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Flaherty v Secretary, Department of Health and Ageing [2010] FCA 63 (12 February 2010)
Last Updated: 15 February 2010
FEDERAL COURT OF AUSTRALIA
Flaherty v Secretary, Department of
Health and Ageing [2010] FCA 63
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Citation:
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Flaherty v Secretary, Department of Health and Ageing [2010] FCA 63
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Parties:
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TIMOTHY JOHN FLAHERTY v THE SECRETARY,
DEPARTMENT OF HEALTH AND AGEING, THE AUSTRALIAN COMMUNITY PHARMACY AUTHORITY and
MARGARET HINDE
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File number(s):
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NSD 737 of 2009
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Judge:
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MOORE J
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Date of judgment:
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Catchwords:
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ADMINISTRATIVE LAW - whether the delegate's
power to cancel the pharmacist's approval to supply pharmaceutical benefits
under s 98(3) of the National Health Act 1953 (Cth) was exercised -
nature of the statutory regime - whether there was procedural fairness –
whether jurisdictional error
– distinction between matter which might
constitute irrelevant or relevant consideration and factual matters - relevance
of
s 33(3) of the Acts Interpretation Act 1901.
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Legislation:
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Acts Interpretation Act 1901 (Cth) ss
3(3), 33(3) Administrative Decisions (Judicial Review) Act 1977 (Cth)
ss 5, 6Medicare Australia Act 1973 (Cth)
ss 5(1)(d), 98 National Health Act 1953 (Cth) ss 84,
85, 90, 98(3), 99K, 99L, 100, 100AAPharmacy Act 1964 (NSW)
Medicare Australia (Functions of Chief Executive Officer) Direction 2005
s 20
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Cases cited:
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Place:
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Sydney
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Division:
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GENERAL DIVISION
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Category:
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Catchwords
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Number of paragraphs:
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Counsel for the Applicant:
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Solicitor for the Applicant:
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Michael Flaherty Solicitor
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Counsel for the First and Second Respondents:
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A Dillon
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Solicitor for the First and Second Respondents:
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Australian Government Solicitor
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Counsel for the Third Respondent:
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S C G Burley SC with J T G Gibson
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Solicitor for the Third Respondent
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The People's Solicitor
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IN THE FEDERAL COURT OF AUSTRALIA
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NEW SOUTH WALES DISTRICT REGISTRY
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TIMOTHY JOHN
FLAHERTYApplicant
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AND:
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THE SECRETARY, DEPARTMENT OF HEALTH AND
AGEINGFirst Respondent
THE AUSTRALIAN COMMUNITY PHARMACY AUTHORITY Second
Respondent
MARGARET HINDE Third Respondent
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DATE OF ORDER:
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WHERE MADE:
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THE COURT ORDERS THAT:
- Subject
to order 2, the application be dismissed.
- The
Court declares that the decision of the first respondent of 20 April 2009
cancelling the approval of the third respondent as an
approved pharmacist is
null and void.
- The
applicant is to pay the respondents' costs.
- Orders
1 to 3 take effect at 4pm on 12 February 2010.
Note: Settlement and entry of orders is dealt with in Order 36 of
the Federal Court Rules.
The text of entered orders can be located using
Federal Law Search on the Court’s website.
IN THE FEDERAL COURT OF AUSTRALIA
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NEW SOUTH WALES DISTRICT REGISTRY
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GENERAL DIVISION
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NSD 737 of 2009
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BETWEEN:
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TIMOTHY JOHN FLAHERTY Applicant
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AND:
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THE SECRETARY, DEPARTMENT OF HEALTH AND AGEING First
Respondent
THE AUSTRALIAN COMMUNITY PHARMACY AUTHORITY Second
Respondent
MARGARET HINDE Third Respondent
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JUDGE:
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MOORE J
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DATE:
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12 FEBRUARY 2010
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PLACE:
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SYDNEY
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REASONS FOR JUDGMENT
Introduction
- Ordinarily,
in order to effectively carry on business as a pharmacist in Australia, it is
necessary to be an approved pharmacist
under the National Health Act 1953
(Cth) ("NH Act"). Approval allows a pharmacist to supply and sell
drugs under the Commonwealth pharmaceutical benefits scheme
("PBS"). Ms
Margaret Hinde, the third respondent, has this approval in relation to premises
in a country town, Aberdeen, in New
South Wales. However she is presently
serving a custodial sentence in a New South Wales prison. The applicant, Mr
Timothy Flaherty,
is a pharmacist who wishes to secure approval to act as an
approved pharmacist at the same premises. He challenges in these proceedings
a
number of decisions and related conduct which, on their face, have had the
result that Ms Hinde continues to have approval in relation
to those
premises.
