NationalLibraryOfScotland/medical-history-of-british-india huggingface dataset:
Paras. 276-78.
Medical atttendance.
276. When treated in their quarters or in a civil hospital, the indi-
viduals specified below (class E, para. 271) will be allowed special
nursing at rates not exceeding those at which nurses are available
locally, subject to the recovery of the usual hospital stoppages.
(i) Departmental officers employed as clerks and superintendents
at Army and R. A. F. Headquarters while on leave or on
duty at stations other than Simla and Delhi (vide para. 278
for Simla and Delhi).
(ii) Warrant officers, non-commissioned officers and men in other
than purely regimental employment including those in the ―
M. E. S. (Warrant Officers and non-commissioned officers
only) ;
Army and R. A. F. Headquarters (whether permanently
or on probation, until assumption of civiian status, but
not as technical clerks) while on leave or on duty at
stations other than Simla and Delhi (vide para. 278 for
Simla and Delhi) ;
P. W. D ;
Telegraph Department ;
R. I. M. (warrant officers only) ;
but excluding those referred to in class B, para. 271.
(iii) N. C. Os. and Airmen of the R. A. F. in employment other than
with their units.
277. With the exception of the classes specified in paras. 275 and
276 the fees for special nurses for all other classes for whom special
nursing is authorised ( viz., classes A, D, G, H, K and L, para. 271) will
be those which usually obtain locally, in addition to the actual travel-
ling expenses incurred. The fees to be paid will be sanctioned by the
district or independent brigade commander who will countersign
the bill before submission to the C.M.A. for payment.
278. Military clerks of Army headquarters and R.A.F. clerks
of R.A.F. headquarters, India (including departmental officers other
than those employed as officer supervisors, I.U.L. W.Os.,N.C.Os.
and men) who joined before the 15th January 1906, and their families,
may be treated in civil hospitals in Simla and Delhi under the following
conditions :—
(i) The medical officers to whose services the patient is entitled
must certify that it is a case of serious illness and that
the removal of the patient to the nearest military hospital
would be dangerous.
(ii) The Government of India will bear the balance of the charges
at the lowest daily rate obtaining at the hospital concerned
70
Medical attendance.
Paras. 279-80.
plus the cost of medical comforts, after deducting there
- f r o m t h e f o l l o w i n g d a i l y a m o u n t o n a c c o u n t o f e a c h
patient:—
Rs. A. P.
(a)M i l i t a r y o r R . A . F . c l e r k s w h o s e p a y a n d a l l o w-
ances are Rs. 200 per mensem or less . . . 1 0 0
(b) Military or R.A.F. clerks whose pay and allow -
ances are over Rs. 200 per mensem and not
more than Rs. 300 per mensem . . . 1 8 0
(c) Military or R.A.F. clerks whose pay and allow -
ances are over Rs. 300 per mensem . . . 2 0 0
Military clerks of Army headquarters and R.A.F. clerks of R.A.F.
headquarters, India (including departmental officers, other than those
employed as officer supervisors, I.U.L. W.Os., N.C.Os. and men)
who joined on or after the 15th January 1906, and their families, may
be treated as indoor patients in civil hospitals in Simla and Delhi,
under the following conditions:—
( i ) T h e m e d i c a l o f f i c e r s t o w h o s e s e r v i c e s t h e p a t i e n t i s e n t i t l e d
must certify that it is a case of serious illness and that the
removal of the patient to the nearest military hospital
would be dangerous.
(ii) No aid will be given to any military or R.A.F. clerk who
is not a member of the Hospital Aid Fund.
( i i i ) T h e d i f f e r e n c e b e t w e e n t h e l o w e s t d a i l y r a t e o b t a i n i n g a t t h e
hospital concerned and the amount payable by the Hospital
Aid Fund up to a limit of Rs. 5 per diem will be borne by
the State on account of each military or R.A.F. clerk or
member of his family (as defined in the Civil Service Re-
gulations) who may be admitted to the hospital as an
indoor patient.
