PSA's evidence
11Mr M Gibian of counsel, who appeared for the PSA, read two statements of Ms George. Her evidence was that she commenced employment with NSW Health in 2001, as the Manager, Business and Information Services, Private Health Care Branch. She held this position until September 2007, when she was seconded to work as a Project Manager for NSW Health, Centre for Health Protection.
12In December 2007, Ms George was appointed to the position of Manager, Corporate and Business Services for NSW Health at the Institute. The position formed part of the Institute's executive as identified in its 2011 Annual Report. In this role, Ms George has overall responsibility for the leadership of the corporate and business services for the Institute, including $100,000 financial delegation under the Public Finance and Audit Act 1983. She also has direct management responsibilities for Finance, Administration and E-learning/IT business units. As part of the business unit structure, these units and librarian, publications and database units report to Ms George.
13Ms George stated that while working for the Institute, she suffered a workplace injury in the period June 2011 to August 2011 and was unfit to perform, being on workers compensation from 31 August 2011 to 1 July 2012. She claimed workers' compensation, which was disputed before being the subject of a settlement on 23 July 2012. Ms George provided medical certificates during the period that she was unfit to perform work.
14On 28 May 2012, Ms George contacted Mr Stefan Knight, the OHS/WorkCover officer at the Institute, to discuss her return to work. Her evidence was that Mr Knight informed her that if she was returning to work on restricted duties, it would be necessary to prepare a rehabilitation plan, but if she was returning on unrestricted duties, she should just obtain a report and medical certificate from her treating doctor. Upon returning to work, Ms George endeavoured to follow this process.
15On 27 June 2012, Ms George attended an appointment with her treating psychiatrist, Dr Julian Short, who informed her that she was responding well to treatment.
16He recommended that she commence pre-injury duties from 2 July 2012. Dr Short prepared a medical certificate and report both dated 27 June 2012, indicating that Ms George was fit to resume pre-injury duties from 2 July 2012, initially three days per week, increasing to four days per week the following week.
17Ms George stated that she was informed by Dr Short that he had forwarded her WorkCover medical certificate and his report dated 27 June 2012 to the Ministry and QBE Insurance on 29 June 2012. Ms George stated that she spoke to Ms Murphy at QBE Insurance, who confirmed that he had received a copy of the WorkCover medical certificate and medical report of Dr Short dated 27 June 2012.
18Upon returning to work on 2 July 2012, Ms George believed that the WorkCover medical certificate together with Dr Short's report indicating she was fit to resume duties, had been received by the Ministry.
19The Ministry accepted that Ms George had obtained a medical certificate and a report from her treating doctor on 27 June 2012. However, it was contended that there was no evidence this was communicated to and received by the Ministry prior to that date.
20Ms George's evidence is that when she returned to work on 2 July 2012, she went to her office and sat at a meeting desk and began to work on her laptop. Shortly thereafter, Dr Montague, the Director of the Institute, came to the door of her office and the following conversation occurred:
George: "Good morning, Ros."
Montague: "You can't be here under the legislation.
George: "I think I can. Everything has been submitted for my return to work by Dr Short."
Montague: "Well, I don't have a copy of that."
George: "You need the check [sic] with HR because they were sent a copy."
Montague: "You can't sit in here. This is no longer your office."
George: "Can you please send me an e-mail to tell me where I can sit."
21Dr Montague returned a short time later and insisted that Ms George speak to Mr Robert Spencer from Human Resources. Mr Spencer informed her that he had no documentation concerning her return to work. Ms George asked Mr Spencer to check with Mr Knight.
22At 9.03am on 2 July 2012, Mr Spencer forwarded Ms George an email which read:
Hi Julia, as discussed the Ministry has a WorkCover Certificate stating you are unfit for duty until the 27 July 2012.
You have stated a more recent WorkCover certificate has been issued advising you are fit to return to duty but the Ministry has not received this.
Until this matter is resolved I ask that you cease duty immediately and leave the premises until a risk assessment can be undertaken.
23Ms George responded by email at 9.34am on 2 July 2012 as follows:
If you would like to check with QBE or Turks Lawyers the workcover certificate from my GP to cover period up to 27 July 2012 is no longer valid as I understand that Dr Montague threatened my GP's with defamation of character and my GP's under pressure were required to withdraw their comments and all workcover certificates (therefore deeming the certificate up to 27 July 2012 invalid). This evidence has been submitted to the commission by QBE and turks as part of evidence to the Commission so there is nothing to sort out.
I have been continuing my treatment with my senior Consultant Psychiatrist who wrote a full report about my health to QBE last week (which you have). My Psychiatrist has provided a full replacement workcover certificate for period 27 September 2011 - 29 June 2012 as the workcover certificate from my GP was no longer valid or correct. Is NSW Health now questioning my Senior Consultant Psychiatrist's credibility in addition to attempts to question my GP's? My Psychiatrist has stated that I should be returned to work with full support from my employer. The reception I have received today is hardly supportive.
