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Wednesday, August 15, 2012

Judicial Interpretation of Medical Negligence in India

This was my Health Law Project in VIII Semester. My friend, Yashesh Kamdar and I worked on this topic jointly. We researched quite a bit on this topic before writing this. Hope it is of some use to the readers. 

Introduction
The profession of healing the suffering has gained respect from all corners of the society since time immemorial. A physician, apart from being a healer, has been looked upon by the masses as a role model of grace personified, though of late this image has transformed to a mere service provider. This can partly be attributed to doctors themselves, owing to the increasing number of cases involving doctors engaging in unethical practices coming to light and, therefore, medical professionals have over the period lost the confidence of their patients and the society.
The learned scholars, at all times, were sensitive to this tender aspect of a noble and pious profession and made sincere attempts to codify the attitudes and practices to be adopted by the physicians.
Basically, Negligence is the breach of a legal duty to care. It means carelessness in a matter in which the law mandates carefulness within reasonable limits. A breach of this duty gives a patient the right to initiate action against the physician.
Persons who offer medical advice and treatment implicitly state that they have the skill and knowledge to do so as they have the skill to decide whether to take a case, to decide upon the likely course of the treatment, and to administer that treatment.[1] This is known as an “implied undertaking” on the part of a medical professional.
Doctors in India may be held liable for their services individually or vicariously unless they come within the exceptions specified in the case of Indian Medical Association v. V P Shantha.[2] Doctors are not liable for their services individually or vicariously if they do not charge fees. Thus, free treatment at a non-government hospital, governmental hospital, health center, dispensary or nursing home would not be considered a “Service” as defined in Section 2 (1) (o) of the Consumer Protection Act, 1986. This is a very wide definition, and the determination of this would depend upon and differ in each case.
However, no human being is perfect and even the most renowned specialist could make a mistake in detecting or diagnosing the true nature of a disease. A doctor can be held liable for negligence only if one can prove that she/he is guilty of a failure that no doctor with ordinary skills would be guilty of if acting with reasonable care. An error of judgment constitutes negligence only if a reasonably competent professional with the standard skills that the defendant professes to have, and acting with ordinary care, would not have made the same error.
We shall attempt to understand this concept in light of the Judicial Interpretation as given by the apex court of India.

Medical Negligence
Negligence as a tort is the breach of duty caused by the omission to do something which a reasonable man, under a given set of circumstances, would or doing some act, which a prudent and reasonable man would not do.[3] This definition incorporates the following interrelated, yet independent constituents:-
1.      A legal duty to exercise reasonable skill, knowledge and care;
2.      A breach of that duty; and
3.      Consequential damages arising from such breach.
The test for determining the negligence of a medical professional was first given by McNair J. in Bolam’s case[4] to be ‘the standard of the ordinary skilled man exercising and professing to have that special skill.’
The English view is that a doctor is not guilty of negligence if he has acted in accordance with the practice accepted as proper by a responsible body of medical men. But what amounts to reasonable conduct should only be decided upon by the court, based on the views of the experts in the field. As to what other medical professionals do in similar situations, will be a material consideration to be weighed by the court.
However, there are certain inherent drawbacks in the adjudication of medical negligence cases by the court which must be kept in mind from the very outset. Firstly, Judges are not experts in medical science, but rather are lay men. This itself often makes it somewhat difficult for them to decide cases relating to medical negligence. Moreover, Judges have usually to rely on testimonies of other doctors which may not necessarily in all cases be objective, since like in all professions and services, doctors too sometimes have a tendency to support their own colleagues who are charged with medical negligence. The testimony may also be difficult to understand, particularly in complicated medical matters. Secondly, a balance has to be struck in such cases; while doctors who cause death or agony due to medical negligence should certainly be penalized, it must also be remembered that like all professionals doctors too can make errors of judgment but if they are punished for this no doctor can practice his vocation with equanimity. Indiscriminate proceedings and decisions against doctors are counterproductive and serve society no good and inhibit the free exercise of judgment by a professional in a particular situation.[5]
The view in Bolam’s case[6] was accepted in India in the landmark case of Suresh Gupta v. Govt. of NCT of Delhi and Anr.[7] However, that case got referred to a larger bench of the Supreme Court and finally in the Jacob Mathew vs. State of Punjab,[8] and Shiv Ram v. State of Punjab[9] the Bolam test was approved.
The reality is that the test (or at least the inflexible way in which that test has come to be applied by the courts) has so distorted the process of determining medical negligence, that it is almost impossible to envisage a case in which the test is applied in its present form where a court will be able to hold that a doctor has been negligent.[10] A glaring defect in the application of Bolam’s test, some argue, is that a doctor would not be negligent as per this test, merely because there is a body of opinion who would take a contrary view in the circumstances to that taken by the doctor in question so long as he proves that his actions are endorsed by a respectable body of medical opinion albeit a different set of professionals putting forth a contrary view.[11] This in effect erodes the very function of the judge to determine whether the case in fact involved negligence or not and places this function in such cases in the hands of professionals the standard of whose very profession itself is in question. This difficulty in the application of Bolam’s test was noticed in the Bolitho case[12] wherein two contradictory opinions were received from the testifying doctors. Hutchison J. in the Bolitho case expressed the difficulty a Judge faces when such contradictory opinions are received even if in the considered and logical opinion of the judge one testimony weighs with greater logic and reason than the other as it would amount to the judge, a lay man in medical terms, substituting his own opinion for that of professional experts.[13]

