Health Ombudsman v Moosawi

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QUEENSLAND CIVIL AND
ADMINISTRATIVE TRIBUNAL


CITATION:

Health Ombudsman v Moosawi [2020] QCAT 391

PARTIES: HEALTH OMBUDSMAN

(applicant)

v

ALI AL MOOSAWI

(respondent)

APPLICATION NO/S:

OCR026-18

MATTER TYPE:

Occupational regulation matters

DELIVERED ON:

23 October 2020

HEARING DATE:

3, 4 & 6 September 2019

HEARD AT:

Brisbane

DECISION OF:

Judge Allen QC, Deputy President
Assisted by:
Dr D Khursandi
Dr D Ellwood
Ms J Felton

ORDERS:

1. Pursuant to s 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld), the Tribunal decides that the respondent has behaved in a way that constitutes professional misconduct.

2.   The non-publication order made on 14 March 2018 and amended on 3 September 2019 is further amended by deletion of the words, “the respondent (or any family member of the respondent),”.

CATCHWORDS:

PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – MEDICAL PRACTITIONERS – DISCIPLINARY PROCEEDINGS – where the respondent medical practitioner is alleged to have engaged in boundary violations with a patient – where the boundary violations are alleged to include sexual relations – where the respondent denies such conduct – whether the respondent engaged in the alleged conduct – where the respondent is alleged to have interfered with the patient as a witness in an investigation by the Office of the Health Ombudsman into his conduct – whether the respondent engaged in the alleged conduct – whether the conduct of the respondent should be characterised as professional misconduct or unprofessional conduct.

ADMINISTRATIVE LAW – ADMINISTRATIVE TRIBUNALS – QUEENSLAND CIVIL AND ADMINISTRATIVE TRIBUNAL – whether a non-publication order or redactions of the reasons of the tribunal should be made to avoid embarrassment to non-parties 

Health Ombudsman Act 2013 (Qld), s 103, s 104, s 107

Health Practitioner Regulation National Law (Queensland), s 5
Queensland Civil and Administrative Tribunal Act 2009 (Qld), s 66

Brigginshaw v Brigginshaw (1938) 60 CLR 336

John Fairfax Group Pty Ltd v Local Court of New South Wales [1991] 26 NSWLR 131
J v L&A Services Pty Ltd (No.2) [1995] 2 Qd R 10

APPEARANCES & REPRESENTATION:

Applicant:

M Nicolson instructed by the Office of the Health Ombudsman

Respondent:

G W Diehm QC instructed by Avant Law

REASONS FOR DECISION

Introduction

  1. Dr Ali Al Moosawi (the respondent) is, and was at all material times, a “registered health practitioner” as defined by the Health Practitioner Regulation National Law (Queensland) (National Law) and the Health Ombudsman Act 2013 (Qld) (HO Act), registered under the National Law as a medical practitioner holding general registration with the Medical Board of Australia.

  2. The Director of Proceedings on behalf of the Health Ombudsman (the applicant) has referred a health service complaint against the respondent to the Tribunal pursuant to s 103(1)(a) and s 104 of the HO Act. The referral particularises two charges. In respect of each charge, it is alleged that the respondent engaged in “professional misconduct” or, alternatively, “unprofessional conduct”, within the meaning of those terms as defined in s 5 of the National Law.

  3. Charge 1 alleges that the respondent engaged in a breach of the…

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Details
Case
[2020] QCAT 391
Decision Date

CaseChat Overview and Summary

In the matter of Health Ombudsman v Moosawi, the respondent, a medical practitioner, faced disciplinary proceedings for alleged boundary violations with a patient, including claims of sexual relations. The patient alleged that the respondent engaged in sexual relations with her, while the respondent denied the allegations, suggesting that the patient fabricated the evidence against him. The respondent was also accused of interfering with the patient as a witness in an investigation by the Office of the Health Ombudsman. The Queensland Civil and Administrative Tribunal (QCAT) was tasked with determining whether the respondent engaged in the alleged conduct and whether his conduct should be classified as professional misconduct or unprofessional conduct.

