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2023 Supreme(Ori) 255

IN THE HIGH COURT OF ORISSA AT CUTTACK
R.K.PATTANAIK, J.
Saroj Kumar Mohanty And Another - Petitioners
Versus
State Of Odisha – Respondent 
CRLMC No.2222 of 2016
Decided On : 07-02-2023

Advocates Appeared:
For the Petitioner:Mr. Jaydeep Pal, Advocate
For the Respondent: Mr. Tapas Kumar Praharaj, Standing Counsel

Criminal prosecution for medical negligence requires evidence of gross negligence, not merely attendance during emergencies, and must be substantiated with expert testimony.

Headnote:(A) Criminal Procedure Code, 1973 - Section 482 - Indian Penal Code, 1860 - Section 304A read with 34 - Quashing of cognizance order - Petitioners, a pharmacist and a nurse, were charged with negligence leading to a child's death during delivery, but the court found no evidence of gross negligence. The court emphasized that mere attendance by non-doctors in emergencies does not imply negligence. (Paras 1, 10, 12)

(B) Medical Negligence - Standard of care - The court reiterated that to establish criminal negligence against medical professionals, evidence of gross negligence is required, and the absence of post-mortem diminishes the foundation of the case against the petitioners. (Paras 8.8, 10)

(C) Prosecution of professionals - The judgement underlines that for a criminal prosecution to be justified, it must be supported by expert testimony and an independent examination of the circumstances surrounding the alleged negligence. The termination of the proceeding was deemed necessary as no prima facie case was established against the petitioners. (Paras 10, 12)

Facts of the case:
The petitioners were charged after the child of the informant's wife died during delivery at their clinic, allegedly due to negligence in treatment. (Para 4)

Findings of Court:
The court found a lack of evidence supporting claims of gross negligence, ruling that the prosecution could not be sustained, and quashed the charges against the petitioners. (Paras 10, 12)

Issues: The court addressed whether the order of cognizance was sustainable based on alleged negligence and the requirement of expert testimony to support claims of medical malpractice. (Paras 5, 10)

Ratio Decidendi: The court held that to prosecute medical professionals, evidence must show gross negligence, and the mere absence of a doctor does not by itself imply negligence. (Para 10)

Result: The CRLMC stands allowed, and the cognizance order is set aside.

Table of Content
1. petitioners charged for alleged negligence. (Para 1 , 2 , 4)
2. arguments about the validity of charges laid. (Para 5 , 6)
3. importance of evidence in proving negligence. (Para 7 , 10)
4. standards for establishing medical negligence. (Para 8 , 9)
5. court's order to quash proceedings. (Para 11 , 12)

JUDGMENT :

R.K. PATTANAIK, J.

1. The instant petition under Section 482 Cr.P.C. is filed by the petitioners for quashing of the order of cognizance dated 27th April, 2015 (Annexure-2) passed in G.R. Case No.622 of 2014 by the learned S.D.J.M. (Sadar), Cuttack corresponding to Purighat P.S. Case No.49(3) dated 6th April, 2014 registered under Section 304(A) read with 34 IPC on the grounds inter alia that the same is not tenable in law.

2. Petitioner No.2 was a pharmacist whereas petitioner No.2 worked as a nurse in the clinic in question, against whom, with the allegation of negligence, a report was lodged leading to the registration of Purighat P.S. Case No.49(3) of 2014 under the alleged offence. On completion of investigation, the petitioners were chargesheeted whereupon the learned court below took cognizance of the offence under Annexure-2.

3. Heard Mr. Pal, learned counsel for the petitioners and Mr. Praharaj, learned counsel for the State-opposite party.

4. As per the allegation in the FIR, the wife of the informant was pregnant and had been admitted in the clinic and during her treatment, it is claimed that she was not properly treated at the time of delivery leading to the premature death of her child. The details of the circumstances leading to the lodging of the report have been described in the FIR with the allegation directed against the petitioners who had attended the wife of the informant. As earlier mentioned, the chargesheet (Annexure-1) was filed and thereafter, the learned court below passed the order of cognizance.

5. Mr. Pal, learned counsel for the petitioners submits that the order of cognizance under Annexure-2 is erroneous, illegal and based on no material and therefore, the same is liable to be quashed. It is further submitted that even considering the facts alleged in the FIR at its face value and statements of the witnesses recorded under Section 161 Cr.P.C., a case under Section 304 A IPC is not made out and in so far as the petitioners are concerned, they apparently acted on the advice of the Gynecologist. It is also submitted by Mr. Pal that the informant’s wife was suggested for a caesarean delivery as the condition of the baby inside her womb was critical but it was refused and request was received for normal delivery but after the delivery, the child developed complications and could not survive and died. According to Mr. Pal, learned counsel for the petitioners, there was no negligence on the part of the petitioners, so to say and that apart, no post- mortem was conducted after death of the child and hence, in absence of any material to prima facie prove and establish their negligence, they could not have been chargesheeted. It is contended that the essential ingredients of Section 304A IPC are not at all satisfied since the act of rash or negligence is not proved against the petitioners, who were on duty and acting on the advice of the Paediatric doctor. It is also claimed that as the informant was not ready and consented for caesarean delivery, the doctor on duty had suggested his wife to be discharged from the clinic and in that regard, a copy of the report (Annexure-4) is referred to. With the above submission, Mr. Pal, leaned counsel for the petitioners submits that no case of criminal negligence is established and hence, the impugned order under Annexure-2 vis- à-vis the petitioners cannot be sustained in law and thus, liable to be quashed in the interest of justice.

6. Mr. Praharaj, learned counsel for the State, on the other hand, submitted that on the complaint of the informant and later to the receipt of FIR, Purighat P.S. Case No.49(3) of 2014 was registered and after the inves

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