Individual Grounds of Appeal
45 Separate from these two difficulties confronting Dr Rudakova in her appeal and the Grounds of Appeal to which these difficulties relate, it is separately concluded that there remain other reasons for rejecting these and the remaining Grounds of Appeal.
46 Some of these individual Grounds of Appeal may be considered together.
47 Thus, some Grounds allege that the primary Judge erred in making particular findings by reason of (for example) accepting the evidence of Mr Cusack. Grounds 9, 10 and 11 fall into this category. Ground 9 (for example) alleges that the primary Judge "erred in concluding that Cusack had not taken into account in making his decision, Rudakova's criticism of the investigation of her Grievance…". Reference is made to paras [171] and [172] of the reasons for decision. But this challenge should be rejected. Paragraph [172] (for example):
comes after a detailed review of the evidence, including the evidence of Dr Rudakova; and
sets out the evidence of Mr Cusack, and is reinforced by the primary Judge later including the entirety of the letter of termination dated 21 July 2017 (at para [222]).
Paragraph [172] moreover sets out the reasons advanced by Mr Cusack for his evidence that he had not taken into account the "grievances" raised by Dr Rudakova - namely:
the fact that, in his opinion those "grievances" related to "different issues"; and
the advice given to him by Ms Taoro not to take those "grievances" into account.
As set out in his affidavit, Mr Cusack deposes to a conversation between himself and Ms Taoro on 10 July 2017 in which she said words to the following effect:
It is important that any decision you make about Dr Rudakova's employment is not influenced by any other matter other than the matters outlined in the show cause letter, Dr Rudakova's show cause reply, and all evidence I will send you today including the HR investigation. You cannot take into consideration Dr Rudakova's complaints or any concerns or enquiries she has made in relation to her employment, including her grievance.
Mr Cusack's affidavit goes on to state that he "made [his] decision consistent with this guidance".
48 The findings made by the primary Judge in respect to accepting the evidence of Mr Cusack cannot be said to expose any self-evident reason let alone be characterised as "glaringly improbable": cf. Robinson Helicopter [2016] HCA 22 at [43].
49 The findings made by the primary Judge moreover proceeded, in part, upon the evidence in chief of Mr Cusack and his evidence in cross-examination. Part of that cross-examination was as follows:
MR ROLLINSON: All right. I will go straight to it, Mr Cusack. Your real reason for - your real reasons, plural, on behalf of the hospital for dismissing Dr Rudakova, were, number 1 - a combination of these things. They were a combination of these things. Number 1 -you're upholding - agreeing with Ms Taro's conclusion in regard to the Bokey complaint and the Auyeung complaint. That's number 1. Number 2 - you're upholding - agreeing with three other complaints that Dr Scott had drawn to your attention. Number 2. And number 3 - your decision that, all things considered, it was best for the hospital to be rid of this intern who had unhelpfully raised a baseless grievance?--Look, I don't accept that last comment at all. The situation was, there had been a very serious patient complaint raised. I dealt with that on it - on its own. It was separate to the other matters. It could have had very dire outcomes for the patient involved. We went through due process to find out what the reasons, you know, to - Dr Rudakova was given her opportunity to respond. She claims it didn't happen, and so it was necessary to - to look at other matters, including other complaints that may have - that occurred during that time, which demonstrated there was, you know, similar sorts of issues that had occurred. I might say the - the letter from Dr McDonald was also pretty important as well. Like, do you mind if I go to that? Am I allowed to do that?
We've already- I've asked you some questions about Dr McDonald's letter, but …?--Well, I- I'm making it clear that the issues about the grievance are - are matters that were over that, weren't taken into account in relation to investigation of the patient complaint matter.
Right?--So - so issues related to other patient complaints most definitely were, and issues about overstepping professional boundaries were taken into account. Because they're - they're the two critical issues that were at the forefront of my mind when making the decision.
Do you agree that this matter of overstepping professional boundaries was inextricably intertwined with her grievance that she - as she had formulated it, that she was not overstepping professional boundaries, but was simply attempting to do her job and was being unjustly criticised and bullied for doing it in the way that she had?--No, I don't accept that, because in the - in the psychiatric rotation, and I'm going back to Dr McDonald's statements. So I think it would be helpful to refer to those if we can.
Well, in regard to Dr McDonald's statements, you say that that's another matter that was weighing on your mind when you made the termination decision?---It was a- could I - could I just refer to the particular points that Dr McDonald raised?
All right. Well, we can go back to that page, which is at page …?--It's - I think
… 58. Thank you. Page 58 of your bundle?--Okay. At the bottom of that page it says:
But as time progressed I realised that Marianna seemed oblivious to the obvious hierarchal effect that she is the intern and I am the consultant. That is, she was uncomfortable with taking direction or advice. This seems to be - to me to be a significant problem for a young, inexperienced doctor.
