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[2020] SACAT 33
plaintiff. The Tribunal found professional misconduct, reprimanded the respondent, fined him $2,500 payable to the Medical Board, disqualified him from applying for registration as a registered health...
The respondent admitted that he dishonestly claimed tax deductions and created a false letter to support a claim made in his wife's name. The Tribunal found the conduct was serious professional misconduct. It accepted that mental health problems contributed to his decisions, but found they did not change the essential character of the conduct because he knew it was wrong. The Tribunal imposed a reprimand, a $2,500 fine, six months during which he could not apply for practitioner registration, and agreed costs of $2,500. It stressed that the end of the six-month period would not itself mean he could return to practice.
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In Medical Board of Australia v Termanini [2020] SACAT 33, the Medical Board of Australia brought disciplinary proceedings against Sami Muhammad Termanini, a former medical practitioner. The Board alleged professional misconduct, and the respondent admitted that his behaviour constituted professional misconduct. The Tribunal heard the matter on 13 May 2020 and issued its decision on 19 May 2020.
2 cited instruments linked from this judgment.
The conduct arose from two tax-related matters in 2015. First, the respondent gave false information to a tax agent for his own return and electronically declared that the information was true and correct. The return claimed $21,660 for overseas courses and conferences. The Tribunal recorded that this resulted in a dishonest financial advantage of $10,891.34. The respondent pleaded guilty to dishonestly obtaining a Commonwealth benefit by deception in August 2018.
Second, the respondent supplied the information and material used for his wife's tax return, which also claimed $21,660 for courses and conferences. When the Australian Taxation Office requested supporting material, the respondent provided a letter purporting to come from his wife's employer. He had created the letter using the employer's letterhead, and the letter's information was false. It was sent to the ATO by the tax agent. The attempted benefit was $7,972.46. The respondent pleaded guilty to attempting to dishonestly obtain a Commonwealth benefit by deception.
The Magistrates Court convicted him on both counts in April 2019 and imposed a total fine of $14,000, with costs. He made full reparation to the ATO. His employment at the Royal Adelaide Hospital had ended in December 2018. He had not practised since then and surrendered his registration in June 2019. He later returned to Ireland and stated that he did not intend to return to Australia, although he hoped to practise in Ireland.
Mental health evidence was central to mitigation and the Tribunal's consideration of fitness. The evidence described Bipolar II Disorder, post-traumatic stress disorder, generalised anxiety and other compulsive or related disorders. Dr Begg considered that the respondent's mental health condition and antidepressant medication appeared to have increased a sense of entitlement. The Tribunal accepted that these issues may have contributed to his decision-making. However, it also noted the Magistrate's observation that there was no suggestion that the respondent was unable to control his actions or failed to appreciate that what he was doing was wrong. The Tribunal described the conduct as deliberate and occurring over time.
The Tribunal's starting point was the seriousness and character of the offending. Under “Categorisation of Conduct”, it stated that the respondent had committed “two serious offences of dishonesty” and that his conduct fell substantially short of the standard expected of a medical practitioner. It also regarded the conduct as inconsistent with being a fit and proper person to hold registration. On that basis, it expressly found professional misconduct.
The mental health material had a dual relevance. It mitigated the conduct to some extent because it appeared to have influenced the respondent's decision-making. At the same time, it raised concern about present and future fitness to practise. The Tribunal explained that fitness depended on the respondent's mental health issues being appropriately under control, and that the material before it did not satisfy it that he was fit to practise at the time of the decision (Appropriate Disciplinary Action, para 2).
The Tribunal also took account of factors favourable to the respondent. These included his remorse, apology to the Magistrates Court, early guilty pleas, repayment, cooperation with the regulator, previous unblemished criminal and professional records, and the period in which he had not practised. It noted that the criminal court had found him unlikely to reoffend in the criminal context (Appropriate Disciplinary Action, paras 3–6). Those matters informed the sanction, but did not displace the Tribunal's view of the seriousness of the dishonesty.
Public protection, professional standards and deterrence informed the orders. The Tribunal considered that sanctions needed to assure the public that such behaviour would not be tolerated, maintain standards within the profession, and deter both the respondent and other practitioners (Appropriate Disciplinary Action, para 7). It imposed a six-month disqualification from applying for registration, having regard to the period he had already been unable to practise. The order did not amount to a finding that he would be fit to return when it expired. The Tribunal said he would still need to satisfy the Board that he was fit and proper to be registered (para 8).