279. When the authorised medical attendant considers that a
sick member of the family of a British N.C.O. or man in regimental
employment (class K, para. 271), should be admitted into hospital,
and the necessary accommodation is not available in a military hospital,
the patient may be treated in the local civil hospital appropriate for
the class of the patient, and the nature of the illness. The O.C. the
unit to which the soldier belongs, will settle the claim of the hospital
as soon as preferred, recover hospital stoppages at the rates laid down
in P. and A. Regs., Part II, and claim the balance on a contingent bill.
Medical Attendance in the U.K. of Personnel of the Indian Army.
280. Entitled persons.—Of f i cer so f t h e I n d i a n A r m y a n d o f f i c e r s ,
W.Os., N.C.Os. and men of the Indian Unattached List, while on
leave in the U.K., are eligible for medical treatment under the same
rules and conditions as personnel of the British Army.
Paras. 281-83.
Medical attendance.
Rules regarding medical attendance on officers of the British and
Indian services and members of the Military Nursing Services, when
travelling on board private steamers, are contained in Passage Regula-
tions, India.
281. Private treatment.—Reasonable expenses of medical attend-
ance by private practitioners will be refunded (under the conditions
obtaining in the United Kingdom in the case of British service officers
serving there) in cases where military hospital accommodation is not
available for officers entitled to it or the condition of the patient
renders it impossible for him to be removed to a hospital.
282. Officers suffering from tropical diseases.—Officers on leave
suffering from the effects of tropical diseases are eligible for admission
to the Hospital for Tropical Diseases, Endsleigh Gardens, London,
N.W. for treatment. All officers requiring such treatment should
apply, in the first instance, to the India Office.
283. Sanatorium treatment for officers and nurses suffering from
tuberculosis.—Indian service officers and nurses and British service
officers serving in India who are suffering from tuberculosis contracted
in and by military service may be afforded sanatorium treatment
under the conditions applicable to officers and nurses of the British
service in the U.K. vide Regs. A.M.S., para. 516.
72
Medical Examination.
Paras. 284-89.
SECTION IV.—MEDICAL EXAMINATIONS.
Candidates for commissions, recruits and reservists.
284. Candidates for commissions in the Indian Army and Services. —
The medical examination of candidates in India for commissions in the
above will be conducted by a medical board in accordance with regula-
tions on the subject, as published in I.A.Os. or A.Is. (I) from time to
time.
285. Recruits.—(i) British army.—Recruits for the British army
will be examined by R.A.M.C. officers in accordance with the regula-
tions on the subject.
(ii) Indian army.—Recruits (both combatant and non-combatant)
for the Indian army, or soldiers for the reserve will be examined by
any of the undermentioned medical officers in accordance with the
"Instructions for the physical examination of recruits for the Indian
army ":—
(1) R.A.M.C. officers.
(2) I.M.S. officers.
(3) Civil surgeons.
(4) Assistant surgeons appointed to act as civil surgeons.
286. Responsibilities of recruiting and medical officers —Indian
army. —Recruiting officers are responsible for the measurements,
apparent age, intelligence and mental suitability of recruits selected
by them. Officers of the medical services are responsible for the
health, physical fitness for service, promise of development and identi-
fication marks.
287. Reservists. —The medical examination of men for the reserve
will be similar to that of recruits. The disposal of unfit reservists
called up for training or on mobilization will be in accordance with
Regulations for the Army in India, para. 175.
Newly arrived units and drafts (British troops).
288. Preliminary inspection and report. —Newly arrived units and
drafts on arrival at their stations will be inspected by officers specially
detailed for the purpose by the A.D.M.S. concerned. A report on
I. A. F. M-1194 will be rendered in accordance with the instructions
thereon (vide para. 108).
289. Inspection by O. C., B.M.H.—The O.C., B.M.H. concerned
will inspect all new units and drafts as soon as possible after the inspec-
tion referred to above. He will apply without delay for a medical
board to be held on all men who, in his opinion, are permanently
unfit for general service. He will, before entering his remarks on
I.A. F.M. 1194; take all necessary steps (such as calling for specialists'
reports, etc.) to ensure that the classifications are correct and final.
Specialists' reports should not be attached.
73
Paras. 290-96.
Medical Examination.
When forwarding the report (I.A.F.M-1194) he will definitely
state his concurrence or otherwise with the findings of the officer who
carried out the preliminary inspection.
