Allen v State of Queensland [2010] QSC 442
SUPREME COURT OF QUEENSLAND
CITATION: Allen v State of Queensland [2010] QSC 442
PARTIES: ETHAN ALLEN BY HIS LITIGATION GUARDIAN
DANIEL JAMES ALLEN
(applicant)
v
STATE OF QUEENSLAND
(respondent)
FILE NO: 11682 of 2010
DIVISION: Trial Division
PROCEEDING: Originating Application
ORIGINATING
COURT: Supreme Court of Queensland
DELIVERED ON: 26 November 2010
DELIVERED AT: Brisbane
HEARING DATE: 16 November 2010
JUDGE: Applegarth J
ORDER: 1. The application is granted
2. The applicant consult the respondent and submit draft
minutes of order within seven days.
3. The respondent pay the applicant’s costs of and
incidental to the application to be assessed on the
standard basis.
CATCHWORDS: PROCEDURE – DISCOVERY AND INTERROGATORIES
– DISCOVERY AND INSPECTION OF DOCUMENTS –
PRODUCTION AND INSPECTION – Grounds for resisting
production – particular cases – claims for damages for
medical negligence – where claim based on a “medical
incident” alleged to give rise to personal injuries – where the
infant applicant is diagnosed as suffering severe brain
damage following a medical procedure – where the
applicant’s litigation guardian is unable to brief an expert to
provide a report until he is provided with all of the medical
documentation held by the respondent – where the Act
requires copies of documents held by a person who receives
an initial notice to be provided to a claimant – where the Act
enables legal professional privilege to be claimed, but not in
respect of investigative reports – where the Act requires a
claimant to provide a specialist medical opinion about the
incident before a notice of claim may be given – whether the
respondent is obliged to disclose certain documents held by it
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about medical services provided to the applicant
PROCEDURE – DISCOVERY AND INTERROGATORIES
– DISCOVERY AND INSPECTION OF DOCUMENTS –
PRODUCTION AND INSPECTION – Grounds for resisting
production – legal professional privilege – where solicitors
recommended that statements be obtained from medical
practitioners involved in the medical incident – where
information and reports were obtained from doctors in
anticipation of future litigation – where the legislative scheme
requires investigative reports to be disclosed notwithstanding
legal professional privilege - whether the documents held by
the respondent are protected by legal professional privilege –
whether, even if they are protected by legal professional
privilege, they are disclosable because they are investigative
reports
TORTS – NEGLIGENCE – GENERAL MATTERS –
PRE-COURT PROCEDURES UNDER PERSONAL
INJURIES PROCEEDINGS ACT 2002 – Duty of respondent
to provide documents held by it about medical services –
whether witness statements, file notes and other documents
created in response to inquiries about the incident were
“reports”
Personal Injuries Proceedings Act 2002 (Qld)
Australian Competition and Consumer Commission v
Australian Safeway Stores (1998) 81 FCR 526, cited
Esso Australia Resources Ltd v FCT (1999) 201 CLR 49,
cited
Smale v Sprott [2004] 1 Qd R 290, discussed
Mitsubishi Electric Australia Pty Ltd v Victorian Workcover
Authority [2002] 4 VR 332, applied
The Daniels Corporation International Pty Ltd v Australian
Competition and Consumer Commission (2002) 213 CLR
553, cited
Watkins v State of Queensland [2008] 1 Qd R 564, followed
COUNSEL: R F King-Scott for the applicant
K F Holyoak for the respondent
SOLICITORS: Shine Lawyers for the applicant
Corrs Chambers Westgarth for the respondent
Introduction
[1] The applicant is eight years old. He was diagnosed as suffering severe brain
damage following a cardiac catheterisation procedure performed at Prince Charles
Hospital (PCH) on 23 December 2003, when he was 16 months old. During the
procedure he developed a heart block. On 7 January 2004 the Acting Executive
Director of Medical Services for the PCH Health Service District wrote to
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Minter Ellison, solicitors, and stated, “We consider this matter to have medico-legal
risk for The Prince Charles Hospital District.” On 9 January 2004 Minter Ellison,
after a review of the material provided to it, advised:
“Given the lack of documentation in the medical record by the
various medical practitioners involved, we recommend that
statements be obtained from them sooner rather than later. Our
recommendation is that statements be obtained from Drs Anderson,
Whight, Rhodes and Pohlner.”
Minter Ellison proposed a cost effective way to obtain the relevant statements,
namely providing PCH with a list of questions that each doctor should address, to
which additional questions might be added by PCH, and for the doctors to be asked
to prepare “a written report to you, addressing these queries, and the report is to be
marked ‘privileged and confidential’.”
[2] The purpose of obtaining information and reports from the doctors was to obtain a
contemporaneous record of events and facts in relation to the medical services that
were provided to the applicant on 23 December 2003 in case litigation was
commenced, possibly years later. There is no suggestion that Minter Ellison or
other solicitors were engaged at that stage to provide legal advice with respect to
liability. The solicitor from Minter Ellison who recommended that statements be
obtained from the nominated doctors has deposed that “all information received
from the doctors involved in the care of Ethan Allen, was obtained in anticipation of
future litigation.” Following the completion of the work, the file was placed in
abeyance.
[3] The applicant’s father, who is his litigation guardian, instructed solicitors in
May 2010 about the possibility of bringing a claim on behalf of the applicant for
compensation. It seems that the applicant will never be able to walk unaided, and it
is unlikely that he will be able to work in gainful employment. Throughout his life
he will be dependent on others for care and assistance for his day to day
requirements and will require constant supervision.
