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New rules soon to govern govt doctors, hospitals
http://timesofindia.indiatimes.com/Cities/Chennai/New_rules_soon_to_govern_govt_doctors_hospitals/articleshow/3786289.cms
Doctors in government hospitals will no more be allowed to walk in late or leave home early without recording their ‘in' and ‘out'
time.
The health department is even considering introduction of bio-attendance, where doctors will have to swipe in and out of the hospital with their fingerprints. The system could come into effect by January 2009.
After monitoring doctors' attendance registers in government hospitals across the state, the director of medical education decided to fix work calendars. At least 30% of the doctors, including some senior doctors, were not in the hospital even during out-patient hours, though most of them were signed in.
"We allow all doctors working in government hospitals to continue with their private practice. But nothing should come in way of their work here when they are supposed to be here. While most doctors sign in, we don't even know when they sign out. We understand the demand for them is high even in the private sector, but there has to be a system in place," said director of medical education Dr S Vinayagam.
Schedules for every doctor, finalised during department meetings, will require them to prepare for research projects, guide medicos and fill online forms for drug, antibiotic, death, infections, ethical and purchase audits, besides attending to patients and lecturing students. The facility will make such information available to members of the public.
The directorate, which has been insisting on death audits also found an increase in ‘discharged against medical advices'. "Now, we have decided to bring that too under audit," said Dr Vinayagam on Monday after a meeting he convened with senior health department officials.
It was decided that the hospital standing orders - a book of all government orders until 1956 - which continues to be the rule book for all government hospitals would be revised. "Some of the orders are as old as 1930. It makes no sense to follow them today. For instance, the head of an institution is permitted to use only Rs 500 a day for buying emergency medicines or equipment. That is hardly anything today," he said.
Besides, it would be made mandatory for departments to work on research- epidemiological or medical - and guide medicos into newer areas of research. "The deans would be empowered to approve funds for these projects," the DME said.
While deans, senior doctors and heads of departments are excited about the proposals, associations were hesitant.
"We don't disagree with the need to bring in new rules to bring in more disciple and better work culture. It's true that quality of care or treatment at government sector is not on a par with the private sector. It's also true that we don't have many research papers to boast of, said Dr Dinakar Moses, vice-president of the city wing of the Tamil Nadu government doctors' association.
"But if we must bring in the same quality of work we offer in the private sector, we would need more infrastructure and pay," he added.
Tamil Nadu Government Doctors Association (TNGDA) Official eLibrary: Agreed Decisions of the Meeting held between representatives of Tamil Nadu Govern
>> Monday, July 6, 2009
Tamil Nadu Government Doctors Association (TNGDA) Official eLibrary: Agreed Decisions of the Meeting held between representatives of Tamil Nadu GovernmentDoctors Association and the Government
Please note : We will upload a copy with better clarity as soon as possible. In case any one of you have a copy, please scan and send to us
Token Strike Withdrawn !!
>> Sunday, July 5, 2009
Message from State Secretary
Friends, Strike Called Off. Action Committee consulted. Deal
- Time Bound Promotion in 8, 15, 20 years
- PB 4 in 20 years
- PHC Allowance, Rare Speciality Allowance, Duty, Call Duty Allowance, Teaching, Court Allowance Hiked
- VRS for Selectg Speciality
- BMO SCS restored State Secretary
State SecretaryRead more...
Frequently asked Questions on Private Practice
>> Sunday, June 28, 2009
Frequently asked Questions on Private Practice
TAMILNADU GOVERNMENT DOCTORS’ ASSOCIATION
State Office: 208, DAS Quarters, Govt. Rajaji Hospital, Madurai
14th June 2009PRIVATE PRACTICE
What is the choice of the TNGDA if the government bargains the private practice with central pay?
The central pay cannot be bargained for the central parity, but it can be bargained only with NON PRACTICING ALLOWANCE (NPA). The NPA given to central doctors is 30% of basic pay and it will be calculated for DA.With central parity, this NPA will vary from Rs 10000 to 25000 for various grades of doctors. The total extra expenditure will work out to about 80 crores per annum to the govt.
What is the choice of the TNGDA if the government bargains the private practice with NPA?
The TNGDA will choose NPA, if compelled.
But, very unlikely for the following reasons…
- the govt. or the public will not benefit in any way – already the duty timings are more than prescribed for any govt. servant.
- NPA cost will be about Rs 80 crores per annum.
- Almost all the states permit private practice as it benefits the public.
What if govt. bans Private Practice?
- Very unlikely. Especially with a people friendly CM and govt.
- Please see the disadvantages given below.
- No advantage to public or govt.
- In case if PP is banned, we would gain central pay + NPA.
- It will be easy for TNGDA to persuade govt. to repeal ban in a year or two - as it wont cost any financial burden.
- Even during the ban, in evitable practice, due to patients’ compulsion cannot be stopped. If at all any action is tajen it can be done only on conduct rules. (this will be dropped once the ban is repealed)
- Repeal will be natural – in the capitalist economy, also in public interest, pressure of the association. Similar repal was done three years back in Andhra after a ban of about 1 year.
