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Structured Summary of the Provided Opinion

Factual and Procedural Background

The petitioner is a medical practitioner employed at the Murari Hospital (a hospital run by a society registered under the Tamil Nadu Societies Registration Act). In June 1988 the third respondent's wife, Smt. Indira, was admitted to Murari Hospital in labour. The petitioner applied forceps during delivery on June 17, 1988 and the child was delivered at about 9:50 p.m. It was discovered at birth that the child's left eye was lying outside; the petitioner dressed the eye and informed the third respondent's mother-in-law. The petitioner sought to have a paediatrician retain with the hospital to examine the child, but relations of the third respondent took the child to the Children's Hospital, Egmore, Madras, on June 18, 1988.

On June 13, 1991 the third respondent (through counsel) sent a notice alleging negligence and seeking Rs. 1,10,000 as damages; the petitioner replied on July 3, 1991 denying negligence. Subsequently the third respondent filed O.P. No. 50 of 1992 before the State Consumer Disputes Redressal Commission, Madras, claiming damages for the alleged injury to the child at the time of delivery. When summons were issued in O.P. No. 50 of 1992, the petitioner filed this writ petition in this Court seeking a writ of prohibition to prevent the State Commission (second respondent) from proceeding with the complaint.

Legal Issues Presented

  1. Whether the third respondent qualifies as a "consumer" under section 2(1)(d) of the Consumer Protection Act, 1986 for the purposes of the complaint before the State Consumer Disputes Redressal Commission.
  2. Whether the services rendered by a medical practitioner (and hospitals) fall within the definition of "service" under section 2(1)(o) of the Consumer Protection Act, 1986, and consequently whether the State Commission has jurisdiction to entertain complaints alleging deficiency in such services.
  3. Whether professional services rendered by doctors should be treated as a "contract of personal service" and thus be excluded from the Act's definition of "service".
  4. Whether limitation and other factual defenses (including delay of more than three years) preclude the maintainability of the complaint before the State Commission (as asserted by the petitioner).

Arguments of the Parties

Petitioner's Arguments

  • The third respondent is not a "consumer" as defined in the Consumer Protection Act, 1986.
  • The complaint (O.P. No. 50 of 1992) was filed more than three years after the alleged negligence (i.e., after more than 3½ years) and is therefore time-barred.
  • "Professional service" is a "personal service" and is exempted from the purview of the Act; the Act excludes "contract of personal service" from the definition of "service".
  • The Act does not include appointment of persons qualified in medicine under section 16 (composition of the State Commission), implying that medical expertise is not contemplated for adjudication by consumer fora.
  • There is no privity of contract between the petitioner and the third respondent; the third respondent did not hire or avail services from the petitioner in the contractual sense, and hence the complaint is not maintainable.
  • There was no deficiency in service on the part of the petitioner.
  • Reliance was placed (by petitioner counsel) on A. S. Mittal v. State of U.P. to contend that to hold a doctor liable there must be misconduct or negligence of a particular nature.

Third Respondent's Arguments

  • The second respondent (State Commission) has jurisdiction to deal with the dispute; the contention of lack of jurisdiction is without substance.
  • If the definitions of "consumer" and "service" are read together, professional work done by a doctor falls within the purview of "service" under the Act.
  • Reliance was placed on Cosmopolitan Hospital v. Smt. Vasantha P. Nair ([1992] 1 CPR 820) to support the proposition that deficiency in performance of medical services can be remedied under the Act by filing a complaint before a consumer forum.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
A. S. Mittal v. State of U. P. Cited by petitioner's counsel to support the proposition that to hold a doctor liable there must be misconduct or negligence of a particular nature. The decision was referred to by the petitioner's counsel; the court recorded this reliance but did not accept the petitioner's broader submission that medical services are outside the Act. The court did not permit A. S. Mittal to control the finding that medical services fall within the Act's definition of "service".
Cosmopolitan Hospital v. Smt. Vasantha P. Nair ([1992] 1 CPR 820) Cited by the third respondent to support that deficiency in services rendered by doctors/hospitals can be the subject of consumer complaints under the Act. The court noted reliance on this decision by the third respondent and accepted the proposition that medical services, if deficient, can be remedied under the Act by approaching the appropriate consumer forum.