[4] The applicant’s father was not present in the treatment room to observe the events
that took place when his son suffered brain damage on 23 December 2003. He was
unaware that any investigation had been undertaken by the PCH into the cause of
his son’s condition until he was notified in recent times by his solicitors about the
investigation.
[5] Because the applicant’s claim is based on a “medical incident”1 that is alleged to
have given rise to personal injury, the applicant must give an “initial notice” of the
claim to the respondent. Section 9A(9)(d) of the Personal Injuries Proceedings Act
2002 (Qld) (“the Act”) provides that the claimant “must, as part of giving a
complying part 1 notice of claim, give a written report from a medical specialist,
competent to assess the medical incident alleged to have given rise to the personal
injury, stating, in the medical specialist’s opinion –
1 Section 9A of the Personal Injuries Proceedings Act 2002 (Qld) defines this to mean an accident, or
other act, omission or circumstance involving a doctor happening during the provision of medical
services.
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(i) that there was a failure to meet an appropriate standard of care in providing
medical services; and
(ii) the reasons justifying the opinion; and
(iii) that as a result of the failure, the claimant suffered personal injury.”
The applicant’s father has been informed by his solicitors that they are not in a
position to brief an expert to provide such a report until they have been provided
with all of the medical documentation by the respondent regarding the factual
circumstances surrounding the medical treatment of the applicant on
23 December 2003.
[6] Some documents have been provided, and some documents that apparently were in
existence cannot now be found. The applicant seeks an order pursuant to
s 35 of the Act2 in respect of documents which the respondent alleges no longer
exist or have never existed that an appropriate officer of the respondent file and
serve an affidavit stating, as the case may be:
(a) that the specified document or class of documents does not exist or has never
existed, or
(b) the circumstances in which the specified document or class of documents
ceased to exist or passed out of the possession or control of the party.
For reasons to be given, I consider that it is appropriate to make such an order.
[7] The main matter in contention at the hearing of the application relates to the
applicant’s entitlement pursuant to s 9A(8)(b) of the Act to the reports that were
obtained by PCH from the medical practitioners of whom inquiries were made in
accordance with the proposals contained in Minter Ellison’s letter of
9 January 2004.
[8] The obligation to disclose documents pursuant to s 9A(8)(b) and other obligations to
disclose information or documents under Division 1 or Division 2 of Part 1,
Chapter 2 of the Act, are subject to s 30 which relevantly provides:
“30 Nondisclosure of particular material
(1) A party is not obliged to disclose information or
documentary material under division 1 or this division if the
information or documentary material is protected by legal
professional privilege.
(2) However, investigative reports, medical reports and reports
relevant to the claimant’s rehabilitation must be disclosed even
though otherwise protected by legal professional privilege but they
may be disclosed with the omission of passages consisting only of
statements of opinion.
2 Section 35 of the Act confers power to enforce compliance with a duty imposed under Division 1 or
2 of Part 1, and for consequential and ancillary orders.
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...
(5) In this section –
“investigative reports” does not include any document prepared in
relation to an application for, an opinion on or a decision about,
indemnity against the claim from the State.”
The issue
[9] The principal issue for determination is whether the respondent is obliged to
disclose certain documents held by it about the medical services provided to the
applicant on 23 December 2003, particularly reports prepared as a result of the
investigation undertaken in early 2004 about the medical incident involving the
applicant. The resolution of that issue turns on two questions:
1. Are the documents protected from disclosure by legal professional privilege?
2. Do the reports have to be disclosed (possibly with the omission of passages
consisting only of statements of opinion) by force of s 30(2) even though
otherwise protected by legal professional privilege because they are
“investigative reports”.
The statutory context
[10] The main purpose of the Act is to assist the ongoing affordability of insurance
through appropriate and sustainable awards of damages for personal injury, and this
main purpose is to be achieved by, amongst other things:
(a) providing a procedure for the speedy resolution of claims for damages
for personal injury to which that Act applies; and
(b) promoting settlement of claims at an early stage wherever possible;
and
(c) ensuring that a person may not start a proceeding in a court based on a
claim without being fully prepared for resolution of the claim by
settlement or trial;3
Part 1 of Chapter 2 contains pre-court procedures including a requirement in s 9 that
a claimant must give written notice of the claim, in the approved form, to the person
against whom the proceeding is proposed to be started before starting a proceeding
in a court. Section 9A makes particular provision for notice of a claim in a medical
negligence cases. Section 9A(2) requires the claimant to give an initial notice of the
claim before giving part 1 of the notice of claim under s 9. Section 9A provides for
the information that is to be contained in the initial notice and the time within which
it must be given. Section 9A(8) provides:
“(8) A person to whom an initial notice is given must, within 1
month after receiving the initial notice, give the claimant –
3 The Act s 4(2)(a), (b) and (c).
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(a) a written response advising whether any documents are held
in relation to the medical services mentioned in the notice;
and
(b) copies of all documents held by the person about the medical
services.”
An evident purpose of s 9A(b) is to provide the claimant with “all documents” held
by the respondent about the medical services so that a written report from a medical
specialist of the kind required by s 9A(9)(d) can be obtained, and, if a notice of
claim is to be given, inform the claimant about the claim’s prospects and its likely
quantum. This may assist resolution of the claim in accordance with the Act’s
pre-litigation procedures on the basis of reliable information about the circumstances
of the incident and whether a failure to meet an appropriate standard of care in
providing medical services caused or contributed to the claimant’s personal injury.
