Medical Service Minute 2012-01-18

Sri Lanka Medical Service Minute

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Ministry of Health


This Medical Minute will replace the Medical Minute which had been published under gazette notification Nos 662/11 on 07/05/1991 and all

amendments by several extra ordinary gazettes No 818/1 on 29.05.1994, N0 1176/15 on 22.3.2001, No 1467/32 on 20.10.2006, No 1493/3 on

16.04.2007 and No 1630/10 on 30.11.2009. Herein after, this will be considered as the Medical Minute (xxx/xx) regard to Medical Personnel of the

Health Services of Sri Lanka.

01. Connected Institutions

Institution Ref No Date

1.1 Department: Department of Health

1.2 Ministry: Ministry of Health

1.3 Approval of Posts by the Director General of Management Services

1.4 Recommendation of the Director General of Establishment

1.5 Recommendation of the Salaries and Cadre Commission

1.6 Approval of the PSC

02. Details of Appointing Authority

2.1 Appointing Authority

Posts/Grades Appointing Authority

Additional Secretary of Health (Medical Services) The Cabinet

Director General of Health Services

Senior Assistant Secretary ( Medical Services) Public Service Commission

Deputy Director General Grade (DDGs, D / NHSL)

Consultant Medical Specialist Grade(Grade III,II,I)

Medical Administrative Grade (Senior and administrative)

Grade Medical Officers (Grade II ,I, Senior)

03. Category of Officers

(a) Positions in Administrative Grade

i) Senior medical Administrative Executive

• Additional secretary of Health (Medical Service)

• Director General of Health Service

ii) Deputy director General grade

• Deputy Director General of Health Service

• Director - NHSL

iii) Senior medical administrative grade

• Directors

• Provincial Directors

• District Directors of Health Services

• Deputy Directors- NHSL

iv) Medical Administrative

• Deputy Provincial Directors

• Deputy Directors

• Deputy District Directors of Health Services

• Medical Superintendents

(b) Consultant Medical Specialist

• Grade I

• Grade II

• Grade III

(c) Grade Medical Officers

• Senior Grade

• Grade I

• Grade II


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04. General Definition of the Assignment

• Medical service is an all Island service. The department of the health services of the Ministry of Health comprises of three programmes

1. General Administration - Ministry of Health

2. Patient care services (Curative services)

3. Public Health Services (Preventive services)

05. Status of the post:

Permanent and pensionable

06. Salaries

(Stepping of the salaries not comes under the scope of formulation of the service minute)

Category Grade Salary scale

Administrative Additional secretary of Health (Medical Service) SL3-2006

Director General of Health Services SL 3 -2006

Deputy Director General Grade

SL 3 -2006

Senior Administrative Grade

SL 1-2006

Deputy Medical Administrative Grade

SL-1 -2006

Specialist Consultant Medical Specialists – Grade III, Grade II, Grade I SL 3 -2006

Grade Medical officers

Grade Medical Officers-Grade II, Grade I, Senior grade SL 2 -2006

Grade II medical officers initial salary Rs.28000 other categories in par with 2006/06 circular.

7. Allowance (Propose allowances –Annex VI)

7.1 Intern Medical Officers allowance – Rs 30585 per month

7.2 Pensionable Allowance

7.2.2. Grade II Medical Officers – Rs 1,700 per month

7.2.3 Grade I Medical Officers – Rs 3,400 per month

72.4 Specialist Medical Officers – Rs 3,400 per month

7.3 Non-pensionable Allowances:

5.4.3.2 Grade II Medical Officers- Rs 1,700 per month

5.4.3.3 Grade I Medical Officers – Rs. 400 per month

7.4 DAT allowance – Rs.15000

7.5 Cost of living allowance- Rs.5850

7.6 Administration allowance – Rs. 6000

08. Post / Posts belonging to the official category

8.1 Approved designations, number of posts and duties assigned to such posts

8.2 Number of combined officers

Number of post may differ based on the recruitments by the government as well as the revision of the cadre with the approval of the Cadre

Commission.

The number of posts of the medical officers will not exceed the number provided in the estimate of the year.

Approved designations Approved

number of

posts

Combined

number

Duties assigned to such

posts

Administrative Grade

Additional secretary of Health (Medical Service)

Director General of Health Services

Deputy Director General Grade

Senior Administrative Grade

Medical Administrative Grade

Specialist Consultant Medical Specialist Under the process of

formulation

Grade Medical Officers

Grade Medical Officers Under the process of

formulation


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09 Scheme of Recruitment: Recruitment of Grade medical officers

9.1 Range of recruitment

Range [stream] Percentage

Open 100%

Limited -

Merit -

9.2 Open recruitment:

9.2.1. Recruitment Grade: Grade II

All appointments will be governed by the regulations of the Establishments Code and public Service Commission rules.

All medical officers with valid registration of Sri Lanka Medical Council are eligible for recruitment.

They will be recruited as Medical Officers in Grade II and appointed subject to the availability of vacancies based on the cadre allocation

approved by the Management Service Commission provided in the financial estimates of the year. Such officers will be appointed on

three years of probation.

9.2.2 Qualification (Educational and professional) for recruitment (Qualification for registration in SLMC)

9.2.2.1 (a) Only who Pass in the Final examination of the Sri Lankan government medical faculties such as Faculty of Medicine

of the University of Colombo, Ruhuna, Peradeniya, Jaffna, Kelaniya, Sri Jayawardenepura, Rajarata and Eastern,

successful completion of one year period of internship at a hospital recognized by the Sri Lanka Medical Council.

9.2.2.1 (b) Pass in the special examination under 29(1) (b) (ii) (cc) and 29(2)(b) (iii) of the Medical Ordinance for the Sri Lankan

citizens who have obtained foreign medical degrees together with successful completion of one year period of internship

at a hospital recognized by the Sri Lanka Medical Council. Educational qualification with foreign medical degree is

recognized subject to.

• If the degree had not been previously approved, it should be referred to the Foreign Degree Committee as was the

practice before.

• If such graduates who have followed their course of study in a language other than English should follow a familiarization

course of four months (one month in each of the major specialties).

• The commencement of internship appointments for candidates with foreign qualification should coincide with the

commencement of appointments of the interns from the Faculties of Medicine in Sri Lanka. For such candidates who have

successfully completed their one year internship at a foreign hospital recognized by the SLMC, their internship will be

exempted.

9.2.2.1 (c) Regarding Sri Lankan Citizens with foreign medical degrees, already employed by the Department, Their terms of

employment will remain the same as at the time of employment, subject to the provision that they pass the examination as per

9.2.2.1 (b) within three years of gazette of this minute.

9.2.2.2 Experience: Not applicable

9.2.2.3Physical qualification: Not applicable

9.2.2.4Other: Not applicable

9.2.3 Age: Not applicable

9.2.4 Method of recruitment

9.2.4.1 Written examination

Subjects Maximum marks Pass marks

Not applicable Not applicable Not applicable

9.2.4.1.1 Conducting authority: Not applicable

And / or

9.2.4.2 Professional test

9.2.4.2.1 Conducting authority: Not applicable



And / or

9.2.4.3 Structured interview



9.2.4.3.1 Appointing authority of the structured interview board: Not applicable

And / or

9.2.4.4 General interview (Marks will not be assigned) : Not applicable

9.2.4.4.1 Appointing authority of the general interview board: Not applicable

9.2.5 Method of calling for application: Departmental circular

9.3 Limited recruitment: Not applicable

9.4 Recruitments on merit: Not applicable


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10. Scheme of Departmental Examinations (Efficiency Bar Examinations):

*The purpose of this oral examination will be to find out whether the officers can converse fluently in either language on subjects which will arise

in the course of their normal duties

10.1 E bar 1

• Examinations will be held twice a year in the months of March and September.

• Examination– Written papers of one and half hours with Oral examination for proficiency in Sinhala/Tamil

• Syllabus

General Regulations of Department of Health Services

Establishments Code

Financial of Manual of the Department of Health

Financial regulations applicable for administrative duties

Hospital and public health administration

10.2 E bar 2

• Examinations will be held twice a year in the months of March and September.

• Examination– Written papers of one and half hours with clinical short case

• Syllabus

General management- Strategic Processes, Resource Allocation Processes, Decision-Making Processes

Communication skills - Oral examination including observational history taking.

