Ministry of Railways (Railway Board)

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Health

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HIGHLIGHTS

ORGANISATION

Aims&Objectives

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List of Private Empanelled Hospitals as on 20.09.2018

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Mission Statement

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Health Care Delivery System

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Jansankhya Sthirata Kosh

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Roll out of Pandemic H1N1 Vaccine

ORGANISATION

1.1Headquarter of Indian Railways is in Railway Board.Health Directorate of Railway Board controls and supervises Medical Department of Indian Railways.

1.2 Indian Railways are divided into 16 zonal Railways. Each zone is under administrative control of Chief Medical Director (CMD) of the Zonal Railways.

In addition Technical & advices given to:

- Sr. Professor/ Railway Staff College , Vadodara.

- Chief Medical Officer/Konkan Railway

1.1 Health Directorate/Railway Board/New Delhi

Sr.	Design.	Name	Telephone Nos.		Fax No.	E-Mail Address
			Telephone Nos.
No.			Rly.	P & T
1	DG/RHS	Dr. Anil Kumar	43799	233 83638	23383638	dgrhs@rb.railnet.gov.in
1.1	Sr. PPS	Ms. Manmohan Kaur	43463			ppsdgrhs@rb.railnet.gov.in
1.2	PS	Ms Anita Seth	43463
2	Advisor		43739		23389623	edhp@rb.railnet.gov.in
2.1	PS	Ms Madhu Sharma	43739
3	ED/Health(General)	Dr.Amitava Dutta	43717		23386882	edh@rb.railnet.gov.in
3.1	PS	Ms. Mamta Thakur	43717
4	Director/H & FW	Dr. Arun Gupta	43395	7	23388373	dhfw@rb.railnet.gov.in
4.1	PA	Ms. Vandana	43395
5	Director/ Ind.Health	Dr. Praval Pant	43479	23384370		dih@rb.railnet.gov.in
5.1	PA	Mr. Anil Bhatt	43479
6	JD/Health-II	Mr. R.S. Shukla	43779
7	DD/Health&FW	Ms. H. K. Sanhotra	44135
8	SO/H&FW		43653
9	SO/Health	Shri K.K. Sharma	43779
10	HEO/Health-II	Shri Prashant Tiwari	43553

Aims&Objectives

Indian Railway Health Care delivery System has to perform following two important functions:

1.1 Functions related to Industrial Medicine

1.2 Functions related to Medical treatment to Railway beneficiaries

1.1Functions related to Industrial Medicine:

a) To attend Railway accident & other untoward incidences.

b) To provide emergency medical treatment to traveling sick passengers

c) Pre employment Medical examination to allow only fit & suitable candidates to join the services.

d) PME (Periodical Medical Examination) of serving employees to allow fit person to continue in those jobs which are related to safe running of the train.

e) Medical Boards & other medical certification of serving employees.

f) Control on loss of mandays on account of sickness (both normal & HOD). It is kept under control by medical officers.

g) Safe water supply at Railway Station:

A constant vigil is maintained to check on quality of drinking water made available at Railway Stations.

There is a well laid down system of reporting and to take corrective measures for unsatisfactory reports.

h) Safe food supply at Railway stations:

Following activities are undertaken to ensure safe food supply at Railway station.

a) Regular inspection of kitchen & food stalls.

b) Regular health check up of food handlers.

c) Collection of food samples under PFA Act.

d) Collection of food samples under quality control system.

i) Ensuring Factory Act:

Medical first aid posts are provided to all factories of Indian Railways (there are 84 such factories) as per Factory Act.

j) Workman Compensation Act:

Activities related to WCA is under taken on regular basis.

k) Certification of dead bodies at Railway Station, Railway Yards, Railway line, etc. is being done on regular basis.

l) Certification of perishable good in Railway Station about their disposal is done as and when required.

1.2 Functions related to Medical treatment to Railway beneficiaries:

Total comprehensive Medical treatment is provided by Indian Railway Medical Department.

A. Curative health care.

A.1 Primary level

A.2 Secondary level

A.3 Tertiary level

B. Preventive health care

C. Promotive health care

Indian Railway health care delivery system is providing Industrial medicine as per the need of the Indian Railway and also providing medical treatment to Railway beneficiaries.