Doctor-patient relationship

Two crucial facets central to the doctor-patient relationship are confidentiality and consent. The right to confidentiality stems from an individual’s right of privacy which, in turn, is implicit in the right to life and liberty guaranteed by Article 21 of the Constitution. In medical terms, this can be described under two heads – autonomy privacy (freedom to make certain decisions about what happens to one’s own body) and informational privacy (to keep the personal information private). Such confidentiality may be breached in certain exceptional cases such as for the protection of patients against a communicable disease or specific risks,[14] if the patient is suffering from certain sexually communicable diseases to inform others including the sexual partner who would then be bound under the same obligation of confidentiality.[15]
Consent is material to all medical treatments, with the exception of emergent medical care, when consent can be waived/deferred. The basis for recognizing consent to medical treatment is the individual’s right to autonomy or self-determination.[16]
For the consent to be valid in law, it must be an informed consent. The patient must consent to the treatment after understanding the nature of the treatment. Before this, he must have some information about the procedure itself.[17] Without appropriate/adequate consent, a doctor might face the risk of proceedings for assault/causation of injury, in case of any complication arising from the medical procedure.
Persons Lacking Capacity generally includes minor children and persons of unsound mind.
The English view in Gillick v. West Norfolk and Wisbech Area Health Authority[18] is that if the patient is capable of understanding what is proposed, and of expressing his or her own wishes, there is no good reason for holding that he or she lacks the capacity to authorise the doctor to perform an examination or give treatment. This would mean that despite a child being a minor as per the applicable law, if he iscapable of understanding and taking a decision for himself, his personal consent ought to be taken. But in cases where the minor (child) lacks the relevant capacity to consent to treatment, parental consent is required unless there is an emergency.[19] The same would be applicable in cases of persons of unsound mind. The consent of their guardian would be required unless it was an emergent case.

Emergency Medico-legal Cases

In India, after Pt. Parmanand Katara’s18  case, in the context of emergent care of medico-legal cases, it was clarified that every injured citizen brought for medical treatment should instantaneously be given medical aid to preserve life and thereafter the procedural criminal law should be allowed to operate in order to avoid negligent death.
A doctor can provide medical treatment to a child or a person of unsound mind in the absence of parental consent in an emergency, based on the principle of necessity. But what would happen in the event the parents refuses consent to a treatment that could be life saving for a child? Would the doctor be justified in performing the treatment in the light of express prohibition?
The position of law in India is not entirely clear on this point, however, it could be argued that in some cases, the doctor can act in disregard of parental prohibition as was held in the Gillick case.[20]

