1

MEMORANDUM TO BE SUBMITTED TO 7TH PAY COMMISSION.

CHAPTER - 1

INTRODUCTION

Central Government Health Scheme (CGHS) under the

Union Ministry of Health & family welfare was started in 1954.

CGHS provides comprehensive medical facilities to the Central

Government employees and pensioners and their dependents

residing in CGHS covered cities. Apart from this sitting and

retired Members of Parliament, Ex Governors and

Lt.Governors, Freedom fighters, Ex Prime Ministers, Vice

Presidents, Sitting and Ex-Judges of the Supreme court and

High courts, Employees and pensioners of certain

autonomous organizations in Delhi, Delhi Police Personnel in

Delhi only, Railway Board employees etc are at present getting

medical facilities under CGHS.

CGHS

CGHS

SERVICE IS OUR MOTO

C.G.H.S

2

CHAPTER – 2

PREAMBLE

CGHS scheme at present is functioning in the following 25 cities:

ALLAHABAD AHMEDABAD BANGALORE BHUBANESHWAR

BHOPAL CHANDIGARH CHENNAI DELHI

DEHRADUN GUWAHATI HYDERABAD JAIPUR

JABALPUR KANPUR KOLKATA LUCKNOW

MEERUT MUMBAI NAGPUR PATNA

PUNE RANCHI SHILLONG TRIVENDRUM

JAMMU

At present, CGHS provides medical facilities

under Allopathy, Ayurveda, Unani, Yoga, Siddha and

Homoeopathy apart from basic diagnostic facilities and

specialized consultation services through the laboratories

and polyclinics. The details of the various units functioning

as on date are follows:

Wellness centers : 248

Polyclinics : 19

AYUSH Units : 78

Laboratories : 65

Hospitals : 03

The total number of cards and beneficiaries

availing medical facilities under CGHS across the country

as on 31st March 2014 are as follows:

C.G.H.S

3

Out patients care with specialized service at CGHS

Wellness center.

Indoor treatment at empanelled private hospitals.

Emergency service at some wellness center.

Domiciliary Visits.

Preventive Health Check up at earmarked Wellness

Centers.

The other components of the scheme include

Purchase,

Storage, distribution and supply of medicines, Health

Education.

Family welfare and vaccination for general public also.

The role and responsibilities of medical and

paramedical staff working in CGHS have changed drastically

with the introduction of computers and various other systems

in the day to day handling of the Wellness centers and other

units of CGHS.

Sanctioned

Strength

Staff Position Vacant Posts

5645

3882

1762

Group C and erstwhile Group D employees as above under

various categories are working in this organization. Due to large

number of vacant posts, there is extra burden of work on the

existing staff.

C.G.H.S

4

All the Group ‘C’ employees and erstwhile Group ‘D’

employees are solely represented by All India CGHS

Employees Association (AICGHSEA).

AICGHSEA is the only Association recognized by the

government of India to represent Group C and erstwhile Group

D employees all over India. Being the only recognized

association of the staff we take this opportunity in submitting

this memorandum and will also render oral evidence before the

VIIth Central Pay Commission.

AICGHSEA request the Hon’ble Chairman and

members of the Seventh Pay Commission to consider our

submission sympathetically and invite the delegation of the

Association for oral evidence. We will readily furnish any other

information as may be called for by the Commission.

C.G.H.S

5

CHAPTER – 3

1. UNIFORM TO ALL CGHS EMPLOYEES:

The CGHS establishment is a peculiar type of

organization comprising of medical, paramedical,

scientific and all other employees who have to remain

always alert during the time of their duty and they have

to handle different type of patients and their relatives.

Wearing of uniform easily identifies the staff and avoids

the spread of infection.

Presently the uniform are purchased from the

Government owned companies such as Lidkar, NTC, ETC

etc, their rates are not realistic and these companies

have also stopping the supply of these items. The rates

of uniform are not revised from many years.

So this association suggests in lieu of uniform,

uniform allowance should be given annually to all

the staff in lump sum at par with the Staff Nurses.

2. PATIENT CARE ALLOWANCE

The Ministry of Health and Family Welfare

constituted a committee of the Medical Superintendents

of various Hospitals, which recommended that Risk

Allowance and Night Weightage Allowance being paid to

the Health staff at that time may be merged. Not only

this, the Committee had further recommended that

health staff need additional support to take care of

C.G.H.S

6

preventive and nutritional needs as they are exposed to a

highly infectious environment loaded with highly virulent

and drug resistant bacteria.

The recommendations of the committee were

accepted by the Ministry of Health & Family Welfare and

forwarded with their approval. After approval of the

cabinet, HPCA/PCA was sanctioned wef 1.4.1987.

Presently HPCA/PCA is being paid as follows:

VIth CPC revised

rate from

1.9.2008

25%

increase from

1.1.2011

25%

increase from

1.1.2014

HPCA 1400 1750 2100

PCA 1380 1725 2070

This associations suggests HPCA/PCA to be paid at

par with Nursing Allowance.

