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:: 4 ::
Hospital, among them
one should be a
specialist in the
disease/illness with
which theemployee is
suffering and seeking
Medical Invalidation
and in case of a lady
employeeseeking a
Medical Invalidation,
of the two civil
surgeons, one should be
a lady
civilsurgeon.(b) In the
case of Ranga Reddy
and Hyderabad Urban
Districts, the Medical
Boardsalready existing
in Osmania General
Hospital and Gandhi
General Hospital shall
constitutethe team of
Doctors (Medical
Board)
respectively.© In all ot
her districts, the District
Co-
ordinator of the District
Head Quarters Hospita
lsof Andhra Pradesh
Vidya Vidhana
Parishad and two Civil
Surgeons nominated
by theDistrict Co-
ordinator, of whom one
shall be from the
speciality of the disease
with whichthe
employee is suffering
from, shall
constitute the
medical team. In
case, it
is a womanemployee
seeking Medical
Invalidation, of the two
civil surgeons, one
should be lady
CivilSurgeon. Also
where the District Head
Quarter Hospital of
Andhra Pradesh Vidya
VidhanaParishad does
not have necessary
expertise to decide the
matter for want of
theconcerned specialist
doctor, it may refer the
case to the nearest
teaching hospital
forobtaining their
opinion before making
their
recommendations.(d) A
s and when a Governm
ent employee seeks and
applies for retirement o
n medicalgrounds, the
concerned appointing
authority shall refer the
case to the team of
doctors(Medical Board)
mentioned
above.(e) The Medical
Board shall give its rep
ort based on the detaile
d
clinical examinationand
relevant investigations
in a Govt.
Hospital/Govt.
Institutions like NIMS,
SVIMS
etc.(f) The benefit of co
mpassionate appointme
nt shall be extended in
case where aGovernme
nt servant totally cease
to be employable and
become a burden on his
familyi.e., when a
Government servant is
totally incapacitated on
account of serious
illness
/accident.(g) According
ly, the disease for whic
h medical invalidation s
hall be allowed may be
anyone of the
following:-1.
Paralysis(i) All 4 limbs
(ii) One side upper
limb and lower
limb(iii) Both lower li
mbs2. End stage Renal
diseases3. End stage
Liver diseases4. Cancer
with metastasis stage or
secondaries5. Dementia
– Mental Disorder6.
Severe Parkinson
disease7. Loss of limbs
(hands or legs) in case
of drivers.
(ii)
The appointing
authority under whom
the employee seeking
medical invalidation
isworking, shall, after
receipt of the Medical
Boards
recommendations refer
the matter to aDistrict
Level Committee of
officers for scrutiny and
its recommendations. G
overnment
herebyconstitute the
District Level
Committee of the
officers with the
following :-
1. District Collector ….
Chairman.2. The Distri
ct Medical & Health Of
ficer …. Member.3. Th
e District Head of the D
epartment in …. Memb
er/ Convener.which the
employee is seeking
retirementon Medical
Invalidation.The
District Level
Committee shall
consider the Medical
Invalidation report
given by theMedical
Board constituted in
para 16 (i) above and
scrutinize the proposal
for
compassionateappoint
ment on Medical
Invalidation strictly in
accordance with the
guidelines and
conditionsstipulated in
the existing instructions
on the scheme. The
committee is also
competent to seekat its
discretion personal
presence of the
employee seeking
retirement on medical
invalidationbefore
considering the
proposal.(Contd…..p.5
)

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:: 5 ::(iii)
For scrutiny and for m
aking recommendations
in respect of cases of G
overnmentemployees
of Heads of
Departments/Secretaria
t Departments, a State
Level Committee
ofofficers is hereby
constituted with the
following :-
1. Special Chief Secreta
ry / … Chairman.Princi
pal Secretary to
GovernmentNominated
by the
Government2. Principal
 Secretary / Secretary to
Govt., … Member.Hea
lth Medical & Family
Welfare
Dept.3. Principal Secret
ary / Secretary to Govt.,
… Member.of the
Department in which
the employeeis seeking
retirement on Medical
Invalidation4. Principal
Secretary / Secretary to
Govt., … Member.Fin
ance
Department.5. Principal
Secretary / Secretary to
Govt., … Member.G.A
. (Ser.)
Department.6. Secretar
y to Govt., Law Depart
ment. … Member.7. Di
rector of Medical Educ
ation … Member.8. Dy
.Secretary / Jt.Secretar
y / Addl. … Member/
Convener.Secretary to
Government, HM&FW
Dept.The State Level
Committee shall
consider the medical
invalidation report
given by theMedical
Board constituted in
para 16 (i) above and
scrutinize the proposal
forcompassionate
appointment on
Medical Invalidation
strictly in accordance
with theguidelines and
conditions stipulated in
the existing instructions
on the scheme.
(iv)
The District Collectors
who are heading the
District Level
Committees shall send
therecommendations of
the District Level
Committees to the
concerned District
Head of theDepartment.
(v)

