<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/'><id>tag:blogger.com,1999:blog-10594388</id><updated>2008-05-09T19:35:10.739+05:30</updated><title type='text'>Medical, Legal, Medicolegal Information for Doctors and Lawyers</title><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/'/><link rel='next' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default?start-index=26&amp;max-results=25'/><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default'/><author><name>Doctor Bruno</name><email>noreply@blogger.com</email></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>148</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-10594388.post-2210775893126557475</id><published>2008-05-09T19:33:00.000+05:30</published><updated>2008-05-09T19:35:10.821+05:30</updated><title type='text'>`Creamy layer': court notice to Tamil Nadu</title><content type='html'>http://www.thehindu.com/2006/09/12/stories/2006091204371300.htm&lt;br /&gt;&lt;br /&gt;&lt;i&gt; ``Only State yet to identify it'' &lt;/i&gt;&lt;p align="justify"&gt;                         &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;hr color="lightblue" noshade="noshade"&gt;&lt;i&gt;                              &lt;/i&gt;&lt;table width="800"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td valign="top" width="448"&gt;&lt;p&gt;&lt;table bgcolor="#d0f0ff" border="0" width="100%"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&lt;br /&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/p&gt;&lt;li&gt;&lt;i&gt;Tamil Nadu has not followed the directions contained in a Supreme Court judgment  &lt;/i&gt;&lt;/li&gt;&lt;li&gt;&lt;i&gt;Benefits of reservation not passed on to really deserving persons &lt;/i&gt;&lt;hr color="lightblue" noshade="noshade"&gt;                             &lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;p align="justify"&gt; NEW DELHI: The Supreme Court on Monday issued notice to the Tamil Nadu Government on a public interest litigation petition that sought a direction to implement the Court's directions in the 1992 Mandal judgment, viz. to identify and exclude the "creamy layer" from among the backward class communities in the State. &lt;/p&gt;&lt;p align="justify"&gt; A Bench of Justices A.K. Mathur and Altamas Kabir issued the notice after hearing senior counsel K.M. Vijayan. He submitted that Tamil Nadu was the only State, which was yet to identify the "creamy layer" as per the Mandal judgment. &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                 Binding on Government &lt;/span&gt;&lt;/p&gt;&lt;p align="justify"&gt;&lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                                            &lt;/span&gt;                                                      &lt;/p&gt;&lt;p align="justify"&gt; In its petition, Voice (Consumer Care) Council said that as per the Mandal judgment, the Centre, States and Union Territories were directed to constitute a permanent body to entertain, examine and recommend for inclusion and complaints of over/under inclusion in the lists of the other backward classes. &lt;/p&gt;&lt;p align="justify"&gt;                                            The advice tendered by such body would be binding on the government.  &lt;/p&gt;&lt;p align="justify"&gt; The petitioner said Tamil Nadu had not followed the directions contained in the judgment, though many years had passed. The benefits of reservation to the backward classes had been continued to them in education and in appointments to State services, without excluding the "creamy layer" and such benefits of reservation had not been passed on to the really deserved persons belonging to such backward classes. &lt;/p&gt;&lt;p align="justify"&gt; The petitioner contended that Tamil Nadu, by not identifying the creamy layer for more than a decade, had literally affected the reservation of the needy lower strata of society. &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                 "Great injustice" &lt;/span&gt;&lt;/p&gt;&lt;p align="justify"&gt;&lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                                            &lt;/span&gt;                                                      &lt;/p&gt;&lt;p align="justify"&gt; The State had done great injustice to the really backward class citizens, as all the affluent classes in such backward class communities were taking away the reservation benefits. &lt;/p&gt;&lt;p align="justify"&gt; The petitioner said that if reservation were provided without removing the "creamy layer" it would have a counter effect on the very basis of the Constitutional right. &lt;/p&gt;&lt;p align="justify"&gt; The petitioner said that it must be noted that in Tamil Nadu majority of the castes had been included in the backward classes list. &lt;/p&gt;&lt;p align="justify"&gt;                                            As a result, the backward classes got a major portion of the seats in professional colleges, as well as in employment. &lt;/p&gt;&lt;p align="justify"&gt; It sought a direction to Tamil Nadu to identify and exclude the "creamy layer" and consequently exclude them from the benefit of reservation.&lt;/p&gt;&lt;/li&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/05/creamy-layer-court-notice-to-tamil-nadu.html' title='`Creamy layer&apos;: court notice to Tamil Nadu'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=2210775893126557475' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/2210775893126557475/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/2210775893126557475'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/2210775893126557475'/><author><name>புருனோ Bruno</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-250398304322822102</id><published>2008-04-10T14:45:00.000+05:30</published><updated>2008-04-10T14:47:00.099+05:30</updated><category scheme='http://www.blogger.com/atom/ns#' term='Supreme_Court'/><title type='text'>SC gives nod to 27 per cent quota for OBCs</title><content type='html'>In a major boost to reservation, the Supreme Court on Thursday upheld the Constitution amendment law providing for 27 per cent quota for Other Backward Classes in IITs, IIMs and other Central educational institutions, but excluded the creamy layer from the benefit.&lt;br /&gt;&lt;br /&gt;A five-judge Constitution bench cleared the Central Educational Institutions (Reservation in Admission) Act, 2006 providing for the quota, by a unanimous verdict.&lt;br /&gt;&lt;br /&gt;The bench headed by Chief Justice K G Balakrishnan excluded the creamy layer among the OBCs from the quota benefit.&lt;br /&gt;&lt;br /&gt;The court held that the Act does not violate the basic structure of the Constitution.&lt;br /&gt;&lt;br /&gt;The verdict came on a bunch of petitions by anti-quota activists challenging the Act. They vehemently opposed government's move saying caste cannot be the starting point for identifying backward classes.&lt;br /&gt;&lt;br /&gt;The inclusion of creamy layer in the reservation policy was also questioned by the anti-quota petitioners.&lt;br /&gt;&lt;br /&gt;With this judgment, the interim order of March 29, 2007 staying the implementation of the Act has been lifted.&lt;br /&gt;&lt;br /&gt;In effect, the reservation policy can be put in place for the 2008-09 academic session.&lt;br /&gt;&lt;br /&gt;The court held that the Constitution (93rd Amendment) Act, under which the government came out with the law providing 27 per cent quota in Centrally-aided institutions, was not violative of the basic structure of the Constitution.&lt;br /&gt;&lt;br /&gt;All judges favoured periodic revision on the implementation of the 27 per cent quota.&lt;br /&gt;&lt;br /&gt;The court ruled that the delegation of power to the Centre to determine OBCs was valid.&lt;br /&gt;&lt;br /&gt;The parameter applied for identifying the creamy layer among the OBCs for jobs as per the office memorandum of September 8, 1993, will be applicable, the court said.&lt;br /&gt;&lt;br /&gt;It also held as valid the exclusion of minority institutions from the ambit of quota under the Act.&lt;br /&gt;&lt;br /&gt;Besides the Chief Justice, the bench comprised Justices Arijit Pasayat, C K Thakker, R V Raveendran and Dalveer Bhandari.</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/04/sc-gives-nod-to-27-per-cent-quota-for.html' title='SC gives nod to 27 per cent quota for OBCs'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=250398304322822102' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/250398304322822102/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/250398304322822102'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/250398304322822102'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-5468646863681106809</id><published>2008-03-17T14:11:00.000+05:30</published><updated>2008-03-17T14:12:57.059+05:30</updated><category scheme='http://www.blogger.com/atom/ns#' term='Regularization'/><category scheme='http://www.blogger.com/atom/ns#' term='Regularisation'/><category scheme='http://www.blogger.com/atom/ns#' term='Contract'/><title type='text'>Contract Staff need not be regularised and cannot claim regularisation</title><content type='html'>CASE NO.:&lt;br /&gt;Appeal (civil)  6337 of 2003&lt;br /&gt;&lt;br /&gt;PETITIONER:&lt;br /&gt;National Fertilizers Ltd. &amp; Ors.&lt;br /&gt;&lt;br /&gt;RESPONDENT:&lt;br /&gt;Somvir Singh&lt;br /&gt;&lt;br /&gt;DATE OF JUDGMENT: 12/05/2006&lt;br /&gt;&lt;br /&gt;BENCH:&lt;br /&gt;S.B. Sinha &amp; P.P. Naolekar&lt;br /&gt;&lt;br /&gt;JUDGMENT:&lt;br /&gt;J U D G M E N T&lt;br /&gt;&lt;br /&gt;W I T H&lt;br /&gt;CIVIL APPEAL NOS. 464, 465, 466, 467 of 2004 AND 7575 of 2005 &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;S.B. SINHA, J  :&lt;br /&gt;  &lt;br /&gt;  The Appellant is a Government Company.  It is a public sector &lt;br /&gt;undertaking.  It is a 'State' within the meaning of Article 12 of the &lt;br /&gt;Constitution of India.  A policy decision was taken by the Appellant not &lt;br /&gt;to make any further recruitment in Marketing Division in any category of &lt;br /&gt;post stating:&lt;br /&gt;&lt;br /&gt;"It has been decided that with immediate effect the &lt;br /&gt;strength of the Marketing Division be pagged to the &lt;br /&gt;number of individuals in position in the Marketing &lt;br /&gt;Division as on 31.03.1998.  It has also been decided &lt;br /&gt;that no further recruitment be made in the Marketing &lt;br /&gt;Division in any category of post.  However, as and &lt;br /&gt;when if any post is required to be filled up in any &lt;br /&gt;category due to exigencies of work, the approval of &lt;br /&gt;D(F)/MD be obtained and the paper routed through &lt;br /&gt;the Corporate Office Personnel Department."&lt;br /&gt;&lt;br /&gt;  Despite such ban the Respondents had been appointed.  Before &lt;br /&gt;such appointment the employment exchange was not intimated about the &lt;br /&gt;vacancy in terms of the provisions of Employment Exchange &lt;br /&gt;(Compulsory Notification of Vacancies) Act, 1959 (for short "the 1959 &lt;br /&gt;Act").  Admittedly, no advertisement was also issued. According to the &lt;br /&gt;Respondent, he worked at the Shimla Office of the Appellant for a period &lt;br /&gt;of six months and, thus, he was entitled for recruitment in terms of Rule &lt;br /&gt;1.5(g) of the Recruitment and Promotion Rules.  Rule 1.5(g) of the Rules &lt;br /&gt;does not envisage regular recruitment but a recruitment on a contractual &lt;br /&gt;basis.  The Respondent, thus, on his own showing was appointed on a &lt;br /&gt;contractual basis.  It is trite that a person who obtained recruitment on &lt;br /&gt;contractual basis cannot claim regularisation in service.   The &lt;br /&gt;Respondents herein filed applications for their recruitment without any &lt;br /&gt;vacancy having been notified.  They were said to have been interviewed &lt;br /&gt;on 24.3.1991 by a purported Committee constituted by the General &lt;br /&gt;Manager.  Appointment letters were issued on or about 9.4.1991.  An &lt;br /&gt;advertisement was admittedly issued only on 30.11.1993 for the post of &lt;br /&gt;Peon-cum-Messenger.&lt;br /&gt;&lt;br /&gt;  The Appellant in the year 1994, however, took a decision to fill up &lt;br /&gt;the posts in the Marketing Division inter alia stating:&lt;br /&gt;&lt;br /&gt;"During the coordination committee meeting held in &lt;br /&gt;October 1994, at C.O. the recognized union of &lt;br /&gt;marketing division requested for removal of ban in &lt;br /&gt;filling up vacant posts in marketing division. It was &lt;br /&gt;agreed that action to fill up the vacant posts in &lt;br /&gt;marketing division will be taken by marketing &lt;br /&gt;division, keeping in view the recruitments within the &lt;br /&gt;overall manpower strength."&lt;br /&gt;&lt;br /&gt;  Actions were initiated to fill up the vacant posts on permanent &lt;br /&gt;status by following the recruitment procedure.  The Respondents were &lt;br /&gt;also granted an opportunity to file applications thereagainst.  Relaxation &lt;br /&gt;of age to the extent of their services as temporary employees had also &lt;br /&gt;been granted.&lt;br /&gt;&lt;br /&gt;  The Appellant has framed its own Recruitment and Promotion &lt;br /&gt;Rules.  The recruitment of an employee is governed by the said Rules.  &lt;br /&gt;The terms and conditions of services are also governed by the same &lt;br /&gt;Rules.  In terms of Rule 1.5 of the said Rules, recruitment of various &lt;br /&gt;posts were to be made inter alia from the following sources:&lt;br /&gt;&lt;br /&gt;(a) Employment Exchange as per the provisions of the 1959 Act.&lt;br /&gt;(b) Zila Saink Boards Director General Resettlement.&lt;br /&gt;(c) Direct Recruitment by advertisement.&lt;br /&gt;&lt;br /&gt;  Rule 1.6.1 provides for method and procedure for recruitment in &lt;br /&gt;terms whereof all posts in the scale of pay of Rs. 1560-2160 is required to &lt;br /&gt;be considered as 'corporate level'.  Direct recruitment can be resorted to &lt;br /&gt;only when no suitable candidate for promotion was available in the &lt;br /&gt;appropriate rank.  Rule 1.6.8 provides for the mode and manner in which &lt;br /&gt;the advertisement is to be issued.  Rule 1.6.9 provides for reservation.  &lt;br /&gt;The manner in which Selection Committee has to be constituted has been &lt;br /&gt;laid down in paragraph 1.11.  Such Selection Committee inter alia must &lt;br /&gt;consist of two members from the discipline for which recruitment is to be &lt;br /&gt;made apart from an officer from the Personnel Department as Member &lt;br /&gt;Secretary.  In the event, a selection is to be made for reserved category, &lt;br /&gt;an officer of appropriate status belonging to SC/ST will be included as a &lt;br /&gt;member.  In a case of recruitment to Group C &amp; D posts, a member &lt;br /&gt;representing minority community will also be associated in the selection &lt;br /&gt;committee.  The matter relating to interview is provided for in paragraph &lt;br /&gt;12.1.  Appointments are to be made in terms of paragraph 1.13.&lt;br /&gt;&lt;br /&gt;  The said Rules, therefore, lay down in great details as to how and &lt;br /&gt;in what manner the selection process was to be initiated, the minimum &lt;br /&gt;qualification therefor, the constitution of Selection Committee and other &lt;br /&gt;relevant factors.&lt;br /&gt;&lt;br /&gt;  It is not in dispute that the Respondents herein were appointed &lt;br /&gt;without any advertisements and without any intimation to the &lt;br /&gt;employment exchange.  Appointments are said to be made at the instance &lt;br /&gt;of two officers.  