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[2020] SACAT 80
SA Civil and Administrative Tribunal
2020-09-16
Member J
Original judgment source is linked above.
It was contended before Debelle J that the appropriate standard of proof which should have been applied by the Tribunal was proof beyond reasonable doubt when making findings of fact. Debelle J rejected that contention and concluded that the correct standard of proof was the standard in civil proceedings as explained in Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336 which, of course, means that in deciding whether a fact has been proved on the balance of probability, the seriousness of the allegation, the inherent unlikelihood of an occurrence of the particular type under consideration or the gravity of the consequence of a particular finding, must affect whether the fact has been proved: see Dixon J at p. 362.
... In my view, Debelle J was correct in his conclusion.
The truth is that, when the law requires the proof of any fact, the tribunal must feel an actual persuasion of its occurrence or existence before it can be found. It cannot be found as a result of a mere mechanical comparison of probabilities independently of any belief in its reality. No doubt an opinion that a state of facts exists may be held according to indefinite gradations of certainty; and this has led to attempts to define exactly the certainty required by the law for various purposes. Fortunately, however, at common law no third standard of persuasion was definitely developed. 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. In such matters "reasonable satisfaction" should not be produced by inexact proofs, indefinite testimony, or indirect inferences.
...
It is often said that such an issue as fraud must be proved "clearly", "unequivocally", "strictly" or "with certainty". [citations omitted] This does not mean that some standard of persuasion is fixed intermediate between the satisfaction beyond reasonable doubt required upon a criminal inquest and the reasonable satisfaction which in a civil issue may, not must, be based on a preponderance of probability. It means that the nature of the issue necessarily affects the process by which reasonable satisfaction is attained. When, in a civil proceeding, a question arises whether a crime has been committed, the standard of persuasion is, according to the better opinion, the same as upon other civil issues. But, consistently with this opinion, weight is given to the presumption of innocence and exactness of proof is expected.
SAPOL Okay, do you know what your intentions were going to be with the iPad once you picked that up?
SAPOL Did you know the patient it might have belonged to?
...
SAPOL And what time did you finish up this morning or last night?
SAPOL Okay do you, and what did you do with the iPad once you'd finished work?
SAPOL Okay and do you remember packing the iPad away in your belongings when you left work?
SAPOL Okay so you don't know where you, when you said you were going to put it on the over-way you don't recall putting it on the over-way or anything after that?
SAPOL Okay, why did you put it in the brown bag?
SAPOL Okay so these brown bags are generic bags from the Hospital?
SAPOL All right. So the evidence is there, we are suggesting that you have picked the iPad up from the hospital, put it in your, put it in this brown bag, then put it in your belongings and left work, brought it home with you and now in your house.
SAPOL Unintentionally, okay. Margaret, what time did you find the iPad last night?
SAPOL And where did you, where exactly did you find it? You said you found it in ward S6 and you said it possibly belonged to [AB's Christian name], I believe that person to be [AB] who is a patient there.
SAPOL Okay so if you find property in the hospital
SAPOL Okay so if you find property in the hospital
SAPOL What would be the normal procedure in regards to reporting it or recording it?
SAPOL What about if you don't know who the patient was, would you tell someone?
SAPOL You have had it for, you picked it up at 4, you didn't leave work until 9 so you've had it for 5 hours.
SAPOL 7.30
SAPOL 7.30 so you've had it for 3 ½ hours, I apologise and you haven't told anyone you've had it. I just find that's odd.
SAPOL And had you noticed his iPad on previous shifts?
MH I have never seen it.
SAPOL Okay but you had, it was obviously near his property, he indicated to you that it was, belonged to [AB]
SAPOL Okay do you understand why your actions today constitutes a theft?
MH Yeah
SAPOL Yep, and what was your intention, what were you going to do with the iPad once you got up today and doing your normal routine?
MH Well if I had found it I would have taken it back.
SAPOL Was that your intention though prior to us attending?
MH Kind of yeah. (??)
SAPOL Although you were a little vague when we came in, you know obviously...
MH Well I've been asleep.
