

  • Blood donations have a short shelf-life, so regular donors are essential to secure a constant supply.

  • Due to a shortage of blood and ageing populations, the age limits for blood donation acceptability are becoming increasingly flexible: the standard age limits for blood donation are 18 to 65 years of age, but in some European countries this has been lowered to 17 and increased to 70. In some places outside Europe, the lower and higher limits go from 15 with parental consent, to over 70 years of age.

  • Regular blood donors are individuals donating at least twice a year, on a regular basis. They are demonstrated to be the source of safest blood donations. They have regular health checks on the occasion of each donation, and a healthy life style.

  • The prevalence of markers for blood borne infections in blood donations can vary from 0.001 to 7.5 %, related to the category of blood donors. Blood which is found to be infected, for example with Hepatitis B, C or HIV, is disposed of and not used for transfusions.

  • One donated unit of whole blood can save up to 3 lives, through separation and use of its components.

  • Giving blood regularly may itself be good for you. It has been ascribed potential health benefits in coronary artery disease and oxygen-free radical chemistry. Regular blood donation is a life saving treatment for hereditary haemocromatosis and polycitemia vera.

  • The world record in blood donation is held by Maurice Wood in the United States of America, who in 2004 gave his 300th unit of blood.



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Dr Marwah

Tuesday, October 23, 2007

CHS Rules for Delhi Health Service Comments of Dr Vijay Rai secretary DADWA

CHS Rules for Delhi Health Service

Comments of Dr Vijay Rai secretary DADWA

One of my specialist friend met me in Delhi Secretariat and asked me "why is DADWA against acceptance of CHS Rules for Delhi Health Service?"  After I replied, it struck me that this question must be present in the minds of several friends; so I decided to put the answer here.

DADWA favours implementation of CHS Rules but the Govt. does not wish to look beyond the CHS Rules 1996. Did CHS not exist before this? Can we not see that the 1996 amends are dividing us? If yes then we have to see what is good for most of the doctors today and tomorrow.

In all other group 'A' services, every officer enters in one seniority queue. Specialization within the service changes the job functions only and not his seniority as compared to others. But if an officer changes the service, say from IPS to IAS, he looses his seniority and become junior-most in the new service.

Central Health Service has become the only group a service where the sub-cadres are behaving like different services. If a doctor moves from GDMO to non-teaching specialist sub-cadre or from non-teaching to teaching sub-cadre, he/she becomes junior most in the new sub-cadre. I believe this is an unfair system perpetrated on CHS doctors AFTER formation of CHS. All such officers feel cheated but gradually accept it with rising age. Today most of them want the error to stay because "they have suffered in the past".

At a time when a new service (DHS) is being made, we should we try to get the best of CHS and also rectify the errors of the past. How long can seniors perpetuate their sufferings on juniors? Hundreds of our seniors retired without the benefits of promotions and extension of retirement age. Should they have protested when we were getting these benefits just because they did not get it?

I asked my specialist friend one last question; "if your promotions and service is not affected and if a few of your seniors in college becomes senior due to change in rules would you mind and why? He thought for a minute and just smiled; we both got our answers. Send your views on website or mail to "secretarydadwa@rediffmail.com"    



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Dr Marwah

Wednesday, September 12, 2007

Message Board Dadwa 13 9 2007

Committee framing rules for DHS met on 7-9-07 at 4:30 PM under the chairmanship of Spl. Secretary (H&FW). DADWA lodged strong protest to the chair as it had received only a telephonic message a day earlier and the revised draft as discussed in the last meeting was not provided. DADWA maintains that the GNCTD has taken a positive step to rectify continuance of doctors on contract/ad-hoc basis and it is open to all such suggestions to have a model DHS. DADWA is there in the committee for this reason and it is against any attempt to divide the doctors any further. The committee members had no answer to the question of DADWA "If DHS is one cadre why is not proposed to have one seniority queue?"

