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[2002] VSC 351
Supreme Court of Victoria
2002-08-23
Bongiorno J.
Original judgment source is linked above.
Administrative law - Tribunals - Supervisory jurisdiction of Supreme Court - Abuse of process - Principles to be applied - Old complaints - Lack of specificity - Joinder of complaints - Medical Practice Act 1994
1. Should this Court, in the exercise of its supervisory jurisdiction over the Medical Practitioners Board of Victoria and the Panel make orders staying a formal hearing in respect of certain of the allegations made by one of two complainants (Ms A) against the plaintiff on the ground that to permit such formal hearing to proceed would involve an abuse of process? (The abuse of process question.) 2. In any event should the Board and the Panel be prevented from conducting a formal hearing into the allegations made by each of the complainants (Ms A and Ms B) against the plaintiff together? (The severance question.)
". . . now settled that the Court of Appeal's supervisory jurisdiction with respect to 'the administration of justice in New South Wales' extends, in the absence of legislative intervention, to the making of an order staying proceedings in the (Medical) Tribunal on the ground that they constitute an abuse of the Tribunal's process."
"The inherent jurisdiction of a superior court to stay its proceedings on grounds of abuse of process extends to all those categories of cases in which the processes and procedures of the court, which exist to administer justice with fairness and impartiality, may be converted into instruments of injustice or unfairness."
They instanced proceedings which were doomed to failure, those instituted in an inappropriate forum and those which unjustifiably sought to re-litigate an already disposed of question as examples of situations where the jurisdiction would arise. They cited Lord Diplock in Hunter v Chief Constable of the West Midlands Police[7] who described the jurisdiction as being:-
". . . the inherent power which any court of justice must possess to prevent misuse of its procedure in a way which, although not inconsistent with the literal application of its procedural rules, would nevertheless be manifestly unfair to a party to litigation before it, or would otherwise bring the administration of justice into disrepute among right-thinking people."
"In her judgment in Jago (1989) 168, CLR at 74, Gaudron J stressed that the power of a court 'to control its own process and proceedings is such that its exercise is not restricted to defined and closed categories, but may be exercised as and when the administration of justice demands.' Her Honour added the comment (1989) 168 CLR at 74, 'that, at least in civil proceedings, the power to grant a permanent stay should be seen as a power which is exercisable if the administration of justice so demands, and not one the exercise of which depends on any nice distinction between notions of unfairness or injustice, on the one hand, and abuse of process, on the other hand.' Subsequently in her judgment (1989) 168, CLR at 77, her Honour made clear that, subject to some refinements which she identified, that comment was also appropriate to be adopted in relation to criminal proceedings."
"In its application to the Tribunal, the concept of abuse of process requires some adjustment to reflect the fact that the jurisdiction of the Tribunal, which is not a court in the strict sense, is essentially protective - i.e. protective of the public - in character. Nonetheless, the legal principles and the decided cases bearing upon the circumstances which will give rise to the inherent power of a superior court to stay its proceedings on the grounds of abuse of process provide guidance in determining whether, assuming jurisdiction to do so, the circumstances of a particular case are such as to warrant an order being made by the Supreme Court staying proceedings in the Tribunal on abuse of process grounds. In particular, in a context where the disciplinary power of the Tribunal extends both to the making of an order permanently removing a medical practitioner from the Register with consequent loss of entitlement to practise and to the imposition of a fine of up to $25,000 (See Medical Practitioners Act 1938 (NSW) s 32R(1)(g) and (h)), there is plainly an analogy between the concept of abuse of a court's process in relation to criminal proceedings and the concept of abuse of the Tribunal's process in relation to disciplinary proceedings. In that regard, it is relevant to mention that we do not read any of the provisions of the Act as expressly or impliedly cutting down the scope of the general supervisory jurisdiction of the Court of Appeal to stay proceedings in the Tribunal on abuse of process grounds."
"As was pointed out in Jago (see, in particular, (1989) 168 CLR at pp 30-34, per Mason CJ; pp 59-61, per Deane J; p 72, per Toohey J; pp 76-78, per Gaudron J) the question as to whether criminal proceedings should be permanently stayed on abuse of process grounds falls to be determined by a weighing process involving a subjective balancing of a variety of factors and considerations. Among those factors and considerations are the requirements of fairness to the accused, the legitimate public interest in the disposition of charges of serious offences and in the conviction of those guilty of crime, and the need to maintain public confidence in the administration of justice. The question whether disciplinary proceedings in the Tribunal should be stayed by the Supreme Court on abuse of process grounds should be determined by reference to a weighing process similar to the kind appropriate in the case of criminal proceedings. In particular, in deciding whether a permanent stay of disciplinary proceedings in the Tribunal should be ordered, consideration will necessarily be given to the protective character of such proceedings and to the importance of protecting the public from incompetence and professional misconduct on the part of medical practitioners."
"(1) At Springvale, between 27 March 1980 and 20 July 1981 during a consultation with your patient Ms A, in which you performed an internal examination, you engaged in conduct which was inappropriate and/or unnecessary for the purpose of the consultation.
After completing the internal examination you left your finger/s in her vagina in the one spot and repeatedly bent your finger/s up and down.
(2) At Springvale, between 27 March 1980 and 20 July 1981, on an occasion other than referred to in allegation 3A(1), during a consultation with your patient Ms A, in which you performed an internal examination, you engaged in conduct which was inappropriate and/or unnecessary for the purpose of the consultation.
(a) After completing the internal examination you left your finger/s in her vagina in the one spot and. repeatedly bent your finger/s up and down.
