Medical Negligence in India: Legal Principles, Key Cases & Patient Rights

Medical Negligence and Legal Principles around it

Medical Negligence

The failure of a healthcare provider to provide the standard of care that is required in their industry, which results in harm or injury to a patient, is referred to as medical negligence, also known as medical malpractice. Hospitals, clinics, and private practices are just a few of the healthcare environments where this neglect can take place. It is a legal notion with grave ramifications for both patients and medical professionals.

Patients put a lot of faith in the ability of doctors, nurses, surgeons, and other healthcare professionals to give the best possible treatment. They demand not only talent and knowledge but also a dedication to their security and well-being. Unfortunately, there are times when this confidence is betrayed because of carelessness or mistakes made during the medical procedure. These mistakes can take many different forms, from incorrect diagnosis and surgical blunders to incorrect medicine administration and birth traumas.

Navigating the complicated world of legal norms, medical standards, and ethical issues is necessary to comprehend medical negligence. The existence of a duty of care, a violation of that duty, a direct causal relationship establishing that the breach caused the patient’s injury, and actual patient damages must all be proven in order to establish medical malpractice.

Medical experts who have knowledge of whether a healthcare provider’s activities departed from the accepted standard of care are frequently called upon to testify in medical malpractice trials. These expert witnesses are essential in determining if a lawsuit has substance and can offer vital advice throughout the courtroom proceedings.


Components of Medical Negligence

1. Existence of Legal Duty
A doctor is under an implied legal obligation to exercise due diligence and is expected to act in the standard course of a medical practitioner like his or her contemporaries when another person approaches him or her with a medical problem. The other person trusts the doctor to possess specific skills or special knowledge on the matter at hand.

2. Breach of Legal Duty
A doctor is under an implied legal obligation to exercise due diligence and is expected to act in the standard course of a medical practitioner like his or her contemporaries when another person approaches him or her with a medical problem. The other person trusts the doctor to possess specific skills or special knowledge on the matter at hand.

3. Damages
Establishing damages is a critical component in a medical malpractice case. It is not sufficient to merely assert that a healthcare practitioner violated their duty of care or caused harm; you must also demonstrate that actual and quantifiable losses or harm resulted from the provider’s conduct or negligence. Any claim of medical malpractice must include the element of damages. It is the feature that emphasizes the actual, palpable effects of a healthcare provider’s purported neglect. It is critical to show that the patient actually experienced losses as a result of the healthcare provider’s conduct in order to create a strong medical negligence case. Damage can be of various types like physical harm, financial damage, mental harm, pain and suffering, and even death.


Important Case Laws

  • State of Haryana v. Smt Santra
    The Supreme Court ruled that every doctor has a responsibility to exercise a reasonable amount of care. Although no one is flawless in this world and even experts make mistakes, a doctor can only be held accountable if he fails to exercise the same level of reasonable care that any other doctor with similar training would be able to.
  • Indian Medical Association vs. P.V. Shantha & Ors.
    The Supreme Court expanded the scope of the Consumer Protection Act to include the medical industry. In contrast to the “contract of service,” which creates a master-servant relationship, the court ruled that the services provided by medical professionals should henceforth be recognized as “service” under Sec. 2(1)(o) of the Consumer Protection Act and would be covered by a “contract for service.” This established the doctor-patient relationship as a contractual one. Patients can now file lawsuits against doctors in consumer protection tribunals for damages if they suffered any injuries during the course of their treatment.
  • Poonam Verma v. Ashwin Patel
    In this case, the Supreme Court established what constitutes criminal culpability and distinguished between negligence, recklessness, and rashness. According to the article, someone is said to have acted negligently when they accidentally perform an act or omission that results in a breach of their legal obligations. A person who behaves hastily when they know the implications but naively believe they won’t happen as a result of their action. A careless individual is aware of the consequences but doesn’t give a damn if they are the result of their actions. Any behavior that is not reckless or intentional wrongdoing should not be subject to criminal prosecution, according to the Court.

Conclusion

The patient may be entitled to damages if these factors are established as true in a court of law. Due to the complexity of these issues, it is frequently necessary to rely on expert medical testimony to prove a duty breach. A trained lawyer with experience in handling medical malpractice claims should be consulted if you think you are the victim of medical negligence so they can assess your case and help you navigate the legal system.


