Judgment:
P.P. Naolekar, J.
1. The appellant was insured with
the respondent-Employees' State Insurance Corporation (for short "the
Corporation") with Insurance No. 913644. The employee's/appellant's
contribution towards the insurance scheme under the Employees' State
Insurance Act, 1948 (hereinafter referred to as "the ESI Act") was being
deducted regularly from his salary and deposited by his employer with
the Corporation. In 1993, the appellant's wife was admitted in the ESI
dispensary at Sonepat for her treatment for diabetes. However, the
condition of his wife continued to deteriorate. As alleged by the
appellant, there were instances when the doctors were not available even
during emergencies. Later, the appellant got his wife medically examined
in a private hospital.
The tests done revealed that his
wife had been diagnosed incorrectly in the ESI dispensary; and that the
deterioration in the condition of the appellant's wife was a direct
result of the wrong diagnosis. The appellant filed a complaint under the
Consumer Protection Act, 1986 (hereinafter referred to as "the CP Act")
before the District Consumer Disputes Redressal Forum seeking (i)
compensation towards mental agony, harassment, physical torture, pains,
sufferings and monetary loss for the negligence of the authorities; (ii)
direction for removal of, and improvement in, the deficiencies; and
(iii) direction for payment of interest on the amount of reimbursement
bills.
The Corporation through its officers
entered appearance and raised certain preliminary objections, namely,
(i) that the complaint filed is not maintainable in the District
Consumer Forum and is liable to be dismissed as the wife of the
complainant was treated in the ESI dispensary, Sonepat, which is a
government dispensary and the complainant cannot be treated as a
consumer; and (ii) that the complainant is not a consumer within the
definition of `consumer' in the CP Act and he is not entitled to file a
complaint against the ESI dispensary. It was also contended that the
facility of medical treatment in government hospital cannot be regarded
as a `service' hired for consideration, apart from the other defences
raised in the written statement.
2. The District Consumer Forum
relied on the ratio of Birbal Singh v. ESI Corporation, 1993 II
CPJ 1028, wherein on a complaint filed for compensation for being
aggrieved by poor medical attention received by the late wife of the
complainant at an ESI hospital, the Haryana State Commission had held
that the complainants did not come within the ambit of the definition of
`consumer' under the CP Act because of the gratuitous nature of the
medical services provided. On this basis, the District Forum held that
the services rendered by the ESI dispensary are gratuitous in nature
and, therefore, out of the purview of the CP Act. Appeal was preferred
to the Haryana State Consumer Disputes Redressal Commission and it was
urged by the appellant that ESI is a scheme of insurance and hence the
service rendered by the Corporation was not gratuitous. The State
Commission relying on the judgment in Birbal Singh (supra) and Indian
Medical Association v. V.P. Shantha and Others, (1995) 6 SCC 651 held
that free medical services were not covered by the CP Act and upheld the
judgment of the District Forum. Appellant preferred a revision before
the National Consumer Disputes Redressal Commission, but the same was
also dismissed in limine. Hence, this appeal by special leave.
3. By second counter affidavit filed
in August, 2000, the respondent-Corporation have also raised the
question of the jurisdiction of a consumer forum. The respondent
contended that by virtue of Section 75 of the ESI Act, the dispute
raised by the appellant is covered and is to be decided by the
Employees' Insurance Court established under Section 74 of the ESI Act
and it being a special Act the jurisdiction of the consumer forum is
ousted.
4. From the decisions rendered by
the District Forum, the State Commission and the National Commission,
and the questions raised by the appellant and the respondent, the
question that falls for our consideration is two-fold:
1. Whether the service rendered by an ESI hospital is gratuitous or not,
and consequently whether it falls within the ambit of `service' as
defined in the Consumer Protection Act, 1986?
2. Whether Section 74 read with
Section 75 of the Employees' State Insurance Act, 1948 ousts the
jurisdiction of the consumer forum as regards the issues involved for
consideration?
