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DOCTOR'S LIABILITY UNDER CRIMINAL LAW

In India, Criminal Law is applicable on all its citizens equally. In other words, in the eyes of law, literate or illiterate, rich and poor, rural or urban, all are equal and hence a doctor is not immune. Remission by doctors in their duties and obligations and lapses left by them may give rise to criminal liabilities, the liability of being prosecuted in a Criminal Court and awarded punishment as per provision of law. Generally, doctor gives treatment for the patient's benefit in good faith applying his knowledge and experience and with consent of the patient or his attendants, so many section of Indian Penal Code would not be applicable to a doctor unless the negligence is obvious. Here if negligence of a doctor is proved, he stands to be prosecuted and the patient may get compensation also.

Following sections of Indian Penal Code (I.P.C.) are related to doctors :

  • Section 174 : Non-attendance in obedience of an order from a public servant - Whoever, being legally bound to attend in person or by an agent at a certain place and time in obedience to summons, notice, order, or proclamation proceeding from any public servant legally competent, as such public servant, to issue the same, intentionally omits to attend at that place or time or departs from the place where he is bound to attend before the time shall be punished with simple imprisonment for a term which may extend to one month, or with a fine which may extend to five hundred rupees, or with both. If the summons, notice, order, or proclamation is to attend in person or by an agent in a Court of Justice, the punishment may extend to six months imprisonment or a fine of one thousand rupees or both.
    • Illustration : A, a doctor, is legally bound to appear before a Judicial Magistrate as evidence in obedience to a summons issued by that Judicial Magistrate in connection to the trial of an accidental case treated by him in which compensation is claimed. A intentionally omits to appear. A has committed the offense defined in this section.
  • Section 175 : Omission to produce document to public servant by person legally bound to produce it- Whoever, being legally bound to produce or deliver up any document to any public servant as such, intentionally omits so to produce or deliver the same, shall be punished with simple imprisonment for a term which may extend to one month, or with fine which may extend to five hundred rupees or with both or, if the document is to be produced or delivered up to a Court of Justice, with simple imprisonment for a term which may extend to six month or with fine which may extend to one thousand rupees or with both.
    • Illustration : A, a doctor being legally bound to produce a document (ex. medical report or treatment details) in connection to a medicolegal case, before a District Court, intentionally omits to produce the same. A, has committed the offence defined in this section.

Note: In view of the above, medical professionals must maintain and keep an upto date record regarding relevant information about the patients treated by them.

  • Section 176 : Omission to give notice or information to public servant by person legally bound to give - Whoever, being legally bound to give any notice or to furnish information on any subject to any public servant, as such intentionally omits to give such notice or to furnish such information in the manner and at the time required by law, shall be punished with simple imprisonment for a term which may extend to one month, or with fine which may extend to five hundred rupees, or with both.
    • Illustration : A, a doctor does not informs the local police station under whose jurisdiction his nursing home was, regarding a medico legal gun shot case or a rape case, admitted in his nursing home, then he is liable under this section.
  • Section 179 : Refusing to answer public servant authorised to question - Whoever, being legally bound to state the truth on any subject to any public servant, refuse to answer any question demanded of him touching that subject by such public servant in the exercise of the legal powers of such public servant, shall be punished with simple imprisonment for a term which may extend to six months, or with fine which may extend to one thousand rupees or with both.
    • Note - Doctors must preserve their records, and should not omit to answer the questions put forward by a public servant, in connection to some patient treated by him or in connection to some document issued by him.
  • Section 180 : Refusing to sign statement - Whoever refuses to sign any statement made by him when required to sign that statement by a public servant, legally competent to require that he shall sign that statement, shall be punished with simple imprisonment for a term which may extend to three months or with fine which may extend to five hundred rupees or with both.
    • Note - When a doctor is summoned by a public servant to give statement in connection to an information regarding a patient treated by him, must go well prepared after having a look at the records, and should not hesitate in giving statements and signing it.
  • Section 204 : Destruction of document to prevent its production as evidence - Whoever secrets or destroys any document which he may be lawfully compelled to produce as evidence in a Court of Justice or in any proceeding lawfully held before a public servant, as such, or obliterates or renders illegible the whole or any part of such documents with the intention of preventing the same from being produced or used as evidence before such court or public servant as aforesaid or after he shall have been lawfully summoned or required to produce the same for that purpose, shall be punished with imprisonment of either description for a term which may extend to two years.
    • Note - In view of the above, medical professionals must maintain and preserve their records at least for a period of five years. Do not overwrite or change your records.
  • Section 269 : Negligent act likely to spread infection of disease dangerous to life - Whoever unlawfully or negligently does any act which is, and which he knows or has reasons to believe to be, likely to spread the infection of any disease dangerous to life shall be punished for a term which may extend to six months or with fine or with both.
    • Note - In view of the above, medical professionals must follow strictly the standards, set for treating patients suffering from dangerous diseases such as AIDS, Hepatitis etc. Such patients must be kept in isolation and handled with caution such as wearing gloves while handling and using separate new disposable syringes for giving injections.
  • Section 304 : Causing death by negligence - Whoever causes the death of any person by doing any rash or negligent act not amounting to culpable homicide shall be punished with imprisonment of either description for a term which may extend to two years, or with fine or with both.

