Has the introduction of the National Law in Queensland transferred authority to the Commonwealth or transformed the Medical Board of Queensland into officers of the Commonwealth?
127 The National Law, enacted as a law of the State of Queensland by operation of s 4 of the National Law Act, plainly enough, is not a law of the Commonwealth. Section 6 of the National Law Act declares QCAT as the responsible tribunal for the purposes of the National Law in Queensland.
128 The adoption in Queensland of the National Law involved no transfer of authority in a constitutional sense to the Commonwealth of jurisdiction in respect of the establishment, powers or functions of the organs of the national scheme. The executive governments of each participating jurisdiction entered into the Intergovernmental Agreement and each jurisdiction enacted uniform legislation, based on the model law. The national scheme is the expression of cooperative federalism to establish, by State legislative instruments in each separate jurisdiction, a common or uniform set of laws and organs to achieve the particular policy objectives adopted by COAG and reflected in the State legislation. The model law was enacted by the State of Queensland as host jurisdiction and foundation constitutional actor in developing the national scheme.
129 The Explanatory Notes to the Health Practitioner Regulation National Law Bill 2009 (Qld) at p 7 notes:
The COAG agreement identifies Queensland as host of the proposed National Law. [The National Law Act] incorporates and builds on the legislative provisions of Act A, which was designed to encompass the COAG agreement made between the Premiers and Chief Ministers of all States and Territories, and the Prime Minister of Australia. The regulatory model is one of federal co-operation by agreement between States and Territories. [The National Law Act] is not Commonwealth law, and participating States and Territories are not referring powers to the Commonwealth.]
[emphasis added]
130 The only legislation enacted by the Commonwealth in relation to the introduction of the national scheme is the Health Practitioner Regulation (Consequential Amendments) Act 2010 (Cth) which provides for consequential amendments to Commonwealth legislation to recognise and support the implementation of the national scheme by the participating jurisdictions. The Commonwealth Act also addresses the processes involved in the recognition of medical practitioners under the Health Insurance Act 1973 (Cth) for the purpose of facilitating Medicare claims.
131 So far as the functions of the Medical Board are concerned, the following should be noted.
132 The Medical Practitioners Registration Act 2001 (Qld) and the Medical Board (Administration) Act 2006 (Qld) were repealed on 1 July 2010 by s 123 of the Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 (Qld). According to the Explanatory Notes to the Health Legislation (Health Practitioner Regulation National Law) Amendment Bill 2010 this had the effect of abolishing the Medical Board and the Office of the Medical Board (see Explanatory Notes at p 4.5, 30-37). All matters previously dealt with by the Medical Board under the Medical Practitioners Registration Act 2001 (Qld) are to be dealt with under the National Law by the Medical Board of Australia after 1 July 2010. The administrative support that the Office of the Medical Board previously provided to the Medical Board is, post 1 July 2010, provided to the Medical Board's successor, the Medical Board of Australia by the Australian Health Practitioner Registration Agency.
133 Section 31 of the National Law establishes the Medical Board of Australia and s35 sets out its functions.
134 The Medical Board's assets and liabilities (with the exception of employment contracts) are transferred to the Medical Board of Australia under s 295 of the National Law, whilst the Medical Board's records relating to the registration and accreditation of registrants is transferred to the Medical Board of Australia under s 296.
135 Part 12, Division 13 of the National Law sets out the transitional provisions relating to complaints, notifications and disciplinary proceedings commenced under the Health Practitioners (Professional Standards) Act 1999 (Qld), consequent upon the commencement of the National Law Act on 1 July 2010. The commencement date of 1 July 2010 is referred to in the National Law as the "participation date". Section 289 of the National Law relevantly provides:
289 Complaints and notifications being dealt with on participation day
(1) This section applies if, immediately before the participation day for a participating jurisdiction, a local registration authority for the jurisdiction had started but not completed dealing with a complaint or notification about a person registered in a health profession by the authority.
