Rajiv Goel Vs. The Pr.Secretary, Deptt. of Health & Family Welfare | Case No. 228/1121/2018/05/7572-74 | Dated: 31.05.2018

In the Court of State Commissioner for Persons with Disabilities

National Capital Territory of Delhi

25- D, Mata Sundari Road, Near Guru Nanak Eye Centre, New Delhi-2

Phone-011-23216002-04, Telefax: 011-23216005, Email: comdis.delhi@nic.in

[Vested with powers of Civil Court under the

Rights of Persons with Disabilities Act, 2016]

Case No. 228/1121/2018/05/7572-74                                 Dated: 31.05.2018

In the matter of:

Sh. Rajiv Goel,

367, ASB, Paschim Vihar,

New Delhi-110063.                                                       .……… Complainant     

                                                      Versus

The Pr.Secretary,

Deptt. of Health & Family Welfare,

GNCT of Delhi,

9^th Level, A-Wing, Delhi Secretariat,

New Delhi-110002.                                                         …...…Respondent

Date of hearing:     30.05.2018

Present                   Sh. Rajiv Goel, Complainant.

Dr. A Madhavi, Dy. Director(Disab.)

ORDER  

The above named complainant vide his email dated 06.05.2018 submitted that his son Master Kshitij Goel, who is 7.5 years old has been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and Specific Learning Disability(SLD).  He needs a disability certificate to get the benefit of reservation for admission to University.  He approached IHBAS for disability certificate. However, they refused to issue the disability certificate on the ground that as per the guidelines issued by Department of Empowerment of Persons with Disabilities (DEPwD), Ministry of Social Justice and Empowerment vide notification dated 04.01.2018, IHBAS is not competent to issue certificates for SLD. He further submitted that he has met officials at all levels in IHBAS and he has come to know that Govt. of NCT of Delhi has not authorized any hospital in Delhi for issuance of disability certificate for SLD. The guidelines for issuance of disability certificate for SLD mandate the presence of Pediatrician and Pediatric Neurologist as part of medical authority and IHBAS does not have Pediatrician or Pediatric Neurologist on its rolls and hence is unable to issue the certificates of disability for SLD.  

2.           The complainant requested to direct Govt. of NCT to notify hospitals as per provisions of the DEPwD,  Ministry of Social Justice and Empowerment’s Notification dated 04.01.2018    and  also direct IHBAS to constitute a medical board for the purpose of issuing disability certificate without the presence of a Pediatrician or Pediatric Neurologist. 

  

3.           The complaint was taken up with the respondent under the Rights of Persons with Disabilities, 2016 hereinafter referred to as the Act vide letter dated 08.05.2018 detailing therein the request  of this Court regarding designating certifying authorities for specified disabilities  including specific learning disability  vide letters dated 06.03.2018 and 24.04.2018 and decision in a meeting taken by the State Commissioner on 16.04.2018. As there was no response and the complainant vide his subsequent emails informed that he has not been able to get the disability certificate in respect of his son, a Show-Cause-Cum-Hearing Notice was issued on 24.05.2018. In the said notice, Principal Secretary, Health and Family Welfare Department (H&FW) was directed why the certifying authorities should not be designated in NCT of Delhi for all the specified disabilities in the Act by 29.05.2018. The respondent was also  directed to arrange to assess and issue the certificates of disability to all the eligible applicants; and if the same was not done by 29.05.2018, the respondent was directed to appear on 30.05.2018 at 11.30 AM.

4.           While the complainant and Dr. A. Madhavi, Dy.Director(Disb.), representing Secretary, Social Welfare Department, to whom the copy of the Notice dated 24.05.2018 also emailed appeared, the respondent i.e. the Health & Family Welfare Deptt. (H&FW) neither submitted any status nor did anyone appear to represent Pr. Secretary(H&FW). Apparently,  appropriate action has not been taken by the H&FW Department to ensure assessment and certification of the newly included specified disabilities despite the fact that the issue of designating certifying authorities had been taken up with that  Department and other concerned authorities ever since the Guidelines for assessment of specified disabilities were notified by the Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Govt. of India on 04.01.2018. 

