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Delhi High Court Rules That Two Skilled Attendants Must Be Provided for Accident Victims in Vegetative State, Affirms “24-Hour Care Is a Right, Not a Privilege”

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Court’s Decision

The Delhi High Court modified the MACT’s award, holding that in cases of 100% permanent disability with prolonged vegetative state, attendant charges should reflect the cost of skilled labour, and compensation should cover two attendants for 24-hour care. The Court directed recalculation of the award, granting enhanced compensation from the date of the accident until the date of the appellant’s demise, payable with interest as per the earlier award.


Facts

The case arose from a road accident on 27.10.2015, where a retired Army personnel, aged 56, was hit by a rashly driven motorcycle, causing severe head injuries, coma, and 100% permanent locomotor disability. The appellant remained in a prolonged vegetative state, requiring continuous medical treatment until his death on 16.02.2022.

He was under the care of a professional nursing attendant during the day and his son, who resigned from his job, during the night, reflecting the need for round-the-clock care. The appellant’s family relocated near Medanta Hospital for treatment, and incurred significant medical and attendant-related expenses.

The MACT awarded compensation of ₹44,59,000, including attendant charges at the rate of ₹9,178 per month for one attendant, calculated using the multiplier method.


Issues

  1. Whether the MACT erred in awarding attendant charges for only one attendant at the rate applicable to unskilled labour.
  2. Whether the appellant’s family was entitled to compensation for two attendants for 24-hour care in cases of 100% permanent disability in a vegetative state.

Petitioner’s Arguments

The petitioner argued that:


Respondent’s Arguments

The insurance company contended:


Analysis of the Law

The Motor Vehicles Act aims for “just compensation.” In calculating attendant charges, courts have consistently applied the multiplier method, factoring in life expectancy, inflation, interest, and the nature of injuries. In cases of permanent vegetative state with 100% disability, the law recognizes that the injured is entitled to attendant charges reflecting skilled labour rates and for two attendants for 24-hour care.


Precedent Analysis

These judgments were directly relied upon to support enhancement under the head of attendant charges in this case.


Court’s Reasoning

The Court held that:


Conclusion

The Delhi High Court modified the MACT award, directing that:

The appeal was partly allowed, upholding the principle that “round-the-clock care is a necessity, not a luxury” in cases of severe, lifelong disability.


Implications


FAQs

1. Can families claim attendant charges if a family member quits a job to care for an accident victim?
Yes, as held in this judgment, where a family member provides full-time care in lieu of a hired attendant due to financial constraints, compensation under “attendant charges” can still be awarded.

2. Why did the Court award compensation for two attendants?
Because in cases of 100% permanent disability with vegetative state, continuous 24-hour care is required, necessitating two attendants working in 12-hour shifts.

3. Can compensation for attendant charges be calculated using the multiplier method?
Yes, as reaffirmed by the Supreme Court, the multiplier method should be used for attendant charges in cases of lifelong care needs, ensuring fair and realistic compensation.

Also Read: Patna High Court Quashes Dowry Harassment Cognizance Against Mother-in-law and Sister-in-law, Holding “General and Omnibus Allegations Without Specific Role Cannot Sustain Criminal Proceedings Under Section 498A and Dowry Prohibition Act”

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