Supreme Court of India (Division Bench (DB)- Two Judge)

Special Leave Petition (Civil), 25650 of 2015, Judgment Date: Sep 30, 2015

                                                                ‘REPORTABLE’


                        IN THE SUPREME COURT OF INDIA
                        CIVIL APPELLATE JURISDICTION


               SPECIAL LEAVE PETITION (CIVIL) NO.25650 OF 2015


KANACHUR ISLAMIC EDUCATION TRUST(R)                       .....PETITIONER(S)

                                   VERSUS

UNION OF INDIA AND ANOTHER                                 ....RESPONDENT(S)

                                    ORDER

M. Y. EQBAL, J.

       The  petitioner-Trust  has  preferred  this  special  leave  petition
against the impugned judgment and order  dated  01.09.2015  passed  in  Writ
Petition (Civil) No.7128 of 2015 whereby the Delhi High Court dismissed  the
said writ petition.

2.     In  the  aforesaid  writ  petition,  the  petitioner  challenged  the
communication dated 15.06.2015 of respondent no.1 – The Ministry  of  Health
and Family Welfare (for short 'UOI') disapproving  the  application  of  the
petitioner for establishment of a new medical college for the academic  year
2015-16. A further direction was sought for by the petitioner  in  the  writ
petition  directing  respondent  no.2-Medical  Council  of  India  (MCI)  to
inspect the petitioner's college for the purpose  of  establishment  of  new
medical college for the academic year 2015-16 and  a  further  direction  to
the respondent to consider the compliances submitted by the petitioner.

3.    It appears that in  March,  2014,  the  petitioner-Trust  was  granted
consent by the Karnataka State  Pollution  Control  Board  for  establishing
medical college and hostel  with  750  bedded  hospital.  The  Rajiv  Gandhi
University of Health  Sciences,  Karnataka,  on  the  report  of  the  Local
Enquiry Committee gave affiliation for the proposed course of  MBBS  with  a
total intake of 150 seats. The essentiality and feasibility certificate  for
starting MBBS course at petitioner's institution  was  also  issued  by  the
State Government in August, 2014. The Medical  Council  of  India  conducted
the inspection of the medical college and hospital through an  Assessor  and
pointed out the following deficiencies:
“1.   Deficiency of faculty is 15% as detailed in report.
2.    Lecture Theaters : Facility for E Class is not available.
3.    Students' Hostels : They are  not  furnished.  Toilet  facilities  are
inadequate. Mess is not available. Visitors'  room,  A.C.  study  room  with
computer & Internet are not available.
4.    Residents' Hostels : They are not  furnished.  Toilet  facilities  are
inadequate. Mess is not available. Visitors'  room,  A.C.  study  room  with
computer & Internet are not available.
5.    Nurses' Hostels :  They  are  not  furnished.  Toilet  facilities  are
inadequate. Mess is not available. Visitors'  room,  A.C.  study  room  with
computer & Internet are not available.
6.     OPD  :  Injection  room  for   males/famales,   Dressing   room   for
males/females, plaster cutting room  are  not  available.  In  Ophthalmology
OPD, dark room, Refraction room, Dressing room/Minor procedure room are  not
available.
7.    Audiometry & Speech Therapy are not available.
8.     There  were  no  major  or  minor  Surgical  operations  on  day   of
assessment.
9.    There was no delivery – normal or Caesarean on day of assessment.
10.   MRD : It is partly computerized.
11.   OT : Although 5 OTs as required are available, one is  not  furnished,
resulting in shortage of 1 OT.
12.   ICUs : SICU, PICU/NICU are not available.  There  was  no  patient  in
ICU. There were only 2 patients in ICCU.
13.   Labour Room : Eclampsia room is not available.
14.   CSSD is not functional.
15.   Anatomy department : Cooling chambers are not available. Cadavers  are
not available.
16.   Biochemistry department : Laboratory is not furnished.
17.   Other deficiencies as pointed out in the assessment report.”



4.     Thereafter,  the  petitioner  was  informed   about   the   aforesaid
deficiencies  and  was  permitted  to  submit  a  compliance   report.   The
petitioner submitted the compliance  report  to  Medical  Council  of  India
stating  that  it  has  rectified  all  the  deficiencies.  Thereafter   the
respondent-MCI  conducted  a  compliance  assessment  of  the   petitioner's
institution and submitted a report. It is alleged  by  the  petitioner  that
though it had removed  all  the  shortcomings  and  deficiencies  that  were
pointed out in the earlier assessment but again the  following  deficiencies
were pointed out:
“1.   Deficiency of faculty is 23.3% as detailed in report.
2.    Shortage of Residents is 64.4% as detailed in report.
3.    OPD: Institute has claimed attendance of 523  on  day  of  assessment.
However, around 200-250 attendance was observed as per estimate made on  day
of assessment.
4.    Bed occupancy: Total occupancy 15% -        i.e. 45  beds  occupied  –
was observed at time of assessment.
5.    NIL Special investigations like Ba,  IVP  were  performed  on  day  of
assessment.
6.    ICUs: No patients were available in ICUs on day of assessment.
7.    Six faculty members as detailed in report were not considered as  they
had appeared for MCI assessment at another college in the  current  Academic
Year.
8.    Other deficiencies as pointed out in the assessment report.”


