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Aims&Objectives


 
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ORGANISATION

1.1Headquarter of Indian Railways is in Railway Board.Health Directorate of Railway Board controls and supervises Medical Department of Indian Railways.

1.2 Indian Railways are divided into 16 zonal Railways.  Each zone is under administrative control of Chief Medical Director (CMD) of the Zonal Railways.

In addition Technical & advices given to:

-  Sr. Professor/ Railway Staff College , Vadodara.

-  Chief Medical Officer/Konkan Railway 

1.1  Health Directorate/Railway Board/New Delhi

 

Sr. Design. Name Telephone Nos. Fax No. E-Mail Address
 
No. Rly. P & T
1 DG/RHS Dr. Anil Kumar 43799 233 83638 23383638 dgrhs@rb.railnet.gov.in
1.1 Sr. PPS Ms. Manmohan Kaur 43463     ppsdgrhs@rb.railnet.gov.in
1.2 PS Ms Anita Seth 43463      
2 Advisor   43739   23389623 edhp@rb.railnet.gov.in
2.1 PS Ms Madhu Sharma 43739      
3 ED/Health(General) Dr.Amitava Dutta 43717   23386882 edh@rb.railnet.gov.in
3.1 PS Ms. Mamta Thakur 43717      
4 Director/H & FW Dr. Arun Gupta 43395 7 23388373 dhfw@rb.railnet.gov.in
4.1 PA Ms. Vandana 43395      
5 Director/
Ind.Health
Dr. Praval Pant 43479           23384370   dih@rb.railnet.gov.in
5.1 PA Mr. Anil Bhatt 43479      
6 JD/Health-II Mr. R.S. Shukla 43779      
7 DD/Health&FW Ms. H. K. Sanhotra 44135      
8 SO/H&FW   43653      
9 SO/Health Shri K.K. Sharma 43779      
10 HEO/Health-II Shri Prashant Tiwari 43553      

Aims&Objectives

 

Indian Railway Health Care delivery System has to perform following two important functions:

 

1.1 Functions related to Industrial Medicine

 

1.2 Functions related to Medical treatment to Railway     beneficiaries

 

1.1Functions related to Industrial Medicine:

 

a)  To attend Railway accident & other untoward incidences.

b)  To provide emergency medical treatment to traveling sick passengers

c)   Pre employment Medical examination to allow only fit  & suitable candidates to join the services.

d)  PME (Periodical Medical Examination) of serving  employees to allow fit person to continue in those   jobs which are related to safe running of the train.

e)  Medical Boards & other medical certification of serving employees.

 

f) Control on loss of mandays on account of sickness (both normal & HOD).  It is kept under control by medical officers.

 

g) Safe water supply at Railway Station:

 

A constant vigil is maintained to check on quality of drinking water made available at Railway Stations.

 

There is a well laid down system of reporting and to take corrective measures for unsatisfactory reports.

 

h)  Safe food supply at Railway stations:

 

Following activities are undertaken to ensure safe food supply at Railway station.

 

a)   Regular inspection of kitchen & food stalls.

b)   Regular health check up of food handlers.

c)   Collection of food samples under PFA Act.

d)   Collection of food samples under quality control system.

 

i)   Ensuring Factory Act:

 

Medical first aid posts are provided to all factories of Indian Railways (there are 84 such factories) as per Factory Act.

 

j)  Workman Compensation Act:

 

Activities related to WCA is under taken on regular basis.

 

k)  Certification of dead bodies at Railway Station, Railway Yards, Railway line, etc. is being done on regular basis.

 

l)  Certification of perishable good in Railway Station about their disposal is done as and when required.

 

1.2   Functions related to Medical treatment to Railway beneficiaries:

 

Total comprehensive Medical treatment is provided by Indian Railway Medical Department.

 

A.     Curative health care.

A.1   Primary level

A.2   Secondary level

A.3   Tertiary level

 

B. Preventive health care

 

C. Promotive health care

Indian Railway health care delivery system is providing Industrial medicine as per the need of the Indian Railway and also providing medical treatment to Railway beneficiaries.

The system is a dynamic system which makes suitable changes in proper time to provide proper medical treatment to Railway beneficiaries

Mission Statement

TOTAL
PATIENT SATISFACTION
Through
HUMANE APPROACH
&
SHARED COMMITMENT
 of
EVERY SINGLE DOCTOR
&
PARAMEDIC
to Provide
QUALITY HEALTH CARE
Using

MODERN & COST EFFECTIVE TECHNIQUES & TECHNOLOGIES

Financial analysis

6.1  Details about 11-200  

 Head of Allocation  

11-200

-

Hospital & Health Unit  

11-310               

-

Colony Sanitation  

(A)   Percentage of expenditure in relation to total working expenses( NET):

       (Figures are in crore of Rs.)