Clinical examination – MoH will conduct the exam including 4 short cases in General medicine, surgery, Peadiatrics, Obstetrics &

Gynecology.

10.3 Efficiency bar Examination 1&2 – General

• Notice of the examination will be published in the Government Gazette a month before the exact date of the examination.

• Any officer in the Grade II irrespective of the length of his service may make his application to sit the E bar I examination and any officer

in the Grade I irrespective of the length of his service may make his application to sit the E bar II examination.

• Officers must take up all the subjects at the first sitting of the examination. If officers pass one or more of the subjects and fails in the

others, he or she will be required to pass failed subject or subjects at a subsequent examination.

10.4 Conducting authority of the Efficiency Bar Examinations:

The Secretary of Health / Director General of Health Service

11. Proficiency in official languages:

Language Proficiency Grade Proficiency to be obtained

First official language II Officers who join the service not in official language, should obtain proficiency in an official

language during period of probation.

Second official languages II The proficiency in relevant official language should be obtained according to the oral

examination proficiency in Sinhala and Tamil by E bar I.

Efficiency

Bar

Examination

Requirements to sit for the

Efficiency Bar

Nature of Efficiency Bar

Examination

Subjects

1st Efficiency Bar

Examination

After 3 years of recruitment.

(Efficiency Bar Examination

should be passed within 3

years of the date of

appointment before

promotion to Grade I of the

service.)

• Written examination

• Oral examination

for proficiency in

Sinhala/Tamil

conducted by staff

officers in the

Department of

Health Services.

Written papers of one and half hours

• General Regulations of Department of Health Services

• Establishments Code

• Financial of Manual of the Department of Health

• Financial regulations applicable for administrative

duties

• Hospital and public health administration

• Management training for 3 months with allowance

2nd

Efficiency Bar

Examination

For the fast tract promotion

from Grade I to Senior

Grade.

• Written examination

• Short cases of

Surgery ,Medicine

Gynecology and Obstetrics and

Peadiatrics

Written paper of one and half hours

• General Management

• Communication skills

Short cases -fifteen minutes in each component

• Surgery ,Medicine ,Gynecology and Obstetrics and

Peadiatrics


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12. Appointment to posts:

Medical officer who has been recruited as per the recruitment criteria mention in this minute shall be appointed as consultant medical specialist

medical officers, administrators and intermediate medical officers as mention below.

12.1 Qualifications

Post / Grade Qualification

1. Appointment to Additional Secretary (Medical

Service)

2.Appointment to Director General of Health Services

3. Appointment to Deputy Director General Grade

4. Appointment to deputy medical Administrative

Grade

5.Senior administrative grade

6. Consultant Medical Specialist appointments

Medical officers in the SL3 category are eligible to be appointed as Additional

Secretary (Medical Service)

Consultant Medical Specialists should be considered according to seniority and

equal opportunity.

Medical officers in the SL3/SL2 category are eligible to be appointed as Director

General of Health Services

Consultant Medical Specialists should be considered according to seniority and

equal opportunity.

Medical officers in the Senior Medical Administrative Grade are eligible to be

appointed as Deputy Director General officers for posts mentioned in appendix V and

any posts created from time to time as per service requirements. The post of Director

- National Hospital of Sri Lanka and nine Provincial Directors shall be considered as an

end station and be treated as Executive grade as well as Deputy Director General

posts.

There are 3 grades in the Medical Administrative grade namely

i. Deputy Medical Administrative Grade

ii. Senior Medical Administrative Grade

iii. Director general grade

Appointments to Administrative Grade are made according to the scheme of

recruitment approved by the Ministry of Public Administration.

Officers confirmed in Grade II, Grade I and Senior Grade or Consultant Medical

Specialists are eligible to apply for posts in the Administrative Grade. All appointments

to the Administrative Grade are essentially initiated in Deputy Administrative Grade.

For appointment to the Administrative Grade and promotion to the posts of Senior

Medical Administrative Grade, Executive or Senior Executive grade, a recognizable

Post Graduate Medical Qualification is necessary. The minimum qualifications of the

administrative post would be MBBS + Msc (Medical Administration / Community

Medicine). For promotion to the Executive or Senior Executive grade (Director

General, Deputy Director General, Provincial Director and Director of NHSL), MBBS +

MD (Medical Administration / Community Medicine) is necessary.

(a) Educational and other qualifications for appointment in Deputy Medical

Administrative Grade

(1)Officers with post graduate qualifications listed in appendix I &II of the Medical

Services Minute dated 07.05.1991,09.05.1994 and 22.03.2001 are eligible to apply for

Deputy Medical Administrative Grade posts in appendix III and this includes any post

created from time to time as per the service requirement.

(2) Medical officers /Consultant Medical Specialist confirmed in grade II (with pass in

Efficiency Bar Examination) who possess 8 years continuous service in the Department

(8 years will be calculated from the date of entry to the grade II).

(3) Age limit not less than 35 years of age and not more than 55years age (Those who

are already in the public service, this age limit will not apply).

(1) Should have completed a minimum of 3 years of satisfactory service in the

Deputy Medical Administrative Grade.

(2) A Medical Officer who possess a MSC/MD (Medical Admin.) or MSC/MD (Com.

Med.) listed in the appendix 1 & 11 of the Medical Service Minute dated 17.05.91 as

amended by 09.05.94

and 22.03.2001 is eligible to be appointed to a post in the senior administrative grade,

subject to a marking scheme approved by the Public Service Commission.

(3)The equal posts coming under the Senior Medical Administrative Grade are

envisaged in appendix IV

and it includes any posts created from time to time as per the service requirements.

Note: Mandatory qualifications for each post falling under the senior medical

administrative grade shall be the qualifications mentioned in appendix IV and these

posts shall be considered as equal posts.

(4) When the applications are called for the said posts the applicant should have the

relevant mandatory post graduate qualifications listed in appendix IV. However these

mandatory qualifications are not applicable to officers who are already in the Senior

Medical Administrative posts.

(5) The period of service to an officer who act perform duties/cover up duties in the

Senior Medical Administrative Grade should be considered as an additional

qualification. However the said appointments be approved by the due appointing

authority.

(b)Age Limit: Should be not less than 35 years and not more than 55 years of age. (This

age limit is not applicable for those who are already in the public service).

Medical Officers with qualifications listed in Appendix I of the Medical Services Minute

as per Government Gazette Notification no 14,840 of 07th February 1969 and


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12.2 Method of selection

appointed as a Consultant Medical Specialist in the respective specialty posts before

01.01.1980 will continue to be recognized as Consultant Medical Specialist

Medical Officers processing qualifications listed in Appendix I of the Medical Services

Minute as per Gazette Notification No 14,840 of 07th

February 1969 and appointed to

the Department on or after 01.01.1980 and fulfilled the requirements of the Post-

Graduate Institute of Medicine of the University of Colombo and have obtained Board

Certification are eligible for appointment as Consultant Medical Specialist.

Medical Officers with qualifications listed in Appendix I of the Medical Services Minute

as per Gazette Notification No , 14,840 of 07th

February 1969 and appointed to

Consultant Medical Specialist posts before 01.01.1990 or returned after 01.01.1980

within the stipulated period, who went on departmentally approved no-pay leave or

scholarships, will continue to be recognized as Consultant Medical Specialist

Medical Officers in Grade II who have successfully completed the appropriate post-

graduate training programme, and processing qualifications as listed in Appendix I,

and obtained Board Certification of the Post-Graduate Institute of Medicine,

University of Colombo are eligible for appointment as Consultant Medical Specialist.

Consultant Medical Specialist appointed after 01.01.1980 in terms of sub- 5.6.2 above

will not be considered for a Teaching Hospital appointment until they have completed

four years of service from the date of Board Certification.

Consultant Medical Specialists appointed in terms of sub- 5.6.2. and 5.6.4 will be paid

Consultant Medical Specialist salary from the date of Board Certification.

7. Intermediate medical officers

Medical officers who have qualified with post graduate qualifications mentioned in

annex IV can apply for the post.

Post / Grade Selection Procedure

1.Appointment to Additional Secretary (Medical Service) One out of three selections among eligible officers from SL3 category is selected

through a structured interview will be appointed by the Cabinet.

