Supreme Court Upholds NCDRC Order on Medical Negligence Compensation but Leaves Jurisdictional Issue Open. The Court affirmed the award against Safdarjung Hospital due to the small compensation amount and lack of factual challenge, while clarifying that the question of jurisdiction under Section 2(1)(o) of the Consumer Protection Act, 1986, remains undecided for future cases.

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Case Note & Summary

The appeal arose from an order of the National Consumer Disputes Redressal Commission (NCDRC) dated 7 October 2016, which held Safdarjung Hospital liable for medical negligence and directed it to pay compensation of Rs 2 lakhs, while exonerating Sarvodaya Hospital. The original complainant, N K Srivasta, had filed a consumer complaint alleging negligence by both hospitals regarding the treatment of his premature baby, who died in April 2004. The District Forum dismissed the complaint, holding no misrepresentation by Sarvodaya Hospital and that the complaint against Safdarjung Hospital was not maintainable as treatment was provided free of cost. The State Consumer Disputes Redressal Commission (SCDRC) found Sarvodaya Hospital negligent but upheld the non-maintainability against Safdarjung Hospital. In revision, the NCDRC exonerated Sarvodaya Hospital but held Safdarjung Hospital liable, reversing the maintainability finding. The core legal issues were whether Safdarjung Hospital is amenable to consumer fora jurisdiction under the Consumer Protection Act, 1986, given the claim of free treatment, and whether the NCDRC correctly exercised its revisional powers. The Union of India and Safdarjung Hospital argued that no charges were levied, making the NCDRC's finding unsustainable, while the complainant opposed the appeal. The Supreme Court analyzed Section 2(1)(o) of the Act, citing Indian Medical Association v V P Shantha, which distinguishes hospitals providing free services across the board from those charging most patients. The Court found no proper factual challenge in the pleadings or evidence regarding jurisdiction and noted the compensation amount was relatively small. It affirmed the NCDRC's order but confined it to the specific facts, leaving the jurisdictional issue open for future cases with adequate factual foundation. The Court also noted that the NCDRC's attempt to do 'complete justice' in revisional proceedings might exceed its jurisdiction, as such powers are exclusively vested in the Supreme Court under Article 142, leaving this aspect for decision in an appropriate case.

Headnote

A) Consumer Law - Medical Negligence - Liability of Hospitals - Consumer Protection Act, 1986, Section 2(1)(o) - The case involved allegations of medical negligence against Safdarjung Hospital regarding treatment of a premature baby. The NCDRC found negligence and directed compensation of Rs 2 lakhs, but the Supreme Court affirmed the order without deciding the jurisdictional issue due to lack of factual foundation. Held that the award was small and the jurisdictional question remains open for future cases with proper pleadings and evidence (Paras 11-12).

B) Consumer Law - Jurisdiction of Consumer Fora - Free Services - Consumer Protection Act, 1986, Section 2(1)(o) - The issue was whether Safdarjung Hospital, claiming to provide free treatment, falls under the Act's purview. The Supreme Court referenced Indian Medical Association v V P Shantha, which held that hospitals providing free services across the board are excluded, but not those charging most patients. The Court left this issue open as no proper factual challenge was made in the pleadings or evidence (Paras 9-12).

C) Civil Procedure - Revisional Jurisdiction - NCDRC Powers - The NCDRC reversed a finding on maintainability in favor of Safdarjung Hospital in a revision filed by Sarvodaya Hospital, attempting to do 'complete justice'. The Supreme Court noted this may exceed NCDRC's jurisdiction, as such powers are exclusively conferred on the Supreme Court under Article 142 of the Constitution, leaving this issue for decision in an appropriate case (Para 13).

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Issue of Consideration

Whether Safdarjung Hospital is amenable to the jurisdiction of consumer fora under the Consumer Protection Act, 1986, given the claim of free treatment, and whether the NCDRC correctly held it liable for medical negligence.

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Final Decision

The Supreme Court affirmed the NCDRC's order directing Safdarjung Hospital to pay Rs 2 lakhs compensation, but confined it to the specific facts and left the jurisdictional issue open for future cases. The Court clarified that the impugned judgment shall not be cited as a precedent.

Law Points

  • Consumer Protection Act
  • 1986
  • Section 2(1)(o) interpretation
  • medical negligence liability
  • maintainability of consumer complaints against hospitals providing free services
  • revisional jurisdiction of NCDRC
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Case Details

2020 LawText (SC) (7) 10

Civil Appeal No 2823 of 2020 (Arising out of Special Leave Petition (C) No 28056 of 2017)

2020-07-23

Dr Dhananjaya Y Chandrachud

Mr R S Suri, Mr Dinesh Kumar, Mr Shantanu Sagar

Union of India & Anr

N K Srivasta & Ors

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Nature of Litigation

Consumer complaint alleging medical negligence against hospitals

Remedy Sought

Compensation for medical negligence

Filing Reason

Alleged negligence in treatment of a premature baby leading to death

Previous Decisions

District Forum dismissed complaint; SCDRC found Sarvodaya Hospital negligent but held complaint not maintainable against Safdarjung Hospital; NCDRC exonerated Sarvodaya Hospital and held Safdarjung Hospital liable

Issues

Whether Safdarjung Hospital is amenable to the jurisdiction of consumer fora under the Consumer Protection Act, 1986 Whether the NCDRC correctly exercised its revisional jurisdiction

Submissions/Arguments

Appellant argued no charges were levied, making NCDRC's finding unsustainable Respondent opposed the appeal, supporting NCDRC's order

Ratio Decidendi

Hospitals providing free services across the board are excluded from the Consumer Protection Act, 1986, but those charging most patients are not; in the absence of proper factual challenge, the Court may not decide jurisdictional issues; NCDRC's revisional powers may not extend to doing 'complete justice' as exclusive to Supreme Court under Article 142.

Judgment Excerpts

"service" means service of any description which is made available to the potential users and includes the provision of facilities... but does not include rendering of any service free of charge or under a contract of personal service;" "43...The third category of doctors and hospitals do provide free service to some of the patients belonging to the poor class but the bulk of the service is rendered to the patients on payment basis."

Procedural History

Complaint filed before District Forum; dismissed; appeal to SCDRC; SCDRC found Sarvodaya Hospital negligent but held complaint not maintainable against Safdarjung Hospital; revision by Sarvodaya Hospital to NCDRC; NCDRC exonerated Sarvodaya Hospital and held Safdarjung Hospital liable; appeal to Supreme Court.

Acts & Sections

  • Consumer Protection Act, 1986: Section 2(1)(o)
  • Constitution of India: Article 142
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