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[2012] ACAT 67
ACT Civil and Administrative Tribunal
2012-09-28
Member For
Original judgment source is linked above.
Under the Freedom of Information Act 1989 (FoI Act) I seek access to the following documents.
? List of committee members that reviewed Emily Vermeulen's treatment.
b) The results of the Mental Health Clinical Review Committee review of Emily Vermeulen's treatment and status of any recommendations/actions taken.
c) Any submissions made to the Mental Health Clinical Review Committee regarding the review of Emily Vermeulen's treatment.
d) Any notes, working papers etc from the Mental Health Clinical Review Committee consideration of Emily Vermeulen's treatment.
e) Any other document relating to Emily Vermeulen, excluding health records. [7]
I would like to find out how the Department of Health has come to its current understanding of the meaning and operation of section 125 of the Health Act 1993.
Consequently, under the Freedom of Information Act 1989 (FoI Act) I seek access to the following documents.
1. Any document that relates to how the Department of Health came to its current understanding of the meaning and operation section 125 of the Health Act 1993.
I expect this request will include any internal discussion documents, position paper etc, along with any requests for external advice including the advice obtained.
_Subject to this Act, every person has a legally enforceable right to obtain access in accordance with this Act to - _
(a) a document of an agency, other than an exempt document; or
(b) an official document of a Minister, other than an exempt document.
38 Documents to which secrecy provisions of enactments apply
A document is an exempt document if there is in force an enactment applying specifically to information of a kind contained in the document and prohibiting persons referred to in the enactment from disclosing information of that kind, whether the prohibition is absolute or is subject to exceptions or qualifications.
_(1) Subject to subsection (2), a document is an exempt document if its disclosure under this Act would, or could reasonably be expected to - _
(a) prejudice the effectiveness of procedures or methods for the conduct of tests, examinations or audits by an agency; or
(b) prejudice the attainment of the objects of particular tests, examinations or audits conducted or to be conducted by an agency; or
(c) have a substantial adverse effect on the management or assessment of personnel by the Territory or by an agency; or
(d) have a substantial adverse effect on the proper and efficient conduct of the operations of an agency; or
(e) have a substantial adverse effect on the conduct by or on behalf of the Territory or an agency of industrial relations.
(2) This section does not apply to a document the disclosure of matter in which under this Act would, on balance, be in the public interest.
(1) A document is an exempt document if it is of such a nature that it would be privileged from production in legal proceedings on the ground of legal professional privilege.
(2) A document of the kind referred to in section 8 (1) is not an exempt document under subsection (1) of this section only because of the inclusion in the document of matter that is used or to be used for the purpose of the making of decisions or recommendations referred to in section 8 (1).
Health Act 1993 (ACT)
For this Act, a health service is a service provided to someone (the service user) for any of the following purposes:
(a) assessing, recording, maintaining or improving the physical, mental or emotional health, comfort or wellbeing of the service user;
(b) diagnosing, treating or preventing an illness, disability, disorder or condition of the service user.
(a) means a health practitioner or other person who provides a health service; and
_(b) for a health facility, means a health service provider who - _
(i) provides a health service at the health facility; or
(ii) uses the equipment or other facilities of the health facility to provide a health service elsewhere.
Examples of people who may be health service providers
Note An example is part of the Act, is not exhaustive and may extend, but does not limit, the meaning of the provision in which it appears (see Legislation Act, s 126 and s 132).
For this part, a person is an information holder _if - _
(i) a member of a quality assurance committee; or
(ii) a member of a scope of clinical practice committee; or
(b) the person has been given information under this Act by a person mentioned in paragraph (a).
Note Information may be given to people under various provisions of pt 4 and pt 5, including:
(1) For this part, information is protected information about a person if it is information about the person that is disclosed to, or obtained by, an information holder because of the exercise of a function under this Act by the information holder or someone else.
(2) Without limiting subsection (1), protected information includes sensitive information.
sensitive information _means information that - _
(iii) has provided information to a quality assurance committee under section 35 (Quality assurance committees - obtaining information) or otherwise in the course of the committee carrying out the committee's functions under this Act; or
(b) would allow the identity of the person to be worked out.
_(1) An information holder commits an offence if - _
(i) makes a record of protected information about someone else; and
(ii) is reckless about whether the information is protected information about someone else; or
(i) does something that divulges protected information about someone else; and
(A) the information is protected information about someone else; and
(B) doing the thing would result in the information being divulged to another person.
Maximum penalty: 50 penalty units, imprisonment for 6 months or both.
_(2) This section does not apply to the making of a record or the divulging of information if the record is made or the information divulged - _
(b) in the exercise of a function, as an information holder, under this Act.
