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This document contains the feedback and suggestions supported by relevant references on

ALLIED AND HEALTHCARE PROFESSIONAL CENTRAL COUNCIL BILL 2015 uploaded by ministry of
health & family welfare for Comments/Feedback from stakeholders on the bill.

Feedback and
Suggestions
Regards to Physiotherapy Council

Physiotherapist

Date 22/10/2015
To,
The Secretary
Ministry of Health and Family Welfare Nirman Bhawan, New Delhi
Sub: - Resentment with respect to proposal for the formation of Physiotherapy Council in present
form and Seeking Comments/Feedback from stakeholders on the same, October 25th, 2015)

Respected sir/madam,
With regard to the aforesaid subject, I would like to place before you certain enlightening facts
pertaining to Physiotherapy Profession in our country for your kind perusal and just action in the favor
of Independent Physiotherapy Council. As informed, I do citizen do offer suggestions for the rest of
the professionals, annexed as Annexure -1

Historical facts and background of Physiotherapy profession suffering in Union of


India.

I would like to bring to your kind notice that the Government of India had already decided to have an
independent Council for Physiotherapists under the Ministry of Health and Family Welfare with separate
cells for Occupational T h e r a p i s t a n d Physiotherapists way back in the year 1988 and budgetary
allocation of 5 lakhs rupees was also sanctioned between the years 1989-90 for the same.

Physiotherapy has been defined and categorized more than half dozen by MoHFW in
years 1994(independent council), 1995(paramedical along with lab technician),
1998(rehabilitation professional), 1999(paramedical along with lab technician),
2002(physiotherapy & paramedical), 2012(allied health), 2014(allied health) and
2015(along with physician assistant & dietician) in a very contradictory manner to
implicate physiotherapists with paramedical /allied health/physician assistant &
dietician (non-direct form of health discipline) profession in influence of physician
especially PMR.

Some important dates and incidents are mentioned below: (1998-2007)1

1988

The Government of India decided to have an independent Council under the Ministry of Health
and Family Welfare with separate cells for Occupational Therapist and Physiotherapists

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1989
1994

Budgetary allocation of 5 lakhs rupees for Physiotherapy and occupational therapy council bill.
The MoHFW defined the term Physiotherapy as independent professional and prepared the
bill.
1995 The MoHFW on the recommendation of Law ministry conducted the state health secretary
meeting which decided the paramedical bill to be legislated
1997 Files pertaining to Paramedical and Physiotherapy, reported to be misplaced by them and
later on the noting portion was received from the office of DGHS.
1998 MoHFW itself recorded the need of dominance between PMR and Physiotherapy
1998 Government notified Physiotherapy in rehabilitation council of India (RCI) and categorized as
rehab professional.
1999 The Government de - notified Physiotherapy from RCI.
2001 Despite the aforesaid need of dominance observations, MoHFW constituted an expert
committee consisting of a PMR doctor, pathologists and Radiologists, without any expert
from the Physiotherapy profession to define the term Physiotherapy. The committee inserted
the term Medically directed in defining Physiotherapy in above said meeting.
2002 The paramedical bill was sent to the Ministry of Law for vetting. The Ministry of law pointed out
that they are not paramedical and dont come under the purview of paramedical and the same
was accepted by MoHFW.
2002-7 The term medically directed was strongly opposed by physios; it was rejected by MoHFW in
view of expert opinion, where PMR professionals were members.
2007 Department related standing committee on Health and family welfare in its report on
paramedical and physiotherapy bill 2007 pointed out that the word Medically directed in
the definition of Physiotherapy has been deliberately used defeating the very basis of defining
a profession in para9.47 and also observed the discrimination of physiotherapy by the
MoHFW .The same committee also observe the rivalry between medical profession and
physiotherapist in 9.452
2008 Bill Lapsed
2012 MOH&Fw released a report Paramedical to allied health, and presented to the MoHFW. The
role of private body PHFI which has members from MoHFW at the cost of public exchequer
of Rs 64 lakh is dubious. The report has presented the profession in a derogatory manner and the
experts have dissociated from the report3.
2014 Physiotherapy service was defined with restriction under the Clinical Establishment Act Rule
with PMR as chairman of committee, as allied health professional services4.
2015 syllabus hosted in the portal for the Ministry of Health and Family welfare, seeking comments
from stake holders also hosted in the portal for the Ministry of Health and Family welfare,
described physiotherapy scope of practice with limited scope of practice and term diagnosis or
method of treatment/system of treatment is missing from the definition.
It is very sad to point out that office of physician especially of PMR Rather engaged in using derogatory,
unconstitutional and medically vested term like medically directed therapy and have to render the
duty under prescription of PMR /Physician its rule ,circular, order and reports in direct violation of
fundamental right right to practice.5
The uploaded draft right away speaks to subsume the Delhi council of physiotherapy, which define
the physiotherapy as method of treatment and provides professional freedom to serve the patients as
autonomous profession. On the other hand, the draft defines the health and allied as
2|Page

