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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> B, R (On the Application Of) v The Office of the Independent Adjudicator [2018] EWHC 1971 (Admin) (30 July 2018) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2018/1971.html Cite as: [2018] ELR 482, [2019] PTSR 769, [2018] EWHC 1971 (Admin), [2018] WLR(D) 499 |
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QUEEN'S BENCH DIVISION ADMINISTRATIVE COURT
Strand, London, WC2A 2LL |
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B e f o r e :
sitting as a Deputy High Court judge
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THE QUEEN (ON THE APPLICATION OF) B |
Claimant |
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- v - |
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THE OFFICE OF THE INDEPENDENT ADJUDICATOR |
Defendant |
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Paul Skinner (instructed by EJ Winter & Son LLP for the Defendant)
Hearing dates: 17 & 18 July 2018
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Crown Copyright ©
John Bowers QC :
The history
A. "Any fool that is except for the ones employed by Leicester Medical School can see that a process where trainees teach trainees is a recipe for absolute disaster";
B. "As a result of my placement in obstetrics I know as much about the delivery of neonates as the security guard at Morrison's supermarket";
C. "I had timetables that were about as accurate as an Iraqi scud missile";
D. "The cosy world of academia and the NHS is a great place to hide if you are bone idle and inept".
Fitness to Practise procedure
a. There were a number of substantiated instances of conduct which should be categorised as aggressive and unprofessional, which included "your bind over for affray in 2003"; "your withdrawal from the cardiovascular medicine block making independent unapproved alternative arrangements"; "the concerns expressed in statements from Dr Chohan and Ms McVicar about your conduct towards them and others"; "the sustained intemperate and abusive language of your letter of complaint to the Chancellor in 2009";
b. It noted that other "evidence was more circumstantial, but was consistent with the same picture"; and
c. The conclusion was "was reinforced by the frequent occasions in your history in which you had failed to engage fully and co-operatively with the Medical School and other University authorities, including but by no means limited to your decision not to meet the Dean to discuss your complaint, and your refusal to assist Professor Sayers in carrying out his investigation".
The breach of contract claim
a. the University "acted unfairly in determining whether or not the Claimant was fit to practise as a doctor"; and
b. the University "wrongly withheld the Claimant's MB ChB degree".
The second part is not relevant to the issues before me.
"35. One possible remedy for the unfair procedure follows (as described above) in the determination by the University that the Claimant was not fit to practise is damages alone. However, it is still possible for the Claimant to have a fair consideration of the allegations concerning his fitness to practise and a fair hearing before a panel of the University's Fitness to Practice Committee, and the Claimant seeks an injunction, requiring the University to carry out a fresh investigation of the allegations concerning his fitness to practise and, if such investigation concludes that those allegations merit consideration by a panel of that committee, to convene a new panel of that committee, to determine afresh, and in a fair manner, whether or not the Claimant is fit to practise as a medical doctor. Therefore, the Claimant seeks (1) such reconsideration, and, if appropriate such a fresh hearing, and (2) damages." (I added underlinings for emphasis)
It is unusual in a pleading to talk about a "possible remedy" but it does appear to envisage new evidence being put in as it speaks of a "fresh investigation" and a request to "determine afresh".
The Tomlin Order
a. By email on 14 February 2017, Ms Gill (the Claimant's solicitor) asked of the University's solicitor:
"[The Claimant] would ask the University to confirm, for the avoidance of any doubt, that the revised agreement will not preclude the University from reopening the question of his fitness to practise on the basis of further evidence post-dating 11th March 2010 being made available."
b. In response, by email on 15 February 2017, Mr Rance (the University's solicitor) said:
"I am sorry to be difficult, but the first point to note is that is a matter on which you will need to advise your client. It is not our / the University's role to add any additional gloss to the terms of the agreement, which have now been debated at some length and which we had understood was virtually agreed.
That said, for the University's part, I am able to say that the University does not seek to pre-judge the outcome of any future developments, whatever they may be."