Court's Reasoning and Analysis

The Court undertook a textual and purposive reading of the Consumer Protection Act, 1986. It extracted and considered the definitions of "consumer" (section 2(1)(d)), "service" (section 2(1)(o)), and "deficiency" (section 2(1)(g)), and noted the objects and provisions of the Act (including sections 9, 12, 13 and 24) describing the consumer protection scheme and the agencies for redressal.

The Court observed that section 2(1)(o) defines "service" as "service of any description" and expressly excludes only two categories: (a) services rendered free of charge, and (b) services rendered under a contract of personal service. The Court concluded that the exclusion is narrow and that "service" otherwise includes services made available to potential users.

Addressing the petitioner's contention that professional medical services are "personal service" (and therefore excluded), the Court considered ordinary meanings and authorities relied upon by counsel. The Court noted the dictionary definition of "hire" (to "employ (person) for wages or fee...") and quoted Craies on Statute Law for the principle that clear statutory language should be given its ordinary and natural sense. Applying these principles, the Court found it incorrect to equate sophisticated professional medical services with a "contract of personal service" in the sense excluded by the Act.

The Court held that providing medical assistance for payment, whether by hospitals or members of the medical profession, falls within the scope of "service" as defined in section 2(1)(o) of the Act. Consequently, in the event of any deficiency in performance of such medical service, an aggrieved party is entitled to invoke remedies under the Act by filing a complaint before the consumer forum having jurisdiction.

The Court recognized the petitioner's factual/contention-based defenses (including limitation and alleged absence of privity or deficiency) but considered these to be matters capable of being raised and decided by the consumer forum. On jurisdictional grounds, however, the Court declined to interfere by issuing a writ of prohibition.

Holding and Implications

Final Disposition: The writ petition seeking a writ of prohibition was dismissed. DISMISSED

Implications:

  • The State Consumer Disputes Redressal Commission, Madras (the second respondent) has jurisdiction to entertain complaints alleging deficiency in medical services rendered by doctors and hospitals under the Consumer Protection Act, 1986.
  • The petitioner's contention that professional medical services are excluded as a "contract of personal service" was rejected; such professional services fall within the Act's definition of "service" except where they are free of charge or under a contract of personal service (the Court found medical services for payment to be within the Act).
  • The Court did not decide factual or limitation issues; it expressly left open the petitioner's ability to raise objections relating to limitation and other factual aspects before the consumer forum. Thus, the direct effect is that the consumer complaint (O.P. No. 50 of 1992) may proceed before the State Commission, subject to any defenses that the petitioner may successfully establish before that forum.
  • No costs were awarded. The opinion does not indicate that it establishes any new binding precedent beyond applying the Act's definitions to the facts before it; the decision affirms that medical services for payment are amenable to consumer redress under the Act.

This summary is based exclusively on the text of the provided opinion. No information beyond that text has been added or inferred.

    Dr. A. Indira Narayanan v. Government Of India And Others

    1. The prayer in this writ petition is as follows :

    ... to issue a writ of prohibition or any other appropriate writ, order or direction in the nature of a writ, prohibiting the State Consumer Disputes Redressal Commission, Madras, the second respondent herein, from proceeding with the complaint given by the third respondent herein in O. P. No. 50 of 1992 taken on its file and pass.

