TNGDA

Tamil Nadu Government Doctors Association

TNGDA

Publisher:
Prof Dr.K.Senthil, MD.

Webmasters:
Dr.B.Rajesh Kumar, MD. Dr.J.Rajkohila, MD.

About TNGDA

Tamil Nadu Government Doctors Association (TNGDA)

Tamil Nadu Government Doctors Association (TNGDA) is a service association for Govt. Doctors of Tamil Nadu. It was founded in 1969 in the name of Tamil Nadu Assistant Surgeons Association by Dr Angamuthu and Dr Kailasam in Nagapattinam. It was one of the very few service associations for Gazetted officers at that time. It was accorded recognition by the Govt. of Tamil Nadu vide G.O. (Ms) 1780 of the Public Department dated 07.10.1969.

TNGDA has been a strictly apolitical organization – non-partisan to caste, religion or language. The association has always been functioning within the confines of a service association in a democratic manner. Since 1969, the association which was first started with few hundred members has grown with time and is at present 15,131 strong and still growing.

Like our country, the TNGDA also is a good example for unity in diversity. This organization unitedly fights for the demands of 10a1/ MRB recruited freshers, the senior most members for their Dean, JD promotions, Medical college Professors/ Faculty to PHC/ESI doctors, the hard pressed CEmONC/ Casualty doctors. The association was able to deliver in all the demands of these multi-category members as the only association tirelessly fighting for service doctors. Based on the needs, TNGDA has evolved itself into a multi-wing organization to address the members expectations. 

History…

Starting and Leadership

The history of TNGDA can be divided into 3 phases;

First phase is of formation and growth. In this phase, TNGDA represented the demands and plight of Govt. Doctors with the higher officials and Govt., discussed, argued and achieved. This phase lasted from inception till 1985. The stalwarts among the leaders during this phase were the founders -Dr Angamuthu (Nagapattinam), Dr Kailasam (Cuddalore), Dr Krishnamoorthy (Chennai), Dr Sethu, Dr Rajappa, Dr Murugaiyan (from Madurai),

In 1960s, the Medical Services of our state had one Medical Services Association based in Chennai led by Dr. Rathinavel Subramanian and One Associate Professors Association based in Madurai led by Dr. Asirvatham from Madurai. These associations were started by prominent personalities with some elite group of service doctors and were doing more of academics than service issues.

Later, in 1969, when Dr Balakrishnan from Railway Hospital was posted as Director of Medical Services, he encouraged the demand for an active service association, and the Tamil Nadu Assistant Surgeon Association (TNASA) was formed. Dr Angamuthu from Nagaipattinam and Dr Kailasam from Cuddalore founded the TNASA in 1969 at Nagaipattinam.

In 1972, the first State Conference of TNGDA (the then TNASA) was held in Madras. Honourable Chief Minister of Tamilnadu, then, Dr.Kalaignar participated in the conference. Dr Darmalingam was the State President at that time. The second conference was held in Madurai.

The key achievements during the period were…

* Weekly-off,

* Compensatory leave

* Recruitment by TNPSC since 1982 etc. 

Second Phase

Subsequently leaders like Dr Krishnamoorthy from Chennai, Dr Sethu,                Dr Rajappa, Dr. Murugaiyan from Madurai, all led the TNASA. When private medical colleges were started, new leaders like Dr K.Bose, Dr K.Prakasam, Dr Krishnakumar, Dr Rex Sargunam emerged to oppose them.

In 1986, the TNASA was registered under Indian Societies Act at Madras North – Registration number 215/1985. In 1993 when Dr Prakasam, Dr Krishnakumar,    Dr Bose and Dr Vijay were running the association, the TNASA was changed to TNGDA and the new by-laws were registered.

