INCOME
TAX PENSIONERS FEDERATION.
A2/95 RAJOURI GARDEN
MANISHINATH BHAWAN
NEW DELHI. 110 027.
Website: itpfchq.blogspot.com.
Email: itpfchq@gmail.com.
Dated: 17th May, 2019.
Dear Comrades,
Though we had
decided that the National Executive and Sectt. of the Federation need meet only
at Baroda just prior to the all India Conference, it is now proposed to hold
the Sectt. meeting at New Delhi on 20th June, 2019. The notice for the meeting is enclosed. The NCCPA to which the ITPF is affiliated
will be holding their all India Conference in the month of November, 2019. The Baroda unit has expressed that they might
require some more time, as the Secretary was taken ill recently and the
preliminary work in connection with the conference could not be undertaken. In the meantime, the government indicated
that they would be willing to implement the Supreme Court judgements which has
reached finality in respect of all similarly placed persons. The NCCPA has decided to go ahead with the
case before the Principal Bench of the Tribunal in respect of non-implementation
of Option No. 1. All affiliates have been requested to collect donations for fighting
the case in the court. In view of these developments,
it has been decided to hold a meeting of the Sectt. at New Delhi on 20 th. All office bearers are requested to attend
the meeting.
The Circular
letters issued by the NCCPA, after the Fast Dharna programme at Delhi and after
the meeting with the Secretary, (Health) on 16.5.2019 are enclosed for information
of our members. Enclosed is also the Notice
for the Sectt. meeting at Delhi on 20th June, 2019.
With greetings,
Yours fraternally,
K.K.N. Kutty
Secretary General.
INCOME
TAX PENSIONERS FEDERATION.
A2/95 RAJOURI GARDEN
MANISHINATH BHAWAN
NEW DELHI. 110 027.
NOTICE
DATED; 17th May, 2019
Notice is hereby given for a meeting of the National Secretariat of the
ITPF at A/2/95 Rajouri Garden, New Delhi. On 20th June, 2019 at
10.30 AM. The following
agenda will be discussed. The meeting is expected to be concluded on the
same day. .
1.
Review of the decision taken at the Chennai meeting.
2.
Reporting of the discussion at the National Council meeting held on
13.4.2019 and the meeting with the Secretary (Health) held on 16.5.2019.
3.
The CGHS issues and the progress thereon.
4.
Organisational development at different affiliate’s levels including
registration.
5.
Finance.
6.
Ensuing All India Conference and the preparation thereof.
7.
Journal subscription
8.
Reporting of the development in the court case at Mumbai.
9.
Any other matter with the permission of the Chair.
KKN Kutty.
Secretary Genl.
NATIONAL CO-ORDINATION COMMITTEE
OF PENSIONERS ASSOCIATIONS
13-C-Feroze Shah Road,
New Delhi. 110 001.
Dated: 10th July, 2018.
President:
Com.Shiv Gopal Misra. 9717647594
Secretary
General. Com.KKN Kutty. 98110 48303
Dated: 20th March,
2019
Dear Comrades,
Dharna fast at
Jantar Mantar on 15.3.2019
As
has been decided by the National Executive Committee at its meeting held at
Chennai on 5.08.2019 the dharna fast programme was carried out on 15th
March, 2019 at Jantar Mantar. We had to
encounter quite a number of problems as has been the case on the earlier
occasions to get the permission of the Police authorities of Delhi to conduct
the programme. This time, the excuse for
refusing permission was the notification (Press release) of the Election Commission declaring election for the 17th
Lok Sabha. The Police authorities wanted us to get the permission of the
Election observer at Delhi for which our
comrades at Delhi has to endeavour for a whole day. At the end of the day, the Election Observer rightly observed that
she was appointed as an observer for holding the election and not for holding Dharna. In the evening, a meeting of the available
comrades was held and it was decided that
what may, we will hold the Dharna Fast at Jantar Mantar. The Police ultimately did not object and the
programme went on without any further hindrance.
The
programme commenced at about 11.30 AM.
Com. V.A.N. Namboodiri, Patron
NCCPA was the first speaker and detailed the purport of the programme. Com. Shiv Gopal Misra , President, NCCPA
inaugurated the programme and the same was conducted by the Secretary General,
Com. KKN. Kutty. We had invited all the
Federations and Associations of the working employees and most of them could
come and greet the programme. Com. Deep
Chand on behalf of the Delhi Unit welcomed
the participants. Other speakers
included Com. Pavitra Chakraborty, Com. K. Raghavendran, Com. Jayaraj, Com. I.S. Dabas, Com. H.S. Sidhu, Com.
