Christensen & Anor v Deputy State Coroner [2021] QSC 38
SUPREME COURT OF QUEENSLAND
CITATION: Christensen & Anor v Deputy State Coroner [2021] QSC 38
PARTIES: JAYE CHRISTENSEN
(first applicant)
and
NEIL THOMAS DAVY AND HEATHER-BELLE DAVY
(second applicant)
v
THE DEPUTY STATE CORONER JANE BENTLEY
(respondent)
and
ATTORNEY-GENERAL FOR THE STATE OF
QUEENSLAND
(intervener)
FILE NO: BS 11449 of 2020
DIVISION: Trial Division
PROCEEDING: Application for judicial review
ORIGINATING
COURT:
Supreme Court at Brisbane
DELIVERED ON: 4 March 2021
DELIVERED AT: Brisbane
HEARING DATE: 12 February 2021
JUDGE: Rafter AJ
ORDER: The application for judicial review is dismissed.
CATCHWORDS: ADMINISTRATIVE LAW – JUDICIAL REVIEW –
REVIEWABLE DECISIONS AND CONDUCT – REVIEW
OF PARTICULAR DECISIONS – where the applicant seeks
judicial review of a Coroner’s directions that a witness be
excused from giving oral evidence – where the witness is
suffering from post-traumatic stress disorder and giving oral
evidence would adversely impact the witness’ mental state -
where the witness is instead directed to provide sworn answers
in writing – whether the Coroner’s directions are liable to be
quashed or set aside because the Coroner did not have the
power to make the directions
Coroners Act 2003 (Qld), s 3, s 28, s 34, s 35, s 36, s 37, s 39,
s 45, s 46, s 48
Judicial Review Act 1991 (Qld), s 29(2), s 51(1)
Annetts v McCann (1990) 170 CLR 596, cited
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2
Beale v O’Connell [2018] 1 Qd R 461, cited
Doomadgee v Clements [2006] 2 Qd R 352 cited
Hurley v Clements [2010] 1 Qd R 215, cited
Maksimovich v Walsh and the Attorney-General (1985) 4
NSWLR 318, cited
Minister for Aboriginal Affairs v Peko-Wallsend Ltd (1986)
162 CLR 24, cited
Neumann v Hutton [2020] 3 QR 419, cited
R v South London Coroner; Ex parte Thompson (1982) 126 SJ
625, cited
The Queen v A2 (2019) 93 ALJR 1106, cited
Walter Mining Pty Ltd v Hennessey [2010] 1 Qd R 593, cited
COUNSEL: M O Plunkett for the applicants
M T Hickey for the intervener, Attorney-General for the State
of Queensland
The Deputy State Coroner was granted leave to abide the
order of the Court and was excused from further attendance
SOLICITORS: Fisher Dore Lawyers for the first applicant
Jasper Fogerty Lawyers for the second applicant
G R Cooper, Crown Solicitor for the Attorney-General
[1] The Deputy State Coroner is conducting an inquest into the deaths of Corey
Christensen and Thomas Davy at Alva Beach.
[2] By this application for a statutory order of review, the applicants seek orders quashing
or setting aside directions made by the Deputy State Coroner that a witness be excused
from giving oral evidence; that any party wishing to ask questions of the witness
submit those questions in writing; and that the witness respond by sworn statement.
The applicants contend that the Deputy State Coroner did not have the power to make
these directions. The first applicant is Mr Christensen’s wife. The second applicants
are Mr Davy’s parents.
[3] On 29 October 2020 the Attorney-General gave notice of intervention in the
proceeding.1
[4] On 30 October 2020 the Deputy State Coroner was granted leave to be excused from
further appearance, save as to any question in relation to costs. An order was also
made staying the decision of the Deputy State Coroner.2
The factual context
[5] The factual background is contained in the evidence before the Deputy State Coroner.
I will refer to the evidence to explain the context in which the issue arises. However,
it is for the Deputy State Coroner to make the necessary factual findings.3
1 Judicial Review Act 1991 (Qld), s 51(1).
2 Judicial Review Act 1991 (Qld), s 29(2).
3 Coroners Act 2003 (Qld), s 45(2).
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[6] On 30 September 2018 Mr Davy and Candice Locke went to Alva Beach to spend the
day fishing. During the late afternoon Mr Christensen and his friend, Louis Bengoa,
were driving on the beach in Mr Bengoa’s buggy. They stopped to speak to Ms Locke
and Mr Davy, and after introducing themselves, invited them to watch the NRL grand
final which was being shown on a vacant allotment opposite the surf club. Mr Davy
and Ms Locke arrived at the vacant block some time after 6 pm.