    2. The petitioner, who is a medical practitioner has come before this court with this writ petition, when the third respondent filed O. P. No. 50 of 1992 before the State Consumer Disputes Redressal Commission. During June, 1988, it seems that the wife of the third respondent, Smt. Indira, was admitted in the Murari Hospital with labour pain. The Murari Hospital, where the petitioner was working, was run by a society registered under the Tamil Nadu Societies Registration Act. Since the wife of the third respondent did not deliver till late in the evening (on June 17, 1988), the petitioner thought of applying forceps and the child was delivered at 9.50 p. m. by the use of forceps. It was then found out that the child had its left eye lying outside. It seems that the petitioner immediately dressed the eye and informed the third respondent's mother-in-law, that subsequently, the petitioner wanted to have the paediatrician retained with the hospital to examine the child, but the third respondent's relations who arrived on June 18, 1988, were in a hurry to take the child to the Children's Hospital, Egmore, Madras, that the third respondent through his counsel sent a notice dated June 13, 1991, alleging that the injury to the child was due to the negligence of the petitioner and that the child had been operated at the Children's Hospital, Egmore, Madras, and that the child could not speak or walk after three years and as such a sum of Rs. 1,10,000 was demanded. It is further seen that the petitioner has sent a reply on July 3, 1991, to the said notice denying the allegations of negligence and wrong handling, that in view of the above situation, the third respondent had filed a complaint in O. P. No. 50 of 1992 against the petitioner before the State Consumer Disputes Redressal Commission, Madras, claiming a sum of Rs. 1,10,000 as damages for the alleged injury caused to his child in Murari Hospital, at the time of delivery and that when the summons was issued in that O. P. No. 50 of 1992 to the petitioner, the petitioner has come to this court for the aforesaid relief.

    3. It is alleged in the affidavit filed in support of the above writ petition that the third respondent is not a "consumer" as defined by the Consumer Protection Act, 1986 (hereinafter referred to as "the Act"), that the said complaint (O. P. No. 50 of 1992) has been filed more than three years after the date of the alleged negligence on the part of the petitioner, that "professional service" is "personal service" and is exempted from the purview of the Act, that the Act does not define the words "personal service", that its meaning has got to be gathered as ordinarily understood, that section 16 of the Act provides for composition of the State Commission, that section 16 of the Act does not provide for appointment of persons qualified in medicine, or experts in medical practice, that the service rendered by a medical practitioner are of a personal nature and are excluded from the purview of the Act, that, therefore, the second respondent has no jurisdiction to entertain the complaint, that there is no privity of contract between the petitioner and the third respondent, that the third respondent did not avail of any services from the petitioner, that, therefore, the complaint before the second respondent is not maintainable in law, that the above complaint (O. P. No. 50 of 1992) has been filed after more than 3 1/2 years from the date of the alleged negligence on the part of the petitioner, that there is no deficiency in the service rendered by the petitioner, that the professional work done by the petitioner is not coming within the purview of the definition of "service" under the Act and that the medical experts have not been included under section 16 of the Act for any adjudication by the consumer forum.

    4. Though no counter-affidavits have been filed on behalf of respondents Nos. 1 and 2, the third respondent has filed a detailed counter-affidavit, wherein it is stated that there is no substance in the contention raised by the petitioner that the second respondent Commission has no jurisdiction to deal with the disputes.

    5. Mr. Krishnappan, learned counsel appearing for the petitioner, draws my attention to the Objects and Reasons for the passing of the Act. Learned counsel appearing for the petitioner also invites my attention to the definitions of the terms "consumer" and "service" made under section 2(1)(d) and (o) of the Act, respectively.

    6. Under section 2(1)(d), the term "consumer" is defined as follows :

    "'consumer' means any person, who, -

    (i) buys any goods for a consideration, which has been paid or promised or partly paid and partly promised, or under any system of deferred payment and includes any user of such goods other than the person who buys such goods for consideration paid or promised or partly paid or partly promised or under any system of deferred payment when such use is made with the approval of such person, but does not include a person who obtains such goods for resale or for any commercial purpose; or

    (ii) hires any services for a consideration which has been paid or promised or partly paid and partly promised, or under any system of deferred payment and includes any beneficiary of such services other than the person who hires the services for consideration paid or promised, or partly paid and partly promised, or under any system of deferred payment, when such services are availed of with the approval of the first mentioned person."

