ROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR [1994] NSWCA 270
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ROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and
ANOR
SUPREME COURT OF NEW SOUTH WALES COURT OF APPEAL
MAHONEY AP, MEAGHER and POWELL JJA
1 March 1994, 20 April 1994
[1994] NSWCA 270
APPLICATION FOR PREROGATIVE RELIEF AGAINST MEDICAL TRIBUNAL
— Order made for removal of doctor's name from register of Medical Practitioners
— Appeal to Supreme Court not proceeded with, dismissed by consent — Doctor
charged with offences arising from misconduct alleged — Found not guilty of some
charges; jury disagreed on others, not pursued further.
Application by doctor to Medical Tribunal for review under s32V of Medical
Practitioners Act 1938 - Medical Tribunal held self bound by findings made on original
hearing - Application for review refused. Application for certiorari against original
decision, on ground that evidence not support findings - Refused. Application to review.
appeal against original decision - Reinstatement of appeal refused, no grounds in facts.
Application for mandamus to Medical Tribunal to hear Review Application - Held:
Medical Tribunal could re examine some aspects of original decision - Constructive
failure to review - Mandamus should go.
ORDER
1. Short Minutes to be prepared, filed and served within twenty one days of today.
2. Claimant to have costs of proceedings in this Court to date. Further order as to costs
to be made by Court considering orders to be made.
Mahoney AP In 1987 it was alleged against Dr Mahendra Singh Rohatgi that
he had, in relation to a number of his surgical patients, acted in a way which, if
true, involved gross professional misconduct. On 29 September 1988 the Medical
Tribunal of New South Wales found the allegations to be true and ordered that his
name be removed from the Register of Medical Practitioners: - Medical
Practitioners Act 1938, s32R. He appealed to this Court against the Tribunal's
order. On 7 August 1989, by consent, the appeal was dismissed.
Criminal proceedings were taken against Dr Rohatgi in respect of all or, on one
view, substantially all, of these allegations. In June 1990, he was found not guilty
of a number of the charges; in respect of several of them the jury could not agree.
On 17 December 1991 the Court of Criminal Appeal upheld his appeal against
the charge upon which he was convicted and directed an acquittal. In respect of
the charges as to which the jury could not agree, no further proceedings were
taken.
On 5 February 1993 Dr Rohatgi applied to the Tribunal to review its decision:
his application was made under s32V of the 1938 Act. On 15 June 1993 the
Tribunal, after hearing argument, held that, on the proper construction of the Act,
it was not able to "go behind the determinations and findings of the original
Medical Tribunal for the purpose of questioning their correctness". Subject to this
restriction, it conducted a detailed review of his then position. On 22 June 1993
the doctor's application for review was dismissed.
The doctor did not bring any appeal against the Tribunal's dismissal of his
application for review. However, on | September 1993, by summons in this
Court, he sought declarations that the order of 29 September 1988 removing his
2 UNREPORTED JUDGMENTS
name from the register was void and that the order of the Tribunal of 22 June
1993 dismissing his application for review was also void. He sought relief by
way of certiorari and mandamus. The summons contained an application in the
alternative for an order extending time to appeal against the order of 29
September 1988 and an order that that appeal be allowed.
Before this Court Mr Barker QC, for Dr Rohatgi, pressed mainly the claim to
relief by way of mandamus.
1. THE LEGISLATION:
It is necessary to decide at the outset what are the statutory provisions
governing this proceeding. The orders made in respect of the complaints against
Dr Rohatgi were made under the Medical Practitioners Act 1938: see, eg, s32R,
s32T. The application made to the Tribunal for review of the orders made against
him was made under s32V of that Act. That section provided that a person who
is suspended or whose name has been removed from the register "may apply to
the Tribunal for a review of the suspension or removal". As I have indicated, the
application for review was disposed of by the Tribunal finally on 22 June 1993.
By the Medical Practice Act 1992 s195, the Medical Practitioners Act 1938
and various amending Acts were repealed. By a proclamation, the Act (excluding
s6 which is not here relevant) commenced on | July 1993. That Act contained
savings and transitional provisions. The two provisions which are claimed to be
here relevant are contained in Schedule 5, CL11 and CL13. CL11 and CL13
provide:
"11. (1) The provisions of the 1938 Act continue to apply to and in respect of
a complaint made, or an inquiry or appeal commenced, under that Act and
pending immediately before the repeal of that Act. (2) Any order, decision or
determination resulting from an inquiry or appeal to which this clause applies is
taken to have been made under the corresponding provisions of this Act and is to
have effect accordingly.
13. (1) An order ("the original order") having effect under the 1938 Act
immediately before the repeal of that Act is by this clause converted to the
equivalent order under this Act and is taken to have been made under this Act.
This includes an order by which a person's name was required to be removed
from the Register under the 1938 Act.
(2) If the original order fixed a time after which a person may apply to be
registered, the order is instead taken to provide that an application for review of
the order by which the person's name was removed from the Register may not be
made until after the time so fixed.
(3)..."
The new Act contains provisions for review of orders previously made. They
are somewhat different from those contained in s32V of the 1938 Act. S92(1)
provides that a person may apply "to the appropriate review body for a review of
an order of... the Tribunal or the Supreme Court... (b) that the person's name be
removed from the Register...". The "appropriate review body" is, in this case, the
Tribunal.
S94 provides:
"94. (1) The appropriate review body is to conduct an inquiry into an
application for review and may then do any of the following:
(a) dismiss the application;
(b) by its order terminate or shorten the period of the suspension concerned;
(c) make a reinstatement order;
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney APB
(d) make an order altering the conditions to which the person's registration is
subject (including by imposing new conditions).
(2) A "reinstatement order" is an order that the person be registered subject to
the same conditions and limitations (if any) to which the person's registration
was subject immediately before the person ceased to be registered. The
appropriate review body may also impose conditions on the person's registration
or alter the conditions to which the person's registration is to be subject under the
reinstatement order.
(3) The Board is to cause such recordings to be made in the Register as may
be necessary to give effect to a reinstatement order.
(4) The order on a review under this section may also provide that the order
is not to be reviewed under this Division until after a specified time."
In my opinion, by virtue of Schedule 5 CL13(1) the order of 29 September
1988 removing Dr Rohatgi's name from the register is converted into the
equivalent order under the 1992 Act and is taken to have been made under that
Act. However, the application for review which the doctor made in 1993 was
completed before the commencement of the 1992 Act. That proceeding was
accordingly not pending immediately before the repeal of the 1938 Act. The
dismissal of the application is, by virtue of CL13, converted to the equivalent
order under the 1992 Act and is to be taken to have been made under it. While
the mechanism of the procedures to be followed consequent upon the amendment
and the transitional provisions is not spelled out in detail, the statutory intention
was, I believe, that the validity or regularity of the order made under s32V of the
1938 Act is to be judged according to the then existing terms of that Act. If
mandamus be granted in respect of that order, then the application for a review
which the doctor made must be reheard. That application involved that the
Tribunal would make "such inquiry as it thinks fit": s32V(4). Accordingly, there
would have been, within Schedule 5 CL11, "an inquiry... commenced under that
Act" (ie, the 1938 Act) "and pending immediately before the repeal of that Act".
