Alexandra Private Geriatric Hospital Pty Ltd (trading as Alexandra Private Nursing Home) v Blewett, Neal (who is sued as the Commonwealth Minister for Health) & Anor [1984] FCA 223 | Legal Lookup
Alexandra Private Geriatric Hospital Pty Ltd (trading as Alexandra Private Nursing Home) v Blewett, Neal (who is sued as the Commonwealth Minister for Health) & Anor [1984] FCA 223
Federal Court of Australia
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CATCHWORDS
ADMINISTRATIVE LAW - Judicial Review - decision fixing nursing
home fees - considerations to be taken into account - staffing
levels and profit - reliance on departmental policy - viability of
nursing home - purpose of legislation - effect of amendment to
legislation.
STATUTES - Interpretation - use of extrinsic material to determine
purpose of amending legislation - Minister's Second Reading
speech.
Administrative Decisions (Judicial Review) Act 1977 s.5
National Health Act 1953 ss.40AA, 40AD
ALEXANDRA PRIVATE GERIATRIC HOSPITAL PTY. LTD.
(trading as "Alexandra Private Nursing Home")
Vv
NEAL BLEWETT (who is sued as the Commonwealth minister for Health)
and LAWRIE J. WILLETT (who is sued as the Permanent Head of the
Commonwealth Department of Health)
No. VG 46 of 1984
Woodward J.
7 August 1984
Melbourne
IN THE FEDERAL COURT OF AUSTRALIA
VICTORIA DISTRICT REGISTRY ) No. VG 46 of 1984
)
)
GENERAL DIVISION
BETWEEN:
ALEXANDRA PRIVATE GERIATRIC HOSPITAL PTY. LTD.
(trading as "Alexandra Private
Nursing Home") Applicant
and
NEAL BLEWETT (who is sued as the
Commonwealth Minister for Health)
and LAWRIE J. WILLETT (who is sued
as the Permanent Head of the
Commonwealth Department of Health) Respondents
ORDER
JUDGE MAKING ORDER Woodward J.
DATE OF ORDER 7 August 1984
WHERE MADE Melbourne
THE COURT ORDERS THAT:
The application be dismissed with costs.
IN THE FEDERAL COURT OF AUSTRALIA
VICTORIA DISTRICT REGISTRY No. VG 46 of 1984
www ww
GENERAL DIVISION
BETWEEN:
ALEXANDRA PRIVATE GERIATRIC HOSPITAL PTY. LTD.
(trading as "Alexandra Private
Nursing Home") Applicant
and
NEAL BLEWETT (who is sued as the
Commonwealth Minister for Health)
and LAWRIE J. WILLETT (who is sued
as the Permanent Head of the
Commonwealth Department of Health) Respondents
JUDGE: Woodward J.
DATE: 7 August 1984
REASONS FOR JUDGMENT
Summary of main issues
This is an application by a nursing home to review an
administrative decision made within the Commonwealth Department of
Health, ('the Department'), fixing the fees which the nursing home
is allowed to charge its patients.
It is alleged by the nursing home that the Department's
method of calculating the fee is open to challenge under the
Administrative Decisions (Judicial Review) Act 1977 ('the ADJR
Act').
Originally, a number of aspects of several distinct
decisions were challenged by the applicant but, as events have
developed and issues have been refined, two central issues have
emerged.
The first is whether the Department can be successfully
challenged under the ADJR Act for allowing the applicant only a
modest amount by way of profit in calculating the fees which the
applicant is allowed to charge.
The second is whether the Department can be similarly
challenged over the way in which it arrives at the staffing levels
upon which it calculates the salary component of permitted fees.
e
History of legislative scheme
Before dealing with these and other subsidiary issues
which have been raised, it is convenient to set out the relevant
history of the Department's involvement with nursing homes and the
legislative framework within which it operates and has operated.
Before 1972 the Department's involvement with nursing
homes was slight. A moderate subsidy was paid by the Commonwealth
to approved nursing homes, and the Department supervised these
payments.
In the 1972 Budget, the subsidy to approved homes was
substantially increased and, from 1 January 1973, the Commonwealth
assumed powers to approve nursing homes and to control the numbers
of approved homes, the admission of patients to those homes and
the fees which they could charge. It was theoretically open to
nursing homes to remain outside the scheme, charging patients what
they wished and receiving no Commonwealth subsidies. Given a
scheme which provided substantial subsidies (which at present
cover about three-quarters of the fees), remaining outside such a
scheme can have had little attraction to the great majority of
nursing homes.
Section 40AA of the National Health Act 1953 ('the Act')
was inserted in 1972 and it provided, among other things, for the
approval of nursing homes and the fixing of the fees they would be
permitted to charge from 1973 onwards. The observance of such
maximum fees was a condition of the approval of nursing homes.
The Permanent Head of the relevant department (then the
Department of Social Security, now the Department of Health) was
given the power to f1x a scale of fees for each nursing home and
to vary it from time to time (ss.40AA and 40AD of the Act). de
could delegate this power (s.6), and sincé the power is normally
exercised by a delegate, and was so exercised in the present case,
I shall generally refer in this judgment to the delegate rather
than the Permanent Head.
It is not contested that the first fixation of nursing
home fees, to apply from 1 January 1973, was based upon the fees
charged by the particular nursing home at 30 June 1972. The
intention was to provide the same gross return as the nursing home
had set for itself six months earlier.
It was then intended that the fees would be adjusted
from time to time as costs rose, salaries being adjusted in
accordance with movements in award wages and other costs in
accordance with rises and anticipated rises in the Consumer Price
Index. Adjustments were to be made annually and the inevitable
differences between predicted and actual rises would be further
adjusted by a system of loadings - temporary variations in fees to
apply for a period of some months -— which would recoup the nursing
home for underpayments, or the patients for overpayments.
It will be seen from this description that the original
fees fixed would have contained some element of profit - whatever
was being achieved by the nursing home in 1972 - along with the
necessary allowance for costs. After 1973, it was Departmental
policy that only the changes in costs would be provided for in
fixing fee increases. The element of profit was not adverted to
and so, provided costs were fully and accurately adjusted, it
would remain the same in money terms, but decline in real value as
e
a result of inflation.
For Victorian nursing homes, the wages component in the
costs was based upon the minimum staffing requirements laid down
by the Health Commission of Victoria ('HCV') under relevant State
legislation. However the evidence establishes that these figures
could be, and quite often were, varied upwards by the Department
in particular cases. Because the Department's officers had little
or no expertise in the running of nursing homes, they relied upon
officers of the HCV to advise them when they thought an increase
above minimum standards was required.
This, in broad outline for present purposes, was the
scheme for nursing homes which came into force in 1973.
Previous decisions concerning s.40AA of
the National Health Act 1953
The scheme was the subject of challenge and examination
in several actions in this Court and the High Court in the years
that followed. Most of these cases revolved around sub-section
(7) of s.40AA of the Act, which gave the only direct guidance to
the Permanent Head or his delegate as to how fees were to be
fixed. It provided
"(7) The Permanent Head shall, in determining the
scale of fees in relation to a nursing home .....
have regard to costs necessarily incurred in
providing nursing home care in the nursing home."
The first case in which these words and their context
were considered was R v Hunt, ex p. Sean Investments Pty. Ltd.
(1979) 53 ALJR 552, 25 ALR 497. There Mason J., speaking for the
majority of the High court, held that the costs to be considered
included the costs of acquiring premises - which in that case was
by payment of rent. The payment of rent was "necessarily
incurred" if it was lawfully demanded by a landlord at arm's
length from the nursing home proprietor, even if it was higher
than the normal rent for similar premises. However the Permanent
Head was only required to "have regard to" costs necessarily
incurred. As Mason J. said, at ALJR p.554, ALR p.504,
"There are two reasons for saying that the
'costs are a fundamental element in the making of
the determination. First, they are the only matter
explicitly mentioned as a matter to be taken into
account. Secondly, the scheme of the provisions is
that, once the premises of the proprietor are
approved as a nursing home, he is bound by the
conditions of approval not to exceed the scale of
fees fixed by the Permanent Head in relation to the
nursing home. In many cases it is to be expected
that the scale of fees will be fixed by
ascertaining the costs necessarily incurred and
adding to them a profit factor. In the very nature
of things, the costs necessarily incurred by the
proprietor in providing nursing home care in the
nursing home are a fundamental matter for
consideration.
However, the sub-section does not direct the
Permanent Head to fix the scale of fees exclusively
by reference to costs necessarily incurred and
profit. The sub-section is so generally expressed
' that it is not possible to say that he is confined
to these two considerations. The Permanent Head is
entitled to have regard to other considerations
which show or tend to show that a scale of fees
arrived at by reference to costs necessarily
incurred, with or without a profit factor, is
excessive or unreasonable. It may be that the rent
paid by the proprietor of a nursing home, though a
cost necessarily incurred, exceeds the prevailing
rental which is paid for comparable premises and
that the determination of a scale of fees by
reference to that rent would result in a scale of
fees which is unreasonably high. The Permanent
Head would be entitled to take this factor into
account in making his determination."
In October 1981, Northrop J. decided the case of Nagrad
Nominees Pty. Ltd. v Howells, 38 ALR 145. His Honour there held,
among other things:
(a) The policy of the Act required that private nursing
homes should generally be viable. He said, at p.162,
"In my opinion, the relevant essential policy of
the Act is to ensure that the proprietors of
private nursing homes do not make excessive profits
in providing nursing home care, particularly since
the Commonwealth to some extent does subsidize
patients admitted to those homes. The Act
presupposes the existence and the continuation of
private nursing homes. The number of approved
nursing homes can be restricted. The Commonwealth
does not provide all nursing home care, but because
it subsidizes patients in private nursing homes it
is concerned to ensure that the proprietors do not
make excessive profits."
(b) Departmental guidelines, prepared following the High
Court decision in R v Hunt ex p. Sean Investments (above),
requiring that increased costs resulting from changes in
proprietorship should not be considered when fixing fees, were
contrary to the Act.
(c) In determining a profit factor (which the delegate
should normally do) the delegate was required to consider it in
relation to the outlay of capital by the current proprietor, "and
not give consideration to the profit factor applied to another
'
person at another time" (p.167).
This decision of Northrop J. was the subject of an
appeal to the Full Court. The judgment of that court is to be
found, under the name of Howells v Nagrad Nominees Pty. Ltd., at
(1981) 43 ALR 283.
In the course of his judgment, Smithers J. described the
statutory purpose of the relevant legislation in the following
terms:
"The duty of the Permanent Head under s.40AA of the
Act in relation to the determination of scale of
fees is to be ascertained from the statutory
framework set out above. It is manifest that
Parliament's intention is that there will be as
many nursing homes as are considered reasonably
desirable for providing the nursing home needs of
the qualified patients needing such care. People
have to be encouraged to provide the services. It
is an important objective and depends upon people
ef the right kind being willing to undertake the
work and risk involved in providing that care. It
is a private enterprise approach to the problem.
Obviously, from every point of view the success of
the scheme is dependent upon there being available
to the proprietors of homes providing nursing care
financial returns which will constitute reasonable
financial income to them taking into account the
use of capital and the exertion involved in running
the home as manager and worker. It is manifest
that for the achievement of its objectives in
relation to nursing homes Parliament would intend
the Act to be implemented so that each home would
be a viability. To realize the importance to the
proprietor of an authorized nursing home having
access to the funds required to meet the costs of
giving the basic care in a nursing home it is only
necessary to visualize for a moment the lamentable
plight of old, sick and largely helpless inmates
should they not receive sufficient food and
physical attention. And of course it is not only
important to the proprietor of the home but basic
to the whole scheme visualized by Parliament."
(pp.290-291).
His Honour went on to say that the costs necessarily
incurred in providing nursing care are not the only consideration
to which regard must be had. His Honour found, following R v Hunt
ex p. Sean Investments (above) that profit, which he specifically
said was not a cost, is another matter to which regard should be
had.
