Delegation of Powers in Respect of Medical Matters: Read Alongwith Correction Slips

DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS
Other JAG/SG DRM/CWM/SAG Sr.Scale & Medical Officers with Officers with Jr.Scale independent charge of independent Medical charge of Rly. Railway Divisional officer Divl/sub. Hospitals and Central holding Divl/Work shop Hospital. independent hospital. charges.
READ ALONGWITH CORRECTION SLIPS
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 1 1.1
PROCUREMENT OF MEDICAL STORES COVERED UNDER DGS&D RATE/RUNNING CONTRACT:

Purchase of medical stores viz. drugs and medicines.
Full Power
Upto Rs.25,000/in each case but not exceeding of Rs.1 lakh.in aggregate in a year in each case.
upto Rs.2500/- in each case but not exceeding of Rs.25,000/-in aggregate in a year in each case.
Nil
Nil
1.2
Purchase of medical stores viz. Other medical stores like instruments, appliances, surgical dressings, X-ray films, Medical equipments & other hospital items.
Full Power
Upto Rs.10,000/- in each case but not exceeding of Rs.50,000/- in aggregate in a year in each case.
upto Rs.2500/- in each case but not exceeding of Rs.25,000/-in aggregate in a year in each case.
Nil
Nil
(I) Finance concurrence is not necessary. (ii) By placing supply orders directly by the Direct Demanding Officer on DGSD Supplier. (iii) Supply order placed agaisnt DGS&D rate/running contract need not be vetted. (iv) Anual indents with vetting will be as per Para-2 of JPO302 dtd. 6.7.2005. (v) Authority : Board's letter No.74/H/4/19 dt.27/28.10.74, 79/F(S)I/PW/4/1, Dtd. 7.9.79 88/H/4/15 dt.7.3.90 & 2002/FS-1/PW/7/1, Dtd. 28.8.02.
1.3
Procurement of medical stores NOT COVERED under DGS&D Rate/running contract by placing indents on DGS&D.
Full Power Full power by placing indents on DGS&D for items costing more than Rs. 1 lakh.
Nil
Nil
Nil
(I) Direct purchase upto Rs. 1 lakh can be done vide item No. 2.2. (ii) Requisiton for procurement to be vetted by Divisional finance and purchase orders to be vetted by associated finance above Rs. 50,000/-. (iii) Authority : Board's letter No.74/H/4/19 dt.27/28.10.74, 79/F(S)I/PW/4/1, Dtd. 7.9.79 & 2002/FS-1/PW/7/1, Dtd. 28.8.02.
Page-1
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 2 2.1
DIRECT PURCHASE OF
DGS&D item covered under rate/running contract : Whenever required by direct purchase following the prescribed procedure, in the case of stores that are urgently required or can be conveniently obtained LOCALLY from a nearer station, within the following limits.
* Full Power Upto Rs.25,000/- in Upto Rs.20,000/- in each case but not each case but not exceeding Rs. 1 exceeding Rs. 75,000/lakh in the in the aggregate in a aggregate in a year year in each case. in each case. Upto Rs.15,000/- Nil in each case but not exceeding Rs. 50,000/- in the aggregate in a year in each case. (I) Finance concurrence is not necessary. (ii) Authority : Board's letter No. 88/H/4/15, dtd. 3.3.90 & 2002/FS1/PW/7/1, Dtd. 28.8.02.
2.1 (a) Drugs and medicines :
2.1 (b) Other items of medical stores like instruements, appliances, surgical dressings including X-ray films.
* Full Power
Upto Rs.10,000/- in Upto Rs.10,000/- in each case but not each case but not exceeding of exceeding Rs. 50,000/Rs. 50,000/in in the aggregate in a aggregate in a year year in each case. in each case.
Upto Rs.5,000/- Nil in each case but not exceeding Rs. 25,000/- in the aggregate in a year in each case.
(I) Finance concurrence is not necessary. (ii) Authority : Board's letter No. 88/H/4/15, dtd. 3.3.90 & 2002/FS1/PW/7/1, Dtd. 28.8.02.
2.2
Other items not covered by Rate/ Running contracts entered into by DGS&D.
* Full Power
Upto Rs. 1 lakh in Nil each case following prescribed procedure.
Nil
Nil
Finance concurrence is not necessary.
Page-2
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 3
2
Local purchase of Medical Stores, i.e. Cancer Drugs, Cardiac, Anti Haemophilia factor, Post renal transplant, Growth Hormone, Ortho Implants, HIV and any other emergency drugs etc.
3 * Full Power
4 Upto Rs.20,000/- in each case
Up to Rs.10000/upto 1.Finance concurrence is not necessary subject to the in each case Rs.1500/- in condition that total purchases must be whithin 15% of the each case. total budget allocated for medicines in a year & LP procedure followed. 2. Subject to obtaining three quotations. Authority :Para 14 and 14.1 of IRP 2002.
PURCHASE OF NON-DGS&D ITEMS
4.1
Single Tender : Calling & Acceptance.
* Full power
a) Proprietary items : upto Rs.1 lakh in each case.
Nil
Nil
Nil
1) In the case of purchase of proprietary articles on Single Tender Basis, GM's sanction is necessary to exceed the prescribed limits when it is possible for CMD to certify that no substitute for the particular item is available or it will not be proper to take the risk of trying other substitutes.
b) Non-Propri-etory items : upto Rs.20,000/- in each case.
Nil
Nil
Nil