3. WASHING ALLOWANCE

At present the CGHS employees are getting meager

amount of Rs.180/- as washing allowance which is very

insufficient. In view of the prevailing high prices of

detergents, soaps and other washing materials including

ironing of uniforms, the government has not providing

hospital services to the patients its employees have to keep

their uniforms properly neat and clean to on avoid the danger

of gross infection and as such they have to spend heavily on

washing of their uniforms. In view of above this association

suggests that washing allowance should be paid at par

with the washing allowance paid to Staff Nurses.

C.G.H.S

7

4. NURSING/WASHING/UNIFORM ALLOWANCE TO NURSING

STAFF.

Nursing allowance, washing allowance and uniform

allowance are being paid to the Nursing staff because Nursing

is an independent profession and has its own identity.

In view of this it is demanded that the

provision of Nursing allowance/ washing

allowance/uniform allowance to all the Nursing staff

irrespective of their status and nature of job, should be

enhanced to double from the present rate.

X RAYS

DRESSING

LABORATORIES

MEDICINES

NURSING

C.G.H.S

C.G.H.S

8

CHAPTER – 4

Sl No Name of the Post Present

Pay Band

Present

Grade Pay

Proposed

Pay Band

Proposed

Grade Pay

1 DENTAL TECHNICIAN PB-1 2400 PB-2 4200

2 DENTAL HYGIENIST* PB-1 2400 PB-2 4600

3 ECG TECHNICIAN PB-1 2400 PB-2 4200

4 PHARMACIST (AYUSH) * PB-1 2800 PB-2 4600

5 PHARMACIST (ALLOPATHY]

PB-1 2800 PB-2 4600

6 Driver PB-1 1900 PB-1 2400

7 RADIOGRAPHER [X-RAY TECHNICIAN]

PB-2 4200 PB-2 4600

8 STAFF NURSE/NMW ** [ALLOPATHY/AYUR)

PB-2 4600 PB-2 4800

9 OPERATION THEATRE TECHNICIAN

PB-2 4200 PB-2 4600

10 LAB TECHNICIAN PB-1 2800 PB-2 4600

11 YOGA INSTRUCTOR PB-1 2800 PB-2 4600

12 L.D.C PB-1 1900 PB-1 2800

13 MTS(NON TECHNICAL) ***

PB-1 1800 PB-1 2000

14 MTS (TECHNICAL) **** PB-1 1800 PB-1 2000

C.G.H.S

9

* PHARMACIST AYUSH INCLUDES AYURVEDIC,

UNANI, HOMOEOPATHY AND SIDHA.

** STAFF NURSE AND NMW ARE ANALOGUS POSTS-

BEFORE 6TH PAY COMMISSION PAY SCALE OF

BOTH. THE POSTS WERE SAME, HOWEVER IN

THE 6TH PAY COMMISSION STAFF NURSE SCALE

WAS UPGRADE AND THE SCALE OF NMW WAS

NOT CHANGED AT PAR WITH STAFF NURSE. THE

ANAMOLY TO BE RECTIFIED.

*** THE POSTS OF PACKER, PEON, DAFTRY,

CLEANER LABOURER, CHOWKIDAR AND

SAFAIWALA ARE INCLUDED IN THE MTS (NON

TECHNICAL)

**** THE POSTS OF DRESSER, FEMALE ATTENDANT,

PANCHKARMA ATTENDANT, NURSING

ATTENDANT, LAB ATTENDANT, STRETCHER

BEARER, WARD BOY ETC ARE INCLUDED IN

THE MTS (TECHNICAL)

LOCAL PURCHASE PHARMACY COUNTER

LIFE SAVING DRUG INSULIN

C.G.H.S

10

CATEOGORY WISE DUTIES, PROMOTION

AVENUES AND THE SCALE PROPOSED

WITH FULL JUSTIFICATION

-1-

NAME OF THE CATEGORY :LAB TECHNICIAN

PROMOTION AVENUE OF CADRE: NO PROMOTIONS/RETIRING

AT THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. To be responsible for the proper maintenance of laboratory

equipment and instruments.

2. Collect blood for preparing blood slides and biochemical tests etc.

3. Prepare media as required, and carry out various biochemical and microbiological tests on blood, urine, C.S.F, gastric contents, body

transudate and exudates as per latest techniques and standards.

4. Look after the clerical duties pertaining to the laboratory and

maintain records up to date.

5. Carry out serological work, such as V.D.R.L., Widal tests, Paul

Bunnel tests, Weilfelix tests, etc.

6. Prepare and submit indents pertaining to the laboratory.

7. Responsible for maintenance of discipline amongst the staff under

him/her.

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of RR

under

consideration

with MOHFW

Remarks

LAB TECHNICIAN 10+DMLT 10+2 WITH SCIENCE

AND BSC(MLT) OR

DMLT WITH 2 YRS

EXP

IN THE NEW TECHNICAL

EDUCATION SYSTEM

MIN.QUALIFICATION FOR

DIPLOMA IS 10+2

C.G.H.S

11

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

LAB TECHNICIAN PB-1 GP 2800 PB-2 GP 4600

JUSTIFICATION

1. Presently the qualification of Lab Technician is BSC(MLT)/

DMLT with experience, therefore it is difficult to fill up the

post. In such circumstances pay scale of the post should be

upgraded and needs more promotion avenues.

