O'Neill v Accident Compensation Corporation HC Ak CIV 2008-404-8482

Case

[2009] NZHC 2297

14 December 2009

No judgment structure available for this case.

IN THE HIGH COURT OF NEW ZEALAND

AUCKLAND REGISTRY

CIV 2008-404-8482

UNDER  The Injury Prevention, Rehabilitation &

Compensation Act 2001

IN THE MATTER OF     an appeal pursuant to s 162 of the Act

BETWEEN  CHRISTOPHER O'NEILL Appellant

ANDACCIDENT COMPENSATION CORPORATION

Respondent

Hearing:         3 November 2009

Counsel:         C J O'Neill, Appellant, in person

D Tuiqereqere for Respondent
A Lewis for Professor J Windsor

Judgment:      14 December 2009

INTERIM JUDGMENT OF HEATH J

This judgment was delivered by me on 14 December 2009 at 2.30pm pursuant to Rule 11.5 of the

High Court Rules

Registrar/Deputy Registrar

Solicitors:
M J Mercier, Legal Services, ACC, PO Box 242, Wellington 6140
Bartlett Partners, PO Box 10-852, The Terrace, Wellington 6143
Counsel:
D Tuiqereqere, PO Box 16-204, Sandringham, Auckland 1351
A Lewis, PO Box 10 242, The Terrace, Wellington 6143
Copy to:

C J O’Neill 62 Kimberhall Avenue, Mt Roskill, Auckland

O'NEILL V ACCIDENT COMPENSATION CORPORATION HC AK CIV 2008-404-8482  14 December 2009

Contents

Introduction  [1]

A procedural quagmire  [5] The question of standing

(a)   The legislative framework  [39] (b)  Analysis  [43] Deemed decision  [49] Substantive issue determined by Judge Barber  [54] Conclusion  [56]

Introduction

[1]      On 27 October 2006, the District Court dismissed an appeal brought by Mr O’Neill, arising from declinature of his claim for cover under the accident compensation legislation. Cover had been sought for personal injury suffered through medical misadventure. On 29 June 2009, Asher J gave leave for Mr O’Neill

to appeal to this Court against the District Court decision.

[2]      Asher J granted leave to appeal on two questions:

a)        Did s 142 of the Injury Prevention, Rehabilitation and Compensation Act 2001 (the  Act) [set  out  at  para  [40]  below]  permit  counsel  for Professor  Windsor  and  the  Auckland  District  Health  Board  to  be present and make submissions at the review hearing?

b)If not, what are the consequences of this, and, in particular, should the appeal be allowed and the review decision modified or quashed?   If so,  what  indications  of  effect  should  be  given  under  s 161(2)  of  the Act?

It is clear that Asher J was mistaken when he referred only to “the review hearing” in both  of  those  questions.  The  issue  also  relates  to  the  appeal  hearings  before  the District Court.  I proceed on that basis.

[3]      As will become apparent, the history of this proceeding, from the time  at which  the  Accident  Compensation  Corporation  (ACC)  made  its  initial  decision  to

decline cover, does not reflect well on the administration of justice in this country.

A series of systemic   procedural   irregularities   have   brought   about   significant jurisdictional problems, at almost every stage in the proceeding.  It has not been easy

to untangle the procedural web in which Mr O’Neill has been caught.

[4]      Sadly,  my  deliberations  have  led  me  to  the  view  that  I  cannot  resolve  the appeal at this stage.   Further submissions will be required on three points on which the parties have not yet had an opportunity to be heard.

A procedural quagmire

[5]      Mr O’Neill was unwilling, at the hearing before me, to limit his submissions

to  the  points  on  which  Asher  J  gave  leave  to  appeal.      At  that  stage,  I  had  not appreciated fully the  reasons why Mr O’Neill felt it necessary to  go  beyond those points.   Having now reviewed the evidence more thoroughly, I am glad that I gave Mr O’Neill the opportunity to address me on wider issues because they have assisted me in my overall consideration of his appeal.

[6]      In order to understand how Mr O’Neill’s claim for cover reached this Court, I must set out the background in some detail.   My summary is necessarily broad and incomplete.    It   does   not   deal   explicitly  with   many  of   the   material   facts   or submissions on which Mr O’Neill addressed me.   Given the nature of the issues on which I shall be seeking further submissions, I have stated the factual background as neutrally as possible.

