[AI] draft guidelines for medical certificate

bv veerakumar8 at hotmail.com
Fri Aug 31 13:01:14 EDT 2007

Hai Rajesh, I too find the guidelines are complicated. Now a days 
Centralized disability certificates are issued. That can be used all 
purposes including type 2 categories. Para medical doctors may or
may not be considered by the authorities who are in the giving-end. They who 
issue certificate may not know its implications. If such persons commit any 
error, the beneficiary will have to suffer. There must bwe only one 
certificate for all purpose and that should be accepted all authorities. 
otherwise the differently abled will be forced to move from piller to 
post. ---- Original Message ----- 
From: "Rajesh Asudani" <rajeshasudani at rbi.org.in>
To: <accessindia at accessindia.org.in>
Sent: Wednesday, August 29, 2007 11:06 AM
Subject: [AI] draft guidelines for medical certificate

> 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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