Karpagam Faculty of Medical Sciences & Research vs Union of India

REPORTABLE

IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION CIVIL APPEAL NO.12845 OF 2017 (Arising out of SLP(CIVIL) No.20197 of 2017)

Karpagam Faculty of Medical ….Appellant Sciences and Research Versus Union of India and Ors. ....Respondents

JUDGMENT

A.M. KHANWILKAR, J.

1. Leave granted.

2. This appeal emanates from the judgment and order dated

19th July, 2017 passed by the High Court of Madras in Writ

Petition No.18334 of 2017. The said writ petition has been

filed by the appellant for quashing of the order dated 31 st

May, 2017, passed by the Under Secretary to the

Government of India, Ministry of Health and Family Welfare

(Department of Health and Family Welfare) debarring the

Signature Not Verified appellant college from admitting students against 150 seats Digitally signed by SATISH KUMAR YADAV Date: 2017.09.14

in MBBS course for the academic session 2017-18. The said 17:03:21 TLT Reason:

order was passed by the Competent Authority of the Central 2

Government on the proposal for confirmation of conditional

Letter of Permission (for short “LOP”) granted in favour of

the appellant college for the 5th batch of 150 seats in MBBS

course for the academic session 2016-17 and to grant

recognition/approval to the appellant college under Section

11(2) of the Indian Medical Council Act, 1956 (for short “the

Act”). The communication dated 31 st May, 2017, informing

about the decision of the Competent Authority of the

Central Government, which has been challenged before the

High Court, reads thus:

“ANNEXURE-P/10 No.U.12012/127/2016-ME.I[FTS.3084749] Government of India Ministry of Health and Family Welfare (Department of Health & Family Welfare) Nirman Bhawn, New Delhi Dated the 31st May, 2017 To The Principal/Dean, Karpagam Faculty of Medical Sciences & Research Pollachi Main Road, L & T By Pass Road junction Eachanari Post, Eachnari, Coimbatore, Tamil Nadu-641021.

Subject: Confirmation of conditional permission granted in 2016-17 and disapproval of renewal permission for 2017-18 Karpagam Faculty of Medical Sciences & Research, Coimbatore.

Sir/Madam, 3

In continuation to this Ministry’s letter dated 20.08.2016 granting conditional renewal permission for admission of 5th Batch of (150 seats) in MBBS course at Karpagam Faculty of Medical Sciences & Research, Coimbatore for the academic year 2016-17 on the basis of approval communicated by Supreme Court Mandated Oversight Committee on MCI (OC) and after granting an opportunity of hearing to the college with reference to recommendation of MCI dated 24.03.2017 and considering the contents of MCI letter No. MCI-34(41) (RG-17)/2017-Med./107428 dated 29.04.2017. I am directed to confirm the renewal of permission granted vide this Ministry’s letter dated 20.08.2016 for 2016-17 and remove the conditions imposed there on. MCI is also being requested to return the Bank Guarantee of Rs.2 Cr.

submitted by the College in the Ministry as per the conditions laid down by the OC which is now in possession of MCI.

2. Further, I am directed to convey the decision of the Central Government not to permit admission of students in MBBS Course (150 seats) for the academic year 2017-18 at Karpagam Faculty of Medical Sciences & Research, Coimbatore.

3. Admission made against the decision of the Central Government will be treated as irregular and action will be initiated under IMC Act & Regulation made thereunder.

Yours faithfully, Sd/-

(D V K Rao) Under Secretary to the Govt. of India Telefax: 011-23061120”

(emphasis supplied)

3. As the said decision refers to the recommendation made by

the Medical Council of India (for short “MCI”) vide letters

dated 24th March, 2017 and 29th April, 2017, it may be 4

apposite to reproduce the same for discerning the real issue

that arises for our consideration. The communication dated

24th March, 2017, sent by the Joint Secretary of the MCI to

the Secretary to the Government of India, Ministry of Health

& Family Welfare, reads thus:

“ANNEXURE-P/5 MEDICAL COUNCIL OF INDIA No. MCI-34(41)(RG-17)/2016-Med./ Date: 24/03/2017 ITEM NO. 35 The Secretary, Govt. of India, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi - 110011

Sub: Recognition/Approval of Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by The Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 11(2) of the IMC Act, 1956 and Compliance Verification Assessment for renewal of permission for admission of 5th batch (150 MBBS seats) u/s10(A) of the IMC Act., 1956 for the Academic Year 2016-17.