[7]      On 14 December 1994, Mr  O’Neill was seen by  Professor  Windsor  in  the outpatient department of Auckland  Hospital. Dr Sood, Mr O’Neill’s  general practitioner,  had  referred  his  patient  to  a  specialist  as,  in  1994,  he  had  developed quite  significant  symptoms  of  gastritis  and  heartburn  for  which  he  was  requiring regular  medications.   Professor  Windsor  was  asked  to  determine  whether  surgical intervention may treat Mr O’Neill’s condition better.

[8]      On 3 March 1995, at Auckland   Hospital,   Mr   O’Neill   underwent   a laparoscopic fundopolication and posterior curoplasty operation.  He was discharged from hospital four days later.

[9]      After initial improvements, Mr O’Neill began suffering “significant bloating symptoms”. Having been referred back to his surgeon, it was considered  that  the surgery was “too tight”. In March 1997, a balloon dilation of the area of surgical reduced narrowing, at the site of the fundoplication, was  undertaken. A further operation, to similar effect, was performed on 9 September 1997. Neither relieved Mr O’Neill’s symptoms.

[10]     A  third  operation  was  carried  out  on  17  April  1998.   This  operation discovered  a  rupture  of  the  original  fundoplication.                   The  surgeon  opined  that  Mr O’Neill suffered from oesophagael dysmotility, a condition known to be resistant to treatment.

[11]     In 2002, Mr O’Neill lodged a claim seeking cover for personal injury caused

by medical misadventure.  Greater detail was provided in a letter sent to ACC on 22

November 2002.   ACC investigated Mr O’Neill’s claims and obtained reports from other  health  professionals  on  the  treatment  given  by  Professor  Windsor  and  the Auckland District Health Board during the period that Mr O’Neill was under their care.

[12]     On 12 March 2003, an authorised officer wrote to Mr O’Neill to advise that

his “claim [had] been declined because it  [did]  not  meet  the  criteria  for  medical misadventure”.  A more detailed report was sent to Mr O’Neill, together with copies

of relevant documents used by ACC to reach that opinion.  Mr O’Neill was advised that he had three months within which to seek a review of ACC’s decision.

[13]     Although the surgery and post-operative care of which Mr O’Neill complained was carried out at a time when  the Accident Rehabilitation and Compensation Insurance Act 1992 was in force, the claim fell to be determined under the  Injury Prevention, Rehabilitation  and Compensation Act 2001  (the Act).

Part 5 of the Act deals with dispute resolution, in relation to a decision by ACC on any particular claim.

[14]     On 25 May 2003, Mr O’Neill sent an email to the authorised officer of ACC indicating he was unable to meet the deadline for seeking a review because of the length  of  time  required  to  collate  necessary  evidence.  He  sought  an  indefinite extension of time to seek a review.

[15]     On 27 May 2003, ACC responded to Mr O’Neill’s communication, advising that there was no power to grant an indefinite extension of time but that his email of

25 May 2003 had been referred to its Review Unit, to be processed as an application

for  review  of  ACC’s  decision  to  decline  cover.        Section  138(1)  requires  that  a reviewer must act “independently”, when conducting a review.

[16]     Mr R M Carter was appointed as the Reviewer.  On 9 July 2003, he wrote to Mr O’Neill, with copies being sent to ACC and Professor Windsor, indicating that he wished to consider, as a preliminary point, whether he had jurisdiction to determine the “application” for review. He described the issue as “whether or not the application for review form dated 22 June 2003 can be accepted, even though it was outside the three months, because there are  extenuating   circumstances   under

s 135(3)”  of  the  Act. As  an  alternative,  Mr  Carter  indicated  he  would  consider whether  the  email  of  25  May 2003  could  be  accepted  as  an  application  to  review ACC’s decision.  He added:

I will set down a hearing date of this preliminary matter shortly. I will ask a member  of our staff  [Dispute  Resolution  Services] to seek [Mr O’Neill’s] ACC’s and Mr Windsor’s agreement to that date. Alternatively, the preliminary  hearing  can  be  conducted  by  way  of  teleconference,  with  the agreement of the parties.

After the hearing of this preliminary matter, I will issue a written decision, either confirming that I have jurisdiction to consider the substantive issue of medical misadventure or declining jurisdiction.

