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2026 Supreme(Online)(SCDRC) 2064

STATE CONSUMER DISPUTES REDRESSAL COMMISSION
Sangita Dhingra Sehgal, President, Pinki, Judicial Member
Sachin – Appellant
Versus
Fortis, Flt. Lt. Rajan Dhall Hospital – Respondent
CONSUMER COMPLAINT CASE NO.174/2015



Advocates:
For the Appellants/Petitioners: Dhruv Kumar
For the Respondents: M. Malika Chaudhuri

A hospital owes a non-delegable duty of care to its patients; failure to implement recommended specialized treatment due to administrative or logistical issues (such as non-availability of equipment) constitutes medical negligence, regardless of whether attendants failed to procure said equipment.

Headnote:(A) Consumer Protection - Medical Negligence - Deficiency in Service - Failure to follow specialist advice - Failure to implement VAC dressing for Grade IV bedsores - Hospital's liability for administrative and logistical failures - Held, hospital cannot shift duty of care to attendants. (Paras 14, 15, 27)

(B) Compensation - Quantum - Reimbursement of actual medical expenses - When negligence causes prolonged suffering and death, compensation must cover pain and suffering, mental agony, and litigation costs - Awarded compensation of Rs.47,74,467/- as reimbursement of expenses and Rs.10,00,000/- as compensation with Rs.50,000/- litigation costs. (Paras 38, 53, 55)

Facts of the case:
The complainant's father was admitted to the hospital following a severe road traffic accident. During his 73-day treatment, he developed Grade-IV bedsores. Despite a plastic surgeon's explicit advice for VAC dressing, the hospital failed to provide it, citing logistical unavailability and lack of attendant consent, eventually discharging the patient without ensuring the prescribed treatment. The patient passed away shortly thereafter. The complainant alleged medical negligence against the hospital and treating doctors.

Findings of Court:
The court observed that the hospital failed to provide established standard care by not complying with the plastic surgeon's recommendation. The defense regarding logistical issues and unavailability of equipment is rejected as the responsibility of hospital administration. The court ordered reimbursement of proven medical costs, compensation for pain, suffering, and mental agony, along with litigation costs.

Issues: 1. Whether non-implementation of an advised medical procedure due to logistical/administrative constraints constitutes medical negligence. 2. Whether a hospital can discharge a patient without ensuring the prescribed treatment because the attendant failed to consent to or procure external aid.

Ratio Decidendi: Once a hospital undertakes the treatment of a patient, it assumes a non-delegable and absolute duty of care. Administrative failures, infrastructural constraints, or the unavailability of equipment cannot be used as a shield against medical negligence. Failure to follow a chosen line of treatment with due diligence or failing to ensure continuity of care renders the hospital liable.

Result: Complaint allowed and compensation awarded.

Table of Content
1. allegation of medical negligence and deficiency in service. (Para 1 , 2 , 3)
2. hospital's defense citing lack of consent and availability of resources. (Para 4 , 5 , 6)
3. hospital owes a non-delegable duty of care to patients. (Para 7 , 8 , 9 , 10 , 11 , 12)
4. administrative or logistical constraints do not absolve liability for medical negligence. (Para 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22)
5. standard practice for grade iv bedsores and implications of ignoring specialist advice. (Para 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30)
6. reimbursement of proven medical expenses due to hospital negligence. (Para 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38)
7. criteria and principles for awarding compensation for prolonged suffering and death. (Para 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52)
8. final award of compensation and litigation costs. (Para 53 , 54 , 55 , 56 , 57 , 58)

CORAM:

HON’BLE JUSTICE SANGITA DHINGRA SEHGAL, PRESIDENT

HON’BLE MS PINKI, MEMBER (JUDICIAL)

JUDGMENT

1. The present complaint has been filed by the Complainant before this Commission alleging medical negligence, deficiency in service and unfair trade practices by the Opposite Party and has prayed the following reliefs:

(i) Direct the Opposite Parties to pay a sum of Rs.75,00,000/- as compensation amount in favour of the Complainant and against the Opposite Parties, in the interest of justice.

2. The brief facts necessary for the adjudication of the present complaint are that the Complainant is the son of the deceased Suresh Kumar, who met with multiple grievous injuries in a road side accident occurred at about 10.45 PM on dated 07.03.2014 against which the FIR bearing No.211/2014 was registered at PS Vasant Vihar.

3. It is stated that the father of the complainant was admitted for treatment at OP No.1 hospital and the treatment was preferred by OP No.3 to 5. It is stated that during the period of treatment, the father of the Complainant developed Grade -II decubitus ulcer (Bedsore) for which the dressing was done every day and opinion of a Plastic Surgeon was also sought. The Plastic Surgeon advised VAC dressing; however, no such dressing was done by the concerned doctor of the OP No.1 Hospital and the patient was discharged without any advice. It is stated that due to the said negligence, carelessness and maltreatment of Opposite Party No. 3 to 5 the condition of the patient was gradually deteriorated. It is further stated that due to ill treatment, ultimately the father of the Complainant expired on 05.10.2014. It is stated that life of the patient might have been saved if the hospital authority alongwith the concern doctor had been treated the patient by their devotedness. It is stated that an amount of Rs.70,00,000/- has been spent on the treatment of the deceased. Therefore, OP Nos. 1 to 5 are severally and jointly liable to pay the amount as prayed for, by the complainant.

4. A perusal of record shows that upon notice the OP Nos.1, 3 to 5 filed their joint written statement, wherein, inter-alia, while admitting the admission and treatment of the father of the Complainant to OP No.1 hospital, The OPs stated that the patient Suresh Kumar was admitted with severe brain and chest injuries in an unconscious state with multiple rib fractures, hemopneumothorax and a flail chest, which were due to a road traffic accident. It is stated that he developed infection in brain and chest and required a ventriculo-peritoneal shunt to divert the cerebrospinal fluid as there was obstruction to its flow. After undergoing rigorous and lifesaving treatment for 73 days he was discharged on 20.05.2014. The patient was again admitted on 23.06.2014 for de-canulation of tracheotomy tube and was discharged on 24.06.2014. He was again admitted in emergency due to an episode of seizure on 28.06.2014 and appropriate treatment was given to manage the medical condition and to stabilize him. It is stated that the patient had grade IV bedsore when

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