1 This is the return of a summons filed in a proceeding instituted by originating motion, seeking judicial review of a decision made by a statutory body to hold an informal hearing into the professional conduct of the plaintiff. The jurisdiction invoked by the motion is the common law prerogative writ jurisdiction, which supervises the decision making process of inferior bodies including statutory bodies in order to ensure they comply with the law in exercising their authority and powers when reaching a decision.
Parties
2 The plaintiff, Dr Frank Kabourakis ("Dr Kabourakis"), is and was at all relevant times a medical practitioner registered pursuant to the Medical Practice Act 1994 (Vic) ("the Act").
3 The defendant, the Medical Practitioners Board of Victoria ("the Board"), is a body established by s.65(1) of the Act. It is a body corporate which may be sued in its corporate name. Its powers, functions and consultation requirements are set out in s.66 of the Act. They include functions of regulating the standards of medical practice in the public interest, investigating the professional conduct of registered medical practitioners, and imposing sanctions where necessary. See s.66(1)(ab) and (c). The Board comprises 12 members nominated by the Minister and appointed by the Governor-in-Council. Being a statutory body, its jurisdiction, authority, powers and obligations are to be found within the four corners of the Act that created it.
Complaint and Investigation
4 Between 27 May and 24 June 2002, Dr Kabourakis treated a patient for pain management following an industrial accident which occurred in November 1999. The Doctor prescribed a number of drugs. The patient died as a result of inhalation of vomit following an overdose of drugs. On 17 February 2003, the Board was notified by the patient's mother ("the notifier - see s.3") complaining about the professional conduct of Dr Kabourakis. The Board commenced a preliminary investigation under s.25 as it was bound to do, having been satisfied that the notification was not to be dealt with by the Health Services Commissioner and that the notification was not frivolous or vexatious. The Board requested Dr Kabourakis to respond to the matters raised by the notifier and to provide a copy of the medical records relating to the patient. The Doctor responded. During the period between 11 June and 24 September 2003 the Board conducted a preliminary investigation. Having carried out the preliminary investigation, the Board determined that an informal hearing would be held into the professional conduct of Dr Kabourakis. The Board, as required by s.39, appointed a panel to hold an informal hearing into the allegations. On 6 October 2003, the Board gave the Doctor a written notice pursuant to s.39, which set out the information prescribed by s.41. The allegations that were made against Dr Kabourakis and investigated at the informal hearing were his failure to seek and obtain important information about the history and treatment of the patient in the past, failure to institute an appropriate management plan taking into account the patient's background, inappropriate prescription of large doses of morphine to a patient who was vulnerable because of age and his longstanding painful condition, and provision of prescription drugs in a haphazard and excessive manner. On 30 October 2003, the panel conducted an informal hearing into the professional conduct of Dr Kabourakis and on 13 November 2003, it made a finding pursuant to s.43(1)(b) that Dr Kabourakis had not engaged in unprofessional conduct. The effect of the finding was that it came into operation on the date the determination was made.[1]
5 The notifier was dissatisfied with the finding and approached the Victorian Ombudsman. As a result of responding to matters raised by the Victorian Ombudsman, the Board in September 2004 became aware that by reason of an administrative oversight, the panel which conducted the informal hearing had not been provided with a written expert opinion of a doctor that had been obtained by the Board. In a letter dated 7 August 2003, Dr J. Summons had been requested by the Board to provide an expert opinion in relation to the conduct of Dr Kabourakis and in particular the prescription of a variety of drugs. By letter dated 12 August 2003, Dr Summons responded and opined that the treatment should have included obtaining information from the patient's previous doctor, obtaining an opinion from the treating orthopaedic surgeon, and making contact with the Drug and Poisons Unit of the Department of Human Services. He also stated that it would appear that the progressive increase in one of the drugs was unwise until the above matters had been addressed. This letter was not before the panel. It raised matters which in my opinion the panel would have been duty bound to take into account, and raised questions concerning the professional conduct of the doctor. It was evidence that had to be considered and to which the doctor should have been given the opportunity to respond. On 18 November 2004, the Board considered what should be done and decided to conduct a second informal hearing. The decision made by the Board was made pursuant to s.25(7) of the Act, which gives the Board the power of its own motion to determine to conduct either an informal or formal hearing into the professional conduct of a medical practitioner. The minutes of the meeting held on 18 November 2004 record the Board's determination to conduct an informal hearing pursuant to s.25(7) of the Act. The Board by letter dated 14 January 2005 informed Dr Kabourakis of those facts and enclosed a copy of the report of Dr Summons for his information.
