Health Ombudsman v Cassingham

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QUEENSLAND CIVIL AND
ADMINISTRATIVE TRIBUNAL


CITATION:

Health Ombudsman v Cassingham [2019] QCAT 358

PARTIES: HEALTH OMBUDSMAN

(applicant)

v

THOMAS BRIAN CASSINGHAM

(respondent)

APPLICATION NO/S:

OCR113-18

MATTER TYPE:

Occupational regulation matters

DATE OF DECISION:

26 November 2019

DATE OF REASONS:

5 December 2019

HEARING DATE:

On the papers

HEARD AT:

Brisbane

DECISION OF:

Judge Allen QC, Deputy President

Assisted by:
Ms A Bains
Ms K Huxhagen
Mr K Hargreaves

ORDERS:

1. Pursuant to s 107(2)(b)(iii) of the Health Ombudsman Act 2019 (Qld), the Tribunal finds that the respondent has behaved in a way that constitutes professional misconduct.

2. Pursuant to s 107(3)(a) of the Health Ombudsman Act 2019 (Qld), the respondent is reprimanded. 

3.   Each party must bear the party’s own costs for the proceeding.

CATCHWORDS:

PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – PHARMACEUTICAL CHEMISTS – DISCIPLINARY PROCEEDINGS – MISCONDUCT IN PROFESSIONAL RESPECT – where the applicant instituted disciplinary proceedings against the respondent for criminal conduct – where the criminal conduct involved the respondent’s conviction on his own pleas of guilty for one offence of fraud, three offences of forgery, two offences of uttering a forged document, two offences of stealing as a servant and one offence of fraudulently falsifying a record – where the respondent engaged in the conduct for the purpose of obtaining oxycodone for his own use – where the respondent had developed a reliance upon opioids following a serious shoulder injury – where the use of opioids assisted in the management of the respondent’s physical symptoms as well as symptoms of undiagnosed mental health problems – where the respondent has cooperated in the proceedings – where the respondent has undergone appropriate treatment for his health issues – where the respondent has served a de facto suspension of approximately four years – where the parties agree as to the characterisation of the conduct as professional misconduct – where the parties agree as to the appropriate sanction – whether the sanction proposed is appropriate

Health Ombudsman Act 2013 (Qld), s 103, s 104, s 107
Health Practitioner Regulation National Law (Queensland), s 5

Health Ombudsman v DeCelis [2019] QCAT 140
Pharmacy Board of Australia v Chrenowski [2011] SAHPT 26
Pharmacy Board of Australia v Christie [2016] QCAT 291
Pharmacy Board of Australia v Dougherty [2014] SAHPT 6

REPRESENTATION:

Applicant:

V Dutta (sol) of the Office of the Health Ombudsman

Respondent:

Self-represented

APPEARANCES:

This matter was heard and determined on the papers pursuant to section 32 of the Queensland Civil and Administrative Tribunal Act2009 (Qld)

REASONS FOR DECISION

  1. The Director of Proceedings on behalf of the Health Ombudsman (“the applicant”) referred a health service complaint against Thomas Brian Cassingham (“the respondent”) to the Tribunal pursuant to sections 103(1)(a) and 104 of the Health Ombudsman Act 2013 (Qld) (“HO Act”). At the request of the parties, the matter was heard and determined on the papers and, on 26 November 2019, the Tribunal made the above orders. These are the reasons for the Tribunal’s decision.

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Details
Case
[2019] QCAT 358
Decision Date

CaseChat Overview and Summary

In the case of Health Ombudsman v Cassingham, the respondent, a pharmaceutical chemist, faced disciplinary action initiated by the Health Ombudsman due to a series of criminal offences. The respondent pleaded guilty to multiple charges including fraud, forgery, uttering forged documents, stealing as a servant, and fraudulently falsifying a record. These actions were driven by the respondent's dependence on oxycodone, which developed following a serious shoulder injury and was used to manage both physical and undiagnosed mental health symptoms. The respondent has since cooperated with the disciplinary process, undergone treatment for his health issues, and served a de facto suspension of approximately four years. Both parties agreed that the respondent's conduct constituted professional misconduct and that the appropriate sanction was a reprimand.

The primary legal issue before the tribunal was whether the proposed reprimand was an appropriate sanction for the respondent's professional misconduct. The tribunal considered the respondent's cooperation, the treatment he had undertaken, the length of the suspension already served, and the absence of any further misconduct. It was also noted that the respondent's conduct, while serious, was driven by personal health issues and he had taken steps to address these problems. The tribunal evaluated the sanction in light of these factors and the overall public interest, including the need to maintain public confidence in the profession.

The tribunal found that the proposed reprimand was an appropriate sanction. It took into account the respondent's cooperation, the treatment undertaken, and the length of time already served in suspension. The tribunal determined that the reprimand, coupled with the respondent's prior period of suspension and treatment, adequately reflected the seriousness of the misconduct while also considering the respondent's personal circumstances and efforts to address his health issues. The tribunal concluded that this approach served both the interests of justice and the need to protect the public and maintain professional standards.

In summary, the tribunal found the respondent guilty of professional misconduct and imposed a reprimand. Both parties were ordered to bear their own costs. The decision emphasised the importance of addressing personal health issues while upholding professional standards and public confidence in the profession.

Orders

Orders of the court

1. Pursuant to s 107(2)(b)(iii) of the Health Ombudsman Act 2019 (Qld), the Tribunal finds that the respondent has behaved in a way that constitutes professional misconduct.

2. Pursuant to s 107(3)(a) of the Health Ombudsman Act 2019 (Qld), the respondent is reprimanded.

3. Each party must bear the party’s own costs for the proceeding.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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