Mohali: Noting that while there was no medical negligence, the hospital was deficient in service in providing promised amenities, the Mohali District Commission has directed a Chandigarh-based hospital to pay compensation of Rs 30,000 to a patient.

In its order, the forum found that the deficiency in service, including that of hygiene as well as food-related lapses, caused mental agony, harassment and thereafter litigation expenses to the patient.

The case concerns a patient who was admitted to M/s Kids Clinic India Pvt Ltd, Cloudnine Hospital and made allegations regarding the unsatisfactory experience and unhygienic amenities and services promised under the delivery package, including room decoration, card decoration, cake cutting ceremony.

Arguments:

The patient had opted for the “Bundle of Joy – C Section delivery package” for Rs. 75,000 after the discount of Rs.5,000. She was admitted to the hospital on 12.11.2022 for a Caesarean Section and delivered a healthy baby.

After the discharge, the patient had raised several concerns regarding the deficiencies in the services provided by the hospital. She alleged that the hospital failed to provide a qualified dietitian or supervisor and ignored her repeated requests for a suitable diet.

"Despite paying for the deluxe package, the amenities provided were substandard. The couch supplied for the attendant was dirty, unhygienic, foul-smelling and had not been properly cleaned. Despite repeated requests by the complainant and her husband, the couch was replaced only after two days. The towels supplied by the hospital were dirty, torn and unsuitable for use, but the hospital staff failed to replace them despite repeated complaints. Photographs depicting the condition of the couch, towels and other amenities have been placed on record," she argued.

The patient further alleged that she found a piece of plastic in the soup served to her. Considering that she had recently undergone surgery and was recovering after childbirth, she alleged that such negligence endangered her health and reflected gross mismanagement and poor quality control by the hospital.

"The hospital cancelled the promised cake -cutting ceremony at the last moment without prior notice, thereby depriving her family of an important part of the delivery package for which she had paid," she said in her complaint.

After being billed ₹1,03,192 upon discharge, she issued a legal notice seeking an apology, refund of the package amount and compensation. Alleging deficiency in service and unfair trade practice, she approached the Consumer Commission.

The hospital denied the allegations of the deficiency and maintained that the complainant had successful medical treatment throughout her stay.

It was further submitted that throughout the complainant's four-day stay she received all necessary medical treatment, medicines and a balanced, nutritious diet specially designed for post-delivery mothers. The counsel for the hospital further denied that the complainant ever complained of constipation, cold or nasal congestion during her hospitalisation. They asserted that the patient herself was a professional dietitian and repeatedly insisted upon dictating her own diet plan instead of following the standard hospital diet.

The counsel further stated that, under the deluxe package, the hospital arranged various complimentary services such as room decoration, baby photographs, gift hampers and vehicle decoration.

Regarding the allegation of poor amenities, the hospital submitted that the patient had inspected the room and facilities before booking the package and had accepted the same.  They alleged that the complainant and her husband unnecessarily created a disturbance insisting upon replacement of the couch, which was changed only to satisfy them and not because it was defective or unhygienic. They admitted that, if any defective towel had inadvertently been supplied, the same was an isolated human error and additional towels were provided whenever requested. Such an inadvertent incident did not constitute deficiency in service, they said.

On the allegation regarding the soup, the hospital admitted that a tiny piece of plastic was accidentally found in the soup served to the complainant. However, they submitted that the soup was immediately replaced with a fresh bowl as soon as the matter was brought to the notice of the hospital authorities. They contended that the incident was purely accidental, caused no injury to the complainant and did not amount to negligence.

"As regards the cake-cutting ceremony, the hospital pleaded that the complainant had been offered two options for conducting the ceremony on 14.11.2022 or 15.11.2022, but she did not convey her confirmation in time. Since fresh cakes were specially ordered from a bakery only after receiving confirmation, it was not possible to arrange the ceremony at the last moment when the complainant's relatives unexpectedly arrived. Therefore, the hospital could not be held responsible for the ceremony not taking place," the counsel contended.

Commission Distinguishes Medical Treatment from Ancillary Services:

While examining the matter, the consumer court noticed that the complainant was not related to any medical negligence in the treatment or the performance of C- Section by the hospital and the staff.

"The complainant had not alleged any medical negligence in the treatment or performance of the Caesarean section. The grievance of the complainant is confined to deficiency in service and unfair trade practice with regard to the amenities and facilities promised under the deli very package, such as unhygienic towels and couch, improper food service, a piece of plastic found in the soup, cancellation of the cake-cutting ceremony and other deficiencies in hospitality services," the bench noted

The nursing records and the discharge summary indicated that the procedure had been performed successfully and both the complainant and the newborn were in satisfactory condition at the time of discharge.

The Commission therefore considered whether there was a deficiency in the ancillary services and amenities provided to the complainant under the maternity package.

The Commission, however, did not accept the complainant's demand for a complete refund of the maternity package or compensation of Rs 3 lakh, particularly since there was no finding of medical negligence or any medical injury caused to the patient.

The Commission did not direct refund of the ₹75,000 maternity package amount or grant the compensation sought by the complainant. It held the hospital liable for deficiency in the service and ordered Rs. 30,000/ towards mental agony, harassment and litigation expenses.

"the Commission did not find sufficient evidence to grant the relief of refund of the package amount or the compensation of Rs.3,00,000/- claimed by the complainant. It is observed that the delivery was successfully conducted, both the complainant and her baby remained healthy, and no medical injury or loss had been established. The remaining grievances regarding the cake -cutting ceremony and other promised facilities did not justify refund of the entire package amount. Accordingly, it is held that although no case of medical negligence was made out or even alleged by the complainant, the evidence on record, particularly Ex. C-3 and the admissions of the OPs, proved deficiency in service. Consequently, keeping in view the above facts and circumstances, the complaint is partly allowed and the OPs are directed to pay Rs.30,000/- to the complainant towards deficiency in service, mental agony and harassment as well as litigation expenses, within a period of 30 days from the date of receipt of free certified copy of this order, failing which the aforesaid amount shall carry interest @ 9% per annum thereafter. All the OPs are jointly and severally held liable to comply with this order."
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