By – Adeeb Akhtar,
3rd Year, Maharashtra National Law University, Chhatrapati Sambhajinagar

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Essential Legal Rights of Gig Workers in India: Challenges, Laws, and the Path Ahead

Legal Rights of Gig Workers in India are becoming a pressing concern in today’s labour economy, especially with the rise of platform-based jobs.

Introduction

India’s gig economy has witnessed exponential growth over the past decade. With platforms like Swiggy, Zomato, Ola, Uber, and Urban Company, millions of individuals now earn their livelihood through gig and platform-based work. According to NITI Aayog’s 2022 report, India had around 7.7 million gig workers and this number is expected to grow to 23.5 million by 2029-30.

Despite the contribution of gig workers to India’s economic engine, their legal rights remain largely undefined and unenforced. Gig workers exist in a grey area — neither traditional employees nor fully independent contractors — leaving them vulnerable to exploitation and exclusion from basic labour protections. This blog explores the legal landscape for gig workers in India, recent policy changes, and the road ahead.

Who are Gig and Platform Workers?

The Code on Social Security, 2020 (yet to be fully enforced) offers a statutory definition:

  • Gig Worker: A person who performs work outside of the traditional employer-employee relationship.
  • Platform Worker: A gig worker who earns from an online platform or app.

Examples include delivery partners, ride-hailing drivers, freelance content creators, and app-based home service providers.

Gig work offers flexibility and autonomy. However, it lacks critical protections such as fixed wages, medical benefits, insurance, and grievance redressal mechanisms — all standard for regular employees.

Legal Framework Governing Gig Workers in India

Historically, Indian labour laws have not addressed the concept of gig or platform work. Gig workers fall outside the ambit of laws like the Industrial Disputes Act, 1947 or the Factories Act, 1948.

However, the Code on Social Security, 2020 is a step forward. Key provisions include:

  • Creation of a social security fund for gig and platform workers
  • Mandatory registration of gig workers on a central portal
  • Contributions from aggregators based on their annual turnover

Yet, implementation remains sluggish. Without clear enforcement guidelines and budget allocations, these rights exist only on paper.

The Rajasthan Platform-Based Gig Workers (Registration and Welfare) Act, 2023

This landmark legislation made Rajasthan the first Indian state to formally legislate for gig workers. Highlights include:

  • Mandatory registration of both gig workers and platform companies
  • Creation of a Welfare Board and Social Security Fund funded by aggregators
  • Gig workers to receive identity cards and access welfare schemes

While the Act sets a strong precedent, its success depends on consistent implementation, monitoring, and collaboration between stakeholders.

Key Issues Faced by Gig Workers

  1. No Fixed Wages or Job Security
    Earnings fluctuate based on platform algorithms, demand, and location. There is no guarantee of minimum wage or continuity of work.
  2. Lack of Social Security
    Most gig workers don’t get provident fund, health insurance, paid leave, or retirement benefits.
  3. Unfair Deactivation
    Workers are often removed from platforms without notice or the ability to appeal, violating natural justice.
  4. Long Working Hours
    Due to performance-based incentives and penalties, gig workers often work 10–12 hours daily with limited rest.
  5. No Formal Grievance Mechanism
    Most platforms lack transparent complaint redressal channels, and there is no labour tribunal specifically for gig disputes.

Judicial Perspectives and Case Law

Indian courts are yet to decisively classify gig workers as “employees.” However, globally there are important precedents:

  • UK Supreme Court (Uber Case, 2021): Ruled that Uber drivers are “workers” entitled to minimum wage and holiday pay.
  • California’s AB5 Law (USA): Required companies like Uber and Lyft to treat gig workers as employees unless specific criteria were met.

While Indian courts have not made similar pronouncements yet, these rulings can influence future Indian jurisprudence.

Recommendations for a Fair Gig Economy

  1. Enforce the Social Security Code, 2020 with clear rules and a digital registration system
  2. Ensure aggregator contributions to the welfare fund are transparent and traceable
  3. Establish grievance redressal mechanisms at platform and state levels
  4. Recognize platform worker unions and ensure freedom of association
  5. Standardize minimum safety and income norms across platforms

Conclusion

India stands at a legal crossroads — between embracing a flexible digital economy and protecting the dignity of labour. Recognizing and enforcing the rights of gig workers is not just a legal obligation but a social imperative. As the gig economy grows, ensuring fairness and protection for its workers will define the future of labour justice in India.


Authored By: Manthan Kurmi ( University of Kalyani – 4th Year )

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