{"id":180808,"date":"2007-05-08T00:00:00","date_gmt":"2007-05-07T18:30:00","guid":{"rendered":"https:\/\/www.legalindia.com\/judgments\/kishore-lal-vs-chairman-employees-state-on-8-may-2007"},"modified":"2017-09-15T11:57:02","modified_gmt":"2017-09-15T06:27:02","slug":"kishore-lal-vs-chairman-employees-state-on-8-may-2007","status":"publish","type":"post","link":"https:\/\/www.legalindia.com\/judgments\/kishore-lal-vs-chairman-employees-state-on-8-may-2007","title":{"rendered":"Kishore Lal vs Chairman, Employees State &#8230; on 8 May, 2007"},"content":{"rendered":"<div class=\"docsource_main\">Supreme Court of India<\/div>\n<div class=\"doc_title\">Kishore Lal vs Chairman, Employees State &#8230; on 8 May, 2007<\/div>\n<div class=\"doc_bench\">Bench: B.N. Agrawal, P.P. Naolekar, Dalveer Bhandari<\/div>\n<pre>           CASE NO.:\nAppeal (civil)  4965 of 2000\n\nPETITIONER:\nKishore Lal\n\nRESPONDENT:\nChairman, Employees State Insurance Corporation\n\nDATE OF JUDGMENT: 08\/05\/2007\n\nBENCH:\nB.N. AGRAWAL, P.P. NAOLEKAR &amp; DALVEER BHANDARI\n\nJUDGMENT:\n<\/pre>\n<p>J U D G M E N T<\/p>\n<p>P.P. NAOLEKAR, J.:\n<\/p>\n<p>1.\tThe appellant was insured with the respondent-Employees&#8217;<br \/>\nState Insurance Corporation (for short &#8220;the Corporation&#8221;) with<br \/>\nInsurance No. 913644.  The employee&#8217;s\/appellant&#8217;s contribution<br \/>\ntowards the insurance scheme under the Employees&#8217; State<br \/>\nInsurance Act, 1948 (hereinafter referred to as &#8220;the ESI Act&#8221;)<br \/>\nwas being deducted regularly from his salary and deposited by his<br \/>\nemployer with the Corporation.  In 1993, the appellant&#8217;s wife was<br \/>\nadmitted in the ESI dispensary at Sonepat for her treatment for<br \/>\ndiabetes.  However, the condition of his wife continued to<br \/>\ndeteriorate.  As alleged by the appellant, there were instances<br \/>\nwhen the doctors were not available even during emergencies.<br \/>\nLater, the appellant got his wife medically examined in a private<br \/>\nhospital.  The tests done revealed that his wife had been<br \/>\ndiagnosed incorrectly in the ESI dispensary; and that the<br \/>\ndeterioration in the condition of the appellant&#8217;s wife was a direct<br \/>\nresult of the wrong diagnosis.  The appellant filed a complaint<br \/>\nunder the Consumer Protection Act, 1986 (hereinafter referred<br \/>\nto as &#8220;the CP Act&#8221;) before the District Consumer Disputes<br \/>\nRedressal Forum seeking (i) compensation towards mental agony,<br \/>\nharassment, physical torture, pains, sufferings and monetary loss<br \/>\nfor the negligence of the authorities; (ii) direction for removal<br \/>\nof, and improvement in, the deficiencies; and (iii) direction for<br \/>\npayment of interest on the amount of reimbursement bills.  The<br \/>\nCorporation through its officers entered appearance and raised<br \/>\ncertain preliminary objections, namely,  (i) that the complaint<br \/>\nfiled is not maintainable in the District Consumer Forum and is<br \/>\nliable to be dismissed as the wife of the complainant was treated<br \/>\nin the ESI dispensary, Sonepat, which is a government dispensary<br \/>\nand the complainant cannot be treated as a consumer;  and (ii)<br \/>\nthat the complainant is not a consumer within the definition of<br \/>\n`consumer&#8217; in the CP Act and he is not entitled to file a complaint<br \/>\nagainst the ESI dispensary.  It was also contended that the<br \/>\nfacility of medical treatment in government hospital cannot be<br \/>\nregarded as a `service&#8217; hired for consideration, apart from the<br \/>\nother defences raised in the written statement.\n<\/p>\n<p>2.\tThe District Consumer Forum relied on the ratio of Birbal<br \/>\nSingh v. ESI Corporation,  1993 II CPJ 1028, wherein on a<br \/>\ncomplaint filed for compensation for being aggrieved by poor<br \/>\nmedical attention received by the late wife of the complainant at<br \/>\nan ESI hospital, the Haryana State Commission had held that the<br \/>\ncomplainants did not come within the ambit of the definition of<br \/>\n`consumer&#8217; under the CP Act because of the gratuitous nature of<br \/>\nthe medical services provided.  On this basis, the District Forum<br \/>\nheld that the services rendered by the ESI dispensary are<br \/>\ngratuitous in nature and, therefore, out of the purview of the CP<br \/>\nAct.  Appeal was preferred to the Haryana State Consumer<br \/>\nDisputes Redressal Commission and it was urged by the appellant<br \/>\nthat ESI is a scheme of insurance and hence the service<br \/>\nrendered by the Corporation was not gratuitous.  The State<br \/>\nCommission relying on the judgment in Birbal Singh (supra) and<br \/>\n<a href=\"\/doc\/723973\/\">Indian Medical Association v. V.P. Shantha and Others,<\/a> (1995)<br \/>\n6 SCC 651 held that free medical services were not covered by<br \/>\nthe CP Act and upheld the judgment of the District Forum.<br \/>\nAppellant preferred a revision before the National Consumer<br \/>\nDisputes Redressal Commission, but the same was also dismissed<br \/>\nin limine.  Hence, this appeal by special leave.\n<\/p>\n<p>3.