2. Higher pay scale is given to various equivalent posts like

Radiographer, Physiotherapist, Staff Nurse, Dental Hygienist

in hospitals, similarly higher pay scale should be given to Lab

Technician.

-2-

NAME OF THE CATEGORY :DENTAL TECHNICIAN

PROMOTION AVENUE OF CADR:NO PROMOTIONS/RETIRING

AT THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. To assist the Dental Surgeon

2. To maintain equipment listed in dental procedures.

3. To see that drugs/chemicals used in dental procedures are

available in plenty and patients are not returned due to non availability.

4. To maintain a ledger for expendable items and get items

condemned as and when required and also get it replaced from

stores.

5. To keep record of patients whose dental procedures is done.

C.G.H.S

12

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of

RR under

consideration

with MOHFW

Remarks

DENTAL

TECHNICIAN

10+Diploma of

Dental

Technician

10+2 WITH

SCIENCE AND

diploma of Dental

Technician WITH 2

YRS EXP

IN THE NEW

TECHNICAL

EDUCATION

SYSTEM.MINIMUM

QUALIFICATION FOR

DIPLOMA IS 10+2

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

DENTAL TECHNICIAN PB-1 GP 2400 PB-2 GP 4200

JUSTIFICATION

1. 6th Pay com upgraded the scale of Dental Hygienist.

2. Higher pay scale is given to various equivalent posts like

Radiographer, Physiotherapist, Staff Nurse, Dental Hygienist

in hospitals, similarly higher pay scale should be given to

Dental Technician.

ROOT CANAL - SILVER FILLING

EXTRACTION OF TEETH

GINGIVAL DRESSING

PREVENTIVE DENTISTRY

C.G.H.S

13

-3-

NAME OF THE CATEGORY : DENTAL HYGIENIST

PROMOTION AVENUE OF CADRE NO PROMOTIONS/RETIRING

AT THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. Dental Hygienist work as a Clinician.

2. Primary oral diagnosis treatment plan and advice to all cases. Treatment of gingivitis, periodontitists, bleeding gum, plague, calculus, stains and root planning.

3. Perform all scaling (oral) prophylaxis and polishing of teeth independently whether manual or ultrasonic instruments.

4. Pre and post operative precautions and preventive dentistry(diet and Physiotherapy, General and dental health education.

5. Temporary dressing(Temporary filling, gingival dressing) 6. Prescription of oral medicines i.e medicated tooth paste,

gum paint, mouth washes analgesics and general medicines.

7. Prescription of oral medicine and basic surgical and other treatment to all patients whenever the Dental surgeon is on leave or absent.

8. To keep record of patients whose dental procedures is done.

9. Care taker of Dental unit during the absence of Dental Surgeon.

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of

RR under

consideration

with MOHFW

Remarks

DENTAL

HYGIENIST

1.Matriculation or

equivalent

1.10+2 or equivalent

2.Registered as dental

IN THE NEW

TECHNICAL

C.G.H.S

14

2.Registered as

dental hygienist

with dental

council of India

and 2 years

experience of

having work as

dental hygienist

in a hospital

1.10+2 or

equivalent

2.Registered as

dental hygienist

with dental

council of India

and 2 years

experience of

having work as

dental hygienist

in a hospital or as

well established

dentist or as

well established

dentist

hygienist with dental

council of India and 2

years experience of

having work as dental

hygienist in a hospital

1.10+2 or equivalent

2.Registered as dental

hygienist with dental

council of India and 2

years experience of

having work as dental

hygienist in a hospital or

as well established

dentist or as well

established dentist

EDUCATION

SYSTEM.MINIMUM

QUALIFICATION FOR

DIPLOMA IS 10+2

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

DENTAL

HYGIENIST

PB-1 GP 2400 PB-2 GP 4600

JUSTIFICATION

1. The scale of Dental Hygienist was already upgraded by the

Ministry of Health and family and welfare but the same not implemented in CGHS.

2. Accordingly the scale of Dental Hygienist to be upgraded at par with hospital.

15

-4-

NAME OF THE CATEGORY : PHARMACIST (ALLOPATHY)

PROMOTION AVENUE OF CADRE: NO PROMOTIONS/RETIRING

AT THE SAME POSTS

ASST DEPOT MANAGER (Only 3 posts all over India.)

NATURE OF DUTIES IN BRIEF

1. He will maintain PHARMACY in good working condition.

2. He will dispense stock mixtures/syrups & other medicines properly counted, measured or weighed.

3. The pharmacist will write the name of the medicines with details of the does on the mixtures/syrup bottle and container envelope and also explain the doses verbally.

4. He will ensure that no defective medicine is issued to any of the patient/employee in respect of following: -

i) Physical appearance ii) Batch No., date of manufacturing / expiry iii) Proper stamping of CGHS not for Sale etc.

