OUTER HOUSE, COURT OF SESSION
[2006] CSOH 199
|
P1330/05
|
OPINION OF LADY CLARK
OF CALTON
in the petition of
MATHEW ROONEY
Petitioner;
for
Judicial Review of
a Medical Referee appointed in terms of the Police Pension Regulations 1987
ญญญญญญญญญญญญญญญญญ________________
|
Petitioner: Clancy, QC; Allan McDougall SSC
Second Respondent: R W J Anderson, QC, Drummond; G Lindsay, Edinburgh City
Council
21 December
2006
[1] I
heard submissions in this petition for Judicial Review on 3 November and 10 November 2006. At first hearing before Lord Turnbull on
15 March 2006, he
allowed inter alia affidavits to be
lodged. I had before me affidavits from
the petitioner (6/5 of process), Mr Watson, the petitioner's
solicitor (6/6 of process), Dr Watt, selected medical practitioner (7/15
of process), Mr Blair, solicitor for the second respondents (7/16 of
process) and the first respondent (6/7 of process). I was also provided with a number of
productions, 6/1 to 6/4 of process and 7/1 to 7/14. These documents had been made available to
the first respondent in advance of the hearing on 26 October 2004.
According to the affidavit of Mr Watson, the first respondent also
received the occupational health records and GP records of the petitioner and a
voluminous personnel file. I did not
understand this to be disputed. These
documents were not available to me as productions. In addition productions 6/8 and 6/9 and 6/10
were provided to me. These documents
were not considered by the first respondent.
These were documents prepared at a later stage on behalf of the
petitioner in which critical comment was made of the approach taken by the
first respondent.
[2] I
invited and received written submissions from senior counsel acting for the
petitioner and second respondents which are respectively 6/13 and 6/14 of
process.
[3] The
petitioner joined Strathclyde Police in 1979.
He is now aged 50. He worked as a
police officer until about 1993 when he was involved in a dispute with the
second respondents as to whether he had effectively resigned as a police
officer. The dispute resulted in
litigation which was resolved in the petitioner's favour. He resumed duties as a police officer in 1999
in effect with continuity of employment dating back to 1979. The petitioner worked as a police officer
from 1999 until 2002 when he took sick leave.
There was a history of disputed matters between the petitioner and the
second respondents. One of these matters
resulted in further litigation by the petitioner in which he was
successful.
[4] After
the petitioner had taken sick leave, the second respondents invoked the
procedure under the Police Pension Regulations 1987 (SI 1987/257) as
amended (hereinafter referred to as the 1987 Regulations) to have the
petitioner compulsorily medically retired on health grounds. I deal with that procedure in more detail in
paragraphs 6 to 11. On or about 11 August 2003 the petitioner
was compulsorily retired on health grounds from Strathclyde Police.
[5] That
decision to compulsorily retire the petitioner brought to an end the
petitioner's many years of police service.
It was a matter of concession by senior counsel for the second
respondents that the petitioner had no right to challenge the termination of
his service in an Employment Tribunal.
It was also a matter of concession that, despite the existence of a
limited appeal procedure under the 1987 Regulations as amended, judicial
review was competent in the present case.
Reference was made to Philips v
Strathclyde Joint Police Board 2004
S.L.T. 723. I consider these concessions
to be well founded. It was also accepted
that this was an unusual case because the petitioner contested the decision of
the first respondent that he is permanently disabled in terms of the 1987
Regulations.
Statutory Provisions - The 1987 Regulations
[6] The
Police Pensions Act 1976 provides in terms of Section 6(3) that
Regulations may be made for the referral of certain matters to a medical
practitioner whose decision thereon shall, subject to such rights of appeal as
may be provided by the Regulations to such Tribunal as may be constituted
thereunder, be final as to the matter so referred. For present purposes the relevant regulations
are the 1987 Regulations. Regulation A20
makes provision for compulsory retirement on the basis of disablement.
[7] Provision
is made in Part H of the 1987 Regulations about medical appeals. The following provisions are relevant:-
"H1.(2) Where the police authority are considering
whether a person is permanently disabled, they shall refer for decision to a
duly qualified medical practitioner selected by them the following questions -
(a) whether the person concerned is disabled;
(b) whether the disablement is likely to be permanent....