S.No.

Financial Year

Total Ordinary Working Expenses
( Demand 3-13)
(NET)

Total Expenditure on Medical Treatment
(11-200)

Percentage

1

06-07  

37433

700

1.87%

2

07-08  

41033

798

1.94%

3

08-09 

54349

1114

2.05%

4

09-10 (Prov.Actual)

65810

1384

2.10%

5

10-11(BE)

65000

1370

2.11%

B) Expenditure per Employee per year: 

S.No.

Financial Year

Total Expenditure on
Medical Treatment
(
Rs. In Crores)

Cost of medical treatment Per Employee per year

1

06-07 

700

Rs. 4894

2

07-08 

798

Rs. 5621

3

08-09 

1114

Rs. 7897

4

09-10 ( Prov. Actual)

1384

Rs.  9660

5

10-11(B.E.)

1370

 

(C)  Cost of Medical Treatment per beneficiaries/year:

        Free medical   treatment is provided to Railway employees & their dependant. At present we take average of 4 members per employee. Retired Railway      employees who join RELHS scheme they along with   their dependants are also entitled of free medical treatment. We take average 2 per member of RELHS 

Financial Year

No. of Employees

 & Retired Employees

Total Beneficiaries

Total Cost of Medical treatment
Head 11-200#

Cost of Medical treatment per Beneficiaries per year

06-07

1430451

6289296

700

Rs. 1113

283746

07-08

1419743

6279004

798

Rs. 1271

300016

08-09

Prov.Actual)

1410659

6270196

1114

Rs. 1777

313780

09-10

(RE)

1432675

6408356

1384

Rs. 2160

338828

Note :    Beneficiaries includes R.E.L.H.S. 

 # This cost is both for Industrial Medicines & also for curative medicines for Indian Railways.

Details about 11-200 

(D) Percentage of expenditure in relation to total working expenses (GROSS):

(Figures are in crore of Rs.)

S.No.

Financial Year

Total Ordinary Working Expenses 

 ( Demand 3-13)
  ( GROSS)

Total Expenditure on Medical Treatment
(11-200)

Percentage

1

06-07 

45975

700

1.52

2

07-08 

49922

798

1.60

3

08-09 

66900

1114

1.67

4

09-10 ( Prov. Actual)

83444

1384

1.66

5

10-11(B.E.)

80138

1370

1.71

Health Care Delivery System

1.

Steps taken to improve the health care delivery system of Indian Railways

 

1.1   Power given to Health Unit doctors situated 75 Kms away from Railway Hospital to get the routine Pathological . investigations like blood sugar, blood urea , S. Certainties, SGOT, SGPT, simple X-rays, etc. from outside. ECG is done by in house system.

 

1.2 Engagement of Hony. Visiting Specialist :

      The present system of Hony. Consultants who are paid Rs. 5000/- pm for Central hospital & Rs. 4000/-pm for other Railway Hospitals will be gradually replaced by Hony. Visiting specialists. In total 575 such specialists can be engaged all over Indian Railways. They will be paid Rs.  20,000/-pm /Rs. 14,000/-pm and Rs.7000/- pm for coming to Railway Hospital 6days/4 days and 2 days per week respectively.

      This is expected to provide adequate cover of specialist services in Railway Hospitals wherever our own specialist doctors are not available.

 

 1.3  To call specialist doctors from private sector for having consultations and for surgical operations on case to case basis. They will be paid for their professional services

        This facility will help Railway Hospital authority to provide adequate Specialist treatment in their Hospitals.

 1.4.To make anesthetic available ,their rate if payment for their professional services has been increased.

             For Railway Hospitals with number of doctors post 9 or below anesthetic can be called without having a regular post of anesthetic in that

             Railway Hospital.

1.5To provide better  Ayurvedic & Homeopathic treatment in Railway Hospitals following important changes done::

                                                                         Revised ceiling  on Expenditure for Ayurvedic and Homeopathic doctors

 

                                                                            Earlier                                               Revised

a)Monthly honorarium for Homoeopathic/

      Ayurvedic Doctors

           

                  For 8 hours duration                       Rs.   10,000/-p.m.                                    Rs.   15,000/-p.m.      

                  For 4 Hours duration                      Rs.     7,000/-p.m.                                    Rs.    9,000/-p.m.

 b)             Monthly honorarium for Ayurvedic Dispensers                                           Rs.    5,000/-p.m.

 c)             Monthly subsidy on medicines  

                                                                             Earlier                                               Revised

 

            (i)   Ayurvedic  Dispensaries                  Rs. 6,000/-p.m.                                     Rs. 8,000/-p.m.

            (ii)  Homoeopathic  Dispensaries          Rs.  2,000/-p.m.                                    Rs. 4,000/-p.m.