In cases of Government
employees of Heads of
Departments /
SecretariatDepartments,
the proposals shall be
placed before the State
Level Committee of
officersdirectly through
H.M. & F.W.
Department in
Secretariat based on the
recommendations ofthe
Medical Board.
(vi)
In respect of
employees working in
the Heads of
Departments /
SecretariatDepartments,
the Convener of State
Level Committee of
officers shall send
therecommendation of
the State Level
Committee in each case
to the concerned
Prl.Secretary /
Secretary to
Government of the
Secretariat Department
or to the Heads of
Departmentsconcerned
for issue of appropriate
orders.
(vii)
Only where the State
Level Committees of
officers makes a clear
recommendationfor
retirement on medical
invalidation, the
concerned Department
of Secretariat, Head
ofthe Department shall
issue necessary orders
permitting the
Government employees
toretire on grounds of
medical invalidation
and to appoint the
dependents,
suchGovernment
employees who are
permitted to retire on
medical invalidation as
per theother
existing instructions
on the scheme. Such
compassionate
appointments will
beconfined only to the
Department in which
retirement of the
employee on
medicalinvalidation
was ordered. In case of
Departments
of Secretariat, it
is Single Unit
exceptLaw and Finance
Departments.17. The co
mpassionate appointme
nts on medical invalidat
ion shall be limited to 5
% ofDirect Recruitment
vacancies in a unit of
appointment.(Contd….
.p.6)
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18. All such cases whe
re appointments under
medical invalidation gr
ounds were made,must
be reported in detail by
the District Head of the
Department along with
copies of theorders
justifying the
appointment orders
under medical
invalidation to the
concerned Administrati
ve Department in
Secretariat.19. All the
Departments of Secreta
riat, all the Heads of De
partments, all the Distri
ctCollectors and all the
appointing authorities
shall follow the above
instructions
scrupulouslywithout
any
deviation.20. Necessary
amendments to the Art
icle 442 of Andhra Prad
esh Pension Code shall
beissued separately by
Finance (Pension)
Department.(BY
ORDER AND IN THE
NAME OF THE
GOVERNOR OF
ANDHRA
PRADESH)P.RAMAK
ANTH
REDDY,CHIEF
SECRETARY
TO GOVERNMENT.
To All Departments of
Secretariat. All Heads
of Departments. All
District Collectors in
the State. All District
Judges in the State. All
Chief Executive
Officers, Zilla
Parishads in the
State. All Principals of
Medical Colleges in
Andhra Pradesh. All
Superintendents of
Government General
Hospitals. All
Dist.Coordinators of
Hospitals, Dist.Head Q
uarters Hospitals.The
Finance (Pension)
Department.The Law
(LSP) Department.The
HM & FW
Department.The
G.A. (Cabinet/IC)
Department.Copy to:-
Prl.Secretary to
Government, HM&FW
Department.Prl.Secreta
ry to Government,
Finance
Department.Secretary
to Government, Law
Department.P.S. to
Chief Secretary to
Government.P.S. to
Prl.Secretary to Chief
Minister.The Director
Medical Education, AP
Hyderabad.The
Accountant General,
A.P. Hyderabad.The
Secretary, APPSC,
Hyderabad.The
Advocate General,
High Court of A.P.,
Hyderabad.The
Govt.Pleader for
Services, High Court of
A.P., Hyderabad.The
Govt. Pleader
for Services, A.P.
Administrative
 Tribunal, Hyderabad.S
F / SC. // Forwarded ::
By Order //SECTION
OFFICER.

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