The other members of the Court, Fox and Franki JJ., ina
joint judgment, said at p.305
"The ascertainment of "costs necessarily incurred"
is an appropriate starting point in a determination.
We do not think we can usefully suggest an order in
which other relevant matters might be considered.
Whether an allowance should be made for profit, and
what fees are necessary to make the hospital
business economically viable are factors for
consideration, but a question can properly arise as
to whether, all these elements having been
calculated, the result is a scale of fees which is
excessive or unreasonable. In the end, necessary
and proper considerations being taken into account,
the Permanent Head has a wide discretion."
Following this decision the Act was amended, and it will
be necessary to consider the inter-relation between the Nagrad
case and the Act so amended. Before doing so it will be
convenient to conclude this review of authorities in which the
scheme of the Act relating to nursing homes has been considered.
In Sean Investments Pty. Ltd. v Mackellar (1981) 38 ALR
363, Deane J. dealt with the power of the Minister to determine
fees for nursing homes under the Act. There is provision in the
Act (s.40AE) for an appeal to the Minister from a decision of the
delegate. The constraints imposed by the Act were at that time
the same in either case, although a later (1983) amendment gives
the Minister more latitude. At p.368, Deane J. adopted a passage
from the judgment of Murphy J., who had dissented in R v Hunt ex
p. Sean Investments Pty. Ltd. (above), saying that he could detect
no conflict between it and the majority judgment delivered by
Mason J. The passage read,
"The Minister may adopt a general policy in regard
to scales of fees, and deal with a review of fees
for a nursing home in the light of that policy, but
his determination or review must be in order to
arrive at an appropriate scale of fees for the
particular nursing home. If the costs necessarily
incurred are excessive for any reason whether
inside or outside the control of the proprietor, 1t
may be that the scale of fees the Minister
determines is such that if those costs continue,
the home can be conducted only at little profit or
at a loss. If that result follows it is because
the Minister is not engaged in determining a scale
of fees according to a cost plus system; he is
carrying out a statutory duty to determine what, in
his opinion, is an appropriate scale of fees in
relation to the approved nursing home."
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Applying this approach to the matter before him,
Deane J. held that there had been no failure by the Minister to
have regard to relevant matters, nor any other defect in his
decision which could be challenged under the ADJR Act.
His Honour's decision was upheld by the Full Court of
this Court in Sean Investments Pty. Ltd. v MacKellar (1982) 42 ALR
676. Referring to the purpose of the legislature, as determined
from the language used in the legislation, Bowen C.J. and Fox J.
(with whom Franki J. agreed) said, at p.681,
"When considering the purposes of the Act, it is
almost always easier to decide, negatively, and in
relation to concrete cases what is inconsistent
with those purposes than to propound them
positively. While wise administration would
probably suggest that each nursing home be kept
viable, we are unable to construct a purpose of the
Act to the effect that adequate profit must be
allowed in every case. This is evident from what
we have already said. Also, we are unable to
conclude that the ability of patients, that is to
say, uninsured patients, to pay cannot be a
relevant factor. This view is unaffected by the
consideration that in the case of pensioner
patients their income is largely, and in some cases
wholly, what the government decides to provide out
of its funds. A major purpose of the whole scheme
must be to provide nursing home care for indigent
patients, and one would expect that fees, and
subsidies, will be determined with this in mind."
In his separate judgment, Franki J. said, at pp.683-4,
"In my opinion five fundamental points arise from
the judgments of the majority in Re Hunt; Ex parte
Sean Investments Pty Ltd (1979) 25 ALR 497; 53
ALJR 552. They are that:-
(1) The maximum fees must be determined in
relation to the provision of nursing care in the
particular nursing home under consideration.
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(2) All costs necessarily incurred by the
proprietor in providing nursing home care in the
nursing home must be taken into account and weight
given to them as a fundamental element in the
determination.
(3) An allowance for profit may be made.
(4) Account may be taken of other
considerations which tend to show that a scale of
fees arrived at by reference to costs necessarily
incurred, with or without a profit factor, 1s
excessive or unreasonable.
(5) Within the scope of (1) to (4) the
Minister has a wide discretion.
A difficulty arises in considering from whose
point of view the reasonableness of the fees may be
examined. Must the fees be looked at in relation
only to the costs of the particular nursing home?
Murphy J, in the minority judgment, said at 556
that "The purpose of providing a government subsidy
is to lower costs to the public".
I think there is much to be said for the view
that, although some account may be taken of factors
relating to the position of occupants, the income
of pensioners, who were not specifically referred
to in the sections of the National Health Act 1953
dealing with nursing homes, should not be the
determining factor in fixing maximum fees which,
after due regard is paid to costs necessarily
incurred in providing nursing care in the nursing
home under consideration, are not otherwise thought
to be unreasonable."
The final case to be considered at this point is Croft v
Minister for Health (1983) 45 ALR 449. There Smithers J. held
that the Minister had failed to take into account the rent which
the proprietor of the nursing home business was required to pay
pursuant to an agreement and had therefore not considered an
important element of the "costs necessarily incurred" which
s.40AA(7) of the Act obliged him to consider, though not
necessarily to act upon.
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His Honour said, at pp.465-6,
"It is manifest that the success of the scheme
depends upon there being available to the
proprietors of nursing homes financial returns
which will constitute reasonable income taking into
account all genuine items of cost. The provisions
in s.40AA(7) serve the objective that the essential
interest of the old and largely helpless inmates of
nursing homes that care is honestly provided and is
reasonably adequate. Hence the command in
s.40AA(7) requires attention in every case to be
the reasonableness and propriety of necessary costs
said to be involved in providing nursing care in
the particular home concerned. That the level of
fees be adequate to encourage honesty and service
at an acceptable level is obvious. In these
circumstances it is important that costs especially
those which are said to be necessarily incurred,
should be considered on their merits as possibly
reasonably incurred and proper to be taken into
account in relation to the proper and reasonable
financial circumstances of the home. To exclude
such consideration of such costs on the ground that
they have been incurred in association with the
purchase of the home offends this requirement.
Attempts by nursing home proprietors, including
purchasers, to exploit the system by increasing
costs by contrived legal arrangements or otherwise
may be dealt with appropriately by applying the
tests of reasonableness, fairness and propriety."
1983 amendments to s.40AA
It 1S against this background of legislation, judicially
construed, that I must consider the amendments to s.40AA of the
Act which received Royal Assent on 19 June 1983.
In doing so I have been invited by the respondents to
make use of the Minister's Second Reading Speech to assist me in
determining the effect of the amendments on the general scheme and
purpose of the Act. It was argued that, whether or not the
amendments to the Acts Interpretation Act 1901, concerning the use
of extrinsic material in the interpretation of an Act, are in
-13-
force by the time this judgment is delivered (as in fact they
are), there is recent authority entitling me to do so, see TCN
Channel Nine v AMP Society (1982) 42 ALR 496 at 507-8, and cases
there cited.
I prefer to rely on that authority rather than on the
amending legislation, because the new s.15AB of the Acts
Interpretation Act 1901 relates to "the interpretation of a
provision of an Act". What I am concerned with here is not
exactly a question of interpreting a provision. It is rather the
determination of the policy underlying the part of an Act which
includes particular provisions granting powers, in order to
determine what restrictions are to be implied on the exercise of
those powers.
Although the decisions of this Court could not be
categorized as "the mischief to which a statute is directed"
(which the TCN case was concerned with) I believe the analogy 1s
close, and when it appears likely or possible that Parliament has
enacted or amended legislation in order to override or reduce the
impact of certain judicial decisions, it is convenient and proper
to consider Hansard reports (along with any other relevant
material) as an aid in determining the true intent of the
legislature.
The Minister (who is of course the first-named
respondent to these proceedings) had this to say in introducing
relevant amendments on 11 May 1983:
- 14 -
"The Government intends to develop a Community
Care Program to provide support for the elderly who
wish to remain in their own homes. Under this
program there will be a comprehensive range of
domiciliary and community services provided across
Australia.
On the residential side our task will be to
moderate growth in the nursing home sector, while
continuing to pursue more equitable geographic
distribution of nursing home beds, and to increase
the availability of hostel accommodation. It is
our view that neither per capita nursing home
benefits funding nor deficit funding are ideal
methods for 'securing the proper national
development of nursing homes in the context of a
total care policy for the aged.
Existing nursing home benefits and deficit
funding arrangements will be replaced by program
grants paid to nursing homes. These program grants
will be based on standard costs for the services
delivered less the income received by the homes
through standard patient contributions. The
program grant system will take some time to
develop. In the meantime the existing funding
arrangements for nursing homes, will be maintained.
The principal purpose of clause 3 of the Bill
is to ensure protection for patients against
excessive fee increases and at the same time to
ensure appropriate control of expenditure on
benefits under the current nursing home benefits
arrangements pending the introduction of the
Government's Residential Care Program. Expenditure
on the Nursing Homes Benefits Program is determined
by the number of approved beds and the level of
benefit. The benefit level in each State 1s
related to the levels of nursing home fees in that
State which in turn are determined by my Department
having regard to costs necessarily incurred by
nursing home proprietors.
The existing legislation on the control of
fees simply provides that in determining fees the
permanent head shall 'have regard to costs
necessarily incurred in providing nursing home care
in the nursing home'. Two recent Federal Court
Judgments have shown that this legislation is not
able to support the policies and practices followed
over many years in the administration of fees
control - policies and practices which have been
followed by both Labor and Liberal-national Party
governments. These judgments have serious
implications for the overall cost of the Nursing
Homes Benefits Program.
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The practical effect of the judgments is that
the continued application of the policies and
practices currently used in the determination of
fees for nursing homes would result in many
determinations being set aside, if challenged, as
being made contrary to law. Costs which previously
were not allowed for the purpose of setting fees
now have to be given consideration possibly
resulting in significant fee increases contrary to
Government policy. This would lead to higher
benefits and therefore increased Government
expenditure.
Within the protected environment of the
nursing home industry, there is very little
incentive to constrain costs given the cost-based
nature of fees determination and the high occupancy
rates resulting from Government controls on new
beds. Limited costs validations undertaken by my
Department have revealed cases where costs have
been artificially increased as a means of
increasing profits. A recent consultancy survey
undertaken with the co-operation of the industry
revealed considerable variations in costs and
profits between like homes.
Legal opinion has been given to the effect
that, in the light of the recent Federal Court
judgments, the legislation greatly circumscribes
the use of policy guidelines. Consequently, very
great burdens will be placed upon delegates of the
permanent head whose task it is to determine fees.
The judgments interpret the legislation as
requiring the- permanent head and his delegates to
regard all costs necessarily incurred as
fundamental matters for consideration, with each
fee being determined on the basis of the merits of
each individual case. The considerable
difficulties involved in maintaining consistent
administration Australia-wide will be much
exacerbated. Successive governments have acted on
the basis that Parliament, in passing the fees
control legislation, did not intend to limit
significantly central control and accountability,
particularly given that the legislation makes
detailed provision for appeals against, and reviews
of, delegates' determinations.
There are indications that the effect of the
Federal Court judgments could be an eventual
increase in government expenditure on benefits of
the possible order of $50m per annum. In a program
which is expected to cost more than $600m for
benefits alone in 1983-84, it is imperative that
consistent and effective controls be exercised on
costs which may have an inflationary effect on
approved fees.
The effect of clause 3 will be to allow the
effective continuation of established policies and
practices pending the introduction of the
Government's residential care program. The Bill
provides that the Minister for Health may formulate
principles in accordance with which the permanent
head or his delegate is required to determine a
scale of fees. It is intended that the principles
will reflect established policy. The Bill provides
for scrutiny of the principles by Parliament. In
formulating these principles, regard is to be had
to the factors set down in the proposed sub-section
40AA(7B). These factors will permit delegates to
take account of the lack of normal market
constraints on the nursing home industry.
Clause 4 of the Bill is designed to ensure
that the Minister 1s not, of necessity, constrained
by principles authorised by clause 3 which are
intended to limit the discretion of a large number
of delegates of the permanent head throughout the
country. Thus, on appeal, the Minister may, in
considering the merits of a case, decide that rigid
application of the principle is inappropriate.
