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paragraph (a) above. Such fees may be retained by the Railway doctor in full. No prior permission is necessary for such attendance, which is considered…

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Summary

paragraph (a) above. Such fees may be retained by the Railway doctor in full. No prior permission is necessary for such attendance, which is considered professional Railway medical officer on the Railway medical board, the Railways should limit their choice to medical

Text of the circular

5
 
 
 
 
 
 
 
 
 
                                         CHAPTER  I 
                          
                    ORGANISATION AND OBJECTIVES OF THE HEALTH DEPARTMENT 
              
Section-A Introduction 
 
101. True to the ideals of welfare state, the Indian Railways have been pursuing a policy of progressively 
improving both working and living conditions of staff and providing them with maximum possible 
amenities  in several spheres including medical facilities. 
 
102. Though the Government  played  the leading part  in  the  development  of Railways, there were, till 
1947, as many as forty two Railway systems in the country each following  a separate policy of its own 
specially in the matter of medico-social amenities with the result that the medical and health organization 
had no uniform pattern of development and the level of amenities provided differed widely.  The Railway 
medical services, catered only to routine administrative necessities, viz.,  medical  examination (pre-
recruitment and in service)  of  staff, issue of  fit and unfit certificates, check on  malingering,  etc., while 
attention to the curative and promotional health care of the railway staff was meagre or absent. Even in  this 
 commitment  certain facilities available to Group A, B & C employees and  their  family  members were 
 not  extended  to  Group D employees. Again some  Railways provided for treatment  of  employees  only, 
while others provided for the treatment of  family members as well.  
 
103. In April 1954 Dr. E. Somasekhar, the then Chief Medical Officer, Southern Railway had submitted a 
detailed scheme on planned expansion of the medical facilities on the Railways. 
 
104. With a view to examine and implement the said scheme, a separate cell was created at the Railway 
Board in August 1955, headed by an Officer on Special Duty(Medical) which post was later on converted 
to Joint Director (Medical) and then upgraded to Director, Health. There has been a progressive 
improvement and expansion of the curative and promotional health services on the  Indian Railways since 
then, resulting in an appreciation from the Kunzru committee (1963) as ' being second to none in the 
country.' 
 
105.. All Zonal Railways have now more or less a uniform level and pattern of medical facilities. The 
policy in this respect is based on the realisation that the expenditure in this direction would pay dividend in 
the long run. The output of a contented and healthy worker who is relieved  of mental and financial worries 
on account of his own or some family member’s sickness,  will  be better and more conducive to the 
efficient running of Railways. This is particularly relevant in the case of running staff who have to be away 
from their homes most of the time.  
 
                                                                 Section B-Organisation 
         
106. The administrative set up of the Health Department is given in the following chart - 
                                            
                                                                    Ministry of Railways 
                                                     
         (Railway Board/M.S) 
                                                            
               
                                               Director General (Railway Health Services) 
                      
 
 
 
 
 
 
 
 
 
  Dt.e.Gen of Health and F.W. Min.of Rlys.                                                      
            Zonal Railways      
                   
 
                                                                                                                    
 
 
 
 
 
                                                     
 
         
E.D(H)  D(H&FW)  J.D(I.H)  D.D.H(A)   HEO   
 
   
 
                       C.M.D 
 
 
                 
 
 
               Headquarters  
                                   Field ( Hosp.& H.U)                                 
 
   

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