5. It is contended by Shri Dayan
Krishnan, the learned counsel for the appellant, that in the case of
Indian Medical Association (supra) although it was held that the free
medical service was not covered under the CP Act, the very same judgment
in conclusion No. (11) in para 55 includes any medical service given
under the scheme of insurance within the scope of the CP Act and,
therefore, the claim made by the appellant squarely falls within the
jurisdiction of the consumer forum, the appellant being a consumer and
the respondent's dispensary having rendered a service to him for
consideration.
6. At this stage, it would be
appropriate to refer to certain statutory provisions of the Consumer
Protection Act, 1986. `Consumer' is defined in clause (d) and `service'
in clause (o) of Section 2(1) of the CP Act as under:
"2. Definitions.- (1) In this Act,
unless the context otherwise requires, -
xxx xxx xxx
(d) "consumer" means any person
who, -
(i) buys any goods for consideration
which has been paid or promised or partly paid and partly promised, or
under any system of deferred payment and includes any user of such goods
other than the person who buys such goods for consideration paid or
promised or partly paid or partly promised, or under any system of
deferred payment, when such use is made with the approval of such
person, but does not include a person who obtains such goods for resale
or for any commercial purpose; or
(ii) hires or avails of any services
for a consideration which has been paid or promised or partly paid and
partly promised, or under any system of deferred payment and includes
any beneficiary of such services other than the person who hires or
avails of the services for consideration paid or promised, or partly
paid and partly promised, or under any system of deferred payment, when
such services are availed of with the approval of the first mentioned
person but does not include a person who avails of such services for any
commercial purpose;
Explanation.- For the purposes of this clause, "commercial
purpose" does not include use by a person of goods bought and used by
him and services availed by him exclusively for the purposes of earning
his livelihood by means of self-employment;"
xxx xxx xxx
"(o) "Service" means service
of any description which is made available to potential users and
includes, but not limited to, the provision of facilities in connection
with banking, financing, insurance, transport, processing, supply of
electrical or other energy, board or lodging or both, housing
construction, entertainment, amusement or the purveying of news or other
information, but does not include the rendering of any service free of
charge or under a contract of personal service;"
7. The definition of `consumer' in the CP Act is apparently wide
enough and encompasses within its fold not only the goods but also the
services, bought or hired, for consideration. Such consideration may be
paid or promised or partly paid or partly promised under any system of
deferred payment and includes any beneficiary of such person other than
the person who hires the service for consideration. The Act being a
beneficial legislation, aims to protect the interests of a consumer as
understood in the business parlance. The important characteristics of
goods and services under the Act are that they are supplied at a price
to cover the costs and generate profit or income for the seller of goods
or provider of services. The comprehensive definition aims at covering
every man who pays money as the price or cost of goods and services.
However, by virtue of the definition, the person who obtains goods for
resale or for any commercial purpose is excluded, but the services hired
for consideration even for commercial purposes are not excluded. The
term `service' unambiguously indicates in the definition that the
definition is not restrictive and includes within its ambit such
services as well which are specified therein. However, a service hired
or availed, which does not cost anything or can be said free of charge,
or under a contract of personal service, is not included within the
meaning of `service' for the purposes of the CP Act.
8. A 3-Judge Bench of this Court in
Indian Medical Association (supra) has extensively considered the
provisions of the CP Act and particularly what shall be a `service'
within the meaning of Section 2(1)(o) of the said Act. The Court was
considering whether the service rendered by the doctors would fall
within the purview of the CP Act, it being a service rendered for the
charges; and whether the patients, who are treated by the doctors, are
`consumers' as defined in Section 2(1)(d) of the CP Act. The Court said
that the definition of `service' in Section 2(1)(o) can be split into
three parts: the main part, the inclusionary part and the exclusionary
part. The main part is explanatory in nature and defines service to mean
service of any description which is made available to the potential
users. The inclusionary part expressly includes the provision of
facilities in connection with banking, financing, insurance, transport,
processing, supply of electrical or other energy, board or lodging or
both, housing construction, entertainment, amusement or the purveying of
news or other information, whereas the exclusionary part excludes
rendering of any service free of charge or under a contract of personal
service.
