Jun 19, 2014


Indian Railway

Medical Attendance and Treatment Rules 

 601.  1. The authorised medical officer means  the Railway Medical Officer within whose jurisdiction the Railway employee is headquartered or one who is specifically nominated for the purpose. 
            (Railway Boards letter No.89/H/6-1/dated 10-7-1989) 
Note: (1) The authorised medical officer may as per the requirement of a particular case, refer the case to any other medical officer of the required speciality. 
          (2) The jurisdiction of a Railway Medical Officer will be taken to cover the railway employees and their beneficiaries residing within a radius of 2.5 km. of the hospital/Health Unit/Station of the Railway. 
2.  Medical attendance means:-- 
(a)  Attendance on a railway employee, a member of his family or dependent relatives at the consultation room maintained by the authorised medical officer or any Railway hospital/Health unit. 
(b) If there is no such consultation room/health unit/hospital, then attendance in any railway hospital/health unit/dispensary to which the railway employee or a member of his family or dependent relatives, is referred to by the authorized medical officer.
(c)   Attendance on a railway employee at his  residence. 
(d)  Such pathological, bacteriological, other tests etc. or other methods of examination for the purpose of diagnosis and treatment as are available in any Railway Hospital and are considered necessary by the authorised medical officer. 
Note:  When such facilities are not available in the Railway hospital, then such examination may be conducted in any Government or recognized hospitals (Government hospitals include hospitals run by local bodies), at the instance of the authorised medical officer.  State Governments where agreeable, should debit the cost of treatment to the Railway administration concerned, preferring bills or raising debits in such cases.  Otherwise reimbursement to railway employees concerned, would be permissible as per rules.  Reimbursement of claims on account of such investigations even at non recognised institutions may be decided by the General Manager in consultation with FA & CAO, provided these were done at the instance of the authorised medical officer and the amount involved does not exceed Rs.1000/- per case. 
(e)  Such consultation with a specialist or other medical officer in the service of Government, stationed at places served by the Railway administration as the authorized medical officer with the approval of Chief Medical Director, certifies to be necessary to such extent and only in such measure as the specialist or the Medical officer may, in consultation with the authorised medical officer determine.  
Note : A patient should not be referred to 
(i)         a specialist or a medical  officer not in service of Government. 
(ii)       a specialist or medical officer  in the service of Government but posted outside the place served by the Railway. 
(f)   Consultation with specialists or other medical officer means taking advice on the line of treatment and management but not treatment by the Consultant. 
(g) If the authorised medical officer feels that the patients  condition is of a serious nature as to  require medical attendance by some person other than himself, with the approval of the Chief Medical Director of the Railway (which shall be obtained before hand) unless the delay entails serious danger to the health of the patient: 
(i)   send the patient to the nearest specialist or medical officer by whom, in his opinion medical attendance is considered necessary for the patient, or 
(ii)  if the patient is too ill, request such specialist or medical officer to attend the patient. 
(h)  A specialist or medical officer summoned as above, on production of a certificate by the authorised medical officer on this behalf, will be entitled to travelling allowance as admissible to him under the rules applicable to him.  
(i)   Honorary specialists attached to Government hospitals or recognised hospitals, may be considered as Government specialists for the purpose of this sub-para, subject to the condition that such consultation will be permissible only in places where Government specialists are not available and is only on the advice of the authorised medical officer with prior approval of the CMD.  The fees paid to Honorary consultants for consultation at their private consulting rooms will be reimbursed to the railway employees in accordance with the rates prescribed for Government specialists.  Consultation with honorary specialists at their consultation room will be permissible only in emergent cases.  
3. A. Treatment means
(a) Use of all medical and surgical facilities available at railway hospitals/health units or consultation room of the authorized medical officer. 
(b) The employment of such pathological, bacteriological, radiologic al and other investigations as are considered necessary by the authorised medical officer. 
(c)  Supply of such medicines, vaccines, sera, as are ordinarily stocked in the hospital. 
(d) The supply of such medicines, sera etc. not ordinarily stocked which the authorised medical officer may certify in writing to be essential for the recovery or for the prevention  of serious deterioration, in the condition of the patient. 
(e) Such  accommodation  as is ordinarily provided in the hospital, suited to the status of the railway employee concerned.   If accommodation suited to the status is not available, accommodation of a higher class may be allowed provided it can be certified by the medical officer incharge of the Government recognized hospital  that:-- 
(i)   that accommodation of the appropriate class was not available at the time of admission of the patient, or if subsequently available , the condition of the patient did not permit shifting; and   
(ii)  that the admission of the patient into the hospital could not be delayed due to the nature of illness until accommodation of the appropriate class became available. 
(f)   such nursing as is ordinarily provided to in-patients by the Hospital (engagement of special nurses will be allowed to the extent indicated  in sub-section 3 of Section 3 of this Chapter).
(g)    the specialist consultation as described above.
(h)  confinement in the case of a female  railway employee or a dependent female member of a railway employees family. 
(i)   pre-natal and post-natal treatment received before and after child birth for physiological or other disability attributable to child bearing or child birth.  
(j)   sterilization irrespective of the fact whether it is intended to serve as a measure of family limitation. 
----reimbursement of medical expenses for sterility per-se.
(Railway Boards letter No. 86/H/6-4/58 dated 21-12-88) 
----re-canalisation in case of loss of child. 
(k)  termination of pregnancy under the Medical Termination of Pregnancy Act 1971 and Medical Termination of Pregnancy Rules 1972. 
(l)    Anti-rabic treatment.  
(m) Shifting of the patient for treatment, or for examination from residence to a hospital, or from one hospital to another hospital, in an ambulance belonging to the Railway or Government or a local authority etc. 
Note: (1) If an ambulance cannot be pressed into service to attend on an exceptionally emergent cases, alternative arrangement of taxi or other  suitable and available transport vehicle should be made to ensure prompt transport.  The payments that may be involved in such case can be made out of contingencies. These powers may be delegated to ADMOs. However, where public transport facilities are hired, , these should be reviewed by the comptent higher authority .
(2)  In exceptional cases when the patients are not fit to resume duty but are discharged from Hospital as amputation, convalescent cases recommended sick leave, Fracture cases with application of plaster of paris etc.  with the specific approval in writing of the medical officer, in- charge of the hospital, the facility of transporting patients to their residence in an ambulance may also be allowed free of cost. 
(n)  Blood transfusion charges paid to a Government institution or any other local organisation recognised by the State Government for the supply of blood to patients in hospital. 
Note: (i) There is no objection to the purchase of blood plasma from a chemist or to obtain  blood from a private donor, provided the authorised medical officer certifies in writing that it was not available in Government /recognised institution and the price paid for the blood was reasonable.  In such cases reimbursement of the charges will be admissible. 
(o)    Free diet to the extent indicated in sub-section 2 of Section C of this chapter. 
B.  It does not include: 
(a)    Dental treatment or the supply of artificial denture except to the extent indicated in para 608 of this chapter. 
(b)    Massage treatment except that in the case of poliomyelitis, which may be allowed as part of the general treatment. 
(c)    Testing of eye-site for glasses except at Railway Hospital where facilities exist for the same. 