5.    The Government of  India  consequently  by  letter  dated  15.06.2015,
communicated  to  the  petitioner-Trust   its   decision   to   accept   the
recommendations made  by  the  respondent-MCI  and  disapproved  the  scheme
submitted by the petitioner for establishment of new  medical  college.  The
said decisions of the respondents were assailed by filing  a  writ  petition
before the High  Court.  The  High  Court  after  hearing  the  parties  and
considering the relevant provisions of the Acts  and  Regulations  and  also
relying upon  the  decisions  of  this  Court  finally  dismissed  the  writ
petition.

6.     Mr.  Amrendra  Saran,  learned  Senior  Counsel  appearing   for  the
petitioner, firstly submitted that all deficiencies which were  pointed  out
by the respondent-MCI after conducting inspection  were  rectified  and  all
defects were removed which is evident from the compliance verification  done
by the respondent-MCI. The deficiencies  subsequently  pointed  out  by  the
respondent-MCI on surprise  inspection,  was  never  shown  in  the  earlier
report. According to Mr. Saran, learned Senior Counsel, on the day when  the
surprise inspection was conducted, many  members  of  clinical  faculty  and
senior and junior residents had left the institution by  9  a.m.  after  the
night duty and other were  busy attending the patients in the OPDs/ICUs  and
casulty, some were busy operating in the OT  and  conducting  deliveries  in
the Labour Room, some had gone for visit to  urban  and  rural  health  care
centre  affiliated  to  the  petitioner's  institution  and  some  were   on
authorised leave.
7.    Mr. Saran  submits  that  neither  the  inspection  was  conducted  in
accordance with the procedure prescribed in the  Acts  and  Regulations  nor
the  respondent-MCI  team  in  the  surprise  inspection  visited  different
departments and wards of the hospital.

8.    On the other hand, Mr. Vikas Singh, learned Senior  Counsel  appearing
for the respondent-MCI, at the very outset, submits  that  in  the  surprise
inspection, many deficiencies were found in the  hospital  which  have  been
pointed out distinctly in the report. The report so prepared by the team  of
the respondent-MCI has been countersigned by the Dean  of  the  petitioner's
institution. He further submits that during the inspection, it was  revealed
that the following six professors were found  present  in  the  petitioner's
institution and those professors  also  claimed  to  be  the  professors  of
another  medical  college  present  in  the  inspection  conducted  by   the
respondent-MCI for the current academic year:
1.    Dr. Shreesha
2.    Dr. Suchithra A. Shetty
3.    Dr. Kadri Yogesh Bangera
4.    Dr. B. Ramprasad
5.    Dr. Bhadrinath Talwar
6.    Dr. Devi Prasad

9.    Mr. Vikas Singh, learned Senior Counsel appearing for the  respondent-
MCI,  therefore,  contends  that  the  petitioner's  institution  has   been
inspected twice but the deficiencies pointed out  in  the  first  inspection
were still found there. Not only that, it was also found that  on  the  date
of inspection six faculty members who were  present  in  the  college   were
also found present in the inspection of different medical colleges.
10.   The High Court had elaborately dealt  with,  in  the  impugned  order,
relevant provisions of the Acts and  Regulations  and  also  considered  the
ratio decided by this Court in catena of decisions, and  did  not  find  any
reason  to justify the claim of the petitioner for grant of approval by  the
Government of India and  finally,  refused  to  interfere  with  the  orders
challenged therein.

11.   After hearing learned Senior Counsel appearing  for  the  parties  and
after giving our anxious consideration in the matter, we  do  not  find  any
justification or reason  to interfere with the impugned order passed by  the
High Court refusing to interfere with the  decision  of  the  Government  of
India. Accordingly, the special leave petition is dismissed.

12.   However, before parting  with  the  order,  we  give  liberty  to  the
petitioner's institution to remove all the deficiencies and rectify all  the
defects as pointed out by the respondent-MCI  and  thereafter  approach  the
respondent-MCI for conducting inspection  of  the  petitioner's  institution
afresh.

13.   We make it clear that in the event  the  petitioner    approaches  the
respondent-MCI in the manner aforesaid, then the  latter  shall  make  full-
fledged  inspection  of  the  institution  and  submit  its  report  to  the
Government of India for grant of sanction to run  the  petitioner's  medical
college for the academic year 2016-17.

14.   Needless to say that the Government of India shall then take  a  final
decision in accordance with law.

                                                       ....................J
                                                               [M. Y. EQBAL]


                                                       ....................J
                                                               [C. NAGAPPAN]

NEW DELHI;
SEPTEMBER  30, 2015.