Monday, May 16, 2011

90 days medicine

I am forwarding this shocking mail for knowledge of the ESM community about the devil within. Pls share this with maximum people so it can perhaps reach the villians in this story through their friends. Names in this mail should identify who is who; and who did what.
For some of us the Sarkari Custodian attitude never goes away. We LIKE to sit on what is actually entrusted to us for others to benefit from. It is little wonder that origin of most of our problems lies in internecine rivalries/ perceived rankings/ priorities etc, forgetting that at the end of the game, the King and the Pawn go back to the same box. And the 'box' IS indeed the future destination of even the chess pieces in play.

---------- Forwarded message ----------
From: rajeeve lochan
Date: Thu, May 12, 2011 at 8:51 AM
Subject: ECHS
Cc: Col RP Chaturvedi

Dear Brigadier,
As I am proceeding to USA to be with my son on the night of 19th May, yesterday (11.05.11) I visited ECHS Polyclinic Meerut and approached the seniormost medical officer (Maj Ambuj Goel) and requested for 90 days medicines, he informed that though the orders have been received but they have not been implemented and I should contact the O I/C polyclinic (Col D V Singh). He informed me that medicines for the purpose of going abroad are not authorised/permitted.
He mentioned that medicines for 90 days can only be given to patients of T B, Hypertension and Diabetes and that it has to be approved by the Commandant.
The medical officer made out a prescription and I went to the Commandant (Brig Pareek), I sent the prescription through his P A for counter signatures, first he called for the book and after that he called me and explained to me his financial difficulties and then he informed me that since I was residing locally why I need medicines for 90 days, I informed him that I was proceeding to USA for 6 monthe but I am requesting medicines only for 90 days which is permitted under the rules. Of course he did not take a minute and signed the prescription.
I request confirmation if for proceeding abroad the medicines are authorised or not.
We keep criticising babus and the bureaucracy but I think we in the Armed Forces have more bureaucracy than any where else.
May I have your reply pl. With warm regards.

Wg Cdr Rajeeve Lochan (Retd)
4/205, Rakshapuram,
Mawana Road,
Meerut - 250 001
Phone: 91-121-2623333
Mobile: 91-941-003-1824

Wednesday, May 11, 2011

Ex Servicemen Contributory Health Scheme Expansion

Expansion of Ex-Servicemen Contributory Health Scheme (ECHS)
The Union Cabinet has approved (a year ago) establishment of 199 additional New Polyclinic including 17 mobile military medical facilities alongwith 15 New Regional Centres and re-organisation of Central Organisation ECHS. Authorising additional 67 officers and 270 ESM Staff at 15 New Regional Centres, Central Organisation ECHS and 2263 additional contractual employees for 199 new polyclinics will enhance quality of medicare provided to Ex-Servicemen.

Financial implications towards creation of infrastructure will be about Rs 141 crore. This will entail a capital expenditure of Rs 118.52 crore towards cost of land, construction and medical equipment. An amount of Rs 22.25 crore of expenditure will cover purchase of furniture etc, and IT hardware. On the recurring side, an expenditure of Rs 43 crore per annum is envisaged.

The expanded network envisages 426 polyclinics in 343 districts of the country which will benefit Ex-servicemen residing in remote and far flung areas. The expanded network envisages coverage of about 33 lakh beneficiaries.

Background: The ECHS was introduced with effect from 01 April 2003 to provide comprehensive medical coverage of Ex-servicemen Pensioners, war window and dependents by establishing 227 polyclinics at Stations with ex-servicemen population above 2500 through out the country.

A large segment of Ex-servicemen are staying at locations where there is no ECHS Polyclinic within a radius of 200/ 300 km causing great inconvenience in accessing medical facilities. To address this 199 polyclinic will be established in those places with minimum ex-servicemen population of 1500.

At present Ex-servicemen residing in remote areas where the ex-servicemen population is less than 2500, face a lot of inconvenience in reaching the polyclinics due to distant location varying from 200 to 300 km from their place of residence. The expansion of ECHS will provide easy access to health facilities for such ex-servicemen and their dependents.
Expansion of Ex-Servicemen Contributory Health Scheme (ECHS)

Provision Of Ex-servicemen Contributory Health Scheme Polyclinic at Churu
Military Engineer Services
Bikaner - Rajasthan - 01 April 2011 10:56:04 IST Commander Workers Engineer of Military Engineer Services, Bikaner invites tenders notice for provision of ex-servicemen contributory health scheme polyclinic type C at Churu.
Tender Value INR 21,75,000/-
Project Period 6 Months
EMD INR 43,500/-
Category Recreational & Entertainment Classes
Products Health Consultant
Document Fees INR 500/-
Date 30-Mar-2011
Contact Information/ Contact Person- Commander Workers Engineer
Military Engineer Services Bikaner - Rajasthan India

