NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Paras. 579-80.
R. A. P.
For cases admitted during the week and transferred elsewhere
for treatment, the name of the unit to which they have
been transferred and the date of transfer will be inserted.
In case of death, the word DIED and the date of death will be
entered.
(b) The " how disposed of, " " date of discharge " and " number
of days sick " columns of the stout sheet (office record) will be com-
pleted when the patient is discharged.
(c) When there are no admissions during the week, " Nil " returns
are to be rendered.
Section IV is self-explanatory.
Section II
Section III
Section V
will not be completed.
(ii) Procedure at the end of each year—
(a) All cases remaining in hospitals on 31st December will be
regarded as nominally discharged on that date and re-admitted on
1st January. These nominal discharges will not, however, be shown
in Section IV of Form 38 ; only actual discharges will be recorded
in this Section.
(b) When the 31st December does not fall on a Saturday, the Form
38 due to be compiled on the last Saturday of the year will be extend-
ed to include all cases admitted up to midnight of 31st December.
Similarly, the first Form 38 rendered in the new year will include
the period, if any, subsequent to 31st December and additional to
the first complete week of the new year. Section I of the latter form
will be divided into two distinct parts :—
(i) Cases remaining from 31st December and re-admitted in
accordance with ( a) above. The original serial number
prefaced by the letter " R " will be entered, but the date
of admission will be recorded as 1st Janüary ; and
(ii) Entirely new admissions since 1st January.
(iii) Officers commanding military hospitals will complete the
flimsy sheet, as far as possible, to the end of each week
and forward it to the medical officer in charge of the R.
A. F. unit when a R. A. F. unit is located at the same
station as the hospital ; when this is not the case direct
to P. M. O., R. A. F., India.
580. Form 39 (Army Form 1-1220).—Discharge from hospital—
Record card :—
(i) Whenever a patient is discharged from hospital to another
hospital or convalescent depôt, to leave on medical certi-
ficate or duty after more than 48 hours sickness, invalid
-
ed or dead, details of the case will be extracted from
the case sheet (R. A. F. (India) Form 41) and reported
on Form 39. The flimsy will be placed in Form 48 (medical.
142
R. A. F.
Para. 580.
history envelope) and the card will be forwarded with
Form 38 at the end of the week. The number of Forms
39 forwarded each week will always agree with the number
entered in line 4, Section IV of the Form 38 for the week
concerned.
(ii) In order to complete the statistical data for the year, Form
39 will be completed for all patients, other than 48 hours
cases, (equivalent of " Detained patients ") remaining
in hospital on 31st December. Therefore all such patients
will have two forms 39 rendered for them, one for the
period up to 31st December and the other for the remain-
ing period of the disability.
Form 39 for the period of sickness up to 31st December will
be marked on the top and on the " date of discharge to
duty " line " Remaining 31st December
On Form 39 for the further period of sickness, the card will
be prominently marked at the top " Remaining from
31/12 " and the original serial number prefaced by the
letter 'R' will be entered, but " The date of admission "
line will read " Re-admitted 1/1 ". The " No. of days
under treatment " line will shew only the period from
1st January.
( i i i ) M e t h o d
of reckoning total number of days under treat-
ment:—
(a) When cases are admitted to hospital direct from a unit
at the same station and discharged to duty, each
period of 24 hours in hospital will be counted as one
day. Periods of 12 hours or less, in excess, will not
be counted. Periods of over 12 hours will be counted
as one day.
(b) When cases are admitted to hospital from a unit at ano-
ther station and discharged to duty, both the day of
admission and the day of discharge will be counted.
(c) When cases are transferred to another hospital, the day
of transfer will not be counted by the hospital from
which the case is transferred.
( i v ) I n a l l c a s e s o f i n j u r y t h e d a t e o f t h e a c c i d e n t t o g e t h e r w i t h
a short reference as to the cause and a statement as to
whether the injury was sustained on duty, off duty or on
leave will invariably be recorded under " Previous history
of the case". In cases of disease for which prophylactic
inoculation is practised (e. g., the enteric group, small-
pox, cholera, plague) dosage and dates of relevant in-
oculations will also be recorded ; where no inoculations
have been carried out a note will be made to this effect.
In cases of death the findings at the autopsy (if held)
will be recorded and an opinion expressed on Form 39
as to whether death was the result of wound, injury, or
disease directly attributable to the conditions of service.
