[2025] SACAT 42
General information, not legal advice.
SA Civil and Administrative Tribunal
2025-05-23
Member Ms J, Mr J
Original judgment source is linked above.
Nursing and Midwifery Board of Australia v Bettridge [2025] SACAT 42
The Nursing and Midwifery Board of Australia (the Board) referred a complaint to the Tribunal in accordance with s 193 of the Health Practitioner Regulation National Law (South Australia) Act 2010 (the National Law) alleging that the respondent had engaged in professional misconduct. The conduct forming the basis of the complaint was the alleged failure by the respondent to maintain professional boundaries in relation to a patient and providing false and misleading information to the Board during its investigation of the alleged conduct.
The respondent admitted the alleged conduct, and that it constituted professional misconduct, with the exception of her state of knowledge in relation to the client's inappropriate conduct. She also disputed the entry into evidence of her solicitor's letter, which formed the basis of the allegation regarding providing false and misleading information to the Board, because it was marked as 'without prejudice'.
The respondent also disputed the length of disqualification sought by the Board and submitted that the period sought by the Board was only warranted in matters involving extremely severe exploitation and proportionately severe harm which could be distinguished from this matter.
Held, finding professional misconduct and imposing sanctions:
Health practitioners -- Complaint by the Nursing and Midwifery Board of Australia -- Professional misconduct -- Sexual misconduct in connection with the practice of medicine - Boundary violation -- False and misleading statements to authorities -- Reprimand - Disqualified from applying for registration for 6 years - Prohibited from providing any health services until re-registered as a health practitioner
Health Practitioner Regulation National Law (South Australia) Act 2010 sch 2 ss 5, 193
Craig v Medical Board of South Australia [2001] SASC 169; (2001) 79 SASR 545
Davies v Nyland (1974) 10 SASR 76
Health Care Complaints Commission v Litchfield (1997) 41 NSWLR 630
Marin v Chiropractic Board of Australia [2020] SASCFC 74
Bar Association NSW v Evatt [1968] HCA 20; (1968) 117 CLR 177
Nursing and Midwifery Board of Australia v Farrow (Review and Regulation) [2022] VCAT 43
Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336
Pharmacy Board of Australia v Roberts [2022] SACAT 111
This is an edited version of the Tribunal's decision pursuant to s 60 of the South Australian Civil and Administrative Tribunal Act 2013. Some of the parties and participants of the proceedings have been de-identified in accordance with the Tribunal's anonymisation policy. Other facts and details that may lead to the identification of any person may have also been anonymised or omitted. These changes do not affect the Tribunal's decision or its reasons for decision.
Allegation 1-Failure to maintain professional boundaries in relation to a patient
(a) Professional misconduct within the meaning of paragraphs (a) and/or (c) of the definition of "professional misconduct "in s 5 of the National Law; and/or
(b) Unprofessional conduct as defined in s 5 of the National Law,
in that, between 21 August 2020 and 2 May 2021, she failed to maintain appropriate professional boundaries that should, and ordinarily do, delineate the relationship between a nurse and her patient by establishing an intimate personal relationship with a male patient (DNJ) during the time that DNJ was a patient under her professional care.
Allegation 2-Provision of false or misleading information to the Board during its investigation
(a) Professional misconduct within the meaning of paragraphs (a) and/or (c) of the definition of "professional misconduct" in s 5 of the National Law; and/or
(b) Unprofessional conduct as defined in s 5 of the national law,
in that, on 24 September 2021, she provided false or misleading information to the Board during its investigation of the conduct [the subject of Allegation 1].
Respondent: What you've got the camera on? > > [DNJ]: It's always pretty well on > > Respondent: [laughter] of course, of course...
Ms Bettridge goes on to say while rubbing DNJ's penis with her hand "listen, look, you'd better not have this bloody camera rolling", before commenting after rubbing his penis, "right, okay, you're perfect".
That incident took place in DNJ's bedroom, the room in which he kept his marijuana, which in the text messages between the respondent and DNJ he had stated that he wished to install a hidden camera as a means of protecting that supply. There can be no doubt from both the recorded audio conversations and the text messages that the respondent knew when she purchased and supplied the cameras to DNJ, that he intended to install them in his bedroom and that he was recording the actions of his personal carers, including her.
The Board submits that in light of the Tribunal's findings, that the respondent should be:
The imposition of disciplinary sanction may serve one or all of the following purposes-
(a) preventing practitioners who are unfit to practise from doing so;
(b) securing the maintenance of professional standards;
(c) assuring members of the public and the relevant profession that appropriate standards are being maintained and that professional misconduct will not be tolerated;
(d) bringing home to a practitioner the seriousness of their conduct;
(e) deterring a practitioner from any future departures from appropriate standards;
(f) deterring other members of the profession who might be minded to act in a similar way;
(g) imposing restrictions on a practitioner's right to practise so as to ensure that the public is protected.
(a) The respondent is reprimanded.
(b) The respondent is disqualified from applying for registration as a registered health practitioner for a period of six years from the date of this order.
(c) The respondent is prohibited from providing health services in any capacity, whether paid, or unpaid in any care facility or private home during the period of disqualification and until such time as she is registered as a health practitioner.
(d) The respondent is to pay the Board's reasonable costs as agreed or in default of agreement, as set by the Tribunal.
[7] TB P 463 [12] and respondent's outline of argument 3 October 2025.
[13] Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336.
[19] Respondent's affidavit 12 August 2024 at [8].
[22] Health Care Complaints Commission v Litchfield (1997) 41 NSWLR 630, at 637E.
[23] Respondent's affidavit, ibid [6] and TB, P 462.
[24] Respondent's affidavit 12 August 2024 at [27-80].
[25] Bar Association (NSW) v Evatt [1968] HCA 20; (1968) 117 CLR 177.
[28] Craig v Medical Board of South Australia, ibid at [43].
[29] Health Care Complaints Commission & Litchfield (1997) 41 NSWLR 630, at 637F.
[34] Respondent's outline of submissions on sanction, 21 March 2025 at [15].
Nursing and Midwifery Board of Australia
Bettridge [2025] SACAT 42
(2001) 79 SASR 545
(1974) 10 SASR 76
(1997) 41 NSWLR 630
(1968) 117 CLR 177
(1938) 60 CLR 336