The system is a dynamic system which makes suitable changes in proper time to provide proper medical treatment to Railway beneficiaries

Mission Statement

TOTAL
PATIENT SATISFACTION
Through
HUMANE APPROACH
&
SHARED COMMITMENT
of
EVERY SINGLE DOCTOR
&
PARAMEDIC
to Provide
QUALITY HEALTH CARE
Using
MODERN & COST EFFECTIVE TECHNIQUES & TECHNOLOGIES

Financial analysis

6.1 Details about 11-200

Head of Allocation

11-200	-	Hospital & Health Unit
11-310	-	Colony Sanitation

(A) Percentage of expenditure in relation to total working expenses( NET):

(Figures are in crore of Rs.)

S.No.	Financial Year	Total Ordinary Working Expenses ( Demand 3-13) (NET)	Total Expenditure on Medical Treatment (11-200)	Percentage
1	06-07	37433	700	1.87%
2	07-08	41033	798	1.94%
3	08-09	54349	1114	2.05%
4	09-10 (Prov.Actual)	65810	1384	2.10%
5	10-11(BE)	65000	1370	2.11%

B) Expenditure per Employee per year:

S.No.	Financial Year	Total Expenditure on Medical Treatment ( Rs. In Crores)	Cost of medical treatment Per Employee per year
1	06-07	700	Rs. 4894
2	07-08	798	Rs. 5621
3	08-09	1114	Rs. 7897
4	09-10 ( Prov. Actual)	1384	Rs. 9660
5	10-11(B.E.)	1370

(C) Cost of Medical Treatment per beneficiaries/year:

Free medical treatment is provided to Railway employees & their dependant. At present we take average of 4 members per employee. Retired Railway employees who join RELHS scheme they along with their dependants are also entitled of free medical treatment. We take average 2 per member of RELHS

Financial Year	No. of Employees & Retired Employees	Total Beneficiaries	Total Cost of Medical treatment Head 11-200#	Cost of Medical treatment per Beneficiaries per year
06-07	1430451	6289296	700	Rs. 1113
	283746
07-08	1419743	6279004	798	Rs. 1271
	300016
08-09 Prov.Actual)	1410659	6270196	1114	Rs. 1777
	313780
09-10 (RE)	1432675	6408356	1384	Rs. 2160
	338828

Note : Beneficiaries includes R.E.L.H.S.

# This cost is both for Industrial Medicines & also for curative medicines for Indian Railways.

Details about 11-200

(D) Percentage of expenditure in relation to total working expenses (GROSS):

(Figures are in crore of Rs.)

S.No.	Financial Year	Total Ordinary Working Expenses ( Demand 3-13) ( GROSS)	Total Expenditure on Medical Treatment (11-200)	Percentage
1	06-07	45975	700	1.52
2	07-08	49922	798	1.60
3	08-09	66900	1114	1.67
4	09-10 ( Prov. Actual)	83444	1384	1.66
5	10-11(B.E.)	80138	1370	1.71