[7] Mr Davy and Ms Locke had been drinking throughout the afternoon. There was an
argument between them because Mr Davy wanted to leave and Ms Locke wanted to
remain. Mr Davy left the party at about 9.30 pm. At about that time Ms Locke went
for a ride with Mr Bengoa in his buggy. While travelling along the beach Ms Locke
fell from the buggy and injured her shoulder. She requested medical assistance and
when Mr Bengoa made light of the situation she became upset. She got out of the
buggy and hid in the carpark area.
[8] Mr Bengoa attempted to locate Ms Locke but was unable to do so. He then returned
to the vacant allotment and collected Mr Christensen. They went to the car park area
where Ms Locke was hiding. Mr Christensen called out to Ms Locke and she returned
to the buggy. However, when Mr Christensen also made light of her injury, she asked
Mr Bengoa to stop. Ms Locke then walked a short distance to the first residence
opposite the exit to the car park. Mr Webber was the sole occupant of the residence.
He was asleep on the couch. Mr Webber did not know Ms Locke. She told him that
she was injured and concerned about two men outside. Mr Webber allowed Ms Locke
into the residence.
[9] Mr Webber made three 000 calls. In the first call, he requested an ambulance for Ms
Locke. He said that there were people outside and he did not feel safe. In the second
000 call, he said that there were two men trying to break into his home. He requested
police assistance.
[10] In the third call, Mr Webber said that he had stabbed a male person who had left the
residence and gone onto the street. He said that three males had broken into his house
and assaulted him and Ms Locke.
[11] The police and ambulance officers arrived at 1.17 am and located Mr Christensen and
Mr Davy on or about the roadway outside the residence. They were unable to be
resuscitated.
[12] Mr Webber was arrested for the offence of murder and taken to the Ayr Watchhouse.
He was interviewed on 1 October 2018 commencing at 5.36 am. He said that just
before 1 am he was woken by an unknown, distressed, physically shaken and injured
women who knocked on his front door. She asked for help, saying that she had been
thrown off a buggy by men he could see sitting across the road. He said that he made
an emergency 000 call asking for an ambulance and police. He said that men bashed
on the front door. After he told them to leave the property they went away but soon
returned. He said that the men broke in through the front door and assaulted him. He
said that he used a kitchen knife to defend himself and the woman by stabbing the
intruders.
[13] Detective Sergeant Neal prepared a report for the Coroner which stated that Mr
Webber was a small man in fear of his own safety and that he told the intruders to
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leave on numerous occasions. It was concluded that Mr Webber’s actions were
justifiable in self-defence and the defence of Ms Locke. Detective Sergeant Neal
concluded that no criminal charge should be preferred against Mr Webber.
The inquest
[14] In 2019 the Deputy State Coroner decided to hold an inquest into the deaths.4 At a
pre-inquest conference on 13 August 2020 it was determined that, apart from the
essential matters required by s 45(2) of the Coroners Act 2003 (‘the Act’) relating to
the identity of the deceased and how they died, the inquest would consider the
adequacy of the responses by the Queensland Ambulance Service and Queensland
Police Service, whether earlier intervention may have prevented the deaths and the
decision not to charge Mr Webber.
[15] The inquest was scheduled to commence in Cairns on 12 October 2020. On 8 October
2020 the Office of the State Coroner forwarded the legal representatives for the
applicants a report from Dr Michael Likely, psychiatrist, in relation to Mr Webber
and foreshadowed that an application was to be made excusing him from giving
evidence. Dr Likely said that Mr Webber suffered from a moderate to severe post-
traumatic stress disorder and expressed the opinion that he should be medically
excused from giving evidence due to the impact on his mental state.
[16] The inquest commenced in Cairns on 12 October 2020. Counsel appeared for Mr
Webber and made application for him to be excused from giving evidence. Counsel
for the applicants opposed the application. At that stage the Deputy State Coroner
indicated that she was considering hearing from Mr Likely as to whether any
strategies could be implemented that would allow Mr Webber to give evidence while
minimising any adverse impact upon him.
[17] Dr Likely was called to give evidence on 15 October 2020. The Deputy State Coroner
explored the options of Mr Webber giving evidence from a remote witness room,
limiting cross-examination for a specific period of time such as one hour and 15
minutes in total, or answering questions in writing. Dr Likely remained concerned
about Mr Webber giving evidence from a remote witness room because of the severity
of his condition. He did not consider that limiting the cross-examination for a specific
period of time would alleviate those concerns. However, Dr Likely supported the
option of Mr Webber answering questions that were put to him in writing, although
he indicated that Mr Webber would require 48 hours to provide written answers.
