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Judgement No./O/7 seven ened
CATCHWORODS
ADMINISTRATIVE LAW - search warrants - information not supporting
warrants - warrants not stating exact object of search -
obligations of referring optometrist under Health Insurance
Regulations - vagueness of information - warrants void.
Crimes Act 1914, s.10
Health Insurance Act and Regulations ss.128A, 128H, reg.10
Optical Prescription Spectacle Makers Pty. Ltd.
v. Alan Andrew Withers & Anor.
Qld G21 of 1987
PINCUS J.
BRISBANE
13 MARCH 1987
IN THE FEDERAL COURT OF AUSTRALIA )
QUEENSLAND DISTRICT REGISTRY ) QLD G21 of 1987
GENERAL DIVISION )
BETWEEN: OPTICAL PRESCRIPTION SPECTACLE
MAKERS PTY. LTD.
Applicant
AND: ALAN ANDREW WITHERS
First Respondent
AND: PATRICK DAVID LAW
Second Respondent
AND: CARMEL SULLIVAN
Third Respondent
MINUTES OF ORDER
JUDGE MAKING ORDER: PINCUS J.
DATE OF ORDER: 13 MARCH 1987
WHERE MADE: BRISBANE
THE COURT:
1. Orders that the documents and other things seized
under the warrants in issue in this application be
returned forthwith.
2. Declares that the warrants the subject of these
proceedings are void.
3. Orders that the first and second respondents pay
the applicant's costs of and incidental to the
proceedings to be taxed.
NOTE:
Notes the undertaking by the applicant "not to
destroy or dispose of any of the documents or
things taken by virtue of the warrants the subject
of this application pending any appeal, and if an
appeal is instituted and is successful, to return
the said documents forthwith".
Settlement and entry of orders 15 dealt with in
Order 36 of the Federal Court Rules.
IN THE FEDERAL COURT OF AUSTRALIA )
QUEENSLAND DISTRICT REGISTRY ) QLD G21 of 1987
GENERAL DIVISION )
BETWEEN: OPTICAL PRESCRIPTION SPECTACLE
MAKERS PTY. LTD.
Applicant
AND: ALAN ANDREW WITHERS
First Respondent
AND: PATRICK DAVID LAW
Second Respondent
AND: CARMEL SULLIVAN
Third Respondent
PINCUS J. 13 MARCH 1987
REASONS FOR JUDGMENT
The principal application is for a declaration that a
certain search warrant is invalid and was unlawfully executed, for
a declaration that documents and things seized under another
search warrant were unlawfully seized and for various injunctions
and for other relief. On 6 March 1987 the matter came before the
Court on an application for an interim injunction and, by consent,
documents seized and referred to in the application were placed in
the custody of the Court. On 9, 10 and 11 March, material having
been filed on both sides, the applicant pursued its claim for
final relief or, in the alternative, an interlocutory injunction.
Mr. Clair, who appeared with Mr. Rice for the first and second
f
v
respondents, has informed me that he has no objection to the
application's being determined finally insofar as it depends upon
matters arising from the terms of the warrants themselves, or the
written information on which they were obtained, but objects to my
making a final determination in respect of issues raised which may
depend upon oral evidence.
The first and second respondents are police officers;
the third respondent is the justice who issued the warrants. Mr.
Barns appeared formally for the third respondent, against whom no
injunction is sought, but has taken no active part in the
proceedings; JI shall accordingly call the first and second
respondents simply "the respondents".
It must be said at the outset that on any view the
warrants and information were rather carelessly drawn; whether
their deficiencies are fatal is of course another matter.
The application is brought under s.39B(1) of the
Judiciary Act which reads as follows:
"The original jurisdiction of the Federal Court of
Australia includes jurisdiction with respect to any
matter in which a writ of mandamus or prohibition
or an injunction is sought against an officer or
officers of the Commonwealth."