Prescribed as under rule of government of India . I am afraid the above mentioned rules and
reports, which are direct violation of fundament; do not fall in the description of Prescribed
as under rule of government of India . If it so, in that case, I wonder, rule will precede the act and
subsume more ethical act of Physiotherapy?

Deteriorating condition of Physiotherapists in India in comparison of developed


Nations:

It is humbly informed that the Government of India does not know the number of Physiotherapists6 due
to lack of Physiotherapy council and Due to the same, there is rampant irregularities in recruitment of
physiotherapist e.g.; at Safadarjung Hospital alone since 2008, in 5 different recruitment have been done
with five different recruitment age criteria, Despite complain and resentment no action has been taken.

year 2008- prescribed age for the recruitment -27


year 2011-prescribed age for the recruitment -25
year 2012-prescribed age for the recruitment 27
Year 2013- prescribed age for the recruitment 25 and age of the candidate will be counted
from closing date of previous advertisement.
Year 2015- prescribed age was 35.
Despite complaint and resentment by Indian Association of Physiotherapists that rules have been
violated in year 2010 and 2013.
It has been claimed that there is acute shortage of allied health professionals which is contrary to the
truth in the case of Physiotherapy profession. Rather Physiotherapy professionals are available in
abundance and there are approximately 240 unregulated colleges of Physiotherapy which have already
mushroomed in our country. They are offering Graduate, Post Graduate, and also Doctoral courses due
the absence of a National Council for Physiotherapy.
The condition of Physiotherapists has worsened over period of time due to Absence of independent
regulatory mechanism as described in a study conducted in Tamil Nadu in fig. 27 , in dark contrast to
perception in developed Nation e.g. Australia, a study conducted by turner, describes the perception of
Physiotherapist(fig.1) in Australia8
It is humbly informed that the Physiotherapists pathetic condition is more or less the same in each state
of Union of India. In Delhi state, in year 2008, at Safdarjung Hospital, to recruit one Physiotherapist,
51 Physiotherapists have been examined. In same hospital at sports injury center, in years 2015, more
than 200 post graduate in sports injury have interviewed for recruitment of 8 physiotherapists. It is
important point out that the examination lasted for three days and most of Physiotherapists who had
already been working on contractual basis in Sports Injury center, were selected. As a matter of fact
rather than selecting Physiotherapists on the basis of merit, Physician experts at the examination
must have enjoyed the derogatory condition of Physiotherapists for all along three day. Not to mention,
the age criteria as usual has been changed to prefix the candidate. The kind of abuse, derogation,
unemployment and irregularities in recruitment are unprecedented and are the true status of
Physiotherapy in India, for all these poor status of Physiotherapy in Union of India, MOH&FW is fully
responsible at the behest of physician especially of PMR.
Even underdeveloped neighbor countries has better human resource standards 9 and perception10 among
Physiotherapy profession.
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Figure: 1

4|Page

Figure 2: Physiotherapy Profession in India (Tamilnadu)


Un-regulated educational Institutions
1. Profit concerned colleges
2. Fraudulent private colleges
3. Frightening strategies
4. Standard not a concern
5. Mismatch production & job
availability

Powerless Physiotherapy Professionals


1.

