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Charter of
demands of Orissa Medical Services (OMS) Cadre doctors
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1.
Scale of pay :-
Should be Rs.12000 – 365 -16500 at entry level to
Govt. service.
Justification: –
The present scale of pay Rs.6500– 10500/- and Class-II Status at the
point of entry to Govt. service hasnot been able to attract the fresh
medical graduates to join Orissa Medical Services Cadre (OMS Cadre).
Therefore, vacancies at base level are increasing day-by-day. Young
doctors of the state are finding OMS Cadre service as unattractive and
are preferring to join Health Services of other states and Central
Govt. organizations for better pay and promotion.
Always the doctors are given higher scale of pay than others at entry
level for their higher educational qualification, long duration of
study up to 9 years and their hazardous nature of job requiring utmost
skill, care and concentration.
Before joining to OMS Cadre, the doctors have to appear in three
competitive examinations – one for entry to medical colleges, one for
entry to PG studies and one to appear for the PSC.
Many states in India like West Bengal, Uttar Pradesh, Tamil Nadu,
Gujarat, Uttaranchal and Manipur are giving the scale of pay of
Rs.8000 – 13500/- and Jr. Class-I Status to their doctors at entry
level to Govt. service (Photocopies enclosed). Andhra Pradesh -
Rs.11715 - 23550/-.
OMS Cadre doctors carry a heavy work burden in implementing number of
National Health Programs besides conducting Post-mortem, Medico-legal
cases, attending V.I.P. and Protocol duty, doing food- testing for
V.I.P.s and V.V.I.P.s along with their routine duties and emergencies.
Deputy Superintendent of Police of the state, were once recruited
directly as Class-II officers along with OMS Cadre of doctors and
other Class-II category officers of the state. Their recruitment was
made directly to Jr. Class-I from the beginning by the State Govt.,
not in the distant past.
Medical College teachers, Govt. College lecturers and Judiciary, once
were
recruited at entry level as Class-II officers are now recruited as Jr.
Class–I having higher scale of pay and better promotional avenues.
OAS Cadre has now higher scale of pay with two increments at the
beginning with better promotional avenues culminating in number of
Special Secretary posts whereas OMS Cadre culminates in only one
Additional Secretary (Technical) post.
2. Promotion: -
Time-scale promotion at 7th, 15th and 20th years of service with
upgradation of the post held by the incumbent along with promotion to
get uninterrupted service at their place of posting.
Justification: -
At present to a cadre strength of 3453 Class-II Medical Officers,
posts available for next promotion to Jr. Class-I is only 485, which
is less than 14% resulting in a medical officer getting the first
promotion after 26-28 years of service thereby rendering the CCRs of
first 21 yrs of service meaningless and putting a question mark on
their accountability. Even many medical officers have retired without
a single promotion during their service career.
3. Pension: -
Full pension after 28 years of qualifying service.
Justification: -
Late entry into service, due to longer duration of study, not able to
complete 33 yrs of service to qualify for full pension.
4. Specialist allowance:-
30% of the basic pay.
Justification: -
From a meagre Rs.5/- per day as Specialist allowance, association
suggests to enhance it to 30% of the basic pay or Rs.3000/- per month
as for the duty as a Specialist works round the clock throughout the
year.
5. Post-mortem and
Medico-legal allowances: -
Post-mortem allowance of Rs.500/- per case and Medico-legal allowance
of Rs.150/- per case. Formulation of guidelines to conduct Post-mortem
with adequate infrastructure facility at all Post-mortem centers of
the state.
Justification: -
The primary job of a doctor is to treat a living person and impart
health
education, take preventive and containment measures. Post-mortem and
Medico-legal allowances were given to doctors since British period as
this is considered as Additional work.
6. To provide facility for
In-service Post Graduate study from State Quota PG seats to all OMS
Cadre doctors based on seniority and marks obtained during M.B.B.S.
career: -
Justification: -
This is another major attraction for fresh medical graduates to join
Govt. service (OMS Cadre) besides Pay, Promotion and Pension. Majority
of the direct entry PG holders are leaving the state for higher pay
and better promotional avenues. In-service OMS Cadre doctors will not
leave the State Govt. service, as they will be over aged for jobs
outside the state after their completion of PG studies.
7. Cluster quarters for
OMS Cadre doctors at PHC in Block Head-Quarters: -
Justification: -
All “single doctor health institutions” should be declared as “Day
Time” health institutions and all the doctors should be allowed to
stay at Block Head-Quarter, which is the nearest referral center after
OPD hours, to strengthen the health delivery system at Block level and
prevent absenteeism at “single doctor health institution” for lack of
habitable quarter facility and educational facility for their
children.
8. Provision for Two-tier
Specialist service in Sub-Division Hospitals and Three-tier Specialist
service in District Head-Quarter Hospitals for the people of the
state:-
Justification: -
This will give relief to the Specialists from their busy round the
clock working schedule throughout the year and quality Specialist
service will be made available round the clock to the people of the
state.
9. Duty hours – 8 hours a
day (Full 8 hours emergency duty or 6 hours normal duty & 2 hours
emergency duty):-
Justification: -
The above pattern of duty hours will lessen the stress on a doctor and
allow him/her to manage and treat the patients with required skill,
care and concentration.