The provision does not mention declarations. However,
since the declarations are sought on precisely the same basis as
the injunctions, there would seem to be no reason to doubt that
the Court has jurisdiction in respect of the claims for
declaratory relief under the accrued jurisdiction, and also
because those claims are "associated with matters in which the
jurisdiction of the Court is invoked" - s.32(1) of the Federal
Court of Australia Act; cf. Philip Morris Inc. v. Adam P. Brown
Male Fashions Pty. Ltd. (1981) 148 C.L.R. 457 at p.494. There is
express power to grant declaratory relief under s.21 of the Act in
relation to matters in which the Court has original jurisdiction.
The warrants in question purported to be issued under a Federal
statute, namely the Crimes Act s.10.
It is a curiosity of this case that the purpose of the
warrants was to investigate a matter which may not, even if the
suspicions held proved to be well-founded, have anvolved the
commission of any offence whatever. The applicant is, of course,
among other things a well-known maker of spectacles. On 4 and 5
March 1987 Federal Police made searches at its premises in a
number of places in Brisbane and also in certain Queensland
provincial cities and seized a large quantity of documents. I
gather that the warrants under which the seizures were effected
are all in much the same form, as are the informations on which
the warrants were obtained, so that the result of these
proceedings may well determine the validity of the other warrants.
The parties have by agreement caused the documents seized under
the warrants other than those referred to in the instant
proceedings also to be placed in the Court's custody. It is
obviously desirable that the dispute be disposed of quickly.
As will appear, I am of the view that the two warrants
in question in the case are void and have decided to grant final
relief accordingly. It therefore becomes unnecessary to deal with
the interlocutory applications. It should be mentioned, however,
in case the matter goes further, that had I not found the warrants
to be void I would have granted interlocutory relief. It was
Plain from the evidence of the justice who issued the warrants
that she did so on the basis of an assumption as to a fact not
stated in information placed before her, an assumption which is
admitted to have been erroneous. The assumption was that the
referral forms discussed below contained express false assertions.
However, I have decided, in accordance with the request of Mr.
Clair, senior counsel for the respondent police officers, not to
base my determination of the application for final relief on any
question canvassed in oral evidence, but to found it on what
appears on the face of the documents. The result of this method
of approaching the matter, adopted in the interests of expedition,
1s that the application for final relief has been divided into
stages. The applicant succeeds at the first stage, andit is
therefore unnecessary to go into questions depending on the oral
evidence.
The two warrants in question in the case are identical
except as to the officer named and the address of the place to be
searched. That relating to 113 Wickham Terrace, Brisbane is as
follows:
COMMONWEALTH OF AUSTRALIA
CRIMES ACT 1914
SEARCH WARRANT
TO: Alan Andrew WITHERS
Australian Federal Police Officer
WHEREAS, I Carmel Sullivan A Justice of the Peace with the
meaning of that expression in Section 1 of the Crimes Act
1914 of the Commonwealth of Australia being satisfied by
information on oath placed before me this day that there is
reasonable ground for suspecting that there 1s ina place
situated at 113 Wickham Terrace, Brishane described as the
administration offices of OPSM Pty Ltd situated on the lst
Floor of a four storey building at 113 Wickham Terrace,
Brisbane in the State of Queensland things being: 'patient
records cards in the names of the persons named on the
attached annexure "A" to the Information; appointment books;
duplicate receipts relating to the persons named on the
attached annexure "A" to the Information; referral forms
relating to the persons named on the attached annexure "A";
correspondence between the above suspected persons and OPSM;
Medical Benefits Schedule Book; list of common item numbers,
pre-signed referral forms, attendance/pay books and other
things as to which there are reasonable grounds for believing
that the same will afford evidence as to the commission of
offences against:-
1. The provisions of section 128A of the Health Insurance
Act namely 'a person shall not submit a document false
in a material particular which was capable of being used
in connection with a claim for payment under this Act.'
