NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
I.M.N.S. .
.
. Indian Military Nursing Service.
I.M.S.
.
. Indian Medical Service.
I.O. .
. .
.
Indian Officer.
I.O.D.
.
.
. Indian Ordnance Department.
I.O.R.
.
. Indian Other Rank.
I.M.H.
.
.
. Indian Military Hospital.
K.R.
.
.
King's Regulations.
m. c.
. . .
Medical Certificate.
M.E.S.
.
.
Military Engineering Services.
M.M.S.
.
.
. Military. Medical Services.
M.N.S.
.
.
. Military Nursing Services.
M.O.
.
.
. Medical Officer.
N.C.O.
.
.
. Non Commissioned Officer.
N.Y.D.
.
.
. Not Yet Diagnosed.
O.C. . . .
Officer Commanding.
p.a. .
.
. Private Affairs.
Para.
.
.
. Paragraph.
P. & A. Regs. .
. Pay and Allowance Regulations.
P.U.O.
.
.
. Pyrexia of Uncertain Origin.
P.V.M.S. .
.
. Priced Vocabulary of Medical Stores.
P.W.D.
.
.
. Public Works Department.
Q.A.M.N.S.I.
.
. Queen Alexandra's Military Nursing Service
for India.
Q.A.I.M.N.S.
.
. Queen Alexandra's Imperial Military Nursing
Service.
R.A.F.
.
.
. Royal Air Force.
R.A.F.M. S.
.
. Royal Air Foroe Medical Service.
R.A.M.C. .
. Royal Army Medical Corps.
S.A.S.
.
.
. Sub-Assistant Surgeon.
S.M.O.
.
.
Senior Medical Officer.
S. of S.
.
.
. Secretary of State for India.
T.A.B.
.
.
. Typhoid and Para-Typhoid A. and B.
Vaccines.
T.F.
.
.
. Territorial Force.
U.K.
.
.
. United Kingdom.
I.U.L.
.
.
. Indian Unattached List.
W.O.
.
.
Warrant Officer.
CONTENTS.
P A G E S .
Section
I—The Military Medical Services.
1 — 2 3
Section II—Duties of the Military Medical Services
2 4 – 5 3
S e c t i o n III.—Medical attendance and admission to
hospital
54—72
Section IV.—Medical Examination
7 3 — 7 6
Section
V.—Military Hospitals.
77—81
Section VI.—Hospital Dietary.
8 2 — 8 3
Section VII.—Hospital equipment, stores and supplies.
84—94
Section VIII.—Correspondence, reports and returns, statis-
tics.
95—102
Section IX.—Medical boards and Invaliding—mental cases
and their disposal
103—114
Section
X.—Dental Treatment.
115—121
Section XI—Hygiene and Pathology.
1 2 2 — 1 2 6
Infectious Diseases.
127—136
Section XII.-Troops Moving
.
137—139
Section
X I I I . — R . A . F
140—149
( ix )
APPENDICES.
PAGES.
Appendix I.—Appointments .
.
.
.
.
.
1 6 0 - 1 5 6
Appendix II-A.—Conditions of service of Q.A.M.N.S.I.
. 157-159
Appendix II-B.—Form of agreement Military Family
Hospitals—Matrons
.
.
.
.
.
. 160-161
Appendix III.—Promotion examinations I.M.D.—rules
governing
.
.
.
.
.
.
.
.
162-163
Appendix III-A.—Rules governing the grant of Honorary
King's Commissions to Sub-Assistant Surgeons of the
I.M.D. .
.
.
.
.
.
.
.
.
6 4 - 1 6 5
Appendix IV-A.—Study leave I.M.S.
.
.
.
. 166-169
Appendix IV-B.—Study leave I.M.D.
.
.
.
. 170-172
Appendix V.—Leave applications in administrative
appointments, etc. .
.
.
.
.
.
. 173-175
Appendix VI.—Lectures on first field dressings and hygiene 176-178
Appendix VII.—Lectures on nursing for I.H.C.
.
.
179
Appendix VIII.—Rules for training wives of B.O.Rs. as
sick nurses and midwives.
.
.
.
.
. 180-181
Appendix IX.—Rules for disposal of time expired British
troops with V.D.
.
.
.
.
.
.
. 182-183
Appendix X.—V.D. reports and returns .
.
.
. 184-186
Appendix XI.—List of reports and returns (Medical) .
. 187-201
Appendix XII.—List of forms used by military medical
services
202-224
Appendix XII-A,—Books—to be in the possession of
officers and members of the I.M.D. .