Fresh evidence
"I am writing to invite the University to apply an exceptional discretion to the reopening of my fitness to practise case following the emergence of new factual material likely to impugn the original finding of the Fitness of Practice panel".
a. that the Claimant had made clear his concerns at the Kettering Hospital placement, which is recorded in an email from Shelley Gardiner to Ela ine Barry on 19 July 2006 – "I was made aware of the absence of his haematologist on the 2nd day of their placement and think I mentioned it in passing". The FTP Committee explicitly rely upon the Claimant's withdrawal from the cardiovascular block in the decision, and the Claimant says that this provides mitigation and explanation. The Claimant says that this email was not available to the Claimant at the time of the FTP Committee hearing.
b. In the End of Block Assessment Form dated 19 June 2007, the Claimant was described by his supervisor as "very keen and interested" and "exceptionally good". This assessment was explicitly "based on collective opinion" (which the Claimant perhaps wrongly assumes to be the views of everyone involved). The Claimant states that Ms McVicar appears to have contributed to this assessment, which casts he says significant doubt on the witness statement which she provided to the FTP Committee which was explicitly relied upon in the decision. The Claimant says that the Panel did not see this crucial document and this was not available to the Claimant at time of the FTP Committee hearing.
c. The Claimant asserts that new documentation makes clear there were no incident reports logged in his placement. The Claimant says that this again casts credibility doubts on the allegations made by Ms McVicar in her statement (which he says in any event was drawn up by Professor Sayers), which were explicitly relied upon by the FTP Committee, as she never sought an incident to be logged.
d. The Claimant says that in Bedford Hospital in or around mid 2007, the Claimant had made a complaint about his placement in gynaecology, as recorded in a note of a meeting dated 12 September 2007. This related to two incidents as well as his concern that due to his gender he was receiving less training than other students. The Claimant says that these complaints were acknowledged with some sympathy by the hospital with an apology (although I do not necessarily read it in that way).
e. Mr Siesage informed the Vice Chancellor that the Claimant was "offered…the opportunity…to see me and explain his complaint in more detail. He declined to take up this offer unless I saw him on neutral territory in the presence of his solicitor. I was not willing to do this and gave him extra time to state his case in writing". The Claimant says that this makes clear that the FTP erred in supporting its conclusion in the Claimant's alleged decision "not to meet the Dean to discuss [his] complaint". He had agreed to meet the Dean.
f. The Claimant says that the evidence raised issues with the University's response to the Claimant's complaint which relied upon general student satisfaction to dismiss it which the University had relied upon their complaint response before the FTP Committee. It is necessary to explain that the University's response to the Claimant's complaint used statistics from the National Student Satisfaction survey to dismiss it. In particular, the University set out various statistics from the NSS which purported to show other stude nts were satisfied and, in effect, the Claimant was a "one off". For example "In the National Student survey for your year 84% of students were satisfied or very satisfied".
g. In addition, the Claimant submitted the FTP Decision concerning Dr Hathiari (a former student at the medical school), (which the Claimant says was not available to the Claimant until he had been shut out of the University's processes), which refers to concerns about "whether (Dr Hathiari) had received sufficient support while she was at medical school", and conclusions that "Dr Hathiari's performance was well below the standards expected of an FY1 trainee." Dr Hathiari had been employed as an FY1 trainee between August 2009 and March 2010. As a consequence of the FTP Decision, the GMC wrote to all medical schools in the country to remind them of responsibilities to pass only students who were fit to practise medicine.
h. The Claimant also relies on new evidence which the Claimant says indicates a potential bias from the University, and in particular Mr Siesage (who also wrote the FTP Committee decision), in appointing a Panel:
i. As to the appointment of an investigator, Mr Siesage stated "I agree must be clinician and will have to be proper staff to avoid challenge";
ii. "Of course we cannot make them testify (though I think the GMC would say the doctors have an overriding duty) but we do need to do our best to persuade them";
iii. "Since then Professor Sayers has been interviewing witnesses to the Claimant's conduct to ensure the case is as sound as possible" – this indicates pre-determination;
iv. "Nigel [Siesage] is very very keen that you chair as opposed to a different lay member".