If I decide that I have jurisdiction, then a further hearing on the substantive issue will take place.  (my emphasis)

[17]     Section  135  of  the  Act  sets  out  the  procedure  to  seek  a  review.   A  review application must comply with s 135(2).  Section 135(2) provides:

135  How to apply for review

...

(2)The application must— (a)  be written:

(b)   whenever practicable, be made on the form made available by the Corporation for the purpose:

(c)  identify the decision or decisions in respect of which it is made: (d)  state the grounds on which it is made:

(e)  if known by the applicant, state the relief sought: (f)  be made within 3 months of—

(i)   the  date  on  which  the  claimant  has  a  decision  under section 58; or

(ii)   the  date  on  which  the  Corporation  gives  notice  under section 64; or

(iii)   in the case of a  decision under the Code, the  date on which the claimant is notified of the decision:

(g)    in  the  case  of  a  review  application  relating  to  a  claim  for entitlement, not be made less than 21 days after the date the claim for entitlement is made.

....

[18]     The obligations of a Reviewer are set out in s 145.   Section 145(1) and (3)

provide:

145  Review decisions: substance

(1)  In making a decision on the review, the reviewer must—

(a)  put aside the Corporation's decision and look at the matter afresh on the basis of the information provided at the review; and

(b)   put aside the policy and procedure followed by the Corporation and  decide  the  matter  only  on  the  basis  of  its  substantive  merits under this Act.

...

(3)  The reviewer must—

(a)  dismiss the application; or

(b)  modify the Corporation's decision; or

(c)  quash the Corporation's decision; or

(d)   direct the Corporation to make a decision within a time frame specified  by  the  reviewer  if  the  Corporation  has  not  made  the decision  in  a  timely  manner  as  contemplated  by  sections  54  and 134(1)(b); or

(e)   make  the  decision  for  the  Corporation  if  it  has  not  made  a decision  in  a  timely  manner  as  contemplated  by  sections  54  and

134(1)(b).

....

[19]     The hearing on  the  preliminary  issue  took  place  on  29  July  2003. In  a decision given on 13 August 2003, Mr Carter determined that the email of 25 May

2003  did  not  contain  the  information  required  by  s 135(2)  of  the  Act  and  was, therefore, invalid.

[20]     ACC’s response to Mr Carter’s  decision  was  to  forward  a  further  letter  to Mr O’Neill, dated 21 August 2003, in which it stated that Mr O’Neill’s  claim had been “reconsidered”.  Once again, the reason for declining the claim was stated to be “because  it  does  not  meet  the  criteria  for  medical  misadventure”. Expressly,  the author of the letter said:

... This is a new decision letter.

Mr O’Neill was, again, given notice of the requirements to seek a review.

[21]     On 13 November  2003, Mr O’Neill sought a review  of  the  decision  of  21

August 2003.  Receipt of his application was acknowledged, on 17 November 2003. ACC’s letter of that date indicated that Mr O’Neill would be “advised of the date, time and location of the hearing should the matter proceed to a review hearing”.

[22]     The second review was heard by Mr M J Dunn, on 12 February 2004. He gave a decision on 23 February 2004. He declined to review the “new decision” because ACC had not received any new medical information on which a fresh decision could be based. Mr Dunn held that there was no “new” decision that could

be reviewed.

[23]     Before  Mr  Dunn,  Mr  O’Neill  had  submitted  that  the  procedural  flaws  that resulted in Mr Carter’s decision had given rise to a “deemed decision” in his favour, under s 146 of the Act.  Mr Dunn held that Mr O’Neill was not entitled to a “deemed decision”  because  Mr  Carter’s  finding  that  the  original  review  application  was invalid precluded the operation of s 146.  Section 146 is set out at para [50] below.

[24]     Notwithstanding his view on the jurisdictional issues, Mr  Dunn went on to express opinions on the substantive  question of medical  misadventure. He concluded that there was no basis for Mr O’Neill to challenge ACC’s decision.  That part of his decision was, however, prefaced with the following remarks:

For   the   sake   of   completeness,   and   because   the   parties   have   devoted considerable  time  preparing  and  presenting  their  respective  cases  on  the substantive issue, I go on to set out my views concerning the merits of Mr O’Neill’s medical misadventure claim.   I reiterate, however, that I have no jurisdiction to make a decision in this regard.   My views on the substantive issue are, therefore, not binding, and have no consequences for any of the parties.  (my emphasis)

[25]     Mr Dunn, in  considering  the  substantive  issue,  focussed  on  whether  Mr O’Neill  had  suffered  a  personal  injury as  a  consequence  of  medical  misadventure, either through medical error or medical mishap.   As  I read his decision, Mr Dunn took  the  view  that  ACC’s  position  was  justified  because  Mr  O’Neill’s  medical condition was not caused by medical error.