\tBy second counter affidavit filed in August, 2000, the<br \/>\nrespondent-Corporation have also raised the question of the<br \/>\njurisdiction of a consumer forum.  The respondent contended<br \/>\nthat by virtue of Section 75 of the ESI Act, the dispute raised<br \/>\nby the appellant is covered and is to be decided by the Employees&#8217;<br \/>\nInsurance Court established under Section 74 of the ESI Act<br \/>\nand it being a special Act the jurisdiction of the consumer forum<br \/>\nis ousted.\n<\/p>\n<p>4.\tFrom the decisions rendered by the District Forum, the<br \/>\nState Commission and the National Commission, and the questions<br \/>\nraised by the appellant and the respondent, the question that<br \/>\nfalls for our consideration is two-fold:\n<\/p>\n<p>1. Whether the service rendered by an ESI hospital is<br \/>\ngratuitous or not, and consequently whether it falls within<br \/>\nthe ambit of `service&#8217; as defined in the Consumer<br \/>\nProtection Act, 1986?\n<\/p>\n<p>2.\tWhether Section 74 read with Section 75 of the<br \/>\nEmployees&#8217; State Insurance Act, 1948 ousts the jurisdiction<br \/>\nof the consumer forum as regards the issues involved for<br \/>\nconsideration?\n<\/p>\n<p>5.\tIt is contended by Shri Dayan Krishnan, the learned counsel<br \/>\nfor the appellant, that in the case of Indian Medical Association<br \/>\n(supra) although it was held that the free medical service was not<br \/>\ncovered under the CP Act, the very same judgment in conclusion<br \/>\nNo. (11) in para 55 includes any medical service given under the<br \/>\nscheme of insurance within the scope of the CP Act and,<br \/>\ntherefore, the claim made by the appellant squarely falls within<br \/>\nthe jurisdiction of the consumer forum, the appellant being a<br \/>\nconsumer and the respondent&#8217;s dispensary having rendered a<br \/>\nservice to him for consideration.\n<\/p>\n<p>6.\tAt this stage, it would be appropriate to refer to certain<br \/>\nstatutory provisions of the Consumer Protection Act, 1986.<br \/>\n`Consumer&#8217; is defined in clause (d) and `service&#8217; in clause (o) of<br \/>\nSection 2(1) of the CP Act as under:\n<\/p>\n<p>&#8220;2.  Definitions.- (1) In this Act, unless the context<br \/>\notherwise requires, &#8211;\n<\/p>\n<p>xxx\t\t\t\t\txxx\t\t\t\txxx<\/p>\n<p>(d) &#8220;consumer&#8221; means any person who, &#8211;\n<\/p>\n<p>(i) buys any goods for consideration which has<br \/>\nbeen paid or promised or partly paid and partly<br \/>\npromised, or under any system of deferred<br \/>\npayment and includes any user of such goods<br \/>\nother than the person who buys such goods for<br \/>\nconsideration paid or promised or partly paid or<br \/>\npartly promised, or under any system of<br \/>\ndeferred payment, when such use is made with<br \/>\nthe approval of such person, but does not include<br \/>\na person who obtains such goods for resale or for<br \/>\nany commercial purpose; or<\/p>\n<p>(ii) hires or avails of any services for a<br \/>\nconsideration which has been paid or promised or<br \/>\npartly paid and partly promised, or under any<br \/>\nsystem of deferred payment and includes any<br \/>\nbeneficiary of such services other than the<br \/>\nperson who hires or avails of the services for<br \/>\nconsideration paid or promised, or partly paid and<br \/>\npartly promised, or under any system of<br \/>\ndeferred payment, when such services are<br \/>\navailed of with the approval of the first<br \/>\nmentioned person but does not include a person<br \/>\nwho avails of such services for any commercial<br \/>\npurpose;\n<\/p>\n<p>\tExplanation.- For the purposes of this<br \/>\nclause, &#8220;commercial purpose&#8221; does not include use<br \/>\nby a person of goods bought and used by him and<br \/>\nservices availed by him exclusively for the<br \/>\npurposes of earning his livelihood by means of<br \/>\nself-employment;&#8221;\n<\/p>\n<p>xxx\t\t\t\t\txxx\t\t\t\txxx<\/p>\n<p>&#8220;(o) &#8220;Service&#8221; means service of any description which<br \/>\nis made available to potential users and includes, but<br \/>\nnot limited to, the provision of facilities in connection<br \/>\nwith banking, financing, insurance, transport,<br \/>\nprocessing, supply of electrical or other energy, board<br \/>\nor lodging or both, housing construction,<br \/>\nentertainment, amusement or the purveying of news or<br \/>\nother information, but does not include the rendering<br \/>\nof any service free of charge or under a contract of<br \/>\npersonal service;&#8221;\n<\/p>\n<p>7.\tThe definition of `consumer&#8217; in the CP Act is apparently<br \/>\nwide enough and encompasses within its fold not only the goods<br \/>\nbut also the services, bought or hired, for consideration.  Such<br \/>\nconsideration may be paid or promised or partly paid or partly<br \/>\npromised under any system of deferred payment and includes any<br \/>\nbeneficiary of such person other than the person who hires the<br \/>\nservice for consideration.  The Act being a beneficial legislation,<br \/>\naims to protect the interests of a consumer as understood in the<br \/>\nbusiness parlance.   