Factual Background
9 Although his Honour's findings on a number of issues were not clear, the appeal proceeded on the basis of the following facts.
10 The appellant was born on 9 August 1961. He was the second oldest of five siblings. The family had strong connections to the medical profession. His father was a general practitioner and his mother was a registered nurse. His paternal grandfather, his uncle and his brother, Duncan, were medical practitioners. His cousin, Angus, was a medical practitioner although at the time of trial was not entitled to practise.
11 The appellant had a normal and happy childhood with loving and caring parents. He completed his secondary schooling at the Sydney Church of England Grammar School in 1979. His mark was insufficient to enable him to enrol in a faculty of medicine in Australia so he obtained admission to the College of Surgeons in Dublin. He graduated from that institution in June 1986. His accommodation and tuition costs were met by his parents.
12 After graduation he returned to Australia and worked as a medical practitioner in various locations, including Townsville and Royal North Shore Hospital. In May 1988 while at Royal North Shore Hospital he became registered as a medical practitioner in NSW and has remained registered ever since although at the time of trial he was not entitled to practise.
13 He thereafter worked as a medical officer at Ryde Women's Hospital, Mona Vale District Hospital and Hastings District Hospital. Between 1990 and 1994 he successfully completed a training course conducted by the Royal Australian College of General Practitioners. As part of that course he worked at medical practices in the metropolitan area of Sydney and in several country towns.
14 He met his wife, Nantia, in 1988 and they were married on 26 November 1989 when he was 28 and she was 25. They have two children aged 3 and 6.
15 By January 1993 the appellant had developed an interest in occupational health. He was employed as a medical officer with Mount Isa Mines Limited at Mount Isa. In September 1993 while he was still working at Mount Isa, his wife was diagnosed with breast cancer. Because of the limited medical services available there, he and his wife returned to Sydney. The appellant's reaction to his wife's illness was quite severe. On 24 December 1993 Dr Gertler, a psychiatrist, diagnosed the appellant as suffering from a "depressive [condition] reactive to wife's illness" and certified him as totally disabled from 20 September 1993 until 20 March 1994.
16 His wife's treatment was successful and there has been no recurrence of the cancer. In August 1994 the appellant commenced employment with the Illawarra Occupational Health Service. That was a privately owned organisation, which conducted clinical and rehabilitation services. It employed three medical practitioners. The appellant performed his duties appropriately while in this employment. During this time the appellant was undertaking a graduate diploma in health services management and had commenced a course with Monash University for a Graduate Diploma in Family Medicine.
17 In May 1995 the appellant applied for an advertised position with the first respondent for a doctor in its Health and Occupational Safety Department at Port Kembla. The appellant was successful in this application and commenced employment with the first respondent in June 1995. His immediate superior was Dr Darling who in turn reported to a Mr Harmon.
18 The appellant and Dr Darling appear to have worked reasonably well together during 1995. From the end of 1995 their relationship deteriorated. In view of his Honour's finding as to the unreliability of the appellant's evidence (Red 352 [68] and [69]), the parties accepted the description of the relationship given by Dr Darling and by Mr Harmon.
19 The genesis of the breakdown in the relationship between the two men appears to have been a difference in their approach to the job. Doctor Darling wished the rehabilitation process to be completed as soon as possible so that injured employees could return to work. The appellant's focus was directed more towards their treatment, rather than their return to work.
20 There also seems to have been a significant difference in the personalities of the two men. Doctor Darling came across as having a strong and forceful personality. The appellant, on the other hand, was described by Mr Harmon as "a very academic, intelligent, caring sort of character and at the same time very inexperienced and naive" (Red 392Q).
21 In early 1996 Dr Darling was concerned that return to work outcomes were not being achieved quickly enough in relation to employees treated by the appellant. He thought that the appellant was spending excessive time treating individual patients when such treatment was not consistent with their injuries and did not assist with getting those employees back to work. The first respondent's line managers were complaining to him about the appellant.
22 At that time the appellant was complaining to Dr Darling that he had an excessive workload. This seems to have been due to the time which the appellant spent with individual employees rather than because the numbers of cases allocated to him was excessive.
23 Doctor Darling described some of his difficulties with the appellant in the following terms:
"A. It was that and I - about early 1996, I - you know, I started to observe some behaviours where we started to get circuitous arguments, we started to - I started to sort of get the - or I started to make an observation, make observations, that Angus wanted to be trained in something this week and then something else two or three weeks after. He would read an article and want me to send him off for training in a variety of things. So I started - we started - I started at that stage to make some observations that we weren't getting a clear focus on getting outcomes. We were starting to sort of see problems become bigger and bigger and more and more issues brought into the concept of treatment." (Red 425Q)"
24 Because of these difficulties, by about April 1996 tension had developed between the appellant and Dr Darling. In order to assist the appellant in performing his work, in May or June 1996 Dr Darling set up a support team comprising a psychologist, Mr Harvey, a rehabilitation co-ordinator, Ms Delaney and a nurse, Ms Ford. The objective of this support team was to assist the appellant in managing his workload.