[18] After Dr Likely had given evidence the Deputy State Coroner stated that it appeared
there were three issues to be considered. The first option involved Mr Webber being
called to give evidence and each party being restricted to questioning him for 15
minutes and that none of the recordings or videos would be played. The second option
was that Mr Webber provide answers to written questions and having at least 48 hours
to respond. The final option was that Mr Webber be excused completely.
[19] After hearing submissions the Deputy State Coroner gave directions that Mr Webber
be excused. The Deputy State Coroner accepted Dr Likely’s evidence that giving
evidence in person would cause Mr Webber considerable psychological distress and
4 Coroners Act 2003, s 28.
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decompensation of his symptoms of post-traumatic stress disorder, and that this may
result in Mr Webber being unable to assist the inquest in any meaningful way. The
Deputy State Coroner took into account that there were some inconsistencies in Mr
Webber’s evidence and inconsistencies between his evidence and other evidence. It
was therefore determined that the most reliable means of obtaining the relevant
information from Mr Webber was to direct that he provide written answers to
questions that were submitted.
[20] After the ruling was given it was determined that Mr Webber should be called for the
purpose of claiming privilege against self-incrimination, so at that stage the directions
were revoked.
[21] On 16 October 2020 Mr Webber was called to give evidence by audio link. He
declined to give evidence on the ground that his evidence would tend to incriminate
him. The Deputy State Coroner was satisfied that it was in the public interest for Mr
Webber to give evidence and directed pursuant to s 39(2) of the Act that he do so. Mr
Webber’s counsel applied for him to be excused from giving evidence or that he give
evidence in writing on the basis of his psychiatric condition.
[22] The Deputy State Coroner then gave directions that Mr Webber be excused from
giving oral evidence; that any party wishing to ask questions of him provide those
questions in writing to the other parties by close of business on 30 October 2020; that
final questions were to be provided to the Deputy State Coroner by close of business
on 6 November 2020; and that Mr Webber was to respond by sworn statement within
72 hours of receiving the written questions.
The relevant provisions of the Coroners Act 2003
[23] Sections 35, 36 and 37 of the Act relevantly provide:
“35 Directions or orders about inquests and pre-inquest conferences
(1) To the extent that the conduct of an inquest or pre-inquest
conference is not provided for by rules or practice directions,
the Coroners Court may give the directions and make the
orders the court considers appropriate for the conduct of the
inquest or pre-inquest conference.
Example –
The Coroners Court may make an order to close the court while a
witness is giving evidence that the witness claims would tend to
incriminate the witness.
(2) Subsection (1) does not limit the power of the Coroners Court
to control an inquest or pre-inquest conference.
…
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36 Right to appear etc.
(1) The following persons may appear, examine witnesses, and
make submissions, at an inquest –
(a) a police officer, lawyer or other person assisting the
Coroners Court;
(b) the Attorney-General;
(c) a person who the Coroners Court considers has a
sufficient interest in the inquest.
Examples for paragraph (c) –
1 a family member
2 the representative of a department
3 the representative of a company that manufactured a
product that is believed to have killed the deceased person
(2) Subsection (3) applies if the Coroners Court considers a person
mentioned in subsection (1)(c) has a sufficient interest only
because it is in the public interest, and consistent with the
purposes of this Act, that the person appear and make
submissions at the inquest about a matter on which the coroner
may comment under section 46(1).
Example of a person for subsection (2)—
a specialist advocacy group with particular expertise in a matter on
which a coroner may comment under section 46(1)
(3) Despite subsection (1), the person—
(a) may not examine witnesses at the inquest without the
court’s leave; and
(b) may only make submissions about a matter on which the
coroner may comment under section 46(1).
(4) The Attorney-General or a person who the Coroners Court
considers has a sufficient interest may be represented by a lawyer.
(5) In this section –
examine includes cross-examine.
37 Evidence
(1) The Coroners Court is not bound by the rules of evidence, but
may inform itself in any way it considers appropriate.
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(2) The Coroners Court may require a person to produce a
document to the court before the start of an inquest.
(3) The Coroners Court may inspect anything produced at an
inquest, copy it, or keep it for a reasonable period.
(4) The Coroners Court may do any of the following –
(a) order a person to attend an inquest, until excused by the
court –
(i) to give evidence as a witness; or
(ii) to produce something;
(b) order a person called as a witness at an inquest –
(i) to take an oath; or
(ii) to answer a question.