Right. And then he gives two examples that are on page 59, of that, according to himself?--Sure. But - but it's a general statement though. Dr Scott had indicated that she had spoken to Dr Rudakova about the issue about overstepping professional boundaries before in relation to those complaints that she had received.
Dr McDonald, it may be noted, was a consultant psychiatrist at the Hospital. He had emailed the Hospital in May 2017 about an incident when Dr Rudakova "became irritated" with his decision not to commence a particular drug which Dr Rudakova considered appropriate for a patient. Dr McDonald had raised his concerns about Dr Rudakova with Dr Scott. Mr Cusack had referred to this exchange in his letter of termination.
50 The cross-examination went on to separately challenge the evidence of Mr Cusack in respect to the complaint made by Dr Auyeung, a complaint which on one view may have assumed less importance to the decision made to terminate the services of Dr Rudakova. But, to Mr Cusack, this complaint evidenced a pattern on Dr Rudakova's part of "not following a clear instruction". When cross-examined on this complaint, Mr Cusack was taken to an exchange between himself and Dr Scott in which Dr Scott was saying that Dr Rudakova was "overstepping professional boundaries". The exchange between Mr Cusack and his cross-examiner continued as follows:
But to decide that there has been a pattern of overstepping professional boundaries, one has got to - they're satisfied that the pattern, that is the other instances, actually exist and are not just allegations that are unproven. Do you agree?--What I had to do was, look to advice from people who were dealing with the matters at the time. So her professional and her senior professional colleagues.
And that's what you did, you consider. Is that right? Well, just to be clear, what I'm suggesting is that, one of your reasons in ultimately deciding to issue the termination was also that you were mindful of her history, of her grievance with a capital G, grievances - plural, which had been found unsubstantiated, and you considered that it was in the best interest of the hospital to terminate her employment so that there would be no repetition of such raising of unjustified grievances?--I don't accept that. What - the reason for her termination primarily was in relation to a very serious patient complaint which could have - could have had very poor outcomes for the patient and their family, and those sort of things can't be ignored. It was a - it - it could have, you know, fortunately it wasn't but it could have been a very serious matter. And so if that sort of pattern of behaviour, about overstepping professional boundaries, was happening despite counselling by a senior colleague - clinical colleagues at the time, that was a serious concern. That was - that was primarily what the decision was made by. The - the issue with Dr Yeung was more that - that was another example of not accepting a - a clear instruction. Not - not following a clear instruction.
It was a very venial sin though, wasn't it, the Dr Auyeung matter? Do you agree?--It - it was. On its own it wasn't - it wasn't a major issue, but it - it fell into a pattern of not following a clear - clear - very clear instructions that had been given to Dr Rudakova.
Of present relevance is the fact that there is nothing in this exchange in cross-examination that would cast doubt upon the findings made by the primary Judge. The propositions being advanced by the cross-examiner as to the matters "inextricably intertwined" with the decision to terminate the services of Dr Rudakova were put to the decision-maker and rejected.
51 Ground 10 raises a like conclusion. That Ground seeks to focus attention on a complaint made by Dr Rudakova "regarding Dr Omari's communications (or lack thereof) with her". Irrespective of whether this Ground also seeks to impermissibly depart from the identification of the "workplace right" relied upon before the primary Judge, no appellable error is exposed in the "accept[ance]" by the primary Judge of Mr Cusack's evidence that "the fact Dr Rudakova raised concerns about Dr Omari was not a matter he took into account in deciding to terminate her employment": at [178].
52 Consistent with her forensic objective of seeking "to cast doubt on whether SVPH's genuine, or sole genuine, reason for dismissing her was that the Complaints had been upheld", an underlying and recurring purpose in advancing many of the Grounds of Appeal was the forensic objective of seeking to undermine the evidence of Mr Cusack as to his not placing reliance upon any aspect of the grievance complaint made by Dr Rudakova. Grounds 16, 17, 18, 19, 20, 21, 22 and 23 are but examples.