This change puts beyond legal doubt a practice
which has been followed by successive Ministers of
governments of all complexions.
In summary, the proposed changes will ensure
that the Government is able to continue the
application of policies and practices in nursing
homes fees control, established and supported by
successive governments, pending the introduction of
the present Government's residential care program."
The amendments to which the Minister was referring took
the form, for present purposes, of an addition to sub-section
6(c)(i) of s.40AA - which gives the Permanent Head (and his
delegate) the power to determine nursing home fees - and the
substitution of a new sub-section 7 and additional sub-sections
(7A) to (7F).
Sub-section 6(c)(i) now reads,
"(6) The approval of premises as an approved
nursing home is, except in the case of a Government
nursing home, subject to the following conditions:
{c) a condition that -
(i) the fees charged in respect of the
nursing home care of a qualified
nursing home patient in the nursing
home will not exceed such fees as
are from time to time applicable in
respect of the nursing home care of
the patient in accordance with such
scale of fees as is determined,
subject to any principles that have
been formulated under sub-section
(7) and that are in force, by the
Permanent Head in relation to the
nursing home; "
The words added by recent amendment are underlined.
The relevant new sub-sections replacing sub-section (7)
are as follows:
"(7) The Minister may, by writing under his hand,
formulate principles in accordance with which
scales of fees are to be determined for the
purposes of sub-paragraph (i) of paragraph (c) of
sub-section (6) in relation to nursing homes
generally or in relation to nursing homes included
in specified classes of nursing homes.
(7A) Without limiting the generality of sub~section
(7), principles formulated under that sub-section
may —
(a) specify matters of a kind that are, in the
case of each nursing home or of each nursing
home included in a class of nursing homes, to
be taken into account in determining a scale
of fees for the purposes of sub-paragraph (1)
of paragraph (c) of sub-section (6);
(bo) specify matters of a kind that are, in the
case of each nursing home or of each nursing
home included in a class of nursing homes, to
be disregarded in determining a scale of fees
for the purposes of sub-paragraph (i) of
paragraph (c) of sub-section 6; and
(c) specify criteria for assessing, in relation to
matters of a kind that are required, in
accordance with principles of a kind referred
to in paragraph (a) of this sub-section, to be
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taken into account in determining a scale of
fees, the amounts that are to be so taken into
account in relation to matters of that kind.
(7B) In formulating principles under sub-section
(7), the Minister shall have regard to -
(a) the need to ensure that nursing homes are
efficiently and economically operated;
(b) the need to ensure that the cost to nursing
home patients of nursing home care is not
excessive or unreasonable; and
(c) any other matters the Minister considers to be
relevant."
The other new sub-sections give the envisaged principles
the status of regulations or statutory rules for certain purposes.
At the time the hearing in this matter began, no
principles had been formulated by the Minister in accordance with
sub-section (7), although a set of draft principles had been in
existence for some time and were regarded by delegates as
representing general departmental policy. Towards the end of the
hearing I was informed that these draft principles had now been
formulated in accordance with the Act. In accordance with the
provisions of sub-section (7C) they must be tabled in the
Parliament and are subject to the possibility of disallowance.
Thus, as counsel for the respondents conceded in reply, "...
perhaps that matter is in limbo at the moment".
The principles which are most relevant for present
purposes are as follows:
"3.(4) The Permanent Head shall, in exercising any
discretion permitted in these principles in
determining a scale of fees, have regard to:
(a)
(b)
(c)
(a)
(e)
"4.(1)
(2)
(3)
(4)
(5)
-19 -
the desirability of ensuring the financial
viability of nursing homes generally;
the need to ensure that nursing homes are
efficiently and economically operated;
the need to ensure that the cost to nursing
home patients of nursing home care is not
excessive or unreasonable;
the need to ensure that public moneys are
being economically and properly expended;
and
the need for consistent and fair
administration of Part V of the Act."
The Permanent Head shall, subject to
principles 5 to 13 inclusive and to
sub-principles (2) to (5) inclusive herein,
in determining a scale of fees, take into
account the operating expenditure of a
proprietor referred to in Part II
necessarily incurred in providing nursing
home care in the nursing home to the extent
and in the circumstances specified in Part
It and shall disregard all other
expenditure.
The Permanent Head shall, in determining a
scale of fees, take into account a return to
the proprietor on the investment in the
nursing home and the business or undertaking
carried on at the nursing home which the
Permanent. Head determines in accordance with
principle 10.
The Permanent Head shall, in determining a
scale of fees, determine a separate scale of
fees for extensive care patients.
The Permanent Head may, in determining a
scale of fees, take into account the scales
of fees determined in respect of and the
level of costs incurred in other comparable
nursing homes.
Notwithstanding anything contained in these
principles, the Permanent Head _ shall
determine a scale of fees which is not
excessive or unreasonable."
"10.(1)The Permanent Head shall, subject to
sub-principles (3) to (7) inclusive herein,
in determining a scale of fees, take into
account a return on the land and buildings
(2)
(3)
(4)
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used as the nursing home being the fair
market rental when the nursing home was
approved as an approved nursing home for the
purposes of the Act as determined by the
Taxation Valuation Branch of the Australian
Taxation Office.
Subject to sub-principles (3) to (7)
inclusive herein, the Permanent Head shall,
in determining a scale of fees, take into
account:
(a) a return on the cost of fittings,
furniture, plant, equipment, and other
chattels used in providing nursing home
care in the nursing home whether owned
by the proprietor or not;
(b) a return on the investment in working
capital which shall be valued at the
equivalent of two weeks salaries and
wages expense when the nursing home was
approved as an approved nursing home
for the purposes of the Act; and
(c) a return on the establishment costs
which shall be valued at the operating
expenditure which was reasonably
incurred prior to the commencement of
the provision of nursing home care in
the nursing home and the reasonable
legal and accounting costs relating to
the establishment of the nursing home,
being the rate of return on Australian
Savings Bonds when the nursing home was
approved as an approved nursing home for the
purposes of the Act.
Where a nursing home was approved as an
approved nursing home for the purposes of
the Act before these principles come into
effect, the Permanent Head shall take into
account as the return on investment for the
purposes of sub-principles 5(2) the return
on investment reflected in the scale of fees
as at the date these principles come into
effect.
The Permanent Head shall, in determining a
scale of fees, disregard any increase in the
value of any of the items constituting the
investment in a nursing home or the business
or undertaking carried on at the nursing
home as provided in sub-principles (1) and
(2) herein and save as set out in
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sub-principles (5) and (6) herein shall not
increase at any time the return taken into
account in determining a scale of fees.
(5) The Permanent Head shall, in determining a
scale of fees, take into account further
investment expenditure by the proprietor in
a nursing home or the business or
undertaking carried on at the nursing home
provided such expenditure relates to the
provision of increased bed capacity in the
nursing home.
(6) Notwithstanding anything contained in
sub-principles (1) to (5) inclusive herein,
where the Minister has made a decision under
sub-section 40AE(3) of the Act varying the
decision of the Permanent Head with respect
to the return on investment to be taken into
account in the scale of fees, the Permanent
Head shall take into account as the return
on investment for the purposes of
sub-principle 5(2), the return on investment
taken into account by the Minister.
(7) Where the investment in any of the matters
referred to in sub-principle (1) herein is
provided in part or whole by way of any
grant or subsidy by the Federal or a State
or Territory Government, the Permanent Head
shall disregard that portion of the
investment representing the grant or subsidy
un taking into account a return on
investment for the purposes of sub-principle
10(1)."
"13. The Permanent Head shall, in determining a
scale of fees, take into account all
benefits, income and advantages received,
earned or enjoyed by the proprietor in
respect of the business or undertaking
carried on at the nursing home over and
above the determined scale of fees in
respect of the provision of nursing home
care in the nursing home from any source
whatsoever."
Provisions of s.40AA at time of relevant decision
The first question which I have to determine is the
effective state of the legislation at the time the delegate made
his determination of fees on 15 March 1984. It was argued for the
~ 22 -
applicant that the old sub-section (7) of s.40AA of the Act was
still in force because of the operation of s.9 of the Acts
Interpretation Act 1901. That section reads
"Where an Act repeals in the whole or in part a
former Act and substitutes provisions in lieu
thereof, the repealed provisions shall remain in
force until the substituted provisions come into
operation."
It was argued that "the substituted provisions" of the
new sub-section (7) had not "come into operation" because the
principles for which they provided had not been formulated by the
Minister.
The validity of this argument depends upon the meaning
to be given to the phrase "come into operation" in s.9 of the Acts
Interpretation Act 1901. Is the reference to formal operation or
to effective operation?
The National Health Amendment Act, No. 35 of 1983,
provided that the amendments to s.40AA should "come into
operation" on the day on which the Act received the Royal Assent,
which was 19 June 1983. Taken at face value this means that from
that day s.40AA was amended "by omitting sub-section (7) and
substituting" the new sub-sections (7) to (7F).
If, however, s.9 of the Acts Interpretation Act 1901 is
to be taken as applying to the coming into effective operation of
the new sub-sections (7) to (7F), then that could only occur when
the principles, to which those sub-sections exclusively related,
were formulated by the Minister. Although the formulation of
those principles is referred to in permissive rather than
mandatory terms, it is clear from the Minister's Second Reading
Speech that they form an integral part of the new legislative
scheme.
In the events which have occurred - namely the failure
of the Minister, for almost a year, to formulate such principles -
the applicant's argument has a logical attraction; but I do not
think it can succeed. I believe the reference in s.9 of the Acts
Interpretation Act 1901 is to the formal coming into operation or
commencement of amending legislation. Some such provision would
be appropriate to put beyond doubt any possibility of a hiatus
between Royal Assent and proclamation of a particular amending
provision. That is sufficient to explain the existence of the
provision.
It is true that, concerning related provisions of
comparable legislation in the United Kingdom and the Australian
Capital Territory, courts have held that "operation" can mean
"effective operation". In those cases the provision in question
enabled rules to be made or other appropriate steps to be taken
"so far as may be necessary or expedient for the purpose of
' bringing the Act into operation" (Usher v Barlow 1952 1 Ch. 255 @
263), or "for the purpose of bringing the ordinance into operation
at its commencement" (Novacic v Cooper (1973) 21 FLR 436 @ 446).
In these cases the Court of Appeal and the Full Court of the
Australian Capital Territory, respectively, found, in effect, that
in order to make sense of these provisions "operation" had to be
- 24 -
read as meaning "effective operation". It is interesting to note
that in 1976 the parallel provision in s.4 of the Acts
Interpretation Act 1901 was amended in a way which avoided the
difficulty caused by the word "operation" having two different
meanings in the one section. It would appear that the word now
has the consistent meaning of "formal operation", so that "coming
into operation" is synonymous with "commencement" wherever the
phrase is used in the Act.
I therefore jhhold that the old sub-section (7) was not in
force at the time the delegate made his determination of fees in
this case. Since the new sub-sections were not in effective
operation, the Act was silent for eleven months as to specific
guidelines for the delegate to follow. Any limitations on his
discretion had to be derived from the general policy of the Act.
Policy of the Act at time of relevant decision
What then was the policy of the Act after the 1983
amendments? Had they effected any change in the policy found by
the several decisions in the Sean Investments, Nagrad and Croft
cases referred to above? In my view they made little, if any,
difference to the underlying policy of the Act. The following
principles, in my view, still applied:
1. The costs necessarily incurred by the proprietor of a
nursing home in providing nursing home care remained a
fundamental matter for consideration" by the delegate (to quote
Mason J. in R v Hunt ex p. Sean Investments).
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2. Fees should have been fixed in accordance with
principles which presupposed "the existence and continuation of
private nursing homes" (Northrop J. in Nagrad). In other words,
nursing homes generally, though not necessarily a particular
nursing home (Bowen C.J. and Fox J. in Sean Investments), should
be commercially viable when efficiently run.
