QUEENSLAND CIVIL AND ADMINISTRATIVE TRIBUNAL
CITATION: Health Ombudsman v Smith [2023] QCAT 95 PARTIES: THE HEALTH OMBUDSMAN
(applicant)
v ALAN JAMES SMITH
(respondent)
APPLICATIONNO/S: OCR039-22 MATTERTYPE: Occupational regulation matters DELIVEREDON: 1 February 2023 HEARINGDATE: 1 February 2023 HEARDAT: Brisbane DECISIONOF: Judicial Member D Reid ORDERS The conduct of the respondent constitutes professional misconduct pursuant to section 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld).
pursuant to section 107(3)(a) of the Health Ombudsman Act 2013 (Qld), the respondent is reprimanded.
The following condition is imposed on the respondent’s registration as a nurse, pursuant to section 107(4)(b)(i) of the Health Ombudsman Act 2013 (Qld):
(a) The respondent is prohibited from providing any health service to females in an unpaid or paid capacity, and in a clinical or non-clinical capacity, until such time as he has completed the agreed upon further education, and in any case for a minimum period of three years.
CATCHWORDS: PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – NURSES – DISCIPLINARY
PROCEEDINGS – where the respondent is a registered nurse – where the respondent seriously violated a boundary with a vulnerable female patient – where the respondent failed to acknowledge and accept his misconduct when challenged by his employer and the Health Ombudsman – whether the respondent should be reprimanded – whether the respondent should be disqualified from registration as a nurse – whether the respondent should be prohibited from
providing health services – whether in the alternative the
respondent should have conditions imposed on his registration as a nurse
Health Ombudsman Act 2013 (Qld) ss 4, 107
APPEARANCES&REPRESENTATION: Applicant:
JR Jones instructed by the Office of the Health Ombudsman
Respondent:
S Robb instructed by QNMU Law
REASONS FOR DECISION
Background
The Health Ombudsman seeks orders against the respondent, who was at all times a Registered Nurse, arising from his engagement in serious and protracted boundary violations with a vulnerable female patient. The proceedings also involve the respondent’s failure to acknowledge and accept his misconduct when challenged by both his employer and the Health Ombudsman.
The respondent now accepts his misconduct and also accepts that it is properly characterised as professional misconduct. The issue before me concerns the appropriate order to impose in respect of his misconduct, and in particular, whether to cancel his registration as a Registered Nurse and to prohibit him from applying for registration for a period, and also whether to impose conditions prohibiting him from treating female patients.
The facts and circumstances of the matter is set out in an agreed statement of facts.
The respondent was born on 15 March 1981 and was 39 at the time of his misconduct. He obtained a Diploma in Higher Education Nursing Studies from Lancaster University in England and was first registered as a nurse in Australia in November 2008.
The respondent worked as a Clinical Nurse Consultant with a Youth Outreach Service of the West Morton Hospital (WMH). In that capacity, he was…
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- Case
- [2023] QCAT 95
- Decision Date
CaseChat Overview and Summary
The respondent failed to acknowledge and accept his misconduct when challenged by his employer and the Health Ombudsman. The tribunal found that the respondent's actions amounted to professional misconduct, as defined in section 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld). The tribunal was of the view that the respondent's conduct was a serious breach of professional standards and constituted a significant departure from the standard of care expected of a registered nurse. The tribunal considered the nature and circumstances of the misconduct, the respondent's previous history, and the potential impact on the public and the profession.
Having found that the respondent's conduct constituted professional misconduct, the tribunal proceeded to consider the appropriate disciplinary action. It decided to reprimand the respondent, as provided for in section 107(3)(a) of the Health Ombudsman Act 2013 (Qld). In addition, the tribunal imposed a condition on the respondent's registration as a nurse, prohibiting him from providing any health service to females in an unpaid or paid capacity, in a clinical or non-clinical capacity, until he had completed the agreed upon further education, and in any case for a minimum period of three years. This condition was imposed pursuant to section 107(4)(b)(i) of the Health Ombudsman Act 2013 (Qld).
The final orders of the tribunal included a reprimand of the respondent and a condition on his registration as a nurse, prohibiting him from providing health services to females for a specified period. The orders reflect the tribunal's view that the respondent's actions warranted disciplinary action, and that the conditions imposed would help to protect the public and maintain the integrity of the nursing profession.
Orders
Orders of the court
The conduct of the respondent constitutes professional misconduct pursuant to section 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld).
pursuant to section 107(3)(a) of the Health Ombudsman Act 2013 (Qld), the respondent is reprimanded.
The following condition is imposed on the respondent’s registration as a nurse, pursuant to section 107(4)(b)(i) of the Health Ombudsman Act 2013 (Qld):
(a) The respondent is prohibited from providing any health service to females in an unpaid or paid capacity, and in a clinical or non-clinical capacity, until such time as he has completed the agreed upon further education, and in any case for a minimum period of three years.
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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