53 As but a further example, Ground 16 of the Notice of Appeal provided as follows:
The judge erred in not deciding that the fact that Rudakova, by her email at 6.00 pm on 28 June 2017 to Cusack, and the copies of emails attached to it (between Rudakova and Ms Coleman on 25 June and 26 June 2017, and copy of Rudakova's letter of 9 June 2017 to Ms Taoro), had further reminded Cusack of her Grievance - by which she complained inter alia of bullying behaviour by Dr Omari and Dr Biggs in relation to her Psychiatry and ENT rotations, and contrasted SVPH's suspension of her from duty and threat to terminate her employment over its own complaints against her with the failure of SVPH to proceed in any similar way against those against whom she had complained; and this was a further reason to infer that Rudakova's exercise of her workplace rights to complain (the Grievance) was an operative factor in Cusack's decision to terminate her employment. (Reasons par 53, 171, 198, 199, 263 - 264)
Ground 22 also provides as follows:
The judge erred in not deciding that one of the operative reasons for the decision by Cusack was the desire to terminate the employment of an intern who had unhelpfully raised grievances against SVPH management, that is, exercised workplace rights to complain about her employment. (Reasons par 240 - 253, 255, 262 - 264)
The Grounds of Appeal are variously expressed in terms of the primary Judge having erred "in concluding" or "in deciding" particular matters (e.g., Grounds 9 and 11), and Grounds 16 and 22 are but instances where the error is expressed in terms of "not deciding…". The various expressions are but means of seeking to undermine findings made with a view to ultimately seeking to impugn the ultimate findings as to what Mr Cusack did and did not take into account.
54 In advancing Ground 16, for example, and as recognised by Dr Rudakova, no contention could prevail that the primary Judge had overlooked the reliance placed by Dr Rudakova upon the 28 June 2017 email. Paragraph [198] of the reasons for decision thus states as follows:
[198] It appears that Dr Rudakova was aware that Mr Cusack would have a decision-making role in relation to the complaints about her. She went to his office on 28 June 2017. That day she emailed Mr Cusack copies of her text messages with Dr Auyeung of 2 June 2017, her letter to HR of 14 June 2017, a copy of the Dr B complaint and part of Patient B's hospital records. Later that day, after Mr Cusack advised her that in any decision-making he would carefully consider all the information, Dr Rudakova sent Mr Cusack an email as follows: Today you also mentioned that any [the Hospital] employee faced with allegations of serious nature would be put through the process that I am going through right now. I'd like to bring your attention for comparison to the attachment and below email thread in relation to my grievance of bullying. None of the parties that I have complained about went through the process of suspension or had the impact on their jobs or potentially (sic) careers and, I would argue that an allegation of bullying is just as grave, if not more, as those that I am faced with currently.
The primary Judge further refers to the email as follows:
[218] As described above, Mr Cusack had previously received other information about Dr Rudakova, including in relation to the grievance investigation and the material Dr Rudakova sent him on 28 June 2017.
And, as with other aspects of the evidence of Mr Cusack, the primary Judge accepts his evidence. In the absence of reason to question the findings of fact made by the primary Judge, this is but another example of the broader conclusion of the primary Judge that the evidence of Mr Cusack was to be accepted. That was a decision, at least initially, for the primary Judge. Whatever may have been the conclusion had important evidence not been adverted to in reasons for decision, the 28 June 2017 email was a matter taken into account by the primary Judge and findings of fact were made. The evidence of Dr Rudakova was taken into account, as was the evidence of Mr Cusack. Ultimately, the primary Judge had to weigh the evidence and the competing submissions. No appellable error is exposed in the approach of the primary Judge.
55 Other Grounds of Appeal contend that the evidence relied upon by the Hospital was "so weak" that the evidence of Mr Cusack could not be accepted or (differently expressed) "given the plethora of evidence" one of the "operative reasons… for the decision was the exercise of workplace rights…". Grounds 23 and 28 thus provide as follows:
23. The judge erred in not deciding that the evidence upon which the employer found both the Dr B Complaint - regarding Rudakova's interaction with Dr B's Psychiatry patient ("the Dr B Patient") - and the DR A Complaint - regarding communications with Dr Titus Auyeung - against Rudakova to be substantiated, was so weak that such Complaints could not have been the only genuine operative reasons for Cusack's decision to terminate Rudakova's employment. (Reasons par 262 - 274)
…
28. The judge erred in deciding that Cusack's evidence that the Dr A and Dr B Complaints were the only matters he took into account when making the dismissal decision could not be accepted given the plethora of evidence supporting the inference that the operative reason, or one of the operative reasons, for the decision was the exercise of workplace rights by Rudakova in continually raising issues regarding her employment. (Reasons par 262 - 274)
These Grounds present no reason to reach any different conclusion. Both the affidavit evidence of Mr Cusack, for example, and his evidence in cross-examination accept that the complaint made by Dr Auyeung was not "as serious" as the complaint made by Dr Bokey, but show that it assumed importance by reason of the complaint raising concerns as to Dr Rudakova "overstepping professional boundaries …" or "not accepting… a clear instruction". The evidence of Mr Cusack thus accepted his own weighing or assessment as to the comparative seriousness of the subject matter of the complaints made by Dr Bokey and Dr Auyeung. And no error is exposed in the primary Judge taking the considered approach of Mr Cusack into account when making the findings set forth in the reasons for decision.