5.      No response/ATR in this case has been received from the respondent.  However, Health and Family Welfare Department vide their letter dated 14.03.2018 in response to letter dated 07.02.2018 Department of Social Welfare requested Directorate General Health Services (DGHS), GNCT of Delhi to issue instructions to all medical institutions responsible for grant of certificate of disability to follow the notified guidelines for evaluation and certification of various categories of specified disabilities.  DGHS was also requested to conduct workshops to train the medical authorities about the new guidelines to facilitate smooth issuance of certificates of disability in a time bound manner. The department also requested DGHS to implement the recommendation vide their letter dated 11.05.2018 in the meeting taken by State Commissioner on 16.04.2018 and to issue an advisory/directions to all Govt. hospitals that issue disability certificate in the present to continue issuing the disability certificates in accordance with the guidelines notified by Department of Empowerment of Persons with Disabilities on 04.01.2018 in respect of all the disabilities specified in RPwD Act, 2016.  An ATR was also sought to be furnished to this Court within three days under intimation to Health and Family Welfare Department.  However, no report has so far been received.

6.      In another letter dated 22.05.2018, Health and Family Welfare Department in case no. 139/1121/2018/03, has informed this Court, “that as per new RPwD Act, 2016, the Hospitals have not been notified by the Delhi Government till yet as the Draft Delhi State Rules under RPwD Act, 2016 has not been finalized by Social Welfare Department, GNCT of Delhi. However, in this regard this office has already requested the DGHS to issue necessary instructions to all medical institutions responsible for grant of certificate of disability to follow the notified guidelines of Govt. of India for RPwD Act, 2016 for evaluation and certification of various categories of specified disabilities vide this office letter dated 14.03.2018”.  In response, this Court vide letter no. 139/1121/2018/03/7552 dated 30.05.2018 has informed the respondent that as per Section 57 of the Act, designation of certifying authority for assessment and certification of disability  is not dependent on Delhi RPwD Rules.  The respondent has therefore been requested to designate the certifying authorities so that persons with disabilities are assessed and certified as per the guidelines issued by Department of Empowerment of Persons with Disabilities vide notification dated 04.01.2018.

7.           Dr. A. Madhavi,Dy.Director (Disb.), informed that the draft Delhi Rights of Persons with Disabilities Rules have been notified in the Delhi’s e-Gazette inviting suggestions / objections from the people within a period of 30 days.  The said draft  Rules which were circulated to all the Departments including the Health and Family Welfare Department,  also provide that the H&FW shall designate the certifying authorities and notify their jurisdiction.  Thereafter the rules will be finalized and notified with the approval of Hon’ble Lt. Governor. However, absence of Rules does not prohibit the Department of Health and Family Welfare from designating the certifying authorities. As regards the jurisdiction, the notification dated 12.02.2014 for the purpose stands.  She further submitted that it is not possible for the Social Welfare Department to identify the certifying authorities in the existing hospitals in NCT of Delhi.  This can be done only by the H&FW Department.    

8.           Reiterating his written submissions, the complainant submitted that admissions in the Universities in Delhi are going to  start from 18^th June, 2018 and the students with disabilities seeking admission against the 5% reserved seats for them must have a disability certificate as per the requirement of the concerned universities.  His son,  Master Kshitij Goel, who has been diagnosed with Specific Learning Disability has  passed class 12^th exam  and he needs a valid disability certificate to be able to apply for admission against the reserved seats. 

9.           It may be recalled that while disposing off case No. 106/1121/2018/02  filed by Ms. Simmi Copra, vide Para 14 of the Order dated 19.03.2018, it was  recommended that  Pr.Secretary Health and Family Welfare should take immediate action and issue detailed guidelines and directives on the process of assessing and issuing  disability certificates by various hospitals / certifying authorities in the NCT  of Delhi so that persons with disabilities and their family members are able to get the disability certificates within the time frame prescribed in the Rules and they are not harassed.  It was specifically advised  that it should be done on top priority as the admissions to schools in Delhi will also commence and many young people with disabilities would approach the hospitals for certificates of disability.

