31/10/2023
Judicial Ratio On Medical Negligence
The Hon’ble Apex Court relies and reiterates the principles laid down in the case of Jacob Mathew v. State of Punjab [(2005)
6 SCC 1 ] as regards MEDICAL NEGLIGENCE in a decision delivered on 19.10.2023 in the case of M.A. Bivji Vs Sunita and Others in Civil Appeal No. 3975 of 2018. Hon’ble Apex Court held that the three essential ingredients in determining an act of medical negligence are:
(1) a duty of care extended to the complainant,
(2.) breach of that duty of care, and
(3) resulting damage, injury or harm caused to the complainant attributable to the said breach of duty. However, a medical practitioner will be held liable for negligence only in circumstances when their conduct falls below the standards of a reasonably competent practitioner. It was further held that due to the unique circumstances and complications that arise in different individual cases, coupled with the constant advancement in the medical field and its practices, it is natural that there shall always be different opinions, including contesting views regarding the chosen line of treatment, or the course of action to be undertaken. In such circumstances, just because a doctor opts for a particular line of treatment but does not achieve the desired result, they CANNOT be held liable for negligence, provided that the said course of action undertaken was recognized as sound and relevant medical practice. This may include a procedure entailing a higher risk element as well, which was opted for after due consideration and deliberation by the doctor.
Therefore, a line of treatment undertaken should not be of a discarded or obsolete category in any circumstance. To hold a medical practitioner liable for negligence, a higher threshold limit must be met. This is to ensure that these doctors are focused on deciding the best course of treatment as per their assessment rather than being concerned about possible persecution or harassment that they may be subjected to in high-risk medical situations. Therefore, to safeguard these medical practitioners and to ensure that they are able to freely discharge their medical duty, a higher proof of burden must be fulfilled by the complainant. The complainant should be able to prove a breach of duty and the subsequent injury being attributable to the aforesaid breach as well, in order to hold a doctor liable for medical negligence. On the other hand, doctors need to establish that they had followed reasonable standards of medical practice. For details refer to the actual judgement from the Supreme Court site.