Judicial Interpretation

There have been a plethora of cases relating to medical negligence in our honorable Supreme Court. The decisions given by the court have been rather craved from a long time. With the help of this project, we would like to bring out the current judicial interpretation of this concept given by the courts. The court has provided a comprehensive definition in both civil as well criminal aspects of medical negligence. We see that at present there are three remedies or solutions that are available to the victims of medical negligence:
1.      Remedy under Consumer Protection Act, 1986
2.      Other Civil Remedies
3.      Criminal Liability of the Medical Professional
At the outset, we would like to make it clear that our scope of research is highly focused and the focal point of research is “Medical Practitioner” or “Doctor”.  Let us discuss all the aspects of medical negligence one by one.

Remedy under Consumer Protection Act, 1986

The latest case in this regard is Minor Marghesh K. Parikh v. Dr. Mayur H. Mehta[21]. In this case, the appellant’s leg had to be amputated on account of the negligence of the doctors. Initially, the National Consumer Commission did not accept this contention of the appellant but when the matter came to Supreme Court, it held that the National Commission was in error in giving the judgment. The court ordered for a fresh hearing of the matter and said that “Court must pass an order considering all material facts and circumstances of the case and should not leave material facts unenquired or unverified.”
In another case of Kusum Sharma and Ors.v. Batra Hospital and Medical Research Centre and Ors.[22], the basic question was whether the death of the deceased occurred due to 'deficiency in services' by the Respondent Hospital. The court said that the Services rendered by the medical practitioner by way of surgery would definitely fall within the ambit of ‘Service’, as defined under Section 2(1)(o) of the Consumer protection Act,1986[23]. Deficiency[24] in service has to be judged by applying the test of reasonable skill and care which is applicable in action of damages for negligence. In the instant case the doctors who performed the operation adopted the procedure which in their opinion was in the best interest of patient, in good faith and within medical bounds. Thus, a mere deviation from normal professional practice is not necessarily an evidence of negligence. Hence, the court held that “Doctors performing their duties and exercising an ordinary degree of professional skill and competence cannot be held guilty of negligence.”
It is interesting to observe that the court has taken a very wide connotation and understanding of the concept of medical negligence. The court says that these questions are to be judged on the facts of each case and there cannot be a mechanical or strait jacket approach that each and every case must be referred to experts for evidence[25].
The court also says that a professional may be held liable for negligence if he was not possessed of the requisite skill which he professed to have or, he did not exercise, with reasonable competence in the given case the skill which he did possess. The Standard to be applied for judging, whether the person charged has been negligent or not; would be that of an ordinary person exercising skill in that profession. Thus, it is not necessary for every professional to possess the highest level of expertise in that branch which he practices[26].
Also, in today’s context, the court made a very stimulating remark in relation to the quantum of damages. The court says that while computing compensation the Court has to strike a balance between the inflated and unreasonable demands of a victim and the equally untenable claims of the Opposite Party saying that nothing is payable. Thus, the Court must award adequate compensation[27].
Also the court has time and again reiterated the fact that “Whenever a complaint is received against a doctor or hospital by the Consumer Fora, then it should first refer the matter to a competent doctor or committee of doctors, specialized in the field and only on their report a prima facie case of medical negligence can be made out and a notice can be issued to the concerned doctor/hospital”[28].
Thus, as far as remedy under Consumer Protection Act, 1986 is concerned, the situation is pretty clear. The Court has itself said that there is no straight jacket approach and each case has to be decided on its own merits. Now, let us shift our focus to Civil Negligence or tortious negligence.
Other Civil Remedies
There have been many landmark cases on tortious Negligence as well, but, the current position of law seems to be a bit different. The latest trend setter in this regard is the case of Samira Kohli v. Dr. Prabha Manchanda and Anr.[29]. In this case the Hysterectomy of the patient was performed without her express consent and consent was obtained from her mother instead. The court held that only in cases of grave and imminent danger to life, can the doctor perform such a major surgery without express consent of the patient herself. In the present case, it was found that there was no need to remove the ovaries of the patient and cause her irreparable and permanent loss moreover when it was done without her express consent. Thus, “performance of the surgery was an unauthorized invasion and interference with Appellant’s body which amounted to a tortious act of assault and battery and therefore a deficiency in service.”
Surfeits of cases have followed this case. Although civil negligence is also to be filed in the consumer forum itself, but still a fine line of difference is to be drawn between the Consumer Protection Act Cases and Civil Negligence Cases which was skillfully done in Dr. Prabha Manchanda’s Case.