Only after retirement of the said officers, writ petitions &lt;br /&gt;were filed before several High Courts including Chhattisgarh, Punjab and &lt;br /&gt;Haryana, Himachala Pradesh, Delhi, Madhya Pradesh and Rajasthan.&lt;br /&gt;&lt;br /&gt;  The writ petitions involved 52 employees.  Different views were &lt;br /&gt;expressed by different High Courts.  &lt;br /&gt;&lt;br /&gt;  The writ petitions filed by the Respondents were allowed directing &lt;br /&gt;the Appellant to regularise the services of the Respondents to pay them &lt;br /&gt;all monetary benefits in terms of the appointment letters.&lt;br /&gt;&lt;br /&gt;  Mr. Bhaskar P. Gupta, learned senior counsel appearing on behalf &lt;br /&gt;of the Appellant submitted that the matter relating to regularisation of &lt;br /&gt;services recruited on ad hoc basis is no longer res integra in view of the &lt;br /&gt;recent Constitution Bench decision of this Court in Secretary, State of &lt;br /&gt;Karnataka and Others v. Umadevi and Others [2006 (4) SCALE 197].&lt;br /&gt;&lt;br /&gt;  Mr. Ashok Mathur, learned counsel appearing on behalf of the &lt;br /&gt;Respondents, on the other hand, submitted that the appointments of the &lt;br /&gt;Respondents may be irregular but not illegal and in that view of the &lt;br /&gt;matter, the impugned judgments need not be interfered with. &lt;br /&gt;  The Respondents herein were appointed only on applications made &lt;br /&gt;by them.  Admittedly, no advertisement was issued in a newspaper nor &lt;br /&gt;the employment exchange was notified as regard existence of vacancies.  &lt;br /&gt;It is now trite law that a 'State' within the meaning of Article 12 of the &lt;br /&gt;Constitution of India is bound to comply with the constitutional &lt;br /&gt;requirements as adumbrated in Articles 14 and 16 thereof.  When &lt;br /&gt;Recruitment Rules are made, the employer would be bound to comply &lt;br /&gt;with the same.  Any appointment in violation of such Rules would render &lt;br /&gt;them as nullities.  It is also well-settled that no recruitment should be &lt;br /&gt;permitted to be made through backdoor.&lt;br /&gt;&lt;br /&gt;  It was contended that for Class IV employees, the Employment &lt;br /&gt;Exchanges were not required to be notified in view of Section 3(1)(d) of &lt;br /&gt;the 1959 Act.  Section 3(1)(d) of the 1959 Act reads as under:&lt;br /&gt;&lt;br /&gt;"3. Act not to apply in relation to certain vacancies &lt;br /&gt; (1) This Act shall not apply in relation to &lt;br /&gt;vacancies  &lt;br /&gt;(a) ***&lt;br /&gt;(b) ***&lt;br /&gt;(c) ***&lt;br /&gt;(d) in any employment to do unskilled office &lt;br /&gt;work;"&lt;br /&gt;&lt;br /&gt;  Such a plea does not appear to have been raised before the High &lt;br /&gt;Court.  The question as regards the nature of duties required to be &lt;br /&gt;performed by the Respondents having not been raised.  No material was &lt;br /&gt;placed by the employer to show as to whether the job of the Respondents &lt;br /&gt;was within the purview of the aforementioned provision.  The &lt;br /&gt;Respondents themselves stated that they raised the question of &lt;br /&gt;applicability of the said provision of the Act in a suit filed at Jagadhri &lt;br /&gt;when another person was appointed as Peon-cum-Messenger.  It, &lt;br /&gt;therefore, cannot be said that they were not aware of the statutory &lt;br /&gt;provisions contained in the said suit.&lt;br /&gt;&lt;br /&gt; The order of ban suggests that if any appointment was to be made &lt;br /&gt;due to exigencies of work, the approval of the Director (Finance) or &lt;br /&gt;Managing Director was to be obtained and the paper routed in respect &lt;br /&gt;thereof should be through the corporate office.  The Respondents contend &lt;br /&gt;that as at the point of time the Managing Director, Shri S.S. Jain had been &lt;br /&gt;placed under suspension, the file was placed before the General Manager &lt;br /&gt;(Marketing).  The said plea cannot be accepted for more than one reason.  &lt;br /&gt;If the regular incumbent or the Managing Director was placed under &lt;br /&gt;suspension, somebody else must be incharge of the said post.  &lt;br /&gt;Furthermore, the file could be placed before the Director (Finance).  The &lt;br /&gt;General Manager by no stretch of imagination could accord approval for &lt;br /&gt;appointment.&lt;br /&gt;&lt;br /&gt;  Submission of the learned counsel appearing on behalf of the &lt;br /&gt;Respondents to the effect that the ban was only on paper is not a matter &lt;br /&gt;which would fall for consideration of this Court inasmuch as it is not in &lt;br /&gt;dispute that the ban was lifted only on 16.12.1994.  On what premise, an &lt;br /&gt;advertisement was issued on 30.11.1993 is not known.  It is not the case &lt;br /&gt;of the Respondent that despite existence of ban some other workman was &lt;br /&gt;appointed prior to the lifting thereof.  Even if, recruitments have been &lt;br /&gt;made illegally, the Respondents cannot claim any legal right on the basis &lt;br /&gt;thereof.&lt;br /&gt;&lt;br /&gt;  Regularisation, furthermore, is not a mode of appointment.  If &lt;br /&gt;appointment is made without following the Rules, the same being a &lt;br /&gt;nullity the question of confirmation of an employee upon the expiry of &lt;br /&gt;the purported period of probation would not arise.  The Constitution &lt;br /&gt;Bench in Umadevi (supra) made a detailed survey of the case laws &lt;br /&gt;operating in the field.&lt;br /&gt;&lt;br /&gt;  The referral order to the Constitution Bench was made by a 3-&lt;br /&gt;Judge Bench of this Court stating:&lt;br /&gt;&lt;br /&gt;"1. Apart from the conflicting opinions between &lt;br /&gt;the three Judges' Bench decisions in Ashwani Kumar &lt;br /&gt;and Ors. Vs. State of Bihar and Ors., reported in &lt;br /&gt;1997 (2) SCC 1, State of Haryana and Ors vs., Piara &lt;br /&gt;Singh and Ors. Reported in 1992 (4) SCC 118 and &lt;br /&gt;Dharwad Distt. P.W.D. Literate &lt;br /&gt;Daily Wage Employees Association and Ors. Vs. &lt;br /&gt;State of Karnataka and Ors. Reported in 1990 (2) &lt;br /&gt;SCC 396, on the one hand and State of Himachal &lt;br /&gt;Pradesh vs. Suresh Kumar Verma and Anr., reported &lt;br /&gt;in AIR 1996 SC 1565, State of  Punjab vs. &lt;br /&gt;Surinder Kumar and Ors. Reported in AIR 1992 SC &lt;br /&gt;1593, and  B.N. Nagarajan and Ors. Vs. State of &lt;br /&gt;Karnataka and Ors., reported in 1979 (4) SCC 507 &lt;br /&gt;on the other, which has been brought out in one of &lt;br /&gt;the judgments under appeal of Karnataka High Court &lt;br /&gt;in State of Karnataka vs. H. Ganesh Rao, decided on &lt;br /&gt;1.6.2000, reported in 2001 (4) Karnataka Law &lt;br /&gt;Journal 466, learned Additional Solicitor General &lt;br /&gt;urged that the scheme for regularization is repugnant &lt;br /&gt;to Articles 16(4), 309, 320 and 335 of the &lt;br /&gt;Constitution of India and, therefore, these cases are &lt;br /&gt;required to be heard by a Bench of Five learned &lt;br /&gt;Judges (Constitution Bench).&lt;br /&gt;&lt;br /&gt;2. On the other hand, Mr. M.C. Bhandare, &lt;br /&gt;learned senior counsel, appearing for the employees &lt;br /&gt;urged that such a scheme for regularization is &lt;br /&gt;consistent with the provision of Articles 14 and 21 of &lt;br /&gt;the Constitution.&lt;br /&gt;&lt;br /&gt;3. Mr. V. Lakshmi Narayan, learned counsel, &lt;br /&gt;appearing in CC Nos.109-498 of 2003, has filed the &lt;br /&gt;G.O. dated 19.7.2002 and submitted that orders have &lt;br /&gt;already been implemented.&lt;br /&gt;&lt;br /&gt;4. After having found that there is conflict of &lt;br /&gt;opinion between three Judges Bench decisions of &lt;br /&gt;this Court, we are of the view that these cases are &lt;br /&gt;required to be heard by a  Bench of five learned &lt;br /&gt;Judges.&lt;br /&gt;5. Let these matters be placed before Hon'ble the &lt;br /&gt;Chief Justice for appropriate orders."&lt;br /&gt;&lt;br /&gt;  The Constitution Bench opined that any appointment made in &lt;br /&gt;violation of the Recruitment Rules as also in violation of Articles 14 and &lt;br /&gt;16 of the Constitution would be nullity.  The contention raised on behalf &lt;br /&gt;of the employees that those temporary or ad hoc employees who had &lt;br /&gt;continued for a fairly long spell, the authorities must consider their cases &lt;br /&gt;for regularisation was answered, thus:&lt;br /&gt;&lt;br /&gt;"With respect, why should the State be allowed to &lt;br /&gt;depart from the normal rule and indulge in &lt;br /&gt;temporary employment in permanent posts?  This &lt;br /&gt;Court, in our view, is bound to insist on the State &lt;br /&gt;making regular and proper recruitments and is bound &lt;br /&gt;not to encourage or shut its eyes to the persistent &lt;br /&gt;transgression of the rules of regular recruitment.  &lt;br /&gt;The direction to make permanent -- the distinction &lt;br /&gt;between regularization and making permanent, was &lt;br /&gt;not emphasized here  -- can only encourage the &lt;br /&gt;State, the model employer, to flout its own rules and &lt;br /&gt;would confer undue benefits on a few at the cost of &lt;br /&gt;many waiting to compete.  With respect, the &lt;br /&gt;direction made in paragraph 50 of Piara Singh &lt;br /&gt;(supra) are to some extent inconsistent with the &lt;br /&gt;conclusion in paragraph 45 therein.   With great &lt;br /&gt;respect, it appears to us that the last of the directions &lt;br /&gt;clearly runs counter to the constitutional scheme of &lt;br /&gt;employment recognized in the earlier part of the &lt;br /&gt;decision.  Really, it cannot be said that this decision &lt;br /&gt;has laid down the law that all ad hoc, temporary or &lt;br /&gt;casual employees engaged without following the &lt;br /&gt;regular recruitment procedure should be made &lt;br /&gt;permanent."&lt;br /&gt;&lt;br /&gt;  It was furthermore opined:&lt;br /&gt;&lt;br /&gt;"26. It is not necessary to notice all the decisions of &lt;br /&gt;this Court on this aspect.  By and large what emerges &lt;br /&gt;is that regular recruitment should be insisted upon, &lt;br /&gt;only in a contingency an ad hoc appointment can be &lt;br /&gt;made in a permanent vacancy, but the same should &lt;br /&gt;soon be followed by a regular &lt;br /&gt;recruitment and that appointments to non-available &lt;br /&gt;posts should not be taken note of for regularization.   &lt;br /&gt;The cases directing regularization have mainly &lt;br /&gt;proceeded on the basis that having permitted the &lt;br /&gt;employee to work for some period, he should be &lt;br /&gt;absorbed, without really laying down any law to that &lt;br /&gt;effect, after discussing the constitutional scheme for &lt;br /&gt;public employment."&lt;br /&gt;&lt;br /&gt;  Taking note of some recent decisions of this Court, it was held that &lt;br /&gt;the State does not enjoy a power to make appointments in terms of &lt;br /&gt;Article 162 of the Constitution of India.  It further quoted with approval a &lt;br /&gt;decision of this Court in Union Public Service Commission v. Girish &lt;br /&gt;Jayanti Lal Vaghela &amp; Others [2006 (2) SCALE 115] in the following &lt;br /&gt;terms:&lt;br /&gt;&lt;br /&gt;"The appointment to any post under the State can &lt;br /&gt;only be made after a proper advertisement has been &lt;br /&gt;made inviting applications from eligible candidates &lt;br /&gt;and holding of selection by a body of experts or a &lt;br /&gt;specially constituted committee whose members are &lt;br /&gt;fair and impartial through a written examination or &lt;br /&gt;interview or some other rational criteria for judging &lt;br /&gt;the inter se merit of candidates who have applied in &lt;br /&gt;response to the advertisement made.  A regular &lt;br /&gt;appointment to a post under the State or Union &lt;br /&gt;cannot be made without issuing advertisement in the &lt;br /&gt;prescribed manner which may in some cases include &lt;br /&gt;inviting applications from the employment exchange &lt;br /&gt;where eligible candidates get their names registered.  &lt;br /&gt;Any regular appointment made on a post under the &lt;br /&gt;State or Union without issuing advertisement &lt;br /&gt;inviting applications from eligible candidates and &lt;br /&gt;without holding a proper selection where all eligible &lt;br /&gt;candidates get a fair chance to compete would &lt;br /&gt;violate the guarantee enshrined under Article 16 of &lt;br /&gt;the Constitution..."&lt;br /&gt;&lt;br /&gt;  It was clearly held:&lt;br /&gt;"These binding decisions are clear imperatives that &lt;br /&gt;adherence to Articles 14 and 16 of the Constitution &lt;br /&gt;is a must in the process of public employment."&lt;br /&gt;&lt;br /&gt;  The contention of the learned counsel appearing on behalf of the &lt;br /&gt;Respondents that the appointments were irregular and not illegal, cannot &lt;br /&gt;be accepted for more than one reason.  They were appointed only on the &lt;br /&gt;basis of their applications.  The Recruitment Rules were not followed.  &lt;br /&gt;Even the Selection Committee had not been properly constituted.  In view &lt;br /&gt;of the ban in employment, no recruitment was permissible in law.  The &lt;br /&gt;reservation policy adopted by the Appellant had not been maintained.  &lt;br /&gt;Even cases of minorities had not been given due consideration.&lt;br /&gt;&lt;br /&gt;  The Constitution Bench thought of directing regularisation of the &lt;br /&gt;services only of those employees whose appointments were irregular as &lt;br /&gt;explained in State of Mysore v. S.V. Narayanappa [(1967) 1 SCR 799], &lt;br /&gt;Nanjundappa v. T. Thimmiah &amp; Anr.[(1972) 2 SCR 799] and B.N. &lt;br /&gt;Nagarajan &amp; Ors. v. State of Karnataka &amp; Ors. [(1979) 3 SCR 937] &lt;br /&gt;wherein this Court observed:&lt;br /&gt;&lt;br /&gt;"In  B.N. Nagarajan &amp; Ors. Vs. State of Karnataka &amp; &lt;br /&gt;Ors. [(1979) 3 SCR 937], this court clearly held that &lt;br /&gt;the words "regular" or "regularization" do not &lt;br /&gt;connote permanence and cannot be construed so as &lt;br /&gt;to convey an idea of the nature of tenure of &lt;br /&gt;appointments.  They are terms calculated to condone &lt;br /&gt;any procedural irregularities and are meant to cure &lt;br /&gt;only such defects as are attributable to methodology &lt;br /&gt;followed in making the appointments"&lt;br /&gt;&lt;br /&gt;  Judged by the standards laid down by this Court in the &lt;br /&gt;aforementioned decisions, the appointments of the Respondents are &lt;br /&gt;illegal.  They do not, thus, have any legal right to continue in service.&lt;br /&gt;&lt;br /&gt; It is true that the Respondents had been working for a long time.  It &lt;br /&gt;may also be true that they had not been paid wages on a regular scale of &lt;br /&gt;pay.  But, they did not hold any post.  They were, therefore, not entitled &lt;br /&gt;to be paid salary on a regular scale of pay.  Furthermore, only because the &lt;br /&gt;Respondents have worked for some time, the same by itself would not be &lt;br /&gt;a ground for directing regularisation of their services in view of the &lt;br /&gt;decision of this Court in Uma Devi (supra).&lt;br /&gt;&lt;br /&gt;  In view of the authoritative pronouncement of the Constitution &lt;br /&gt;Bench, in our opinion, the impugned judgments cannot be sustained.  &lt;br /&gt;They are set aside accordingly.  &lt;br /&gt;&lt;br /&gt;  S/Shri Somvir Singh, Hansraj Benewal, Malkiat Singh, Ranjit &lt;br /&gt;Singh are said to be working.  They may be relieved of their posts.  We &lt;br /&gt;may, however, observe that their cases may be considered for future &lt;br /&gt;appointment and age bar, if any, in view of the policy decision of the &lt;br /&gt;Appellant itself may be relaxed to the extent they had worked.  