Case Note & Summary
The dispute arose from the refusal of the State of Kerala to grant an Essentiality Certificate (EC) and Consent of Affiliation (CoA) to the appellant, a trust aiming to establish a medical college. The appellant claimed to have established a 300-bedded hospital and sought to start a medical college since 2006 but faced repeated denials from the State Government and the Kerala University of Health Sciences (KUHS). The appellant's applications for EC and CoA were rejected multiple times due to various procedural issues and alleged deficiencies in infrastructure. The appellant argued that the issuance of EC was a ministerial act and that once granted, it could not be withdrawn. The State contended that the grant of EC and CoA involved a thorough verification process to ensure compliance with the Medical Council of India (MCI) standards. The Supreme Court analyzed the legal framework governing the establishment of medical colleges, emphasizing that the issuance of EC is not a mere formality but a significant responsibility that requires the State to ensure that the institution meets the necessary standards. The Court held that the State must conduct inspections to verify compliance with MCI regulations before granting EC and CoA. Ultimately, the Court upheld the High Court's decision to direct the State and KUHS to consider the appellant's application for the Academic Year 2021-2022 while refusing to grant relief for the Academic Year 2020-2021.
Headnote
A) Administrative Law - Essentiality Certificate - Nature of Grant - Medical Council of India Act, 1956, Section 10-A - The issuance of an Essentiality Certificate is not merely a ministerial act; it requires a thorough evaluation of the institution's capability to meet the necessary standards for establishing a medical college. The State Government's obligation includes ensuring that the institution can provide adequate infrastructure and facilities, thus the issuance of EC is a significant responsibility rather than a mere formality. Held that the State must conduct inspections to maintain educational standards (Paras 19-24). B) Education Law - Consent of Affiliation - Role of University - Medical Council of India Act, 1956, Regulations - The consent of affiliation can only be granted after the institution fulfills essential requirements as mandated by the Medical Council of India. The University must ensure that the institution meets the necessary criteria before granting CoA, emphasizing the importance of maintaining educational standards (Paras 19-24).
Issue of Consideration
Whether Essentiality Certificate and Consent of Affiliation should be granted for the year 2020-2021 to the appellant.
Final Decision
The Supreme Court upheld the High Court's decision to direct the State and KUHS to consider the appellant's application for establishing a medical college for the Academic Year 2021-2022 while refusing to grant relief for the Academic Year 2020-2021.
Law Points
- Essentiality Certificate
- Consent of Affiliation
- Ministerial Act
- Medical Council of India Act
- 1956
- Kerala University of Health Sciences Statutes