CASE :

PRESCRIBING MEDICINE WITHOUT STUDYING POSSIBLE EFFECT WHETHER RASH AND NEGLIGENT HELD YES.

Juggan Khan Vs State of Madhya Pradesh [AIR 1965 SC 831]

Facts of the case in brief :

A registered Homoeopath administered 24 drops of tincture stramonium and a leaf of datura as a treatment for guinea worms. After taking the medicine the patient started feeling restless and ill. Various antidotes were given but she was not relieved and ultimately she died. In autopsy the cause of death was said to be ascertainable only after the result of chemical analysis. The chemical examiner reported that no poison could be detected in the contents of the stomach and the pieces of liver, spleen and kidney be sent to him. The Hon'ble Supreme Court considering the oral evidence trustworthy observed that in not system of medicine, except perhaps in the Auyurvedic system, the datura leaf is given as cure for guinea works, in Homeopathy, datura leaf is never given. The Supreme Court held that the Homoeopath, prescribed the medicine without thoroughly studying what would be the effect of giving 24 drops of stramonium and a leaf of datura. The Hon'ble Supreme Court held it is a rash and negligent act to prescribe poisonous medicine without studying their probable effect.

CASE :

THE FACT THAT A PERSON TOTALLY IGNORANT OF THE SCIENCE OF MEDICINE OR PRACTICE OF SURGERY UNDERTAKES A TREATMENT OR PERFORMS AN OPERATION IS VERY MATERIAL IN SHOWING HIS GROSS IGNORANCE AND NEGLIGENCE IN UNDERTAKING THE TREATMENT CAN BE INFERRED. WHERE THE ACCUSED, A HAKIM HAD NO KNOWLEDGE WHATSOEVER OF PENICILLIN INJECTION TREATMENT, HIS ACT OF GIVING PENICILLIN INJECTION WOULD BE CLEARLY RASH AND NEGLIGENT WITHIN THE MEANING OF SECTION 304 A I.P.C.

Dr. Khusaldas Pannadas (petitioner) Vs State of Madhya Pradesh (opponent) [AIR 1960 Madhya Pradesh 50]

Facts of the case in brief :

One Sub - Inspector, Mr. Mohite was feeling tired and exhausted at about 6.00 p.m. on 11th March, 1957, and so be sent for the petitioner, who was a Hakim registered under Section 46 of the Madhya Bharat Indian Medicines Act 1952. On arrival the petitioner examined Mohite and found that he had no temperature. He, however advised Mr. Mohite to take a procaine penicillin injection. Mohite accepted the suggestion. The petitioner then gave a penicillin injection to Mohite, who immediately after he was injected perspired profusely, vomited and died. For this negligent act case was filed before the District Court who held petitioner negligent under section 304 A and sentenced to six months rigorous imprisonment. Appeal was also rejected and hence this revision petition was filed before the Hon'ble High Court.