5. The Pharmacist will maintain proper account of items issued to him, dispensed by him and the balance in stock with him. At the end of each day he will stock out the balance with him and record

it. 6. The Pharmacist will perform such other duties as may be assigned

to him by the MO/LMO of dispensary/Sr. LMO, CGHS/Administration from time to time. 7. The Pharmacists are also responsible for cold chain and drug

storage as per drug and cosmetic Act 1940

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of RR

under

consideration with

MOHFW

Remarks

PHARMACIST 10+2 WITH

SCIENCE

DIPLOMA IN

PHARMACY BY

PCI &TRAINING

10+2] WITH SCIENCE

B] BACHELAR DEGREE IN

PHARMACY [B PHARMA)

REGISTERED AS

PHARMACIST UNDER

PHARMACY ACT 1948

OR

DIPLOMA IN PHARMACY

90% INSTITUTES

CONDUCT DEGREE

PROGRAMM.E

INSTEAD OF

DIPLOMA IN THE

STREAM OF

PHARMACY

C.G.H.S

16

WITH 500 HRS

PRACTICAL TRAINING&

REGISTERED AS

PHARMACIST UNDER

PHARMACY ACT 1948

WITH 3YEARS

EXPERIENCE AS

DISPENSING CHEMIST IN

A REGISTERED

HOSPITAL/PHARMACY

ETC

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

PHARMACIST PB-1 GP 2800 AND

AFTER COMPLETION OF

2 YRS SERVICE IN THE

ENTRY GRADE PLACED

IN PB-2 WITH GRADE

PAY 4200

PB-2 GP 4600

JUSTIFICATION

1. Presently the qualification of Pharmacist is B Pharma/ D Pharma

with experience; therefore it is difficult to fill up the post. In such

circumstances pay scale of the post should be upgraded and needs more

promotion avenues.

2. Higher pay scale is given to various equivalent posts like

Radiographer, Physiotherapist, Staff Nurse, Dental Hygienist in

hospitals, similarly higher pay scale should be given to Pharmacist.

3. Pharmacist has been removed from the list of paramedical there

should be a separate independent All India and state level council for

Pharmacist i.e Pharmacy council of India.

Note: In all pay Commission Pharmacist (Ayush) were placed at par

with Pharmacist (Allopathy). Therefore there should not be any

disparity of pay scale of all the common categories of Pharmacists.

(Pharmacist Ayush and Allopathy)

C.G.H.S

17

-5-

NAME OF THE CATEGORY : DRIVER

PROMOTION AVENUE OF CADRE : NO PROMOTIONS

NO PROMOTIONS/RETIRE IN THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. Drives light weight and heavy weight vehicles. 2. Also repairs the vehicles in case of emergency or minor mechanical

fault.

3. Maintenance of log book and also the vehicle. 4. In CGHS organization, driver also delivers life saving

drugs/dangerous chemicals/biological gases.

EDUCATIONAL QUALIFICATION

Name of Post Amendment of

RR under

consideration

with MOHFW

Remarks

DRIVER Matriculate plus

valid driving

license and

knowledge of

motor mechanic.

10+2 plus valid

driving license

and knowledge of

motor mechanic.

Increase in basic

educational

qualification.

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

DRIVER PB-1 GP 1900 PB-1 GP 2400

JUSTIFICATION

1. The drivers working on field duty drive upto 200 kms a day. Two

important factors for drivers, one is skill requirement and the other is

level of responsibility. If a small error is there then it will lead to a major

accident. Hence the driver job is very tough.

2. Drivers in our organization are granted grade pay of 1900 at entry

level, where in the Secretariat it is 2400 grade pay, so that our

associations demands pay scale at par with Secretariat.

C.G.H.S

18

-6-

NAME OF THE CATEGORY : STAFF NURSE

PROMOTION AVENUE OF CADRE: NO PROMOTIONS/RETIRING

AT THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. To be responsible for the efficient functioning of the injection room.

2. Maintain a record regarding injection/family welfare.

3. To be responsible for proper functioning of life saving equipment

such as oxygen cylinder/ emergency tray etc.

4. To be responsible for washing and cleanliness of linen.

5. Actively assist the lady medical officer for family welfare work and

MCH service.

6. Responsible for maintenance of discipline amongst the staff under

him/her.

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of

RR under

consideration

with MOHFW

Remarks

STAFF NURSE 10+2 WITH

SCIENCE FROM

A RECOGNISED

BOARD GNM

TRAINING

BSC NURSING OR

POST CERTIFICATE

BSC NURSING

REGISTERED WITH

INC

90% INSTITUTES

CONDUCT DEGREE

PROGRAMM.E INSTEAD

OF DIPLOMA IN THE

STREAM OF

PHARMACY

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

STAFF NURSE PB-2 GP 4600 PB-2 GP 4800

C.G.H.S

19

JUSTIFICATION

1. Presently the qualification of Staff Nurse is BSC(Nursing)

with experience, therefore it is difficult to fill up the post. In such circumstances pay scale of the post should be upgraded

and needs more promotion avenues.

Note-In CGHS organization, the duties and the

educational qualification for the post of NMW/Staff Nurse

are similar, but after the 6th Pay commission, the pay of

staff nurse was upgraded to Gr.Pay 4600, however the Gr

Pay of NMW was kept 4200 only. The disparity should be

removed. The pay of NMW to be kept at par with Staff

Nurse.