143
Paras. 581-84.
R. A. F.
581. Form 48 (Medical History Envelope).—Form 48 for every
R. A. F. patient (officer or airman) should be received at the hospital
with the patient. If not received within 48 hours after admission
application should be made to the O. C. the R. A. F. unit concerned.
Form 48 should always be available on the occasion of a medical
board on an officer or airman for the information of the board.
On discharge of a patient from hospital Form 48 will be forwarded
immediately to the O. C. the R. A. F. unit concerned.
582. Records and returns on board ship.—( a ) Form 39 will be
made out for all officers and airmen admitted to hospital on board
ship. A note will be made on each case as to the disposal of those
remaining in hospital on arrival at the port of disembarkation.
(b) One Form 38 complete in all details for the whole period of
the voyage will be rendered for each of the classes noted below :—
(i) R. A. F. personnel proceeding on service abroad.
(ii) R. A. F. personnel returning home from abroad.
(iii) R. A. F. personnel proceeding from one station abroad to
another.
(iv) R. A. F. personnel invalids returning to U. K.
(v) R. A. F. personnel sick and wounded transferred from active
service in the field.
( c) At the end of each voyage the Form 39 (cards) and Forms 38
will be forwarded to the D. M. S., Air Ministry, London, at home
or P. M. O., or S. M. O., R. A. F. command abroad, in which the
port of disembarkation is situated, or to the R. A. F. Embarkation
Officer (for transmission to the P. M. O. or S. M. O.) if there is one
at the port of disembarkation.
(d) Form 48 of patients who are not discharged to duty before
disembarkation will be forwarded to the same destination as the
patients. Application for Form 48 in the event of sickness on the
voyage will be made to the O. C., R. A. F. unit or draft concerned,
and on discharge to duty during the voyage, will be returned to him.
(e) Forms 38, 39 and 41 should be available in all stationery boxes
on transports. If not, they may be obtained on requisition from
the R. A. F. Embarkation Officer at the port of embarkation.
Disposal of R. A. F. personnel on discharge from a military hospital
and instructions for medical boards.
583. Discharge from hospital.—Officers and airmen will be ordered
to report to the O. C., R. A. F. unit concerned, but officers granted
leave on medical certificate may proceed on leave direct from hospital,
if they wish to do so.
584. Medical boards.—Medical boards will normally consist of
three medical officers, the president being of field rank ; a R. A. F.
medical officer, if available, will be a member of the board.
144
R. A. F.
Paras. 584-87.
Medical boards will be held on R. A. F. personnel in the following
circumstances:
—
(a) Officers
—
(i) On discharge from hospital, if there is a possibility of any
permanent disability resulting from the illness or injuries.
(ii) When recommended sick leave—
Sick leave may be recommended by a medical board up to
a maximum of 6 months in the first instance, and in or
out of India.
An officer whose medical condition necessitates leave to
Great Britain (or British Colony, vide Passage Regula-
tions, India) should be specifically recommended for.
such.
Sick leave to Great Britain should not be recommended un-
less the officer is considered likely to be fit for service in.
India at the expiration of 6 months from the date of com-
mencing sick, but transfer to home establishment under
sub-clause (iii) below will be recommended.
An officer recommended sick leave to Great Britain should
be warned that he will be re-examined by a medical board
on arrival there and that, if he is considered by the home
authorities to be unlikely to become fit for service in India
within the maximum period of 6 months permissible,.
he may be required to revert to the home establishment
forthwith or at the expiration of any accumulated leave
due to him.
(iii) When proposed for transfer to home establishment as in-
valids.
(b) Airmen and families of officers or Airmen,— When proposed
for transfer to home establishment as invalids.
585. Convening of Boards.—The convening authority will be the
A. O. C., R. A. F., India. Medical boards may be arranged at the
request of the local R. A. F. authorities by the O. C., military hospital
concerned.
586. Forms.—(a) R. A. F. (India), Forms 46 and 47, will be used
for officers under para. 584 ( a) above, except where an officer is re-
commended for sick leave out of India or for transfer to home estab-
lishment as an invalid when I. A. F. M-1243 will be used.
( b) A. F. B-179 will be used for airmen proposed for transfer to
home establishment as invalids.
( c) A. F. A-2 will be used to record the proceedings of a medical
board held on a wife or child of an officer or airman.
587. Instructions for completion and dispo sal of the forms.—( a)
R. A. P. I-47 will be completed in triplicate a s follows :—
145
Para. 587.
R. A. F.
Findings of board.—Officers will be classified in respect of their
medical fitness to perform both aerial and ground duties within the
standards laid down, in accordance with the following procedure :
—
(i)The letter “ A ” will represent “ Fitness for aerial duties ”
and “ B ” will represent “ Fitness for ground duties ”.
(ii)A series of numerals qualifying fitness for aerial duties will
be added, as requisite, after the letter “ A,” viz. :—
1.full flying duties.
2. limited flying duties.
3. combatant passenger (piloting excluded).
4. Non-combatant passenger.
.(iii) Letters will subsequently be added after both “ A ” and
“ B ” f o r t h e p u r p o s e o f i n d i c a t i n g l i m i t a t i o n s o f f i t n e s s ,
as follows :
—
h. home service only.
t. temporarily unfit.
p. permanently unfit.
Unless otherwise indicated an officer will be assumed to be fit for
general service.
If further treatment in a convalescent depét in India is recom-
mended, this should be stated.
The period for which an officer is likely to remain unfit for the full
duties of his branch must be stated.
Leave in or out of India may be recommended up to 6 months.
The orders given to the officer may be :—
(i)To return to duty.
(ii)To proceed on leave in India in anticipation of sanction.
(iii)To remain in hospital or to return to unit pending transfer
to a convalescent depôt or pending embarkation to U. K.
on sick leave or as invalid.
All copies of R. A. F. (I) F-47 will be forwarded to the P. M. O.,
R. A. F., for approval and disposal. One copy will be returned as
the board's office record.
(b) R. A. F. (I) F-46 (card and flimsy) will be typed from Form
47 and signed by the president and members of the board. The
card will be forwarded to the P. M. O., R. A. F., and the flimsy will
be placed in Form 48.
(d)I. A. F. M-1243, A. F. B-179 and A. F. A-2.—These forms will
be completed in triplicate in accordance with the instructions printed
on the forms except that where invaliding is proposed on A. F. B-179
the recommendation will in all cases be for transfer to home estab-
lishment as an invalid.
146
R. A. F.
Paras. 588-89.
The forms on completion will be forwarded to the P. M. O., R. A.
F., who on approval, will return the hospital record copy direct to
the O. C. hospital concerned.
Information must be given on the board proceedings as to :—
(i)Urgency of passage and fitness or otherwise to travel by
ordinary transport (Passage Regulations, India).
(ii)Whether wife and family, or other attendant, should ac-
company (Passage Regulations, India),
The individual under examination should be instructed to return
to hospital or unit to await embarkation orders.
Arrangements for passages of invalids will be made by Head-
quarters, Royal Air Force, direct with the embarkation authorities.
Dental treatment of Royal Air Force personnel in India.
588.Officers.—(i) A serving officer who has been wounded in
action, or has been injured through the performance of air force duty
otherwise than in action, and has thereby lost a tooth, or sustained
any other injury necessitating the use of a denture, will be supplied
with such, but the cost of repairs and replacements, so long as he
continues to serve, will be borne by the officer except as indicated in
(ii).
(ii) An officer of the general list, who is qualified to wear wings,
or a pupil under instruction in flying, with the exception of such as
shall have been found by a medical board to be permanently unfit
for flying or instruction in flying, is entitled to whatever treatment
is necessary to make him dentally fit, i. e., to bring his teeth and gums
into as healthy a condition as possible. Dentures will be supplied to,
and repaired for, such an officer or pupil, when the dental surgeon
or medical officer superintending treatment certifies that these are
necessary to make the officer dentally fit, provided, however, that
where the supply or repair is necessitated by loss or damage through
neglect or misconduct on the part of the officer or pupil, the cost of
the necessary replacement or repair will be borne by the officer or
pupil.
589.Airmen (including boys).—Airmen (including boys) will be
given such remedial treatment as is necessary to render them dental-
ly fit for service. Dentures will be supplied under the following condi-
tions only :
—
(a) A fully trained airman who incurs such loss of teeth as would
otherwise cause his discharge as an invalid, may be pro-
vided with an initial supply of artificial dentures at the
public expense if, in the opinion of the medical officer,
he will be thereby rendered fit for service ; but except
as indicated in (b), (c) and (d) below, any renewals or
repairs which may subsequently be necessary will be pro-
vided at the expense of the airman himself at the rates
to be fixed by the dental surgeon in consultation with the
147
Paras. 589-91 .