Rehman, Com. T.M. Parameswaran. Com. Parasar,
Com. Giriraj Singh, (Both from NFPE) Com. Brighu Bhattacharya,(Civil
Accounts) Com. Ashok Kanojia, (Confederation)Com. Ajoy Tewari, (ITEF) were
the speakers who greeted the dharna fast programme. Almost all the speakers exhorted the
participants to take note of the nugatory attitude of the Government towards Central
Government pensioners for the past 5
years and utilize the strength and power to
vote them out of power . The
programme was concluded at 2.30 PM.
The
National Executive had targeted to ensure the participation of about 2000
comrades in the programme. Though we
could not achieve it ( the participation was estimated to be about 1500), it
had been a fantastic programme. We
publish hereunder a photograph we have taken almost about 1.00PM, when the
programme was going on, which no doubt will bring out the success of it in
clear terms. The National Secretariat
which met on 16th had unanimously opined that despite the hurdles
created ,( the IB and its sleuths
spreading the canard of cancellation of the programme on the pretext of the
declaration of the election) was nassive
and magnificent. . Some of the comrades,
unfortunately without even verifying the
facts had cancelled the tickets believing the rumour spread. There had been some other cancellations too
as the last minute problem of physical
disabilities of the participating comrades and cancellation of flights
especially the Jet flights. . It was
heartening to note that every affiliate of the NCCPA had tried to adhere to the
quota, some exceeding . As on the last
occasion, this time also the best participation
came from the All India BSNL and DOT
Pensioners Association, who had earlier organized a march to Sanchar
Bhawan from Eastern Court to highlight their own specific demands and
problems. The NCCPA Sectt. has requested its affiliates and State
Units to undertake a proper review to
identify the deficiencies so that it could be removed effectively before we
could undertake further programmes. The
NCCPA will be grateful if the affiliates and the State Units convey to us
immediately on receipt of this communication of the extent of participation of
their members (State-wise) to have a clear picture. Before I conclude, let me place on record
that the programme had been a grand success in as much as we could demonstrate
the discontent and grievances of the Central Government pensioners in an
extremely magnificent manner and the credit for which goes to each and every
participant and the leaders at the State and district levels who took the pains
to elicit their participation, look after them properly and ensure that they
return to their homes with fond memories .
The message that the time has come to think seriously to bring in a
government which will think in terms of the welfare of the Senior Citizens and
the poor in the country has gone unambiguously and loudly amongst the pensioner
community.
National Sectt.
Meeting: 16.3.2019.
The
meeting was held at AIRF Library Hall, presided over by Com.V.A.N. Namboodiri,
Patron of NCCPA. The Secretariat
reviewed the conduct of and participation in the programme, the conclusion of
which has been detailed in the preceding paragraph. In order to comprehend the strength and
weakness , which is the very purpose of such reviews, the meeting has decided
to call for details of participation from each of the affiliate and State Unit
so that corrective steps could be taken
to remove the weakness in the organisation.
The meeting noted that the absence of the important office bearers of
NCCPA, i.e. Secretary General, Deputy and Assistant Secretary Generals, who had
to be away from 24th Feb. to
9th March, to attend the TUI
meeting at Bogota must have acted as a debilitating factor, which was in
any case unavoidable.
Agenda
Item No. 2. Court Cases:
Option
No. 1. The suggestion of the
Secretary General, emanating from the discussions, he had with the Advocates to
the effect that petition must be filed before the Pr. Bench of the Tribunal was
accepted by the house. The proposal of
CGPA Kerala to engage Shri Kaleeswaramraj & Associates was also
accepted. The package deal for the case
is reported to be Rs. 2 lakhs, of which one lakh has to be paid at the time of
filing the case. The Secretary General
will meet the Advocates in the first week of April and will finalise the matter so that the petition could be filed
when the court re-opens after the summer vacation. It was decided that each affiliate and the State Committee will
contribute to the litigation fund. The
amount to be contributed will be worked out by the Secretary General after
ascertaining the membership base of each of them.
MACP
Case. It was decided to file the
case after obtaining application from those who are affected or
benefitted. Each applicant will be asked
to pay Rs. 1000 initially and the advocate identified at the instance of AIPRPA
will be engaged. All affiliates and
State units will collect the applications and forward the same to the CHQ
without further loss of time.