-7-

NAME OF THE CATEGORY: RADIOGRAPHER/ MRT

X RAY XTECHNICIAN,

ECG TECHNICIAN

O.T.TECHNICIAN

PROMOTION AVENUE OF CADRENO PROMOTIONS/RETIRING

AT THE SAME POSTS

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

RADIOGRAPHER PB-2 GP 4200 PB-2 GP 4600

MRT PB-1 GP 2400 PB-2 GP 4200

ECG TECHNICIAN PB-1 GP 2400 PB-2 GP 4200

OT TECHNICAN PB-2 GP 4200 PB-2 GP 4600

C.G.H.S

20

JUSTIFICATION

1. Radiographer, MRT, ECG Technician and OT Technician are isolated posts in CGHS. Their duties are risky, hazardous and highly responsible. They should be granted at least pay at par with the posts in central

government hospitals.

-8-

NAME OF THE CATEGORY : L.D.C

PROMOTION AVENUE OF CADRE :

NO PROMOTIONS, EXCEPT FEW ARE PROMOTED TO THE POSTS OF UDC, SOME OFFICE SUPDT/ACCOUNTANT

OTHERWISE ALL RETIRE IN THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. As per the Staff Selection commission notification LDC are

entrusted with routine nature of work e.g Registration of Dak,

maintenance of section diary, file register, file movement register,

Indexing and recording of files, Typing, comparing, dispatch,

preparation of arrears and other statements, etc

2. In CGHS due to lack of promotion and non sanction of

promotional posts, LDCs are performing duties of UDC

Accountant, Office Supdt etc such as Maintenance of cash books,

Maintenance of ACRs, GPF ledgers, Hospital bills, preparation of

Budget, etc.

EDUCATIONAL QUALIFICATION

Name of Post Amendment of

RR

Remarks

L.D.C

10+2 & Typing speed

of 30wpm in English

or 25 wpm in Hindi

C.G.H.S

21

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

L.D.C PB-1 GP 1900 PB-1 GP 2800

Accordingly the promotional posts to be granted the

following Grade pays in CGHS

Name of Post Present Pay Band

& Grade Pay

Suggested Pay

Band & Grade Pay

U.D.C PB-1 GP 2400 PB-2 GP 4200

O.SUPDT/ACCOUNTNT PB-2 GP 2400 PB-2 GP 4600

JUSTIFICATION

1. The education qualification of LDC has been raised from 10th

Std passed to 10+2. Moreover LDC earlier were using Typewriter,

however today LDCs are using computers and skill requirement is

more for the uses of computers. Due to the shortage of staff,

many LDCs are actually performing duties of UDCs in CGHS.

The Data entry operators are having grade pay of Rs. 2400, hence

LDCs are eligible for better pay scales higher than the Data Entry

operators

2. Wherever the posts of Office Supdt/Accountant are not

available or not filled, their duties are being performed by the

UDC/LDC.

3. In CGHS in most of the cities Administrative officer/Accounts

Officers posts are not filled or not sanctioned, hence their duties

are being performed either by Office Supdt or Accountant, in

some cities these duties are performed by UDCs/LDCs

DUTIES PERFORMED BY CLERICAL CADRE

C.G.H.S

M R C INCOME

TAX

CASH BOOK

R T I

PAYBILL BUDGET

A C R

22

-9-

NAME OF THE CATEGORY: STENOGRAPHER – GR II

STENOGRAPHER – GR I

JR HINDI TRANSLATOR

PROMOTION AVENUE OF CADRENO PROMOTIONS/RETIRING

AT THE SAME POSTS

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band

& Grade Pay

Suggested Pay Band &

Grade Pay

JR HINDI TRANSLATOR PB-2 GP 4200 Gr Pay at par with Secretariat

STENOGRAPHER GR II PB-1 GP 2400 Gr Pay at par with Secretariat

STENOGRAPHER GR I PB-2 GP 4200 Gr Pay at par with Secretariat

The posts of Stenographer and Jr Hindi Translator

are isolated posts in CGHS without any promotion

avenue. The nature of duties performed by them

are more less or less that being done in the

Secretariat. In all the CGHS cities other than Delhi

only one post is sanctioned for the whole

department, therefore their responsibility is also

more. It is suggested that the pay of Stenographer

& Hindi Translator should be placed at par with

those in the Secretariat.

C.G.H.S

23

-10-

NAME OF THE CATEGORY : DRESSER

PROMOTION AVENUE OF CADRE :

NO PROMOTIONS/RETIRE IN THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. Responsible for dressing wounds. 2. Renders aid in emergency cases and guidance to Medical Officer. 3. To keep the lotions, ointments, etc for dressings in a separate tray.

4. Maintain proper account of the medicines drawn from disp, stores.

EDUCATIONAL QUALIFICATION

Name of Post Amendment of

RR under

consideration

with MOHFW

Remarks

DRESSER Middle plus

certificate of first

aid course.

100%

PROMOTIONAL

POST

Only promotional

channel for MTS

( Technical posts)

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

DRESSER PB-1 GP 1800 PB-1 GP 2400

JUSTIFICATION

1. Dressers work independently in CGHS dispensaries with a separate

room. All the materials like lotions, ointments, cotton, linen bandages

and gauze required in the dressing are stored properly and not exposed to dust.