Criminal Liability of the Medical Professional 
It is imperative to move our emphasis on Criminal Negligence now. It would be futile to conduct a Judicial Interpretation of Medical Negligence cases without taking into account the Criminal Negligence part. We know that Criminal Negligence of a professional usually falls within Section 304A[30] of Indian Penal Code. There have been many landmark cases in this regard such as Suresh Gupta v. Govt. of NCT of Delhi and Anr.[31] and Jacob Mathew v. State of Punjab[32]. The courts have held that an FIR cannot be lodged against a doctor under Section 304A unless there is a prima facie case of Gross Negligence and recklessness by the doctor.
However, I fail to understand this disparity. On a bare reading of Section 304A, we see that simply a rash and negligent act not amounting to culpable homicide would attract the penal liability under the aforesaid provision. But, according to the courts, a mere negligent act would not attract Section 304A. For Section 304A to apply to doctors, the degree of negligence has been set to be very high. Section 304A does not talk about degree of negligence anywhere. So, it is beyond me to understand from where the court is making such an interpretation in Dr. Suresh Gupta and Dr. Jacob Matthews. This matter was subsequently resolved by a larger bench in the same case which said that the degree of negligence is not higher or unusual in case of professionals. 
In the case of Malay Kumar Ganguly v. Dr. Sukumar Mukherjee and Ors.[33], the court held that “for criminal prosecution of a medical professional for negligence, it must be shown that the accused did something or failed to do something which in the given facts and circumstances no medical professional in his ordinary senses and prudence would have done or failed to do.”
Thus, as of now, Malay Kumar Ganguly’s case is the law of the land. It depicts a saner approach adopted by the courts. Malay Kumar Ganguly’s case basically said that the jurisprudential concept of negligence differs in civil and criminal law. For negligence to amount to an offence the element of mens rea must be shown to exist. To prosecute a medical professional for negligence under criminal law it must be shown that the accused did something or failed to do something, and intended to do the same, which in the given facts and circumstances no medical professional in his ordinary senses and prudence would have done or failed to do.
It is also important to observe that Trial Court Judge has been bestowed with wide powers with respect to fixation of liability upon the doctor. In the case of B. Jagdish and Anr. v. State of A.P. and Anr.[34], the magistrate issued process against the Appellant and took cognizance of the offence to be negligence in performing professional services despite the fact that civil liability of negligence had already been fixed upon the medical professional. The Supreme Court held that whether Criminal liability could be fixed in this case or not is a question to be determined by the learned Trial Court judge alone.
In the case of Mahadev Prasad Kaushik v. State of U.P. and Anr.[35], a complaint was registered against the doctor under Section 304 IPC. The court said that in every mishap or death during medical treatment, a medical man cannot be proceeded against in a Criminal Court. Thus, the court held that A professional may be held liable for negligence on one of two findings: either he was not possessed of the requisite skill which he professed to have possessed, or, he did not exercise, with reasonable competence in the given case, the skill which he did possess.”

