CONTROVERSIES
ON MEDICAL NEGLIGENCE CASES
[JURISDICTION OF CONSUMER
FORUM ISSUE ]
Miscellaneous
Petition No.53 of 2000 was filed before the National Consumer Disputes
Redressal Commission (hereinafter referred to as "National
Commission"), New Delhi in Original Petition No.252 of 1993 In The
Matter Of Dr. J.J. Merchant & Ors.Vs. Shrinath
Chaturvedi, doctors praying that complaint filed
for alleged medical negligence be either dismissed as according to them
complicated questions of law and facts arise which can best be decided by the
Civil Court or in the alternative the proceeding be stayed during the pendency
of criminal prosecution pending against them in criminal court at Mumbai.
That
application was rejected by the Commission.
Hence,
an Appeal (civil) 7975 of 2001was filed before the Supreme court
which was decided on 12/08/2002 by the Bench: M.B. Shah, Bisheshwar Prasad
Singh & H.K. Sema, Judgment Written by Shah, J.
In the
present case, complainant respondent filed Original Petition before the
National Commission on 26.8.1993 alleging that his son aged 21 years was
admitted to the Breach Candy Hospital, Mumbai on 4.8.1992 for operation of slip
disc as he was suffering from backache. It was stated that before that, he had
returned from USA in the month of June, 1992 after obtaining degree in Business
Management. He died on 29th August, 1992 in the hospital itself. For this, he
attributed medical negligence.
Doctors
argued that (a) there was inordinate delay in disposal of the
complaint (b) complicated question of law and facts involved in this case
depending upon medical expert’s opinion summary procedure is not proper remedy
for deciding such issues; hence complainant should be directed to approach the
Civil Court
Apex Court
while deciding the above case referred to number of earlier decided cases and
quoted Indian Medical Association v. V.P. Shanta [(1995) 6 SCC
651] wherein
delay in deciding the case was made an argument for dismissing the case .The
facts of the case revealed the reasons for delay were :
a) Delay
in making appointment of the Chairman and Members of the Forum or Commission
including National Commission;
b) Not
providing adequate infrastructure;
c) Delay
because of heavy workload and there is only one Bench of the National
Commission or the State Commissions for deciding complaints;
d) Delay
in procedure;
Court in
the above case had observed
“If this
contention raised by the learned counsel for the appellants is accepted, apart
from the fact that it would be unjust, the whole purpose and object of enacting
the Consumer Protection Act, 1986 (hereinafter referred to as the 'Act') would
be frustrated. One of the main objects of the Act is to provide speedy and
simple redressal to consumer disputes and for that quasi-judicial machinery is
sought to be set up at the district, State and Central level.”
The object
and purpose of enacting the Act is to render simple, inexpensive and speedy
remedy to the consumers with complaints against defective goods and deficient
services and the benevolent piece of legislation intended to protect a large
body of consumers from exploitation would be defeated. Prior to the Act,
consumers were required to approach the Civil Court for securing justice for
the wrong done to them and it is known fact that decision in suit takes years.
Under the Act, consumers are provided with an alternative, efficacious and
speedy remedy. As such, the Consumer forum is an alternative forum established
under the Act to discharge the functions of a Civil Court. Therefore, delay in
disposal of the complaint would not be a ground for rejecting the complaint and
directing the complainant to approach the Civil Court.
Charan
Singh v. Healing Touch Hospital and Others [(2000) 7 SCC 668] observed
that appellant ought not to have been condemned unheard after waiting for six
long years that
"The
Consumer Forums must take expeditious steps to deal with the complaints filed
before them and not keep them pending for years. It would defeat the object of
the Act, if summary trials are not disposed of expeditiously by the forums at
the District, State or National levels. Steps in this direction are required to
be taken in the right earnest".
In view of
the above observations made by the Supreme Court in earlier matters, Supreme Court
again set the controversy at rest about the jurisdiction of consumer courts in
medical negligence matters and HELD:
“However,
apart from the contemplated legislative action, it is expected that the
Government would also take appropriate steps in providing proper infrastructure
so that the Act is properly implemented and the legislative purpose of
providing alternative, efficacious, speedy, inexpensive remedy to the consumers
is not defeated or frustrated.
Further,
in the present case, the complainant's case is based upon the negligence of the
Doctors in giving treatment to the deceased. Whether there was negligence or
not on the part of the concerned Doctors would depend upon facts alleged to and
in such a case there is no question of complicated question of law involved.
It is true
that it is the discretion of the Commission to examine the experts if required
in appropriate matter. It is equally true that in cases where it is deemed fit
to examine experts, recording of evidence before a Commission may consume time.
The Act specifically empowers the Consumer Forums to follow the procedure which
may not require more time or delay the proceedings. Only caution required is to
follow the said procedure strictly. Under the Act, while trying a complaint,
evidence could be taken on affidavits [under Section 13(4) (iii)]. It also
empowers such Forums to issue any Commission for examination of any witness
[under Section 13(4) (v)]. It is also to be stated that Rule 4 in Order XVIII
of C.P.C. is substituted which inter alia provides that in every case, the
examination-in-chief of a witness shall be on affidavit and copies thereof
shall be supplied to the opposite party by the party who calls him for
evidence. It also provides that witnesses could be examined by the Court or the
Commissioner appointed by it. As stated above, the Commission is also empowered
to follow the said procedure. Hence, we do not think that there is any scope of
delay in examination or cross-examination of the witnesses. The affidavits of
the experts including the doctors can be taken as evidence. Thereafter, if
cross-examination is sought for by the other side and the Commission finds it
proper, it can easily evolve a procedure permitting the party who intends to
cross-examine by putting certain questions in writing and those questions also
could be replied by such experts including doctors on affidavits. In case where
stakes are very high and still party intends to cross-examine such doctors or
experts, there can be video conferences or asking questions by arranging telephone
conference and at the initial stage this cost should be borne by the person who
claims such video conference. Further, cross- examination can be taken by the
Commissioner appointed by it at the working place of such experts at a fixed
time”
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