The exclusionary part in Section
2(1)(o) excludes from the main part service rendered (i) free of charge;
or (ii) under a contract of personal service. The expression 'contract
of personal service' in the exclusionary part of Section 2(1)(o) must be
construed as excluding the services rendered by an employee to his
employer under the contract of personal service from the ambit of the
expression `service'.
There is a distinction between a
'contract of service' and a `contract for service'. A `contract for
service' implies a contract whereby one party undertakes to render
service e.g. professional or technical service, to or for another in the
performance of which he is not subject to detailed direction and control
and exercises professional or technical skill and uses his own knowledge
and discretion, whereas a `contract of service' implies relationship of
master and servant and involves an obligation to obey orders in the work
to be performed and as to its mode and manner of performance. A contract
of service is excluded for consideration from the ambit of definition of
`service' in the CP Act, whereas a contract for service is included. As
regards service rendered free of charge under Section 2(1)(o), the Court
held that the medical practitioners, government hospitals/nursing homes
and private hospitals/nursing homes, who render service without any
charge whatsoever to every person availing of the service would not fall
within the ambit of `service' under Section 2(1)(o) of the Act.
The payment of a token amount for
registration purposes only would, however, not alter the position in
respect of such doctors and hospitals, but the service rendered for
which charges are required to be paid by everybody availing the service
would fall within the purview of the expression `service' as defined in
Section 2(1)(o) of the Act. The Court held that the relationship between
a medical practitioner and a patient carries within it a certain degree
of mutual confidence and trust and, therefore, the service rendered by
the medical practitioners can be regarded as a service of personal
nature, but since there is no relationship of master and servant between
the doctor and the patient the contract between the medical practitioner
and his patient cannot be treated as a contract of personal service and
it is a contract for service and the service rendered by the medical
practitioner to his patient under such contract is not covered by the
exclusionary part of the definition of `service' contained in Section
2(1)(o) of the CP Act. In paragraph 55 of the judgment, the Court
summarized its conclusions. We are really concerned in this case with
conclusions Nos. (9), (10), (11) and (12).
Conclusion No. (9) is in regard to
the service rendered at a government hospital/health center/dispensary
where no charges whatsoever are made from any person and they are given
free service, which would not be a service under Section 2(1)(o) of the
CP Act. Conclusion No. (10) lays down that where the service is rendered
at a government hospital/health center/dispensary on payment of charges
and also rendered free of charge, then it would fall within the ambit of
the expression `service'. Conclusion No. (11) says that if a patient or
his relation availed of the service of a medical practitioner or
hospital/nursing home where the charges for consultation, diagnosis and
medical treatment are borne by the insurance company, then such service
would fall within the ambit of service. Similarly, under conclusion No.
(12), where as a part of the conditions of service the employer bears
the expenses of medical treatment of an employee and his family members
dependent on him, then the service rendered by a medical practitioner or
a hospital/nursing home would not be treated to be free of charge and
would constitute `service' under Section 2(1)(o).
9. In the case of Laxman Thamappa
Kotgiri v. G.M. Central Railway & Ors., 2005 (1) Scale 600, where an
employee of the railways had filed a complaint on the ground that his
wife had been negligently treated at a hospital of the Central Railway
as a result of which she had died, the State Commission concluded that
since the hospital had been set up to treat railway employees
predominantly and the service provided was free of charge it did not
come within the definition of `service' under the CP Act and hence the
complaint was not maintainable. On appeal to the National Commission,
the judgment of the State Commission was upheld and the appeal filed by
the employee was rejected. Thereafter, appeal was preferred to this
Court. Allowing the appeal, this Court in paras 6 and 7 has held as
under:
"6. There is no dispute that the
Hospital in question has been set up for the purpose of granting medical
treatment to the Railway employees and their dependents. Apart from the
nominal charges which are taken from such an employee, this facility is
part of the service conditions of the Railway employees. V.P.