Change in train services

Between June 21 and July 14

In order to facilitate track maintenance work in Tirunelveli – Vaanchi Maniyachi section, the following change in the pattern of train services will be made on all Saturdays, Sundays, Mondays and Wednesdays between June 21 and July 14.

A statement said train number 56764 / 56765 Tiruchendur - Tirunelveli – Tiruchendur Passenger will be fully cancelled on all Saturdays, Sundays, Mondays and Wednesdays. Train number 56769 Palani - Tiruchendur Passenger will be regulated at Vaanchi Maniyachi and arrive at Tirunelveli Junction at 5 p.m. instead of 2 p.m. on all Saturdays, Sundays, Mondays and Wednesdays.

Train number 22628 Tirunelveli - Tiruchi Intercity Express will be rescheduled to leave Tirunelveli at 4 p.m. instead of 2.15 p.m. and will reach Tiruchi at 9.45 p.m. instead of 8 p.m. on all Saturdays, Sundays, Mondays and Wednesdays.

Train traffic disrupted

A defunct signal disrupted train traffic at Tirunelveli Railway Junction for nearly two hours on Wednesday.

Sources said one of the signals on the southern side of the junction became defunct around 4 p.m. after a cable got disconnected accidentally. Consequently, the Nagercoil – Bangalore Express train, which had to arrive at Tirunelveli Junction at 5.30 p.m., and the Shencottai – Tirunelveli Passenger Train, were stopped outside the junction.

After the problem was rectified around 6.45 p.m., the Shencottai – Tirunelveli Passenger entered the junction at 6.50 p.m. and the Bangalore-bound train at 7 p.m.

Train halt

The experimental stoppages provided for Train No.56721/56722 Madurai-Rameswaram-Madurai passenger at Silaiman, Rajagambhiram, Sudiyur, Sattirakkudi, Valantaravai, Uchippuli and Mandapam Camp stations will be made permanent with effect from July 1, 2014.


Panel soon on metro rail

A committee of technical experts that included experts from Delhi Metro will be formed to study the feasibility report of metro rail corridors and finalise the detailed project report.

The committee will take into consideration the views of local Ministers and people’s representatives and will finalise the report with their consent.

Municipal Commissioner M. V. Satyanarayana made a presentation at a high-level meeting presided over by Secretary, Union Urban Development, D Sudheer Krishna, on the Metro rail project at Vijayawada on Wednesday.

The GVMC called for global tenders last month for a consultancy and June 30 was the last date for submission. At a pre-bid meeting on June 1, 14 companies had participated and raised a few issues.

In his presentation, Mr. Satyanarayana detailed the present transport facilities, traffic density, pollution, the need for Metro rail, feasibility studies etc.

Mr. Sudheer Krishna wanted cities implementing theJNNURM to complete the pending works at the earliest. Stating that Visakhapatnam was one of the 13 cities selected for Urban Sanitation Plan, he stressed the need for another survey on the slums in the city.


Metro rail project plans gain momentum in A.P.

The Central government is keen on implementing metro rail project in the State. Visakhapatnam, Vijayawada, Guntur, Tenali are being considered for the metro rail project, according to Union Urban Development Ministry Secretary Sudhir Krishna. Dr. Krishna and his team visited Vijayawada, Guntur and Tenali on Wednesday.Dr. Krishna said the metro rail would be a circuit transport system which would connect Vijayawada, Guntur and Tenali cities. The project could be completed in 3 to 4 years covering a distance 20 to 25 km. “The government, however, is asked to explore other means of mass transport like ‘mono rail’, Bus Rapid Transit System (BRTS) and tramways. The State government shall prepare a feasibility report. The Centre would extend financial support based on the project’s feasibility,” he said.The idea was to provide mass transport system in the cities to ease the ever-growing traffic. The metro rail would stop at every 1-km. “In fact, the metro rail concept was incorporated in AP Reorganisation Act. So, we are studying the feasibility,” he said. Vijayawada, Guntur, Tenali, Mangalagiri Urban Development Authority (VGTMUDA) made a presentation that the region would have a population of 1.11 crore by 2031. Formation of State capital and setting up of other institutions would generate a multi-fold demand for mass transit system.

There was a need to develop separate metro corridors to ease traffic in the city and increase mobility.





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