UNIT & MEDICAL TRIBUNAL
VISION: All elderly must be in good health, enjoy an optimum quality of life and
· The Medical Unit provide medical and paramedical services to
Elderly and Disabled children. The
Medical Unit has a pool of 77 Doctors, 44 Nursing Officers, 7 Physiotherapists
and 6 Occupational Therapists.
· Provide medical, paramedical Services and health education to
· Provide preventive, promotive, curative and rehabilitative
services to elderly people and disabled
· Provide basic training of Informal Carers to
relatives or carers of elderly
Officers, Nursing Officers, Physiotherapists and Occupational Therapists
provide weekly visit to Charitable Institutions where medical and paramedical
services are provided.
Visit to persons over 90 years
Officers of this Ministry pay monthly visits to persons aged 90 and above to
assess their state of health and doctors prescribe medicines where necessary.
(iii) Domiciliary Visits to bedridden persons
over 75 years
Visits are performed by doctors on a monthly basis for bedridden persons who
are over 75 years. Drugs are made
available at the local health centres or the regional hospital.
(iv) Domiciliary Visits to children with disabilities up to 18 years.
below 18 yrs who are bedridden or severely disabled benefits from Domiciliary
Visits by Doctors on application where prescriptions of drugs are being made.
(v) Health Clubs in the Elderly Day Care
setting up of Health Clubs in the community through the network of Elderly Day
Care Centres . There are 24 Health
Clubs all over the Island.
(vi) ‘Service de
above 90 yrs who are bedridden or severely disabled in receipt of carers
allowance permanently received the service of Physiotherapists and Occupational
Therapists on the recommendation of the Medical Officer.
(vii) Health Promotion
and Disease Prevention
talks are carried out by Nursing Officer twice monthly where Elderly of the
Community attends. Each month an activity concerning a specific health problem
is being tackled. Resource persons such
as doctors, nurses and health educators provide their services. The topics addressed are Diabetes,
Hypertension, cardio vascular disease, Mental problems, falls in the elderly
and the most important topic being palliative care for people in their end of
life. Elderly are screened for diabetic mellitus and hypertension. Diabetic
patients benefit from foot care demonstrations and foot hygiene in order to
prevent leg amputations.
(viii) Vaccination for
vaccines are provided to the Elder persons above 60 years and to disabled
children in order to prevent complications due to influenza and to improve the
quality of life of the elderly.
are 3 Recreation Centres namely at Belle Mare, Pointe aux Sables and Pointe aux
Medical Unit provides services of Nursing Officer on a 24-hour basis for
residents who suffer from minor ailments.
of Informal Carers
members who takes care of disabled Elderly and who benefits from cares
allowance are trained for basic care.
MEDICAL BOARD DEPARTMENTS
The Medical Unit also prepares
and schedule Medical Board sessions:
Invalidity Pension for claimants applying for Basic Invalidity Pensions for
persons aged below 60 years; a Carers’ Allowance for claimants benefiting Basic
Invalidity Pension but who are so disabled so as to need the constant care of
another person for their life sustaining activities.
(ii) Basic Retirement
Pension/Severely Handicapped (BRP/SH)
Prepare and schedule Medical Board to persons aged 60 years
benefiting from Basic Retirement Pension and who need the constant personal
attendance of another person for their daily activities.
(iii)Domiciliary Visits (DV)
Claimants suffering from any disablement and who are
bedridden can apply for a pension either BIP + Carers’ Allowance or BRP thro’ their proxy. A domiciliary visit is scheduled for them and
a general practitioner visits and examines these persons at their place of
residence in order to assess their disablement and make recommendation for
(iv) Social Aid
Schedule general practitioners to service medical sessions to
examine claimants applying for Social Aid.
Social Aid sessions are held in Social Security Offices, Area Health
Centres and Hospitals.
Medical Injury Boards Sessions are scheduled to examine
persons contributing to the National Pensions Scheme who are injured at work or
suffering from any prescribed occupational diseases, as mentioned in the
National Pensions Act, with a view to determine the percentage of loss or
Medical Tribunal hears appeal from claimants who are not satisfied with
decision of the Medical Board regarding their claim for pension as follows:
1 Basic Invalidity Pension below 60
additional Basic Invalid’s Pension (or Carer’s Allowance for severe
3 An increase in Basic Retirement
Pension (aged 60 and over)
Pension (aged 15 and over) following injury at work (Section 26 of National Pension Act)
The Medical Tribunal consists of a Chairman, appointed by the
Attorney-General and two specialists, hears appeal from claimants who are not
satisfied with the decision of the Medical Board regarding their claim for
pension as follows:
(a) Basic Invalidity Pension below 60 years
(b) An Additional Basic Invalid's Pension (or Carer's
Allowance for Severe disablement)
(c) An increase in Basic Retirement Pension (aged 60 and
(d) Disablement Pension (aged 15 and over) following injury
at work (Section 26 of National Pension Act)
The appeal should be lodged normally within one month from the date the claim has been disallowed by the
National Pensions Officer.
When convened before the Medical Tribunal, appellants are
requested to bring medical certificates, prescriptions and related documents to
support their case.
If the appeals are allowed, the appellants are informed
accordingly and payment of the benefit(s) is effected by the Benefits Branch or
Industrial Injury Branch, as applicable.
If an appeal is rejected, the person can call at the Social
Security Office nearest to his residence with all relevant documents to make a
fresh claim for
(1) Basic Invalidity Pension
(2) An Additional Basic Invalid's Pension (or Carer's
Allowance for Severe Disablement)
(3) An increase in Basic Retirement Pension six months after
the last claim is disallowed. In case the claimant cannot call at the local
Social Security Office personally, he may send his representative (proxy)
Appeal Tribunal has also been set up under section 36 of the National Pensions
Appeal Tribunal consists of a Chairman appointed by the Attorney General and
members appointed by the Minister after consultation with representatives of employers
and employees. It hears appeals from
persons who are not satisfied with a decision
of National Pension, Officers (other than a Medical Question).
appellants are convened before the Appeal Tribunal, they are requested to
provide documentary evidence as follows:-
(a) Basic Retirement Pension
(i) Passport and any travelling document
(ii) To produce proof of residence conditions
(iii) To have resided in the country for a period of twelve
years after their eighteenth birthday
(b) Basic Widows Pension
marriage certificate or a certificate from the priest who celebrated the
(c) Lump Sum
documentary evidence that appellant has contributed to S.I.P.F. or N.P.F
evidence that they were recommended to retire from employment on medical
grounds as supported by a medical certificate and that they submitted the said
certificate to the employer before proceeding on retirement.
(d) Industrial Injuries Benefits
(i) To give
proof that the injury sustained occurred at site of work was reported to the
employer who accepted the version of the appellant.
Pensions Officer is satisfied with the notification from employer that
Industrial injury sustained by appellant arose in the course of employment on
site of work.