(4) The decision of the selected medical
practitioner on the questions referred to him under this Regulation shall be
expressed in the form of certificate and shall, subject to Regulations H2 and
H3, be final.
H2 .....(2) If the person concerned is
dissatisfied with the decision of the selected medical practitioner as set out
in his certificate, he may, within 14 days after being supplied with the
certificate .... give notice to the police authority that he appeals against the
said decision, and the police authority shall notify the Secretary of State
accordingly, and the Secretary of State shall appoint an independent person or
persons (hereinafter in these Regulations referred to as the "medical referee")
to decide the appeal.
(3) The decision of the medical referee shall, if
he disagrees with any part of the certificate of the selected medical
practitioner, be expressed in the form of a certificate of his decision on any
of the questions referred to the selected medical practitioner on which he
disagrees with the latter's decision, and the decision of the medical referee
shall, subject to the provisions of Regulations H3, be final."
The 1987 Regulations Schedule H
provides the procedure for appeals albeit in very brief form. Paragraphs 3 to 6 provide:-
"3. A medical referee shall appoint a time and
place for interviewing the appellant and for any such further interviews or
examinations as he may consider necessary and shall give reasonable notice
thereof to the appellant and the police authority.
4. At any time before any interview with the
medical referee the appellant or the police authority may submit to the medical
referee a statement relating to the subject matter of the appeal, and if they
so submit a statement they shall send a copy thereof to the other party.
5. Any interview or examination may be attended
by-
(a) the selected medical practitioner; and
(b) any duly qualified medical practitioner
appointed for the purpose by either party
6. The medical referee shall give written notice
to the police authority and appellant of his decision and, if that decision is
that he disagrees with any part of the certificate of the selected medical
practitioner, shall send a copy of his certificate to the police authority and
the appellant".
[8] It
should be noted that the 1987 Regulations do not provide that the medical
referee in giving written notice in terms of paragraph 6 should give
reasons. The statutory scheme is silent
about reasons. It was not disputed that
the medical referee may give reasons if he wishes to do so.
Procedure followed in the Petitioner's case
[9] Before
the second respondents retired the petitioner on the ground of ill health under
the 1987 Regulations, they were obliged to refer the case to a person acting as
a duly qualified medical practitioner within the meaning of the 1987
Regulations to consider certain questions.
The questions which apply in the present case are (firstly) whether the
petitioner is disabled; (secondly)
whether his disablement is likely to be permanent. The first question must be considered in the
light of Regulations A12(2) which states that:-
".... disablement
means inability occasioned by infirmity of mind or body, to perform the
ordinary duties of a male .... member of the force....".
The second question must be
considered in the light of Regulation A12(1) which states:-
"A reference in
these Regulations to a person being permanently disabled is to be taken as a
reference to that person being disabled at the time when the question arises
for decision and to that disablement being at that time likely to be
permanent".
[10] These questions were referred to Dr A D Watt, a selected
medical practitioner for the purposes of the 1987 Regulations. Dr Watt is an accredited specialist in
occupational medicine and he provided a report dated 25 November 2003 (7/10 of process). In said report he set out his medical
qualifications, explained that he has taken into account certain guidance which
he specified. He stated that he had
reports from Dr Warnock (Senior Occupational Health Physician for
Strathclyde Police Force), Dr Worrall (a psychiatrist instructed on behalf
of the second respondents) and Dr Davidson (the petitioner's general
practitioner). These are respectively 7/7,
7/5 and 7/6 of process. Dr Watt's interpretation
of these documents was to the effect that they all recommended that the
petitioner be discharged from the police force on the basis of permanent ill
health caused by personality disorder.
He concluded that:-
"..... it was
likely .... that (the petitioner's) behaviour and personality were the causes of
the difficulties he faced. He had mental
health problems that were likely to continue for the foreseeable future and
until his normal retirement age. On this
basis I recommended discharge on the grounds of personality disorder ....". (7/10 of process)
In July 2003 he issued a
certificate (7/1 of process) in terms of Regulation H1 of the 1987 Regulations
certifying:-
"I find him (the
petitioner) disabled by a medical condition from performing the duties of a police
officer.