If the Director-General has a valid reason that I should leave my place of work today and would like to speak to Minister Humphries about a directive for me to leave the building despite my psychiatrist having given a full report and a clearance certificate I am happy to take direction from either the Director General or Minister Humphries.
I am quite frankly appauled [sic] about the treatment I have received today upon my return given that I have been off for a long period following intimidation and harrassment [sic]. This behaviour justs [sic] adds to it and shows a lack of support for employees who have been off suffering a psychological illness. Rather ironic that Dr Montague heads the NSW Institute of Psychiatry and that she should treat me in such a callus [sic], uncaring and vicious way upon my return.
24At 9.42am on 2 July 2012, Ms George forwarded an email to Dr Mary Foley, Director-General, Ministry, and to Mr Knight. This email was copied to the Hon Ray Williams, Parliamentary Secretary, and the Hon Kevin Humphries, Minister for Mental Health, advising that she was distressed at how she "had been treated by Dr Montague and Mr Spencer. She noted that she had carried out her return to work as instructed by her psychiatrist and advice she received by telephone from Mr Knight on 28 March [sic] [May] 2012". She sought their input and observed that if she needed a risk assessment she should be able to have that on work time and not be directed to go home.
25At 10.56am, Ms George received the following email from Mr Spencer:
Julia, following receipt of your current WorkCover Certificate (of which the Ministry only received this morning), please be advised that HR representatives will soon meet you on site today to discuss and develop a Return to Work plan in line with your current Workcover Certificate requirements.
26Around midday on 2 July 2012, Ms George states that Ms C Butcher, Associate Director, Human Resources of the Ministry, Mr Denis Hogno, from Human Resources, Mr Knight and Dr Montague knocked on her office door. Ms Butcher informed her that she was required to attend a meeting in Dr Montague's office immediately. Her evidence is that Ms Butcher introduced herself, but not Mr Hogno or Mr Knight.
27Ms Butcher's evidence is that she attempted introductions however Ms George cut off the conversation.
28Ms George endeavoured to contact a support person but was unsuccessful. She spoke to a friend who suggested that she have him on the phone when she attends the meeting for assistance. She did not advise those at the meeting that she had a support person on the phone. She explained that she could not attend the meeting without a support person, however, Ms Butcher told her that she had to attend the meeting immediately. Mr Hogno said that she had no right to remain at the Institute and was in breach of the workers' compensation legislation. When asked in what manner she was in breach of the workers' compensation legislation, Ms George said Mr Hogno did not reply at this point.
29Her evidence is that Dr Hogno did not reply. Her evidence is her support person suggested that the meeting was going nowhere and that she should leave the room, which she did. She said that Mr Butcher did not tell her to leave the meeting in Dr Montague's office.
30At 2.25pm on 2 July 2012, Ms George forwarded a further email to Dr Foley, the Hon R Williams and the Hon K Humphries. Ms George repeated the earlier history in respect of her return to work and contended that she was now suffering further harassment and bullying by Dr Montague and the Ministry. She stated:
I was never informed of all of these so called rules.
...
I have met with all my staff today and had a meeting about my return. This again sends a very poor message to the staff if I am to be walked out of the building like a criminal.
31The email concluded:
I am in my office cowering in fear of being attacked by these people. I just want to do my job. I don't want to go home or be forced out of the building tomorrow.
This treatment of me is far from what my treating Psychiatrist had envisaged for my return to work.
Please intervene. I cannot believe that DG is complicit in this type of behaviour to an employee recovering from a mental health episode caused by a mental health professional working for NSW Health.
My situation at the moment in my office [is] akin to waiting for Gestapo in jack boots to burst into my office and physically manhandle me out of the premises.
32At approximately 3.45pm on 2 July 2012, Ms George received a message from Dr Montague that her access to the building and IT system were to be cut off and that she was not to attend the Institute until a return to work plan was developed. She was unable to print the email because her access to the IT system was cut off thereafter.
33Ms George stated that she received a further email from Ms Butcher directing her to leave the premises, which she did at approximately 5.00pm on 2 July 2012.
34On 5 July 2012, a return to work plan was prepared for Ms George which contemplated a return to work performing other duties and not to her position as Manager.
35In a report dated 10 July 2012 (in which Dr Short refers to Ms George as Mrs Cranwell), he noted he was provided with a copy of the Return to Work Plan and stated:
I have received an e-mail attachment from Mr Stefan Knight. This is designated as a RETURN TO WORK PLAN, number 1.
As best I can interpret this plan, it does not offer the opportunities I believe are necessary for Mrs Cranwell's successful emotional rehabilitation. Again, I would see this as offering a level of responsibility well below that which I understand is that of her normal role in her permanent, substantive position. Even more importantly, in my opinion it is essential that she return to her original workplace, as recommended in my medical report, dated 27th of June 2012. I am a little surprised I was not consulted before these return to work criteria were proposed.