2. The provisions of section 128B of the Health Insurance
Act namely 'a person shall not make a statement orally
or in writing knowing it to be false in a material
particular capable of being used with a claim for a
benefit.'
3. The provisions of Secton 29A(2) of the Commonwealth
Crimes Act 1914 namely 'a person who with intent to
defraud, by any false pretence, causes or procures any
money to be paid, or any chattel, valuable security or
benefit to be delivered or given, by the Commonwealth or
by any public authority under the Commonwealth to any
person.'
YOU ARE HEREBY AUTHORISED with such assistance as you. think
necessary to enter at any time the said place as more fully
described above, if necessary by force, and to seize the said
things as more fully described above, as to which there 1s
reasonable grounds for believing that the same will afford
evidence as to the commission of the said offences as more
fully described above and for so doing this shall be your
sufficient warrant."
The document mentions search only in the heading, but no
doubt it is implicit that a search is authorised. The points
taken for the applicant included that the other warrant used,
served at 543 Ipswich Road, Annerley, Brisbane, had no annexure
"A" and was therefore too wide. The annexure "A" contained a list
of names of customers of the applicant and their doctors.
Complaint was made in the material that documents seized included
records relating to some thousands of customers, but, in view of
the restricted nature of the matters to be considered at this
stage, 1t is unnecessary to make any finding as to the presence or
otherwise of the annexure or in relation to the way the searches
and seizures were carried out.
The arguments advanced were concerned with alleged
deficiencies in the written sworn information on which the
justice, at least in part, acted. However, counsel relied on the
vagueness of the warrants themselves, considered in 1solation, and
it is convenient to discuss the warrants first.
WARRANTS
It will have been seen that the warrants refer to record
cards, appointment books, duplicate receipts, referral forms,
correspondence, lists and "attendance/pay books" and "other
things". Each of the first two offences mentioned in the warrant
refers to falsity in a material particular and the first offence
mentioned ascribes that falsity to a document, the second to a
statement. It may be a reasonable inference, as to the first
offence mentioned, that the search had to do with ascertaining
whether any of the categories of documents earlier mentioned in
the warrant were false. One would not, I think, tend to infer
that the second offence mentioned was confined to falsity in a
document.
Suspicion of falsity in a document or statement implies,
of course, that there is a lack of correspondence between the true
facts and the document or statement, but the range and nature of
the enquiry necessary to investigate the possibility of that lack
of correspondence depend entirely upon what falsity is suspected.
One could have no idea from the warrant whether the purpose of the
search might be to establish that records were false in that they
set out services which were not in truth performed, that recorded
payments had not in truth been made, or indeed that any other
falsity existed which imagination might devise. Reference to the
information, discussed below, shows that the suspicion in fact
held was of a much narrower kind than the warrants suggest.
As Mr. Mulholland Q.C., senior counsel for the
applicant, pointed out, the mention in the warrants of "the above
suspected persons" adds a positively misleading quality. It
appears to be a reference back to the persons named in annexure
"A" and they are principally patients, the implication being that
they are suspected of some wrongdoing involving false documents.
From the information and what was said by Mr. Clair in argument,
it is clear that the reference to "above suspected persons" was an
error; the doctors, not the patients, were the suspected persons
(as well as the applicant).
With respect to the first two offences suspected, the
warrants would be good if it were the law that s.10 of the Crimes
Act would authorise the issue of a warrant for the purpose of a
kind of audit of records of the applicant, to see if any of them
contained anything false affecting claims against the Health
u
Insurance Commission. The authorities referred to below suggest
otherwise, and support the view that the warrant must set out the
object of the search with some particularity, by saying what
wrongdoing is suspected.
Here, subject to a qualification to be mentioned, there
would have been no difficulty in doing so. It emerged during the
course of the hearing that what was suspected was primarily that
customers of the applicant were being referred to eye doctors,
without the referring optometrists having specifically turned
their minds to the question whether the person referred might need
specialist attention - i.e., routinely. The qualification is that
counsel had some difficulty in identifying any statutory provision
which rendered that unlawful, if 1t occurred, and that would have
made it hard to state the possible offence. But subject to that,
the case 1s one in which the basic reguirement of divulging the
true object of the search could, simply enough, have been complied
with.