2. In discharging their duties they carry out lot of responsibility. In Railways Dresser is given a different scale. Based on the qualification and the scale available with other departments, Dressers in CGHS

should be given the entry grade pay of Rs.2400/

3. Dresser post will be the only promotional channel for the MTS (Technical Posts)

C.G.H.S

24

-11-

NAME OF THE CATEGORY : M.T.S (Technical)

Female Attendant, Mid wife, Ayah, Nursing Attendant, Laboratory

Attendant, Panchkarma Attendant, Strecher Bearer,Ward Boy

PROMOTION AVENUE OF CADRE NO PROMOTION RETIRE

IN THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. To assist all paramedical and medical profession such as Nurse, Pharmacist, Doctors, Lab Technician, Xray Technician in their

work. 2. They are engaged in many type of work such dressing, nursing

care, laboratory and Pharmacy service. 3. Carry and transfer injured and sick patients 4. Any other work assigned to them by the higher authorities.

EDUCATIONAL QUALIFICATION

Name of Post R.Rule wef

1990

Amendment of

RR under

consideration

with MOHFW

Remarks

M.T.S (Technical) Matriculate with first

Aid certificate.

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

M.T.S PB-1 GP 1800 PB-1 GP 2000

JUSTIFICATION

1. The promotion prospective are very bleak or almost NIL. They

continue to be in MTS cadre even after 30 years of service. The

MTS should be upgraded and trained so that proper promotion

prospects are made available to them.

2. After implementation of 6th pay commission recommendation,

all promotion posts are merged and given grade pay of Rs.1800 so

that initial grade pay should Rs.2000

NEAT, CLEAN & HYGIENIC DISPENSARY

C.G.H.S

25

12

NAME OF THE CATEGORY : M.T.S

Daftry, Peon, Safaiwala, Packer, Chowkidar, Labourer, cleaner

PROMOTION AVENUE OF CADRE :NO PROMOTIONS/RETIRE

IN THE SAME POSTS

NATURE OF DUTIES IN BRIEF

1. Physical maintenance of records of the section.

2. Assisting in routine office work like diary, dispatch etc including computer.

3. Driving of vehicles, if in possession of valid driving license.

4. Work related to his/her ITI qualifications if it exists like electric, plumbing etc

5. Any other work assigned to them by the higher authorities.

EDUCATIONAL QUALIFICATION

Name of Post R.Rule Amendment of

RR under

consideration

with MOHFW

Remarks

M.T.S MATRICULATION OR

EQUIVALENT

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

M.T.S PB-1 GP 1800 PB-1 GP 2000

JUSTIFICATION

1. The promotion prospective are very bleak or almost NIL. They will continue to be in MTS cadre even after 30 years of service. The

MTS should be upgraded and trained so that proper promotion prospects are made available to them.

2. After implementation of 6th pay commission recommendation, all promotional posts are merged and given grade pay of Rs.1800.

We suggests their initial grade pay should be Rs.2000. The departmental promotion to the posts of LDC to be enhanced to 25%.

COMPUTER/DESPATCH/MAINTENANCE OF RECORDS

C.G.H.S

26

13

NAME OF THE CATEGORY: DARK ROOM ASSISTANT

O.T ASSISTANT

PANCHKARMA ASSISTANT

LAB. ASSISTANT

PROMOTION AVENUE OF CADRE :NO PROMOTIONS/

RETIRE IN THE SAME POSTS

PRESENT AND SUGGESTED PAY SCALE

Name of Post Present Pay Band &

Grade Pay

Suggested Pay Band

& Grade Pay

DARK ROOM ASSTT PB-2 GP 2000 PB-2 GP 2400

O.T.ASSISTANT PB-1 GP 2000 PB-2 GP 2400

PANCHKARMA

ASSTT

PB-1 GP 2800 PB-2 GP 4200

LAB.ASSISTANT PB-2 GP 2000 PB-2 GP 2400

JUSTIFICATION

DARK ROOM ASSISTANT: Dark Room Assistant is an isolated

posts in CGHS. Their duties are risky, hazardous and highly

responsible. Their existing pay should be upgraded to

Rs.2400/- Grade Pay

O.T.ASSISTANT: O.T. Assistant is a promotional post to the post

of O.T.Technician in CGHS with the required qualification of

OT Technican. Their duties are risky, hazardous and highly

responsible. Their existing pay should be upgraded to

Rs.2400/- Grade Pay

C.G.H.S

27

PANCH KARMA ASSISTANT: Panch karma Assistant is an

isolated posts in CGHS. Their existing pay should be

upgraded to Rs.2800/- Grade Pay.

LABORATORY ASSISTANT: Laboratory Assistant is a

promotional post to the post of Laboratory Technician. The

qualification of Lab. Asstt is 10+2 with DMLT in CGHS. Their

duties are risky, hazardous and highly responsible. Their

existing pay should be upgraded to Rs.2400/- Grade Pay

DENTAL

X’RAY – OPERATION THEATRE

LABORATORY

C.G.H.S

28

CHAPTER – 5

PROMOTIONS.

