2015 Supreme(Pat) 553
IN THE HIGH COURT OF JUDICATURE AT PATNA
ASHWANI KUMAR SINGH, J.
Ashok Kumar Singh & Another – Petitioners
Versus
State of Bihar & Another – Opposite Parties
Criminal Miscellaneous No. 40712 of 2012
Decided On : 18.5.2015
Advocate Appeared:
For the Petitioners:Mr. Ramakant Sharma, Senior Advocate.
For the Opposite Party-State: Mr. S. Dayal, Additional Public Prosecutor.
For the Opposite Party:Mr. Akhileshwar Prasad Singh, Senior Advocate.
Headnote:Indian Penal Code, 1860-Sections 80, 81, 88, 92 and 93-Medical negligence-It is a matter of concern that after happening of some unfortunate event there is a tendency to put blame upon medical professionals-Changing doctor patient relationship and commercialization of modern medical practice has brought spurt in launching prosecution against medical professionals in recent times-On one hand, there can be unfavourable result of treatment and on other hand, patient/attendant suspects negligence as a cause of their suffering-Medical professionals are duly protected if action is taken in good faith-Criminal law has invariably placed medical professionals on a pedestal different from ordinary mortals-Doctor cannot be held criminally responsibile for a patient’s death unless it is shown that he/she was negligent or incompetent, with such disregard for life and safety of patient that it amounted to a crime against State. (Paras 18, 19, 20, 23 and 31)
Indian Penal Code, 1860-Sections 304-A and 420 read with Section 34-Medical negligence-Death of patient-There is vague and omnibus allegation of negligence against petitioner and anesthetist which has not been supported by independent medical expert-In absence of any medical expert report it would be unsafe to straightway draw conclusion that there is a prima facie case against petitioners for committing offence of criminal medical negligence-Minimum requirement of law as regards evidence of a competent medical expert has not been satisfied-Patient was suffering from certain ailment-He needed immediate medical attention-He was being treated by different doctors from before-Patient and his attendant had consented for operation of hernia-Petitioners are qualified doctors-Petitioner had conducted operation with assistance of an Anesthetist-Condition of patient deteriorated after operation and despite efforts taken by doctors life of patient could not be saved-It was not a case of gross medical negligence or rashness of such a degree as to indicate a mental state that can be described as totally apathetic towards patient for which petitioners could have been criminally prosecuted-There was no prima facie material against petitioners for summoning them for offence of criminal medical negligence or for offence of cheating-Criminal prosecution quashed. (Paras 18, 40 to 44)
ASHWANI KUMAR SINGH, J.
1. The petitioners, who are medical professionals, have challenged the order dated 16.07.2012 passed by the learned Sessions Judge, Bhagalpur, whereby the revision application filed by the petitioners against an order dated 15th March, 2012 passed by the learned Judicial Magistrate, 1st Class, Bhagalpur in connection with Complaint Case No. 1951 of 2009, holding that a prima facie case is made out for the offences under Sections 304-A, 420 read with 34 of the Indian Penal Code against the petitioners and one another and summoning them to face trial, has been dismissed.
2. The prosecution case, in brief, as alleged by the complainant in his written report filed before the learned Chief Judicial Magistrate, Bhagalpur with regard to an occurrence which took place on 9.3.2008 is that the complainant’s brother Pankaj Chaudhary was taken to the clinic of petitioner no. 1, Dr. Ashok Kumar Singh for treatment of his ailment. The medical history of the patient was told to him and all earlier prescriptions relating to treatment of the patient was also shown to him. After examining the patient and going through his medical history, petitioner no. 1 Dr. Ashok Kumar Singh advised him for operation of hernia. He told that he would charge Rs. 5,500/- as operation fee and the anesthetist assisting him would charge Rs. 800/- as his fee. On 8th March, 2008, the complainant paid Rs. 2,800/- to the petitioner no. 1 and promised to pay the remaining amount after operation. On 9.3.2008 at 10.00 a.m. the patient was taken to the clinic of petitioner no. 1 and on the same day, at about 4.15 p.m. he was taken to the operation theatre for operation of hernia. After a few while, the family members of the complainant heard cry of the patient and when they tried to inquire about the same, the nurse chided them. At about 6.00 p.m., the nurse told them that the operation was successful and the patient would be taken out of the operation theatre very soon. After about half an hour, when petitioner no. 2 Dr. Abha Singh was contacted by the family members of the complainant in order to inquire about the condition of the patient, she also reprimanded them, but after a few while, petitioner no. 1 told that the condition of the patient was deteriorating and a senior doctor had to be called to attend the patient. Thereafter, the family members of the complainant rushed into the operation theatre. They were shocked to see that the patient was already dead by that time. When they questioned the necessity of calling the senior doctor when the patient was already dead, they were pushed out of the clinic.
3. It has further been alleged in the complaint that the matter was reported to the police, pursuant to which, Industrial Area P.S. Case No. 12 of 2008 was registered. The anesthetist, Dr. Vikash Kumar, was arrested and taken to the police station but he was released on police bail after initial inquiry. It has been claimed that due to the medical negligence of the petitioners, the patient had died.
4. As noted above, on the basis of the written complaint submitted by the complainant to the police, Bhagalpur Industrial Area P.S. Case No. 12 of 2008, was already registered under Section 304-A of the Indian Penal Code on 9.3.2008 itself.
5. The allegations made in the first information report are verbatim the same as alleged in the present complaint petition. The police investigated the case and on completion of investigation, found the accusation to be false. Accordingly, a final report was submitted by the police in the matter.
6. During pendency of investigation of the police case, the aforementioned complaint case was filed before the learned Chief Judicial Magistrate, Bhagalpur on 20.03.2008 in the form of protest petition. While accepting the final report submitted by the police, the learned Chief Judicial Magistrate, Bhagalpur directed the protest petition to be registered as a complaint pursuant to which Complaint Case No. 1951 o