My views on medical negligencies and its effects
A person who holds himself out ready to give medical advice and treatment impliedly under takes that he possessed of skill and knowledge for the purpose. Such a person when consulted by a patient owes him certain duties, viz. A duty of care in deciding him whether to under take the case, A duty of care is deciding which treatment to give, duty to inform impact of the treatment or A duty of care in the administration of that treatment. A breach of any of those duties gives a right of action of negligence of patient.
Whether government hospital where treatment is given free of cost are under the preview of consumer protection act
The government hospital may not be commercial in that sense but on the over all consideration of the objective and the scheme of the Consumer Protection Act it would not be possible to treat differently the view is that in such a situation the person belonging to “poor class” who are provided service free of charge are the beneficiaries of the service, which is hired or availed of by the “paying class” this was held by Hon’ able supreme court of India in “Indian Medical Association” versus V/P Shantha and others reported in 111 rd (1995)CPJ1 (SC) and also reported in AIR1998 supreme court 1801 M/S Spring Meadow Hospital Harjol Alluwalia and others Hon’ble supreme court held that definition of consumer is wide and it includes not only those who persons hires or availed services but also includes beneficries of such services other than persons who hires or avail the services. In my view it is settled that government hospitals are also under the preview of Consumer Protection Act. The Hon’ble supreme court has held that the definition of ‘service’ in section 2(1) (0) of the Consumer Protection Act can be split into three parts-the main parts, the inclusionary part and the exclusionary part. The main part is explanatory in nature and defines service to mean service of any description, which is made available to the potential users. The inclusionary part expressly includes the provision of facilities in connection with banking, financing, insurance, transport, processing, supply of electrical or other energy, board or lodging or both housing construction, entertainment, amusement or the purveying of news or other information. The exclusionary part excludes rendering of any service free of charge or under a contract of personal service.it was further held that the Medical Practitioners, Government hospitals/nursing homes and private Hospitals/nursing homes (hereinafter called “Doctors and hospitals”) broadly fall in three categories:
I. Where services are rendered free of charge to everybody availing the said services;
II. Where charges are required to be paid by availing the services; and
III. Where charges are required to be paid by persons availing the services but certain categories of persons who cannot afford to pay are rendered service free of charge.
It was held that the question for consideration of the Act is whether the service rendered to patients free of charge by the doctors and hospitals in category (iii) is excluded by virtue of the exclusionary clause in section 2(1)(O) of the Act. In our opinion the question has to be answered in the negative. It was further held that that irrespective of that part of the service is rendered free of charge, would nevertheless fall within the ambit of expression “service” as defined in Section 2(1) (O) of the Act. We are further of the view that persons who are rendered free service are the “beneficiaries” and as such come within the definition of “consumer” under section 2(1) (d) of the Act. In para 55(10)of this ruling, it was held that the service rendered at a Government hospital/health center/dispensary where services are rendered on payment of charges and also rendered free of charge to other persons availing such services would fall within the ambit of the expression ‘service’ as defined in section2(1)(0) of the Act irrespective of the fact that the service is rendered free of charge to person who do not pay for such service. Free service would also be “service” and the recipient a “consumer” under the Act. Therefore the complainant is definitely a consumer. Even otherwise there is definitely evidence of the complainant that he has paid fee to the opposite party when she was consulted.
A case of Gopal vashisth versus State of Uttranchal and others decided by state commission Uttrakhand complained no.27/2002 decided on 23-8-2004.preganant lady admitted due to stomachache-Found piece of muscle-M.T.P. conducted and discharged but pain again started, within 12 hours admitted on the same bed ticket-who admitted not mentioned-what treatment was given not mentioned-condition of patient disclosed as critical but was not advised to go to other hospital-victim died due to “Septicemia shock”- Consideration of-Held-A doctor owes certain duties to patient-A breach of any of the duties gives a right of action for negligence to the patient-Carelessness and negligence is established beyond reasonable doubt-Government of Uttrakhand State as employer patent was treated at Government Hospital of doctor is vicariously liable to pay compensations-Victim was the wife of complainant having 24 years of age and had two minor children. State Consumer Protection redression Commission awarded Rs.2, 50,000 -@9% interest from the opposite party No.1 State Government of Uttrakhand.
In Vinod Prasad Nautiyal versus Savitri Uniyal and others State Commission of Uttrkhand complainant No. 7/2002 held patient admitted with labour pain and bleedings in Govt. Hospital-Operation conducted without an aesthesia-O.T. not fully equipped –No necessary facilities available- Doctors left patient in bleeding conduction-No treatment or care after wards-Consideration of-Held-Clear deficiency in service-State is vicariously liable for its employees-A lumpsum compensation of Rs.2,50,000/-awarded.
In both above cases it was evident that doctrine of res ipsa loquitor clearly applied and the State was held liable to pay damages. It is established that in both the cases of negligence per se is evident on the part of the doctors no other evidence is required
But a charge of professional negligence against a medical man was a serious. It stood on a different footing to a charge of negligence against the driver of a motorcar. The consequences were far more serious. It affected his professional status and reputation. The burden of proof was correspondingly greater. As the charge was so grave, so should the proof be clear. With the best skill in the world, things sometimes went a mess in surgical operations or medical treatment. A doctor was not to be held negligent simply because something went wrong. He was not liable to mischance or misadventure; or for an error of judgment. He was not liable for taking one choice out of two or for favouring one school rather than another. He was only liable when he fell below the standard of a reasonably competent practitioner in his field so much so that his conduct might be deserving of censure of inexcusable.”
Surendra kumar
Ex-Acting Chairman
State consumer Redresal Commission Uttrakhand.
Website:- consumershelpline.info
Surendrakumar@consunershelpline.info
Email:- Esskay_enterprises@yahoo.com