                                                                                                          (includes Rs. 1,000/ p.m.  for dispenser, if required)

( Ref:- E(W) 2008/WE-1/10 dated 7th January 2009)                                                                                                       

1.6Revised monthly remuneration payable to Contract Medical Practitioners(CMPs) engaged on Railways as under :-

                   1.6.1                                                              

                                  Category of Medical                      Full Time                             Part Time                                   

                                  Practioners/Dental surgeons

                                  On contract basis.

                                                                                                                            4 Hours             2 Hours

                                              GDMO                               Rs. 39,400/-                     Rs. 19,400/-        Rs.   9,700/-

                                            Dental Surgeon                  Rs.  39,400/-                     Rs. 19,400/-        Rs.    9,700/-

                                            Specialist                           Rs.  46,800/-                      Rs. 22,900/-       Rs.  11,500/-

                                            Super Specialist                Rs.   53,900/-                      Rs. 26,300/-       Rs.  13,200/-

                 1.6.2                  The remuneration specified  above includes the   following amount as HRA and Transport Allowance in case of

                                           full time contract doctors: 

                                                                                                        HRA                           Transport Allowance

 

                                        General Duty Medical Practitioners    Rs. 5,250/-                               Rs. 3,712/-

                                         Specialists                                          Rs.  6838/-                              Rs.  3,712/-

                                         Super Specialists                               Rs.  7375/-                              Rs.  3,712/-

1.6.3In case of fulltime contract doctors for whom Railway accommodation is provided, an amount equivalent to the sum of

                       HRA ( as indicated above)and license fee of the accommodation so provided be deducted from the monthly remuneration

                       of the concerned medical practitioner. 

1.6.4.The daily rate of deduction of remuneration for absence, in excess of eligibility, should be, as indicated below:- 

                                              Category of Medical Practitioners/Dental

                                              Surgeons on Contract Basis

                                                                                         Full Time                                Part Time                                                                        

                                                                                                                               4 Hours             2 Hours

                                              GDMO                                    Rs. 1313/-                      Rs.  647/-             Rs.   323/-

                                            Dental Surgeon                       Rs. 1313/-                      Rs.  647/-             Rs.   323/--

                                            Specialist                                Rs. 1560/-                      Rs.  763/-             Rs.   383/-

                                            Super Specialist                      Rs. 1797/-                      Rs.  877/-             Rs.   440/-

                                           ( Ref:- No. 2007/E(GR)II/1/1 Pt. dated 13/8/2009)

1.7Vacant Group C technical posts can be filled up by contractual engagement till RRB candidates become available.        

                                 This has helped to keep all group C vacant posts filled up. 

2.Implementation of facilities at various Railway Hospitals and other infrastructure ( All Indian Railways) 2009-2010 -100 Crores

3. For Senior  Citizen of Railways:  

                                   Pilot Project for issuance of  Smart Card   to RELHS  beneficiaries in New Delhi/Delhi ( NCR area) for Cashless services

                                   to take treatment in recognized Private Hospitals of NCR area   in  Emergency 

Health Intelligence

HEALTH CARE SERVICES IN INDIAN RAILWAYS

2014-15

No. of existing Hospitals ( including 16 Zonal Hospitals,56 Divisional, 67 Divisional, 52 sub-divisional  and other Productive/workshop hospitals)

135

No. of Health Units

586

No. of Beds ( indoor)

14,023

MEDICAL OFFICER

2,597

PARA MEDICAL STAFF

54,337

Group 'B' Post

194

Budget Estimates ( 2015-16)

Rs. 2477/- Crores

PERFORMANCE   2014-15  ( MCDOs figures )

Total No. of Employees

13,69,933

Total No. of RELHS Card Holders

5,44,750

                             Total No. of beneficiaries

65,69,232

Total No. of OPD Cases   attended

2,27,88,779

Total No. Indoor cases

4,82,709

Total No. of major Surgeries

47,389

Bed Occupancy Ratio( BOR)

60.88

Average length of Stay (ALS) ( in days)

5.79

Percentage of Mandays loss ( RMC+ HOD)

1.32

Percentage of Mandays loss (PMC)

0.55

No. of New Candidates examined  for fitness

1,21,361

No. of Employees who underwent periodical medical examination

1,18,944

No. of Medical Board examined

3,320

No. of food samples collected under PFA Act

1,506

No. of  Water samples examined for Residual Chlorine

10,75,628

No. of  Water samples examined for bacteriological test

70,098

No. of Inspection covered by Medical Officers

16,186

No. of passengers provided medical aid during journey/at Station/Yard. Etc.

31,957

 




Source : Ministry of Railways (Railway Board) CMS Team Last Reviewed on: 07-10-2016  


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