Sir, I am directed to inform you that an assessment to assess the standard of examination held by the Tamilnadu Dr. MGR Medical University, Chennai and to assess the physical and the other teaching facilities available for Recognition/Approval of Karpagam Faculty of Medical Science & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by the Tamilnadu Dr. MGR Medical University, Chennai u/s 11(2) of the IMC Act, 1956 as well as Compliance Verification Assessment for renewal of permission for admission of 5th batch (150 MBBS seats) u/s 10(A) of the IMC Act, 1956 for the Academic year 2016-17 with reference to the conditional approval accorded by Oversight Committee were carried out by the Council 5

assessors on 17th February, 2017 and 15th & 16th March, 2017. The assessment reports (17th February, 2017 & 15th & 16th March, 2017) and a letter dated 15/03/2017 from the Assessors regarding complaint dated 03.01.2017 of the students of Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamilnadu were considered by the Executive Committee of the council at its meeting held on 21/03/2017 and it was decided as under:-

“The Executive Committee of the Council noted that the compliance verification assessment report (19th February 2016) along with previous assessment report (2 nd & 3rd November, 2015) with regard to renewal of permission for MBBS course for 5th batch (150 seats) of Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamil Nadu under The Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 10A of the IMC Act, 1956 for the academic year 2016-2017 was considered by the Executive Committee of the Council at its meeting held on 13.05.2016 and it was decided as under:-

“The Executive Committee of the Council considered the compliance verification assessment report (19th February 2016) along with previous assessment report (2 nd & 3rd November, 2015) and noted the following:-

1. As per O.T. & Ward records in Surgical & allied branches, Radiodiagnosis and obstetrics & Gynaecology, full time working of many faculty members in the rank of Professors and Asso. Prof. could not be verified.

2. Many patients were admitted with minor ailments without any major problem. The occupancy was tailor to suit assessment. E.g. One referred patient from Ophthalmology was lying in medical ward.

3. There were only 4 Major operations & 3 minor operations on day of assessment.

4. Other deficiencies as pointed out in the assessment report.

In view of above, the Executive Committee of the Council decided to recommend to the Central Govt. not to renew the permission for admission of 5 th batch of 150 MBBS students at Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamil Nadu under The Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 10A of the IMC Act, 1956 for the academic year 2016-17.

6

The above decision of the Executive Committee was communicated to the Central Govt. vide this office letter dated 14/05/2016. The Central Government vide its letter dated 10.06.2016 had conveyed its decision to the college authorities as well as other concerned authorities not to admit any students for the academic year 2016-17.

Thereafter, the Central Govt. vide its letter dated 20.08.2016 had granted approval to the said college for renewal of permission for admission of 5 th batch (150 seats) u/s 10A of the IMC Act, 1956 for the academic year 2016-17, in the light of the directive of the Supreme Court Mandated Oversight Committee (OC) subject to submission of bank guarantees, affidavit and some other conditions.

In continuation to the earlier letter dated 20.08.2016 the Central Govt. vide its letter dated 31.08.2016 had forwarded the following documents as submitted by the college to the Ministry on 24.08.2016.

i. An affidavit dated 22.08.2016 from the Chairman of the Trust/Society and the Dean/Principal of the college concerned.

ii. A bank guarantee bearing No. 0507116BG0000170 dated 22.08.2016 Rs. 2 Cr. issued by State Bank of India in favour of MCI, with a validity of 1 year.

The Executive Committee of the Council further noted that upon receipt of request through the Central Government u/s 11(2) of the IMC Act, 1956, the assessments to assess the standard of examination held by The Tamilnadu Dr. MGR Medical University, Chennai and to assess the physical and the other teaching facilities available for Recognition/Approval of Karpagam Faculty of Medical Science & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by The Tamilnadu Dr. MGR Medical University, Chennai u/s 11(2) of the IMC Act, 1956 as well as Compliance Verification Assessment for renewal of permission for admission of 5 th batch (150 MBBS seats) u/s 10(A) of the IMC Act, 1956 for the Academic year 2016-17 with reference to the conditional approval accorded by Oversight Committee have been carried out by the Council assessors on 17th February, 2017 and 15th & 16th March, 2017 and noted the following:-

1. OPD attendance of 1,343 on day of assessment as provided by Institute appear to be highly inflated.

7 On physical verification at 11 a.m. & 11:30 a.m., total OPD statistics as recorded in registers of all the departments was only 286.