6 By letter dated 2 February 2005, the Board informed Dr Kabourakis that it had determined to conduct an informal hearing into allegations made by the notifier regarding his professional conduct. The notice contained the information required by s.41.
Judicial Review
7 On 21 April 2005, Dr Kabourakis, through his solicitors, instituted this proceeding by originating motion. His grounds can be briefly stated. He has been the subject of an investigation and a finding has been made. It has been concluded. He was exonerated of any professional misconduct. The Board does not have power to ignore the finding and start again. It is put on his behalf that he should not be subject to another investigation. A complaint against a professional person is distressing and time consuming, and there has to be an end to any investigation. His counsel pray in aid the doctrines of functus officio, that is, having discharged the duty to investigate and having made a determination, the Board did not have the power to ignore what had occurred and start again; res judicata, that is, a decision is conclusive until reversed; abuse of process and double jeopardy; and the importance of finality in litigation.
8 On the other hand, there is another side to what has occurred. The notifier has been deprived of a full, careful and complete investigation. The notifier feels cheated. It is important that justice be done. Justice is a two-way street. This is sometimes overlooked, especially when dealing with persons the subject of a charge. The notifier is aggrieved by what has occurred and seeks a proper, full, careful and complete investigation. On a new investigation the doctor will be given every opportunity to answer the allegations. If he is guilty of any misconduct, then the statutory investigation must be concluded according to law. All of these arguments have substance.
9 Dr Kabourakis seeks an order in the nature of prohibition restraining the Board from proceeding with the informal hearing before a panel. On proper analysis his relief, if successful, is in the form of a certiorari-type order quashing the decision by the Board to hold another informal hearing, and an order prohibiting the Board from giving effect to its decision. This Court has jurisdiction to grant prerogative writ-type orders in respect to statutory bodies. The jurisdiction is subject to the procedural rules set out in Order 56 of the Rules of Court. The jurisdiction of the Court to review decisions and orders of a statutory body is limited. It is supervisory and does not entitle the Court to canvass matters that it would on an appeal. The common law jurisdiction is different to an appeal. An appeal is a creature of statute. See Fox v Percy.[2]
10 Judicial review is concerned with the authority of the statutory body and the legality of what it has done or seeks to do and is not concerned with the merits of the case. This is to be contrasted with an appeal where the question usually is whether the original decision was right or wrong, whereas the question on a judicial review is whether the decision is made within authority and in accordance with the law. Judicial review is not concerned with whether the decision was fair or correct.
11 Order 56 is concerned with procedure. It abolishes the remedies in the nature of the old prerogative writs but nevertheless preserves the jurisdiction of the Court to make prerogative writ-type orders. It is clear that the rules do not affect the common law jurisdiction of the Court, and it is equally clear that this Court has jurisdiction to make orders in the form similar to the old prerogative writs of certiorari and prohibition, namely, setting aside a decision to carry out an investigation and restraining a statutory body from proceeding when it does not have jurisdiction to do so.
12 Rule 56.02 deals with the time for commencement of a judicial review proceeding. By reason of paragraph 1, a proceeding must be commenced within 60 days after the date when the grounds for the grant of the relief or remedy claimed first arose. This present proceeding is out of time. Dr Kabourakis was advised on 2 February 2005 that the Board proposed to hold another informal hearing into his conduct. This proceeding was not commenced until 21 April 2005 and is outside the 60-day period. The Court has power under Rule 56.02(3) to extend time, but it is not permitted to extend time "except in special circumstances". The Court raised the issue with counsel. The Board did not raise the point and it does not seek to rely upon it. It is necessary to state further facts. On 16 February 2005, the Doctor's solicitors wrote to the Board asserting that the Board was functus officio and hence could not commence another informal hearing into the matters raised. Evidently the Board put on hold the informal hearing scheduled for 24 February 2005 and, after considering the matters raised by the Doctor's solicitors, determined to proceed. The doctor's solicitors were informed of this by letter dated 24 March 2005. On 4 April 2005, the Doctor's solicitors received another notice concerning the second informal hearing. As part of the period of 60 days was taken up with considering the question of whether the Board had power to hold a second informal hearing, and because the Board does not seek to argue against an extension of time, in my view there are special circumstances. I am prepared to extend time to bring the proceeding to 22 April 2005.
13 The scope of the common law jurisdiction of this Court was discussed by the High Court in Craig v South Australia.[3] As the Court held, the jurisdiction enables the quashing of an impugned decision on one or more of a number of distinct established grounds: most importantly, jurisdictional error, failing to observe some applicable requirement of procedural fairness, or fraud, and error of law on the face of the record. The confined nature of the jurisdiction was stated by Brennan J in Attorney-General (NSW) v Quin[4] where his Honour said: