[2026] VSCA 36
General information, not legal advice.
Court of Appeal (Vic)
2026-03-12
Gorton J, Orr JA, Donaghue JA
Original judgment source is linked above.
ADMINISTRATIVE LAW - Judicial review - Decision of Medical Board of Australia to take immediate action under s 156 of the Health Practitioner Regulation National Law Act 2009 (Qld) sch ('National Law') - Applicant a registered health practitioner - Applicant's registration suspended - No end date for suspension - Three years before applicant's conduct referred to Victorian Civil and Administrative Tribunal ('VCAT') for it to decide whether conduct constituted professional misconduct - Whether Hobart v Medical Board of Australia [2023] VSCA 270 should be followed - Whether immediate referral to VCAT required - Immediate referral to VCAT not required - No temporal restraint on suspension - Orders that costs follow the event appropriate - Leave to appeal refused.
Health Practitioner Regulation National Law Act 2009 (Qld) sch ss 155, 156, 157, 158, 159, 193.
Health Practitioner Regulation National Law (Victoria) Act 2009, ss 1, 4.
Kozanoglu v Pharmacy Board of Australia [2012] VSCA 295; (2012) 36 VR 656, discussed.
Hobart v Medical Board of Australia [2023] VSCA 270, discussed and followed.
The Health Practitioner Regulation National Law (Victoria) Act 2009 and the Health Practitioner Regulation National Law Act 2009 (Qld)
(a) decide to take no further action, pursuant to s 151 of the National Law; or
(b) take immediate action against the registered health practitioner, pursuant to s 156(1) of the National Law; and/or
(c) commence an investigation into the registered health practitioner, pursuant to s 160(1) of the National Law.
In this Division -
immediate action, in relation to a registered health practitioner or student, means -
(a) the suspension, or imposition of a condition on, the health practitioner's or student's registration ...
(1) A National Board[13] may take immediate action in relation to a registered health practitioner ... if -
(a) the National Board reasonably believes that -
(i) because of the registered health practitioner's health, conduct, or performance, the practitioner poses a serious risk to persons; and
(ii) it is necessary to take immediate action to protect public health or safety ...
(2) However, the National Board may take immediate action that consists of suspending, or imposing a condition on, the health practitioner's ... registration only if the Board has complied with section 157.
(1) The decision by the National Board to take immediate action in relation to the registered health practitioner ... takes effect on-
(a) the day the notice is given to the practitioner ...; or
(b) the later day stated in the notice.
(2) The decision continues to have effect until the earlier of the following occurs-
(a) the decision is set aside on appeal;
(b) for the suspension of ... the registered health practitioner's ... registration, the suspension is revoked ... by the National Board; ...
(1) Subject to s 193A [which deals with the public interest exception], a National Board must refer a matter about a registered health practitioner ... to a responsible tribunal if-
(a) ... the Board reasonably believes, based on a notification or for any other reason the practitioner has behaved in a way that constitutes professional misconduct ...
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, 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.
(a) Dr Peers was issuing exemption certificates for COVID‑19 vaccines to patients without clinical indication;
(b) large crowds were congregating outside Dr Peers' clinic in Altona North without social distancing or wearing face masks;
(c) unusually large crowds were congregating outside Dr Peers' clinic;
(d) Dr Peers was advising patients and members of the community to not get vaccinated against COVID‑19; and
(e) individuals had sighted social media posts stating that Dr Peers had been issuing exemption certificates for COVID‑19 vaccines to 'anyone' and there were photographs of large crowds outside of her clinic.
(a) provided medical exemption certificates for COVID‑19 vaccines without clinical indication;
(b) provided anti‑vaccination advice to patients and members of the community without clinical indication contrary to the health advice of the Victorian government; and
(c) appropriately billed for her services.
Since the imposition of the immediate action conditions, there has been no material change in the evidence and as such any lesser form of immediate action on Dr Peers' registration would not be sufficient to address the identified serious risks. We also consider that since the initial immediate action further concerns have been raised which in fact heightens the risk already identified.
By maintaining the immediate action conditions (registration suspension), the Board can be satisfied that adequate regulatory safeguards are in place to protect the public. The investigation is ongoing. Since the imposing of registration suspension further concerns have been raised. The Board will decide to refuse to revoke and/or amend the current restrictions in place as maintaining suspension of Dr Peers' registration remains proportional to the alleged conduct underpinning the multiple notifications received to date.
It is ultra vires the Board to indefinitely suspend a practitioner
I seek this judicial review to prevent the Board from exercising a power, the indefinite suspension of a practitioner that does not exist under the Act where it is exercised with complete freedom from legal control regulated by nothing more than their own will and pleasure. Discretionary powers are not so conferred.