2. There were NIL Normal Delivery & 2 Caesarean Section on day of assessment.

3. Histopathology & Cytopathology workload for the whole Institute was only 05 each on day of assessment.

4. Data of radiological investigations as provided by Institute appear to be inflated.

5. Wards: Ancillary facilities are not properly used in the wards.

6. RHTC: No independent activity in National Health Programmes is carried out.

7. Other deficiencies as pointed out in the assessment report.

In view of the above, the college has failed to abide by the undertaking it had given to the Central Govt. that there are no deficiencies as per clause 3.2 (i) of the directions passed by the Supreme Court mandated Oversight Committee vide Communication dated 12/08/2016. The Executive Committee, after due deliberation and discussion, has decided that the college has failed to comply with the stipulation laid down by the Oversight Committee. Accordingly, the Executive Committee recommends that as per the directions passed by Oversight Committee in 19 as even after giving an undertaking that they have fulfilled the entire infrastructure for recognition/approval of Karpagam Faculty of medical sciences & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by The Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 11(2) of the IMC Act, 1956 and Compliance Verification Assessment for renewal of permission for admission of 5th batch (150 MBBS seats) u/s 10(A) of the IMC Act, 1956 for the Academic year 2016-17, the college was found to be grossly deficient. It has also been decided by the Executive Committee that the Bank Guarantee furnished by the college in pursuance of the directives passed by the Oversight Committee as well as GOI letter dated 20/08/2016 is liable to be encashed.

The above decision of the Executive Committee is subject to approval of Oversight Committee.

Two copy of assessment report is enclosed herewith. 8

Your faithfully,

Sd/-

(Dr. Rajendra Wabale) Joint Secretary Encl: As above.

Endst. No. MCI-34(41)(RG-17)/2016-Med./179222 Date:24/03/17

Copy forwarded for information and necessary action to:-

1. The Secretary to Oversight Committee on MCI, 2 nd Floor, Academic Block, National Institute of Health & Family Welfare, Munirka, New Delhi 110067

2. The Dean/Principal, Karpagam Faculty of Medical Sciences & Research, Pollachi Main Road, Othakkalmandapam, Coimbatore-641032 (Tamilnadu), Email: info@karpagam.com, karpagammedicalcollege@gmail.com with the request to submit the detailed point-wise compliance with regard to recognition/approval (softcopy-in editable word format with C.D. also) with the documentary evidence in respect of the rectification of deficiencies pointed out as above within 15 days to the Council office alongwith the demand draft worth Rs. 3.00 lakhs (Rupees three lakhs only) in favour of The Secretary, Medical Council of India payable at New Delhi.

Sd/-

(Dr. Rajendra Wabale) Joint Secretary”

(emphasis supplied)

The second communication sent by the Joint Secretary of the

MCI to the Secretary to the Government of India, Ministry of

Health and Family Welfare dated 29th April, 2017 reads thus: 9

“ANNEXURE P/9

MEDICAL COUNCIL OF INDIA

No. MCI-34(41)(RG-17)/2017-Med./

Date: 29th April, 2017 ITEM NO.61 The Secretary Govt. of India Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi- 110011,

Sub: Recognition/Approval of Karpagam Faculty of medical Scienences & Research, Coimbatore, Tamilnadu for the Award of MBBS degree (150 seats) granted by the Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 11(2) of the IMC Act, 1956.

Sir, I am directed to inform you that an assessment to verify the compliance submitted by the college authorities on the deficiencies pointed out in the assessment report (15 th & 16th March, 2017) with regard to Recognition/Approval of Karpagam Faculty of Medical Science & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by the Tamilnadu Dr. MGR Medical University, Chennai u/s 11(2) of the IMC Act, 1956 as well as Compliance Verification Assessment for renewal of permission for admission of 5th batch (150 MBBS seats) u/s 10(A) of the IMC Act, 1956 was carried out by the Council Assessors on 10th April, 2017. The compliance verification assessment report (10th April, 2017) along with previous assessment report (15th & 16th March, 2017) was considered by the Executive Committee of the Council at its meeting held on 28.04.2017 and it was decided as under:

‘The Executive Committee of the Council considered the compliance verification assessment report (10 th April 2017) alongwith previous assessment report (15 th & 16th March, 10

2017) alongwith a letter dated 12.04.2017 from Dr. L.P. Thangavelu, Faculty, Department of Surgery, Karpagam Faculty of Medical Sciences and Research, Coimbatore and noted the following:-

1. Deficiency of faculty is 17.16% as detailed in the report.

2. Shortage of Residents is 16.25% as detailed in the report.

3. OPD attendance at 1.209 as claimed by Institute is highly inflated. When the assessors reached the Institute at 10:15 a.m., a few patients were seen at Registration. After this the Institute brought healthy persons to register to inflate OPD attendance.

4. Bed Occupancy at 10 a.m. is 62.76% Institute’s figure of 78% is highly inflated. The figures in the histopathology registers, grossly mismatch the number of surgeries. There is no register maintained in OT for handing over the specimens in histopathology. Many specimens, paraffin blocks and slides were missing on random checking.