R. A. F.
Controller of Military Accounts concerned. The rates
fixed should be the cost price of the material used, plus
freight charges and other incidental expenses, excluding
the cost of dentist's time and departmental charges.
(b)An airman, whose trade classification is pilot, wireless
operator (mechanic), or wireless operator, or who holds
the non-substantive qualification of aerial gunner, will
be supplied with dentures when the dental or medical
officer superintending treatment certifies that these are
necessary to make the airman dentally fit, and these will
be repaired at the public expense, if and when necessary.
(c)An airman not below the rank of sergeant who has been sup-
plied with artificial dentures at the public expense may
be provided with any necessary renewals or repairs to
such dentures at the public expense, but before such
renewals or repairs are carried out the airman must, by
a court of enquiry, be absolved from all blame or sus-
picion of contributory negligence.
(d)An airman who as the result of .—
(i) Injury received whilst on duty, otherwise than through
his own fault,
(ii) Wound, injury or disease directly attributable to active
service.
incurs loss of teeth, may be provided, at the public expense, with
artificial teeth and such subsequent renewals, or repairs thereto as
may be necessary, but before such renewals or repairs are made at
the public expense, the airman must, by a court of enquiry, be
absolved from all blame or suspicion of contributory negligence.
590.Damage through culpable neglect.—When dentures original-
ly supplied from navy, army, or air force funds can be shown to
have been lost or damaged through neglect or misconduct, the air-
man should be placed under stoppages for the cost of repair or re-
placement, as an expense caused by him— vide Section 138, para. (4)
of the Air Force Act.
591.Provision of porcelain crowns. —(i) When the loss of teeth
does not necessitate the provision of a denture, porcelain crowns
may, subject to the approval of the inspecting dental officer, be
fitted in such cases as accidental fracture of incisor teeth and where
there has been extensive decay of an incisor leaving a root which can
be made sterile.
(ii) Each case should, in the first instance, be submitted to the
inspecting dental officer who will satisfy himself that the case is suit-
able in every respect for crowning, bearing in mind that the fitting
of crowns solely to improve the man's personal appearance is not
justifiable.
(iii) Stocks of crowns should not, however, be kept at fixed
centres, but indents for individual requirements should be made on
the Medical Store Depôt, Bombay.
148
592 Provision of dental treatment.--(i)
2. Dental treatment of
officers and airmen will be carried out by officers of the A. D. Corps
whenever these are available.
(ii)Army procedure will be followed. Whenever dentures are
r e q u i r e d I . A. F . ( Me d i c a l ) 5 wi l l b e f i l l e d i n , t h e P r i n c i p a l Me d i c a l
Officer, Royal Air Force in India, being the sanctioning authority.
(iii)Particulars of the issue of a denture, giving number of teeth
and date, will be recorded on Table VII of Form 48 by the dental
officer.
(iv)Before submitting any recommendation for dentures for men
of low category, the officers concerned will carefully consider whether
the man's services are of such value as to warrant an expenditure
from public funds on artificial teeth.
593. Procedure for obtaining payment from airmen for renewals
repairs not chargeable to the public.—The dental officers supplying
or repairing the denture will complete I. A. F. C-868. A (Issue of equip-
ment on repayment), obtain the signature of the airman and for-
ward the form, in triplicate, to the officer commanding the airman's
unit, who will forward two copies with the pay list to the Controller
of Royal Air Force Accounts, who will sign and return one copy to
the unite
594. Treatment by civilian dental surgeons. —(i) Where a service
dental officer is not available, the medical officer in charge may refer
a case to a qualified and registered local Civilian dental surgeon for
examination and for necessary approved treatment.
(ii) The scale of fees arranged by the Army medical authorities
in any district for dental treatment by civilian dental surgeons shall
be applicable to the Royal Air Force ; such fees are, only payable to
civilian dental surgeons engaged under proper authority. The bills
of dental surgeons privately consulted cannot be met from Air Force
Funds.