The salary &lt;br /&gt;or any remuneration paid to them, however, may not be recovered. This &lt;br /&gt;order, however, is being passed in exercise of our jurisdiction under &lt;br /&gt;Article 142 of the Constitution of India keeping in view the principles &lt;br /&gt;embodied in Section 70 of the Contract Act.  The appeals are allowed. No &lt;br /&gt;costs.</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/03/contract-staff-need-not-be-regularised.html' title='Contract Staff need not be regularised and cannot claim regularisation'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=5468646863681106809' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/5468646863681106809/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/5468646863681106809'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/5468646863681106809'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-7018477074328017708</id><published>2008-03-13T11:33:00.000+05:30</published><updated>2008-03-13T11:34:29.383+05:30</updated><category scheme='http://www.blogger.com/atom/ns#' term='Organ_Transplantation'/><title type='text'>Amendment in Human Organ Transplantation Act</title><content type='html'>The Hon’ble High Court of Delhi in CWP No. 813/2004 vide its order dated 06.09.2004 had set up a Committee to examine the provisions of Transplantation of Human Organs Act, 1994, and the Transplantation of Human Organs Rules, 1995. The report was submitted on 25.05.2005. &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;A National Consultation was held on 18.05.2007 and the report was submitted in the second fortnight of August 2007.  The recommended changes required amendments in the Transplantation of Human Organs Act, 1994 and the Rules framed there under. These changes are intended to facilitate genuine cases, increase transparency in transplantation procedures and to provide deterrent penalties for violation of the law.  In so far as the Act is concerned, the following amendments have been proposed:&lt;br /&gt;&lt;br /&gt;1. To empower Union Territories, specially Government of NCT of Delhi to have their own appropriate authority instead of DGHS and / or Additional DG (Hospitals).&lt;br /&gt;&lt;br /&gt;2. To make the punishments under the Act harsh and cognizable for the illegal transplantation activities to deter the offenders from committing this crime.&lt;br /&gt;&lt;br /&gt;3. To provide for registration of the centres for removal of organs from the cadavers and brain stem dead patients for harvesting of organs instead of registration of centres for transplantations only.&lt;br /&gt;&lt;br /&gt;4. To allow swap operations between the related donor and recipients who do not match themselves but match with other similar donors / recipients.&lt;br /&gt;&lt;br /&gt;Sale / purchase of human organs is already prohibited under Transplantation of Human Organs Act, 1994.  Appropriate authorities established under this Act are responsible and empowered to check the illegal activities of human organs trafficking. &lt;br /&gt;&lt;br /&gt;   &lt;br /&gt;A Clinical Establishments (Registration and Regulation) Bill 2007 has been introduced in Lok Sabha on 30.08.2007.  The Bill seeks to provide for registration and regulation of clinical establishments in the country.  National Council for clinical establishments has been set up to determine the standards for clinical establishments, classify the clinical establishment into different categories, develop minimum standards and their periodic review, compile, maintain and update a national register of clinical establishments, perform any other function determined by the Central Government, from time to time.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;This information was given by the Minister for Health &amp; Family Welfare, Dr. Anbumani Ramadoss in a reply to a question in the Rajya Sabha.&lt;br /&gt;&lt;br /&gt;Source-PIB&lt;br /&gt;SRM/L</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/03/amendment-in-human-organ.html' title='Amendment in Human Organ Transplantation Act'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=7018477074328017708' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/7018477074328017708/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/7018477074328017708'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/7018477074328017708'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-7933341191837408620</id><published>2008-03-07T11:15:00.000+05:30</published><updated>2008-03-07T11:16:27.301+05:30</updated><category scheme='http://www.blogger.com/atom/ns#' term='High_Court_Allahabad'/><category scheme='http://www.blogger.com/atom/ns#' term='UP'/><title type='text'>HC for maximum 50% internal quota in UPPGMEE</title><content type='html'>The Allahabad High Court has quashed a government notification allowing MBBS/BDS graduates of only UP medical colleges to appear in the UP Post-graduate Medical Entrance Examination, 2004. The court refused to cancel the examination and issue a mandamus for fresh tests saying it will lead to complications.&lt;br /&gt;&lt;br /&gt;The notification of November 19, 2003, modified by an order of December 15, 2003 allowed for 75 per cent of seats to be filled by the UPPGMEE qualifiers, leaving only 25 per cent seats to be filled by those qualifying the all-India Post-graduate Medical Examination.&lt;br /&gt;&lt;br /&gt;Justice DP Singh observed that the notification providing for 100 per cent institutional reservation, issued under section 28 (5) of the UP State Universities Act, was violative of Article 14 and 21 of the Constitution.&lt;br /&gt;&lt;br /&gt;Justice Singh further directed the state to frame guidelines providing maximum 50 per cent institutional reservation for various medical colleges and the universities of the state of UP for admission to UPPGMEE and in the rest 50 per cent seats, candidates who are residents of UP and others may be admitted.&lt;br /&gt;&lt;br /&gt;The state government cannot directly or indirectly deprive the candidates who are permanently or otherwise residing in the state of UP from admission to UPGMEE even if they have studied outside UP unless the institution from where they got their medical degree has been derecognised, the court added.&lt;br /&gt;&lt;br /&gt;Justice Singh remarked that the rules, regulations or orders issued in pursuance of power conferred under section 28 (5) is a sub-ordinate legislation hence it could not be issued in contravention of the provisions contained in the Act itself. There is no such provision of providing 100 per cent institutional reservation in the Act, he added. However, the above order was made applicable only to those petitioners who had appeared at the UPPGMEE -2004 following the court’s interim order.</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/03/hc-for-maximum-50-internal-quota-in.html' title='HC for maximum 50% internal quota in UPPGMEE'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=7933341191837408620' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/7933341191837408620/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/7933341191837408620'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/7933341191837408620'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-1092253157933767414</id><published>2008-02-22T18:09:00.001+05:30</published><updated>2008-02-22T18:26:34.934+05:30</updated><title type='text'>Extension to PG Candidates Illegal</title><content type='html'>BEFORE THE MADURAI BENCH OF MADRAS HIGH COURT&lt;br /&gt;&lt;br /&gt;DATED : 22/11/2007&lt;br /&gt;&lt;br /&gt;CORAM: THE HONOURABLE MR.JUSTICE N.PAUL VASANTHAKUMAR&lt;br /&gt;&lt;br /&gt;W.P(MD)No.9694 of 2007&lt;br /&gt;and&lt;br /&gt;M.P(MD)No.1 of 2007&lt;br /&gt;W.P(MD)No.9695 of 2007 and&lt;br /&gt;M.P.(MD)No.1 of 2007&lt;br /&gt;&lt;br /&gt;Dr.D.Ramachandran  ...  Petitioner in&lt;br /&gt;      W.P.No.9694/2007&lt;br /&gt;&lt;br /&gt;Dr.N.Praveen   ...  Petitioner in&lt;br /&gt;      W.P.No.9695/2007&lt;br /&gt;Vs.&lt;br /&gt;&lt;br /&gt;The Director of Public Health&lt;br /&gt;&amp; Preventive Medicine,&lt;br /&gt;Chennai - 6.   ...  Respondent in&lt;br /&gt;      both writ petitions&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;PRAYER&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;Writ Petitions filed under Article 226 of the Constitution of India, to&lt;br /&gt;issue a Writ of Certiorari calling for the records relating to the impugned&lt;br /&gt;order passed by the respondent in his proceedings R.No.47018/E5/A3/06 dated 9-&lt;br /&gt;11-2007 and quash the same as illegal.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;!For Petitioners  ...  Mr.C.Venkateshkumar    &lt;br /&gt;      for Mr.M.Ajmal Khan&lt;br /&gt;&lt;br /&gt;^&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;:COMMON ORDER&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; In both the writ petitions, petitioners seek to quash the order dated&lt;br /&gt;9.11.2007 passed by the respondent in his proceedings R.No.47018/E5/A3/06.&lt;br /&gt;&lt;br /&gt; 2. Petitioner in W.P.No.9694 of 2007 had completed M.B.B.S. Course and&lt;br /&gt;applied for selection to the post of Assistant Surgeon in the Tamil Nadu Medical&lt;br /&gt;Service during 2003-2004, conducted by the Tamil Nadu Public Service Commission.&lt;br /&gt;He was selected for the post under Category-2 of Class-1 of the Tamil Nadu&lt;br /&gt;Medical Service by order dated 15.7.2006.  Petitioner also got selected to&lt;br /&gt;undergo the course M.D.(General Medicine) in Thanjavur Medical College in May,&lt;br /&gt;2006, duration of the course being three years.  According to the petitioner, he&lt;br /&gt;had applied for relaxation of Rule 21(a) of the Special Rules for Tamil Nadu&lt;br /&gt;Medical Services and the respondent by proceedings dated 29.7.2006 permitted the&lt;br /&gt;petitioner to join in the post of Assistant Surgeon in the Primary Health&lt;br /&gt;Centre, immediately after completion of the course.  Petitioner is continuing&lt;br /&gt;his M.D. Course till date and the said P.G. Degree course will be over by March,&lt;br /&gt;2009.  Meanwhile, on 9.11.2007, the respondent issued the impugned order,&lt;br /&gt;directing the petitioner to report for duty within seven days, failing which his&lt;br /&gt;name will be removed from the selection list and the waiting list candidate will&lt;br /&gt;be accommodated in his place.  The said order is challenged in this writ&lt;br /&gt;petition on the ground that in W.P.No.46644 of 2006, this Court issued direction&lt;br /&gt;to release the reserve list, in which the petitioner was not a party and the&lt;br /&gt;relaxation of Rule 21(a) having been granted with condition to join duty on&lt;br /&gt;completion of the P.G.Degree course, the impugned order passed by the respondent&lt;br /&gt;is unsustainable and therefore the petitioner has got a right to continue the&lt;br /&gt;P.G. course and he can join in service after completion of the course.&lt;br /&gt;&lt;br /&gt; 3. The petitioner in W.P.No.9695 of 2007, who  completed the MBBS&lt;br /&gt;course in the year 2003 also applied for the post of Assistant Surgeon 2003-2004&lt;br /&gt;as per the notification issued by the TNPSC and was selected to the post of&lt;br /&gt;Assistant Surgeon under Category-2, Class-1 and he was posted at the Primary&lt;br /&gt;Health Centre, Melakodumalur, Paramakudi, by order dated 28.6.2006.  He was also&lt;br /&gt;selected to undergo P.G.Diploma course in  Radio Diagnosis and he is undergoing&lt;br /&gt;the course in Thanjavur Medical College from June, 2006, the duration of the&lt;br /&gt;course being two years.  This petitioner also obtained permission to join duty&lt;br /&gt;after completion of the P.G.Diploma course in relaxation of Rule 21(a), which&lt;br /&gt;was granted by order dated 29.7.2006 with  condition to join the post&lt;br /&gt;immediately on completion of the course and he will be completing the course in&lt;br /&gt;the year 2008.  The grievance of the petitioner is that the said order is now&lt;br /&gt;withdrawn and the impugned order is passed and the same is challenged on the&lt;br /&gt;very same ground as stated supra.&lt;br /&gt;&lt;br /&gt; 4. Heard the learned counsel for the petitioner.&lt;br /&gt;&lt;br /&gt; 5. Admittedly the petitioners have applied for the post of Assistant&lt;br /&gt;Surgeon in the Tamil Nadu Medical Service for the year 2003-2004 in terms of the&lt;br /&gt;notification issued by the TNPSC by advertisement No.067. In the said&lt;br /&gt;advertisement inviting applications, certain conditions were imposed and the&lt;br /&gt;relevant conditions (ii), (iii) and (vi) are extracted hereunder,&lt;br /&gt;(ii) Candidates selected for appointment should join duty within 30 days.  No&lt;br /&gt;extension of joining time will be granted under any circumstances, even if they&lt;br /&gt;are undergoing higher studies/Post Graduate Course. The name of the candidates&lt;br /&gt;who do not join duty within the stipulated time would be removed from the&lt;br /&gt;approved list without assigning any reasons therefor.&lt;br /&gt;(iii) Those who are undergoing Post-Graduate Course and applying for the post of&lt;br /&gt;Assistant Surgeon, should submit a declaration to the effect that they will join&lt;br /&gt;duty within the time limit of 30 days in the event of their appointment to the&lt;br /&gt;post of Assistant Surgeon.&lt;br /&gt;(iv) .........&lt;br /&gt;(v)  .........&lt;br /&gt;(vi) Candidates selected and appointed as Assistant Surgeon after joining duty&lt;br /&gt;shall not be permitted to undergo P.G. Course within a period of 2 years&lt;br /&gt;excluding leave.&lt;br /&gt;     (Emphasis supplied)&lt;br /&gt;Admittedly the petitioners have applied for selection by accepting the said&lt;br /&gt;conditions. Even though the petitioners were not selected for P.G. Course at the&lt;br /&gt;time of submitting applications and on the date of selection, they were put on&lt;br /&gt;notice that on their selection, they will not be permitted to undergo P.G.&lt;br /&gt;Course within a period of two years, excluding the leave.&lt;br /&gt;&lt;br /&gt; 6. Now, the petitioners having applied for selection by accepting the&lt;br /&gt;said conditions, whether they have got any right to challenge the impugned&lt;br /&gt;order, is the question to be decided in the present writ petitions.&lt;br /&gt;&lt;br /&gt; 7. The learned counsel for the petitioners submitted that the&lt;br /&gt;petitioners were given time by relaxation of rule 21(a) by the respondent and&lt;br /&gt;they can join duty on their completion of P.G.Degree/P.G.Diploma course and the&lt;br /&gt;relaxation having been granted, the impugned order directing the petitioners  to&lt;br /&gt;join in the post of Civil Surgeon within seven days cannot be sustained.&lt;br /&gt;&lt;br /&gt; 8. From the conditions imposed in the instructions to candidates, it is&lt;br /&gt;evident that no extension of joining time will be granted under any&lt;br /&gt;circumstances even if they are undergoing higher studies-P.G.Degree/P.G.Diploma&lt;br /&gt;courses and that the name of the candidate, who do not join duty within the&lt;br /&gt;stipulated time would be removed from the approved list without assigning any&lt;br /&gt;reason and those candidates who were undergoing P.G.degree course shall submit a&lt;br /&gt;declaration to the effect that they will join duty within the time limit of 30&lt;br /&gt;days in the event of appointment to the post of Assistant Surgeon.  &lt;span style="font-weight:bold;"&gt;Hence the&lt;br /&gt;relaxation sought for by the petitioners and the grant of the same will not&lt;br /&gt;confer any benefit on the petitioners, particularly when the candidates were put&lt;br /&gt;on notice that relaxation will not be granted under any circumstances.  The said&lt;br /&gt;notification nowhere stipulates that in deserving cases, relaxation can be&lt;br /&gt;applied for and granted.  In the absence of any such clause in the notification,&lt;br /&gt;petitioners are not entitled to apply for relaxation and the relaxation granted&lt;br /&gt;is also in contravention of the said notification and therefore the said&lt;br /&gt;relaxation earlier granted will not confer any right on the petitioners to&lt;br /&gt;contend that they be allowed to join after completion of their respective&lt;br /&gt;course.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt; 9. It is well settled in law that unless the  power of relaxation is&lt;br /&gt;stated in the notification, no one can claim relaxation as a matter of right.&lt;br /&gt;Further, &lt;span style="font-weight:bold;"&gt;if relaxation power is stated in the notification many candidates,&lt;br /&gt;similarly placed with that of petitioners might have applied and opted for&lt;br /&gt;selection to the Assistant Surgeon Post and might have applied for relaxation of&lt;br /&gt;the rule seeking joining time.  Hence the contention of the petitioners that the&lt;br /&gt;respondents cannot withdraw the relaxation granted earlier, is not sustainable.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt; 10. In W.P.No.46644 &amp; 45484 of 2006 dated 4.9.2007, this Court passed an&lt;br /&gt;order directing the Director of Public Health and Preventive Medicine, Chennai,&lt;br /&gt;to send a proposals with regard to the details of candidates, who have not&lt;br /&gt;joined duty within four weeks, to the TNPSC for issuing appointment orders to&lt;br /&gt;the candidates in the reserved list.  The said order has been implemented by the&lt;br /&gt;Director of Public Health and Preventive Medicine,  Chennai-6, by sending the&lt;br /&gt;list to all the candidates, who have not joined duty, in spite of selection and&lt;br /&gt;the said vacancies are sought to be filled up from the reserved list.&lt;br /&gt;Petitioners cannot contend that they are not party to the said proceedings and&lt;br /&gt;therefore the said direction cannot be put against them.  The direction given in&lt;br /&gt;the said writ petition was at the instance of reserved list candidates.&lt;br /&gt;&lt;br /&gt; 11. Admittedly the petitioners have not joined in their respective&lt;br /&gt;posts.  If the petitioners have joined and availed leave it will be a different&lt;br /&gt;matter as the posts are already filled up and the vacancies can be treated only&lt;br /&gt;as leave vacancies. &lt;span style="font-weight:bold;"&gt; Admittedly the petitioners have not joined in the posts on&lt;br /&gt;their selection and therefore those posts shall be treated as vacant posts.&lt;br /&gt;Therefore the reserve list candidates are entitled to be considered in the said&lt;br /&gt;vacant posts.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt; 12.&lt;span style="font-weight:bold;"&gt; The post of Assistant Surgeon in the Government Hospitals cannot be&lt;br /&gt;kept vacant till the petitioners complete their P.G.Degree/Diploma Courses.&lt;br /&gt;Filling up of vacancies of Assistant Surgeons in the Government Hospitals is a&lt;br /&gt;paramount duty of the Government to look after the health of the general public,&lt;br /&gt;especially to the poor and needy.  In every Government Hospital, Assistant&lt;br /&gt;Surgeons shall be present at all times to attend to  emergency treatments.  If&lt;br /&gt;the Doctors posts are not filled up in time, the general public will be very&lt;br /&gt;much affected and their right to health, which forms part of basic human right,&lt;br /&gt;guaranteed under Article 21 of the Constitution will be seriously prejudiced.&lt;/span&gt;&lt;br /&gt; (a) The right of an injured citizen to get immediate medical treatment&lt;br /&gt;is emphasised by the Supreme Court in the decision reported in AIR 1989 SC 2039&lt;br /&gt;= (1989) 4 SCC 286 (Parmanand Katara v. Union of India) and in paragraphs 7 to&lt;br /&gt;9, it is held as follows,&lt;br /&gt; "7. There can be no second opinion that preservation of human life is of&lt;br /&gt;paramount importance. That is so on account of the fact that once life is lost,&lt;br /&gt;the status quo ante cannot be restored as resurrection is beyond the capacity of&lt;br /&gt;man. The patient whether he be an innocent person or be a criminal liable to&lt;br /&gt;punishment under the laws of the society, it is the obligation of those who are&lt;br /&gt;in charge of the health of the community to preserve life so that the innocent&lt;br /&gt;may be protected and the guilty may be punished. Social laws do not contemplate&lt;br /&gt;death by negligence to tantamount to legal punishment.&lt;br /&gt; 8. Article 21 of the Constitution casts the obligation on the State to&lt;br /&gt;preserve life. The provision as explained by this Court in scores of decisions&lt;br /&gt;has emphasised and reiterated with gradually increasing emphasis that position.&lt;br /&gt;A doctor at the government hospital positioned to meet this State obligation is,&lt;br /&gt;therefore, duty bound to extend medical assistance for preserving life. Every&lt;br /&gt;doctor whether at a government hospital or otherwise has the professional&lt;br /&gt;obligation to extend his services with due expertise for protecting life. No law&lt;br /&gt;or State action can intervene to avoid/delay the discharge of the paramount&lt;br /&gt;obligation cast upon members of the medical profession. The obligation being&lt;br /&gt;total, absolute and paramount, laws of procedure whether in statutes or&lt;br /&gt;otherwise which would interfere with the discharge of this obligation cannot be&lt;br /&gt;sustained and must, therefore, give way. ....&lt;br /&gt; 9. We are of the view that every doctor wherever he be within the&lt;br /&gt;territory of India should forthwith be aware of this position and, therefore, we&lt;br /&gt;direct that this decision of ours shall be published in all journals reporting&lt;br /&gt;decisions of this Court and adequate publicity highlighting these aspects should&lt;br /&gt;be given by the national media as also through the Doordarshan and the All India&lt;br /&gt;Radio. The Registry shall forward adequate number of copies of this judgment to&lt;br /&gt;every High Court so that without delay the respective High Courts can forward&lt;br /&gt;them to every Sessions Judge within their respective jurisdictions and the&lt;br /&gt;Sessions Judges in their turn shall give due publicity to the same within their&lt;br /&gt;jurisdictions. The Medical Council of India shall forward copies of this&lt;br /&gt;judgment to every medical college affiliated to it. Copies of the judgment shall&lt;br /&gt;be forwarded to every State Government with a direction that wide publicity&lt;br /&gt;should be given about the relevant aspects so that every practising doctor would&lt;br /&gt;soon become aware of the position."&lt;br /&gt; (b) Right to get timely medical treatment to persons in need was&lt;br /&gt;considered by the Supreme Court in the decision of Paschim Banga Khet Mazdoor&lt;br /&gt;Samity v. State of W.B., reported in, (1996) 4 SCC 37  in para 9 which reads as&lt;br /&gt;follows,&lt;br /&gt; "9. The Constitution envisages the establishment of a welfare State at&lt;br /&gt;the federal level as well as at the State level. In a welfare State the primary&lt;br /&gt;duty of the Government is to secure the welfare of the people. Providing&lt;br /&gt;adequate medical facilities for the people is an essential part of the&lt;br /&gt;obligations undertaken by the Government in a welfare State. The Government&lt;br /&gt;discharges this obligation by running hospitals and health centres which provide&lt;br /&gt;medical care to the person seeking to avail of those facilities. Article 21&lt;br /&gt;imposes an obligation on the State to safeguard the right to life of every&lt;br /&gt;person. Preservation of human life is thus of paramount importance. The&lt;br /&gt;government hospitals run by the State and the medical officers employed therein&lt;br /&gt;are duty-bound to extend medical assistance for preserving human life. Failure&lt;br /&gt;on the part of a government hospital to provide timely medical treatment to a&lt;br /&gt;person in need of such treatment results in violation of his right to life&lt;br /&gt;guaranteed under Article 21.  ...."&lt;br /&gt; 13. It is well settled in law that when individual rights and public&lt;br /&gt;interests are pitted against each other, the Court should always lean towards&lt;br /&gt;the public interest instead of the rights of a private person. Therefore, it is&lt;br /&gt;the duty of the respondent to fill up the vacant post of the Assistant Surgeon&lt;br /&gt;posts in the Government Hospitals on emergent basis by issuing appointment&lt;br /&gt;orders to the candidates in the reserve list, if the selected candidates fail to&lt;br /&gt;join duty.&lt;br /&gt;&lt;br /&gt; 14. &lt;span style="font-weight:bold;"&gt;There is no justification on the part of the petitioners to contend&lt;br /&gt;that they should be allowed to continue the P.G. Degree/Diploma courses and&lt;br /&gt;after completion of their respective course, they shall be permitted to join&lt;br /&gt;duty as Assistant Surgeon. Petitioner in W.P.No.9694 of 2006 is completing the&lt;br /&gt;course in March, 2009, and the petitioner in W.P.No.9695 of 2006 is completing&lt;br /&gt;the course in June, 2008.  Till such long period the Assistant Surgeon Posts in&lt;br /&gt;the Government Hospitals cannot at all be kept vacant, particularly when reserve&lt;br /&gt;list candidates are available to join duty immediately, on their selection.&lt;/span&gt;&lt;br /&gt;&lt;br /&gt; 15. From the order of this Court made in W.P.No.46644 &amp; 45484 of 2006&lt;br /&gt;dated 4.9.2007, it could be seen that the respondents herein requested the TNPSC&lt;br /&gt;to release the candidates from the reserve list for filling up 469 vacancies&lt;br /&gt;prevailing in three Directorates, which arose due to non-joining of the selected&lt;br /&gt;candidates.  Thus, it is evident that not only the petitioners, but several&lt;br /&gt;other selected candidates numbering 469 have not joined in the post of Assistant&lt;br /&gt;Surgeon by one reason or the other.  The respondent cannot be a silent spectator&lt;br /&gt;by not filling up such large number of vacancies when number of candidates&lt;br /&gt;placed in the reserve list are willing to join duty immediately, if selected.&lt;br /&gt;&lt;br /&gt; 16. The binding nature of the instructions to the candidates is well&lt;br /&gt;settled.  In fact, the very same notification/instructions to candidates issued&lt;br /&gt;by the TNPSC for the year 2003-3004, came up for consideration before a Division&lt;br /&gt;Bench of this Court in the decision reported in 2006 WLR 574 (Dr.M.Vennila v.&lt;br /&gt;Tamil Nadu Public Service Commission).  In paragraph 16, the question as to&lt;br /&gt;whether the requirement as stated in the Notification/Information Brochure are&lt;br /&gt;to be strictly complied with or not and  whether they are mandatory was&lt;br /&gt;considered.  In paragraphs 19 and 25, the Division Bench held thus,&lt;br /&gt; "19. The principle that the prospectus is binding on all persons&lt;br /&gt;concerned has been laid by the Supreme Court in Punjab Engineering College,&lt;br /&gt;Chandigarh vs. Sanjay Gulati (AIR 1983 Supreme Court 580 = 1983 (96) LW 172&lt;br /&gt;S.N.).  Following the same, a Division Bench of this Court has also observed in&lt;br /&gt;Rathnaswamy, Dr.A. Vs. Director of Medical Education (1986 WLR 207) that the&lt;br /&gt;rules and norms of the prospectus are to be strictly and solemnly adhered to.&lt;br /&gt;The same view is also taken by another Division Bench of this Court in Nithiyan&lt;br /&gt;P. and S.P.Prasanna vs. State of Tamil Nadu (1994 WLR 624).  The same principle&lt;br /&gt;is reiterated in the case of Dr.M.Ashiq Nihmathullah vs. The Government of Tamil&lt;br /&gt;Nadu and others reported in 2005 WLR 697.  It is clear that the prospectus is a&lt;br /&gt;piece of information and it is binding on the candidates as well as on the State&lt;br /&gt;including the machinery appointed by it for identifying the candidates for&lt;br /&gt;selection and admission.&lt;br /&gt; 20. ...........&lt;br /&gt; 21. ...........&lt;br /&gt; 22. ...........&lt;br /&gt; 23. ...........&lt;br /&gt; 24.  ...........&lt;br /&gt;&lt;br /&gt; 25. In the earlier part of our order we have extracted relevant&lt;br /&gt;provision, viz., Instructions, etc. to Candidates as well as the Information&lt;br /&gt;Brochure of the Tamil Nadu Public Service Commission, we hold that the terms and&lt;br /&gt;conditions of Instructions, etc. to Candidates and Information Brochure have the&lt;br /&gt;force of law and have to be strictly complied with.  We are also of the view&lt;br /&gt;that no modification/relaxation can be made by the Court in exercise of powers&lt;br /&gt;under Article 226 of the Constitution of India and application filed in&lt;br /&gt;violation of the Instructions, etc. to Candidates and the terms of the&lt;br /&gt;Information Brochure is liable to be rejected. &lt;span style="font-weight:bold;"&gt;We are also of the view that&lt;br /&gt;strict adherence to the terms and conditions is paramount consideration and the&lt;br /&gt;same cannot be relaxed unless such power is specifically provided to a named&lt;br /&gt;authority by the use of clear language. As said at the beginning of our order,&lt;br /&gt;since similar violations are happening in the cases relating to admission of&lt;br /&gt;students to various courses, we have dealt with the issue exhaustively.  We make&lt;br /&gt;it clear that the above principles are applicable not only to applications&lt;br /&gt;calling for employment, but also to the cases relating to the admission of&lt;br /&gt;students to various courses.  We are constrained to make this observation to&lt;br /&gt;prevent avoidable prejudice to other applicants at large.&lt;/span&gt;"&lt;br /&gt;&lt;br /&gt; 17. In the impugned order, the respondent only reiterates the clause&lt;br /&gt;contained in the instructions to candidates, which the petitioners also&lt;br /&gt;undertook to abide by while filling their application forms.  They have&lt;br /&gt;participated in the examination, attended interview and also subjected&lt;br /&gt;themselves for selection after accepting all the terms and conditions.&lt;br /&gt; 18. Whether a person accepting the conditions contained in the norms for&lt;br /&gt;selection can challenge the said conditions after participating in selection,&lt;br /&gt;came up for consideration before the Supreme Court in the decision reported in&lt;br /&gt;AIR 1998 SC 795 (Union of India and another v. N.Chandrasekharan and others),&lt;br /&gt;wherein in paragraph 13 it is held thus,&lt;br /&gt;&lt;br /&gt; "13. We have considered the rival submissions in the light of the facts&lt;br /&gt;presented before us.  It is not in dispute that all the candidates were made&lt;br /&gt;aware of the procedure for promotion before they sat for the written test and&lt;br /&gt;before they appeared before the Departmental Promotion Committee.  Therefore,&lt;br /&gt;they cannot turn around and contend later when they found they were not selected&lt;br /&gt;by challenging that procedure and contending that the marks prescribed for&lt;br /&gt;interview and confidential reports are disproportionately high and the&lt;br /&gt;authorities cannot fix a minimum to be secured either at interview or in the&lt;br /&gt;assessment on confidential report. ......."