Future Lessons

We see that from a present position of the conceptual understanding of medical negligence by the courts, following are the lessons and suggestions that the courts as well as the government must keep in their minds in future.
1.      Special medical negligence courts: We see that in many cases the court has said that opinion from a body of experts is needed in all the cases since each case has to be decided on its own merits and intricacies.[36] There are hundreds of Medical Negligence cases coming up every day in Consumer Forums across the country. And in many a cases, expert opinion or expert evidence is not being adduced simply because of technical glitches. It is best that a separate set of courts be designated to Medical Negligence cases. This would provide a twofold benefit. Firstly, it would benefit the patient since he will have a specific forum and a specific remedy. It will save his precious time and money for the victims of medical negligence cases who often are persons from weaker and downtrodden sections of the society. Secondly, it would be beneficial on part of the Medical Professionals as well. The court would comprise of Expert Medical Professionals and they would be able to fully understand the technical complications and intricacies related to a particular medical case. Being panel members adjudicating claims of medical negligence will put an added obligation to judge the cases on an impartial objective criterion as compared to medical experts merely giving expert evidence in a court of law where they might tend to give a favourable opinion for the fellow colleague being proceeded against.
2.      Need for Exemplary Damages: Although, there have been cases recently which have even awarded damages to the tune of Rs.1crore[37], there still exists a need to award exemplary damages in certain cases. Private Hospitals have been unduly using their bargaining power against the poor patients. There is a need to setup more examples by awarding exemplary damages so that Private Hospitals understand that no one is above law and stop exploiting the destitute ones.
3.      Frivolous Law Suits: This is a major problem emerging in our country. Cheap gimmicks are being played by the patients to gratify their personal rivalry by bringing out law suits against the innocent doctors. It harasses the doctors to a great extent and prevents them from working with a free mind. We already saw this in the case of Mahadev Prasad Kaushik[38] that how Section 304 of IPC was attracted towards a doctor. A balance needs to be struck between the unreasonable demands of the patients and innocent claims made by the doctors. One alternative could be to adopt the principle of Loser’s Pay (One who loses the case pays the attorney fees for both the parties), but this principle could prove to be very heavy on genuinely poor patients.
4.      Differentiation between Medical Negligence and Medical Error: The difference between medical negligence and medical error is well- settled and the principles are well-founded being clearly laid down in numerous cases by the Supreme Court.[39] Thus, there is a need to appreciate this differentiation by the society so that doctors do not get indicted for impractical reasons.
5.      FIR must not be accepted in case of Medical Negligence: This is a worrying problem for the courts as well as the doctors. It is very essential to protect doctors against the rigors of criminal law, when frivolous criminal complaints are made, in order to allow them to practice medicine with a free mind without fear of the law. The Jacob Mathews case[40] said that extensive guidelines need to be given by the government in this regard. However, it has been more than 5 years since the judgment and still there is no word from the government regarding such guidelines. This issue needs immediate attention of the government as Judiciary has already performed its part of the duty by asking the government to frame such guidelines and can do no more owing to the judicial restraint judges must exercise.

Conclusion
The concept of medical negligence as we have seen is simply one the principle of which is deeply engrained in Tort Law. The test evolved over time which has come to be known as Bolam’s test is widely applied across various jurisdictions but as noted it does suffer from an infirmity which is yet to be cured. The doctor-patient relationship is a fiduciary relationship governed by high standards of morals and ethics. Though a breach of patient confidentiality is usually seen to be a case of professional misconduct on the part of the doctor, violating the patient’s body without consent has in numerous cases been taken to be medical negligence and even as a crime of assault on the patient.
The present legal position in regard to Criminal Liability of a doctor is that it cannot be fixed upon the doctor unless there is a prima facie of gross negligence and recklessness. However, if an FIR has been lodged to this effect against the doctor, it is imperative on part of the magistrate to take cognizance of the matter and whether a prima facie exists or not, is a question to be decided by him and him alone as we say in the earlier cases. Another appropriate remedy is available under The Consumer Protection Act, 1986. We have seen that the Consumer Forums have included medical services under the ambit of Section 2(1)(o) of the Consumer protection Act,1986 which defines “service”. Thus, any deficiency in these services is construed to be a part of medical negligence as has been explained earlier.
On the basis of the interpretation of the judicial decisions of the apex court certain suggestions have been provided which can, if implemented effectively, go a long way in helping courts crystallize the law on medical negligence which at the present is faced with many obstacles and has seen frequent deadlocks in several cases.  