Unfavorable
tradition
consultation
2. Denied independency
3. Doctors envy and upper hand
4. Nil regulations for authority
5. Forced misconduct

of

Low self-esteem of Physiotherapists


1. Worried about people perception
2. Unhappy to be known as
physiotherapists
3. Much relied on modalities

Low Demand of Physiotherapy Service


1. Poor understanding of PT role
2. Unaccepted nature of therapy
3. Poor awareness
4. Orthopedicians fear of losing
patients
5. Rural absence of physiotherapists
6. Poor affordability

Knowledge deficit
1. Insufficient educational syllabuses
2. Poor acquired knowledge & low selfconfidence
3. Un-prioritized continuing education
4. Unskilled and immoral teachers
5. Lack of evidence based practice

De-motivating rewards and worst career


opportunities
1. Poor salary & struggling life
2. Hard work and no fruits
3. Poor employment opportunities

Worsening Profession
1. Fall in college admission
2. High discontinuation of profession
3. Harmful and less effective services
4. Asymmetry of information and immoral activities
5. Unhappy and frustrated professionals

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3. Jurisprudence in developed Nations and Indian states

A. American Define physiotherapy as method of treatment / system of treatment.


AMERICAN JURISPRUDENCE, 1981 EDITION, HAS BEEN UTILIZED BY MINISTRY OF LAW
11
TO VET THE TERM OF PHYSIOTHERAPY
B. Australian & NZ The PBNZ has published the following description of the general scope of
practice for physiotherapists in Aotearoa New Zealand.12
Physiotherapy provides services to individuals and
populations to develop, maintain, restore and optimize health
and function throughout the lifespan. This includes providing
services to people compromised by ageing, injury, disease or
environmental factors. Physiotherapy identifies and maximizes
quality of life and movement potential by using the principles
of promotion, prevention, treatment/intervention, habilitation
and rehabilitation. This encompasses physical, psychological,
emotional, and social wellbeing.
Physiotherapy
involves
the
interaction
between
physiotherapists,
patients/clients,
other
health
professionals, families/whanau, care
givers,
and
communities. This
is a people-centered process where
needs are assessed and goals are agreed using the knowledge
and skills of physiotherapists. Physiotherapists are registered
health practitioners who
are
educated
to
practice
autonomously by applying scientific knowledge and clinical
reasoning to assess, diagnose and manage human function.
The practice of physiotherapy is not confined to clinical
practice, and encompasses all roles that a physiotherapist may
assume such as patient/client care, health management,
research, policy making, educating and consulting, wherever
there may be an issue of public health and safety.
The Physio BA has published a definition of practice. The following description is based on
that definition:
Physiotherapy practice is any role, whether remunerated or not, in which
the individual uses their skills and knowledge as a physiotherapist ...
practice is not restricted to the provision of direct clinical care. It also
includes using professional knowledge in a direct non-clinical
relationship with patients or clients, working in management,
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administration, education, research, advisory, regulatory or policy


