[2026] WASAT 5
General information, not legal advice.
State Administrative Tribunal (WA)
2026-01-15
Ms J
Original judgment source is linked above.
(a) the Practitioner poses a serious risk to persons; and
(b) if the Practitioner does pose a serious risk to persons, whether it is necessary to take immediate action against the Practitioner to protect public health or safety, and if so, whether that immediate action should be in the form of:
(a) suspension of the Practitioner's registration; or
(b) the imposition of conditions on the Practitioner's registration, and if so, what conditions should be imposed.
(a) the Practitioner's practice being made up of approximately 50% female patients and 50% male patients;
(b) the fact that the Magistrates Court trial is listed for two days on 16 and 17 February 2026;
(1) A National Board may take immediate action in relation to a registered health practitioner or student registered in a health profession for which the Board is established if:
(i) because of the registered health practitioner's health, conduct or performance, the practitioner poses a serious risk to persons; and
(ii) it is necessary to take immediate action to protect public health or safety; or
(e) the National Board reasonably believes the action is otherwise in the public interest.
Example of when action may be taken in the public interest -
A registered health practitioner is charged with a serious criminal offence, unrelated to the practitioner's practice, for which immediate action is required to be taken to maintain public confidence in the provision of services by health practitioner.
... In my view, a reasonable belief may be held that a practitioner poses a serious risk to persons if, based upon evidence of past conduct, there is a real possibility that the practitioner will engage in conduct which could be harmful to persons. If the possibility of engaging in the conduct was so remote as to be fanciful, or the possible harm trivial, then I would not think that a belief could reasonably be held that the practitioner posed a serious risk to persons.
[P]arliament plainly contemplated that an allegation that a health practitioner has committed a serious crime, albeit one that lacks an obvious connection to clinical practice, may, depending on the circumstances, warrant immediate action against the practitioner. Immediate action may be warranted having regard to various public interest considerations, including the protection of the public, or maintenance of public confidence in the medical profession. Other public interest considerations may also be relevant.
(a) the maintenance of a regulatory system which responds in a fair and proportionate manner when allegations are made;
(b) the ability of members of health professions, in whom training and expenditure have been made, to practise;
(c) 'area of need' professionals being able to practise;
(d) proportionality, particularly where a matter is unlikely to finalise quickly; and
(e) ensuring immediate action is only taken when it is necessary to do so.[25]
Ultimately, the question is whether or not the Board reasonably believes, in circumstances where none of the other sub-paragraphs of s 156(1) apply, that it is necessary in the public interest to take immediate action. The meaning of public interest is informed by the example. It is necessary for the Tribunal to proceed on the basis that public confidence in the provision of services by health professionals is an aspect of the public interest. However, the Tribunal does not need to apply the example as if it were a statutory test. Specifically, the Tribunal was not required to analyse the issue of whether public confidence would be maintained, as opposed to whether, and to what extent, public confidence would be impacted and whether the extent of any such impact would require, in the public interest, that immediate action be taken.
(1) The main guiding principle of the national registration and accreditation scheme is that the following are paramount -
(b) public confidence in the safety of services provided by registered health practitioners and students.
(2) The other guiding principles of the national registration and accreditation scheme are as follows -
(a) the scheme is to operate in a transparent, accountable, efficient, effective and fair way;
(aa) the scheme is to ensure the development of a culturally safe and respectful health workforce that -
(i) is responsive to Aboriginal and Torres Strait Islander Peoples and their health; and
(ii) contributes to the elimination of racism in the provision of health services:
Example -
Codes and guidelines developed and approved by National Boards under section 39 may provide guidance to health practitioners about the provision of culturally safe and respectful health care.
(b) fees required to be paid under the scheme are to be reasonable having regard to the efficient and effective operation of the scheme;
(c) restrictions on the practice of a health profession are to be imposed under the scheme only if it is necessary to ensure health services are provided safely consistent with best practice principles.
[a]s a matter of construction, that view has much to commend it. The breadth of the main guiding principle, as a whole, and the variety of contexts in which it applies, are such that public confidence in the safety of health services provided by the medical profession as a whole, in our view, clearly forms part of that guiding principle. Indeed, while it is not necessary to decide in this case, we would be inclined to the view that public confidence in the medical profession generally is an aspect of the 'protection of the public' in s 3A(1)(a).
In our view, the adverse effects of the delay on the Practitioner if he is suspended are relevant under s 156(1)(e) in considering whether the proposed immediate action is a fair and proportionate response, which is a public interest consideration. Under either s 156(1)(a) or s 156(1)(e) it is necessary to carefully consider whether the immediate action taken is the minimum necessary action to address the identified risks. However, in either case, the fact that there will be an adverse impact on the Practitioner cannot result in us determining not to impose suspension if we reasonably believe suspension is the required response.