[26]     Mr O’Neill appealed against Mr Dunn’s decision.   In a letter dated 14 June

2004,  to  the  Registrar  of  the  District  Court  responsible  for  accident  compensation appeals,  present  counsel  for  ACC  (Mr  Tuiqereqere)  confirmed,  in  relation  to  Mr O’Neill’s  appeal  against  Mr  Dunn’s  decision,  that  ACC  continued  to  concede  the question of jurisdiction, in relation to the substantive claim for cover.

[27]     In doing so, ACC accepted that Mr Dunn’s decision of 23 February 2004 was correct,  to  the  extent  that  ACC’s  letter  of  21  August  2003  did  not  represent  a decision from which an application for review could be brought.  Counsel suggested that ACC was able to treat the application for review of 13 November 2003 as a late application  for  review,  there  being  “extenuating  circumstances”  to  permit  that: s 135(3).

[28]     The appeal was  heard  before  Judge  Beattie,  on  12  November  2004. The

Judge observed that the events leading to the appeal had “followed a tortuous path”.

He  added  that  in  “considerable  measure  [Mr  O’Neill  was]  justified  in  feeling aggrieved at the way that events have gone against him”.

[29]     Having recorded that counsel for ACC, Professor Windsor and the Auckland District Health Board had conceded that the District Court had jurisdiction to hear a substantive appeal from the decision of 12 March 2003 declining Mr O’Neill’s claim

for cover for personal injury by medical misadventure, the Judge observed that Mr O’Neill had not been prepared to argue the appeal on that basis. Mr O’Neill’s position remained that the effect of the decision-making processes to that time had resulted in a “deemed” decision in his favour under s 146 of the Act.

[30]     Judge Beattie considered whether it was open to Mr Dunn to determine the “deemed  decision”  point.   He  was  satisfied  that  it  was.   In  the  Judge’s  view,  that meant the point was one the District Court could consider, in exercising its appellate jurisdiction under s 149 of the Act.

[31]     Judge  Beattie  held  that  Mr  O’Neill’s  submission  that  Mr  Carter’s  decision was  a  “nullity or  invalid”  lacked  merit.   The  Judge  considered  that  Reviewer  was seized of the issue of jurisdiction and was entitled to rule on it.  Judge Beattie found that the way in which Mr Carter undertook his review did not give rise to a deemed decision.

[32]     Having reached that point, Judge Beattie observed that the substantive question about cover remained unargued and undetermined, on appeal. He directed that the Registrar administer the appeal before him with a view to having substantive issues resolved as soon as practicable, notwithstanding Mr Dunn’s finding that he (as Reviewer) had no jurisdiction to review the Corporation’s decision.

[33]     The Registrar set the appeal down for hearing before Judge Barber, in October  2006. While unorthodox, the only conclusion I can draw is that Judge Beattie  and  Judge  Barber  each  heard part of the one appeal. That means  that  Mr

O’Neill’s  application  for  leave  to  appeal  to  this  Court,  from  the  District  Court’s appeal judgment, necessarily encompassed both decisions given in that Court.

[34]     Judge Barber did not consider whether he had jurisdiction to hear an appeal from Mr Dunn’s observations on the merits. On one view, given the comments that Mr Dunn made in relation to jurisdiction (see para [24] above) the observations were gratuitous and had no legal effect. It is unfortunate that the Judge did not deal expressly with the jurisdictional point. Jurisdiction can never be conferred by consent.

[35]     Judge Barber dealt only with the substantive issue. After reviewing evidence and  relevant provisions of the statute, Judge  Barber found that Mr  O’Neill’s “suffering” arose from some other cause than “any physical injury as a result of his medical treatment”. Further, the Judge found that the claim did not meet the criteria

for “medical error” or “medical mishap”.