Shantha's case has made a distinction between non-Governmental
hospital/nursing home where no charge whatsoever was made from any
person availing of the service and all patients are given free service
(vide para 55(6) at page 681) and services rendered at Government
Hospital/Health Centre/Dispensary where no charge whatsoever is made
from any person availing of the services and all patients are given free
service (vide para 55(9)) on the hand and service rendered to an
employee and his family members by a medical practitioner or a
hospital/nursing home which are given as part of the conditions of
service to the employee and where the employer bears expenses of the
medical treatment of the employee and his family members, (paragraph
55(12) on the other. In the first two circumstances, it would not be
free service within the definition of the Sec. 2(1)(o) of the Act. In
the third circumstance it would be.
7. Since it is not in dispute that
the medical treatment in the said Hospital is given to employees like
the appellant and his family members is part of the conditions of
service of the appellant and that the Hospital is run and subsidised by
the appellants employer, namely, the Union of India, the appellant's
case would fall within the parameters laid down in paragraph 55(12) of
the judgment in V.P. Shantha's case and not within the parameters
of either para 55(6) or para 55(9) of the said case."
10. Further, the appellant has
brought to our notice a judgment of this Court in the case of Regional
Provident Fund Commissioner v. Shiv Kumar Joshi, (2000) 1 SCC 98,
wherein the Employees' Provident Fund Scheme, 1952, framed under Section
5 of the Employees' Provident Fund Act came for consideration of the
Court and the Court held in para 11 as under:
" A perusal of the Scheme
unambiguously shows that it is for consideration which is applicable to
all those factories and establishments covered under the Act and the
Scheme who are required to become a member of the fund under the Scheme.
The contribution of the employee has to be equal to the contribution
payable by the employer in respect of such employee. The words "in
respect of" are significant as they indicate the liability of the
employer to pay his part of the contribution in consideration of the
employee working with him. But for the employment of the employee there
is no obligation upon the employer to pay his part of the contribution
to the Scheme. The administrative charges, as required to be paid under
Para 30 of the Scheme are also paid for consideration of the employee
being the member of the Scheme and for the services rendered under the
Scheme. It is immaterial as to whether such charges are deducted
actually from the wages of the employee or paid by his employer in
respect of the member-employee of the Scheme working for such employer.
It cannot be held that even though the employee is a member of the
Scheme, yet the employer would only be deemed to be a consumer for
having made payments of the administrative charges. .."
11. It is contended by the learned
counsel for the appellant that the appellant is a member of the
insurance scheme applicable in the establishment where he is serving
and, therefore, the insurance policy which takes care of the medical
treatment of the appellant as well as his dependents which is given in
the ESI hospital/dispensary would be a service falling within the
purview of Section 2(1)(o) of the CP Act. To appreciate this contention
of the learned counsel, it would be necessary to consider the insurance
scheme which is applicable in the establishment under various provisions
of the ESI Act.
12. It is an admitted fact that the
appellant's wife was given treatment in the ESI dispensary at Sonepat.
Under Section 38 of the ESI Act, all employees in a factory or
establishment where the Act applies are required to be insured under the
insurance scheme. Section 39 speaks of the contribution which is
required to be paid to the Corporation for the insurance scheme which
shall comprise the contribution payable by the employer and the
contribution payable by the employee. The contribution is required to be
paid at such rates as may be prescribed by the Central Government. By
virtue of Section 40, the principal employer is liable to pay the
contributions, both the employer's contribution and the employee's
contribution, in the first instance of the employees directly employed
by him or by or through an immediate employer. Sub-section (2) of
Section 40 authorises the principal employer to recover the contribution
made for the employee by deducting the same from the wages of the
employee. Chapter V of the ESI Act deals with benefits. Sub-section (1)
of Section 46 falling within this Chapter contemplates that the insured
persons, their dependents and the persons mentioned under the Section
shall be entitled to the various benefits referred to in clauses (a) to
(f). Clause (e) reads: "medical treatment for an attendance on insured
persons (hereinafter referred to as medical benefit)". Section 56 is a
specific Section which has reference to the medical benefits available
to an insured person or to his family member whose condition requires
medical treatment and attendance and they shall be entitled to receive
medical benefit. Under Section 59, the Corporation is called upon with
the approval of the State Government to establish and maintain in a
State such hospitals, dispensaries and other medical and surgical
services as it may think fit for the benefit of insured persons and,
where such medical benefit is extended, to their families.
