Showing posts with label Conflict in medical board opinions India. Show all posts
Showing posts with label Conflict in medical board opinions India. Show all posts

Friday, May 22, 2026

From a 67.84% Disability Assessment to the Supreme Court Verdict: PwBD Claim Ends in SC After Candidate Leaves Medical Assessment Incomplete; Questions Now Raised Over Earlier UPPSC Appointment

Court: Supreme Court of India
Bench: Justice Ahsanuddin Amanullah and Justice R. Mahadevan
Case No.: Civil Appeal No. 8074 of 2026
Arising out of: SLP(C) No. 13947 of 2026
Case Title: Union of India & Anr. v. Shubham Agarwal
Decision: 22 May 2026

Summary

The Supreme Court has brought an end to the claim of Civil Services Examination candidate Shubham Agarwal for appointment under the Persons with Benchmark Disabilities (PwBD) category, after a final attempt to obtain an independent medical assessment of his hearing disability remained incomplete.

The Court's order dated 22 May 2026 reveals facts that significantly explain the final outcome of the litigation.

Agarwal had appeared before a Medical Board constituted at the Rajiv Gandhi Government General Hospital, Chennai, pursuant to an earlier order of the Supreme Court. While a preliminary examination was conducted, he left before the remaining audiological tests could be completed, stating that he needed to take medicines. According to the report placed before the Court, he did not return despite repeated calls, and the Medical Board waited until 5:45 p.m. and thereafter kept the matter open for another 24 hours.

The Supreme Court also recorded that this was not the first occasion on which the respondent had failed to appear for a further medical assessment. The Court noted that, despite repeated directions for a third assessment—which had earlier been upheld by the Supreme Court—Agarwal had repeatedly not appeared before the Medical Boards on one pretext or another.

Taking into account the conflicting medical reports as well as the respondent's conduct at Chennai, the Court held that the matter required to be given a “quietus”. It allowed the appeal, set aside the Delhi High Court's order and discharged the Union Government and UPSC from considering Agarwal for appointment in the Civil Services Examination 2024 under the category of persons with disability.

The development is the latest chapter in a case that Disability Rights India had previously covered when the Delhi High Court was confronted with sharply conflicting medical assessments of Agarwal's hearing disability.

From the Delhi High Court to the Supreme Court

In our earlier report, “Delhi HC Orders Composite Medical Board for PwBD Candidate Amid Conflicting Disability Assessments”, Disability Rights India had examined the Delhi High Court proceedings arising from dramatically different assessments of Agarwal's hearing disability.

The controversy centred on the substantial variation between medical findings.

While an earlier assessment had reportedly found only minimal hearing impairment, the Appellate Disability Medical Board at Army Hospital (Research & Referral), Delhi, assessed Agarwal as having 67.84% permanent hearing disability, bringing him above the 40% threshold required for recognition as a person with benchmark disability in the relevant category.

The discrepancy was so substantial that the Delhi High Court found it necessary to seek an independent resolution rather than itself choose between competing medical opinions.

The High Court accordingly directed a further medical assessment.

Read our earlier coverage: Delhi HC Orders Composite Medical Board for PwBD Candidate Amid Conflicting Disability Assessments.

Supreme Court: Too Many Conflicting Reports for a Final Conclusion

When the matter reached the Supreme Court, the Court noted at the outset that the central issue was whether Agarwal was, in fact, suffering from permanent hearing impairment of 40% or more.

The Court recorded that numerous medical boards, including an Appellate Board, had assessed him, but the reports and results varied to such an extent that no final opinion could be formed on their basis.

In an effort to finally resolve the dispute, and with the consent of the parties, the Supreme Court had on 24 April 2026 referred the matter to the Rajiv Gandhi Government General Hospital, Chennai.

The Dean of the Hospital was directed to constitute a Medical Board comprising ENT specialists and audiologists with expertise in hearing disability. The Board was required to determine whether Agarwal suffered from hearing impairment and, if so, the extent of that disability.

This was intended to be the final independent medical assessment capable of resolving the conflicting reports.

What Happened at Chennai?

The events at Chennai proved decisive. Agarwal appeared before the Medical Board on 20 May 2026 and underwent a preliminary examination. He was then asked to undergo further evaluation and tests at the same hospital on the same day.

According to the Medical Board's report, after the first test, he was required to report for the second test. He left on the plea that he needed to take some medicines but did not return.

The Supreme Court records that repeated calls were made to him, but he remained incommunicado and did not respond over the phone. The Medical Board waited until 5:45 p.m. and then decided to wait for a further 24 hours. He still did not return for completion of the examination.