The disablement
for the normal activities of a police officer by reason of personality disorder
is likely to be permanent. .....".
[11] The report of Dr Watt having been considered by the second
respondents, the petitioner was compulsorily retired on medical grounds. Thereafter the petitioner appealed in terms
of Regulation H2(2) of the 1987 Regulations to a medical referee appointed by
the Scottish Public Pensions Agency, acting on behalf of the Secretary of
State. In the petitioner's case, the
medical referee was Dr Douglas Patience, who is called as the first
respondent but has not lodged answers. A
letter from the first respondent's solicitors (6/10 of process) was lodged in
which it was stated:-
"We consider
that Dr Patience was placed, as is often the case for medical referees
under these regulations, in a most difficult position. Dr Patience is of course not legally
qualified. The Regulations required him
to act in a quasi judicial capacity
and to construe complex regulations that have been the subject of repeated
litigation in recent years, and to grasp legal distinctions of some nicety.... He
then required to apply the appropriate tests as he understood them to
convoluted factual allegations....".
[12] Schedule H of the 1987 Regulations makes provision for the
procedure to be followed in an appeal to a medical referee. Paragraph 4 makes provision for the appellant
or the Police Authority to submit to the medical referee a statement relating
to the subject matter of the appeal. In
the present case both the petitioner and the second respondents submitted a
number of documents which included medical reports. The materials submitted on behalf of the petitioner
were a report from Dr Stewart (6/4 and 7/3 of process) and submissions (7/2
of process). In his report,
Dr Stewart concluded that the petitioner did not fulfil criteria for
paranoid personality disorder. He was of
the opinion that the petitioner in 2001 was depressed but at the time of the
report scored in the recovery range. The
materials submitted on behalf of the second respondents were substantial and
summarised at page 2 of the affidavit of Mr Blair (7/16 of
process). This included a report from
Dr Worrall dated 23 January
2003 (6/3 of process). He concluded
that the petitioner was suffering from a paranoid personality disorder. Thereafter according to said affidavit,
further documentation was produced including a copy of the decision in R v Sussex
Police Authority Court of Appeal 4 April 2000 and a copy of Note of
Guidance on permanent disablement issued by the Scottish Public Pensions
Agency. It should be noted that the
submission by the second respondents (7/4 of process) is a document of some
length which deals with a range of factual matters about the history of
interaction between the petitioner and the second respondents. Much of this appears to be contentious and
not accepted by the petitioner.
According to the affidavit of Mr Watson (6/6 of process) at the end
of the proceedings, the first respondents, requested sight of the personnel
records, the occupational health records and GP records of the petitioner. The former were sent to the first respondent under
cover of letter 8 November 2004 and the personnel file which was said be
voluminous was sent to him by courier on 16 November 2004. Although there was dispute about what
occurred at the proceedings on 20
October 2004, there was no dispute about the documents made
available to the first respondent.
[13] I comment at this stage that the medical referee had before him
a great deal of information, much of which I understand to be the subject of dispute
particularly in relation to the personnel history. He also had medical reports which differed. To some extent the medical opinion, for
example Dr Worrall's opinion, appears to be predicated on a view of
contentious personnel matters. For
example he concludes that "On balance in my view he is ill. That judgment is based on both his objective
appearance with me and the way in which he described his pursuit of his own
personal vendetta against Strathclyde Police, some of the overvalued ideas he
held within that topic and the fact that his single minded pursuit of this has
been to his considerable social and personal disadvantage over the past few
years. The formal diagnosis would be of
a paranoid personality disorder. (He
would many years ago have been regarded as "paranoid litigant"), as a result of
that condition I do not think he is medically fit to continue serving a police
officer....". (7/5 of process).
[14] With that documentary history and following events at the
hearing on 26 October 2004. The first respondent as the medical referee
gave written notice to the Police Authority and the appellant of his decision
(6/1 of Process). This is brief and I
quote the main text.