13. On a plain reading of the
aforesaid provisions of the ESI Act, it is apparent that the Corporation
is required to maintain and establish the hospitals and dispensaries and
to provide medical and surgical services. Service rendered in the
hospital to the insured person or his family member for medical
treatment is not free, in the sense that the expense incurred for the
service rendered in the hospital would be borne from the contributions
made to the insurance scheme by the employer and the employee and,
therefore, the principle enunciated in conclusion No. (11) in para 55 in
the case of Indian Medical Association (supra) will squarely apply to
the facts of the present case, where the appellant has availed the
services under the insurance policy which is compulsory under the
statute. Wherever the charges for medical treatment are borne under the
insurance policy, it would be a service rendered within the ambit of
Section 2(1)(o) of the CP Act. It cannot be said to be a free service
rendered by the ESI hospital/dispensary.
14. The service rendered by the
medical practitioners of hospitals/nursing homes run by the ESI
Corporation cannot be regarded as a service rendered free of charge. The
person availing of such service under an insurance scheme of medical
care, whereunder the charges for consultation, diagnosis and medical
treatment are borne by the insurer, such service would fall within the
ambit of `service' as defined in Section 2(1)(o) of the CP Act. We are
of the opinion that the service provided by the ESI hospital/dispensary
falls within the ambit of `service' as defined in Section 2(1)(o) of the
CP Act. ESI scheme is an insurance scheme and it contributes for the
service rendered by the ESI hospitals/dispensaries, of medical care in
its hospitals/dispensaries, and as such service given in the ESI
hospitals/dispensaries to a member of the Scheme or his family cannot be
treated as gratuitous.
15. We shall now proceed to consider
the second question raised by Shri Vijay K. Mehta, the learned counsel
for the respondent that by virtue of Section 74 read with Section 75,
and particularly Section 75(e), of the ESI Act, the claim made by the
appellant would exclusively fall for decision within the jurisdiction of
the Employees' Insurance Court and that being the position the consumer
forum has no jurisdiction to adjudicate upon the issue.
16. Relevant portions of Sections 74
and 75 of the ESI Act are reproduced below:
"74. Constitution of Employees'
Insurance Court.- (1) The State Government shall, by notification
in the Official Gazette, constitute an Employees' Insurance Court of
such local area as may be specified in the notification.
xxx xxx xxx"
"75. Matters to be decided by
Employees' Insurance Court.- (1) If any question or dispute arises as to
(a) whether any person is an employee within the meaning of this Act or
whether he is liable to pay the employee's contribution, or
(b) the rate of wages or average
daily wages of an employee for the purpose of this Act, or
(c) the rate of contribution payable
by the principal employer in respect of any employee, or
(d) the person who is or was the
principal employer in respect of any employee, or
(e) the right of any person to any
benefit and as to the amount and duration thereof, or
(ee) any direction issued by the
Corporation under Section 55-A on a review of any payment of dependants'
benefits, or,
(f) [Omitted], or
(g) any other matter which is in
dispute between a principal employer and the Corporation, or between a
principal employer and an immediate employer, or between a person and
the Corporation or between an employee and a principal or immediate
employer, in respect of any contribution or benefit or other dues
payable or recoverable under this Act, or any other matter required to
be or which may be decided by the Employees' Insurance Court under this
Act,
such question or dispute subject to
the provisions of sub-section (2-A) shall be decided by the Employees'
Insurance Court in accordance with the provisions of this Act.