25 By August 1996 Dr Darling had become so concerned with the appellant's work performance that he discussed with Mr Harmon the possibility of removing him from his role of treating patients. It was at this time that Dr Darling observed some changes in the appellant's behaviour. There were the circuitous arguments, to which reference has already been made. These included discussions where the appellant perceived an ethical conflict between being an employee of the company and trying to provide appropriate treatment for employees. On occasions the appellant would start to develop a range of systems for how the medical centre should work but then would want to change those systems a week or two later. This led to the creation of a large number of draft pro forma documents, none of which was used. There were increasing verbal confrontations between the two men.
26 Doctor Darling detected some rapidity of speech on the part of the appellant. He noticed that the appellant's affect would vary between being very quiet and being very argumentative. The appellant continued to complain to Dr Darling about being over worked. Doctor Darling discussed the problems which he was having with the appellant with the psychologist Mr Harvey.
27 At the time of the trial both Mr Harvey and Dr Darling continued to be employees of the first respondent. Doctor Darling gave evidence but Mr Harvey did not.
28 By September 1996 the appellant was not satisfactorily performing his duties for the first respondent. Doctor Darling was frustrated by his refusal or inability to meet what he regarded as the reasonable requirements of the job. In that regard his Honour found that while the appellant's workload was reasonable, he genuinely believed that it was unduly onerous.
29 In August 1996 Dr Darling invited the appellant to attend a leadership course at Kilmore in Victoria. This was a leadership course for employees of the first respondent. The course was to last eight days commencing on the evening of Thursday 26 September and concluding on the afternoon of Friday 4 October 1996. The appellant made some inquiries about the course and was told by Mr Harvey that being selected for the course indicated that he was highly regarded by the first respondent. The appellant said that everything he heard about the course was positive.
30 In the three to four months before the commencement of the leadership course the appellant had been taking Duromine - one tablet per day - as an appetite suppressant. He ceased taking it while on the course. While Duromine can have side effects producing agitation and nervousness, his Honour was not prepared to conclude that it had any effect on the appellant's performance while participating in the course.
31 The appellant received letters and documents relating to the course from the first respondent. He completed a personal particulars form and returned it to Dr Darling's office. That form invited him to indicate any particular concerns or issues which he wished to raise before the commencement of the course. On that form the appellant stated that he did not want any discussion about his wife's illness and that he was "going from a dominant submissive position with my boss, Chris Darling, to a dominant assertive position".
32 The appellant travelled to Melbourne three days before the commencement of the course to meet other doctors working for the first respondent in occupational health and safety. Two of those doctors gave evidence to the effect that he appeared normal, behaved appropriately and actively participated in social activities at that time.
33 While the appellant was in Melbourne, about two days before the course was due to commence, he received a telephone call from Mr Tim Dalmau. Mr Dalmau was a psychologist who had designed the leadership course and had the title of Senior Process Consultant in the course documentation. He was not an employee of the first respondent. The plaintiff's evidence in chief as to this conversation was as follows:
"Q. Did he tell you why he was ringing you?
A. Yes. He said he was having a hard time finding me and he was ringing me concerning the letter that I'd filled in - the page that I'd filled in - and he went on to ask me a couple of questions.
Q. What did he ask you?
A. He said "I see you've written about not wanting to discuss breast cancer in the course" and I said "No I don't want to discuss it on the course" and he said "How is your wife now?" and I said "She's fine, no problems".
Q. Was there anything else that was raised with you by him?
A. Yes he said that "I see you've written your going from a dominant submissive to a dominant assertive position with your boss. That must be really hard" and I said "It wasn't that difficult". I, you know, I'm forgetting. I'm just having a loss of memory. I remember I haven't forgotten totally but I have just forgotten for the moment the rest.
Q. Do you recall anything other than that being said to you by Mr Dalmau?
A. No." (Red 440-[250])
34 Under cross-examination as to the telephone conversation with Mr Dalmau, the appellant gave this evidence:
"Q. Did he ask you about your work situation?