Clearly this last point does go to the procedure which was adopted by the FTP Panel.
a. The letter fails to apply the test which the University has said that it would apply in deciding whether to re-open the FTP Committee decision, as set out above and in R (Gopikrishna) v OIA [2015] EWHC 207 (Admin).
b. It fails to pay any attention to the documents, and therefore fails to engage at all with the Claimant's request for the new material to be considered. At a minimum, the Claimant says that the University must read the documents submitted in order to decide if the test is met and it did not do so.
c. It does not come anywhere near to providing sufficient reasons for the decision.
d. It uses an irrelevant date in looking at when the Claimant had the documents. The Claimant says that fact he had the documents in 2012 is irrelevant. The relevant point is that these were not available to him at the date of the FTP decision on 15 March 2010. In any event, the documents the Claimant relies on were delivered to him in dribs and drabs following a data protection request made prior to the FTP hearing which dragged out the process.
a. That the breach of contract claim meant that the complaint was not eligible to be considered pursuant to rule 3.3 of the OIA Rules
b. The effective operation of the OIA Scheme would be impaired by the time elapsed since the FTP Decision (by rule 4.7 of the OIA Rules), although this on its own would not have caused the complaint to be ineligible.
c. On the merits, the OIA would have considered the complaint as "Not Justified" in any event.
The issues for the Court
The Defendant's powers
"(1) Condition B is that the scheme provides that every qualifying complaint made about the qualifying institutions to which it relates is capable of being referred under the scheme.
(2) A scheme does not fail to meet condition B only because it contains some or all of the following…
…(c) provision that a qualifying complaint is not to be referred under the scheme if–
(i) relevant proceedings have been concluded, or…
(3) In sub-paragraph (2)(c) "relevant proceedings" means proceedings relating to the subject matter of the qualifying complaint that have been brought at first instance before a court or tribunal." (emphasis added)
"5. For students, the completion of their education is important. They pay significant sums for their higher education – currently
£9,250 per annum for home students [it was £1000 per year for the Claimant], and significantly more for overseas students – for several years. Medical and PhD students, for example, can expect to study for at least five years. Furthermore, for students who fail to complete a course, that can result in a loss of job opportunities and thus life-time income, particularly for those pursuing professional or vocational courses.
"33. …Compared with the restricted remedies available to the court, it is clear that the OIA is able to make wide ranging recommendations that are particularly tailored to the case before it, including a flexible response to any unreasonableness or unfairness it concludes has occurred."
"42…its procedures are intended by Parliament to be an alternative to court, procedures which are free of charge, confidential, informal and inquisitorial, with a view to resolving complaints in a non-judicial manner and without recourse to the court, by determining whether the HEI's actions were procedurally compliant and reasonable in all the circumstances, without adjudicating on formal rights and obligations; and making recommendations for steps that may be more flexible, constructive and acceptable to all parties than the restricted remedies available to a court of law. Given that Parliament has determined the role of the OIA, and conferred a broad margin of discretion in how it exercises its functions, the court will only interfere with its decision in a particular case with especial caution."
I also found valuable guidance in paragraphs 23-31 which sets out scheme.
Ground 1: the proper standard of scrutiny
Claimant's submissions
"53. When such questions do arise, they will go to the jurisdiction of the OIA. The OIA has a duty to consider those complaints which fall within the definition of "qualifying complaint" and cannot consider those which do not. The role of the court, therefore, will be to determine one way or the other whether or to what extent the complaint is excluded from consideration by the OIA by virtue of section 12(2), and not merely to review the OIA's decision on that point for rationality.
"The Pensions O mbudsman shall not investigate or determine a
(a) if, before the making of the complaint …:
(i) proceedings in respect of the matters which would be the subject of the investigation have been begun in any court or employment tribunal…" (My underlinings)
Defendant's submissions
47. In response, the Defendant asserts that
a. the question is one of statutory construction as to the appropriate level of review according to the highest authority (R(A) v Croydon LBC [2009] 1 WLR 2557 (esp paras 24-27,52 per Baroness Hale of Richmond), and the central factor in determining the question of Parliamentary intent as to whether a question is one for the Court or for the primary decision- maker, is whether the criterion to be applied is objective, admitting of a right or wrong answer, or imprecise, such that different decision-makers, each acting rationally might reach differing conclusions when applying it to the facts of a given case or it involves the exercise of judgement (also R(Ali) v Justice Secretary [2013] 1 WLR 3536 para 57).