Like other departments CGHS has no promotional

channel for the staff, LDC, Staff Nurse, Pharmacists, Lab.

Technician, Dressers, etc join in these posts and after

rendering more than 30 years of service, retire on the same

posts. It is very unfortunate and disgraceful; the employees are

deprived off the right for promotion due to the government’s

old and saturated policies. Now it is high time all these policies

should be made more attractive. The problem of promotion

should be taken up seriously in the 7th Pay Commission.

Whenever DA is announced, it is uniformly applicable to all the

employees, then why promotion to Central government

employees should not be uniform?

In CGHS itself there is a disparity between the staff

and the doctors.

The Officers and staff of CGHS are classified into four

categories as follows:

Group A - This category consists of all the Medical Officers. Group B - The Administrative Officers, Accounts Officers,

Asst Accounts Officers & Asst Depot Managers

Group C - Pharmacists, Staff Nurse, Laboratory staff and

Other paramedical staff.

Erstwhile Gr.D - Dressers, Fem. Attdt, Nur. Attendant, Lab

Attendant, etc

C.G.H.S

29

At present only the Group A category ie Medical

Officers are getting time bound promotions as follows:

Entry: : Medical Officer

After 4 years : Senior Medical Officer

After 8 years : Chief Medical Officer

After 12 years : Chief Medical Officer (NFSG)

After 16 years : Sr Chief Medical Officer (S.A.G)

The Group B posts such as, 3 posts of Asstt Depot

Managers are sanctioned in Delhi, Mumbai and Hyderabad. 1

post of A.N.S is sanctioned in Delhi which is to be filled by

eligible Group C staffs. At present 99% of the Group B posts

are lying vacant.

Like the time bound promotions of Doctors,

AICGHSEA appeal that all the Group C and erstwhile

Group D staff should get 5 time bound promotions.

Illustration for the category of Lab Technician:

Time period Proposed designation Lab.

Technician with next

hierarchy of grade pay

After 5 years Sr. Lab. Technician

After 10 years Chief Lab. Technician

After 15 years Sr.Chief Lab. Technician

After 25 years Sr. Chief Lab. Technician

(NFG)

After 30 years Laboratory Officer

C.G.H.S

30

THIS ASSOCIATION SUGGESTS

PROMOTIONS TO ALL CATEGORIES IN

CGHS ON THE PATTERN BELOW SO

THAT THERE IS NO DISCRIMINATION

AMONGST ANY CATEGORIES.

XYZ

1ST

PRMOTION

AFTER 5 YRS

2ND

PRMOTION

AFTER 10

YRS

3RD

PRMOTION

AFTER 15

YRS

4th

PRMOTION AFTER 25 YRS

5th

PRMOTION

AFTER 30YRS

C.G.H.S

31

CHAPTER – 6

SOME JUSTIFIED DEMANDS OF CGHS

EMPLOYEES.

1.NON PRACTICING ALLOWANCE

Doctors in CGHS are getting NPA at the rate of 25% of Basic +

Grade pay. Considering the nature of medical duties of Pharmacists,

Staff Nurse, Laboratory Technicians, Dental Technicians, Dental

Hygienists, Operation Theatre Technicians etc in CGHS. These

categories may be permitted to practice privately or else they may

allowed NPA like the doctors.

2.ACADEMIC ALLOWANCE

As the technical posts, to provide best possible health care

services and to keep the latest knowledge of the subject up-to-date,

government should encourage these categories with academic allowance

for purchase of new books, acquire training of the latest order so that

best services be provided to the public health. This association suggests

that 10% of Basic pay + grade pay to be paid to all the technical posts.

3.INCENTIVE FOR ADDITIONAL HIGHER QUALIFICATION All the categories technical and non technical with higher

qualification then their basic qualification should be give an incentive

for additional higher qualification. Officials with additional qualification

will perform better and the output will be far more better.

4.CGHS CONTRIBUTION TO BE WAIVED.

Railways annually provide 6 privilege passes to each of its officers and

four passes to its workers, allowing them to travel anywhere in India.

Like Railways many other departments give benefits, privileges to his

employees.

On the same pattern we demand that CGHS contribution from

CGHS employees should be waived.

C.G.H.S

32

SUGGESTIONS FOR BETTERMENT OF

CGHS SCHEME.

EXPANSION OF CGHS IN OTHER CITIES:

At present CGHS is functioning only in major cities.

Beneficiaries especially the pensioners of other cities who have taken

CGHS cards are facing lot of inconvenience to avail the facilities. They

have to travel from one place to another in their old age to get the

medicines. Due to non availability of CGHS in their cities, most of the

pensioners are deprived off the medical facilities. IT IS STRONGLY

SUGGESTTED THAT CGHS WELLNESS CENTRES SHOULD BE

OPENED IN EVERY CITY OF THE COUNTRY.

CGHS OWN SUPER SPECIALITY HOSPITAL

CGHS is functioning in 25 cities, but none of CGHS cities has

its own hospital. Government is incurring crores of rupees on the

treatment of its beneficiaries for Indoor treatment at Private hospitals.