…”
The contentions of the parties
[24] Mr Plunkett for the applicants submitted that, as family members of the deceased, the
applicants had a sufficient interest in the inquest to be granted leave to appear.5
Accordingly they had a right to appear at the inquest, examine witnesses and make
submissions. The right to examine witnesses includes to cross-examine.6
[25] Mr Plunkett submitted that where a witness claims privilege against self-
incrimination, the Coroner may nevertheless require the witness to give evidence if
satisfied that it is in the public interest for the witness to do so.7 He submitted that
the directions made by the Deputy State Coroner expressly exclude Mr Webber from
giving oral evidence which is inconsistent with s 37(4) of the Act which allows the
Coroners Court to order a person to attend to give evidence as a witness, until
excused.
[26] Mr Plunkett submitted that the power of the Coroners Court to give directions
contained in s 35(1) of the Act is a general provision whereas the right to examine or
cross-examine witnesses in s 36(1) is a specific provision. He sought to place reliance
on the maxim generalia specialibus non derogant and submitted that the specific
provision conferring a right of examination and cross-examination of witnesses
should prevail.
[27] Mr Plunkett emphasised the importance of cross-examination which can elicit helpful
evidence and test the veracity and accuracy of the evidence of a witness. He
submitted that there are internal inconsistencies in Mr Webber’s account and that his
5 Coroners Act 2003, s 36(1)(c).
6 Coroners Act 2003, s 36(5).
7 Coroners Act 2003, s 39(2).
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evidence is inconsistent with other evidence in material respects. Mr Plunkett also
referred to the importance of the coronial process in providing answers to the families
of the deceased.
[28] Mr Hickey for the Attorney-General submitted that s 35(1) of the Act confers upon
the Coroners Court a broad discretion to give directions and make orders that are
considered appropriate for the conduct of the inquest. He submitted that the argument
for the applicants provides no textual analysis of the Act, nor authority to support the
proposition that their right to cross-examine witnesses should prevail over the broad
discretion reserved to the Coroner. Mr Hickey submitted that by reserving broad and
unfettered discretion to the Coroners Court to inform itself in any way that it considers
appropriate, without being bound by the rules of evidence, the Act recognises the fact
finding exercise engaged in by the Court.
Consideration
[29] The issue is limited to whether the Deputy State Coroner had the power to make
directions that Mr Webber provide sworn answers in writing. It was not argued that
the decision itself was unreasonable or that the Deputy State Coroner failed to
consider relevant evidence or took into account irrelevant evidence or that the reasons
are inadequate.
[30] The issue depends upon the proper construction of the relevant provisions of the Act
within their statutory context.8 One of the objects of the Act is to establish procedures
for investigations, including by holding inquests into particular deaths.9
[31] The nature of a coronial inquest has been explained by Lord Lane CJ in a frequently
cited judgment in R v South London Coroner; Ex parte Thompson:10
“Once again it should not be forgotten that an inquest is a fact finding exercise
and not a method of apportioning guilt. The procedure and rules of evidence
which are suitable for one are unsuitable for the other. In an inquest it should
never be forgotten that there are no parties, there is no indictment, there is no
prosecution, there is no defence, there is no trial, simply an attempt to establish
facts. It is an inquisitorial process, a process of investigation quite unlike a trial
where the prosecutor accuses and the accused defends, the judge holding the
balance or the ring, whichever metaphor one chooses to use.”
[32] The Coroners Court is a court of record and is constituted by a Coroner.11 The
common law, to the extent that it operated to impose a duty or confer a power on a
Coroner of the Coroners Court, has no effect after the commencement of the Act.12
8 The Queen v A2 (2019) 93 ALJR 1106 at 1116-1118 [31] – [37], 1136 [148]; Beale v O’Connell [2018]
1 Qd R 461 at 469 [37].
9 Coroners Act 2003, s 3(b).
10 (1982) 126 SJ 625, 628 (per Lord Lane CJ); cited in Annetts v McCann (1990) 170 CLR 596 at 616
(per Toohey J); Hurley v Clements [2010] 1 Qd R 215 at 232 [26]; Neumann v Hutton [2020] 3 QR
419 at 426 [12].
11 Coroners Act 2003, s 64.
12 Coroners Act 2003, s 104. In particular, a Coroner investigating a death need not view the person’s
body and a Coroners Court does not sit with a jury: s 104(2).
