Suggestions and Strong Objection against Clinical Establishment Act Standards for Physiotherapy Centre To, Dr. Anil Kumar National Council for Clinical Establishments Government of India Subject – Suggestions and Strong Objection against Clinical Establishment Act Standards for Physiotherapy Centre Respected Dr. Anil, With the reference to the notification published regarding “National Council for Clinical Establishments Bill 2010”, forwarding my views & suggestions on different aspects of proposed Act. I as a Physiotherapist appreciates this bill for clinical establishments but at the same time I highly object the one for the Physiotherapy Centre. Reasons stated are given below – I would like to highlight the Page 5 where the definition of Physiotherapy is very much influenced whereas the real definition of Physiotherapy given by WHO is – W.H.O. Definition of Physiotherapy: “Physiotherapists assess, plan and implement rehabilitative programs that improve or restore human motor functions, maximize movement ability, relieve pain syndromes, and treat or prevent physical challenges associated with injuries, diseases and other impairments. They apply a broad range of physical therapies and techniques such as movement, ultrasound, heating, laser and other techniques. They may develop and implement programmes for screening and prevention of common physical ailments and disorders”. WHO coded physiotherapist as independent health professional i.e. ISCO CODE: 2264 on the International Standard Classification of Health Workers. Link - who.int/hrh/statistics/Health_workers_classification.pdf It would be kind of you to go through the Policy statement of World Confederation of Physical Therapy too which describes physical therapy. wcpt.org/policy/ps-descriptionPT Regarding the equipment’s, I appreciate your concern for the modalities but there are many research papers which says hands on therapy is equally effective and some papers says that without modalities even conditions can be treated under Physiotherapy. Few machines are of question in their own usage like tractions effectiveness for low back pain. So I humbly request you to kindly look into the requirements. I feel the department with just a Physiotherapist without equipments is very much sufficient to give a skilled hands on therapy to the patient. If we want to match our clinical practice with International healthcare delivery system, we will have to make lot of changes in the amendments. E.g. ncbi.nlm.nih.gov/pubmed/1531552 Sir, we have few councils that is 5 councils which regulates physiotherapy profession in their respective state namely 1. Madhya Pradesh 2. Maharastra 3. Delhi 4. Gujrat 5. Tamilnadu And few are under process. All these councils have given autonomy to practice independently or in consultation/referral with other health practitioner. The term para-clinic establishment is highly objectionable as limits the professional efficiency and competency and will be injustice for physiotherapists who are running independent clinic since years without any referral. I would like to bring your attention towards letter from Office of the Cheif Commissioner for the person with disabilities, Ministry of social justice and empowerment, Govt Of India Letter No. 9-3/CCD/2007 dated 15 May 2008 which clearly states thatmost of the doctors are not trained for rehabilitation of persons with disabilities, they often try to treat their disabilities even when medical or surgical interventions are not required. In the process, most critical period of 6 years of life is lost which is most important period to train and rehabilitate the child with disabilities to utilize the residual capacity of the impaired organs. Consequently , it is too late for such children to respond to the rehabilitation therapies even by most qualified and skilled rehabilitation professionals like physiotherapists, occupational therapists, special educator etc. This will be injustice for patients as well as for the physiotherapists and as a result ultimately patient will suffer.The referral will surely increase in delay of physiotherapy treatment hence response for treatment will be delayed and prolonged . Also Sir, as the act have mentioned that states where council is not into existence, registrations with Indian Association of Physiotherapists will be accounted which is highly appreciable till central council or state councils are formed. I understand that respected officials like you help the deserving and needy profession to prosecute for their better future. I humbly request you to take this appeal kind-hardheartedly and make appropriate corrections while redrafting the bill. This profession needs an urgent damage control in order to uplift its status in India. Looking forward for your kind contemplation. Thanking you in anticipation. My best regards. NARENDRA SINHA Ex.state secretary Chhattisgarh association of physiotherapists Physiotherapist , pls mail TO - [email protected] CC - nsdharmshaktu@yahoo
Posted on: Wed, 09 Apr 2014 16:27:34 +0000
Trending Topics
Recently Viewed Topics
© 2015