[11] Section 10 and following sections provide for responses to a notice of claim.
Section 20 requires a respondent to attempt to resolve a claim after it receives a
complying part 1 notice of claim. The respondent must “take reasonable steps to
inform himself, herself or itself about the incident alleged to have given rise to the
personal injury to which the claim relates”.4 The respondent must give the claimant
a written notice stating, amongst other things, whether liability is admitted or denied
and whether any offer of settlement is accepted or not. The respondent must make a
fair and reasonable estimate of the damages to which the claimant would be entitled
and make a written offer, or counteroffer, of settlement to the claimant setting out in
detail the basis on which the offer is made. Section 20(3) provides that an offer, or
counteroffer, of settlement “must be accompanied by a copy of medical reports,
assessments of cognitive, functional or vocational capacity and all other material,
including documents relevant to assessing economic loss, in the offeror’s
possession that may help the person to whom the offer is made make a proper
assessment of the offer.”
[12] Division 1A contains special provisions for notification of claims in relation to
injuries to children arising out of medical treatment. Division 2 has the purpose of
putting the parties in a position “where they have enough information to assess
liability and quantum in relation to a claim.”5 This includes duties to provide
documents and information. Relevantly for present purposes, s 27(1) provides:
“27 Duty of respondent to give documents and information to
claimant
(1) A respondent must give a claimant —
(a) copies of the following in the respondent’s possession
that are directly relevant to a matter in issue in the claim
—
(i) reports and other documentary material about the
incident alleged to have given rise to the personal
injury to which the claim relates;
4 The Act s 20(1)(a).
5 Section 21.
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(ii) reports about the claimant’s medical condition or
prospects of rehabilitation;
(iii) reports about the claimant’s cognitive, functional
or vocational capacity; and
(b) if asked by the claimant —
(i) information that is in the respondent’s possession
about the circumstances of, or the reasons for, the
incident; or
(ii) if the respondent is an insurer of a person for the
claim, information that can be found out from the
insured person for the claim, about the
circumstances of, or the reasons for, the incident.”
[13] Section 30, which I quoted in [8] above, qualifies obligations to disclose
information or documentary material under Division 1 or Division 2.
[14] In Watkins v State of Queensland6 the Court of Appeal addressed the abrogation of
legal professional privilege. The issue arose in connection with a report that the
State of Queensland obtained to enable it to respond to a notice of claim, and which
was required by s 20(3) to accompany the State’s offer or counteroffer. The
application related to documents in the State’s possession connected with the report.
Keane JA stated:
“ [65] The provisions of the PIPA address the issue of privilege in s
30. They do so in a context in which the intention of the
legislature, as expressed in s 20(3), is that any offer or
counter-offer made to resolve a claim must be accompanied
by the reports on which that offeror relies to make that offer
and "all … material … in the offerer's possession that may
help the person to whom the offer is made make a proper
assessment of the offer." Further, s 27(1)(a)(i) requires the
provision of relevant "reports and other documentary material
about the incident … to which the claim relates". The
legislative intention manifested by s 4(2)(a) – (c), and s 21 is
that, if possible, claims should be resolved without litigation
by the PIPA's pre-litigation procedures, and that such a
resolution should occur on the basis that each side is as fully
informed about the strengths and weaknesses of its respective
case that a fair and just resolution can be achieved without
recourse to litigation.
[66] Having regard to these provisions of the PIPA, there is little
reason to think that the "full implications of their unqualified
meaning may have passed unnoticed [by the legislature] in the
democratic process" so far as the impact on common law
claims to confidentiality are concerned. Accordingly, there is
no reason to read s 20 as subject to a presumption that a report
obtained for its purposes is to be confidential. There is even
6 [2008] 1 Qd R 564.
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less reason to suppose that the legislature intended that
documentary material, which may aid an understanding of a
report provided under s 20(3) to support an offer of settlement
(and thus assist the assessment by the other party of the offer
of settlement) might be withheld from a claimant as
confidential between the other party and its expert.”
Jerrard JA upheld the judgment appealed from on a narrower basis, but agreed that
the orders could be upheld on the broader basis found by Keane JA. Jerrard JA was
in general agreement with Keane JA on those issues.7 Mackenzie J agreed with
Keane JA’s analysis of the operation of s 20 and with his analysis of the scope of
legal professional privilege under the Act.8
[15] Watkins was not concerned with the obligation imposed by s 9A(8) to give copies of
all documents held by the person to whom the initial notice is given. It was
concerned with a report that was obtained in compliance with the State’s obligations
under s 20. Mr Watkins sought orders pursuant to s 35 of the Act for the disclosure
of documents in the State’s position connected with that report and the State resisted
that application on the ground that these documents were clothed with legal
professional privilege. Keane JA stated:
“[71] The crucial question is whether the communications were
exempt from disclosure by virtue of s 30 of the PIPA. It is to
be emphasised here that s 30(1) of the PIPA does not create
legal professional privilege in any communication; indeed,
the State does not suggest otherwise. Reading s 20, s 27 and
s 30 together, one can see that s 30(1) is concerned to
remove from the scope of compulsory disclosure, under s 20
or s 27 documents whose claim to privilege arises because
they were brought into existence for reasons other than
compliance with s 20 or s 27 of the PIPA.”
