[AI] draft guidelines for medical certificate

Rajesh Asudani rajeshasudani at rbi.org.in
Wed Aug 29 01:36:22 EDT 2007


friends

As you may be aware, Ministry of social justice and empowerment has invited comments on new draft procedure  for issuing medical certificates of disability. I find the procedure unnecessarily complicated, compartmentalised and cumbursome. It would generate worst confusion and difficulties in the guise of enabling every one to obtain certificates easily by simplifying and streamlining the procedure, as claimed by MSJ.

I wonder who were the stake holders who have suggested such needless modifications, as MSJ claims to have consulted stake holders.

However, as it has invited comments from laypersons like you and me before august 31, I am in the process of drafting them and would appreciate any suggestions. I would put the comments in the list before forwarding them.

one thing, I would like to plead here. We have, on our list, a host of persons related to various NGOs working in the field of blind. whenever there are such moves of comments by stake holders  like recent meets on amendments in PWD act or consultations on the part of government/ministries  which sure must include their NGOs, process of identification of jobs  etc., can they not, put a word on the list so that they may benefit from large gathering of intellectually sophisticated audience?

Here is the draft procedure pasted for the reference and comments of all:

disability certificate.pdf
Ministry of Social Justice & Empowerment 
Shastri Bhawan, New Delhi 
To simplify and streamline the procedure of issue of Disability 
Certificates to the Persons with Disabilities, the Government had set up a 
Committee, under the Chairmanship of Additional Secretary of the 
Ministry. The committee after holding a number of meetings and in 
consultation with the stakeholders has drafted a revised procedure, 
which is being put on the Ministry's website 
http://socialjustice.nic.in/disabled/welcome.htm
for seeking comments 
of all concerned. 
The comments may please be sent latest by 31
st
August, 2007 to Sh. 
Ashish Kumar, Secretary of the Committee and Deputy Director General, 
Room No. 610, 'A' Wing, Shastri Bhawan, New Delhi - 110001 (Phone & 
Fax No. 23383853, E-mail: 
kmashish at nic.in). 
Shape
Proposed Procedure for Issue of Disability Certificate 
Disability certificates may be classified in two types: 
Type I- for obtaining benefits like- employment, admission to higher educational and 
professional institutions, and for judicial determination of compensation claims. 
Type-II- for benefits like- disability pension, unemployment allowance, poverty 
alleviation schemes, income tax exemptions, excise and custom duty exemptions, 
ADIP Scheme, special school admission, travel concessions in Railways, Buses, 
airways, waterways etc. 
Certification mechanism for Type-I Certificates: 
Present system of Medical Boards will continue. Medical Boards can hire the services 
of private practitioners, resource centres etc by payment of required fee, to be 
determined by the District Medical Board. 
Certification mechanism for Type-II Certificates: 
Doctors at Primary Health Centres may be authorized to issue disability certificate for 
disabilities, which are easily discernible to naked eye. This will include locomotor 
disability- amputation or paralysis of limbs and visual disability- blindness. Ready 
reckoner will be developed for use by PHC doctors. 
For the cases involving non-visible locomotor disabilities, Cerebral Palsy, Leprosy-
Cured, Hearing impairment, Low Vision, Mental retardation, Autism and Mental 
Illness, the certificate may be issued by a specialist doctor of that specialty with the 
assistance of paramedical or rehabilitation personnel/ resource center as given below: 

table with 4 columns and 7 rows
S. No.  
Type of Disability  
Expert Doctor*  
Assisting paramedic/ rehabilitation professional*   
1.  
Locomotor Disability (cases with non-visible disability)/ Cerebral Palsy, Leprosy-Cured  
Orthopedic Surgeon  
Occupational Therapist/ Physiotherapist   
2.  
Visual Disability (Low Vision)  
Ophthalmologist  
Optometrist with required facility   
3.  
Hearing Disability  
ENT Specialist  
Audiologist/ speech pathologist having access to audiometric lab facility/ resource center   
4.  
Mental Retardation/ Autism  
Psychiatrist/ 
Clinical 
Psychologist/ 
Psychologist with 
training and 
experience of 5 
years/Special 
Educator with 
training and 
experience of 5 
years  
Psychologist/ Special educator   
5.  
Mental Illness  
Psychiatrist/ Clinical Psychologist  
Psychologist   
6.  
Multiple Disability  
Board under the chairmanship of CMO with required expert doctors  
Concerned paramedical personnel  
table end

* Should be preferably from Government, if readily available. Otherwise, a private 
doctor/ paramedic/ rehabilitation professional as empanelled by the District Medical 
Board may be utilized for the purpose. 
Appellate for the certificate issued 
The appeal against any certificate issued may be preferred to an Appellate Medical 
Board, to be constituted in each Government Medical College with required experts. 
Choice of experts for the Board will be made by the Head of the Institutions. 
The appeal can be made only by the person who feels that the certificate issued to him 
has not taken into account relevant factors. In case of children with disabilities, 
appeal can be filed by the natural/ legal guardian. 
There will be fee for making appeal before the Appellate Board. The amount of fee will 
be prescribed by the State Government. 



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