[36]     So far as the “physical injury” finding is concerned, Judge Barber’s finding was the first to deal with that point.  It is questionable whether ACC ever rejected the claim  on  the  grounds  of  lack  of  a  qualifying  “personal  injury”,  as  opposed  to  an absence of proof of causation by medical misadventure.

[37]     I  also  record,  as  neutrally  as  possible,  that  Mr  O’Neill  indicated  to  Judge Barber that he did not have sufficient information available to argue the substantive issue at that time.   From a practical perspective, the District Court did not receive full  argument  on  the  issues  before  it  and  no  witnesses  were  called  to  be  cross- examined.  As in this Court, Mr O’Neill represented himself in the District Court.

[38]     Counsel for Professor Windsor and the Auckland District Health Board appeared at both appeal hearings, before Judge Beattie and Judge Barber respectively.

The question of standing

(a)   The legislative framework

[39]     Although the alleged medical misadventure occurred in 1994, 1995 or 1998, the  question  of  cover  fell  to  be  determined  under  the  Act.   Sections  142  and  155 prescribe the parties who may attend and be heard at review and appeal hearings.

[40]     Prior to 1 July 2005, ss 142 and 155 provided:

142  Persons entitled to be present and heard at hearing

The  following  persons  are  entitled  to  be  present  at  the  hearing,  with  a representative if they wish, and to be heard at it, either personally or by a representative:

(a)  on every review, the applicant and the Corporation;

(b)  if the review relates to a decision to accept or decline cover for personal injury caused by medical error, any registered health professional  or  organisation  whose  action  or  inaction  was  the ground of the claim;

(c)  if  the  applicant  is  a  treatment  provider,  a  registered  health professional or an organisation referred to in paragraph (b), the claimant;

(d)  if the review relates to a decision to accept or decline cover for a work-related personal injury, -

(i)  the claimant; and

(ii) the claimant’s employer; and

(iii) in  the  case  of  a  claim  for  cover  for  personal  injury  under section 30, any employer whose name the reviewer receives from the claimant or from the claimant’s employer or from the  Corporation  so  that  notice  can  be  given  under  section 141(3),  if  the  name  is  that  of  any  other  employer  of  the claimant  or  any  former  employer  of  the  claimant.     (my emphasis)

155  Hearing of appeal

(1)  The following persons are entitled to appear at the hearing of the appeal and to be heard at it, either personally or by a representative:

(a)  the appellant:

(b)  any other person who had a right to be present and heard at the hearing of the review.

(2)   An appeal is a rehearing, but evidence about a question of fact may be brought before the court under section 156(2).

[41]     Section 142 was amended by the Injury Prevention, Rehabilitation and Compensation Amendment Act (No 2) 2005. The purpose of the 2005 Amendment was to eliminate the need for  ACC to  make a  finding of medical  error.  Instead, relevant claims were reclassified as  being  made  for  “treatment  injuries”. Section

142(b) and (c) was repealed to remove standing for a registered health professional

or organisation whose action or inaction was the ground of the claim.  Once the need

for the Corporation to find a particular “medical error” was removed, there remained

no reason for a health professional or organisation to be heard. Reputational and disciplinary issues that might have flowed from a finding of medical error had been removed by the  amendment to the law. While s 142 is directed solely at reviews, only those  people  who  can appear at a review are entitled  to be  heard  on  appeal:

s 155(1)(b).

[42]     The circumstances in which a health professional or  organisation  might  be permitted  standing,  notwithstanding  repeal  of  s 142(b) and  (c),  is  addressed  by  a transitional  provision,  inserted  by  s 13  of  the  2005  Amendment. That  provision, now  s 34  of  the  Act,  deals  with  cover  for  personal  injury  caused  by  medical misadventure before 1 July 2005.  Section 34 provides:

34  Cover for personal injury caused by medical misadventure before 1

July 2005

(1)  This section applies to—

(a)     claims for cover for personal   injury   caused   by   medical misadventure  that  were  lodged  with  the  Corporation  before  1  July 2005, but have not been determined; and

(b)     claims for cover for personal injury caused by medical misadventure  that  were  declined  by the  Corporation  before 1 July

2005, but are lodged again on or after that date as claims for cover

for   treatment   injury   (and   not   lodged   as   claims   referred   to   in subsection (4)).

