Esi Scheme In Tamil Nadu


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ESI SCHEME IN TAMIL NADU
DIRECTORATE OF MEDICAL AND RURAL HEALTH SERVICES (ESI) CHENNAI - 6

CHAPTER – I
INTRODUCTION

1.1.The background of this Hand-Book

(Right To Information Act- 2005)

The Right To Information Bill 2005 has been passed by both the houses of

Parliament

and received the assent of the President of India on 15th June 2005.This Act is being implemented

with effect from 12th Oct.2005.

The aim of this Act is to provide for setting up the practical regime of Right To Information

for the citizens to secure access to information under the control of public Authorities in order to

promote transparency, accountability in the working of every public Authority.

Accordingly the information about the ESI Scheme are provided in this Hand Book.

1.2. Objective/purpose of this Hand Book
The objective of this Hand Book on Right To Information Act is to disseminate necessary details about ESI Scheme to the public, in particular to the Insured Persons (Employees of Factories/Establishments under ESI Scheme) through various means of communications.

1.3. Who are the intended users of this Hand Book?
The citizens in general and the Insured Persons in particular are the users of this Book.

1.4. Organisation of the information in this Hand Book?
Directorate of Medical and Rural Health Services (ESI), Chennai-6.
1.5. Contact person in case some body wants to get more information on
topics covered in the hand-book as well as other information also.
The Director of Medical and Rural Health Services (ESI), Chennai - 6.
1.6 Procedure and fee structure for getting information not available in the Hand-book.
As prescribed in the Right To Information Act 2005

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CHAPTER – 2(MANUAL -1)
Particulars of Organisation, Function and Duties 2.1.Objective/Purpose of the Public Authority
The objective of ESI Scheme (Tamil Nadu) is to provide Medical Care Services from ‘womb to tomb’. The entire gamut of preventive, promotive curative and rehabilitative services is being provided through the vast and wide network of ESI Medical Institutions (i.e.) ESI Dispensaries and Hospitals).
2.2.Mission/Vision Statement of Public Authority
The mission of the ESI Scheme is to provide standard medical care to the working population (the Insured Persons) and their family at the time of sickness or employment injury and to sustain the wage loss during the time of sickness or employment injury.
The vision of the scheme is to increase the industrial productivity and thereby reach the goal of (National) growth rate by keeping the work force in hale and healthy condition at all time.
2.3Brief history of the Public Authority and context of its formation.
ESI Scheme has been implemented in India on 24.2.1952 in two centres in our country namely Delhi and Kanpur.
In Tamil Nadu ESI Scheme has been implemented on 23.1.1995 in 5 centres (Ondipudur, Singanallur, Sowripalayam, Upplipalayam, Vellalore) in Coimbatore and then in Chennai on 20.11.1955 at 14 centres (Egmore, Kilpauk I & II, Kondithope, Choolai, Saidapet, Sembium, Tondiarpet, Triplicane, Harbour, Perambur I & II, Annasalai, Mylapore).
From its inception, it has been gradually but steadily extended to new geographical areas in this state in a phased manner. Now this scheme is being implemented almost in all Districts and rendering medical facilities to the Labour Population (Insured Persons) through 190 ESI Dispensaries and 8+1 ESI Hospitals ( 8 ESI Hospitals under the control of Government of Tamil Nadu and 1 ESI Hospital functioning under the control of ESI Corporation, New Delhi)
There are four Regions viz. Chennai, Madurai, Coimbatore and Salem and having 42 ESI Dispensaries in Chennai Region, 57 ESI Dispensaries in Madurai Regions, 38 in Coimbatore Region and 53 Dispensaries in Salem Region.
District wise break up details of ESI Dispensaries and Hospitals, availability of Doctors, beds etc are given in the Annexure. I
2.4. & 2.5. Duties/Main activities/functions of Public Authority
The duties are to provide medical treatment of high standard and quality medicine to the ESI beneficiaries through ESI Dispensaries and Hospitals. Apart from providing medical care, the doctors working under ESI Scheme are issuing leave certificates to the Insured Persons which will enable the Insured Persons to get nearly 50% of his wage during the period of absention from duty (i.e.) the certificates issued by the doctors of ESI patients will enable the Insured Persons to sustain the wage loss due to sickness or temporary/permanent disablement.
All the National Health Programmes are also being carried out under ESI Scheme.