The additional fine required consideration of the earlier criminal penalty. The Tribunal read s 243 of the National Law as allowing professional discipline even after conviction and punishment for the same conduct. It found no statutory qualification preventing a further fine, while stating that the criminal penalty should be taken into account (para 11). The Tribunal then regarded a modest fine as appropriate in the unusual circumstances, including that both parties jointly proposed it and that it could serve deterrent and denunciatory purposes (para 12). It imposed $2,500, taking account of the respondent's difficult financial circumstances.
The orders were a finding of professional misconduct, a reprimand, a $2,500 fine payable to the Board, a six-month disqualification from applying for health practitioner registration, and agreed costs of $2,500.
The judgment applies the National Law to an individual disciplinary case. The Board referred the matter under s 193, and the Tribunal made its final orders under s 196. The Tribunal's reasons also address s 243, which it treated as allowing disciplinary action even where criminal proceedings had already resulted in conviction and punishment for the same conduct.
The decision's specific contribution in the text provided is its explanation of how the Tribunal approached that overlap. It did not treat the prior $14,000 criminal fine as barring a further professional fine. Instead, it said s 243 contained no qualification against imposing a fine again for the same conduct, while recognising that the criminal penalty was relevant to the disciplinary assessment (Appropriate Disciplinary Action, para 11). The Tribunal's $2,500 fine followed its assessment of the particular circumstances and the joint submission, not a statement that a second fine must be imposed in every case.
The reasons refer to Legal Services Commissioner v Bryden (No 2), Keyte v Chief Executive, Department of Justice & Attorney General, Cole-Sinclair v Building Practitioners Board (No 2), Psychology Board of Australia v Ildiri, Ha v Pharmacy Board of Victoria and Medical Board of Australia v Garland. The judgment says the authorities were cited by the parties concerning disciplinary purposes and comparative sanctions. It specifically invokes authorities in its discussion of s 243 and the possibility of a further fine (footnote 4 to para 11). The supplied judgment does not set out detailed summaries of those decisions, so their precise reasoning should not be inferred from this decision alone.
The decision also illustrates that a mental health condition may be relevant both to mitigation and to fitness. The Tribunal did not treat the diagnosis as erasing the seriousness of deliberate dishonesty. Nor did it treat evidence of treatment progress as establishing present fitness. Its assessment was tied to the reports and material before it, including concerns about future monitoring and supervision.
The judgment provides no account of subsequent appellate review or later treatment by other courts. It therefore cannot, on the material provided, establish whether later decisions have followed, qualified or departed from its reasoning. The outcome remains a Tribunal decision applying the National Law to the facts before it.
“His conduct falls substantially short of the standard to be expected of a medical practitioner” (Categorisation of Conduct, para 1). In plain English, the Tribunal assessed the behaviour against the honesty and integrity expected of someone in the profession, rather than treating it as merely a private tax matter.
“The fact that he was suffering from mental health issues at the time does not alter the essential nature of the conduct” (Categorisation of Conduct, para 1). The Tribunal accepted that mental health issues mattered, but found they did not change the fact that the respondent deliberately engaged in dishonest conduct while appreciating it was wrong.
“We could not be satisfied of fitness to practise at the present time on the material before the Tribunal” (Appropriate Disciplinary Action, para 2). This was a case-specific assessment based on the evidence then available. It was not a permanent finding that the respondent could never become fit.
“This does not mean that the respondent could return to practice after that time” (Appropriate Disciplinary Action, para 8). The six-month period addressed the disqualification order only. It did not remove the separate need for the Board to be satisfied about fitness and propriety if registration were later sought.
“The imposition of a fine in criminal proceedings might often disincline the Tribunal from imposing a further fine” (Appropriate Disciplinary Action, para 11). The Tribunal acknowledged that an earlier criminal fine could weigh against an additional professional fine. It nevertheless considered the circumstances here unusual enough to justify a modest further fine.
The decision is most directly relevant to disciplinary matters involving a registered or former health practitioner who has committed deliberate dishonesty connected with tax or financial claims, particularly where criminal proceedings have already resulted in guilty pleas, convictions, repayment or a fine. The specific conduct here involved false deduction claims and a fabricated supporting letter, with the respondent's medical registration providing the professional context.
It is also relevant where a practitioner relies on mental health evidence as mitigation. The decision shows the Tribunal considering the evidence for two purposes: whether it reduced the blameworthiness of the conduct and whether it raised unresolved questions about fitness to practise. The distinction mattered because the Tribunal accepted some mitigating contribution but still treated the behaviour as serious and deliberate.
The case may also be relevant where the practitioner has already surrendered registration or is no longer practising. The Tribunal proceeded to impose a period of disqualification from applying for registration. It explained that the end of that period would not itself establish fitness.