Authority : Bd's Lr No.92/H/4/15 dt.14.8.95 & 2002/FS/1/PW/7/1, dtd. 28.8.2002. Finance concurrence is not necessary upto Rs. 10 lakhs. Limited tender will be called for from the approved list of suppliers subject to ensuring that the pruchase are most economical and consistent with the need to maintain quality of drugs. Authority: Board's letter No.92/H/4/15 dtd.04.12.92 & Bd's letter No. 2002/FS/1/PW/7/1, dtd. 28.8.2002 (A) Upto Rs.5 lakhs. i) Finance concurrence is not necessary ii) No tender committee iii) To be processed by Dy.CMD/HQ based on the offers from the approved list of suppliers for acceptance by CMD iv) The list of suppliers is to be updated on a yearly basis duly approved by CMD (B) Above Rs. 5 lakhs and upto Rs. 15 lakhs i) Finance concurrence is necessary ii) The recommendation of the tender committee is to be accepted by CMD/. Authority : (1) Board's Lr. No. 92/H/4/15 dtd.4.12.92 2. Board's Lr.No. 98/RS(G)/779/10 Pt.I, dt.2.7.99 3. Board's Lr No.2002/FX-I/PW/7/1 dt.28.8.2002
4.2
Approval for calling of limited tender for routine annual procurement.
Full Power
Upto Rs.10 lakhs in each case
Nil
Dy.CMD/HQ : Upto Rs.1 lakh
Nil
4.3
Acceptance of limited tender
Full Power
Upto Rs.15 lakhs
Nil
Dy.CMD/HQ : Upto Rs.1 lakh
Nil
Page-3
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 5 5.1
Emergency power of Procurement of medical stores including drugs and medicines. Purchase of DGS&D items * Full Power (Medical Stores) not covered by rate/running contracts and non-DGS&D Items. Upto Rs. 5 lakhs in ech case Upto Rs. 25,000/- in each case subject to ceiling of Rs. 3 lakh per month. Upto Rs. Nil 20,000/- in each case subject to ceiling of Rs. 1 lakh per month. (I) The limits may be exceeded with the sanction of the GM within powers delegated to General Manager. (ii) For Open and Limited Tender, Finance concurrence is not necessaary upto Rs. 5 lakhs in each case. (iii) For Single Tender, fiannce concurrence is not necessary for : (a) Non-proprietory & proprietory items Upto Rs. 50,000/- in each case. (b) In the case of purchase beyond Rs. 50,000/- Finance Concurrence is necessary. (iv) Authority : Rly. Bd's letter No. 79/F(S)/1/PW4/1, dtd. 7.9.79, 88/H4/15, dtd. 7.3.90, 2002/FS-1/PW7/1, Dtd. 28.8.2002.
5.2
Purchase of DGS&D items medical stores and equipment covered by rate/ruuning contracts and non-DGS&D Items.
* Full Power
Upto Rs. 5 lakhs in ech case
Nil
Nil
Nil
5.3
Petty items of hospitals and * Full Power dispensary equipments (as distinct from medical stores which are otherwise normally to be obtained through Machinary and Plant programme).
Upto Rs. 1 lakhs for urgently needed hospital equipments chargeable to Ordinary Revenue.
Upto Rs. 20,000/- in each case subject to maximum of Rs. 1 lakh per annum chargeable to Ordinary Revenue.
Nil
Nil
Purchase of Blood for transfusion from recognised blood banks in emergencies including blood testing and other charges.
* Full Power
Upto Rs. 50,000/per month
Upto Rs. 20,000/- per month
Upto Rs. 10,000/- per month
Upto Finance concurrence is not necessary. Rs. 5000/- per month
Page-4
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 7
4 Upto Rs. 10,000/per camp
5 Upto Rs.5,000/- per camp
6 Upto Rs.2,000/per camp
7 Nil
8 Finance concurrence is necessary. Authority: Bd's Lr. No. 98/H(FW)/1/1/Pt dt.18.9.98
Purchase of family planning * Full Power medicines, publicity/advertising material and other conveyance related expenditure for camps.
Procurement of artificial * Full Power limbs & appliances from Govt/recognized institutions,
Upto Rs. 10,000/- in each case
Upto Rs. 10,000/- in each case.
Upto Rs.5,000/in each case
Nil
Finance concurrence is necessary. Authority : 1) Bd's Lr. No.80/H/6-4/33 & 9\85/H/6-4/9 dt.13.3.85. (2) Para 636 of IRMM.
Purchase of items for * Full Power accident relief medical equipment including First Aid articles.
Upto Rs. 50,000/- in each case.
Upto Rs.20,000/- in each case
Upto Rs10,000/- Upto Rs5000/- 1. Delegationis for initial supply/ replenishment. in each case in each case 2. CMS/MS//Sr.DMO/ DMO In-charges should submit a monthly statement to CMD indicating the reasons for such replacement and the quantum of purchases etc. 3. Items are to be recorded in the T&P/Dead Stock Register of ARMV.
10
Advance payment for purchase * Full Power of Consumable essential medical items like medical gases/ oxygen/Ethylene oxide/ Nitrogen oxide cylinders and spare parts for medical equipments not covered by DGS&D rate/running contract.
Upto Rs.20,000/- in each case
Nil
Nil
Nil
1. Finance concurrence is necessary. (2) Subject to provision of safeguards for the protection of Railway's interest such as obtaining bank guarantee against failure, defective and short supplies. (3) Request from firms for advance payment along with order should be discouraged and not accepted unless there are exceptional circumstances justifying departure from the rules.
Page-5
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 11 (a)
Supply of Medical Stores (Contract Management) Imposition/waiver of * Full Power penalties for failure to deliver medical stores within stipulated time. Acceptance of excess/ * Full Power shortage in quantities received against supply orders placed.
Extension to the period of delivery. Extension of delivery period can be upto maximum of 50% of the original delivery period. If the extension of delivery period is more than 50% of original delivery period then, approval of next higher authority is to be obtained. Inposition/waival of LD will be as per merit of each case.
