NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Paras. 43-50.
Military Medical Services.
43. Furlough and leave.—The rules contained in Regulations for
the Army in India regarding furlough and leave, including privilege
leave, for British service officers will be applicable to members of the
Q .A.I.M.N.S.
Leave on m.c. out of India is admissible under Article 722 Royal
Warrant for Pay, etc., 1926, and is subject to the conditions laid down
in paragraph 902 Regulations for the Army in India.
44. Leave pay.—A lady nurse will be eligible for ¾ of her Indian
rate of pay when on furlough or leave on m.c. in India, and for British
rates of pay when on furlough or leave on m.c. outside India.
45. Conditions of retirement on retired pay, etc., and grant of
dependents allowances.—The conditions of resignation or retirement
on retired pay or gratuity, disability retired pay, and of the grant
of dependents allowances, and the rates admissible will be those laid
down in the Royal Warrant of pay, etc., of the Army 1926 as amended
by subsequent Royal Warrants.
There will be no addition to the Pay Warrant rates in respect of
service on the Indian establishment, i.e., service on the Indian estab-
lishment will not be regarded as service in a tropical country.
(b) Conditions of service of the Q.A.M.N.S. for India.
46. Conditions of service.—The conditions of service of those mem-
bers of the Q.A.M.N.S. for India who have elected since 1st November
1926 to continue to serve under their existing conditions of service
are laid down in Appendix II-A.
(ii) THE INDIAN MILITARY NURSING SERVICE.
47. Composition.—The service is composed of lady nurses recruited
within Indian limits and will consist of :-
—
Matrons,
Sisters, and
Staff nurses.
Promotion is made by selection by the D.M.S. in India.
48. Establishment.—The establishment will be the number sanc-
tioned from time to time to carry out the duties for which the
service is recruited, vide paragraph 36.
The establishment will be distributed to hospitals by the D.M.S.
in India.
49. Appointment to the service.—The conditions of appointment
are as laid down in Regulations for admission to the I.M.N.S. issued
by A.H.Q. from time to time.
50. Conditions of service.—A lady nurse selected for appointment
will be required to enter into an agreement to serve for three years.
The agreement will be terminable by two months notice on either
side, except that in the event of misconduct or a breach of the agree-
ment, a nurse will be liable to be discharged from the service without
notice.
10
Military Medical Services.
Paras. 51-51A.
A lady nurse will be permitted to re-engage for further terms of
3 years service or until reaching the age of 55 years, provided that
she is pronounced by a medical board to be physically fit for further
service and is reported on satisfactorily at the end of each term and
subject to her re-engagement being finally approved by the Govern-
ment of India.
51. Retirement.—The age for compulsory retirement for all ranks
s 55 years. See also Pension Regulations, India,
51-A. Leave.—The leave rules of the Indian Military Nursing
Service will be as follows :—
(i) Casual leave as laid down in paragraph 875, Regulations
for the Army in India.
(ii) Privilege leave as laid down in paragraph 880 and 880-A,
Regulations for the Army in India.
,(iii) Leave on recommendation of medical board :-
—
(a) On account of a disability due neither to field service
nor to ordinary military service; 30 days on full pay,
in addition to any privilege leave due.
(b) On account of a disability caused by ordinary military
service; 60 days on full pay, in addition to any
privilege leave due.
(c) On account of a disability directly attributable to field
service; 90 days on full pay, in addition to any
privilege leave due.
( i v ) L e a v e o n t w o - t h i r d s p a y , u p t o a m a x i m u m o f 9 0 d a y s , m a y
be granted in extension of the leave in (iii) above, on
the recommendation of a medical board.
( v ) L e a v e w i t h o u t p a y , u p t o a m a x i m u m o f 9 0 d a y s , m a y b e
granted in extension of the leave in (iv) above on the
recommendation of a medical board provided there is a
reasonable prospect of the nurse being fit to resume full
duty on its expiration.
( v i ) T h e f o l l o w i n g p e r i o d s o f l e a v e o n f u l l p a y w i l l b e a d m i s s i b l e
on the recommendation of a medical board to lady nurses
who have completed 6 years' service in the I.M.N.S. in
lieu of the leave on full pay on the recommendation of a
medical board admissible under (iii) above.
