Whether a stay should be ordered here
57 For those reasons, I do not accept any of what might be described as the objections of principle that Mr Hastwell has raised. The court has discretion to stay the proceeding in an appropriate case.
58 How should the discretion be exercised here? Senior counsel for Kott Gunning placed considerable emphasis on a statement by Geoffrey Lane LJ in Starr v National Coal Board (at 75H) that '[f]ew problems arise if the plaintiff flatly declines to be examined by anybody'. I am satisfied that this is indeed what Mr Hastwell is doing here, but I do not think his Lordship was enunciating any general principle. Each case depends on its own facts (Starr v National Coal Board at 76B) and his Lordship's comment must be understood in the context of the sentence that followed: 'The real difficulty is when, as here, the defendants put forward the name of an experienced and well-qualified doctor who on the face of it appears to be unobjectionable but to whom the plaintiff and his advisers nevertheless object'. And that in turn needs to be understood by reference to the objections that were raised to the neurologist who the defendant wanted to examine the plaintiff. Those objections were on the basis, delicately put by Scarman LJ (at 72D), that:
... there was no suggestion of lack of competence or of lack of honesty or of professional honour, but there were indications in earlier reports in other cases, which were produced for our examination, which would appear to suggest that this doctor was not always successful in making a full, complete, and not misleading report.
So understood, Geoffrey Lane LJ's comments were directed to the particular situation of the less than full blooded objections to the doctor in that case. I therefore do not consider that Mr Hastwell's flat refusal to be examined ends the matter.
59 Mr Hastwell submitted that there was no need for Kott Gunning to adduce their own evidence on his psychiatric condition, as his witness, Dr Hollo had already answered the necessary questions. He said that if Kott Gunning wished to, they were free to cross-examine her, and seek to undermine her evidence that way, or they could seek to 'discredit' her evidence in its submissions. But these arguments reflect a misunderstanding of the adversarial system of justice of which this court is a part. The obligation to afford a respondent a fair trial is not fully discharged by permitting the respondent to challenge evidence adduced by the applicant in submissions, or in cross-examination. It is fundamental to a fair trial that all parties have a reasonable opportunity to adduce their own admissible evidence relevant to the matters in issue. As Widgery LJ explained in Edmeades at 73:
If, in fact, the defendant is deprived of medical advice on some aspect of the case and the only evidence on that aspect is that given by the plaintiff's doctors, I see no way by which the balance can be adjusted. If the trial judge thinks that the plaintiff's doctors are credible, it seems to me that he would then have to follow their evidence and a great injustice to the defendant might arise. The test, I agree, is whether in the circumstances of the particular case it is reasonable that a stay should be ordered so that justice shall be done between the parties.
60 Mr Hastwell submitted that 'the respondent must merely disprove the facts that I say gave rise to the anxiety and depression and therefore unlike personal injury claims medical evidence is irrelevant to the defence'. That seems to be a submission that it would be fair to confine Kott Gunning to disproving the alleged acts of bullying, harassment, and discrimination, so that they could not adduce evidence on the question of loss or damage. That proposition only needs to be stated for it to be apparent that it is wrong, and for the reasons given above I reject it.
61 Mr Hastwell submitted that Kott Gunning were free to seek privilege to be waived over Dr Parmegiani's report at trial. It did not appear that this was a waiver of privilege on his part, or an offer to do so. But even if privilege was waived, that would just give Kott Gunning one piece of evidence which may or may not be admissible and the scope of which is uncertain (because Dr Parmegiani's report is unseen). That is no basis to say that Kott Gunning need not adduce further psychiatric evidence of their own.
62 Mr Hastwell objected to being examined by Dr Mander, on the basis that he 'may be conflicted given the respondent's dominance in the medico-legal field in Perth'. But that objection was purely speculative. No evidence was advanced that Kott Gunning had that dominant position, let alone that it would cause Dr Mander to give any opinion other than an impartial one, consistent with his ethical duties as a psychiatrist and his duties to the court as an expert witness.
63 In Starr v National Coal Board, Scarman LJ held (at 72E) in relation to the concerns expressed about the doctor there:
I certainly do not think that it is incumbent upon a plaintiff, in this situation, to have to prove to the satisfaction of the court that the doctor had erred in the past in the way suggested, or was likely to make in this case the sort of mistake or error that he might appear to have made earlier. All that has to be proved is that the plaintiff and his advisers were entertaining reasonable apprehension that that might be so, and that those apprehensions, if realised, might make a just determination of the cause more difficult than it would be if another doctor conducted the examination.
64 Here, there was nothing before the court capable of establishing that Mr Hastwell's apprehensions were reasonable. No evidence was put before me of Dr Mander's experience and particular qualifications, but Mr Hastwell did not take issue with the description of him in Kott Gunning's letter of 24 July 2019 as a consultant psychiatrist. Justice requires that a defendant (or plaintiff) have the ability and right to choose a medical witness in whose in whose forensic ability and expertise it has confidence: Gray v Hopcroft [2000] QCA 144 at [15] (Ambrose J, Thomas JA and Helman J agreeing). I do not accept Mr Hastwell's stated objections to Dr Mander in particular.
65 Mr Hastwell suggested that any psychiatrist in Perth would be unacceptable for the same reasons that Dr Mander was. For the same reasons I do not accept that, either. In the course of oral submissions Mr Hastwell was not even willing to accept the (hypothetical) suggestion that the court could appoint its own expert psychiatrist.