Cytopathology reported by Astt. Prof. and repetition of same diagnosis with the same findings. These were signed digitally.

5. (a) No. of at the time of visit at 1030 a.m. the pre operative OT list showed 21 patients for surgeries of All OTs but in pre OP waiting there were 5 patients. Completed surgeries were 2, and 2 surgeries were ongoing. Institute Statistics-18 inflated to suit the requirement.

(b) 3 Surgeries were completed at 11 a.m. Minor surgeries were done in Major OT. Institute statistics-29 appear to be highly inflated.

6. Many patients in the hospital were admitted which were for superspeciality category, Superspeciality doctors are coming and attending these patients.

(a) In Surgery ward C1 patient named Chandranesi was admitted for chemotherapy.

(b) Mrs. Mylathal No. 1703038727/K/T030936 was admitted under urology as per records 11

(c) In D2 Pediatrics ward there were total 14 patients at 11 a.m. All were admitted on 10 th April, 2017. Hence no old patient.

(d) Few case sheet of patient like Charudershna were blank i.e. not seen in OPD before admission.

7. Inadequate clinical material as per verified case records and indoor register.

(a) Number of admissions in Pediatrics on 8 th April, -03, 7th April-02, 9th April-02, 6th April-02.

General Surgery department on 8th April-05, 5th April-06, 6th April-09

(b) TB Chest male ward as per Indoor register no admission on 8th, 9th, 4th, 5th April. No admission from 27th March to 3rd April, 22nd March to 27th March no admissions.

(c) Skin ward male no admission from 23 rd March to 29th March no admission. 20th February to 6th March No admission. 5th April-2 admissions, 8th April-2 admissions.

(d) Many of senior faculty on clinical departments are not working/participating in teaching.

(e) In Radiology – only one faculty was available. TB – No faculty.

(f) Histopathology section is in the Central Clinical Lab. No Histopathology section Pathology department.

(g) No attendance register or Biometric record was available with Dean at 10 a.m.

8. Data of Radiological investigations as provided by the Institute are highly inflated.

9. Wards: Pantry in wards do not appear to be used.

10. Other deficiencies as pointed out in the assessment report.

In view of the above, the Executive Committee of the Council decided to recommend to the Central Government 12

not to recognize/approve Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by The Tamilnadu Dr. M.G.R. Medical University, Chennai u/s 11(2) of the IMC Act, 1956 and further decided that the Institute be asked to submit the compliance for rectification of the above deficiencies within 01 month for further consideration of the matter. However in view of above, the Executive Committee decided to reiterate its earlier decision to recommend to the Central Govt. that the college should be debarred from admitting students in the above course for a period of two academic years i.e. 2017-18 & 2018-19 as per the directions passed by Oversight Committee in para 3.2(b) vide communication dated 12/08/2016’.

The above decision of the Executive Committee is subject to approval of Oversight Committee.

A copy of assessment report is enclosed herewith.

Your faithfully, Sd/-

(Dr. Rajendra Wabale) Joint Secretary Encl: As above.

Endst. No. MCI-34(41)(RG-17)/2017-Med./107430 Date:

29/04/17

Copy forwarded for information and necessary action to:-

1. The Secretary to Oversight Committee on MCI, 2nd Floor, Academic Block, National Institute of Health & Family Welfare, Munirka, New Delhi – 110067.

2. The Dean/Principal, Karpagam Faculty of Medical Sciences & Research, Pollachi Main Road, Othakkalmandapam, Coimbatore-641032 (Tamilnadu), Email:info@karpagam.com, karpagammedicalcollege@gmail.com with the request to submit the detailed point-wise compliance with regard to recognition/approval (softcopy-in editable word format with C.D. also) with the documentary evidence in respect of the rectification of deficiencies pointed out as above within 1(one) to the Council office alongwith the demand draft worth Rs. 3.00 lakhs (Rupees three lakhs only) in favour of The Secretary, Medical Council of India payable at New Delhi.

Sd/-

13

(Dr. Rajendra Wabale) Joint Secretary”

(emphasis supplied)

4. As mentioned above, the appellant has challenged the

decision of the Competent Authority of the Central

Government communicated vide letter dated 31 st May,

2017. The decision was partly in favour of the appellant,

confirming the renewal of permission granted for admitting

students for the 5th batch in MBBS course for the academic

session 2016-17 and also directing the MCI to return the

bank guarantee of Rs.2 crore given by the appellant college.

The latter part of the said decision, however, is adverse to

the appellant, debarring the appellant college from

admitting students in MBBS course (150 seats) for the

academic session 2017-18.