Therefore the 1938 Act would continue to apply to that application for review
and the inquiry to be made pursuant to it. If CL13 converts the order of 22 June
1993 dismissing the application for review, into the equivalent order under the
1992 Act (a matter on which I express no opinion), that does not mean that the
validity or regularity of what was done in respect of that application is to be
judged according to the terms of the 1992 Act. Such things remain to be judged
according to the terms of the 1938 Act by which they were then governed. In
practical terms, I doubt that much turns upon whether the matter is to be judged
according to the new or the old Act. But I shall assume that the old Act applies.
2. THE ISSUES TO BE DETERMINED:
Mr Barker QC, for Dr Rohatgi, called into question both the order of 29
September 1988 (the removal order) and the order of 22 June 1993 (the review
order). In respect of the removal order the claims, as pressed, were I think
essentially two: that the order was null and void and should be quashed by an
order in the nature of certiorari; and that the dismissal of the appeal from that
order should be set aside, an appeal entertained, and the order reversed.
In respect of the review order the attacks made were essentially two:
that the Tribunal had constructively failed to exercise the power conferred by
s32V and/or s92 to s94; and that the order made on 22 June 1993 contained on
the face of it an error of law warranting that it be set aside and quashed as on
certiorari.
4 UNREPORTED JUDGMENTS
During argument, other possible attacks upon the proceedings taken against Dr
Rohatgi from time to time were adverted to but, as I understand the arguments
ultimately pressed, they were directed essentially to the matters to which I have
referred.
3. THE ATTACKS UPON THE REMOVAL ORDER:
In order to understand the submissions made for Dr Rohatgi in this regard, it
is necessary to refer to the facts. The facts placed before this Court are contained
in or referred to in several affidavits tendered in support of the summons. The
material contains many hundreds of pages, relating to the original proceedings
before the Tribunal in 1988, the criminal proceedings to which I have referred,
the proceedings in the Court of Criminal Appeal, and the proceedings before the
Tribunal in 1993. The Court has been taken to the parts of this material which
counsel have considered relevant and I shall, in the main, refer to those parts. In
view of the submissions it is not necessary to detail the facts: it will be sufficient
to summarise the relevant portions of them.
A complaint was made against Dr Rohatgi by a delegate of the Department of
Health and that complaint was considered by the Medical Tribunal in May 1988.
It contained thirteen particulars. The complaint alleged a number of matters each
of considerable seriousness. It alleged that in respect of twelve patients the doctor
purported to carry out a surgical procedure for the depression of the
endolymphatic sac whereas no operation was performed (Particulars 1 and 2);
that on twelve occasions he carried out a surgical procedure on a patient to graft
the tympanic membrane on the right side under general anaesthetic without
reasonable cause (Particulars 3 - 5); that on two occasions he claimed to have
carried out a right tympano mastoidectomy which he did not carry out (Particular
6); that he carried out a Caldwell Luc's procedure on a patient's right antrum and
by gross negligence operated on the wrong side, carried out the procedure
without consent, and advised the patient that surgery on the right side had been
required when he knew or ought to have known that it had not (Particulars 7 - 9);
and that he had admitted a patient to hospital for surgery on her right ear but
negligently operated on the left ear (Particular 13). (Particulars 10 - 12 were not
proved to the satisfaction of the Tribunal and therefore may be put aside).
Each of the thirteen Particulars (excluding Particulars 10 - 12) was held by the
Tribunal to have been proved. It was on the basis of the proved complaints that
the removal order was made.
In 1990, he was tried upon some nineteen charges based upon the relevant
allegations in the complaint. It is not necessary to pursue the precise detail of the
charges and how they arose from the matters alleged in the complaint. It is
sufficient to conclude that, in general terms, the charges required examination of
some or all of the facts upon which the various allegations had been made. In
respect of some of the charges, the doctor was found not guilty. In respect of
others, the jury could not agree. In respect of one, he was convicted.
On 17 December 1991 the Court of Criminal Appeal upheld his appeal against
that conviction. Reliance was placed upon the reasons given by that Court in
upholding the appeal and I shall refer subsequently to the relevant aspects of
those reasons. However, it was contended for the doctor that what had happened
in relation to the charges was inconsistent with the continued acceptance of the
findings of fact made by the Tribunal upon the complaints. The suggestion was
that, either in terms or viewed as a matter of substance, the findings of fact in
respect of the criminal charges were inconsistent with the findings of fact on
which the Tribunal acted to remove the doctor's name from the register. This
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney APB
suggestion was contested by Mr Sexton for the second opponent. Upon the basis
of these contentions, I shall consider the submissions made in respect of the
removal order.
(a) THE CLAIM TO CERTIORARI:
Mr Barker QC submitted, I think faintly, that the removal order was null and
void or was to be quashed as on certiorari. The basis for this submission was that
the findings on which the Tribunal based the removal order were such that no
reasonable person could make them, that this sufficiently appeared upon the
record, that certiorari was available to quash the order, and that accordingly it
should be quashed. Mr Barker's contention was, I think, that the evidence as it
was before the Tribunal was of this kind and that, having regard to what appeared
in or resulted from the criminal proceedings, it now is shown to be such.
In my opinion, these submissions should not be accepted. Certiorari may go
for various reasons: these include absence of jurisdiction, denial of the
appropriate procedural fairness and error of law. It is the last of these which is
here in question. But it is not every error of law in a proceeding before a tribunal
of the present kind which warrants certiorari. In general, it will go only where the
suggested error appears on the face of the record of the Tribunal and the error is
of a relevant kind.