.
.
.
225
Appendix XII-B.—Books—on charge of B.M.Hs. and
I . M . H s .
226
Appendix XIII.—Form of certificate to be signed by rela-
tions or friends on taking charge of a mental case.
227
Appendix XIV.—Instructions for recording dental treat-
ment
.
.
.
.
.
.
.
.
. 228-230
Appendix XV.—List of subjects included under Hygiene
and Pathology
.
.
.
.
.
.
. 231-232
.Appendix XVI.—Vaccines and Sera
.
.
..
. 233-236
Appendix XVII.—Sanitary reports .
.
.
.
. 237-242
Appendix XVIII.—Telegraphic code used in notifying
infectious diseases .
.
.
.
.
.
243-244
Appendix XIX.—Notes on investigating, reporting, etc., of
infectious disease .
.
.
.
.
.
245-268
Appendix XX—Disinfecting solutions
.
.
.
. 269-270
( x )
PAGES.
Appendix XXI.—Instructions on the obtaining and
despatch of specimens for laboratory examination . . 271—285
Appendix XXII.—List of stations at which Military Family
Hospitals are authorised .
.
286
Appendix XXIII.—List of stations at which laboratories are
authorised . .
. 287—288
Appendix XXIV.—Directions for measurements of elastic
stockings and trusses
.
289
Appendix XXV.—Rules for the submission of payment
indents to medical stores
. 290—291
Appendix XXVI.—Period of turn over of drugs
.
. 292—297
Appendix XXVII.—Scales of medical equipment for Head-
quarters and regimental units in the field .
298
( xi )
Military Medical Services.
Paras. 8-14.
as such is responsible for the administration and technical training
of R.A.M.C. and A.D. Corps other ranks, as laid down in Standing
Orders for the R.A.M.C., R.A.M.C. (T.A.) and A.D. Corps.
8. Company officer No. 31 Coy. R.A.M.C.—An officer of the R.A.M.C.
is appointed Company Officer at Headquarters No. 31 Company
R.A.M.C., India.
9. Tour of service.—R.A.M.C. and A.D. Corps other ranks ser e
for a period of 5 years in India, vide King's Regulations, paragraph
1084.
10. Leave.—Leave for officers and other ranks of the R.A.M.C.
and A.D. Corps is governed by the leave rules for the British Service
in India, vide Regulations for the Army in India. (See also Appendix
5.7 of these Regs.)
(b) The Indian Medical Service.
11. General . —The i s pr i mar i l y a mi l i t ar y ser vi ce f or dut y
with the Indian Army. -A proportion of the establishment is eligible
for employment on civil duties under the Government of India or under
Provincial Governments ; officers so employed, with the exception
of those holding certain specified posts called " residuary," form
the War Reserve and are liable to be recalled to military duty. All
officers entering the service after the 10th May 1928 are liable for
military or civil employment, as may be required.
12. The Military Establishment. —The establishment of the I.M.S.
in military employment is the number of officers sanctioned from
time to time to perform administrative, executive and miscellaneous
duties in connection with the care of the health of the Army in India,
plus a leave and study leave reserve of 271/2 per cent.
13. The Director General, I.M.S. —The D.G., I.M.S. is the head of
the I.M.S. and of the I.M.D. He is responsible that the I.M.S. and
I.M.D. are kept up to strength, and that the authorised number of
officers and warrant officers is placed at the disposal of the C.-in-C.
for military duty. The D. G., I. M. S. is the president of the Selection
Board for recommending I. M. S. officers for promotion to admini-
strative grades and should be kept informed of prospective
vacancies in the military list and also of vacancies which may occur
unexpectedly. He will decide on the eligibility of an officer of the
I.M.S. in military employment for recognition as a specialist, his
decision being based either on certificates of a recognised institution,
or determined by examination of the candidate (an officer may qualify
:as a specialist at any period of his service). He will keep the records
of service and confidential reports of the members of the I.M.S. and
I.M.D. The D.M.S. will supply him with all necessary particulars
for keeping up the records of those in military employment.
14. Appointment to the I.M.S.—Officers are admitted to the I.M.S.
in accordance with rules issued by the Secretary of State for India.
An officer's service commences from the date of his first permanent
commissions unless otherwise specially provided for. The dates of
3
Pans. 15-19.
Military Medical Services.
his commission and of his promotion to higher ranks will appear in
the Gazette of India.
15. The Royal Warrant. —The Royal Warrant for the I.M.S. of
28th May 1913 as amended by subsequent Royal Warrants forms
the basis of its constitution and sets forth the rules regarding promo
-
tion and precedence.