b. There is authority to the effect that this is a matter for the OIA with Wednesbury supervision: As Pill LJ said in R (Siborurema) v OIA [2007] EWCA Civ 1365, at para 53 the "OIA is able, both in defining its scheme and in deciding whether particular complaints are justified, to exercise a discretion" [underlining added]. The Claimant refers however to para 74 where Richards LJ appears to limit the discretion there referred to "the decision whether a complaint is justified".
c. Further in Zahid v University of Manchester [2017] EWHC 188 (Admin), at para 42 Hickinbottom J (as he then was) notes that "The OIA has a broad discretion…as to the scheme it formulates." And this was a case in which the exclusion in Rule 3.3 of the OIA Rules was very much at the centre of the Court's attention. The formulation by the Judge in Para 42 of Zahid is important as the reference to discretion is both as to the scheme it formulates and in operating the scheme when formulated;
d. The Defendant contends that R v Sec of State for Home Department ex p Onibiyo [1996] QB 768 concerns a similar judgment as to whether something is a fresh claim and that is determined on Wednesbury principles; at 784g, Sir Thomas Bingham MR said that "Where an exercise of administrative power is dependent on the establishment of an objective precedent fact the court will if called upon to do so in case of dispute, itself rule whether such fact is established to the requisite standard…the decision whether an asylum seeker is a refugee is a question to be determined by the sec of state and the immigration appellate authorities whose determinations are susceptible to challenge only on Wednesbury principles" (also WM (DRC) v Sec of State for the Home Dept. [2006] EWCA Civ 1495; Dowty Ltd v Wolverhampton Corp [1976] 1 Ch 13 at 26b-h per Russell LJ; R v Home Secretary ex p Khawaja [1984] 1 AC 74 at 122a-h).
e. As a matter of fact, the OIA cannot have rules that do not comply with the conditions set out in Schedule 2 of the 2004 Act.
f. The Pensions Ombudsman case relied on by the Claimant does not apply as that statutory framework is materially different to the way in which the 2004 Act is structured.
g. The cases of Mustafa and AC as relied on by the Claimant are not on point as S12 of the 2004 Act is about qualifying complaints, whereas the rather different S13 which is relevant here designates the body to be appointed (at present the Defendant) and s13(3)(b) is a list of conditions subject to which the designation can take place. These are more appropriate for evaluation; instead, it provides for conditions which the scheme must meet before the Secretary of State may designate a body as the designated operator. These are separate. The Schedule 2, paragraph 3, carve out does not define the jurisdiction of the scheme itself.
h. The case of R v Shoreditch Assessment Committee ex p Morgan [1910] 2 KB 859 to the effect that no tribunal of inferior jurisdiction can by its own decision finally decide on the question of the existence or extent of such jurisdiction is irrelevant as the OIA is not a tribunal of inferior jurisdiction.
i. "Relate to" which are the relevant words to be construed in the definition of relevant proceedings are words which require evaluation; they can have a narrow/wider definition and so is a word of indefinite application; see eg Svenska Petroleum Exploration AB v Government of Lithuania (No 2) [2007] QB 886 para 137.
Discussion
Was the subject matter of the complaint and the contract claim the same?
Claimant's submissions
Defendant's submissions
Discussion
a. they both seek to overturn the FTP;
b. they point to procedural faults albeit that the Complaint focusses more on new evidence than did the civil claim;
c. In both the Claimant's ultimate objective was to clear his name.
I think the court should take care not artificially to divide the proceedings from the complaint when they essentially relate to the same matter.
Issue 3: would the outcome not be substantially different?
a. That the Tomlin Order precluded it from doing so;
b. That the so-called 'new evidence' did not meet the relevant test in relation to whether to re-open the 2010 fitness to practise committee decision; and
c. That it was reasonable for the University to conclude that no fitness to practise panel could, in 2017, properly determine that a student who had sat his last MBChB exam in 2009 was fit to practise.