2.Appointment to Director General of Health Service One out of three selections among eligible officers from SL3/SL2 category is selected

through a structured interview, will be appointed by the Cabinet.

3.Appointment to Deputy Director General Grade posts

Vacancies in this executive grade will be advertised by the way of gazette notification

or a news paper advertisement and also as a departmental circular calling applications

from eligible candidates. The selection shall be subjects to a structured interview

based on a marking scheme approved by the public service commission.

The general guide lines pertaining to the appointment under 9.3 of this minute shall

also apply as necessary.

The applicant should have either MD in Medical Administration or MD in Community

Medicine based on the selection criteria for the respective Deputy Director General

Grade post as listed in appendix of the Medical Services Minute dated

listed in appendix I and ii of the medical services minute dated 17.05.91 as amended

by 09.05.94 and 22.03.2001 and as required in appendix v hereof.

Note i: However these mandatory qualifications for these posts will not be applicable

to those officers who are currently holding posts in the Senior Medical Administrative

grade or Deputy Director General posts .they can hold their present posts and they

can be appointed to any other posts falling under appendix v, irrespective of the

mandatory qualification.

Note ii: Provincial Director posts shall be advertised and filled through a structured

interview based on a marking scheme considering same criteria approved by the

public service commission. Such interview will be held when five years due service

period of currently posted Senior Administrative grade officer in respective province is

over.

There will be no promotion scheme in this grade.

All the posts coming under Executive grade envisaged in appendix v are end posts and

not transferable.

Note: I. Since there is no transfer in this grade; a vacant post can be filled by the

appointing authority on an acting basis among the officers from the Deputy Director

General grade or Senior Medical Administrative grade with requisite qualifications.

II. However the acting appointment should be duly approved by the competent

Authority.

4. Appointment to Administrative Grade

(1)Vacant posts in the Deputy Administrative Grade will be filled by way of annual

transfer among officers who are already in the said grade. In case if a post could not

be filled by way of annual transfer, it will be advertised and filled through an

interview.

(2)Selection to posts in Deputy Medical Administrative Grade will be made subject to a

structural interview based on a marking scheme approved by the Public Service

commission among officers who comply with the due qualifications. (In awarding

points, seniority in grade II, grade I may be considered as criteria.

(3) The appointing authority can make appointments on acting basis among the

officers who possesses the required basic qualifications. The period of Service in which

an officer acts, performs duties/covers up duties in the Deputy Medical administrative

Grade should be considered as an additional qualification. However such acting

appointment should be made by the due Appointing Authority.

Note II-Since Deputy Medical administrative Grade is new category until the transfer


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13. Promotions:

All promotions will be governed by the regulations of the Establishments Code and Public Service Commission.

13.1 Scheme of Grade Medical Officers promotions.

• All Medical Officers are recruited to the grade II and those will have to pass a Departmental Examination (E bar 1) within 3 years of the

date of appointment for the promotion in Grade II.

• Increments of medical officers who have not passed departmental examination within 3 years will be stopped and those promotion to

Grade I will be deferred by the period taken in excess of 3 year to pass the examination.

• Promotion to grade I or appointment to Consultant Medical Specialist / Administrative grade will not be allowed until pass such

departmental examination.

• For confirmation of the service, satisfactory completion of 3 years service is the only requirement.

• Officers with 18 years of service in SL2 salary scale with 5 years service in the senior grade who have attained the qualifications

mentioned in the appendix ii will be promoted to SL 3 salary scale.

13.1.1 Promotion from Grade II to Grade I

13.1.1 (a) Fast tract for Exceptional Performer:

Qualifications to be fulfilled

• The Exceptional Performer will earn promotion to Grade I

• Confirmation in grade II (Successful completion of Departmental Examination Efficiency Bar Examination I)

• Completion of 6 years active and satisfactory service period in grade II

• Successful completion of suitable Post Graduate Qualifications in appendix I and II in the service minute.

scheme is activated for the said grade, vacancies shall be filled by way of

advertisement as mentioned in 9.2.1(b)

General guidelines pertaining to the appointment of Medical Administrative Grade

posts.

Vacancies which occur in these posts will be notified through the annual transfer list

so that eligible officers may apply.

Job description of the post should be included in the notification when advertising a

vacant post.

Provisions pertaining to the mandatory qualifications mentioned in this minute are

applicable to officers recruited after the implementation of Gazette notification and

they do not carry any retrospective effect.

The proposed marking scheme for promotion from Deputy Medical Administrative

Grade to Senior Administrative Grade shall be applicable to new recruits only.

No officers selected to the post in the Medical Administrative Grade shall be

permitted to engage in private practice.

Concurrence of the Provincial Authority or the Governor / Provincial Public Services

Commission is necessary before advertising the posts falling under the province in the

schedule of appendix III and IV and two representatives of the respective province

related to the subject of the post should be included in the interview panel for such

posts.

Acting appointment to the provincial service should be approved by the Governor of

the Province or Provincial Public Services Commission and appointment to the Line

Ministry should be approved by the Public Service Commission.

The interview panel should be selected from a predetermined pool of panelists

consisting of Secretary of the Ministry of Health, Additional Secretary (Medical

Services) , Additional Secretary (Administration), Director General of Health Services,

Deputy Director Generals, Senior SLAS officers from the Ministry of Public

Administration, Senior Officers nominated by the relevant Provincial Authorities. The

approval of the Public Services Commission should be obtained for each panel.

4. Senior administrative grade The vacancies in the Senior Medical Administrative Grade will be filled by way of Annual

Transfer among officers who hold the Senior Medical Administrative Grade posts. In case

if a post could not be filled by the Annual Transfer it will be advertised and filled through

an interview based on the marking scheme approved by the Public Service

Commission.

Until such time the vacancies are filled by the Annual Transfer, vacancies can be filled by

the due appointing authority by appointing an officer who has complied with the basic

qualifications of the said post from among the Deputy Administrative Grade or the Senior

Medical Administrative Grade.

5. Consultant Medical appointments PSC will appoint as a Consultant Medical Specialist medical officer based on the

recommendation of PGIM as the board certified consultant with fulfillment of criteria

such as

Successful completion of final examination of the relevant post graduate course

Due period of local and foreign training on relevant field in institutions recognized by

PGIM

7. Intermediate medical officers

The eligible medical officers will be selected to another station for the post in same

post at the direction of transfer board.

Selection will be made according to their Grade seniority.


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13.1.1(b) Normal tract for Average Performer for Grade I promotion


The General Performer will earn promotion to Grade I

• Confirmation in grade II (Successful completion of Departmental Examination Efficiency Bar Examination I)

• Completion of 10 years active and satisfactory service period in grade II

Method of promotion

Following a request made to the appointing authority by the officer who has fulfilled qualifications, appointing authority will effect the promotion

to grade I from date of qualifying after inspection of qualifications.

13.1.2 Promotion of Grade I Medical Officers' promoted to Grade I before the date of this amendment.

Medical Officers who were promoted to Grade I under 7.2 of gazette No. 818/1 of 9th

May 1994 will be considered to have been

promoted to Grade I from the date of completing 5 years in grade II.

All other Medical Officers who were promoted to Grade I will be considered to have been promoted to Grade I from the date of

completing 9 years in grade II.

13.1.3 Promotion from Grade I to Senior Grade:

13.1.3 (a) Fast tract for Exceptional Performer:


• Completion of 4 years active and satisfactory service period in grade I

• Successful completion of Departmental Efficiency Bar Examination II.

• Completion of all part 2 examinations as per the appendix I.

13.1.3 (b) Normal tract for General Performer:


• Completion of 7 years active and satisfactory service period in grade I

Method of promotion

• Following a request made to the appointing authority by the officer who has fulfilled qualifications, appointing authority will effect the

promotion to senior grade from date of qualifying after inspection of qualifications.

13.2 Consultant Medical Specialist 13.2.1 Promotion to Consultant Medical Specialist Grade II


Successful completion of 05 years of the service as a Consultant Medical Specialist Grade III of the government health service.


• Following a request made to the appointing authority by the specialist grade officer who has fulfilled qualifications, appointing authority will

effect the promotion to Consultant Medical Specialist Grade II from date of qualifying after inspection of qualifications.

