Comprehension
It is well recognized that actionable negligence in context of medical profession involves three constituents (i) duty to exercise due care; (ii) breach of duty and (iii) consequential damage. However, a simple lack of care, an error of judgment or an accident is not sufficient proof of negligence on part of the medical professional so long as the doctor follows the acceptable practice of the medical profession in discharge of his duties. He cannot be held liable for negligence merely because a better alternative treatment or course of treatment was available or that more skilled doctors were there who could have administered better treatment.
A medical professional may be held liable for negligence only when he is not pos sessed with the requisite qualification or skill or when he fails to exercise reasonable skill which he possesses in giving the treatment. None of the above two essential conditions for establishing negligence stand satisfied in the case at hand as no ev idence was brought on record to prove that Dr. Neeraj Sud had not exercised due diligence, care or skill which he possessed in operating the patient and giving treatment to him. When reasonable care, expected of the medical professional, is extended or rendered to the patient unless contrary is proved, it would not be a case for actionable negligence.
tracted with edits and revisions from Neeraj Sud v Jaswinder Singh 2024 INSC 825
Question: 1

In which of the following situations, a professional would be held liable for negligence:

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The standard of care for a professional is one of "reasonableness," not "perfection." They are not liable for mere errors of judgment or for not being the most skilled expert in the field.
Updated On: Jul 10, 2026
  • If he was not possessed of the requisite skill which he professed to have possessed, or, he did not exercise, with reasonable competence, in the given case, the skill which he did possess.
  • If he failed to use exceptional or extraordinary precautions which might have prevented the damage (particular happening).
  • Both (A) and (B).
  • Neither (A) nor (B).
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The Correct Option is A

Approach Solution - 1

Step 1: Understanding the Question:
The question asks for the conditions under which a medical professional would be considered negligent and held liable.
Step 2: Detailed Explanation:
The passage provides a clear answer. It states: "A medical professional may be held liable for negligence only when he is not possessed with the requisite qualification or skill or when he fails to exercise reasonable skill which he possesses in giving the treatment."
Let's evaluate the options:
(A) This option is a direct and accurate restatement of the conditions mentioned in the passage. A doctor can be liable either for lacking the skill they claim to have or for having the skill but failing to apply it with reasonable care. This is the correct basis for liability.
(B) This option suggests liability for failing to use "exceptional or extraordinary precautions." This is incorrect. The law holds a professional to a standard of "reasonable care," not the highest possible standard or an exceptional one. The standard is that of an ordinary competent practitioner.
(C) Since (B) is incorrect, this option is also incorrect.
(D) Since (A) is correct, this option is incorrect.
Step 3: Final Answer:
A professional would be held liable under the circumstances described in option (A).
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Approach Solution -2

This question is about the legal test for when a professional, such as a doctor, can actually be held negligent. The passage sets out a precise test, and each option needs to be checked against it.

  1. Option 1 (lacking the claimed skill, or possessing it but not using it with reasonable competence): This describes the two recognised routes to liability: either the professional never had the skill they claimed to have, or they had the skill but failed to apply it with ordinary, reasonable care. This matches the accepted legal standard for professional negligence exactly.
  2. Option 2 (failing to use exceptional or extraordinary precautions): The law does not demand that a professional take every conceivable precaution or achieve a perfect outcome. It only demands reasonable competence and reasonable care, so measuring liability against an exceptional or extraordinary standard sets the bar far higher than the law actually requires, and this option does not describe a real basis for liability.
  3. Option 3 (Both A and B): Since option 2 fails the test, a combination that includes it also fails.
  4. Option 4 (Neither A nor B): This fails too, since option 1 correctly states a real basis for liability.

Only the first option correctly identifies the grounds on which a professional is actually held liable, being either unskilled or careless despite having the skill.

Therefore, the correct answer is Option 1.