ECHS News by Brig Kuthiala

From: brig sateesh kuthiala
Sent: Fri, May 6, 2011 9:52:56 AM

Dear Gen (MD ECHS),
pl refer to mail below a copy of which has been endorsed to you. Being intimately involved in ECHS matters I would like to fully endorse the views of Gen Satbir. As I have said repeatedly the instances of mil hosps across the Country treating ESMs as an unwelcome load is more than adequately proven. The reasons are also well known . The armed forces medical fraternity feels that, the General Staff has appropriated to itself a function that legitimately belongs to them. This turf war between the two is unfortunately affecting the veteran population. What both sides to this unfortunate conflict fail to realise is that every serving soldier is ' a soon to be ' veteran. What mil hosps fail to realise is that unlike the past where mil hosps were mandated to treat veterans based on availability of facilities and the OC hosps discretion, the situation today is quite different. Veterans today have contributed to the Scheme and can therefore demand medical cover from anyone tasked to provide cover under the scheme, which includes, empanelled hosps AND MIL HOSPS. We already have some ESMs approaching courts and tribunals in this matter. The next most unfortunate step will be ESMs going to Court against the Service hierarchy . THAT WILL BE A VERY TRAGIC DAY but will give our Babu hierarchy another reason to celebrate . Could these views please be passed on to the Chief and AG.
Brig Sateesh Kuthiala.
Date: Fri, 6 May 2011 09:28:07 -0700
Dear Brig Kuthiala,

Last month of Apr saw ECHS being the focus of deliberations:
#5&6 Apr-at Chandigarh attended by reps of the three services, AG, Army Cdr, MG-IC-Adms of all Army Commands etc.
#Chief of COSC took up pending ECHS issues with Hon'ble RM.
#25 Apr-Improving Medicare in ECHS-attended by Secy ESW, Secy Def FInance & ECHS. #26 Apr-Meeting with MoD chaired by COAS & Def Secy.
#27 Apr-Managing ECHS- agenda during Army Cdrs' Conf.
#28 Apr-Improving ECHS-review by RRM.

Also on 5 Apr ECHS 24X7 Helpline was launched by Army Cdr Western Comd.

COAS gave absolutely unambiguous directions to entire hierarchy. Armed Forces own ECHS, are the greatest stakeholders and would do all to improve and sustain it. Central Organisation is closely monitoring implementation of the COAS directions.

Offg DG AFMS is aware of the issues raised and has promised full support to ECHS including opening of ECHS wings in MHs where required.

On specifics now, You would recall that AHRR had as per earlier load appreciation only offered to treat Esm for Cardiology, Joint Replacement and Eye. Oncology treatment had not been made available and was ltd to consultation only. Brig AK Dhar and his specialty is overloaded and serving soldiers have to register at the reception and then at malignancy centre and thereafter wait for at least 2 to 3 hours in their turn.

What is not at all correct that for surgery patient has to get drugs and consumables from ECHS. We will resolve the issue immediately. Nothing is required to be carried (just recd a call confirming this from AHRR).

Navy and AF have been insisting on treating ECHS members in their own hospitals. Based on the request from the environment, we had to request them not to so insist as ECHS patients prefer treatment in hospitals nearer home rather than travelling to far away in heartless cities with no support. To enable full capacity utilisation of service hospitals for treating Esm, ECHS has started augmenting them with addl doctors. Gen Mathews (ex Comdt AHRR) has joined at Kochi. Hopefully more would join. Not for the compensation but for service to their brethren.

We are trying to improve things, pushing through odds. Team ECHS is constantly at work. Join in. All are welcome!

From: brig sateesh kuthiala []
Sent: 07 May 2011 09:49
To: kamboj report my sig
Cc: chaturvedi; pandey kameshwar; air marshal rai; satbir vice president iesm;; rajender rawat

Dear Brig Kamboj, please see trailing mail (Gen Satbirs letter, my follow up and MDs response). Whereas there are problems and improvement is an ongoing process; what is heartening is the fact that we have an extremely caring and supportive Central Org ECHS. Whereas I can see that all questions with regards to Gen Satbirs letter have not been addressed specially with regards to why Army Hosps who have accepted to cater to ESMs cannot provide TOTAL treatment from consultation to post discharge care as required, I am of the opinion that we continue to give feed back and given the present totally positive response, matters will continue to improve. I am also aware that there are a number of veterans who feel that there are faults in the present org structure and micro management will not take us too far; we also need to look at the matter from the Service HQs point of view. Our top Services hierarchy is as committed to this cause as anyone can be. Those of us who have served at the Army HQ level and dealt with the MOD know only too well how Babudom and Netagiri function. These two roadblocks are a 'GIVEN' in any effort that we may make towards improvement in OROP-Pensions-Medicare and every other matter. So we will just have to 'Bash on Regardless'

May i request you to pass this on as a package to the environment.

Brig Sateesh Kuthiala