Annual Report 2013-14 iii) At 9.30 a.m. on 5 April 2012, when her condition deteriorated, doctors at the District Hospital referred her to the Medical College, Lucknow. The Assistant Superintendent of the Women Shelter Home was unable to arrange for the patient’s transfer to Lucknow, and she died at the Faizabad hospital. The doctors at the District Hospital advised that she could have survived if she had been transferred quickly to the Medical College; iv) The then Assistant Superintendent Home (officiating) in her statement claimed that the police escort did not reach the Home before the patient died. She could not, however, produce any documentary evidence in support of her contention and to prove that a request was made for an escort; v) vi) A medical specialist consulted by the Investigation Division has advised that, though Pushpa Nishad was receiving medicines for lung disease, her diagnosis and treatment were not adequate; Officials of the Home did not have a file of her medical treatment; doctors who treated her therefore did not have her case history and this was one of the reasons why the treatment she received was inadequate. 4.121 On the basis of these findings, which established that a person died in the custody of the State due to lack of adequate medical care, the Commission vide its proceedings dated 3 February 2014 directed the Government of Uttar Pradesh to show cause as to why it should not recommend relief for the next of kin. 4.122 The Commission further directed the Government of Uttar Pradesh to take action on three related points which arose out of the enquiry conducted by its officials and asked the Chief Secretary and the Director General of Police to submit an action taken report: i) A well-equipped pathology department should be established in the district hospital in Faizabad; iii) Pushpa Nishad was brought to hospital without her medical records, and therefore treated without any reference to those. All shelter homes/ detention centers should maintain a medical record of each inmate, which should accompany the person concerned whenever he or she is treated at the hospital. ii) There was a delay in providing a police escort when the late Pushpa Nishad fell seriously ill. The Director General of Police should issue instructions to all concerned to ensure that these delays, which could be life-threatening, as it was in this case, do not take place; and NHRC | 49