Proposed proceedings against the Medical Council
33The second draft statement of claim is some 11 pages long. In it the plaintiff sets out, in 11 numbered paragraphs, many of which contain lengthy particulars, the basis on which he seeks to have the Refusal of Reinstatement Decision set aside.
34In the main, the plaintiff challenges the evidence given before the Medical Tribunal in his application for review and in particular that given by two psychiatrists, Dr Phillips, to whom he was referred for assessment by the Medical Board's legal advisers, and Dr Roberts, who was his treating psychiatrist. The principal allegations against the Medical Board are that it colluded with the medical experts to have them give false evidence for monetary gain and that it made false submissions to the Tribunal regarding the plaintiff's lack of insight (which was germane to the question whether deregistration was still appropriate).
35There are also allegations that the Medical Board colluded with the Tribunal. In summary, the plaintiff makes several scandalous allegations, which include fraud, against two medical practitioners, the Medical Board and the Presiding Judge of the Tribunal. The particulars amount to mere assertions and do not, in substance, support such serious allegations.
36It appears that one of the plaintiff's grievances against Dr Phillips is that he modified his view about the plaintiff's fitness to practise once details of the sexual boundary violations which had led to his deregistration had been made clear by the Medical Board. It is not uncommon for an expert opinion to change substantially when the assumptions or history on which it is based are altered. This appears to have been what occurred with the evidence of Dr Phillips. However, the plaintiff, in his affidavit in support of the summons, disparages Dr Phillips for not eliciting sufficient information from the plaintiff himself to support his opinion.
37The plaintiff has tendered, in this application, the first report of Dr Phillips in support of his application for reinstatement, dated 21 October 2008. In this report, Dr Phillips opined that the plaintiff was not suffering from any recognisable psychiatric illness; that he doubted that the plaintiff would offend in a similar manner again (have sexual relations with a patient) if he were permitted to practise medicine again; and that there are neither intellectual nor technical reasons which would prevent his retraining in medicine. Dr Phillips subsequently received a letter from the Crown Solicitor's Office which asked him certain questions in light of assumptions which he was asked to make. He then wrote a further report dated 9 December 2008 in which he revised his earlier opinion in light of the assumptions provided.
38The plaintiff has also tendered extracts of the transcript of his cross-examination of Dr Phillips in the hearing before the Medical Board, including the following answer to his question whether Dr Phillips believed that he would re-offend:
"Well I'd already stated in relation to two of your patients that I thought you had learnt a hard lesson and you probably would not re-offend, and I held that view fairly strongly. I don't think at this stage though I hold it as strongly as I did before. I've listened carefully in the court, or as carefully as I could, and it seems to me that whilst you have a sort of general understanding that doctors cannot under any conditions have a sexual relationship with a patient. I am not convinced that that is held truly and firmly by you, you seem to waver around the point to a degree."
39The following passage is also instructive:
"Q. Yes, and do you think I've learnt the lesson or I have insight into various boundary violations in medicine and medical ethics, boundary violations?
A. Well, that brings me back to the beginning, because I said my - having listened today and - and before Christmas, I'm not entirely convinced within myself that you have a properly firm and immovable understanding in relation to the - the ethics of the doctor-patient relationship and the boundaries that are so important in the ethical arrangements."
40That Dr Phillips had changed his opinion somewhat from that expressed in his reports appears from the following passage in his cross-examination by the plaintiff:
"WITNESS: I found you persuasive, particularly in a one to one situation in the office and I found myself quite liking you. In that situation I have to say that, you appeared, on the face of things anyway, to try to provide me with comprehensive information and to do it properly and as I say, to state it in the report you were quite warm. I have my doubts since then, I think, and what I've heard in this court, this Tribunal on two occasions and also when I went into the various documents which I did after I saw you rather than before, I started to question whether in fact I had got it wrong."
41The plaintiff, in his affidavit in support of the summons makes a number of serious allegations against both the Medical Board and Dr Phillips, including the following, at [26]:
"The Medical Board of NSW called Dr Phillips as an expert witness to give his false evidence at the Tribunal hearing to mislead the Tribunal."
42I cannot discern any substantial basis for the allegation from the evidence adduced by the plaintiff, which includes copies of the reports of Dr Phillips that were tendered in the Tribunal, parts of the transcript of evidence and submissions before the Tribunal. What appears from the limited extracts I have set out above, which are included by way of example only, is that Dr Phillips was concerned about the possibility of future transgression and that the Tribunal relied at least in part on those concerns, together with Dr Roberts' evidence and the Tribunal's own expert assessment.
43The plaintiff, as a litigant in person who is not a legal practitioner, is not bound by the ethical rules that govern members of the legal profession. Were he a legal practitioner, the making of such allegations without a proper basis could amount to professional misconduct. The following passage from the decision of the Court of Appeal in Minister Administering the Crown Lands (Consolidation) Act and the Western Lands Act v Tweed Byron Local Aboriginal Land Council (1990) 71 LGRA 201, at 203-204 is, however, apposite to the plaintiff because of the effect that the making of such statements can have:
"It is a serious matter to allege fraud against a party in pleadings to which attach the privileges incidental to court proceedings. They may do great harm to a party before a word of evidence has been offered and submitted to the searching scrutiny of cross-examination or to rebuttal ...
Professional discipline may follow if allegations of fraud are made [without proper basis] ... By such means, courts protect their process from the abuse, which would follow from the too ready assertion of fraud against a party, in circumstances where it could not be proved to the high standard required of such allegations ... Behind this principle lie many reasons of policy. One of them is stated above. It relates to the protection against the risk of abuse of court processes."
44The plaintiff's preparedness to make such allegations, without any apparent basis or particularity is relevant to whether the proceedings are vexatious within the meaning of s 6(d) of the VPA.
45Essentially, the plaintiff in his second draft statement of claim seeks to relitigate the factual issues that he sought to raise before the Tribunal, and challenge the Refusal of Reinstatement Decision by disparaging the Tribunal, the Medical Board and witnesses who appeared in the Tribunal.
46As with the first statement of claim, the second conforms to the pattern of behaviour referred to above in Wilson .
47I consider that, if leave were granted to file it, the second draft statement of claim would constitute vexatious proceedings on the ground that they would be an abuse of process within the meaning of s 6(a) of the VPA. They would also be vexatious within s 6(c) since they are instituted without reasonable ground and within s 6(d) since commencement of such proceedings would cause some detriment in requiring the Medical Board to defend itself against proceedings, which have no reasonable ground. Their conduct (which includes their institution) would also be so as to harass the medical practitioners against whom disparaging and scandalous allegations are made, the Medical Board and the Tribunal.
48Because I consider the proposed proceedings to be vexatious within the meaning of s 6 of the Act, I am obliged to dismiss the plaintiff's application under s 14 for leave to institute them. I also consider that they are brought without reasonable ground and I am also obliged to dismiss them on that basis.
49In any event, by reason of s 16(4) of the Act I may grant leave to the plaintiff to institute proceedings only if I am satisfied that the proceedings are not vexatious and there are one or more prima facie grounds for the proceedings. Accordingly, because of the view to which I have come set out above, I have no power to grant leave to the plaintiff to institute proceedings by filing the second draft statement of claim against the Medical Council.
50Accordingly, I order as follows:
(1)Dismiss the plaintiff's summons.