In 1986 the first agitation of TNGDA was called for demanding extra salary for Allopathic doctors over their Siddha doctors. Fasting in front of MMC was held with Dr Ponnudurai as the State President and Dr Prakasam as the State Secretary. In 1987, the first “one Day Strike” was called demanding “One Cadre Above”.    Dr Prakasam was the President and Dr Bose was the Secretary then. 

In 1992, demanding promotional opportunities in the IV Pay Commission agitation was organized and the cadres of Assistant Civil Surgeon, Deputy Civil Surgeon and Civil Surgeon were created. These posts were created and designated based on CML (total of 750 posts) and are vacancy based.

In 1998, V Pay Commission agitation led by Dr Krishna Kumar and                     Dr K Prakasam got us 4 cadres of Assistant Surgeon, Senior Assistant Surgeon, Civil Surgeon and in addition Senior Civil Surgeon. (Total of 2000 self-drawing posts in both DME and DMS side)  

In 2009, the “Historical G.O. 354” – conferring the dream demand of “Time Bound Promotions” was issued. Later G.O. 245 was issued in 2013 facilitating the “Time Bound Promotions” in 8, 15, 17 and 20 years. Importantly the coveted PB4 scale given to all at 20 years. Thus Govt. Doctors joined with IAS/ IPS as the only other cadre to get pb4 scale in a time bound manner. Till then only 67 posts including our HODs got the pb4 scale. After the G.O, 3500 got it – without an upper limit, up to 5000can get it sometime. Doctors are the only cadre getting time bound promotions in Tamil Nadu Govt.

Subsequently after a struggle for years from 2018-21, in 2021 the GO 293 and later in GO 2 of 2024 were issued against our demands for advancement of Time Bound Promotion. The GOs gave significant lumpsum allowances and also restored the PG increments with one additional increment for Diploma, two for Masters and 4 for for Superspeciality (given from 2011) were restored.

Second phase (1986-2007) is of growth and consolidation. Led by leaders like     Dr Prakasam from Salem, Dr Krishnakumar from Coimbatore, Dr Vijay from Vellore, Dr Bose from Madurai, Dr Rex Sargunam from Chennai, the TNGDA (formerly called TNASA) changed the style of functioning – from representation and argument to demands and agitation. The first strike was organized on 23.02.1987 demanding pay 4 cadres and “time bound promotions”. In this phase, strikes and other agitations were announced and demands put forth. There were other illustrious leaders like Dr Muthurajan from Kanyakumari, Dr Sundaram from Chennai, Dr Somasundaram, Dr Chandraprakasam, Dr Arulsamy from Madurai making the association active and vibrant during this phase.

This phase primarily belongs to the leadership of Dr KP (Dr K.Prakasam) and     Dr K.K (Dr Krishnakumar). The period saw the unmatched rivalry between KP and KK. They were fierce opponents and they won elections alternatively in a healthy and disciplined competition. This rivalry lasted for about a decade till Dr KK retired. KK was State President for 8 years. Later Dr KP had an unquestioned stint for some time till the great leader retired with 13 years tenure as head of TNGDA.

The important events during this period were…

  1. Private Medical College strike when Ramachandra Medical College was first started
  2. Pay Commission Strike 1992.
  3. 2nd Private Medical College strike
  4. Pay Commission Strike 1998
  5. Full salary for Service PG strike
  6. Fasting against IAS officer posted in Health Department.
  7. Agitation against abolishing Honorary system.
  8. Agitation against compensation awarded to a doctor in family welfare deaths. (Maruthamuthu Legal Corpus Fund)
  9. Many Local issues in various districts like – Madurai, Perambalur