Full powers for Full powers for contracts Full powers for contracts accepted accepted under his contracts under his powers. powers. accepted under his powers. Full powers for Full powers for contracts Full powers for contracts accepted accepted under his contracts under his powers. powers. accepted under his powers.
Full powers for contracts accepted under his powers. Full powers for contracts accepted under his powers.
Finance Concurrence is necessary. Authority :- Item 4 of 132-S(1)
(b)
Finance Concurrence is necessary. Authority :- Para 441-S(1)
('c)
* Full Power
Full powers for Full powers for contracts Full powers for Full powers for Prior Finance Concurrence is required for extension of contracts accepted accepted under his contracts contracts delivery in the following cases vide para 441-S. under his powers. powers. accepted under accepted (I) where the rate in the contract was accepted against other his powers. under his lower tenders in consideration of the date of delivery. powers. (ii) where loss or damage is caused on account of late delivery.
(d)
Cancellation of orders placed.
* Full Power
Full powers for Full powers for contracts Full powers for contracts accepted contracts accepted accepted under his under his powers. under his powers. powers. Upto Rs. 2000/- in each case Upto Rs.500/- in each case
Full powers for contracts accepted under his powers.
Finance Concurrence is necessary. Authority :- Item 5 of 132-S(1)
12
Payment of fees to civil surgeons, other Govt medical officers/private practitioners (specialists/super specialists) for consultation/ professional service to Railway servants/beneficiaries and also to the persons injured in Railway accidents.
* Full Power
Upto to Rs. 300/- Upto Rs.200/- 1. Finance concurrence is not necessary in each case in each case Authority : Para 712 of IRMM. Note : Rate should be fixed by the Railway doctor attending in consultation with CMS/MS of the division.
Page-6
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 13
2 Transportation of passengers involved in train accidents.
3 Full Power
4 Full power
5 Full Power
6 Full Power
7 Full power
8 1. Finance concurrence is not necessary . Authority : Para 711 (15) ('c) & 716 of IRMM.
14.1
Uniform, clothing of St.John's ambulance brigade (SJAB) as per Brigade rules.
* Full Power
Upto Rs. 30,000/-
Upto Rs. 20,000/-
Nil
Nil
Finance concurrence is necessary Authority : Para 1110(6) of IRMM.
14.2
Other equipment (initial and renewal) for the use of SJAB & Brigade divisions.
* Full Power
Upto Rs. 10,000/-
Upto Rs.5,000/-
Upto Rs.1000/-
Nil
Finance concurrence is not necessary Authority : Para 1110(6) of IRMM.
14.3
Parade allowance
Full Power
Full power
Full Power
Nil
Nil
Finance concurrence is not necessary. As rates specified by SJAB. Authority : Para 1111 of IRMM.
15
Waival of diet charges to indigent passengers and trespassers injured or taken ill and undergoing treatment in Railway Hospitals as indoor patients.
Full Power
Full power
Full Power
Full Power
Nil
Finance concurrence is not necessary. Authority : Para 641-B Note (iv) of IRMM.
16
Motor ambulance charges etc. for conveyance of Railway employees in emergency for medical treatment.
Full Power
Full power
Full Power
Nil
Nil
1. Finance concurrence is 2. Subject to non-availability of Authority : Para 712 of IRMM.
not necessary. Railway vehicles.
Page-7
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 17
Reimbursement of Medical expenses to serving/retired Railway Employees governed by Railway Employees Liberalised Health Scheme (RELHS)
17.1
Referred by AUTHORISED RAILWAY DOCTOR to :I) Govt. Hospital. Full power Full power Full Power Full Power Nil a) Finance concurrence is not necessary. Authority : Paras 633, 635, 641 to 661 of IRMM. Bd's letter No. 86/H/6-2/21, dtd. 6.7.95 & 12.9.95.
ii) Recognized Hospital
Full power
Full power
Upto Rs. 20,000/- in each case
Upto Rs. Nil 10,000/- in each case Nil Nil 1. Finance concurrence is necessary Authority : Paras 633, 635, 641 to 661 of IRMM Bd's Lr No.91/H/6-4/26 Pt. Dt.5.12.97 & No.2000/H/64/Policy dt.6.3.03
17.2
In emergent cases without * Upto Rs.1 lakh * Upto Rs.50,000/- * Upto Rs.10,000/- per per case case with ceiling limit of proper reference by Rs.50,000/- per year. Authorised Railway Doctor in Recogd/ Govt. Hospital or Dispensaries run by Philanthropic organisations.
17.3
In emergent cases in private hospitals without proper referral by Authorised Railway Doctor. On account of special investigations/ laboratory tests etc done at nonrecognized institutions on reference by Authorised Railway Doctor.
* Upto Rs.50,000/- in each case
Nil
Nil
Nil
Nil
Finance concurrence is necessary.
Authority : Bd's Lr No.91/H/6-4/26 dt.5.12.97 & No.2000/H/6-4/Policy, dt.6.3.03 Upto Rs.10,000/- Upto Rs.10,000/- in Rs.1000/- in each case. Rs.1000/- in in each case each case each case. (1) Beyond Rs.10,000/-, FA&CAO's concurrence and Rly.Bd's approval is required. (2) Provided these investigations were done on the advice of the Authorised Railway Doctor in the absence of such facilities in Railway Hospitals. (3) Authority : 99/H/6-4/Policy, dtd.7.12.2000 & Para 663 and 664 of IRMM 2000 (4) Rly. Bd's conditions vide Lr.No.99/416-41/Policy dt.8.11.2001 should be complied.