(2) From the participation day -
(a) the complaint or notification is taken to be a notification made under this Law and is to be dealt with by the National Board for the health profession; and
(b) the notification is to continue to be dealt with under the Act of the participating jurisdiction under which it was made, and any proceedings or appeal relating to the notification may be dealt with, as if that Act had not been repealed.
(3) For the purposes of this section, the Act of the participating jurisdiction applies -
(a) as if a reference to the local registration authority were a reference to the National Board; and
(b) with any other changes that are necessary or convenient.
(4) The National Board must give effect to a decision made on an inquiry, investigation, proceeding or appeal completed under the Act of the participating jurisdiction as if it were a decision under this Law.
[emphasis added]
136 Section 250 of the National Law defines "local registration authority" as "an entity that had functions under a law of a participating jurisdiction that included the registration of persons as health practitioners". The Medical Board of Queensland had that function under s 11 of the Medical Practitioners Registration Act 2001 (Qld). The Medical Board of Queensland thus falls within the definition of a local registration authority.
137 At the commencement date of the National Law on 1 July 2010, proceedings had been started by the Medical Board of Queensland before QCAT concerning the notification in relation to Mr Broadbent's conduct in connection with Mrs MacLeod and Mrs Pearce but those proceedings had not been completed. By 1 July 2010, the hearings in relation to penalty and costs had not been completed before QCAT.
138 Section 289(2)(a) provides that in respect of such a notification, the notification from 1 July 2010, is taken to be a notification made under the National Law and is one to be dealt with by the National Board for the health profession, namely, the Medical Board of Australia. However, by reason of the conjunction with s 289(2)(b), the notification continues to be dealt with under the Act of the participating jurisdiction under which it was made. That Act so far as it relates to Mr Broadbent is the HPPS Act.
139 The Medical Board of Queensland remained the applicant before QCAT in relation to the questions of penalty and costs. Those matters were the subject of QCAT's decision on 2 September 2010. The undertaking given by Mr Broadbent earlier mentioned was framed in terms of never seeking registration with the National Board for the Health Profession in Australia responsible for registration, namely the Medical Board of Australia.
140 Although s 289 contemplates that the notification (which continues under the Act of the jurisdiction under which the notification was made) is to be dealt with by the Medical Board of Australia, that circumstance is the subject of further transitional arrangements made by Division 5 of Part 13 of the HPPS Act (inserted by s 57 of Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 which also commenced on 1 July 2010). Section 405N of the HPPS Act provides for the application of s 289 of the National Law in the following terms:
405N Existing complaints and related proceedings and appeals
(1) This section provides for the application of the National Law (Queensland), section 289 to the following -
(a) an existing complaint;
(b) any proceedings or appeal relating to an existing complaint.
(2) The National Law (Queensland), section 289 applies to a this Act existing complaint, and any proceedings or appeal relating to a this Act existing complaint, as if the reference in subsection (2)(b) of that section to the application of an Act of a participating jurisdiction as if that Act had not been repealed included, for the complaint, a reference to the application of this Act as if it had not been amended by the amending Act.
(3) For applying the National Law (Queensland), section 289 to a complaint made to a former board -
(a) the board does not complete dealing with the complaint until -
(i) the time for exercising any review rights or appeal rights in relation to the complaint has passed without any rights being exercised; or
(ii) any review or appeal in relation to the complaint has ended; and
(b) for a this Act existing complaint - this Act must be read as if sections 12(1) and 13 do not apply to a national board dealing with the complaint under the National Law (Queensland), section 289; and
....
(4) Also, to remove any doubt, it is declared that the QCAT Act continues to apply in relation to -
(a) any proceeding by the tribunal under National Law (Queensland), section 289 as applied by this section; and
(b) any appeal against the tribunal's decision in the proceeding.
….
