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What is the extent of information to be disclosed in the consent?

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Dr KK Aggarwal and Ms Ira Gupta    12 September 2018

The 3 Judges Constitution Bench of Hon’ble Supreme Court of India in the landmark judgment titled as “Samira Kohli versus Prabha Manchanda, AIR 2008 SC 1385” has held that:

“32. We may now summarize principles relating to consent as follows :

(ii) The adequate information to be furnished by the doctor (or a member of his team) who treats the patient, should enable the patient to make a balanced judgment as to whether he should submit himself to the particular treatment as to whether he should submit himself to the particular treatment or not. This means that the Doctor should disclose (a) nature and procedure of the treatment and its purpose, benefits and effect; (b) alternatives if any available; (c) an outline of the substantial risks; and (d) adverse consequences of refusing treatment. But there is no need to explain remote or theoretical risks involved, which may frighten or confuse a patient and result in refusal of consent for the necessary treatment. Similarly, there is no need to explain the remote or theoretical risks of refusal to take treatment which may persuade a patient to undergo a fanciful or unnecessary treatment. A balance should be achieved between the need for disclosing necessary and adequate information and at the same time avoid the possibility of the patient being deterred from agreeing to a necessary treatment or offering to undergo an unnecessary treatment.

(v) The nature and extent of information to be furnished by the doctor to the patient to secure the consent need not be of the stringent and high degree mentioned in Canterbury but should be of the extent which is accepted as normal and proper by a body of medical men skilled and experienced in the particular field. It will depend upon the physical and mental condition of the patient, the nature of treatment, and the risk and consequences attached to the treatment.”

Thus, the nature and extent of information to be furnished by the doctor should be of the extent which is normal for medical men skilled and experienced in the particular field.

The doctor is required to furnish such adequate information so as to enable the patient to make a balanced judgment about his/her treatment/surgery. For this, the Doctor should disclose:

  1. nature and procedure of the treatment and its purpose, benefits and effect;
  2. alternatives if any available;
  3. an outline of the substantial risks; and
  4. adverse consequences of refusing treatment

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