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Local Government Employees (Medical Attendance) Rules, 2008 GOVERNMENT OF THE PUNJAB LOCAL GOVERNMENT & RURAL DEVELOPMENT

DEPARTMENT Dated Lahore, the 5th January, 2008.

701

NOTIFICATION
No. SOR(LG)38-14/2007. The following draft of the Rules called, the Punjab Local Government Employees (Medical Attendance) Rules, 2008, which the Government of the Punjab proposes to make in pursuance of the provisions of Section 191(3) of the said Ordinance for information of the persons likely to be referred thereby and notice is hereby given that the said draft, together with any objections and suggestions with respect thereto, which may be received by the Secretary to the Government of the Punjab, Local Government & Community Development Department within fortnight of the publication of this notification in the official gazette. 1. Short title, Extent, and commencements.- (1) These rules may be called the Punjab Local Government Employees (Medical Attendance) Rules, 2008. (2) They shall come into force at once. (3) These rules shall apply to all the employees of Local Governments and District Service set up under the Ordinance as well as all the employees of Local Council Service, Servants of Local Councils set up under the repealed Punjab Local Government Ordinance, 1979, or the employees of the Government, who have been allocated, transferred, or absorbed in a local government set up under the Ordinance, when they are on duty or leave or under suspension in the Province. 2. Definitions.- (1) In these rules unless there is anything repugnant in the subject or context:(a) Authorized Medical Attendant means a qualified medical officer of the District/City District, Tehsil or Town Municipal Administration, appointed by the concerned local government to attend the employees. Charges means any authorized amount paid by the employee on account of the authorized medical treatment, under these rules. District means the District in which the employee falls ill. Employee means the employee of a Local Government and District Service set up under the Ordinance and includes the employee of Local Council Service or Servants of Local Councils set up under the repealed Punjab Local Government Ordinance, 1979, or any employee of the Government, who has been allocated, transferred, or absorbed in a local government set up under the Ordinance; Family means wives/husband, children, stepchildren, and parents

(b) (c) (d)

(e)

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Compendium of Rules framed under PLGO, 2001


of the employee, wholly dependent upon him. Explanation I:- Wife of the employee shall be deemed to be wholly dependent on him so long as she is not legally separated from him.

Explanation II:- Where the wife of the employee is also an employed, the husband shall be entitled to claim any benefit admissible to him under these rules in respect of the wife if she does not claim the benefit in her own right as the employee. (f) Hospital means a Government Hospital, a Government dispensary, a Government Dental Hospital, a Hospital established or maintained by a local government and any other hospital with which arrangements have been made by the Government for the treatment of its employees. (g) Medical Attendance means an attendance in hospital or at the residence of the employee by the authorized medical attendant and such consultation with a specialized or other medical officer in the service of Government or local government in the province as the authorized medical attendant may determine. (h) Ordinance means the Punjab Local Government Ordinance, 2001. (i) Patient means the employee to whom these rules apply and who requires medical treatment. (j) (k) falls ill. (1) Treatment means the use of all medical, surgical and other diagnostic facilities available at the hospital in which the patient is treated, subject to production of entitlement certificate and includes:(i) the employment of such pathological, bacteriological, radiological or other diagnostic methods as are considered necessary by the authorized medical attendant, for the restoration of health of the patient. the supply of such medicines (preventive and curative) or other therapeutic substances as are ordinarily available in the hospital. the supply of such medicines (preventive and curative) or other therapeutic substances not ordinarily so available as the authorized medical attendant may certify in writing to be essential for the recovery or for the prevention of serious deterioration in the condition of the patient; such accommodation as is ordinarily provided in the hospital and is suited to his status; Such nursing as is ordinarily provided to in-patients by the hospital; and Province means Province of the Punjab. Tehsil or Town means the Tehsil or Town in which the patient

(ii)

(iii)

(iv) (v)

Local Government Employees (Medical Attendance) Rules, 2008 (vi)

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The specialist consultation described in clause (g), but does not include diet or provision at the request of the patient of accommodation superior to that described in sub-clause (iv).

(2) Words and expressions used but not defined in these Rules shall have the same meaning as are assigned to them in the Ordinance. 3. Free Medical Treatment.- (1) The patient shall be entitled, free of charge to medical attendance by the authorized medical attendant. (2) Where the patient is entitled under sub-rule (1), free of charge to receive medical attendance, any amount paid by him on account of such treatment shall, on production of a certificate in writing by the authorized medical attendant in this behalf, and subject to such instructions as may be issued by the Government or the local government from time to time, be reimbursed to him by the local government, concerned. 4. Traveling Allowance.- (1) When the place at which a patient falls ill is not the headquarters of the authorized medical attendant: (a) (b) the patient shall be entitled to traveling allowance at tour rates for the journey to and from such headquarters; or If the patient is too ill to travel, the authorized medical attendant shall be entitled to traveling allowance at tour rates for the journey to and from the place where the patient is.

(2) Application for traveling allowance under sub-rule (1) shall be accompanied by a certificate in writing by the authorized medical attendant stating that medical attendance was necessary, and, if the application is under clause (b) of that sub-rule, that the patient was too ill to travel. 5. Referral of patient in case of serious condition.- (1) If the authorized medical attendant is of opinion that case of a patient is of such a serious or the special nature as to require medical attendance by some person other than himself, he may, with the approval of the Executive District Officer (Health) or M.S of the Hospital:(a) send the patient to the nearest specialist or other medical officer as provided in clause (f) of rule 2, by whom, in his opinion, medical attendance is required for the patient; if the patient is too ill to travel, summon such specialist or other medical officer to attend upon the patient.