13.2.2 Promotion to Consultant Medical Specialist Grade I


Successful completion of 05 years of the service as a Consultant Medical Specialist Grade II of the government health service.


• Following a request made to the appointing authority by the specialist grade officer who has fulfilled qualifications, appointing authority

will effect the promotion to Consultant Medical Specialist Grade II from date of qualifying after inspection of qualifications.

13.3 Medical Administrative 13.3.1 Educational and other qualifications to be fulfilled

(1) Promotions to Senior Medical Administrative Grade, such medical officers should have completed a minimum of 3 years of satisfactory

service in the Deputy Medical Administrative Grade.

(2) A Medical Officer who possesses a MSC/MD (Medical Administration) or MSC/MD (Community Medicine) listed in the appendix I&II of

the medical service Minute fated 17.05.91 as amended by 09.05.94 and 2.03.2001 is eligible to be appointed to a eligible post (as per

the minute 2007) in the Senior Administrative grade subject to a marking scheme approved by the Public service commission.

(3) The vacant equal posts under the Senior Medical Administrative grade envisaged in appendix IV and any suitable post created from

time to time as per the services requirements,

will be advertised and filled by way of annual Senior Medical Administrative grade transfer among the eligible Senior Medical

Administrative grade officers.

(4) Incase if a post could not be filled by the Annual Transfer, such non filled vacancies will be advertised and filled through an interview

based on the marking scheme approved by the public service commission from eligible (3 years completed) Deputy Administrative

Grade officers with relevant mandatory post graduate qualifications listed in appendix IV. However these mandatory qualifications are

not applicable to officers who are already in the Senior Medical Administrative posts.

Note: Mandatory qualifications for each post falling under the Senior Medical Administrative grade shall be as per the qualifications

mentioned in appendix IV and these posts shall be considered as equal posts.

(5) The period of service to which an officer act / perform duties / cover up duties in the Senior Medical Administrative grade, shall be

considered as an additional qualification. However, said appointments should be approved by the due Appointing Authority.

(6) Age Limit should be not less than 35 years and not more than 55 years of age.( This age limit is not applicable for those who are already

in the public service)

(7) Selected Deputy Medical Administrative grade officers then will be promoted to Senior Medical Administrative grade.

(8) Until filling vacancies in a proper way by the Annual Transfers or advertizing, such vacancies in Senior Medical Administrative grade

could be filled by the due Appointing Authority as acting appointments for officers selected from Deputy Administrative Grade with the

basic qualifications of the said post.


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13.3.2 Promotion to Senior administrative grade

Should full fill all the required criteria for the promotion

13.3.3Promotion to Deputy Director General Grade

Should full fill all the required criteria for the promotion

14. Transfers

14.1 Transfers of Grade Medical Officers

14.1.1 General

14.1.1.1 A transfer should not be made as a matter of routine, but generally to accommodate the requests of an officer who has served in an

unpopular station, for an opportunity to serve in a popular station or for specific administrative reasons.

14.1.1.2 A transfer should be affected in accordance with the Scheme of Transfers formulated by the Transfer Board taking into account the

special needs of the Department and the need for review in keeping with technical changes.

14.1.1.3 An officer under transfer order should be allowed to leave in sufficient time to reach his new station by the date fixed.

14.1.1.4 Section 4 of this chapter will not apply to the Police Service and to Departments which have special Schemes of transfers.

14.1.2 Authority for ordering transfers

14.1.2.1 The constitution vests the cabinet of Ministers with the power of transfer of a Public Officer.

14.1.2.2 The Cabinet of Ministers has delegated its power to the Public Service Commission in respect of officers not appointed by the Cabinet

Ministers and the Public Service Commission has delegated the power of transfer to Public Officers.

14.1.3 Types of transfers and transfer schemes

14.1.3.1. Annual Transfers

All Grade Medical Officers will be transferred out of their stations once they have completed 4 years of service in the station.

All Heads of institutions should provide list of existing vacancies in the approved cader of their respective institutions. These lists should be

forwarded through the respective Heads of the Decentralized units.

All posts of Grade Medical Officers except special posts will be advertised in the annual trasfer list. If any post falls vacant during the

course of the year, the Head of the institution should appoint the most suitable Medical Officer to cover up the duties, and that post will

be advertised in the next annual transfer list.

All transfers of Grade Medical Officers will be made according to their Grade seniority.

Once the Medical Officer has served for 4 years in a particular station he/she will not be eligible to apply for the same station for two

years , except in the case of appointments to special posts.

It is the responsibility of every Medical Officer to apply for annual transfers once he/she completes the period of service of 4 years or 2

years as the case may be, t the station. Those who fails to do so will be transferred to a vacant station at the discretion of the Transfer

Board.

14.1.3.2. Annual Transfer List

All Medical Officers who will be completing 4 years or more of service in a particular station by December 31st of that particular year will

be noted for transfer in the annual transfer list in that particular year. All Grade Medical Officers who will be completing 2 years or more in

a special post will be noted for transfer in the annual transfer list in that particular year. It is the responsibility of the Heads of the

institution to submit the Director General of Health Services before 15th July of the year, list of all Medical Officers attached to his

institution , stating the period of service in the institution irrespective of whether they are noted for transfer or not. It is obligatory

on the part of respective Medical Officers to ensure that they are noted for transfer in the particular year. It is also the responsibility of

every Medical Officer to inform the Department of Health if his/her name does not appear in the annual transfer list , although he/she

completing his/her obligatory period of service in the respective station/post. The annual transfer list i.e. the list of Medical Officers who

are noted for transfers and the list of vacancies will be published annually, by 15th August of that year. 2.2.6 In addition to the Medical

Officers who are noted for transfers, any other Medical Officers who complete or will be completing 2 years service in a station by 31st of

December of that year is eligible to apply for a transfer in the annual transfer list. 2.2.7 Annual transfers and appeals will be finalized

before 31st October of each year.

14.1.3.3 Scheme of Annual Transfers

The Medical Officers who apply for annual transfers should forward their applications with an adequate number of preferences stated in

the application form. If the number of preferences given is Page9 inadequate, the Transfer Board may at its discretion decide the station

to which he/she should be transferred.

• A transfer will not be given to the same station even if it is to a different post in that station.

• Any Medical Officer who has not applies for transfer after completion of 4 years of service at a particular station, will be

transferred to another station at the discretion of the Transfer Board.

• If both husband and wife are noted for transfer, the Transfer Board may consider giving them the same station or a closer

station based on the lower seniority of the spouse- Effective date of transfer will be from 01st of January of the effective year

of transfer. If any transfer is deferred, the effective date of transfer should still be considered as 01st of January of that year.

four years service in a station will be counted from 01st of January of the effective year of annual transfer, irrespective of the

dates of assumptions of duties at this station. An Officer who is already on transfer order will not be eligible to apply for any

other posts before completion of 2 years, except for a special post or for a seconded post.

14.1.3.4 Annual Transfer Appeals Only Medical Officers who have applied for annual transfers are eligible to appeal against an annual transfer

6.1.2 This appeal should be forwarded in a specified form through proper channels to the DGHS Page13 These appeals will be considered

by an Appeal Board before 15th October each year. 6.1.4 If an appeal is rejected, the Officer should report to the station on the stipulated

date as given in the annual transfer list.

14.1.3.5 Special Transfers

• A special post is a post where the Medical Officer selected will serve directly under the supervision of a consultant. The Department of

Health will advertise the special posts available within the Department of Grade Medical Officers.


10

• The period of a special post will be restricted to 2 years.

• Medical Officers who have served the Department of Health for a minimum of one year but not more than ten years are eligible to apply

for special posts.

• A Medical Officer will be allowed to hold only one special post during his/her career in the Department.

• A seconded post under any other Ministry will be considered as a special post.