17.4
Nil
Page-8
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 17.5
6 Upto Rs.7500/in each case
7 Nil
8 1. Finance concurrence is not necessary for recognized institutions. (2) Beyond Rs.10,000/-, FA&CAO's concurrence & Rly. Bd's approval is required, where such facilities are not available at Govt./Recognized institutions. (3) MD/CMS/MS may exercise the powers as in Col.5 & 6 in emergency in consultation with associate finance and obtain post facto sanction of CMD. Para 663 & 664 of IRMM & Bd's letter No. 99/H/6-4/Policy, dtd. 7.12.2000. Finance concurrence is not necessary. Only complicated high risk cases to be referred by Ophthalmologist in adequate justification. Authority : 92/H/6-1/41, dt.15.1.93 & 2003/H/28/7 dt.9.5.03
On CT scan/MRI tests done in Upto Rs.10,000/- Upto Rs.10,000/- in in each case each case absolutely essential cases at recognised institutions referred by Hospital Incharge.
17.6
Reimbursement cost of * Upto intraocular lens implantation Rs.12,000/- in in Non-Rly/Non-Recognized each case. Hospitals. Reimbursement cost of VVI Pacemaker
Upto Rs.60,000/in each case.
Nil
Nil
Nil
Nil
17.7
Nil
Nil
Nil
Nil
Finance concurrence is not required. Payment to the supply egencies directly by the administrative authority. Payment to the beneficiareis on production of valid documents and on the recommendation of Authorised Railway Doctor in case implantation has been done in Govt./Pvt. Institution in emergency. Authority: Rly.Bd's Lr No.2000/H/64/Policy(Pace-Maker)dt.21.2.03 & Para 666(i) of IRMM 2000. Finance concurrence is not necessary. Case is to be referred to any Hospital (including Pvt. Hospital and Nursing Home) where such facilities are available on specific recommendation of the medical board with expert doctors and members nominated by CMD. Authority : Bd's Lr. No.96/H/6-1/9 dt.8.8.96 & 2000/H/6-3/1 dt.21.11.2000 Finance concurrence is required. Provided that the patient has specifically been referred to that Govt/Non-Recogn Pvt. Hospital by Authorised Railway Doctor in absence of such facilities in Railway hospital. Bd's letter No. 2000/H/64/Policy, dtd. 6.3.03. Authority : subject to condition laid down Rly. Bd's letter No.2000/H/6-4/Policy dt.15.01.04
17.8
Reimbursement for invitro fertilisation & intra utrain insemination
25% of the total expenses incurred per cycle, maximum 3 cycles to be reimbursed on exgratia basis. Rs. 1 lakh for Govt./Recognise d Hospital.
Nil
Nil
Nil
Nil
17.9
Release of advance payment to a Govt. /Pvt. Nonrecognized hospital for emergency treatment Advance payment to Pvt. Hospital.
Nil
Nil
Nil
Nil
Upto Rs.50,000/for Non-recognd Pvt. hospital
Nil
Nil
Nil
Nil
Page-9
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 18
2 Funeral Expenses for indigent employees who die in Railway Hospitals Expenses on disposal of unclaimed dead bodies in Railway hospitals.
3 Full Power
6 Nil
7 Nil
8 1) Finance concurrence is not necessary. (2) Subject to amount being recovered from the settlement dues of the deceased. (3)Bill drawing and the concerned Accounts Officer to be advised immediately. Authority : 1. Para 1602(15) of IREM, 2nd Edition. (2) Bd's Lr No.E(W)/98/WE6/8, dt.05.03.1999 4) Amount can be withdrawn from Station earnings. Finance concurrence is not necessary Authority : Para 711(5(g) of IRMM. 1. Finance concurrence is necessary. 2. Subject to rendering accounts to the concerned Accounts Officer within 15 days from the date of the event to clear the advance outstanding against CMD/MD/ CMS/MS. Authority : (1) Bd's Lr.No.98/H(FW)/1/Pt. Dt.18.9.98. (2) Bd's Lr. No.99/H(FW)1/1/J, dt.2.8.99
18.1
Full Power
Full power
Full Power
Full Power
Nil
19 19.1 19.2
Drawal of Advance for Sterilisation camp Health/Family welfare camps and other health promoting activity Incurring expenditure towards : Repair and servicing of X-ray and other electric/electronic therapeutic apparatus including other medical equipment & apparatus Full Power Upto Rs. 20,000/- in each case. Upto Rs. 15,000/- in each case. Upto Rs.10,000/in each case Nil Full power Full Power Full power Full power Upto Rs.10,000/- per camp Upto Rs.10,000/- per camp Nil Upto Rs.5,000/per camp Nil Nil
20 20.1
i) Finance concurrence is required if the expenditure exceeds Rs.5000/- on each occasion. (ii) Repairs can be undertaken on single quotation from OEM, authorized dealer or agent or 3 quotations from reputed firms. (iii) Advance payments can be made by CMD only upto Rs.5000/- with finance concurrence and on furnishing a bank guarantee. Total cost of repair should not exceed 2/3 of original cost of machine. History sheet of the machine is to be maintained.
20.2
Washing of hospital Linens through Open/Limited tender
* Full Power
Upto Rs. 15 lakhs per annum
Nil
1. Finance concurrence is necessary. 2.Subject to mechanical laundry facilities not being available or not functioning in the medical department. 3.Observe Tender procedure.
Page-10
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 21
2 a) Acceptance of contracts for transport of refuse and rubbish from Railway Colony/premises. b) Acceptance of contracts for disposal of hospital waste.
3 * Full Power
4 Upto Rs. 20 Lakhs per annum
5 Upto Rs. 15 lakhs per annum
6 Upto Rs. 10 lakhs per annum
7 Nil