It 1S convenient to turn now to the authorities. It is
settled that a warrant must, to be valid, set out the possible
offence in respect of which it is issued, but there is some
variance in the authorities as to the degree of particularity
necessary. There must be put on one side the decision of the
House of Lords in Inland Revenue Commissioners v. Rossminster Ltd.
£19803 A.C. 952. In that case, for reasons similar to those which
have produced the recent decisions of this Court referred to
below, the Court of Appeal had held that particularisation of the
suspected offences was necessary, but the House of Lords
ae
disagreed: see pp.999, 1005, 1010 and 1023. In Trimboli v. Onley
(No. 1) (1981-82) 56 F.L.R. 304 at p.314, Powell J. suggested that
some of the observations in the Rossminster case "have attenuated
to some degree the rigidity of the tests" set it out in other
cases. However, the weight of authority in this Court is in
favour of the view that particularity is necessary, thus
inhibiting invasions of citizens' premises in pursuit of unstated
or vaguely-stated suspicions.
In Brewer v. Castles (No. 2) (1983-84) 52 A.L.R. 571,
the offences were specified fairly generally, one being
"s.86(1)(e) of the Crimes Act 1914, to wit, conspiracy to defraud
the Commonwealth" (p.572); that was held to be enough, at pp.579
and 580. In A.B.C. v. Cloran (1984) 57 A.L.R. 742, the warrant
"
mentioned "commission of offences against s.70 of the Crimes Act
1914". That seems to me to have been fairly comparable with the
allegation in the case just mentioned, but Lockhart J., at p.745,
held it to be ansufficient in that it didnot "define with
reasonable particularity" suspected offences. In Arno v. Forsyth
(1986) 65 A.L.R. 125 Lockhart J. in the Full Court referred to the
Rossminster case at p.139 and to the "dangers of too readily
striking down warrants on the ground of generality in cases of
this kind" - i.e. cases of tax fraud. Jackson J., however, in the
same case adopted (at p.143) a view expressed by Lockhart J. in
A.B.C. v. Cloran (above) that it is necessary that the warrant
"describe the particular offences in relation to which the seizure
is authorized so as to enable the persons to whom they are
addressed and the persons whose premises are to be searched to
know the exact object of the search".
10.
Lastly, 1n Parker v. Churchill (1996) 65 A.L.R. 107, the
"exact object" test just mentioned was accepted by the Full Court;
see the reasons of Jackson J. at p.120 1.14. The other members of
the Court (Bowen C.J. and Lockhart J.) agreed with the reasons of
Jackson J. (p.107) except in a respect not material to the
question under discussion. A consequence of the adoption of that
view in Parker v. Churchill was that the warrants there discussed
were held to be void insofar as they referred to an offence
against "s.231 of the Income Tax Assessment Act in that "(named
persons)" did at various times since 30 June 1978 until the
present time evade payment of income tax": see p.111 1.23 and
p.121 1.50. Here, there is no reference to any period during
which thesuspected offences might have been committed.
It might be suggested, with respect, that the
construction of s.10 of the Crimes Act which has been adopted
could unduly hamper criminal investigation where there 1s good
reason to suspect some serious crime, but no precise idea of what
its character might be. In such cases the doctrine that the
suspected offence or offences must be identified might seem to
require modification.