    7. The term "service" is defined under clause 2(1)(o) of the Act which reads as follows :

    (o)

    "'service' means service of any description which is made available to potential users and includes the provision of facilities in connection with banking, financing, insurance, transport, processing, supply of electrical or other energy, board or lodging or both, entertainment, amusement or the purveying of news or other information, but does not include the rendering of any service free of charge or under a contract of personal service."

    8. According to learned counsel for the petitioner, by no stretch of imagination, the service of a doctor comes under the definition of "service" in the Act and the medical profession is not included in the service. Relying on the decision in A. S. Mittal v. State of U. P. , learned counsel for the petitioner contended that to hold that a doctor is liable for the damages there must be a misconduct of a negligent nature. According to learned counsel, the profession of doctors will not come under the definition, i.e., service rendered by the doctors as per the definition given under section 2(1)(o) of the Act as such the second respondent will have no jurisdiction to entertain the complaint filed by the third respondent.

    9. Mr. V. Prakash, learned counsel appearing for the third respondent, refers to the various provisions of the Act. Learned counsel appearing for the third respondent contends that if the definition of the term "consumer" is read together with the definition of the term "service", it cannot be said that the professional work done by a doctor will not come within the purview of the definition of the term "service" as defined in the Act. Learned counsel appearing for the third respondent relies upon the decision in Cosmopolitan Hospital v. Smt. Vasantha P. Nair [1992] 1 CPR 820 and contends that in the event of any deficiency in the performance of the services rendered by a doctor, the aggrieved party can invoke the remedies provided under the Act by filing a complaint before the consumer forum having jurisdiction.

    10. I have carefully considered the arguments advanced by learned counsel appearing on behalf of both the parties. It is relevant to extract section 2 of the Act which gives the clue to the issue (see [1987] 61 Comp Cas (St.) 178) :

    "The Consumer Protection Bill, 1986, seeks to provide for better protection of the interests of consumers and for the purpose, to make provision for the establishment of Consumer Councils and other authorities for the settlement of consumer disputes and for matters connected therewith.

    (2) It seeks, inter alia, to promote and protect the rights of consumers such as -

    (a) the right to be protected against marketing of goods which are hazardous to life and property;

    (b) the right to be informed about the quality, quantity, potency, purity, standard and price of goods to protect the consumer against unfair trade practices;

    (c) the right to be assured, wherever possible, access to a variety of goods at competitive prices;

    (d) the right to be heard and to be assured that consumers' interests will receive due consideration at appropriate forums;

    (e) the right to seek redressal against unfair trade practices or unscrupulous exploitation of consumers; and

    (f) the right to consumer education."

    11. The term "deficiency" is defined under section 2(1)(g) of the Act which reads as follows :

    "'deficiency' means any fault, imperfection, shortcoming or inadequacy in the quality, nature and manner of performance which is required to be maintained by or under any law for the time being in force or has been undertaken to be performed by a person in pursuance of a contract or otherwise in relation to any service"
    .

    12. Section 9 of the Act which provides for the establishment of Consumer Disputes Redressal Agencies reads as follows :

    "There shall be established for the purposes of this Act, the following agencies, namely :-

    (a) a Consumer Disputes Redressal Forum to be known as the 'District Forum' established by the State Government with the prior approval of the Central Government in each district of the State by notification;

    (b) a Consumer Disputes Redressal Commission to be known as the 'State Commission' established by the State Government with the prior approval of the Central Government in the State by notification; and

    (c) a National Consumer Disputes Redressal Commission established by the Central Government by notification".