This Court has considered what for this purpose constitutes the record of a
tribunal:
see GJ Coles and Co Pty Ltd v Retail Trade Industrial Tribunal (1986) 7
NSWLR 503 at 515; Commissioner for Motor Transport v Kirkpatrick (1988) 13
NSWLR 368 at 377 et seq; The Commissioner of Police v The District Court of
New South Wales and Anor (Court of Appeal, 2 September 1993, unreported);
and what constitutes an error of law which is sufficiently relevant to the order
made in the particular case as to warrant certiorari. See Commissioner for Motor
Transport v Kirkpatrick at 372 et seq; The Commissioner of Police v District
Court of New South Wales and Anor (Court of Appeal, 2 September 1993,
unreported). In Commissioner of Police v District Court of New South Wales and
Anor I said:
"The 19th century legislation dealt essentially with justices and it prescribed
the form of the record which the justices could and should forward to the superior
court. But there has, in general, been no similar prescription for, for example,
inferior tribunals as such. At least, none has been suggested for this State. If what
has happened be examined objectively, it appears that, to an extent, inferior
tribunals have modelled their 'record' upon what has been provided for justices
essentially in criminal or analogous proceedings and have sent to the superior
courts a 'non speaking record'. But there has, I think, been no definitive
determination by a court of final resort as to the principles upon which a record
of such tribunals is to be constructed. At least, none has been referred to the court
in this application. The result has been that the courts have, pragmatically and
without reference to any general principle, determined in individual cases what
the record is to be seen as comprising. This has occurred in this State: see
generally Glenvill Homes Pty Ltd v Buildings Licensing Board (1981) 2
NSWLR 608; Adams v Kennick Trading (International) Ltd and Ors (1986) 4
NSWLR 503; GJ Coles and Co Ltd v Retail Trade Industrial Tribunal (1986) 7
NSWLR 503; Coles v Burke (1987) 10 NSWLR 429; Commissioner of Motor
Transport v Kirkpatrick (1987) 11 NSWLR 427; and Commissioner for Motor
Transport v Kirkpatrick (1988) 13 NSWLR 368. The result of this process has
been, in my opinion, that this Court has decided that the record of the District
6 UNREPORTED JUDGMENTS
Court includes the pleadings, the judgment and the reasons for decision in the
instant case; the transcript of evidence has not, I think, been held to be part of that
record. In relation to the inferior court or tribunal considered in the Kirkpatrick
cases, my own conclusion was that the record of the body there in question
comprised documents of the same kind. In the High Court, there has, I think, been
no finally definitive consideration of the matter: see generally R v District Court
of the Queensland Northern District: Ex parte Thompson (1968) 118 CLR 488 at
494; R v Cook: Ex parte Twigg (1980) 147 CLR 15 at 26; Hockey v Yelland
(1984) 157 CLR 124 at 142 and 143; Public Service Board of New South Wales
v Osmond (1986) 159 CLR 656 at 667." It is sufficient for present purposes to say
that although this Court has held the record of particular tribunals to include the
reasons for judgment given for its order it has not accepted, or accepted
definitively, that the record includes the whole of the evidence placed before the
Tribunal. A fortiori, the record does not, of course, include material which did not
exist at the time when the order was made.
The Court has not yet defined fully the nature of an error of law which,
appearing on the record, will attract certiorari. I have elsewhere suggested that
incidental errors, eg, in relation to procedural matters, the admission of evidence
or the like, will not ground certiorari:
see The Commissioner of Police v The District Court of New South Wales and
Anor; Director General of Attorney General's Department v District Court of
New South Wales and Stark (Court of Appeal, 21 July 1993, unreported). I
remain of that view.
The error here suggested is that the evidence could not in law justify the
findings made. It is not necessary for present purposes to determine whether an
error of this kind, however formulated, sufficiently attracts certiorari. I shall
assume that it does. But at the time the order was made, the evidence before the
Tribunal was such that it was clearly open to the Tribunal to find as it did. Mr
Barker QC contended (I put his argument in terms necessarily very general) that
before the Tribunal the evidence of the doctor, of other doctors and nurses present
on the occasion of the surgical procedures, and of an expert witness Dr Williams,
rebutted the allegations made against him. It was contended that the evidence
against him was essentially of an expert character directed to showing that,
having regard to radiological and other diagnostic procedures, the operations
could not have been done properly, prudently, or as the doctor said they were. It
was said that, for example, the evidence against him depended upon inferences
drawn from diagnostic records of this kind; that those inferences depended upon
the assumption that, between the time of the surgical procedures and the time
when the diagnostic documents were examined, there could not have been such
a change in the patient, eg, by way of bone regeneration, as would falsify such
inferences; and that that assumption was not justified. This was generally the kind
of case advanced for him in the criminal proceedings.
If the contention be that the evidence before the Tribunal was such that the
Tribunal could not have come to the conclusions it did, I doubt that that
contention has been made out. This Court has not been taken to the detail of the
evidence given before the Tribunal on the removal proceedings. The reasons
given by the Tribunal, some twenty six pages in length, summarise the case made
for and against Dr Rohatgi. The Tribunal said:
"Tn support of this complaint evidence was led from Professor Doust who is
Director of Radiology at St Vincent's Hospital and Associate Professor of
Radiology at the University of New South Wales; a distinguished Otologist, Dr
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney APY
Paul Fagan, a distinguished Ear, Nose and Throat Surgeon, Dr Andrew Ferguson
and a most distinguished academic and practitioner in Otology and Ear, Nose and
Throat surgery generally, Professor William Gibson. Each of these gentlemen
was asked generally whether he had seen C>T> scans relating to each of the 12
patients. Each had and each was of the view that the images were of such a
quality as to enable him to give a categorical opinion as to whether or not surgery
had taken place. Each was firmly of the opinion that in none of the patients had
there ever been any operation which would have had the effect of decompressing
the endolymphatic sac. Each of them was taken through the images relating to a
number of individual patients and reference will be made to this evidence in due
course. Each of them was asked by counsel for the Respondent whether it might
not be that during the interval between surgery - or alleged surgery - and the time
of the taking of the C>T >scans, the temporal bone may have re grown to such
an extent as to render the traces of the operation unobservable. Each denied this
proposition."
Having referred to the evidence of the expert witnesses, the Tribunal said:
"In addition to this theoretical evidence, there was evidence from two Theatre
Sisters who had observed the Respondent's method of operating. Their evidence
was somewhat imprecise, but it supported the view that he ordinarily removed a
small piece of bone by hammer and gouge and then drilled for a short distance.
The observations of Sister Williams were that the drilling was never more than
about half an inch in depth whereas the Complainant's experts insist that it would
be necessary to drill at least twice that distance before any approach could be
made to the endolymphatic sac. Sister Blair was not able to assess the depth of
the drilling. Both these witnesses denied the suggestion put to them in cross
examination that either the pieces of bone removed by chiselling or the powder
resulting from drilling were preserved for later use.
This evidence is, of course, adverse to the Respondent but it could hardly be
conclusive in the absence of eye witness evidence showing that he lacked those
exceptional gifts. There is also the evidence of Sister Williams and Sister Blair
which tends to support the view that he could not have completed the operation
in the available time. However even this accumulation of evidence would,
without the radiological evidence, be insufficient to satisfy us to the requisite
degree. We feel that the two Sisters may perhaps have developed some of their
wisdom after the event. It will be seen therefore that the radiological evidence is
absolutely crucial. It will be necessary to consider and to compare and contrast
the evidence called for the Complainant with that called for the Respondent -
including, of course the evidence of the Respondent himself.