- This
is an application under ss 5 and 6 of the Administrative Decisions
(Judicial Review) Act 1977 (Cth) to review several decisions nominally of
the Secretary, Department of Health and Ageing ("the Secretary" or "the
Department"),
the first respondent, not to cancel Ms Hinde's approval to supply
pharmaceutical benefits from premises at 1 Segenhoe Street, Aberdeen
("the
Premises").
Background in summary
- Ms
Hinde was the first pharmacist to carry on business as a pharmacist in Aberdeen.
She began dispensing drugs there under the Commonwealth
pharmaceutical benefits
scheme as an approved pharmacist in 2001. She relocated her pharmacy in 2003 to
the Premises which she leased.
Her right to practice as a pharmacist (a right
existing under New South Wales law: the Pharmacy Act 1964 (NSW)) was
suspended on 20 September 2007 because of her alcohol dependency. But Ms Hinde
was allowed to manage the pharmacy and
employ locum pharmacists to dispense
prescriptions. On 15 October 2007, Ms Hinde was involved in a serious motor
vehicle accident
in which one person was killed and another badly injured. She
suffered severe injuries, including trauma to her brain, spine, joints
and
bones. Her injuries required continuing treatment and further hospitalisation.
Between 12 – 14 August 2009, she returned
to hospital to have a plate
removed from her left leg.
- On
16 October 2007, the day after the accident, the Premises were badly damaged by
fire (apparently deliberately lit) and all stock
was destroyed. On 20 February
2008 the lessor, Mr David Nash, executed a notice of termination purporting to
terminate the lease
of the Premises. Mr Flaherty entered a lease of the
Premises on 28 April 2009. In these proceedings it was suggested that the
notice
of termination of the lease with Ms Hinde dated 20 February 2008 was
ineffective. There was a factual issue about whether it was
ever served.
However the parties accepted that whether the lease was terminated then or about
that time and the status of the lease
executed by Mr Flaherty were not issues I
should be called on to decide.
- Following
the accident, Ms Hinde pleaded guilty to a number of serious offences relating
to the accident. She had been driving under
the influence of alcohol and the
accident was her fault. She was charged and convicted of causing death and
serious injury. On
3 April 2009 she was given a custodial sentence.
The practical operation of the statutory scheme in overview
- The
power to grant approvals in relation to pharmacists is conferred on the
Secretary by s 90 of the NH Act. The essential approval is to supply
pharmaceutical benefits from particular premises. Approval is required to
establish a new
pharmacy, to relocate an existing pharmacy, to change ownership,
expand or contract an existing pharmacy or temporarily close a pharmacy.
In
some, but not all circumstances, an application for approval either must or can
be referred to the second respondent, the Australian
Community Pharmacy
Authority ("the Authority"). It is an independent statutory authority
established under s 99J of the NH Act. Its role is to consider certain
types of applications for approval under s 90 of the NH Act to supply
pharmaceutical benefits, and to make recommendations to the Secretary as to
whether an application should be approved.
The Authority must comply with the
requirements of the National Health (Australian Community Pharmacy Authority
Rules) Determination
2006, in making its recommendations.