A day earlier DADWA had met the Principal Secretary (H&FW) and briefed him of the problems of the majority of doctors in their working environment due to divisions and their inability to work as a team. It was emphasized that each doctor whether from CHS or on contract/ad-hoc was performing an important function and there has to be something common between them by virtue of being a part of one cadre if they join DHS. The narrow approach of the committee was also apprised to him. He gave ample time and raised a number of queries. He assured DADWA to keep the inputs in mind while taking a final view. He agreed to the suggestion of DADWA that option should be sought once the rules are finalized and notified.

A meeting of the steering committee would be convened next Saturday 15-9-07. All members may kindly give their suggestions on the subject to them. Shortly all of you would be requested to sign a memorandum that would be submitted to Hon'ble CM of Delhi. Contact the steering committee of your institution



--
Dr Marwah

Monday, August 20, 2007

DADWA meeting with the committee for formation of DHS on 17-8-07

DADWA attended the meeting of the committee constituted by GNCTD for formation of DHS on 17-8-07 at 10:30 AM.

It was chaired by the Special Secretary (H&FW).

The draft rules for DHS as circulated along with the meeting notice were discussed.

(This draft was discussed in the steering committee of DADWA held on 16-8-07 at IMA Hall at 4 PM which formed the basis of the views expressed in the meeting by the team of DADWA viz. the Secretary, the President and the Chairman of Steering Committee.)

The committee went into the draft para by para and discussed all contentious issues.

The leave/deputation/training reserve is agreed to be increased to 10% sub-cadre wise, contractual appointees in Delhi would be regularized as per GOI guidelines and in consultation with UPSC. 

DADWA however opposed grant of seniority from retrospect.

The HAG posts were conspicuous by their absence in the DHS draft rules.

 It was decided to incorporate these posts as in CHS.

The Schedule II containing the cadre posts of DHS was not discussed as it was not ready. This would come up later for discussion.

GOI nominee insisted that the option should be exercised by 1st week of Sept.

 DADWA and Specialist Association opposed it stating that the rules are to be notified first.

DADWA pointed out that minutes of meeting held on 1-3-07 in chamber of HM were the reference points and should be adhered.

The chair agreed.

The above information was taken from www.dadwa.com .

 

Dr Marwah



Tuesday, July 31, 2007

Separate cadre for docs in city

Now, separate cadre for docs in city

New Delhi: The cabinet on Monday gave principle approval to the recommendations
of the Union health and family welfare ministry in the matter of constitution of the Delhi
health services, a separate cadre of doctors for the city.
    As per the recommendation, initially, the services would have the option of appointing
 doctors who have sought transfer from the CGHS cadre and also absorption of doctors
appointed by the Delhi government. The government has 1,174 sanctioned posts of
general duty medical officers, 410 non-teaching specialists, 349 teaching specialists
and 4 public health specialists.
    Delhi Chief Minister, Sheila Dikshit said: ''The DHS will mean that we will have
disciplinary authority over doctors who work for us.''
   
 
The above news was taken from The Times Of India Delhi edition dated 31 July 2007
page 6

--
Dr Marwah

Monday, July 30, 2007

VIEWS OF DADWA ON RULES FOR DELHI HEALTH SERVICE

VIEWS OF DADWA ON RULES FOR DELHI HEALTH SERVICE: AS SUBMITTED TO SPL. SECRETARY (H&FW) GNCTD ON 16-7-07

 

As a follow up of the meeting taken by Pr. Secretary (H&FW) on 28-6-07 DADWA submitted its suggestions after highlighting present problems of CHS These views and suggestions were outcome of recommendations of a committee of officers from both GDMO and non-teaching specialist sub-cadre of CHS. VIEWS OF DADWA:

Background :

The Central Health Service or 'CHS' was created about four decades back to provide a cadre of medical professionals to its constituent organizations. The Four sub-cadres of CHS came into existence in 1982. Exodus of a large number of senior doctors in teaching hospitals due to very low career growth opportunities was the trigger. Instead of creating more posts at higher level across the board, the MOHFW created sub-cadre wise SAG posts. The poor promotional avenues and unfair management of cadre led to a strike by CHS doctors in 1987. This drew attention at the highest level and amends came in form of time bound in-situ promotions and recommendations by Tikku committee that led to some amends in CHS Rules.

