[2025] WASAT 125
General information, not legal advice.
State Administrative Tribunal (WA)
2025-11-05
Original judgment source is linked above.
ACT : HEALTH PRACTITIONER REGULATION NATIONAL LAW (WESTERN AUSTRALIA)
CITATION : NURSING AND MIDWIFERY BOARD OF AUSTRALIA and BASTIN [2025] WASAT 125
BETWEEN : NURSING AND MIDWIFERY BOARD OF AUSTRALIA
Vocational regulation - Health practitioner - Registered nurse - Disciplinary proceedings - Whether respondent practitioner engaged in professional misconduct - Practitioner found to have stolen from clients in their home whilst a carer for their disabled children - Whether referral can proceed in the Tribunal because criminal proceedings dismissed - Respondent not registered at time of conduct - Characterisation of the conduct - Practitioner engaged in professional misconduct - Confidentiality order made to protect identities of clients
Health Practitioner Regulation National Law (WA) Act 2010 (WA) (repealed), s 6, s 193(1)(a)(i)
Health Practitioner Regulation National Law (Western Australia), s 3A(1), s 5, s 39, s 41, s 138, s 138(1)(c), s 138(2), s 156, s 193(1)(a), s 194(1)(a), s 196, s 196(1)(a), s 196(1)(b)(i), s 196(1)(b)(ii), s 207, s 244, s 244(d), s 244(f), Pt 8
Health Practitioner Regulation National Law Act 2009 (Qld)
Health Practitioner Regulation National Law Application Act 2024 (WA), s 5(1), s 5(2), s 42(2)
Health Practitioner Regulation National Law Regulation (Western Australia), s 4
Practitioner found to have engaged in professional misconduct
Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336
Health Care Complaints Commission v Black [2014] NSWCATOD 35
Health Care Complaints Commission v Litchfield [1997] 41 NSWLR 630
Health Care Complaints Commission v Scheggetman [2023] NSWCATOD 48
Health Ombudsman v Roza [2022] QCAT 420
Legal Profession Complaints Committee and Chang [2019] WASAT 67
Medical Board of Australia and Woollard [2012] WASAT 209
Medical Board of Australia v ZQX [2024] QCAT 532
Nursing and Midwifery Board of Australia and Mehra [2022] VR 99
Nursing and Midwifery Board of Australia v BCD [2024] QCAT 485
Nursing and Midwifery Board of Australia v Sotingco [2018] VCAT 1615
Panegyres v Medical Board of Australia [2020] WASCA 58
Veterinary Surgeons Board of Western Australia v Alexander [2013] WASC 136
(a) Statement of Ms C (the adult daughter of Mr A and Mrs B), lodged on 27 September 2024 (Photo and Video Statement of Ms C).
(b) Statement of Ms C provided at Tab 6 of the Applicant's Bundle of Documents lodged on 18 September 2024 (Statement of Ms C).
(c) Statement of Mr A provided at Tab 3 of the Applicant's Bundle of Documents lodged on 18 September 2024 (Statement of Mr A).
(d) Statement of Mrs B provided at Tab 5 of the Applicant's Bundle of Documents lodged on 18 September 2024 (Statement of Mrs B).
(e) Statement of Tony Edwardes provided at Tab 11 (commencing on page 130) of the Applicant's Bundle of Documents lodged on 18 September 2024 (Statement of Mr Edwardes). Mr Edwardes is employed by At Home Care as a quality, compliance and risk manager.
(a) The Applicant's Bundle of Documents lodged on 18 September 2024 (Applicant's Bundle).
(b) The video recordings which are noted at Tab 8 of the Applicant's Bundle of Documents and lodged separately with the Tribunal on 27 September 2024. These were provided to the Board by Ms C.[9] They comprise three tabs:
(i) Tab 8.1 'Video recording of admissions A's house' (20 minutes 15 seconds long) (Recording of Admissions Video);
(ii) Tab 8.2 'Video Recording of Attendance at Practitioner's House Part 1' (6 minutes and 13 seconds long) (Attendance at Premises Video 1); and
(iii) Tab 8.3 'Video Recording of Attendance at Practitioner's House Part 2' (10 minutes and 59 seconds long) (Attendance at Premises Video 2).
(c) Evidentiary Certificate of Kym Ayscough, Chief Executive Officer AHPRA, dated 4 February 2025.
