[2025] QCAT 200
General information, not legal advice.
Queensland Civil and Administrative Tribunal
2025-05-28
Original judgment source is linked above.
OCCUPATIONAL REGULATION - VETERINARY SURGEONS - where vet alleged to have kept inadequate records - where medications administered or prescribed - where diagnostic tests not conducted - where client did not agree to further tests - where animal was likely pre-morbid on presentation - where client refused euthanasia
Veterinary Surgeons Act 1936 (Qld), s 22F, s 22E, s 29A
Veterinary Surgeons Regulation 2016 (Qld), reg 24
Veterinary Surgeons Board of Queensland v Butterworth [2025] QCATA 43
Veterinary Surgeons Board of Queensland v Griffin [2016] QCAT 380
Veterinary Surgeons Board of Queensland v McIntosh [2011] QCAT 417
C. Wilson of Counsel instructed by the Veterinary Surgeons Board of Queensland
O. Cook of Counsel instructed by Colin Biggers & Paisley Solicitors
(a) Meloxicam injection (0.1 ml of a 5mg/mL meloxicam solution), a non-steroidal anti-inflammatory drug;
(b) Cerenia injection (0.3ml of a 10mg/mL maropitant solution), for the prevention of acute vomiting;
(c) Protech C4 + C2i vaccination, for protection against CPV;
(d) Scourban, a diarrhoea medication with multiple active ingredients, including antibiotics;
(e) ProN8ure Paste, a probiotic.
(a) to relieve the animal's suffering and distress;
(b) to prevent CPV infection if the negative test was correct despite his confidence otherwise; and
(c) to support the client, well known to him, and the pup that was nearing death, in circumstances where the client seemed not to understand the seriousness of the infection.
The ground for disciplinary action is that Nathan Keith Henry Hitchcock (Registrant) has behaved in a way that constitutes misconduct in a professional respect:
(a) pursuant to section 22F of [the Act] in that he:
(i) was negligent or incompetent in the practice of his profession; and/or
(ii) failed to keep such records as are prescribed by the Veterinary Surgeons Regulation 2016 (Regulation) or so far as are not prescribed as the Board directs; and/or
(b) has otherwise engaged in conduct substantially below the standard expected of him by his peers and/or members of the public.
PARTICULARS
(a) The records contain insufficient details of any physical examination or tests performed.
(b) The records do not contain the full particulars of the treatment given.
(c) The records do not include vital parameters, such as [the dog's] respiration rate and heart rate.
(d) The records do not contain details of [the dog's] mucous membrane colour, or that the Registrant conducted this examination.
(e) The records contain no details of the differential diagnosis made by the Registrant.
(f) The records do not adequately record the Registrant gave [the dog] an injection of Meloxicam 20ml and Cerenia 20ml.
(g) The records do not record the Registrant gave [the client] worming tablets to give to [the dog] all the instructions given in that regard.
(h) The records do not record or adequately record details of the instructions given when [the dog] was discharged.
(i) The records do not record the owner's informed consent for the treatment provided.
The Registrant's treatment of [the dog] was negligent, incompetent and/or otherwise below the standard expected.
PARTICULARS
(a) The Registrant failed to admit [the dog] for further treatment.
(b) In the alternative to subparagraph (a), the Registrant failed to:
(i) Refer the owners to another veterinary practitioner equipped to manage [the dog's] care.
(ii) Provide the owners with adequate therapeutic options.
(iii) Implement or offer appropriate outpatient treatment.
(c) The Registrant failed to have a plan in place to manage like events as well as appropriate biosecurity, sanitation and decontamination processes so that he could continue to provide care to [the dog].
(d) Despite obtaining a negative parvovirus test, the Registrant did not conduct, or offer to conduct:
(i) A faecal smear test.
(ii) A blood smear test.
(iii) A PCV/TP test.