(2) Subject to the provisions of
sub-section (2-A), the following claims shall be decided by the
Employees' Insurance Court, namely, -
(a) claim for the recovery of
contributions from the principal employer;
(b) claim by a principal employer to recover contributions from any
immediate employer;
(c) (Omitted);
(d) claim against a principal employer under Section 68;
(e) claim under Section 70 for the recovery of the value or amount of
the benefits received by a person when he is not lawfully entitled
thereto; and
(f) any claim for the recovery of any benefit admissible under this Act.
xxx xxx xxx
(3). No Civil Court shall have
jurisdiction to decide or deal with any question or dispute as aforesaid
or to adjudicate on any liability which by or under this Act is to be
decided by a medical board, or by a medical appeal tribunal or by the
Employees' Insurance Court."
17. It has been held in numerous
cases of this Court that the jurisdiction of a consumer forum has to be
construed liberally so as to bring many cases under it for their speedy
disposal. In the case of M/s. Spring Meadows Hospital and Another v.
Harjol Ahluwalia and Another, AIR 1998 SC 1801, it was held that the
CP Act creates a framework for speedy disposal of consumer disputes and
an attempt has been made to remove the existing evils of the ordinary
court system. The Act being a beneficial legislation should receive a
liberal construction. In State of Karnataka v. Vishwabarathi House
Building Co-op. Society and Others, AIR 2003 SC 1043, the Court
speaking on the jurisdiction of the consumer fora held that the
provisions of the said Act are required to be interpreted as broadly as
possible and the fora under the CP Act have jurisdiction to entertain a
complaint despite the fact that other fora/courts would also have
jurisdiction to adjudicate upon the lis. These judgments have been cited
with approval in paras 16 and 17 of the judgment in Secretary,
Thirumurugan Cooperative Agricultural Credit Society v. M. Lalitha and
Others, (2004) 1 SCC 305. The trend of the decisions of this Court
is that the jurisdiction of the consumer forum should not and would not
be curtailed unless there is an express provision prohibiting the
consumer forum to take up the matter which falls within the jurisdiction
of civil court or any other forum as established under some enactment.
The Court had gone to the extent of saying that if two different fora
have jurisdiction to entertain the dispute in regard to the same
subject, the jurisdiction of the consumer forum would not be barred and
the power of the consumer forum to adjudicate upon the dispute could not
be negated.
18. The submission of the learned
counsel for the respondent is that the claim made by the appellant
before the consumer forum raises a dispute in regard to damages for
negligence of doctors in the ESI hospital/dispensary and would
tantamount to claiming benefit and the amount under the ESI Act
provisions and would fall within clause (e) of Section 75(1) and,
therefore, it is the Employees' Insurance Court alone which has the
jurisdiction to decide it. We are afraid that we cannot agree with the
submission made by the learned counsel. Section 75 provides for the
subjects on which the jurisdiction shall be exercised by the Employees'
Insurance Court. Clause (e) of Section 75(1) gives power to the
Employees' Insurance Court to adjudicate upon the dispute of the right
of any person to any benefit and as to the amount and duration thereof.
The benefit which has been referred to, has a reference to the benefits
under the Act, i.e., the ESI Act. The Employees' State Insurance
(Central) Rules, 1950 (hereinafter referred to as "the Rules") have been
framed in exercise of the powers under Section 95 of the ESI Act. Rule
56 provides for maternity benefits, Rule 57 for disablement benefits,
Rule 58 for dependents' benefits, Rule 60 for medical benefits to
insured person who ceases to be in an insurable employment on account of
permanent disablement and Rule 61 for medical benefits to retired
insured persons. Thus, these are the benefits which are provided under
the Rules to the employees and the ex-employees for which claim can be
made in the Employees' Insurance Court. The appellant's claim has no
relation to any of the benefits which are provided in the Rules for
which the claim can be made in the Employees' Insurance Court. The
appellant's claim is for damages for the negligence on the part of the
ESI hospital/dispensary and the doctors working therein. 19. A bare
perusal of the provisions of clauses (a) to (g) of Section 75(1) clearly
shows that it does not include claim for damages for medical negligence,
like the present case which we are dealing with. Although the question
does not directly arise before us, we shall consider what in the
ordinary course shall constitute negligence.