- Section
98 confers a power to cancel an approval though the exercise of this power does
not involve the Authority. Subsection (3)
confers, relevantly, a power to
cancel if the approved pharmacist is not carrying on business as a pharmacist at
the premises to
which the approval relates. The Secretary's powers to grant and
cancel pharmacists' approvals have been conferred on the Chief Executive
Officer
of Medicare Australia by s 20 of the Medicare Australia (Functions of
Chief Executive Officer) Direction 2005 which was made under s 5(1)(d)
of the Medicare Australia Act 1973 (Cth) (the MA Act). The Chief
Executive Officer may under s 8AC of the MA Act delegate in writing to an
employee all or any
of the power or functions under the MA Act, including the
powers under s 98.
- From
time to time circumstances may arise which might warrant the exercise of the
power to cancel but instead of exercising it, a
decision is made to deactivate
the approval. Deactivation is not a concept embodied in this legislation.
Medicare Australia has
formulated guidelines ("the Guidelines") concerning when
an approval might be deactivated rather than cancelled.
- The
NH Act addresses what are pharmaceutical benefits in ss 84 and 85 and,
shortly described, they included drugs, forms of a drug, forms of a drug
administered in a particular way or brands of drug
in relation to which by
operation of a determination or a declaration, benefits are provided by the
Commonwealth. The pharmaceutical
benefits may also cover special pharmaceutical
products as provided for in ss 100 and 100AA.
Chronology of decisions concerning Ms Hinde's approval
- Between
8 January 2008 and 17 August 2009 a number of decisions, described with no
particular legal precision, relating to Ms Hinde's
approval were made:
- 8 January 2008:
decision not to cancel and to deactivate the approval from 16 October 2007 to 31
March 2008.
- 31 March 2008:
decision not to cancel and to deactivate the approval to 31 July 2008.
- 12 August 2008:
decision not to cancel and deactivate the approval to 16 October 2008.
- 20 April 2009:
decision to cancel the approval.
- 26 May 2009:
decision to reinstate, not to cancel and to deactivate the approval to 10 July
2009.
- 8 July 2009:
decision not to cancel and to deactivate the approval to 17 August 2009.
- 17 August 2009:
decision not to cancel and to deactivate the approval.
- Ultimately,
the applicant only challenges, in these proceedings, what occurred on 26 May, 8
July and 17 August 2009. As noted in
the preceding section, the description of
a decision as a decision to deactivate an approval has currency amongst those
involved
in the process but is not, in terms, a process comprehended by the Act.
It describes a decision not to cancel an approval in circumstances
which might
otherwise lead to its cancellation. The parties did not address the question of
whether approving or granting a deactivation
involved making a decision for the
purposes of the ADJR Act and it was not an issue in the proceedings. Probably
the better view
is that a decision to deactivate an approval (and thus not
cancel the approval) is a decision having regard to the width of the language
in
s 3(2) of the ADJR Act defining expansively, the expression "the making of
a decision" and, in particular, the reference
to "refusing to do any other act
or thing" in part (g) of that subsection. At various points in these reasons I
speak of a decision
to deactivate or a decision not to cancel the approval but I
do not intend the use of the word "decision" in this context to have
any
particular legal significance.
The decision-making process in context
- The
following represents findings of fact though little of what follows appears to
be controversial. By letter dated 8 January 2008,
a delegate of the Chief
Executive Officer of Medicare Australia, Ms Karen Carey, granted a request of Ms
Hinde to deactivate her
approval for the period 16 October 2007 to 31 March
2008. This was in response to a letter from Ms Hinde of 3 January 2008
requesting
deactivation for that period. She identified two circumstances as
the basis for her request. The first was that she had suffered
severe injuries
in the motor vehicle accident on 15 October 2007 which required prolonged
hospitalisation and a period of recuperation.
The second was that the Premises
had been severely damaged by fire on 16 October 2007 and repairs were not due to
begin until January
2008. It is clear from the delegate's letter that she
accepted these circumstances justified deactivation and said that they "fall
within the relevant considerations outlined in section 5 of the Guidelines."
The delegate indicated that any further request for
the deactivation beyond 31
March 2008 should be made before that date.