We realise that the Complainant's evidence is largely circumstantial and we are
therefore alert to any reasonable contrary thesis. None of these patients gave
evidence.
If the Respondent's descriptions of the operations are substantially correct then
this part of the complaint is not made out. We were not convinced by his account
and if his evidence stood alone we would have little hesitation in rejecting it in
favour of the opinions of the Complainant's expert witnesses. In these
circumstances the evidence of the Respondent's witnesses takes on critical
importance."
The Tribunal concluded that Dr Biswas "adds little on the crucial issues". It
said:
8 UNREPORTED JUDGMENTS
"Dr Biswas adds little on the crucial issues. He does corroborate the
Respondent on two matters where his evidence is contradicted by the evidence of
the two nursing sisters. He confirms that there were routine changes of drill head
and that there were on at least some occasions replacements of bone fragments
into the wound. Dr Biswas was not shown to be an untruthful or biased witness
and we are unable to find with the requisite degree of satisfaction that the denials
by Sisters Williams and Blair are made out."
Dr Williams, called for the applicant, was "an impressive witness whose
evidence demands close scrutiny". The Tribunal said:
"He began by criticising the CT scans on which the Complainant's case rested.
He went through all of them and criticised the absence of bilateral views, the slice
intervals and the window settings as well as pointing to the time that had elapsed
between surgery and radiology. In general terms, he claimed that the quality of
the scans was inadequate to permit disproof of the Respondent's claim, while
there was, he said, some evidence suggestive of surgery which may have reached
the area of the endolymphatic sac.
If his criticism was well founded then the basis of the opinions of Professors
Gibson and Doust and Dr Fagan is destroyed and the Complainant fails (except
in the case of Nellie Harris, as to which see at 12 and 13 infra).
A considerable amount of cross examination of the Complainant's witnesses
and a small amount of evidence in the Respondent's case were directed to the
question of bone regeneration. It is clear that such regeneration does take place,
especially in younger people. We accept that there was in each case some cortical
penetration by Dr Rohatgi and that regeneration has taken place rendering the site
less obvious than it would have been shortly after the operation. We are also
satisfied (see Professor Gibson at 146 to 149) that the trabecular architecture of
the mastoid cannot reproduce its pristine form, any bony regrowth in that area
being of a quite distinct nature which would not deceive a Radiologist. We were
not impressed by Dr Williams comparison of the mastoid trabecular with nasal
cartilage or with the suggestion that after displacement the septa might 'swing
back into position' (at 451).
So far as Nellie Harris is concerned the temporal bones put the matter beyond
any doubt. No argument has been addressed to us on this score nor has any
explanation been offered in evidence. To conclude, we are all satisfied
notwithstanding the gravity of the charges, that the scans are adequate for the
purpose for which they were produced; that they show no evidence of completed
endolymphatic sac decompression operations and that if such surgery had been
carried out there would have been evidence of it in every case. We do not accept
Dr Williams' criticisms of the scans as sufficient to justify us rejecting or
doubting the evidence of Professor Gibson and Professor Doust."
The Tribunal proceeded to deal with the individual particulars of the
complaints in detail. In important respects, it "totally dishonoured" the
applicant's evidence. The Tribunal said:
"This case has caused us considerable soul searching. On the one hand we are
conscious of the duty that we have to the community and to the Medical
Profession, to exclude from the latter any medical practitioners that threaten harm
to the former. At the same time, there is an even greater social interest in insuring
that the Respondent receives justice and is not found guilty unless we are
satisfied to the requisite degree. We have been very conscious of the absence of
direct evidence and the extent of our dependence upon opinion evidence.
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney AP®
The Respondent feels besieged and set upon from all sides. He believes, he
says, that he is the victim of a conspiracy. He is a long term resident of this
country but English is not his first language and he commits solecisms and
sometimes uses phrases which are inappropriate and may unfairly disadvantage
him. We see some genuinely felt basis for his sense of persecution. We feel that
there may have been something of a closing of the ranks against him in the area
where he practices. The big question mark relates to the timing of and the reason
for any perceived hostility. Is it the cause or the result of the allegations that he
now faces? We are unable to accept that there is any kind of conspiracy. No
argument was addressed to us on this issue nor was any witness cross examined
to suggest it. There may for all we know have been malice on the part of some
informant but no improper motive was suggested to any of the witnesses. We do
not see the principal witnesses for the Complainant as being other than learned,
totally objective observers, whose integrity is unchallenged. We have had to face
up to the question: is Dr Rohatgi more sinned against than sinning or is he a
humbug, caught out in his malpractice and grasping at any straw to justify
himself? With great respect for the witnesses called in his defence and fully
conscious of the seriousness of this finding, we are of the view that he has been
guilty of deception and that when confronted with instances of his ineptitude he
has resorted to further deception in order to soften the inevitable blow." I see
nothing in the reasons of the Tribunal which would justify certiorari.
I come now to the question whether, in the light of what happened in the
criminal proceedings, certiorari should go in respect of the removal order.
The Court has not been referred to any case in which evidence found or
coming into existence after the making of an order has been relied upon as
demonstrating that the order should be set aside as on certiorari. I do not wish to
preclude the possibility of such a case. In my opinion, in the present case the
evidence was not of this character. The Court in the criminal proceedings found
favourably to Dr Rohatgi probably because it preferred the evidence called by
him to the expert evidence called against him, because it did not accept the
inferences to be drawn from the radiological and other diagnostic materials relied
on against him, or because it accepted the possibility that the inferences
suggested against him could be explained by, eg, bone regeneration. However
this be, I do not see in these matters or generally in what has been put grounds
for concluding that on the whole of the material a tribunal of fact could not find
the complaints established. It may or may not be that the probabilities lay, or lay
heavily, in the doctor's favour. That is not sufficient. The submission, if it be
valid, must involve that to find against the doctor was so wrong as to involve an
error of law. In my opinion, the evidence does not establish that.
(b) APPEAL AGAINST THE REMOVAL ORDER:
It was submitted that, although Dr Rohatgi's appeal against the removal order
was, on 7 August 1989, dismissed by consent, he should now be allowed to
appeal against that order and for this purpose the time for appealing should be
extended. I do not think that these submissions should be accepted. The appeal
sought to be brought is, to adapt the language elsewhere used, an appeal against
conviction not against severity of sentence: see s32R, s32U. It is therefore
relevant to consider whether an appeal of that kind could succeed. An appeal lay
against such a decision of the Tribunal only "with respect to a point of law":
s32U(1). The only point of law suggested is that to which I have referred, viz,
10 UNREPORTED JUDGMENTS
that the Tribunal could not reasonably find as it did. Considered in the light of the
evidence before the Tribunal, there would, in my opinion, be no prospect of such
an appeal succeeding.
