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[2004] VSCA 148
Court of Appeal (Vic)
2004-08-27
CHERNOV and NETTLE, JJ.A. and HANSEN, A.J.A.
Original judgment source is linked above.
[ 2004] VSCA 148
Judicial review - Medical practitioner - Complaint to Medical Board of Victoria in 1996 - Finding of no unprofessional conduct - Minute of Board decision and letters from Board to practitioner and complainant describe language of medical practitioner as intemperate, and the letters advise against use of such language - Judicial review application commenced in 2002 - To set aside "decision" as to intemperate language - Whether power to make "decision" - Whether denial of natural justice - Extension of time to permit bringing of application - Whether "special circumstances" - Supreme Court (General and Civil Procedure) Rules 1996 O.56.
Practice and procedure - Interlocutory order - Appeal from - Application for leave to appeal - Supreme Court Act 1986, s.17A(4)(b) - Discretionary judgment.
criticism. The second was that his complaint against the Board's conduct is likely to have ramifications for other medical practitioners. In my view, neither matter constitutes a "special circumstance". Given the lateness of the application and having regard to what I have said about the applicant's prospects of success in any claim against the Board based on breach of natural justice, on no view can the first matter be regarded as a "special circumstance". A like conclusion must apply in relation to the second matter put forward by Mr Mann as a "special circumstance". Even if it were relevant to consider for this purpose whether the resolution of Mr Mann's proposed claim against the Board is likely to have an impact on its conduct towards doctors generally in respect of disciplinary complaints, there is no acceptable evidence before us to support that contention.
overturn the Board's decision not to proceed against him. His point is and always has been that the Board had no power to criticise him. The question is not whether the criticism was part of the decision, but whether the criticism was beyond power.
"Those authorities which include Ex parte Frankel [1914] VicLawRp 92; [1914] VLR 635 and Reg v Aston University Senate [1969] 2 QB 538 serve as a useful reminder that this Court should not automatically quash or set aside a decision upon finding that it has been vitiated by error of law. It is also necessary to have regard to the conduct of the applicant for review including any delay in bringing the proceedings or acquiescence in the decision maker's error. As well it may be appropriate to examine whether, on further consideration, the decision maker could reasonably come to some other decision more favourable the applicant for review."
"...it is not in all circumstances that a breach of natural justice will give rise to prerogative redress. The remedies are discretionary and a very important factor is the likelihood that the ultimate decision would have been any different, if the right of audience had been extended...It is in this context that the history of the affair after the initial decision is of relevance, but it is difficult to evaluate. In the course of the argument Mr Moncaster was asked whether there was any further information which Mr Partridge wished to place before the court, but, after taking instructions, Mr Moncaster said that there was none. ...it is impossible to project subsequent attitudes backwards in point of time and determine what the examiners would have done if they had heard the students" allegations, before making a decision. In this situation I regard the time factor as decisive. The prerogative remedies are exceptional in their nature and should not be made available to those who sleep on their rights."[14]
"As regards publication in Victoria, the judge found that the words complained of were in substance true. His Honour declined to consider the law of New South Wales. I see no reason to differ from the finding of fact about truth. I have not thus far set out any of the words used by the plaintiff in his correspondence with Mr Bailey which might be regarded as intemperate. I now give some examples:
* "brazen audacity"; * "you have only been admitted in 1987, and I shall have to forgive your relative youth"; * "rather than blustering along ..."; * "your inexperience and gullibility"; * the lay client had "fallen into the hands of a conveyancer to run a malpractice case" instead of being "looked after by those who know what they are doing"; * "the violent defamation which you have published"; * your correspondence is "pathetic"; * "does this constitute fraud, in an attempt to save you money personally, ...? And should I now not report you to the Law Society?"; * "please do not tediously claim legal professional privilege. I do have a copy of S. Nichol's work on the subject. She knows more about it than you do"; * "your actions ... Are totally dishonourable"; * "may I ask whether you are under medical care?"; * "your fusillade of invective"; * "I suggest again that you stick to conveyancing and get some legal advice".
