1 GROVE J: This is a Crown appeal in relation to a sentence imposed upon the respondent following his trial at the Sydney District Court before Knight DCJ and a jury. He was convicted on a single count of aggravated sexual intercourse without consent. Following his conviction he was sentenced to imprisonment for four years commencing on 14 March 2003 expiring on 13 March 2007, and a non-parole period of eight months was specified commencing on 14 March 2003 and expiring on 13 November 2003. It therefore follows that the first date of eligibility for release to parole of the respondent falls due in two days' time.
2 The facts of the offence were serious indeed. The offence occurred on 25 April 2002. The victim was the respondent's wife. They had been married for about thirty years and they had four adult children. The relationship between them was described as toxic and it appears that for some time prior to the offence they had lived relatively separate lives although under the same roof.
3 On 25 April which was of course Anzac Day, the respondent's wife had been to the nearby shops and had visited some friends at a hotel. She came home at about 3.30pm. The respondent was at that time in the house and watching television in the main bedroom. It appears that he was watching a pornographic video display. The respondent's wife put some clothes away and later decided to have a shower. She returned to the bedroom with a towel around her. As she went to get some underwear from her drawer she was attacked by the respondent. She screamed and there was a punching, kicking and scratching melee between the two of them.
4 The respondent had a cucumber in his hand. The evidence is not clear as to how this cucumber came to be in the bedroom. Nevertheless, he said something along the lines about his erection being gone, that his wife was going to "have this". On two occasions he inserted this cucumber into his wife's vagina. In his remarks on sentence the learned judge felt that it was unnecessary to recite matters of detail and, like him, I do not believe it is necessary to articulate all of the circumstances beyond repeating my conclusion that the circumstances of the offence were serious indeed. The respondent's wife had to flee in a dressing gown without other clothing. She went to a neighbour and a telephone call was made for police assistance.
5 Those were the circumstances that gave rise to the offence charged by the indictment. The respondent pleaded not guilty but, as I have observed, he was convicted by the jury. The mere statement of the head sentence imposed and the non-parole period attached to it is capable of giving rise to surprise, to say the least. It therefore merits some investigation as to how the matter came to be dealt with in that fashion.
6 In his remarks on sentence the learned judge indicated that he had had reference to the statistics compiled by the Judicial Commission of New South Wales and he observed that after looking at those statistics he came to the conclusion that, in general terms, sentences for the particular offence tended to be imposed in the range of four to five years' imprisonment.
7 As I have observed, he imposed a sentence of four years' imprisonment. The somewhat surprising attached non-parole period was a matter that was canvassed during the sentencing proceedings. I will later turn to describe some matters relating to the respondent's medical and physical condition, but in relation thereto in an exchange with counsel, his Honour made this observation,
"The real question is having regard to the nature of the offence, whether it is a case that could be dealt with by way of a suspended sentence. It seems to me really that that is the question that is posed for me in it. The other realistic alternative is to impose a sentence of imprisonment of a significant length but to have a comparatively short non-parole period, far shorter than would otherwise be the case to take into account the subjective factors, in particular his state of health."
8 In due course his Honour came to the conclusion that a suspended sentence was inappropriate. In submissions on behalf of the Crown, counsel who appeared for the Crown in those proceedings but did not appear on the appeal, drew his Honour's attention to the absence of contrition. This was evidenced not only by the absence of a plea of guilty, but in a Parole and Probation report tendered to his Honour where it appeared that the respondent continued to dispute his guilt of the offence.
9 The Crown Prosecutor pointed out that, so far as the respondent's medical condition was concerned, his state of health at the time of the offence was the same as it was at the time that he appeared for sentence. The submission was made that the option of suspended sentence was inappropriate and the Crown Prosecutor then put that the only alternative would be full time custody. She said,
"The Crown does not cavil with the special circumstances due to his health but not to the degree that the sentence would be lenient, in my respectful submission."
10 Thus, as the matter was dealt with below, there was in effect a focus upon the specification of the non-parole period (perhaps to the exclusion of focus upon the length of sentence) in having regard to the respondent's condition. His Honour made a specific finding concerning the respondent's condition. He said,
"In my view in this case, imprisonment will be a greater burden on the offender by reason of his state of health and also I consider there to be a serious risk of imprisonment having a gravely adverse effect on the offender's health. In that regard I rely on the last sentence of Dr Lacji's report."
"That sentence simply stated 'in my opinion sentencing him to prison will have an adverse effect on his general health' ".
11 Despite the paucity of detail in that report there has been put before this court considerable material concerning the respondent's state of health. It could be said that we are, particularly as to detail, far better informed than his Honour was at the time of the sentencing proceedings. From the exhibited medical reports attached to the affidavits of Susan Amy Barnes sworn 30 October 2003, 6 November 2003 and 7 November 2003, it can be observed that the respondent is awaiting bypass heart surgery. He has a tabulated set of conditions described as insulin-dependent diabetes, a condition which has affected him for some eighteen years, peripheral vascular disease, severe diabetic retinopathy, diabetic nephropathy, peripheral neuropathy, recurrent foot ulcers and severe diabetic retinopathy.
12 An observation is made concerning his eyesight that a Professor Mitchell who is treating him in that regard, is not too optimistic that his eyes would be able to be "controlled", even with treatment. In other reports his chronic renal failure is referred to. The treatment of his foot ulcer is noted. It can be observed that whilst in prison between 14 May and 10 October he seems to have been taken to clinics from the gaol on at least twelve occasions. It is probably an indication of the scope of the conditions affecting him that his present medication regime consists of the following: Panadeine Forte twice daily, Norflex 100 mg daily, Iscover 75 mg morning, Pravachol 40 mg morning, Coversyl 2mg morning, Polytears eye drops both eyes daily as required, Mixtard 30/70, 50 units morning and 36 units night, Omperazole 40 mg night, Lasix 80 mg daily, Imdur 60 mg daily, Cardizem 60 mg morning and night.
13 It is no understatement to say that the state of health of the respondent was correctly described at the proceedings below as appalling. Nevertheless, the crime is, as I have indicated, one that was extremely serious. It was noted by the trial judge that the applicant had no prior convictions and he was a man in his fifties. Nevertheless it was a violent, unprovoked assault in the domestic circumstances that I have described.
14 At the hearing the court raised the possibility of there being an error of principle discernible in a failure by the sentencing judge to take into account the medical condition of the respondent in setting the whole length of sentence rather than in simply focusing upon the non-parole period. That the respondent's medical condition is relevant to the length of sentence is well-established law. See R v Vachalec [1981] 1 NSWLR at 351. That is not to say of course that it has not often been said that such a condition is relevant to the setting of a non-parole period. We were referred to R v Sellen (1991) 57 A Crim R 313. The relevant passage is at 318 which indicates that it was the view of the court,
"If it is shown that imprisonment will cause particular hardship (either because of a pre-existing physical or mental disability of the prisoner or because of the circumstances in which the prisoner must be kept for protection) this is a circumstance to be taken into account in determining the duration of imprisonment."