The important characteristics of goods and<br \/>\nservices under the Act are that they are supplied at a price to<br \/>\ncover the costs and generate profit or income for the seller of<br \/>\ngoods or provider of services.  The comprehensive definition aims<br \/>\nat covering every man who pays money as the price or cost of<br \/>\ngoods and services.  However, by virtue of the definition, the<br \/>\nperson who obtains goods for resale or for any commercial<br \/>\npurpose is excluded, but the services hired for consideration<br \/>\neven for commercial purposes are not excluded.  The term<br \/>\n`service&#8217; unambiguously indicates in the definition that the<br \/>\ndefinition is not restrictive and includes within its ambit such<br \/>\nservices as well which are specified therein.  However, a service<br \/>\nhired or availed, which does not cost anything or can be said free<br \/>\nof charge, or under a contract of personal service, is not included<br \/>\nwithin the meaning of `service&#8217; for the purposes of the CP Act.\n<\/p>\n<p>8.\tA 3-Judge Bench of this Court in Indian Medical<br \/>\nAssociation (supra) has extensively considered the provisions of<br \/>\nthe CP Act and particularly what shall be a `service&#8217; within the<br \/>\nmeaning of Section 2(1)(o) of the said Act.  The Court was<br \/>\nconsidering whether the service rendered by the doctors would<br \/>\nfall within the purview of the CP Act, it being a service rendered<br \/>\nfor the charges; and whether the patients, who are treated by<br \/>\nthe doctors, are `consumers&#8217; as defined in Section 2(1)(d) of the<br \/>\nCP Act.  The Court said that the definition of  `service&#8217; in<br \/>\nSection 2(1)(o) can be split into three parts: the main part, the<br \/>\ninclusionary part and the exclusionary part.  The main part is<br \/>\nexplanatory in nature and defines service to mean service of any<br \/>\ndescription which is made available to the potential users.  The<br \/>\ninclusionary part expressly includes the provision of facilities in<br \/>\nconnection with banking, financing, insurance, transport,<br \/>\nprocessing, supply of electrical or other energy, board or lodging<br \/>\nor both, housing construction, entertainment, amusement or the<br \/>\npurveying of news or other information, whereas the exclusionary<br \/>\npart excludes rendering of any service free of charge or under a<br \/>\ncontract of personal service.  The exclusionary part in Section<br \/>\n2(1)(o) excludes from the main part service rendered (i) free of<br \/>\ncharge; or (ii) under a contract of personal service.  The<br \/>\nexpression &#8216;contract of personal service&#8217; in the exclusionary part<br \/>\nof Section 2(1)(o) must be construed as excluding the services<br \/>\nrendered by an employee to his employer under the contract of<br \/>\npersonal service from the ambit of the expression `service&#8217;.<br \/>\nThere is a distinction between a &#8216;contract of service&#8217; and a<br \/>\n`contract for service&#8217;.   A `contract for service&#8217; implies a<br \/>\ncontract whereby one party undertakes to render service e.g.<br \/>\nprofessional or technical service, to or for another in the<br \/>\nperformance of which he is not subject to detailed direction and<br \/>\ncontrol and exercises professional or technical skill and uses his<br \/>\nown knowledge and discretion, whereas a `contract of service&#8217;<br \/>\nimplies relationship of master and servant and involves an<br \/>\nobligation to obey orders in the work to be performed  and as to<br \/>\nits mode and manner of performance.  A contract of service is<br \/>\nexcluded for consideration from the ambit of definition of<br \/>\n`service&#8217; in  the CP Act, whereas a contract for service is<br \/>\nincluded.  As regards service rendered free of charge under<br \/>\nSection 2(1)(o), the Court held that the medical practitioners,<br \/>\ngovernment hospitals\/nursing homes and private hospitals\/nursing<br \/>\nhomes, who render service without any charge whatsoever to<br \/>\nevery person availing of the service would not fall within the<br \/>\nambit of `service&#8217; under Section 2(1)(o) of the Act.  The payment<br \/>\nof a token amount for registration purposes only would, however,<br \/>\nnot alter the position in respect of such doctors and hospitals,<br \/>\nbut the service rendered for which charges are required to be<br \/>\npaid by everybody availing the service would fall within the<br \/>\npurview of the expression `service&#8217; as defined in Section 2(1)(o)<br \/>\nof the Act.  The Court held that the relationship between a<br \/>\nmedical practitioner and a patient carries within it a certain<br \/>\ndegree of mutual confidence and trust and, therefore, the<br \/>\nservice rendered by the medical practitioners can be regarded as<br \/>\na service of personal nature, but since there is no relationship of<br \/>\nmaster and servant between the doctor and the patient the<br \/>\ncontract between the medical practitioner and his patient cannot<br \/>\nbe treated as a contract of personal service and it is a contract<br \/>\nfor service and the service rendered by the medical practitioner<br \/>\nto his patient under such contract is not covered by the<br \/>\nexclusionary part of the definition of `service&#8217; contained in<br \/>\nSection 2(1)(o) of the CP Act.    In paragraph 55 of the judgment,<br \/>\nthe Court summarized its conclusions.  We are really concerned in<br \/>\nthis case with conclusions Nos. (9), (10), (11) and (12).  Conclusion<br \/>\nNo. (9) is in regard to the service rendered at a government<br \/>\nhospital\/health center\/dispensary where no charges whatsoever<br \/>\nare made from any person and they are given free service, which<br \/>\nwould not be a service under Section 2(1)(o) of the CP Act.<br \/>\nConclusion No. (10) lays down that where the service is rendered<br \/>\nat a government hospital\/health center\/dispensary on payment of<br \/>\ncharges and also rendered free of charge, then it would fall<br \/>\nwithin the ambit of the expression `service&#8217;.  Conclusion No. (11)<br \/>\nsays that if a patient or his relation availed of the service of a<br \/>\nmedical practitioner or  hospital\/nursing home where the charges<br \/>\nfor consultation, diagnosis and medical treatment are borne by<br \/>\nthe insurance company,  then such service would fall within the<br \/>\nambit of service.  Similarly, under conclusion No. (12), where as a<br \/>\npart of the conditions of service the employer bears the<br \/>\nexpenses of medical treatment of an employee and his family<br \/>\nmembers dependent on him, then the service rendered by a<br \/>\nmedical practitioner or a hospital\/nursing home would not be<br \/>\ntreated to be free of charge and would constitute `service&#8217; under<br \/>\nSection 2(1)(o).\n<\/p>\n<p>9.\tIn the case of <a href=\"\/doc\/1630190\/\">Laxman Thamappa Kotgiri v. G.M. Central<br \/>\nRailway &amp; Ors.,<\/a>  2005 (1) Scale 600, where an employee of the<br \/>\nrailways had filed a complaint on the ground that his wife had<br \/>\nbeen negligently treated at a hospital of the Central Railway as a<br \/>\nresult of which she had died, the State Commission concluded<br \/>\nthat since the hospital had been set up to treat railway<br \/>\nemployees predominantly and the service provided was free of<br \/>\ncharge it did not come within the definition of `service&#8217; under the<br \/>\nCP Act and hence the complaint was not maintainable.  On appeal<br \/>\nto the National Commission, the judgment of the State<br \/>\nCommission was upheld and the appeal filed by the employee was<br \/>\nrejected.  Thereafter, appeal was preferred to this Court.<br \/>\nAllowing the appeal, this Court in paras 6 and 7 has held as under:\n<\/p>\n<p>&#8220;6.  There is no dispute that the Hospital in question<br \/>\nhas been set up for the purpose of granting medical<br \/>\ntreatment to the Railway employees and their<br \/>\ndependents.  Apart from the nominal charges which<br \/>\nare taken from such an employee, this facility is part<br \/>\nof the service conditions of the Railway employees.<br \/>\nV.P. Shantha&#8217;s case has made a distinction between<br \/>\nnon-Governmental hospital\/nursing home where no<br \/>\ncharge whatsoever was made from any person availing<br \/>\nof the service and all patients are given free  service<br \/>\n(vide para 55(6) at page 681) and services rendered at<br \/>\nGovernment Hospital\/Health Centre\/Dispensary where<br \/>\nno charge whatsoever is made from any person availing<br \/>\nof the services and all patients are given free service<br \/>\n(vide para 55(9)) on the hand and service rendered to<br \/>\nan employee and his family members by a medical<br \/>\npractitioner or a hospital\/nursing home which are<br \/>\ngiven as part of the conditions of service to the<br \/>\nemployee and where the employer bears expenses of<br \/>\nthe medical treatment of the employee and his family<br \/>\nmembers, (paragraph 55(12) on the other.  In the first<br \/>\ntwo circumstances, it would not be free service within<br \/>\nthe definition of the Sec. 2(1)(o) of the Act.  In the<br \/>\nthird circumstance it would be.\n<\/p>\n<p>7.  Since it is not in dispute that the medical<br \/>\ntreatment in the said Hospital is given to employees<br \/>\nlike the appellant and his family members is part of<br \/>\nthe conditions of service of the appellant and that the<br \/>\nHospital is run and subsidised by the appellants<br \/>\nemployer, namely, the Union of India, the appellant&#8217;s<br \/>\ncase would fall within the parameters laid down in<br \/>\nparagraph 55(12) of the judgment in V.P. Shantha&#8217;s<br \/>\ncase and not within the parameters of either para<br \/>\n55(6) or para 55(9) of the said case.&#8221;\n<\/p>\n<p>10.\tFurther, the appellant has brought to our notice  a judgment<br \/>\nof this Court in the case of <a href=\"\/doc\/932857\/\">Regional Provident Fund<br \/>\nCommissioner v. Shiv Kumar Joshi,<\/a> (2000) 1 SCC 98, wherein the<br \/>\nEmployees&#8217; Provident Fund Scheme, 1952, framed under Section 5<br \/>\nof the Employees&#8217; Provident Fund Act came for consideration of<br \/>\nthe Court and the Court held in para 11 as under:\n<\/p>\n<p>&#8221;  <\/p>\n<p>A perusal of the Scheme unambiguously shows that it<br \/>\nis for consideration which is applicable to all those<br \/>\nfactories and establishments covered under the Act<br \/>\nand the Scheme who are required to become a member<br \/>\nof the fund under the Scheme.    