Tngda - Pay Demand For Tamil Nadu Government Doctors 2009 11384a

TAMILNADU GOVERNMENT DOCTORS’ ASSOCIATION

Memorandum for

Revision of Pay and Allowances for Government Doctors Office: 208, DAS Quarters, Govt. Rajaji Hospital, Madurai-625020 Web: www.tngda.net mail: [email protected]

INTRODUCTION: •

The health care delivery system in Tamilnadu is easily the best

•

Govt. doctors can take the right- full pride

•

Govt. doctors work for 54 hours to even 99 hours a week

•

Promotion / pay structure - lowest in the country

•

Working hours/ load - heaviest in country

•

Increasing demands & specialists shortage

•

Many types of recruitment process have failed

•

So, make the job more lucrative

Important services in TN:•

CEmONC

•

Medical College in each district

•

1428 PHCs

•

Trauma Care centers

•

Ambulance services

The Burden: Work place

No required

No. available

No. shortage

CEmONC specialists:

800 (1300)

480

542

Anatomy

122

48

74

Physiology

122

54

68

Biochemistry

61

28

33

Pharmacology

89

48

41

Pathology

152

84

68

Microbiology

78

37

41

Forensic

68

29

37

Community Medicine

126

54

72

Radiology

98

32

66

Psychiatry

38

28

10

Thoracic Medicine

38

24

14

Total

990

466

524

Trauma Center Orthopedician

40

13

27

Medical colleges

What are our demands? 1.

Rationalization of the work pattern of doctors

2.

Pay and Promotion opportunities on par with central govt. institutions

3.

Allowances for additional work

4.

Duty timings in PHCs on par with other states

5.

VRS

Rationalisation - Salient features: •

Creation of Specialist Cadre

•

Partial Compartmentalization of Education Side

•

Working out Norms

•

and Creation of istrative Cadre

Specialist Cadre: •

Similar to that in central govt.

•

Specialist cadre – Public Health cadre – Teaching cadre should all be given same scale.

•

Entry scale on par with public health specialist ie at Rs 9100 - 13500 or its equivalent in VI Pay Commission.

•

Scale and time bound promotion on par with central scale (including that for public health specialist).

•

Qualification: PG Degree or PG Diploma or a Super Speciality degree.

•

1 or 2 or 4 advance increment to PG diploma, degree and superspeciality degree respectively.

•

These specialists will be posted in specialist posts.

istrative cadre: •

To tone up the istration (as in Kerala).

•

Common for DPH, DMS, DME

•

Eligibility: – Should have minimum 5 years of experience – Can be from general, non-specialist, specialist or public health cadres – should have minimum 10 to 15 years left over service

•

These cadres should be a “non-practising cadre”

•

They should be given 12 months to 18 months residential istrative training

•

Training should be in : Public Health/ Hospital istration/ Finance/ Computer/ Gen. istration

•

Entry posts should be identified: MHO/ BMO/ ARMO etc

•

Certain post like Deputy Directors- Health, Medical, RAMO, RMO, Superintendents etc will be by istrative cadres

•

JD/ S/ ADPH/ E/ DMS/ DME/ DPH will be by both regular and istrative cadres on a fixed ratio.

Pay and Promotion on par with Central Services

Pay Structure and Promotional Avenues of CHS doctors: Scale in Rs

Gen Duty cadre (MBBS)

MO

Public cadre (Dip in Health)

health Public

Non teaching cadre (Dip & Master)

Teaching cadre

37400 – 67000 GP 8900

Eligible IN 3 yr

Eligible IN 3 yr

Eligible IN 3 yr

Eligible IN 3 yr

37400 – 67000 GP 8700

IN 4 yrs

IN 6 yrs

IN 6 yrs

IN 6 yrs

15600-39100 GP 7600

IN 5 yrs

IN 2 yrs

IN 2 yrs

IN 2 yrs

15600-39100 GP 6700

IN 4 years

Entry

Entry

Entry as Asst. Prof.