    13. Section 12 of the Act provides for the manner in which complaints shall be made. Section 12 of the Act reads as follows :

    "A complaint in relation to any goods sold or delivered or any service provided, may be filed with a District Forum by -

    (a) the consumer to whom such goods are sold or delivered or such service provided;

    (b) any recognised consumer association, whether the consumer to whom the goods were sold or delivered or service provided is a member of such association or not; or

    (c) the Central or the State Government."

    14. Section 13 of the Act prescribes the procedure on receipt of a complaint. Section 13 of the Act reads as follows :

    "(1) The District Forum shall, on receipt of a complaint, if it relates to any goods, -

    (a) refer a copy of the complaint to the opposite party mentioned in the complaint directing him to give his version of the case within a period of thirty days or such extended period not exceeding fifteen days as may be granted by the District Forum;

    (b) where the opposite party on receipt of a complaint referred to him under clause (a) denies or disputes the allegations contained in the complaint, or omits or fails to take any action to represent his case within the time given by the District Forum, the District Forum shall proceed to settle the consumer dispute..."

    15. Section 24 of the Act refers to the finality of orders. Section 24 of the Act reads as follows :

    "Every order of a District Forum, State Commission or the National Commission shall, if no appeal has been preferred against such order under the provisions of this Act, be final"
    .

    16. In my view, a combined reading of clause (g) and (o) of section 2(1) will clearly show that the definition "service" includes the services rendered by a doctor also. The expression service has been defined in section 2(1)(o) of the Act as meaning "service of any description". The only two categories of service exempted from the purview of the Act under the said definition are "service rendered free of charge" or under a contract of personal service. If the definition of the term "service" is read with the definition of the term "consumer" which occurs in section 2(1)(d) of the Act (extracted above), I have no hesitation to hold that the services rendered by a doctor are basically professional service and, therefore, it will be incorrect to call the sophisticated high class professional service as "personal service". Further, the meaning of the word "hire" is given in the Concise Oxford Dictionary (New VII Edition) in the following terms :

    "employ (person) for wages or fee, procure (from person) grant (out to person), temporary use of (thing) for stipulated payment; borrow (money) girl or man, domestic servant esp. on farm...."

    17. In Craies on Statute Law (VIIth edition) it is seen if meaning is plain, consequences to be disregarded, construction according to intention is provided as hereunder (at p. 64) :

    "The cardinal rule for the construction of Acts of Parliament is that they should be construed according to the intention expressed in the Acts themselves. If the words of the statute are themselves precise and unambiguous, then no more can be necessary than to expound those words in their ordinary and natural sense. The words themselves alone do in such a case best declare the intention of the lawgiver. The tribunal that has to construe an Act of a Legislature, or indeed any other document, has to determine the intention as expressed by the words used. And in order to understand these words it is natural to inquire what is the subject matter with respect to which they are used and the object in view. In 1953, Lord Goddard C. J. said : 'A certain amount of common sense must be applied in construing statutes. The object of the Act has to be considered.

    Where the language of an Act is clear and explicit, we must give effect to it, whatever may be the consequences, for in that case the words of the statute speak the intention of the Legislature'."

    18. Therefore, the contention of Mr. Prakash, learned counsel appearing for the third respondent, that the second respondent has jurisdiction to entertain the complaint preferred by the third respondent, has to be accepted. I do not think that the professional service is a personal service and that the same is exempted from the purview of the Act. I have no hesitation to hold that the activity of providing medical assistance for payment carried on by hospitals and members of the medical profession falls within the scope of the expression "service" as defined in section 2(1)(o) of the Act and that in the event of any deficiency in the performance of such service the aggrieved party can invoke the remedies provided under the Act by filing a complaint before the consumer forum having jurisdiction.

    19. In view of the above reasoning, I do not think that a writ of prohibition as sought by for the petitioner can be issued in this case. In the result, this writ petition fails and the same shall stand dismissed. However, it is open to the petitioner to raise his objections with regard to the limitation and other factual aspects of the case before the consumer forum. No costs.

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    Dr. A. Indira Narayanan v. Government Of India And Others
    (Mar 28, 1993)