SAPOL Yes I appreciate you've just, we have woken you up but this sort of thing you would think would be pretty clear in your mind, something that you bring home from your workplace that you wouldn't normally bring.
MH I wouldn't know (??)
SAPOL Because it is separate from your handbag, it's something you would physically have to place inside your bag or take with you.
MH It wouldn't fit in my bag.
SAPOL Just a couple of other questions I had. You seem to be very vague on actually taking it from the hospital and bringing it home, is that right?
SAPOL Sleep deprived. Do you remember driving home?
SAPOL All right so you're saying that you don't remember?
SAPOL Yeah well let's talk about this morning when you've finished work.
SAPOL Do you know how it got there on top of that bag?
SAPOL Not exactly.
SAPOL Do you know how it got from the ward into your personal possession?
SAPOL How did it come to be in this brown paper bag?
SAPOL There was nothing else in that though.
SAPOL But this doesn't have a soiled pull-up in it so this is a fresh paper bag.
SAPOL It's not stained in any way, it's brand-new so you've put this iPad in this bag. At what point did you do that?
SAPOL So how long after you found this iPad did you put it in the brown paper bag?
SAPOL Alright so you put it in the brown paper bag.
SAPOL Where did you do that? In the nurses room or the nurses station or where did you do that?
SAPOL Okay so you put it in the bag in the room and then what did you do with it?
SAPOL But you didn't.
SAPOL But you didn't so then what happened to it?
SAPOL If I was to suggest to you that you put it in the brown paper bag so you could easily disguise it and walk out of the hospital and bring it home, what would you say to that?
SAPOL Did you have another bag and this was inside it?
SAPOL Because at some point this morning you have got home in your car, you have taken all your stuff out of your car and this you have either taken from out of one of your many bags or you have carried it just like this and put it there so which one was it?
SAPOL In that bag on the floor, the stripey bag?
SAPOL Just show the camera down there.
SAPOL It's a yeah, stripey handbag.
SAPOL And you're saying you didn't speak to anybody about that iPad at the hospital, whether the patient or any other staff.
SAPOL Okay but you didn't speak to anybody else?
SAPOL Anybody about that? Okay.
SAPOL And do you function normally during a shift? Like do you take any medication to...
SAPOL Okay do you take anything to help you sleep?
SAPOL Okay so they're not prescribed, just a basic, yep. So there's nothing, you don't have any medical issues that affect your memory?
SAPOL Your cognitive thinking, that sort of thing.
SAPOL You understand what's going on now, what's happened?
SAPOL What time did you get to bed this morning when you got home?
SAPOL Okay. Did you mean to take advantage of a wheelchair bound patient with deteriorating health?
(a) The respondent was indicating very clearly her belief, when she found the iPad on the floor, that it belonged to AB_._ At no point in the interview did the respondent suggest otherwise. At no point did she suggest that the owner was unknown or that she treated the iPad as she would treat lost property where the owner was unknown.
(b) She also stated that when she found the iPad, it was "by his pants that are on the floor".
(c) She also stated that her normal practice, in such situations, was to return the property to the patient. Consistent with that practice, she stated that her intention at the time was to put the iPad on the patient's over-way.
(d) She suggested that she must have placed the iPad in a brown paper bag inadvertently, whilst meaning to place soiled pants in the bag. At no time did she suggest that she had deliberately gone to get a brown paper bag from the sluice room in order to place the iPad in it.
(e) In the passage just quoted, the respondent seems to be suggesting that she had not discovered that the iPad was at her home before the arrival of the police. She stated: "If I had found it, I would have taken it back". When police asked about her intention prior to their attendance, the answer was vague and unconvincing.
(f) Despite having an opportunity to say so, the respondent did not suggest, at any stage of the interview, that she had intended to call the Hospital to report that she had inadvertently removed the iPad.