15600-39100 GP 5600

Entry

-

-

-

Comparative career progression of CHS vs TN doctors Non Teaching side: Cadres

Entry

Promotion 1

Promotio n2

Promotion 3

Gen Duty MO

Entry

In 4 y

In total 9 yr

In total 13 yr

15600-39100 GP 5400

15600-39100 GP 6700

1560039100 GP 7600

37400 67000 GP 8700

CHS Non teaching specialist

-

Entry

In 2 yr

In total 8 yr

-

15600-39100 GP 6700 Entry

1560039100 GP 7600

37400 67000 GP 8700

TN PHC / GH/ Non teaching specialist

15600-39100 GP 5400

15600-39100 GP 5400

1560039100 GP 5400

15600-39100 GP 5400

TN Public Health specialist

15600-39100 GP 5700

15600-39100 GP 7600 in 3 yr

37400 – 67000 GP 8700

37400 67000 GP 10000

–

–

–

Comparative career progression of AIIMS vs TN doctors Teaching side: CHS Medical College Teachers

TN Medical College Teachers

Asst. Prof. Entry

Asso. Prof. In total 5 yr

Additional Prof. In total 4 yr

Prof. Vacancy based

1560039100 GP 6700

1560039100 GP 7600

37400 67000 GP 8700

37400 67000 GP 10000

Asst. Prof. Entry

Asso. Prof. Vacancy based

Prof. Vacancy based

1560039100 GP 5700

1560039100 GP 7600

1560039100 GP 7600

–

-

–

Central Health Services

Indian Ordinance Factory Medical Service

Indian Railway Medical Service

All Indian Institute of Medical Sciences

Kerala

Karnataka

ANDHRA PRADESH

Puducherry: Pay scale Non teaching Side: All central scale of pay and promotion Teaching Side: • JIPMER is a central institute • No state run medical colleges

Tamilnadu Arts College Teachers

SUMMARY: Non teaching cadres: Institution

Entry

Pay scale & Promotions

Andhra

Asst 11250

Surg

Karnataka

GDMO14050

1

2

3

Deputy Civil surg 14300

Civil surg 17035

JD 18355

Sr MO/ Specialist 15200 in 6 years time bound

(Dy CMO)/ Sr Specialist) 18150 in 13 years time bound

23200 JD

Pondichery (as in CHS)

8000 GDMO

10000 Specialist II Jr/ SMO in 4 years time bound

12000 Specialist II Sr / CMO in 9 yr time bound

14300 in 4 yr time bound

Kerala

11910-19350 (Asst. Surg)

16650- 23200 (civil surgeon) in 8 years time bound

23200 – 31150 (DD) in 16 years time bound

25400 – 33100 Addl Director Vacancy based

Railway Medical Service

O 8000

DMO 10000 in 4 yr time bound

JAG DMO 12000 in 9 yr time bound

SelG DMO 14300 in timebound

Ordinance Factory medical service

Asst MO 8000-13500

Sr. MO/ Splist Gr II jr 10000-15200 4 yr time bound

DDHS (OG)/ Splist Gr II sr 12300-15200 9 yr/ 8 yrs time bound

DDHS (SG)/ Splist Gr I 14300 – 18300 14 yr / 11 yr time bound

Tamilnadu

Asst Surg 8000

Sr Asst surg 9100 in average years

Civil surg 10000 in average 20 yr

Sr civil surg. 12000 in average 22 yr

VI Pay commission (minimum)

Minimum 3 promotions in 4, 9 and 13 years

17

14

yr

Conclusion: •Central services, Kerala, Andhra, Karnataka, Pondichery all give better pay scales and time bound promotions •Specialists with PG qualification enter at a higher scale and have better promotion opportunities •In Tamilnadu the Public Health Specialist enter a scale higher but not the other specialist.

Summary : Teaching cadres Institution

Tutor

Asst. Prof.

