VARINDER KAPIL Vs. STATE OF PUNJAB
LAWS(P&H)-2011-12-50
HIGH COURT OF PUNJAB AND HARYANA
Decided on December 13,2011

Varinder Kapil (Dr.) Appellant
VERSUS
State of Punjab and Anr. Respondents

JUDGEMENT

- (1.) This petition is filed under Section 482 Criminal Procedure Code for quashing of FIR registered against the petitioner, who is a Doctor, under Section 304-A IPC. The petitioner, accordingly, has approached this Court on the ground that though proceedings against him is for medical negligence, the central requirement as laid down in Martin F. DSouza Vs. Mohd. Ishfaq, 2009 2 RCR(Cri) 64 has not been kept in view. Not only in this case but in number of other judgments, it has been viewed that for proceeding against doctor for liability of a medical negligence, opinion of Board of Directors would be an essential requirement. The Hon'ble Supreme Court has summed up the law as follows:- " 48. We sum up our conclusion as under: (1) Negligence is the breach of a duty caused by omission to do something which a reasonable man guided by those considerations which ordinarily regulate the conduct of human affairs would do, or doing something which a prudent and reasonable man would not do. The definition of negligence as given in Law of Torts, Ratanlal & Dhirajlal (edited by Justice G.P. Singh), referred to hereinabove, holds good. Negligence becomes actionable on account of injury resulting from the act or omission amounting to negligence attributable to the person sued. The essential components of negligence are three: "duty", breach and resulting damage." 2. Negligence in the context of the medical profession necessarily calls for a treatment with a difference. To infer rashness or negligence on the part of a professional, in particular a doctor additional considerations apply. A case of occupational negligence is different from one of professional negligence. A simple lack of care, an error of judgment or an accident, is not proof of negligence on the part of a medical professional. So long as a doctor follows a practice acceptable to the medical profession of that day, he cannot be held liable for negligence merely because a better alternative course or method of treatment was also available or simply because a more skilled doctor would not have chosen to follow or resort to that practice or procedure which the accused followed. When it comes to the failure of taking precautions, what has to be seen is whether those precautions were taken which the ordinary experience of men has found to be sufficient; a failure to use special or extraordinary precautions which might have prevented the particular happening cannot be the standard for judging the alleged negligence. So also, the standard of care, while assessing the practice as adopted, is judged in the light of knowledge available at the time of the incident, and not at the date of trial. Similarly, when the charge of negligence arises out of failure to use some particular equipment, the charge would fail if the equipment was not generally available at that particular time (that is, the time of the incident) at which it is suggested it should have been used. 3. A professional may be held liable for negligence on one of the two findings: either he was not possessed of the requisite skill which he professed to have possessed, or, he did not exercise, with reasonable competence in the given case, the skill which he did possess. The standard to be applied for judging, whether the person charged has been negligent or not, would be that of an ordinary competent person exercising ordinary skill in that profession. It is not possible for every professional to possess the highest level of expertise or skills in that branch which he practices. A highly skilled professional may be possessed of better qualities, but that cannot be made the basis or the yardstick for judging the performance of the professional proceeded against on indictment of negligence. 4. The test for determining medical negligence as laid down in Bolam case. WLR at p.586 holds good in its applicability in India. 5. The jurisprudential concept of negligence differs in civil and criminal law. What may be negligence in civil law may not necessarily be negligence in criminal law. For negligence to amount to an offence, the element of mens rea must be shown to exist. For an act to amount to criminal negligence, the degree of negligence should be much higher i.e. Gross or of a very high degree. Negligence which is neither gross nor of a higher degree may provide a ground for action in civil law but cannot from the basis for prosecution. 6. The word "gross" has not been used in Section 304-A IPC, yet it is settled that in criminal law negligence or recklessness, to be so held, must be of such a high degree as to be "gross". The expression "rash or negligent act" as to be "gross". The expression "rash or negligent act" as occurring in Section 304-A IPC has to be read as qualified by the word "grossly". 7. To prosecute a medical professional for negligence under criminal law it must be shown that the accused did something or failed to do something which in the given facts and circumstances no medical professional in his ordinary senses and prudence would have done or failed to do. The hazard taken by the accused doctor should be of such a nature that the injury which resulted was most likely imminent. 8. Res ipsa loquitur is only a rule of evidence and operates in the domain of civil law, specially in cases of torts and helps in determing the onus of proof in actions relating to negligence. It cannot be pressed in service for determining per se the liability for negligence within the domain of criminal law. Res ipsa loquitur has, if at all, a limited application in trial on a charge of criminal negligence."
(2.) This legal position is not in any serious dispute. Counsel for the respondent, therefore, prays that he may be given liberty to seek an opinion of the Board and then make an appropriate application for proceeding against the petitioner, if any medical negligence is made out. Liberty sought by the respondent is granted.
(3.) The present petition is disposed of with the direction to the trial Court to pend the hearing till the respondent take any action to seek constitution of Board. The Court will proceed further in the case only if it is opined by the Board that there is any medical negligence.;


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