development roles and any other roles that have an impact on safe,
effective delivery of health services in physiotherapy.
C. United Kingdom- Human Medicine Regulation 2012 act, allow Physiotherapist serve as
independent/ supplementary prescriber of medicine. Due to such change only Musculoskeletal
(MSK) physiotherapy practitioners at four primary practices in North West Wales have saved
nearly 700 GP appointments over three months13.
D. CANADA -Physiotherapy Definition14
Physiotherapy is a primary care, autonomous, client-focused health
profession dedicated to improving quality of life by:
Promoting optimal mobility, physical activity and overall health and
wellness;
Preventing disease, injury, and disability; Managing acute and chronic
conditions, activity limitations, and participation restrictions;
Improving and maintaining optimal functional independence and
physical performance; Rehabilitating injury and the effects of disease
or disability with therapeutic exercise programs and other interventions;
and Educating and planning maintenance and support programs to
prevent re-occurrence, re-injury or functional decline.
Physiotherapy is anchored in movement sciences and aims to enhance
or restore function of multiple body systems. The profession is committed
to health, lifestyle and quality of life. This holistic approach incorporates
a broad range of physical and physiological therapeutic interventions
and aids.
Physiotherapy services are those that are performed by physiotherapists
or any other trained individuals working under a physiotherapists
direction and supervision.
Primary Functions
Physiotherapists utilize diagnostic and assessment procedures and
tools in order to develop and implement preventive and therapeutic
courses of intervention. They apply a collaborative and reasoned
approach to help clients achieve their health goals, in particular
focusing on the musculoskeletal, neurological, cardiorespiratory and
multi-systems. Within these systems, physiotherapists practice in areas
that include pediatrics, geriatrics, oncology, womens health, pain,
critical care, wound care, occupational health and sports medicine.
Physiotherapists analyze the impact of injury, disease, disorders, or
lifestyle on movement and function. Their unique contribution to health
care is to promote, restore and prolong physical independence by
enhancing a clients functional capacity. Physiotherapists encourage
clients to assume responsibility for their health and participate in team
7|Page

approaches to health service delivery.


E. Delhi, Maharashtra & Gujarat council

describe

Physiotherapy

as

method/system of

treatment15.

4. Description of physiotherapy:

The description i t s e l f justifies the prolong demand of independent Physiotherapy council


a) Assessment/examination method like any other system of treatment, Physiotherapists use
scientific methods which includes, examination of joint integrity and mobility, gait and balance,
muscle performance, motor function, cardio respiratory function, pain, neuro-motor and sensory
motor development, posture, cardiovascular and work capacity, cognition and mental status,
skin condition, accessibility and environmental review.
b) Diagnosis like any other method of treatment Physiotherapist do utilize scientific methods/ Lab
/equipment which include a process that arises from examination and evaluation and represents
the outcome of the process of clinical reasoning; may be expressed in terms of movement
dysfunction or may encompass categories of impairments, functional limitations,
abilities/disabilities, or syndromes; diagnosis is both process and a label.
The diagnostic process performed by the Physiotherapist includes integrating and evaluating
data that are obtained during the examination to describe the patient/ client condition in terms
that will guide the prognosis, the plan of care, and intervention strategies. Physiotherapists use
diagnostic labels that identify the impact of a condition on function at the level of the system
(especially the movement system) and at the level of the whole person.
There is ample evidence that the Indian university in 4-1/2 curriculum of Physiotherapy do impart
radio diagnosis orientation16. In India condition the term diagnosis means mechanical
examination of human body, which Physiotherapist are used to performing since long time, as
SD curve from electrical stimulation, as in form of E.M.G biofeedback and Isokinetic test in
diagnosis and prognosis. Now a day Physiotherapist in devolved Nation especially in sports
setting use real-time ultrasound to detect muscle injury which is less time consuming, cost
effective and as effective as MRI and without radiation etc.17
c) Physiotherapy Interventions
Physiotherapy interventions include, but are by no means limited to, the following broad
categories:
Education, consultation, health promotion and prevention services.
Personalized therapeutic exercise including testing and conditioning, neuro-therapeutic
approaches to improve strength, range of motion, and function.
Soft tissue and manual therapy techniques; including massage, spinal and peripheral
joint mobilization and manipulation.
8|Page

Physical, electrotherapeutic and mechanical agents; and acupuncture.