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2.6. List of services being provided by the Public Authority with a brief Write - up.
a) The Insured Persons (employees covered under ESI Scheme) and their family members are entitiled to avail the following treatment facilities in ESI Dispensary/Hospitals/Diagnostic Centre and in recognized medical Institutions: i) Out patient treatment ii) Domicilliary treatment iii) Specialists consultation iv) In patient treatment(Hospitalisation) v) Free supply of drugs,dressings, artifical limbs, aids and appliances vi) Imaging and Laboratory services vii) Integrated family welfare, immunization and maternity and child Health Programme and other services like prevention of Blindness, anti leprosy treatment, treatment for T.B. and cancer patients.
b) Maternal and Child Health Care Services
Maternal and Child Health Care Services are the most important of all the services provided under the scheme.
The services provided are Antinatal registeration and checkup, administering vaccination against tetanus, Hebatitis B, Anti Rabis injection, Anti Snake bite etc. Iron and Folic acid tablets, tonics etc are being issued to pregnant women, nursing women and vitamin A tablets/drops to pre school children. c) Super Specialty treatment for Cancer, Kidney transplantation, Cardiac bye-pass surgery
and bone marrow transplantation are being given to ESI beneficiaries.
d) Treatment for occupational diseases:Special attention is given on the health care of employees working in Textile Industries dye and chemical industries, cement and Asbestoes industries. A 50 bedded occupational diseases centre is made available at the ESI Hospital, K.K.Nagar, Chennai-78. d) Special attention on creating awareness about AIDS and HIV.
2.7. Organization Chart
Attached in annexure III

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2.8. Expectation of the public authority from the public for enhancing its effectiveness and efficiency
The awareness about this scheme and active involvement of the employees working in industries and establishments are expected for enhancing the effectiveness and efficiency of the services and facilities available under this Scheme.
2.9.Arrangements and methods for seeking public participation/contribution
To ensure comprehensive health care services and to involve the participation of the Insured Persons in the scheme various type of meetings, work shop on ESI Scheme for employers, employees are being conducted at periodical intervals throughout this state.
2.10. Mechanism available for monitoring the service delivery and public grievance resolution
Regional Administrative Medical Officer Level
Periodical review meetings about the performance of the scheme are being conducted by the Regional Administrative Medical Officers every month by inviting all the Medical Officers in charge of each dispensary at regional level.
ESI Hospital Level
Similar meeting is being conducted by the Superintendent of each ESI Hospital to assess the performance of each staff viz: Doctors, Para medical staff etc, and to take remedial measures for any defects/discrepancies if brought to the notice of the Superintendent.
State Level
There is an Inspection cell functioning under the control of Joint Director (ESI) which will conduct Inspection in ESI Medical Institutions.
i) The Joint Director will also visit the dispensaries/Hospitals either by announced visit or by surprise visit and if any defects or short comings in the provision of service is noticed, Joint Director will give report to the Director and necessary action will be taken for rectifying those mistakes.
ii) Review meetings of the Regional Administrative Medical Officers and Superintendents are being conducted once in every 3 months to assess the performance of the scheme.
iii) The complaints (if any) received from the Insured Persons, Trade Unions or representative will be considered with due care and the same will be redressed at once.

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2.11 Address of the main office and other offices at different levels. (Please categorize the addresses district wise for facilitating the underStanding by the user).

Sl.No. Name of the office

1.

Head Office

2.

District Level

Address
The Director of Medical and Rural Health Services(ESI), VII Floor, No.359- Annasalai, Chennai-6. Regional Administrative Medical Officer(ESIS) ESI Hospital Campus, K.K.Nagar Chennai - 78 Regional Administrative Medical Officer(ESIS) Thallakulam, Near Court, Madurai Regional Administrative Medical Officer (ESIS) ESI Hospital Campus, Varatharajapuram Coimbatore - 15 Regional Administrative Medical Officer, Salem No.2-c,Gandhi Road, Salem 7 Superintendent,ESIHospital,37,MedavakkamTankoad, Ayanavaram, Chennai-23 Superintendent, ESI Hospital , Varadharajapuram Coimbatore – 641 015 Superintendent, ESI Hospital , Thathaneri Main Road Madurai 625 018 Superintendent, ESI Hospital, Srivilliputhur-Sivakasi Road, Anaiyur village, Sivakasi 626 124 Virudhunagar District Superintendent, ESI Hospital Pent land Hospital Road, Vellore 632 001 Superintendent, ESI Hospital Salem Steel Plant Road Thalavaipatti, Salem 636 302 Superintendent, ESI Hospital SIPCOT Hosur – 635 126 Krishnagiri District Superintendent, ESI Hospital Peria Milaguparai, Trichy – 620 001

2.12. Morning hours of the office : 10.00 a.m. Closing hours of the office : 5.45 p.m.

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CHAPTER – 3

(MANUAL 2)

Powers and duties of officers and employees

3.1. Please provide the details of the powers and duties of officers and Employees of the organization.

Powers

Administrative a) Director of Medical and Rural Health Services (ESI), Chennnai-6.: Over all head of the Department of the State. b)Regional Administrative Medical Officer Head of the Region in implementing the scheme c) Superintendents of ESI Hospitals
He is the head of the ESI Hospital and rendering Inpatients services to ESI patients
d) Other Staff