_(3) This section does not apply to the making of a record or the divulging of information if - _
(a) the protected information is not sensitive information; and
_(b) the record is made or the information divulged - _
(ii) in the exercise of a function, as an information holder, under another territory law.
(4) This section does not apply to the divulging of protected information about someone with the person's agreement.
(5) An information holder must not divulge protected information to a court, or produce a document containing protected information to a court, unless it is necessary to do so for this Act.
Note A quality assurance committee may give protected information to the Coroner's Court (see s 43).
court includes a tribunal, authority or person with power to require the production of documents or the answering of questions.
Human Rights Act 2004 (ACT)
So far as it is possible to do so consistently with its purpose, a Territory law must be interpreted in a way that is compatible with human rights.
(1) Each of the following is a public authority:
(e) a police officer, when exercising a function under a Territory
(g) an entity whose functions are or include functions of a public
nature, when it is exercising those functions for the Territory or
a public authority (whether under contract or otherwise).
_(2) However, public authority does not include - _
(a) the Legislative Assembly, except when acting in an administrative capacity; or
(b) a court, except when acting in an administrative capacity.
40B Public authorities must act consistently with human rights
(a) to act in a way that is incompatible with a human right; or
(b) in making a decision, to fail to give proper consideration to a relevant human right.
_(2) Subsection (1) does not apply if the act is done or decision made under a law in force in the Territory and - _
(a) the law expressly requires the act to be done or decision made in a particular way and that way is inconsistent with a human right; or
(b) the law cannot be interpreted in a way that is consistent with a human right.
Note A law in force in the Territory includes a Territory law and a Commonwealth law.
public authority includes an entity for whom a declaration is in force under section 40D.
(1) Everyone has the right to hold opinions without interference.
(2) Everyone has the right to freedom of expression. This right includes the freedom to seek, receive and impart information and ideas of all kinds, regardless of borders, whether orally, in writing or in print, by way of art, or in another way chosen by him or her.
(1) Human rights may be subject only to reasonable limits set by Territory laws that can be demonstrably justified in a free and democratic society.
(2) In deciding whether a limit is reasonable, all relevant factors must be considered, including the following:
(b) the importance of the purpose of the limitation;
(d) the relationship between the limitation and its purpose;
(e) any less restrictive means reasonably available to
achieve the purpose the limitation seeks to achieve.
Legislation Act 2001 (ACT)
138 Meaning of working out the meaning of an Act - pt 14.2
(a) resolving an ambiguous or obscure provision of the Act; or
(b) confirming or displacing the apparent meaning of the Act; or
(c) finding the meaning of the Act when its apparent meaning leads to a result that is manifestly absurd or is unreasonable; or
(d) finding the meaning of the Act in any other case.
139 Interpretation best achieving Act's purpose
(1) In working out the meaning of an Act, the interpretation that would best achieve the purpose of the Act is to be preferred to any other interpretation.
(2) This section applies whether or not the Act's purpose is expressly stated in the Act.
Note The Human Rights Act 2004, s 30 (1) (which is about interpreting legislation to be consistent with human rights) is also relevant to interpreting territory laws.
(1) In working out the meaning of an Act, material not forming part of the Act may be considered. ...
(2) In deciding whether material not forming part of an Act should be considered in working out the meaning of the Act, and the weight to be given to the material, the following matters must be taken into account:
(a) the desirability of being able to rely on the ordinary meaning of the Act, having regard to the purpose of the Act and the provisions of the Act read in the context of the Act as a whole;
(b) the undesirability of prolonging proceedings without compensating advantage;
(c) the accessibility of the material to the public.
(3) Subsection (2) does not limit the matters that may be taken into account.
(4) For subsection (2) (c), material in the register is taken to be accessible to the public.
health practitioner means a person registered under the Health Practitioner Regulation National Law (ACT) to practise a health profession (other than as a student).
12. Following the mediation in this matter I contacted all of the members of the Mental Health Clinical Review Committee to seek their consent to the disclosure of their names. Of the 25 Committee members, 4 could not be contacted, 17 members gave their consent and 4 members did not consent. A package of documents with the names of the 17 consenting members disclosed was released to the applicant outside the FOI process in accordance with the provisions of the Health Act 1993.