Reader

Professor

AIIMS (central scale time bound)

-

11625 Entry level

14300

18400

Andhra (UGC scale)

8000

10000

12000

16400

Karnataka (AICTE scale)

8000 8000

12000 + 8000

16400 8000

Kerala (AICTE scale)

8000 + 150% DA

10000

12000

14300

TN Govt. colleges

8000

9100

12000

12000

8000

10000

12000

16400

20000 – 50000

45000 90000

+

Medical

TN Govt. colleges (UGC Scale)

Arts

TN Private Medical Colleges

15000 20000

+

–

+

–

18200 + 8000

90000 125000

-

Medical Teachers vs Arts college teachers : • • • • •

one year less qualification (UG + PG + M.Phil+PhD) have 10 weeks vacation every year no treatment work take 1 to 2 hours classes and rest preparation time Medical teachers: Treatment [ 4 to 6 hours/d ] + Teaching

Still medical teachers paid lower & have poor promotion

In Tamilnadu most medical teachers get only one promotion in their career and that too after 20 years (ie from AP to Asso. Prof)

All teaching scales - Central scale / UGC/ AICTE scale have time bound promotion

Private Practice • Restricted Private Practice is allowed in Kerala, Karnataka and Andhra

• 12000 doctors is 1/3rd of the total doctors in TN • 60% of specialists • Remote PHC/ GH • 75% Rural availability

• NPA optional for private

• cost of treatment low

practice in Karnataka (25% of

• No benefit but expense

band pay + Grade Pay)

• Ban in Andhra withdrawn

Rs 80 crore p.a. Quality may go down as best doctors may opt out of govt. service

University Grants Commission (UGC)

UNIVERSITY GRANTS COMMISSION 3 October 2008

Prof. G.K. Chadha, Member, Economic Advisory Council to the Prime Minister as Chairman.

Higher Pay at Entry Level than the civil services:

•

Since the minimum qualifications at entry were higher.

•

acquiring higher qualifications also meant that entry will be at older age.

•

therefore given incentives by way of advance increments and higher grade pay to compensate them for higher qualifications at the entry point.

•

both the corporate sector and foreign educational institutions are luring the young talented persons away with higher salaries and better pay packages.

Scales/ Career Advancement in UGC Scheme : SNo

Designation

Scale

1

Assistant Professor

PB 15600 – 39100 GP Entry (higher 6600 than IAS, Doctors)

PhD 2 3

4 5

Assistant Professor (Senior scale)

15600 – 39100

Assistant Professor (Selection grade)/ Associate Professor

15600 – 39100

Senior Associate Professor

37400 – 67000

Professor.

37400 – 67000

Promotion after

After 4 years

7200 After 5 years

8000

After 3 years

8700 After 5 years

11000 6

Senior Professor

37400-67000

Only in University

12000 7

Professor of Eminence

80000 fixed

Only in University

Consultancy Assignments: •

to accept consultancies, direct projects, patents, R&D Products and technology transfers as a part of their academic duties.

•

this would help the society at large to benefit from the professional inputs by the academic community and contribute directly to societal development.

•

besides it would help the individual teacher to augment his/her personal and institution resources.

•

resources earned by a teacher through consultancy should be divided between the teacher and the institution

Consultancy Assignments: (contd) Amount received up to 30% of the gross salary (basic salary+ grade pay+ DA+ Academic Allowance) : – No sharing, entire amount to go the teacher concerned. Amount received beyond 30% and up to the gross Salary: - Sharing of the money beyond 30% in the ratio of 70:30 between the teacher and the institution respectively. Amount received beyond the gross salary: – To be shared in the ratio of 50:50 of the amount of the money received beyond the gross salary between the teacher and institution.

