Kerala Government Servants Medical Attendance Rules, 1960
(i) These rules shall come into force with immediate effect, in supersession of all other rules on the subject, provided that all claims which might have accrued under any rules in force before the coming into force of these rules, will be dealt with and disposed of under the appropriate rules.
(ii) In respect of Gazetted Officers belonging to the erstwhile Travancore-Cochin State, these rules shall apply with retrospective effect from 15/08/1956.
For the purpose of these rules.-- (a) "Government servant" (see Note 1 below) means a whole time Government servant employed under Government and under its rule making control and includes employees under the Central and other State Governments with whom reciprocal arrangements in respect of medical attendance have been entered into by Government, but does not include non-pensionable employees paid from Contingencies, Part-time Employees and Honorary Workers.
Note:-- Government servants shall also include Government servants under suspension and Honorary Nursing Sisters of Health Services Department.
[G.O.(P)123/62 dated 29th January, 1962 and added as per Government Notification No. 41977/D3/67/HLD. dated 8th November, 1967 and G.O.(Ms.) 310/68/HD. dated 26th August, 1968]
(b) "Government" means the State Government of Kerala.
(c) "Authorised Medical Attendant" means the District Medical Officer of Health or Principals of Medical Colleges o
(1) All Government servants are entitled to free of all charges except as expressly specified in these rules, to medical attendance by their Authorised Medical Attendant.
(2) Government servants are entitled to free medical attendance irrespective of whether they are on duty or on leave anywhere within the State.
(3) Families of a Government servant are entitled to medical attendance free of charge to the same extent as the Government servant himself except that they shall not be entitled to free medical attendance at their residence unless the Authorised Medical Attendant is of the opinion that the patient cannot be removed without grave risk to his/her health. (see Note 1 below)
(1) Subject to the provision of sub-rule (3) all Gazetted Government servants are entitled to free medical attendance at their residences by the Authorised Medical Attendant.
[G.O.(P)6/64/HLD. dated 4th January, 1964]
(2) If the Authorised Medical Attendant certified that the condition of a patient entitled to free medical attendance under the rules is so serious that his removal to the Government Medical Institution is likely to cause serious deterioration in his condition, the patient will be entitled to medical attendance at his residence, notwithstanding the provisions in clause (1) above. This rule will also apply where there is no proper accommodation suitable to the status of the Government servant at the nearest appropriate Government Medical Institution.
(3) Cases of medical attendance requiring hospitalisation will normally be referred to a Government medical institution by the Authorised Medical Attendant for admission.
If hospitalisation is no
Persons entitled to free medical attendance under these rules are entitled to free medical attendance only of the Authorised Medical Attendant and for facilities available in Government Medical Institutions and such other Institutions within the State or as may be specified under Rule 8(2). Where the Authorised Medical Attendant considers it necessary to consult a Specialist, he can requisition the services of the nearest Specialist in Government service including Honorary Medical Officers and such person shall comply with the requisition. (see Note 1 below)
Note 1:-- Government does not undertake to provide Government servants with services of Specialists except to the extent mentioned above.
Note 2:-- Free medical attendance under these rules is available either under Allopathic Systems or under other Systems of medicine like Homoeopathy, Ayurveda etc. But no person will be entitled to free medical attendance under more than one system simultaneously. C
The expenditure incurred by a patient entitled to free medical attendance under these rules, on medical treatment when stationed or travelling on duty outside the State will be reimbursed subject to the following conditions:--
(a) The Director of Health Services should certify that the illness which necessitated the medical attendance was so sudden that immediate treatment was necessary and the treatment could not have awaited the return of the patient to the State.
(b) The charges claimed are considered reasonable having regard to the circumstances of the case.
The expenditure incurred by a patient entitled to free medical attendance under these rules for any special treatment obtained by him/her outside the State but within India will be reimbursed subject to the condition that the Director of Health Services Certifies.--
(i) that there were no facilities in the State for such special treatment,
(ii) that the nature of the disease warranted the special treatment outside the State but within India by the Specialist concerned, and
(iii) the charges claimed are reasonable.
Note 1:-- Such treatment outside the State but within India shall be taken only with the prior sanction of the Director of Health Services on the recommendation of the Authorised Medical Attendant. The Director of Health Services while sanctioning such treatment shall specify the Institution in which the treatment is to be undergone.
[G.O.(P)263/61/HLD. dated 6th March, 1961]
Note 2:-- Claims in respect of the under
(i) Journey by Rail.-- (a) For the Government servants.-- Fare of the entitled class or of the lower class by which they actually travel, plus incidentals as for the journey on tour under the rules in force (but without halting allowance.)