Issue 1: Can the Board refer a health practitioner under s 193(1)(a) of the National Law to the Tribunal for the same conduct that formed the material facts of a criminal prosecution that was discontinued by the prosecutor because the complainant withdrew the complaint?
Issue 2: Whether the Respondent held registration under the National Law as:
Issue 3: Whether the Respondent worked as a carer to assist with looking after Mr A and Mrs B's two children at their house between 17 December 2018 to 22 October 2019?
Issue 4: Whether the Respondent misappropriated personal items and consumables from Mr A and Mrs B between 17 December 2018 to 22 October 2019?
Issue 5: Whether the Respondent's conduct found by the Tribunal constitutes professional misconduct and/or unprofessional conduct and/or unsatisfactory professional performance as defined in s 5 of the Schedule to the National Law?
(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.
unsatisfactory professional performance, of a registered health practitioner, means the knowledge, skill or judgment possessed, or care exercised by, the practitioner in the practice of the health profession in which the practitioner is registered is below the standard reasonably expected of a health practitioner of an equivalent level of training or experience;
unprofessional conduct, of a registered health practitioner, means professional conduct that is of a lesser standard than that which might reasonably be expected of the health practitioner by the public or the practitioner's professional peers ...
professional misconduct, of a registered health practitioner, includes -
(a) unprofessional conduct by the practitioner that amounts to conduct that is substantially below the standard reasonably expected of a registered health practitioner of an equivalent level of training or experience; and
(b) more than one instance of unprofessional conduct that, when considered together, amounts to conduct that is substantially below the standard reasonably expected of a registered health practitioner of an equivalent level of training or experience; and
(c) conduct of the practitioner, whether occurring in connection with the practice of the health practitioner's profession or not, that is inconsistent with the practitioner being a fit and proper person to hold registration in the profession;
It follows from the non-exhaustive nature of its definition that the concept of professional misconduct is wider than that which is provided for in pars (a) to (c). 'Professional misconduct' under the National Law can include conduct which does not fall within any of pars (a), (b) or (c) in the definition; for example, conduct which was infamous conduct in any professional respect in the sense of being conduct that would be reasonably regarded as disgraceful or dishonourable by a practitioner's professional brethren of good repute and competency would be professional misconduct. It is, however, unnecessary to explore the limits of the concept of professional misconduct. In its referral the Board put the allegation solely in terms of pars (a) and (b) of the s 5 definition. For that reason it was not open to the Tribunal to find professional misconduct on any wider basis; and the Tribunal did not purport to do so.
A National Board may develop and approve codes and guidelines -
(a) to provide guidance to the health practitioners it registers; and
(b) about other matters relevant to the exercise of its functions.
Nurses practise honestly and ethically and should not engage in unlawful behaviour as it may affect their practice and/or damage the reputation of the profession. Nurses must
The nurse demonstrates professional values such as respectfulness, responsiveness, compassion, trustworthiness and integrity.
The Committee bears the onus of proof in relation to the allegations of professional misconduct it makes against the practitioner. The civil standard of proof ('on a balance of probabilities') applies together with the Briginshaw approach, which requires clear and cogent evidence to be adduced by the Committee and for the Tribunal to feel an actual persuasion of the occurrence or existence of relevant facts before it can find the practitioner guilty of professional misconduct (or unsatisfactory professional conduct). The Briginshaw approach applies in disciplinary proceedings, because of the nature and seriousness, and potential consequences, of allegations of wrongdoing (or incompetence) made in such proceedings. As Dixon J said in Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336 at 361 - 362:
Except upon criminal issues to be proved by the prosecution, it is enough that the affirmative of an allegation is made out to the reasonable satisfaction of the tribunal. But reasonable satisfaction is not a state of mind that is attained or established independently of the nature and consequence of the fact or facts to be proved. The seriousness of an allegation made, the inherent unlikelihood of an occurrence of a given description, or the gravity of the consequences flowing from a particular finding are considerations which must affect the answer to the question whether the issue has been proved to the reasonable satisfaction of the tribunal.
I have too much stress going on with other matters. I just recently lost my son and myself and my wife do not want the stress of this matter while we are still grieving. We also got most of the clothes back.
Offence - Dishonesty Offence - Whether during the period you were providing care for a household in your role with 'At Home Care' you stole clothing which resulted in you being charged by the WA Police with one count of stealing as a servant.
