There are three separate tracks and they do different things. Choosing the right one, or running more than one deliberately, matters.
The three routes
- Consumer commission. Medical services rendered for consideration are a "service" under the Consumer Protection Act, following Indian Medical Association v. V.P. Shantha (1995). This is where compensation comes from, and it is the main route. Free treatment at a government hospital falls outside, though other remedies exist.
- State Medical Council. For professional misconduct. It can warn, suspend or remove a doctor from the register. It does not award compensation.
- Criminal complaint. Now under Section 106 of the Bharatiya Nyaya Sanhita for causing death by negligence, which contains a distinct and lower punishment for a registered medical practitioner acting in the course of medical treatment. Following Jacob Mathew, the negligence must be gross, and a credible independent medical opinion is required before proceeding.
Which commission
Decided by the value of the claim: District Commission up to Rs 50 lakh, State Commission from Rs 50 lakh to Rs 2 crore, National Commission above Rs 2 crore. Limitation is two years from the cause of action. Filing is possible on e-Daakhil.
How compensation is computed
There is no statutory scale. In Balram Prasad v. Kunal Saha (2014) the Supreme Court awarded the largest medical negligence compensation in India and set out the approach: actual and future medical expenses, loss of income assessed on the multiplier method where earning capacity is lost, cost of care and attendant, and a sum for pain, suffering and loss of amenities. Courts have also declined to apply a rigid cap where the loss is proved.
Documented income and documented expenditure. A claim supported by tax returns, salary certificates, and every hospital bill and pharmacy receipt is valued far higher than an identical injury pleaded without them. Start the file on day one, and keep originals.
Practical sequence
- Secure the complete medical records immediately.
- Obtain an expert opinion from a specialist in the same field.
- Send a legal notice, which sometimes produces a settlement.
- File before the appropriate commission, joining the treating doctor and the hospital, and where relevant the manufacturer of any device.