(e) Further to subparagraph (d), the Registrant failed to conduct a faecal test to ascertain whether there was concurrent ascariasis, another possible primary cause of [the dog's] clinical symptoms.
(f) The registrant failed to assess [the dog's] mucous membrane colour.
(g) Having noted that it "smells like parvo", the Registrant failed to ascertain if [the dog] had haemorrhagic gastroenteritis.
(h) The Registrant failed to adequately inform [the client] of an appropriate case management plan, solely advising her that if [the dog] continued to deteriorate, she should return so that a further parvovirus test could be undertaken.
(i) It was inappropriate to inject Meloxicam in circumstances where the patient was anorexic and had significant gastroenteritis systems, suggesting associated dehydration/hypovolemia.
(j) The Registrant failed to provide antibiotic therapy and fluid therapy.
(a) Dr Hitchcock (Respondent);
(b) Ms Jacquelyn Ballin, receptionist and assistant to Dr Hitchcock;
(c) Dr John Mallyon, expert witness;
(d) Dr Richard Burchell, expert witness.
(1) Subject to section 22B, where the board is of the opinion that a veterinary surgeon has engaged in misconduct in a professional respect, it may, instead of referring the matter to the tribunal -
(a) order the veterinary surgeon to pay to the board by way of penalty a specified sum of money in no case exceeding 10 penalty units; or
(b) admonish or reprimand the veterinary surgeon; or
(c) adjourn the matter of dealing with the veterinary surgeon pursuant to paragraph (a) or (b) for a period not exceeding 12 months.
(2) An order made pursuant to subsection (1)(a) may contain a direction that the registration of the veterinary surgeon concerned be suspended for a specified period if the veterinary surgeon fails to pay the sum of money to the board within a specified time and, if the money is not paid within that time, his or her registration as a veterinary surgeon shall be suspended accordingly.
(2A) Suspension pursuant to subsection (2) shall be in addition to and not in lieu of payment of the sum of money.
(3) Where the board adjourns a matter for a period pursuant to subsection (1)(c) it shall reconsider the matter at the end of that period and, taking into consideration the conduct, demeanour and behaviour of the veterinary surgeon concerned during that period, proceed pursuant to subsection (1)(a) or (b) or take no further action.
(4) Where the board deals with a veterinary surgeon pursuant to subsection (1) it may order the veterinary surgeon to pay to the board such costs as it thinks fit.
22F Misconduct in a professional respect
Without limiting the ways a veterinary surgeon may engage in misconduct in a professional respect, a veterinary surgeon is engaging in "misconduct in a professional respect" if the veterinary surgeon:
(a) is habitually drunk or is addicted to any deleterious drug; or
(b) conducts any veterinary premises or other place for the practice of veterinary science where the veterinary surgeon himself or herself is not in full-time attendance thereat, unless a veterinary surgeon employed by him or her is in full-time attendance thereat for the purpose of practice and supervision during the hours at which such premises are open for the practice of veterinary science, and the name of such veterinary surgeon employed by him or her is conspicuously posted up or indicated on the premises by means of a name plate or other device in letters of equal dimensions to those of the veterinary surgeon's name; or
(c) signs or gives in his or her professional capacity a certificate, notice, report or like document that is incomplete or is false or misleading in a material respect; or
(d) contravenes or fails to comply with, or counsels, procures, aids or abets another person to contravene or fail to comply with, or does or omits to do any act for the purpose of enabling another person to contravene or fail to comply with, any Act or other law with respect to dangerous drugs whether or not the contravention or failure to comply is the subject of court proceedings; or
(e) practises fraud or deception in the practice of his or her profession; or
(f) is negligent or incompetent in the practice of his or her profession; or
(g) is convicted of an offence involving cruelty to an animal; or
(h) fails to keep the premises on which the veterinary surgeon practises his or her profession and all equipment contained therein in a clean and sanitary condition; or
(i) fails to keep such records as are prescribed or so far as are not prescribed as the board directs; or
(j) assaults, resists, obstructs or hinders or threatens or intimidates a member or deputy member of the board or any officer of the board, in the exercise of his or her powers under this Act; or
(k) directs or allows a person who is not a veterinary surgeon to practise veterinary science in relation to an animal under the veterinary surgeon's care; or
(l) holds out that a person who is not a veterinary surgeon may practise veterinary science; or
(m) conducts a veterinary practice at premises other than veterinary premises; or
(n) does not comply with a condition of an approval given under part 4A.