"Further to the
Medical Appeal Hearing regarding (the petitioner) and held at Shawpark Resource
Centre on 26 October 2004
I have now been able to consider the information received at the meeting and
supplied by the police authority and the appellant.
Personality
Disorder is characterised by persistent patterns of behaviour, lifestyle and
mode of relating to others which are typically inflexible and represent an
extreme or significant deviation from the average individual. It is associated with significant problems in
social functioning and performance, and is usually first apparent in late
childhood. Mr Rooney is a competive
tenacious individual who has a strong sense of personal rights and attributes
events in self referential manner. His
history of serious gambling resulting in bankruptcy indicates serious
psychopathology suggesting an inability to learn from experience. He demonstrates some insight to his
character, reporting himself as the 'most stubborn bloody minded person I have
ever met' indicating that he is aware that he is at the extreme for this
particular character trait.
There is
sufficient information to conclude that Mr Rooney suffers from a
Personality Disorder which I do not consider to be treatable.
I consider that
he is, as a result of this condition, permanently disabled from performing the
ordinary duties of a member of the police force."
Submissions on behalf of the parties
[15] I deal firstly with the petitioner's submissions in relation to
matters which senior counsel for the petitioner submitted could be determined
on the basis of the information before me.
Senior counsel for the petitioner made submissions in relation to
paragraph 5 of the petition which criticised the first respondent for
failing to come to a clear diagnosis. He
submitted that the conclusion, "a personality disorder", is vague and does not
indicate what type of personality disorder the petitioner suffers from. He invited me to consider DSM4 to conclude
that a properly reasoned analysis or diagnosis would identify which type of
personality disorder is being diagnosed and why. Senior counsel for the petitioner was also
critical of the first respondent's failure to explain his approach.
[16] Under reference to paragraph 6 of the petition, detailed
criticism was made of the reasoning in the written notice. It was submitted that two of the reasons
given are manifestly ill-founded. The
reference to the personality disorder becoming "usually first apparent in late
childhood" was said to be without factual foundation in the pursuer's
case. There was also criticism of the
reference to the petitioner's history of serious gambling suggesting "an
inability to learn from experience". Senior
counsel submitted that it was undisputed in this case that the petitioner
stopped gambling completely in about 1993 and has been a member of Gamblers
Anonymous since then. I was also invited
to consider a report from Dr Reith dated 2 May 2005 (6/9 of process) which criticises the
extremely broad definition of personality disorder used by the first
respondent. It "is so wide as to include
potentially anyone whose lifestyle deviates from a culturally specific norm". There
is also criticism of the first respondent's views about the prognosis of
problem/pathological gambling.
[17] Senior counsel for the petitioner made his submissions on the
basis that the first respondent had given reasons. His submission was to the effect that where
reasons are given voluntarily, even if there is no duty to provide them, the
reasons should be reviewed in accordance with the same standards as apply in
cases where reasons must be given. This
submission was made under reference to de Smith Woolfe & Jowell, Judicial Review of Administrative Action, 5th
Ed. paragraph 9 - 053 and the authorities cited therein, 9 - 049, 9 - 051,
9 - 052 and Clyde & Edwards, Judicial
Review, paragraphs 1854, 1866, 1724.
Senior counsel for the petitioner maintained that his attack on the written
notice of the decision of the first respondent was not an effort to persuade
the court that the first respondent had reached the wrong decision on the
merits. It was an attack on
rationality. Senior counsel accepted the
approach adopted in West v Secretary of State for Scotland 1992
S.C.385 particularly the first two points emphasised at p.413. He submitted that the deficiencies in
the reasons which were given disclose that the decision maker had not addressed
the statutory questions properly because the decision was so poorly
reasoned. To approach this from a
different direction, he submitted that the first respondent made two
fundamental errors. Firstly the first
respondent appeared to find some significance in relation to the disorder
manifesting itself in late childhood albeit what relevance this has to the
petitioner is never explained. No
factual basis is set out. Secondly, the
first respondent referred to the gambling addiction of the petitioner without any
reference to the undisputed fact that the petitioner had ceased gambling in
about 1993 and was active in Gamblers Anonymous and that he had carried out the
duties of a police officer for years both before and after his gambling
problems. In particular he worked from
1999 prior to his sick leave in 2002.