Cardio respiratory techniques including airway clearance methods.
Skin and wound care.
Management of incontinence including pelvic floor re-education.
Functional activity and tolerance testing and training.
Work and
occupational re-training
and
return to
work
planning.
Prescription, fabrication and application of assistive, adaptive, supportive and
protective devices and equipment. Environmental change, focusing on removing barriers
to function.

d) Practice Settings
Physiotherapists work in private and public settings providing client and/or population health
interventions as well as management, educational, research and consultation services.
This broad range of settings may include but is not limited to the following:
Child-development centers Community health centers
Government/ health planning agencies
Health clubs/Fitness centers
Hospices
Hospitals
Individual homes/home care Insurance companies
Nursing Homes
Long term care facilities
Occupational health centers
Outpatient/ambulatory care clinics
Physiotherapy clinics/ practices/private offices
Prisons
Public settings for health promotion Rehabilitation Centers/ Research facilities/
Seniors centers/residences S c h o o l s /universities/colleges
Sporting events/field settings Sports medicine clinics Work sites/companies
e) Alternative method:
Often used to describe independent healing approaches and Techniques used in place of
conventional treatments or mainstream medicine. In developed nation Physiotherapy Servesas
alternative method treatment e.g. musculoskeletal (MSK) physiotherapy practitioners at four
primary practices in north west Wales have saved nearly 700 GP appointments over three
months.
Physiotherapist serve as first contact practitioner in Australia, NZ, Canada and United State as
describe above.
Due to absence of regulatory mechanism, the Government of India do not know that how many
Physiotherapists live in India and what type of practice are they engaged complementary
or alternative?
9|Page

Above mentioned facts give rise to following startling questions

1. If the state health secretary meeting on the recommendation Law Ministry was that much
important, I wonder why Ministry throws the Physiotherapy profession from Ministry of Health
to Ministry of Social justice. Whether sanctity of that meeting and recommendation of Law
Ministry Remain Secured?
2. If Law Ministry recommendation was that much important that it force the government to conduct
the State Health Secretary meeting in 1995. I wonder, why it was not important in 2002,
when t h e Law Ministry pointed out on the basis 20 year old literature Physiotherapist are not
Paramedical even after its acceptance by MOH&FW?
3. Whether inclusion of Physiotherapy profession curriculum in RIPs &NIPs, does not amount
misplace fund in light of above mentioned facts and condition of physio?
4. Whether our policy can be based on lost files Note and misplace fund?
5. Whether any present decision of the Ministry of Health and Family welfare with respect to the
Physiotherapy Profession and that which is inconsistent with the prior decision, decided to have
an independent Council under the Ministry of Health and Family Welfare with long history of
biased and vested on the behest of Physicians especially of PMR who are occupying influential
positions in the Mohfw, is not a violation of the principle of promissory of estoppels?.
6. How long will such derogatory victimization will be continued by Moh&fw at the behest of
Physician especially PMR?

Demand

Therefore, in light of the above mentioned facts, the pathetic condition of physiotherapists and in
view of continued victimization, I humbly seek your urgent intervention and special attention in this
matter and request you:1. To immediately formulate measures for implementing the original decision of the Ministry of
Health and Family welfare to have an Independent council for Physiotherapists as decided in
the year 1988, on the similar line of any other method of treatment being regulated in India.
2. To take appropriate action with respect to explained facts, misplaced files & fund o f
Physiotherapy, irregularities in recruitment, conflict of interest and discrimination pointed out
at different paras of this representation.
3. To ban the Physiotherapy education and practice in India, if above request not feasible