The key achievements during this phase were…

  1. Post-duty off
  2. Over-coat allowance in 1991
  3. Private Medical Colleges mushrooming was postponed by 15 years.
  4. Special/ Personal pay of Rs 150 and NPA hike of Rs 150 – after the first strike in 1987
  5. Half pay for service PGs in 1991 and later Full Pay for Service PGs (1996).
  6. Three cadres as ACS, DCS and CS after IV Pay Commission strike.
  7. Three cadres of SAS, CS and SCS were formed. 2000 SCS posts were created (1998). Before that most medical officers joined govt. service as Asst. Surg. and retired as Asst. Surg.
  8. PG increments
  9. Posting IAS officers in administrative posts stopped.
  10. New postings of Honorary Professors stopped. Honorary system allowed natural death.
  11. Maruthamuthu Committee formed. Corpus fund created to pay compensation from the fund.
  12. NPA increased from 150 to 300
  13. Nonclinical Special Pay 150

The second phase was better viewed as the phase of Strength and Pride for the association. The members joined association for pride and security. TNGDA became a mighty organization. On occasions, some people though tried to form rival Organisations for the TNGDA, but they failed. The TNASA was renamed as TNGDA in this phase.

Dr Vijay, our State Secretary in early 90’s went on to become the Honourable Health Minister of our state (2011-2012) in the Govt. of our Honourable Chief Minister DrJ.Jayalalitha. This was one of our proud moments of the association. Many former office bearers – Dr Rajappa, Dr Kanagasabhai, Dr Geethalakshmi, have all become the Directors of our dept.

The TNGDA since 2007 was in the third phase.

Around 2007, the prominent names like KP, KK, along with many other leaders like Dr Muthurajan, Dr Sundaram, Dr Somasundaram, Dr Arulsamy simultaneously retired from service/ association. From 1986 to 2007, TNGDA activities were led by KP for 13 years and KK for 8 years. The vacuum created in the leadership was filled with new faces…

A new team of freshers under Dr.K.Senthil from Madurai, Dr Kanagasabapathy from Tanjore took over the leadership. After the illustrious tenure of Dr KK and KP, these freshers had the task of maintaining the legacy. Many members had their fingers crossed on the new leadership – especially when the 6th Pay Commission was due, Dr K.Senthil spear-headed the association towards its goals showing courage, maturity and hard work. Under the new leadership the TNGDA became mightiest and accomplished many demands, hitherto pending for years. With more members and better technology like computers, mobiles and other communication facilities, the TNGDA, in this phase was at its peak. This period the association used both strike/ agitations and technical/ tactical presentation to achieve its demands.

The third phase may be known for the association’s strength and achievements. The TNGDA achieved many historical landmarks during the phase.

The important events during the period were…

1.18 months long planned 6th Pay Commission agitations in phased manner, culminating with the “massive strike” called on 06.06.2009.

The Prime day of TNGDA is on 06.06.2009 when the historical agreement for Time Bound Promotion (in the name of Person Oriented Promotion) was announced in press at midnight (after day long negotiations) jointly by Hon Health Minister Mr MRK Paneerselvam and Dr Senthil in Ministers room on 06.06.2009 with the threat of the massive strike called by TNGDA looming huge from 7.30 in the morning on the same day. 

# Many other demands hither to found routinely in our resolutions, now became Government Orders – by aggressive but tactical methods adopted by new leaders.

Many leaders like Dr.Selvapandian (Trichy), Dr.V.K.Rajendran (Madurai), Dr.Boopathy (Ooty), Dr.Ramanathan (Pudukottai), Dr.Kathiresan (Madurai), Dr.LiyakathAli (Nagai), Dr.Selvaganapathy (Chengalpet), Dr.Palaninathan (Ramnad), Dr Prakash Karath, Dr Palani, were part of both phases 2&3. The other prominent names in 3rd phase are Dr.Balakrishnan (Chennai), Dr.M.K.Ponnuraj (Hosur), Dr.Ravisankar (Coimbatore), Dr.LakshmiNarasiman (Salem),

2.TNGDA led total strike of Govt. & Private Hospitals in Madurai district against arrest of doctors for patient death. (2008) Got us G.O. 220 – to follow Hon. SC guidelines before arresting doctors for criminal negligence.