3. Commercial viability requires some reasonable return on
investments - a reasonable level of profit. "People have to be
encouraged to provide the services", (Smithers J. in Howells v
Nagrad).
4. The scale of fees suggested by principles 1-3 above must
not be excessive or unreasonable for patients, including indigent
patients (Bowen C.J. and Fox J. in Sean Investments).
5. The fees finally determined must be appropriate for the
particular nursing home and its patients (Murphy J. in R v Hunt,
adopted by Deane J. in Sean Investments; Franki J. in Sean
Investments.)
Events leading up to the relevant decision
Although it may be necessary to refer in general terms
to events concerning the applicant which occurred before
15 October 1982, that marks a convenient starting point for the
detailed narrative of the events preceding this application for
review.
- 26 -
On that date, Sister Margaret Goode, on behalf of the
applicant, signed an 'Application for variation in approved fees',
commonly known as an NH 19. This form called for detailed
information as to the number of beds, the numbers of patients
occupying those beds from day to day (very close to a 100%
occupancy rate in this and most other nursing homes), the gross
income received from or on behalf of patients, and the total
expenditure of the nursing home on some 35 separate items of
expenditure there listed.
Among other things, the nursing home was also expected
to provide details of its staff rosters for particular weeks and
copies of its audited balance sheet and profit and loss statement
for the previous year. In this case the balance sheet showed the
value of land at cost as $46,102 and of buildings, before
allowance for depreciation, at $67,027. Furniture and equipment,
before depreciation, was shown at $35,342.
Armed with this information, the delegate made a
determination which was conveyed to the applicant by a letter
dated 8 March 1983.
The relevant parts of this determination, for present
purposes, were
(a) an "adjustment to salaries and wages" representing a
reduction of $111.66 per day, being "the difference between the
cost included in the fee structure at 20 June 1982 and the amount
actually being incurred at that time as determined from the recent
validation of wage records conducted at your nursing home". This
meant that the amount allowed for wages when the fees were last
fixed had, in the delegate's view, proved excessive when checked
against the rosters actually worked in particular weeks.
(b) The delegate said, "It should be noted that salaries and
wages expenditure is now based on a 14% replacement loading for
permanent staff and casual rates where applicable". This
"replacement loading", which had previously been 21%, was to cover
the cost of extra staff to replace those on leave for any reason,
whose salaries would in most cases continue. This change from 21%
to 14% seems to have been largely responsible for the adjustment
noted in (a) above.
(c) The total amount allowed by the delegate for salaries
and wages in the coming year - $858,852 - was based on approved
staffing levels of 468 hours per week for registered nurses
(including the matron), 383 hours for enrolled nurses and 395
hours for nursing assistants, a total of 1246 hours. These were
the hours in fact worked by the nursing home in the week ended 9
June 1983, but they were less than the 1297 hours rostered for the
following week or the 1265 hours which the Department had
"validated" or checked as the average for the eight weeks up to
that time. The applicant was "advised that any application for an
increase in the approved staff hours should be supported, in
writing, by the Health Commission of Victoria".
- 29 -
Then by letter dated 13 September 1983 an increase was
sought based on extensions to the nursing home building which
provided an additional 4-bed ward. The claim was for $5499 per
year, being 13.5% of the construction cost of $40,734.
On 13 October 1983 the attention of the Department was
drawn to certain requirements of the Health Commission of
Victoria ('HCV') which the nursing home had been asked to meet,
involving expenditure on fittings and furnishings.
These matters were dealt with together in a
determination dated 15 December 1983, which, after representations
from the applicant, was replaced by another, effective from the
same date.
This determination was conveyed in a letter dated
December 1983, no day being indicated.
It refused any adjustment to fees arising from the
numbers of nursing staff employed, reiterating that increases in
the approved level of nursing hours would only be considered if
supported in writing by the Health Commission of Victoria.
An adjustment was, however, made to "the approved Excess
of Permanent Fee Income over Approved Expenditure" (that is, the
allowance for profit). The adjustment represented "a return on
the additional capital that was invested in order to obtain
approval for the increase in bed capacity from 50 to 54 beds". It
- 30 -
was shown in evidence that the adjustment was calculated as 10% on
new building works and 12.5% on new fittings and equipment. This
increased the allowance for profit from $23,177 to $27,280.
No variation was made to the 14% replacement loading
referred to earlier, but it was indicated that a "reconciliation"
would be made when the actual wages paid for the 1982/83 year were
processed.
Meanwhile another claim, central to these proceedings,
had been made, by letter dated 20 October 1983 on behalf of the
applicant, by a firm called Nasah Management Services.
The letter of 20 October foreshadowed an application to
the Fees Review Committee of Inquiry, which had been established
by the Act (s.40AE) to advise the Minister when appeals were made
to him concerning fees.
The main argument of the letter, which was addressed to
the delegate then handling matters relating to the applicant, a
Mr. Nugent, was in the following terms:
"The major problem we seek to overcome is the
totally inadequate return to the Proprietor of this
Nursing Home who has recently been advised by your
Department that she is entitled to make $23,177.00
per annum return for the Nursing Home freehold and
business. This figure relates to approx. $8.00 per
patient per week. To support our claim that the
amount currently recognised is grossly inadequate
and restricts the Proprietor from selling her
Nursing Home at a fair market value, we have
enclosed for your attention a copy of a Valuation
undertaken by K.L. Dowling & Co., Estate Agents &
Registered Valuers of 424 St. Kilda Road, Melbourne
on August 16, 1983. The report clearly indicates
that a reasonable rental for the property, on
current market value, would be in the vicinity of
$27.70 per patient per week or $77,781.60 per
annum.
In addition to the above, any responsible
Proprietor' who undertakes to operate the Nursing
Home business would require in addition to the
above rental a minimum of $67,500 per annum or
$1,250.00 per patient per annum (including working
capital) to provide a service and facility
commensurate with current acceptable standards.
It can therefore be seen that the current return in
inadequate and would require a minumum adjustment
of $122,104.60 per annum to allow this Nursing Home
to operate in a manner consistent with reasonable
business practise, i.e.
Rental Year 1 $ 77,781.60 p.a.
Business Return $ 67,500.00 p.a.
$145,281.00
Less Current Return $ 23,177.00
$122,104.60
As it currently stands the Proprietor has
difficulty operating the Nursing Home because of
financial limitations and, indeed, cannot sell the
Nursing Home at a current market price because the
current administrative structure and policies
refuse to adequately address this problem.
As this situation is iniquitous in its treatment of
the current Proprietor we would appreciate your
earliest adjustment to the fees to incorporate the
short fall in return previously mentioned."
A prompt. reply to this claim was received, dated
25 October 1983. It read,
"DETERMINATION OF APPROVED FEES
As a result of an application submitted on your
behalf by NASAH Management Services a determination
has now been made and you are advised that there
has been no variation to the approved scale of
fees.
The excess of permanent fee income over approved
expenditure currently included in the fee structure
provides for a reasonable return on the historical
=- 32 -
investment in Alexandra Nursing Home and no further
adjustment is considered necessary at this stage."
The letter went on to refer to the applicant's right of
appeal under the Act. No appeal was in fact taken to the
Minister.
The next determination of fees for the applicant was in
response to a claim for adjustment to cover national wage
increases which had come into force in December 1983, backdated to
6 October 1983. This claim was granted in the ordinary course of
events but, because of the expiry of certain "loadings" previously
granted, the net result was no change in the fee scale.
The delegate's letter of 14 February 1984 containing
this determination also said "You are advised that your
application for a review of staff hours will be processed as soon
as possible". This application, dated 19 January 1984, was not
tendered in evidence.
It was against this background that the determination
which is ultimately challenged in these proceedings was made. It
was primarily in response to the basic annual claim on the NH 19
Form which set out the costs of the applicant for the financial
year 1982/83. The form was dated 7 October 1983 and received in
the Department on 10 October 1983. The determination was conveyed
in a letter from the delegate dated 13 March 1984, to take effect
from 15 March.
- 33 -
The balance sheet attached to the NH 19 showed fixed
assets of $46,102 (land), $92,766 (buildings) and $36,385
(furniture and equipment). Current assets (consisting again
almost entirely of trade debtors, and excluding refundable income
tax) were shown at $94,543. The profit and loss statement showed
a net loss for the year of $52,247 which, after adjusting for
abnormal items, came down to $22,516.
The determination of 13 March 1984 included the
following statements:
"with regard to nursing hours, no increase in the
total approved hours has been granted however the
costings have been adjusted to reflect the rostered
hours for SRN's and SEN's. This increase in the
costed hours for these classifications has resulted
in a compensatory decrease in NA hours.
As advised in previous correspondence from this
Department, any increase in the approved levels of
hours will require written authorization from the
Health Commission of Victoria stating that the
additional hours are necessary for the provision of
nursing care at Alexandra Nursing Home."
The effect of this was that the total hours allowed were
unchanged, but more hours were allowed to registered and enrolled
nurses and fewer to nursing assistants.
Included in the tabulation showing how the new fee
scales were arrived at was the item -
"Excess of Permanent Fee Income Over Approved
Expenditure $27,280".
- 34 -
The issues generally
In order to identify the issues which have to be
determined in this matter, it is necessary to decide first where
they are to be found.
Because the issues were considerably refined between the
time the application was filed and the date of the hearing,
counsel for the applicants produced, on 10 May 1984, "Applicant's
Statement of Issues" for purposes of their final address. It is
convenient to use that as the basic statement of the matters I am
asked by the applicant to determine. .
However it cannot be the sole point of reference,
because it contains some matters which were not raised in the
amended application, nor by way of further particulars, nor yet in
the document headed "Issues" handed up by counsel for the
applicant on 2 April 1984, in the course of interlocutory
argument. The most obvious additional matter consists of several
allegations of denial of natural justice.
I shall accordingly treat the "Applicant's Statement of
Issues" as representing the outer limits of its claims, to be read
down where it contains matter of which the respondents had no
notice before the commencement of final addresses. Counsel for
the applicant understandably did not seek formal amendments to
their application, raising fresh issues, at that late stage.
- 35 -
I shall not, however, attempt to deal separately with
each way in which the applicant's case is put. In their
"Applicant's Statement of Issues", counsel have purported to
identify 25 separate (though overlapping) ways in which the
delegate fell into error, and an average of four different ways in
which each error can be challenged under the ADJR Act, making a
potential total of over 100 separate issues. I shall deal only
with the alleged errors which in my view have some substance and,
in each of those cases, with the most obvious ground or grounds of
challenge under the Act.
Loadings
Before dealing with the two substantial matters which
were finally relied on by the applicant, namely allowance for
nursing staff salaries and allowance for profits, it is convenient
to mention the one other matter which was still faintly relied
upon. This related to "loadings".
The method of the delegate in fixing fee scales has
always been to determine costs other than salaries in the previous
financial year and add a factor for anticipated Consumer Price
Index changes. For salaries, current award rates have been
determined, plus an element for additional staff to cover leave,
determined at an assessed rate of 14% (previously 21%).
When the costs actually incurred are known, after the
next form NH 19 is submitted, the shortfall or excess is calculated
and is added to or subtracted from the basic scale of fees for a
number of weeks until the difference has been accounted for.
- 36 -
It was submitted by counsel for the applicant that this
approach was inappropriate and should be replaced by one which
made a budget estimate of all costs for the coming year and then
fixed fees in accordance with that budget, probably without any
later adjustment.
The argument was summarized in the following words:
"We say that state of affairs for a business run on
a private enterprise basis is just unacceptable and
that basically the permanent head ought to address
his mind in consultation with the applicant to find
some other suitable way of determining the scale of
fees without having to rely upon loadings. We say
that by adopting this system of loadings the
permanent head in effect has acted contrary to the
Act and unreasonably."