(a) Dr Hitchcock was told by the client that she did not believe the dog was as seriously ill as he concluded in his clinical assessment, and that she told him she could nurse it back to health at home;
(b) the client consented to administration of medications, although there is no evidence from her as to how well-informed that consent was;
(c) the client told Dr Hitchcock that she could not afford the recommended treatment;
(d) Dr Hitchcock asked the client to represent later that day for further testing if the dog's health deteriorated;
(e) Dr Hitchcock informed the client the dog would likely deteriorate and die within hours if not intensively treated.
Alleged misconduct Referral paragraph [15]
(a) The Registrant failed to admit [the dog] for further treatment.
(j) The Registrant failed to provide antibiotic therapy and fluid therapy.
We find that the veterinarian recommended admission but the client declined authority to admit the animal and would not pay for or could not afford inpatient care and treatment.
The Tribunal is satisfied that the veterinarian reasonably concluded, absent inpatient care, that the animal would die within hours from CPV and that euthanasia was the best available treatment. This advice was not accepted or acted on by the client. He then recommended alternative care stated paragraph [8] above that the Tribunal concludes was reasonable and professional in the circumstances.
The Tribunal concludes that these grounds are not made out.
(b) In the alternative to subparagraph (a), the Registrant failed to:
(i) Refer the owners to another veterinary practitioner equipped to manage [the dog's] care.
(ii) Provide the owners with adequate therapeutic options.
(iii) Implement or offer appropriate outpatient treatment.
On the uncontested evidence, there were no other veterinarians in the town to whom the client might be conveniently referred.
We find that the veterinarian offered reasonable and appropriate therapeutic options. The client acted on some of them but declined to act on others.
We find that outpatient treatment provided was, in the circumstances, appropriate, and did not amount to professional misconduct because it was proportionate to the animal's presentation and the client's needs and ability in regard to its treatment.
(c) The Registrant failed to have a plan in place to manage like events as well as appropriate biosecurity, sanitation and decontamination processes so that he could continue to provide care to [the dog].
There was no evidence that the veterinarian failed to have in place proper plans as particularised. The Tribunal concludes on the available evidence that the veterinarian and the practice generally was operating to an appropriate standard in these regards.
(d) Despite obtaining a negative parvovirus test, the Registrant did not conduct, or offer to conduct:
(i) A faecal smear test.
(ii) A blood smear test.
(iii) A PCV/TP test.
(e) Further to subparagraph (d), the Registrant failed to conduct a faecal test to ascertain whether there was concurrent ascariasis, another possible primary cause of [the dog's] clinical symptoms.
(f) The registrant failed to assess [the dog's] mucous membrane colour.
(g) Having noted that it "smells like parvo", the Registrant failed to ascertain if [the dog] had haemorrhagic gastroenteritis.
In the circumstances of an animal in rapid decline and a robust diagnosis of PCV based on clinical observations, knowledge of the long-standing client, prevalence CPV in the area, and a client reluctant to accept or pay for tests and treatment, it was not professional misconduct not to conduct further tests. Further there was no utility in further test particularised in all the circumstances, including physical examination that indicated ascariasis was very unlikely.
We find the diagnostic conclusion reached by Dr Hitchcock was reasonable and professional.
(h) The Registrant failed to adequately inform [the client] of an appropriate case management plan, solely advising her that if [the dog] continued to deteriorate, she should return so that a further parvovirus test could be undertaken.