"The matter was expressly argued before [him] as raising issues going to power and not raising issues going to procedural fairness."[16]
It was submitted that it should have been plain to his Honour from Mr Mann's affidavit of 11 April 2002 that the substance of the complaint was that:
"16. Adverse finding and determinations can only be made by the defendant after a formal or informal hearing has taken place. As it is acknowledged by the defendant that no formal or informal hearing took place, the decisions made are invalid in law. 17. The defendant cannot deny natural justice to any medical practitioner during disciplinary proceedings by denying them a hearing conducted in accordance with the procedures set out in the Act. 18. Because no hearing was conducted, I was denied natural justice."
commence a proceeding for judicial review under Order 56. The substantive claim which he wishes to bring is that a decision of the Medical Board of Victoria made on 3 October 1996 be set aside. The decision was made on a complaint by a Sydney solicitor, Mr Paul Bailey of the firm Rockliffs, which arose out of a dispute as to the fee payable to Mr Mann who, at Mr Bailey's request, had agreed to give expert medical evidence in a case in Sydney. The case was settled before trial in April 1996. Mr Mann says that Mr Bailey refused to pay his fee and that what he described as a robust exchange of letters ensued. On 5 June 1996 Mr Bailey wrote to the Board complaining about Mr Mann's conduct. The Board decided that there was no unprofessional conduct. That decision is recorded in a minute which also referred to language of Mr Mann as "intemperate", but which language did not constitute unprofessional conduct. The Board sent letters advising the decision to Mr Mann and Mr Bailey; in the former advising him against the use of such language in professional correspondence, and in the latter stating that Mr Mann had been so advised. Mr Mann seeks to have set aside the "decision" as to intemperate language that is stated in the letters. More particularly, he complains of the letter sent to Mr Bailey.
" ... the true principle in limiting the manner in which appellate jurisdiction is exercised in respect of decisions involving discretionary judgment is that there is a strong presumption in favour of the correctness of the decision appealed from, and that that decision should therefore be affirmed unless the court of appeal is satisfied that it is clearly wrong. A degree of satisfaction sufficient to overcome the strength of the presumption may exist where there has been an error which consists in acting upon a wrong principle, or giving weight to extraneous or irrelevant matters, or failing to give weight or sufficient weight to relevant considerations, or making a mistake as to the facts. Again, the nature of the error may not be discoverable, but even so it is sufficient that the result is so unreasonable or plainly unjust that the appellate court may infer that there has been a failure properly to exercise the discretion which the law reposes in the court of first instance: House v The King."
"(a) professional conduct which is of a lesser standard than that which the public might reasonably expect of a registered medical practitioner; or (b) professional conduct which is of a lesser standard than that which might reasonably be expected of a medical practitioner by her or his peers; or (c) professional misconduct; or (d) infamous conduct in a professional respect;"
"Dr A Mann - The Board considered all the documentation provided by Dr Mann and Mr P Bailey from Rockliffs, Solicitors which related to three alleged incidents of unprofessional conduct by Dr Mann namely: (a) excessive charging for an appearance in Court, (b) approaching the client of Rockliffs' direct seeking payment, and (c) using immoderate language in correspondence with Rockliffs. The Board determined that a letter be sent to Dr Mann advising him that it did not consider that the complaints of excessive charging and directly approaching the client of Rockliffs constituted unprofessional conduct. However the Board did find his language to be intemperate, but that action stopped short of constituting unprofessional conduct. Mr Bailey to be advised of the Board's findings. (A copy of the response is attached)."
"Dear Mr Bailey re: Complaint against Dr A Mann I refer to previous correspondence on the above matter. The Board discussed your complaints at its meeting held on Thursday last, 3 October. The Board believes that you had valid reason to feel aggrieved at the conduct of Dr Mann, particularly in regard to the intemperate language used in various exchanges of correspondence with you. The task for the Board however is to consider whether the various complaints made by you constitute "unprofessional conduct" as defined in the Medical Practice Act 1994 ("the Act"). To the extent considered relevant to your complaints, "unprofessional conduct" is prescribed in Section 3 to mean all or any of the following: "(a) professional conduct which is of a lesser standard than that which the public might reasonably expect of a registered medical practitioner; or (b) professional conduct which is of a lesser standard than that which might reasonably be expected of a medical practitioner by her or his peers; or (c) professional misconduct". As you will note, the Act is a relatively new Act, and there is little case law authority on the legal meaning of the above definition. However there seems to be a gradation in gravity as between paragraphs (a) to (c), with (a) being the least serious, and (c) the most serious. Dealing first with (c), the Board accepts the findings of the Courts that professional misconduct essentially means the deliberate departure from accepted standards in carrying out the practice of medicine. None of the complaints made by you impinge on Dr Mann's practice of medicine and therefore the Board's view is that (c) is not relevant. You may be aware that the main thrust of the Act is to be found in Section 1(a) and there it is stated to be the protection of the public. The Board considered that the complaint of excessive charging was essentially a contractual matter, and that the further complaint of Dr Mann approaching your client for payment of his fees, whilst justifiably irritating was at worst in all the circumstances an impudent act on the doctor's part. The Board does not therefore consider that these two grounds of complaint constituted unprofessional conduct under paragraph (a). Furthermore, the Board does not consider that they constituted unprofessional conduct under paragraph (b) for much the same kind of reasons. The Board deliberated for some time as to whether the intemperate language used by Dr Mann in a number of letters to you constituted "unprofessional conduct" under either paragraph (a) or (b). The Board considered that (b) was the more relevant provision, believing that Dr Mann's peers could readily believe that the language used by the doctor in his correspondence with you did nothing for the reputation of the profession. However the Board determined that whilst you had valid grounds for being aggrieved by it, it stops short of amounting to "unprofessional conduct" as defined in S. 3 of the Act. Dr Mann however was advised not to use such language in professional correspondence in the future. The Board thanks you for bringing the various matters to its attention."