10 | P a g e

Reference;
1. Mohfw file NO-20816/1/97-PMS Volume i, volume ii&iii 31st report on Paramedical and
Physiotherapy report Paramedical to allied health 2012 clinical establishment CEA, physiotherapy
centre/023
2. http://clinicalestablishments.nic.in/WriteReadData/597.pdf
3. Final report Rationalization/ review of recruitment rules and job description,
AIIMS deloitte march 2012
http://www.aiims.edu/aiims/notices/recruitment_rules/draftcopy.pdf
a. Clinical establishment act,Physiotherapy CEA, 2014,
4. http://clinicalestablishments.nic.in/WriteReadData/597.pdf
a. Report Paramedical to allied health 2012
5. http://www.mohfw.nic.in/WriteReadData/l892s/NIAHS%20Report.pdf
a. Duty and responsibility 2007 onward of Safdarjung hospital
b. Duty and responsibilities mention in the ACR, A. Dhargave, Chief Physiotherapist, PMR
department
6. Lok Sabha unstarred question No.4442 ,
a. http://164.100.47.132/LssNew/psearch/QResult16.aspx?qref=3186.
7. http://www.phmed.umu.se/digitalAssets/104/104561_karthikeyan-kandasamy.pdf
8. http://www.sciencedirect.com/science/article/pii/S000495141460266X
9. http://www.health.gov.bt/wp-content/uploads/moh-files/National-Standard-for-\PhysiotherapyServices-inside-page.pdf
10. http://library.crpbangladesh.org:8080/bitstream/handle/123456789/45/620%20Yeamtiaz%20Ali%20Sarkar.pdf?sequ
ence=1
11. American jurisprudence, 1981 edition , article 10 , 2002 and 2012 edition , article 8
12. Physiotherapy practice thresholds in Australia and Aotearoa New Zealand, 1 May 2015
13. http://www.ahpra.gov.au/Search.aspx?query=%27project%20to%20develop%20new%20threshold%
20competency%20standards%27&f.Website%7Cboard=physiotherapy%20board&f.Date%7Cd=d%
3D2015
14. http://www.csp.org.uk/news/2015/08/20/north-wales-physio-service-saves-nearly-700-gpappointments
15. http://www.lawsofindia.org/state/21/Delhi.html
16. http://www.physiotherapy.ca/getmedia/e3f53048-d8e0-416b-9c9d38277c0e6643/DoPEN(final).pdf.aspx
17. http://www.muhs.ac.in/upload/syllabus/BPTH_Syllabus_050712_17082012_1508.pdf
18. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3495579/

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Annexure -1
Sl.

Existing Clauses

Change requested

Reasons

No
1.

Title:
THE
ALLIED
AND
HEALTHCARE
PROFESSIONALS
CENTRAL COUNCIL BILL 2015

Title:
THE
PROFESSIONS
OF
INDIA

Chapter I Definition- Clause


2 (1) (a)
Allied and Healthcare
Professional
means
such
professionals who are involved
with the delivery of health

Chapter I Definition- Clause


2 (1) (a)

related services, with expertise in


therapeutic, diagnostic, curative,
preventive and rehabilitative
interventions, and as prescribed
under the Rules by the Central
Government;
3

Clause 3(2)(j,l,m,n)
(j) Two representative (ex-

HEALTH
COUNCIL

This clause gives reference to rules


prescribed by Central Government.
It is
It is suggested that the mentioned
rules by the Central Government
in this regard (if any) needs to give
as annexure

Clause 3(2)(j,l,m,n)

The title should reflect the


professions
and
not
professionals and also the word
India needs to reflect in the
title as it does in already
existing
Professional councils. Allied
should deleted ,
as it is
derogatory
in
nature,
government must need to
have bigger
heart
while
dealing
weaker
section
of cadre and
service,
who
have
hardly use to have any say in
government. Such terms are
obscure and not use any part of
world now a day

All

the

terms

and

prescribed rule must


be define afresh in words
allied (if at all ),
health
, therapeutic,
diagnostic,
curative,
preventive,
rehabilitative
interventions
,
profession mention in the
schedule and any rule already
adopted for
them
by government
This will ensure that

12 | P a g e

officio) from existing


Statutory
State
Allied
and
healthcare (or paramedical) council
to be nominated by the Central
Government on a two year rotation
basis. Provided that an appointment
under this clause shall be made on
the recommendation of the
Government of the State, or as the
case may be, the Union Territory
concerned.