As a result, the Board could not conduct the audiological tests necessary to determine his hearing ability and disability percentage.

The clinical examination that was completed did not reveal any abnormality in the external or middle ear. However, because the audiological tests were not performed, the Board stated that it could not provide a conclusive opinion regarding his hearing ability or the percentage of disability, if any.

Not the First Missed Medical Assessment

The Supreme Court's order contains another significant observation. The Court recorded that there had earlier been repeated directions requiring Agarwal to appear before a Medical Board for a third assessment. Those directions had been upheld by the Supreme Court itself in October 2025.

According to the Court, Agarwal had repeatedly failed to appear before those Boards on “some pretext or the other”.

This history appears to have weighed heavily with the Court when, after the incomplete Chennai examination, counsel for Agarwal sought one last opportunity to undergo the remaining tests.

The request was declined.

The Supreme Court noted that it had considered the matter in its entirety, including the various medical reports and Agarwal's conduct at Chennai. It concluded that the Civil Services Examination 2024 dispute now required to be brought to an end.

Supreme Court Sets Aside Delhi High Court Order

Accordingly, the Supreme Court allowed the appeal filed by the Union of India and UPSC.

The Court set aside the Delhi High Court's order dated 24 November 2025 and held that the appellants were discharged from the requirement of considering Agarwal's case for appointment in the Civil Services Examination 2024 under the PwD category.

Thus, the Supreme Court did not ultimately resolve the conflicting medical assessments by determining whether Agarwal had a 40% or greater hearing disability.

Instead, the final independent examination intended to settle that question remained incomplete, and the Court declined to grant another opportunity in light of the overall circumstances and the respondent's conduct.

What the Supreme Court Did Not Decide

The order must nevertheless be read carefully.

The Supreme Court did not expressly hold that:

  • Agarwal had submitted a forged disability certificate;
  • the 67.84% hearing disability assessment was fraudulent;
  • he had committed fraud;
  • he had no disability whatsoever;
  • his existing appointment as Nayab Tehsildar in Uttar Pradesh was invalid; or
  • his services in Uttar Pradesh should be terminated.

The issue before the Supreme Court was confined to whether Agarwal could be considered for appointment under the PwBD category in the Civil Services Examination 2024.

The Court's decision ends that claim. It does not, by itself, invalidate an appointment obtained through a separate recruitment process.

Fresh Questions Over Earlier UPPSC Appointment

The case has now reportedly taken another turn with a complaint being submitted to the Uttar Pradesh Government seeking scrutiny of Agarwal's earlier appointment as a Nayab Tehsildar through the Uttar Pradesh Public Service Commission (UPPSC).

The complaint reportedly seeks verification of the disability records and other documents relied upon during that recruitment process.

Any inquiry into that appointment, if initiated, would have to examine the matter independently.

The relevant questions would include:

  • What disability certificate or certificates were submitted at the time of recruitment?
  • Under which disability category was reservation claimed?
  • What was the assessed percentage and nature of disability at the relevant time?
  • Which recruitment rules governed the selection?
  • What verification was undertaken by the appointing authority?

The Supreme Court's order may provide important factual context, particularly regarding the repeated attempts to obtain a conclusive medical assessment and the respondent's failure to complete the Chennai examination. However, it does not automatically amount to a judicial finding that the earlier UPPSC appointment was illegal.

That would require examination by the competent authority under the applicable law and rules.

The Larger Concern: When Disability Assessments Produce Radically Different Results

The case also highlights a larger problem within India's disability certification framework.

The Supreme Court itself noted that numerous medical boards had examined the candidate and that their findings varied to such an extent that no final opinion could be formed on their basis.

Such discrepancies can have serious consequences.

For a person with a disability, they can mean repeated examinations, prolonged uncertainty and denial or delay of statutory entitlements.

For recruiting authorities, they create uncertainty about which medical assessment should be accepted.

For other eligible candidates with disabilities, any failure to maintain a credible and consistent certification process can undermine confidence in reservation benefits intended to address historical exclusion.

At the same time, this case demonstrates the importance of cooperation with legally constituted medical assessment mechanisms when a disability claim is under challenge.

Where multiple medical reports are inconsistent, an independent and conclusive assessment is often the only reliable way to resolve the dispute.

But that process can succeed only if the candidate completes the assessment.

A Case That Raises Questions Beyond One Candidate

The Shubham Agarwal case has now travelled through multiple medical boards, the Delhi High Court and the Supreme Court.

The Delhi High Court had sought to address the extraordinary discrepancy between competing medical assessments through a further independent medical mechanism.

