THE SUPREME COURT OF INDIA
CIVIL APPELLATE JURISDICTION
CIVIL APPEAL NO.4911 OF 2012
(Arising out of SLP(C)No.28996 of 2011)
1 Medical Council of India … Appellant
Vs.
2 Rama Medical College Hospital &Research Centre, Kanpur & Anr. Respondents
WITH
CIVIL APPEAL NO.4909 OF 2012
(Arising out of SLP(C)No.30332 of 2011)
AND
CIVIL APPEAL NO.4910 OF 2012
(Arising out of SLP(C)No.30338 of 2011)
AND
CIVIL APPEAL NO.4912 OF 2012
(Arising out of SLP(C)No.3732 of 2012)
AND
WRIT PETITION (CIVIL) NOS.457, 458 AND 489 OF 2011
J U D G M E N T
ALTAMAS KABIR, J.
1. Leave granted.
2. The Indian Medical Council Act, 1956, hereinafter referred to as the
“1956 Act”, was enacted, inter alia, to provide for the reconstitution of
the Medical Council of India and the maintenance of a Medical Register for
India and for matters connected therewith. Section 3 of the Act empowered
the Central Government to constitute a Council, which as per Section 4(1)
means the Medical Council of India, hereinafter referred to as the “Medical
Council”, constituted under the 1956 Act.
3. In these matters, we are mainly concerned with the interpretation of
Sections 10A and 11 of the 1956 Act. Section 10A of the 1956 Act, which
provides for permission for establishment of new medical colleges and new
courses of study, is extracted hereinbelow :
“10A. Permission for establishment of new medical college, new course
of study.- (1) Notwithstanding anything contained in this Act or any
other law for the time being in force:-
a) no person shall establish a medical college; or
b) no medical college shall –
(i) open a new or higher course of study or training (including
a post-graduate course of study or training) which would
enable a student of such course or training to qualify
himself for the award of any recognised medical
qualification; or
(ii) increase its admission capacity in any course of study or
training (including a post-graduate course of study or
training),except with the previous permission of the Central Government obtainedin accordance with the provisions of this Section.
Explanation 1.-For the purposes of this Section, "person"
includes any University or a trust but does not include the Central Government.
Explanation 2.- For the purposes of this Section "admission
capacity" in relation to any course of study or training (including
post-graduate course of study or training) in a medical college, means
the maximum number of students that may be fixed by the Council from
time to time for being admitted to such course or training.
(2) (a) Every person or medical college shall, for the purpose
of obtaining permission under sub-Section (1), submit to the Central
Government a scheme in accordance with the provisions of clause (b)
and the Central Government shall refer the scheme to the Council for
its recommendations.
(b) The scheme referred to in clause (a) shall be in such form
and contain such particulars and be preferred in such manner and be
accompanied with such fee as may be prescribed.
(3) On receipt of a scheme by the Council under sub-Section (2)
the Council may obtain such other particulars as may be considered
necessary by it from the person or the medical college concerned, and
thereafter, it may, -
a) if the scheme is defective and does not contain any
necessary particulars, give a reasonable opportunity to the
person or college concerned for making a written
representation and it shall be open to such person or
medical college to rectify the defects, if any, specified
by the Council;
b) consider the scheme, having regard to the factors referred
to in sub-Section (7), and submit the scheme together with its recommendations thereon to the Central Government.
(4) The Central Government may, after considering the scheme
and the recommendations of the Council under sub-Section (3) and after
obtaining, where necessary, such other particulars as may be
considered necessary by it from the person or college concerned, and
having regard to the factors referred to in sub-Section (7), either
approve (with such conditions, if any, as it may consider necessary)
or disapprove the scheme and any such approval shall be a permission
under sub-Section (1):
Provided that no scheme shall be disapproved by the Central
Government except after giving the person or college concerned a
reasonable opportunity of being heard:
Provided further that nothing in this sub Section shall prevent
any person or medical college whose scheme has not been approved by
the Central Government to submit a fresh scheme and the provisions of
this Section shall apply to such scheme, as if such scheme has been
submitted for the first time under sub-Section (2).
(5) Where, within a period of one year from the date of
submission of the scheme to the Central Government under sub-Section
(2), no order passed by the Central Government has been communicated
to the person or college submitting the scheme, such scheme shall be
deemed to have been approved by the Central Government in the form in
which it had been submitted, and accordingly, the permission of the
Central Government required under sub-Section (1) shall also be deemed
to have been granted.
(6) In computing the time-limit specified in sub-Section (5),
the time taken by the person or college concerned submitting the
scheme, in furnishing any particulars called for by the Council, or by
the Central Government, shall be excluded.