Section 156(1)(a) - reasonable belief that the practitioner poses a serious risk to persons and that it is necessary to take immediate action to protect public health and safety
Section 156(1)(e) - otherwise in the public interest
... a broad precept (or norm) expected to be applied in a variety of differing circumstances and contexts. While there will no doubt be many different facets or aspects of the main guiding principle, it should not be approached as a collection of compartmentalised separate components, as if it were a checklist, or less still, an algorithm or calculus to be applied with mathematical precision.
The purpose of that immediate action was to put measures in place to protect against, or ameliorate, the risk of harm pending a final determination. In those circumstances it was inevitable that the Tribunal would focus on the risk and safety associated with the particular practitioner.
will not be unduly concerned about the safety of services provided by the Practitioner, or by medical practitioners more generally. Indeed, we find that a properly informed public should feel confident that the profession is being regulated in a way that, so far as possible, ensures that the Practitioner does not pose a risk to them in his provision of health services and that they can be confident in the safety of health services provided by medical practitioners generally.
I certify that the preceding paragraph(s) comprise the reasons for decision of the State Administrative Tribunal.
[1] A right of appeal to the appropriate responsible tribunal is provided by s 199(1)(h) and s 199(2)(a)(i) of the National Law. By s 19 of the Health Practitioner Regulation National Law Application Act 2024 (WA) (Application Act) the State Administrative Tribunal (Tribunal) is the responsible tribunal in Western Australia. A reference to an appeal in s 199(1) of the National Law is a reference to a review of the decision under the State Administrative Tribunal Act 2004 (WA) (SAT Act) Pt 3 Div 3: s 36 of the Application Act.
[3] Thekkekara and Nursing and Midwifery Board of Australia [2020] WASAT 160 (Thekkekara) at [32].
[4] Gerstman v Medical Board of Australia [2020] VCAT 1367 at [74]; Syme v Medical Board of Australia [2016] VCAT 2150 (Syme) at [114].
[5] GLP and Medical Board of Australia [2024] WASAT 89 at [19] citing Syme at [22] and Medical Board of Australia v Leow [2019] VSC 532 (Leow) at [78].
[6] Pursuant to s 159(2)(a) of the National Law.
[7] In the case of suspension under s 159(2)(b) of the National Law.
[8] In the case of conditions under s 159(2)(b) of the National Law.
[9] GLP and Medical Board of Australia at [20].
[10] Section 205 of the National Law, Bernadt v Medical Board of Australia [2013] WASCA 259 (Bernadt) at [298] (Murphy JA).
[11] Bernadt at [171] (Newnes JA).
[12] Medical Board of Australia v Adams [2023] WASCA 41 at [93].
[13] GLP and Medical Board of Australia at [23] - [37].
[14] GLP and Medical Board of Australia at [27] - [28].
[15] GLP and Medical Board of Australia at [27], quoting Webb v Tang [2023] WASCA 119 at [95] (Buss P and Vaughan JA).
[16] GLP and Medical Board at [29].
[17] GLP and Medical Board at [20].
[18] Oglesby v Nursing and Midwifery Board of Australia [2014] QCAT 701 at [20].
[19] WD v Medical Board of Australia [2013] QCAT 614 at [8].
[20] WD v Medical Board of Australia at [8].
[21] Lee and Medical Board of Australia [2022] WASAT 28 (Lee) at [30].
[24] Farshchi v Chinese Medical Board of Australia [2018] VCAT 1617 (Farshchi).
[26] GLP and Medical Board of Australia at [37].
[28] On the commencement of the Application Act.
[29] Medical Board of Australia v GLP [2025] WASCA 87 at [58].
[30] WD v Medical Board of Australia at [8].
[32] GLP and Medical Board of Australia at [136].
[33] We note that he provides no basis for that concern.
[36] Medical Board of Australia v GLP at [53].
[37] Medical Board of Australia v GLP at [63].
[38] Medical Board of Australia v GLP at [63].
[39] Medical Board of Australia v GLP at [55].
Bernadt v Medical Board of Australia [2013] WASCA 259
Farshchi v Chinese Medical Board of Australia [2018] VCAT 1617
Gerstman v Medical Board of Australia [2020] VCAT 1367
GLP and Medical Board of Australia [2024] WASAT 89
Lee and Medical Board of Australia [2022] WASAT 28
Medical Board of Australia v Adams [2023] WASCA 41
Medical Board of Australia v GLP [2025] WASCA 87
Medical Board of Australia v Leow [2019] VSC 532
Oglesby v Nursing and Midwifery Board of Australia [2014] QCAT 701
Syme v Medical Board of Australia [2016] VCAT 2150
Thekkekara and Nursing and Midwifery Board of Australia [2020] WASAT 160
WD v Medical Board of Australia [2013] QCAT 614
Webb v Tang [2023] WASCA 119