NCCPA
Journal. The journal, it was noted,
is running in losses. To obviate the
difficulties the only way was to increase its price, which can only be done at the next conference. In the meantime, the Assistant Treasurer and
the comrade in charge of printing the
magazine at Kolkata will prepare an Income and Expenditure Statement from 2015 to date and send the same to the
CHQ. They will also indicate the amount
of dues outstanding so that steps could be taken to recover it.
Finance: It was brought to the notice of the house
that the travelling expenses to go over to Bogota had to be met by the Secretary General from his personal
funds and the same has to be reimbursed.
While the outstanding dues as per the present provisions of the
constitution will be worked out by the treasurer it was decided by the house to
seek donation to carry out the day to day activities of the CHQ. The Secretary General indicated that he was
not in possession of the list of all the affiliates till date and Com. Pavitra
Chakraborty has promised to provide him a copy thereof immediately. In the meantime, all affiliates are requested
to provide the details of membership for the year F.Y. 2015-16, 2016-17,
2017-18 and 2018-19 separately. This
will enable the Sectt. To work out the details of outstanding.
Next
Conference: At the last National
Executive Committee meeting, Comrades
from Rajasthan CGPA had been requested to undertake the exercise of feasibility
of conducting the conference. It was
informed to the house that so far no concrete suggestion has come from
them. The house discussed the matter
further as the Conference was overdue.
The meeting decided that in any case conference must be held before the
end of 2019. A final reply from Rajasthan may be solicited before the end of
the month. AIPRPA, Tamilnadu State Unit
will in the meantime explore the possibility of holding the conference at
Chennai and intimate the outcome of their discussions to the Secretary
General.
Affiliation
application. The application from
the Punjab National Bank Pensioners association was considered. The representatives of the said organization
were present at the meeting. The members
had the opportunity to hear them explain their case. The Bank Comrades will be provided with the
copy of the constitution of NCCPA. The meeting authorized the Secretary General
to grant affiliation to them.
Any
other matter. Com. Somayya presented
a paper containing the grievances of the CGHS beneficiaries to the
meeting. It was told that JCM is making
efforts to have a meeting with the health secretary to discuss the issues.
Com.
Secretary General informed the house that the NCCPA has been granted the PAN
No. though the communication is yet to be received in writing. He hoped that the same will be delivered at
the Treasurer’s residence soon.
TUI
WORLD CONGRESS:
The
Second world congress of the TUI (Pensioners and Retirees) was held at Bogota
in Columbia. The NCCPA was represented
by its Secretary General, Com. K.K.N. Kutty and oln behalf of AIPRPA, Com. K.
Raghavendran and on behalf of AIBDPA, Com. K.G. Jayaraj attended the
congress. A detailed report over the
congress has been placed on the website and the same is carried by our journal
for this month. It is to be noted that
there had been no other representatives from India. All the Indian delegates
have been elected to the administering Committees of the TUI. Com. K.G. Jayaraj has been elected to be one
of the Executive Committee member, Com. K.Ragavendran in the Technical and
Research Commission and Com. K.K.N. Kutty in the Finance Control commission.
The TUI (P &R) is a vibrant international body and had been functioning in
the last five years very well and have extended its influence to all
continents. The responsibility of the
expanding its base in Asia particularly is now cast upon NCCPA, even though the
Nepalese delegation has been elected to be one of the office bearers. Com. K.G. Jayaraj particularly will have this
carved out for him and our success will make NCCPA a world respected body.
With
greetings,
Yours fraternally,
Sd/-
K.K.N. Kutty
Secretary
General.
NATIONAL CO-ORDINATION COMMITTEE
OF PENSIONERS ASSOCIATIONS..
Website: nccpahq.blogspot.in.
E mail: nccpahq@gmail.com.
13.c
Feroze Shah Road,
New
Delhi. 110 001
PRESIDENT: COM.SHIV GOPAL
MISHRA.(97176 47594)
SECy.
GENERAL:
COM.K.K.N.KUTTY. (98110 483030)
Dated 17TH May, 2019.
Dear
Comrades,
The
47th meeting of the National Council JCM was held on 13th
April, 2019. This meeting was held after
a lapse of about a decade. As you are
aware, the Staff Side of the JCM had to take the decision to organise a dharna
programme at New Delhi to force upon convening such a meeting. Since the Government indicated their
willingness to convene the meeting of the National Council and the date was
notified the proposed dharna programme was not held.