Academic Allowance (for preparation of teaching materials) • Rs. 1500/- per month- Assistant Professor, Assistant Professor(Senior Scale), Assistant Professor(Selection Grade) • Rs. 1200/- per month for Associate Professor, Senior Associate Professor, Professor

Teaching Workload :

• • • •

Max 40 h a week 5 h/ day 5 days/ wk AP, Asso. Prof – 16 h /week class + preparatory time

•

Sr Asso. Prof – 6 to 8 h / wk

•

Prof = 2 h/wk

Details

No. of weeks

Teaching

30

ission/ Exams

10

Vacation

10

Public Holidays

2

Total

52

Increments for Higher Qualifications/ on Promotion: •

Ph.d degree holder: 5 advance increments

•

M.Phil degree holder: 3 advance increments

•

M.Tech, M.D., M.S. L.L.M. degree :3 advance increments

•

M.A./MSc./M.Com : 2 advance increments

•

On being promoted as Associate Professor: 2 advance increments

•

In-service teacher on completing Ph.D. degree: 3 advance increments

•

In-service teacher on completing M.Phil degree: 2 advance increments

Superannuation: • The age of superannuation of all college and university teachers throughout India to be 65 years. • In the interest of students Individual teachers should however be allowed to continue as contract teachers till the end of academic session.

All India Council of Technical Education (AICTE) scale

Comptroller and Auditor General (CAG) Report Performance Audit of TN Medical Education 2003 - 2007

VI Pay Commission : Central Govt. Gazette

What are our demands?

Non Teaching cadres:

• Same for Non specialist – time bound promotions at 4, 9, 13 years • Specialists should have one scale higher entry scale • Allowances for additional work

Sixth Central Pay Commission Report - Para 3.6.16: doctors will have Dynamic Assured Career Progression (DA) at 4, 9, 13 years

Non Teaching cadres: Non specialist demanded scale

Specialist demanded scale

Designation

Scale

Designation

Scale

Entry

15600-39100 GP 5400 entry level

-

-

Promotion 1

15600-39100 GP 6600 in 4 years time bound

Entry

15600-39100 GP 6600 entry level

Promotion 2

15600-39100 GP 7600 in 5 years time bound

Promotion 1

15600-39100 GP 7700 in 2 years time bound

Promotion 3 (Existing JDHS cadre)

37400-67000 GP 8700

Promotion 2

37400-67000 GP 8700

in 4 years time bound

in 4 years time bound

Promotion 4 District Medical Officer (Existing S cadre)

37400-67000 GP 8900

S / ADPH

37400-67000 GP 10000 (Vacancy based)

Directors

37400-67000 GP 12000

in 3 years eligible/ vacancy based/ CML seniority

Teaching cadres:

Comptroller and Auditor General of India : in the performance audit report 2003-2007 of the medical education department in Tamilnadu Para 3.2.11.2 : The emoluments of medical faculty are lower than that of their counterparts in arts and science colleges in Tamilnadu Para 3.2.18 (Recommendations ): Govt. should consider University Grants Commission (UGC) scale for the medical teachers

UGC scales as for Arts and Science Teachers + Treatment Allowance

Teaching cadres: Designation

Demanded scale

Tutor

15600-39100 GP 5400 entry level

Assistant Professor

15600-39100 GP 6600 Entry for specialist

Readers

15600-39100 GP 7600 in 5 years time bound

Additional Prof.

37400-67000 GP 8700 in 4 years time bound

Professor

37400-67000 GP 8900 in 3 years eligible/ vacancy based/ CML seniority

Dean/ E

37400-67000 GP 10000

DME

37400-67000 GP 12000

New Pay scales (VI Pay Commission) Posts

Demanded scale

Demanded new scale

Assistant Surgeon

8000-275-13500

15600-39100 GP 5400

Civil surgeon/ Specialist Gr II/ Assistant Professor

10000-325-15300

15600-39100 GP 6600

Senior civil surgeon Specialist Gr I/ Reader

/

12000-375-16500

15600-39100 GP 7600

surgeon/ Associate

14300-400-18300

37400-67000 GP 8700

Officer/

16400-450-20000

37400-67000 GP 8900

Dean/ E/ S/ ADPH

18400-500-22400

37400-67000 GP 10000

Directors

22400 – 525 - 24500

37400-67000 GP 12000

Chief civil Consultant/ Professor District Medical Professor

Modified UGC Duty Timings

Arts College teachers: G.O. 111: Teaching days: 30 weeks ission, exams: 10 weeks Vacation days: 10 weeks Public holidays: 2 weeks Work load: not less than 40 hrs a week

