GROUND OF APPEAL 8 - MEDICAL EVIDENCE
28 While this ground of appeal is expressed in general and vague terms (see at [7] above), the respondents have assumed that the reference to "medical reports" has raised an allegation of error in respect of the primary judge's treatment of that distinct category of the evidence.
29 In her written submissions, under the heading "MEDICAL EVIDENCE", DOQ17 made the following contentions:
a) [The primary judge] refers to my medical evidence (Pt A tab 17, 413 - 66 [200, 201]) and ignores the fact that in Dr Teoh's report dated 19 March 2018 (Pt B tab 1, V7, 1899) he states that he had read the report of Dr Uebergang my treating Psychologist (Pt B tab 1, V7, 1896) and his report refers to "complex legal issues relating to a breach of privacy and defamation" that I have had to deal with. Dr Teoh also states in (d) "She has been seeing a psychologist, and it would appear, based on the report that her depressive and anxiety symptoms have persisted" and in (f) "Her condition has stabilized, her condition has become chronic and has not improved significantly".
b) As Dr Teoh relies on Dr Uebergang's diagnosis in his report, it should be seen as an annexure to Dr Teoh's report and allowed as evidence in this case.
c) [The primary judge] states (Pt A tab 17, 414 - 67 [203]) that the First to Third and Seventh Respondents did not dispute the evidence of Dr Teoh or Dr Crickitt (2 September, 2009 & 20 May 2013) (Pt B tab 1 V1, 19 & V3, 678) but relied upon their "expert evidence". The Respondents filed no expert evidence.
d) The fact is that Dr Crickitt's reports were not tendered by me as "expert evidence". His reports were prepared for my Workers' Compensation Claim and filed in these proceedings in accordance with Order (3) of Taylor [SC] DCJ of 16 May 2016 (Pt B tab 1 V5, 1472). Dr Crickitt's reports do not comply with the Federal Court rules (23.13) and were not raised at the trial. They also contain a "History".
e) The history taken from me by Dr Teoh and outlined in his report, was not allowed by [the primary judge] (Pt B tab 11, 92, 93) but in Scala & Scala [2019] FCCA 3456 [12] the history taken and outlined in the medical report was allowed. Is it dependent on the discretion of the Judge to accept or discard the history or are their rules that apply?
(Emphasis and errors in original)
30 The written submissions of the AFSA respondents on this issue were as follows:
28. The appellant does not explain what particular principles the primary judge acted upon, or why she says they were wrong.
29. The appellant claims there was "an inconsistency" as to which medical reports were accepted into evidence, and which were not. It is true that the primary judge rejected the tender of some reports sought to be relied upon by the appellant - the reports of Ms Angela Paresher and Dr Margaret Uebergang - on the ground they "were plainly inadmissible" for the reasons provided at the trial.
30. On the other hand, the reports of Dr Brian Crickitt were admitted, and the reports of Dr Ben Teoh were also admitted (subject to a limitation under s.136 of the Evidence Act 1995 (Cth)).
31. The appellant suggests, at AS [5(d)], that she did not intend to tender Dr Crickitt's reports as "expert evidence" and that they did not comply with rule 23.13. That seems in turn to be a suggestion that Dr Crickitt's reports should not have been admitted into evidence. If that is right, and the "inconsistency" sought to be revealed by the appellant is that the primary judge allowed the tender of Dr Crickitt's reports where she ought to have rejected them (for the same or similar reasons to those that led to the rejection of Ms Paresher's and Dr Uebergang's reports), this would only serve to further undermine the state of the appellant's expert evidence.
32. The state of the evidence was that there was no evidence to establish that the respondents' conduct had caused the appellant to suffer an anxiety disorder or any other recognised psychiatric symptoms. Dr Teoh's evidence was that the appellant had been suffering from a pre-existing psychiatric condition at least as early as 7 February 2010, and there was no evidence that the respondents' conduct had exacerbated that condition. Indeed, the appellant herself seems to refer to that pre-existing "psychological injury" at AS [9(a)]. Regardless of the so-called "inconsistency" referred to by the appellant, she does not seem to suggest that the primary judge's findings at [200] or [201] are wrong.