10.         It may be also be recalled that anticipating the difficulties and perceived complications, Office of State Commissioner convened a meeting with the officers of Health and Family Welfare Department, Department of Social Welfare and all the existing designated hospitals for certification of various disabilities on 16.04.2018.  In that meeting,  one of the decisions was  that  as the existing notifications dated 12.02.2014  and 10.09.2014 of Deptt. of Social Welfare, Govt. of NCT of Delhi stand,  Health and Family Welfare  Department will issue a circular to all the concerned hospitals / certifying authorities by 30.04.2018 so that  people with disabilities including the newly included ones are assessed and certified. This essentially required identification of the certifying authorities / specialists and the hospitals that have the specialists and can assess and certify the newly included specified disabilities. 

11.         However,  it appears from the letters dated 14.03.2018 and  11.05.2018 of  Health and Family Welfare  Department  and 22.05.2018 referred to in Para 5&6  that the appropriate certifying authorities  and the hospitals for assessment and certification of specific learning disability and other newly included specified disabilities have not been identified and designated.  Apparently,  the concerned hospitals are not able to assess  and issue disability certificates.

12.         Section 57 of the Act provides as under:

“57. (1) The appropriate Government shall designate persons, having requisite qualifications and experience, as certifying authorities, who shall be competent to issue the certificate of disability.
 (2) The appropriate Government shall also notify the jurisdiction within which and the terms and conditions subject to which, the certifying authority shall perform its certification functions”.

Section 101 of the  Act also does not require the State Govt. to frame the rules for implementation of Section 57 of the Act. Thus, designation of certifying authorities is not dependent on notification of Delhi Rights of Persons with Disabilities Rules.  Health and Family Welfare Department could therefore have designated the certifying authorities immediately after notification dated 04.01.2018 of the Department of Empowerment of Persons With Disabilities.

13.         The line of action seems  abundantly clear to me and  therefore, it is recommended that the Health and Family Welfare Deptt., GNCT of Delhi should immediately identify the certifying  authorities / specialists in different hospitals as notified vide notifications dated 12.02.2014 and 10.09.2014 keeping in view the availability of specialists by 08.06.2018 indicating their jurisdiction  and issue instructions to the concerned certifying authorities to ensure that  all the applicants for certification are assessed and if eligible, be issued certificates of disability by 15.06.2018 so that they are in possession of the certificates of disability before applying for admission to the universities / colleges. A meeting by Principal Secretary, Health and Family Welfare Department and DGHS with the Heads of all the concerned hospitals in NCT of Delhi including those under the Central Government and local authorities and Secretary, Department of Social Welfare may facilitate resolution of the issue. This should be done on top priority as the eligible persons with newly included specified disabilities will be deprived of their right to seek admission against the reserved seats for persons with benchmark disabilities for the second academic year as the Act had been brought into effect with effect from 19.04.2017, albeit without putting in place the guidelines until 04.01.2018 and due to not  designating the certifying authorities in  NCT of Delhi till date. This recommendation is being made to protect the rights of  eligible persons with disabilities to admission against reserved seats for them under Section 32 of the Act.

14.           An Action Taken Report  shall be submitted to this Court by 15.06.2018.  If the respondent  decides not to accept the recommendation, the reasons for non-acceptance of the recommendation be conveyed to this court as required under Section 81 of the Act.

15.         The complaint is disposed off accordingly.

16.         Given under my hand and the seal of the Court this 31^th   day of May, 2018.                                               

                                                                                       (T.D. Dhariyal )

                      State Commissioner for Persons with Disabilities

Copy to:- The Secretary(Social Welfare), Deptt. of Social Welfare, GLNS Complex , Delhi Gate, New Delhi for information.

