austlii:sa/SAET/2025/102
General information, not legal advice.
SAET
2025-09-19
Original judgment source is linked above.
Chief Executive, Attorney-General's Department v South Australian Salaried Medical Officers Association [2025] SAET 102
SOUTH AUSTRALIAN SALARIED MEDICAL OFFICERS ASSOCIATION
JURISDICTION: South Australian Employment Court
Fair Work Act 1994 (SA) - Appeal
JUDGMENT OF: His Honour Deputy President Judge Calligeros
The appellant is the designated employer of members of the respondent association - An industrial dispute arose between the parties as to whether, in relation to the current review and appointment to the position of Head of Unit of the Intensive Care Unit of the Queen Elizabeth Hospital, the pool of candidates should be limited to those medical consultants already substantively employed within the ICU at the QEH, being consistent with prior practice - Following an arbitration hearing the Deputy President ordered that the pool of applicants be so limited - The findings included findings that were critical of the evidence given on behalf of the appellant at the arbitration hearing - The primary findings of fact made were not disputed and the grounds of appeal in relation to the factual findings related to inferences drawn from the primary findings of fact - HELD - 1. The form of the appeal is a "real review" of the evidence received at first instance to determine whether the Deputy President has erred in fact or law - The task of reaching conclusions as to the facts can only be done by a Full Bench by weighing the reasons for decision appealed from - A Full Bench must have regard to any advantage that the trial Deputy President may have had in determining the credibility of witnesses - Where a trial Deputy President's finding depends to any substantial degree on the credibility of a witness, the finding must stand unless it can be shown at the trial Judge has failed to use or has palpably misused the advantage or has acted on evidence which was inconsistent with facts incontrovertibly established by the evidence or which was glaringly improbable - 2. There was sufficient evidence for the findings of fact made by way of inference drawn from the undisputed primary findings of fact - 3. Where there has been an exercise of the managerial prerogative the Tribunal will exercise caution before it makes an order to resolve a dispute that would amount to a substantial interference with the autonomy of management to decide how the business enterprise should be conducted (Re Cram; ex parte N.S.W. Colliery Proprietors' Association Limited [1987] HCA 28; (1987) 163 CLR 117) - 4. - Many industrial disputes may be related, in some way, to an aspect of the exercise of the managerial prerogative and the individual circumstances are relevant to the significance of the managerial prerogative in determining the orders to be made - 5. - The Deputy President appropriately had regard to the powers conferred by s 34(1) of the Health Care Act 2008 and the managerial prerogative - 6. - The conclusory findings of fact made by way of inference drawn from the primary facts were open and no error has been demonstrated - Appeal dismissed.
South Australian Salaried Medical Officer's Association v Chief Executive Officer, Attorney-General's Department, Department for Health and Wellbeing [2024] SAET 47
Chief Executive, Attorney-General's Department (Department of Treasury and Finance) v the South Australian Salaried Medical Officers Association [2025] SAET 16
Warren v Coombes [1979] HCA 9; (1979) 142 CLR 531
Coal and Allied Operations Pty Ltd v Australian Industrial Relations Commission (2000) 74 ALJR 1348
Crampton v The Queen (2000) 176 ALR 369
Victorian Stevedoring & General Contracting Co Pty Ltd v Dignan [1931] HCA 34; (1931) 46 CLR 73
Cabal v the United Mexican States [2001] FCA 427
State Rail Authority (NSW) v Earthline Constructions Pty Ltd (In Liq) [1999] HCA 3; (1999) 160 ALR 588
Biogen Inc. v Medeva Plc [1996] UKHL 18; (1996) 36 IPR 438 (HL)
Abalos v Australian Postal Commission [1990] HCA 47; (1990) 171 CLR 167
Devries v Australian National Railways Commission (1993) 177 CLR 472
Re Cram; ex parte N.S.W. Colliery Proprietors' Association Limited [1987] HCA 28; (1987) 163 CLR 117
Construction, Forestry, Mining and Energy Union v HWE Mining Pty Ltd [2011] FWA 8288; (2011) 214 IR 194
RMIT University v National Tertiary Education Industry Union [2012] FWA 2208
Steenstra v J.J. Richards and Sons Pty Ltd [2015] FWC 798
Chief Executive, Department of Premier and Cabinet (on behalf of the Chief Executive, Department for Health and Aging) v South Australia Salaried Medical Officers Association and El Shafei (No. 2) [2018] SAET 109
Chief Executive, Attorney-General's Department (Department of Treasury and Finance) v South Australia Salaried Medical Officers Association [2025] SAET 16
South Australian Salaried Medical Officers Association and Australian Nursing and Midwifery Federation v Chief Executive, Department for Health and Wellbeing, Chief Executive Attorney General's Department [2025] SAET 58
Appeal from a decision of Lieschke DP in South Australian Salaried Medical Officers Association v Chief Executive Officer, Attorney-General's Department, Department for Health and Wellbeing [2024] SAET 47
Respondent: South Australian Salaried Medical Officers Association
That order is the decision which is the subject of the appeal.[2]
(1) Subject to this section and to any provision of a relevant Act as to the review of, or appeal against, a decision of the Tribunal, an appeal lies against a decision of the Tribunal, other than a decision of a Full Bench, to a Full Bench of the South Australian Employment Court.