Mrs Cranwell tells me there is a position that has been suggested she consider in North Sydney. I am concerned primarily because it appears to be ignoring my not inexpert opinion as to her appropriate treatment. In addition to this, although not quite such concern to me, is that she would be required to travel for an extra four hours in a day and there is no flexibility; an established necessity because of her obligation she be involved in the management of her learning impaired daughter.
Given I have no reason to doubt Mrs Cranwell's description of events, it is of particular surprise to me that my recommendations on her return to work on the 2nd July appear to have been ignored. As I understand the situation, she has been actively denied access to her job and her office. In addition, Mrs Cranwell tells me she was initially denied all IT and e-mail access on the 2nd July; the day I had specified for her return to work. She was then informed by human resources that her access would be restored, but then while actually driving to work, received a message from IT that this access would again be denied.
It is very hard for me to see the events I have described in this letter, if accurately reported, as clearly representing efforts to return Mrs Cranwell to her duties and thus to full mental health.
In summary, I regret I do not feel able to support the RETURN TO WORK PLAN, number 1 offered by Mr Knight. I again strongly recommend the return to work programme outlined in my earlier letter be adopted in the interests of Mrs Cranwell's emotional well-being. It would be ideal if she were to initiate work in in [sic] her substantive position at full pre-injury duties this week. It is very much against her interests to be in a position of unemployment and uncertainty at this stage of her recovery.
36By letter dated 3 September 2012, Dr Short advised that the current situation was inimical to Ms George's mental health and advised she be permitted to return to work.
37By further report dated 15 October 2012, Dr Short indicated that Ms George no longer manifests evidence of a biological and depressive syndrome in the form of major depression and that her condition should not be construed as cause for her not to return to work.
38Mr Gibian read an affidavit of Dr Short. He was required for cross-examination. Dr Short annexed to his affidavit a medical report prepared by him dated 7 November 2012, which was provided to the PSA's solicitors. The report read:
Thank you for asking me to provide an opinion on this lady. In offering this report, I am mindful of the Expert Witness Code of Conduct as contained in schedule 7 of the Uniform Civil Procedure Rules 2005. I shall attempt to answer your questions in order.
a. My current opinion in relation to your client's condition
During the course of our consultations, I had diagnosed Ms Cranwell as suffering two conditions
i. Major Depression
ii. Adjustment Disorder with Depressed Mood
In my opinion, Ms Cranwell's Major Depressive Disorder responded well to treatment with antidepressant medication and has not been evident for some time, although it will be necessary for her to persist with medication for at least six further months. Her Adjustment Disorder persisted for longer and I do not feel able to say this resolved much before June of this year.
Owing to the nature of psychiatric disorders, I regret I am unable to offer precise dates of remission, especially as the clinical manifestations of a Major Depression tend to overlap with those of an Adjustment Disorder
b. My opinion as to whether or not your client suffers any incapacity to work.
It is my belief that Ms Cranwell is perfectly fit to return to work and I suspect I have made this clear in a previous report.
c. My opinion as to whether or not your client is fit to perform her pre-injury duties.
I believe Ms Cranwell is fit to assume all the burdens and responsibilities of the position she previously occupied.
d. My opinion as to whether or not your client suffers any other incapacity to work as result of any other condition.
I am aware of no other physical or psychological disorder that should impede Ms Cranwell's capacity to work.
39During cross-examination, Dr Short was taken to the email forwarded by Ms George at 9.34am on 2 July 2012 and in particular, the penultimate paragraph of that email where Ms George said that she was "happy to take direction from either the Director-General or Minister Humphries if the Director-General had a valid reason that she should leave her place of work". Dr Short was asked whether there was anything in this statement that would lead to him change his view and needed to be considered in terms of managing Ms George's return to work. His answer was "no".
40Next Dr Short was taken to the email forwarded at 9.42am on 2 July 2012 by Ms George and was asked if there was anything in that email that changed his view that Ms George could go straight back to the workplace. His opinion was that Ms George was fit to return to work. He was asked to respond to what Ms George had described as "further harassment by Dr Montague upon her return to work". He said:
... If that were indeed a correct description one would see that as being a somewhat toxic situation. But whether it would be inimical to most people's good mental health, especially if it were not a one off event but a repeated event are you saying is it bad for a healthy person to go to that bad place, yes.
41Dr Short was then taken to the email forwarded at 2.25pm on 2 July 2012 and asked if there was anything in the statements made by Ms George in that email that would raise concerns or cause him to change his opinion about Ms George's return to work. Dr Short's evidence was that he thought the statements were somewhat dramatic, but that they were not an indication of an illness.
42In summary, the contents of the emails forwarded by Ms George on 2 July 2012 did not change Dr Short's opinion of Ms George's mental health or fitness to return to fulltime work.
43Mr Gibian tendered the following Policy Directives:
(i) Injury Management and Return to Work - NSW Health
(ii) Grievance - Effective Workplace Resolution
(iii) Bullying - Prevention and Management of Workplace Bullying in NSW Health