(b)

(2) A patient sent under clause (a) of sub-rule (1) shall on production of a certificate in writing by the authorized medical attendant in this behalf, be entitled to traveling allowance at tour rates for the journeys to and from the headquarters of the specialist or other medical officer. (3) A specialist or other medical officer summoned under clause (b) of sub-rule

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Compendium of Rules framed under PLGO, 2001

(1) shall, on production of a certificate in writing by the authorized medical attendant in this behalf, be entitled to traveling allowance at tour rates for the journey to and from the place where the patient is. 6. Free medical treatment.- 1) The employee shall be entitled to free of charge medical treatment: (a) in such hospital at or near the place where he falls ill, which in the opinion of the authorized medical attendant, can provide the necessary and suitable treatment; or

(2) Where the patient is entitled under sub-rule (1) free of charge, to treatment in a hospital, any amount paid by him on account of such t4reatment shall, on production of a certificate in writing by the authorized medical attendant in this behalf, be reimbursed to him by the local government concerned. The charges for diet, if levied in a hospital from patients, shall be borne by the patient himself, or otherwise as per Rules as amended from time to time. (3) The following authorities shall order reimbursement of the medical charges: (i) The Executive District Officer (Health) in case of the employee serving in a Zila Council, for reimbursement of Charges up to Rs.50,000/-incurred by the employee serving in a District Government/City District Government or the Zila Council, whereas, the District Coordination Officer shall be competent to order reimbursement of charges up to Rs. 100,000.00. Tehsil/Town Municipal Officer in case of the employee serving in a Tehsil/Town Municipal Administration, for reimbursement of Charges up to Rs.25,000/Naib Tehsil/Town Municipal Officer in case of the employee serving in a Tehsil/Town Council, for reimbursement of Charges up to Rs.25.000/-. The District Officer (Community Organization) in case of the employee serving in a Union Administration/Council, for reimbursement of Charges up to Rs.25,000/-. The sanction with regard to the reimbursement of Charges, exceeding the above mentioned limits, shall only be granted by the Government.

(ii)

(iii)

(iv)

(v)

(4) If the patient is treated in a hospital, maintained by the Government or the local government, the free treatment will constitute an ordinary function of the hospital and the Government or the local government concerned will bear the charges. (5) If the patient is treated in any other hospital where he is to pay for his treatment, the employee shall himself make the payment in the first instance and recover the amount from the local government concerned afterwards. Before claiming reimbursement he should obtain from the hospital authority a copy, if possible of the

Local Government Employees (Medical Attendance) Rules, 2008

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printed tariff of the hospital, with machine number, a bill in full detail and also a duly signed receipt in token of having made the payment, and present them to the head of his office. The head of the office shall check the bill with the tariff and after obtaining the sanction of the competent authority, if necessary, draw the amount payable on a contingent bill form for which the hospital bill and the receipt will form the vouchers. The amount shall then be disbursed to the employee. 7. Treatment at the residence.- (1) If the authorized medical attendant is of opinion that owing to the absence or remoteness of a suitable hospital or to the nature of the illness, the patient cannot be given treatment as provided in clause (i) of sub-rule (1) of rule 6, the patient may receive treatment at his residence. (2) The patient receiving treatment at his residence under sub-rule (1) shall be entitled to receive towards the cost of such treatment incurred by him a sum equivalent to the cost of such treatment he would have been entitled, free of charge, to receive under these rules if he has not been treated at his residence. (3) Claims for sums admissible under sub-rule (2) shall be accompanied by a certificate in writing by the authorized medical attendant stating.(a) (b) his reason for the opinion referred to in sub-rule (1); the cost of similar treatment referred to in sub-rule (2).

8. Charges for services not included in medical attendance.- (1) Charges for services rendered in connection with, but not included in, medical attendance on or treatment of a patient entitled, free of charge, to medical attendance, or treatment under these rules, shall be determined by the authorized medical attendant and paid by the patient. (2) If any question arises as to whether any service is included in medical attendant or treatment, it shall be referred to the local government concerned and the decision of the local government shall be final. 9. Certificate for traveling allowance.- The Controlling Officer of the employee may require that any certificate required by these rules to be given by the authorized medical attendant for traveling allowance purposes shall be countersigned by the Executive District Officer (Health) or M.S of the Hospital. 10. Applicability of the Rules to the Family of the employees.- The family of the employee shall be entitled, free of charge, to medical attendance and treatment, on the scale and under the conditions allowed to the employee, at a hospital at which the employee is entitled to receive treatment free of charge or at hospital specially recognized for the treatment of families of the employee. This shall include confinement of the employees in a hospital, but not prenatal or post-natal treatment at the employees residence. 11. Applicability of the Rules to the retired employees.- These rules shall also apply

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Compendium of Rules framed under PLGO, 2001

to the retired employees, their families and families of deceased employees who shall be entitled to all such benefits and facilities as are admissible under these rules to serving employees. 12. Employees on deputation/contract.- The employees who are employed on contract basis or serving the local governments on deputation shall also be allowed the same facilities for purposes of medical treatment during their contract employment or deputation. 13. Relaxation of Rules.- The Government may relax any of the provisions of these rules in special cases of hardship. 14. Repeal.- The West Pakistan Municipal Committee (Medical Attendance) Rules, 1962 and the West Pakistan District Councils (Medical Attendance) Rules, 1963 are hereby repealed. ----------