The Supreme Court also attempted to obtain a final, expert assessment through a specialised Medical Board in Chennai.

That process, however, remained incomplete.

The Court ultimately took into account both the history of conflicting medical reports and the respondent's conduct during the Chennai assessment and brought the UPSC dispute to an end.

The subsequent complaint concerning Agarwal's earlier UPPSC appointment may now open a separate chapter.

Whether the Uttar Pradesh Government decides to investigate the matter, and what any such inquiry may establish, remains to be seen.

For now, the Supreme Court's order offers an important lesson for the disability certification and recruitment system: where conflicting medical assessments arise, a credible and final resolution requires not only an independent expert mechanism but also full cooperation with that process.

Related DRI Coverage

Delhi HC Orders Composite Medical Board for PwBD Candidate Amid Conflicting Disability Assessments

This earlier DRI report covered the Delhi High Court stage of the litigation and the conflicting medical assessments that eventually led to the Supreme Court proceedings.

Read the Supreme Court Order dated 22 May 2026



Disability Rights India will continue to follow any further developments regarding the complaint before the Uttar Pradesh Government and any official decision concerning the earlier UPPSC appointment.

Monday, October 6, 2025

Variance of High Magnitude in Disability Percentage : Delhi HC Orders Composite Medical Board for PwBD Candidate in Shubham Agarwal v. UOI

Civil Services - Disability Quota- Formation of Independent Expert Medical Board in case of conflicting opinions 

Court: High Court of Delhi
Bench: Justice Navin Chawla and Justice Madhu Jain
Case No.: W.P.(C) 13162/2025 & CM APPL. 53924/2025
Case Title: Shubham Agarwal v. Union of India and Ors
Date of Decision: October 6, 2025
Neutral Citation: 2025:DHC:8847-DB
Cases Referred: Department of Personnel and Training v. Kore Nihal Pramod (Special Leave to Appeal (Civil) No. 17995/2025).

Post script

  • Revision in judgement dated October 06, 2025- The DHC revised the judgement vide its order 24.11.2025 at the request of petitioner herein to have independent medical experts on medical board who were not from any of the hospitals who conducted earlier test fearing bias.
  • Note: This matter was subsequently challenged before Supreme Court by UOI and UPSC vide SLP(C) 13947/2026 and the SC was pleased to set aside this  impugned DHC judgement and impugned DHC order 24.11.2025  vide its order on 22 May 2026, after the Petitioner herein failed to appear before the medical boards several times. (see our post dated 22 May 2026).

Summary & Brief Background

The petitioner participated in the Civil Services Examination 2024 under the Persons with Benchmark Disability (PwBD) category, claiming a permanent hearing impairment exceeding the 40% benchmark. He successfully cleared the examination, securing an All India Rank of 1001. On May 27, 2025, he underwent an initial mandatory medical examination at the All India Institute of Medical Sciences (AIIMS), where a medical report dated May 30, 2025, declared him unfit for appointment after measuring his disability at a mere 1%.

Aggrieved by this assessment, the petitioner preferred an appeal before the statutory Appellate Disability Medical Board constituted at the Army Hospital (Research & Referral), Delhi. The Appellate Board subjected him to an exhaustive clinical examination between July 3, 2025, and July 11, 2025, ultimately determining that he suffered from a 67.84% hearing disability.

Instead of acting upon the Appellate Board's findings, the Department of Personnel and Training (DoPT) issued an email directive on August 5, 2025, ordering the petitioner to report to Smt. Sucheta Kriplani Hospital (SSKH), Lady Hardinge Medical College, for a third medical evaluation. The petitioner approached the Central Administrative Tribunal (CAT), Principal Bench, New Delhi, under O.A. No. 3093/2025 to challenge the validity of this additional check. On August 21, 2025, the Tribunal directed the petitioner to comply with the third medical review, while provisionally permitting him to join the training program in the interim. Seeking relief from the directive forcing a third medical test, the petitioner approached the Delhi High Court.

Core Arguments & Institutional Contradiction

The Finality of Appellate Checks: The petitioner contended that under the established Civil Services Examination Rules, the assessment rendered by the statutory Appellate Disability Medical Board is final and binding. He argued that the state cannot systematically override the definitive findings of specialized appellate boards to demand endless cycles of examination based on administrative whims. Furthermore, the petitioner distinguished his case from the Supreme Court precedent in Kore Nihal Pramod, explaining that the Apex Court had ordered a neutral panel only because of a direct contradiction where an appellate board had declared a candidate unfit but a subsequent High Court-ordered evaluation declared them fit.

