Health Care Delivery System
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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. Creatinie, SGOT, SGPT, simple X-rays, etc. from outside. ECG is done by in house system. This has given following advantages:
a) Taken away the harassment faced by Railway employees being referred to Railway Hospitals for routine investigations.
b) Many important diseases which were earlier remained undiagnosed, now they are being diagnosed. Many cases of T.B., Diabetes, IHD has been diagnosed. In future we will try to reduce the K.M. from 75 KM 25 KM so that more health units can be given these powers.
1.2 Road side Mobile Medical Van:
Railway doctors will be covering each wayside station in the jurisdiction of his line section at least twice a week and provide medical services at their residential place only. Presently this is a pilot project done in one HU each in all 16 zonal railways.
Following Services are to be provided.
a) Consultancy services.
b) Distribution of Medicine.
c) For those Health Units located beyond 75 KM away will be able to get common investigations done.
d) Immunization programme.
e) Maternity & child health programme.
f) Community based medicine.
g) Periodical – specialist services.
h) Health Education
i) Specific therapy like DOTS etc. can be given.
If the pilot project is being found suitable it will be extended to other health units.
1.3 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.14000/- pm and Rs.7000/- pm for coming to Railway Hospital 6 days/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.
1.4 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 Railway Hospitals.
1.5 To make anesthetic available, their rate of payment for their professional services has been increased. For Railway hospitals with number of doctor’s post 9 or below anesthetic can be called without having a regular post of anesthetic in that Railway Hospital
1.6 To provide better Ayurvedic & Homeopathic treatment in Railway Hospital following important changes done.
a) Revised up word remuneration for Ayurvedic and homeopathic doctors
| Duty | Earlier | Revised |
| For 4 hrs/day | Rs.4000/- pm | Rs.7000/- pm |
| For 8 hrs/day | Rs.6000/- pm | Rs.10000/- pm |
b) Money available for purchase of medicine has been revised up word
| Type | Earlier | Revised |
| For Ayurveda Clinic | Rs.2000/- pm | Rs.6000/- pm |
| For Homeopathy Clinic | Rs.500/- pm | Rs.12000/- pm |
1.7 To keep CMP (Contract Medical Practitioners) in Railway services their remuneration has been revised up wards from Rs.13000/- pm to Rs.22000/- pm. By this now most of the posts of Medical officers are being kept filled up.
1.8 Vacant Group’C’ technical posts:
Vacant 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. Sanctions given in Works Programme over last 2 years
2.1 Sanction of new Railway Hospitals
a) Central Hospital/ECR/Patna for Rs.36.33 crore
b) Divisional Hospital/Agra/NCR for Rs.3 crore
c) Divisional Hospital/Raipur/SECR for Rs.2.5 crore.
d) Divisional Hospital/Nanded/SCR for Rs. 3 crore.
2.2 Extension Programme of Existing Railway Hospital:
a) Mancheswar Hospital/ Bhubneswar to Central Hospital/ ECOR for Rs.1.5 crore.
b) Railway Hospital/Bilaspur/SECR for Rs.4 crore.
c) Railway Hospital/Allahabad/NCR for Rs. 4 crore.
d) Railway Hospital/Jabalpur/WCR for Rs.6 crore.
e) Railway Hospital/Hubli/SWR for Rs.1.5 crore
f) Eastern Railway B.R. Singh Hosptial/Kolkata for Rs.23 crore
3) Further schemes which are underconsideration:
There are many more schemes which are under examination at various stages. Indian Railway Medical Sub centre to provide relief to retired people settled in IRWO Flats & other private apartments, to develop joint venture with partnership with private party etc. are some of them.
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Dr. Aniruth, Delhi
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