Disability due Disability not Disability due
to ordinary
due to
to field
military
service.
service.
service.
Period of leave on recommendation 180 days. 90 days. 270 days.
of medical board on full pay.
11
Paras. 52-58.
Military Medical Services.
When privilege leave is due, the period of such leave will be in-
cluded in the period of leave shown in the above table.
NOTE I.—Leave without pay will not count as service for gratuity or service
for annual uniform allowance.
NOTE II.—m.c. leave counts from the day of being struck off duty, and includes
any period spent sick in hospital after being struck off duty.
( iii) MATRONS OF FAMILY HOSPITALS.
52. Conditions of service and engagement.—A certain number of
nurses trained in maternity work may be engaged under the terms
laid down in Appendix II-B for duty in military family hospitals
,see also Appendix I.
53. Leave.—The leave admissible to Hospital Matrons is
—
Privilege leave on full pay for 30 days annually. This leave
may be accumulated up to 90 days in accordance with the
rule in paragraph 880-A of Regulations for the Army in
India. 60 days' privilege leave on full pay may be granted
annually to the matron serving at Bannu subject to the'
limitation of accumulated privilege leave up to 90 days.
54. Dress.—Matrons of family hospitals will be required to main
-tain the following articles of dress :—
Dress, caps, belts
.
. 6 of each.
Aprons and collars ..
.
12 of each.
The articles should be plain white and of ordinary nurses pattern.
55. Assistant matrons.—May be engaged on rates of pay laid down
in Pay and Allowance Regulations, Part I, paragraph 45.
(d) The Indian Medical Department.
56. General.—The I.M.D. is recruited and trained in India pri-
marily for duty in connection with the care of the health of the Army
in India, and also in certain civil appointments.
T h e D , G . , I . M . S . i s r e s p o n s i b l e f o r t h e r e c r u i t i n g o f m e m b e r s o f
the I.M.D., their professional training prior to admission to the depart-
ment, and for their grading and promotion in the department.
57. Composition.—The I.M.D. is composed of two branches :—
(a) The Assistant Surgeon branch, for duty ordinarily with
British troops of the Army in India.
(b) The Sub-Assistant Surgeon branch, for duty ordinarily with
the Indian Army.
58. Rules governing admission to the Department.—The rules
governing admission to the Department, the preliminary professional
training and the conditions of service are published from time to time
as regards—
(i)the Assistant Surgeon Branch, in memoranda issued from
time to time by the D.G., I.M.S.
12
Military Medical Services.
Candidates must be Europeans or members of Domiciled Com-
munity.
NOTE.—Indian Jews, Goanese and other Indian christians are not eligible for ad-
mission.
(ii) the Sub-Assistant Surgeon Branch, in memoranda issued
from time to time with the approval of the D.G., I.M.S.
on behalf of the Government of India, by Principals of
the Medical Schools at which Indian military pupils are
trained.
Candidates must be natives of British India.
Members of the Department are eligible for civil employment
under the Civil Departments of the Government of India, Provincial
Governments, in certain African colonies and in Iraq and Aden. Whilst
so employed, they remain liable to recall to military duty, except
those Sub-Assistant Surgeons serving with the Frontier Militia and
Levy Corps, and those seconded for service in African colonies, Iraq
and Aden.
59. Establishments of the I.M.D.—(1) The establishment of the
Assistant Surgeon branch of the I.M.D. is the number required and
sanctioned for duty in :—
(a) military appointments—in military hospitals and military
dispensaries and with staffs, corps and departments, etc.,
of the Army in India, with a reserve of 20 per cent.
(b) miscellaneous military appointments with a reserve of 15 per
cent.
(c) civil appointments with provincial governments, civil depart-
ments and miscellaneous, with a reserve of 15 per
cent.
Civil departments, provincial governments, etc., may employ as
many assistant surgeons of the I.M.D. as they require and can be
made available. These will be supernumerary to the establishment
shown under (a) and (b) and will be seconded. They will not be
transferred back to military duty unless their services are required
by the C.-in-C. or unless their services are no longer required by the
departments or governments employing them.
(2) The establishment of the Sub-Assistant Surgeon branch is
the number required and sanctioned for duty in :
—
(a) military and cantonment appointments—in Indian military
hospitals, cantonment hospitals, military dispensaries and
with staffs, corps and departments, etc., of the Army
in India, with the authorised reserve of 25 per cent.
