TO - dr.anilkumar@nic.in
CC - nsdharmshaktu@yahoo.com
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 which is need for an hour 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 -
http://www.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.
http://www.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. http://www.ncbi.nlm.nih.gov/pubmed/1531552
I would also like to highlight here about the ANNEXURE 4 which states about the importance of registrations either under state councils or Indian Association of Physiotherapists.
Sir, we have been able to achieve three state Councils namely:
Delhi Council of Physiotherapy
Maharashtra Council of Physiotherapy
Gujarat Council of Physiotherapy
And few are under process.
And only Delhi and Maharashtra Council is providing registrations.
Also Sir, as the act have mentioned that states where council is not into existence, registrations with Indian Association of Physiotherapists will be accounted – I would like to throw some light on it. Indian Association of Physiotherapists - presently there are two bodies with same name running this association. Even World Confederation of Physical Therapy had given a statement that until the final Charity Commissioner Report comes, ties between WCPT and I.A.P. is questionable. Below are the two different websites of the same association run by two groups of people.
http://www.physiotherapyindia.org/
http://www.physiotherapyindia.org.in/
Also that the registrations done by both these bodies running under same name are questionable. The profession is in dilemma because of this and hence the need for a Centralized Council is there to govern the standards of education, practice and growth of the profession as mentioned in the National Health Policy too. We look forward if the Government takes their attention to the matter and help lakhs of Physiotherapists in India. Below is the link to the notice of WCPT towards IAP.
http://www.wcpt.org/node/24018
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-heartedly 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.
Gayatri Ajay Upadhyay (Neuro M. P.T.)
* This note was prepared with the help of
1. Nitin Nair - Physiotherapist
PG in Therapeutic Recreation
Georgian College, Orillia
Ontario, Canada
Graduate from City College of Physiotherapy
RGUHS
Mangalore.
2. Aslam Mujawar
PT, Padmashree Institute of Physiotherapy
My dear PT friends, please use this same note or make corrections according your requirement and just send the mail to the given ids. If possible share it to many PTs at your end. Even we can send the mail again and again so that our voice is heard.
Thank you million times.
CC - nsdharmshaktu@yahoo.com
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 which is need for an hour 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 -
http://www.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.
http://www.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. http://www.ncbi.nlm.nih.gov/pubmed/1531552
I would also like to highlight here about the ANNEXURE 4 which states about the importance of registrations either under state councils or Indian Association of Physiotherapists.
Sir, we have been able to achieve three state Councils namely:
Delhi Council of Physiotherapy
Maharashtra Council of Physiotherapy
Gujarat Council of Physiotherapy
And few are under process.
And only Delhi and Maharashtra Council is providing registrations.
Also Sir, as the act have mentioned that states where council is not into existence, registrations with Indian Association of Physiotherapists will be accounted – I would like to throw some light on it. Indian Association of Physiotherapists - presently there are two bodies with same name running this association. Even World Confederation of Physical Therapy had given a statement that until the final Charity Commissioner Report comes, ties between WCPT and I.A.P. is questionable. Below are the two different websites of the same association run by two groups of people.
http://www.physiotherapyindia.org/
http://www.physiotherapyindia.org.in/
Also that the registrations done by both these bodies running under same name are questionable. The profession is in dilemma because of this and hence the need for a Centralized Council is there to govern the standards of education, practice and growth of the profession as mentioned in the National Health Policy too. We look forward if the Government takes their attention to the matter and help lakhs of Physiotherapists in India. Below is the link to the notice of WCPT towards IAP.
http://www.wcpt.org/node/24018
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-heartedly 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.
Gayatri Ajay Upadhyay (Neuro M. P.T.)
* This note was prepared with the help of
1. Nitin Nair - Physiotherapist
PG in Therapeutic Recreation
Georgian College, Orillia
Ontario, Canada
Graduate from City College of Physiotherapy
RGUHS
Mangalore.
2. Aslam Mujawar
PT, Padmashree Institute of Physiotherapy
My dear PT friends, please use this same note or make corrections according your requirement and just send the mail to the given ids. If possible share it to many PTs at your end. Even we can send the mail again and again so that our voice is heard.
Thank you million times.