(Emphasis in original; footnotes omitted)
31 The Registrar General made similar contentions in his submissions as follows:
22 Ground 8 asserts that the trial judge "acted upon wrong principles", which are not identified, in respect of her medical evidence. The respondents did not lead any medical evidence. The Appellant's own medical evidence disclosed that the Appellant had been diagnosed of a generalised anxiety disorder several years before the conduct which formed the basis of her claims in the proceedings: see Judgment at [200] and [203]. Her Honour found that there was no evidence that the conduct of any of the respondents exacerbated her condition: see Judgment at [201]. Accordingly, there could be no error in the trial judge's conclusions, based on the only medical evidence in the proceedings, being the Appellant's own medical evidence, which was insufficient to discharge her onus of establishing the elements of her claim.
23 In any event, in circumstances where no duty of care was found, any consideration of the medical evidence was of no consequence and cannot advance the Appellant's appeal.
32 The apposite parts of the primary judgment to which reference is made in these contentions fall within section 10 of the judgment, which is headed "THE ALLEGED BREACHES OF DUTY OF CARE". That section then includes five subsections as follows:
(a) "10.1 Application of the Civil Liability Act as surrogate federal law by operation of s 79, Judiciary Act 1903 (Cth)";
(b) "10.2 Preconditions to the existence of a duty of care imposed by s 32(1), Civil Liability Act";
(c) "10.3 Causation provisions of the Civil Liability Act";
(d) "10.4 The cause of action in negligence as against the first, second, third, fourth and seventh respondents must fail"; and
(e) "10.5 The cause of action in negligence against the Registrar-General must be dismissed".
33 Further, section 10.4 above contains these three subsections:
(a) "10.4.1 The risk of injury was not reasonably foreseeable";
(b) "10.4.2 The imposition of a duty of care upon Ms Nash would be inconsistent with fiduciary duties owed to the trustee in bankruptcy"; and
(c) "10.4.3 In any event, there is no evidence that the respondents' conduct caused or exacerbated the applicant's mental disorder".
34 The particular paragraphs to which reference is made above are contained in the last subsection - 10.4.3 of section 10.4. It is appropriate to set out the four paragraphs of that subsection of the judgment. They are:
200 Thirdly, there is no evidence that any of the respondents' conduct caused the applicant to suffer a generalised anxiety disorder. In this regard, the applicant had been diagnosed by Dr Ben Teoh, a consultant & forensic psychiatrist, with the disorder (chronic adjustment disorder with anxious and depressed mood (DSM IV diagnostic criteria)) at least as early as 7 February 2010 in connection with a WorkCover claim and therefore several years before the alleged conduct (see Ex A1 at 23; CB tab 28 at 399). In his more detailed report dated 15 March 2010, Dr Teoh attributed the cause of the disorder to the applicant's work as a teacher at a college, expressing the opinion that "her work has been a substantial contributing factor to her condition" (Ex A1 at 33; CB tab 29 at 404). That diagnosis was confirmed by Dr Teoh in his report dated 20 February 2011 (Ex A1 at 124; CB tab 30 at 408) in which he expressed the opinion that:
Her presentation is consistent with a diagnosis of a Chronic Adjustment Disorder with Anxious and Depressed Mood (DSM IV diagnostic criteria).
It is my opinion that her condition is caused by the employment at [the college].
201 Nor is there any evidence that the respondents' conduct exacerbated her condition. The subsequent expert opinions of Dr Teoh do not link any psychiatric injury to the disclosure of the alleged confidential information. Thus, in his reports dated 19 February 2013 and 5 March 2013 Dr Teoh confirmed the prior diagnosis and its cause, and expressed the view that the applicant had suffered a permanent psychiatric impairment (Ex A1 at 663 and 671; CB tab 31 at 412 and tab 32 at 414). His report dated 12 March 2014 was to the same effect (CB tab 34 at 419). Dr Teoh's evidence goes no higher than his report dated 19 March 2018 confirming his earlier diagnosis and advising that she presented with a complex history of psychosocial stressors over the years, referring to "unresolved issues in relation to the legal matters [earlier identified as the Family Court matter and in relation to breach of confidentiality and defamation], which is causing her significant emotional distress" (Ex A1 at 1901; CB tab 38 at 603).