I need only say that, whether or not the Department's
method is the best available, it is certainly not "so unreasonable
that no reasonable person could have so exercised" his
discretionary power in adopting it - which is the test of
reasonableness prescribed by s.5 of the ADJR Act. Nor was it
suggested that the method runs contrary to any express provision
of the National Health Act 1953. I cannot see that its use is in
any way forbidden by the underlying policy of the Act. This
argument of the applicant is accordingly rejected.
Nursing Staff Salaries
Although there were three aspects of the March 1984
determination concerning staff salaries which were challenged by
the applicant, by far the most important matter was the way
nursing staff numbers were arrived at by the delegate for purposes
of his calculations.
- 37 -
As was made clear on this occasion, as in earlier
determinations, the delegate based his salary calculations on the
"approved" numbers of staff, saying that these would only be
increased if the Health Commission of Victoria ('HCV') was
prepared to support the variation, in writing.
It was explained in evidence that the reason for this is
that the Department has no officer in Melbourne with experience of
nursing homes, or indeed with any nursing experience. It
accordingly relies on appropriate officers of the HCV to make
recommendations about nursing staff numbers.
The starting figure is that provided by Victorian law as
the minimum permissible number to provide adequate nursing care.
This is based on a simple ratio of hours per patient and, in the
case of the applicant, provided a figure of 1039.5 hours per week.
However it was recognized that some nursing homes had
particular requirements, or particular difficulties due, for
example, to their layout. In the case of the applicant it had
been claimed, and confirmed by an officer of the HCV, that the
hospital had an unusual amount of heavy lifting - largely due to
the 12 male patients included in the total of 54. This
consideration, taken together with the actual hours rostered in
the week ended 9 January 1983, led to the fixing in March 1983 of
a total of 1246 hours per week for the applicant.
- 38 -
The applicant maintains that this provision is quite
unreasonably low, is always exceeded by the applicant in the
interests of proper nursing care, and so regularly results in
financial loss to the applicant.
Having heard the evidence of Sister Goode, who is a
director of the applicant, which is a family company, and matron
of the nursing home, I am satisfied that the applicant takes care
with its rostering of nursing staff and, so far as possible,
determines a proper level of staff after taking account of the
individual needs of each patient. I have no reason to think that
the numbers arrived at by this method are extravagent or that
there is any inefficiency in the use of staff. No such suggestion
was put to Sister Goode by counsel for the respondents. Since
Sister Goode well knows that any use of staff above the approved
numbers is likely to be paid for by the applicant without
recompense, she would not lightly engage extra staff. It is
interesting to note that most nursing homes employ fewer staff in
practice than are approved by the Department.
In spite of this, Sister Goode's latest roster of which
I have evidence showed 1286.5 hours being worked in September
1983, and she had indicated to the Department that to give care at
the level she considers necessary she would like to work 1340
nursing hours per week. The difference between these hours sought
and those presently approved (1246) is made up of 94 hours of
nursing assistants' time.
- 39 -
Although I am satisfied that Sister Goode's approach to
the question of nursing hours is entirely reasonable, it does not
necessarily follow that the differing view of the Department, as
expressed by the delegate in the decision of 13 March, is
unreasonable. The hours actually worked by the applicant in
September 1983, and the hours sought by Sister Goode in January
1984, only exceed the hours approved by the Department by 3.25%
and 7.5% respectively. On the present basis of a 38 hour week,
the respective differences in notional staff are approximately
32.8 nurses approved, 33.9 nurses working in September 1983 and
35.3 nurses sought in January 1984.
It is, in my view, impossible to categorize the
Department's allowance, on its face, as so unreasonable that no
reasonable person could have arrived at it.
Nor, in my view, can the Department's method of arriving
at its figures be impugned. It began with the hours actually
rostered by the applicant in a particular week in January 1983.
It is true that an average figure over 8 weeks would have yielded
an extra 19 hours, and this would seem to'have been a fairer
figure to take. But the Department chose to take the lower figure
and I have to decide not whether that was fair, but whether it was
lawful. I believe it was.
The Department then required the applicant to obtain
support from the HCV if it wanted more hours approved. This
approach was challenged by counsel for the applicant on the basis
that the HCV is only required by relevant Victorian legislation to
- 40 -
fix minimum staffing levels. While that is true, it is clear from
the evidence that officers of the HCV are prepared to adjudicate,
on request, on questions as to the staffing levels which ought to
be approved by the Commonwealth Department.
The arrangement may not be a very satisfactory one,
given the limited time which HCV staff can be expected to spend on
these matters and their lack of personal experience in the running
of nursing homes. It can hardly, however, be said to be an
unreasonable arrangement from the Department's point of view.
In addition to relying on the HCV, the delegate also had
available to him some comparisons taken out in May 1983 with other
nursing homes of comparable size. These tended to confirm the
Departmental view that the nursing hours which had been approved
for the applicant were adequate.
It was argued for the applicant that the delegate should
not have relied on the determination of approved hours made by
another delegate twelve months earlier, but should have
reconsidered the matter for himself. In the absence of any
substantial fresh material before the delegate, I do not believe
this criticism can be sustained. It has to be remembered that
there are some 240 nursing homes in Victoria and that this was the
fifth request for a review by the applicant in twelve months.
Further, the Department had made it clear to Sister Goode that it
would only consider any further increase in approved nursing hours
if those hours were supported in writing by the HCV. This, as I
have said, was not an unreasonable stand for the Department to
- 41 -
take, given its own lack of expertise; and it had the affect of
putting this particular ball into the applicant's court. The
applicant could no doubt have returned to the attack without such
support, if it had other persuasive material to use; but the
delegate was entitled to assume that the Department's position had
been accepted by the applicant at the time he made his decision.
In my view the delegate's reliance on a previous
approval of nursing hours did not, in all the circumstances I have
mentioned, amount to the following of "a rule or policy without
regard to the merits of the case" (ADJR Act s.5(1)(e) and (2)(f£)).
This was the strongest way the particular challenge could be put.
It was next argued that the delegate failed to have
regard to the views of the matron, Sister Goode, about the nursing
hours required by her patients and, for this purpose, failed to
seek further information from her. It was pointed out that she
and the applicant had statutory obligations, under Victorian
legislation, to provide proper standards of care.
In my view the strongest way this could be put for the
applicant was that the delegate failed to take these relevant
considerations into account (ADJR Act s.5(1)(e) and (2)(b)).
However I do not believe that this challenge can be sustained.
The delegate was aware of Sister Goode's views on this matter, and
of the fact that her staffing levels were somewhat higher than
those approved. I do not believe he was under any obligation to
seek further material, in addition to that which she had provided
in her application, and the weight, to be given to her views on the
subject was a matter for him.
Next it was said that the delegate acted unreasonably in
not getting "a suitably qualified expert on nursing homes" to
g g
visit the nursing home.and assess its requirements for nursing
staff.
Although the word "unreasonably" was used in formulating
the claim, the explicit particulars of challenge under the ADJR
Act were that the delegate failed to take a relevant consideration
into account, or alternatively acted "in accordance with a rule or
policy without regard to the merits of the particular case".
In my view there was no obligation on the delegate to go
beyond reliance on the HCV. As I have said, that may not have
been a very satisfactory solution to the problem of approving
appropriate nursing hours, but it is not for the Court to
prescribe precisely what enquiries the delegate must make before
fixing fees. He had enough material before him to enable him to
perform his task, and the weight to be given to the recent
approval of hours by another delegate was entirely a matter for
him.
Finally, on the subject of salaries, it was argued that
the delegate failed to deal properly with an issue referred to as
"the replacement factor" and, in doing so, failed to correct a
- 43 -
previous delegate's disallowance of a sum of $38,136.20, part of
which should have been allowed.
The main point at issue here is how much should be
allowed for the fact that, while staff are absent on annual leave
or sick leave, and still being paid, other staff have to be
employed in their places. Until recently the Department was
prepared to allow a 21% loading on the salary bill to cover such
cases. It then decided that this was excessive, and the allowance
was reduced to 14%. It must be understood that this is merely a
preliminary estimate for purposes of forward fee calculations. At
the end of the financial year, the actual approved cost of such
replacements is calculated, and any shortfall or excess allowance
is adjusted over succeeding weeks until the amount has been
absorbed.
In the case of the applicant, the sudden change in the
allowance from 21% to 14% was, it seems, very largely responsible
for the disallowance of the sum of $38,136 as excess wages. This
was not made clear to the applicant, as the Department now
concedes it should have been, in order to give the applicant a
proper opportunity to challenge the figure. Now that this has
come to light there should be a further review of this matter in
due course. In any event the complaint only has an indirect
bearing on the determination under review.
The applicant's chief complaint on this score is that
the 14% allowed is unrealistic, bearing in mind that replacement
staff are usually casuals who have to be paid at a higher hourly
- 44 -
rate than permanent staff. It is said that the ultimate
adjustment in accordance with actual experience does not solve the
problem because, in the meantime, the nursing home is out of
pocket, has to use a bank overdraft to pay salaries, and is never
re-imbursed for the lost interest on that overdraft.
The Department's reply is that the overall experience of
nursing homes shows that 14% is the appropriate level of
allowance, requiring no great adjustment either way when the
actual figures are known. I have no reason to reject that
evidence; it does not seem unreasonable for the Department to use
an arbitrary figure, fairly calculated, in its advance estimates
of costs for all nursing homes; and accordingly this particular
challenge to the delegate's decision must fail.
By way of summary on the question of allowance for
salaries in the fee structure, I find that the staffing levels of
the applicant's nursing home are carefully and properly arrived at
by the matron. They are not excessive and, in the experienced
judgment of the matron, they are necessary to provide what she
considers to be a reasonable standard of care for her patients. I
would not accept the suggestion, which was put only faintly on
behalf of the Department, that the difference between approved
hours and hours actually worked represents inefficiency on the
part of the nursing home.
On the other hand, I am unable to say that the conduct
of the Department, through the delegate, in having regard to
approved hours, and in refusing to increase the number of approved
- 45 -
hours without the imprimatur of the HCV, is unreasonable or
otherwise improper or unlawful within the meaning of the ADJR Act.
Nor has the applicant satisfied me that the Department's approach
to the "replacement factor" is wrong in law.
Allowance for Profit
I have already described the earlier history of the
allowance which the Department has been prepared to make for a
profit element in fixing fees. Until the Nagrad decision the
effect of the Departmental approach was that the nursing home was
allowed the same money sum by way of profit that it had earned in
1972. This was implicit rather than explicit in the successive
calculations of delegates.
After Nagrad, in the determination here reviewed, the
delegate took the valuation of land and buildings appearing in the
applicant's balance sheet for 1972 and allowed, by way of profit,
10% on that book value of the land and buildings, 124% on the book
value of furniture and equipment and on the value of current
assets, and 10% on the value of any Later improvements to
puildings, provided they increased the bed capacity of the nursing
home. This "historic cost" approach was attacked by the applicant
on a number of grounds.
In the first place it was said that the delegate applied
policy derived from ministerial statements either incorrectly or
slavishly - without regard to the merits of the particular case.
- 46 -
The ministerial statements referred to were put in
evidence. The first was dated 17 May 1973 and was contained in a
letter from the then Minister, the Hon. William Hayden, to the
then Chairman of the NSW Nursing Homes Fees Review Committee
established to deal with appeals under the Act. Copies of this
and the later letters I shall refer to were distributed through
the Department and placed on file for the guidance of delegates.
Dealing with the question of allowing for profits in
fixing fees, Mr. Hayden said,
"It is my view that fees determined by my
Department, in the first place, or by me acting on
a recommendation of a Committee, should not be such
as to put a home in an improved financial positaon
to that which it held previous to the introduction
of the fee control measures. This means, for
example, that if a home was earning a return on
capital at a particular rate then, provided that
rate was not excessive - say less than 125% - it
could be permitted fee increases to maintain that
rate but it should not be permitted fee increases
to improve that rate. At the same time, I am
prepared to give consideration to fee increases
where a particular home was operating at a loss
pefore 30 June 1972, so as to enable it to achieve
a break-even financial experience. However, I
would be reluctant as a general rule, to approve of
fee increases so as to enable such a home to return
a profit margin and, further, in considering such a
case I would also wish to have regard to any
particular circumstances that resulted in a home
operating in deficit."