Its treatment of a further fine is tied to the statutory text as the Tribunal understood it, the existing criminal fine, the joint submission, the respondent's financial position and the stated purposes of professional discipline. The decision does not establish that a second fine is inevitable whenever a criminal court has imposed one. A lawyer considering another matter would need to check the applicable statutory provisions, the precise conduct, available evidence, prior penalties and the relevant disciplinary jurisdiction.
The supplied judgment includes no later decisions discussing Termanini, and it gives no subsequent procedural history. There is therefore no source-grounded basis here to say that later courts or tribunals have followed, distinguished, limited or overruled it.
The case does identify earlier authorities cited by the parties. In particular, the Tribunal referred to Bryden (No 2), Keyte and Cole-Sinclair, as well as Ildiri, Ha and Garland, in relation to the fine issue and the parties' submissions about sanctions. The Tribunal's brief treatment should not be expanded into propositions about those cases that are not stated in the supplied text.
For research use, later treatment remains an open verification task. The source gives the neutral citation, [2020] SACAT 33, and the relevant authorities identified above, but does not provide a citator history or later judgments. Any proposition about its current precedential status would require checking sources beyond this judgment.
The judgment does not explain in detail how the six-month period was selected beyond saying that the respondent had already been unable to practise for a period and that six further months was appropriate. It provides no comparative analysis of each sanction in the authorities cited by the parties. The reasons therefore do not support a detailed tariff or a general formula for disqualification periods.
The Tribunal found it could impose a further fine after criminal punishment and considered the prior penalty. The judgment does not explore in depth how the amount of any further fine should be calculated across different circumstances, or how the relevant considerations might differ where the criminal penalty is more substantial or the professional conduct is different.
The mental health evidence described diagnoses, treatment, medication and a guarded prognosis. The Tribunal said the respondent's future fitness depended on control of those issues and referred to the need for monitoring and supervision. It did not set out a detailed evidentiary threshold or a precise test for a future registration application. It did state that the respondent would have to satisfy the Board that he was fit and proper to be registered.
Finally, the respondent's stated intention to practise in Ireland raised a question of cross-border regulatory relevance. The Tribunal observed that Irish authorities would normally seek advice from Australian counterparts and that the decision would be available to them. The judgment does not determine how Irish authorities would assess the matter or what consequence they would attach to the Australian decision.
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"There is no question that you are of hitherto good character and further, at the time of the offending you were suffering from Bipolar II Disorder which manifested itself in the manner described by Mr Begg, notably an elevated sense of entitlement which tended to override normal feelings of anxiety or wrongness which may tend to dissuade such behaviour. However, there is no suggestion by Mr Begg that you were unable to control your actions, nor that you did not fully appreciate that what you were doing was wrong."
"To continue with his medical career, he will need to satisfy the regulator as to his stability of mental health and absence of drug use."
(a) The Tribunal decides that the respondent has behaved in a way that constitutes professional misconduct.
(c) The respondent is fined the sum of $2,500.00 to be paid to the Medical Board of Australia.
(d) The respondent is disqualified from applying for registration as a registered health practitioner for a period of 6 months from the date of this order.
[1] With reference to the criminal conduct and proceedings.
[2] We have had regard to the authorities cited by the parties, both as to purposes of disciplinary sanctions and as to comparative sanctions imposed.
[4] Legal Services Commissioner v Bryden (No 2) [2009] NSWADT 131 at [96]; Keyte v Chief Executive, department of justice & Attorney General [2012] QCATA 238 at [4]; Cole-Sinclair v Building Practitioners Board (No 2) [2014] VCAT 1212 at [13-14]; Psychology Board of Australia v Ildiri [2011] VCAT 1036; Ha v Pharmacy Board of Victoria [2002] VSC 322; MBA v Garland [2015] VCAT 873 at [33-35].
Medical Board of Australia
Termanini [2020] SACAT 33
Legal Services Commissioner v Bryden (No 2) [2009] NSWADT 131
Keyte v Chief Executive, Department of Justice & Attorney General [2012] QCATA 238
Cole-Sinclair v Building Practitioners Board (No 2) [2014] VCAT 1212
Psychology Board of Australia v Ildiri [2011] VCAT 1036
Ha v Pharmacy Board of Victoria [2002] VSC 322
Medical Board of Australia v Garland [2015] VCAT 873
The Tribunal found professional misconduct, reprimanded the respondent, fined him $2,500 payable to the Medical Board, disqualified him from applying for registration as a registered health practitioner for six months, and ordered him by consent to pay the complainant’s costs of $2,500.