8 1. Finance concurrence is necessary. 2.Tender procedure to be followed. 3.In extreme cases of break down of conservancy services/hospital wastes, contracts may be fixed without calling tenders for a period of three months without further extension. Authority : OSD/Medical Note No.92/H/4/15/ Pt. Dt.5.2.98. Finance concurrence is necessary. 1. Finance concurrence is not necessary. 2.These powers are to be exercised in respect of deserving indigent nonrailway cases admitted in railway hospital in emergent circumstances only. 1. Finance concurrence is not necessary. 2.Subject to availability of spare accommodation after meeting the requirements of the Railway staff and their families. 3.The prescribed charges under the relevant rules should be recovered from the patients so admitted. Authority : Para 622 of IRMM.
* Full Power
Upto Rs. 15 lakhs per annum Upto Rs. 1000/- in each case.
Upto Rs. 10 lakhs per Upto Rs. 5 lakhs annum per annum Upto Rs. 500/- in each case Nil
Nil
22
Waiver of Hospital charges in respect of non-Railway patients. Admission of Non-Railway patients in Railway Hospital
* Full Power
Nil
23
Full Power
Full powers to admit in Railway Hospital in emergent cases where no other suitable medical aid is available to patients other than Rly. Employees, their family membes or seriously injured passengers and trespassers. The usual charges should be recovered from the patients so admitted.
DRM : Full Powers to admit in Rly. Hospital in emergent cases only to patients other than Rly. Employees, their family members or seriously injured passengers and trespassers. No provided at no time the no. of beds occupied by such patients exceed 5% of the total no. of beds available in that Hospital and provided further that the normal charges etc. recovered from the patients so admitted in advance. Other SAG Medical Officers : Same as above.
Same as for CMD
Nil
24
Medical Boards- holding of for i) Decategorisation Full Power Full power Full Power Full Power Nil
1. Finance concurrence is not necessary. 2.Exercise of powers by MD/CMS/MS is subject to standing medical boards being nominated by CMD, if not in existence. Authority : Bd's Lr. No.98/H/5/14 dt.6.4.99 Authority : Bd's Lr. No. 85/H/5/10, dt.31.12.96
ii) Invalidation
Full Power
Full power
Nil
Nil
Nil
Page-11
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 25
2 Acceptance of gifts by Railway Hospitals on behalf of the medical department.
3 Full Power
4 Full power
5 Full Power
6 Nil
7 Nil
8 1. Finance concurrence is not necessary. 2.Subject to advising FA&CAO and GM of such gifts as part of hospital dead stock
26
Sanction for special diagnostic investigations in non-Railway recognised institutions for service/consultation rendered.
* Full Power
* Upto Rs. 3,000/- in each case
Nil
Nil
Nil
1. Finance concurrence is necessary. 2.Payment at agreed rates. 3.A six monthly statement of such expenses should be sent to CMD. 4.This power will not apply to artificial aids like hearing aids, prosthetic valves for heart, sophisticated artificial limbs etc. Authority : Bd's Lr.No.91/H.6-4/26 Pt. dt.5.12.97
27
To Sanction the cost of special drugs for TB/AIDS patients treated in nonRailway sanatoria/hospitals.
* Full Power
Upto Rs.10,000/per case
Upto Rs.5000/- in each Upto Rs.5000/case in each case
Nil
Finance concurrence is not necessary. Authority :1.Bd's Lr.No.F(X) II-68/PW-4/97 dt.21.7.69. (2)Bd's Lr.No.78/H/S/3 dt.5.7.78 & Para 804 to 814 of IRMM 2000.
28
Sanction for purchase of medical equipment (M&P).
* Upto Rs. 10 lakhs per case
Nil
Nil
Nil
Nil
Finance vetting is necessary. Authority : Item No. 40 of GM's delegation.
29
Replacement/additional petty items of Hospital and Dispensary equipment chargeable to revenue.
* Full Power
Upto Rs.1 lakh
Upto Rs.20,000/-
Upto Rs.10,000/-
Nil
1. Finance concurrence is necessary, if the cost of an item of medical equipment exceeds Rs.20,000/-. 2.Procurement by CMD for urgently needed hospital equipments. CMD shall personally certify such cases of urgent procurement. Authority : Bd's letter No. F(X)II/95/ALC/2/PT.1, Dtd. 5.9.95
Page-12
Sl. No.
Nature of the items
AGM
CMD
REMARKS
1 30
Write off of items upto Rs. 1 lakh where Railway Employee is responsible and upto Rs. 2 lakhs where Rly. Employee is not responsible. i)Articles of glass broken in transit * Full Power Upto Rs. 10,000/Upto Rs. 5000/Upto Rs. 2,000/Nil 1. To be exercised when no responsibility can be fixed. 2.Finance concurrence is not necessary. Authority: Item No.18 of 132-S Vol.1 1. To be exercised when it can not be re-used. 2.Finance concurrence is not necessary. Authority : Para 409 & 411(2) of IRMM 1. To be done under the supervision of a gazetted officer. 2.Finance concurrence is not necessary. Authority : Para 409 (2) of IRMM.
ii) Through condemnation or destruction by burning all linens.
* Full Power
Upto Rs. 20,000/-
Upto Rs. 10,000/-
Upto Rs. 5,000/-
Nil
iii) By throwing away at site, scrap articles of no value. iv) Expired drugs & medicines. v) ARME items lost during accidents. 31 Purchase of medical books and journals .
Full Power
Full power
Full Power
Full Power
Nil
* Full Power
* Upto Upto Rs. 1 lakh * Upto * Upto Finance concurrence is required. per annum Rs.50,000/- per annum Rs.25,000/- per Rs.5,000/- per annum annum.