The expenditure can be curtailed to a great extend if CGHS own hospital

is opened in all CGHS cities. Secondly the current procedure for getting

an approval letter from the government hospital even after the

recognized hospital under CGHS has recommended it before the

procedure is also a major hurdle. In most of the cities government

hospitals are very few, patients find it extremely difficult to get the letter

from government hospitals. Further The Parliamentary Standing

Committee have also strongly recommended for CGHS own hospital.

IN VIEW OF ABOVE IT IS STRONGLY RECOMMENDED THAT

A SUPER SPECIALTY HOSPITAL ON THE LINE OF RAILWAYS,

DEFENCE ETC SHOULD BE OPENED IN ALL THE CITIES SO THAT

THE BENEFICIARIES CAN AVAIL THE TREATMENT WITHOUT ANY

PROBLEMS.

C.G.H.S

33

CGHS OWN DIAGNOSTIC CENTRES:

In most of the CGHS cities there are no diagnostic centres of

CGHS. Patients are referred to private hospitals. The diagnostic centre,

Laboratories and other attached facilities should be made available

under one umbrella so that patients need not have to run from pillar to

post to avail of the treatment.

IN SERVICE TRAINING PROGRAMME:

The knowledge and skills of paramedical staff need to be

improved along with new researches being carried out in the medical

field. For this purpose periodical in-service training programmes from

time to time is very essential for the paramedical staff and Doctors in

CGHS. This would enhance the quality of the service being rendered to

the CGHS patients.

MEDICAL SERVICE NOT TO BE OUTSOURCED:

Medical service should not be out sourced. With outsourcing

on one side the government may save some amount but on the hand it

would only result in more corruption. Therefore it is strongly suggested

that Regular Doctors and regular staff members should be appointed for

better services to the patients and to avoid corruption at all level.

VACANT POSTS TO BE FILLED IMMEDIATELY:

Almost 30% sanctioned posts in CGHS is lying vacant. Due to

this the functioning of the dispensary is very badly affected. Vacancy of

posts is putting lot of pressure on the existing staff. One can witness

long queues at the dispensing and other counters in all the dispensaries.

We suggest that all sanctioned posts promotional or direct should be

filled up immediately for the smooth functioning of the wellness centres

of CGHS throughout the country.

C.G.H.S

34

PROCUREMENT OF MEDICINES IN CGHS.

In CGHS medicines are procured through Government Medical

Store, Bulk purchase through Pilot project, Local Chemists etc.

Although in the existing system medicines are available at the counter

but the government is paying more. CGHS can purchase these

medicines in bulk from reputed Pharmaceutical Companies after quality

check in the generic form and then repack it according to the

organization set up. This would reduce the purchase of medicines

through local purchase and would also control the cost of medicines.

CONCLUSION.

In conclusion we fervently believe and also are

confident that the Seventh Pay Commission will analyze

and evaluate the duties, skill and responsibilities of the

entire paramedical and clerical cadre in CGHS and

prescribe suitable pay scales beside allowances and

concessions.

Jaidev F. Ellis President Secretary General

Tel No – 09891462006 Tel No – 09822414653

Stationed at Delhi Stationed at Pune

ALL INDIA C.G.H.S EMPLOYEES ASSOCIATION (Recognized by Government of India)

C.G.H.S

35

Page No 1 CHAPTER – 1 INTRODUCTION

Page No 2 CHAPTER – 2 PREAMBLE

Page No 3 FACILITIES & SERVICES UNDER CGHS

Page No 5 CHAPTER – 3 DEPARTMENTAL

ALLOWANCES

Page No 8 CHAPTER – 4 PAY SCALES CATEGORY

WISE IN CGHS

Page No 10 PROPOSED SCALE WITH JUSTIFICATION (Lab

Technician )

Page No 11 PROPOSED SCALE WITH JUSTIFICATION

(Dental Technician )

Page No 13 PROPOSED SCALE WITH JUSTIFICATION

(Dental Hygienist)

Page No 15 PROPOSED SCALE WITH JUSTIFICATION

(Common categories of Pharmacist)

Page No 17 PROPOSED SCALE WITH JUSTIFICATION

(Driver)

Page No 18 PROPOSED SCALE WITH JUSTIFICATION (Staff

Nurse)

Page No 19 PROPOSED SCALE WITH JUSTIFICATION

(Radiographer,MRT, X Ray, ECG & OT Tech)

Page No 20 PROPOSED SCALE WITH JUSTIFICATION

(LDC/UDC/Office Supdt/Accountant)

Page No 22 PROPOSED SCALE WITH JUSTIFICATION

(Dresser)

Page No 23 PROPOSED SCALE WITH JUSTIFICATION (MTS

Technical)

Page No 24 PROPOSED SCALE WITH JUSTIFICATION (Dark

Room, O.T, Panchkarma & Lab Assistant)

Page No 26 CHAPTER – 5 PROMOTIONSS

Page No 29 CHAPTER – 6 JUSTIFIED DEMANDS OF CGHS

EMPLOYEES

Page No 30 CHAPTER – 7 SUGGESTIONS FOR

BETTERMENT OF CGHS

Page No 32 CONCLUSION.

36