(2) The regulations may exclude or modify the application of subsection (1) insofar as the subsection applies to prescribed classes of decisions under a relevant Act (subject to any provision made by a relevant Act).
(3) An appeal under this section will be by way of rehearing.
(4) The Full Bench conducting the appeal may draw inferences of fact from evidence or other material before the Tribunal and may, as it thinks fit, allow further evidence or material to be presented to it.
(a) affirm the decision appealed against; or
(b) vary the decision appealed against; or
(c) set aside the decision appealed against and, if it thinks fit, return the matter to the Tribunal for reconsideration in accordance with any directions that the Full Bench considers appropriate.
(6) A Full Bench may, on an appeal, make any interim, ancillary or consequential order that the Full Bench considers appropriate (including orders for costs).
A court of appeal is bound to conduct a "real review" of the evidence given at first instance and of the judge's reasons for judgment to determine whether the trial judge has erred in fact or law. Appellate restraint with respect to interference with a trial judge's findings unless they are "glaringly improbable" or "contrary to compelling inferences" is as to factual findings which are likely to have been affected by impressions about the credibility and reliability of witnesses formed by the trial judge as a result of seeing and hearing them give their evidence". It includes findings of secondary facts which are based on a combination of these impressions and other inferences from primary facts. Thereafter, "in general an appellate court is in as good a position as the trial judge to decide on the proper inference to be drawn from facts which are undisputed or which, having been disputed, are established by the findings of the trial judge".
- In undertaking that review the appellate court will be mindful of the advantage of the trial judge who has heard and seen the witnesses who gave oral evidence. That advantage is particularly strong where the decision is by reference to that advantage and especially where a finding of fact is based directly upon the credibility of a witness. An appellate court will not depart from a primary judge's findings of fact based directly upon findings as to the reliability and credibility of the witnesses unless the trial judge has palpably misused the advantage, those findings are shown to be wrong by reference to incontrovertible facts or uncontested testimony or they are contrary to compelling inferences. However, where a trial judge has drawn inferences from undisputed facts or facts established by the trial judge, an appellate court will respect and give weight to the conclusion of the trial judge but if an appellate court reaches a different conclusion then it should give effect to it and correct error.
- Courts have also recognised the limitations associated with evaluating demeanour and that the Court must have regard to contemporary materials, objectively established fact and the apparent logic of events.
- An appellate court, in circumstances of an appeal by way of rehearing, may only exercise powers conferred to set aside the primary decision where the appellant demonstrates that the primary judgment is the result of error.
In so doing it must recognise the advantages enjoyed by the judge who conducted the trial. But if the judges of appeal consider that in the circumstances the trial judge was in no better position to decide the particular question than they are themselves, or if, after giving full weight to his decision, they consider that it was wrong, they must discharge their duty and give effect to their own judgment.
However, if the law confers a right of appeal, the appeal should be a reality, not an illusion; if the judges of an appellate court hold the decision of the trial judge to be wrong, they should correct it.[8]
[emphasis added]
Notwithstanding the fact that the learned primary judge's review was conducted on the papers, and without any opportunity to consider the demeanour of the witnesses, the weight to be accorded to the evidence of the experts was primarily a matter for his Honour to determine. This Court can consider whether he fell into appealable error in that regard but it will not approach that evidence as though this were a rehearing de novo in which his Honour's views count for nought. If, after giving full weight to his Honour's views, we are persuaded that the conclusions which he reached were erroneous we must set aside his findings of fact. We cannot however simply substitute for his Honour's findings of fact those findings which we would have made had we been the judges on review who determined this matter at first instance.
