Had reserved my comments till now on Dynamic Assured Career Progression (DACP) Scheme.
As we all know, the DACP with a time bound progression till Grade Pay of Rs 10,000 @ 20 years of service was recommended by the 6th CPC for all doctors under the Central Govt (which includes the AMC & ADC) and the same was also duly notified by the Government of India. The DACP was accordingly implemented for all doctors under the Central Govt including civilian doctors serving under the DGAFMS who now at places are drawing more pay (and better connected facilities) than their AMC bosses on whom the said scheme has not been implemented till date. Even the MHA had, in the past, also vacillated on the subject while implementing the scheme for combatised doctors of the Central Police Organisations but the issue was sorted out when the Ministry of Finance asked the MHA to implement it in letter and spirit for all doctors including the ones serving in uniform.
Contrary to popular perception, the proposal for DACP was accepted in principle by the MoD which was in favour of implementing the same despite reservations expressed by some quarters within the services on the issue of status vis-à-vis other arms and services. Those reservations were also addressed on file when it was resolved that the scheme would be implemented after delinking it from status and rank and would hence involve only financial gain. It was also expressed on file that the AMC needed to be in step and at par with such beneficial schemes already implemented for other central govt services in order to attract and retain talent. In the ultimate analysis, everybody, including the Services HQrs and the DGAFMS were on the same page. However, the MoD still thought it prudent to refer the proposal to the PPOC in its meeting on 22 May 2009. The PPOC, as we well know, is manned by uniformed officers and not by civilians. The issue was deliberated by the PPOC but the said committee was of the opinion that all anomalies, including those of the other services, needed to be addressed at one go by the MoD and hence this issue should also be tagged with other areas of dispute. This, though I have full regard for the PPOC, in my humble opinion, was a short-sighted step since we need to take things as they come. To say that ‘we will not take this benefit which is being offered on a platter by the govt till the time other issues are addressed’ was not a well rounded idea. Anyway, the proposal was pended with the following remarks on 22-05-2009 :
“Status quo be maintained on the implementation of DACP for medical officers in the Armed Forces. Issue of status be included in disputes / anomalies being forwarded to MoD”
Why I say it was not a good idea to postpone the implementation is that DACP was not even an area of dispute and it did not involve status issues since it had been resolved that the financial benefit would be granted without any link to rank, status or hierarchy. Thereafter again comments were sought from all concerned wherein it was again highlighted that the rank structure would not be altered. It was also put on file that the financial implication was also negligible (about Rs 7 lacs for the entire AMC/ADC) since AMC officers reach the highest permissible pay (for all doctors) of Rs 85000 per month in about 23 years of service anyway. Hence in effect the direct implication of the DACP is only for officers with 20 to 23 years of service. It was very kindly agreed by the MoD that any of the following two options may be exercised :
A. Approve the proposal of the DGAFMS for extension of DACP without effect on rank or promotion (unless due in normal course)
OR
B. Ask the PPOC to reconsider the proposal.
The Joint Secretary (O/N) in the MoD has however opted for Option B and has referred it back to the PPOC on 03-09-2010 for reconsideration.
While it is hoped that the PPOC shall reconsider the proposal positively, the following points should be kept in mind before processing the same since it seems that the true picture is not being articulated in an objective manner before the competent body :
(1) It must be borne in mind by the PPOC that the Govt has already notified the DACP for all doctors under the Central Govt which by all logic includes our very own AMC and ADC.
(2) The DACP has already been implemented for civilian doctors serving under the MoD / DGAFMS which has resulted in civilian juniors drawing much more pay and linked benefits than their AMC superiors at places. The DACP has also already been implemented in combatised uniformed medical cadres of the Home Ministry by delinking it from status, pay and rank badges.
(3) There is no link of the DACP with other status issues involving the services since it has already been resolved on file and decided by the MoD that DACP would not affect status / promotions / hierarchy. Hence to tag the DACP with other anomalies would be a little unfair and self-defeating since there is no involvement of any anomaly in DACP which already stands implemented in other services.
(4) The thought process which has been placed before senior officers that military medicos are receiving MSP and other allowances which civilians are not getting is totally misplaced. MSP has been granted across the board to cater for the vagaries of military life and early retirement and has no link whatsoever with the DACP. Moreover, all doctors in other services have been made entitled to DACP including those who are being paid risk related and special allowances on the civilian side. And when the Govt and the MoD are ready to grant DACP to us, why should we ourselves raise the bogey of MSP and special allowances, this would be the worst form of self-inflicted injury. Even the notion that grant of DACP would upset the hierarchy is misplaced since it has already been agreed upon that it would not affect status.
(5) We need to attract talent in the AMC and we need to do it fast. Between 2005 and 2008, less than half of the candidates called for an interview finally reported and only between 32% to 44% of those selected finally joined, which speaks volumes of the AMC as a career option. We need to act on this and not place our very own people at a disadvantage as compared to other doctors under the central govt.
(6) We need talent, staff, numbers and re-organisation and all this is not possible without the right and the correct talent. As has also been brought out on file, our approved establishment is woefully inadequate. To take some examples, the Medical Officer per bed ratio in Batra Hospital is 1 per 3 beds, in AIIMS it is 1 per 15 beds, in Walter Reed Hospital (US Armed Forces) it is 2 per 1 bed and in our AFMS it is 1 per 50 beds. The Specialist per bed ratio in Batra is 1 per 5 beds, in AIIMS it is 1 per 18 beds, in Walter Reed it is 2.6 per 1 bed and in our AFMS it is 1 per 33 beds.
My request to our own people, including those I have worked with while dealing with status and pay issues of the services, would be that let us not try to throw spanners in the works and let the MoD smoothly implement DACP for our AFMS doctors as has already been approved in principle and which now again awaits a ceremonial nod from the PPOC. We must learn from experience. Our approach should not be 'why should they get it when we (non-medicos) are not getting it', rather it should be 'why should they not get it when others have already got it'.