In addition, I am not satisfied that a sufficient reason has been advanced for
allowing such an appeal notwithstanding the dismissal by consent of the previous
appeal. Dr Rohatgi gave his reason for the dismissal of the appeal against the
removal order in the following terms: "At the time I gave instructions to consent
to the dismissal of the appeal it was my understanding that successfully
defending the criminal charges was the highest priority as a conviction of itself
would be a ground for striking off. It was my understanding that when the
criminal proceedings were finished I could move to reverse the order that my
name be struck off the register. I did not understand that by consenting to my
appeal being dismissed I would lose my right to again bring an appeal after the
criminal proceedings were disposed of."
No other explanation was advanced.
As I indicated during argument, prima facie I find that reason difficult to
accept: I find difficulty in accepting that Dr Rohatgi's understanding was as he
there stated. There was no reason suggested why, during the pendency of the
criminal proceedings, the appeal against the removal order could not have been
adjourned. That would have been the obvious course and I see no reason why this
Court would not have permitted it to be followed. Dr Rohatgi does not say that
he was advised that the position was as now he states it to be. It seems unlikely
he would have been so advised.
However, his evidence has been admitted without objection and there has been
no cross examination of him. As Mr Barker QC pointed out, this evidence
therefore stands unchallenged. In the circumstances, I shall without so deciding
assume that his reason for having the appeal dismissed was as he there said.
I do not exclude the possibility that subsequently discovered facts may warrant
this Court extending the time for appeal against the removal order
notwithstanding that a long time has passed. The circumstances would
necessarily be of an unusual or perhaps extraordinary kind. Particularly is this so
because the relevant appeal under s32U of the 1938 Act was only "with respect
to a point of law": see now s90(1) of the Medical Practice Act 1992.
In the present case, Dr Rohatgi's difficulties are compounded. He must first
obtain the setting aside of the dismissal of the appeal and then the extension of
time for the bringing of another appeal or, possibly, the renewal of the appeal
previously dismissed. An appeal dismissed by consent may, in an appropriate
case, be set aside and the appeal reinstated: see the cases referred to in Lewis v
Combell Constructions Pty Ltd (1989) 18 NSWLR 528; Halsbury. Laws of
England (4th ed) Vol 37 para390. See also Supreme Court Rules Pt40 R9. But it
is necessary that appropriate grounds be shown. In the present case, what is
suggested is, at best, a unilateral mistake on the part of the doctor, based not upon
erroneous advice but upon his own inference, and without the suggestion of any
reason why the mistake was made. I do not see in the present case a ground
warranting the setting aside of the dismissal of the appeal and the reinstatement
of it. Even if what occurred in the criminal proceedings be accepted to be
generally what is contended for by Dr Rohatgi, I do not think that that provides
the basis for setting aside the order that was made.
In addition, such an order would be made only if there were an appropriate
prospect of the appeal being successful: it would not be done if it were plain that
the order would serve no purpose. That is, in my opinion, the present case.
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney AR)I
For these reasons I do not accept that relief against the removal order should
be given.
4. THE ATTACKS UPON THE REVIEW ORDER:
The main submission for Dr Rohatgi was that if an application be made to the
Tribunal for a review of a removal order, the Tribunal has a statutory duty to
"review" the order. If it fails or refuses to perform that duty, mandamus will go
to compel it to do so. There may be a failure or refusal to perform a statutory duty
if, notwithstanding the purported performance of it, the Tribunal has so
misdirected itself that that which it has done is not in law a performance of that
duty. There may, in this sense, be a constructive failure to perform the duty: see
Ex Parte Hebburn Ltd: Re Kearsley Shire Council (1947) 47 SR (NSW) 416 at
420; Wentworth v Rogers and Anor [1984] 2 NSWLR 422 at 433 and 434 and the
cases there referred to. It is not every error, or error of law, which will involve
in this sense a constructive failure to perform the duty. The duty is, in this sense,
performed even if it be so performed as to involve an error of law or an error of
fact. But, where the error goes to the nature of what is to be done, there will
ordinarily be a failure to perform the duty. See Re Media Entertainment and Arts
Alliance of Theatre Managers' Association; Ex parte Hoyts Corporation Pty Ltd
(1994) 68 ALJR 179 at 190; Glenvill Homes Pty Ltd v Builders Licensing Board
[1981] 2 NSWLR 608 at 614 et seq.
In the present case, the submission was to the effect that what the Tribunal did
did not constitute "a review of the... removal" within the terms of s32V(1). The
error identified was that the Tribunal held that it did not have "jurisdiction to
review the correctness of the determinations on the complaints and findings of
fact made by the original Medical Tribunal". It ruled that: "The findings of that
initial Tribunal have to be accepted and the Tribunal should not go behind them
nor should an applicant seek to discredit them". In its decision of 22 June 1993
the Tribunal reiterated "... that it was not empowered to go behind the
determinations for the purpose of questioning their correctness". Accordingly
"the Tribunal ruled that it would not admit into evidence pre removal material
and post removal material in the applicant's case for the purpose of
demonstrating error by the Medical Tribunal which inquired into the
Complaints". The Tribunal dealt with the application for review on that basis. It
saw its task as "to inquire into the present fitness of the applicant to practice
medicine in the light of the determination of the Medical Tribunal and its findings
of professional misconduct which resulted in the order removing the applicant's
name from the register and to review the conduct of the applicant from that time
to the present...". It held that "the proved misconduct demonstrated a serious
departure from acceptable standards of practice... aggravated by the practitioner's
untrue explanations for his treatment...". On this basis it saw the doctor as having
"the onus of satisfying the Tribunal of his present fitness competency and good
character to be admitted to practice as a registered medical practitioner".
Dr Rohatgi declined to give evidence to support his application or to establish
"his present fitness competency and good character". He did this because, as the
Tribunal said, he "does not accept that he has been guilty of professional
misconduct". On this basis, "there is in his view no requirement for
rehabilitation".
The Tribunal further noted that Dr Rohatgi had tendered a medical research
article. By his counsel, he indicated the basis on which, he contended, the article
supported his application. For the reasons adverted to by the Tribunal, it said:
12 UNREPORTED JUDGMENTS
"This line of argument ignores the potential complications of major ear surgery
under general anaesthetic, and resultant pain, discomfort and anxiety suffered by
a patient undergoing invasive surgical procedures. The applicant's reliance on
this article and the rationale advanced by him through his counsel causes the
Tribunal to question the judgment and insight of the applicant in the context of
fitness to practice medicine. The evidence adduced by the applicant in support of
his application for re admission to the profession is accordingly limited to the
grounds set out in his written application as developed by counsel in his
submissions and documents admitted as exhibits."