As to the warrants in question here, there was no such
difficulty. Instead of stating the true object of the search in
the warrant, it was, in substance, stated to be to look for some
falsehood in a quantity of documents related to claims against the
Health Insurance Commission. It does not appear too onerous a
requirement that the warrants should have indicated, at least ina
general way, what sort of falsehood was suspected and whether it
il.
was recent or ancient. If warrants in this form are permitted,
that would also allow warrants for searches in patients' or
doctors' premises, looking among their medical records for quite
unspecified illegalities connected with treatment for which
reimbursement might have been claimed from the Health Insurance
Commission. At least where the general character of the suspicion
1s capable of succinct statement, as here, it appears to me that
the object of the search should be set out more specifically than
by saying that some falsity is suspected. It is true that para.1
of the warrant concludes with the words "which was capable of
being used in connection with a claim for payment under this Act"
and that para.2 has a similar qualification; but on the assumption
that what 1s qualified, as to para.l, is the word "document" and,
as to para.2, the word "statement", ne1lther expression really
assists towards defining the purpose of the search.
As to the offence mentioned in the third paragraph, the
case seems plain enough. One could not, other than by mere
speculation, gather from the warrants the nature of the fraudulent
intention or false pretence suspected. The recipient of the
warrant might deduce that what was claimed to have been suspected
was some fraud by the "suspected persons" in relation to claims on
the Health Insurance Commission, but its general nature is not
stated, expressly or otherwise. The third paragraph does not even
refer to the Commission and it uses the broad expressions "money
to be paid, or any chattel, valuable security or benefit". What
has been done is simply to point to a wide and general provision
in the Crimes Act; that cannot be a sufficient definition of the
object of the search.
12.
It should be added that the purportedly quoted portions
in paragraphs 1 and 2 of the warrants are inaccurate; nothing
appears to flow from that defect.
It follows from the above discussion that the warrants
are void on their face and at is unnecessary to hear the case
further with a view to resolving any issue depending upon oral
evidence. However, as the matter was elaborately argued, it is
desirable that I express a view as to another aspect which also
depends upon the documents. This is the submission that the
justice could not have been satisfied in terms of s.10 of the
Crimes Act because the information did not give ground for
suspicion of any offence; in particular, 1t was said, it did not
give such ground as to any one of the offences specified in the
information and warrant.
INFORMATION
This is a lengthy document which contains a number of
rather vague statements. Its analysis must be approached with the
caution that, in a crucial respect, the justice did not act upon
it alone, but upon the erroneous assumption of fact mentioned
above - i.e. that the referral forms mentioned in the information
made certain assertions. To that extent, the rival contentions
made, as to what might properly have been drawn by the justice
from the information alone, have an academic flavour. It is not
easy to see how any further hearing of the matter could improve
the respondents' position as to this point or avert a finding that
the justice's satisfaction was obtained not by "information on
13.
oath", but by acting upon the justice's own supposed knowledge of
the facts. Mr. Mulholland Q.C. argued forcefully that the
justice's oral evidence plainly showed the warrants to have heen
unlawfully issued. I have, however, determined to proceed at this
stage in the limited way indicated above, although I have some
doubt as to whether that is a fair or convenient course.
The information begins by saying, in effect, that the
informant, a police officer with the Health Insurance Commission
(HIC), has been investigating the applicant, that the applicant
employs eight optometrists at its head office at Wickham Terrace,
Brisbane and that there is a system of referral of patients from
optometrists to ophthalmologists that involves the optometrists
completing a referral form which goes to the specialist, who then
charges in accordance with an item number appropriate to
specialist treatment. Sometimes, the information says, the
patient does not pay, but assigns the benefit to the doctor who
claims from the Commission himself.
In summary, the balance of the information 1s as
follows:
Q.P.S.M. employs eight optometrists, all of whom are employed
at its head office at Wickham Terrace, Brisbane. When
patients are referred to a specialist ophthalmologist, a
referral form is necessary, prepared by a medical
practitioner, registered optometrist or registered optician.
The specialist puts on his account an item number taken from
the medical benefits schedule book issued by the Department
14.
of Health. The specialist may obtain payment directly from
the Health Insurance Commission by obtaining an assignment of
the benefit signed by the patient.