* Full Power * Full Power
Upto Rs. 25,000/Upto Rs.45,000/per annum
Nil Upto Rs.15,000/- per annum
Nil Upto Rs.7,500/-
Nil Nil
Finance concurrence is not required. Finance concurrence is not necessary. Authority : 1. Para 1037 & 1038 of Financial Code vlume-I. (2) Para 241 of IRMM vol.1.
32
Repair & Servicing of Ambulance & Office vehicles.
* Full Power
Upto Rs. 30,000/Upto Rs. 30,000/- per per vehicle in a year. vehicle in a year
Upto Rs.10,000/- Upto Rs.5000/- Finance concurrence is necessary beyond Rs.5,000/- in per vehicle in a per vehicle in each case. year a year
33
Supply of dietary articles to Railway Hospitals. (i)Open/Limited tender Full Power Upto Rs. 15 Lakhs as per JPO No. 302, dtd. 06.07.2005 Upto Rs. 10 lakhs. Nil Nil 1) Finance concurrence is necessary. (2) Subject to observance of tender procedures. Authority : 1) Para 405 of IRMM. (2) Bd's letter No. 2001/F(S)-2/PW7/2, dtd. 5.9.03.
N.B : * Requires prior Finance Concurrence/or otherwise mentioned. * * When there is no AGM post, such cases will require GM's approval/sanction.
Page-13
CONSTITUTION OF TENDER COMMITTEE AND ACCEPTING AUTHORITY FOR MEDICAL MATTERS (AS PER JPO No. 302, dtd. 06-07-2005 OF E.Co.RLY) 1. A Tender Committee should be constituted in cases where the purchase is valued Rs. 5 lakhs and over, per item including proprietary item and other Single Tender Cases. 2) For procurement involving tender value upto Rs. 5 lakhs in case of all drugs and medicines and medical equipments, no tender committee need to be constituted. (Authority: a) Railway Board's Letter No.98RS(G)/779/10, Pt.1, dtd.2.7.99. b) No.92/H/4/15, dtd. 04.12.92)
Sl. No. Value of Tender Acceptance by Composition of Tender Committee Stores Deptt Medical Deptt. Finance Deptt REMARKS
Above Rs.5 lakhs upto Rs.10 lakhs Above Rs.10 lakhs upto Rs.15 lakhs Above Rs. 15 lakhs upto Rs. 1 Crore. Above Rs.1 crore upto Rs.3 crores Above Rs.3 crores upto Rs.15 crores
SAG SAG/HAG (CMD) AGM
SS
SS
Jr.Scale
For calling and accepting of tender for procurement of Drugs & other Medical Stores. CMD's power is upto Rs.15 lakhs.
JAG
JAG
SS GM's power is upto Rs. 15 crores.
SAG
SAG SAG (Co-ord.) SAG (Co-ord.)
JAG
AGM
SAG SAG (Co-ord.)
SAG SAG (Co-ord.)
5
Note :-
GM
1) The Tender Committee composition and the accepting authority should be atleast one step higher than the members nominated in case of Open Tender/Limited Tender except where GM is the accepting authority. (Authority : Rly. Bd's Lr. No. 97/CE-1/CT/32, 2) The total value of a tender will be the criterion to decide the competent authority for acceptnace. 3) Medical Member (convenor) of the Tender Committee will put up the papers direct to the accepting authority. 4) All purchase proposals involving foreign exchange require concurrence of FA&CAO and sanction of GM.
Page-14
C / S No. 3 (SOP-MED.) EAST COAST RAILWAY General Managers Office, Rail Vihar, Chandrasekharpur, Bhubaneswar-751023. MEMORAND U M Sub: Schedule of Powers Modification of item No. 17. 4 (b) of Medical Matters. ***** Sanction of the General Manager with the concurrence of FA&CAO is hereby communicated for modification of item No. 17.4 (b) of SOP on medical Matters issued under this office letter No. ECoR/GA/SOP/Medical/1871 dtd. 03.01.2006 and amended from time to time. The revised item No. 17.4 (b) of SOP on medical Matters has been changed and should be read as follows: Sl. No. 1 Nature of the items 2 (b) On account of special investigations/ laboratory tests etc done at nonrecognized institutions when requisite facility is not available in Railway Hospital. AGM CMD
MD of Central Hospital, CMS/MS in charge of Divisional Hospitals.
REMARKS 8 (a) Finance concurrence is required. (b) Beyond Rs. 10,000/- Finance concurrence and Rly. Bds approval is required. (c) In case the claim does not exactly tally with the CGHS rate list, MD/CMS in charge of the Divs. shall come to a logical conclusion and pass a speaking order to certify that the rate(s) are reasonable. Authority: - (i) Rly. Bds Lr. No. 99/H/6-4/Policy, dtd. 7.12.2000 & Para 663 and 664 of IRMM 2000. (ii) Rly. Bds Lr. No. 99/H/6-4/Policy dt. 8.11.2001. (iii) Rly. Bds Lr. No.2005/H/6-4/Policy-II dt. 30.04.2007.
3 4 5 Upto Upto Upto Rs. 5,000/- in Rs.10,000/- Rs.10,000/- each case in each in each case case
(B. K. Mishra) Dy. General Manager For General Manager No. ECoR/GA/SOP/Medical/3407 Dated: 25.09.2007. Copy forwarded for information and guidance to: All PHODs/CHODs, CAO (C), FA&CAO (F&S), FA&CAO(C) & CHD/ECoR/BBS, DRMs, ADRMs, CMSs, Sr.DFMs/ KUR, WAT & SBP, MD/Central Hospital/MCS, CWM & Sr.AFA/CRW/MCS, Dy. CVO/ECoR/BBS & Principal Director of Audit/ECoR/BBS
(B. K. Mishra) Dy. General Manager For General Manager
C / S No. 2 (SOP-MED.) EAST COAST RAILWAY General Managers Office, Rail Vihar, Chandrasekharpur, Bhubaneswar-751023. MEMORAND U M Sub: Schedule of Powers Modification of item No. 17. 4 and 17. 5 of Medical Matters. ***** Sanction of the General Manager with the concurrence of FA&CAO (F&S) is hereby communicated for modification of item No. 17.4 & 17.5 of SOP on medical Matters issued under this office letter No. ECoR/GA/SOP/Medical/1871 dtd. 03.01.2006. The revised item No. 17.4 & 17.5 of SOP on medical Matters has been changed and should be read as follows: Sl. No. 1 17.4 Nature of the items 2 (a) On account of special investigations/ laboratory tests etc done at Govt ./recognized institutions referred by Authorized Rly. Medical Officer. AGM CMD