His expressed findings are always surrounded by a penumbra of imprecision as to emphasis, relative weight, minor qualification and nuance..., of which time and language do not permit exact expression, but which may play an important part in the judge's overall evaluation.
If the trial judge's finding depends to any substantial degree on the credibility of the witness, the finding must stand unless it can be shown that the trial judge "has failed to use or has palpably misused his advantage" or has acted on evidence which was "inconsistent with facts incontrovertibly established by the evidence" or which was "glaringly improbable".[17]
[footnotes omitted]
If the challenged finding is affected by identified error of principle or demonstrated mistake or misapprehension about relevant facts, the advantage at first instance may be of little significance or irrelevant.[18]
(1) The appeal is by way of review where the Full Bench is bound to conduct a "real review" of the evidence received at first instance to determine whether the trial Deputy President has erred in fact or law.
(2) The task of reaching its own conclusions as to the facts can only be done in the light of, and by taking into account and weighing, the reasons for the decision appealed from.
(3) In that process of analysis, the Full Bench will have regard to any advantage that the trial Deputy President may have had in determining the credibility of witnesses. The advantages may be more subtle and imprecise, associated with being engaged in the trial with the unfolding of oral evidence, against the background of affidavit evidence and other documents contained in trial books, and yet still relevant to the assessment of the weight to be accorded to the findings made at first instance.
(4) Where a trial Deputy President's finding depends, to any substantial degree, on the credibility of a witness the finding must stand, unless it can be shown that the trial judge has failed to use or has palpably misused their advantage, or has acted on evidence which was inconsistent with facts incontrovertibly established by the evidence, or which was glaringly improbable. This includes findings of secondary facts which are based upon a combination of impressions formed and other inferences from primary facts. Thereafter, in general the Full Bench is in as good a position as the trial Deputy President to decide upon the proper inference to be drawn from facts which are undisputed or which have been disputed, are established by the findings of the trial Deputy President. However, the appeal is not a hearing de novo and where different conclusions are reasonably open a Full Bench cannot substitute its own conclusion if it differs from that of the trial Deputy President merely on the basis that it is a conclusion the Full Bench would have reached if it had determined the matter at first instance.
(5) If the challenged finding is affected by identified error of principle or demonstrated mistake or misapprehension about relevant facts, the advantage at first instance may be of little significance or irrelevant.
(6) A Full Bench may only exercise powers conferred to set aside the primary decision where the appellant demonstrates that the primary decision is the result of error.
First, that Professor Peake had not met the "minimum required management capability" for the role. Second, she did not satisfactorily address elements of the role "relating to leadership of the Unit in conjunction and in collaboration with" Dr Flint. Third, she did not "demonstrate a commitment to ensuring sound principles of personnel management". Fourth, she did not "demonstrate a substantive interest in working collaboratively with other related disciplines."
I find that is why none of these criticisms were raised with any of the consultants or with the HOU. That is also why the respondent would not appoint any consultant as interim head until pressured to do so six months later by the threatened loss of training accreditation. That was also after Dr Flint incorrectly told the College of Intensive Care Medicine in April 2022 she was then looking to appoint an interim head, despite Dr van Wijk being appointed in February 2022. The respondent preferred to have no one instead of a QEH consultant in an acting role with the role vacant for weeks, Dr Moran was not even interviewed, then an anaesthetist who did not work in the unit was appointed for another few months. This was worse than a farce as described by SASMOA, it was a strategy to unfairly sideline the consultants of an objectively high performing unit. The risk of this strategy continuing remains high, given the apparent lack of commitment at the CEO and MAC level to a fair and transparent merit selection process for this unit.
Accordingly, I find the QEH consultants are unlikely to be treated equally to any external applicant in a broader selection process. I find it would be unreasonable for them to have to compete with RAH or other external consultants because of persistent unacknowledged management bias against them.
The casual adoption and use of professionally damaging vague and untested criticisms of consultants by the respondent's highest levels of management is concerning. The respondent's failure to acknowledge any of this adds to the need for the Tribunal to intervene to avoid the consultants being unreasonably disadvantaged in the HOU selection process.