The contribution of<br \/>\nthe employee has to be equal to the contribution<br \/>\npayable by the employer in respect of such employee.<br \/>\nThe words &#8220;in respect of&#8221; are significant as they<br \/>\nindicate the liability of the employer to pay his part of<br \/>\nthe contribution in consideration of the employee<br \/>\nworking with him.  But for the employment of the<br \/>\nemployee there is no obligation upon the employer to<br \/>\npay his part of the contribution to the Scheme.  The<br \/>\nadministrative charges, as required to be paid under<br \/>\nPara 30 of the Scheme are also paid for consideration<br \/>\nof the employee being the member of the Scheme and<br \/>\nfor the services rendered under the Scheme.  It is<br \/>\nimmaterial as to whether such charges are deducted<br \/>\nactually from the wages of the employee or paid by his<br \/>\nemployer in respect of the member-employee of the<br \/>\nScheme working for such employer.   It cannot be<br \/>\nheld that even though the employee is a member of<br \/>\nthe Scheme, yet the employer would only be deemed<br \/>\nto be a consumer for having made payments of the<br \/>\nadministrative charges. ..&#8221;\n<\/p>\n<p>11.\tIt is contended by the learned counsel for the appellant<br \/>\nthat the appellant is a member of the insurance scheme applicable<br \/>\nin the establishment where he is serving and, therefore, the<br \/>\ninsurance policy which takes care of the medical treatment of the<br \/>\nappellant as well as his dependents which is given in the ESI<br \/>\nhospital\/dispensary would be a service falling within the purview<br \/>\nof Section 2(1)(o) of the CP Act.  To appreciate this contention of<br \/>\nthe learned counsel, it would be necessary to consider the<br \/>\ninsurance scheme which is applicable in the establishment under<br \/>\nvarious provisions of the ESI Act.\n<\/p>\n<p>12.\t    It is an admitted fact that the appellant&#8217;s wife was given<br \/>\ntreatment in the ESI dispensary at Sonepat.  Under Section 38<br \/>\nof the ESI Act, all employees in a factory or establishment where<br \/>\nthe Act applies are required to be insured under the insurance<br \/>\nscheme.  Section 39 speaks of the contribution which is required<br \/>\nto be paid to the Corporation for the insurance scheme which<br \/>\nshall comprise the contribution payable by the employer and the<br \/>\ncontribution payable by the employee.  The contribution is<br \/>\nrequired to be paid at such rates as may be prescribed by the<br \/>\nCentral Government.  By virtue of Section 40, the principal<br \/>\nemployer is liable to pay the contributions, both the employer&#8217;s<br \/>\ncontribution and the employee&#8217;s contribution, in the first instance<br \/>\nof the employees directly employed by him or by or through an<br \/>\nimmediate employer.  Sub-section (2) of Section 40 authorises<br \/>\nthe principal employer to recover the contribution made for the<br \/>\nemployee by deducting the same from the wages of the employee.<br \/>\nChapter V of the ESI Act deals with benefits.   Sub-section (1)<br \/>\nof Section 46 falling within this Chapter contemplates that the<br \/>\ninsured persons, their dependents and the persons mentioned<br \/>\nunder the Section shall be entitled to the various benefits<br \/>\nreferred to in clauses (a) to (f).   Clause (e) reads: &#8220;medical<br \/>\ntreatment for an attendance on insured persons (hereinafter<br \/>\nreferred to as medical benefit)&#8221;. Section 56 is a specific Section<br \/>\nwhich has reference to the medical benefits available to an<br \/>\ninsured person or to his family member whose condition requires<br \/>\nmedical treatment and attendance and they shall be entitled to<br \/>\nreceive medical benefit.  Under Section 59, the Corporation is<br \/>\ncalled upon with the approval of the State Government to<br \/>\nestablish and maintain in a State such hospitals, dispensaries and<br \/>\nother medical and surgical services as it may think fit for the<br \/>\nbenefit of insured persons and,  where such medical benefit is<br \/>\nextended, to their families.\n<\/p>\n<p>13.\t   On a plain reading of the aforesaid provisions of the ESI<br \/>\nAct, it is apparent that the Corporation is required to maintain<br \/>\nand establish the hospitals and dispensaries and to provide<br \/>\nmedical and surgical services.  Service rendered in the hospital to<br \/>\nthe insured person or his family member for medical treatment is<br \/>\nnot free, in the sense that the expense incurred for the service<br \/>\nrendered in the hospital would be borne from the contributions<br \/>\nmade to the insurance scheme by the employer and the employee<br \/>\nand, therefore, the principle enunciated in conclusion No. (11) in<br \/>\npara 55 in the case of Indian Medical Association (supra) will<br \/>\nsquarely apply to the facts of the present case, where the<br \/>\nappellant has availed the services under the insurance policy<br \/>\nwhich is compulsory under the statute.  