(b) miscellaneous military appointments with a reserve of 25
per cent.
(c) certain civil appoinments—Baluchistan Agency, Foreign
Department, Survey Department, Andamans Commission,
and miscellaneous, with the authorised reserve of 25
per cent.
13
Paras, 59A-59B.
Military Medical Services.
Military S.A.Ss. employed in civil appointments will be super-
numerary to the establishment shown under (a) and (b) and will be-
seconded; they will not be transferred to military duty unless their
services are required by the C.-in-C. or unless their services are no
longer required by the departments employing them.
NOTE.—The term "miscellaneous military appointments" means military appoint-
ments to which members of the I.M.D. are nominated by the D.G., I.M.S.
59-A. Grading.—(i) The grades of Assistant Surgeons are :
—
(a) Warrant officers
Assistant Surgeon, 4th class
Ranking as Sub-Conductors.
, ,
, ,
3rd
, ,
, ,
, ,
2nd
, ,
Ranking as Conductors.
, ,
, ,
1st
(b) Departmental officers—
Senior Assistant Surgeons with the rank of Lieut.
,, ,, ,, Captain.
, ,
, ,
M a j o r .
, ,
(ii) The grades of Sub-Assistant Surgeons are :
—
(a) Indian Warrant Officers.
(b)Indian officers with the rank of Jemadar, Subedar and Subedar -
Major.
Official numbers will be assigned to Sub-Assistant Surgeons.
The number of Senior Assistant Surgeons is calculated at 10 per
cent. of the total military strength of the cadre.
The number of senior Sub-Assistant Surgeons, i.e., subedars and
Subedar-majors is 10 per cent of the total strength of Sub-Assistant
Surgeons.
59-B. Service for promotion.—Service for promotion counts from
the date of appointment of members of the I.M.D. to the Department
as notified in the Gazette of India. Periods spent on leave without
pay will not count towards service for promotion.
Assistant Surgeons and Sub-Assistant Surgeons of the I.M.D.,
if eligible and recommended, will be promoted as follows :—
(i) Assistant Surgeons—
Assistant Surgeons, 4th class to 3rd class
After 7 years' service in the 4th class.
Assistant Surgeons, 3rd class to 2nd class
After 5 years' service in the 3rd class,
subject to having passed the pres-
cribed examination, before 12 years,
service.
Assistant Surgeons, 2nd class to 1st class
After 5 years' service in the 2nd class.
Assistant Surgeons, 1st class to the grade of
Senior Assistant Surgeon with the rank of
Lieut.
By selection to fill vacancies in the
senior grades from those in
military and civil employment.
Lieut. to the grade of Senior Assistant Surgeon
with the rank of Captain.
Captains to Senior Assistant Surgeon with the
rank of Major.
After 3 years' service in the rank of
Captain.
14
Paras. 64-71.
Military Medical Services.
64. Re-examination of a Sub-Assistant Surgeon restored to his
former class after removal from that class.— A sub-assistant surgeon
degraded by sentence of a court-martial, will, if restored to his former
class, be re-examined if he passed more than two years before his
restoration. If not previously qualified, he may be examined at the
same time at the sub-assistant surgeon immediately above him.
65. Removal from the service.—(i) Assistant Surgeons are liable
to discharge from the service at any time under the orders of the
Government of India, should their services be no longer required.
(ii) Indian military students—Sub-Assistant Surgeon branch
— m a y b e r e l e a s e d f r o m t h e s e r v i c e b y t h e D . G . , I . M . S . a f t e r q u a l i f y i n g
for admission to the service, if there are no vacancies in the department.
(iii) Sub-Assistant Surgeons may be discharged from the service
under rule 13, Indian Army Act.
66. Removal of junior members from the Department.— If the
retention of a member of the I.M.D. of less than three years' service
is stated in his annual confidential report to be undesirable and
unlikely to be advantageous to the State, he may after due enquiry
be discharged without enforcement of the penalty prescribed in para.
67.