595. Dental treatment of wives and families of airmen.—The wives
and fámilies of airmen on the married establishment may be given
dental treatment, provided they are able to attend at the dental
surgery of an army dentist or civilian dentist engaged for attendance
on troops. No charge should be made for the necessary materials
supplied. Dentures, however, should only be supplied or repaired
on repayment at the rates laid down in paragraph 589(a) as from time
to time amended. Before affording treatment to wives and children
of airmen, the dental officer will obtain a signed certificate from the
husband or father to the effect that he is willing that the treatment
shall be carried out, and that any fees chargeable in connection with
such treatment shall be deducted from his pay. It should be clearly
understood that treatment is to be regarded as a privilege and not a
right, and can only be granted when no additional cost to the State
is involved beyond the actual cost of materials. In no circumstances
should additional staff be engaged in order to provide dental treat-
ment for the wives and families of airmen.
149
150
APPENDIX I.
APPOINTMENTS.
OFFICERS.
NOTE. 1.—With the exception of the appointment of D. M. S. in India, the authority competent to make officiating appointments in vacancies due
to the absence of the permanent incumbent on leave, or from any other cause, and the mann er in which such appointments will be notified, will be the
same as for permanent appointments.
For appointments the permanent incumbents of which are nominated by the D. M S. and sanctioned by the C.-in-C., the authorities for nomi-
nating and sanctioning officiating appointments in privilege leave vacancies, and vacancies due to sickness up to 60 days, will be the D. D. M. S., and
G. O. C.-in-C., of the Command, respectively.
NOTE 2.—For administrative and staff appointments, see Regulations for the Army in India, Appendix XII.
Item
No.
Appointment.
Nominated by.
Sanctioned by.
Orders in which
published.
Conditions.
Duration of tenure.
1
Surgeon to His Excellency
the Viceroy.
Viceroy
Vicerory
Gazette of India
R. A. M. C. or I. M. S. ap-
pointment serves under
the Government of
India.
2
Surgeons to Governors
Governor
Governor
Do.
R. A. M. C. or T. M. S. ap-
pointment.
3
Surgeon to C.-In-C.
C. -in-C.
C. -in-C.
India Army
As for item 2 above.
4
Additional M. O., A. H. Q., D. M. S.
C. -in-C.
Do.
Do.
5
Officer in Charge, Medical
Store Depôt.
D. G., I. M.S.
Government of
India.
Gazette of India. T. M. S. appointments In
the case of the Medical
Store Depôt at Rangoon
the charge is held in ad-
dition to the officer's
ordinary duties.
Unlimited.
Appx. I.
A p p o i n t m e n t s .
5
6 M.O. Lawrence Royal
Military School, Sana-
war.
D. M. S
C.-in-C.
India
A m y I. M. S. appointment for
an officer of the rank of
Lieut. or Captain who
must be married and a
member of the Church
of England.
2 Y e a s .
7
Command B. M. H.—
(a) at district and bri-
gado headquarters sta-
tines.
Do.
Do.
Command and
District.
(a) R. A. M. C. appoint-
Lents.
(a) Normally 2 years
which may he extend-
ed.
(b) At Murree, Dalhousie
Darjeeling, Dagshai,
Lehong, Jutogh, Mt.
Abu, Kasauli, Pach-
marhi, Landour, Rani-
Chet, Wellington,
Chakrata, Naini Tal,
Agra, Delhi, Port
Blair, Multan, Fyza-
bad, Cawnpore, Kamp-
tee, Deolali.
Do
Do.
Do.
(b) Do
.
(b) Do.
(c) At other stations. D. D. M. S., Com-
mend, or A. D. M.
S., Independent
district or brigade.
G. O. C.-in-C., com-
mand or indepen-
dent district or
brigade command-
er.
Command, Dis-
trict or Brigade.
Do.
8
Command I. M. H.—
(a) 1st and 2nd class. D. M. S.
C.-in-C. Command and
District.
I. M. S. appointments.
(a) Normally 2 years
which may be ex -
tended.
(b) At Bakloh, Dharm-
sala, Almora, Shillong
and Mandalay.
Do.
Do
Do.
Do.
(c) 3rd, 4th and 5th
class.
D. D. M. S., com-
mand or A.D. M.
S., Independent
district or brigade.
G. 0. 0.-in-C, corm-
mend or indepen-
dent district or
brigade comman-
dear.
Command, Dis-
trict or Brigade.
Do.
(d) 2nd-in-command, 1st
or 2nd class I. M. H.
D o .
Do.
Do.
Do.
O
5
e
I.