IN THE HIGH COURT OF JUDICATURE AT HYDERABAD FOR THE STATE OF TELANGANA AND THE STATE OF ANDHRA PRADESH
CHALLA KODANDA RAM, J.
Sri Krishna Nursing Home - Petitioner
Vs.
State of Telangana represented by its Principal Secretary, Medical and Health Department, Secretariat, Hyderabad and Others - Respondents
WRIT PETITION No. 30285 OF 2017
Decided On : 21-09-2017
TSAPMC Est. Act - Section 8 and 8(2) - MTP Act - Section 5 - Writ Affidavit filed petitioner Nursing Home is established by the deponent who claims himself to be a qualified MBBS Doctor with Post Graduation Degree - Affidavit petitioner was granted Certificate of Registration of Allopathic Private Medical Care Establishments by the respondent and the same is valid upto - Petitioner was issued with a Notice alleging that on the 2nd respondents inspection of the petitioners - Illegal abortion placed in Labour Room with the medicine administered - As the abortion that is to be conducted is illegal and the establishment not having renewal of the hospital registration certificate, petitioner was show caused to submit his explanation for the above lapses - Why action should not be taken in accordance with the rules - Petitioner submitted explanation admitting the presence of the patient resident and admission complaining of the decreased fatal movements since night and spotting since morning. The scan report suggested IUD of foetus and after examination and after explaining the risks involved - establishment also further failed to maintain Admission Register and Form-II as per the MTP Act and Rules - Explanation that petitioner had submitted renewal application is not believed as the new Districts were formed thus the explanation is not acceptable – Held, Though the elaborate standards appeared to have prescribed with respect to various categories of specialization and the requirement that are required to be fulfilled, which requires specialized knowledge, whether the DMHO of a District would be competent to undertake such complicated exercise in ensuring compliance is a mute question. While the Rule 4 of the TSAPMC Est. Rules provides for, the DMHO along with a Member of District Registering Authority are part of the inspection team and there is no clarity with respect to the qualifications such members to possess, which would ensure the proper examination in the process of inspection with respect to various requirements that are required to be complied with under the Rules in the Medical Termination of Pregnancy Act while in Section punishment is provided for a person carrying out termination of pregnancy by other than a registered practitioner there is total absence of any provision dealing with a medical practitioner transgressing the provisions of the MTP Act and Rules - Require attention by law making who may in consultation with the experts in the field, may find various other gaps which would ensure the safety of the public - Petition is disposed.
As per the Writ Affidavit filed, petitioner Nursing Home is established by the deponent Dr.K. Aravinda Sagar, who claims himself to be a qualified MBBS Doctor with Post Graduation Degree in M.S. (General Surgery). As per the Writ Affidavit petitioner was granted Certificate of Registration of Allopathic Private Medical Care Establishments by the 3rd respondent, vide Certificate dated 06.03.2012 and the same is valid upto 05.03.2017. Petitioner was issued with a Notice on 16.08.2017 alleging that on the 2nd respondents inspection of the petitioners hospital on 11.08.2017 at 7 p.m., he found that one illegal abortion placed in Labour Room with the medicine administered on patient by name Smt. Rathlavath Devi W/o Nariya, resident of Natelli Tanda. As the abortion that is to be conducted is illegal and the establishment not having renewal of the hospital registration certificate, petitioner was show caused to submit his explanation for the above lapses, Why action should not be taken in accordance with the rules? Petitioner submitted explanation on 21.08.2017 admitting the presence of the patient viz., Ratlavath Devi, 28 years W/o Ratlavath Naria, resident of Natelli Thanda and admission of the said patient on 11.08.2017 at about 3 p.m. complaining of the decreased fatal movements since night and spotting since morning. The scan report suggested IUD of foetus and after examination by Dr. Spandana and after explaining the risks involved, the said patient was advised to go to higher centre for further management. After considering the request of the patient and attendees and after obtaining consent for high risk termination of pregnancy procedure was initiated at 4.30 p.m. So far as renewal of licence is concerned, renewal application was made to DMHO, Mahabubnagar on 24.02.2017 and they are awaiting response from the DMHO, Mahabubnagar with a further request to open the hospital, which was seized on 12.08.2017. Thereafter, proceedings dated 23.08.2017 was issued by the 2nd respondent stating that the petitioner is running Nursing Home without any registration as per the T.S. Allopathic Medical Care Establishments (Registration and Regulations) Act 2002 and Rules, 2007 (in short the TSAPMC Est. Act and Rules) and thereby the running of the Nurshing Home is illegal and the deponent doctor Dr.K. Aravind Sagar, is no way concerned with the hospital as he is working as Senior Resident at District Hospital, Wanaparthi and being a Government servant he is running an establishment is impermissible. Though, in the explanation it was stated that interventions were done on the patient viz., Ratlavath Devi on account of the scan report suggesting IUD, the petitioner has not submitted USG report and opinion of gynaecologist and further any intervention with regard to pregnant woman can be done only by obtaining second opinion of the 2nd gynaecologist as per the Medical Termination of Pregnancy Act, 1971 and Rules 2003 (in short MTP Act and Rules) and further the establishment is not authorised to undertake termination of pregnancy under the MTP Act and Rules. The establishment also further failed to maintain Admission Register and Form-II as per the MTP Act and Rules. The explanation that petitioner had submitted renewal application on 24.02.2017 to the DMHO Office at Mahabubnagar is not believed as the new Districts were formed on 16.10.2016, thus the explanation is not acceptable.
2. In the above stated facts, Sri Ghanta Rama Rao learned counsel for the petitioner submits that there is no power under the TSAPMC Est. Act and Rules to seize the hospital and further in the show cause notice dt.16.08.2017 was with respect to the intervention done on the patient and with the allegation of non-renewal of the hospital registration. So far as hospital registration is concerned, the application was submitted on 24.02.2017 to the 3rd respondent by paying the requisite fee and in support of which petitioner submits that a demand draft for Rs.7,500
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