(7) The Council, while making its recommendations under clause
(b) of sub-Section (3) and the Central Government, while passing an
order, either approving or disapproving the scheme under sub-Section
(4), shall have due regard to the following factors, namely:-
a) whether the proposed medical college or the existing medical
college seeking to open a new or higher course of study or
training, would be in a position to offer the minimum
standards of medical education as prescribed by the Council
under Section 19A or, as the case may be, under Section 20
in the case of post-graduate medical education;
b) whether the person seeking to establish a medical college
or the existing medical college seeking to open a new or
higher course of study or training or to increase its
admission capacity has adequate financial resources;
c) whether necessary facilities in respect of staff, equipment,
accommodation, training and other facilities to ensure
proper functioning of the medical college or conducting the
new course or study or training or accommodating the
increased admission capacity, have been provided or would
be provided within the time-limit specified in the scheme;
d) whether adequate hospital facilities, having regard to the
number or students likely to attend such medical college or
course of study or training or as a result of the increased
admission capacity, have been provided or would be provided
within the time-limit specified in the scheme;
e) whether any arrangement has been made or programme drawn to
impart proper training to students likely to attend such
medical college or course of study or training by persons
having the recognised medical qualifications;
f) the requirement of manpower in the field of practice of
medicine; and
g) any other factors as may be prescribed.
(8) Where the Central Government passes an order either
approving or disapproving a scheme under this Section, a copy of the
order shall be communicated to the person or college concerned.”
4. It would be seen from the above that after the promulgation of the
1956 Act, no person would be entitled to establish a MedicalCollege except
in the manner provided in Section 10A, which, in addition provides that no
medical college shall open a new or higher course of study or training,
including a post-graduate course of training, which would enable a student
of such course or training to qualify himself for the award of recognised
medical qualification, except with the previous permission of the Central
Government. The said prohibition also extends to the increase in admission
capacity in any course of study or training, including post-graduate study
or training, except with such previous permission of the Central
Government. Sub-Section (2) categorically provides that every person or
medical college shall, for the purpose of obtaining permission under Sub-
Section (1), submit to the Central Government a scheme in accordance with
the provisions of Clause (b) and the Central Government shall refer the
scheme to the Medical Council for its recommendations. The said Council
has been authorized to scrutinize the scheme and make such suggestions, as
may be necessary, to rectify any defect and, thereafter, to forward the
same, together with its recommendations, to the Central Government. Sub-
Section (7) provides that the Council while making its recommendations
shall take into consideration the factors mentioned therein.
5. In other words, although, the Central Government is the authority to
grant sanction to the establishment of a medical college, it is the Medical
Council of India which plays a major role in deciding whether such sanction
could be given by the Central Government.
6. Section 11 of the 1956 Act deals with recognition of medical
qualifications granted by universities or medical institutions in India.
The same also being relevant to the facts of this case, is reproduced
hereinbelow :
“11. Recognition of medical qualifications granted by Universities or
medical institutions in India.- (1) The medical qualifications granted
by any University or medical institution in India which are included
in the First Schedule shall be recognised medical qualifications for
the purposes of this Act.
(2) Any University or medical institution in India which grants a
medical qualification not included in the First Schedule may apply to
the Central Government to have such qualification recognised, and the
Central Government, after consulting the Council, may, by notification
in the Official Gazette, amend the First Schedule so as to include
such qualification therein, and any such notification may also direct
that an entry shall be made in the last column of the First Schedule
against such medical qualification declaring that it shall be a
recognised medical qualification only when granted after a specified
date.”
7. In addition to the aforesaid provisions, Section 10-B of the 1956 Act
is also of significance as it deals with non-recognition of medical
qualifications in certain cases. For the sake of reference, the same is
also extracted hereinbelow :-
“10-B. Non-recognition of medical qualifications in certain cases.– (1)
Where any medical college is established except with the previous
permission of the Central Government in accordance with the provision
of Section 10A, no medical qualification granted to any student of such
medical college shall be a recognised medical qualification for the
purposes of this Act.
(2) Where any medical college opens a new or higher course of study
or training (including a post-graduate course of study or training)
except with the previous permission of the Central Government in
accordance with the provisions of Section 10A, no medical qualification
granted to any student of such medical college on the basis of such
study or training shall be a recognised medical qualification for the
purposes of this Act.
(3) Where any medical college increases its admission capacity in
any course of study or training except with the previous permission of
the Central Government in accordance with the provision of Section 10A,
no medical qualification granted to any student of such medical college
on the basis of the increase in its admission capacity shall be a
recognised medical qualification for the purposes of this Act.
Explanation – For the purposes of this Section, the criteria for
identifying a student who has been granted a medical qualification on
the basis of such increase in the admission capacity shall be such as
may be prescribed.”
8. It is amply clear from Section 10B that if a Medical College is
established, except with the previous permission of the Central Government,
as provided under Section 10A, no medical qualification granted to any
student of such medical college shall be recognized as a medical
qualification for the purposes of the Act.