Hon'ble High Court after going through the material on record held it is impossible the acquit the petitioner of the offence of which he has been convicted. The applicant is a Hakim. It matters not whether he was a registered or unregistered Hakim. The question is whether he had any knowledge of penicillin treatment, of the precautions to be taken before giving a penicillin injection and of the methods of counter acting any adverse reaction of the injection. As a Hakim he clearly had no occasion to make a study of penicillin injection of for the matter of fact of any injection given in allopathic treatment. Hakim treat maladies of human beings in way totally different from that followed in allopathic treatment.

The Hon'ble Court further observed that there is no doubt Hakim and Vaidyas are legitimately entitled to exercise their profession for which they have been trained. But at the same time it is very necessary that they should not dabble in medicines and treatments of which they have no knowledge whatsoever. It is very essential that the public, especially the poorer part of the public, who very often rely upon such practitioners as medicines and injections of dangerous character.

The applicant has been sentenced to six months rigorous imprisonment. The Hon'ble Court took a liberal view on what the petitioner did was without any intention to cause harm or death to Mohite.

He acted as he thought for the benefit of the patient and so the sentence of six month's rigorous imprisonment was set aside and a fine of Rs. 500/- imposed on the applicant for the offence under Sec. 304 A I.P.C.

CASE :

Dr. V. Rugmini Vs State of Kerela [1987 Cr. L.J. 200]

Facts of the case in brief :

In this case, a pregnant women was examined by the doctor who assured that everything was normal. After the women developed labour pain again the same assurance was extended. However, contrary to the above view the women delivered a cyanosed baby and subsequently both the mother and the child died. The police registered a case under section 304A IPC and the doctor moved the Hon'ble High Court to quash the FIR. It was held that to sustain a charge of causing death by negligent act, it is necessary that death should have been the direct result of the negligent act. The broad points of the petition filed by the husband of the deceased were as under:-

  1. That the deceased died during the confinement.
  2. That the doctor examined her during the second month of her pregnancy and continued to treat her during the pregnancy.
  3. That the doctor even during her first examination diagnosed that the deceased had ventricular septal defect.
  4. That the doctor did not divulge the above defect to the patient or her husband.
  5. That the doctor assured the case to be a normal one.
  6. That the doctor never suggested that the patient be referred to a cardiologist.
  7. That due to the suppression of the above information the deceased could not get expert medical attention.
  8. That the deceased died as a consequence of the above.
  9. That the death occurred as a direct consequence of the gross and wilful negligence on the part of the doctor.

Hon'ble High Court after taking account of material on record held that the compliant disclosed sufficient averments as regards commission of the offence under section 304A I.P.C.

Result - Petition dismissed.

  • Section 312 : Causing miscarriage - Whoever voluntarily caused a women with child to miscarry, shall if such miscarriage be not caused in good faith for the purpose of saving the life of the women, be punished with imprisonment of either description for a term which may extend to three years or with fine, or with both; and if the women be quick with child, shall be punished with imprisonment of either description for a term which may extend to seven years, and shall also be liable to fine.
    • Explanation : A women who causes herself to miscarry, is within the meaning of this section.
  • Section 313 : Causing miscarriage without women's consent - Whoever commits the offence defined in the last preceding section (i.e. Sec. 312) without the consent of the women, whether the women is quick with child or not, shall be punished with imprisonment for life or with imprisonment of either description for a term which may extend to ten years and shall also be liable to fine.
  • Section 314 : Death caused by an act done with intent to cause miscarriage - Whoever, with intent to cause the miscarriage of a woman with child, does any act which cause the death of such woman shall be punished with imprisonment of either description for a term which may extend to ten years and shall also be liable to fine.
    • If act done without woman's consent - And if the act is done without the consent of the women, shall be punished either with imprisonment for life or with the punishment above mentioned.
    • Explanation - It is essential to this offence that the offender should know that the act is likely to cause death.