16. Grading on appointment. —Officers of the I.M.S. will be graded
and take seniority as shown in the Indian Army List.
17. Examinations, for promotion, etc. —(i) An officer must pass
the examinations for promotion prescribed in Regulations for the
Army in India, Appendix VIII, to qualify for promotion.
A Lieutenant may be provisionally promoted to the rank of Captain
if, in the opinion of the Governor General of India in Council, he has
not had a reasonable opportunity of passing. Such provisional
promotion may be cancelled as soon as he has had such opportunity
and has failed to pass.
(ii) He must have passed the prescribed language test as laid down
in paragraph 82, Regulations for the Army in India.
In cases where exceptional circumstances have prevented an officer
passing within the prescribed period, the D.M.S. in India may recom-
mend a reasonable extension of time in which to pass the language
test.
18. Removal from the service of a junior officer. —An officer of
the I.M.S. will not be permitted to remain in the service if at any
time during the first three years from the date of first permanent
commission his retention therein is considered undesirable (vide Regu-
-
lations for the Army in India, paragraph 82).
19. Transfer to and from civil employment. —Officers of the I.M.S.
are eligible for civil employment after they have completed two years
in military employment in India, and then only if their services can
be spared. Transfers of officers to, or from, civil or military employ
-
ment will be arranged between the Government of India through
the department concerned and the C.-in-C., subject to the following
conditions :
—
(1) No officer will be transferred to civil -employment
without
the consent of the Government of India and the local
Government
(2) An officer transferred to civil employment will not ordinarily
be liable to be recalled to military employment (except
on general or partial mobilization) without the consent
of the local Government, but the Government of India
will retain the power to recall an officer against the wishes
of a local Government in very exceptional cases of absolute
necessity.
(3) A local Government will not be at liberty to return to military
employment an officer transferred to civil employment
without the consent of the Government of India.
4
Military Medical Services.
Paras. 20-22.
20. Exchange between I.M.S. and R.A.M.C. officers. —Subject to
the approval of the Army Council and of the Secretary of State for
India exchanges between officers of the I.M.S. and. R.A.M.C. may be
permitted on the following conditions:
—
(1) That the officers have less than seven years' commissioned
service.
(2) That in the case of Captains their seniority for the purpose-
of exchange shall be determined as if they had been pro
moted after the period of service required for promotion
to that rank in the service into which they exchange,
but that any alteration of date of rank made in pursuance'
of this provision shall be without adjustment of pay.
(3) Subject to (2) that the senior officer exchanging takes the
place of the junior on the list to which he exchanges, and
shall not be promoted until the officer next above him
has been promoted, or has been refused promotion in
consequence of failure to qualify for it.
(4) Subject to (2) that the junior officer exchanging is placed
for seniority next below all officers on the list to which
he exchanges whose commissions have the same date
as his own.
(5) That the officer transferred is placed for seniority below all
officers holding the same rank at the time of his transfer,
and shall not be promoted until the officer next above-
him has been promoted or has been refused promotion
in consequence of failure to qualify for it.
21. Service for promotion.—Officers of the I.M.S. will be eligible,
if in all respects qualified and recommended, for promotion to the
rank of Captain, Major or Lieut.-Colonel as follows:—
A Lieut to Captain on completing 3 years full pay service.
•
A Captain to Major on completing 9 years full pay service in the
rank of Captain.
A Major to Lieut.-Colonel on completing 8 years full pay service
in the rank of Major, including any period covered by ante
- d a t e d p r o m o t i o n w i t h o u t a d j u s t m e n t o f p a y ,v
i d e
p a r a . 2 2 .
A certain number of Lieut.-Colonels may be specially selected for
increased pay for ability and merit.
22. Accelerated promotion. —A Captain may receive six months
accelerated promotion to the rank of Major provided he produces
satisfactory evidence of progress in any branch of knowledge which
is likely to increase his efficiency. A Captain who may be prevented
by the exigencies of the service from obtaining an opportunity of
qualifying for such accelerated promotion shall have this concession
open to him for a period of 4 years after his promotion to the rank
of Major, but any ante-dating of promotion which may be granted
shall be without adjustment of pay.
5
Paras. 23-24.
Military Medical Services.