It is the responsibility of the Medical Officer who completes or will be completing soon the 2 years of service in a special post in the

Department to inform the respective Head of institution to include his/her name in the noted list.

a. If a special post is not filled after advertising once, it will be advertised in the post intern list but will not be considered as

a special post defined in 3.1 above.

b. Withdrawal of an application made to a special post should be done before the closing date of application for that post. If

a Medical Officer who is selected for special post refuses or fails to accept the appointment, he/she will not be considered

for appointments of any special posts in the future. Page11 * The Medical Officers selected for special posts should be

released only after the due replacement is available (GENERAL CIRCULAR No01, 05/2004 of 29 April 2004)

14.1.3.6 Seconded Posts

• All seconded posts to other ministries, Universities and Sri Jayewardenepura General Hospital will be advertised by way of circular by the

Department of Health and such posts are considered as seconded posts on public policy. The selection board of these posts will be

constituted by a representative from the relevant Ministry or University, a representative from the Department of Health and a

representative from the recognized Trade Union. Same rules which are applicable to special posts will be applicable in respect of

seconded posts as well.

• All Medical Officers on completion of two years in the seconded posts should be released to their original stations, they served prior to

the secondment and be noted for transfers in the next annual list. Those who do not revert back to their original post after completing

their two years in the seconded posts will be considered as having vacated their posts. it is the responsibility of the Medical Officer, who

completes his/her period of service in the seconded post, to inform the Head of institution he/she served prior to the release under

secondment, to include his/her name in the annual transfer list.

• Post graduate trainees will be released without replacement to commence their training. On completion of their training post graduate

trainees who have been selected for MSc. Diplomas and in-service training will be given temporary attachments until the next annual

transfer list is advertised. Postgraduate trainees following MD and MS courses who have been unsuccessful at the first attempt or who

have not sat the first eligible examination will be allowed to stay in the stations of their choice only until 3 other consecutive

examinations are held. The allocation of the stations and units will be made by the DGHS on the recommendation of the Appeal Board

where necessary, in such a manner that there will not be any interference to the training programme of the those trainees who are

appointed by the PGIM to the respective units. Those postgraduate trainees who complete their local SR training will be posted to cover-

up duties of a Consultant Medical Specialist in stations determined by the Department of Health, until such time they are ready to leave

for their overseas training.

14.1.3.8 Mutual

Mutual transfers will not be entertained.

14.1.3.9 North and East/ Difficult Area

Medical Officers serving in the North & East/difficult areas may be considered for transfer to other areas once they complete one year of service in

the North & East /difficult areas, based on the availability of vacant stations. However the Department of Health will not guarantee such

concessions all the time.

14.1.3.10 Transfers of intermediate cadre

Definition of intermediate cadre

All grade medical officers who are having the post graduate qualifications in the annex-IV will come under the category of intermediate cadre.

Transfer scheme for intermediate cadre

• There will be annual transfer scheme for this category. Every one year list of intermediate cadre vacancies will be advertised.

• Grade Medical Officers with Post Graduate Qualifications will be transferred in the relevant fields as listed in appendix IV.

• Medical officers who have qualified with post graduate qualifications mentioned in annex IV can apply for the vacancies.

• The eligible medical officers will be selected and transferred to another station for the post in same post at the direction of transfer

board.

• All transfers of medical officers will be made according to their Grade seniority.

• Such Grade Medical Officers with Post Graduate Qualifications will be paid a intermediate cadre allowance only if they are attached to

the relevant field post as listed in appendix.

• Such medical Officers have the right to be withdrawn from such transfer scheme on their interest but the intermediate cadre allowance

will not be paid thereafter.

14.1.3.7 Special Appeals

The Department of Health, under very special circumstances, may entertain appeals for transfers during the course of the year.

However this appeal will be considered by the Appeal Board only in March and July of that year.

Unless a very urgent personal problem has arisen during the course of year, a Medical Officer should not apply for a transfer through an

appeal, as all Medical Officers who complete 2 years in a station are eligible to obtain a transfer through the annual transfer list.

When an appeal is made, the Officer should mention the DPDHS area in which he/she wants to be stationed. He/she should specify the

list of institutions in the order of preference. The post will be decided by the Appeal Board depending on the seniority of the Officer and

the cadre requirements of the institution.

If the personal problem is of a temporary nature, the transfer granted on the appeal will also be a temporary nature, not exceeding

three months.

When appeal is made by a spouse of a Consultant to be appoint to a station in close proximity to that of the respective Consultant, the

request may be considered, provided there is a vacant cadre position in that station.

From the special Appeal Board, the Medical Officers are appointed only as MOO, RMOO, RHOO and AMOHH.


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14.2 Transfers of Consultant Medical Specialist Medical Officers

14.2.1 There will be only one transfer scheme for Consultant Medical Specialists to Teaching Hospitals, Special Institutions and Non- Teaching

Hospitals.

14.2.2 Transfers of Consultant Medical Specialists Specialist will be affected according to the exigencies of service.

14.2.3 Cadre definition and size for Consultant posts in the Medical Services should be decided to meet exigencies of service of each institution

based on recommendation of a permanent Cadre Committee. A cadre projection for the next 10 years should be drawn up and revised every

5th

calendar year.

14.2.4 The cadre Committee should comprise of representatives of the Department of health, GMOA, Colleges and PGIM. All members should

be employees of the department of health and can hold office for a maximum of 2 years.

14.2.5 New Consultant cadre for each institution should be by 31st December and advertised in the following year together with the annual

transfer list.

14.2.6 Except for the Specialists Medical Officers appointed to end-stations, Specialists holding all other posts will be compulsorily transferred

on completion of 04 years. However, he/she can apply for a transfer on completion of one (1) year in such post. This period of one or four

years will be counted from 1st of January of a particular year irrespective of the date of assumption of duties in the present post.

14.2.7. Application for Consultant Medical Specialist posts:

Application for Consultant Medical Specialist posts will be called and accepted only from those officers who are confirmed in the Board of

Management of the PGIM as Board Certified as Consultant Medical Specialist on the closing date of applications and not from those who claim

eligibility pending Board Certification by Post-Graduate Institute of Medicine.

14.2.8 Consultants can apply for an end post or new post at any time after appointment to present post. A new post is defined as a post newly

created or a newly created second/third post. He/she cannot apply for a second post in the same institution unless it is an end post.

14.2.9 Annual transfers of consultants should be advertise in June and finalized by August. 50% of consultants on transfer orders must be

compulsorily released within 2 weeks of effective date and the rest before completion of 4 weeks without replacement if necessary.

14.3 End stations:

(I) The following institutions ate considered as end –stations as amendments in 2006 The National Hospital of Sri Lanka, De Soysa

Maternity Hospital – Colombo, Lady Ridgeway Hospital- Colombo, Castle Street Hospital for Women Colombo, Eye Hospital –

Colombo, Colombo South Teaching Hospital – Kalubowila, Colombo North Teaching Hospital – Ragama, Teaching Hospital –

Karapitiya, Teaching Hospital – Mahamodara, Teaching Hospital Peradeniya, Teaching Hospital Kandy, Teaching Hospital – Jaffna,

Teaching Hospital – Anuradhapura, Teaching Hospital, Baticallo, Cancer Institute – Maharagama, Mental Hospital – Angoda and

Mulleriyawa, Chest Hspital – Welisara, Chest Clinic Colombo, Fever Hospital – Angoda, Rehabilitation Hospital – Ragama, JMO Office

– Colombo, Medical Research Institute – Colombo.

Chest Clinics in Kandy, Galle and Jaffna, STD Clinics in Katugastota, Galle, Jaffna, Ragama and Kalobowila, Microbiologist Posts of

Central Laboratory of National Programme for TB and Chest Diseases, National Institute of Health Science Kalutara.

(II) (a) Specialists holding consultant posts in institutions listed in (I) above and the following posts of Consultant Community Physicians

listed in Schedule I of this Gazette Notification are considered as end posts.

(b) Resident posts and Consultant Medical Specialist posts in the Out Patients Department of Teaching Hospitals / Special Institution

and Consultant Community Physicians posts in other than the identified end stations mentioned in Schedule I above, are not

considered as end posts. These posts will have a prefix ‘Consultant’ (e.g. Consultant Resident Physician, Consultant OPD Surgeon).

They will have similar privileges as other non-transferable consultants but duties and responsibilities will differ according to

designation.

(III) An Consultant posted to an end-station will be permitted to stay in that hospital / institution until his / her retirement / resignation /

transfer to another end-station at his / her request.