REMARKS 8 (a) Finance concurrence is not required up to Rs.10,000/- per case. (b) In terms of Rly. Bd.s Lr. No. 99/H/6-4/Policy dated 08.11.2001, the power will be exercised by MD/CMS/MS in consultation with two Sr. Doctors (one pathologist and the other from surgical or medical specialty or by the last two when a pathologist is not available) and the proceedings of the opinion, justification and sanction recorded in the bed-head/ OPD ticket of the patient before the test is recommended. (c) Beyond Rs. 10,000/- Finance concurrence and Rly. Bds approval is required. (d) It is to be certified that requisite facility is not available in Rly. Hospital. Authority: - (i) Rly. Bds Lr. No. 99/H/6-4/Policy, dtd. 7.12.2000 & Para 663 and 664 of IRMM 2000. (ii) Rly. Bds Lr. No. 99/H/6-4/Policy dt. 8.11.2001. (iii) Rly. Bds Lr. No. 99/H/6-4/Policy dt. 30.04.2007. (a) Finance concurrence is required. (b) In case the claim does not exactly tally with the CGHS rate list, MD/CMS/MS/In charge of the Divs. Shall come to a logical conclusion and pass a speaking order to certify that the rate(s) are reasonable. (c) Beyond Rs. 10,000/- Finance concurrence and Rly. Bds approval is required. Authority: - (i) Rly. Bds Lr. No. 99/H/6-4/Policy, dtd. 7.12.2000 & Para 663 and 664 of IRMM 2000. (ii) Rly. Bds Lr. No. 99/H/6-4/Policy dt. 8.11.2001. (iii) Rly. Bds Lr. No.2005/H/6-4/Policy-II dt. 30.04.2007. (d) Emergency shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient. Some examples are road accidents, other type of accidents, acute heart attack etc.
Conted. to P/2.
3 4 5 Upto Upto Rs.5,000/- in each Rs.10,000/- Rs.10,000/- case. in each in each case case
(b) On account of special investigations/ laboratory tests etc done at nonrecognized institutions in emergency situation as defined in remarks column (d)
Upto Upto Upto Rs. 5,000/- in Rs.10,000/- Rs.10,000/- each case in each in each case case
(2)
Sl. No. 1 17. 5 Nature of the items 2 (a) On CT scan/ MRI tests done in absolutely essential cases in emergency at Govt/ recognized hospital referred by Authorized Rly. Medical Officer. (b) On CT scan/ MRI tests done in absolutely essential cases at non-recognized hospital in emergency situations as defined in remark column (e). AGM CMD
REMARKS 8 (a) Finance concurrence is not required up to Rs.10,000/- per case. (b) MD/CMS/MS may exercise the powers on emergency in consultation with two Sr.. Doctors (one from surgical and one from medical) and the proceedings of the opinion, justification and sanction recorded in bed-head ticket of the patient before the test is recommended as per the stipulation contained in the para-663 & 664 of IRMM-2000 & Rly. Bd.s Lr. No. 99/H/6-4/Policy, dated 07.12.2000. (c) Beyond Rs. 10,000/- Finance concurrence and Rly. Bds approval is required.
3 4 5 Up to Up to Rs.10,000/- in each Rs.10,000/- Rs.10,000/- case. in each in each case case
Up to Rs.10,000/in each case
Up to Up to Rs.10,000/- in Rs.10,000/- each case in each case At CGHS rates of that city or nearest At CGHS At CGHS city rates of that rates of that city or city or nearest city. nearest city
(a) Finance concurrence is required. (b)Beyond Rs. 10,000/- Finance concurrence and Rly. Bds approval is required. (c) Not more than CGHS approved rate(s) of that city or nearest city is allowed. (d) In case the claim does not exactly tally with the CGHS rate list, MD/CMS/MS/Incharge of the Divs. Will come to a logical conclusion and pass a speaking order to certify the rate(s) being recommended in consultationn with associate Finance. Authority: - (i) Rly. Bds Lr. No. 2005/H/6-4/Policy-II, dtd. 31.01.2007. (e) Emergency shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient. Some examples are road accidents, other type of accidents, acute heart attack etc.
(B. K. Mishra) Dy. General Manager For General Manager No. ECoR/GA/SOP/Medical/3084 Dated: 21.05.2006. Copy forwarded for information and guidance to: All PHODs/CHODs, CAO (C), FA&CAO (F&S), FA&CAO(C) & CHD/ECoR/BBS, DRMs, ADRMs, CMSs, Sr.DFMs/ KUR, WAT & SBP, MD/Central Hospital/MCS, CWM & Sr.AFA/CRW/MCS, Dy. CVO/ECoR/BBS & Principal Director of Audit/ECoR/BBS
(B. K. Mishra) Dy. General Manager For General Manager
CORRECTION SLIP No. 1 (SOP-MED.) EAST COAST RAILWAY General Managers Office, Rail Vihar, Chandrasekharpur, Bhubaneswar-751023. MEMORAND U M Sub: Schedule of Powers on Medical Matters. ***** Sanction of the General Manager with the concurrence of FA&CAO (F&S) is hereby communicated for insertion of a ward Central Hospital in the Column No. 5 of all Items of existing SOP on medical Matters issued under this office letter No. ECoR/GA/SOP/Medical/1871 dtd. 03.01.2006. The revised column No. 5 of SOP on Medical Matters has been changed and should be read as follows: DRM/CWM/SAG Medical Officers with independent charges of Railway Divisional hospitals and Central Hospital. All other terms and conditions will remain unchanged.
(S. K. Patra) Dy. General Manager For General Manager