It is suggested to ensure
That the nominated members,
under various categories listed
above in Clause 3(2) (j,l,m,n) , are
among those who are eligible to be
registered in the registry as
professional under one of the
profession as per schedule 1.

the eligible
Professionals under each
category
are
in
the
overarching committee.

(l) One third members from total


categories as prescribed under the
rules by the Central Government at
any given point on biennial rotation
to be elected from amongst
themselves in such a manner that
they represent such organizations
which can represent the interest of
allied and health care professional
cadres, as the case may be.
Provided that each of the categories
to be represented at least once (for
period of two years) in the duration
of six years and that in case of
constitution of the Council for the
first time after the commencement
of this Act, the members of this
category shall be nominated by the
State
Government
till
the
assumption of office by the elected
members.

(m) One representative to be


appointed by Central Government
from any one of the private
sector/charitable institutes of the
excellence on allied and healthcare
on

13 | P a g e

annual rotation.
Provided that the nomination under
this clause shall be made on
recommendation of the Central
Council.
(n) Two members to be nominated
by the Central Government from
amongst the eminent practitioners in
allied and healthcare streams on
rotation every two years.
4

Chapter II Constitution of
the Central Council-Clause 3
(2) (l)
One third members from total
categories as prescribed under the
rules by the Central Government at
any given point on biennial rotation
to be elected from amongst
themselves in such a manner that
they represent such organizations
which can represent the interest of
allied and health care professional
cadres, as the case may be.
Provided that each of the categories
to be represented atleast once (for
period of two years) in the duration
of six years and that in case of
constitution of the Council for the
first time after the commencement
of this Act, the members of this
category shall be nominated by the
State
Government
till
the
assumption of office by the elected
members.
Chapter II Clause 7 (1) states
The Central Council
may, without prejudice to the
provisions of sub-section (2), by a
majority of its total membership
and a majority of not less than twothirds of
its members present and
voting, at any time recommend
removal of a member of the Council
to the Central Government.

It is suggested that this clause may


be revised to provide fair
representation (based on the
existing professional practitioners
of the each of the profession) to all
the profession listed in schedule 1.

The number of practicing


professionals represent the
community
that
of
professionals in active practice.
Hence the deciding factor for
numbers should be based on the
available in the registry.

For better implementation of


provisions and carryover of
decisions taken..
The member on the committee
should have a complete tenure of
three years instead of rotation of
two years.

This clause should be deleted.

Since
majority
in
constitute
comes
from
government
officials
a
dissenting
professional
representative face constant
threat
of
removal and shall not
exercises his free judgment.

14 | P a g e

Chapter II Clause 8 (2) (vi)

Chapter II Clause 8 (2) (vi)

(1) The Central Council shall, as soon It is suggested that this clause
as may be, constitute from among its may also be revised to provide
members an Executive Committee.
fair representation to all the
profession listed the schedule 1
vi. Five members to be nominated
by Central Council from amongst
itself, such that two members
represent medical professional from
hospitals specified in sub section 2
(k) of section 3 and three members
represent the allied and healthcare
professionals
from
categories
specified in sub section 2(l) of
section 3 at any given time.
7

Chapter II Clause 11 (1)


Meetings of the Central
Council (1) The Central Council shall meet
at such time and place, and shall
observe such Rules of procedure in
regard to the transaction of business
at its meetings, including the
quorum at such meetings, as may be
determined by the prescribed Rules.