"As you are doubtless aware, the main thrust of the Act is the protection of the public (refer Section 1(a)) and the Board's view was that the public interest was not adversely affected by the various grounds of complaint. The Board considered that the complaint of excessive charging was a contractual matter between yourself and Rockliffs and that the complaint of directly approaching the firm's client for payment of your fees, whilst justifiably irritating to Mr Bailey, was at worst an imprudent act on your part. In regard to the latter complaint, the Board considered that there were some mitigating circumstances associated with your behaviour in that you believed that the approach that you made was consistent with your view that the debt was owed by the litigant. Also the Board noted that the language used in the letter of request to the client was nothing other than moderate. An aspect of paragraph (a) which the Board considered at some length was whether the immoderate language used in your correspondence with Rockliffs constituted a lesser standard of conduct than which the public might reasonably expect of a registered medical practitioner. On balance, the Board's view was that the language used by you in some of the correspondence was of a kind where Mr Bailey had valid reason to feel aggrieved but that it did not amount to unprofessional conduct under paragraph (a). The Board considers that your description of the language as "robust comment" is certainly not apt. By a similar line of reasoning, the Board did not consider that the complaints of excessive charging and directly approaching the firm's client constituted "unprofessional conduct" under paragraph (b). Again however, the Board deliberated for some time as to whether your intemperate language as used in various letters to the firm constituted a lesser standard of conduct than that which might reasonably be expected of you by your peers. In all the circumstances, (and here the Board takes account of the tone of the responses made by Rockliffs), the Board finds that your language was intemperate and does nothing for the reputation of the profession. However, the Board finds that it stops short of constituting unprofessional conduct. For reasons that should be apparent to you, the Board advises you to desist from using such language in any professional correspondence in the future. Mr Bailey will be advised of the outcome of his complaint."
(a) that Mr Bailey had cause to feel aggrieved;
(b) that the appellant had:
* used intemperate language;
* acted impudently;
* acted imprudently;
* done nothing for the reputation of the profession;
(c) the Board advised (cautioned in fact) against the use of such language in correspondence with solicitors in the future.
"By investing the board with certain powers and obligations, the Parliament has created the circumstances in which a privileged occasion will, or might, arise; but, as I see it, it does not intend to prescribe the limits or the scope of that occasion. If it were otherwise, the board would be prevented from the proper exercise of its powers and the fulfilment of the duties imposed upon it. The circumstances of this case point up the problem. The Act imposes the duty on the board to investigate complaints made to it by members of the public about the conduct of registered medical practitioners. It invests in the board the power to make a determination either to refer the complaint for "hearing" or not to proceed further with its investigation. The Act does not descend to the detail of directing the board to inform the complainant of its determination "not to proceed", or to prescribing the limits of the information to be provided. Those limits, as I have said, will be prescribed by the nature of the relationship existing between the board and the complainant and the scope of the common interest or duty arising from that relationship. It would, I think, be illogical - and potentially destructive of the relationship - if the board were to be confined to informing the complainant that it had determined not to further investigate his complaint without informing him of its reasons for so concluding."
