Health Ombudsman v Steptoe

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QUEENSLAND CIVIL AND
ADMINISTRATIVE TRIBUNAL


CITATION:

Health Ombudsman v Steptoe  [2020] QCAT 162

PARTIES: DIRECTOR OF PROCEEDINGS ON BEHALF OF THE HEALTH OMBUDSMAN

(applicant)

v

DAYMAN PAUL STEPTOE

(respondent)

APPLICATION NO/S:

OCR166-19

MATTER TYPE:

Occupational regulation matters

DELIVERED ON:

27 May 2020

HEARING DATE:

On the papers

HEARD AT:

Brisbane

DECISION OF:

Judicial Member D J McGill SC, assisted by Dr D Khursandi, Dr J Cavanagh and Ms C Eliot.

ORDERS:

1.   The Tribunal decides that the respondent behaved in a way that constituted professional misconduct. 

2.   The Tribunal reprimands the respondent.

3.   The parties bear their own costs of this proceeding. 

CATCHWORDS:

PROFESSIONS AND TRADES – HEALTH CARE PROFESSIONALS – MEDICAL PRACTITIONERS – DISCIPLINARY PROCEEDINGS – PROFESSIONAL MISCONDUCT AND UNPROFESSIONAL CONDUCT – DEPARTURE FROM ACCEPTED STANDARDS – Professional misconduct – self-administration of opioid drugs – drugs ostensibly prescribed for patients – treatment of painful injury to knee – self notification and voluntary cessation of practice – extended course of treatment – resumed practice subject to conditions - favourable medical opinion – disruption to career – mitigating circumstances – sanction

Health Ombudsman Act 2013 s 107

Health Practitioner Regulation National Law (Qld) s 5

Health Ombudsman v NLM [2018] QCAT 164
Health Ombudsman v White [2019] QCAT 36
Medical Board of Australia v C [2012] SAHPT 4
Medical Board of Australia and Stephens [2018] WASAT 13

REPRESENTATION:

Applicant:

Office of the Health Ombudsman

Respondent:

J Hunter QC, instructed by Avant Mutual solicitors. 

APPEARANCES:

This matter was heard and determined on the papers pursuant to s 32 of the Queensland Civil and Administrative Tribunal Act 2009 (Qld)

REASONS FOR DECISION

  1. This is a reference by the applicant of disciplinary proceedings against the respondent under the Health Ombudsman Act 2013 s 103(1)(a), s 104. I am sitting with assessors Ms Elliot, Dr Khursandi, and Dr Cavanagh in accordance with the Act.[1] 

    [1]Health Ombudsman Act 2013 s 126. For their function, see s 127.

  2. The respondent is and was at the relevant time a registered medical practitioner, and hence a registered health practitioner for the purposes of the Health Practitioner Regulation National Law (Qld). The applicant alleges that the respondent engaged in professional misconduct, in that he inappropriately prescribed Schedule 8 drugs, ostensibly for patients but in fact to self-administer, and otherwise failed properly to deal with Schedule 8 drugs.

  3. The parties have provided the Tribunal with an agreed statement of facts.  The respondent, who has been legally represented in these proceedings, admits the grounds alleged, and that the conduct in question amounts to professional misconduct.  The parties have provided written submissions to the Tribunal.  The hearing proceeded on the papers, in accordance with the Queensland Civil and Administrative Tribunal Act 2009 s 32.

  4. The Tribunal accepts the facts set out in the agreed statement of facts.  They, and some additional information before the Tribunal, may be summarised as follows:  The respondent was born in 1975 and is now 44.  He was first registered as a medical practitioner in 2010.  He was…

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Details
Case
[2020] QCAT 162
Decision Date

CaseChat Overview and Summary

In the matter of Health Ombudsman v Steptoe, the respondent, a registered medical practitioner, faced disciplinary proceedings before the Tribunal. The Ombudsman alleged that the respondent's conduct constituted professional misconduct due to his self-administration of opioid drugs, which were ostensibly prescribed for his patients. The issue arose from the respondent's treatment of a painful injury to his knee, which led to a period of self-notification and voluntary cessation of his practice. Following an extended course of treatment, the respondent resumed his practice subject to certain conditions, and a favourable medical opinion was obtained. The central legal issues before the Tribunal involved whether the respondent's actions amounted to professional misconduct and, if so, what appropriate sanction should be imposed.

The Tribunal considered the definition of professional misconduct and whether the respondent's conduct departed from accepted standards of medical practice. The respondent argued that his actions were a result of a genuine medical need and that he had taken steps to address the issue by seeking treatment and voluntarily ceasing his practice. The Tribunal also examined the respondent's disruption to his career, the mitigating circumstances surrounding the case, and the appropriate sanction in light of the evidence presented. The Tribunal found that the respondent's self-administration of opioid drugs, which were ostensibly prescribed for patients, constituted professional misconduct. However, the Tribunal acknowledged the mitigating factors and the respondent's voluntary cessation of practice, which led to the decision to reprimand the respondent rather than impose a more severe sanction.

The Tribunal concluded that the respondent's conduct warranted a reprimand, and the parties were ordered to bear their own costs of the proceeding. This decision highlights the importance of maintaining professional standards within the medical field and the consequences that can arise from a departure from these standards. The Tribunal's decision to reprimand the respondent demonstrates a balanced approach, taking into account the mitigating factors and the steps taken by the respondent to address the issue. The orders made by the Tribunal serve as a reminder of the need for medical practitioners to adhere to the accepted standards of their profession and the potential consequences of failing to do so.

Orders

Orders of the court

1. The Tribunal decides that the respondent behaved in a way that constituted professional misconduct.

2. The Tribunal reprimands the respondent.

3. The parties bear their own costs of this 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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