Powers and Duties of Officers Powers and Duties of Officers:It is to be stated that there is no specific Government Order or instructions with regard to delegation of powers to the officers of this scheme.
However in the capacity of concerned scheme officers they are carrying out the duties and responsibilities. As regards, the Regional Administrative Medical Officers/ Superintendents of ESI Hospitals they have been entrusted with their works by way of issuing office orders from time to time by the Director of Medical and Rural Health Services (ESI), Chennnai-6 Ministerial staff are attached to various offices in various section are doing their duties assigned to them by way of issuance of office orders by the Director of Medical and Rural Health Services ESI), Chennnai-6. The Para-medical staff and assesary staff of the medical institutions are carrying out their duties as per the instructions issued by the concerned heads of the ESI Medical Institutions.

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3.1. Please provide details of powers and duties and employees of the Organization

Sl.No.
1. 2. 3 4 5 6

Designation of the Officer
Medical Officer of ESI Dys. Superintendents of ESI Hospital with <100 beds Superintendents of ESI Hospital with <500 beds Superintendents of ESI Hospital with >500 beds Regional Administrative Medical Officer Jt. Director

Purchase of M & E and Drugs and Dressings Rs.1500/-
2,500/-
5,000/-
10,000/-
10,000/-
20,000/-

Servicing & Repairs (At a time) Rs.1000/-
2500/-
10,000/-
10,000/-
50,000/-
10,000/-

7.

Director (ESI) Full

Full

Power

Power

Dietary Articles (per Month)
Nil

Furniture & Crockery (at a Time) Rs.200/-

10,000/- Rs.500/-

50,000/- Rs.1000/

1,00,000- Rs.5000/

Nil

Rs.5000/

1,50,000 Full Power

20,000/-
Full Power

Purchase of cooking utensils

Reimbursement claim of Insured Persons

Nil

Nil

Nil

Nil

Nil

Nil

Nil

Nil

Nil

Nil

Nil
20,000/* 5,000/**

Rs.75,000/***

Note: - 1) The above financial powers are subject to Budget provision. 2) * towards initial supply ** Per renewal for each hospital *** Director (ESI) will sanction the reimbursement claims of Insured Person up to Rs.75, 000/- beyond that the claim has To be sanctioned by the Government

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CHAPTER – 4

(MANUAL -3)

Rules, Regulation, Instruction, Manual and Records for discharing the functions

4.1. Please provide list of rules, regulations, instructions, manual and records held by the Public Authority or under its control or used by its employees for discharing functions as per the following format. The format has to be filed for each type of documents.

a) Name/title of the Document:

1. ESI Act 1948 and General Rules 1950 2. Fundamental Rules 3. T.N.G.S.C.Rules 4. D.O.M. 5. Medical /code 6. T.N.C.S.(D & A) rules 7. Tamil Nadu Medical Subordinate Services Rules 8. Tamil Nadu General Services 9. ESI Medical Manual

b) From where one can get a copy }

of rules, Regulations, Instructions }

manual and records

}

Item No.2 to 8 can be had from, the Director of Stationery and Printing, Annasalai, Chennai-2. Telephone No.044 – 28520038 Fax No. 044 – 28521318 Item No.1 & 9 can be had from the ESI Corporation Panch Deep Bhawan, CIG Marg, New Delhi. Phone No.23235391 Fax No.11-3214882

C) Fees charged by the department } For a copy of Rules, regulations, } Instructions, manual and Records } (if any)

As per the guidelines prescribed in the Right To Information Act 2005.

9
CHAPTER – 5

(MANUAL -4) Particulars of any arrangement that exists for consultation with or representation by the members of the public in relation to the formulation of its policy or implementation thereof.
5.1. Formulation of Policy
Whether there is any provision to seek consultation/participation of public or its representatives for formulation of policies? If there is, please provide details of such policy in the following format:-

Sl.No. Subject/Type

It is mandatory to ensure public participation (yes/No)
-- - NIL ---

Arrangements for seeking public participation

5.2. Whether there is any provision to seek consultation/participation of public or its representatives for implementation of policies? If there is, please provide details of provision in the following format.

Sl.No.

Subject/Type
Implementation of this scheme and its policies are being done through ESI Dispensaries and ESI Hospitals

It is mandatory to ensure public participatio (yes/No)
No This scheme is meant only for ESI beneficiaries

Arrangements for seeking public participation
Local Committees are formed in various areas under the chairmanship of concerned Regional Administrative Medical Officers and vigilance committees are formed in each ESI Hospitals.

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Esi Scheme In Tamil Nadu