Wherever the charges<br \/>\nfor medical treatment are borne under the insurance policy, it<br \/>\nwould be a service rendered within the ambit of Section 2(1)(o)<br \/>\nof the  CP Act.   It cannot be said to be a free service rendered<br \/>\nby the ESI hospital\/dispensary.\n<\/p>\n<p>14.\t  The service rendered by the medical practitioners of<br \/>\nhospitals\/nursing homes run by the ESI Corporation cannot be<br \/>\nregarded as a service rendered free of charge.  The person<br \/>\navailing of such service under an insurance    scheme of   medical<br \/>\ncare, whereunder the charges for consultation, diagnosis and<br \/>\nmedical treatment are borne by the insurer, such service would<br \/>\nfall within the ambit of `service&#8217;  as defined in Section 2(1)(o) of<br \/>\nthe CP Act.  We are of the opinion that the service provided by<br \/>\nthe ESI hospital\/dispensary falls within the ambit of `service&#8217; as<br \/>\ndefined in Section 2(1)(o) of the CP Act.   ESI scheme is an<br \/>\ninsurance scheme and it contributes for the service rendered by<br \/>\nthe ESI hospitals\/dispensaries, of medical care in its<br \/>\nhospitals\/dispensaries, and as such service given in the ESI<br \/>\nhospitals\/dispensaries to a member of the Scheme or his family<br \/>\ncannot be treated as gratuitous.\n<\/p>\n<p>15.\t   We shall now proceed to consider the second question<br \/>\nraised by Shri Vijay K. Mehta, the learned counsel for the<br \/>\nrespondent that by virtue of Section 74 read with Section 75,<br \/>\nand particularly Section 75(e), of the ESI Act, the claim made by<br \/>\nthe appellant would exclusively fall for decision within the<br \/>\njurisdiction of the Employees&#8217; Insurance Court and that being the<br \/>\nposition the consumer forum has no jurisdiction to adjudicate<br \/>\nupon the issue.\n<\/p>\n<p>16.\t   Relevant portions of Sections 74 and 75 of the ESI Act<br \/>\nare reproduced below:\n<\/p>\n<p>&#8220;74.  Constitution of Employees&#8217; Insurance Court.-<br \/>\n(1) The State Government shall, by notification in the<br \/>\nOfficial Gazette, constitute an Employees&#8217; Insurance<br \/>\nCourt of such local area as may be specified in the<br \/>\nnotification.\n<\/p>\n<p>xxx\t\t\t\txxx\t\t\t\t\txxx&#8221;\n<\/p>\n<p>&#8220;75. Matters to be decided by Employees&#8217; Insurance<br \/>\nCourt.- (1) If any question or dispute arises as to  <\/p>\n<p>(a) whether any person is an employee within the<br \/>\nmeaning of this Act or whether he is liable to pay<br \/>\nthe employee&#8217;s contribution, or<\/p>\n<p>(b) the rate of wages or average daily wages of<br \/>\nan employee for the purpose of this Act, or<\/p>\n<p>(c) the rate of contribution payable by the<br \/>\nprincipal employer in respect of any employee, or<\/p>\n<p>(d) the person who is or was the principal<br \/>\nemployer in respect of any employee, or<\/p>\n<p>(e) the right of any person to any benefit and as<br \/>\nto the amount and duration thereof, or<\/p>\n<p>(ee) any direction issued by the Corporation<br \/>\nunder Section 55-A on a review of any payment<br \/>\nof dependants&#8217; benefits, or,<\/p>\n<p>(f) [Omitted], or<\/p>\n<p>(g) any other matter which is in dispute between<br \/>\na principal employer and the Corporation, or<br \/>\nbetween a principal employer and an immediate<br \/>\nemployer, or between a person and the<br \/>\nCorporation or between an employee and a<br \/>\nprincipal or immediate employer, in respect of<br \/>\nany contribution or benefit or other dues payable<br \/>\nor recoverable under this Act, or any other<br \/>\nmatter required to be or which may be decided<br \/>\nby the Employees&#8217; Insurance Court under this<br \/>\nAct,  <\/p>\n<p>such question or dispute subject to the provisions of<br \/>\nsub-section (2-A) shall be decided by the Employees&#8217;<br \/>\nInsurance Court in accordance with the provisions of<br \/>\nthis  Act.\n<\/p>\n<p>(2) Subject to the provisions of sub-section (2-<br \/>\nA), the following claims shall be decided by the<br \/>\nEmployees&#8217; Insurance Court, namely, &#8211;\n<\/p>\n<p>(a) claim for the recovery of contributions from<br \/>\nthe principal employer;\n<\/p>\n<p>(b) claim by a principal employer to recover<br \/>\ncontributions from any immediate employer;\n<\/p>\n<p>(c) (Omitted);\n<\/p>\n<p>(d) claim against a principal employer under<br \/>\nSection 68;\n<\/p>\n<p>(e) claim under Section 70 for the recovery of<br \/>\nthe value or amount of the benefits received by<br \/>\na person when he is not lawfully entitled thereto;<br \/>\nand<\/p>\n<p>(f) any claim for the recovery of any benefit<br \/>\nadmissible under this Act.\n<\/p>\n<p>xxx\t\t\t\t\txxx\t\t\t\txxx<\/p>\n<p>\t(3).\tNo Civil Court shall have jurisdiction to<br \/>\ndecide or deal with any question or dispute as<br \/>\naforesaid or to adjudicate on any liability which by or<br \/>\nunder this Act is to be decided by a medical board, or<br \/>\nby a medical appeal tribunal or by the Employees&#8217;<br \/>\nInsurance Court.&#8221;\n<\/p>\n<p>17.\t   It has been held in numerous cases of this Court that the<br \/>\njurisdiction of a consumer forum has to be construed liberally so<br \/>\nas to bring many cases under it for their speedy disposal.  