His Honour concluded that the communications relating to the commissioning of the
report were not privileged under the general law, and observed:
“[82] The point, for present purposes, is not that the PIPA has
impliedly abrogated privilege in communications associated
with the production of a report to be used in litigation; the
point is that the effect of s 20 of the PIPA is that the report
and the associated communications were never the subject of
privilege.
[83] It may fairly be said that the scope of the obligation of
disclosure resulting from s 20, as I understand it, is far
reaching in that it may require the production of
communications between parties' lawyers and third parties
which, in other contexts, would be privileged; but to say that
is simply to acknowledge that the broad language of s 20(3)
is not to be read down by a presumption in favour of
7 Ibid at [1] and [2].
8 Ibid at [109].
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confidentiality in circumstances where a process of
negotiation mandated by the statute is intended to result in
agreements which will obviate the need for litigation. In
such circumstances, it is hardly surprising that the legislature
would require a level of disclosure necessary to ensure that
claims are compromised only on the footing that each party
is equally well-informed about the issues. And, in truth, for
several reasons, this conclusion is not as far-reaching as it
might first appear. First, communications which are not apt
to help the offeree assess the offer need not be provided
under s 20(3) of the PIPA. Secondly, and more importantly
perhaps, reports which are obtained for the dominant
purpose of enabling a respondent to a claim to take legal
advice on the claim will be privileged: such reports are
outside the scope of s 20(3) and, even if they fall within
the descriptive words in s 27(1)(a)(i), the benefit of the
privilege would be maintained by s 30(1) of the PIPA. In
this case, of course, it was not suggested that Prof
MacLennan's report was obtained for the purpose of the
State obtaining legal advice.” (emphasis added)
[16] The issue that I am required to determine arises in a different factual and legal
context. No notice of claim has been given and the obligation upon a respondent
under s 20(1) to take reasonable steps to inform itself about the incident alleged to
have given rise to the personal injury has not arisen. The claimant has not made an
offer of settlement in part 2 of a notice and the obligation upon a respondent to
accompany an offer or counteroffer with reports and other documents in the
respondent’s possession that may help the person to whom the offer is made to
make a proper assessment of it has not been triggered. The reports in issue in this
application were not brought into existence pursuant to the obligation imposed by
s 20(1)(a). The respondent was not obliged by statute to create these documents. It
created them voluntarily and in circumstances which are said by it to give rise to the
category of legal professional privilege labelled “litigation privilege”.
[17] Watkins is authority for the proposition that legal professional privilege did not
attach to Professor MacLennan’s report and certain documents associated with it
because the report was obtained by a party to enable it to observe the requirements
of s 20. Because the conclusion was reached that the communications relating to
the commissioning of Professor MacLennan’s report were not privileged under the
general law, s 30 did not apply. Watkins, however, recognised the scope to claim
privilege in other situations, including the case of documents that were brought into
existence for reasons other than compliance with s 20 or s 27 of the Act.9 The
example was given of a report that was obtained for the dominant purpose of
enabling a respondent to a claim to take legal advice on the claim, being a report
that fell outside the scope of s 20(3).10
[18] The applicant relies upon what was said by Keane JA in Watkins:
9 Ibid at [71].
10 Ibid at [83].
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“In my respectful opinion, if Prof MacLennan's report was obtained
for the purposes of the pre-litigation procedures contemplated by the
provisions of Div 1 to Div 4 of Pt 1 of Ch 2 of the PIPA, and
particularly s 20, no privilege could have attached to it. The obtaining
of a report by a party to enable that party to observe the requirements
of s 20 of the PIPA is, in my opinion, not apt to clothe the report with
legal professional privilege so as to engage s 30 of the PIPA. Indeed,
I consider that s 20 is distinctly inconsistent with such a result.
Section 20(3) and s 30 must be given an harmonious operation: the
latter cannot be intended to cancel the former.”11
The applicant submits that s 30 “should not be used to restrict the obligations
imposed upon the respondent to provide all documents” and cites Watkins at 596.
This submission pays insufficient regard to the context of what was said in Watkins.
Watkins does not stand as authority for the proposition that s 30 should not be used
to restrict an obligation imposed upon a respondent to provide certain documents.
Section 30 did not apply in Watkins because the documents in question did not
attract legal professional privilege.
[19] The fact that the reports in issue in this application might have to be disclosed at
some future time under s 20 or s 27 does not determine the issue of whether what
would otherwise be an obligation to disclose them under s 9A(8)(b) does not exist
by reason of s 30. Whether or not the reports will have to be disclosed under s 20 or
s 27 depends upon future events and circumstances, including the giving of a
complying notice of claim, whether an obligation to disclose them under s 27 will
arise in the circumstances and whether any prima facie obligation to disclose them
under s 27 is removed by s 30. Unlike Watkins, I am not concerned with a report
that was obtained by a respondent after it received a notice of claim and
commissioned the report in compliance with its obligations under s 20, or
statements and other documents supplied for the purpose of obtaining such a report.
I am concerned with reports prepared years before any notice of claim may be
served and which were prepared to create a contemporaneous record of events
associated with the provision of medical services at about the time of a medical
incident.