Then I noticed bed 7 struggling to get into his wheelchair, I assisted him and wheeled him to the toilet, he was impulsive and unsteady, also aware of the number of previous falls he has had. When finished I gave him a clean pull up pad and assisted him back to bed. Then I went to the toilet myself, after checked on the other patients and noticed an iPad on the floor by the doorway wall, picked it up, then grabbed a brown paper bag and placed it on the bench in the office, heard Rm 30 callout (I can't breathe), that proceeded to a MET call, was busy for some time. By then I wrote my notes all the while keeping an eye on Rm 30. Then I checked the information on Oasis and printed the handouts. I checked the morning's allocation, in between giving pain relief and checking on other patients I packed my bag and put my meal containers in my meal bag.
I did not know that I had also placed the brown paper bag in my rainbow bag until I got home and unpacked it. I placed it next to my bag with the intention of ringing the ward after my shower, but I totally forgot as I was very tired and had taken Panadol with Swiss relax and sleep.
It was not my intention of taking it, I normally place patient belongings in a brown paper bag and put a patient sticky label on.
I am mentally and physically ill just thinking about this terrible mistake I have made.
After hearing submissions from the parties, the Tribunal made the following further decision and orders on 16 September 2020:
(e) The registration of the respondent is cancelled; and
(f) The respondent is disqualified from applying for registration as a registered health practitioner for a period of five months from the date of this order.
[1] The National Law is found in Schedule 2 to the Health Practitioner Regulation National Law (South Australia) Act 2013 (the Act). Pursuant to s 4 of the Act, the National Law forms part of the law of this jurisdiction.
[2] The suspension was imposed by way of immediate action taken by the Nursing and Midwifery Board of Australia on 21 July 2017 (Exhibit C1 page 159).
[3] See s 6 of the Act and the Statutes Amendment (SACAT) Act 2019 s 112.
[4] [1998] SASC 7142; affirming Debelle J in Rajagopalan v MBSA [1997] SASC 6363.
[5] [1938] HCA 34; (1938) 60 CLR 336 at pages 362-363.
[7] Exhibit C1. This tender included exhibit "SD2A" to the affidavit of Stuart Davies, namely a USB containing a video of police warrant execution - page 104 of exhibit C1 refers.
[12] In our view, the difficulty in rousing the respondent adequately explains the difference between the time when the police arrived (C1 at page 130) and the time that the recording was activated (C1 page 114).
[15] C1 page 114ff. Exhibit C2 sets out some amendments to the transcript of the interview between the respondent and police, as agreed by the parties.
[16] Exhibit SD2A to the affidavit of Stuart Davies, C1 page 104.
[23] We note that the respondent, in her evidence before the Tribunal, could not remember what had been said.
[25] C1 pages 163-202. It is not clear why this interview did not occur until such a long time after the event.
[41] Exhibit C1 pages 104-105 (Affidavit of Stuart Davies), 117-119 (interview).
[48] Cf. NMBA v Morley [2014] SAHPT 17; NMBA v Bain [2018] SAHPT 13 at [36]; NMBA v Johnson [2020] VCAT 205 at [19] and [20].
[49] Cf. Law Society of SA v Jordan [1998] SASC 6809 at [44]; MBA v Todd [2018] SAHPT 12 at [21] and [49].
[50] Cf. Psychology Board of Australia v Holmes (unreported) SACAT 2019/SA002862 delivered 11 September 2020 at [20] - [22].
[51] Craig v MBSA [2001] SASC 169; (2001) 79 SASR 545; NMBA v Symons [2020] SACAT 8 at [50] - [51].
Nursing and Midwifery Board of Australia
Hissey [2020] SACAT 80
Palayura Venkatraman Rajagopalan v Medical Board of South Australia [1998] SASC 7142
Briginshaw v Briginshaw [1938] HCA 34; (1938) 60 CLR 336
Nursing and Midwifery Board of Australia v Morley [2014] SAHPT 17
Nursing and Midwifery Board of Australia v Bain [2018] SAHPT 13
Nursing and Midwifery Board of Australia v Johnson [2020] VCAT 205
Law Society of SA v Jordan [1998] SASC 6809
Medical Board of Australia v Anthony Todd [2018] SAHPT 12
(2001) 79 SASR 545
(1938) 60 CLR 336