202 Nor does Dr Crickitt's expert evidence lend any support to the applicant's case. In his report dated 7 November 2009, Dr Crickitt diagnosed the applicant as suffering from "Generalised Anxiety Disorder with Panic Disorder" and found that "[t]he Symptoms and diagnosis are entirely consistent with the history of work place difficulties and stresses. In her WorkCover Medical Certificate I certified that I believed her employment was a substantial contributing factor to her injury" (CB tab 27 at 397). Subsequently, in his report dated 20 May 2013, Dr Crickitt again diagnosed the applicant as suffering from "Anxiety Disorder with panic attacks and probable Posttraumatic Stress Disorder" and advised that in his opinion "[t]he diagnosis is consistent with her story of abuse while teaching at the school" (Ex A1 at 678; CB tab 33 at 418).
203 In this regard, contrary to the assumption underlying the applicant's submissions, it was not for the respondents to lead medical evidence "to dispute Dr Teoh's evidence, or any of the other medical evidence or the Applicant's evidence" (Applicant's final submissions in response to the respondents' final submissions at p. 28 [111]-[112]). The onus lay upon the applicant to establish the elements of her cause of action in negligence. Furthermore, the first to third and seventh respondents did not dispute the evidence of Dr Teoh or Dr Crickitt. To the contrary, they relied upon their expert evidence as demonstrating that the applicant's psychological condition pre-dated, and was neither caused nor exacerbated by, the respondents' conduct (Closing submissions of the first to third and seventh respondents at [111]-[112]).
(Emphasis in original)
35 The paragraphs of the AFSA respondents' closing submissions to which reference is made in the concluding words of [203] above were as follows:
111. As to causation, there is no evidence that the conduct of the Respondents caused the applicant to suffer a generalized anxiety disorder.
112. Rather the Applicant was diagnosed by Dr Ben Teoh with the disorder at least as early as 7 February 2010, being some years prior to the alleged conduct. Dr Teoh attributed the caused [sic] to the Applicant's work as a teacher at Marion College (which the Applicant does not seem to dispute). There is no evidence that the Respondents' conduct exacerbated the condition.
(Footnote omitted)
36 It is also important, for the purposes of disposing of this issue, to set out [38] of the primary judgment where her Honour described the medical evidence DOQ17 sought to tender:
Finally the applicant sought to rely upon medical evidence. The tender of the reports of Ms Angela Parasher and Dr Margaret Uebergang was refused on the ground that they were plainly inadmissible for reasons given at the hearing (T89.1-25, T92.25-33 respectively). The reports of Dr Brian Crickitt dated 7 November 2009 and 20 May 2013 were, however, received in evidence (Court Book (CB) tabs 27 and 33). The reports of Dr Ben Teoh dated 7 February 2010, 15 March 2010, 20 February 2011, 19 February 2013, 5 March 2013, 12 March 2014 and 19 March 2018 were also received in evidence (CB tabs 28-32, 34 and 38 respectively) subject to a limitation under s 136 of the Evidence Act 1995 (Cth) that any passages in those reports set out under the heading "History" are not to be taken as evidence of their truth (T94.18-24, 95.17-19).
37 Given the contents of [38] of the primary judgment, DOQ17's attempts to rely upon the report of Dr Uebergang in her written submissions (see at [29(a) and (b)] above) must be rejected. For similar reasons, DOQ17's contention with respect to Dr Crickitt's report (see at [29(d)] above) must be rejected. Putting those contentions aside, there is nothing elsewhere in DOQ17's written submissions to identify what the "inconsistency" mentioned in this ground of appeal is, or to explain why it gave rise to any appellable error by the primary judge in her treatment of the medical evidence at [200]-[203] of the primary judgment. Perhaps more importantly, no error is apparent in those four paragraphs of the judgment. Finally, and in any event, as the Registrar General correctly observed, "in circumstances where no duty of care was found, any consideration of the medical evidence was of no consequence and cannot advance the Appellant's appeal".
38 For these reasons, this ground of appeal also has no merit.