10. Director of State
Institute of Health & F.W. post should be awarded to OMS Cadre:-
Justification: -
The institution was primarily built to impart education and training
to doctors to manage efficiently health delivery system in a rural
setup. Unfortunately persons from medical college cadre, not
conversant with field realities are entrusted with the task of
planning, implementing mass media activities throughout the state and
are becoming the controlling authority of the I.E.C. Personnel working
in the field thereby directly or indirectly controlling the CDMOs.
Therefore, a person from OMS Cadre having requisite knowledge and
experience should be given the job to achieve the desired result for
which the institution was built.
11. Doctors of OMS Cadre
to be posted as Deputy Secretary, Joint Secretary, Additional
Secretary, Special Secretary and Secretary Health in Health
Secretariat for better management of the grievances of the cadre: -
Justification: -
It is long felt that the technical people having field experience and
the
feeling of the pulse of the cadre can better manage the grievances of
a
technical work force with a vision and promptness.
12. Transfer and posting
policy based on seniority, gradation of Health Institutions and
educational facility: -
Gradation of health institutions into categories like A (consisting
Capital Hospital, Bhubaneswar; Rourkela Govt. Hospital; City Hospital,
Cuttack and Berhampur; DHH. Puri, Balasore & Sambalpur), B (consisting
of all other District Head-Quarter Hospitals), C (consisting of all
Sub-Divisional Hospitals), D (consisting of all Block Head-Quarter
PHCs, CHCs, Area Hospitals), E (consisting of all PHC (New) in
accessible coastal area and PHC (New) in inaccessible coastal & tribal
area) with minimum three to five years of posting at each level
starting from E -- level Health Institution to A -- level Health
Institutions on rotation basis to three RDC zones depending on the
availability of accommodation, communication and educational facility.
Justification: -
This will allow the doctor to exercise his/her options of posting in a
place of choice and plan in advance and get prepared mentally and
financially for transfer.
13. Minimum transfer
during transfer session and no mid-session transfer
except transfer on administrative ground and on promotion: -
Justification: -
Mass transfer during transfer session throws the whole health delivery
system out of track, forcing many to remain on leave thereby
jeopardizing the health delivery system and tax the State Ex-Chequer
heavily (Transfer T.A.). Mid-session transfer without promotion or
administrative ground puts a doctor in an uncomfortable and unpleasant
position: mentally, physically and financially and thus the education
of their children suffers.
14. Separation of the OMS
Cadre into administrative and clinical cadre: -
Justification: -
For better management of Rural based Health Delivery System, the
option of
choosing administrative or clinical cadre should be made available at
the entry level to the Govt. service. Those who choose administrative
cadre should be given proper training in all aspects of health
administration and they should continue as health managers or
administrators in the system. Those who choose clinical side should
continue as Specialists in treating line so that the people of the
state get benefit of their expertise and experience uninterruptedly.
15. CCR of Chief District
Medical Officers should be written by Director of
Health Services or Director General of Health Services (to unite all
Directorate, if created) as is the practice in Police Department:-
Justification: -
A technical head is better equipped and hence more appropriate
authority to write the CCRs of the technical persons without any
prejudice.
16. Protocol of DHS, DFW,
Orissa and CDMOs to be revised and upgraded: -
At present protocol of DHS, DFW, Orissa is equivalent to a Joint
Secretary to the Govt. and CDMOs are equivalent to Under-secretary to
the Govt. Association demands the post of DHS, DFW, Orissa
should be made equal to Additional Secretary to the Govt. and CDMOs to
be equal to the Joint Secretary to the Govt.
Justification: -
DHS and DFW are the heads of department and their salary and status
are now equal to Additional Secretary to the Govt. CDMOs are now
in the rank of Joint Directors having salary and status equivalent to
Joint Secretary to the Govt.
17. Revocation of suspension order of 3 doctors of DHH Jajpur
suspended in case of coducting post-mortem and identification of
unidentified dead bodies of Kalinga Nagar incident and other suspended
doctors who were not called
for an explanation as per the government norms.
18. Security to OMS Cadre
doctors at work place in face of rise in number of attacks on them, on
their kith & kin and on their property in recent years:-
Justification: -
To work with necessary skill, care and concentration, a doctor has to
be provided with a peaceful atmosphere devoid of any unwanted external
interference to do full justice to the patients in a life and death
situation. Permanent Police Out-posts and 24 hrs ex-service personnel
security needed in all District and Sub-Divisional Hospitals, Capital
Hospital and Rourkela Govt. Hospital to counter such menace
effectively. Steps should be taken to insure the belongings of a
doctor at the place of posting. Govt. is requested to come out with a
press-note denouncing such attacks and make an appeal to the people
not to take law into their own hands.
19. Land for OMSA Office (OMSA
Bhawan) at Bhubaneswar: - Plot in exchange of plot
Justification: -
This association of noble professionals has its existence since 1946
(pre-independence) and was without a plot of land in Bhubaneswar for
running their Head-office since then. Only few years back, Govt. of
Orissa allotted a small plot of land at an inconspicuous place with a
premium which association purchased reluctantly while other
associations have been allotted much bigger chunk of land for their
Head-office at Bhubaneswar at a lower price.
After much persuasions by the association, the Govt. was pleased to
allot a small piece of land opposite Capital hospital, Bhubaneswar at
a much higher premium which association feels not proper as the Govt.
should have allotted the present plot in exchange of that previous
plot without charging higher premium. The appeal of the association in
this regard is lying in GA Department since last two years. It is to
be mentioned that the association has deposited Rs.2 lacs in the Govt.
treasury for advance possession of the present plot.
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