On the available evidence, the Tribunal is satisfied that the veterinarian did in fact adequately inform the client of future care of the animal. Palliative care was offered and medication dispensed consistently with the care plan.
The Tribunal finds that the veterinarian did in fact advise the client to return for further testing.
(i) It was inappropriate to inject Meloxicam in circumstances where the patient was anorexic and had significant gastroenteritis systems, suggesting associated dehydration/hypovolemia.
The Tribunal accepts the evidence of the veterinarian as to the therapeutic and pastoral care reasons for administering Meloxicam and that, in the circumstances, that did not amount to professional misconduct.
24 Record of treatment of animals
(1) A veterinary surgeon must, for each animal treated by the veterinary surgeon, keep a record including -
(a) the animal's identifying details; and
(b) the following information for each consultation about the animal -
(i) details of any condition or injury of the animal;
(ii) any provisional or definitive diagnosis;
(iii) full details, including the date, of any examination, procedure or test performed;
(iv) full details of any treatment given, including details of any drugs administered or dispensed;
(v) results of any treatment given;
(vi) details of any instructions given when the animal is discharged.
Maximum penalty - 10 penalty units.
(2) The veterinary surgeon must keep the record for 3 years from the day the last information about the animal is included in the record.
Maximum penalty - 10 penalty units.
Veterinary patient records provide a contemporaneous record of the veterinary management of an animal. They serve as an important basis for review and evaluation of veterinary care and are essential for the continuity of care of the patient.
Complete patient records are the most important part of a veterinarian's defence against a complaint.
(a) history that is "relevant";
(b) physical examination findings, "to the extent relevant to the veterinary management of the patient" ;
(c) other matters "where applicable".
(i) fails to keep such records as are prescribed or so far as are not prescribed as the board directs.
Veterinarians are to:
keep accurate and concise veterinary records for animals under their care, including records of client consent, as prescribed in the Act and Veterinary Surgeons Regulation 2016, and as defined by the VSBQ in policies and guidelines.
[33] The Tribunal accepts the submission advanced by Mr Wilson for the Board that Pillai's case suggests a 'higher bar,' in that the conduct in question needs to be more wanting than the test stated in Cooke's case. Given the seriousness of the allegations and the potential consequences that may flow from any adverse findings made about Dr Griffin's conduct and his practice as a veterinary surgeon, the Tribunal will apply the test that suggests a 'higher bar', being the test in Bayliss' case that endorsed the approach taken in Pillai's case.
[34] Bayliss' case said that, as to whether the facts as found establish 'negligence so gross', it is necessary for the Tribunal to 'find something more' than mere negligence by the civil standard.55 Bayliss' case accepted the approach set out in Pillai's case. Pillai's case said that in assessing the evidence and making a finding of 'professional reprobation', there must be evidence 'established by...an appropriately qualified person or persons'. Pillai's case also said that the statutory test of 'misconduct in a professional respect' is not met by 'mere professional incompetence or by deficiencies in the practice of the profession'. Pillai's case said there must be something more, such as 'a deliberate departure from accepted standards or such serious negligence, as although not deliberate, to portray indifference and an abuse of the privileges which accompany registration as a medical practitioner'.
[1] 'Veterinary records' Veterinary Surgeons Board of Queensland (Web Page, 22 June 2023) .
[2] [2016] QCAT 380, [8]-[11], [16].
[4] Veterinary Surgeons Board v Griffin [2016] QCAT 380.
[5] Veterinary Surgeons Board of Queensland v Griffin [2016] QCAT 380.
[6] See analysis in Veterinary Surgeons Board of Queensland v McIntosh [2011] QCAT 417; Veterinary Surgeons Board of Queensland v Butterworth [2025] QCATA 43.
Veterinary Surgeons Board of Queensland
Hitchcock [2025] QCAT 200