I have evaluated the likely degree of further reputational and professional damage from the respondent's proposal to be high. The selection processes to date together with the vague undisclosed criticisms have damaged morale in the unit and have damaged the credibility of senior management. The respondent's proposal is likely to affect the high level of performance of this important life-saving unit. In contrast the possible benefits of an outside HOU would at best be marginal.
4.3.2.1 Appointments of Senior Consultants to undertake additional managerial responsibilities attracting a Managerial Allowance will be made for five years, during which time the allowance (as applicable) will be payable and regarded as part of salary for all purpose including leave entitlements. Where a Senior Consultant is not reappointed to undertake such additional managerial responsibilities, the Managerial Allowance will cease to be payable.
(1) A Senior Consultant appointed to undertake the additional responsibilities associated with the management of a large unit will be required to maintain an active clinical role within the Senior Consultant's speciality, and in addition to the criteria identify for a small unit/sub-unit above will be involved in the management of significant numbers and categories of subordinate staff and in some, but not necessarily all, of the following:
(a) management control over a major budget allocation and expenditure
(b) management of extensive research projects
(c) management of associated sub-unit(s)
(d) responsibility for State or International services or research which is required by the employing authority
(2) A Senior Consultant who is appointed to undertake additional managerial responsibilities associates with the management of a large unit will be paid an allowance shown in Part IX(2) of Schedule 1 Salaries and Allowances attached to this Award.
(1) An employing authority may employ persons to perform functions in connection with the operations or activities of an incorporated hospital.
(2) The terms and conditions of employment of a person under subsection (1) will be fixed by the employing authority and approved by the Commissioner for Public Employment.
(3) A person employed under this section will be taken to be employed by or on behalf of the Crown (but will not be employed in the Public Service of the State unless brought into an administrative unit under the Public Sector Management Act 1995).
(4) An employing authority may direct a person employed under this section to perform functions in connection with the operations or activities of another incorporated hospital, or any other public sector agency, specified by the employing authority (and the person must comply with that direction).
(5) An employing authority is, in acting under this section, subject to direction by the Minister.
(6) However, no Ministerial direction may be given by the Minister relating to the appointment, transfer, remuneration, discipline or termination of a particular person.
(7) An employing authority may delegate a power or function under this section.
(a) must be by instrument in writing; and
(b) may be made to a body or person (including a person for the time being holding or acting in a specified office or position); and
(c) may be unconditional or subject to conditions; and
(d) may, if the instrument of delegation so provides, allow for the further delegation of a power or function that has been delegated; and
(e) does not derogate from the power of the employing authority to act personally in any matter; and
(f) may be revoked at any time by the employing authority.
(9) A change in the person who constitutes an employing authority under this Act will not affect the continuity of employment of a person under this section.
(10) An incorporated hospital must, at the direction of the Minister, the Treasurer or an employing authority, make payments with respect to any matter arising in connection with the employment of a person under this section (including, but not limited to, payments with respect to salary or other aspects of remuneration, leave entitlements, superannuation contributions, taxation liabilities, workers compensation payments, termination payments, public liability insurance and vicarious liabilities).
(11) An incorporated hospital does not have the power to employ any person unless specifically authorised by the Minister.
(12) An incorporated hospital may, under an arrangement established by the responsible Minister or, if relevant, approved by a responsible public sector entity, make use of the staff, services or facilities of an administrative unit or another public sector agency.
(13) On the incorporation of a hospital under this Part, any Public Service employees who had, before the date of incorporation, been assigned by the Chief Executive to work in the hospital and have been designated by the Chief Executive as employees to whom this subsection applies will become persons employed by the employing authority under this section on terms and conditions fixed by the Chief Executive (without reduction of salary or status).
(14) In this section -
public sector agency has the same meaning as in the Public Sector Management Act 1995.
[1] South Australian Salaried Medical Officer's Association v Chief Executive Officer, Attorney-General's Department, Department for Health and Wellbeing [2024] SAET 47, [225] (the primary decision).
[2] What may constitute a decision for the purpose of an appeal is defined in s 3 of the SAET Act to include a direction, determination, or order of the Tribunal but, in prescribed circumstances not relevant to this appeal does not include an interlocutory direction, determination, or order.