It is to be noted that this statement did not give any
guidance as to how "capital" was to be calculated; but it did
provide that each nursing home earning less than 124% on that
capital, should be able to maintain its individual rate. It seems
that this directive was not followed by the Department, because no
year-by-year calculation of return on capital was made. On any
- 47 -
view as to the way in which fixed assets were to be valued,
fluctuations in shareholders funds should have been taken into
account but, until the Nagrad decisions, they were not considered
by delegates, although it seems from the following exchange of
letters that Review Committees may have considered them on appeal
if attention was drawn to them.
The next relevant Ministerial statement was that of the
Hon. Ralph Hunt, dated 2 January 1977, in reply to a letter from
the Chairman of the Victorian Fees Review Committee. The Chairman
had quoted Mr. Hayden's statement and gone on to say,
"Funds used or employed are considered by my
Committee to comprise Proprietors Capital, borrowed
funds e.g. bank overdrafts, loans etc.
undistributed profits, current accounts) and
Reserves less goodwill.
Under the current economic conditions 1t is
considered that the 124% return has become too low
to be acceptable as a sound business concept. In
support of this the following points are listed.
(a) As long ago as 1940 the late Professor
Copeland as Commissioner of Prices
allowed 15% on funds employed as a
guideline for a working proprietor.
(b) Related to this 1940 figure interest on
secured bank overdraft is now
approximately 12% as against 5% to 6% in
1940.
(c) Proprietors of Nursing Homes who have to
borrow money for purchase and capital
improvement are paying on the average 15%
interest on such loans (usually not fully
secured). When the fee fixing scheme was
introduced in January 1973 the Committee
found that Proprietors or investors in
Nursing Homes were able to borrow from
financial institutions at 9%% interest.
The margin between this rate and the 12%
return was allowed to compensate the
Proprietor for his entreprenurial
ability. This margin has now been
eroded. It is now possible to invest in
- 48 -
debentures and receive a comparable rate
allowed to nursing home Proprietors, e.g.
Chrysler 4 + 5 year Debenture Stock 12%
3 year 12%; Australian Guarantee
Corporation 4 + 5 year Debenture Stock
124%; 2 year unsecured notes 12%;
General Motors Acceptance Corporation 5
years 124%; 3 years 12%.
(dad) Solicitors first mortgage rates are
currently about 14%.
Consequently it is considered that a more
equitable rate of return on invested funds where
there is some (albeit small) element of risk and
personal work involvement is in the range of 175% -
20%.
The matter is referred for your consideration
and guidance and the Committee would appreciate
your guidance in the matter."
To this the Minister replied,
"Having given full consideration to the points
in your letter I have decided that a return of up
to 17%% on invested funds may be allowed in those
cases where your Committee considers a fee increase
is justified by increases in the costs incurred by
a nursing home proprietor.
As with the previous guidelines I believe that
the principle that a fee increase should not be
such as would put a home in an improved financial
position should be retained. This means, for
example, that if a home was earning a return on
invested funds at a particular rate then, provided
that rate was not in excess of 17%% it could be
permitted a fee increase to maintain that rate but
it should not be permitted a fee increase which
would enable it to improve that rate.
I agree that in the above context the term
"invested funds" could generally be interpreted as
having the meaning defined in your letter of
19 October 1976.
However, I do not consider that the principle
should be applied in all cases. The financial
structure and borrowing practices vary from one
nursing home to another and universal application
of the principle could seriously advantage or
disadvantage some proprietors. Therefore, the
principle you have propounded should only be used
- 49 -
as a broad guideline and each case should be
considered having regard to the particular
circumstances that apply."
This appears to mean that, "as a broad guideline", the
nursing home proprietor could be allowed up to 17%% profit on its
invested funds, provided it was earning that rate before 1973.
This letter would seem to have made no difference to departmental
practice, since delegates continued to make no calculation of a
profit element. They merely adjusted the costs, leaving invested
funds to earn the same money sum as they had in 1972.
Finally, on 20 May 1982, the then Minister, the Hon.
James Carlton, wrote to the Acting Chairman of the Victorian
Committee, referring to letters he had sent to nursing home
proprietors, and saying,
«+. you will note that I have indicated that the
principle endorsed by Mr. Hunt in 1977, namely the
use of historical costs in measuring profit levels,
should continue to apply. ...
You will note that essentially the position 1s
that in considering profitability appeals the
principle to be applied is that a fee increase
should not be such as would put a home in an
improved financial position. However, if a home
was earning a return on invested funds at a
particular rate then, provided that rate was not in
excess of 17% per cent, an increase in fees could
be recommended to maintain, but not increase, that
rate of return on invested funds.
However I have also indicated in my reply to
the proprietor in New South Wales the importance of
Fees Review Committees of Inquiry having regard to
the merits of particular cases. I am of course
required to have regard to the merits of a case in
considering fees appeals and, in this regard also,
I depend to a large extent on the advice of the
Fees Review Committees of Inquiry.
As I have indicated, the appeal process is an
appropriate means of carefully examining the
profitability levels of particular nursing homes.
In cases where an increase in profitability is
considered justified on the merits by the
Committee, I would like to be confident of the
validity of the costs incurred and other financial
data used in calculating the current profitability,
and to have some appreciation of the quality of
care provided by the nursing home. I have asked my
Department to provide any assistance Committees may
seek in these matters."
This is the first Ministerial statement to refer
directly to historic costs. Mr. Hayden would hardly have been
concerned with them in 1973 and in Mr. Hunt's case the principle
would have to be implied from his use of the expression "invested
funds".
Although these Ministerial statements were not properly
followed by delegates before the Nagrad decision, as I have
explained, the delegate in the present case did make a calculation
of a profit element in fixing the applicant's fee scales. He took
the historic costs and calculated 10% for land and buildings and
12.5% for current assets, furniture and equipment. These figures
represented Departmental policy, apparently derived from
experience related to rents of leased nursing homes, in the case
of the 10% figure, and Aussie Bond rates over a period in the case
of the 12.5% figure. In 1972, according to calculations made in
the Department, the applicant earned profit at a rate of $20,312
on total assets of $108,108 - a return of 18.8%. Given the very
loose way in which the latest statement was expressed, it could
not be established, in my opinion, that the delegate was in breach
of any ministerial instructions. In any event, I cannot accept
- 51 -
the applicant's submission that the delegate's decision was
contrary to law or uncertain by reason of any such alleged
departure. These were the two grounds on which this particular
challenge was based. The Ministerial letter had no legal force
even if it could be shown to have been contravened.
The applicant's alternative, and somewhat contradictory,
argument that the delegate followed the Ministers' polacy
statements slavishly and without regard to the merits of the
particular case, does raise a more difficult issue. It is clear
from the evidence that there was, in the post-Nagrad era, a
departmental policy said to derive from the Ministers' letters, to
the effect that any profit element allowed by delegates had to be
based on historic costs. If there was to be any departure from
this approach (now formulated as principle 10 above), it would
only be allowed on appeal to the Minister who, under the 1983
amendment to s.40AE of the Act, is now specifically empowered to
depart from his own principles where he "is satisfied, in all the
circumstances of the case, that the application of the principle
in relation to that nursing home is not appropriate".
This policy, applied even before the principles were
formulated, has troubled me because it seems to have removed an
important consideration from review by the delegate. However, on
reflection, I am satisfied that if the historic costs approach can
be justified at all, it was not unlawful or unreasonable to
provide, in effect, that exceptions to it had to be decided by the
Minister after a hearing by a Review Committee.
- 52 -
In an area as important as the calculation of profits
for nursing homes there must necessarily be a substantial degree
of uniformity of approach to questions of principle, or injustice
as between nursing homes could become rife. It would create
obvious difficulties if different delegates were to adopt
different criteria in deciding when to depart from historic costs
in order to allow much larger profits based on current valuations.
There is much to be said for the view that exceptions to such a
general rule should be made in a consistent and co-ordinated way
by the Minister who is responsible to Parliament for both the
economical and equitable administration of the legislation.
The only requirement of the delegate in this connexion
is that, if he is urged to depart from such a policy, he is
prepared to listen to that argument; see Browning v Water
Conservation and Irrigation Commn (NSW) (1947) 74 CLR 492 at
506; British Oxygen Co. Ltd. v Minister of Technology 1971 Ac 610
@ 624-5. There is no evidence that the delegate refused to
'listen', in this sense.
In my opinion, if the applicant is to succeed in its
challenge to the way in which a profit element is presently
allowed in its fee structures, it must be on the basis that the
Departmental or Ministerial policy is wrong and unlawful, not that
the delegate failed to depart from that policy in the particular
case.
I come now to the cluster of arguments which the
applicant has advanced in order to establish the impropriety of
the Department's reliance on historic costs. To paraphrase those
arguments, it is said that the Department is wrong because,
(a) the profit presently allowed is unreasonable by
comparison with that earned in 1972,
(b) it has failed to recognize that the nursing home is a
private enterprise venture which must make reasonable profits to
survive,
(c) the profit allowed is too low to maintain the viability
of the nursing home,
(4) a reasonable return on the present value of capital
employed would require something like a three-fold increase in the
profit* allowed, and
(e) aif the applicant were paying rental for comparable
premises, a much larger amount would have to be allowed.
In reply to such arguments it was maintained for the
respondents that there was no obligation on the delegate even to
consider questions of profit. In one sense, that question does
not arise for decision in this case, because profits were
considered. However it arises indirectly because of the challenge
to the way in which profits were dealt with. It would be
difficult to mount such a challenge if there was no obligation to
consider profits at all. Given the scheme of the Act, and the
intention evinced even in the amended s.40AA (7B) that nursing
homes should be efficiently operated, it is my view that the
delegate in this case was obliged to consider the question of
- 54 -
profits, because he could not expect any nursing home to be
efficiently operated, or even to remain viable over a period of
time, if no profit at all was allowed.
Putting this extreme argument to one side, it 1s
necessary now to consider the five heads of challenge, listed
above, to the delegate's actual determination of a profit element.
These related arguments were put under a number of
different sub-paragraphs of the ADJR Act. It was said firstly
that the use of historical costs was contrary to the National
Health Act 1953, secondly that it involved leaving out of account
a relevant consideration - namely the present value of the
applicant's land and buildings and thus of the capital employed,
and thirdly that it was so unreasonable that no reasonable person
could have reached such a decision.
The first of these arguments relied heavily upon the
-success of the applicant's preliminary submission that the
amendments to s.40AA(7) of the Act were not in force at the
relevant time. I have already rejected that argument and set out
what I believe to have been the policy of the Act which the
delegate was required to observe at the time of his decision.
This policy still leaves the applicant with an arguable case,
because it requires a level of profit for nursing homes generally
which will maintain their viability. It is arguable that the
profit allowed by the delegate - $27,280 ~- is so much less than
its 1972 profit, adjusted for changes in the value of money
- 5 -
(estimated as $70,900), or than the economic rental of the
premises (said to be about $78,500), that it shows no concern for
the viability of such enterprises.
I agree that it is, from the applicant's point of view,
quite unfair that it should have to accept a profit in 1984 that
is little different from that which it was receiving in 1972. But
can it be said that this enforced reduction of profit margins in
real terms is so contrary to the policy of the Act as to be
unlawful? An expert accountant, called for the applicant,
described the use of historic costs, allied to a 10% profit rate,
as "patently absurd" and "just a fantasy". He said that in his
opinion the applicant company was not financially viable; it was
significantly undercapitalize@ and could only continue in business
with an injection of capital and a significant and sustained
improvement in profitability. He made the very reasonable
suggestion that the profit element in fees, so far as it related
to lands and buildings, should be calculated by reference to the
economic rent of the premises, thus putting all nursing homes,
whether new or old, owned or leased, on the same footing.