The
agenda taken up for discussion at the meetings were pretty old and mostly
pertaining to the 6th CPC issues.
The record of discussions that was prepared by the Staff Side is on the
website of the National Council, JCM. Staff Side. We are not reproducing the same for it has
lost of its relevance to day. If any
comrade wishes to see the same, they may kindly visit the website of the
National Council JCM. Staff Side.
In
the said meeting, the issues related to the Health Ministry was discussed at
length. However, the staff side pointed
out that the convention of having separately discussing the health-related
issues must be followed. Accordingly,
the Secretary Health convened a meeting of the National Council, Standing
Committee on 16th inst. The
undersigned attending the meeting in his capacity as the Standing Committee
member. After the meeting, a synopsis of
the discussion was prepared by the Staff Side and the same is reproduced
hereunder. The issues discussed mostly
pertains to the CGHS problems. On the
basis of the feed- back we have received from some of the affiliates, the NCCPA
had prepared a list of items (fresh) and the same had been submitted to the Government
for discussion in the meeting of 16th inst. However, these items could not be taken up
for discussion as the official side had complained of lack of sufficient time
for them to study and respond. It has
now been agreed that another meeting will be convened soon to discuss those
issues. We send herewith the items we
proposed to discuss at the meeting as and when it is convened. We request our comrades to kindly go through
these items and if any important issues have been omitted, we may be informed
immediately so that the same can be included well before the next meeting is
convened. Incidentally we may point out
that only from a few units, we received suggestions and views on problems
connected with health care. Many units
chose not to respond to our communication in the matter.
We
shall pursue these issues to reach a settlement. With greetings,
Yours fraternally,
K.K.N. Kutty.
Secretary General.
A
meeting with the Staff Side of the National Council JCM under the Chairmanship
of Secretary, Ministry of Health & FW was held today at Nirman Bhawan, New
Delhi. The Staff Side was represented by Comrades Shiva Gopal Mishra, Guman
Singh, KKN Kutty, C. Srikumar, M. S. Raja and R.N. Parashar. The following
agenda points were taken up for discussion and the decisions taken are given
below for your information.
|
Item No
|
Agenda
Points
|
Decision
|
|
1.
|
Non grant
of 90% Medical Advance for all type of treatments by the Audit Authorities in
the Ministry of Defence in violation of Ministry of Health and Family Welfare
Letter No. S.14025/18/2015-MS/EHSS
dated 17.10.2016
|
It was Clearfield by the
Official Side that 90% advance even in the case of other than package can be made
to the employees as per Ministry of Health OM dated 17.10.2016. In case the
Accounts Authorities of the MOD is not allowing the same, the MOD may be
requested to refer the matter to Ministry of Health.
|
|
2.
|
Review of
ward entitlement for Central Government Employees
|
It was agreed to reconsider
the wage limit for Ward entitlement and also to streamline the same as per
the 7th CPC pay matrix.
|
|
3.
|
Withdrawal
of the condition imposed in Ministry of Health OM No. S.14011/1/73-M.C., dated 23rd August, 1973 with
regard to diabetic treatment
|
The condition to produce
certificate from DMO / Civil surgeon for continuing the treatment for
diabetics etc has been removed and any Government Doctor can issue
certificate in this regard.
|
|
4.
|
Review of
package rate for Organ Transplantation
|
The actual cost of organ
transplantation will be considered depending on merit of each individual case
|
|
5.
|
In-patient
treatment in Hospitals without going through the AMA.
|
The Ministry of Health OM
dated 2nd May 1953 will be re-circulated to all the Ministries
which permits the in-patient treatment without AMA sanction
|
|
6.
|
Reimbursement
of preventive Vaccination charges
|
This is a policy matter
which Government will have to decide
|
|
7.
|
Emergency
Treatments in CGHS recognized Hospitals.
|
At present the CGHS
beneficiary can directly approach the recognized hospital with the CGHS Card
without any referral memo. The proposal of the Staff Side to avoid hardship
to the patient for subsequent dealings with the CGHS Wellness centre would be
considered the concerned hospitals will be asked to get the approval of the
concerned dispensary doctor.
|
|
8.
|
Reimbursement
of Medical expenses not covered under the CGHS Package Rates.