In the<br \/>\ncase of <a href=\"\/doc\/1715546\/\">M\/s. Spring Meadows Hospital and Another v. Harjol<br \/>\nAhluwalia and Another, AIR<\/a> 1998 SC 1801, it was held that the<br \/>\nCP Act creates a framework for speedy disposal of consumer<br \/>\ndisputes and an attempt has been made to remove the existing<br \/>\nevils of the ordinary court system.  The Act being a beneficial<br \/>\nlegislation should receive a liberal construction.  <a href=\"\/doc\/925018\/\">In State of<br \/>\nKarnataka v. Vishwabarathi House Building Co-op. Society and<br \/>\nOthers, AIR<\/a> 2003 SC 1043, the Court speaking on the<br \/>\njurisdiction of the consumer fora held that the provisions of the<br \/>\nsaid Act are required to be interpreted as broadly as possible and<br \/>\nthe fora under the CP Act have jurisdiction to entertain a<br \/>\ncomplaint despite the fact that other fora\/courts would also have<br \/>\njurisdiction to adjudicate upon the lis.  These judgments have<br \/>\nbeen cited with approval in paras 16 and 17 of the judgment in<br \/>\n<a href=\"\/doc\/1640713\/\">Secretary, Thirumurugan Cooperative Agricultural Credit<br \/>\nSociety v. M. Lalitha and Others,<\/a>  (2004) 1 SCC 305.  The trend<br \/>\nof the decisions of this Court is that the jurisdiction of the<br \/>\nconsumer forum should not and would not be curtailed unless<br \/>\nthere is an express provision prohibiting the consumer forum to<br \/>\ntake up the matter which falls within the jurisdiction of civil<br \/>\ncourt or any other forum as established under some enactment.<br \/>\nThe Court had gone to the extent of saying that if two different<br \/>\nfora have jurisdiction to entertain the dispute in regard to the<br \/>\nsame subject, the jurisdiction of the consumer forum would not<br \/>\nbe barred  and the power of the consumer forum to adjudicate<br \/>\nupon the dispute could not be negated.\n<\/p>\n<p>18.\t    The submission of the learned counsel for the respondent<br \/>\nis that the claim made by the appellant before the consumer<br \/>\nforum raises a dispute in regard to damages for negligence of<br \/>\ndoctors in the ESI hospital\/dispensary and would tantamount to<br \/>\nclaiming benefit and the amount under the ESI Act provisions and<br \/>\nwould fall within clause (e) of Section 75(1) and, therefore, it is<br \/>\nthe Employees&#8217; Insurance Court alone which has the jurisdiction<br \/>\nto decide it.  We are afraid that we cannot agree with the<br \/>\nsubmission made by the learned counsel.   Section 75 provides for<br \/>\nthe subjects on which the jurisdiction shall be exercised by the<br \/>\nEmployees&#8217; Insurance Court.  Clause (e) of Section 75(1) gives<br \/>\npower to the Employees&#8217; Insurance Court to adjudicate upon the<br \/>\ndispute  of the right of any person to any benefit and as to the<br \/>\namount and duration thereof.  The benefit which has been<br \/>\nreferred to, has a reference to the benefits under the Act, i.e.,<br \/>\nthe ESI Act.   The Employees&#8217; State Insurance (Central) Rules,<br \/>\n1950 (hereinafter referred to as &#8220;the Rules&#8221;) have been framed<br \/>\nin exercise of the powers under Section 95 of the ESI Act.  Rule<br \/>\n56 provides for maternity benefits, Rule 57 for disablement<br \/>\nbenefits, Rule 58 for dependents&#8217; benefits, Rule 60 for medical<br \/>\nbenefits to insured person who ceases to be in an insurable<br \/>\nemployment on account of permanent disablement and Rule 61 for<br \/>\nmedical benefits to retired insured persons.   Thus, these are the<br \/>\nbenefits which are provided under the Rules to the employees and<br \/>\nthe ex-employees for which claim can be made in the Employees&#8217;<br \/>\nInsurance Court.  The appellant&#8217;s claim has no relation to any of<br \/>\nthe benefits which are provided in the Rules for which the claim<br \/>\ncan  be made in the Employees&#8217; Insurance Court.  The appellant&#8217;s<br \/>\nclaim is for damages for the negligence on the part of the ESI<br \/>\nhospital\/dispensary and the doctors working  therein.\n<\/p>\n<p>19.\t   A bare perusal of the provisions of clauses (a) to (g) of<br \/>\nSection 75(1) clearly shows that it does not include claim for<br \/>\ndamages for medical negligence, like the present case which we<br \/>\nare dealing with.   Although the question does not directly arise<br \/>\nbefore us, we shall consider what in the ordinary course shall<br \/>\nconstitute negligence.\n<\/p>\n<p>20.\t  This Court has considered the principles of the law on<br \/>\nnegligence in <a href=\"\/doc\/871062\/\">Jacob Mathew v. State of Punjab and Another,<\/a><br \/>\n(2005) 6 SCC 1.  The jurisprudential concept of negligence defies<br \/>\nany precise definition.  Eminent jurists and leading judgments<br \/>\nhave assigned various meanings to negligence.  The concept as has<br \/>\nbeen acceptable to Indian jurisprudential thought is well-stated<br \/>\nin the Law of Torts, Ratanlal &amp; Dhirajlal (24th Ed. 2002, edited by<br \/>\nJustice G.P. Singh).  