3.One day state-wide OPD Boycott demanding Hospital Protection Act (2008) after an assault at Ponneri GH. Valiant agitation started by Tiruvallur district followed by strategic planning and execution helped us get the HPA 48.

4.One day state-wide OPD Boycott condemning the murder of Dr Sethulakshmi of Tuticorin (04.01.2012).

6.The G.O. 245 conferring the “Time Bound Promotions” after 8,15,17 and 20 years is yet another historical landmark further simplifying the Historical GO 354.  

7.Many district level issues. – Against assaults, officers harassment etc.

8.PHC timings GO 339 of 2009 reduced from 8-5 to 9-4 with call duty only for calamities, after a 16-member committee with TNGDA President as member and recommended the same. The impractical timings of 8 AM to 5 PM with call duty between 5 PM to next day 8 AM alternatively in all additional PHCs were stopped. 9 AM to 4 PM & 24 hrs PHC duties based on available MOs. If 4 MOs are available then duty for 3 shifts and with 3 MOs only 2 shifts.

  1. Allowances enhanced and new allowances announced (GO 53 of 2011) based on PK committee recommendations.
  2. Fixing up of seniority to Panchayat Union doctors. (2008)
  3. Medical Code updated (2008-2014)
  4. Allowances GO 64 was issued in 2017 based on PK committee recommendations.
  1. Tamil Nadu Clinical Establishment Act – modified to suit doctors interest was issued. TNGDA President was part the Committee constituted by the Govt to bring out TNCE Act 2019.
  2. Awards instituted for Best Doctors by the State Govt with Rs 50000 cash prize for 10 doctors every year.
  3. Awards instituted by the State Medical Council (2012) at the insistence of TNGDA 

18.Medical Recruitment Board formed on the demand of TNGDA (2012) by the then Hon CM  J. Jayalalitha

19.Mr P.K.Bansal IAS – the well known officer ever in our department was transferred by Hon CM after the TNGDA led 13 association Federation was launched and threatened agitation in all directorates involving more than 100,000 medical, nursing and paramedical staff in 2013.

In 2013, the Federation of Medical and Public Health Associations of Tamil Nadu were formed under the initiative of TNGDA – a first of its kind in the Health Department. 13 Service Associations of staff nurses, pharmacists, lab. Technicians, ministerial staff, VHNs, Health Inspectors, Hospital workers and others were part of the Federation. Led by our President Dr Senthil as its Convenor, the Federations’ mighty protest against Mr P.K.Bansal had a lightning effect – the officer was shifted. The federation also presented other common issues like creating more posts based on the work load, filling up of the vacancies, avoiding contract appointment above the cadre of hospital/sanitary workers, contract based only on employment seniority for hospital/ sanitary workers etc. Govt. has agreed to consider all the demands positively. The Federation Giant at state level continues under the leadership of TNGDA, but later left dormant, waiting for the right issues.   

19.Casualty Dept started in DMS side – first in 16 non-medical college district headquarters hospital (2013)

20.Launching TNGDA website (2007) by Dr M.K. Ponnuraj of Hosur and           Dr Senthil. Initially helped by Dr Bruno, later maintained by Dr Vasanthageethan from Salem. On 08.06.2024 – today the newer version of our website is being launched.

21.Launching TNGDA-FSS (2014) an unique scheme with about 1000 beneficiaries – to support their families with a lump sum in case of loss of  life of the member. The scheme is managed by Dr Aravazhi of Theni and Dr Anbalagan of Vellore.

  1. TNGDA MEDICLAIM: an unique group health insurance scheme exclusively for Govt doctors was launched in 2019. Later extended to private doctors also and renamed TN DOCTORS MEDICLAIM and now catering the families of about 1300 beneficiaries. Cheapest health insurance scheme in a tie-up Star Health Insurance for doctors. Compulsorily restricted to the minimum but large number of beneficiaries with Rs 5 Lakh Cover to a family of 4+ 2 Parents/ Parents in law with a premium of Rs 25000 p.a. Thanks to Dr ChandraKumar Madurai,                      Dr Ravichandra Prabu Erode, Dr Arul  Nammakal, Dr Arul Sundaresh Kumar Madurai.