[20] Whether or not legal professional privilege applies to the reports sought in this case
turns on the purpose for which they were obtained and whether the Act permits
legal professional privilege to be claimed in respect of them. This depends on the
language of s 9A and s 30, the purpose of those sections and the purpose of the Act
in which they appear. The meaning of s 9A and s 30 must be determined by
reference to the context in which those provisions appear. One evident purpose of
the obligation in s 9A(8)(b) is to provide copies of “all documents” held by the
person to whom the initial notice is given about the medical services mentioned in
the notice, subject to the operation of s 30, so as to enable the claimant to provide
those documents to a medical specialist for the purpose of giving the report required
by s 9A(9)(d). The proper construction of s 9A and s 30 require regard to the Act as
a whole, and its purposes. As Keane JA observed in Watkins the legislative
intention manifested by s 4(2)(a) – (c) and s 21 (which states the purpose of the
division in which s 30 appears) is that, if possible, claims should be resolved
11 Ibid at [68].
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without litigation by the Act’s pre-litigation procedures, and that such a resolution
should occur on the basis that each side is:
“as fully informed about the strengths and weaknesses of its
respective case that a fair and just resolution can be achieved without
recourse to litigation.”12
The purpose of the Divisions of Part 1 of Chapter 2 with which I am concerned is
“to ensure that sound claims are admitted and unsound claims are abandoned; in
this way, unnecessary litigation of those claims is to be avoided.”13
[21] The obligation under s 9A(8)(b) to provide copies of all documents held by the
person about the medical services extends to many documents in respect of which
the issue of legal professional privilege simply does not arise. However, there is no
apparent reason to suppose that the obligation to disclose documents pursuant to
s 9A(8)(b) is not subject to s 30. Watkins certainly is not authority for the
proposition that the statutory obligation in s 9A(8)(b) is not subject to valid claims
for legal professional privilege and, as I have noted, Watkins recognises (as does
s 30 itself) the scope for legal professional privilege to apply in the case of
documents that were brought into existence for reasons other than compliance with
s 20 or s 27 of the Act.
The claim to litigation privilege
[22] This application is not concerned with reports or other documents that were brought
into existence for the dominant purpose of obtaining legal advice. The claim is one
of “litigation privilege” which relates to communications made for the dominant
purpose of existing or reasonably contemplated proceedings. This category of
privilege extends to witness statements, file notes and other documents that are
brought into existence for the dominant purpose of preparing for, or for use in,
existing or reasonably contemplated proceedings.14 To engage this privilege it is
not sufficient that there be a mere possibility of litigation. There must be a real
prospect of litigation although it need not be more probable than not.15 Whether or
not there is a real prospect of litigation is not determined by the assertion of those
claiming the privilege. A document cannot be given protection from disclosure by
the creator of it or some other person labelling it “brought into existence for the
purpose of anticipated legal proceedings”.16 It is not sufficient for such a person to
simply say that the document came into existence for that purpose. The question of
whether litigation was reasonably contemplated at the relevant time is to be
determined by reference to objective criteria and statements of personal belief by
participants are not conclusive.17 An event that, in common experience, very often
leads to litigation may found a sufficient anticipation of litigation.18
12 Ibid at [65].
13 Ibid at [67].
14 Cross on Evidence Australian edition [25,225].
15 Mitsubishi Electric Australia Pty Ltd v Victorian Workcover Authority [2002] 4 VR 332 at 340-1
[17] – [19].
16 Australian Competition and Consumer Commission v Australian Safeway Stores (1998) 81 FCR 526
at 558.
17 Cross on Evidence [25,235].
18 Mitsubishi Electric Australia Pty Ltd v Victorian Workcover Authority (supra) at 341 [22].
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[23] The applicant submits that legal professional privilege does not apply to the reports
sought by it because:
(a) The documents did not come into existence for the dominant purpose of
anticipated litigation, as no litigation had been threatened;
(b) Merely involving solicitors in an investigation does not clothe the
communications with privilege;
(c) Statements are investigative reports, and, by virtue of s 30(2) legal
professional privilege does not remove the obligation to disclose them.
[24] I do not accept the applicant’s submission that the documents did not come into
existence for the dominant purpose of anticipated litigation. No litigation had been
threatened by the applicant’s family. However, contemporaneous documents
including PCH’s letter of 7 January 2004 indicate that decision-makers considered
the matter to have a “medico-legal risk”. This view was based, amongst other
things, on a statement that had been prepared by Dr Haas. Minter Ellison’s letter of
9 January 2004 stated:
“The analysis of events by Dr Haas in his statement of 29 December
2003 is that Ethan had an acute episode of significant impairment of
cardiac output by a prolonged period of III degree heart block and
presumably inadequate ventilation while waking up after anaesthesia.
This led to significant hypoperfusion of the brain and subsequent
changes such as seizures and the MRI-changes”.
The letter recorded the belief held by the then Acting Executive Director of Medical
Services at PCH that “this unexpected adverse outcome may result in health
litigation”. A doctor who was not involved in the treatment of the applicant, but
who has some recollection of receiving Dr Haas’ statement, recalls that he assessed
the statement as indicating that PCH faced the risk of litigation. This assessment
was because:
(a) the outcome suffered by the applicant clearly was an unintended and
unexpected one; and
(b) he was aware that when serious incapacity occurs as an unintended and
unexpected outcome of medical treatment, there is a significant likelihood of
litigation.
The doctor consulted others involved in the senior management of PCH. He
considered it appropriate that legal advisers be retained to obtain statements, and
says that the anticipation of litigation was his only reason for wanting to retain
lawyers. It was the Acting Executive Director of Medical Services that made the
formal arrangements for lawyers to be retained for this purpose.
[25] The solicitor from Minter Ellison who was engaged for this purpose confirms on
oath that all information that was received from the doctors involved in the care of
the applicant after his letter of 9 January 2004 was obtained in anticipation of future
litigation.