A. Yes.
Q. Did you tell him that Dr Darling always previously asked you about your wife's cancer?
A. No.
Q. Even though that was the reason - one of the reasons - why you didn't want this topic raised - because of Dr Darling's behaviour, and you knew Dr Darling was going to be on the course. You made no effort to tell Dalmau that the reason why you didn't want this topic raised - at least one of the reasons why you didn't want it raised - was because Dr Darling had caused a lot of stress to you by raising it previously?
A. He caused me irritation.
Q. But you never told Mr Dalmau that at all did you?
A. You would have to read out. I said to him.
Q. You didn't tell him anything about .
A. I said we were having a situation.
Q. You never said to Mr Dalmau that Dr Darling had made mention of your wife's breast cancer previously?
A. True.
Q. Because it never happened?
A. It happened. Ask my wife.
Q. Other than out of a concern for her?
A. I don't think so.
Q. Were you already confused when you were speaking to Mr Dalmau as to what was reality and what was not?
A. I don't think so.
Q. You possibly were?
A. No I may have been having some beers at the time.
Q. Beers?
A. I went out to a party with the three doctors from BHP and we had dinner and some drinks and I'm not sure if that was the last day, the first day or the second day.
Q. Where did the call with Dalmau occur?
A. In my hotel room.
Q. So you think you might have been affected by alcohol?
A. No not necessarily no.
Q. In any event did you tell Mr Dalmau that you were redefining the relationship with your boss right?
A. Yes.
Q. And did you tell him that he is unhappy about it, that is Dr Darling is unhappy about it?
A. Yes.
Q. Did you tell Mr Dalmau that "if Chris Darling doesn't like it, he will have to lump it"?
A. True." (Red 441 [251])
35 At the time of this conversation with the appellant Mr Dalmau was in the United States. Following the conversation, he sent an email to Ms Colleen Durant, a senior employee in the Human Resources Division of the first respondent, who was the Senior Course Director of the leadership course. The email was in the following terms:
"Hi Colleen,
I tried to call you today but no luck. Hope you got the message.
I spoke today with this person who is scheduled for the next SLC starting in a couple of days. I am concerned about him going into the program.
Without going into too many details he has a very sick wife and seems under some quite severe work stress. I advised him to think carefully about going on the program and suggested he might think of deferring. I "offered" him the opportunity of possibly doing it at a later stage when things might be more settled in his life. Hope this is OK.
He seems determined to go on the program and says he is looking forward to sorting some things out with his boss.
Not sure what to do more than this. These things are BHP's call and if you want to talk some more please get in touch. Should be contactable on my mobile tomorrow.
Regards Tim." (Red 442 [252])
36 That email came into the possession of the appellant's legal advisers approximately four days before the commencement of the trial. It was accompanied by a letter dated 18 May 2006 from the solicitors for the first respondent. Relevantly the covering letter said:
"We enclose copy of an email forwarded by Tim Dalmau to Colleen Durant dated 25 September 1996 at 9.25pm. This document was provided to us in recent days by Mr Dalmau and we consider arguably comes within the scope of the previous subpoena issued upon our client. Accordingly we provide a copy of the email to you." (Blue 001.00306)
37 At the time of trial Ms Durant was no longer an employee of the first respondent. She was in the United States. She did not give evidence. There was no evidence that she or anyone else on behalf of the first respondent did anything in response to the email from Mr Dalmau. There was no issue that the email had been received by Ms Durant. Doctor Darling and Mr Harmon gave evidence that Ms Durant did not contact them about the appellant in the days leading up to the commencement of the leadership course. Mr Dalmau did not give evidence.
38 Included in the documents sent to participants in the leadership course was a document under the BHP logo headed:
" Caretaking Procedures for Steel Leadership Program ".
That document, which was referred to in submissions as the caretaking protocol, relevantly provided:
" Introduction
The purpose of these procedures and mechanisms is to provide the maximum active care and protection to participants before, during and after their participation in the Course.
The program has outcomes at a number of levels: intrapersonal, interpersonal, team and organisation. It is an arduous and very satisfying program. During the course participants can expect to be given the opportunity to explore and confront unresolved issues in all of these levels. In so doing they are likely to feel uncomfortable at times as they face up to questions, issues, feelings, beliefs and attitudes they may have which they discover are either inappropriate or ineffective.
The caretaking system is designed to identify in advance (as much as this can be done) people for whom the program may be inappropriate at this stage in their lives. It is designed to provide the highest possible level of active care to each individual participant during the course and, finally, it aims to provide post-course follow up and checking.
Pre-Course
1) Prior to the course commencing each participant is asked to complete a Personal Details form.
2) Participants send this information to Ruth Berghan via fax or snail-mail.