No. ECoR/GA/SOP/Medical/2355 Dated: 23.06.2006. Copy forwarded for information and guidance to: CAO (C)/BBS, All PHODs/CHODs, FA&CAO (F&S), FA&CAO(C), CHD/ECoR/BBS, DRMs, ADRMs, CMSs, Sr.DFMs/ KUR, WAT & SBP, MD/Central Hospital/MCS, CWM & Sr.AFA/CRW/MCS, Dy. CVO/ECoR/BBS & Principal Director of Audit/ECoR/BBS
(S. K. Patra) Dy. General Manager

For General Manager

Delegation of Powers in Respect of Medical Matters: Read Alongwith Correction Slips

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DELEGATION OF POWERS IN RESPECT OF MEDICAL MATTERS

READ ALONGWITH CORRECTION SLIPS

Nature of the items

PROCUREMENT OF MEDICAL STORES COVERED UNDER DGS&D RATE/RUNNING CONTRACT:

Nature of the items

2.1 (a) Drugs and medicines :

Upto Rs. 1 lakh in Nil each case following prescribed procedure.

Finance concurrence is not necessary.

Nature of the items

4 Upto Rs.20,000/- in each case

5 Upto Rs.20,000/- in each case

PURCHASE OF NON-DGS&D ITEMS

Single Tender : Calling & Acceptance.

a) Proprietary items : upto Rs.1 lakh in each case.

b) Non-Propri-etory items : upto Rs.20,000/- in each case.

Approval for calling of limited tender for routine annual procurement.

Upto Rs.10 lakhs in each case

Dy.CMD/HQ : Upto Rs.1 lakh

Acceptance of limited tender

Upto Rs.15 lakhs

Dy.CMD/HQ : Upto Rs.1 lakh

Nature of the items

Upto Rs. 5 lakhs in ech case

Upto Rs. 50,000/per month

Upto Rs. 20,000/- per month

Upto Rs. 10,000/- per month

Upto Finance concurrence is not necessary. Rs. 5000/- per month

Nature of the items

4 Upto Rs. 10,000/per camp

5 Upto Rs.5,000/- per camp

6 Upto Rs.2,000/per camp

8 Finance concurrence is necessary. Authority: Bd's Lr. No. 98/H(FW)/1/1/Pt dt.18.9.98

Upto Rs. 10,000/- in each case

Upto Rs. 10,000/- in each case.

Upto Rs.5,000/in each case

Upto Rs. 50,000/- in each case.

Upto Rs.20,000/- in each case

Upto Rs.20,000/- in each case

Nature of the items

Finance Concurrence is necessary. Authority :- Item 4 of 132-S(1)

Finance Concurrence is necessary. Authority :- Para 441-S(1)

Cancellation of orders placed.

Full powers for contracts accepted under his powers.

Finance Concurrence is necessary. Authority :- Item 5 of 132-S(1)

Nature of the items

2 Transportation of passengers involved in train accidents.

Uniform, clothing of St.John's ambulance brigade (SJAB) as per Brigade rules.

Upto Rs. 30,000/-

Upto Rs. 20,000/-

Finance concurrence is necessary Authority : Para 1110(6) of IRMM.

Upto Rs. 10,000/-

Finance concurrence is not necessary Authority : Para 1110(6) of IRMM.

1. Finance concurrence is 2. Subject to non-availability of Authority : Para 712 of IRMM.

not necessary. Railway vehicles.

Nature of the items

ii) Recognized Hospital

Upto Rs. 20,000/- in each case

* Upto Rs.50,000/- in each case

Finance concurrence is necessary.

Nature of the items

5 Upto Rs.10,000/- in each case

6 Upto Rs.7500/in each case