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Question: 2

Which of the following propositions is INCORRECT as regards negligence in civil law and in criminal law:

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Remember the distinction: Civil negligence = carelessness. Criminal negligence = gross, reckless, culpable carelessness. Neither necessarily requires a guilty mind (mens rea) like intention.
Updated On: Jul 10, 2026
  • The jurisprudential concept of negligence differs in civil law and criminal law.
  • What may be negligence in civil law may not necessarily be negligence in criminal law.
  • For an act to amount to criminal negligence, the degree of negligence should be much higher, i.e. gross or of a very high degree.
  • For negligence to amount to both a 'tort' and an 'offence', the element of mens rea must necessarily be shown to have existed.
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The Correct Option is D

Approach Solution - 1

Step 1: Understanding the Question:
The question asks to identify the incorrect statement that compares negligence in civil law (tort) and criminal law (offence).
Step 2: Detailed Explanation:
(A) This is correct. Civil negligence is the breach of a duty of care causing damage. Criminal negligence requires a much higher degree of fault, showing a wanton or reckless disregard for human life and safety.
(B) This is correct. Because the standard for criminal negligence is higher, an act of simple carelessness might constitute a civil tort but would not be sufficient to attract criminal liability.
(C) This is correct. The Supreme Court in cases like Jacob Mathew v. State of Punjab has repeatedly held that for a doctor to be held criminally liable (e.g., under Sec 304A IPC), the negligence must be "gross" or "reckless" to a very high degree.
(D) This is incorrect. Negligence, both as a tort and as a criminal offence, is fundamentally about a failure to exercise care; it is characterized by the absence of a particular state of mind (i.e., carelessness or inadvertence). It does not require mens rea (a guilty mind, such as intention or knowledge). While most crimes require mens rea, negligence is an exception where the fault lies in the conduct itself, not in the mental state. Therefore, it is not necessary to show mens rea for an act of negligence to be both a tort and an offence.
Step 3: Final Answer:
The proposition that mens rea must be shown for negligence to be both a tort and an offence is incorrect.
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Approach Solution -2

This question asks which statement about the difference between civil and criminal negligence does not hold up. The clearest way through it is to fix what negligence actually is, a failure to take the care a reasonable person would take, and then test each option against that idea.

  1. Option 1 (the concept differs in civil and criminal law): This is accurate. Civil negligence only needs a breach of the duty of care that causes damage, while criminal negligence needs a much higher degree of carelessness before punishment is justified. Treating the two identically would either let minor lapses attract criminal punishment or let serious lapses escape criminal liability, so the concepts are kept distinct.
  2. Option 2 (civil negligence need not be criminal negligence): This follows directly from option 1. Since the criminal standard demands a higher degree of fault, an act careless enough to succeed as a civil claim will often not be careless enough to succeed as a criminal charge.
  3. Option 3 (criminal negligence needs a much higher, gross degree): This is also accurate and is simply the flip side of options 1 and 2, spelling out how much higher the threshold is before the criminal law will step in.
  4. Option 4 (mens rea must be shown for negligence to be both a tort and an offence): This breaks down because negligence, in both its civil and criminal forms, is about a person's failure to meet a standard of care, not about what was going on in their mind. Mens rea refers to a deliberate mental state, such as intention or knowledge of wrongdoing, and requiring proof of that mental state would turn negligence into something closer to a deliberate wrong, which it is not. A person can be entirely negligent, and liable for it both civilly and criminally, without ever intending harm or even realising they were falling short.

The first three statements correctly capture how the civil and criminal standards for negligence relate to each other, while the fourth wrongly imports a requirement of intent into a concept that is defined by carelessness rather than intent.

Therefore, the correct answer is Option 4.

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Question: 3

The basis or the yardstick for judging the performance of the professional proceeded against on indictment of negligence is:

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The standard of care in professional negligence is the "Bolam Test": Are you acting in accordance with a practice accepted as proper by a responsible body of professional opinion? It's a peer-based standard, not a standard of perfection.
Updated On: Jul 10, 2026
  • That of an ordinary and reasonably competent person exercising ordinary skill in that profession.
  • That of a person with the highest level of expertise or skills in that branch which he practices.
  • That of a person with the highest level of expertise or skills in that branch which he practices, and possessing the knowledge of all latest developments.
  • Both (B) and (C).
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The Correct Option is A