B.G. Sarkar Vs. The MS, Institute of Human Behaviour and Allied Sciences & Anr | Case No. 35/1141/2017/11/5904-09 | Dated: 05.03.2018

                  In the Court of State Commissioner for Persons with Disabilities

National Capital Territory of Delhi

25- D, Mata Sundari Road, Near Guru Nanak Eye Centre, New Delhi-2

Phone-011-23216002-04, Telefax: 011-23216005, Email: comdis.delhi@nic.in

[Vested with powers of Civil Court under the

Rights of Persons with Disabilities Act, 2016]

Case No.  35/1141/2017/11/5904-09                                          Dated: 05.03.2018

In the matter of:

Mr. B.G. Sarkar

F/o Ms. Neeta Sarkar

D-370, Indra Park,

Najafgarh, Delhi -110043                                                         ..............Complainant

Versus

The Medical Superintendent

Institute of Human Behaviour and Allied Sciences

(IHBAS), GNCT of Delhi

Dilshad Garden,

New Delhi -110095                                                                   ............Respondent

Case No. 62/1121/2017/12/                                                                      Dated:

In the matter of:

Mr. B.G. Sarkar

F/o Ms. Neeta Sarkar

D-370, Indra Park,

Najafgarh, Delhi -110043                                                               ..............Complainant

Versus

The Medical Superintendent

Janakpuri Super Specialty Hospital

C-2/B, Janakpuri

New Delhi -110058                                                                            ............Respondent

Date of Hearing: 22.02.2018

Present: Sh. B.G. Sarkar, Dr. Kirti Sharma Sr. Resident (Psychiatry), IHBAS, Mohd. Shoaib, MRT, IHBAS

ORDER

In the above mentioned cases the complainant vide his complaint dated 6.11.2017 and 27.11.2018 alleged that his daughter, Ms. Neeta Sarkar, a person with mental illness was not administered proper treatment by the Doctors of IHBAS.  He also requested for issuance of a disability certificate for her due to neurological disorders by Janakpuri Super Specialty Hospital (JSSH).  The complaints were taken up with IHBAS vide notice dated 28.11.2017 and with JSSH vide notice dated 18.12.2017.

2.         IHBAS in case no. 35/1121/2017/11/ vide letter dated 18.12.2017 submitted,

“Ms. Neeta Sarkar was recently admitted in Department of Psychiatry as in-patient on 04.07.2017 for the management of her psychiatric illness, which exacerbated due to poor compliance/adherence to medications (As reported by Mr. B.G. Sarakar, father of patient, she was refusing to take medications at home).  She was provided appropriate medications during hospitalization and the psychiatric symptoms improved significantly during hospital stay.

            For the complaint of Headache associated with nausea she was managed as per the consultation taken from Department of Neurology, IHBAS on 31.07.2017, 01.08.2017 and 09.08.2017.  The diagnosis of Migraine with aura was made after due assessments and evaluations and the appropriate treatment was started.  She was discharged on 22.08.2017 subsequent to significant clinical improvement in her psychiatric as well as Neurological condition, with an advice to follow up in Neurology and Psychiatry OPD.  The relevant investigations like CT and MRI were done which were normal”.

The Janakpuri Super Specialty Hospital in case No. 62/1121/2017/12 vide their letter dated 30.12.2017 submitted Janakpuri Super Specialty Hospital is dedicated to issue Disability Certificate for residents of West Delhi as per Notification No. F.No. 82 (265)/AD-III/Amendment PwD Act/DSW/09/18340-358 dated 12.02.2104 which is enclosed herewith.  If any resident belongs to West Delhi, Janakpuri Super Specialty Hospital welcomes for disability certification.  As complainant is a resident of South West Delhi (copy of address enclosed) and it was advised to refer Notification No. F. No. 82(265)/AD-III/Amendment/PwD Act/DSW/09/18340-358 dated 12.02.2014 for allocation of her district of Delhi and respective hospital for issuing of Disability Certificate.”

3.         As the complainant was not satisfied with the replies in both the cases, a hearing was scheduled on 22.02.2018.

4.         During the hearing, the complainant reiterated his written submissions and added that it is practically impossible for him to take his daughter for psychiatric treatment to IHBAS which takes him about 4 hours to reach the hospital.  Similarly,  VMMC and Safdarjung Hospital which has been notified for issuing disability certificate for mental retardation/mental illness and other neurological disorders and cerebral palsy etc. in respect of residents of South –West District vide Department of Social Welfare Notification No. 82 (265)/AD-III/AmendmentPWD Act/DSW/09/18340-358 dated 12.02.2014 is also very inconvenient.  The disability certificate should be issued by the hospital where the patient is being treated.  In this case, his daughter should be issued disability certificate on account of neurological disorders by JSSH.