",.. under the provisions of the Health Insurance Act,
Regulations and Schedule there is requirement for the initial
medical practitioner to apply his own judgment ina real
sense to the question whether or not he will in fact issue
the note to the particular patient before he can refer that
patient to a specialist."
Also, the specialist must see the referral form before
1ssuing the account with the specialist item number on it.
If there is no referral form, the specialist must use a
different item number being one appropriate to a consultation
by a general practitioner rather than a specialist.
Some dozens of people listed in an annexure to the
information have been interviewed. They contacted 0O.P.S.M.
at one of its premises to have their eyes tested, or to
obtain a referral to see an ophthalmologist. Some of them
were told by an employee of 0.P.S.M. that arrangements would
be made to prepare a referral form.
In some cases, an 0O.P.S.M. employee gave the patient a card
or piece of paper on which was written a number and were told
to take the card to the ophthalmologist. He issued an
account on which was written the number on the card or piece
of paper and the item number 88, which refers to a specialist
consultation.
15.
Some of the patients were told by 0.P.5.M. that the referral
form had to be signed in Brisbane and that they were to
return to collect it a few days later or that it would be
posted. In some cases, patients called back later to collect
the referral form number. Some of the patients caused the
ophthalmologist to be paid by the assignment system referred
to above, and some paid the doctor then obtained
reimbursement from the Commission.
Patients referred to specialists practising on Wickham
Terrace said that they were supplied with a referral form by
O.P.S.M. either signed before they arrived, or signed during
their visit.
None of the patients were examined by any person at the
office of 0.P.S.M.
Some of the patients did not take a referral from 0.P.S.M. to
the specialist.
"I believe that the referral forms are being sent to the Head
Office of OPSM and that the Optometrists employed there are
signing referral forms without physically seeing the
patient."
There are various documents relating to the persons mentioned
in the annexure at 0.P.S.M. premises and elsewhere "as to
which there are reasonable grounds for believing that they
16.
will afford evidence as to the commission of the following
offences against the laws of the Commonwealth."
Then there were set out the three suggested offences
already discussed.
The information does not say in so many words that the
falsity or fraud mentioned has to do with the referral forms, but
it may well be that the justice should have deduced that from the
prominence of the referral forms in the story as set out in the
information. A greater difficulty is that the suspected falsity
or fraud is not identified. The information does not say that a
suspicion 1s held that any document mentioned in 1t contains a
misstatement of fact, or even a partial statement of fact, such as
produced a conviction inR. v. Kylsant £1932] 1K.B. 442 in
respect of a charge relating to a prospectus "false ina material
particular". There Lord Kylsant was held to be guilty under' the
principle that there may be "such a partial and fragmentary
statement of facts that the withholding of that which is not
stated makes that which is stated false": see R. v. Bishirgian
[19367 1 All E.R. 586 at p.591.
In fact, this gap was apparently filled by the justice
in the way I have mentioned. Its existence was not an accident.
Mr. Clair argued that the mere fact of a referral - the statement
"I refer this patient" - necessarily imports, read against the
background of the regulations, that the person referring has seen
the patient or otherwise determined that specialist attention is
truly necessary.
17.
The contention put forward was, of course, disputed by
Mr. Mulholland Q.C. who argued that no requirement in the
regulations, or elsewhere, created an obligation on the referring
party to see the patient before referral. Mr. Mulholland 9Q.C.
contended that the absence of any requirement that the referring
party have seen the patient to determine that specialist treatment
is truly necessary produces the result that the information
disclosed no reasonable ground for suspecting the commission of
the offences mentioned.
It is desirable to recollect the purpose of the
information as defined by s.10 of the Crimes Act. So far as is
relevant, it requires that the information on oath supply
"reasonable ground for suspecting that there is any house, vessel,
or place ... anything as to which there are reasonable grounds for
believing that 1t will afford evidence as to the commission of any
such offence" - 21.e. "any offence against any law of the
Commonwealth or of a Territory". Leaving aside the necessity of
defining the object of the search, if the justice is to have any
opportunity of determining whether there is ground for suspicion
of fraud or of falsity in a material particular, the nature of the
fraud or falsity suspected must be made clear. Here it was not.