(IV) An officer serving in an end-station also will be permitted to apply for a post in a Non-Teaching Hospital / Institution after

completing 02 years of service in the post he/she holds, subject to the condition that in the event of him/her getting posted to a Non

Teaching Hospital / Institution, he /she loses the right to apply for vacant post in a Teaching Hospital or Special Institution until

he/she completes a period of 02 years in the post in the Non-Teaching Hospital/ Institution.

(V) When a Consultant in an end post is due for retirement that post must be advertised 90 days before date of retirement. The closing

date for applications should be 42 days from date of application. Only those consultants confirmed by the board of management of

the PGIM as board certified by the closing date will be considered for the post.

(VI) When husband and wife are both Consultant Medical Specialists and desire to work in the same station, they must make an

irrevocable choice on whether the transfers are determined on the seniority of the husband or the wife and posting will be according

to this basis. However, husband/wife is not entitled to hold a post to which he/she is not entitled on seniority. He or she may have to

accept a post in a station very close by or work as a supernumerary or resident officer according to his/her seniority.

(VII) When spouse is a Grade medical officer he/she can opt to work in the same station as the spouse who is a Consultant. He or she may

have to accept a post in a station very close by or work as a supernumerary officer by considering his/her seniority.

14.3.1. Point Scheme

Transfers will be made on a point Scheme as follows:

Note.—Under this scheme, points will not be awarded to more than one grade at the same time. (When the officer is entitled to points in more

than one grade, the officer will be given points to the grade for which he/she could get the maximum number of points).

I Preliminary Grade— 02 per year — Maximum 04 points.

II Grade II — 02 per year

(a) Medical Officers promoted to Grade 1 before 09.05.1994, date on which the Minute in regard to the Medical personnel was amended

arc entitled to a maximum of twenty-four points.

(b) Those Medical Officers who were promoted to Grade I after 09.05.199-1 the date of amendment of the Minute in regard to the Medical

personnel, will be entitled to maximum of twenty points.

(c) Those Medical officers who had to remained more than 10 years in Grade II on 09.05.1994

the date the Minute in regard to the Medical personnel was amended, are entitled to twenty points to the first 10 years and thereafter 0.5

per every additional three months.

III Grade I — 02 per year (until (he officer is promoted to the Specialist Grndc).

IV Specialist Grade — 04 per year (There is no upper liihit).

Points will be given for each completed 03 months, (e.g. Grade II — 0.5 per 3 months Specialist Grade 1.0 per 3 months).


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14.3.2 Additional Points:

Additional points will be given for the services as a Consultant Medical Specialist in difficult or unpopular stations. These

stations are declared by the Ministry of Health on the recommendation of the Director General Health Services and will be notified in the

annual transfer advertisements in each year. Additional points will be given for Specialists held Consultant posts in such stations after their

Board Certification, at the rate of 0.25 points per 3 months. These extra points will be calculated only for the posts held within the four years

immediately before the contemplated transfer. This additional point scheme is not applicable in case of transfers to end-stations.

14.3.3 In the event of two applicants obtaining equal aggregate of points, seniority will be determined by the number of days calculated as

follows:

The total number of days not exceeding 90 days which have not been utilized when calculating points to Grade I, Grade II and Consultant

Medical Specialist Grade, will be taken into consideration and the officer who has the highest number of such unutilized days will be entitled

to the appointment. Two or more officers who have equal number of such days, the officer placed highest in the merit position in the

appointment to the preliminary grade / grade II will be entitled to the post.

14.3.4 For Teaching Hospital and Special Institution, transfers will be effected as and when vacancies occur. Points will be calculated up to the

date on which the post falls vacant/feel vacant. (E.g. date of retirement/transfer). For Non- Teaching Hospital, transfers will be made annually,

and points will be computed up to 31 st December of the pervious year. i.e. day prior to the 1st January of the year, the transfers come into

effect.

14.3.5 For the periods of no-pay leave spent within the country or abroad, the following procedure will be adopted in calculating points. -

(I) No points will be awarded for no-pay leave taken by an officer except for medical reasons.

(II) For medical leave, points will be given only to the period supported by a proper medical certificates.(e,g, When the officer is sick in

overseas, the medical certificates submitted through the respective Embassy or the High Commission), acceptable to the Department of Health

Services and the Ministry of Health as at present.

(III) When an officer who is abroad falls sick, it is the responsibility of the medical officer concerned to bring this to the notice of the Director-

General of Health Services. This should be done within a period of two weeks.

(IV) In situations where an officer who is aboard, avails himself/herself of medical leave exceeding three months, the documents related to the

illness should be produced before a properly constituted medical board as is applicable for similar leave availed of locally. No Points will be

given for leave not approved by the medical board.

(VIII) For the period approved as half pay leave, the officers will be entitled for only half the number of points recommended for the period.

(VII) Medical Officers who went on no-pay leave before the establishment of the Post Graduate Institute of Medicine in Sri Lanka for the

purpose of obtaining Post Graduate Qualifications as set out in Appendix I of the Medical Services Minute,

Published in the Government Gazette No.14840 of 17th

February, 1969 will be treated as for paid leave and will be given points for the period of

leave, they had taken as no-pay leave to obtain the stipulated Post- Graduate qualification and this will be allowed once only. No-Pay leave

taken for any other purpose by these officers will not be considered for the calculation of points.

14.4 Transfers in Administrative Grade:

14.4.1. General Guidelines

I. There will be two separate transfer schemes for Deputy Medical Administrative Grade and Senior Medical Administrative Grade.

II. The officers in the Deputy Medical Administrative Grade shall be transferred within the posts of equal status identified in appendix III.

III. The Officers in the Senior Medical Administrative Grade shall be transferred within the posts of equal status identified in appendix IV.

IV. This transfer scheme shall be applicable to both officers who are currently in the service as well as to the new recruits.

Note – All the officers who have completed five years period in one station/ post ( in the Senior Medical Administrative Grade /

Deputy Medical Administrative Grade) are compulsory transferable. However those who have completed three years in the current post /

station can opt for a transfer in the Annual Transfer List on his own accord. In case of a noted applicants, it is compulsory to apply for

annual transfers. If the applicant does not indicate his preferential choices / inadequately mention, he or she will be placed once all the

preferential choices of all other applicants are granted. The period of 3 years or 5 years will be computed form the 01st of January of a

particular year irrespective of the date of assumption of duties in the present post.

V. However, irrespective of the above facts, the Secretary Health can transfer the Medical Administrators as an internal arrangement on

exigencies of services subject to maximum of 3 months period.

VI. The end station set out in Gazette No. 1176/15 dated 22.03.2001 of the minutes regarding Medical personal of Health services shall not

apply to those officers possessing MD Medical Administration and /or MD community medicine or any other specialty who have opted for

Medical Administration.

VII. Annual transfers will be affected by a transfer board comprising of the Additional Secretary (MS), the Director General of Health

Services and DDG/ MS. Transfers shall be made based on the Medical Administrative Grade point scheme. The Medical officer will acquire

administrative grade points when he enters the respective grade on the basis of 3 points per year of service in the respective grade. 2

marks will be given for each year of acting in the Deputy Medical Administrative grade / Senior Medical Administrative grade to a minimum

of 5 years in both grades.

The basis for limiting he points to the administrative grade is similar to the practice followed in the grade Medical Officers transfer

scheme.(Eg.- When a medical officer is promoted to grade I from the preliminary grade, the respective medical officer collects points for

the grade II from the date of appointment to that grade. He or she does not carry and credit for the period of stay in the preliminary grade

when points are calculated for the purpose of transfers).

VIII. Additional one point for each year of service to a maximum of 5 points either in the deputy administrative grade or the senior medical

administrative grade or both combined in the medical administrative grade is recommended for those who work in unpopular stations as

identified by the Ministry annually or notified in the advertisement. This will be effective prospectively.

IX. When administrative grade points are calculated for the first time for the officers who are already in the senior medical administrative

grade, 0.75 shall be allocated for each quarter of the calendar year. If the date of appointment is in the second quarter 2.25 be given. If it

is in the third quarter 1.50 be given. If it is in the fourth quarter, officers shall have 0.75 for the respective calendar year.

VIII Points will be calculated up to 31st of December of the previous year i.e. the day prior to the 1

st of January of the year, transfer

comes in to effect.