5. The High Court vide order dated 19 th July, 2017, which is

impugned in this appeal, has issued notice to the

respondents but refused to grant any interim relief to the

appellant to allow them to admit students in MBBS course

for the academic session 2017-18. As a result, the

appellant approached this Court by way of present special 14

leave petition which was heard on 11th August, 2017. On

the basis of the arguments advanced by the parties, this

Court directed the Central Government to reconsider the

matter and accordingly, passed the following order:

“Heard Mr. Mukul Rohatgi and Mr. Dushyant Dave, learned senior counsel, Mr. Gaurav Bhatia, learned counsel for the petitioners, Mr. Ajit Kumar Sinha, learned senior counsel for the Union of India and Mr. Gaurav Sharma, learned counsel for the Medical Council of India. Having heard learned counsel for the parties, it is directed that the Central Government shall afford an opportunity of hearing to the representatives of the Institutions and take assistance of the newly constituted Committee as per the judgment passed by the Constitution Bench in Amma Chandravati Educational and Charitable Trust and Others v. Union of India and Another [Writ Petition (C) No.408 of 2017], within ten days hence and pass a reasoned order by end of August, 2017. Be it noted, we have passed this order as the order impugned is the communication by the Central Government which is dated 31st May, 2017.

List the matter in the first week of September, 2017.”

6. In view of the directions given by this Court, the Central

Government considered the matter afresh and has passed a

detailed order (running into 5 pages) on 31 st August, 2017.

The relevant portion of the order is in paragraphs 16 & 17.

The rest of the paragraphs refer to the previous proceedings

reckoned by the Ministry. Paragraphs 16 & 17 of the said

order read thus:

“16. Now, in compliance with the above direction of Hon’ble Supreme Court dated 11.08.2017, the Ministry granted 15

hearing to the college on 25.08.2017. A member of the Oversight Committee was present during the entire proceeding of the Hearing Committee. The Hearing Committee after considering the record and submission of the college submitted its report to the Ministry with the following conclusion:-

The Hearing Committee is of the view that the bed occupancy as claimed by the college cannot be validated by this Committee and requires physical verification. A copy of the Hearing Committee report containing the above observation is enclosed.

17. Accepting the recommendations of Hearing Committee, the Ministry reiterates its earlier decision dated 31.5.2017 to confirm the conditional permission issued to the Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamil Nadu and directs the college not to admit MBBS students for the academic year 2017-18.” (emphasis supplied)

7. Aggrieved, the appellant has filed I.A. No.84171 of 2017 to

challenge the correctness of the aforementioned decision of

the Competent Authority of the Central Government,

reiterating its earlier decision dated 31st May, 2017.

8. During the arguments, the counsel appearing for the

appellant invited our attention to the relevant documents to

question the observation recorded by the Executive

Committee of the MCI and the Hearing Committee. It is

contended that the impugned decision refers to the

observation of the Hearing Committee as reproduced in

paragraph 16 of the impugned decision dated 31 st August, 16

2017, which according to the appellant is contrary to the

factual position emerging from the record. In any case,

contends learned counsel that it is an inconclusive

observation and could not have been the basis to pass the

impugned decision. The respondents, on the other hand,

have supported the orders passed by the Competent

Authority of the Central Government on 31st May, 2017 and

31st August, 2017 being well considered decisions.

9. We have heard Mr. Mukul Rohatgi, learned senior

counsel appearing for the appellant college, Mr. Vikas

Singh, learned senior counsel appearing for the MCI

and Mr. Maninder Singh, learned Additional Solicitor

General appearing for Union of India.

10. Ordinarily, we would have relegated the parties before

the High Court where the writ petition is still pending.

However, as the appellant invited the order dated 11 th

August, 2017 from this Court and thereafter

participated in the proceedings before the Competent

Authority of the Central Government, which in turn, has

passed the impugned order dated 31 st August, 2017 after

re-consideration of the matter and as the appellant has 17

chosen to assail the same by way of an I.A. filed in this

appeal, coupled with the urgency of the matter, as the

cut-off date for admission in MBBS course for the academic

session 2017-18 was to expire on 31 st August, 2017; and

that cut-off date can be extended only by this Court in

exercise of the plenary power under Article 142 of the

Constitution of India, we permitted the appellant to agitate

all the issues before this Court.

11. We have reproduced the order dated 31st May, 2017,

passed by the Competent Authority of the Central

Government, in its entirety to discern the real issue that

needs to be answered in the present appeal. As noted

earlier, the said order is partly in favour of the appellant. It

is adverse only to the extent of debarring the appellant

college from admitting students in MBBS course (150 seats)

for the academic session 2017-18 and also not granting

recognition/approval to the appellant college which had

already started MBBS course and admitted five batches of

students until the academic session 2016-17.