&lt;br /&gt; 19. The principle of estoppel is considered by the Honourable Supreme&lt;br /&gt;Court in various decisions.&lt;br /&gt; (i) In the decision reported in AIR 1978 SC 28 (I.L.Honnegouda v. State&lt;br /&gt;of Karnataka and others) the Honourable Supreme Court held thus,&lt;br /&gt; "In view of our judgment in Appeals Nos.883 and 898 to 905 of 1975 :&lt;br /&gt;(Reported in AIR 1977 SC 876) which has just been delivered and the fact that&lt;br /&gt;the appellant acquiesced to the 1970 Rules by applying for the post of the&lt;br /&gt;Village Accountant, appearing before the Recruitment Committee for interview in&lt;br /&gt;1972 and 1974 and taking a chance of being selected, the present appeal which&lt;br /&gt;questions the constitutionality of Rules 4 and 5 of the 1970 Rules cannot be&lt;br /&gt;allowed.  It is accordingly dismissed but without any order as to costs."&lt;br /&gt; (ii) In 1986 (Supp) SCC 285 (Om Prakash Shukla v. Akhilesh Kumar Shukla)&lt;br /&gt;in paragraph 24, the Honourable Supreme Court held thus,&lt;br /&gt; "24. Moreover, this is a case where the petitioner in the writ petition&lt;br /&gt;should not have been granted any relief. He had appeared for the examination&lt;br /&gt;without protest. He filed the petition only after he had perhaps realised that&lt;br /&gt;he would not succeed in the examination. The High Court itself has observed that&lt;br /&gt;the setting aside of the results of examinations held in the other districts&lt;br /&gt;would cause hardship to the candidates who had appeared there. The same&lt;br /&gt;yardstick should have been applied to the candidates in the district of Kanpur&lt;br /&gt;also. They were not responsible for the conduct of the examination."&lt;br /&gt;&lt;br /&gt; (iii)  In AIR 1995 SC 1088 = (1995) 3 SCC 486 (Madan Lal v. State of Jammu&lt;br /&gt;&amp; Kashmir), (SCC p.9) it is held thus,&lt;br /&gt; "9. ........ The petitioners also appeared at the oral interview conducted&lt;br /&gt;by the Members concerned of the Commission who interviewed the petitioners as&lt;br /&gt;well as the contesting respondents concerned. Thus the petitioners took a chance&lt;br /&gt;to get themselves selected at the said oral interview. Only because they did not&lt;br /&gt;find themselves to have emerged successful as a result of their combined&lt;br /&gt;performance both at written test and oral interview, they have filed this&lt;br /&gt;petition. It is now well settled that if a candidate takes a calculated chance&lt;br /&gt;and appears at the interview, then, only because the result of the interview is&lt;br /&gt;not palatable to him, he cannot turn round and subsequently contend that the&lt;br /&gt;process of interview was unfair or the Selection Committee was not properly&lt;br /&gt;constituted. In the case of Om Prakash Shukla v. Akhilesh Kumar Shukla (AIR 1986&lt;br /&gt;SC 1043) it has been clearly laid down by a Bench of three learned Judges of&lt;br /&gt;this Court that when the petitioner appeared at the examination without protest&lt;br /&gt;and when he found that he would not succeed in examination he filed a petition&lt;br /&gt;challenging the said examination, the High Court should not have granted any&lt;br /&gt;relief to such a petitioner."&lt;br /&gt; (iv) The above said decisions of the Supreme Court were followed by the&lt;br /&gt;Full Bench of this Court in the decision reported in AIR 2000 MADRAS 174&lt;br /&gt;(R.Murali v. R.Kamalakkannan)(FB) and in paragraph 55, question No.2 was&lt;br /&gt;answered thus,&lt;br /&gt; "Question No.2: We hold that writ petitioners are not entitled to&lt;br /&gt;challenge the selection after having participated in the written examination on&lt;br /&gt;the principle of estoppel."&lt;br /&gt;&lt;br /&gt; 20. The above referred judgments are followed in a recent decision of a&lt;br /&gt;Division Bench of the Principal Bench at Madras in (2007) 5 MLJ 648 (Indian&lt;br /&gt;Airlines Ltd. v.K.Narayanan), wherein the contention of the management therein&lt;br /&gt;that person participated in selection in terms of the notification are estopped&lt;br /&gt;from challenging the mode of selection or the conditions contained in the&lt;br /&gt;instructions/rules was upheld.&lt;br /&gt;&lt;br /&gt; 21. &lt;span style="font-weight:bold;"&gt;In the cases on hand, petitioners are not justified in contending&lt;br /&gt;that the Government, having granted time to complete the course and permitted&lt;br /&gt;them to join duty immediately on completion of the course. As already stated the&lt;br /&gt;said relaxation is contrary to the notification as no authority is vested with&lt;br /&gt;the power as per the said notification.  The very same issue is answered in 2006&lt;br /&gt;WLR 574 (cited supra) and in paragraph 25 it is clearly stated that 'we are also&lt;br /&gt;of the view that strict adherence to the terms and conditions is paramount&lt;br /&gt;consideration and the same cannot be relaxed unless such power is specifically&lt;br /&gt;provided to a named authority by the use of clear language'.  If such power is&lt;br /&gt;stated in the notification similarly placed persons i.e., persons who were&lt;br /&gt;undergoing P.G.Degree Course and persons, who were awaiting to join P.G.Degree&lt;br /&gt;Course could have also applied and participated in selection and availed similar&lt;br /&gt;relaxation of Rule 21(a).  Hence the relaxation granted, contrary to the&lt;br /&gt;conditions contained in the instructions to candidate is violative of Articles&lt;br /&gt;14 and 16 of the Constitution denying equal opportunity to similarly placed&lt;br /&gt;persons&lt;/span&gt;.&lt;br /&gt;&lt;br /&gt; 22. In the light of the above conclusion, I am of the view that there is&lt;br /&gt;no merit in the writ petition and the same is dismissed in limine.  Connected&lt;br /&gt;miscellaneous petitions are also dismissed.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;vr&lt;br /&gt;&lt;br /&gt;To&lt;br /&gt;&lt;br /&gt;The Director of Public Health &amp; Preventive Medicine,&lt;br /&gt;Chennai - 6.</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/02/extension-to-pg-candidates-illegal.html' title='Extension to PG Candidates Illegal'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=1092253157933767414' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/1092253157933767414/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/1092253157933767414'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/1092253157933767414'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-1208654334003009130</id><published>2008-02-13T09:17:00.001+05:30</published><updated>2008-02-13T09:22:14.273+05:30</updated><category scheme='http://www.blogger.com/atom/ns#' term='PG_Extension'/><category scheme='http://www.blogger.com/atom/ns#' term='High_Court_Chennai'/><category scheme='http://www.blogger.com/atom/ns#' term='TNPSC'/><title type='text'>High Court paves way for filling vacancies in PHCs</title><content type='html'>&lt;i&gt;From http://www.hindu.com/2008/02/13/stories/2008021352510300.htm&lt;/i&gt;&lt;br /&gt;&lt;br /&gt;For earlier news, please see&lt;a href="http://www.doctorsandlaw.com/2007/09/extension-of-joining-time-illegal.html"&gt; Extension of Joining Time Illegal - Chennai High Court&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;Relaxation granted for candidates selected in 2006 held invalid&lt;br /&gt;&lt;br /&gt;MADURAI: The Madras High Court has paved the way for filling 469 vacancies of Assistant Surgeon in primary health centres (PHCs) across the State as it held invalid the relaxation granted for candidates selected in 2006 to join duty after completing their post graduation/postgraduate diploma course.&lt;br /&gt;&lt;br /&gt;Dismissing a batch of writ appeals filed before the Madurai Bench by a few doctors, the First Bench, comprising Chief Justice Ajit Prakash Shah and Justice S. Nagamuthu, said the then Director of Public Health and Preventive Medicine was not empowered to grant such relaxation.&lt;br /&gt;&lt;br /&gt;The Judges said the post of Medical Officer in primary health centres could not be kept vacant till the appellants completed their post-graduation.&lt;br /&gt;On a priority basis&lt;br /&gt;&lt;br /&gt;Filling of vacancies had to be done by the State on a priority basis as it was the paramount duty of the government to look after the health of the general public, especially the poor and the needy.&lt;br /&gt;Effect on public&lt;br /&gt;&lt;br /&gt;“In every Government Hospital, doctors shall be present at all times to attend to emergency cases. If the posts of doctor are not filled in time, the general public will be largely affected and their right to health, which forms part of basic human right guaranteed under Article 21 of the Constitution of India, will be seriously prejudiced,” the Bench observed.&lt;br /&gt;&lt;br /&gt;It pointed out that the advertisement calling for applications to the post of Assistant Surgeon had categorically stated that the selected candidates should join duty within 30 days and no extension would be granted if they were undergoing postgraduate courses.&lt;br /&gt;&lt;br /&gt;“Having applied for selection by accepting the said conditions, it is not open for the appellants to seek extension of time,” the Judges ruled.&lt;br /&gt;&lt;br /&gt;The appellants approached the court after the Director of Public Health issued a notice on November 9, 2007, directing them to report for duty within seven days failing which their names would be removed from the selection list.&lt;br /&gt;&lt;br /&gt;Justice K. Chandru dismissed all the writ petitions and hence the present writ appeals.</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/02/high-court-paves-way-for-filling.html' title='High Court paves way for filling vacancies in PHCs'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=1208654334003009130' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/1208654334003009130/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/1208654334003009130'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/1208654334003009130'/><author><name>Bruno_புருனோ</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-9118372283993981053</id><published>2008-02-10T10:52:00.002+05:30</published><updated>2008-02-10T10:53:12.309+05:30</updated><title type='text'>What doctors shall not do, according to the Code of Ethics</title><content type='html'>From http://www.hindu.com/2007/01/31/stories/2007013107181200.htm&lt;br /&gt;&lt;br /&gt;&lt;span class="storyhead"   style="font-size:130%;color:blue;"&gt;&lt;b&gt;                  What doctors shall not do, according to the Code of Ethics &lt;/b&gt;&lt;/span&gt;                                                  &lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;i&gt;The Code of Ethics Regulations, 2002 of the Medical Council of India specifies: &lt;/i&gt;&lt;/p&gt;&lt;p align="justify"&gt;&lt;i&gt;                                            &lt;/i&gt;&lt;b&gt;UNETHICAL ACTS&lt;/b&gt;  &lt;/p&gt;&lt;p align="justify"&gt;                                            A physician shall not aid or abet or commit any of the following acts which shall be construed as unethical —   &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                 Advertising &lt;/span&gt;&lt;/p&gt;&lt;p align="justify"&gt;&lt;span class="subsectionhead"   style="font-size:100%;color:red;"&gt;                                            &lt;/span&gt;                                                      &lt;/p&gt;&lt;p align="justify"&gt; Soliciting of patients directly or indirectly, by a physician, by a group of physicians or by institutions or organisations is unethical. A physician shall not make use of him/her (or his/her name) as subject of any form or manner of advertising or publicity through any mode either alone or in conjunction with others which is of such a character as to invite attention to him or to his professional position, skill, qualification, achievements, attainments, specialities, appointments, associations, affiliations or honours and/or of such character as would ordinarily result in his self aggrandisement. &lt;/p&gt;&lt;p align="justify"&gt; A physician shall not give to any person, whether for compensation or otherwise, any approval, recommendation, endorsement, certificate, report or statement with respect of any drug, medicine, nostrum remedy, surgical, or therapeutic article, apparatus or appliance or any commercial product or article with respect of any property, quality or use thereof or any test, demonstration or trial thereof, for use in connection with his name, signature, or photograph in any form or manner of advertising through any mode nor shall he boast of cases, operations, cures or remedies or permit the publication of report thereof through any mode. A medical practitioner is however permitted to make a formal announcement in press regarding the following: &lt;/p&gt;&lt;p align="justify"&gt;                                            1. On starting practice. &lt;/p&gt;&lt;p align="justify"&gt;                                            2. On change of type of practice. &lt;/p&gt;&lt;p align="justify"&gt;                                            3. On changing address. &lt;/p&gt;&lt;p align="justify"&gt;                                            4. On temporary absence from duty. &lt;/p&gt;&lt;p align="justify"&gt;                                            5. On resumption of another practice.  &lt;/p&gt;&lt;p align="justify"&gt;                                            6. On succeeding to another practice.  &lt;/p&gt;&lt;p align="justify"&gt;                                            7. Public declaration of charges. &lt;/p&gt;&lt;p align="justify"&gt; Printing of self photograph, or any such material of publicity in the letter head or on sign board of the consulting room or any such clinical establishment shall be regarded as acts of self advertisement and unethical conduct on the part of the physician. However, printing of sketches, diagrams, picture of human system shall not be treated as unethical. &lt;/p&gt;</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/02/what-doctors-shall-not-do-according-to.html' title='What doctors shall not do, according to the Code of Ethics'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=9118372283993981053' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/9118372283993981053/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/9118372283993981053'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/9118372283993981053'/><author><name>Doctor Bruno</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-3668258874953191753</id><published>2008-02-10T10:52:00.001+05:30</published><updated>2008-02-10T10:52:45.182+05:30</updated><title type='text'>Courts decide to outsource management of documents</title><content type='html'>From http://www.hindu.com/2007/01/31/stories/2007013104611300.htm&lt;br /&gt;&lt;br /&gt;&lt;span class="storyhead" style=";font-size:130%;color:blue;"  &gt;&lt;b&gt;                  Courts decide to outsource management of documents &lt;/b&gt;&lt;/span&gt;                                                  &lt;p align="justify"&gt;                                                                                                         Legal Correspondent &lt;/p&gt;&lt;p&gt;                                                          &lt;table bgcolor="#d0f0ff" border="0" width="100%"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td&gt;&lt;i&gt; Registrars-General conference wants States to meet the cost of digitisation &lt;/i&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;&lt;/p&gt;&lt;p align="justify"&gt;                         &lt;/p&gt;&lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;hr color="lightblue" noshade="noshade"&gt;&lt;i&gt;                              &lt;/i&gt;&lt;table width="800"&gt;&lt;tbody&gt;&lt;tr&gt;&lt;td valign="top" width="448"&gt;&lt;li&gt;&lt;i&gt;Vigilance cell mooted in each district  &lt;/i&gt;&lt;/li&gt;&lt;li&gt;&lt;i&gt;To consider accreditation of reporters of newspapers &lt;/i&gt;&lt;hr color="lightblue" noshade="noshade"&gt;                             &lt;p align="justify"&gt;                                            &lt;/p&gt;&lt;p align="justify"&gt; New Delhi: Confronted by inadequate space to store voluminous records in the context of mounting arrears of cases, the High Courts and subordinate courts have decided to outsource the management of court documents. &lt;/p&gt;&lt;p align="justify"&gt; A decision to this effect was taken recently at a conference of Registrars-General of High Courts and Law Secretaries of various State governments. It said: ``Since space is a constraint for keeping the old records in High Courts and subordinate courts, the High Court may consider preservation and maintenance of court records by digitisation and scanning, through outsourcing, which will not only save cost but also time. The State Governments should provide funds required for digitisation and scanning of court records.'' Another drastic decision empowered the High Courts to consider outsourcing various services relating to maintenance of court buildings so as to minimise the expenditure and bring efficiency. &lt;/p&gt;&lt;p align="justify"&gt; The process of computerisation in High Courts and district courts with emphasis on interlinking status reports of each case should be continued by the High Court concerned independent of the National Informatics Centre and E-Committee with the help of funds provided by State governments. &lt;/p&gt;&lt;p align="justify"&gt; On streamlining of issue of copies of judgments and various orders, it was decided that a computerised endorsement about the particulars of filing of the applications was sufficient for issue of copies. &lt;/p&gt;&lt;p align="justify"&gt; At present judges to the High Court are appointed in the ratio of two-third (of the strength of judges) from among lawyers and one-third from among the district judges. The meeting requested that in future the ratio should be 50:50 from the bar and the subordinate judiciary. &lt;/p&gt;&lt;p align="justify"&gt; It called for conferring limited financial autonomy on the High Courts and involvement of professionals in the financial management of the High Courts and district courts. The conference decided to have a vigilance cell in each district, to be headed by a senior judicial officer to keep effective control on the court staff and to regularly monitor their activities so that the image of the courts was not tarnished in the eyes of the public. &lt;/p&gt;&lt;p align="justify"&gt; It was resolved that the High Courts might consider accreditation of reporters from various newspapers and electronic media on the pattern of the Supreme Court so that the reporting in the media was true and accurate. &lt;/p&gt;&lt;/li&gt;&lt;/td&gt;&lt;/tr&gt;&lt;/tbody&gt;&lt;/table&gt;</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/02/courts-decide-to-outsource-management.html' title='Courts decide to outsource management of documents'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=3668258874953191753' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/3668258874953191753/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/3668258874953191753'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/3668258874953191753'/><author><name>Doctor Bruno</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-4974763386512499144</id><published>2008-02-02T18:11:00.000+05:30</published><updated>2008-02-02T18:11:41.648+05:30</updated><title type='text'>Medical Books in India - Listings, Review and Online Purchase: RxPG TargetPG All India 2008</title><content type='html'>&lt;a href="http://www.medicalbooks.in/2008/02/rxpg-targetpg-all-india-2008.html"&gt;Medical Books in India - Listings, Review and Online Purchase: RxPG TargetPG All India 2008&lt;/a&gt;</content><link rel='alternate' type='text/html' href='http://www.doctorsandlaw.com/2008/02/medical-books-in-india-listings-review.html' title='Medical Books in India - Listings, Review and Online Purchase: RxPG TargetPG All India 2008'/><link rel='related' href='http://www.medicalbooks.in/2008/02/rxpg-targetpg-all-india-2008.html' title='Medical Books in India - Listings, Review and Online Purchase: RxPG TargetPG All India 2008'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment.g?blogID=10594388&amp;postID=4974763386512499144' title='0 Comments'/><link rel='replies' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/4974763386512499144/comments/default' title='Post Comments'/><link rel='self' type='application/atom+xml' href='http://www.doctorsandlaw.com/feeds/posts/default/4974763386512499144'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/10594388/posts/default/4974763386512499144'/><author><name>Doctor Bruno</name><email>noreply@blogger.com</email></author></entry><entry><id>tag:blogger.com,1999:blog-10594388.post-199723690319384464</id><published>2008-01-25T12:00:00.000+05:30</published><updated>2008-01-25T12:07:17.080+05:30</updated><title type='text'>Supreme Court: Patient’s consent must for surgical interventions</title><content type='html'>CASE NO.:&lt;br /&gt;Appeal (civil)  1949 of 2004&lt;br /&gt;&lt;br /&gt;PETITIONER:&lt;br /&gt;Samira Kohli&lt;br /&gt;&lt;br /&gt;RESPONDENT:&lt;br /&gt;Dr. Prabha Manchanda &amp; Anr.&lt;br /&gt;&lt;br /&gt;DATE OF JUDGMENT: 16/01/2008&lt;br /&gt;&lt;br /&gt;BENCH:&lt;br /&gt;B. N. Agarwal, P. P. Naolekar &amp; R. V. Raveendran&lt;br /&gt;&lt;br /&gt;JUDGMENT:&lt;br /&gt;J U D G M E N T&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;RAVEENDRAN, J.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt; This appeal is filed against the order dated 19.11.2003 passed by &lt;br /&gt;the National Consumer Disputes Redressal Commission (for short &lt;br /&gt;'Commission') rejecting the appellants complaint (O.P. No.12/1996) &lt;br /&gt;under Section 21 of the Consumer Protection Act, 1986 (Act for short).&lt;br /&gt;&lt;br /&gt;Undisputed facts &lt;br /&gt;&lt;br /&gt;2. On 9.5.1995, the appellant, an unmarried woman aged 44 years, &lt;br /&gt;visited the clinic of the first respondent (for short the respondent) &lt;br /&gt;complaining of prolonged menstrual bleeding for nine days. The &lt;br /&gt;respondent examined and advised her to undergo an ultrasound test on the &lt;br /&gt;same day. After examining the report, the respondent had a discussion &lt;br /&gt;with appellant and advised her to come on the next day (10.5.1995) for a &lt;br /&gt;laparoscopy test under general anesthesia, for making an affirmative &lt;br /&gt;diagnosis. &lt;br /&gt;&lt;br /&gt;3. Accordingly, on 10.5.1995, the appellant went to the respondent's &lt;br /&gt;clinic with her mother. On admission, the appellant's signatures were &lt;br /&gt;taken on (i) admission and discharge card; (ii) consent form for hospital &lt;br /&gt;admission and medical treatment; and (iii) consent form for surgery. The &lt;br /&gt;Admission Card showed that admission was for diagnostic and operative &lt;br /&gt;laparoscopy on 10.5.1995". The consent form for surgery filled by Dr. &lt;br /&gt;Lata Rangan (respondent's assistant) described the procedure to be &lt;br /&gt;undergone by the appellant as "diagnostic and operative laparoscopy. &lt;br /&gt;Laparotomy may be needed". Thereafter, appellant was put under general &lt;br /&gt;anesthesia and subjected to a laparoscopic examination. When the &lt;br /&gt;appellant was still unconscious, Dr. Lata Rengen, who was assisting the &lt;br /&gt;respondent, came out of the Operation Theatre and took the consent of &lt;br /&gt;appellants mother, who was waiting outside, for performing &lt;br /&gt;hysterectomy under general anesthesia. Thereafter, the Respondent &lt;br /&gt;performed a abdominal hystecrectomy (removal of uterus) and bilateral &lt;br /&gt;salpingo-oopherectomy (removal of ovaries and fallopian tubes). The &lt;br /&gt;appellant left the respondents clinic on 15.5.1995 without settling the &lt;br /&gt;bill. &lt;br /&gt;&lt;br /&gt;4. On 23.5.1995, the respondent lodged a complaint with the Police &lt;br /&gt;alleging that on 15.5.1995, the Appellant's friend (Commander Zutshi) &lt;br /&gt;had abused and threatened her (respondent) and that against medical &lt;br /&gt;advice, he got the appellant discharged without clearing the bill. The &lt;br /&gt;appellant also lodged a complaint against the respondent on 31.5.1995, &lt;br /&gt;alleging negligence and unauthorized removal of her reproductive organs. &lt;br /&gt;The first respondent issued a legal notice dated 5.6.1995 demanding &lt;br /&gt;Rs.39,325/- for professional services. The appellant sent a reply dated &lt;br /&gt;12.7.1995. There was a rejoinder dated 18.7.1995 from the respondent &lt;br /&gt;and a further reply dated 11.9.1995 from the appellant. On 19.1.1996 the &lt;br /&gt;appellant filed a complaint before the Commission claiming a &lt;br /&gt;compensation of Rs.25 lakhs from the Respondent. The appellant alleged &lt;br /&gt;that respondent was negligent in treating her; that the radical surgery by &lt;br /&gt;which her uterus, ovaries and fallopian tubes were removed without her &lt;br /&gt;consent, when she was under general anesthesia for a Laparascopic test, &lt;br /&gt;was unlawful, unauthorized and unwarranted; that on account of the &lt;br /&gt;removal of her reproductive organs, she had suffered premature &lt;br /&gt;menopause necessitating a prolonged medical treatment and a Harmone &lt;br /&gt;Replacement Therapy (HRT) course, apart from making her vulnerable to &lt;br /&gt;health problems by way of side effects. The compensation claimed was &lt;br /&gt;for the loss of reproductive organs and consequential loss of opportunity &lt;br /&gt;to become a mother, for diminished matrimonial prospects, for physical &lt;br /&gt;injury resulting in the loss of vital body organs and irreversible &lt;br /&gt;permanent damage, for pain, suffering emotional stress and trauma, and &lt;br /&gt;for decline in the health and increasing vulnerability to health hazards. &lt;br /&gt;&lt;br /&gt;5. During the pendency of the complaint, at the instance of the &lt;br /&gt;respondent, her insurer - New India Assurance Co. Ltd, was impleaded as &lt;br /&gt;the second respondent. Parties led evidence - both oral and documentary, &lt;br /&gt;Appellant examined an expert witness (Dr. Puneet Bedi, Obstetrician &amp; &lt;br /&gt;Gynaecologist), her mother (Sumi Kohli) and herself. The respondent &lt;br /&gt;examined herself, an expert witness (Dr. Sudha Salhan, Professor of &lt;br /&gt;Obstetrics &amp; Gynaecology and President of Association of Obstetricians &lt;br /&gt;and Gynaecologists of Delhi), Dr. Latha Rangan (Doctor who assisted the &lt;br /&gt;Respondent) and Dr. Shiela Mehra (Anaesthetist for the surgery). The &lt;br /&gt;medical records and notices exchanged were produced as evidence. After &lt;br /&gt;hearing arguments, the Commission dismissed the complaint by order &lt;br /&gt;dated 19.11.2003. The Commission held : (a) the appellant voluntarily &lt;br /&gt;visited the respondents clinic for treatment and consented for diagnostic &lt;br /&gt;procedures and operative surgery; (ii) the hysterectomy and other surgical &lt;br /&gt;procedures were done with adequate care and caution; and (iii) the &lt;br /&gt;surgical removal of uterus, ovaries etc. was necessitated as the appellant &lt;br /&gt;was found to be suffering from endometriosis (Grade IV), and if they had &lt;br /&gt;not been removed, there was likelihood of the lesion extending to the &lt;br /&gt;intestines and bladder and damaging them. Feeling aggrieved, the &lt;br /&gt;appellant has filed this appeal. &lt;br /&gt;&lt;br /&gt;The appellants version  :&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;6. The appellant consulted respondent on 9.5.1995. Respondent &lt;br /&gt;wanted an ultra-sound test to be done on the same day. In the evening, &lt;br /&gt;after seeing the ultrasound report, the respondent informed her that she &lt;br /&gt;was suffering from fibroids and that to make a firm diagnosis, she had to &lt;br /&gt;undergo a laparoscopic test the next day. The respondent informed her &lt;br /&gt;that the test was a minor procedure involving a small puncture for &lt;br /&gt;examination under general anesthesia. The respondent informed her that &lt;br /&gt;the costs of laparoscopic test, hospitalization, and anesthetists charges &lt;br /&gt;would be around Rs.8000 to 9,000. Respondent spent hardly 4 to 5 &lt;br /&gt;minutes with her and there was no discussion about the nature of &lt;br /&gt;treatment. Respondent merely told her that she will discuss the line of &lt;br /&gt;treatment, after the laparoscopic test. On 10.5.1995, she went to the clinic &lt;br /&gt;only for a diagnostic laparoscopy. Her signature was taken on some blank &lt;br /&gt;printed forms without giving her an opportunity to read the contents. As &lt;br /&gt;only a diagnostic procedure by way of a laparoscopic test was to be &lt;br /&gt;conducted, there was no discussion, even on 10.5.1995, with regard to &lt;br /&gt;any proposed treatment. As she was intending to marry within a month &lt;br /&gt;and start a family, she would have refused consent for removal of her &lt;br /&gt;reproductive organs and would have opted for conservative treatment, &lt;br /&gt;had she been informed about any proposed surgery for removal of her &lt;br /&gt;reproductive organs. &lt;br /&gt;&lt;br /&gt;7. When the appellant was under general anaesthesia, respondent &lt;br /&gt;rushed out of the operation theatre and told appellant's mother that she  &lt;br /&gt;had started bleeding profusely and gave an impression that the only way &lt;br /&gt;to save her life was by performing an extensive surgery. Appellant's aged &lt;br /&gt;mother was made to believe that there was a life threatening situation, &lt;br /&gt;and her signature was taken to some paper. Respondent did not choose to &lt;br /&gt;wait till appellant regained consciousness, to discuss about the findings of &lt;br /&gt;the laparoscopic test and take her consent for treatment. The appellant &lt;br /&gt;was kept in the dark about the radical surgery performed on her. She &lt;br /&gt;came to know about it, only on 14.5.1995 when respondents son casually &lt;br /&gt;informed her about the removal of her reproductive organs. When she &lt;br /&gt;asked the respondent as to why there should be profuse bleeding during a &lt;br /&gt;Laparoscopic test (as informed to appellant's mother) and why her &lt;br /&gt;reproductive organs were removed in such haste without informing her, &lt;br /&gt;without her consent, and without affording her an opportunity to consider &lt;br /&gt;other options or seek other opinion, the respondent answered rudely that &lt;br /&gt;due to her age, conception was not possible, and therefore, the removal of &lt;br /&gt;her reproductive organs did not make any difference. &lt;br /&gt;&lt;br /&gt;8. As she was admitted only for a diagnostic procedure, namely a &lt;br /&gt;laparoscopy test, and as she had given consent only for a laparoscopy test &lt;br /&gt;and as her mothers consent for conducting hysterectomy had been &lt;br /&gt;obtained by misrepresentation, there was no valid consent for the radical &lt;br /&gt;surgery. The respondent also tried to cover up her unwarranted/negligent &lt;br /&gt;act by falsely alleging that the appellant was suffering from &lt;br /&gt;endometriosis. The respondent was guilty of two distinct acts of &lt;br /&gt;negligence: the first was the failure to take her consent, much less an &lt;br /&gt;informed consent, for the radical surgery involving removal of &lt;br /&gt;reproductive organs; and the second was the failure to exhaust &lt;br /&gt;conservative treatment before resorting to radical surgery, particularly &lt;br /&gt;when such drastic irreversible surgical procedure was not warranted in &lt;br /&gt;her case. The respondent did not inform the appellant, of the possible &lt;br /&gt;risks, side effects and complications associated with such surgery, before &lt;br /&gt;undertaking the surgical procedure. Such surgery without her consent was &lt;br /&gt;also in violation of medical Rules and ethics. Removal of her &lt;br /&gt;reproductive organs also resulted in a severe physical impairment, and &lt;br /&gt;necessitated prolonged further treatment. The respondent was also not &lt;br /&gt;qualified to claim to be a specialist in Obstetrics and Gynaecology and &lt;br /&gt;therefore could not have performed the surgery which only a qualified &lt;br /&gt;Gynaecologist could perform. &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;The respondents version&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;9. The appellant had an emergency consultation with the respondent &lt;br /&gt;on 9.5.1995, complaining that she had heavy vaginal bleeding from &lt;br /&gt;30.4.1995, that her periods were irregular, and that she was suffering &lt;br /&gt;from excessive, irregular and painful menstruation (menorrhagia and &lt;br /&gt;dysmenorrhea) for a few months. On a clinical examination, the &lt;br /&gt;respondent found a huge mass in the pelvic region and tenderness in the &lt;br /&gt;whole area. In view of the severe condition, Respondent advised an &lt;br /&gt;ultrasound examination on the same evening. Such examination showed &lt;br /&gt;fibroids in the uterus, a large chocolate cyst (also known as endometrical &lt;br /&gt;cyst) on the right side and small cysts on the left side.  