[1] Venkatesh Iyer v. Bombay Hospital Trust, 1978 (2) TAC 820 (Bom).
[2] AIR 1996 SC 550
[3] Poonam Verma v. Ashvini Patel & ors., (AIR 1996 SC 2111).
[4] (1957) 2 AII ER 118
[5] Guidelines given by the Supreme Court in Martin F. D’Souza v. Mohd Ishfaq (Civil Appeal no. 3541/2002 decided on 17th February 2009).
[6] Ibid
[7] Suresh Gupta vs Govt. of NCT of Delhi and Anr., (2004) 6 SCC 422.
[8] Jacob Mathew vs. State of Punjab, (2005) 6 SCC 1 
[9] AIR 2005 SC 3280.
[10] Fordham, M, The Bolam Test Lives On, Sing. J. Legal Stud. 140 (1998).
[11] Amirthalingam, K, Judging Doctors and Diagnosing the Law: Bolam Rules in Singapore and Malaysia, Sing. J. Legal Stud. 125 (2003).
[12] [1957] 1 WLR 583
[13] Maynard v. West Midlands Regional Health Authority, [1985] 1 All ER 635
[14] Tarasoff v. Regents of University of California, Cal S Ct 1976.
[15] Mr. ‘X’ v. Hospital ‘Z’, 1999 CTJ Supreme Court (CP).
[16] The Indian Medical Council (professional conduct, etiquette and ethics) Regulations, 2002, regulation 7.16 requires that: “7.16: Before performing an operation the physician should obtain in writing the consent from the husband or wife, parent or guardian in the case of minor, or the patient himself as the case may be. In an operation which may result in sterility the consent of both husband and wife is needed.”
[17] See Chatterton v. Gerson [1981] 1 All E.R. 257 and Samira Kohli v. Dr. Prabha Manchanda (2008) 2 SCC 1.
[18] [1985] 3 All E. R. 402.
[19] Ibid.
[20] Supra note 15.
[21] 2010 (10) UJ 4872 (SC)
[22] AIR 2010 SC 1052
[23] "Services" means service of any description which is made available to potential [users and includes, but not limited to, 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, but does not include the rendering of any service free of charge or under a contract of personal service
[24] "Deficiency" means any fault, imperfection, shortcoming or inadequacy in the quality, nature and manner of performance which is required to be maintained by or under any law for the time being in force or has been undertaken to be performed by a person in pursuance of a contract or otherwise in relation to any service.
[25] V. Kishan Rao v. Nikhil Super Specialty Hospital, (2010) 5 SCC 513
[26] PGIMER, Chandigarh v. Jaspal Singh & Ors., (2009) 7 SCC 330
[27] Nizam Institute of Medical Sciences v. Prasanth S. Dhananka and Ors., (2009) 6 SCC 1
[28] Martin F. D'Souza v.Mohd. Ishfaq (AIR 2009 SC 2049)
[29] Samira Kohli v. Dr. Prabha Manchanda and Anr., (2008) 2 SCC 1
[30] Section 304A of the Indian Penal Code, 1860- Causing death by negligence.-- Whoever causes the death of any person by doing any rash or negligent act not amounting to culpable homicide shall be punished with imprisonment of either description for a term which may extend to two years, or with fine, or with both.
[31] Suresh Gupta vs Govt. of NCT of Delhi and Anr. (2004) 6 SCC 422
[32] Jacob Mathew vs. State of Punjab, (2005) 6 SCC 1 
[33] Malay Kumar Ganguly v. Dr. Sukumar Mukherjee and Ors., (2009) 9 SCC 221
[34] B. Jagdish and Anr. v. State of A.P. and Anr., (2009) 1 SCC 681
[35] AIR 2009 SC 125
[36] V. Kishan Rao v. Nikhil Super Specialty Hospital, (2010) 5 SCC 513
[37] Nizam Institute of Medical Sciences v. Prasanth S. Dhananka and Ors., (2009) 6 SCC 1
[38] Mahadev Prasad Kaushik v. State of U.P. and Anr., AIR 2009 SC 125
[39] Ms. Ins. Malhotra v. Dr. A. Kriplani and Ors., (2009) 4 SCC 705
[40] Jacob Mathew v. State of Punjab, (2005) 6 SCC 1 

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