Health Care Delivery System

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. Certainties, SGOT, SGPT, simple X-rays, etc. from outside. ECG is done by in house system.
	1.2 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. 14,000/-pm and Rs.7000/- pm for coming to Railway Hospital 6days/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.
	1.3 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 Hospitals. 1.4.To make anesthetic available ,their rate if payment for their professional services has been increased. For Railway Hospitals with number of doctors post 9 or below anesthetic can be called without having a regular post of anesthetic in that Railway Hospital. 1.5To provide better Ayurvedic & Homeopathic treatment in Railway Hospitals following important changes done:: Revised ceiling on Expenditure for Ayurvedic and Homeopathic doctors Earlier Revised a)Monthly honorarium for Homoeopathic/ Ayurvedic Doctors For 8 hours duration Rs. 10,000/-p.m. Rs. 15,000/-p.m. For 4 Hours duration Rs. 7,000/-p.m. Rs. 9,000/-p.m. b) Monthly honorarium for Ayurvedic Dispensers Rs. 5,000/-p.m. c) Monthly subsidy on medicines Earlier Revised (i) Ayurvedic Dispensaries Rs. 6,000/-p.m. Rs. 8,000/-p.m. (ii) Homoeopathic Dispensaries Rs. 2,000/-p.m. Rs. 4,000/-p.m. (includes Rs. 1,000/ p.m. for dispenser, if required) ( Ref:- E(W) 2008/WE-1/10 dated 7^th January 2009) 1.6Revised monthly remuneration payable to Contract Medical Practitioners(CMPs) engaged on Railways as under :- 1.6.1 Category of Medical Full Time Part Time Practioners/Dental surgeons On contract basis. 4 Hours 2 Hours GDMO Rs. 39,400/- Rs. 19,400/- Rs. 9,700/- Dental Surgeon Rs. 39,400/- Rs. 19,400/- Rs. 9,700/- Specialist Rs. 46,800/- Rs. 22,900/- Rs. 11,500/- Super Specialist Rs. 53,900/- Rs. 26,300/- Rs. 13,200/- 1.6.2 The remuneration specified above includes the following amount as HRA and Transport Allowance in case of full time contract doctors: HRA Transport Allowance General Duty Medical Practitioners Rs. 5,250/- Rs. 3,712/- Specialists Rs. 6838/- Rs. 3,712/- Super Specialists Rs. 7375/- Rs. 3,712/- 1.6.3In case of fulltime contract doctors for whom Railway accommodation is provided, an amount equivalent to the sum of HRA ( as indicated above)and license fee of the accommodation so provided be deducted from the monthly remuneration of the concerned medical practitioner. 1.6.4.The daily rate of deduction of remuneration for absence, in excess of eligibility, should be, as indicated below:- Category of Medical Practitioners/Dental Surgeons on Contract Basis Full Time Part Time 4 Hours 2 Hours GDMO Rs. 1313/- Rs. 647/- Rs. 323/- Dental Surgeon Rs. 1313/- Rs. 647/- Rs. 323/-- Specialist Rs. 1560/- Rs. 763/- Rs. 383/- Super Specialist Rs. 1797/- Rs. 877/- Rs. 440/- ( Ref:- No. 2007/E(GR)II/1/1 Pt. dated 13/8/2009) 1.7Vacant 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.Implementation of facilities at various Railway Hospitals and other infrastructure ( All Indian Railways) 2009-2010 -100 Crores 3. For Senior Citizen of Railways: Pilot Project for issuance of Smart Card to RELHS beneficiaries in New Delhi/Delhi ( NCR area) for Cashless services to take treatment in recognized Private Hospitals of NCR area in Emergency

Health Intelligence

HEALTH CARE SERVICES IN INDIAN RAILWAYS

2014-15

No. of existing Hospitals ( including 16 Zonal Hospitals,56 Divisional, 67 Divisional, 52 sub-divisional and other Productive/workshop hospitals)	135
No. of Health Units	586
No. of Beds ( indoor)	14,023
MEDICAL OFFICER	2,597
PARA MEDICAL STAFF	54,337
Group 'B' Post	194
Budget Estimates ( 2015-16)	Rs. 2477/- Crores
PERFORMANCE 2014-15 ( MCDOs figures )
Total No. of Employees	13,69,933
Total No. of RELHS Card Holders	5,44,750
Total No. of beneficiaries	65,69,232
Total No. of OPD Cases attended	2,27,88,779
Total No. Indoor cases	4,82,709
Total No. of major Surgeries	47,389
Bed Occupancy Ratio( BOR)	60.88
Average length of Stay (ALS) ( in days)	5.79
Percentage of Mandays loss ( RMC+ HOD)	1.32
Percentage of Mandays loss (PMC)	0.55
No. of New Candidates examined for fitness	1,21,361
No. of Employees who underwent periodical medical examination	1,18,944
No. of Medical Board examined	3,320
No. of food samples collected under PFA Act	1,506
No. of Water samples examined for Residual Chlorine	10,75,628
No. of Water samples examined for bacteriological test	70,098
No. of Inspection covered by Medical Officers	16,186
No. of passengers provided medical aid during journey/at Station/Yard. Etc.	31,957

Source : Ministry of Railways (Railway Board) CMS Team Last Reviewed on: 22-05-2021