Can the Board refer a health practitioner under s 193(1)(a) of the National Law to the Tribunal for the same conduct that formed the material facts of a criminal prosecution that was discontinued by the prosecutor because the complainant withdrew the complaint?
Referral of conduct which formed the basis of the Criminal Proceedings
58.1 the Board was a party to the Criminal Proceedings.
58.3 by dismissing the Criminal Proceedings, the Board, as a party to the Criminal Proceedings, agreed not to take any further action in relation to the conduct underlying the Criminal Proceedings.
58.4 the Board now relies on the underlying conduct of the Criminal Proceedings in this Referral Application in breach of its agreement to not take any further action in relation to the conduct underlying the Criminal Proceedings.
58.5 as the Board has breached its agreement the Tribunal should dismiss these proceedings.
Even if, in this case, the parties in both proceedings are the same there is still no res judicata estoppel. These are civil proceedings in which the civil onus applies as explained in Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336. See Bannister v Walton (1993) 30 NSWLR 699. Even if the factual questions were identical, the difference in the onus of proof prevents the issues being the same. Whether particular conduct has been established beyond reasonable doubt is not the same question as whether that conduct has been established on the balance of probabilities. Thus an acquittal does not bar civil proceedings against the accused arising out of the same facts. See generally Helton v Allen [1940] HCA 20; (1940) 63 CLR 691, Rejfek v McElroy [1965] HCA 46; (1965) 112 CLR 517. ...
The proposition that an acquittal does not inhibit disciplinary proceedings arising out of the same facts is well established in other common law jurisdictions. See Re Stinson (1911) 22 Ont LR 627; Re A Medical Practitioner (1959) NZLR 784 (CA); Bodna v Deller [1981] VicRp 20; [1981] VR 183 at 196-8; Basser v Medical Board [1981] VicRp 88; [1981] VR 953 at 971-2; and Saeed v Inner London Education Authority [1985] ICR 637. It is also sound in principle because both the onus of proof and the purpose and focus of the proceedings are different.
... it is well settled that the mere fact that proceedings in other courts or tribunals (i.e. other than protective proceedings in this jurisdiction) arose out of the same facts and circumstances does not provide a basis for a permanent stay or a dismissal.
Indeed, it may be quite wrong for the Tribunal not to proceed on these aspects of the Complaints where there may be a significant public interest in considering them. In the context of an application for admission to a profession in the matter of Jackson (formerly Subramaniam) v Legal Practitioners Admission Board [2007] NSWCA 289 the Court of Appeal clearly stated that the principles apply equally to disciplinary proceedings. At paragraph 34 Giles JA stated:
... even if the rule against double jeopardy, or principles concerning the prevention of an abuse of process, have a role to play in disciplinary proceedings, the purposes of criminal and disciplinary proceedings are different, so that the application of the restrictive approach to the construction of appeal provisions which is applied in the criminal context is not warranted in respect of appeals in disciplinary matters. The object of criminal proceedings includes the punishment of those who disobey the law. It involves proceedings brought by the State, with its considerable resources, against an accused. In contrast, the object of disciplinary proceedings is, generally speaking, to protect the public by maintaining standards of behaviour of persons permitted to work or carry on business in a particular industry or profession. As is the case here, disciplinary proceedings are frequently brought by vocational regulatory bodies. In those circumstances, some of the concerns which underlie the rule against double jeopardy in the criminal context do not apply, or do not apply with the same force, in the disciplinary context. This is apparent from the fact that it is well established that an acquittal in respect of a criminal charge arising from particular conduct does not preclude disciplinary proceedings being commenced in respect of the same conduct.
Whether the Respondent held registration under the National Law as:
a. an enrolled nurse from 18 December 2015 to 31 May 2017?
b. a registered nurse (Division 1) from 8 November 2019 to 28 January 2020, on which date the Respondent's registration was suspended by the Applicant as a form of immediate action under s 156 of the National Law?
(a) Ms Bastin was registered as an Enrolled Nurse from 18 December 2015 to 31 May 2017;
(b) Ms Bastin has been registered as a Registered Nurse since 8 November 2019; and
(c) her registration was suspended by the Board on 28 January 2020 under s 156 of the National Law.[70]
Whether the Respondent worked as a carer to assist with looking after Mr A and Mrs B's two children at their house between 17 December 2018 to 22 October 2019?
Whether the Respondent misappropriated personal items and consumables from Mr A and Mrs B between 17 December 2018 to 22 October 2019?