[18] Senior counsel for the second respondents submitted that the
petition should be dismissed under reference to West v Secretary of State for
Scotland 1992 SC 385, page 412 and CCSU
v Minister for Civil Service 1985 AC 374 at page 410. He submitted that the
purpose of judicial review was to ensure that the decision maker does not
exceed jurisdiction. Judicial Review is
not to provide an appeal. His contention
was that if one properly analysed the petition and the submissions on behalf of
petitioner, the petitioner had not made out a case for judicial review.
[19] Senior counsel for the second respondents emphasised the
importance of considering the criticisms, made on behalf of the petitioner, in
the context of the structure of the statutory scheme as properly understood. I was addressed by senior counsel for the
second respondents about the statutory structure and the importance of
understanding the role of the medical referee within that statutory structure
under reference to Strathclyde Joint
Police Board v McKinley 2005
S.L.T. 764. He submitted that the
medical referee is an independent medical specialist carrying out an
investigation. He is not a judge in an
adversarial situation obliged to decide between competing submissions.
[20] Senior counsel for the second respondents also submitted it was
important to understand the material which had been made available to the first
respondent and he therefore spent some time dealing with the productions to which
I have referred. In relation to the written
notice of the first respondent (6/1 of process), he submitted that written
notice stood alone and should be interpreted on that basis. He was not asking the Court to read into the
written notice any information from the affidavits about what the first
respondent might or might not have done by way of examination and diagnosis of
the petitioner. The second respondents'
position was that a proper understanding of the statutory scheme made it plain
that no reasons were required and that the role of the medical referee must be
understood in the context of the statutory scheme. He submitted that in this case the medical
referee was essentially deciding a medical question against a background of
medical opinions which were not, as the petitioner contended, diametrically
opposed. In the present case, he
submitted, the first respondent was entitled to form his own opinion. The first respondent did not require to give
any reasons and he did not have to weigh or balance or give reasons for accepting
or rejecting other medical opinion. Senior
counsel for the second respondents submitted that the weight of all the medical
opinion was substantially to the effect that the petitioner did have a
personality disorder. It was plain that Dr Stewart
at best had reached a provisional diagnosis only. Basically the first respondent as a
psychiatrist was entitled to reach the conclusion he did on the basis of his
interview or examination and diagnosis.
That is reflected and notified in 6/1 of process.
[21] In the course of his submission, senior counsel for the second
respondents did emphasise, on a number of occasions, the absence of any
requirement in the statutory scheme for the medical referee to provide
reasons. He submitted that this was a
case where no reasons were given. When
asked to consider Answer 6 which concludes "The reasons which the first
respondent did give adequately explained the basis of his expert medical
opinion that the petitioner suffers from a personality disorder", he said that
he did not agree with that formulation in the Answers to the Petition. He sought leave to delete that sentence. In essence the primary submission of senior
counsel for the second respondents was that, properly analysed, this is a case
in which no reasons were given. His
secondary submission was that if the text of 6/1 of process was interpreted as
reasons, the reasons were not susceptible to successful judicial review as they
adequately met the legal tests. He
submitted that in 6/1 of process the first respondent merely described the
condition of personality disorder without expressing any view that development
in early adulthood was relevant or appropriate to the petitioner. The reference to gambling was entirely a
matter for the first respondent to give weight to in the context of his
diagnosis. He submitted that in
providing a medical diagnosis, psychiatrists did not normally give
reasons.
[22] In response to the amendment to Answer 6 which I permitted,
counsel for the petitioner submitted that deleting the last sentence from Answer
6 did not cure the problem for the second respondents. On any proper interpretation of 6/1 of
process, the comments of the first respondent can only be interpreted as some
form of reasoning process. This is
reflected in Answer 6 even after the amendment.
In any event it is 6/1 of process which must be considered. He submitted that the case should be
approached on the basis that this is not a case where no reasons were given. The court is therefore obliged to have regard
to the reasons (such as they are) which were given.
[23] No submissions were made as to whether the common law might
imply a need for reasons in the context of the statutory scheme in this
case. I make no comment therefore about
that.