Documents to which Secrecy Provisions of an Enactment Apply: Section 38 FOI Act
Documents concerning certain operation of agencies: Section 40, FOI Act
Documents to which Secrecy Provisions of an Enactment Apply: Section 38 FOI Act
Documents concerning certain operation of agencies: Section 40, FOI Act
The Approach to Interpretation of the Legislation
First, it is necessary to consider whether [the legislation] "enlivens" a human right. Secondly, if, but only if, the answer to the first question is yes, it is necessary to consider whether [the legislation] contains a limitation which is reasonable within s 28. Thirdly, if, but only if, the answer to the first question is yes and the answer to the second question is no, it is necessary to consider and apply the interpretative principle in s 30.[15]
This account shows that freedom of information was seen to be a fundamental human right of central importance to the purposes of the United Nations, which included recognition of the dignity and worth of every individual. The United Nations recognised that freedom of information was essential to the promotion of peace and political, social and economic progress in the world. The philosophy behind freedom of information, as articulated by the General Assembly of the United Nations and its constituents, was a broad one. The philosophy encompassed but it was not confined to the values of governmental accountability and democratic participation. The 'right' to freedom of information was expressed in terms of the 'freedom' of individuals to 'seek, receive and impart' information.[18]
The General Approach to the Interpretative Task
requires statutes to be construed against the background of human rights and freedoms set out in the Charter in the same way as the principle of legality requires the same statutes to be construed against the background of common law rights and freedoms.[22]
Step 1: Identify all meanings of the provision that are available under ordinary principles of statutory interpretation and consistent with legislative purpose (the available meanings), including meanings generated by applying s 30 of the Human Rights Act but also meanings that would be available apart from s 30.
Step 2: Set aside for the time being any available meaning that is not human rights-compatible under s 30.
Step 3: Examine the remaining available meanings (that is, those that are human rights-compatible).
Step 3A: If there are one or more available meanings that are human rights-compatible, then that meaning, or the one of those meanings required by s 139 of the Legislation Act to be preferred, is adopted.
Step 3B: If there are no available meanings left (that is, there were no available meanings that were also human rights-compatible), re-instate the non-compatible available meanings set aside at Step 2.
Step 4: Undertake an inquiry under s 28 of the Human Rights Act into whether any of those re-instated available meanings can be justified.
Step 4A: If only one meaning can be justified, it is adopted.
Step 4B: If two or more available meanings can be justified, then a choice must be made between them; in the ACT that choice would seem to be directed by s 139 in favour of the available meaning that best achieves the legislative purpose. In the absence of such a provision the choice would be less constrained and might, for instance, include a consideration of which meaning had the least impact on relevant human rights.
Step 4C: If none of the available meanings can be justified, then the available meaning or one of the multiple available meanings (in the ACT chosen as required by s 139) is adopted, and a declaration of incompatibility may be considered.
Identifying Meanings that are Available under the Ordinary Principles of Statutory Interpretation
Documents to Which Secrecy Provisions of an Enactment Apply - Section 38 FOI Act
_(1) The object of this Act is to extend as far as possible the right of the Australian community and, in particular, the citizens of the Territory, to access to information in the possession of the Territory by - _
(a) making available to the public information about the operations of agencies and, in particular, ensuring that rules and practices affecting members of the public in their dealings with agencies are readily available to persons affected by those rules and practices; and
(b) creating a general right of access to information in documentary form in the possession of Ministers and agencies, limited only by exceptions and exemptions necessary for the protection of essential public interests and the private and business affairs of persons in respect of whom information is collected and held by agencies.
to ensure that discretions conferred by this Act are exercised as far as possible to facilitate and promote .... the disclosure of information.
In providing health services the Territory must have regard to the following objectives:
(a) to improve the efficiency, effectiveness and quality of health services; ...
(d) to support worker and community participation in the development of policies for the delivery of health services;
(e) to ensure that the community is aware of the range of health services that is available and that patients have information that is sufficient to enable them to make informed choices: ... .
The new part 8 relates to Secrecy. It governs how protected, sensitive and other information relating to this Amended Act should be divulged or communicated. The purpose is to clarify and streamline the legislation governing such information. It aims to balance principles of confidentiality and open disclosure.[26]
(iii) has provided information to a quality assurance committee under s 35 (Quality assurance committees - obtaining information) or otherwise in the course of the committee carrying out the committee's functions under this Act; or ...
a) the applicant's legally enforceable right under s 10 of the FOI Act to obtain a document of an agency;
b) the need to facilitate and promote the disclosure of information in s 2 of the FOI Act;
c) the health care principles set out in s 10 of the Health Act;
d) the reference in the Explanatory Statement to the Health Legislation Amendment Bill 2006[30] to the need to balance confidentiality and open disclosure when interpreting Part 8 of the Health Act.
e) the description of "sensitive information" in the Explanatory Statement to the Health Legislation Amendment Bill 2006[31] which says that the term means "any information that identifies a person who has received or provided a health service". This description supports the applicant's conjunctive analysis of the term "health service provider", when applied in this case, by linking the health practitioner to the provision of a health service.