See Affidavit dated 8 February, 2024 for more grounds relied upon.[21]
I seek this judicial review to prevent the Board from exercising a power, the indefinite suspension of a practitioner that does not exist under the Act where it is exercised with complete freedom from legal control regulated by nothing more than their own will and pleasure. Discretionary powers are not so conferred. It is ultra vires the Board to indefinitely suspend a practitioner and the remedies that I seek is a court declaration to that effect and the immediate removal of the suspension.
...
I am seeking a judicial review of the decision made on 4 November, 2021 as the Board has exceeded its jurisdictional powers by exercising the s156 power for two years and counting and believes they can give it an indefinite operation that does not exist under the Act and it is contrary to the nature of the power that only interim and temporary protection is envisaged with as little damage to the practitioner as is possible.
...
The Board has exercised the suspension power pursuant to s156 of the Act and the Board has further exceeded its jurisdictional powers by exercising a power, the indefinite suspension of a practitioner, that does not exist under the Act and furthermore is contrary to settled case law that the nature of the suspension power is interim and temporary and to be exercised with as little damage to the practitioner as possible.[22]
Turning to a consideration of the relevant legislation in this case, it would be unlikely that the legislature, in enacting the National Law, contemplated that an appeal from a decision to take immediate action would involve a rehearing de novo, in the fullest sense of that term. The IAC [Immediate Action Committee] (as delegate of the board) is expected to act, as the name of the 'immediate action' regime suggests, immediately. That suggests a temporal limitation, and also a certain standard of speediness on the board's part. There must be a certain point in time to which the decision to act is 'immediate'. It is the circumstances existing at that time that are relevant, and the belief spoken of in s 156 must be formed on the basis of those circumstances.
While the purpose of the immediate action provisions is the protection of the public - which would ordinarily strongly argue in favour of the relevant tribunal taking into account the most up to date material - only interim protection is envisaged. The practitioner's suitability to practise is then revisited, on all the material, before the panel or responsible tribunal.[29]
The IAC will generally be required to make quick decisions on the basis of limited information. When full information is later obtained, a belief which, on the limited information was reasonably based, may be shown to have been in error. Accordingly, the IAC and the board must always be conscious of the possibility of error. The consequences of that error may be serious. Two safeguards against such consequences should therefore be kept to the forefront. The first is the importance of a timely referral to a panel, or to VCAT. The second is that, while the safety of the public must necessarily be the prime concern, that safety should be secured with as little damage to the practitioner as is consistent with its maintenance.
It is arguable that neither of the two precepts mentioned above were fully observed in this case. Indeed, the real problem here lies in the fact that the board did not, immediately after the IAC finding, refer the appellant's matter to a panel, or to VCAT as the responsible tribunal. Instead, it elected to await the completion of a police investigation. That investigation could well have been extremely protracted. In our opinion, there was no justification for the board to have delayed referring this matter. Its failure to act in a timely fashion was unfairly prejudicial to the appellant and meant that he had little choice but to appeal against the immediate action decision. That in turn meant that he had to argue his case in a somewhat constrained manner, and did not confront the real issues of substance. It should be clearly understood that the entire scheme, under the National Law, contemplates that once it has been determined to take immediate action, the matter should ordinarily proceed, forthwith, to a panel or tribunal. The entire legislative scheme breaks down if there is a lengthy delay between an IAC decision and a complete hearing on the merits.[30]
Dr Hobart's contention that there exists what amounts to an implied constraint upon the exercise of immediate action under s 156 by way of suspension, being a requirement for immediate referral to VCAT, cannot be accepted.
First and foremost, the National Law does not provide for any such constraint.
Further, the provisions of the National Law are inconsistent with the existence of any such constraint.
By s 158, the National Law requires the Board to take further action under pt 8 immediately after deciding to take immediate action. Amongst the actions which may be taken under pt 8 is investigation under div 8. Indeed, s 158 itself expressly gives as an example of the required further action 'investigating the practitioner'.
Section 160 enables the Board to gather further information, which, by reason of s 162, must be done 'as quickly as practicable'.
After an investigation is completed, s 167 provides that a Board may take the action it considers necessary or appropriate under another division. Amongst those other divisions, is div 12, which contains s 193.
These provisions make it clear that the Board can take immediate action and then take further action by way of investigation. These provisions are inconsistent with Dr Hobart's contention that there is an implied constraint on the power to take immediate action by way of suspension under s 156 requiring immediate referral to VCAT.
Dr Hobart's submission that the Board's power to suspend would be unchecked unless it were to make a referral to VCAT must also be rejected.