What are the disadvantages of banning private practice?
- Among the total actively practicing 40000 doctors in TN, about 12000 are in govt. service ie about 1/3rd of the total doctors. Ban will deprive the public of the private services of every third doctor. The demand will up and will be the cost – directly affecting the public.
- About 60% of the specialists in TN are in govt. service. Ban will restrict access to the remaining 40% - again increasing the cost. (among the 40% - 10 % are in corporate sector)
- 70% among the rurally practicing (baring the bigger towns) doctors, are govt. doctors. Ban will increase the suffering of the poor rural public.
- Already doctors are reluctant to join service in interior PHCs and difficult terrains. Ban will aggravate this situation.
- Above all – ban will force all the talented hands to leave the govt. service. Almost all super specialist and other specialists with good private practice will quit service. The quality of govt. institutions will go down.
Is the argument that banning Private Practice will raise the concentration of doctors to serve the public?
No. the earnestness and serving nature is individualized. Except a few, almost all doctors work with passion and sincerity. But the exorbitant load of patients – mask it and the stress shows off.
Even the UNIVERSITY GRANTS COMMISSION since this year has liberalized and has permitted all the college teachers to take up “Private Consultancy Assignments” – vide the UGC – Pay Review Committee Report of 2008. It justifies saying that such assignments will help community to augment their educational quality.
Is it possible that awarding UGC scales, increase the duty timings in DME side?
No. The UGC permits 10 weeks vacation to the teachers. Vacation to certain npn-clinical departments possible. Already they work on par with other college teachers.
In the clinical side, vacation is not possible. So, titrating the 10 weeks vacation and the 24 hours stay duties; the existing timings is already more than the stipulate 30 hours a week norms of UGC.
State Secretary
TIPS AND DIRECTIONS ON TNGDA AGITATIONS:
TIPS AND DIRECTIONS ON TNGDA AGITATIONS:
FROM 30.6.2009: PROPOSED INDEFINITE BOYCOTT OF PROGRAMMES
DONT’S
- Not to organize or attend VKT camps
- No disability or any other medical camps
- No meetings to be attended or conducted (including PHC review meetings)
- No trainings – as trainer or trainee
- No classes – clinicals, theory, lab, exams, CME, all academic activities for UG/ PG students, medical officers, nurses or any categories (including HIV lectures etc)
- No MCI inspection – either in their or on deputation
- No medical board
- No VIP duty
- No medical/ health check-ups
- No medical certificates/ physical fitness/ age certificate/ wound certificates/ PM certificates
DO’s
- All VKT MOs to attend work @ their parent institution.
- FW camps and elective surgeries will be done.
ON 6.7.2009 : ONE DAY STATE WIDE TOKEN STRIKE
DON’T’S
ALL INSTITUTIONS (EXCEPT Dist HQ and Medical College hospitals):-
- All work in these institutions will be stopped.
- All professors, directors, associate professors, assistant professors, tutors, assistant surgeon, sr. assistant surgeons , civil surgeons, Sr civil surgeons, medical officers , ARMOs – these cadres working in PHCs, ESI dispensaries, taluk and non-taluk hospitals, medical colleges and attached hospitals, other dispensaries, deputation duties in social welfare dept, school health, ICDS, Jail etc will join strike.
- Doctors working (including hospital heads) to simply abstain and switch off their mobiles from 7 am on 6.7.2009 to 7am on 7.7.2009.
- INCLUDES ALL SCS (including Chief MO of taluk, non taluk, ESI dispensaries)
- Includes 10a1 doctors in CEmONC, PHCs, GH, Mobile doctors and those in clinical, non clinical and non-teaching departments of medical colleges.
- Life Saving services only will be provided.
- No AR entries (except for life threatening cases and mass casualties)
- No post mortems
- No OPD
- No ward rounds
- No deliveries
- No elective surgeries
DO’S
- Life saving services in District HQ Hospitals will be maintained by 1 general duty doctor and 1 OG doctor (preferably active members) and an office bearer to actively advise and support them.
- They will not sign attendance register but write case sheets and AR entry to cases whose life is in danger.
- They will attend cases in the wards/ labour ward / ICU (choose wards/ examination rooms away from casualty / OPD)
- AVOID ATTEND CASES IN CASUALTY
- Write notes to all death or serious cases.
- Life saving services only will be provided.
- No AR entries (except for life threatening cases and mass casualties)
- No post mortems
- No OPD
- No ward rounds
- No deliveries
- No elective surgeries
- Life saving services will be maintained by 1 DAP, 1 DAS, 1 DAA, 1 DAPP, 1 DAOA (preferably active members) and an office bearer to actively advise and support them. (Call for DANS or DATS only in imminent cases that too after CT Brain or CT chest)
- They will not sign attendance register but write case sheets and AR entry to cases whose life is in danger.
- They will attend cases in the wards/ labour ward / ICU (choose wards/ examination rooms away from casualty / OPD)
- AVOID ATTENDING CASES IN CASUALTY
- Write notes to all death or serious cases.
Any doubt feel free to contact State Secretary or State President 94431 30399.
UNITY IS STRENGTH.
State Secretary
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