Mr. Clair argued that the passage quoted in the penultimate
paragraph of the summary above beginning "I believe that ..." was
itself a summary of what was suspected; but that does not, nor
does any other passage, identify any document or statement
containing a falsity. There was a gap as to the essential point
of the information. It appears that the suspicion held was, in
truth, that of a breach of the requirement mentioned in the second
18.
paragraph of the summary above beginning "... under the provisions
The relevant provision is Reg.10 of the Health Insurance
Regulations 1973:
"(1) In sub-regulation (2) a reference to a medical
practitioner, in relation to a referring of a
patient to a specialist, shall be read as
including a reference to -
(a) where the specialist to whom the patient
is referred is an ophthalmologist - a
registered optometrist or a registered
optician; and
(b) where the referring arises out of a
dental service - a registered dentist.
(2) Subject to sub-regulations (4) and (5), where
an item specifies a medical service that 1s to
be rendered by a consultant physician, or a
specialist, in the practice of his speciality
to a patient who has been referred to him, the
patient shall, for the purposes of the item,
be referred by a medical practitioner in the
following manner, namely, by the medical
practitioner furnishing the prescribed
iunformation concerning the referral to the
consultant physician or specialist, as the
case may be, on a referral form made available
to him by the Department of Health for the
purpose.
(3) For the purposes of sub-regulation (2), the
prescribed information is -
(a) the name and address of the medical
practitioner, registered optometrist,
registered optician or registered dentist
who is referring the patient to a
consultant physician or specialist;
(b) the name and address of the patient;
(c) the name of the consultant physician or
specialist to whom the patient is being
referred;
(d) if the patient is being referred by a
medical practitioner - whether the
patient is being referred for an opinion,
19.
for immediate treatment or for continued
management of the patient's condition at
the time the referral form is signed;
(e) if the patient is being referred by a
registered optometrist or a registered
optician to an ophthalmologist for
ophthalmological services - that the
patient is being referred for
ophthalmological services; and
(f£) if the referring arises out of a dental
service rendered to the patient by a
registered dentist - that the patient is
being referred for medical attention
arising out of a dental service.
(4) A medical practitioner, registered
optometrist, registered optician or
registered dentist shall be taken not to have
referred a patient to a consultant physician
or specialist in the manner prescribd by
sub-regulation (2) unless he has' personally
signed the referral form containing the
information referred to in that sub-regulation
and has stated on it the date on which he
signed it.
(5) A medical practitioner shall be taken not to
have referred a patient to a specialist
radiologist in respect of an item that relates
to a radiographic examination of one or both
breasts unless the referral form, in addition
to containing the prescribed information
concerning the referral, contains -
(a) a specific request for the service to
which the item relates; and
(b) a statement that, for the purposes of the
item, there is reason to suspect the
presence of malignancy in the breast or
breasts because of the past occurrence of
breast malignancy in the patient or
members of the patient's family, or
because symptoms or indications of
malignancy were found on an examination
of the patient by a specified medical
practitioner, as the case may be."
The regulation has the appearance of comprehensively
prescribing the requirements of a proper referral. For example,
the question whether a referral can be achieved by signature by an
20.
agent has been adverted to by the draftsman; it cannot, as
sub-regulation (4) makes clear. It would seem an unusual process
to add to these careful prescriptions an additional, and
important, one along the lines argued. Counsel for the
respondents contended that the provisions are concerned
principally with machinery and that the substantial questions of
what state of mind must accompany the referral and what contact
between the referring person and the patient must precede a
referral are unstated, as being too obvious to require mention.