"The practice in the past, so the material indicates to me, of simply announcing what the decision was and going no further, had been the subject of some criticism and, in my view, justifiable criticism. So the Board adopted a view which was at variance with the previous practice and has in more recent times adopted the course of explaining the reason why it reached its decision. [I interpolate that there was evidence that criticisms by the Ombudsman had led the Board to explain its decisions.] It is my opinion that in doing so the Board is quite clearly exercising the power and authority given to it under the Act and is acting responsibly and in the best interests of the public which it is trying to protect or has the charge of protecting under the Act. It is clearly the duty of the Board to set out the reasons why, in particular, when a complaint has been made and the Board has decided not to take any action about it of disciplinary nature against the medical practitioner concerned, to explain to the complainant and to all those who might have some interest in the subject, why it reached the decision it did. To my reading of the minute and the letters, they are saying no more in the ultimate than: the language which had been employed by Mr Mann, whilst not amounting to professional misconduct, was language which could have been improved upon; it was intemperate - and the Board's words in his action approaching the client was `imprudent' but actually printed and sent was `impudent'. The Board's conclusion that it did not amount to professional misconduct or unprofessional conduct was a conclusion which was justified, in my view, in the circumstances. But it was also justifiable in the circumstances that the Board should note that the exchange between Bailey and Mann deteriorated as time went by, as is demonstrated more clearly by reading the correspondence, than any words of mine can describe. It is there for all to see and that is why I have set it out at such considerable length. It was germane, in my view, to the Board's function that its reasoning path should be explained, particularly to the complainant and particularly, in circumstances where the Board expresses itself, to be able to understand why it was that Mr Bailey became `aggrieved' in the circumstances. Whilst the Board could understand his aggrievement it was germane, in my view, for them to point out that their authority was to impose disciplinary action for unprofessional conduct and the choice of words, whilst regrettable, are not choice of words that they would have recommended, was that Mr Mann's way of expressing himself. It was a way that they did not commend and did not enhance the reputation of its profession. This seems to me to be a wholly acceptable line of conduct on the part of the Board and for that reason and in conformity with the test as set out in the judgment of the President in this case, it was in my view, quite clearly an occasion covered by a qualified privilege."
"I think the judge was right. In my opinion the defence of qualified privilege availed the defendants under both the law of Victoria and that of New South Wales, unless malice was established by the plaintiff. I reject Mr Mann's contention that the Board was not acting in the exercise of its statutory power."
(a) The delay - approaching six years - was excessive and would require a very strong case of countervailing circumstances to justify the grant of leave.
(b) The pursuit of other remedies did not justify the delay. Resort to the Supreme Court appeared to have occurred as a last option.
(c) The ultimate conclusion was not adverse to the applicant. That made the concept of a vitiating error in the Board's conduct very problematic. It also mitigated against the case being special.
(d) The proposition that the Board had exceeded its power was neither correct nor strongly arguable.
(e) The statements of Kirby J were an indication of a form of proceeding and not a concluded view as to the powers of the Board or as to the appropriateness of a future proceeding in this Court.
(f) The Board was under no obligation to give legal advice to the applicant, although the defences in the defamation proceeding might be thought to have pointed directly to the question of the Board's power.
(g) Professed ignorance as to the remedies potentially provided under Order 56 did not constitute special circumstances; see Lawecki v. Marcel Kalfus & Co[31].
"The statute uses the words "special circumstances". Those are wide, comprehensive, and flexible words, and I think that the legislature intended them to be so, and that no Court can or ought to lay down any exhaustive definition of them. Charges which in one case would be special circumstances, in another would not be such. It is for the discretion of the judge to say what are special circumstances in a particular case. I cannot express my meaning better than by adopting the words of Bowen, L.J. in In re Boycott when he said: "Special circumstances, I think, are those which appear to the judge so special and exceptional as to justify taxation. I think no Court has a right to limit the discretion of another Court, though it may lay down principles which are useful as a guide in the exercise of its own discretion. It seems to me to be the true view of the statute, that there must be special circumstances making the payment differ from an ordinary payment, and that the judge thereupon has a discretion as to whether they are sufficient to authorize taxation". That is entirely in accordance with my view, and expresses what I desire to convey."
" ... it is an expression which is liable to be misunderstood unless care is taken to ask and answer the question, special in relation to what? "Special" is one of those words which derive almost all their meaning from the context."
[1] The Medical Practitoners Board of Victoria v Mann [2000] VSCA 89; (2000) 1 VR 609 esp. at p.624 [38], per Winneke P; Arnold Mann v The Medical Practitioners Board of Victoria & Anor [2001] VSCA 51 at [33] and [34] per Brooking, J.A.
[2] The Medical Practitioners Board of Victoria v Mann [2000] VSCA 89; (2000) 1 VR 609.