Statement of Objects &


Reasons (Page 12) 2. Maintenance
of proper standards in the training
and education of allied and
healthcare
professionals
is
considered essential as these
personnel play a crucial role in
healthcare delivery. With a view to
regulating these professions, it is
considered necessary to set up
Council on the lines already existing
for pharmacy, nursing, etc. To begin
with, it is proposed to set up an
overarching Council for all the
categories prescribed under the
Rules by the Central Government
with individual committees for each
professional. The Council will be
responsible,
inter
alia,
for
maintenance of uniform standards
of education in the respective
disciplines and registration as well
licensing of qualified personnel for
practicing the professions.

Chapter II Clause 11 (1)


Meetings of the Central Council

The members are among those


who are eligible to be
registered
as professional
under one of the profession
as per schedule 1.

This is done to define the


clause better.

It is suggested that the minimum


one meeting in a year must be
added to this clause.
The clause will read as1) The Central Council shall meet at
least once a year at such time and
place, and shall observe such Rules of
procedure in regard to the transaction
of business at its meetings, including
the quorum at such meetings, as may
be determined by the prescribed
Rules.
Statement of Objects &
Reasons (Page 12) 2
It is suggested that majority of the
members of this committee must be
among those who are eligible to be
registered as professional under
their respective registry.

The subject experts must be


responsible
for
framing
guidelines for the profession to
be
submitted
to
the
overarching committee.

The roles & responsibility of this


committee needs to be defined. The
committee must be responsible for
framing the standards of education,
practice and other related guidelines

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9.

10.

Chapter II Clause 11 (1)

Chapter II Clause 11 (1)

Meetings of the Central Council -

Meetings of the Central Council -

(1) The Central Council shall meet


at such time and place, and shall
observe such Rules of procedure in
regard to the transaction of
business at its meetings, including
the quorum at such meetings, as
may be determined by the
prescribed Rules.

It is suggested that the minimum


one meeting in a year must be
addedto this clause.
The clause will read as1) The Central Council shall
meet at least once a year at such
time and place, and shall observe
such Rules of procedure in regard
to the transaction of business at its
meetings, including the quorum at
such meetings, as may be
determined by the prescribed
Rules.

Statement
of
Objects
&
Reasons (Page 12) 2. Maintenance
of proper standards in the training
and education of allied and
healthcare
professionals
is
considered essential as these
personnel play a crucial role in
healthcare delivery. With a view to
regulating these professions, it is
considered necessary to set up
Council on the lines already
existing for pharmacy, nursing,
etc.To begin with, it is proposed to
set up an overarching Council for
all the categories prescribed under
the Rules by the Central
Government
with
individual
committees
for
each
professional. The Council will be
responsible, inter alia, for
maintenance of uniform standards
of education in the respective
disciplines and registration as well
licensing of qualified personnel for
practicing the professions.

Statement
of
Objects
Reasons(Page 12) 2

This is done to define the clause


better.

& The subject experts must be


responsible
for
framing
guidelines for the profession to
It is suggested that majority of the be submitted to the overarching
members of this committee must be committee.
among those who are eligible to be
registered as professional under
their respective registry.
The roles & responsibility of this
committee needs to be defined.The
committee must be responsible for
framing the standards of education,
practice
and
other
related
guidelines

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11.
Schedule 1- There are five
professions listed in this schedule
under Healthcare Professions
(Group A).

It is suggested to create a sub


category in Healthcare Professions.
A (i)
Physiotherapy and Occupational
therapy.
A (ii)
Optometry, Nutrition Science and
Physician Associate and assistant.

The five have different durations


as courses with different level of
responsibility and these needs to
be reflected within this group. It
is suggested to create a sub
category
in
Healthcare
Professions.

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Some more references relevant to physiotherapy professional autonomy

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Finally, we would like to request to consider the


recommendations made in 31st Departmental Related
Parliamentary Standing Committee on Physiotherapy &
Paramedical Council Bill 2007, submitted in October 2008.
This committee made recommendations after a great
exercise at the national level; therefore we must consider
their recommendations for better growth.

End of Document

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