It is stated (at pp. 441-442) :\n<\/p>\n<p>&#8220;Negligence is the breach of a duty caused by the<br \/>\nomission to do something which a reasonable man,<br \/>\nguided by those considerations which ordinarily<br \/>\nregulate the conduct of human affairs would do, or<br \/>\ndoing something which a prudent and reasonable man<br \/>\nwould not do.  Actionable negligence consists in the<br \/>\nneglect of the use of ordinary care or skill towards a<br \/>\nperson to whom the defendant owes the duty of<br \/>\nobserving ordinary care and skill, by which neglect the<br \/>\nplaintiff has suffered injury to his person or property<br \/>\n.  the definition involves three constituents of<br \/>\nnegligence: (1) A legal duty to exercise due care on the<br \/>\npart of the party complained of towards the party<br \/>\ncomplaining the former&#8217;s conduct within the scope of<br \/>\nthe duty; (2) breach of the said duty; and (3)<br \/>\nconsequential damage.  Cause of action for negligence<br \/>\narises only when damage occurs; for, damage is a<br \/>\nnecessary ingredient of this tort.&#8221;\n<\/p>\n<p>Cause of action for negligence arises only when damage occurs<br \/>\nand thus the claimant has to satisfy the court on the evidence<br \/>\nthat three ingredients of negligence, namely, (a) existence of<br \/>\nduty to take care; (b) failure to attain that standard of care; and\n<\/p>\n<p>(c) damage suffered on account of breach of duty, are present<br \/>\nfor the defendant to be held liable for negligence.  Therefore,<br \/>\nthe claimant has to satisfy these ingredients before he can claim<br \/>\ndamages for medical negligence of the doctors and that could not<br \/>\nbe a question which could be adjudicated upon by the Employees&#8217;<br \/>\nInsurance Courts which have been given specific powers of the<br \/>\nissues, which they can adjudicate and decide.  Claim for damages<br \/>\nfor negligence of the doctors or the ESI hospital\/dispensary is<br \/>\nclearly beyond the jurisdictional power of the Employees&#8217;<br \/>\nInsurance Court.  An Employees&#8217; Insurance Court has  jurisdiction<br \/>\nto decide certain claims which fall under sub-section (2) of<br \/>\nSection 75 of the ESI Act.  A bare reading of Section 75(2) also<br \/>\ndoes not indicate, in any manner, that the claim for damages for<br \/>\nnegligence would fall within the purview of the decisions being<br \/>\nmade by the Employees&#8217; Insurance Court.\tFurther, it can be<br \/>\nseen that any claim arising out of and within the purview of the<br \/>\nEmployees&#8217; Insurance Court is expressly barred by virtue of sub-<br \/>\nsection (3) to be adjudicated upon by a civil court, but there is no<br \/>\nsuch express bar for the consumer forum to exercise the<br \/>\njurisdiction even if the subject matter of the claim or dispute<br \/>\nfalls within clauses (a) to (g) of sub-section (1) of Section 75 or<br \/>\nwhere the jurisdiction to adjudicate upon the claim is vested with<br \/>\nthe Employees&#8217; Insurance Court under clauses (a) to (f) of sub-<br \/>\nsection (2) of Section 75 if it is a consumer&#8217;s dispute falling<br \/>\nunder the CP Act.\n<\/p>\n<p>21.\t     Having considered all these aspects, we are of the view<br \/>\nthat the appellant is a consumer within the ambit of Section<br \/>\n2(1)(d) of the Consumer Protection Act, 1986 and the medical<br \/>\nservice rendered in the ESI hospital\/dispensary by the<br \/>\nrespondent Corporation falls within the ambit of Section 2(1)(o)<br \/>\nof the Consumer Protection Act and, therefore, the consumer<br \/>\nforum has jurisdiction to adjudicate upon the case of the<br \/>\nappellant.  We further hold that the jurisdiction of the consumer<br \/>\nforum is not ousted by virtue of sub-section (1) or (2) or (3) of<br \/>\nSection 75 of the Employees&#8217; State Insurance Act, 1948.\n<\/p>\n<p>22.\t     For the aforesaid reasons, the appeal is allowed.  The<br \/>\nimpugned order is set aside and the matter is remitted back to<br \/>\nthe District Consumer Disputes Redressal Forum, Sonepat, for<br \/>\ndecision in accordance with law laid down herein.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Supreme Court of India Kishore Lal vs Chairman, Employees State &#8230; on 8 May, 2007 Bench: B.N. Agrawal, P.P. Naolekar, Dalveer Bhandari CASE NO.: Appeal (civil) 4965 of 2000 PETITIONER: Kishore Lal RESPONDENT: Chairman, Employees State Insurance Corporation DATE OF JUDGMENT: 08\/05\/2007 BENCH: B.N. AGRAWAL, P.P. NAOLEKAR &amp; DALVEER BHANDARI JUDGMENT: J U D G [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[30],"tags":[],"class_list":["post-180808","post","type-post","status-publish","format-standard","hentry","category-supreme-court-of-india"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Kishore Lal vs Chairman, Employees State ... on 8 May, 2007 - Free Judgements of Supreme Court &amp; High Court | Legal India<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.legalindia.com\/judgments\/kishore-lal-vs-chairman-employees-state-on-8-may-2007\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Kishore Lal vs Chairman, Employees State ... on 8 May, 2007 - Free Judgements of Supreme Court &amp; 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