Later, multiple seniority queues have come up within the CHS and within its specialist sub-cadres with differential benefits.  There are reportedly as many as 60 seniority queues within CHS. There are different ages of retirement, different movement and career growth in different sub-cadres.

CHS Rules do not facilitate smooth movement from one sub-cadre to another, even if the officer concerned is carrying out same or similar job. Such movement is vacancy driven the officer looses seniority when he moves from GDMO sub-cadre to specialist sub-cadre or from non-teaching to teaching specialist sub-cadre.

DADWA supports the vision of GNCTD as contained in the notification dated 18-12-2006 and minutes of the meeting taken by Hon'ble HM GNCTD on 1-3-07. But the notified view of GNCTD that "Delhi Health Service would be more or less similar to CHS" warrants a clear interpretation, analysis of present situation and a study of impact of merger of regular UPSC appointed officers and those appointed on contractual/ad-hoc basis.

    'A' SERVICE:

a. Delhi Health Service should be recognized as a technical GROUP 'A' service incorporating an arrangement wherein both graduate and post-graduate doctors coexist and work together like a cohesive team to achieve the desired objectives.

 

 

b. While sub-cadres are necessary to meet the functional needs of the service; instead of present four sub-cadres, only two sub-cadres should suffice, viz. 

 

i. The stream of graduate doctors in essence is technical officer who can be called as Comprehensive Health Providers & Managers instead of GDMO's. They work as comprehensive health providers, leaders of the health team and managers of health delivery system. They work in diverse and trying situations, in various public health programs at peripheral level in dispensaries and hospitals and acquire skills of health management. ii. Stream of Post Graduate doctors with requisite post PG experience and skills should be called Specialist Health Providers in their respective disciplines (All medical, surgical and public health specialties). DADWA does not see need for a separate teaching sub-cadre as officers of this stream if eligible and desirous can take teaching assignments. c. The DHS Cadre like any other cadre should have a common seniority queue at entry level where the two streams meet first viz. SMO/ Jr. Specialist grade. Thereafter officers based on needs of the service and suitability can move from one sub-cadre to other without any loss of seniority. At present there are innumerable examples where officers of one sub-cadre loose several years of their seniority while moving horizontally one sub-cadre to another in the same scale because post-PG experience and teaching experience in one sub-cadre is not counted. The last example of a GDMO sub-cadre officer joining teaching sub-cadre of CHS as Assistant Professor was in mid-nineties. d. There are no reserves for leave and deputation in CHS. Training reserve is inadequate (5%) and present only in GDMO sub-cadre.

 

e. Cadre management is poor and not according to best practices of HRD

 

3. Summary of recommendations of DADWA

 

3.1 DHS should provide excellent career growth opportunities at par or better than CHS to ensure entry of one of the best doctors in the country.

 

3.5 There should be reservation in Delhi / IP University / DNB for PG degree/diploma seats for deserving members of DHS. Similarly, there should be reserved seats for Senior Residency and Super-specialization (DM and MCH) for Officers of PG stream/specialist stream of DHS.

 

3.6 DHS should facilitate movement from one sub-cadre to other if the officers are eligible and deserving for that post and to teaching assignments and vice-versa. Such a mix and horizontal movement would help members of the DHS cadre to grow, bring homogeneity and the cadre would be able to address to its needs internally besides preventing compartmentalization of the service. All such officers who grow within DHS would be assets for the GNCTD in the long term.

 

3.7 For meeting the functional needs of DHS, only two instead of 4 sub-cadres should suffice. This would bring more homogeneity in the cadre.

 

1. Comprehensive Health Physicians / Health managers and

2. Specialists of the various disciplines of medicine/surgery/public health.

 

3.8 Posts of Heads of hospitals and other health institutions should be identified as cadre posts with requisite R/R's depending on the size, function and complexity of the institution. The present practice of posting SAG Officers solely on basis of seniority irrespective of past experience in health administration should be stopped. The justification and impact of recent transfer/postings of 31 such SAG officers of various sub-cadres of CHS as heads of hospitals in Jan/Feb. 2007 may be studied and policy reviewed.

 

3.9 The existing models of Army and Indian Railways are worth examining by the committee before they adopt CHS rules mutatis mutandis.



--
Dr Marwah