23. Effect of promotions during the Great War .—An officer shall
not be eligible, by reason of any promotion during the Great War
(1914-18), for promotion to the rank of Major/Lieut.-Col. under 12/20 years'
service from the date of first commission, (or 11½/19½ years if entitled to
the reduction of six months referred to in paragraph 22), except that,
an officer, appointed as the result of the competitive entrance exami-
nation of July 1915, may be promoted to the rank of Major/Lieut.-Col.
before he has completed 12/20 years' service, at such date as may be
required to avoid his supersession (otherwise than through the reduc-
tion of six months provided in paragraph 22) by an officer who entered
the service by nomination during the Great War.
24. Promotion to the rank of Colonel and Major General.—Promo-
tion from the rank of Lieut.-Colonel on the selected list for increased
pay to that of Colonel and from the rank of Lieut.-Colonel on the
selected list for increased pay, or Colonel, to that of Major General
shall be made by selection for ability and merit, and the grounds
of such selection shall be stated in writing and recorded in the office
of the Secretary of State for India. Such promotions are made to
fill sanctioned administrative appointments.
The following rules are laid down for the selection of I.M.S. officers
in civil employ for promotion to military administrative grades:—
(1) All officers in civil employment (including those now in the
service), about a year before the date on which they are
expected to be due for promotion to the rank of Colonel
will be required to state whether they wish to return to
military employment in order that they may be considered
for promotion to administrative rank;
(2) Those officers who elect to return to military employment,
will be recalled and employed in a position suitable to
their rank, without, however, any guarantee of eventual
promotion;
(3) The case of each officer will then be considered on its merits
when his name comes up for promotion, and ( a) those
considered suitable for military promotion will be retained
on the military side until promoted to administrative
rank, after which they will not normally revert to civil
employment; while ( b) those not considered suitable for
promotion will normally revert to civil employment, or,
subject to the approval of the military authorities, be
given the option of remaining in military employment in
the rank of Lieutenant-Colonel until retirement;
(4) Those officers who do not elect to return to military employ-
ment will either ( a) s e v e r t h e i r c o n n e c t i o n w i t h t h e I n d i a n
Medical Service and become members of the Provincial
Medical Service on such terms as may be mutually agreed
upon between themselves and the local Government in
which case they will cease to belong to the war reserve, or
(b) will continue to belong to the Indian Medical Service
6
Military Medical Services.
Paras. 25-29.
in which case they will be eligible for further promotion
on the civil side, and will continue to belong to the war
reserve, provided that they do not hold residuary appoint-
ments; also they will be eligible to receive promotion in
military rank, as at present, on the basis of the civil
administrative posts which they hold;
(5) An officer who desires permanent civil employment, but
does not succeed in obtaining it, will be guaranteed employ-
ment in the military medical services, unless he is unfit
for active service, or there is some other equally valid
impediment to his being employed on military duties.
25. Special promotions.—A captain after at least six years' service,
a major or a lieut.-colonel may be promoted to the next higher rank
by brevet for distinguished service in the field or for meritoricus or
distinguished service of an exceptional nature other than in the field.
A lieut.-colonel may be promoted to the rank of colonel, and a
colonel to the rank of major general, for distinguished service in the
field. Lieut.-colonels and colonels so promoted, shall remain super-
numerary in the higher rank until the occurrence of the vacancy to
which, in the ordinary course, they would have been promoted or in
the case of an officer promoted to the rank of colonel until selected
for the rank of major general.
26. Appointment of Honorary Physicians and Surgeons to His
Majesty the King. —Six of the most meritorious officers on the active
list shall be named Honorary Physicians and Six Honorary Surgeons
to the Sovereign and they shall relinquish such appointment on retire-
ment. On appointment as Honorary Physician or Honorary Surgeon
an officer under the rank of Colonel may be promoted to the brevet
rank of Colonel.
27. Service on half pay. —Time on half pay, not exceeding one -
year shall be allowed to reckon as service for promotion, if removal
to half pay has been the consequence of medical unfitness caused by
duty, either military or civil.
28. Retirement of officers.—Officers of the I.M.S. will be placed
on the retired list when they attain the following ages:—
Y e a r s .
D.G., I.M.S., D.M.S. in India, Major Generals
60
Colonels, Brevet Colonels
57
Other officers
55
29. Retention in the service. —A Lieut.-Colonel who entered the
service before the 1st April 1911, and who has been specially selected
for increased pay after 16th February 1921 may, if he attains the age
of 55 years before he becomes entitled to the pension for 27 years'
service, be retained until completion of such service.
In any other special case, an officer may, if his retention is con-
sidered advantageous to the service and subject to the sanction of the
Secretary of State, be continued in employment.