66 Mr Hastwell also submitted that because Dr Hollo was not from Perth, and does not know Kott Gunning, her 'report would be the best medical evidence to rely on, even if the respondent did get a report from Dr Mander'. But whether that is so is, of course, is a matter for the court to decide after hearing all the relevant evidence, including cross-examination of Dr Hollo and the respondent's expert witness, and making an assessment of their respective independence and impartiality and the quality of the evidence they give.
67 Another objection Mr Hastwell raised was that Kott Gunning have not agreed to the exact nature of their proposed instructions to Dr Mander, including what material would be included in those instructions. But it is not usually necessary for a respondent to run its questions to an expert witness by the applicant or the court in advance. It is conceivable that particular questions could be so intrusive or unnecessary that an intention to ask them affords a reasonable basis for objection. But there is no reason to think that Kott Gunning intend to ask such questions here. From the evidence and the description of the issues they have given, it may be inferred they intend to ask, in broad terms, what psychiatric conditions if any Mr Hastwell has and how severe they are, what caused them, whether his alleged experiences with Kott Gunning caused or exacerbated them, and the effect of the conditions on his capacity to work, past and future. In any event, I do not accept that Mr Hastwell objects because he does not know the questions that Dr Mander will be asked. It is plain he is not prepared to be examined by Dr Mander in any event.
68 Mr Hastwell submitted that a stay should be refused because Kott Gunning have adduced no medical evidence that an examination by its chosen psychiatrist is necessary. He relied on Starr v National Coal Board as authority for that, but that case does not stand for any requirement that an applicant for a stay must support it by medical evidence. The closest it gets to the subject is where (at 71E) Scarman LJ says:
I have already indicated that I do not regard this as a question of onus of proof. There is, in my judgment, a duty upon each party in such a situation to provide the court with the necessary material known to him, so that the court, fully informed, can exercise its discretion properly. However, I would add this comment: that at the end of the day it must be for him who seeks the stay to show that, in the discretion of the court, it should be imposed.
In my view Kott Gunning have provided the necessary material. It consists of the pleadings, Mr Hastwell's own evidence about his anxiety, Dr Hollo's report, and what is known about Dr Parmegiani's report.
69 There is a passage in Lane v Willis [1972] 1 WLR 326 which could be taken to support Mr Hastwell's argument. At 334 Sachs LJ said (emphasis added):
When the matter came before the master and the judge in chambers, it is manifest that in those circumstances the onus lay heavily upon the defendant to show that such a further examination was needed. But he produced nothing in the way of medical evidence to show why another doctor or expert was required. He did nothing but produce correspondence.
For my part, I am by no means prepared to say that either the master or Talbot J was wrong on the material laid before them. Now, however, we have had further discussion of the case, the fact that some medical evidence should have been put before the master or the judge - and preferably, to my mind, the reports of Dr Carroll - has been ventilated, and it has become plain that in future cases of this particular type (if these should ever recur) such medical evidence should be produced: no room should be left for a plaintiff to wonder whether the application is really due to the reports of a defendant's medical expert being favourable to the plaintiff.
70 Sachs LJ's comments must, however, be understood in the context of the circumstances to which his Lordship was referring in the first paragraph. They were circumstances where the defendant had delayed in requiring the plaintiff to be examined by a psychiatrist, after the plaintiff had already submitted to two examinations by another doctor nominated by the defendant. And the defendants had in correspondence given no reason why the plaintiff 'should be further disturbed' (see 334D). As the last lines of the quote show, there was cause for concern over whether the real reason for the requirement for another examination was that the first doctor's opinion was not favourable to the defendant (see also at Roskill LJ at 335G). Hence Sachs LJ's comments were confined to 'future cases of this particular type (if these should ever recur)'. In any event, the Court of Appeal did not require such evidence and made the order on the basis of statements from the bar table (see 334G).
71 I do not consider that Lane v Willis is authority for the proposition that a party seeking a stay for refusal to submit to a medical examination can only succeed if it adduces medical evidence that the examination is necessary. It must appear from the reasons advanced by the applicant for a stay, and from the nature of the issues in the proceeding, that it will be unjust if the trial proceeds, in circumstances where a party wishing to adduce evidence on an issue has not been able to do so. If so, then the power to order a stay will arise. There is no need in every case for those reasons to be supported by expert evidence.
72 I am persuaded on the particular facts of this case that it is appropriate to order a stay. In large part the reasons are apparent from the discussion above. Mr Hastwell's psychiatric condition, and the causes of that condition, are central to the remedies he seeks. He has accepted as much. Once that is accepted, it is clear that the trial will not be a fair one if Mr Hastwell is able to adduce medical evidence about those issues, and Kott Gunning are not.
73 In addition, what is known about Dr Parmegiani's report gives Kott Gunning a proper basis to seek psychiatric evidence which may go to Mr Hastwell's credibility. It is necessary for there to be a fair trial for Kott Gunning to have the opportunity to seek to adduce expert evidence that is truly probative, in the sense that it could substantially affect the court's assessment of Mr Hastwell's credibility. The discretion of the court under s 108C(1)(c) to withhold leave to adduce such evidence ensures that the opportunity cannot be abused.
74 Finally, there is nothing unreasonable about Kott Gunning's choice of Dr Mander, or the arrangements for the examination which they have proposed.