When the whole strength of a unit or draft on disembarkation is
not inspected and reported on at one time, a separate report on I.A.F.M-
1194 should be submitted in respect of each man or group of men
subsequently inspected.
290. Disposal of unfits. —The disposal of unfit men will be governed
by the instructions issued from Q. from time to time (vide Section
IX).
291. Public health precautions .—Steps will be taken to ensure
that men found to be unprotected against small-pox or the enteric
group of diseases at the time of the preliminary inspection are imme-
diately protected by vaccination or inoculation.
School children attending army schools.
292. The physical examination of children attending army schools
will be undertaken :—
(a) at the time of, or shortly after, their first admission to school ;
(b) at the second, or about the third year of school life
(say seventh year of age) ;
(c) at the sixth year of school life ( say tenth year of age) ;
(d) immediately before the departure of the child from school
life.
293. Object of examination. —The physical examination will com-
prise the various points mentioned in the schedule of medical inspec-
tions (A.F.C-319). In all cases where physical defect or the presence
of disease is observed in children, the parents should be recommended
to adopt treatment for the amelioration or cure of the disability. In
particular, recommendations should be made with regard to defects
of vision, when the timely use of corrective glasses may save the eye-
sight from permanent injury. Recommendations should also be made
and followed up with regard to dental defects.
294. Presence of parents. —These examinations should be carried
out in such a way as to interfere as little as possible with school work,
and it is desirable that one or other of the parents should be present
at the examination of the younger children.
295. Records. —The results of the inspections, together with the
physical defects noted and the remedial action recommended, if any,
will be entered on A.F.C-319, which will be retained at the school.
296. Half-yearly reports. —The above-mentioned medical exami-
nation of school children will be carried out periodically in March
and September of each year, and a report in duplicate will be sub-
mitted to the A.D.M.S. of the district in April and October, who after
perusal will forward one copy to the D.D.M.S. command for informa-
tion.
74
Medical Examination.
Paras. 297-98.
In framing these reports the following inter alia will be dealt with :
—
A. School rooms—
(1) Lighting.
(2) Warming.
(3) Ventilation.
(4) Walls.
(5) Floors.
(6) Seats and desks ; pattern, relative positions of, etc.
(7) Cloakrooms.
(8) Lavatories.
(9) Drinking water.
(10) Cleanliness.
B. School children—
(1) General Health.
(2) Vision.
(3) Hearing.
(4) Physical exercises.
(5) Infectious and contagious diseases.
(6) General oral condition—state of gums and teeth.
C. General remarks—
These reports will be commented upon in the Annual Hygiene
reports of Districts and Commands.
Miscellaneous examinations.
297. Pensioners, etc., for civil employment.—Pensioners, ex-soldiers
and reservists of the Indian army seeking civil employment will, at
the request of the O.C. a unit, a recruiting officer or the Pension Pay-
master in Madras, be examined for fitness by I.M.S. officers in military
and civil employment (by the latter only when officers in military
employment are not available).
298. Medical examination of civilians employed with the Army
in India for fitness for service and promotion, vide Article 49, Civil
Service Regulations. —An officer of the Military Medical Services
when examining a civilian under the above regulations will be guided
in the estimation of his fitness by the following considerations :—
(i) that having in view the particular branch of the service and the
duties he is required to perform, the individual's general bodily
health and mental condition are such as will permit of the effi-
cient performance of these duties ;
(ii) that his speech, hearing and eyesight are such as will enable
him to carry out his duties efficiently ;
(iii) that he is not suffering from any chronic disease ;
75
Paras. 299–301.
Medical Examination.
(iv) that in the event of the candidate suffering from a disability
(e.g. absence of or defect in an eye, an organ, or limb, etc.) other
than such as to cause his rejection as unfit, the medical officer
carrying out the examination will note the nature of the
disability on the certificate of fitness and will "certify that to
the best of his belief the disability is not of such a nature as
to be likely to cause a breakdown or premature invaliding
during unusual strain in peace or on active service."
[See also I.A.F. (Medical) No. 8 and paragraph 447, Civil Service
Regulations].
299. Troops before embarkation.—Under the Paris Sanitary Con-
-vention no person will embark unless previously passed by the D.A.
D.M.S. (D. & E.,) who, for the purposes of transports, is gazetted
as an Assistant Port Health Officer, ride Bombay G.R. No. 1265-P.,
dated 12th August 1908. Certificates from other medical men, civil
or military, cannot be accepted for this purpose but I.A.F.M-1240
must be produced in all cases.
300. Troops moving to ports of embarkation.—Troops and their
families moving to ports of embarkation will be examined in accordance
with instructions on I.A.F. M-1240, Regulations for the Army in India,
pa r a gr a ph 440–A a nd Ki ng' s Re gul a t i ons , pa r a gr a phs 1092, 1094,
1147 and 1150.
301. Other examinations.—Officers or medical boards will carry out
such medical examinations of officers and other ranks in connection
with annual confidential reports, entry to the staff college, or fitness
for special duty, etc., as they may be called upon to perform.
76
Military Hospitals.
Paras. 302– 07.
SECTION V.—MILITARY HOSPITALS.
302. Administration.—The following hospitals, etc., are under
the administration of the D. Ds. and A. Ds. of M. S. but for purposes
of discipline and interior economy are subject to the control of G. Os.
C.-in-C. and G. Os. C.:—
Military hospitals.
Section hospitals.
Non-dieted military hospitals
. M i l i t a r y f a m i l y h o s p i t a l s .
Dental centres.
Military dispensaries.
Hospital accommodation for troops moving and in camp.
3 0 3 . P e r s o n s e l i g i b l e f o r a d m i s s i o n .—Military hospitals are estab-
- l i s h e d f o r t h e r e c e p t i o n a n d t r e a t m e n t o f t h e s i c k a n d w o u n d e d o f t h e
army in India, including reservists and the auxiliary and territorial
forces whenever embodied. Personnel of the Royal Air Force and
Royal Indian Marine may also be admitted. Other persons may
be admitted to military hospitals under special sanction of the O.C.
Station.
3 0 4 . P r i s o n e r s .
—Prisoners who cannot be certified as fit for trial
or commitment to prison, in accordance with the certificates (modi--
fied, if necessary) on A. F. B-116, C. 355 and 388, or I. A. F. D-913,
will be sent to hospital.
3 0 5 . A u t h o r i s e d a c c o m m o d a t i o n a n d e q u i p m e n t .—
T h e h o s p i t a l
accommodation and equipment authorised for troops and followers
and the instructions relating to the supply, custody, repair and in--
spection of hospital buildings, fixtures, furniture and ordnance equip-
ment are contained in Barrack Synopsis (India) and Equipment
Regulations, India, Part 1 and Part 2, Section V.
When accommodation is insufficient, spare barrack rooms or tents
may, under the orders of the O. C. station, be utilized for the sick.
Extra equipment and furniture will be obtained, vide paragraph 816,
Regulations for the Army in India.
No permanent alteration will be made in the number of beds autho-
-rised for military hospitals, as detailed in the "Annual return of the
number of beds maintained in B. and I. M. Hs." published by A. H. Q.
yearly, except with the previous sanction of A. H. Q.
306. Floor and cubic space in hospitals. —The authorised super-
-ficial area and cubic space per bed and the details as regards buildings
are laid down in Barrack Synopsis (India).
307. Hospital barrack damages.—The orders contained in Re
-gulations for the Army in India, which relate to barrack damages
are applicable to hospitals. Barrack damages which are not charge-
77
Paras. 308-10.
Military Hospitals.
able to the hospital establishment or to individuals will he propor--
tionately assessed against the units sending sick to the hospital and
published in Station Orders.
Barrack damage charges debitable to individuals who are not
members of the hospital establishment will be notified to Os. C. units for
publication in regimental orders as "personal charges," see R. A. I.,
para. 404.
British and Indian Military Hospitals.
3 0 8 . B r i t i s h M i l i t a r y H o s p i t a l s .—
B r i t i s h m i l i t a r y h o s p i t a l s a r e
established for the reception of European W. Os., N. C. Os. and men,
and when suitable accommodation exists, for British officers (in--
cluding Indian officers holding King's Commission), lady nurses, and
the families of British officers and British other ranks. Other Euro-
-peans unconnected with the army may be admitted in special cir--
cumstances under sanction of the O. C. station.
