31 The second question which arose was whether the appeal was properly to be regarded as a hearing de novo or as a re-hearing and, depending on the answer to that question, whether the Guidelines applicable at the time of Dr Rowe's assessment, the one appealed from, should apply or whether it should be the edition current at the time of the determination of the appeal.
32 Minds might differ about the answers to those questions also. Because the Plaintiff had no way of knowing that the Appeal Panel was to depart from the basis of the applicability of the second edition of the Guidelines, according to the common ground of both sides, it seems to me that the Plaintiff was denied procedural fairness. It seems to me that the Appeal Panel, as soon as it contemplated the possibility that the third and not the second edition of the Guidelines was that which applied, ought to have informed the parties and afforded them an opportunity to make submissions. The failure to do so amounted, I think, to a denial of procedural fairness.
33 In my opinion the plaintiff has established on the first three grounds an entitlement to have this Court quash the determination of the Appeal Panel.
34 I do not think it necessary to deal with the remaining questions posed by the plaintiff, namely, whether the Panel relied on inapplicable Guidelines and whether the Panel erred in conducting a hearing de novo rather than a review. There are two reasons for this.
35 The first is that following the orders which I intend to make, the plaintiff's appeal will have to be dealt with once again. If the determination of the appeal is attended by error, the plaintiff will have its rights.
36 The second reason relates to the way in which the proceedings was conducted before me. As I have said, the first defendant played no part in the debate about whether the Plaintiff should have its orders other than orders for costs against the first defendant. The reserved questions raise matters quite different from those on which the plaintiff has succeeded. They are matters on which the Plaintiff has not put any substantial submissions and, in the circumstances I have explained, there has been no contradictor. It is not necessary to answer the questions in order to decide whether to make the orders sought.
37 It seems to me to be inappropriate to answer those questions.
38 The Plaintiff does not seek costs against the second or the third defendant. It does seek costs against the first defendant. In the notice filed on 17 December 2009 the first defendant, having appeared, made this statement of submission-
"Janet Brear, first defendant, submits to the making of all orders sought, and the giving or entry of judgment in respect of all claims made, save as to costs."
39 The plaintiff's submission in this Court was that it was not enough for the first defendant, in order to avoid the risk of an order for costs against her, merely to submit. Consent was necessary for that. Mr Williams submitted that if there had been a consent, rather than a submission, orders could have been made by consent without a hearing. So the first defendant's attitude had made necessary a hearing that was otherwise unnecessary.
40 I do not accept that submission. The orders sought included a declaration that the decision of the Appeal Panel involved error on the face of the record and jurisdictional error. That is not a matter, I think, that it would have been appropriate to provide for, as it were unquestioningly, by giving effect to agreed orders. It seems to me that the Court would not have been justified in making the orders without a proper examination of the evidence and the law. That is what happened. In view of the fact that counsel for the first defendant took no part in the debate on the merits, the hearing was no longer than it would otherwise have been.
41 In the circumstances the plaintiff ought not to have the costs order it has sought against the first defendant. Consequently it ought to pay the first defendant's costs.
42 I make the following orders-
1. Quash the decision of the Medical Appeal Panel dated 4 September 2009,
2. Remit the matter to the Medical Appeal Panel for determination .
3. Order the plaintiff to pay the first defendant's costs.