The Tribunal concluded that the applicant had not discharged the onus of
satisfying it of his present fitness, competency and good character. Accordingly
it dismissed the application.
The Tribunal followed a previous decision or decisions of the Tribunal in
limiting the extent to which it brought in question the removal order. During the
course of the review proceeding, reference was made by the Tribunal to the
possibility of the testing of the correctness in law of the Tribunal's view of its
function and of the ambit of "the review". No appeal was brought against its
decision. It has not been argued that the appeal provisions do not apply to an
order made on an application for review.
Mr Barker's submissions in this regard raise, inter alia, two questions: whether
the Tribunal erred in law in the view it took of its powers; and (if it did) whether
relief by way of mandamus should be granted.
(a) The duty to review:
The construction of s32V and of the corresponding provisions in the 1992 Act
(s92 and s94) is not without difficulty. There is, in my respectful opinion, some
practical utility in the view taken in this regard by his Honour Judge Wall QC and
the members of the Tribunal. However, on reflection I am of opinion that their
view as to what may be done in relation to the removal proceeding and the order
made upon it was unduly narrow and that what they did was not, in the relevant
sense "a review of the... removal" within s32V.
In considering the meaning of "review" it is of assistance to follow the
procedure suggested by Lord Coke and now adapted as the purposive mode of
construction: see Metal Manufacturers Pty Ltd v Lewis (1988) 13 NSWLR 315
at 325 and 326. This procedure involves: determining the problems which the
statute sought to solve: identifying the remedy which it chose for solving them;
and determining how the remedy was applied in the solution of them.
The provisions, s32V and s90 to s92, are concerned with problems which arise
after the making of an order for, as in this case, removal of the name of a medical
practitioner from the roll. In the main these problems are apt to be of two kinds:
there may be a need to end or vary the effect of the removal because of events
which have happened after the order was made; and injustice may exist because,
to take one example, the findings of fact on which the order was based are
subsequently seen to have been wrong. In either of these cases, there may be an
injustice if the order cannot be (I shall use a neutral term) reconsidered.
The remedy provided for dealing with these problems is, of course, "review"
by the Tribunal. It is contemplated that, by such a review, the relevant problems
will be solved. But it is the extent of the remedy provided which is the difficulty
in the present case. Two questions arise: does the remedy apply to both of these
problems; and (if it does) how far does it go, ie, what does "review" authorise the
Tribunal to do to remedy the injustices.
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney ARB
The remedy is, of course, intended to apply to (as I shall describe them) "post
order events". The issue here in question is whether it applies to "pre order
errors". To a person unfamiliar with the law and how it must operate, it might
appear obvious that it should apply to both. If a medical practitioner's name has
been removed on the ground that he has assaulted a patient and the patient later
confesses that he did not do so, the operation of the legislation would plainly be
defective if the effects of the removal were not reviewed. But those familiar with
the way in which litigants act will see the danger that, in some cases, the power
to review what has been decided and has been ordered may cause more injustice
than it avoids. In relation to findings and orders of courts, the law has, in general,
adopted the principle that findings of fact and orders made cannot subsequently
be called in question. This is embodied in or articulated in principles and sayings
such as res judicata, interest reipublicae ul sit finis litium, nemo debet bis vexari
pro eadem causa and the like: see, eg, Jackson v Goldsmith (1958) 81 CLR 446
at 466; Carl Zeiss Stiftung v Rayner and Keeler Ltd (1966) 2 All ER 536 at 564
and 565. The rights on which a party relies to bring proceedings in a court are
brought to an end: they "merge" in the judgment which has been given in reliance
upon them: see Wentworth v Woollahra Municipal Council (1982) 149 CLR 672
at 684; State Rail Authority of New South Wales v Codelfa Construction Pty Ltd
(1982) 150 CLR 29 at 38 and 39; 45 and 46; Chamberlain v Deputy
Commissioner of Taxation (1988) 164 CLR 502 at 507 and 508; Boles and Ors
v Esanda Finance Corporation Ltd (1989) 18 NSWLR 666 at 669.
This attitude of the law is based upon sad experience. If allowed to do so,
litigants and their lawyers may contest and recontest what has been decided. The
effects of repeated litigation are plain: they can destroy those involved,
personally and financially. The law has therefore struck a balance. It recognises
the possibility of error and accordingly of injustice. But it sees greater good, to
the community and, I think, often to the individual parties, in bringing litigation
to an end. And it accepts the possibility of an individual injustice in such a
balance.
There are, of course, safeguards against error in judicial decision and what
may flow from it. Decisions of courts are always - or should always be - subject
to appeal. Ideally in all cases - and in practice in most of them - the findings and
orders of a court at first instance are reviewable on appeal. Appeals now
ordinarily involve at least one review of factual findings: see, eg, the Supreme
Court Act 1970, s75A (appeal to the Court of Appeal by way of rehearing). On
such an appeal the court may, subject to recognition of the advantages of the trial
judge: Abalos v Australian Postal Commission (1990) 171 CLR 167; Louth v
Diprose (1992) 175 CLR 621; reconsider and redetermine the findings of fact
made. The present problem is, of course, different. It concerns errors of fact
which cannot be or have not been corrected on appeal. In some circumstances,
decisions so made may be set aside, eg, in some cases of mutual mistake, fraud
or the like: see generally McDonald v McDonald (1965) 113 CLR 529; Halsbury,
Laws of England (4th ed) Vol 26, pars 557, 560. But special cases apart, the
findings and orders of courts remain effective notwithstanding that it
subsequently appears that errors of fact have been made. In certain statutes,
provision has been made for a more extensive review of judicial decisions. Thus,
in the Landlord and Tenant (Amendment) Act 1948, provision was made for a
review de novo of orders made in respect of the possession of premises: see 71;
Burling v Chas Steele and Co Pty Ltd (1948) 76 CLR 485; Hilliger v Hilliger 52
SR (NSW) 105. Similar review was possible under the Workers Compensation
14 UNREPORTED JUDGMENTS
Act 1926, s60 and s61; see now Workers Compensation Act 1987 s55. The
problem in the present case is pointed because the legislative purpose is, in my
opinion, to confine to the Tribunal or bodies leading to it, the determination of
issues of fact relating to medical malpractice. The appeal from the Tribunal is to
this Court alone and it is an appeal only "with respect to a point of law": s32U
of the 1938 Act; s90(1) of the 1992 Act. (I put aside "penalty" appeals:
s32U(1)(b)).