On the basis of &lt;br /&gt;clinical and ultra sound examination, she made a provisional diagnosis of &lt;br /&gt;endometriosis and informed the appellant about the nature of the ailment, &lt;br /&gt;the anticipated extent of severity, and the modality of treatment. She &lt;br /&gt;further informed the appellant that a laparoscopic  examination was &lt;br /&gt;needed to confirm the diagnosis; that if on such examination, she found &lt;br /&gt;that the condition was manageable with conservative surgery, she would &lt;br /&gt;only remove the chocolate cyst and fulgurate the endometric areas and &lt;br /&gt;follow it by medical therapy; and that if the lesion was extensive, then &lt;br /&gt;considering her age and likelihood of destruction of the function of the &lt;br /&gt;tubes, she will perform hysterectomy. She also explained the surgical &lt;br /&gt;procedure involved, and answered appellant's queries. The appellant &lt;br /&gt;stated that she was in acute discomfort and wanted a permanent cure and, &lt;br /&gt;therefore whatever was considered necessary, including a hysterectomy &lt;br /&gt;may be performed. When appellants mother called on her on the same &lt;br /&gt;evening, the respondent explained to her also about the nature of disease &lt;br /&gt;and the proposed treatment, and appellant's mother stated that she may do &lt;br /&gt;whatever was best for her daughter. According to the accepted medical &lt;br /&gt;practice, if endometriosis is widespread in the pelvis causing adhesions, &lt;br /&gt;and if the woman is over 40 years of age, the best and safest form of cure &lt;br /&gt;was to remove the uterus and the ovaries. As there is a decline in &lt;br /&gt;fecundity for most women in the fourth decade and a further decline in &lt;br /&gt;women in their forties, hysterectomy is always considered as a reasonable &lt;br /&gt;and favoured option. Further, endometriosis itself affected fertility &lt;br /&gt;adversely. All these were made known to the appellant before she &lt;br /&gt;authorised the removal of uterus and ovaries, if found necessary on &lt;br /&gt;laparoscopic examination.  &lt;br /&gt;&lt;br /&gt;10. On 10.5.1995, the appellants consent was formally recorded in the &lt;br /&gt;consent form by Dr. Lata Rangan - respondent's assistant. Dr. Lata &lt;br /&gt;Rangan informed the appellant about the consequences of such consent  &lt;br /&gt;and explained the procedure that was proposed. The appellant signed the &lt;br /&gt;consent forms only after she read the duly filled up forms and understood &lt;br /&gt;their contents. All the requisite tests to be conducted mandatorily before &lt;br /&gt;the surgery were performed including Blood Grouping, HIV, &lt;br /&gt;Hemoglobin, PCV, BT, CT and ECG. The laparoscopic examination of &lt;br /&gt;the uterus surface confirmed the provisional diagnosis of endometriosis. &lt;br /&gt;The right ovary was enlarged and showed a chocolate cyst stuck to the &lt;br /&gt;bowel. Right tube was also involved in the lesion. The left ovary and tube &lt;br /&gt;were also stuck to the bowel near the cervix. A few small cysts were seen &lt;br /&gt;on the left ovary.  The pelvic organs were thick and difficult to mobilize. &lt;br /&gt;Having regard to the extent of the lesion and the condition of appellant's &lt;br /&gt;uterus and ovaries,  she decided that conservative surgery would not be &lt;br /&gt;sufficient and the appellants problem required removal of uterus and &lt;br /&gt;ovaries. The respondent sent her assistant, Dr. Lata Rangan to explain to &lt;br /&gt;appellants mother that the lesion would not respond to conservative &lt;br /&gt;surgery and a hysterectomy had to be performed and took her consent.  &lt;br /&gt;The surgery was extremely difficult due to adhesions and vascularity of &lt;br /&gt;surface. A sub-total hysterectomy was done followed by the removal of &lt;br /&gt;rest of the stump of cervix. As the right ovary was completely stuck &lt;br /&gt;down to bowel, pouch of douglas, post surface and tube, it had to be &lt;br /&gt;removed piecemeal. When appellant regained consciousness, she was &lt;br /&gt;informed about the surgery. The appellant felt assured that heavy &lt;br /&gt;bleeding and pain would not recur. There was no protest either from the &lt;br /&gt;appellant or her mother, in regard to the removal of the ovaries and &lt;br /&gt;uterus.  &lt;br /&gt;&lt;br /&gt;11. However, on 15.5.1995, Commander Zutshi to whom appellant &lt;br /&gt;was said to have been engaged, created a scene and got her discharged. &lt;br /&gt;At the time of discharge, the summary of procedure and prescription of &lt;br /&gt;medicines were given to her. As the bill was not paid, the respondent &lt;br /&gt;filed Suit No.469/1995 for recovery of the bill amount and the said suit &lt;br /&gt;was decreed in due course.&lt;br /&gt;&lt;br /&gt;12. Respondent performed the proper surgical procedure in pursuance &lt;br /&gt;of the consent given by the appellant and there was no negligence, &lt;br /&gt;illegality,  impropriety or professional misconduct. There was real and &lt;br /&gt;informed consent by the appellant for the removal of her reproductive &lt;br /&gt;organs. The surgery (removal of uterus and ovaries), not only cured the &lt;br /&gt;appellant of her disease but also saved her intestines, bladder and ureter &lt;br /&gt;from possible damage. But for the surgical removal, there was likelihood &lt;br /&gt;of the intestines being damaged due to extension of lesion thereby &lt;br /&gt;causing bleeding, fibrosis and narrowing of the gut; there was also &lt;br /&gt;likelihood of the lesion going to the surface of the bladder penetrating the &lt;br /&gt;wall and causing haematuria and the ureter being damaged due to fibrosis &lt;br /&gt;and leading to damage of the kidney, with a reasonable real chance of &lt;br /&gt;developing cancer. As the complainant was already on the wrong side of &lt;br /&gt;40 years which is a peri-menopausal age and as the appellant had &lt;br /&gt;menorrhagia which prevented her from ovulating regularly and giving her &lt;br /&gt;regular cycle necessary for pregnancy and as endometriosis prevented &lt;br /&gt;fertilization and also produced reaction in the pelvis which increased the &lt;br /&gt;lymphocytes and macrophages which destroyed the ova and sperm, there &lt;br /&gt;was no chance of appellant conceiving, even if the surgery had not been &lt;br /&gt;performed. The removal of her uterus and ovaries was proper and &lt;br /&gt;necessary and there was no negligence on the part of the respondent in &lt;br /&gt;performing the surgery. A Doctor who has acted in accordance with a &lt;br /&gt;practice accepted as proper by medical fraternity cannot be said to have &lt;br /&gt;acted negligently. In the realm of diagnosis and treatment there is ample &lt;br /&gt;scope for genuine differences of opinion and no Doctor can be said to &lt;br /&gt;have acted negligently merely because his or her opinion differs from that &lt;br /&gt;of other Doctors or because he or she has displayed lesser skill or &lt;br /&gt;knowledge when compared to others. There was thus no negligence on &lt;br /&gt;her part.&lt;br /&gt;&lt;br /&gt;Questions for consideration :&lt;br /&gt;&lt;br /&gt;13. On the contentions raised, the following questions arise for our &lt;br /&gt;consideration : &lt;br /&gt;(i) Whether informed consent of a patient is necessary for surgical &lt;br /&gt;procedure involving removal of reproductive organs? If so what is &lt;br /&gt;the nature of such consent ?&lt;br /&gt;&lt;br /&gt;(ii) When a patient consults a medical practitioner, whether consent &lt;br /&gt;given for diagnostic surgery, can be construed as consent for &lt;br /&gt;performing additional or further surgical procedure -- either as &lt;br /&gt;conservative treatment or as radical treatment -- without the &lt;br /&gt;specific consent for such additional or further surgery.  &lt;br /&gt;&lt;br /&gt;(iii) Whether there was consent by the appellant, for the abdominal &lt;br /&gt;hysterectomy and Bilateral Salpingo-oopherectomy (for short AH-&lt;br /&gt;BSO) performed by the respondent? &lt;br /&gt;&lt;br /&gt;(iv) Whether the respondent had falsely invented a case that appellant &lt;br /&gt;was suffering from endometriosis to explain the unauthorized and &lt;br /&gt;unwarranted removal of uterus and ovaries, and whether such &lt;br /&gt;radical surgery was either to cover-up  negligence in conducting &lt;br /&gt;diagnostic laparoscopy or to claim a higher fee ? &lt;br /&gt;&lt;br /&gt;(v) Even if appellant was suffering from endometriosis, the respondent &lt;br /&gt;ought to have resorted to conservative treatment/surgery instead of &lt;br /&gt;performing radical surgery ?&lt;br /&gt;&lt;br /&gt;(vi) Whether the Respondent is guilty of the tortious act of &lt;br /&gt;negligence/battery amounting to deficiency in service, and &lt;br /&gt;consequently liable to pay damages to the appellant.                     &lt;br /&gt;&lt;br /&gt;Re : Question No.(i) and (ii)&lt;br /&gt;&lt;br /&gt;14. Consent in the context of a doctor-patient relationship, means the &lt;br /&gt;grant of permission by the patient for an act to be carried out by the &lt;br /&gt;doctor, such as a diagnostic, surgical or therapeutic procedure.  Consent &lt;br /&gt;can be implied in some circumstances from the  action of the patient. For &lt;br /&gt;example, when a patient enters a Dentist's clinic and sits in the Dental &lt;br /&gt;chair, his consent is implied for examination, diagnosis and consultation. &lt;br /&gt;Except where consent can be clearly and obviously implied, there should &lt;br /&gt;be express consent. There is, however, a significant difference in the &lt;br /&gt;nature of express consent of the patient, known as 'real consent' in UK &lt;br /&gt;and as 'informed consent' in America. In UK, the elements of consent are &lt;br /&gt;defined with reference to the patient and a consent is considered to be &lt;br /&gt;valid and 'real' when (i) the patient gives it voluntarily without any &lt;br /&gt;coercion; (ii) the patient has the capacity and competence to give consent; &lt;br /&gt;and (iii) the patient has the minimum of adequate level of information &lt;br /&gt;about the nature of the procedure to which he is consenting to. On the &lt;br /&gt;other hand, the concept of 'informed consent' developed by American &lt;br /&gt;courts, while retaining the basic requirements consent, shifts the emphasis &lt;br /&gt;to the doctor's duty to disclose the necessary information to the patient to &lt;br /&gt;secure his consent. 'Informed consent' is defined in Taber's Cyclopedic &lt;br /&gt;Medical Dictionary thus :  &lt;br /&gt;&lt;br /&gt;"Consent that is given by a person after receipt of the following &lt;br /&gt;information : the nature and purpose of the proposed procedure or &lt;br /&gt;treatment; the expected  outcome and the likelihood of success; the &lt;br /&gt;risks; the alternatives to the procedure and supporting information &lt;br /&gt;regarding those alternatives; and the effect of no treatment or &lt;br /&gt;procedure, including the effect on the prognosis and the material risks &lt;br /&gt;associated with no treatment. Also included are instructions concerning &lt;br /&gt;what should be done if the procedure turns out to be harmful or &lt;br /&gt;unsuccessful." &lt;br /&gt; &lt;br /&gt;In Canterbury v. Spence - 1972 [464] Federal Reporter 2d. 772, the &lt;br /&gt;United States Courts of appeals, District of Columbia Circuit, emphasized &lt;br /&gt;the element of Doctor's duty in 'informed consent' thus:&lt;br /&gt;"It is well established that the physician must seek and secure his &lt;br /&gt;patient's consent before commencing an operation or other course of &lt;br /&gt;treatment. It is also clear that the consent, to be efficacious, must be &lt;br /&gt;free from imposition upon the patient. It is the settled rule that therapy &lt;br /&gt;not authorized by the patient may amount to a tort - a common law &lt;br /&gt;battery - by the physician. And it is evident that it is normally &lt;br /&gt;impossible to obtain a consent worthy of the name unless the physician &lt;br /&gt;first elucidates the options and the perils for the patient's edification. &lt;br /&gt;Thus the physician has long borne a duty, on pain of liability for &lt;br /&gt;unauthorized treatment, to make adequate disclosure to the patient."&lt;br /&gt;&lt;br /&gt;[Emphasis supplied]&lt;br /&gt;&lt;br /&gt;15. The basic principle in regard to patient's consent may be traced to &lt;br /&gt;the following classic statement by Justice Cardozo in Schoendorff vs. &lt;br /&gt;Society of New York Hospital - (1914) 211 NY 125 : &lt;br /&gt;'Every human being of adult years and sound mind has a right &lt;br /&gt;to determine what should be done with his body; and a surgeon &lt;br /&gt;who performs the operation without his patient's consent, &lt;br /&gt;commits an assault for which he is liable in damages." &lt;br /&gt; &lt;br /&gt;This principle has been accepted by English court also. In Re : F. 1989(2) &lt;br /&gt;All ER 545, the House of Lords while dealing with a case of sterilization &lt;br /&gt;of a mental patient reiterated the fundamental principle that every &lt;br /&gt;person's body is inviolate and performance of a medical operation on a &lt;br /&gt;person without his or her consent is unlawful. The English law on this &lt;br /&gt;aspect is summarised thus in Principles of Medical Law (published by &lt;br /&gt;Oxford University Press -- Second Edition, edited by Andrew Grubb, &lt;br /&gt;Para 3.04, Page 133) : &lt;br /&gt;"Any intentional touching of a person is unlawful and amounts &lt;br /&gt;to the tort of battery unless it is justified by consent or other &lt;br /&gt;lawful authority. In medical law, this means that a doctor may &lt;br /&gt;only carry out a medical treatment or procedure which involves &lt;br /&gt;contact with a patient if there exists a valid consent by the &lt;br /&gt;patient (or another person authorized by law to consent on his &lt;br /&gt;behalf) or if the touching is permitted notwithstanding the &lt;br /&gt;absence of consent."