20. This Court has considered the
principles of the law on negligence in Jacob Mathew v. State of Punjab
and Another, (2005) 6 SCC 1. The jurisprudential concept of negligence
defies any precise definition. Eminent jurists and leading judgments
have assigned various meanings to negligence. The concept as has been
acceptable to Indian jurisprudential thought is well-stated in the Law
of Torts, Ratanlal & Dhirajlal (24th Ed. 2002, edited by Justice G.P.
Singh). It is stated (at pp. 441-442)
"Negligence is the breach of a duty
caused by the omission to do something which a reasonable man, guided by
those considerations which ordinarily regulate the conduct of human
affairs would do, or doing something which a prudent and reasonable man
would not do. Actionable negligence consists in the neglect of the use
of ordinary care or skill towards a person to whom the defendant owes
the duty of observing ordinary care and skill, by which neglect the
plaintiff has suffered injury to his person or property . the definition
involves three constituents of negligence: (1) A legal duty to exercise
due care on the part of the party complained of towards the party
complaining the former's conduct within the scope of the duty; (2)
breach of the said duty; and (3) consequential damage. Cause of action
for negligence arises only when damage occurs; for, damage is a
necessary ingredient of this tort."
Cause of action for negligence
arises only when damage occurs and thus the claimant has to satisfy the
court on the evidence that three ingredients of negligence, namely, (a)
existence of duty to take care; (b) failure to attain that standard of
care; and (c) damage suffered on account of breach of duty, are present
for the defendant to be held liable for negligence. Therefore, the
claimant has to satisfy these ingredients before he can claim damages
for medical negligence of the doctors and that could not be a question
which could be adjudicated upon by the Employees' Insurance Courts which
have been given specific powers of the issues, which they can adjudicate
and decide. Claim for damages for negligence of the doctors or the ESI
hospital/dispensary is clearly beyond the jurisdictional power of the
Employees' Insurance Court. An Employees' Insurance Court has
jurisdiction to decide certain claims which fall under sub-section (2)
of Section 75 of the ESI Act. A bare reading of Section 75(2) also does
not indicate, in any manner, that the claim for damages for negligence
would fall within the purview of the decisions being made by the
Employees' Insurance Court. Further, it can be seen that any claim
arising out of and within the purview of the Employees' Insurance Court
is expressly barred by virtue of sub-section (3) to be adjudicated upon
by a civil court, but there is no such express bar for the consumer
forum to exercise the jurisdiction even if the subject matter of the
claim or dispute falls within clauses (a) to (g) of sub-section (1) of
Section 75 or where the jurisdiction to adjudicate upon the claim is
vested with the Employees' Insurance Court under clauses (a) to (f) of
sub-section (2) of Section 75 if it is a consumer's dispute falling
under the CP Act.
21. Having considered all these
aspects, we are of the view that the appellant is a consumer within the
ambit of Section 2(1)(d) of the Consumer Protection Act, 1986 and the
medical service rendered in the ESI hospital/dispensary by the
respondent Corporation falls within the ambit of Section 2(1)(o) of the
Consumer Protection Act and, therefore, the consumer forum has
jurisdiction to adjudicate upon the case of the appellant. We further
hold that the jurisdiction of the consumer forum is not ousted by virtue
of sub-section (1) or (2) or (3) of Section 75 of the Employees' State
Insurance Act, 1948.22. For the aforesaid reasons, the appeal is
allowed. The impugned order is set aside and the matter is remitted back
to the District Consumer Disputes Redressal Forum, Sonepat, for decision
in accordance with law laid down herein.
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