The Variance of High Magnitude: The respondents defended the third test order by exposing a massive contradiction between the two state-run medical evaluations. They highlighted that the initial AIIMS board recorded a negligible 1% impairment layout, while the Army Hospital (R&R) panel calculated a severe 67.84% hearing disability. The state argued that this massive mathematical variance rendered a clarifying, independent third assessment essential to make a final recruitment decision.

Key Issues Addressed

  • Whether an appointing authority can legally subject a PwBD candidate to a third medical examination when there is a massive conflict between the initial medical board and the statutory appellate board.
  • What legal weight and finality must be ascribed to an Appellate Disability Medical Board's report when its findings conflict extensively with initial assessments.

Observations & Findings of the Court

The Division Bench of the Delhi High Court disposed of the writ petition, moulding the relief to balance the structural rules of recruitment with fair medical verification:

  • The Reality of a Significant Disparity: The Court recognized that while an Appellate Medical Board's findings are structurally designed to act as final and non-challengeable under standard conditions, the specific numerical indices in this case revealed a stark institutional anomaly.
  • Validation of the Magnitude: The Bench observed that the conflict did not represent a routine, minor variation in medical interpretation, but rather a structural contradiction of exceptional proportions: "It is not a matter of just difference in medical opinion, but a difference of opinion of a high magnitude."
  • Contextualizing Prior Assessments: The Court noted that earlier medical certificates submitted by the petitioner had independently pegged his permanent hearing disability at 40% and 44%. This made the initial AIIMS finding of 1% and the subsequent appellate finding of 67.84% highly inconsistent, justifying an independent tie-breaker review layout.
  • The Balanced Apex Court Model Adopted: Rather than permitting the DoPT to unilaterally select a single local hospital for the third evaluation, the High Court invoked the equitable process mapped out by the Supreme Court in Kore Nihal Pramod. The Bench held that the evaluation must be performed by a jointly constituted, high-level composite independent board to ensure strict transparency.

Directions Issued

To resolve the impasse and eliminate institutional biases, the High Court issued the following time-bound operational directions:
  • The petitioner’s third medical evaluation layout was modified. The Court ordered the constitution of a fresh, specialized three-member Expert Medical Board specifically tracking hearing disabilities.
  • The Board will consist of three independent experts: one doctor nominated by the Director of AIIMS, one nominated by the Director General of the Central Government Health Scheme (CGHS), and one nominated by the Chief of the Army Research and Referral Hospital, New Delhi.
  • To preserve absolute neutrality, the Court directed that the respective medical chiefs must not nominate any individual doctors who have previously examined the petitioner in the earlier rounds.
  • The respective institutions are requested to formally constitute the specialized board within two weeks, and the Board must deliver its final binding opinion regarding eligibility within one week of conducting the examination.
Clarification on Training Guidelines: The Bench noted the petitioner's complaint that the state had failed to comply with CAT’s interim order allowing him to join the training program. The High Court clarified that its own ad-interim order passed on August 28, 2025, had strictly stayed only the third medical test directive, meaning the remaining parts of the Tribunal's training guidelines remained fully operational and subject to active enforcement before the CAT.

Subsequent Order by High Court: The Delhi High Court revised its judgement dated 06 October 2025 vide its order dated 24.11.2025 on an application by the petitioner herein seeking independent medical experts on medical board who were not from any of the hospitals who conducted earlier test fearing bias to which court agreed. Read the Order dated 24.11.2025. The court made the following revisions to its judgement:

Paragraph 15 of our Order dated 06.10.2025 shall now read as under: “15. The third examination of the petitioner shall be conducted by a Board of doctors having specialisation in the field of assessing hearing disability. One member of the Board would be nominated by the Medical Superintendent of the Guru Tegh Bahadur Hospital, Delhi, one by the Director General of the CGHS, and the third by the Medical Superintendent of the Deen Dayal Upadhyay Hospital, New Delhi. While nominating the doctors to the Board, we request the Medical Superintendents/DG of the respective hospitals to not nominate the doctors who have already examined the petitioner in the earlier rounds/medical examinations. We further request the Medical Superintendents/DG to constitute the Medical Board within a period of two weeks from today and for the Medical Board to give its final opinion within a period of one week of the examination of the petitioner.”

Read the DHC Judgement 06 Oct 2025 in Shubham Agarwal v. Union of India and Ors


Legal Disclaimer: The summaries provided on this platform are for informational and academic purposes, aimed at increasing awareness of disability legislation and rights across Indian jurisprudence.