Dr Hobart relied upon passages in Minister for Immigration and Citizenship v Li, where French CJ, and Hayne, Kiefel and Bell JJ, explained that decisions must be reasonable, and constrained by law.
We, of course, fully accept what was said in Minister for Immigration and Citizenship v Li, but that does not lead to a conclusion that a Board must, upon exercising its suspension power, make an immediate referral to VCAT, when the National Law does not impose that requirement and contains provisions inconsistent with it.[39]
It would be problematic for a National Board to take immediate action under s 156 and then do nothing more. As Murphy JA said in Bernadt,[40] 'the legislature did not envisage that course (of doing nothing) as routinely or typically being open after taking immediate action'. That is what occurred in Kozanoglu, and what prompted the observations made by the Court of Appeal[.] In this case, if the Board had suspended Dr Hobart's registration under s 156, without taking any other action in relation to the matters that prompted its decision, he might have had a basis for relief.[41]
That is not what I consider the Court of Appeal in Kozanoglu to have been saying. The Court of Appeal was criticising the Pharmacy Board for not taking the next steps that were required under the relevant legislation because of the risk of unfair delays associated with its not doing so, but was not purporting to express a limit on the powers contained in the legislation.[47]
the legislation anticipates that the immediate action may last at least for the duration of the investigation, together with the time taken then for the matter to be determined by VCAT.[49]
there is nothing inherently unlawful in the legislature setting up a regulatory regime that allows for a regulator:
(a) to suspend registrations 'indefinitely', in the sense that the suspension does not have a fixed end date at the time it commences; or
(b) to do so on the basis of beliefs reasonably formed by the regulator that the practitioner poses a 'serious risk' to persons and that it is necessary to do so to protect public health or safety, rather than only after a final determination to that effect following a full hearing of the allegations made.[50]
the Board's referral obligation is triggered by its forming a belief on reasonable grounds that a practitioner has behaved in a way that constitutes professional misconduct, not on its forming a view that the professional misconduct has been 'proved'. The legislative scheme requires that where the Board has formed that belief, the referral takes place, and that VCAT then decides whether the practitioner has in fact engaged in a way that constitutes professional misconduct. That is not to say, of course, that an investigation could not proceed at the same time. But in serious cases, the referral should not necessarily, and may often ought not, await the findings of an investigation.[55]
1. A court declaration that the Medical Board of Australia immediately refer a health practitioner to a Panel or a responsible tribunal following the exercise of the suspension power under section 156 of the Health Practitioner Regulation National Law Act 2009 (Vic).[59]
2. A court declaration that the decision in Hobart is invalid and Kozanoglu be followed.
3. Writ of certiorari to quash the costs order of Gorton J.
Consideration of proposed ground 1 - the extent of the suspension power under s 156 of the National Law
Gorton J failed to comprehend that the safeguard spoken about in Kozanoglu is a temporal restraint against abuse of the suspension power and operates independently of any the Board action or inaction.
Consideration of proposed ground 2 - jurisdictional error of the judge in proceeding to decide the case given the decisions in Hobart and Kozanoglu
Gorton J committed jurisdictional error by proceeding to decide the collateral attack on the ruling of Hobart v Medical Board of Australia (2023) VSCA where he had no authority to decide the validity of that decision.
Consideration of proposed ground 3 - the efficacy of the costs order made by the judge
Gorton J has formed the view that a losing party should automatically pay costs and therefore has turned it into a court rule contrary to High Court case law which he is bound by.
A guiding principle by reference to which the discretion is to be exercised - indeed, 'one of the most, if not the most, important' principle - is that the successful party is generally entitled to his or her costs by way of indemnity against the expense of litigation that should not, in justice, have been visited upon that party. The application of that principle may be modified or displaced where there is conduct on the part of the successful party in relation to the conduct of the litigation that would justify a different outcome. For example, a successful defendant may be refused its costs on the ground that its conduct induced the plaintiff to believe that he or she had a good cause of action. But in the present case, there was nothing of this kind in the conduct of the appellant in relation to the litigation that might have weighed against the exercise of the discretion in its favour. There was no suggestion of any conduct on the part of the appellant, whether by unreasonable delay or a want of the cooperation required of litigants to ensure the 'just resolution of the real issues in civil proceedings with minimum delay and expense', that might have been taken into account to justify refusing the appellant an order for its costs.[69]
[1] The National Law is contained in the schedule to the Health Practitioner Regulation National Law Act 2009 (Qld). Section 4 of the Health Practitioner Regulation National Law (Victoria) Act 2009 adopts the National Law in Victoria and provides that it may be referred to as the Health Practitioner Regulation National Law (Victoria). Nevertheless, it is commonly referred to as the National Law.