In paragraph 14 of the letter, it concludes "I am satisfied that it was reasonable for the University to have decided that there were no exceptional circumstances for reopening [the Claimant's] fitness to practise case in July 2017".
"55 In my judgment, any consideration of whether the outcome was highly likely to have been substantially the same even if due regard had been had to the PSED should normally be based on material in existence at the time of the decision and not simply post-decision speculation by an individual decision- maker. Any other course runs the risk of reducing the importance of compliance with duties of procedural fairness and statutory or other requirements that certain matters be taken into account and others disregarded. Indeed, it would undermine the efficacy of judicial review as an instrument to ensure that the rule of law applies to decision- making by public authorities, by deterring claimants from bringing a case or the court from granting permission by a declaration by a decision- maker who has failed to obey the law to the effect that obedience would have made no difference. Whatever else Parliament may have intended to achieve by this legislation, I cannot infer that it included so draconian a modification of constitutional principles. It may well be that the new provision was only intended to apply to somewhat trivial procedural failings that could be said to be incapable of making a material difference to the decision made. If recourse can be had to the drafting history and statements of sponsoring ministers to assess the purpose of the legislation and the mischief to be cured there may be material support for such a conclusion. Such an approach is permissible without impugning parliamentary privilege where the issues of justification, proportionality and compatibility with European norms are engaged: see for example R (Age UK) v Department for Business, Innovation and Skills (Equality and Human Rights Commission intervening) [2010] ICR 260, paras 42-59."
"106 The amendments to section 31 of the 1981 Act are not prescriptive about the material which the court may take into account in considering whether 'it appears' to it to be 'highly likely that the outcome for the applicant would not have been amendments is relatively high. For that reason, and for the reasons alluded to by Blake J in Logan , it seems to me that a court should normally expect a witness statement or other document with a statement of truth to support a defendant's reliance on these amendments. There is no such material here. For that reason alone, I do not consider that the test in section 31(3C) or (2A) is met in this case. That means that I do not consider that the either the fact, or the outcome, of the Defendant's reconsideration means that I am bound to refuse permission to apply for judicial review on the argument about relevant considerations."
Claimant's submissions
73. The Claimant submits generally
a. that there is a high threshold for showing that the outcome would highly likely be the same, and the Court cannot be sure that the outcome would highly likely be the same.
b. the "investigation" which was made by the Defendant in its Decision was made outside of the OIA Rules and was unlawful and had the investigation been carried out lawfully it cannot be said the outcome would highly like have been the same.
c. the complaint was not considered pursuant to rule 6 of the OIA Rules and this meant it failed to seek a response and documentation from the University, and failed to provide the Claimant with a right to reply.
"If a case arose in which, unlike the present case, some quite unsuspected and undiagnosed condition was revealed by medical evidence soon after the failure of an examination, when there had been no reasonable possibility that it was diagnosable beforehand, it might very well be appropriate, if not necessary, for the matter to be looked at afresh by the University"
However, the Claimant states that this was never presented as a "test" in Gopikrishna. This was instead a scenario set out in the context of a "floodgates" concern, and related only to new medical evidence. It was not the test for whether the FTP Decision should be reopened. Importantly, that test is determined by the University rather than the OIA or Court.
Defendant's submissions
77. The Defendant responds
a. On the Tomlin Order the Claimant simply ignores the first operative paragraph of the agreement.
"This agreement is entered into in full and final settlement of, and each party hereby releases and forever discharges, all and/or any actions, claims, rights, demands and set-offs, whether in this jurisdiction or any other, whether or not presently known to the parties or to the law, and whether in law or equity, that it, its Related Parties or any of them ever had, may have or hereafter can, shall or may have against the other party or any of its Related Parties arising out of or connected with the Dispute and/or the Proceedings."
b. In relation to the Defendant's conclusions on the merits, such conclusions are subject to light-touch review on Wednesbury grounds only.
c. the emails are inadmissible to interpret the terms of the consent order as a matter of trite contract law (see Chitty on Contract, 32nd ed., 13-122).
Discussion