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[26] I conclude that the documents sought came into existence for the dominant purpose
of anticipated litigation. The fact that litigation had not been threatened on behalf of
the applicant is hardly the point. The nature of the incident, the consequences
suffered by the applicant, the statement obtained from Dr Haas, the assessment
undertaken by doctors prior to engaging Minter Ellison on 7 January 2004 and
Minter Ellison’s assessment of the matter all pointed to a real, if not probable,
prospect of litigation. Litigation was not a mere possibility. It was a real prospect
and contemporaneous reports were sought and obtained from various medical
practitioners in anticipation of it.
[27] I accept the applicant’s submission that merely involving solicitors in an
investigation does not clothe communications with privilege. However, the
applicant’s submissions go much further and submit that the conduct of PCH “in
attempting to quarantine its investigations of the medical incident by purporting to
ask its lawyers to advise it on the investigations is a sham that the Court should not
sanction.” I reject this submission. There is no proper basis for it. The applicant
submits that this was “merely a fact gathering exercise with no attempt to assess or
advise the respondent”. This submission also misses the point. The fact gathering
exercise was to obtain reports or statements from doctors in anticipation of litigation
and was undertaken on the basis of a sensible and professional recommendation that
those reports be obtained “sooner rather than later.” The fact that the solicitors were
not asked to advise the respondent on liability after the statements were received
does not alter the fact that the statements were received in anticipation of litigation.
This was the dominant purpose for obtaining them. No other purpose is apparent
from the contemporaneous material and I accept the respondent’s evidence
concerning the purpose for which the statements were obtained.
[28] The solicitors and hospital administrators who sought and obtained the reports from
doctors and medical staff in early 2004 may have assumed that the reports that were
sought would attract legal professional privilege, and Minter Ellison recommended
in its letter of 9 January 2004 that the doctors each prepare a written report
addressing relevant queries and that the report be marked “privileged and
confidential”. Any expectation or intent that the reports be the subject of legal
professional privilege does not determine the issue of whether they are protected
from disclosure. It depends upon the operation of s 30. I next turn to consider s 30.
Before doing so I reach the conclusion that the reports received in early 2004 from
the doctors involved in the care of the applicant (whether in the form of formal
witness statements, informal statements, answers to questions or file notes recording
their reports of events) were obtained for the dominant purpose of anticipated
litigation and would be protected by legal professional privilege under the general
law by reason of “litigation privilege”.
Section 30
[29] Section 30 should be read as a whole and construed so as to best achieve the
purpose of the Act. Section 30 qualifies obligations to disclose information or
documentary material under Division 1 or Division 2 if the information or
documentary material is protected by legal professional privilege. It may apply in
respect of documents that are created for the dominant purpose of obtaining or
communicating legal advice. It also may apply to documents that would attract
“litigation privilege” at common law. Section 30(1) removes what would otherwise
be a disclosure obligation if the information or documentary material is protected by
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legal professional privilege, but this is subject to s 30(2), which has the effect of
maintaining an obligation to disclose, amongst other things, “investigative reports”.
In short, if a relevant provision obliges the disclosure of investigative reports, then
they must be disclosed even though otherwise they would be protected by legal
professional privilege.
[30] Expressed differently, the Act clearly abrogates what otherwise would be litigation
privilege in respect of investigative reports. However expressed, there can be no
doubt that the legislature intended that legal professional privilege should not apply
in respect of investigative reports. The term “investigative reports” is not defined in
the Act, save for s 30(5) which states that “investigative reports” does not include
any document prepared in relation to an application for, an opinion on or a decision
about, indemnity against the claim from the State.
[31] The respondent submits that if there be any doubt about what falls within the
expression “investigative reports” then the expression should be read down so as to
maintain privilege. It cites authorities including The Daniels Corporation
International Pty Ltd v Australian Competition and Consumer Commission19 and
Watkins20 that state the well-established rule that statutory provisions are not to be
construed as abrogating important common law rights, privileges and immunities in
the absence of clear words or a necessary implication to that effect. However, there
can be no doubt that the legislature intended to abrogate legal professional privilege
in respect of, amongst other things, investigative reports. I do not accept that the
expression “investigative reports” should be read down so as extend legal
professional privilege protection to the maximum extent possible. Instead, the
expression “investigative reports” should be construed so that s 30 operates in a
manner consistent with the purposes of the Act, being an Act which permits legal
professional privilege to be relied upon as a basis to not disclose certain information
or documents.
[32] Section 30(2) has the apparent purpose of facilitating the disclosure of, amongst
other things, investigative reports for a variety of purposes, depending upon the
disclosure obligation under consideration. In general terms, these disclosure
obligations exist to ensure that sound claims are admitted and unsound claims are
abandoned.21 The relevant disclosure obligations and the Act’s pre-litigation
procedures exist to facilitate the resolution of claims on the basis that “each side is
as fully informed about the strengths and weaknesses of its respective case that a
fair and just resolution can be achieved without recourse to litigation.” 22
[33] In the context of s 9A(8)(b) an evident and immediate purpose of the obligation to
disclose documents is to enable a claimant to equip a medical specialist to assess the
medical incident and to state the medical specialist’s opinion about the matters
required by s 9A(9)(d) on an informed basis. Given the interest in informing the
medical specialist about the medical services provided at the time the medical
incident happened, there is no apparent reason why the expression “investigative
reports” should be read down. Reading down the expression has the potential to
19 (2002) 213 CLR 553 [11].
