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Supreme Court of India
Ruma Pal & C.K. Thakker, JJ.
LAXMAN THAMAPPA KOTGIRI—Appellant
versus
G.M., CENTRAL RAILWAY & ORS.—Respondents
C.A. No. 171 of 2004 @ out of SLP (C) No. 4994 of 2004—Decided on 6.1.2005

Headnote:Consumer Protection Act, 1986 Sections 12 and 17 - Medical Negligence - Tubectomy operation performed after delivery of child on wife of complainant - Patient died after 25 minutes of the operation Post mortem report showed cause of death as post operative shock - Complaint alleging post operative negligence - Hospital notes indicating that after operation the patient had become fully conscious and was responding - Tubectomy was an operation which would not be said to be a major surgery - Monitoring was necessary when there was any major surgery - Operation was uneventful both from point of Surgeon and Anesthetist - Gap of 20-25 minutes could not be said to be vital so as to impose negligence on part of doctors - Post operative shock as cause of death even could not be avoided inspite of timely treatment - No case of negligence made out. (Paras 18 to 21)

       (ii) Consumer Protection Act, 1986 - Section 2(1)(0) - Service Services rendered by Railway Hospital - Medical treatment was absolutely free for all railway employees and their dependents - Non-railway employees were liable to pay certain charges - No evidence that non· railway persons were availing paid service - Pre-dominant component was free service to employees - Adequate consideration is equally important to support claim under the Consumer Protection Act - Respondent Hospital charging nominal amount could not be said rendering service for consideration.

       (Paras 22 to 24)

       Result: Complaint dismissed.

       IMPORTANT POINT

       Adequate consideration is equally important to support the claim under the Consumer Protection Act.


ORDER

1. Leave granted.

2. The appellant is an employee of the Railway. On the ground that his wife had been negligently treated in the B.R. Ambedkar Hospital of the Central Railway (referred to as ‘the Hospital’) as a result of which she died, he filed a complaint under the Consumer Protection Act, 1986 (hereinafter referred as ‘the Act’) before the State Commission in Bombay. The State Commission came to the conclusion that the Hospital had been set up to treat Railway employees and the ‘predominant component’ of the Railway Hospital was free service to the Railway employees and not paid service to outsiders. The charges taken from the Railway employees were nominal and were with reference to the maintenance charges of the Hospital. Relying upon the decision of this Court in Indian Medical Association v. V.P. Shantha, III (1995) CPJ 1 (SC)=1995 (6) SCC 651, the State Commission came to the conclusion that even if these charges were taken into consideration the services rendered at the Railway Hospital would not come within the definition of ‘paid service’ for the purpose of the Consumer Protection Act, 1986 and, therefore, the complaint of the appellant was not maintainable.

3. The National Commission upheld this view and rejected the appeal preferred by the appellant.

4. The appellant has submitted that the decision of the Commission was erroneous as it proceeded on a misunderstanding of the scope of the decision of this Court in V.P. Shantha’s case (supra). It is submitted that V.P. Shantha’s case was a clear authority for the proposition that where medical service was rendered as part of the terms and conditions of service this would not amount to free service and would constitute service for the purposes of the Act.

5. Learned Counsel for the respondents has argued in support of the opinion expressed by the Fora under the Act and in addition has relied upon the decision of this Court in State of Orissa v. Divisional Manager, LIC and Another, 1996 (8) SCC 655, to contend that a Government servant who was granted medical facilities was in fact enjoying free service. Thus, making of a complaint by such Government servant is outside the purview of the Act.

6. There is no dispute that the Hospital in question has been set up for the purpose of granting medical treatment to the Railway employees and their dependents. Apart from the nominal charges which are taken from such an employee, this facility is part of the service conditions of the Railway employees. V.P. Shantha’s case has made a distinction between non-Governmental Hospital/nursing home where no charge whatsoever was made from any person availing of the service and all patients are given free service (vide para 55(6) at page 681, and services rendered at Government Hospital/Health Centre/Dispensary where no charge whatsoever is made from any person availing of the services and all patients are given free service [vide para 55(9)] on the one hand and service rendered to an employee and his family members by a medical practitioner or a hospital/nursing home which are given as part of the conditions of service to the employee and where the employer bears expense of the medical treatment of the employee and his family members [paragraph 55(12)] on the other. In the first two circumstances, it would not be free service within the definition of Section 2(1)(o) of the Act. In the third circumstance it would be.

7. Since it is not in dispute that the medical treatment in the said Hospital is given to employees like the appellant and his family members is part of the conditions of service of the appellant and that the Hospital is run and subsidised by the appellant’s employer, namely, the Union of India, the appellant’s case would fall within the parameters laid down in paragraph 55(12) of the judgment in V.P. Shantha’s case and not within the parameters of either para 55(6) or para 55(9) of the said case.

8. It is true that the decision in State of Orissa v. Divisional Manager, LIC







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