CASE :

Jacob George Vs State of Kerela [1994 Cr. L.J. 3851 (SC)]

Facts of the case in brief :

In this case, the deceased who desired an abortion, was admitted in the hospital of the accused, a Homoepath. She died a few hours after an operation. The evidence of a cousin of the deceased who had accompanied her to the hospital played a vital role in the entire episode supporting the prosecution case : His version as to the date and time of death was corroborated by the post-mortem report which shows that her uterus got perforated because of scientific gadget employed by the untrained accused. The defence that the deceased had tried to cause miscarriage by crude means and that she was admitted in a serious condition for emergent treatment in the hospital of the accused was belied by the accused's failure to report that matter to the police. The abortion was also not for any permissible cause. The Supreme Court held the accused guilty under section 314 of the Code and increased the amount of fine from Rs. 5000/- to Rs.1 Lakh to bring up reasonably well the child left behind by the deceased.

  • Section 315 : Act done with intent to prevent child being born alive or to cause it to die after birth - Whoever before the birth of any child does any act with the intention of thereby preventing that child from being born alive or causing it to die after his birth, and does by such act prevent that child from being born alive or causing it to die after his birth, shall if such act be not caused in good faith for the purpose of saving the life of the mother, be punished with imprisonment of either description for a term which may extend to ten years or with fine, or with both.
  • Section 316 : Causing death of quick unborn child by act amounting to culpable homicide - Whoever does not act under such circumstances, that if thereby caused death he would be guilty of culpable homicide ; and does by such act cause the death of a quick unborn child, shall be punished with imprisonment of either description for a term which may extend to ten years, and shall also be liable to fine.
  • Section 340 : Wrongful confinement - Whoever wrongfully restrains any person from proceeding beyond certain circumscribing limits is said "wrongfully to confine" that person.
    • Note - Very often patients refuses to pay fees after completion of treatment and doctor just to recover the fees does not discharge the patient or in other words wrongfully confine the patients or tries to keep some moveable property of the patient in possession. This is a crime. The only way to recover the fees is a civil suit.
  • Section 342 : Punishment for wrongful confinement - Whoever wrongfully confines any person, shall be punished with imprisonment of either description for a term which may extend to one year or with fine which may extend to one thousand rupees or with both.
  • Section 491 : Breach of contract to attend on and supply wants of helpless persons - Whoever, being bound by a lawful contract to attend on or to supply the wants of any person, who by reasons of youth or of unsoundness of mind or of a disease or bodily weakness, is helpless or incapable of providing for his own safety or of supplying his own wants, voluntarily omits so to do, shall be punished with imprisonment of either description for a term which may extend to three months or with fine which may extend to two hundred rupees or with both.
    The primary object of this provision is to bring such persons who contract to take case of infants, sick and helpless under the purview of the Criminal Law if they fail their obligation because the consequences of such failure may sometimes be disastrous.
    • Note - In view of the above, medical professional must always remain sincere and punctual in attending their patients particularly those who are very serious.

CASE :

IT WOULD NOT BE APPROPRIATE FOR CONSUMER FORUM TO CONDUCT CONCURRENT ADJUDICATION OF ISSUE OF NEGLIGENCE ON PART OF DOCTOR WHEN ISSUE WAS ALREADY PENDING ADJUDICATION BEFORE A CRIMINAL COURT.

Samar Nath Mukherjee (Appellant/Complainant) Vs Dr. Saroj Ghosh and others (Respondent/Opposite party) [2000 (3) CPR 332 Calcutta ]

Facts of the case in brief :

Complainant's wife was admitted in the nursing home of the opposite party with respiratory trouble, where despite treatment she expired. Complainant filed a complaint alleging negligence in providing treatment to deceased. Opposite party pleaded that services rendered to deceased were free of charge and thus complainant was not a consumer. Copy of bill raised by nursing home showed that nothing was charged for rendering service to deceased as she was wife of a Medical practitioner. Complainant failed to place any document to show that infact any amount was paid to nursing home or to attending physicians. As such complainant could not be said to be consumer.

A criminal case was also registered regarding this incident and issue on the same subject awaited decision. So it was held by the State Commission that is would not be appropriate for Consumer Forum to conduct a concurrent adjudication of these issues when those issues are pending adjudication before Criminal Court.

Result - Complaint dismissed.