67. Resignation and Penalty on resignation.— Applications to resign
the service from members of the I.M.D., with less than three years'
service or seven years for those who entered a medical college after
June 1920 in the case of assistant surgeons, and with less than seven
years' service in the case of sub-assistant surgeons, will only be con-
sidered if the applicant is prepared to refund Rs. 3,000 if an assistant
surgeon or Rs. 1,000 if a sub-assistant surgeon; nor will the applicant
be permitted to leave the service until he has paid the penalty.
This penalty will not be recovered in the case of a member of the
I.M.D. discharged from the service for reasons of discipline, ineffi-
ciency or general unsuitability.
68. Transfers to and from civil employment.— Transfers of members
of the I.M.D. from military to civil employment and vice versa will
be arranged between the D.M.S. in India and the D.G., I.M.S.
69. Temporary civil duty.—Members of the Sub-Assistant Surgeon
Branch of the I.M.D. who entered the service after 1st August 1894
are liable for temporary civil duty in any department or province.
70. Exchanges.— Exchanges between members of the I.M.D and
civil assistant and sub-assistant surgeons are not permitted.
71. Civil Sub-Assistant Surgeons.—Civil Sub-Assistant Surgeons
recruited and employed by Provincial Governments are distinct from
the members of the Sub-Assistant Surgeon Branch of the I.M.D.
They are liable during the first ten years of their service, for tem-
porary military duty in India both within and without their own
provinces if engaged after 12th January 1887, and anywhere in or
out of India if engaged after 31st August 1920. While so employed
they will receive military rank and pay according to their length of
16
Military Medical Services.
Paras. 72-74.
service, but the rates of pay will in no case be less than their civil
pay. While drawing rates of pay not in excess of those admissible
to military S.A.Ss. of the same grade, they shall be granted both
compensation for dearness of food and clothing allowance under the
rules applicable to the latter. Examinations passed while in military
employ will not absolve them from passing the tests to which they
are ordinarily subject, unless it is certified that the tests are
e q u i v a l e n t .
72. Retirement and half pay.—Members of the I.M.D. are com-
pulsorily retired on attaining the age of 55 years.
The rules governing their resignations, retirement, invaliding are
as detailed in Pension Regulations, India. See also paragraph 67 of
these Regulations.
73. Re-employment.—Superannuated members of the I.M.D. may
in the event of their services being required, be re-employed on such
terms as may be specially laid down.
74. Granting of school certificates and Diplomas. —(a) Assistant
Surgeons will be granted their diplomas on being gazetted into the
Department.
Certificates of attendance at lectures at medical colleges in India
may be issued to members of the I.M.D. under the following condi-
tions :—
(i) Assistant Surgeons on study leave may be granted the cer-
tificates free of charge, with the proviso that subsequent
resignations before ten years' approved service will only
be permitted on payment of the cost of the course.
(ii) In the event of the certificates being granted to an assistant
surgeon on study leave during the first three years (seven
years in the case of one who entered the college after
June 1920) of his service, and resignation taking place
before the end of three or seven years, as the case may be,
the cost of the certificates shall be added to the fine of
Rs. 3,000 prescribed in the declaration made on appoint-
ment.
(iii) Assistant Surgeons retired on pension, and those permitted
to resign before qualifying for pension but after ten years'
approved service, shall not be charged for the certificates.
(iv) No recoveries on account of the cost of certificates will be
made from assistant surgeons who entered a medical
college before September 1908.
(b) The diploma of a Sub-Assistant Surgeon will be retained by
the D.G., I.M.S. and issued to him on retirement, resignation or dis-
charge from the service for any reason.
In the event of his dismissal or discharge for inefficiency or other
reasons the D.G., I.M.S. will immediately inform the Provincial Medical
Council who granted the diploma of the facts relating to his discharge
or dismissal from the service.
17
Paras. 75-79.
Military Medical Services.
75. Tour of service in commands.— The duration of service in a
command is normally five years.
The duration of service in the following places is as shown :—
(i) In the Burma District is 4 years extendable by periods of
one year to five years.
(ii) Sub-Assistant Surgeons in Baluchistan District three years
extendable to five.
(iii) Sub-Assistant Surgeons in Iraq, Persian Gulf Ports and
China two years extendable by period of one year.
On termination of the specified tours of service, applications for
transfer will be considered subject to the exigencies of the service.
76. Discipline.— Assistant Surgeons of the I.M.D. are subject to
the Army Act.