Approach Solution - 1

Step 1: Understanding the Question:
The question asks for the legal standard or "yardstick" used to assess whether a professional (like a doctor) has been negligent.
Step 2: Detailed Explanation:
The established legal standard for professional negligence is based on the "Bolam test" from the English case Bolam v Friern Hospital Management Committee. This test, which is followed in India, sets the standard of care as that of a reasonable professional in the same field.
(A) This option accurately describes the Bolam test. The professional is judged against their peers of ordinary skill and competence, not against the best in the field. The passage supports this by referring to "acceptable practice" and "reasonable care".
(B) This sets the standard too high. The law does not expect every professional to have the "highest level of expertise."
(C) This sets an even more impossibly high standard by requiring knowledge of "all latest developments." While professionals are expected to keep reasonably up-to-date, they are not expected to know everything instantly.
(D) Since (B) and (C) are incorrect, this option is also incorrect.
Step 3: Final Answer:
The correct yardstick is that of an ordinary and reasonably competent person exercising ordinary skill in that profession.
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Approach Solution -2

This question is about the legal standard used to judge whether a professional, such as a doctor, has been negligent. Instead of naming the test, let's work out the answer by asking a simple policy question for each option: is this a standard that professionals can realistically be expected to meet in everyday practice?

  1. An ordinary and reasonably competent person exercising ordinary skill in that profession: This sets the bar at what a typical, properly trained member of the profession would do. It is realistic and achievable, since it does not ask for perfection, only for the level of skill and care that most competent practitioners bring to their work. Courts favor this standard because it lets a professional practice with confidence while still protecting patients or clients from careless conduct.
  2. A person with the highest level of expertise or skill in that branch: This would mean that only the very best practitioner in the field sets the benchmark, and everyone else is automatically negligent by comparison. That is an unworkable rule, since most practitioners, even good and careful ones, are not the single most skilled person in their branch.
  3. A person with the highest level of expertise, plus knowledge of all latest developments: This raises the bar even further by demanding constant, complete awareness of every recent advance. No professional can realistically keep pace with every new development the moment it appears, so holding them to this standard would make liability almost automatic and unrelated to actual carelessness.
  4. Both (B) and (C): Since each of these options individually demands an unrealistic, near-impossible standard, combining them does not fix the problem, it only compounds it. This option fails for the same reasons as (B) and (C).

Working through the options this way shows that only the ordinary, reasonably competent professional standard is fair and practically enforceable. Anything higher would punish professionals for simply not being the very best, rather than for genuine carelessness.

Therefore, the correct answer is that of an ordinary and reasonably competent person exercising ordinary skill in that profession.

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Question: 4

Deviation from normal medical practice is not necessarily evidence of negligence. In order to establish liability of a medical practitioner on that basis, which of the following requirements has/have to be shown:

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Innovation in medicine is not negligence. To prove negligence, you must show not only that the doctor deviated from the norm, but also that the deviation was logically indefensible and something no other reasonable doctor would have done.
Updated On: Jul 10, 2026
  • That, there is a usual and normal practice; and the medical practitioner (defendant) has not adopted it.
  • That, the course in fact adopted by the medical practitioner (defendant) is one, which no professional man of ordinary skill would have taken, had he been acting with ordinary care.
  • Both (A) and (B).
  • Neither (A) nor (B).
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The Correct Option is C

Approach Solution - 1

Step 1: Understanding the Question:
The question asks what needs to be proven to establish that a deviation from normal practice amounts to negligence.
Step 2: Detailed Explanation:
To prove negligence based on deviation from a standard practice, a plaintiff must establish two things:
1. The existence of a normal practice: First, it must be shown what the "usual and normal practice" is in such cases. Without establishing a baseline, one cannot prove a deviation. This corresponds to option (A).
2. The unreasonableness of the deviation: Second, it must be proven that the deviation was not just different, but was one that no reasonable practitioner would have undertaken. This means the chosen course of action fell below the minimum standard of care. This corresponds to option (B), which is a key part of the legal test for negligence (the Bolitho gloss on the Bolam test).
Therefore, to successfully establish liability, both elements must be shown. It's not enough to just show a deviation (A); the deviation must be shown to be negligent (B).
Step 3: Final Answer:
Both requirements (A) and (B) must be shown to establish liability for negligence based on a deviation from normal practice.
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Approach Solution -2

The question asks what must be proven when a patient claims a doctor was negligent simply because the doctor departed from the usual way of doing things. Let's test each option by asking whether, on its own, it would be enough to win a negligence case.

