Ziaee v Rubino

Case [2023] ACTCA 7


SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY
COURT OF APPEAL

Case Title:

Ziaee v Rubino

Citation:

[2023] ACTCA 7

Hearing Date:

17 November 2022

DecisionDate:

15 February 2023

Before:

McCallum CJ, Kennett and O’Sullivan JJ

Decision:

(1)       The appeal is allowed.

(2)       Set aside the orders made on 3 February 2022 and,            in lieu thereof, order that the Originating Claim be            dismissed with costs.

(3)       The respondent is to pay the appellant’s costs of the            appeal.

Catchwords:

APPEAL – CIVIL LAW – Medical negligence – general practitioner – consideration of requisite standard of care – whether duty on general practitioner to follow up referral to a specialist in the public hospital system

APPEAL – CIVIL LAW – Medical negligence – general practitioner – consideration of causation – cause of delay – whether primary Judge erred finding that something went “awry” in management of referral by public hospital – whether follow up of referral by general practitioner would have resulted in appellant being seen by specialist at materially earlier time

Legislation Cited:

Civil Law (Wrongs) Act 2002 (ACT) ss 42, 43, 45

Cases Cited:

Rogers v Whitaker (1992) 175 CLR 479

Rubino v Ziaee [2021] ACTSC 331
Tabet v Gett [2010] HCA 12; 240 CLR 537

Tai v Hatzistavrou [1999] NSWCA 306

Parties:

Soroush Ziaee ( Appellant)

Michael Rubino ( Respondent)

Representation:

Counsel

G W Diehm KC with C O’Neill ( Appellant)

A Campbell with R Wathukarage ( Respondent)

Solicitors

Avent Law ( Appellant)

Gerard Malouf & Partners ( Respondent)

File Number:

ACTCA 7 of 2022

Decision under appeal: 

Court/Tribunal:             Supreme Court of the ACT

Before:  McWilliam AJ

Date of Decision:          23 December 2021

Case Title:  Rubino v Ziaee

Citation: [2021] ACTSC 331

THE COURT:

Introduction

1․The respondent suffered pain from a hyperkeratosis (commonly known as a corn) on the sole of his right foot, which interfered with his ability to work. Between July 2013 and August 2016 he attended around 19 consultations with the appellant, who was a general practitioner working at the Tristar Medical Group (the Practice) in Bruce. On 6 March 2014 the appellant referred the respondent to a surgeon working in general surgery at Canberra Hospital (the first referral). When he saw the respondent again on 2 May 2014, at which time no response had been received to the first referral, the appellant sent a further letter to the surgeon (the second referral). No response to either referral was received by the appellant or the respondent, and there followed a period of more than two years during which the respondent was treated mainly by prescribed painkillers. In August 2016, the respondent’s foot became infected and extremely painful. He was admitted to Canberra Hospital for acute care and surgery was performed to drain an abscess.

2․The respondent sued the appellant, seeking damages in negligence.

3․It was not in dispute before the primary Judge that the appellant owed the respondent a duty to exercise reasonable care in treating him. The other elements of the cause of action…

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AGLC
Ziaee v Rubino [2023] ACTCA 7
Case
[2023] ACTCA 7
Decision Date

CaseChat Overview and Summary

The appeal in *Ziaee v Rubino* concerned a claim of medical negligence brought by the appellant, Dr. Rubino, against the respondent, Dr. Ziaee, a general practitioner. The dispute centred on whether Dr. Ziaee had breached his duty of care to Dr. Rubino by failing to follow up on a referral made to a specialist within the public hospital system. The matter was heard by McCallum CJ, Kennett and O’Sullivan JJ of the Court of Appeal.

The Court of Appeal was required to determine two primary legal issues. Firstly, it had to consider the requisite standard of care owed by a general practitioner in relation to referrals to specialists within the public hospital system, specifically whether there was a duty to follow up such referrals. Secondly, the Court had to assess causation, examining whether any alleged error in the management of the referral by the public hospital was a consequence of Dr. Ziaee's actions or omissions, and whether a follow-up by Dr. Ziaee would have resulted in Dr. Rubino being seen by a specialist at a materially earlier time.

The Court allowed the appeal, setting aside the previous orders and dismissing the originating claim with costs. The Court found that the primary judge had erred in concluding that something had gone "awry" in the management of the referral by the public hospital. Crucially, the Court determined that there was no obligation on Dr. Ziaee to follow up the referral to the public hospital, and therefore, no breach of duty or causation could be established. The respondent was ordered to pay the appellant's costs of the appeal.

Orders

Orders of the court

(1) The appeal is allowed.

(2) Set aside the orders made on 3 February 2022 and, in lieu thereof, order that the Originating Claim be dismissed with costs.

(3) The respondent is to pay the appellant’s costs of the appeal.

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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