7
Such extensions will only be granted provided an officer is physi-
cally fit and is reported to be efficient.
30. Liability to recall.—An officer appointed after the 11th Septem-
ber 1890, who may retire on pension before completion of 30 years'
service or on gratuity after 12 years' service, shall be liable to be
recalled to duty in cases of emergency until he is 55 years of age.
31. Administrative officers in military employment. —Major Generals
and Colonels of the are appointed to fill certain sanctioned
administrative appointments.
The tenure of such an administrative appointment in the I.M.S.
is four years from the date of promotion. Officers are eligible for re-
appointment up to the age limit for retirement.
32. Executive I.M.S. officers in military employment.—Executive
officers of the I.M.S. are posted to commands by the C.-in-C. The
G.O.C.-in-Chief command posts them to districts in his command
as required, but the D.M.S. nominates officers for appointment to
command 1st and 2nd class and certain other Indian military hospitals
(vide Appendix I).
Officers approved as specialists by the D.G., I.M.S. are posted to
fill existing vacancies in the same way as R.A.M.C. officers; vide
para. 3.
33. Tour of service in commands. —The duration of service in a
command is normally three years, in the Burma District two years.
On the termination of the specified tours of service, applications
for transfer will be considered subject to the exigencies of the service.
34. Leave:—(i) Leave for officers of the I.M.S. is governed by
the leave rules of officers of the Indian Army, vide Regulations for
the Army in India and Appendix V of these Regs.
(ii) Officers of the I.M.S. are eligible for study leave under the
rules laid down in Appendix IV-A.
35. Leave of officers, Medical Store Department. —Officers in charge,
Medical Store Depôts are subject to the leave rules, civil or military,
under which they were serving at the time of their transfer to the
Department.
(c) The Military Nursing Services' of the Army in India.
36. Composition of the Military Nursing Services.—The military
nursing services in India comprise the establishment of lady nurses
sanctioned to perform nursing duties in military hospitals and military
family hospitals in India and to supervise and train the subordinate
nursing staffs of these hospitals.
The services consist of:—
(i) Members of the Queen Alexandra's Imperial Military Nur-
sing Service, into which service have been absorbed from
1st November 1926, members of the Queen Alexandra's
Military Nursing Service for India.
8
Military Medical Services.
Paras. 37-42.
(ii) Members of the Queen Alexandra's Military Nursing Service
for India who have elected to serve under their existing
conditions of service.
The members of the above services are employed in military
hospitals for British troops and their families.
(iii) Members of the Indian Military Nursing Service.
This service is employed in military hospitals for Indian troops.
37. Tour of service of lady nurses in commands.—The duration
of service in a command is normally 3 years; in the Burma District
2 years.
On termination of the specified tours of service, applications for
transfer will be considered subject to the exigencies of the service.
38. Discipline—Lady nurses. —If a lady nurse is suspended from
duty by the officer in charge of the hospital for neglect of duty, or
misconduct, the case will be reported to the brigade commander who
will, if necessary, order the assembly of a court of enquiry (composed
of two senior combatant officers) to investigate the matter. If the
brigade commander cannot dispose of the case himself, he will refer
it for the orders of higher authority.
(i ) THE Q. A. I. M. N. S. SERVING IN INDIA AND THE
Q. A. M. N. S. FOR INDIA.
39. Establishment and grading. —The establishment of these services
in India will be the numbers required and sanctioned from time to
time. Members of the above services will rank as:—
Chief Principal Matron or Chief Lady
Superintendent.
Taking precedence as
Colonel.
Principal Matron or Lady Superin-
tendent.
Ditto
Lieut.-Colonel.
Matron or Senior Nursing Sister.
Ditto
Major.
Nursing Sister or Sister
Ditto
Lieutenant.
Staff Nurse
The provision of paragraph 934 King's Regulations will apply in
the case of lady nurses of the Q.A.M.N.S.I. and Q.A.I.M.N.S.
40. Distribution to hospitals. —The D.M.S. in India will arrange
for the distribution of the members of the above services to hospitals.
(a ) Conditions of service of the Q.A.I.M.N.S. serving in India
41. Service on the Indian establishment.—Members of the
Q.A.I.M.N.S. are nominated for a tour of service on the Indian estab-
lishment by the War Office.
42. Tour of service in India. —A tour of service is for five years
reckoned from the date of embarkation in England. The following
periods spent out of India count towards the completion of the
tour:—
(i) all leave.
(ii) duty at a foreign station between original embarkation in
the U.K. for a tour of service abroad and arrival in India.
9