Discussion
[24] Both parties agreed that the role of the Court in the present
action was limited and that this was not an appeal. I consider that in certain respects the
submissions made by senior counsel for the petitioner went beyond the proper
scope of judicial review and invited a re-assessment of the merits. I am not prepared to take up his invitation,
which I summarise in paragraph 15, and embark upon a consideration of DSM4
or new material in 6/8 and 6/9 of process.
To that extent, I consider there was some force in the criticisms made
by senior counsel for the second respondents.
[25] The main thrust of the submission made by senior counsel for
the petitioner concentrated on the interpretation and reasoning in 6/1 of
process. In this respect I consider that
his submission that the decision is manifestly irrational which I summarised in
paragraph 17 falls plainly within the realm of Judicial Review. There is of course a high test to be met.
[26] I have considered in some detail, as requested by senior
counsel for the second respondents, the statutory structure in which the
medical referee made his decision. The
analysis by Lord Reed in Strathclyde
Joint Police Board v McKinlay of
the proper approach to the construction of the Regulations is an analysis which
I find very persuasive insofar as it relates to the general statutory
structure. Lord Reed was dealing
with a case in which an issue arose as to whether the disability suffered by
the police officer was the result of an injury received in the execution of
duty. The report made by the medical
referee, a consultant psychiatrist was long and detailed. The points of criticism are discussed by
Lord Reed in paragraphs 34 to 37.
Lord Reed was not dealing with a case where esto the report disclosed any reasoning process it was brief in the
extreme. The report in the present case
does not provide a basis for the type of assessment undertaken by
Lord Reed. Thus while I find Lord
Reed's analysis helpful, it does not in my opinion assist with the issues which
I consider critical to a determination of the present case.
[27] I accept that the statutory scheme does not provide that
reasons should be given but neither does it provide that reasons should not be
given if the decision maker wishes to do so.
I consider firstly whether, on a proper interpretation of 6/1 of process,
the first respondent as decision maker is expressing reasons. I have no difficulty in concluding that this
is the proper interpretation of 6/1 of process. I reject the submissions made on behalf the
second respondents that this is a case in which no reasons were given. There may be cases in which the decision
maker is expressing nothing more than a reference to the statutory test or
explaining some administrative procedure and such an explanation may not be
interpreted as a reason for the decision.
But in the present case I can think of no explanation for the text in
6/1 of process except that the first respondent is attempting to set out the
reasons which lead him to his conclusion that "there is sufficient information
to conclude that Mr Rooney suffers from a personality disorder which I do not
consider to be treatable. I consider
that he is, as a result of his condition, permanently disabled from performing
the ordinary duties of a member of the police force". This is in line with the original position of
the second respondents reflected in Answer 6. Senior counsel for the second respondents
could give no satisfactory explanation for the text of 6/1 of process and
seemed to suggest that it was unfortunately expressed and that the first
respondents would have been better advised to say nothing.
[28] If I am correct in that interpretation, I consider that I am
entitled to consider and review the reasons given according to the same standards
as if the statutory regulations stated that reasons must be given. I consider that the correct approach is that
submitted by senior counsel for the petitioner which I summarise in paragraph 17. I do not consider that the task of the first
respondent under and in terms of the Regulations was merely to provide a diagnosis
as a psychiatrist. He required to consider
the case and apply his mind to the questions which I set out in paragraph 9. When I consider the reasoning in 6/1 of
process, I do not find it intelligible in the circumstances of the case and I
am of the view that the test of "Wednesbury unreasonableness" is
met. I consider that there is merit in
the criticisms made by senior counsel for the petitioner which I summarise in
paragraph 17. I am unable to
determine any reasoning which makes sense in the context of a case where it appears
that the petitioner, whatever his personality, has in fact performed the duties
of a police officer from 1979 to 1993 and from 1999 to 2002. The first respondent appears to proceed on
the basis that the personality disorder is not a problem which occurred at or
around the time when the petitioner ceased duties as a police officer. He appears to consider that the problem of
personality disorder is longstanding and predated and continued during periods
when it is not disputed the petitioner was working as a police officer. The first respondent makes no conclusions of
fact to the contrary. He gives no further
explanation of his reasoning process. It
is also not disputed that the petitioner's history of serious gambling ceased
in about 1993 and that since that date he has continued to be a non-gambler and
member of Gamblers Anonymous. That
undisputed history does not support the conclusion that he has an inability to
learn from experience. One must question
whether the first respondent was aware that the petitioner had ceased gambling
and that he had resumed work for a number of years following his cessation of
gambling. I consider that, standing the
reasons given, the failure to deal with the petitioner's history of cessation
of gambling and the performance by the petitioner of the duties of a police
officer for some years thereafter is unintelligible. The reference to the problem in social
functioning and performance usually first becoming apparent in late childhood
is also unintelligible in this case. It
is unclear whether the decision maker is making a finding that the petitioner
falls within the typical pattern or is atypical. If the former, the first respondent does not
appear to take into account that, whatever his personality, the petitioner performed
the duties of a police officer from 1979 to 1993 and for a period
thereafter.