(6) In this section -
complaint means -
(a) a complaint under this Act as in force before the commencement; or
(b) a complaint under the repealed Nursing Act 1992 as in force before its repeal.
existing complaint means a complaint about a person registered in an NRAS health profession by a former board that the former board had started but had not completed dealing with immediately before the commencement.
former board, in relation to the dental prosthetics profession, includes the Dental Technicians Board of Queensland established under the Dental Technicians Registration Act 2001.
Nursing Act existing complaint means a complaint under the repealed Nursing Act 1992 as in force before its repeal that is an existing complaint.
this Act existing complaint means a complaint under this Act as in force before the commencement that is an existing complaint.
[emphasis added]
141 Section 405L of the HPPS Act defines "amending Act" to means the Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 (Qld).
142 The term "former board" is also defined to include the Medical Board in the Schedule dictionary to the HPPS Act as amended by the Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 (Qld).
143 The effect of Division 5 (and, in particular, s 405N) of the Part 13 "Transitional provisions" of the HPPS Act is to vest the continuing responsibility to deal with an existing complaint not completed prior to 1 July 2010 in the Medical Board of Queensland.
144 The operation of s 405N(2) of the HPPS Act has the effect that s 289(2)(b) of the National Law is to be read such that the notification continues to be dealt with under the HPPS Act (and any proceedings or appeal relating to the notification may be so dealt with), as if the HPPS Act had not been amended by the Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 (Qld). This provision is designed to save the powers granted to the Medical Board of Queensland under the HPPS Act prior to 1 July 2010 in respect of an existing, uncompleted complaint commenced under the HPPS Act. Section 405N(3) seeks to make that position more plain by providing that in applying s 289 of the National Law to a complaint made to a former Board, the Board (being the Medical Board of Queensland) does not "complete dealing" with the complaint until the exhaustion of the circumstances set out in s 405N(3)(a)(i) and (ii).
145 Although the drafting of the provisions is a little clumsy in its phrasing, the combined operation of s 289 of the National Law as adopted by the National Law Act and s 405N of the HPPS Act is that the Medical Board of Queensland continues to be responsible for the carriage of the disciplinary proceedings against Mr Broadbent concerning Mrs MacLeod and Mrs Pearce and any subsequent appeals arising from those proceedings after 1 July 2010 and is to conduct those disciplinary proceedings in accordance to the HPPS Act as it existed prior to 1 July 2010.
146 In short, the transitional provisions continue to engage the Medical Board of Queensland in respect of notifications prior to 1 July 2010 until those proceedings are completed according to the exhaustion factors described in those provisions.
147 If the disciplinary proceedings against Mr Broadbent were not commenced by the Medical Board consequent upon receipt of a complaint under s 125 of the HPPS Act, but were commenced, without the receipt of a complaint, s 405O of the HPPS Act (as amended) (within the transitional provisions) which addresses an existing non-complaint disciplinary proceeding (and appeals from such a proceeding), is in near identical terms to s 405N.
148 It follows that in the period after 1 July 2010, the Medical Board with respect of the disciplinary proceedings against Mr Broadbent concerning Mrs MacLeod and Mrs Pearce, continued, under the transitional provisions, to exercise the same powers conferred upon it under the HPPS Act as it exercised prior to 1 July 2010. In any event, even if the powers resided in the Medical Board of Australia, those powers derived from and are exercised pursuant to State legislation in each jurisdiction. It also follows that the National Law Act and the Health Legislation (Health Practitioner Regulation National Law) Amendment Act 2010 (Qld) cannot be said to have "converted" the Medical Board or its officers, into "officers of the Commonwealth".
149 This result is not altered by the consideration that the National Law (as adopted in Queensland by the National Law Act) provides that the Privacy Act 1988 (Cth), the Freedom of Information Act 1982 (Cth) and the Ombudsman Act 1976 (Cth) all apply as a law of a participating jurisdiction for the purposes of the national registration and accreditation scheme. That result follows because each State jurisdiction adopted or enacted the content of those Acts as if they were Acts of the Parliament of a State jurisdiction. The legislation adopting the content of those Acts rendered the content a State law of the jurisdiction.