...not intended to create a blanket prohibition on disclosure under the FOI Act in cases where the qualifications and exceptions in a secrecy provision would permit disclosure.[40]
Documents Concerning Certain Operations of Agencies - Section 40 FOI Act
Introduction of the systematic clinical review process has not been without difficulties. Its set-up and maintenance has been time-consuming and dependent on a small number of enthusiastic people. Some craft groups did not initially embrace the clinical review process, but the resistance to take part has declined over time. This change in behaviour occurred through active participation (eg, CRC membership) and also through an understanding, gained from face-to-face meetings, that adverse events are investigated consistently and independently in accord with transparent processes.
The qualified privilege conferred on the CRC appears to have helped with acceptance of the clinical review process. Previously, clinicians were reluctant to discuss adverse events for fear of reprisal (defamation, litigation). However, with the knowledge that documents relating to CRC investigations were not admissible in a court of law, only rarely did clinicians refuse to take part. With the clinical review process now embedded in the hospital culture, clinicians have welcomed a consumer representative onto the CRC and the introduction of open disclosure. [42]
The new Part 8 relates to Secrecy. It governs how protected, sensitive and other information relating to this Amended Act should be divulged or communicated. The purpose is to clarify and streamline the legislation governing such information. It aims to balance principles of confidentiality and open disclosure.
The part is designed to reinforce the confidentiality of information about third parties, and therefore to reinforce the integrity of quality assurance and clinical privileges committees. Members of Committees should be encouraged to facilitate the gathering of information regarding health topics, and may not do so if they fear that the information could be revealed in open court by another person.[43]
Documents Subject to Legal Professional Privilege - Section 42 FOI Act
FULL REPORT ( ) CASE NOTE ( ) UNREPORTED DECISION ( )
[1] The Notice of Decision and accompanying schedules are at T15 at page T91 ff
[4] T7 at pages T43 (reference to folios 101-110) and T67
[5] T7 at pages T43 (reference to folios 112-118) and page T70
[8] Harrigan v Department of Health (1986) 72 ALR 293
[9] (1986) 10 FCR 321 at 161-162 per Bowen CJ, 168-9 per Jackson J
[12] Thomson v ACT Planning and Land Authority [2009] ACAT 38 at [35]
[18] XYZ v Victoria Police (General) [2010] VCAT 255 at [423]
[23] Re Application for Bail by Islam [2010] ACTSC 147; (2010) 244 FLR 158 at 236
[24] Kingsley's Chicken Pty Ltd and Queensland Investment Corporation and Canberra Investments Pty Ltd [2006] ACTCA 9 at [40]
[25] Section 138 Legislation Act 2001
[26] Explanatory Statement, Health Legislation Amendment Bill 2006, 11 May 2006, page 13.
[27] See for example s 124Y Health Insurance Act 1973 (Cth), s 20G Health Administration Act 1982 (NSW) and s 139(3) Health Services Act 1988 (Vic). See generally the Open Disclosure Document filed by the respondent on 27 April 2012, page 12.
[28] Transcript, 2 March 2012, p32 at 15 - 27
[30] Explanatory Statement, Health Legislation Amendment Bill 2006, 11 May 2006, page 13.
[31] Explanatory Statement, Health Legislation Amendment Bill 2006, 11 May 2006, at clause 124
[32] Section 30 Human Rights Act 2004
[34] Explanatory Statement, Health Legislation Amendment Bill 2006, 11 May 2006, page 13.
[41] Med J Aust 2008; 189 (8): 451-455
[42] I Mitchell, B Antoniou, J Gosper, J Mollett, M Hurwitz and T Bessell, "A robust clinical review process: the catalyst for clinical governance in an Australian tertiary hospital", Med J Aust 2008; 189(8): 451-455 at 455, filed by the respondent on 15 February 2012
[43] Explanatory Statement, Health Legislation Amendment Bill 2006, 11 May 2006, page 13.
[44] Transcript, 26 April 2012, page 101 lines 19-21
Gardner and ACT Planning and Land Authority [2010] ACAT 64
Hakimi v Legal Aid Commission (ACT); Australian Capital Territory (Intervener) [2009] ACTSC 48
Kingsley's Chicken Pty Ltd and Queensland Investment Corporation and Canberra Investments Pty Ltd [2006] ACTCA 9
Momcilovic v Queen (2011) 85 ALJR 957 ; 280 ALR 221; [2011] HCA 34
R v Fearnside [2009] ACTCA 3; (2009) 165 ACTR 22
Re Application for Bail by Islam [2010] ACTSC 147; (2010) 244 FLR 158
R v Momcilovic (2010) 25 VR 436; (2010) 265 ALR 751; [2010] VSCA 50
Sernack v ACT Treasury [2010] ACAT 40
Thornton v DPP [2009] ACAT 40
XYZ v Victoria Police [2010] VCAT 255
(1986) 10 FCR 321
(1986) 72 ALR 293
(1984) 1 FCR 64
(2010) 244 FLR 158
(2010) 25 VR 436
(2010) 265 ALR 751
(2009) 227 FLR 462