Sub-Assistant Surgeons of the I.M.D. are subject to the Indian
Army Act, they are so subject from the time they join for training
as Indian military students.
The leave of a warrant officer of the Sub-Assistant Surgeon branch
of the I.M.D. may be stopped, or his advancement to a higher class
retarded as a disciplinary measure to the extent herein specified by
order of the undermentioned authorities :—
(i) stoppages of advancement to a higher class for a period not
exceeding one year by award of the D.M.S. or the D.G.,
I.M.S., in the case of men serving under his orders.
(ii) stoppages of leave by award of the A.D.M.S. under whom
he is serving.
77. Leave.—Assistant Surgeons. —Assistant Surgeons obtain leave
in accordance with Regulations for the Army in India, paragraphs
914-916. Combined leave is admissible under Regulations for the
.
Army in India, para. 871.
Extension of leave beyond two years absence from duty will only
be admissible in very special cases and will be without pay. The
periods of leave without pay will not count as service for promotion.
78. Study leave.—Assistant Surgeons.—Assistant Surgeons of the
I.M.D. may be granted study leave under the rules contained in
Appendix IV-B.
79. Leave.—Sub-Assistant Surgeons.— Sub-Assistant Surgeons may
be granted leave as follows :—
(i) Short leave at any time for 10 days on full pay by the
A.D.M.S.
(ii) Leave on full pay for 60 days annually by the brigade or
brigade area commander.
(iii) Leave on full pay for 3 months by the brigade or brigade
area commander in lieu of the 60 days mentioned in (ii)
above, when ordered overseas for duty with troops, before
embarkation and a similar period on return to India.
18
Military Medical Services.
Para. 80.
(iv) Leave on ¾ salary (pay of grade and compensation for quarters
when the individual elects not to retain his quarters) for
12 months (or 18 months if invalided on account of active
service or exceptional work) whether on p.a. or m.c. for
each five years' service by the district commander.
(v) Leave on full pay for three months by the brigade or brigad
e area commander in lieu of the sixty days mentioned in
(ii) above, when ordered for duty with troops in Chitral,
before proceeding to Chitral and a similar period on return
to the normal station. During service in Chitral, leave on
¾ salary may be given in special circumstances, on medical
grounds or private affairs by the district Commander.
Any leave taken in excess of the above will not count towards
promotion or pension.
NOTE 1.—The Government of India may sanction leave on ¾th pay up to two years
in cases where special circumstances exist, which render the leave desirable.
NOTE 2.—No study leave is admissible to S.A.Ss. of the I.M.D. They can, however,
be allowed to attend, at their own expense, the short or long course at the School of Tropical
Medicine and Hygiene, Calcutta, provided they have requisite amount of leave at their
credit.
(e) The Indian Hospital Corps.
80. Constitution.—The I.H.C. is organised for duty in hospitals
for British and Indian troops and their families, and in field medical
units when mobilized.
The Corps is divided into ten companies designated Nos. 1 to 10.
The location of the headquarters of each company is shown in column,
2 hereunder.
Each company is called upon in peace to furnish the personnel
required for the British and Indian medical units of the districts and
brigades as shown against it in column 3 hereunder:—
Company.
Location of Company
Headquarters.
Districts and brigades to which
personnel are provided.
1
2
3
No. 1 Company.
Peshawar . . . Peshawar District.
No. 2 " .
Rawalpindi . . . Rawalpindi and Kohat Districts.
No. 3 " .
Lahore Cantonment . . . Lahore and Waziristan Districts.
No. 4 " .
Quetta . . . Baluchistan District, Sind Independent
Brigade Area, and Zhob In-
dependent Brigade Area.
No. 5 " .
Mhow . . . Mhow District.
No. 6 " .
Poona . . . Poona Independent. Brigade Area
and Deccan District (excluding Sec-
underabad Brigade), and Bombay
District.
No. 7 " .
Meerut . . . Meerut District and Delhi Indepen-
dent Brigade Area.
No. 8 " .
Lucknow . . . Presidency and Assam and Lucknow
Districts.
No. 9 " .
Secunderabad . . . Madras District and Secunderabad
Brigade.
No. 10 " .
Rangoon . . . Burma Independent District.
19