(2)  Claims lodged in the circumstances described in subsection (1) must be determined under the relevant provisions in force immediately before 1 July

2005.

(3)  Reviews and appeals must be dealt with under the relevant provisions of Part  5  in  force  immediately  before  1  July  2005,  if  the  decision  being reviewed or appealed—

(a)  was made before 1 July 2005; or

(b)  is one to which subsection (2) applies.

(4)  Subsection (1)(b) does not apply in relation to a claimant if,—

(a)   before  1  July  2005,  the  Corporation  declined  the  claimant's claim for cover for personal injury caused by medical misadventure because there was no personal injury; and

(b)  on or after 1 July 2005, the claimant lodges a claim for cover for treatment injury in respect of a personal injury that—

(i)   occurred  after  the  decision  to  decline  the  earlier  claim

(whether before or after 1 July 2005); and

(ii)   arises  out  of  the  circumstances  on  which  the  earlier claim was based.

Section 34 appears in Part 2 of the Act, which deals with the circumstances in which cover may be granted.

(b)   Analysis

[43]     Mr Tuiqereqere and Mr Lewis (for Professor Windsor, whom I gave leave to interview) submitted that s 34(3) ought to be afforded primacy over s 34(1) to give the medical practitioner standing before the District Court. They supported that submission, with references to ss 7, 17(1)(b) and (c) and 18(2) of the Interpretation Act 1999; dealing with the  question of validity (or  invalidity) of retrospective legislation.

[44]     Section  34(1)  is  directed  to  the  original  ACC  decision  to  allow  or  refuse cover. Mr O’Neill’s claim does not fit within either s 34(1)(a) or (b).   Only those claims that fall within s 34(1) continue to be dealt with under the pre 1 July 2005 law: s 34(2).

[45]     Notwithstanding the problems arising out of jurisdictional issues with which both reviewers and the District Court were concerned, the original claim for cover

was lodged with ACC before 1 July 2005 and has been determined.  At this stage, no separate claim has been made, on or after 1 July 2005, for “treatment injury” (as that term is defined by s 32 of the Act), so s 34(1)(b) does not come into play.

[46]     In  interpreting  legislation,  Courts  are  required  to  determine  its  meaning  by reference to the text of the provision read in light of its purpose: s 5(1) Interpretation Act  1999.   Taking  account  of  the  purpose  of  s 34,  Parliament  must  have  intended that  rights  of  hearing  for  medical  practitioners  and  relevant  organisations  would remain,  in  respect  of  any  claims  dealing  with  medical  misadventure  but  would  be jettisoned  in  respect  of  claims  for  treatment  injuries,  under  the  new  regime.   That interpretation is consistent with the terms of s 34(1).

[47]     Section 34(3)  is  the  only  part  of  the  transitional  provision  that  applies to reviews or appeals. The policy underlying the sub-section is clear. Health professionals and relevant organisations who would have had standing to be heard on a review or appeal from a decision made before 1 July 2005 continue to enjoy that right in respect of reviews or appeals that have not been concluded by that date.  On that basis, it is clear that Professor Windsor and the Auckland District Health Board were  entitled  to  be  heard  at  the  review  and  appeal  hearings  that  followed  ACC’s decision to decline cover to Mr O’Neill.  There is no conflict between s 34(1) and (3) when the statute is properly interpreted.

[48]     For those reasons, Mr O’Neill’s appeal fails, on the point on which leave was granted by Asher J.

A deemed decision?

[49]     The circumstances in which a “deemed decision” is given on review are set out in s 146 of the Act:

146  Deemed review decisions

(1)  The reviewer is deemed to have made a decision on the review in favour

of the applicant if—

(a)   the date for the hearing has not been set within 3 months after the review application is received by the Corporation; and

(b)  the applicant did not cause, or contribute to, the delay.

(2)  The date of the deemed decision is 3 months after the review application

is received.

[50]     Asher J  did  not  give  leave  to  appeal  on  whether  a  “deemed  decision”  had been given under s 146 of the Act.  He said:

The deemed decision

[9]      It was very difficult to understand Mr O’Neill’s submission on this point.  In so far as he appears to rely on a deemed review decision, that was not something that was before Judge Barber, or that he determined.  He was unable to point to any specific error of Judge Barber in this regard.  I am not satisfied that there is any point of law that arises under this head.