But these principles do not apply or do not apply with the same rigour to
findings and orders of bodies which are not courts. The Medical Tribunal is, in
this sense, not a court. It is, in concept, an administrative body which makes
findings of fact and on the basis of those findings it does administrative acts. It
finds the facts relevant to whether a medical practitioner has been guilty of
professional misconduct and it then does administrative acts which have
consequences to that medical practitioner. Thus, the Act allows the Tribunal to
make an "order": see 1938 Act, s32R; 1992 Act s64; that the name of the medical
practitioner be removed from the register, and that results in a statutory
proscription against his practising. In doing what it does, it is required to act, to
the extent provided by the statute, in a quasi judicial way. But it remains
administrative in the sense that, for example, the rights and duties underlying its
actions do not, as such, merge in its order. If a medical practitioner has a right
under the statute to have the findings and orders reviewed and that review is not
carried out, that right is not extinguished, as on res judicata, by the order of the
Tribunal purporting to be a review. The right of the medical practitioner
technically remains in existence and may be enforced if appropriate means are
available for its enforcement.
said is, of course, subject to qualification. In analysing the nature of the
proceedings of the Medical Tribunal in this way I have not attempted a definitive
statement of the difference between the findings and orders of courts and the
findings and orders of an administrative body. It is sufficient to note that there are
significant differences between them and that those differences are relevant in
deciding whether the findings and orders of a body such as the Medical Tribunal
should be presumed to be open to reconsideration and to what extent. The
position is further complicated because, under the legislation, there is an appeal
with respect to a matter of law to this Court and this Court may, in disposing of
the matter before it, itself make orders. Considerations such as these make it, I
think, impossible to draw inferences as to what are the powers in a particular case
from the general nature of proceedings before the Tribunal.
I come therefore to consider whether the form of reconsideration authorised by
the legislation in this case includes reconsideration of the findings of fact
originally made. As I have said, that which is authorised by the legislation is a
"review".
The word "review" is a word which, in my opinion, does not have an ordinary
meaning which is fixed. The content of it, in the sense of what it requires to be
done, will vary with the context in which the term is used. It may require only
an examination of what has been done, to ascertain whether, on the face of it, the
Tribunal concerned has done what it was required to do: compare generally
Coalcliff Collieries Ltd vy Campbell (1964) 38 ALJR 180. The term may, at the
other extreme, involve a de novo examination of the material on which the
original order was made, the testing of the process by which the decision was
reached, and an assessment of the correctness of that decision: see, eg, Appliance
Holdings Pty Ltd v Lawson (1983) 1 NSWLR 246 at 249. And it may, I think,
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney ARB
involve an examination of what has taken place which is between these two
extremes: see Smith v New South Wales Bar Association (1992) 176 CLR 256 at
264 and 265; Boston Clothing Co Pty Ltd v Margaronis (1992) 27 NSWLR 580
at 586. It is necessary to examine the context of the present provisions in order
to determine what in this case the duty to review the removal decision required.
The 1938 legislation did not, in terms, spell out the extent of the
reconsideration which is authorised by it. It leaves this to be determined by
reference to the mischief, the remedy and the extent of the remedy in the sense
to which I have referred. But, I think, it contains some indication of a legislative
intention that in some circumstances the correctness of the previous findings of
fact may be examined. S32 V(4) provides that on such a review, the Tribunal may
"after such inquiry as it thinks fit" order "that a person whose name has been
removed from the Register be registered under the provision of this Act under
which the person was registered immediately before the person ceased to be
registered or under any equivalent provision of this Act". S32V(5) provides that
a person registered pursuant to an order under that provision "shall (except for the
purposes of s23C) be deemed to be registered pursuant to a determination made
by the Board under s21(1)(a)". This indicates, at least to an extent, the intention
that the doctor whose removal is reviewed is to be put in a position to an extent
equivalent to that which he held before the removal.
Such a reversion to the position before the removal would of course be
appropriate in the case of a review based on post order events if, eg, they show
that the order should never have been made. Medical advances may so indicate.
But these provisions of s32V are general and therefore would apply to pre order
errors if, within the terms of the statutory "review" pre order errors may justify
reconsideration of what was done and the order for removal made.
The concept of "reinstatement" to which I have referred is made more explicit
by the 1992 Act. S94 provides that, on a review, the appropriate body "is to
conduct an inquiry... and may then do any of the following... (c) make a
reinstatement order...". See s94(1). S94(2) defines a "reinstatement order" as "an
order that the person be registered subject to the same conditions and limitations
(if any) to which the person's registration was subject immediately before the
person ceased to be registered....". The Board is to "cause such recordings to be
made in the Register as may be necessary to give effect to a reinstatement order'.
S94 also provides against the possibility that, by way of a "review", a
disappointed medical practitioner may seek successive reconsiderations of the
Tribunal's findings and orders, not by reason of post-order events, but because of
his contention that the original findings or orders were themselves incorrect.
S94(4) provides that an order made on review "may also provide that the order
is not to be reviewed under this Division until after a specified time".
None of these considerations are determinative of the nature of the
reconsideration which "review" authorises. However, the terms of the legislation
do not confine, by their terms, such a reconsideration to post order events.
Injustices may occur if pre order errors may not be taken into account in such a
reconsideration. In my opinion, the legislation, on its proper construction,
authorises the reconsideration of the original findings and orders made, to the
extent to which I shall refer. The legislature was no doubt conscious, as I am, of
the possibility of continuing litigation. A medical practitioner faced with a finding
of, eg, sexual assault by him upon a patient, may understandably desire to contest
it in all of the ways and to the full extent that can be achieved under the law. As
Ihave said, experience suggests that there must be a limit to continuing litigation
16 UNREPORTED JUDGMENTS
of that kind. However, the legislature was, on the other hand, no doubt conscious
of the possibility of error by the Tribunal and of the serious effect which such
error could have. Findings of fact in proceedings before a Medical Tribunal may
depend upon witnesses who are ill, physically or mentally. They may depend
upon recollections of things long past. They may depend on the interpretation to
be put upon actions taken or not taken by the parties concerned. And such
proceedings may be affected by the enthusiasm of complainants or witnesses. I
do not by this intend to reflect upon the capacity or dedication of the Medical
Tribunal, the judge, the professionals, and the other members who may constitute
it in a particular case. Nor do I reflect upon those who are concerned with the
administration of the legislation. But the nature of the contests apt to be
undertaken have been illustrated by a number of cases recently before this Court:
see, eg, Bannister v Walton (19 93) 30 NSWLR 699 (special leave to appeal
refused).
At least in the 1992 legislation, the number and incidents of successive
applications for review may be controlled by the Tribunal. This, to an extent, may
mitigate the evils of repeated legislation in respect of findings and facts and
orders made by the Tribunal. This no doubt was enacted because of the
recognition that otherwise repeated applications might be made. It is, of course,
possible to see repeated applications as based as well on post order events as
upon pre order events. But I do not think that the Court should restrict the
generality of the legislation to post order events in this way.