5.         The representatives of IHBAS explained the procedure for admission and treatment of a patient who is brought to the emergency.  In case of Neeta Sarkar, it was observed that as per the record maintained in her patient record file which was produced by them for perusal, on 4.07.2017, she was examined by Dr. Anita Sharma, Sr. Resident (Psychiatry) at 12.00 and was advised some medicines at 12.30 p.m. They also produced the original initial assessment recorded by Dr. Anita Sharma.   It is however, difficult to ascertain at this stage whether the examination or the treatment that was administered to Ms Neeta Sarkar was appropriate or not.  

6.         The complainant also submitted that it took lot of time to get the MRI report from IHBAS.  Director, IHBAS may look into this aspect and see if there is a need to modify the existing procedure.

7.         The issue of treatment of persons with mental illness or with other disabilities requiring specialised treatment and care and issuance of disability certificate in general and to Ms. Neeta Sarkar in particular, needs a proper examination and an in depth examination.  There is a need to reconsider allocation of the areas to various hospitals for assessment and certification of disabilities to make it most convenient to persons with disabilities and their families.  

8.         While examining the request of the complaint to issue a disability certificate due to neurological disorder to Ms. Neeta Sarkar, it was observed during the course of hearing that disability certificate for mental illness was issued by IHBAS on 3.11.2016 with the recommendation for reassessment of her disability after two years and the said certificate is valid upto 21.02.2018.  Thereafter, she was issued one more disability certificate on 29.01.2018 for 50% intellectual impairment which is valid upto 28.01.2020 as the condition is likely to improve.  Disability due to neurological disorder is yet to be assessed.

9.         As Ms. Neeta Sarkar is suffering from more than one disability, she should be assessed by a medical authority for multiple disability and should be issued a single certificate of disability in Form -VI prescribed for the purpose in the Rights for Persons with Disabilities Rules, 2017 notified by Ministry of Social Justice Empowerment, Department of Empowerment for Persons with Disabilities.  

10.  In light of the issues arising out of the cases at hand and the observation of this court during the course of handling other complaints, the following recommendations are made for implementation:

(i)         Department of Health and Family Welfare is advised to convene a medical authority at JSS to assess and issue a certificate of multiple disability in respect of Ms. Neeta Sarkar in Form-VI within 30 days from the date of receipt of this order.

(ii)        Residents of many localities are not able to identify their district and the nominated hospital.  It is often very confusing even for this court to guide them properly.  Some areas/districts have more than two nominated hospitals. Therefore, a person should have the choice to get the assessment and disability certificate from the nearest notified hospital from his /her residence (not necessarily from the place of permanent address)

(iii)       A map demarcating the areas falling under the jurisdiction of a nominated hospital should be uploaded in the websites of Department of Health and Family Welfare, Department of Social Welfare and every nominated hospital.  Necessary instructions in this regard to the concerned hospitals may be issued.

(iv)       In case of shortage of specialists, medical authorities for multiple disability may comprise doctors/experts from other hospital(s) who may assemble at one hospital on given dates for assessment of certification.   

(v)        Provision for link specialist from the same or other hospital in case of unavailability of a specialist should be made.

(vi)       Camps in each district should be organised regularly till all the persons with Disabilities have been issued the disability certificates.

(vii)      Clear instructions should be issued /mentioned in the notification   that the treating hospital shall issue the disability certificate if the person is under treatment for the condition.

11.      A copy of this order is being marked to Pr. Secretary (Health and Family Welfare), Government of NCT of Delhi to consider the above recommendations and submit an action taken report to this court within three months from the date of receipt of this order as required under Section 81 of the Act.

12.       The complaints are disposed off.    

   

13.       Given under my hand and the seal of the Court this 05th day of March, 2018.

Encl: As above                                                                            

(T.D. Dhariyal)

                                      State Commissioner for Persons with Disabilities

Copy to:

1.         Principal Secretary, Department of Health and Family Welfare, GNCT of Delhi for action on the recommendations in para 10 of the order.

2.         Secretary, Department of Social Welfare, GNCT of Delhi for information and necessary action.