12. From the factual narration in the communications sent by

the MCI to the Ministry vide letters dated 24 th March, 2017 18

and 29th April, 2017, which inter alia were considered by

the Competent Authority of the Central Government to form

its opinion, it is indisputable that the appellant college was

granted conditional renewal permission by the Central

Government on 20th August, 2016 to admit 5th batch (150

seats) in MBBS course for the academic session 2016-17,

on conditions specified by the Oversight Committee (for

short “OC” constituted by this Court) in its communication

dated 12th August, 2016. The appellant college accepted

those conditions and had filed an affidavit of undertaking to

remove all the deficiencies pointed out by the MCI within

specified time. Thereafter, a compliance verification

assessment was carried out by the MCI on 17 th February,

2017 and 15th & 16th March, 2017 when the following

deficiencies were noticed:

“1. OPD attendance of 1,343 on day of assessment as provided by Institute appear to be highly inflated. On physical verification at 11 a.m. & 11:30 a.m., total OPD statistics as recorded in registers of all the departments was only 286.

2. There were NIL Normal Delivery & 2 Caesarean Section on day of assessment.

3. Histopathology & Cytopathology workload for the whole Institute was only 05 each on day of assessment.

4. Data of radiological investigations as provided by Institute appear to be inflated.

5. Wards: Ancillary facilities are not properly used in the wards.

19 6. RHTC: No independent activity in National Health Programmes is carried out.”

7. Other deficiencies as pointed out in the assessment report.”

13. The Executive Committee of the MCI, in its meeting held

on 21st March, 2017, considered the relevant

assessment reports submitted by the Assessors

periodically and, noting the deficiencies, recommended

to the Central Government not to renew the permission

for admission of 5th batch of 150 students in MBBS

course for the academic session 2016-17, and to debar

the appellant college. The relevant portion of the

communication dated 24th March, 2017 sent by the MCI

to the Ministry, reproducing the recommendation, reads

thus:

“In view of the above, the college has failed to abide by the undertaking it had given to the Central Govt. that there are no deficiencies as per clause 3.2 (i) of the directions passed by the Supreme Court mandated Oversight Committee vide Communication dated 12/08/2016. The Executive Committee, after due deliberation and discussion, has decided that the college has failed to comply with the stipulation laid down by the Oversight Committee. Accordingly, the Executive Committee recommends that as per the directions passed by Oversight Committee in 19 as even after giving an undertaking that they have fulfilled the entire infrastructure for recognition/approval of Karpagam Faculty of medical sciences & Research, Coimbatore, Tamilnadu for the award of MBBS degree (150 seats) granted by The Tamilnadu Dr. M.G.R. Medical University, 20

Chennai u/s 11(2) of the IMC Act, 1956 and Compliance Verification Assessment for renewal of permission for admission of 5th batch (150 MBBS seats) u/s 10(A) of the IMC Act, 1956 for the Academic year 2016-17, the college was found to be grossly deficient. It has also been decided by the Executive Committee that the Bank Guarantee furnished by the college in pursuance of the directives passed by the Oversight Committee as well as GOI letter dated 20/08/2016 is liable to be encashed.

The above decision of the Executive Committee is subject to approval of Oversight Committee.” (emphasis supplied)

14. A copy of this communication was forwarded to the

Secretary of the OC as well as the appellant college with

a request to submit a detailed, point-wise compliance

with respect to the recognition/approval (soft copy in

editable word format with CD also) along with

documentary evidence in respect of the rectification of

the deficiencies pointed out by the Assessors.

15. On 10th April, 2017, a compliance verification

assessment was carried out in respect of which an

assessment report was submitted to MCI. The Executive

Committee of MCI in its meeting held on 28 th April,

2017 considered the relevant assessment reports

including the compliance verification report dated 10th

April, 2017 with regard to recognition/approval of the 21

appellant college under Section 11(2) of the Act. The

Executive Committee noted 10 deficiencies (as

reproduced in the communication dated 29th April,

2017 – Annexure P/9) and decided to send a negative

recommendation to the Central Government on the

proposal for recognition/approval, including to debar

the appellant college from admitting students for two

academic sessions 2017-18 & 2018-19 as per the

directions passed by the OC in paragraph 3.2(b) vide

communication dated 12th August, 2016. The said

decision of MCI was communicated to the Central

Government vide communication dated 29th April, 2017

and copies of the said communication were also

forwarded to the Secretary of OC and the appellant

college with a request to submit a detailed, point-wise

compliance with regard to recognition/approval along

with documentary evidence in respect of rectification of

deficiencies pointed out in the said communication. On

the basis of the aforesaid recommendation of the MCI,

the Competent Authority of the Central Government 22

took a decision which was partly in favour of the

appellant college. In other words, the Ministry did not

accept the recommendation of the MCI in toto. The

Ministry, instead, vide order dated 31st May, 2017

merely directed the appellant college not to admit

students for the academic session 2017-18, which

position has been reiterated in the order dated 31 st

August, 2017 passed after reconsideration. It is this

part of the direction which is adverse to the appellant.