X. The provisions of the Establishment Code in respect of transfers shall also apply.

XI Points awarded for no pay leave shall be in accordance with 6.1.3.7 and 6.1.3.8 of the minute in regard to Medical personal of the Health

Services published in the gazette number 1176/15 of 22nd

March 2001


13

XII. When transfers are effected in the Senior Administrative grade those offices holding post which require Community Medicine as a

mandatory qualification shall be transferred within those posts which require Community Medicine as a mandatory qualification.Similarly

those officers holding post which require Medical Administration as mandatory qualification shall be transferred within the post which

require Medical Administration as mandatory qualification.

XIII. Those officers holding posts which require either Community Medicine or Medical Administration as a mandatory qualification shall

be transferred within those posts that require either Community Medicine or Medical Administration as mandatory qualification.

XIV. This transfer scheme and the requisite qualification shall be effective with effect from 01.01.2007. However these mandatory

qualifications for these posts will not be applicable to those officers who are holding posts in the Senior Medical Administrative grade

before 01.01.2007.

XV. With regard to the new posts which come under the Medical Administrative grade in annexure III of this Service Minute action should

be take to fill them after obtaining the approval from the Management Services Department and also transfers shall be effected after the

fulfillment of requirement in the relevant provisions.

14.4.2 Interim provision

In implementing this scheme for appointments, promotions and transfers, those officers already in the Senior Medical Administrative

grade shall remain in the same grade irrespective of the posts currently held by them. Further the mandatory qualification set out for

Senior Medical Administrative posts mentioned in appendix IV and V of this minute shall not apply to those officers who are already in the

Senior Medical Administrative grade. Hence they are free to apply to any post with respect to appointments, transfers and promotion

until their retirement.

14.4.3 Transfers of Medical Officers to Specialized Units as secondments

I. Appointment of officers to Specialized Units will be on selection after advertisement.

II. Officers who have less than 7 years of services are eligible to apply. The period of up

to 2 years in the preventive health services will not be taken into computation of the 7 years.

III. The authority for secondment to the University or Government sponsored Institutions or Corporation will be the Secretary to the

Ministry of Health and will be governed by the regulations of the Establishments code.

IV. Officers who are selected to the Preventive Health Services have to serve a

compulsory period of two years. (Aanesthesia in same station )

V. The salaries of these officers, who released to the University, Local bodies or Government sponsored institutions, will be subject to

the rules relating to the salaries payable to officers on reversion after release.

VI. Salaries will be paid from Central Ministry of Health and to be reimbursement from relevant University /Institution or Department.

VII. Secondments can only be made to Universities, Local or Government sponsored institutions and armed forces.

VIII. The present post of the officer taking up the seconded post will be advertised.

IX. Posts will be for a maximum of 2 years and the officer will have to apply in the annual transfer list. If the officer overstays more than

2 years he/she will lose seniority.

15. Leave

Leave will be govern by provision in chapter IX in the e code

15.1 Study leave

a) Officers who have qualified from the Post-Graduate Institute of Medicine with the Degree of Doctor of Medicine / Master of

Surgery and in respective fields, have to undergo a training of minimum one year period in abroad for board certification.These

officers will be provided 2 years full pay leave abroad, of which one year may be a fellowship through the Post Graduate Institute

of Medicine offered my Ministry of Health.

b) Official leave of 14 days to attend CME programmes.

15.2 Revenue generation leave

Officers who have selected to work in abroad for a contract basis he / she will be provided 1 year full pay leave.

Number of days taken over the allowed leaves for the year will consider as no pay leave.

15.3 No pay leave

Notwithstanding above an officers shall be granted no pay leave for local employment subject to the rules stipulated in subsection 15 of chapter XII of E Code mutatis mutandis and, When an officer qualifies for leave under subsection 14 and 16 of chapter XII of E Code the spouse of such officer shall be granted leave under subsection 36 of chapter XII of E code Mutatis mutandis.

15.4 Leave of Consultant Medical Specialists

As per Establishment Code subject to the following

15.4.1 Official leave of 14 days per annum to attend CME programmes.

15.4.2 One day off per week to be granted as a professional day off. The Consultant should ensure that the units

function is not affected

15.4.3 Leave (abroad or local) for any purpose can be taken at any time, without prior notice (depending on

availability of leave) if replacement is arranged by Consultant.

15.4.4 If 3 months notice is given of leave abroad it is the responsibility of the administration to arrange cover up.

15.4.5 Administration must arrange replacement/cover up if notice of 1 month is given for leave in Sri Lanka.

15.4.6 Sabbatical leave of 6 months full pay or I year half pay every 5 years.

15.4.7 If to be spent as an attachment in an approved centre abroad in the relevant specialty the department should

provide (3 months) scholarship equivalent to grant provided for PG trainees. Applicable once in 5 years.

15.4.8 Posts of those on leave on any purpose for more than 1 year should be advertised.

16. Regulations

16.1 all Medical Officers in the Health Services are subject to Financial Regulations, the Establishments Code, Departmental Orders or

Regulations and any other orders or regulations that may be made by the Government from time to time. (All recruitments,

appointments, promotions and transfers will be governed by the general conditions in regulations of the Establishments Code and Public

Service Commission.)

16.2 Conditions exception to the general conditions as stated in Public Service Commission regulations:


14

16.2.1 Intern House Officers

• All medical graduates should follow a compulsory one year internship clinical training period under consultant supervision in any 2

major disciplines in a suitable hospital recognized by SLMC in order to obtain SLMC registration which is essential to practice as a

medical officer in Sri Lanka.

• Opportunity of Internship should be provided.

• Allowance will be paid during this period.

16.2.2 A) Duty of Medical Officers (Under the process of formulation)

B) Duties of Consultant Medical Specialists (Under the process of formulation)

16.2.3 Post Graduate Examinations

(I) The Registration / course fees of the Post Graduate course selected through routine procedure of the Post Graduate Institute of Medicine

of University of Colombo shall be paid by the Government and examination fee as well will be paid by the Government provided that the

officer passes the final Post-Graduate Examination at any attempt.

(II) Medical Officers with local or foreign basic medical qualifications should have a minimum one year active service period before following

a Post –Graduate training programme in the relevant specialty.

(III)Medical Officers with foreign Post –Graduate qualifications should have a minimum one year active service period before following a

Post –Graduate training programme in the relevant specialty as well.

16.2.4 Seniority at appointment

� Seniority in the health Services will be governed by the regulations of the Establishment Code.

� Seniority among those appointed to the permanent services on the same date will be according to the order of the merit in the final

examination.

• Points will be given for each completed 03 months, {e.g. Grade II — 0.5 per 3 months. Specialist Grade 1.0 per 3 months).

• In the event of two applicants obtaining equal aggregate of points, seniority will be determined by the number of days calculated as

follows :

The total number of days not exceeding 90 days which have not been utilized when calculating points to Grade I, Grade II and Specialist

Grade, will be taken into consideration and (he officer who has the highest number of such unutilized days will be entitled to the

appointment. When two or more officers have equal number of such days, the officer placed highest in the merit position in the

appointment to the preliminary grade will be entitled to the post.

For Teaching Hospitals and Special Institutions, transfers will be effected as and when vacancies occur. Points will be calculated up to the

date on which the post falls vacant/fell vacant, e.g. date of retirement/transfer. For Non-Teaching Hospitals, transfers will be made

annually, and points will be computed up to 31st December of the previous year. i.e. day prior to the 1st of January of the year the

transfers come into effect

16.3 Delegation of work: (Under the process of formulation)

17. Definitions exception to the definitions as stated in the regulations of Public Service Commission

18. General

18.1 All Medical Officers in the Health Services are subject to Financial Regulations, the Establishments Code, Departmental Orders or

Regulations and any other orders or regulations that may be made by the Government from time to time.

18.2 General conditions and condition of service

General Conditions that are relevant to other posts in the medical service minute shall be I force these posts in the same manner.