- By
letter dated 24 March 2008, Ms Hinde requested a further period of deactivation
(from 31 March 2008 to 31 July 2008). She identified
two circumstances
supporting the request. The first was ongoing treatment for her injuries. The
second were delays in the repair
to the Premises and problems with the
landlord's insurance company. By letter dated 31 March 2008 another delegate,
Ms Julie Martinez,
granted the request to deactivate the approval for the period
31 March 2008 to 31 July 2008. Again, the delegate indicated she was
satisfied
that the matters raised by Ms Hinde fell "within the relevant considerations
outlined in section 5 of the Guidelines".
Again the delegate indicated that any
fresh application for further deactivation had to be made before 1 August 2008.
- A
further period of deactivation until 16 October 2008 was requested by Ms Hinde
by letter dated 3 August 2008. The reasons given
were that she required further
surgery and the shop renovations were not complete. Ms Hinde indicated she was
trying to employ a
locum pharmacist. By letter dated 12 August 2008, another
delegate, Mr Chris Watt, granted the request for the period 31 July 2008
to 16
October 2008. However the letter noted that the deactivation period would
expire on 17 October 2008 and the delegate said,
"Unless exceptional
circumstances prevail no further extension will be considered after 16 October
2008".
- Events
from this time were a little less straightforward. At the end of October 2008,
Ms Hinde was detained in custody. Her bail
had been revoked. In the latter
part of November 2008, a representative of Medicare Australia sought to speak
with solicitors who
may have been acting for Ms Hinde. By the end of November
2008, Medicare Australia was contemplating writing to Ms Hinde effectively
asking her to show cause why her approval should not be cancelled. In early
December 2008 steps were taken to find an address to
which a letter could be
sent to Ms Hinde while she was in custody. In an e-mail to Ms Martinez of 1
December 2008 (Ms Martinez was
the delegate who made the decision to cancel the
approval on 20 April 2009), a Medicare Australia employee, Ms Morrison, set out
some of the difficulties in contacting a person held in a correctional centre
and the difficulty in finding them. She referred to
a discussion she had had
with Mr Shaw from the firm The People's Solicitor in which this difficulty had
been discussed. The e-mail
noted that Ms Hinde had to initiate a phone call and
then only to a person nominated on her list of contacts. The e-mail also noted
that Ms Hinde was then at the Malabar remand centre. It went on to note that Ms
Hinde might be moved to a different centre at any
time and it was advisable to
call the New South Wales Corrections National Office to confirm her current
location and obtain an updated
postal address.
- Such
a show cause letter was sent on or about 3 December 2008 by Mr Watt. The letter
noted that the Guidelines indicated that deactivation
beyond six months would
only be considered in exceptional circumstances and that Ms Hinde's approval had
been deactivated for over
12 months. The letter also noted that the closure of
the pharmacy was not temporary and that "I would not be ensuring the efficient
distribution of pharmaceutical benefits within the community if I were to allow
you further time for your pharmacy to remain closed
and unable to supply
pharmaceutical benefits". The letter noted that Ms Hinde might not be able to
reply within the usual 28 day
period and, accordingly, could provide a response
in writing no later than Friday 30 January 2008. In context, this was obviously
a reference to 30 January 2009. The letter went on to say that if a response
had not been received by then, a decision on whether
to cancel the approval
would be made on 13 February 2009 on information then available. Fairly
clearly, at this stage, almost 2
months was being afforded to Ms Hinde to
respond given what was perceived within Medicare Australia to be a real risk
that there
may be some delay in her receiving the letter and responding.
- A
responsive letter dated 28 January 2009 was received by Mr Watt on 30 January
2009. It was from solicitors stating they were acting
for Ms Hinde and simply
asserted they were instructed to inform him that "Ms Hinde is planning to reopen
a new pharmaceutical business
in due course" and intended to keep his office
informed. The letter was written by Mr Liu of the firm The People's Solicitors.
It
appears from a Medicare Australia file note that earlier, on 17 December
2008, a decision was made by Ms Martinez to "extend deactivation
to
30/1/09".
- It
is not absolutely clear from the evidence what happened within Medicare
Australia during February and March 2009 concerning Ms
Hinde's approval though
it appears there may have been one or two decisions to extend the deactivation.