The legal issues before the court included whether the respondent's conduct constituted professional misconduct or unprofessional conduct, and whether a non-publication order or redactions of the tribunal's reasons should be made to avoid embarrassment to non-parties. The court had to consider the credibility of the parties' evidence and the significance of the telecommunications and photographic evidence in determining the outcome of the case.

The court found that the respondent's conduct did constitute professional misconduct, as he had engaged in sexual relations with the patient, which was a clear boundary violation. The court also found that the non-publication order made on 14 March 2018 and amended on 3 September 2019 should be further amended by deleting the words, "the respondent (or any family member of the respondent)," to avoid embarrassment to non-parties.

The final orders of the tribunal were that the respondent had behaved in a way that constituted professional misconduct, and the non-publication order was amended to exclude the respondent's family members. This decision highlights the importance of maintaining professional boundaries between medical practitioners and their patients, and the consequences that can arise when those boundaries are violated.

Orders

Orders of the court

1. Pursuant to s 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld), the Tribunal decides that the respondent has behaved in a way that constitutes professional misconduct.

2. The non-publication order made on 14 March 2018 and amended on 3 September 2019 is further amended by deletion of the words, “the respondent (or any family member of the respondent),”.

Background

Background to the litigation

Full text does not contain this section.

Evidence

Evidence Before The Court

A statement from an employee of the service station made with reference to relevant CCTV footage and a receipt tends to confirm the purchase of condoms by the older friend of the patient at the service station at around 8.30pm on 29 October 2014.Telecommunications evidence – 29 October 2014 Telstra call records for a mobile phone owned by the patient and a mobile phone owned by the respondent at material times confirm the fact, times and approximate lengths of voice calls, including missed calls, and text messages between those two phones on the evening of 29 October 2014. There is photographic evidence of the content of the text messages between the two phones that was retained on the patient’s mobile phone. These facts themselves are not in dispute. What is in dispute is whether or not the respondent operated his mobile phone at the time of the calls and text messages on 29 October 2014. The patient gave evidence that she was engaged in an exchange of calls and text messages with the respondent. The respondent denies making or receiving calls or text messages on that phone on that evening. His contention is that the patient must have purloined his mobile phone, presumably at the time of her consultation with him earlier that day, and that evening operated his mobile phone, thus concocting false evidence against him. The evidence establishes the following activity between the patient’s mobile phone and the respondent’s mobile phone on the evening of 29 October 2014: The content of the exchange of text messages between the patient’s phone and the respondent’s phone at around 9.00pm on 29 October 2014 is as follows: The call records for the patient’s mobile phone also showed a call from the patient’s phone to another mobile phone number at 21:04:29 lasting 349 seconds. This phone call was the subject of cross-examination of the patient which will be referred to later. The respondent owned a second mobile telephone as at 29 October 2014. There is no suggestion that is was not under his control on the evening of 29 October 2014. Telstra call records for that mobile phone show that on 29 October 2014 between 20:56:07 and 22:16:16 there were four calls diverted to 101 message bank. The calls could have been diverted because the phone was either switched off or unanswered.[7] [7]As per agreement of parties with emails and supplementary submissions from parties admitted as exhibits 5 and 6 on 18 September 2019. The respondent’s evidence would suggest that they were unanswered – see paragraph [63] of these reasons. There was evidence from the respondent and his wife and documents produced concerning a telephone call between the respondent and his wife on the evening of 29 October 2014. The evidence was somewhat inconsistent in its details but ultimately was to the effect that the respondent used his other mobile phone and an app, Viber, to talk to his wife, and possibly other family members, for a period of up to 20 minutes in the period between about 8.45pm and 9.30pm.[8] The effect of such evidence was of little consequence; the fact that the respondent may have been on such a call would not have prevented him texting on his other mobile phone. The documentary evidence suggested the call took place between 9.16pm and 9.29pm and thus could have finished before the respondent met the patient at the service station.[8]See the discussion of the evidence at paragraphs [62] and [72] of these reasons.Complaint and investigation

Decision

Reasons for decision

Full text does not contain this section.

Ratio Decidendi

Legal Principle Established

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