[3] cf. Marek Kuligowske v Metrobus [2004] HCA 34 at [52].
[4] Annetts v Mc Cann [1990] HCA 57; (1990) 170 CLR 596 at p. 598; Kruger v The Commonwealth [1997] HCA 27; (1997) 190 CLR 1 at p.36.
[5] Mobil Oil Australia v Federal Commissioner of Taxation [1963] HCA 41; (1963) 113 CLR 475 at p.491.
[6] Twist v Randwick Municipal Council [1976] HCA 58; (1976) 136 CLR 106 at p.109.
[7] Commissioner of Police v Tanos [1958] HCA 6; (1958) 98 CLR 383 at p.395; Heatley v Tasmanian Racing and Gaming Commission [1977] HCA 39; (1977) 137 CLR 487 at p. 491.
[8] Re Refugee Tribunal; Ex parte Aala(2000) [2000] HCA 57; 204 C.L.R. 82 at p.121[101], per McHugh J, citing Mahon v Air New Zealand Ltd [1983] UKPC 29; [1984] AC 808 at pp. 820-821.
[9] Ex parte Aala, ibid at pp 91-2 and p.101[41], per Gaudron and Gummow JJ_; XD v Johnson_ [2002] VSC 329; (2002) 6 VR 372 at p. 375[11].
[10] Fitzgerald v Director of Public Prosecutions (1991) 24 NSWLR 45 at p.50; Re McBain; Ex parte Australian Catholic Bishops Conference [2002] HCA 16; (2002) 209 CLR 372 at p.415; Hanna v Patricia O''Shane [2003] NSWSC 1055 at [14] - [18].
[11] Gudgeon v Greg Black, Chief Executive Officer Ministry of Education (1994) 14 WAR 158, BC 9402034 at p.36.
[13] cf. Macksville District Hospital v Mayze (1987) 10 NSWLR 708 at pp.718-9, per Kirby P; Gudgeon v Greg Black, supra at BC 9402034 at p.18.
[14] [1969] 2 QB 538 at p.555 and at p.559, per Lord Parker CJ and at p.560 per Blain J.
[15] Gerlach v Clifton Bricks Pty Ltd ([2002] HCA 22; 2002) 209 CLR 478 at 485[13].
[17] Suttor v Gudowda Pty Ltd [1950] HCA 35; (1950) 81 CLR 418 at p.438; Universtiy of Wollongong v Metwally [No.2] (1985) 59 ALJR 481 at p.483; Coulton v Holcombe [1986] HCA 33; (1986) 162 CLR 1 at p.8; Whisprun Pty Ltd v Dixon [2003] HCA 48; (2003) 77 ALJR 1598 at [51]
[18] See Hall v. Nominal Defendant [1966] HCA 36; (1996) 117 C.L.R. 423; Carr v. Finance Corporation of Australia [No 1] [1981] HCA 20; (1981) 147 C.L.R. 246; In the matter of Luck [2003] HCA 70; (2003) 78 A.L.J.R. 177.
[19] As he did before the Master although he was represented by counsel before the judge.
[21] [1936] HCA 40; (1936) 55 C.LR. 499 at 504-505.
[22] [1953] HCA 25; (1953) 94 C.L.R. 621 at 627.
[23] [1955] HCA 2; (1955) 92 C.L.R. 370 at 378.
[24] The Medical Practitioners Board of Victoria v. Mann [2000] VSCA 89; (2000) 1 V.R. 609.
[25] Arnold Mann v. The Medical Practitioners Board of Victoria [2001] VSCA 51.
[32] [1991] FCA 269; (1991) 29 F.C.R. 576 at 578-579.
[33] (1992) 110 A.L.R. 685 at 691-693.
[34] [1951] 2 K.B. 682 at 688 and 692.
[36] Cf the discussion in Prencipe as to the fit of "extraordinary" or "exceptional" matters in "special circumstances".
Mann
Medical Practitioners Board of Victoria & Anor [2004] VSCA 148
(2000) 1 VR 609
(1990) 170 CLR 596
(1997) 190 CLR 1
(1963) 113 CLR 475
(1976) 136 CLR 106
(1958) 98 CLR 383
(1977) 137 CLR 487
(2002) 6 VR 372
(1991) 24 NSWLR 45
(2002) 209 CLR 372
(1994) 14 WAR 158
(1987) 10 NSWLR 708
(1950) 81 CLR 418
(1985) 59 ALJR 481
(1986) 162 CLR 1
(2003) 77 ALJR 1598