9. At this juncture, reference may be made to the “Establishment of
Medical College Regulations, 1999”, framed by the Medical Council of India
in exercise of powers conferred under Section 10A read with Section 33 of
the 1956 Act, and notified on 30th July, 1999. The same came into force on
their publication in the Official Gazette on 28th August, 1999, and is
hereinafter referred to as the “1999 Regulations”.
10. Regulation 4 of the 1999 Regulations, inter alia, provides that
applications for permission to set up Medical Colleges are to be submitted
to the Secretary (Health), Ministry of Health and Family Welfare,
Government of India, along with a non-refundable application fee of Rs.3.5
lakhs in the form of a demand draft/pay order in favour of the Medical
Council of India for Central and StateGovernmentColleges and Rs.7 lakhs
for private sector medical colleges and institutions. Regulation 5
provides that applications received by the Ministry of Health and Family
Welfare are to be referred to the Medical Council for registration and
evaluation and recommendations. Regulations 6 and 7 provide that after
evaluation, the Council shall send a factual report to the Central
Government with its recommendations to issue or not to issue Letters of
Intent. Regulation 8 of the 1999 Regulations is the provision for grant of
permission and since it is of considerable significance to the issue
involved in these proceedings, the same is reproduced hereinbelow :
“8. GRANT OF PERMISSION:
(1) The Central Government on the recommendation of the Council may
issue a Letter of Intent to set up a new medical college with
such conditions or modifications in the original proposal as
may be considered necessary. This letter of Intent will also
include a clear cut statement of preliminary requirements to
be met in respect of buildings, infrastructural facilities,
medical and allied equipments, faculty and staff before
admitting the first batch of students. The formal permission
may be granted after the above conditions and modifications
are accepted and the performance bank guarantees for the
required sums are furnished by the person and after
consulting the Medical Council of India.
(2) The formal permission may include a time bound programme for the
establishment of the medical college and expansion of the
hospital facilities. The permission may also define annual
targets as may be fixed by the Council to be achieved by the
person to commensurate with the intake of students during the
following years.
(3) The permission to establish a medical college and admit students
may be granted initially for a period of one year and may be
renewed on yearly basis subject to verification of the
achievements of annual targets. It shall be the
responsibility of the person to apply to the Medical Council
of India for purpose of renewal six months prior to the
expiry of the initial permission. This process of renewal of
permission will continue till such time the establishment of
the medical college and expansion of the hospital facilities
are completed and a formal recognition of the medical college
is granted. Further admissions shall not be made at any stage
unless the requirements of the Council are fulfilled. The
Central Government may at any stage convey the deficiencies
to the applicant and provide him an opportunity and time to
rectify the deficiencies.
(4) The council may obtain any other information from the proposed
medical college as it deems fit and necessary.”
11. The above Regulation makes it clear that irrespective of whether the
applicant is the Central Government or a State Government or a private
person, the Central Government may, on the recommendation of the Medical
Council, issue a Letter of Intent to set up a new medical college and
formal permission may be granted initially for a period of one year and may
be renewed on yearly basis subject to verification of the achievements of
annual targets, once the conditions and modifications indicated in the
Letter of Intent are accepted and after consulting the Medical Council of
India. Sub-regulation (3) is important for our purpose as it also related
to certain other Regulations published by the Medical Council in 2000. It
provides, without any ambiguity that the provision to establish a medical
college and to admit students may be granted initially for a period of one
year and may be renewed on yearly basis subject to verification of the
achievement of annual targets. It may be noted that Section 10A speaks of
permission and not recognition on a year to year basis. Recognition
follows once the newly-established medical colleges/institutions
satisfactorily complete five years with the graduation of the first batch
of students admitted to the institution when initial permission is granted.
It also provides with complete clarity that it shall be the responsibility
of the applicant to apply to the Medical Council for renewal of permission
six months before the expiry of the initial permission and that the process
of renewal of permission will continue till all the required formalities
are completed and a formal recognition of the medical college is granted.
12. From the aforesaid provisions it is very clear that recognition to a
degree awarded by a newly-established medical college can be given only
after all the requirements for the establishment of the medical college and
expansion of the hospital facilities are completed. It has also been
stipulated that further admissions shall not be made at any stage unless
the requirements of the Council are fulfilled.
13. Reference may also be made to the Regulations framed by the Medical
Council of India relating to opening of higher courses of study and
increase of admission capacity in medical colleges and published by the
Medical Council of India under notification dated 14th August, 2000. The
same are known as “The Opening of a New or Higher Course of Study or
Training (including Post-Graduate Course of Study or Training) and Increase
of Admission Capacity in any Course of Study or Training (including a Post-
Graduate Course of Study Or Training) Regulations, 2000”, hereinafter
referred to as “the 2000 Regulations”, which came into force on 7th
October, 2000. Thereafter, Regulation 3, which provides for permission for
establishment of a new or higher course of study, etc., reads as follows :-
“(3) The permission for establishment of a new or higher course of
study, etc. -
No medical college, shall –
a) open a new or higher course of study or training (including a
post-graduate course of study or training) which would enable a