20 Supra at [63] – [64].
21 Watkins (supra) at [67].
22 Ibid at [65].
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15
preclude sound claims from being brought and to encourage the bringing of
unsound claims, contrary to the purpose of the Act.
[34] The purpose of s 9A(9) apparently is to act as a filter against unmeritorious claims
for medical negligence. The purpose of s 9A(9), and the Act’s more general
purpose of ensuring that sound claims are admitted and resolved on a fully informed
basis, would not be served by a narrow interpretation of “investigative reports”. To
illustrate the point by reference to the facts of this matter, an interpretation which
did not include contemporaneous reports created as a result of the kind of
investigation undertaken in early 2004 would deprive a claimant and a medical
specialist approached to prepare the report required by s 9A(9)(d), of
contemporaneous reports into the incident. In this case the reports were sought in
circumstances in which PCH’s solicitors remarked upon the lack of documentation
in the medical record by the various medical practitioners involved in the treatment
of the applicant, which gave rise to a need to investigate the matter by making
inquiries of them and obtaining reports from them. If a medical specialist who is
approached to give the report required by s 9A(9)(d) does not have access to those
reports he or she may:
(a) be unable to provide the required report, thereby preventing the applicant
from advancing what might be a sound claim if the documents had been
available; or
(b) be forced to provide an opinion about the matters required by s 9A(9)(d)
without the benefit of contemporaneous reports about the facts.
As to (b), an opinion based on incomplete information may erroneously conclude
that there was a failure to meet an appropriate standard of care in providing medical
services, and thereby encourage the claimant to advance a claim, only to be provided
at a later stage (possibly pursuant to obligations imposed by s 20 or s 27) with the
contemporaneous investigative reports that were held by the respondent at the time
of the initial notice. This may prompt the claimant to revise matters and possibly
abandon what subsequently emerges to be an unmeritorious claim, which can no
longer be supported by the specialist opinion earlier obtained. Another possibility is
that a report requested by a claimant from a medical specialist with a view to
satisfying the requirements of s 9A(9)(d) may reach the conclusion, based on
incomplete information, that there was not a failure to meet an appropriate standard
of care when, if investigative reports were available, a different opinion would be
expressed. Such an outcome is apt to prevent sound claims from being advanced
and subsequently resolved in a fair and just manner. One should not assume that the
legislature intended such outcomes, which are at odds with the Act’s purposes.
[35] The terms of the Act and its purposes do not support the conclusion that the
expression “investigative reports” in s 30(2) should be given a narrow
interpretation, for example, confining it to a loss adjuster’s report or an official
report following a formally constituted investigation. The expression “investigative
reports” should not be given an expansive meaning that the language of the Act
does not support. However, the adoption of a narrow interpretation of the
expression does not advance the purposes of the Act, being an Act which clearly
abrogates legal professional privilege in certain circumstances in order to place
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parties in an informed position about the strengths and weaknesses of their
respective cases.
[36] I conclude that s 30 should be interpreted in the context of the disclosure obligation
imposed by s 9A(8)(b) so as to equip the medical specialist with reports obtained as
a result of an investigation into to the incident. Such an interpretation facilitates the
medical specialist being informed of the facts and providing an informed opinion.
Section 30(2) permits such investigative reports to be disclosed to the claimant and
provided to the medical specialist in a form that omits passages consisting only of
statements of opinion. This tends to reinforce the conclusion that s 30 should be
interpreted so as to equip a claimant with essential facts in a case that is subject to
the initial notice requirements of s 9A. Such an interpretation facilitates the
preparation of specialist medical opinion on an informed basis about the
circumstances of the incident and, more generally, encourages sound claims to be
advanced and resolved and unsound claims to be abandoned.
[37] I interpret the term “investigative reports” in the present statutory context to mean a
report that is made as a result of an investigation into a medical incident. I see no
basis in the text of s 30 or its statutory context to confine the expression to a report
which assembles other reports and documents, such as an official report of an
investigator.
[38] The respondent submits that file notes or statements of evidence do not fall within
the expression “investigative reports”. However, the respondent’s counsel fairly
directed me to the observations of Jerrard JA in Watkins which do not support this
submission. His Honour was concerned with a submission that file notes, minutes
and memoranda do not fall within the description of “reports and other documentary
material” in s 27(1)(a)(i) of the Act. Jerrard JA stated:
“The problem with that submission is that a note recording
information about the circumstances of the claimant child’s birth
is a report about the incident alleged to have given rise to the
personal injury to which his claim related. It therefore falls within the
class of documents which the State is obliged to give the claimant, in
accordance with s 27(1) of the PIPA, and the legislation makes legal
professional privilege in such documents irrelevant to the obligation
to disclose them.” (emphasis added) 23
I respectfully adopt the opinion expressed by Jerrard JA that file notes may
constitute a report.
[39] The respondent relied upon Smale v Sprott24 which concerned the notice of claim
provisions of the Motor Accident and Insurance Act 1994 (Qld). Section 48 of that
Act contained a non-disclosure provision in essentially the same terms as s 30 of the
Act. The case concerned certain witness statements that were taken by the
plaintiff’s solicitors in August 2000, a substantial period after the litigation had been
commenced. The second defendant submitted that because the plaintiff was
required to provide the information apparently contained in the statements in order
23 Watkins (supra) at [24]. Keane JA and Mackenzie J adopted a different approach to the resolution of
the issues, and I do not take anything said by their Honours as expressing an opinion to the contrary.
24 [2004] 1 Qd R 290.