Non Clinical Teachers: 10 am to 5 pm x 6 days a week = 42 hours 10 weeks vacation

Clinical Teachers: 9 am to 2 pm x 5 days a week + 1 stay duty (24 hr) = 49 hours No vacation

Allowances

Why do we need extra allowances? •

In Tamilnadu unlike in central and other state institutions the doctors do many additional work on regular basis

•

Have different work load

•

Xtra duty timings in GH/ PHC side

•

No renumeration for treatment work in medical colleges

Demanded Allowances: Name of the allowance

Existing allowance

Demanded allowance

Remarks

Non Practicing Allowance

Rs 900/-

25% of basic

Optional

OR Restricted Practicing Allowance

Rs 150 – 250 p.m.

20% of basic

In lieu of restricted private practice. Based on option - NPA or RPA

PHC allowance

Rs 900 – Rs 1200

40% of basic

To encourage rural service(PHC)

Multi speciality allowance

-

40% of basic

To encourage rural service (GH)

Risk Allowance

-

Health insurance Rs 10 lakhs / Year

In view of TB/ HIV, Hepatitis.

PG advance Increments

two increments for PG degree

1, 2 , 4 advance increments for diploma/ degree/ super speciality

specialist service to be encouraged

Academic Allowance

-

1500 pm

For preparation of materials

Treatment Allowance

-

40% of basic for UG teachers + 20% to PG teachers

PG institutes teach both MBBS and Diploma/ PG degree

Rare Speciality Allowance

-

The allowance should vary from 75 to 100% of their basic pay depending on the rarity.

To attract essential but Rarer faculty as in Community Medicine, Forensic Medicine, Biochemistry, Anatomy and Radiology this allowance to be given to them.

Professional updating Allowance

-

Rs 5000/ pa

As a life saving service need to update knowledge. Pay commission allows this for scientists. Journal, CME, conference etc.

Special pay

Rs400/pm

Rs 1500/- pm

An additional Medical Pay to be given

Personal pay

Rs300/pm

Rs 1500/- pm

Weekly off

1 day

2 weekly off in PHC/ GH side

With heavy-duty hours 5 days a week is a must.

Difficult Terrain Allowance

-

30% of basic

Those PHCs and GHs interiorly placed and remains vacant.

Hill Allowance

Rs 300/-

30% of basic

In compensation for lack of facilities

Mobile allowance

-

Rs 500 p.m.

Conference Allowance

-

20 days special CL and TA/DA (for participating in the National Conference. The MCI insists all doctors to refresh and update knowledge.

Uniform allowance

Rs 265/p.a.

Rs 2000/- p.a.

For 3 sets of overcoats and foot wear

Stay Duty Allowance

-

Rs 1000/ duty

- made to do 10 duties a month against 4 duties.

Post Mortem Allowance

Rs75/per case

Rs 250 per case

Difficult job. Have to attend court.

istrative Allowance

Rs 0 to Rs 300/-

20% of the basic Pay

CMO/ BMO & other cadres

Duty timings of PHCs on par with other states

Duty timings comparison: Institutions

Timings

Remarks

Kerala

9 am to 1 pm / 2 to 3 pm

5 hours

Karnataka

9 am to 1 pm/ 2 to 4.30 pm

6 ½ hours

Tamilnadu

8 am to 5 pm/ 5 pm to 8 am (call duty)

9 hours + 15 hours call duty alternate days

Central govt. health Working hours institutions same as for other central govt. offices

-

Other govt. servants

10 to 5.45 x 5 days

-

Foreign health institutions

Weekly 36 hours to 40 hours

Out of duty allowance given

What do we need?

• Duty timings between 9 am to 2 pm and 3 pm to 4 pm

• Call duty after duty hours to be withdrawn

• Allowances for additional work

Withdrawal of ban on VRS

VRS: •

Fundamental right of every govt. servant.

•

Ban should be withdrawn and those willing can be re-employed on post- retirement

•

Compensated by increase in the retirement age to 62 years

•

Posts made attractive salaries/ perks.

•

Legally not tenable

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