It is not, inmy view, correct that the regulation
prescribes only machinery matters. As to a particular sort of
referral, namely that dealt with in sub-regulation (5), 1t must
state, in effect, that there is reason to suspect the presence of
malignancy because of family history, or because symptoms were
found on examination. No corresponding barrier is stipulated in
respect of any other kind of referral.
The nature of the implication may be tested by enquiring
what might rationally have been prescribed, if the
Governor-in-Council had chosen to impose any such requirement as
suggested. It might, for example, have been laid down that a
referral should not be issued unless the party referring should be
of the opinion that specialist attention was reasonably necessary;
that would make it unlawful to refer if the doctor did not, but
the patient did, think specialist attention desirable.
Alternatively, the regulation might simply have made it unlawful
to refer without seeing the patient in order to consider the
question whether a referral is necessary, or, simpler still, have
21.
proscribed referrals not thought by the referring person to be
reasonably necessary. Which implication could one choose?
It may well be that it was because of the difficulties
just referred to that the possible offences said to arise from the
suspicions held do not include a suggestion of breach of the
requirement said to be derived "under the provisions of the Health
Insurance Act, Regulations and Schedule". However that may be, I
can find no such requirement; but that is by the way. The
essential point is that the justice could not, in my opinion, have
been satisfied by the information as to suspicion relating to the
commission of the possible offences in fact relied on; she could
not have been so satisfied in the absence of identification of the
falsity in the material respect, or of the fraud.
A separate criticism of the information 1s that it does
not support suspicion of the persons identified in the warrant.
It is clear that no such identification is necessary, but it is of
course permissible. As explained above, the warrant has the
suspected persons as being those set out in the annexure "A", who
are principally patients. Mr. Clair argued that, on the proper
construction of the ainformation, the reference to "suspected
persons" in its corresponding portion should be read as including
from annexure "A" the doctors only, not the patients.
It is not possible to conclude with any confidence who
are meant to be the "suspected persons" mentioned in the
information. Mr. Clair may well be right that the better
construction would confine it to the doctors, but if that be so,
22.
then in another important respect the information was incapable of
supporting the warrant. It has to be said, however, that the
information is so vaguely drawn in other respects that it leaves
it rather unclear precisely what sort of breach of the lawis, or
might be, suspected. An example of this is the reference to
"pre-signed" referral forms, which in the context appears to me
capable of meaning simply that they were signed before the
customers arrived. Mr. Clair urged that it should be read as
suggesting that they were signed in blank, filled in by someone
other than the signatory and incorrectly dated - matters which
cannot, in my view, possibly derive from what is. stated. One
"casually might fancy" the matter mentioned by Mr. Clair (see per
Griffith C.J. in Bridgeman v. Macalister (1898) 8 Q.L.J. 151 at
p.153) but that is not enough.
Lastly, 1t appears to me that the information cannot
support the warrants, if Mr. Clair's analysis of the former is
correct, in that the matters of suspicion stated in the warrants
are much wider than those to which the information 1s directed.
If it is right that the information says, in essence, that
patients, or new patients, are being routinely referred to eye
specialists (at, I was told, an additional cost of $10) and that
that is a breach of the obligations of the referring party, then
the matters of suspicion stated in the warrant are plainly much
too broad.
In summary, the information cannot support the warrants
issued.
23.
I propose to grant injunctions and will hear the parties
on the appropriate form of relief.
Counsel for the Applicant: Mr. Mulholland Q.C.,
Mr. Herbert, Mr.
Boddice
Solicitors for the Applicant: Hill and Taylor
Counsel for the Ist and 2nd Respondents: Mr. Clair, Mr. Rice
Solicitors for the lst and 2nd Respondents: Australian Government
Solicitor
Counsel for the 3rd Respondent: Mr. Barns
Dates of Hearing: 9, 10 and 11 March
4 certify that thic and the R22. precedine
pages are a true ccpy of the reasons for
judgment herein of His Honour
Mr, Justice Pincus
Associate
ry
Dated ;2 yrerd (9°7