[51]     Understandably,  Asher J  did  not  appreciate  that  Judge  Beattie’s  finding  on whether a deemed decision had been given was made in the same appeal on which leave  to  appeal  was  sought.   Had  the  Judge  appreciated  that  point,  as  well  as  the nature  and  importance  of  the  legal  issue  to  Mr  O’Neill,  I  consider  that  leave  to appeal was likely to have been given.

[52]     There seem to be arguable points in relation to the s 146 issue.  For example, Mr Carter (expressly)  did not set  a date for the  substantive review at  all: see para

[16]  above.   It  is  distinctly  arguable  that  s 146(1)  applies  to  a  substantive  review only: see s 145(1) and (3), set out at para [18] above.

[53]     At the hearing before me, I indicated to Mr Tuiqereqere that I did not wish to hear  from  him  on  the  “deemed  decision”  point.  As  I  now  regard  the  issue  as seriously arguable and it arose out of the same appeal from which leave to appeal was given by Asher J, I wish to consider whether the appeal should be expanded to cover the deemed decision point.   ACC and Professor Windsor (as intervener)  are entitled to be heard on that issue, should they wish to do so.   Counsel may wish to consider  r 1.9(2)  of  the  High  Court  Rules  in  relation  to  the  possible  expansion  of grounds for appeal.

Substantive issues determined by Judge Barber

[54]     Having  reviewed  the  information  more  carefully,  there  are  two  potential appeal points arising out of Judge Barber’s decision on substantive issues.  They are:

a)        Did Judge Barber have jurisdiction to deal with a substantive appeal, given the observations made by Mr Dunn set out at para [24] above?

b)If Judge Barber did have jurisdiction, did he err in his approach to the appeal by considering whether a “personal injury” had been suffered, when that point had not been relied upon in either of ACC’s purported decision letters?

[55]     If Judge Barber did not have jurisdiction to deal with substantive issues or erred in his approach, it is conceivable that Mr O’Neill could re-lodge a claim under the “treatment injury” regime, which would mean it is unnecessary for him to prove any personal injury was caused by a particular  medical  error  or  mishap:  see

s 34(1)(b) and (4).

Conclusion

[56]     I  am  not  prepared  to  dispose  of  the  appeal  at  this  stage.  I  wish  to  hear submissions  on  whether  the  grounds  of  the  appeal  should  be  expanded,  having regard to the points I have raised.

[57]     The appeal is adjourned until 9am on 12 February 2010 (for a hearing of not more than one hour) for oral submissions to be made on the following questions:

a)        Should leave to  appeal  be extended to the  “deemed decision”  point, on which Judge Beattie held against Mr O’Neill in his judgment of 17

November 2004?

b)Did   Judge   Barber   have   jurisdiction   to   deal   with   the   purported substantive appeal?

c)        If Judge Barber had jurisdiction to deal with substantive issues, did he err  in  determining  the  appeal  on  the  basis  that  Mr  O’Neill  did  not suffer a “personal injury”, rather than focussing only the reason given for  declinature,  that  “medical  misadventure”  had  not  caused  any injury?

[58]     Brief submissions in writing (not more than five pages) shall be filed and exchanged no later than five working days before the hearing, to deal only with the question whether the appeal grounds should be expanded. If I were to expand the grounds of appeal, I will give directions about whether a further oral hearing should

be held or submissions made in writing.  I indicate that I may also consider whether

to appoint amicus curiae [counsel to assist the Court on legal issues], if the appeal points were enlarged.

[59]     All questions of costs are reserved, pending the outcome of the appeal.

[60]         Although the point cannot be raised on appeal, I should be grateful if Mr Tuiqereqere could consider whether there would be any statutory impediment, in ACC’s view, to Mr O’Neill re-lodging a claim under the “treatment injury” regime. Unless this appeal were ultimately resolved in favour of Mr O’Neill on one of the new points raised, that may be the most appropriate way to ensure that the claim is resolved substantively, on a proper and prompt basis.

[61]     In particular, I would like Mr Tuiqereqere to ascertain whether ACC, at any time, decided that there was no “personal injury”, as distinct from a “personal injury caused  by  medical  misadventure”.           I should be grateful if  Mr Tuiqereqere  could

advise me of the result of his inquiries at the hearing on 12 February 2010.

P R Heath J

Delivered at 2.30pm on 14 December 2009

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