  1. That there is a usual and normal practice, and the defendant did not follow it: On its own, this only proves that the doctor did something different from the norm. Doing something different is not automatically wrong, since medicine allows for more than one acceptable approach to the same problem. So this fact alone does not establish negligence.
  2. That the course actually adopted is one that no professional of ordinary skill would have taken while exercising ordinary care: On its own, this proves that the doctor's chosen course was genuinely unreasonable, which is closer to negligence, but without first knowing what the normal practice was, there's no baseline to say the doctor's course was an unreasonable departure from anything.
  3. Both (A) and (B): Taken together, these two facts complete the argument. First, the claimant must show what the normal practice is, and second, that the doctor's actual course was one no careful practitioner would have chosen. Both pieces are needed, since either one alone is incomplete.
  4. Neither (A) nor (B): This would mean liability could be established without either fact, which cannot be correct, because without some standard of comparison and some showing of unreasonableness, there is nothing to base a negligence finding on.

Because a mere deviation is not enough, and an unreasonable course without a baseline practice is also incomplete, the claimant must establish both elements together to succeed.

Therefore, the correct answer is Both (A) and (B).

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Question: 5

A medical practitioner would not be held liable:

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Medicine involves inherent risks. A doctor is not a guarantor of a cure. As long as the doctor acts reasonably and chooses a course of action supported by professional opinion, they are not liable for an 'error of judgment'.
Updated On: Jul 10, 2026
  • Where his conduct fell below that of the standards of a reasonably competent practitioner in his field.
  • Where things went wrong from mischance or misadventure or through an error of judgment in choosing one reasonable course of treatment in preference of another.
  • Both (A) and (B).
  • Neither (A) nor (B).
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The Correct Option is B

Approach Solution - 1

Step 1: Understanding the Question:
The question asks to identify a situation where a medical practitioner would NOT be held liable for negligence.
Step 2: Detailed Explanation:
Let's analyze the options:
(A) This option describes the very definition of medical negligence. If a practitioner's conduct falls below the standard of a reasonably competent peer, they are liable. So this is a situation of liability, not non-liability.
(B) This option describes situations that are generally accepted as valid defenses to a negligence claim. The law does not expect perfection. Medicine is not an exact science, and an "error of judgment" in choosing between two or more accepted and reasonable courses of treatment is not negligence, even if the outcome is not ideal. Similarly, "mischance or misadventure" implies an unforeseeable accident rather than a lack of care. The passage supports this by stating, "...an error of judgment or an accident is not sufficient proof of negligence...". Therefore, a practitioner would not be held liable in this situation.
(C) This is incorrect because (A) describes a situation of liability.
(D) This is incorrect because (B) correctly describes a situation of non-liability.
Step 3: Final Answer:
A medical practitioner would not be held liable where the negative outcome was due to an error of judgment in choosing between reasonable options, or due to a mischance or misadventure.
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Approach Solution -2

This question asks in which situation a medical practitioner would NOT be held liable for negligence. Let's sort the two underlying statements into 'this is liability' versus 'this is not liability' before picking the combined option.

  1. Where the practitioner's conduct fell below the standard of a reasonably competent practitioner in the field: Falling below the expected standard of care is the very definition of negligence. This describes a case where the doctor IS liable, so it cannot be an example of a situation with no liability.
  2. Where things went wrong through mischance, misadventure, or an error of judgment in choosing one reasonable treatment over another: Medicine involves genuine uncertainty, and choosing between two acceptable treatment options is not carelessness even if the result later turns out badly. Bad luck and a reasoned choice between valid options are treated differently from carelessness, so this describes a situation of no liability.
  3. Both (A) and (B): This cannot be right, since (A) describes exactly the scenario where the practitioner IS liable, so it does not belong in an answer about when a practitioner is NOT liable.
  4. Neither (A) nor (B): This is also wrong, because (B) does correctly describe a genuine no-liability scenario, so at least one of the two statements must be included, not excluded.

Since (A) is a liability scenario and (B) is a non-liability scenario, only (B) correctly answers a question about when a practitioner escapes liability.

Therefore, the correct answer is where things went wrong from mischance or misadventure, or through an error of judgment in choosing one reasonable course of treatment over another.

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