16. The fact that the Competent Authority of the Central

Government has confirmed the renewal of permission in

favour of the appellant for academic session 2016-17, it

would not follow that the appellant college is entitled to

grant of recognition/approval under Section 11(2) of the

Act from the academic session 2017-18 as a matter of

course, without removing the deficiencies pointed out in

the latest assessment report dated 10th April, 2017. The

appellant, however, would contend that the correctness

of the report dated 10th April, 2017, is seriously in

doubt. For, the previous assessment reports made no 23

reference to the deficiencies regarding faculty and

residents in particular. The Dean of the appellant

college had registered his protest and made such noting

on the said report - that he did not agree with most of

the findings in the report and that he would submit a

detailed reply. Indeed, the assessment reports dated

17th February, 2017 and 15th/16th March, 2017 have

noted deficiencies which are not identical to the

deficiencies noted in the assessment report dated 10th

April, 2017. It must, however, be kept in mind that the

reports are in respect of the factual position noticed

during the inspection carried out on the relevant dates.

The variation of deficiencies may be on account of

different situations. Therefore, it may not be correct to

discredit the 10th April, 2017 assessment report on the

basis of such variations. It is one thing to say that the

college is in a position to explain the deficiencies but

whether to accept that explanation, is within the

domain of the expert body. There is nothing to indicate

in the communication dated 29th April, 2017 sent by the 24

MCI or, for that matter, the impugned decision of the

Competent Authority of the Central Government dated

31st May, 2017, that any plausible explanation was

offered by the appellant college in regard to the stated

deficiencies. Even the order dated 31st August, 2017,

does not indicate as to whether any explanation was

offered by the appellant college during the hearing for

reconsideration by the Central Government. Notably, a

member of the OC constituted by this Court was

present during the hearing on 25th August, 2017. The

Hearing Committee was of the view that the bed

occupancy as claimed by the college cannot be validated

by the Committee unless physical verification was done

for that purpose. That finding pre-supposes that the

explanation offered by the appellant college, if any, did

not commend to the Hearing Committee. The fulfilment

of benchmark regarding bed occupancy for grant of

recognition/approval under Section 11(2) of the Act is

essential. That is a precondition for grant of recognition 25

and can certainly be a relevant factor to be considered

by the MCI as well as the Hearing Committee.

17. The bed occupancy noticed in the assessment report

dated 10th April, 2017 is 62.76% as against the claim

made by the college of 78%. The claim of the college

was found to be highly inflated. Even in the earlier

assessment reports comments have been made

regarding the bed occupancy to be tailor made to suit

the assessment. Suffice it to observe that the Hearing

Committee, during the reconsideration, was not

convinced about the deficiency regarding bed

occupancy until it was physically verified. It is not for

this Court to sit over the satisfaction of the expert body

and of the Competent Authority of the Central

Government as a Court of appeal.

18. The appellant would then contend that it was not

permissible for the MCI to carry out successive

inspections. Reliance has been placed on the dictum of

this Court in Kanachur Islamic Education Trust Vs. 26

Union of India and Anr.1, decided on 30th August,

2017. This submission does not commend us. For, in

the aforementioned case, this Court found that it was

unambiguously clear that the inspection of the

concerned college was already conducted on 17th/18th

November, 2016 and it did not divulge any substantial

deficiency so as to justify disapproval. Further, no

reason was assigned for the surprise inspection carried

out on 9th/10th December, 2016, in a short span of less

than one month. In that backdrop the Court held that

the justification for such surprise inspection was not

explained by the MCI. In the subsequent decision in the

case of Royal Medical Trust & Anr. Vs. Union of

India & Anr.2 , the decision in Kanachur Islamic

Education Trust (supra) has been explained and the

argument under consideration has been rejected. Be

that as it may, in the present case, it is not a case of

successive surprise inspections. For, the inspection

conducted on 17th February, 2017 was followed by

1 (2017) 10 SCALE 321 2 W.P.(C) No.747 of 2017, decided on 12th September, 2017 27

compliance verification assessment on 15th/16th March,

2017 for considering the proposal for confirmation of

renewal of LOP for the academic session 2016-17; and

the inspection carried out on 10th April, 2017 was for

considering the proposal regarding recognition/approval

for the college from academic session 2017-18.

