VISION: All elderly must be in good health, enjoy an optimum quality of life and
Medical Unit provides medical and paramedical services to Elderly and Disabled
children. The Medical Unit has a pool of
62 Doctors, 35 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
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.
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
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
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
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.
There are 3
Recreation Centres namely at Belle Mare, Pointe aux Sables and Pointe aux
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
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 and above benefiting
from Basic Retirement Pension and who need the 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
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 to examine
claimants applying for Social Aid.
Social Aid sessions are held in Social Security Offices, Area Health
Centres 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
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
(b) An Additional Basic
Invalid's Pension (or Carer's Allowance for Severe disablement)
(c) An increase in Basic
Retirement Pension (aged 60 and over)
(d) Disablement Pension
(aged 15 and over) following injury at work (Section 26 of National Pension
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 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.
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 TRIBUNAL
An Appeal Tribunal has
also been set up under section 36 of the National Pensions Act.
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
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
(ii) To produce proof of
(iii) To have resided in
the country for a period of twelve years after their eighteenth birthday
(b) Basic Widows Pension
certificate or a certificate from the priest who celebrated the marriage
(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.