|
Steps are being taken to
revise the CGHS packages and at that time the inclusion of new procedure
etc would be considered.
|
|
9.
|
Issue of
Medicines to CS(MA) beneficiaries availing inpatient treatment in CGHS
recognized Hospitals.
|
Not agreed. CS(MA)
beneficiaries has to get reimbursement of the Expenses
|
|
10.
|
Permission
/ Ex-post facto approval for elective treatment / investigation taken in
non-empanelled Hospitals / Diagnostic Centers for CS (MA) beneficiaries at
par with CGHS beneficiaries.
|
Not Agreed
|
|
11.
|
Treatment of dependents of
the deceased Employees / Employees who have taken voluntary retirement /
premature retirement / medical invalidation / compulsory retirement etc.
|
Provisional CGHS Card will
be issued to the above category of employees based on the Last Pay
Certificate
|
|
12.
|
Opening of CGHS Dispensaries
in AGRA, Barrackpore (Kolkata) and Kochi
|
Government orders are
already issued in this regard. As regards Kochi, Kozhikode and Kannur steps
are taken to acquire accommodation for the wellness Centre. At Kochi the BSNL
Quarters have been identify. Formalities to access the same is under way. The
doctor shortage of Agra would be looked in to. At present Barrackpore
wellness Centre is functioning as an extension counter. Depending upon its
utility the demand for establishing the same as a permanent wellness centre
would be considered.
|
|
13.
|
Central Government health
Scheme. Empanelling of hospitals – streamlining the procedure to provide
in-patient treatment to the beneficiaries.
|
More than
Rs. 300 crores are due to the hospitals are being cleared and under way to clear the same. steps are taken to
streamline the payment procedure for the Hospitals
|
|
14.
|
DISPROPROPOTINATE REVISION OF SUBSCRIPTION UNDER CGHS DUE TO
REVISION OF PAY AND ALL0WANCES OF CENTRAL GOVT. EMPLOYEES
ON ACCOUNT OF IMPLEMENTATION SEVENTH PAY COMMISSION.
|
Not Agreed
|
|
15.
|
Direct consultation
with Specialists in CGHS/Central Government/State Government Hospitals
/Polyclinics. Continuation of the facility to those CGHS beneficiaries who
were eligible for direct consultation before revision of the Monetary Ceiling
|
The
monetary ceiling is already removed
|
|
16.
|
Revision of
monetary Ceiling for direct consultation with Specialists in CGHS/CentralGovernment/State
Government Hospitals /Polyclinics in respect of Pensioners and Family
Pensioners.
|
The
monetary ceiling is already removed
|
|
17.
|
Plastic
Cards
|
Settled
|
|
18.
|
Indication of Ward entitlement in plastic cards of pre-1-6-2009
Beneficiaries
|
Would be considered
|
|
19.
|
Grant of
one time option to CGHS Beneficiaries to opt for ward entitlement as per
their revised Pay in Pay Band.
|
Would be
considered
|
|
20.
|
Provision
of CGHS facility for life time to dependent disabled/mentally retarded
children of Central Government
Employees/Pensioners
|
Agreed to
consider the demand in consultation with Department of Expenditure
|
|
21.
|
Extension
of CGHS facilities to retired BSNL employees - follow up action by the
Ministry of Health and family Welfare & fixation of rates of contribution
& ward entitlement.
|
Settled
|
The
remaining twelve fresh agenda points would be discussed later. The Health
Ministry will fix the date for the said meeting.
The
issue of inadequacy of CGHS empanelled hospitals at Mumbai was
seriouslydiscussed in the meeting. After discussion the official side agreed to
re visit the issue considering the difficulties being faced by the Central
Government Employees posted in Mumbai it was also agreed that the demand of the
Staff Side for establishing a Central Government Hospital at Mumbai would be considered again and the proposal of
the Staff Side to locate the said hospital at Antop Hills was favourably responded.
With
Greetings,
Yours Comradely,
(Shiva Gopal Mishra)
KKN KUTTY
Member,standing
Committee.
To
The
Secretary,
Staff
Side,JCN.National Coubcil,
New
Delhi.
Dated:
9th May, 2019
Dear
Comrade,
I am sending the following agenda
items for discussion with the Secretary Health.
This may kindly be forwarded to him.
This is prepared on the basis of the memorandum and letters, the staff
side office has received. The items are
not exhaustive. However, all important
issues have been incorporated.