[2] On 2 December 2021, Dr Peers had commenced a proceeding at the Victorian Civil and Administrative Tribunal seeking to review the Board's decision. She withdrew this application on 14 July 2022.
[3] Peers v Medical Board of Australia [2024] VSC 630 (Gorton J) ('Reasons').
[4] Kozanoglu v Pharmacy Board of Australia (2012) 36 VR 656; [2012] VSCA 295.
[5] Health Practitioner Regulation National Law (Victoria) Act 2009, s 4.
[6] Health Practitioner Regulation National Law (Victoria) Act 2009, s 1.
[11] Health Practitioner Regulation National Law (Victoria) Act 2009, s 6.
[13] The relevant 'National Board' for the purposes of these reasons is the Board: National Law, ss 5 (definition of 'National Board'), 31; Health Practitioner Regulation National Law Regulation 2018 (Qld), reg 4.
[14] Being Pt 8 of the National Law, headed 'Health, performance and conduct'.
[23] (2012) 36 VR 656; [2012] VSCA 295 ('Kozanoglu').
[24] [2023] VSCA 270 ('Hobart').
[25] Kozanoglu [2012] VSCA 295; (2012) 36 VR 656, 661 [29] (Weinberg and Harper JJA, Hargrave AJA); [2012] VSCA 295.
[29] Ibid 674 [106]-[107] (citations omitted).
[30] Ibid 677-8 [126]-[127] (citations omitted).
[31] Hobart [2023] VSCA 270, [3] (Niall and Whelan JJA).
[36] Ibid [39]. A second ground of appeal was abandoned: [44].
[39] Ibid [51]-[60] (emphasis added) (citations omitted).
[40] Referring to Bernadt v Medical Board of Australia [2013] WASCA 259, [296] (Murphy JA).
[41] Hobart [2023] VSCA 270, [61], quoting Hobart v Medical Board of Australia [2022] VSC 698, [48] (Richards J) (citations omitted).
[42] Hobart [2023] VSCA 270, [62]-[63] (Niall and Whelan JJA).
[46] [2023] VSCA 270, [51] (Niall and Whelan JJA).
[49] Reasons, [26] (citations omitted).
[50] Reasons, [27] (citations omitted).
[55] Reasons, [34] (citations omitted).
[59] The provision is, understandably, misidentified. The relevant provision is s 156 of the National Law, which is adopted by s 4 of the Health Practitioner Regulation National Law (Victoria) Act 2009.
[60] Hobart [2023] VSCA 270, [57] (Niall and Whelan JJA), extracted at [70] above.
[64] Commonwealth v AJL20 (2021) 273 CLR 43, 73 [52] (Kiefel CJ, Gageler, Keane and Steward JJ); [2021] HCA 21 ('AJL20').
[65] There is authority in the High Court that where a statutory duty does not include an express time limit for the exercise of the power, it may be implied that the duty is to be performed within a reasonable time: see, eg, Shahi v Minister for Immigration and Citizenship [2011] HCA 52; (2011) 246 CLR 163, 174 [28] (French CJ, Gummow, Hayne and Bell JJ); [2011] HCA 52; Plaintiff S297/2013 v Minister for Immigration and Border Protection [2014] HCA 24; (2014) 255 CLR 179, 190 [37] (Crennan, Bell, Gageler and Keane JJ); [2014] HCA 24.
[66] See, eg, AJL20 (2021) 273 CLR 43, 73-4 [52]-[53], 81 [73] (Kiefel CJ, Gageler, Keane and Steward JJ); [2021] HCA 21; CZA19 v Commonwealth [2025] HCA 8; (2025) 99 ALJR 650, 662 [47], [49] (Gageler CJ, Gleeson, Jagot and Beech‑Jones JJ), 674 [111] (Edelman J); [2025] HCA 8.
[67] Hobart [2023] VSCA 270, [61] (Niall and Whelan JJA).
[69] Ibid 173 [25] (Kiefel CJ, Bell, Gageler, Keane and Nettle JJ) (citations omitted).
[70] Peers v Fletcher [2024] VSCA 275. An application for special leave to the High Court was refused: Peers v Fletcher [2025] HCADisp 20 (Gordon and Beech-Jones JJ).
Peers
Medical Board of Australia [2026] VSCA 36
(2012) 36 VR 656
(2021) 273 CLR 43
(2011) 246 CLR 163
(2014) 255 CLR 179
(2025) 99 ALJR 650
(2019) 265 CLR 164