[8] Ibid 553 see also CDJ v VAJ (No 1) (1998) 197 CLR 172 [111]; Coal and Allied Operations Pty Ltd v Australian Industrial Relations Commission [2000] HCA 47; (2000) 74 ALJR 1348, [14]; Crampton v The Queen (2000) 176 ALR 369, [147] and Victorian Stevedoring & General Contracting Co Pty Ltd v Dignan [1931] HCA 34; (1931) 46 CLR 73 at 109; Allesch v Maunz [2000] HCA 40; (2000) 203 CLR 172, [23].
[11] See State Rail Authority (NSW) v Earthline Constructions Pty Ltd (In Liq) [1999] HCA 3; (1999) 160 ALR 588, [90] (Kirby J).
[16] [1993] HCA 78; (1993) 177 CLR 472
[17] Ibid 479 (Brennan, Gaudron and McHugh JJ); See also State Rail Authority (NSW) v Earthline Constructions Pty Ltd (In Liq) [1999] HCA 3; (1999) 160 ALR 588.
[19] The primary decision, [2]. Whilst neither the relevant Award or Enterprise Agreement made specific reference to the position of Head of Unit or Director of the ICU, the position existed in practise and additional managerial duties were discharged by that person.
[20] Statement of Agreed Facts [17] (AB 70).
[21] The primary decision, [2], [182]. The two questions were also expressed by counsel for SASMOA in his opening address before the Deputy President and that was not disputed by counsel for the CE.
[26] Statement of Agreed Facts, [6] (AB 69).
[27] Statement of Agreed Facts, [7] (AB 69).
[29] The primary decision, [11], [94], [114].
[31] The primary decision, [60]-[61], [65].
[32] The primary decision, [61]-[65].
[33] The primary decision, [67], [125], [132]-[133], [209].
[34] The primary decision, [36]-[42], [52]-[53].
[36] The primary decision, [210] and [222].
[37] Statement of Agreed Facts, [7]-[8] (AB 69).
[45] The primary decision, [194], [198], [199], [202], [206].
[48] The primary decision, [212]. HOU is used as an abbreviation for Head of Unit.
[56] The primary decision, [227]-[229].
[57] Statement of Agreed Facts, [1] (AB 68).
[58] Pursuant to s 6 of the SAET Act, the Tribunal has the jurisdiction conferred to it by that Act or by any other Act.
[67] HWE Mining, [7]; RMIT, [35].
[68] HWE Mining, [8]; RMIT, [36].
[69] HWE Mining, [9]; RMIT, [37] and reference to Woolworths Ltd (t/as Safeway) v Brown (2005) 145 IR 285.
[70] HWE Mining, [10]; RMIT, [38].
[71] HWE Mining, [11]; RMIT, [39] and reference to Australian Federated Union of Locomotive Enginemen v State Rail Authority (NSW) [1984] CthArbRp 432; (1984) 295 CAR 188.
[73] [2015] FWC 7918, [188].
[82] Ibid [56]. See also South Australian Salaried Medical Officers Association and Australian Nursing and Midwifery Federation v Chief Executive, Department for Health and Wellbeing, Chief Executive Attorney General's Department [2025] SAET 58 where the dispute related primarily to a decision to relocate various medical services. The basis of the decision related to cost of leasing in the future where the Chief Executive had identified, in her proposal, a reduction from $104,000 per room annually to approximately $17,994 per room annually. Crawley DPJ referred to CE v SASMOA and identified the test generally to be applied by reference to the judgment of the Full Bench as being the reasonableness of the decision sought to be impugned [51], but also referred to the specific approach of the Full Bench to the facts found.
[88] The primary decision, [215]-[218].
[90] The primary decision, [227]-[228].
Chief Executive, Attorney-General's Department
South Australian Salaried Medical Officers Association [2025] SAET 102
(1987) 163 CLR 117
(1979) 142 CLR 531
(1998) 197 CLR 172
(2000) 74 ALJR 1348
(1931) 46 CLR 73
(1993) 177 CLR 472
(2011) 214 IR 194
(2005) 145 IR 285
(2000) 176 ALR 369
(1999) 160 ALR 588
(1996) 36 IPR 438
(1990) 171 CLR 167
(2000) 203 CLR 172