Further Procedure
[29] In paragraphs 3, 4 and 8 of the petition, criticism is made of
the first respondent because it is alleged he failed to carry out a medical
examination of the petitioner and accordingly was not in a position to form his
own opinion on the disputed medical evidence.
This is an issue dealt with in the affidavits authorised in terms of the
interlocutor of 15 March 2006.
The position of senior counsel for the
petitioner was that these issues could not be disposed of without oral evidence
in view of the inconsistencies in the affidavits. Senior counsel for the second respondents
accepted that there were inconsistencies but submitted that despite the
inconsistencies, it was an obvious conclusion that the first respondent had
carried out a medical examination which entitled him to reach the conclusion he
reached.
[30] There are differences in the affidavits which may or may not be
significant. In paragraph 9 of the
affidavit of the first respondent (6/7 of process) he states inter alia that during the meeting on Tuesday 26 October 2004 he
interviewed Mr Rooney in the presence of others for perhaps about 10-15
minutes. He states "this was a pretty
standard psychiatric assessment. I
believe that I introduced this stage in proceedings by indicating that I needed
to ask Mr Rooney a number of questions".
He does not state that he informed the petitioner that he was carrying
out a psychiatric assessment. The
affidavit is silent as to how the first respondent carried out his task in
reaching a decision. It was repeatedly
stated by senior counsel for the second respondents that in reaching his
decision, the first respondent made his conclusions only on the basis of his
diagnosis following his assessment. It
is important to note that the first respondent does not give any
information about how he reached his decision either in 6/1 of process or 6/7
of process. The first respondent
explains in 6/7 of process what he considers he was doing at the interview but
that is all he explains. Thereafter he
received further substantial written information. To add to the difficulty, the first
respondent's solicitors wrote the letter (6/10 of process) to which I refer in
paragraph 11. Senior counsel for
the respondent stated that his understanding from his instructing agents was
that 6/10 of process took the form of a standard letter. He suggested that I should not give any weight
to the comment in that letter which stated the first respondent "... then
required to apply the appropriate tests as he understood them to the convoluted
factual allegations ....". Even if this
was a standard letter, it is issued on behalf of the first respondent and
presumably on his instructions. His
solicitors are informing the court that the first respondent apparently did not
proceed on the basis merely of making his own diagnosis but in some way was
applying the appropriate tests to unspecified "convoluted factual allegations". In these circumstances, if the contentions in
relation to this part of the petition are to be further explored I would wish
to hear evidence before considering further submissions.
[31] My understanding of the position of senior counsel for the
petitioners is that in the event of my concluding that an order for reduction
of the decision of the first respondent dated 22 November 2004 is appropriate, he does not seek a
determination in relation to the outstanding matters in paragraphs 3, 4 and 8
of the petition. I also understand it to
be a matter of agreement that senior counsel for both parties are agreed that
in the event of an order for reduction being pronounced, the matter should be
considered not by the first respondent but by a new panel which would be
appropriate under the Regulations now current.
I have arranged for the matter to come out By Order to give parties the
opportunity to consider my opinion and confirm their positions before any
interlocutor is pronounced.