&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;   &lt;br /&gt;16. The next question is whether in an action for negligence/battery for &lt;br /&gt;performance of an unauthorized surgical procedure, the Doctor can put &lt;br /&gt;forth as defence the consent given for a particular operative procedure, as &lt;br /&gt;consent for any additional or further operative procedures performed in &lt;br /&gt;the interests of the patient. In Murray vs. McMurchy - 1949 (2) DLR 442, &lt;br /&gt;the Supreme Court of BC, Canada, was considering a claim for battery by &lt;br /&gt;a patient who underwent a caesarian section. During the course of &lt;br /&gt;caesarian section, the doctor found fibroid tumors in the patient's uterus. &lt;br /&gt;Being of the view that such tumours would be a danger in case of future &lt;br /&gt;pregnancy, he performed a sterilization operation. The court upheld the &lt;br /&gt;claim for damages for battery. It held that sterilization could not be &lt;br /&gt;justified under the principle of necessity, as there was no immediate &lt;br /&gt;threat or danger to the patient's health or life and it would not have been &lt;br /&gt;unreasonable to postpone the operation to secure the patient's consent. &lt;br /&gt;The fact that the doctor found it convenient to perform the sterilization &lt;br /&gt;operation without consent as the patient was already under general &lt;br /&gt;anaesthetic, was held to be not a valid defence. A somewhat similar view &lt;br /&gt;was expressed by Courts of Appeal in England in Re : F. (supra). It was &lt;br /&gt;held that the additional or further treatment which can be given (outside &lt;br /&gt;the consented procedure) should be confined to only such treatment as is &lt;br /&gt;necessary to meet the emergency, and as such needs to be carried out at &lt;br /&gt;once and before the patient is likely to be in a position to make a decision &lt;br /&gt;for himself. Lord Goff observed : &lt;br /&gt;&lt;br /&gt;"Where, for example, a surgeon performs an operation without &lt;br /&gt;his consent on a patient temporarily rendered unconscious in an &lt;br /&gt;accident, he should do no more than is reasonably required, in &lt;br /&gt;the best interests of the patient, before he recovers &lt;br /&gt;consciousness. I can see no practical difficulty arising from this &lt;br /&gt;requirement, which derives from the fact that the patient is &lt;br /&gt;expected before long to regain consciousness and can then be &lt;br /&gt;consulted about longer term measures."  &lt;br /&gt;&lt;br /&gt;The decision in Marshell vs. Curry - 1933 (3) DLR 260 decided by the &lt;br /&gt;Supreme Court of NS, Canada, illustrates the exception to the rule, that &lt;br /&gt;an unauthorized procedure may be justified if the patient's medical &lt;br /&gt;condition brooks no delay and  warrants immediate action without &lt;br /&gt;waiting for the patient to regain consciousness  and take a decision for &lt;br /&gt;himself. In that case the doctor discovered  a grossly diseased testicle &lt;br /&gt;while performing a hernia operation. As the doctor considered it to be &lt;br /&gt;gangrenous, posing a threat to patient's life and health, the doctor &lt;br /&gt;removed it without consent, as a part of the hernia operation. An action &lt;br /&gt;for battery was brought on the ground that the consent was for a hernia &lt;br /&gt;operation and removal of testicle was not consent. The claim was &lt;br /&gt;dismissed. The court was of the view that the doctor can act without the &lt;br /&gt;consent of the patient where it is necessary to save the life or preserve the &lt;br /&gt;health of the patient. Thus, the principle of necessity by which the doctor &lt;br /&gt;is permitted to perform further or additional procedure (unauthorized) is &lt;br /&gt;restricted to cases where the patient is temporarily incompetent (being &lt;br /&gt;unconscious), to permit the procedure delaying of which would be &lt;br /&gt;unreasonable because of the imminent danger to the life or health of the &lt;br /&gt;patient. &lt;br /&gt;&lt;br /&gt;17. It is quite possible that if the patient been conscious, and informed &lt;br /&gt;about the need for the additional procedure, the patient might have agreed &lt;br /&gt;to it. It may be that the additional procedure is beneficial and in the &lt;br /&gt;interests of the patient. It may be that postponement of the additional &lt;br /&gt;procedure (say removal of an organ) may require another surgery, &lt;br /&gt;whereas removal of the affected organ during the initial diagnostic or &lt;br /&gt;exploratory surgery, would save the patient from the pain and cost of a &lt;br /&gt;second operation. Howsoever practical or convenient the reasons may be, &lt;br /&gt;they are not relevant. What is relevant and of importance is the inviolable &lt;br /&gt;nature of the patient's right in regard to his body and his right to decide &lt;br /&gt;whether he should undergo the particular treatment or surgery or not. &lt;br /&gt;Therefore at the risk of repetition, we may add that unless the &lt;br /&gt;unauthorized additional or further procedure is necessary in order to save &lt;br /&gt;the life or preserve the health of the patient and it would be unreasonable &lt;br /&gt;(as contrasted from being merely inconvenient) to delay the further &lt;br /&gt;procedure until the patient regains consciousness and takes a decision, a &lt;br /&gt;doctor cannot perform such procedure without the consent of the patient.  &lt;br /&gt;&lt;br /&gt;18. We may also refer to the code of medical ethics laid down by the &lt;br /&gt;Medical Council of India (approved by the Central Government under &lt;br /&gt;section 33 of Indian Medical Council Act, 1956). It contains a chapter &lt;br /&gt;relating to disciplinary action which enumerates a list of responsibilities, &lt;br /&gt;violation of which will be professional misconduct. Clause 13 of the said &lt;br /&gt;chapter places the following responsibility on a doctor :&lt;br /&gt;&lt;br /&gt;"13. Before performing an operation the physician should obtain in &lt;br /&gt;writing the consent from the husband or wife, parent or guardian in the &lt;br /&gt;case of a minor, or the patient himself as the case may be. In an &lt;br /&gt;operation which may result in sterility the consent of both husband and &lt;br /&gt;wife is needed."         &lt;br /&gt;&lt;br /&gt;We may also refer to the following guidelines to doctors, issued by the &lt;br /&gt;General Medical Council of U.K. in seeking consent of the patient for &lt;br /&gt;investigation and treatment :&lt;br /&gt;&lt;br /&gt;"Patients have a right to information about their condition and the &lt;br /&gt;treatment options available to them. The amount of information you &lt;br /&gt;give each patient will vary, according to factors such as the nature of &lt;br /&gt;the condition, the complexity of the treatment, the risks associated with &lt;br /&gt;the treatment or procedure, and the patient's own wishes. For example, &lt;br /&gt;patients may need more information to make an informed decision &lt;br /&gt;about the procedure which carries a high risk of failure or adverse side &lt;br /&gt;effects; or about an investigation for a condition which, if present, &lt;br /&gt;could have serious implications for the patient's employment, social or &lt;br /&gt;personal life. &lt;br /&gt;&lt;br /&gt;x x x x x&lt;br /&gt;&lt;br /&gt;You should raise with patients the possibility of additional problems &lt;br /&gt;coming to light during a procedure when the patient is unconscious or &lt;br /&gt;otherwise unable to make a decision. You should seek consent to treat &lt;br /&gt;any problems which you think may arise and ascertain whether there &lt;br /&gt;are any procedures to which the patient would object, or prefer to give &lt;br /&gt;further thought before you proceed." &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;The Consent form for Hospital admission and medical treatment, to &lt;br /&gt;which appellant's signature was obtained by the respondent on 10.5.1995, &lt;br /&gt;which can safely be presumed to constitute the contract between the &lt;br /&gt;parties, specifically states :&lt;br /&gt;"(A) It is customary, except in emergency or extraordinary &lt;br /&gt;circumstances, that no substantial procedures are performed upon a &lt;br /&gt;patient unless and until he or she has had an opportunity to discuss &lt;br /&gt;them with the physician or other health professional to the patient's &lt;br /&gt;satisfaction.&lt;br /&gt;&lt;br /&gt;(B) Each patient has right to consent, or to refuse consent, to any &lt;br /&gt;proposed procedure of therapeutic course."&lt;br /&gt;&lt;br /&gt;      &lt;br /&gt;19. We therefore hold that in Medical Law, where a surgeon is &lt;br /&gt;consulted by a patient, and consent of the patient is taken for diagnostic &lt;br /&gt;procedure/surgery, such consent cannot be considered as authorisation or &lt;br /&gt;permission to perform therapeutic surgery either conservative or radical &lt;br /&gt;(except in life threatening or emergent situations). Similarly where the &lt;br /&gt;consent by the patient is for a particular operative surgery, it cannot be &lt;br /&gt;treated as consent for an unauthorized additional procedure involving &lt;br /&gt;removal of an organ, only on the ground that such removal is beneficial to &lt;br /&gt;the patient or is likely to prevent some danger developing in future, where &lt;br /&gt;there is no imminent danger to the life or health of the patient. &lt;br /&gt;&lt;br /&gt;20. We may next consider the nature of information that is required to &lt;br /&gt;be furnished by a Doctor to secure a valid or real consent. In Bowater v. &lt;br /&gt;Rowley Regis Corporation - [1944] 1 KB 476, Scott L.J. observed :&lt;br /&gt;"A man cannot be said to be truly 'willing' unless he is in a &lt;br /&gt;position to choose freely, and freedom of choice predicates, not &lt;br /&gt;only full knowledge of the circumstances on which the exercise &lt;br /&gt;of choice is conditioned, so that he may be able to choose &lt;br /&gt;wisely, but the absence from his mind of any feeling of &lt;br /&gt;constraint so that nothing shall interfere with the freedom of his &lt;br /&gt;will."&lt;br /&gt;&lt;br /&gt;    &lt;br /&gt;In Salgo vs. Leland Stanford [154 Cal. App. 2d.560 (1957)], it was held &lt;br /&gt;that a physician violates his duty to his patient and subjects himself to &lt;br /&gt;liability if he withholds any facts which are necessary to form the basis of &lt;br /&gt;an intelligent consent by the patient to the proposed treatment. &lt;br /&gt;&lt;br /&gt;21. Canterbury (supra) explored the rationale of a Doctor's duty to &lt;br /&gt;reasonably inform a patient as to the treatment alternatives available and &lt;br /&gt;the risk incidental to them, as also the scope of the disclosure requirement &lt;br /&gt;and the physician's privileges not to disclose. It laid down the 'reasonably &lt;br /&gt;prudent patient test' which required the doctor to disclose all material &lt;br /&gt;risks to a patient, to show an 'informed consent'. It was held : &lt;br /&gt;"True consent to what happens to one's self is the informed exercise of &lt;br /&gt;a choice, and that entails an opportunity to evaluate knowledgeably the &lt;br /&gt;options available and the risks attendant upon each. The average &lt;br /&gt;patient has little or no understanding of the medical arts, and ordinarily &lt;br /&gt;has only his physician to whom he can look for enlightenment with &lt;br /&gt;which to reach an intelligent decision. From these almost axiomatic &lt;br /&gt;considerations springs the need, and in turn the requirement, of a &lt;br /&gt;reasonable divulgence by physician to patient to make such a decision &lt;br /&gt;possible.&lt;br /&gt;&lt;br /&gt;Just as plainly, due care normally demands that the physician warn &lt;br /&gt;the patient of any risks to his well being which contemplated therapy &lt;br /&gt;may involve.&lt;br /&gt;&lt;br /&gt;The context in which the duty of risk-disclosure arises is invariably the &lt;br /&gt;occasion for decision as to whether a particular treatment procedure is &lt;br /&gt;to be undertaken. To the physician, whose training enables a self-&lt;br /&gt;satisfying evaluation, the answer may seem clear, but it is the &lt;br /&gt;prerogative  of the patient, not the physician, to determine for himself &lt;br /&gt;the direction in which his interests seem to lie. To enable the patient to &lt;br /&gt;chart his course understandably, some familiarity with the therapeutic &lt;br /&gt;alternatives and their hazards becomes essential &lt;br /&gt;&lt;br /&gt;A reasonable revelation in these respects is not only a necessity but, as &lt;br /&gt;we see it, is as much a matter of the physician's duty. It is a duty to &lt;br /&gt;warn of the dangers lurking in the proposed treatment, and that is &lt;br /&gt;surely a facet of due care. It is, too, a duty to impart information which &lt;br /&gt;the patient has every right to expect. The patient's reliance upon the &lt;br /&gt;physician is a trust of the kind which traditionally has exacted &lt;br /&gt;obligations beyond those associated with arms length transactions. His &lt;br /&gt;dependence upon the physician for information affecting his well-&lt;br /&gt;being, in terms of contemplated treatment, is well-nigh abject. we &lt;br /&gt;ourselves have found "in the fiducial qualities of (the physician-&lt;br /&gt;patient) relationship the physician's duty to reveal to the patient that &lt;br /&gt;which in his best interests it is important that he should know." We &lt;br /&gt;now find, as a part of the physician's overall obligation to the patient, a &lt;br /&gt;similar duty of reasonable disclosure of the choices with respect to &lt;br /&gt;proposed therapy and the dangers inherently and potentially involve.&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;In our view, the patient's right of self-decision shapes the boundaries of &lt;br /&gt;the duty to reveal. That right can be effectively exercised only if the &lt;br /&gt;patient possesses enough information to enable an intelligent choice. &lt;br /&gt;The scope of the physician's communications to the patient, then, must &lt;br /&gt;be measured by the patient's need, and that need is the information &lt;br /&gt;material to the decision. Thus the test for determining whether a &lt;br /&gt;particular peril must be divulged is its materially to the patient's &lt;br /&gt;decision : all risks potentially affecting the decision must be unmasked. &lt;br /&gt;"&lt;br /&gt;&lt;br /&gt;&lt;br /&gt;It was further held that a risk is material 'when a reasonable person, in &lt;br /&gt;what the physician knows or should know to be the patient's position, &lt;br /&gt;would be likely to attach significance to the risk or cluster of risks in &lt;br /&gt;deciding whether or not to forego the proposed therapy'. The doctor, &lt;br /&gt;therefore, is required to communicate all inherent and potential hazards of &lt;br /&gt;the proposed treatment, the alternatives to that treatment, if any, and the &lt;br /&gt;likely effect if the patient remained untreated. This stringent standard of &lt;br /&gt;disclosure was subjected to only two exceptions : (i) where there was a &lt;br /&gt;genuine emergency, e.g. the patient was unconscious; and (ii) where the &l