…
5) With any program, if there is some information from their Personal Details Form which Ruth decides is a possible indicator of problems she first notifies Tim Dalmau as Senior Process Consultant alone in order to keep and protect to the maximum confidentiality guarantees.
6) If the person in his judgment needs follow up then either the Senior Course Director (Colleen Durant) of a particular program or the Program Executive (Bob Shaw) would be told about the person if Tim deems the information poses a problem of some sort or another, either to be clarified or resolved.
7) Much of what she brings to Tim's attention he deems to not require follow up.
8) The Program Administrator for the Steel Leadership programs (Tanya Brown) may come across information (either formally or informally) or may notice something unusual in her contacts with participants prior to a given program.
9) She brings this to the attention of the Senior Course Director and the Senior Process Consultant who discuss it together and make a decision about whether it requires follow-up.
10) The Senior Course Director or Senior Process Consultant then contacts the person about the problem.
11) Whether or not it is the Senior Course Director depends on the nature of the possible problem identified. If it is a career, company or role related problem (eg too much recent travel) then the Senior Course Director would do it. If there are indications of deeper or more personal issues then the Senior Process Consultant usually contacts the person.
12) If the telephone call to the individual throws up any severe question about their suitability for the program then Tim contacts the Senior Course Director and Program Executive for guidance and follow-up.
…
16) The venue is required to supply the Course Director with 24-hour contact details for medical, dental, psychiatric, physiotherapeutic and chiropractic resources close by. In recent times it has become important to make sure the contact information covers full 24-hour access.
…
During Course
18) …
22) The Course Director as part of his/her role checks on the emotional and health conditions of participants outside formal sessions.
…
25) If there are indications from any source that an individual participant may be suffering unnecessary stress or confusion then one of the staff are designated to approach the person concerned and check them out. More often than not this falls to the Course Director, unless symptoms indicate otherwise.
26) Each participant is teamed up from day one with a walk-talk partner with whom they are required to debrief each day in the evening.
27) The walk-talks are told they have an extra responsibility to look out for their partner and bring to the attention of the staff any concerns they may have.
28) The aim with these system elements is to monitor each person and intervene early if there are signs the person may need some help.
29) If an individual participant displays any unusual or bizarre behaviour (eg hallucinations, verbal confusion, leaving venue at unscheduled times, failure to attend sessions, sleep deprivation, dramatic eating pattern changes, etc) then the staff immediately interview that person and make an assessment of their suitability to continue on the course.
…
40) If it is the judgment of the staff that the person's continued presence in the program represents a risk either to themselves or to other participants then they will bring this to the attention of the participant concerned and suggest they might consider the option of withdrawing from the program.
41) If the person leaves the program and returns home or to some form of institutional care then the person should be accompanied by either staff persons or fellow participants as appropriate. There should be at least two such companions for the person concerned.
…
45) Any Process Consultant or any Course Director who actually leaves the program for the care of an individual under stress or another form of emergency or on short notice is reminded by their colleagues that they should go through some process to reassimilate themselves to the external world also.
Post-Course
46) …
51) If there is indication of a person in stress or confusion then the Course Director and Process Consultant will determine together the best method of providing support."
39 The participants in the course travelled from Melbourne to the conference centre by bus. Twenty-six men and women were participating of whom a number were employed in the Port Kembla Occupational Health and Safety Unit of the first respondent. These included Dr Darling, Mr Harvey, Ms Delaney, Ms Cooper, Mr Keyte, Ms Ford, Mr Hammond and Mr Harmon. The conference centre was located in an isolated rural area. There were rooms for the course sessions, a communal dining room, recreational rooms and residential accommodation. The business sessions of the course were held from 8am until 5pm or later. The first respondent had conducted or sponsored seventeen such courses previously.
40 The Course Director was Mr Phil Boas, a registered psychologist. He had previous experience with leadership courses of this kind. He provided his services through Draft One. He was assisted by Ms McKenzie, a registered psychiatric nurse. She provided her services through McKenzie. The final member of the course directing staff was Ms Shand. She was an employee of the first respondent and at that time was undertaking a course in psychology. None of these persons gave evidence.
41 Relations between the appellant and Dr Darling were still strained when the course commenced. On the bus taking the participants to the course venue, Dr Darling observed that the appellant was pale and agitated. Doctor Darling gave evidence of a conversation which he had with Mr Boas on the first evening of the course:
"I said 'I have been told that Angus was abused as a child and that Angus sees me as the father figure and I think you should be aware of this' and Mr Boas' response was along the lines 'Well, anybody with half a brain could see he has got some problems, so thank you'". (Black 5108.6)