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17
to satisfy his pre-litigation obligations under s 37 of the Motor Accident and
Insurance Act 1994, but did not do so, he could not claim privilege in respect of it.
In other words, the second defendant submitted that the privilege in the witness
statements had been abrogated by s 37 and that once it had been abrogated, there
was no privilege to be preserved by s 48 of that Act. This argument was rejected.
Wilson J observed that the obligations of the plaintiff under s 37 were to be satisfied
at the time the notice of claim was given. They could not extend to the disclosure of
statements subsequently obtained for the purpose of the litigation. The section
could not be read as containing any expression of legislative intent to abrogate
privilege in statements subsequently obtained. The witness statements were held to
not fall within the rubric “investigative reports” in s 48(2).
[40] I do not understand the decision to be authority for the proposition that witness
statements that are obtained by a party before a pre-proceeding disclosure obligation
arises are incapable of being “investigative reports” that must be disclosed pursuant
to the statutory disclosure obligation even though otherwise protected by legal
professional privilege. The decision is Smale v Sprott turned upon the fact that the
statements in question were obtained after the litigation had commenced. I do not
interpret the decision as authority for the proposition that a witness statement is
incapable of constituting an investigative report. This is not to say that every
statement made by a potential witness constitutes an investigative report. However,
I am unable to accept the respondent’s submission that statements of evidence and
file notes which record witnesses’ accounts of a relevant incident are incapable of
being investigative reports. Following the statement of Jerrard JA in Watkins, I
conclude that a witness statement or a file note recording information about the
circumstances of a medical incident involving a claimant is a report about the
incident. If the report is produced in the course of an investigation into the incident
then I see no reason why it should not be found to be an investigative report.
[41] In this case the documents that were sought were anticipated by Minter Ellison’s
letter of 9 January 2004 to be “reports”. The documents that were obtained as a
result of considered inquiries made of the doctors should be treated as reports
whether they be in the form of formal statements, informal statements, answers to
the questions posed of the doctors or file notes taken of what they reported.
Applying the interpretation which I have given to the term “investigative reports” in
the context of s 30, I conclude that the reports obtained from the doctors in early
2004 were “investigative reports”. They were documents “about the medical
services” mentioned in the initial notice.25
[42] The consequence of this conclusion is that they must be disclosed even though
otherwise protected by legal professional privilege, but they may be disclosed with
the omission of passages consisting only of statements of opinion.
Inspection
[43] The applicant submitted that if there was doubt about the propriety or validity of the
claim for privilege, I should “without hesitation” inspect the documents. The
documents were provided to me in an envelope. This is not a case in which I
consider that it is necessary or appropriate to inspect the documents.26
25 Cf Haug v Jupiters Limited [2008] 1 Qd R 276 at [11], [23].
26 Cf Esso Australia Resources Ltd v FCT (1999) 201 CLR 49 at 70.
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Other matters
[44] There have been a range of other matters in contention between the parties. Most of
them have been resolved. One matter in contention involves a request for a copy of
all of the “statements of Dr Whight” which were referred to in Dr Haas’ statement
that was prepared on or prior to 29 December 2003. In that statement Dr Haas
refers to the clinical course and states:
“According to the statements of Dr C Whight there were initially no
problems but the patient developed complete heart block at the end
of the procedure whilst being anaesthetised and ventilated.”
The respondent’s search for any such statement by Dr Whight has not located any
such documents. The possibility exists that any such statements were oral and were
not recorded. However, I consider it appropriate to make an order pursuant to
s 35(2) in relation to the searches made for such a statement, including any inquiries
made of Dr Whight and Dr Haas in relation to the matter, and for an appropriate
officer of the respondent to file and serve an affidavit stating the extent of inquiries
concerning the statements of Dr Whight referred to in Dr Haas’ report, whether
documents constituting or recording such statements exist or have never existed,
and, if they did exist, the circumstances in which they ceased to exist or passed out
of the position or control of the respondent.
[45] The second matter relates to an ECG print, and any other machine recording
observations from 9.40 am to 10.40 am on 23 December 2003. These were referred
to in email exchanges in 2004, but apparently have been mislaid or lost. At the
hearing of the application I asked the parties to formulate a draft order in relation to
these documents.
Orders
[46] In addition to those orders, I propose to make an order pursuant to s 35 of the Act
requiring the respondent to disclose investigative reports, including witness
statements, file notes and other documents, that report on the provision of medical
services to the applicant in connection with a medical incident that is alleged to
have happened on or about 23 December 2003 at the Prince Charles Hospital. The
documents to be disclosed include the documents received from doctors who were
involved in the care of the applicant or reported on the medical services provided to
the applicant on or about 23 December 2003, being reports that were prepared in
response to requests for reports and information. I apprehend that the reports to be
disclosed will include copies of the documents provided to me in an envelope which
I have marked “MFI A – not to be opened without an order of a Judge of this
Court”. I apprehend that the respondent has its own copies of these documents
which were apparently obtained from the archived file of Minter Ellison. On that
basis, it is unnecessary to make an order for delivery of the documents in the sealed
envelope. There may be other reports that fall within the terms of the proposed
order. I will hear the parties, if necessary, concerning the form or orders. I direct
the applicant to consult the respondent and to submit draft minutes of order within
seven days.
[47] The applicant has been successful in its application. I see no reason as to why costs
should not follow the event. The order for costs will be that the respondent pay the
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applicant’s costs of and incidental to the application to be assessed on the standard
basis.
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Official source: https://www.sclqld.org.au/caselaw/QSC/2010/442