... I asked her to elaborate on the incident and she relayed the following:
- [Mrs B] had been sorting clothes that she no longer wanted
- [Mrs B] gave Michelle some clothes
- Michelle stole other clothes from [Mrs B] without her knowledge
- [Mr A] approached her about this
- Michelle agreed to the family following her home to retrieve the stolen items
(a) Ms Bastin worked for the family three days a week from 17 December 2018 to 22 October 2019. The family did not suspect the stealing straight away. Mr A, for example, said it was about 10 months after Ms Bastin commenced caring for their children in their home that he became suspicious that she was stealing from them. This suggests the stealing is likely to have commenced some months after Ms Bastin started working for the family.
(b) A large volume of clothing was stolen, comprising approximately 33 items, plus shoes, food items, toiletries and laundry items. It is likely that Ms Bastin would have removed the items from the home gradually to avoid the family noticing.
(c) The evidence of Mr A and Mrs B also suggests the items went missing over time. For example, Mrs B said that each week items went missing. Ms Bastin wore items of clothing to the house on at least two occasions which made the family suspicious, resulting in Mr A setting up cameras.
(d) Some of Mrs B's clothes and shoes had been sold on eBay by the time Mrs B attended Ms Bastin's house to collect them on 22 October 2019. This also suggests items were being sold on eBay over a period of time, which in turn lends support to a finding that the stealing occurred over a period of months.
Whether the Respondent's conduct found by the Tribunal constitutes professional misconduct and/or unprofessional conduct and/or unsatisfactory professional performance as defined in s 5 of the Schedule to the National Law?
Non-publication orders over information relating to the health and/or treatment of persons who are patients is regularly regarded in the Tribunal as confidential or otherwise information the publication of which is contrary to the public interest[.]
I certify that the preceding paragraph(s) comprise the reasons for decision of the State Administrative Tribunal.
[1] Nursing and Midwifery Board of Australia, Code of Conduct for Nurses (2018) (Code of Conduct).
[2] International Council of Nurses, The ICN Code of Ethics for Nurses (revised 2021) (Code of Ethics).
[8] Health Practitioner Regulation National Law Regulation (Western Australia), s 4.
[9] Statement of Ms C lodged on 27 September 2024, at para 4.
[10] Applicant's Proposed Statement of Issues dated 13 December 2024.
[11] These included 'Submissions on Conduct and Characterisation' dated 7 March 2024; and 'Applicant's Submissions in Reply on Conduct and Characterisation' dated 30 May 2025.
[12] Ms Bastin's submissions were filed on 10 April 2024, 19 July 2024, 16 October 2024, 12 November 2024 and 29 November 2024.
[17] Panegyres v Medical Board of Australia [2020] WASCA 58 (Panegyres) at [152].
[19] Code of Ethics, Elements of the Code, 1. Nurses and people (Element 1).
[21] Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336 (Briginshaw).
[22] Legal Profession Complaints Committee and Chang [2019] WASAT 67 (Chang) at [8]. Footnote omitted.
[23] See generally, Briginshaw, at 368, (per Dixon J).
[24] Applicant's Bundle, Tab 11, page 140.
[25] Applicant's Bundle, Tab 11, pages 137 and 139.
[26] Statement of the Senior Constable who arrested Ms Bastin, Applicant's Bundle, Tab 11, pages 125 - 127.
[27] Applicant's Bundle, Tab 11, page 153.
[28] Applicant's Bundle, Tab 11, page 186.
[29] Applicant's Bundle, Tab 11, page 92 and 174.
[30] Applicant's Bundle, Tab 11, page 91.
[31] Applicant's Bundle, Tab 11, pages 89 - 90; see also 'Application in or after a prosecution', filed by Ms Bastin on 16 October 2024, where the police requested the matter be discontinued at the request of the complainant.
[32] See record of court proceedings, filed by Ms Bastin on 16 October 2024.
[33] Applicant's Bundle, Tab 13, page 193 and Tab 14, pages 196 - 197.
[34] Applicant's Bundle, Tab 1, pages 4 - 11; see also pages 13 - 14.
[35] Applicant's Bundle, Tab 16, pages 266 - 271.
[36] National Law, s 156 provides that a National Board may take immediate action to suspend a registered health practitioner if, amongst other things, the National Board reasonably believes that because of the practitioner's conduct they pose a serious risk to persons, and it is necessary to take immediate action to protect public health and safety.