Grade II and grade I medical officers are in the executive grade

Senior grade medical officers are in the senior executive grade

Eligible for full pension after completion of 26 years in service including internship


15

MUNITE REGARD TO MEDICAL PERSONNEL OF THE HEALTH SERVICES

APPENDIX 1

A SCHEDULE SHOWING THE DEPARTMENTAL REQUIREMENTS OF SPECIALISTS AND THE RECOGNISED CONSULTANT MEDICAL SPECIALIST QUALIFICAITONS FOR MEDICAL OFFICERS

General Medicine Recognized Qualification

1 General Medicine

Neurology

Neurophysiology

Nephrology

Cardiology

Cardio electrophysiology

Endocrinology

Gastroenterology

Respiratory medicine

Rheumatology and rehabilitation

M.D. Medicine

M.D. Neurology

M.D. Neurophysiology

M.D. Nephrology

M.D. Cardiology

M.D. Cardio electrophysiology

M.D. Endocrinology

M.D. Gastroenterology

M.D. Respiratory medicine

M.D. Rheumatology and rehabilitation

2 Pediatrics

Neonatology

Pediatric neurology

Pediatric nephrology

Pediatric intensive care

Pediatric cardiology

Pediatric oncology

Child Psychiatry

M.D. Pediatrics

M.D Neonatology

M.D Pediatric neurology

M.D Pediatric nephrology

M.D Pediatric intensive care

M.D Pediatric cardiology

M.D Pediatric oncology

M.D Child Psychiatry

3 Dermatology M.D Dermatology

4 Psychiatry M. D. Psychiatry

5 Forensic Medicine M.D. Forensic Medicine

6 General Surgery M.S. Surgery M.D Surgery

7 E.N.T. M.S.E.N.T. Surgery

8 Ophthalmology M.S Ophthalmology

9 Cardiothoracic Surgery M.S/M.D Cardiothoracic Surgery

10 Gastroenterological surgery M.S/M.D Gastroenterological surgery

11 Genitourinary surgery M.S/M.D Genitourinary surgery

12 Neuro Surgery M.S/M.D Neuro Surgery

13 Plastic Surgery M.S/M.D Plastic Surgery

14 Oncological surgery M.S/M.D Oncological surgery

15 Orthopedic surgery M.S/M.D Orthopedic surgery

16 Thorasic surgery M.S/M.D Thoracic surgery

17 Vascular surgery M.S/M.D Vascular surgery

18 Peadiatric surgery M.S/M.D Peadiatric surgery

19 Ophthalmology (eye surgery) M.S/M.D Ophthalmology (eye surgery)

20 Peadiatric eye surgery M.S/M.D Pediatric eye surgery

21 Peadiatric orthopedic surgery M.S/M.D Pediatric orthopedic surgery

22 Peadiatric ENT surgery M.S/M.D Pediatric ENT surgery

23 Obstetrics and Gynecology M.S/M.D Obstetrics and Gynecology

24 Gynecological oncosurgey M.S/M.D Gynecological oncosurgey

25 Subfertility M.S/M.D Obstetrics and Gynecology major in Subfertility

26 Anesthesia M D Anesthesia

27 Radiology M D Radiology

28 Interventional Radiology M D Interventional Radiology

29 Infectious Diseases M.D. Medicine majoring in infectious diseases

14 Community medicine(Public Health ) M.D. Community Medicine

30 (a) Pathology

(b) Bacteriology

(c) Parasitology

(d) Entomology

(e) Virology

(f) Bio-chemistry

(g) Histopathology

M.D. Pathology

M.D. Bacteriology

M.D. Parasitology

M.D. Entomology

M.D. Virology

M.D. Bio –Chemistry

M.D Histopathology

31 General microbiology General microbiology

32 Mycology M.D Mycology

33 Hematology M.D Hematology

34 Pharmacology and therapeutics M.D. Pharmacology and therapeutics

35 Human nutrition M.D. Human nutrition

36 Radiotherapy & Oncology M.D. Radiotherapy & Oncology

37 Venereology M.D. Venereology

38 Family medicine MD Family medicine(by clinical training)

39 Medical Administration M.D. Medical Administration

40 Transfusion medicine MD Transfusion medicine

41 Critical care MD Critical care


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42 Sports medicine MD Sports medicine

43 Clinical oncology M.D. oncology

44 Leprosy M.D community medicine major in leprosy

APPENDIX II

LIST OF QUALIFICAITONS RECOGNISED FOR PROMOTION FROM GRADE 11 TO GRADE 1 OF MEDICAL OFFICERS

Discipline Diploma

1 General Medicine -

2 Pediatrics D. C. H. (Diploma in Child Health)

3 Dermatology -

4 Chest Diseases D.T.C.D. (Diploma in Tuberculosis and Chest diseases )

5 Physical Medicine (Rheumatology &

Rehabilitation)

-

6 Forensic Medicine D.L.M. (Diploma in Legal Medicine)

7 Psychiatry -

8 General Surgery -

9 E.N.T. D.L.O. (Diploma in Laryngo-Otology)

10 Ophthalmology D.O. (Diploma in Ophthalmology

11 Neurology -

12 Cardiology -

13 Cardiac Surgery -

14 Neuro-Surgery -

15 Thoracic Surgery -

16 Plastic Surgery -

17 Rectal Surgery -

18 G U Surgery -

19 Pediatric Surgery -

20 Orthopedic Surgery -

21 Obstetrics & Gynecology -

22 Anesthesiology CCA

23 Radiology -

24 Orthodontics -

25 Public Health M.Sc. (Community Medicine)

26 Health Education M.Sc. in Health Education

27 Family Medicine Diploma in Family Medicine

28 Critical care Diploma in critical care

29 Toxicology MSc (Toxicology)

30 Human Nutrition MSc( Human Nutrition)

31 sports medicine Diploma in sports medicine

32 Transfusion medicine Diploma in transfusion medicine

33 Biomedical Informatics MSc in Biomedical Informatics

34 MolecularMedicine Diploma in MolecularMedicine

35 Reproductive Medicine Diploma in Reproductive Medicine

36 Venereology Diploma in Venereology

37 Microbiology Diploma in Medical Microbiology

38 Pathology Diploma in Pathology

39 Health Services Disaster Management Diploma in Health Services Disaster Management

40 Histopathology Diploma in Histopathology

41 All part 1 examinations of PGIM Successful completion of part I of appendix I exams


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Appendix III

LIST OF QUALIFICAITONS RECOGNISED FOR PROMOTION FROM GRADE 1 TO SENIOR GRADE OF MEDICAL OFFICERS

1. 2nd

e bar examination

2. All part 2 examinations of appendix 1

Annex IV

Intermediate cadre

• Diploma in Child Health

• Diploma in Legal Medicine

• Diploma in laryngo- otology

• Diploma in ophthalmology

• Certificate of competence in Anesthesiology

• Diploma in Family Medicine

• Diploma in Psychiatry

• Diploma in Sports Medicine

• Diploma in Reproductive Medicine

• MSc Biomedical Informatics

• Msc Medical Administration

• M sc Community Medicine


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Annex V a


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Annex V b


20

Annex V c


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Annex VI- Proposed allowances

7.1 Allowances to Medical officers

a) Research allowance- Circular no. 44

b) Deleted to safeguard the profession form rival professions

c) Deleted to safeguard the profession form rival professions

d) Deleted to safeguard the profession form rival professions

e) Deleted to safeguard the profession form rival professions

f) Deleted to safeguard the profession form rival professions

g) Deleted to safeguard the profession form rival professions

h) Deleted to safeguard the profession form rival professions

7.2 Allowances to consultants

In par with similar categories of govt. servants and

a) Deleted to safeguard the profession form rival professions.

b) Weekend and PH allowance (1/20) should be paid for the total number of days officer has been working.

c) Fixed Extra Duty Allowance.

d) . Deleted to safeguard the profession form rival professions

e) . Deleted to safeguard the profession form rival professions

f) .Be placed in relevant position in PA circular 22/99 of 08.01.1999.

g) . Deleted to safeguard the profession form rival professions

h) . Deleted to safeguard the profession form rival professions

i) . Deleted to safeguard the profession form rival professions

7.3 Allowances to administrators

a) Deleted to safeguard the profession form rival professions

b) Deleted to safeguard the profession form rival professions

c) Deleted to safeguard the profession form rival professions

Medical Service Minute 2012-01-18

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Transcript of Medical Service Minute 2012-01-18