VISION: All elderly must be in good health, enjoy an optimum
quality of life and be independent.
Medical Unit provides medical and paramedical services to Elderly and Disabled
children. The Medical Unit has a pool of 55 Medical Officers, 24 Nursing
Officers, 7 Physiotherapists and 6 Occupational Therapists.
medical, paramedical Services and health education to all Elderly
preventive, promotive , curative and rehabilitative services to elderly people
Medical 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
Medical Officers of this Ministry pay monthly visits to persons aged 90
and above to assess their state of health and Medical Officers prescribe
medicines where necessary.
(iii) Domiciliary Visits to
bedridden persons over 60 years
Domiciliary Visits are performed by doctors on a monthly basis for
bedridden persons who are over 60 years.
Drugs are made available at the local health centers or the regional
(iv) Domiciliary Visits to children with disabilities up to 18 years.
Children below 18 years who are bedridden or severely disabled benefits
from Domiciliary Visits by Medical Officers on application where prescriptions
of drugs are being made.
(v) Health Clubs in the Elderly Day Care
The 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
Elderly above 90 yrs who are bedridden or severely disabled in receipt of
carers allowance permanently receive the services of Physiotherapists and
Occupational Therapists on the recommendation of the Medical Officer.
(vii) Health Promotion
and Disease Prevention
Health 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
Anti-influenza 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.
(ix) Recreation Centers
There are 3 Recreation Centers namely at Belle Mare, Pointe aux Sables
and Pointe aux Piments.
The Medical Unit provides services of Nursing Officer on a 24-hour basis
for residents who suffer from minor ailments.
The Medical Unit also prepares
and schedule Medical Board sessions:
(i) Basic Invalidity
Pension (BIP) 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 for persons aged 60 years and above benefiting
from Basic Retirement Pension and who need constant personal attendance of
another person for their daily activities.
(iii) Domiciliary Visits (DV) Medical Examination
Claimants suffering from any disablement and who are bedridden can apply
for a pension either BIP + Carers’ Allowance or BRP/SH
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 pension purposes.
(iv) Social Aid (SA)
Schedule general practitioners to service medical sessions in view of
examining claimants applying for Social Aid.
Social Aid sessions are held in Social Security Offices, Area Health
Centers and Hospitals.
(v) Injury Boards (IB)
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
(vi) Yellow Parking Coupon and Duty Free Concession for Adapted Car
A Medical Board is carried out to asess eligibility of applicants to benefit from Duty Free Consession on adapted car and Parking Coupon.
The 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
Additional Basic Invalid's Pension (or Carer's Allowance for Severe disablement)
increase in Basic Retirement Pension (aged 60 and over)
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. They may be accompanied by their treating
If an appeal is allowed,
the appellant is informed in writing 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 appellant is informed in writing and the person may make a fresh claim after
six months from the date of ‘Disallowance Notice’ at the nearest Social
Security Office (with all relevant documents).
Basic Invalidity Pension
An Additional Basic Invalid's Pension (or Carer's Allowance for Severe
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).
(4) NATIONAL PENSIONS APPEAL
An Appeal Tribunal has also been set up under section 36 of the National
The Appeal Tribunal
consists of a Chairman appointed by the Attorney General and two other 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 Pensions Officer
(other than a Medical Question).
When 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
Produce marriage certificate or a certificate from the priest who celebrated
the marriage ceremony.
(c) Lump Sum
(i) Produce documentary
evidence that appellant has contributed to S.I.P.F. or N.P.F
(ii) Produce 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.
(ii) National 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.