3 0 9 . I n d i a n m i l i t a r y h o s p i t a l s .—
I . M . H s . a r e e s t a b l i s h e d f o r
the reception of Indian officers, N. C. Os. and men, and public follow-
ers, class I and II (including those of British units), but see class P,
table to para. 271.
310. Detained wards.—(a) In every military hospital accommo--
dation will be provided for "detained" cases. In the larger hospitals
this will be in a separate ward designated the "detained" ward.
An officer and ward staff, including a sister or staff nurse, if available,
will be detailed in medical charge of and for duty with the detained
cases. The officer in medical charge of detained cases will be changed
as seldom as possible.
A register will be maintained for "detained" cases in which will
be entered particulars of each case with date of admission to hospital
as "detained", and date of disposal and how disposed of.
(b) Unless it is obvious that the case will not be fit for discharge
within 48 hours, a patient should as a rule be detained in the first
instance.
The detained patient will be admitted forthwith if his condition
at any time makes this course desirable.
No patient will be "detained" more than 48 hours. When a
patient has been "detained" for 48 hours, he will either be admitted
to hospital or returned to barracks.
(c) I. A. F. (Medical)—22 will be prepared and kept up for each
"detained" patient. This form will accompany the "detained"
case when transferred from the detained ward for admission to hospital
or discharged to barrack treatment.
(d) All examinations necessary to establish a diagnosis will be carried
out as early as possible after arrival of patients in the hospital (see
Appendix XIX, and section (c) of Appendix XXI).
78
Military Hospitals.
Paras.
3 1 1 - 1 9 .
311. Classification of military hospitals.—The classification of
B. M. Hs. and I. M. Hs. is published from time to time in Army In--
structions (India); this classification will be adopted for the purpose
of calculating command pay of officers and subordinate charge allow--
ances of Assistant and Sub-Assistant Surgeons.
312. Dining rooms. —In hospitals where dining rooms exist, or
c a n b e m a d e a v a i l a b l e , t h e m e a l s o f a l l p a t i e n t s a b l e t o l e a v e t h e
wards will be served in the dining rooms and not in the wards.
313. Orders for patients.—I. A. F. M-1201 (Orders for patients in
hospital) will be hung up in every ward, dining room and reception room.
Section Hospitals.
314. In certain of the larger stations section hospitals are estab
–lished for the more convenient treatment of the sick. Such hospitals
are self-contained but are administered and controlled by the O. C.
the parent military hospital in the station, of which they form a part.
Military family hospitals.
3 1 5 . O r g a n i z a t i o n .
— T h e s e h o s p i t a l s a r e e s t a b l i s h e d a s s e c t i o n s
of the B. M. Hs. at stations noted in Appendix XXII and are intended
for the reception of lady nurses and of the families of British officers
and other ranks requiring admission to hospital. Boys over 10 years
of age will as a rule be sent to hospitals for men.
316. Mothers of children admitted to hospital. —Mothers whose
children have been admitted will not be allowed to remain in hospital
without the sanction of the O. C. Those permitted to remain will
not leave the hospital without his permission. They will be required
to assist the nurses by attending to their children and keeping the
wards clean.
317. Personnel.—Matrons and assistant matrons of family hospi--
tals and other miscellaneous personnel are engaged for employment
in military family hospitals, vide Pay and Allowance Regulations,
Part I, paragraph 80.
318. Clothing and equipment.—Garrison committees or other
associations are forbidden to introduce into the hospital articles of
clothing, equipment, or decoration without the concurrence of the O. C.
hospital.
Non-dieted military hospitals.
3 1 9 . O r g a n i z a t i o n .
— N o n - d i e t e d m i l i t a r y h o s p i t a l s a r e e s t a b l i s h e d
at stations where less than 50 British troops or 50 Indian troops and
followers are quartered and at other places as may from time to time
be necessary. The equipment for non-dieted hospitals is as laid down
in Equipment Regulations, India, Part II, Section V-D.
Rations and cooking will be arranged for regimentally but for
special cases medical comforts and hospital cooking will be available.
79