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[33] The Coroners Court is not bound by the rules of evidence, and may inform itself in
any way it considers appropriate.13 A Coroner who is investigating a death must, if
possible, find the identity of the deceased person, how the person died, when the
person died, where the person died and in particular whether the person died in
Queensland, and what caused the person to die.14 A Coroner may, when appropriate,
comment on anything connected with a death that relates to public health or safety,
the administration of justice or ways to prevent deaths from happening in a similar
manner.15
[34] The Coroner must not include in any findings or comments any statement that a
person is or may be guilty of an offence or civilly liable for something.16 However,
where the Coroner reasonably suspects a person has committed an offence, the
Coroner is required to give the information to the Director of Public Prosecutions in
respect of indictable offences or to the relevant chief executive for other offences.17
In respect of corrupt conduct or police misconduct, the Coroner may make a referral
to the Crime and Corruption Commission.18 In respect of a person’s conduct in a
profession or trade, the Coroner may make a reference to the relevant disciplinary
body.19
[35] The Coroners Court investigating a death may hold a pre-inquest conference in order
to decide which witnesses will be required at the inquest.20 The Coroners Court may
give directions and make orders that it considers appropriate for the conduct of the
inquest.21 The power to give directions and make orders does not limit the power of
the Coroners Court to control an inquest.22
[36] In Walter Mining Pty Ltd v Hennessey,23 McMeekin J observed that the power of the
Coroners Court to inform itself in s 37(1) of the Act is expressed in very wide terms.
Because of the width of the power to gather evidence, his Honour considered it would
be “a rare case indeed” where the Court would interfere in the process.24
[37] The fact that there are disputed facts does not create an obligation on the Coroners
Court to call witnesses for examination or cross-examination. The applicants clearly
had a sufficient interest in the inquest to be granted leave to appear pursuant to
s 36(1)(c) of the Act. They were not in the category of persons who had a sufficient
interest only because it was in the public interest.25 Where the interest of a party
arises only because it is in the public interest, the court’s leave is required to examine
witnesses.26
13 Coroners Act 2003, s 37(1).
14 Coroners Act 2003, s 45(2).
15 Coroners Act 2003, s 46(1).
16 Coroners Act 2003, s 45(5), s 46(3).
17 Coroners Act 2003, s 48(2).
18 Coroners Act 2003, s 48(3).
19 Coroners Act 2003, s 48(4).
20 Coroners Act 2003, s 34(1)(a)(iii).
21 Coroners Act 2003, s 35(1).
22 Coroners Act 2003, s 35(2).
23 [2010] 1 Qd R 593 at 597 [19].
24 Walter Mining Pty Ltd v Hennessey [2010] 1 Qd R 593 at 603 [58] citing Doomadgee v Clements
[2006] 2 Qd R 352 at 361 [37].
25 Coroners Act 2003, s 36(2).
26 Coroners Act 2003, s 36(3)(a).
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[38] In Beale v O’Connell,27 Jackson J held that a decision by a Coroner to require a person
to attend an inquest was an example of a matter of practice and procedure in the
gathering of evidence. I consider that a decision by a Coroner to direct that a witness
provide written answers is similarly a matter of procedure in the fact finding exercise.
[39] The applicants’ submission that the specific right to cross-examine witnesses should
prevail over the general provision conferring a wide discretion upon the Coroners
Court to give directions and make orders considered appropriate, cannot be accepted.
[40] The broad discretion conferred upon the Coroners Court to inform itself in any way
it considers appropriate must be exercised in accordance with the subject matter and
the scope and purpose of the Act.28 The discretion permits the Coroners Court to
inform itself in any way that “it considers appropriate”.29 The Coroners Court does
not conduct inquests in the same manner as civil or criminal proceedings.30 A
direction that a witness who is medically incapable of giving oral evidence, is to
provide written evidence instead, is consistent with the necessary flexibility in the
conduct of an inquest, and accords with the power of the Coroners Court to inform
itself in any way it considers appropriate: see for example The Law and Practice on
Coroners at 19.56.31
[41] The Coroners Court may order a person to attend an inquest until excused in order to
give evidence or produce something.32 There is nothing in the text of the provision
that requires the evidence to be given orally. The parties at an inquest have no right
or entitlement to insist that the Coroner compel a witness to attend to give oral
evidence.
[42] It was within the power of the Deputy State Coroner to direct that Mr Webber provide
answers in writing. The application must be dismissed.
27 [2018] 1 Qd R 461 at 481 [98].
28 Minister for Aboriginal Affairs v Peko-Wallsend Ltd (1986) 162 CLR 24 at 40, (per Mason J).
29 Neumann v Hutton [2020] 3 QR 419 at 430-431 [30]-[31].
30 Maksimovich v Walsh and the Attorney-General (1985) 4 NSWLR 318 at 335-336 (per Samuels JA).
31 P Knapman and M J Powers, Thurston’s Coronership: The Law and Practice on Coroners (Barry Rose
Publishers, 3 rd ed, 1985) at 134 [19.56].
32 Coroners Act 2003, s 37(4)(a).
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Official source: https://www.sclqld.org.au/caselaw/QSC/2021/038