V.N. Public Health And Educational ... vs State Of Kerala And Ors. Etc.

The Supreme Court addressed the issue of whether the Essentiality Certificate (EC) and Consent of Affiliation (CoA) should be granted to a trust for establishing a medical college. The court clarified that the grant of an EC is not merely a ministerial act and that once issued, it cannot be arbitrarily withdrawn. The judgment modified the Kerala High Court's order, emphasizing the importance of the EC in the establishment of educational institutions in the health sector.