(b) While your finger/s was/were in her vagina you asked her `if it felt good'.
(3) At Springvale, between 27 March 1980 and 20 July 1981 on an occasion other than referred to in allegations 3A(1)&(2), during a consultation with your patient Ms A, in which you performed an internal examination, you engaged in conduct which was inappropriate and/or unnecessary for the purpose of the consultation.
(a) After completing the internal examination you left your finger/s in her vagina in the one spot and repeatedly bent your finger/s up and down.
(b) After you finished the internal examination you indicated that you enjoyed it.
(4) At Springvale, between 27 March 1980 and 4 August 1980 on two or occasions, during consultations with your patient Ms A you embraced her and kissed her on the lips.
(5) At Springvale, on an occasion between 8 June 1981 and 31 August 1981, during a home consultation with your patient, Ms A, you had sexual intercourse with her.
(6) At Springvale on or about 31.March 1984, during a consultation with your patient, Ms A, you put your penis into her mouth."
Although the plaintiff's application to the Panel to stay further proceedings in respect of those allegations set out in paras A(1), (2) and (3) above was unsuccessful in that the Panel correctly held that it had no power to grant such a stay, it did determine that for reasons relating to the vagueness of the allegations, their age and their lack of specificity the Notice should be amended in certain ways which it specified. Certain amendments were effected after the Panel's ruling and an amended Notice served upon the plaintiff which detailed Ms A's allegations as follows.
"(1) At Springvale between 1 July 1978 and 31 December 1981, during consultations with your patient, Ms A, in which you performed internal examinations, you engaged in conduct which was in appropriate and/or unnecessary for the purpose of the consultations.
(a) After completing the internal examination you left your finger/s in her vagina in the one spot and repeatedly bent your finger/s up and down.
(b) While your finger/s was/were in her vagina you asked her `if it felt good'.
(c) After you finished the internal examination you indicated that you enjoyed it.
(2) At Springvale between 1 December 1979 and 31 July 1980 during consultations with your patient Ms A, you embraced her and kissed her on the lips.
(3) At Springvale on an occasion between 1 August 1983 and 2 December 1983, during a home consultation with your patient, Ms A, you had sexual intercourse with her.
(4) At Springvale on or about 31 March 1984, during a consultation with your patient, Ms A, you put your penis into her mouth."
B. (1) At Springvale on or about 11 June 1993, during a consultation with your patient, Ms B, in relation to cold and flu symptoms, you performed an examination on your patient which was inappropriate and/or unnecessary for the purpose of the consultation.
(a) You took off her shirt without her permission.
(b) You put your arms around her shoulders.
(c) You pressed your body against her.
(d) You undid her bra without her permission.
(e) You lowered her bra straps over her shoulders without her permission.
(f) You touched her breasts.
(g) You touched her breasts all over with a stethoscope.
(h) You stared at her breasts while she remained undressed.
(i) You kissed her on the forehead."
". . . there is no specific relationship between the allegations made by Ms A and the allegations made by Ms B except that they arose from a doctor/patient relationship and that they involved allegations of sexual misconduct" should have led it to refuse to conduct a formal hearing into these matters together. He asserted that not to sever the two sets of allegations was contrary to natural justice. He relied upon an analogy with the joinder and severance of criminal proceedings.
"In my view it is not correct to equate a Medical Board to a jury as it is appointed by the Governor-in-Council and has set powers and obligations under the Medical Practitioners Act 1970. It is the sole body charged with conduct of enquiries provided for by the statute. It has no judge to decide on issues of admissibility of evidence. Further the Board has the wider function of enquiry and the members of the Board are entitled to ask a doctor against whom allegations are made, questions based upon their knowledge and experience".
I respectfully adopt this statement by Gobbo J as expressing the correct situation with respect to a panel appointed pursuant to s 46 of the Medical Practice Act 1994.
1. That proceeding number 8680 of 2001, being a proceeding commenced by writ and proceeding number 8681 of 2001, being a proceeding commenced by originating motion be heard and determined together.
2. That the proceeding commenced by originating motion be dismissed with costs.
3. That the proceeding commenced by writ be dismissed with costs.
[3] As the Chairman of the Medical Tribunal of New South Wales is a District Court Judge the supervisory jurisdiction of the Supreme Court with respect to that Tribunal must be exercised by the Court of Appeal: s 48 Supreme Court Act 1970 (NSW). It is otherwise in Victoria: s 17 Supreme Court Act 1986.
[4] Gill v Walton (1991) 25 NSWLR 190 per Mahoney JA at 208. See also Administrative Law Act 1978.
[5] Cooke v Purcell (1988) 14 NSWLR 51, per Mahoney JA at 63 and Barron v A G(NSW) (1987) 10 NSWLR 215, per Mahoney JA at 225.
[7] [1981] UKHL 13; [1982] AC 529 at 536.
[10] [2002] VSC 329 paras 14-18
[12] Sub nom. Gill v Walton (1991) 25 NSWLR 190 at 200 and 204-205.
[13] [1998] NSWSC 335; (1998) 44 NSWLR 82 at 90-91.
[14] [1999] 1 QdR 362 at 368-369.
[15] [1991] 2 AC 182 at 190 and 202.
[16] (Unreported, Supreme Court of Victoria, Gobbo J, 12 September 1988).
XD
Medical Practitioners Board
(1993) 177 CLR 378
(1991) 25 NSWLR 190
(1988) 14 NSWLR 51
(1987) 10 NSWLR 215
(1998) 44 NSWLR 82