The Department's attitude, as explained by its chief
witness, Mr. Tratt, is that in the case of nursing homes
established before 1973 it continues to allow a profit element
based on 10% of the historic costs of land and buildings and 12.5%
of other assets. If the business is sold along with the premises,
the same figure will be allowed - on the basis that a change of
ownership should not affect patients' fees. If it is leased, the
- 56 -
same allowance will be made irrespective of the rent actually
paid, on the basis that a change of method of occupation should
not affect those fees.
In the light of this evidence, there can be little doubt
that the Department is taking a hard line with the proprietors of
established nursing homes.
A new nursing home, by way of contrast, would have its
fees fixed to include a profit element based on the notional fair
rent of the premises, to be determined by the Department after
valuation, together with a 12.5% allowance for other assets. Such
a nursing home would, of course, be much better off than the
applicant, because the valuation would have to be at current
prices. But its profits would in its turn be eroded with the
passage of time, and with inflation, in the same way as the
applicant's. In the meantime the contrast only serves to
highlight the unfortunate position in which the applicant has been
placed ~ through no fault of its own, unless a determination to
give a good standard of nursing care can be described as a fault.
The applicant's basic difficulty is that the poor level of profit
it is allowed is not sufficient to cushion it against the losses
sustained by its use of more staff than the Department will
recognize. It is in this sense that the applicant's business is
not viable or barely viable. It is certainly not making a
profitable use of valuable assets.
On the other hand, it was pointed out for the Department
that lack of competition, very high nursing home occupancy rates,
negligable bad debts, and a high level of cost recoveries are
virtually guaranteed and, at the profit levels allowed, many
people are still trying to get into the industry. Indeed the
ruling figures for sale of goodwill would enable the applicant to
sell its business for some $400,000 in addition to the value of
the fixed assets. In the face of this surprising but
uncontradicted evidence, I cannot be satisfied that the
Department's approach to profits is so contrary to the policy of
the Act as to make it unlawful.
Nor do I believe that the delegate left the current
values of the applicant's lands and buildings out of account in
exercising his discretion. I believe that he was fully aware of
this consideration, but regarded himself as bound by a
departmental policy to base his calculations on historic costs.
There is nothing to suggest that he disagreed with this policy.
For similar reasons, I do not believe that the use of
historic costs by the delegate is "so unreasonable that no
reasonable person could have so exercised the power" to fix fees
in such a way- With the passage of time, and depending on levels
of inflation, the situation may eventually be reached where such a
decision could be so described; but the wording of the ADJR Act
on this point, which I have just quoted, is very restrictive. I
have already said that I think the applicant is entitled to regard
the decision as quite unfair. Others, looking at the overall
costs of health care, may take a different view and say that all
incomes and profits in this area have to be closely watched, and
perhaps in real money terms curtailed; but those are not matters
for this Court. I have carefully considered the helpful and
persuasive evidence of Professor Officer concerning the role of
profit in maintaining the long-term viability of an enterprise.
The approach he advocated - of basing the profit element in fees
on opportunity costs of funds invested ~ was entirely reasonable,
provided an answer could be found to the potential spiralling of
costs if nursing homes were made more lucrative and became
progressively more valuable as a result. This approach is, of
course, a far cry from that of the Department which, in the
present case, seems to involve a compression of profit to a point
just short of causing the enterprise to fail. But it is not for
this Court to say that Professor Officer's approach, or some
compromise between it and the Department's approach, would be more
appropriate or fairer than the course the delegate took. My task
is to say whether the use of historic costs in fixing profits is
so unreasonable as to be unlawful, or otherwise contrary to the
relevant legislation, and of that I am not persuaded. For these
reasons the challenge to the way in which profits were included in
the fee structure also fails.
There were two minor errors alleged by the applicant
against the delegate in the area of profit calculation. The first
was that working capital was excluded from calculation and the
second was that an alleged arithmetic error of some $3000 had been
made in calculating current assets. Neither matter was pressed in
final address and in my opinion neither claim was made out. Ona
proper analysis, there was no working capital in the business at
the relevant time and the delegate making the determination under
review only left unvaried the previous delegate's allowance for
current assets because he did not want to decrease the profit
factor. He did not feel obliged to bring a further $3000 into
account when the allowance had no validity anyway. These
considerations have no significance beside the Department's
reliance on historic costs as a basis for profit allowance.
Before concluding these reasons I should say that since
the hearing of this matter finished I have received short written
submissions on behalf of the applicant, dated 28 May and 12 June,
and on behalf of the respondents, dated 28 May and 6 July. I have
considered the matters raised in these memoranda, but do not find
it necessary to deal with them expressly. -
The application to review will be dismissed with costs.
I hereby certify that this and the
fifty-eight (58) preceding pages
are a true and accurate copy of
the Reasons for Judgment herein of
The Hon. Mr. Justice Woodward
Associate
Dated: 7 August 1984
FEDERAL LAW COURTS
MUU
*840224*
* 4874 of 10056
DATACOM INFORMATION SYSTEMS
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PRACTLCH AND PROCEDURE
amounting to a fresh
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v INTRRUATI UNS COSPUTERS (AUSTRALLA) PYZ. LTD.
\
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IN THE FEDERAL COURT OF AUSTRALIA
)
)
VICTORIA DISTRICT REGISTRY ) VG No. 53 of 1972
)
)
GENERAL DIVISION
BETWEEN:
ERNEST WILLIAM BATE Applicant
and
INTERNATIONAL COMPUTERS (AUSTRALIA)
PYy. LIMITED Respond e
ORDER
JUDGE MAXING ORDER : Woodward J.
DATE OF ORDER : 3 aAugqusr 1954
WHYURE WADE s Melbourne
THE COURT ORDERS THAT:
1. The application by the plaintiff for leave to amend 1ts
statement of claim to the form produced to the Court on
5 April 1984 be allowed.
2. The costs of this application be costs in the cause.
IN THE FEDERAL COURT OF AUSTRALIA
)
)
VICTORIA DISTRICT REGISTRY ) VG No. 53 of 1978
)
)
GENERAL DIVISION
BETWEEN:
ERNEST WCLLIAM BATE Applicant
and
INTERNATIONAL COMPUTERS (AUSTRALIA)
PTY. LIMITED Respoudent
JUDGE: Woodward J.
DATE. 3 f/ugust 1984
REASGHS FOR SULGMENT
The matter was cownenced in Sepcomper 1978 by @ nit of
suiamons, with statement of claim annexed, issued under the rules
then applying to this Court; it has since been ordered that the
matter proceed under the Federal Court Rules, but it Ys convenient
in these reasons to continue to refer to the parties as plaintiff
and defendant. The defendant entered an appearance seven inonths
later and filed a request for further and better particulars six
months after that. Then nothing happened, so far as the Court was
concerned, for four years.
On 3 November 1983 the defendant filed a cross-claim
against the plaintiff. The mavtor was then set down by Lhe Court
for a directions hearing. 'The defendant then Filed a notice of
motion seeking to have the statement of claim dismissed for want
of presecution or, alternatively, leave to deliver an amended
@efence and countercJaim with consequential directions.
On 5 April 1984 the Court refused the application to
strike out the statement of claim, gave leave retrospectively (and
without objection) for the filing of the cross-claim, and
adjourned the hearing to allow the plaintiff to formulate an
amended statement of claim. The plaintiff£ now sees leuve to nake
a number of amendments and the defendant has objected to leave
being granted in respect of several of them. The defendeant'
abjection is that these amendments disclose a cause of action not
Pleatl3 cy the platatif£€ in his sergimal satatemert of clazr wa
the. the cause of tctacn now disclaced is slatvte pared. Ot wes
assimead vi chou! arganent, by boch counsel, that @ six-veet pevayd
oC Jamilation applics to the presaut case, presumably by orecarion
of the Tamitatio: of Actions Act (Victorra) 1958, erongatl aunty
play by ss.79 and 8U of the Judiciary Act 1903.
In my view the position 1s more complicated than that.
*
In the first place I believe that the applicant's claim is
governed by a three-year period of limitation. The Trade
Practices Act 1974 provides, in s.82(2), for a three-year period
for damages claims brought under s.82(1) of the Act, as this claim
clearly is (see below). In my view the same limitation period
must apply to the other claims under s.87 of the Act which are
supplementary and ancillary tc that basic claim for damages. This
must clearly be so if s.87(1) is invoked, as appears to be the
case here (see below), because its availability 1s wholly
dependent upon the claim under s.82. Even if s.87(1A) were relied
upon, enabling the other claims to stand on their own feet, I
peLlireve that the scheme of the Act requires that claims so closely
related to damages claims as are the claims in this case must meet
the same limitation requirements; see Fenech v Sterling 1983 AIPR
40-413. The situation may well be different if claims under
s.87(14) were appended to an application for an injunction under
s.80, as to which there is no limitation period in the Act -
although the Court would no doubt be slow to grant relief where an
application had been long delayed.
The question as to whether, and to what extent, a State
Limitations Act amnlics to the exercise of federal jurisdiction by
D
@ CcO.rt exstablisued by the Commonvetlch Per lianent, has concerned
ihe Hid) Couct on severel ocaasions; seo, in particular. Wid baad
Crosby & Co. Prey. Ltd. v Commonwemith or Australia (1963) 109 Cnn
490, Pederson v Young (1362) 1120 Cun 162 and Joli Robertson & Va,
Ltd. v Ferguson Transformers Pty. Lta. (1975) 125 CLR 65. jt us
not necessary for present purposes to analyse the respective
judgments in those cases, because I think it 1s clear in principle
that the relevant state Limitalions Act must apply to a claim
entertained under the accrued jurisdiction of the Federal Court
which would otherwise have been heard in a state court. The state
Act will apply, in its terms, both to the right to bring the claim
and to the right to counter- claim against that accrued
jurisdiction claim. There is nothing in any of the Hiyh Court
judgments to suggest otherwise.
The basic facts of this case are that between 14 May
1974 and 16 September 1977 the plaintif£, a puthologist, and the
defendant company entered into a series of agreements for the
rental, sale, licensing and servicing of a considerable range of
computer equipment and components to be used by the plaintiff in
his profession. The agreements were reduced to writing. ft as
common ground that the written agreements relevant for present
purposes relate to two different computer systems and various
components for those sysLems; they nave been described as the
2903 series computer ('2903 computer') and the 2960 serics
computer ('2960 computer'). The 2903 computer was delivered to
the plaintiff and used by him; the 2960 computer had not been
delivered? to the nlainkiff rt the time he renudiated aay liability
under the agreements relecing to ii.
By the statement of claim it 18 allegsd LLer sn tne
course of negotiations hetweon the plainciél and de kevdans,
leading to the making of vartcus 'coapute. agreements', cb?
defendant engaged in conduct, and made representations, in
contravention of sections 52(1) and 53(a) of the Trade Practices
Act 1974 ('the Act'). The term 'computer agreemenls' as used in
the statement of claim is particularised in parayraph 3 of the
statement of claim; it is not necessary here to set out that list
of 28 agreements. The list consists of 26 agreements that relate
to the 2903 computer and its components and includes oniy two
agreements that relate to the 2960 computer. It 1s common ground
that the two 2960 computer agreements listed are not the central
contracts for that series.
The particulars of the alleged contraventions of
sections 52(1) and 53(a) are stated in the following terms:
'In or about the month of August, 1973 the
Defendant supplied to the Plaintiff a "Management
Summary" in respect of the Defendant's computer
eguipment known as I.C.L. 2903 Computer System
heretnafter called "the 2903"
The said Management Summary inter alia contained
the following representations and/or statements -"
(A list of eleven detailed representations then
follows).
The statement of claim then goes on to allege that these
representations proved to be untrue and inaccurate, and as a
result sections 52(1) and 53(a) of the Act have been contravened.
"yon in the statoment of claim which is relevant for
Another alleg
present pusposer reads:
"The seid conduc. or sore of it and the said
: Ld ni o 4,
cecerciciolns and,or skatcments or sone of kher
eee. Wore matucaine}? and/or enyaged in anud/o
repealed by the Defendane tovacds and to t
Plasut1ft cvom time to time between tae mouths o
August, 1973 and June, 1977."