19. Considering the above, it is not possible to doubt the

decision of the Ministry dated 31st May, 2017, as

confirmed on 31st August, 2017 after re-consideration.

The fact that there are some factual errors committed in

paragraph 13 of the impugned decision dated 31st

August, 2017, regarding the chart pertaining to the

some other inspection has been fairly admitted by the

counsel for the respondents as a clerical error. But that

would not vitiate the order dated 31 st August, 2017.

Because, the decision dated 31st May, 2017 is founded

on the factual position stated in the recommendation of

the MCI vide communications dated 24th March, 2017

and 29th April, 2017, in particular. The latter

communication pertains to the proposal for grant of 28

recognition/approval to the appellant college under

Section 11(2) of the Act.

20. Counsel for the appellant while referring to the

communication dated 5th April, 2017 sent by the Under

Secretary to Government of India, Ministry of Health

and Family Welfare to the appellant college

(Annexure-A/9) vehemently contended that the

personal hearing before the Ministry was scheduled on

11th April, 2017, but the inspection of the college was

conducted one day earlier. The argument, though

attractive at first blush, will have to be rejected. In that,

the personal hearing scheduled on 11th April, 2017, in

terms of the said communication dated 5 th April, 2017,

was for considering the proposal for confirmation of

renewal permission for 5th batch (150 seats) of students

in MBBS course for the academic session 2016-17,

under Section 10(A) of the Act and not related to the

issue of grant of recognition/approval under Section

11(2) of the Act which was for the academic session

2017-18. Whereas, the inspection conducted on 10 th 29

April, 2017 was for considering the proposal for grant of

recognition under Section 11 of the Act and not

pertaining to the proposal for renewal of permission for

the academic session 2016-17. Indisputably, the

renewal of permission for the academic session 2016-17

has been confirmed by the Central Government vide

order dated 31st May, 2017, despite the negative

recommendation given by the MCI in that behalf.

Suffice it to observe that the argument of the appellant

is replete with confusion in reference to the record and

proceedings relating to two different proposals, namely,

one for confirmation of renewal of LOP for the academic

session 2016-17 under Section 10A of the Act and

another for grant of recognition/approval from

academic session 2017-18 under Section 11 of the Act.

The benchmark and the minimum standards for these

proposals are bound to be different and we must

presume that the expert body, such as MCI and the

Hearing Committee in which one member of the OC also

participated, were fully aware of the essentialities and 30

pre-conditions for grant of recognition/approval. Since

the decision of the Competent Authority of the Central

Government is based on such inputs, it is not open for

us to sit over that decision as a Court of appeal.

Further, as ordained in the decision of Royal Medical

Trust (supra), the relief to permit the appellants to

admit students for academic session 2017-18 cannot be

countenanced. In that decision, in paragraph 52, this

Court has also rejected the challenge to the order such

as dated 31st August, 2017, being bereft of reasons.

That dictum applies on all fours to the present case.

21. Accordingly, we find no merit in this appeal. Since we

have already examined all the issues raised by the

appellant for assailing the correctness of the order

dated 31st May, 2017 and confirmation thereof on 31 st

August, 2017 by the Competent Authority of the Central

Government, nothing would survive for consideration in

the writ petition filed by the appellant before the High

Court of Madras. As a result, Writ Petition No.18334 of 31

2017 be deemed to have been disposed of in terms of

this judgment.

22. We may, however, make it clear that the proposal for

grant of recognition/approval submitted by the

appellant college for the academic session 2017-18 be

treated as having been made for the academic session

2018-19 and be processed by the respondents

accordingly, in accordance with law. For that purpose,

the MCI is directed to conduct inspection of the

appellant college within two months and inform the

appellant about the deficiencies, if any, with the option

to remove the same within the time limit specified in that

regard. The appellant college shall then report its

compliance and communicate the removal of deficiencies to

MCI, whereafter it will be open to the MCI to undertake

verification of the compliance and then prepare its report to

be submitted to the Central Government. The Central

Government shall take appropriate decision, as may be

advised, in accordance with law, within one month

therefrom and forthwith communicate the same to the 32

appellant college. If the appellant college is aggrieved by the

said decision, it will be open to the appellant to take

recourse to remedies as may be available in law.

23. The appeal and interlocutory application are disposed of in

the above terms. No order as to costs.

……………………………….CJI.

(Dipak Misra)

………………………………….J. (A.M. Khanwilkar)

.………………………………...J. (Dr. D.Y. Chandrachud) New Delhi, Dated: September 14, 2017.