Extention of leave on medical grounds H26 In addition to leave granted under Rul H15 above , extensions of leave with full salary may be granted by the Permanent Secretary , Public Service Ministry on the grounds of ill -health to any public servant for any period notexceeding six calender months, in the first instance , and when there is reason to believe that the public servant will ultimately be fit for further service , for a further period of six months wit half salary . Any further extension of leave will be decided on the merits of the case and shall be without pay .