However, to conclude that pre order errors may be reviewed does not mean
that, in every application for review, they must be reviewed: it does not determine
what, on a "review" of this kind, the Tribunal is authorised or required to do. I
come therefore to consider what the obligation to "review" requires that the
Tribunal do. The legislative provisions give to the medical practitioner affected
a right to a review. In this context, "right" carries with it the correlative
Hohfeldian duty: there is a duty on the Tribunal to carry out a review. But that
leaves for determination what that duty requires the Tribunal to do.
The submissions for Dr Rohatgi suggested, I think, that if there was a duty
upon the Tribunal to review, that duty must involve a reconsideration of the
original findings and orders. It followed, on this view, that Dr Rohatgi had the
right, and the Tribunal had the correlative duty, to undertake a reconsideration de
novo of those findings and orders. I do not think that that is the effect of the
legislation. In my opinion, the meaning of "review" lies between the two
extremes to which I have earlier referred. It is for the Tribunal to determine what
the material placed before it warrants to be done, ie, what course of action should
be followed. Thus, a mere claim for reconsideration of otherwise apparently
reasonable findings and orders could be held by the Tribunal to involve no more
than a consideration of the terms of the findings and orders on their face. A claim
for reconsideration supported by a creditable retraction by a crucial witness in the
original proceeding might well require or warrant that the Tribunal do more.
There is, no doubt, a minimum below which it may not descend: the nature of a
"review" may require at least a consideration of the position in the manner to
which I have referred. But beyond this it is, I think, a matter for the Tribunal to
determine, acting within proper limits, what is required in order to discharge its
obligation to review. In one case it may feel it appropriate to consider the findings
of fact de novo; in another case it may not. No error of law would be involved
merely by deciding the matter one way or the other.
UWROHATGI v MEDICAL TRIBUNAL OF NEW SOUTH WALES and ANOR (Mahoney ARY
Upon this view of the obligations of the Tribunal, I am of opinion that, in the
present case, what it did did not constitute a "review" within either s32V or,
insofar as it is relevant, the requirement imposed by s92 to s94 of the 1992 Act.
Its conclusion that, in accordance with its previous decisions, it should not
consider the appropriateness of reviewing the original findings and orders,
produced the result that it failed to enter upon a reconsideration such as was
required by its obligation to "review".
(b) The relief to be granted:
I come therefore to consider what, on this basis, should be the orders made by
this Court. Ordinarily an error of this kind would constitute an error in respect of
a matter of law within s32U and s90. Such an error would be a reason for appeal
to this Court. This Court, if it found such an error, could make an appropriate
order within the terms of s32U(3) or s91(1). Ordinarily relief by way of
mandamus is not appropriate where the error alleged could have been corrected
on appeal. However, the existence of a right of appeal is not inconsistent with the
grant of prerogative relief: see generally The Queen v Thomas [1892] | QB 426
at 429 and 430; R v Paddington Valuation Officer: Ex parte Peachey Property
Corporation Ltd [1966] 1 QB 380 at 399 and 400; de Smith Judicial Review of
Administrative Action (3rd ed) at 503 and 504. The court may, in appropriately
special circumstances and as a matter of discretion, grant prerogative relief even
though, properly pursued, the remedy of appeal was available. Ordinarily, it is
proper that a litigant be confined to the right of appeal which the legislation has
given to him and to the orders which may be made by the appellate court in such
a procedure.
However, there are, in my opinion, circumstances in the present case which
warrant the grant of mandamus. The right of appeal under the 1938 Act was not
exercised. It has now expired. It is not necessary to determine whether
technically the time for appealing under that Act could be extended having regard
to the repeal of the 1938 legislation. There would, I think, be no point in
extending that time. I doubt, without deciding, that the right of appeal under the
1992 Act would be applicable in respect of a decision, given in 1992, to refuse
an application for review made under the 1938 Act. It would, of course, be
possible for Dr Rohatgi to make such application for review under the 1992 Act.
But he should not be forced to take that course. No doubt the Tribunal would deal
with that application as it has done with the instant one. The contest between the
parties in the litigation before this Court has turned upon the proper construction
of "review" in the legislation. Dr Rohatgi has succeeded upon the substantial
matters that have been argued, at least to some extent. It is, in my opinion,
appropriate that a medical tribunal enter upon a review of the original removal
order in accordance with the relevant legislation and that it do so in accordance
with the meaning of "review" to which I have referred.
There are, however, questions of some difficulty as to the power of the
previously existing Medical Tribunal to enter upon a review of the removal order
having regard to the repeal of the 1938 Act and the terms of the transitional
provisions. It would be undesirable that the Court make orders which, however
structured, would leave room for doubt and further litigation in this regard. It
would be preferable if the parties agreed upon a form of order which would give
effect to the rights, in respect of review and costs, which in my opinion Dr
Rohatgi has. Thus, it may be an appropriate course for the parties to agree that
an application for review by Dr Rohatgi made under the 1992 Act would be
18 UNREPORTED JUDGMENTS
considered by the Tribunal in accordance with the principles established by this
Court and that the substantial merits (if any) in the contest between them should
be considered in such a procedure.
In my opinion, therefore, the parties should consider the form of the orders
appropriate for this purpose. An order merely for mandamus in respect of the
present application would be prima facie the proper order but might produce the
complications to which I have referred. An order made upon the basis of
undertakings by the complainant that an appropriate review under the 1992 Act
be achieved might enable unnecessary difficulties to be avoided.
However this be, the Court should, in my opinion, direct Dr Rohatgi to bring
in Short Minutes of the Orders which are appropriate to be made. If the parties
can agree upon the terms of the orders, the orders may be made without
unnecessary argument. Alternatively, the Court will if necessary hear further
argument as to the form of the orders. Dr Rohatgi should file and serve the draft
Minutes of Order for this purpose within twenty one days from the date on which
these reasons are delivered. Dr Rohatgi should have the costs of the proceeding
before this Court to date. Further costs should be dealt with by the Court when
it considers the orders to be made. The proceeding should be stood over
accordingly.
Meagher JA I agree with Mahoney AP.
Powell JA I agree with Mahoney AP.
1. Short Minutes to be prepared, filed and served within twenty one days
of today.
2. Claimant to have costs of proceedings in this Court to date. Further
order as to costs to be made by Court considering orders to be made.
Counsel for the Claimant: I BARKER QC/C WATERSTREET
Instructed by: LANE AND LANE
Counsel for Opponent(2): MG SEXTON
Instructed by: HK ROBERTS, CROWN SOLICITOR