The TNGDA since 2007 is closely coordinating its action with the Indian Medical Association Tamil Nadu. Many of the long pending demands of IMA for doctors’ welfare were achieved only with the fierce TNGDA taking up the issues. The TNGDA has very good ties with IMA. Doctors Arrest Prevention G.O, Hospital Protection Act, Best Doctors Awards by Govt. and Medical Council were all achieved.

  1. Similarly, the TN Clinical Establishment Act was modified and Doctors/ Hospital friendly act with rules were formulated by a committee formed by the Government with Dr Senthil as one of its key member. After discussions for almost 4 years the TNCE Act was brought in the state in 2019.
  2. TNGDA which was started in 7th October 1969 completed 50 years on 6th October 2019, the Golden Jubilee Celebrations were formally held in the state GBM held at Thanjavur. As the key demands of Advancement of Time Bound Promotion and Allowances were pressed with the Government, and TNGDA led JACDA was formed and the movement was on. Hence it was decided to celebrate the Golden Jubilee Celebrations after achieving the demand.

Later some constituents of JAC left due to personal rivalry and went on for unorganized emotional fast unto death and movement which failed. TNGDA again persuade that demand, and after a Financial Department Committee, ultimately got the third Historical G.O 293 on 18.06.2021. Unfortunately, the splinter groups opposed the G.O and was finally implemented as GO 293 and GO2 on 03.01. 2024 after a long drawn struggle.

  1. In 2019 the Maruthamuthu Legal Corpus Fund was revamped with TNGDA as part of Committee and the contribution was increased to keep par with the requirements. No doctor has ever paid from pocket as compensation for negligence and this scheme takes care of all such compensation. Legal support was also facilitated for the members by the new scheme.
  2. In 2020 the TNGDAs demand of Doctors Corpus Fund with Rs 50 lakhs to the members family in case of death of a member when in service. Later this DCF corpus amount was increased to Rs 1 crore and is going strong. A never heard amount and system run by Govt with full contribution by Doctor Members. 
  3. The original GO of PHC timings 339 which was issued after a 16-member Committee with TNGDA President and Secretary as members gave such recommendations. But it was superceded suddenly without consulting stake holders and GO 225 was issued by the DPH in 2022. TNGDA called for various agitations state wide and revised the GO and the new GO 78 was issued on 14.03.23 upholding the duty timing GO which was obtained by TNGDA efforts in 2009.
  4. On spot inspection and transfers of JDHS and Medical officers were done by administrators. TNGDA took up the issue with Hon’ble HM and reverted back the transfer orders democratically
  5. In 2023 After few maternal deaths at Madurai Rajaji Hospital, few officials precipitated unpleasant situations. TNGDA took up the issues of the OGcians of Tamil Nadu. With gross shortage of manpower and huge working hours the OGcians were suffering both in DMS and DME side. TNGDA had discussions with Hon HM, HS, MD NHM, Directors and slowly but steadily succeeding in their objective to improve the working conditions of the OGcians.
  6. Compulsory transfer counselling was initiated by DPH in 2024. TNGDA spearheaded the state wide movement by formation of federation of 14 associations in public health department and stopped this transfer counseling, DPH wing Federation will continue for other common agendas also.

With the third phase still continuing, the team led by Dr K Senthil as President and an illustrious team of General Secretary Dr Ravisankar , State Secretaries             Dr Seenivasan, Dr Jesline, Dr Anbazhagan and Treasurer Dr Suresh lead the 15131 strong TNGDA marching strongly ahead. 

Still rival units crop up and vanish, but TNGDA continues to flourish.

“Unity is Strength. Together We Win”

Leaders and Members may come and go, but TNGDA will continue to grow.

“Long Live TNGDA”

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