(b) For the members of their families.-- Fare of the class by which the Government servant is entitled to travel on tour under the rules in force or the lower class by which they actually travel.
Note:-- The facility of travel by Air Conditioned Accommodation at Government expense is not admissible for journeys performed for receiving medical attendance and treatment.
(ii) Journey by Road.-- (a) For the Government servants.-- For the road portion of the journey or for journeys between stations connected by road only actual fare paid for the journey by bus or other public conveyance, or road mileage as on tour admissible under the rules in force, whichever is less;
(b) For the members of th
(1) Government shall not be responsible for any expenditure incurred by a Government servant on medical treatment by admitting himself into a non-Government Institution or by consulting a Private Doctor, except as specifically provided in these rules. (see Note 1 below)
(2) The Director of Health Services may specify the Private Medical Institutions within the State to which a Government servant may resort for purposes of medical relief, provided that no Private Medical Institution shall be so notified where a Government Medical Institution capable of giving similar treatment exists within a radius of 5 miles.
(3) Government servants who have no Government Medical Institutions within a radius of 5 miles of their station, may resort to such Private Institutions and the charges incurred by them would be reimbursed by Government to the extent they would have received such treatment free in a Government Institution or at the hands of an Authorised Medical Attendant. (see
(1) Government servants who are allowed free medical attendance at their own residences or in the consulting rooms of the Authorised Medical Attendant are entitled to free supplies' of medicines prescribed from Government Medical Institutions. But they should make their own arrangements to collect the medicines.
(2) If drugs essential for the effective treatment of a patient entitled to free medical attendance are not available in the Government Medical Institution, they may be purchased from the open market and the *[cost of medicine including sales tax] incurred thereon reimbursed to the Government servant. No Government servant shall claim under this provision reimbursement of *[cost of medicine including sales tax] on account of purchase of items which are not "medicines" as defined in clause (f) of Rule 3. (see Note 1 below)
*[Notification No. 70258/D3/67/HLD. dated 6th June, 1968.]
#Note:-- In the case of antigens o
(1) Where an Authorised Medical Attendant is not sure of the identification of a person claiming to be a Government servant, he may insist that the Government servant concerned should produce an Identify Certificate from the Head of his Office.
[G.O.(P)267/62. dated 21st March, 1962]
(2) Where a person claiming to be a Government servant is so ill that immediate treatment is necessary and the treatment cannot be postponed till the production of an Identity Certificate, the Authorised Medical Attendant can give necessary treatment to the person concerned and require him to produce a certificate within *[one month] of his being able to do so. If he fails to do so, the cost of the treatment shall be recovered from the patient.
* [Notification No.23602/G2/69/HLD. dated 4th September, 1969]
In order to facilitate prompt treatment of Government servants in the outpatient department of a Hospital or Dispensary, the Doctor in charge of the Institution shall specify a time not exceeding one hour daily during which time Government servants resorting to the Institution for treatment will be given preference arid treated first. Among the Government servants inter-seeking treatment at the out-patients' department, no preference shall be shown and the treatment will be on the basis of first-come first-served, except that Police Constables will be entitled to special priority.
Government servants will be entitled to special preference for admission to the General or Special Wards of all Government Medical Institutions up to *[15 per cent] of the beds in the Institutions. They will not be liable to pay any charge in the General Wards. In Pay Wards, they shall pay 50 per cent of charges fixed for rent, light, fans, etc., and full diet charges.
[Memo No. 12051/F2/63/HLD. dated 27th February, 1963]
*[Notification No.15905/G2/77/HD. dated 20th April, 1977]
One Pay Ward Room shall be kept separate for the Nursing Staff of the. Hospital, where sufficient number of Pay Ward Rooms are available. In hospitals where sufficient number of Pay Ward Rooms are not provided a small room, shall be set apart for the Nursing Staff.
If these rooms are at any time unoccupied either partially or in full, they should be made available for accommodation of other patients.
[G.O.(P) 809/63/HLD. dated 12th November, 1963]
On a written requisition from a patient, the Medical Officer who treated the patient will issue a Certificate noting the dates of admission for treatment and discharge arid diagnosis, free of charge.
(2) The appropriate Medical Authority will issue a Medical Certificate to a Government servant free of charge on request.--
(a) at the time of first appointment;
(b) for the purpose of confirmation in Government Service;
(c) for application for leave on Medical Certificate, stating whether the person concerned requires leave and if so, for what period;
(d) for rejoining duty on expiry of leave on Medical Certificate; and
(e) on any other occasion where the Government requires the Government servant to produce a Certificate of Physical Fitness.
These rules may be known as "The Kerala Government Servants' Medical Attendance Rules, 1960".
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