[37] Applicant's Bundle, Tab 17, page 278.
[38] Applicant's Bundle, Tab 17, pages 283, 285 and 287.
[39] Applicant's Bundle, Tab 21, page 289.
[40] Applicant's Bundle, pages 292 - 293.
[41] Applicant's Bundle, Tab 23, page 293.
[42] Applicant's Bundle, Tab 25, pages 295 - 296.
[43] Applicant's Bundle, Tab 27, page 298.
[44] Applicant's Bundle, Tab 27, page 299.
[45] Applicant's Bundle, Tab 28, page 302.
[46] Applicant's Bundle, Tab 29, page 306.
[47] Applicant's Bundle, Tab 29, page 308.
[48] Applicant's Bundle, Tab 31, page 312.
[49] Applicant's Bundle, Tab 31, page 314.
[50] Applicant's Bundle, Tab 32, pages 316 - 318.
[53] Document titled, 'Written response to the grounds of the application' filed on 12 August 2024.
[54] Document titled, 'Parties' agreed statement of issues' filed on 29 November 2024.
[55] Document titled, 'Parties' agreed statement of issues' filed on 29 November 2024.
[56] Document titled, 'Respondent's Minute of Proposed orders' filed 19 July 2024.
[57] Document titled, 'Minute of Consent Orders' filed 16 October 2024, original emphasis.
[58] Applicant's Submissions on Conduct and Characterisation dated 7 March 2024, para 58.
[59] Applicant's Bundle, Tab 11, page 89.
[60] Health Care Complaints Commission v Black [2014] NSWCATOD 35 (Black).
[62] Health Care Complaints Commission v Litchfield [1997] 41 NSWLR 630 (Litchfield) cited in Black, at [17].
[64] Veterinary Surgeons Board of Western Australia v Alexander [2013] WASC 136 (Alexander).
[65] Alexander, at [59]. Footnotes omitted.
[66] SAT Act, s 32(1), see also Medical Board of Australia and Woollard [2012] WASAT 209 at [88].
[70] See also, letter from AHPRA dated 29 January 2020 which states that the Board took immediate action to suspend Ms Bastin's registration on 28 January 2020, Applicant's Bundle, page 266.
[73] Applicant's Bundle, Tab 9, page 68.
[74] Statement of Mr Edwardes, paras 2 and 4.
[75] Statement of Mr Edwardes, paras 7 - 8.
[76] Applicant's Bundle, Tab 9, pages 74 - 82.
[77] Statement of Mr Edwardes, paras 9 - 10.
[78] Statement of Mr Edwardes, para 11.
[79] Statement of Mr A, para 5; Statement of Mrs B, paras 4 - 6.
[80] Statement of Ms C, Applicant's Bundle, page 121.
[81] Statement of Mr A, paras 13 - 18; Statement of Mrs B, para 24.
[82] Statement of Mrs B, paras 25 - 27.
[83] Applicant's Bundle, Tab 2, page 13.
[84] At Home Care File Note of telephone conversation with Ms Bastin written on 24 October 2019, Tab 14, Applicant's Bundle, page 221.
[85] See also, Western Australia Police Incident Report dated 29 October 2019, Applicant's Bundle, Tab 11, page 140.
[86] Applicant's Bundle, Tab 4, pages 20 - 22.
[87] Photo and Video Statement of Ms C, Attachment B; see also Applicant's Bundle, Tab 7, pages 35 - 38.
[88] Photo and Video Statement of Ms C, para 4.
[89] Applicant's Bundle, Tab 14, page 221.
[90] Applicant's Bundle, Tab 14, page 234.
[91] Applicant's Bundle, Tab 2, page 13.
[92] Nursing and Midwifery Board of Australia and Mehra [2022] VR 99 (Mehra).
[93] Nursing and Midwifery Board of Australia v Sotingco [2018] VCAT 1615 (Sotingco).
[94] Nursing and Midwifery Board of Australia v BCD [2024] QCAT 485 (BCD).
[96] Health Ombudsman v Roza [2022] QCAT 420 (Roza).
[97] Health Care Complaints Commission v Scheggetman [2023] NSWCATOD 48 (Scheggetman).
[98] Medical Board of Australia v ZQX [2024] QCAT 532 (ZQX) at [10].
(1940) 63 CLR 691
(1993) 30 NSWLR 699
(1965) 112 CLR 517
(1997) 41 NSWLR 630
(1938) 60 CLR 336