Thanking you,
Yours fraternally,
KKN Kutty
Agenda Item No. 1
Empanelling Hospitals
The
Government has recognized Private Hospitals for in-patient treatment of CGHS
beneficiaries. The list of such hospitals in each cities is given on the website of the CGHS. We hope that the
list has been periodically getting updated.
The following are some of the oft repeated complaints over the
functioning of the CGHS empanelled hospitals.
i.)
Inadequacy of the Number of hospitals.
ii.)
Non-permission for cashless treatment by the
hospital due to the outstanding Bills for pensioners.
iii.)
Non-permission of consultation with specialists
of Private recognized hospitals by the beneficiary without reference from the
CGHS
iv.)
Lack of basic infrastructure and facilities in some of these hospitals
In view of these and other complaints, we may suggest the following for the
consideration of the Government.
1. The
No. of hospitals to be recognized in each city must have some relationship with
the No. of Beneficiaries in that city.
2. The
Ministry must stipulate certain basic
amenities in hospital which are proposed to be recogfnised. Viz.
sufficient number of doctors and
other , Para medical Staff, Beds, Patient Rooms, pathological laboratories,
icu, iccu, etc as a pre requisite for
empanelment.
3. Cashless
treatment for pensioners has to be a pre-condition to be insisted upon.
4. Government
must provide a system generate for payment of bill to hospitals within six x
months failing which government must pay lowest at a stipulated rate.
Responsibility for the delay in payment and consequent payment of interest may
be accounted for and the person responsible for the delay be penalised..
5. The
beneficiaries must have the right conferred upon them seek consultation with a
specialist in a recognized hospital as a
matter of course and in case of surgery
or treatment for follow up for a period not less than 3 years.
6. For
each city, the No. of such recognized hospitals for General treatment must not
be less than 5 and for specialized treatment for chronic diseases, not less than three.
7. The
Government must prepare a list of hospitals which have applied for empanelment
and their cases taken up for recognition as and when they comply with the
stipulated requirement.
8. Continuous
empanelment introduced by the Government has the inbuilt condition that the
concerned hospital can opt out of CGHS
as and when they like. This has
not worked properly and therefore may be reviewed.
9. The
Government has been stipulating that all private hospitals which enjoys certain
tax benefits or land allotment must
provide free treatment to poor as part of social obligations. The Government shall not have any difficulty
in stipulating that these hospitals should also provide treatment to Government
employees on payment of charges restricted to the governmental
stipulations. We, therefore, that such a
stipulation if made will go a long way in ensuring health care to the government
employees at reasonable rates.
Item
No. 2.
Emergency
Dispensaries
The dispensary timings
are so conceived to ensure the optimum utilization of the available man-power. This
however, creates a situation whereby at certain point of time, no dispensary
will be available even to help a patient
in emergency. This causes problem and therefore we suggest to have one
dispensary in each city earmarked as emergency dispensary functioning 24 x 7
and sufficient manpower is provided to that dispensary.
Item
No. 3
Diagnosis
centers/laboratories .
Doctors depend on the
report of tests conducted by the diagnoses centre/ laborites for diagnosis and
to prescribe medicine. it is better that all emergency dispensaries, which may
be opened in all CGHS cities have also
an attached diagnosis centre/Labs. If it is not feasible to do so, the
Government many undertake to recognize reputed private pathological centres and
the bills paid to the laboratories directly by the Government. These recognised
centres may send the report of the test directly to the concerned CGHS doctors,
aso that the patient need not visit the centres twice for undergoing the test
and obtaining the report thereof.
Item
No.4
Government has recognized
various private hospitals in non CGHS areas. The employees and others who work
in non CGHS areas and are covered by CCS (MA) Rules are entitled to get
in-patient treatment at these hospitals. This has helped the employees to get
quick and better treatment and
consequently unburden the Government run hospitals. The CGEs who are CGHS
beneficiaries are often transferred to non CGHS areas. They are per force as
per the present regulation to seek in-patent treatment in those hospital
recognized by Government in CGHS areas. It is our request that those hospitals which are recognized for the purpose
of reimbursement under CCS (MA) Rules at non CGHS centres may also be
recognized for treatment for CGHS beneficiaries, whenever required.