No particulars of the occasions or of the form in which the
representations were repeated are provided. Although it does not
express it clearly, this paragraph suggests that it was not only
the 'Management Summary' referred to in the particulars that
unduced the plainciff£ to enter into the computer agreements
listed, but that other statements and representations were also
made by the defendant and relied on by the plaintiff.
The particulars of relief sought by the plaintiff
demonstrate that it is to be limzted to the Listed 'coenuter
agreements'. The relief sought is -
"A. An order that the Defendant refund to the
Plaintiff moneys paid by the Plaintiff by way
of rent, hire end other consideration pursuant
to the agreements referred to in the
Particulars to paragraph 3 nereof.
B. Damages.
Cc. A declaration that pending payment of such
damag2s the Plaintiff be no Longer required to
pay auy of the sums due by him pursuant to the
contracts particularized under paragraph 3
hereof.
D. An injunction restraining the Defendant
pending the hearing of this action and pending
payment of such damages as should be assessed
aun favour of the Plaintif£ from seizing the
2903 Computer or any component part or
associated pieces of equipment pursuant to any
of the terms of the contracts particularized
in paragraph 3 hereof.
E. Orders that the said concracts insofar as the
terms thereof are inconsistent with these
orders be ve-wrrvtten to conform to wouch
orders.
FE. Sach furtiuer Orgsars, Deelurations ot Relief us
the Court shal! desma just."
Paragraph Bois clewrly a ciaim pursuank rt: 5.62(1) of
the Act, and paragraphs A, C and E appear to rely upon s.87(1),
which enables ancillary orders to be made in such a case.
The plaintiff now seeks leave to amend its statement of
claim to include, in the particulars to paragraph 3, a number of
additional agreements relating to the 2903 computer and, more
umportant, a series of written agreemencs that relate to the 2969
computer. Counsel for the plaintiff submitted that, although not
previously particularised, these 2960 computer agreements clearly
fall within the period 14 May 1974 to 16 September 1977, which was
referred to in paragraph 3 of the sLatement of claim.
The defendant contends that the inclusion of these
agreements is more than a mere particularisation of agreements not
previously specified. It is in effect the pleading of facts
establishing a new cause of action. In developing this argument
counsel reliled particularly on the proposed amendment to Lhe
particulars which sets out the representations on which the
platntifF would rely in relation to the 2960 compuLcr. These
representations, sct out in a proposed paragraph 5(3), are quite
different from those alleged in relation to the 2903 compuLer.
Although these are also amended in proposed paragraph 5(2), such
amendments are in elaboration or explanation of the allegations in
the original statement of claim. Although some variation 15
involved, this amendment in 5(2) is, in my view, clearly
permissiple.
Sub-paragraph 5(3) 1s ain ai Giffercent cateyorcy
altogethesc. lt wakes clear thar the piaintif& nuoaw wsshes te
cumplain of quite separate representations regarding a g ete
separate set of contracts. The two 2960 computer contract
previously lumped together with the 2903 computer contracts are
now back in their rightful place. No explanation of this has been
offered to the Court; one can only assume that they were
previously included with the 2903 contracts in error.
The argument that the proposed amendments concerning the
2960 computer amount to the raising of a fresh cause of action is
further supported by the amended claim for relief. This is in the
following terms:
SETAE RIE EE
firm of auditors who had been responsible for the auditing of
"A. A declaration that the Defendant has
contravened the provisions of Sections 52 and
53 of the Trade rractices Act 1974.
B. An order that the Defendant refund to tne
Plaintiff moneys paid by the Plaintiff by way
of rent, hare, and other considerations
pursuant to the Computer Agreements.
Cc. Damages.
D. A declaration that each of the Computer
Agreements in Series 17, 19 and 20 [the 2960
contracts] was void ab initio or
alternatively, rescinded by the Plaintiff as
from December 1977 or such other date as to
the Court shall seem properc.
he An order that the Computer Ayreements
comprised in Series 2 to 20 inclusive [the
2903 and 2960 contracts] be varied in such
manner as shall to the Court seem proper.
F. Such further orders, declarations, or relicl
as the Court shail decom just.
The deferndaut's central obyc.ctro. to the belitec
inclusion of the main 2900 commuter agreements ts wns che
plaintaff, by his failure to anelud? them in whe origin.
statement of claim, or to introduce them in the Five years thar
followed, nas abandoned his claim in relation to them. it
contends that the agreements and the statements and
representations in relation to them constitute a new cause of
action which 1s now statute barred. Accordingly, it is said thar,
following the practice that originated with Weldon v Neal (1887)
19 QBD 394, the amendment ought not to be allowed.
A leading Australian authority on this subject 1s the
High Court decision of Renowden v McMullin (1970) 123 CLR 584. Ina
that case the piaintiff£, a solicitor. brought an action against e
firm of auditors who had been responsinle for the auditing of
books relating to his practice. By his general endorsement on the
writ of summons he claimed loss and damage alleging breach of
contract and breach of the duty of care imposed on the defendants,
as auditors, by the provisions of the Legal Professional Practice
Act (Vic) 1958. The statement of claim delivered pursuant to the
writ claimed only loss and damage in respect of the breach of
statutory duty. At a time when the accion in respect of breach of
contract was statute barred the plaintiff sought leave tec amend
his statement of claim to include it. The High Court held that
the plaintiff's failure to include this cause of action in iis
statement of claim amounted te an abandonment of 1t and, since 34
was statute barred at the time Lhe amendment was sought, the
emeandment ooild nor be alleesc4 Oven Gs, who Relivere?* the
decision of the magoraty, gaid (er w-603);
Soy. an a case iu which an amendment to a 8
of claim 33 sought whist rarees @ cisse vo
o£ & kind differeat we thot slich 16 allegeit an
alaterent of ¢cleim end 1t wopeacs Lhat at the
whep the amonduent ws sought thac cause cf action
would be statute barred if a wric were then issucd,
the amendment should not be allowed except perhaps
in what Lord Esher had described [in Weldon v Neal
above] as 'very peculiar circumstauces" ..." ~~
Although in the present case it 1s the particular set of
contracts, rather than the nature of the action, which is
different, I think the inference of deliberate abandonment of any
substantial claim relating to the 2960 computer is clear enough.
In my view the Facts of the present case can bo
distinguished from those cousidered by the High Court in Black v
City of South Melbourne (1964) 38 ALJIR 309. There the Iligh Court
was asked to decide, among other things, whether an amendment to
the plaintiff's statement ot claim on the day of the trial
allowed by the trial judge, should have been permitted, given that
the period of limitation had run at the time the amendment was
seught. The plaintiff had claimed damages for injuries sustained
whilst using the defendant's public baths. He alleyed by his
statement of claim that the defendant occupier owed him a duty of
care as an invitee, and so was responsible for the injurics
sustained when he dived tn and collided with a submeryed piece of
timber. He had sought to amend his claim to include allegations
that, because of the combination of the height of the platform asda
the depth of the water, he had struck his head on che bottom.
Marwick C.J., (ir a dudgment ww which Kitto & Taylor dJ.,
concur ya) s2id (9.310):
'lt seems to m2 uticre pluin that,
yplaintif£'s cause of action Eid nol
ILS partileularising of the facts by whien he
wropos?d to sustain the cause of ection die
suborarvcially alter. It would, in my opinzos:, nave
keen an improper exercise OF yudtcial discrec.n
for the trial judge in this case to have refused
the plainciff the opportunity to present his proots
of that cause of action differently to the manner
in which he had originally proposed. Gnestions of
surprise and disadvantage because of a change of
course in proof can almost always be met by
adjournment and appropriate orders as to costs. It
would certainly have been so in this case. As
there was, in my opinion, no new cause of action
involved in the changed particulars, no guescion of
the statute of limitations fell for consideration."
The case argued by counsel for giving leave to amend to
include the 2960 computer agreements, can be summarized in the
following propositions:
1. Paragraph 3 of the statement cf claim describes a series
of 'computer agreements' made hetween the parties on datcs between
14 May 1974 and 16 September 1977. The statements and
representations alleged to have contravened the Act which are now
sought to be included (and the respective agreements to which they
relate) are computer agreements and are specified as having
occurred within that period, which was unnecessarily wide to cover
the 2903 computer agreements, the last of which was entercd into
on 30 June 1977.
2. The particulars of 'computer agreements' referred co in
paragraph 3 of the stacement of claim do, whether erloneously or
not, make reference +9 two of the 2960 computer aqreemonts. As a
result the 2¢60 computer agreesrents ars not couwplete:7 alien i9
3. The starement of clair does suv est thet wae + s' eins
and vepreseucations detailed in the Unuadcaedrth Gur Ly
repeated and maintained between the months of Auqust 1973 and June
1977. Although, this allegation does not specifically relate to
.
the 2960 computer agreements and the statements and
representations alleged to have been made in respect of them, it
serves to indicate that the statemenls and representations
particularised un the statement of claim were not the whole of the
relevant communications between the partics. Lt could be argued
that the inclusion of the new sub-paragraph 5(3) merely
incorporates further particulars of the statements and
representations thus referred to.
wee
*
4, The defendant is not confronted with a cause of action
of a diftterent nature from that previously raised. Section 52(1)
and 53(a) contraventions are alleged and the relief sought 1s
similar, though not identical.
Although these are cogent arguments, I would be inclined
to refuse leave to amend on the ground of a clear intention to
abandon the central claim concerning the 2960 computer agreements,
were it not for the circumstances surrounding the filing of the
cross-claim by the defendant. Although this matter was not
particularly relied upon in argument it 1s, in my vicw, decisive
of the case.
Ze 2s not necessary to consider the cross-claam in
detart for present purposes, excep! fo say that by that claim the
dceiencant sees damages for the hreach (by way
reputiation in October 1977) of computer agreements
with the plaintiff, including those that relate tro the 296!)
computer. In fact by its cross-claim the defendant raises the
basic 2960 computer agreements for the first time in this action.
The agreements the defendant incorporates in its cross-clzil
unciude all the agreements which the plaint.&f& now seeks leave tv
incorporate in the particularised list in paragraph 3 of the
statement of claim.
By objecting to the plaintiff's amendments to include
claims relating to the 2960 computer agreements, the defendant 1s
an effect asking the Court to deny the plaintiff an opportunity to
counter-claim against the defendant in respect. of the basic 2969
a
computer agreements. Tt is clear that, pursuant to s.30 of the
Victorian Limitation of Actions Act 1958, either a set-oFfF or
counter-claim which might otherwise have been statute barred in
cases such as the present, is put beyond challenge by being deemed
"to have been commenced on the same date as the action in which
the set-off or counter-claim is pleaded". The defendant's
sross~claim, pursuant to the Court's accrued jurisdiction, in the
present case having already been saved by this rule, the plaintiff
must also receive the benefit of it. I am satisfied that the
matters the plaintiff now wishes to raise for the first time can
properly be regarded as a counter-claim, and there 1s authority
for the view that, in the circumstances of this case, they are
properiy pleaded ny way of amendmen: to th2 statement of clart:
see Aura) Purcas Ply. Dtl. vo Graham Karp Developmouts Pty. Jitd.
1975 VR 202 ac 220.
The substanc? of the matter is that the plarntirf nas
sued the defendant over the 2903 computer, claiming it was
misrepresented to him. The defendant has belatedly cross-claimed
over the 2960 computer which the plaintiff refused to accept. The
plaintiff now wishes to counter-claim, within the meaning of the
Limitation of Actions Act (Vic) 1958, to show that that computer
was also misrepresented. In my view he is entitled to do so. 'The
plaintif€ will have leave to amend his statement of claim as
sought.
I hereby certify that this and the twelve (12)
preceding pages are a true and accurate copy
of the Reasons for Judgment herein of
The Hon. Mr. Justice Wogdward . a LEA
Virnr£ie (ete
Associate
Dated: 3 August 1984