Item
No. 5
Dispensing branded Medicines
The medicines prescribed by Specialists often not available in the dispensary. The
autyhroised chemists are approached through indent and they take a few days tpo
deliver the prescribed medicines. More often they supply substitute
medicines. It is not our points that the
substitutes supplied by the chemist might always be of any lower quality. However the patient
being ignorant of the component and ingredients of the medicine is psychologically
impacted. The authorised chemists must
be instructed that the prescribed branded medicine must be dispensed with and
they should not substitute it with another brand medicine..
Item
No.6
Reconsidering
the norms of appointment of Specialists in major metro cities:
The existing norms for
appointment of Specialists in major metro cities are totally inadequate to
treat the number of patients in CGHS. For example in Chennai City with more
than 1,00,000 CGHS beneficiaries, only one Eye Specialist Doctor is in place.
This Specialist is being rotated between two Centers at K.K.Nagar and Annanagar
Wellness Centers during the week. The eye patients are more in number and the availability of Specialist only on selective
days of the week is causing extreme hardship to senior citizens especially
octogenarians and septuagenarians. It is therefore requested that the norms may
be so amended as number of specialists in a particular city has some
relationship to the No. of registered beneficiaries in that city.
Item
No. 7
Medicines:
Currently in almost all
CGHS centers, the patients are not supplied with all the required medicines
immediately after consulting the Doctors. Even routine medicines like the
tablets for Blood Pressure and Diabetes are not available on the first visit of
the patients. Local Purchase is ordered and the patients are asked to come back
again after three days for those medicines. This is causing unnecessary travel
strain on the aged patients besides the patients remain medicine less for some
days. This condition is prevalent in many States like Tamilnadu, Andhra and
Telangana etc. Therefore we propose that suitable arrangements as in the past
should be made to stock sufficient medicines for supply to the patients on
their first visit to the CGHS Dispensaries. We also would like to point out
that the retired MLAs and M.Ps for whom the medicines to be purchased on local
purchase (LP) are at present sent by Couriers by post. They need not come back
again the next day or later when the LP medicines are ready with the Wellness
Centre. Similar facility may be extended to the Pensioners who are CGHS
beneficiaries but living in far flung
non-CGHS areas so that they get the medicines of local purchase by speed
post.
Item
No.8
Recognizing
referral hospitals and Clinics in all Districts:
CGHS is now opened for
all P&T Pensioners living in non-CGHs areas also. P&T Pensioners are
known to be present and living in all districts of the country. We can
understand that CGHS wellness Centers cannot be opened in all Districts. But
CGHs has a panel of private referral hospitals. Similar is the case with the
Clinics and labs for pathological tests for the beneficiaries. The condition is
that these hospitals and Clinics should agree to charge at the CGHS rates. We
propose that at least one referral hospital and one or two clinics in each
district should be recognized or
approved on certain conditions. This will go a long way to help the Pensioners
to take treatment without straining themselves to undertake a long journey to
reach out the CGHS city for any treatment.
Item
No.9
Lump
sum payment for life termCGHS benefit to be related to the pay drawn at the
time of retirmenet in the case of pensioners.
P&T Pensioners living
in non-CGHS areas were not allowed to join CGHS due to the earlier.. Now after
the recommendations of the 7th CPC and due to Court intervention at
Kerala, the Health Ministry has taken back the earlier prohibition.All the
P&T Pensioners are not permitted to join CGHS. But the question is they are
to remit the subscription at the rate finalized after 7th CPC. The
enhanced rate of subscription is understandable for the serving employees and
the pensioners retiring now after getting higher salaries of 7th
CPC. But fixing the same 7th CPC rates for the past Pensioners
especially those who had retired long back is a bit unjustified. We propose
that the past pensioners as a one-time measure may be permitted to join CGHS on
remittance of lump-sum payment at the rates prevailing in the month in which
the beneficiary retired. .
Item No.10.
Other miscellaneous issues:
(a) The CGHS doctors may be asked to honour the
prescription of the specialist doctors of recognised hospitals;
(b) Explore whether separate queue can be provided for pensioners
at dispensaries.
(c) Facility of lift may be provided in all
dispensaries which are housed in multi-storey buildings.
(d) Introduce the medical insurance scheme for
the Pensioners and working employees residing in non CGHS areas, onthe lines of
the scheme enunciated by the Government of Kerala.
(e) The Additional Directors may be instructed
to hold periodical meetings (say once in three months) with the representatives of CGHS
beneficiaries to resolve the local problems.
(f)
To revise
the package rates immediately as the
prices of certain medicines and procedure charges have increased enormously.