However things came to a
head in April 2009. A decision to cancel Ms Hinde's
approval was made under s 98(3) of the NH Act. The conclusion to make
the decision was reached at some time between 15 and 20 April 2009. A letter
was written by a delegate,
Ms Martinez, to Ms Hinde dated 20 April 2009
informing her of the decision. The decision was made when the letter was
written: see
Semunigus v Minister for Immigration and Multicultural Affairs
[2000] FCA 240; (2000) 96 FCR 533 at [71] – [73] and [101]. The stated reasons in the
letter were that Ms Hinde was not carrying on business as a pharmacist and not
supplying pharmaceutical benefits at the premises in respect of which she was
approved. Internal e-mail correspondence put the reasons
as being the pharmacy
had not been trading since October 2007, numerous attempts to issue show cause
letters had failed, Ms Hinde
had been deregistered by the NSW Pharmacy Board,
there had been several applications for a new rural approval in the Aberdeen
area
(some had not been successful and one was then on foot) and pharmaceutical
benefits were not being supplied to the community.
- Before
proceeding further with events as they unfolded, a number of matters need to be
mentioned which occurred before this decision
to cancel was taken. On 13 March
2009, Ms Martinez wrote to Mr Liu, referring to his letter of 28 January 2009.
In that letter,
Ms Martinez asked for information on a number of matters which,
in substance, were particulars of the steps being taken by Ms Hinde
to reopen
the pharmacy at the Premises. The letter indicated that in the event that Ms
Hinde did not provide the relevant information
by 10 April 2009 a decision may
be made on whether to cancel Ms Hinde's approval. It should be noted that this
was allowing less
than a month for Mr Liu to obtain instructions from Ms Hinde
which, in at least the ordinary course, would require her to be furnished
with a
copy of a letter. On 1 April 2009 a licensed business agent (operating from
what appears to be a commercial emanation of
the Pharmacy Guild - the
professional association of pharmacists) wrote to Medicare Australia informing
it that a pharmacist, Ms
Caroline Sevil, had made an offer to Ms Hinde to
purchase the "approval number" and "transfer the pharmacy ownership to her".
Attached
to the letter to Medicare Australia was a letter of 31 March 2009 from
the agent to Ms Hinde containing the offer. The proposed
purchase price was
$320,000. That letter was addressed to Ms Hinde at the Silverwater Correctional
Centre. It should have been
apparent to Ms Martinez that there would probably
be some delays in attending to the consideration of the offer given the
knowledge
she acquired in December 2008 about the difficulties communicating
with a person in a correctional institution. In fact, the letter
was not
received by Ms Hinde until 24 April 2009. She had, at that time, been moved to
Emu Plains Correctional Centre. Ms Martinez
wrote to the agent on 2 April 2009
alluding to the possible purchase but noting Medicare Australia was only able to
act on Ms Hinde's
requests in relation to the approval.
- Returning
to events after the cancellation decision, Mr Liu rang Medicare Australia on 29
April 2009 and said that Ms Hinde had never
received the letter of 13 March 2009
and, I infer, said neither he nor Ms Hinde received the letter of 20 April 2009.
He also said
that he had a power of attorney for Ms Hinde. The same day, 29
April 2009, the agent acting for Ms Sevil spoke to Medicare Australia
informing
it that she would be sending in an application for a change of ownership and
relocation to a shop next door (to the Premises).
That application was received
that day. Also on 29 April 2009, Mr Liu wrote to Ms Martinez informing her that
he had not been able
to get instructions to respond to the Medicare Australia
letter of 13 March 2009 until the previous day. That is, he had not been
able
to get instructions until 28 April 2009. He repeated what he had said on the
phone earlier that day, namely that Ms Hinde never
received the letter of 13
March 2009. He also noted that Ms Hinde had been unable to determine her future
intentions until 3 April
2009 when she had been sentenced to a custodial
sentence which, he noted, prevented her considering any reopening of her
pharmacy.
He also noted that he had received instructions the previous day to
accept the offer from Ms Sevil. It appears that after Mr Liu
sent this letter,
he sent a second letter enclosing an application for approval for change of
ownership of the pharmacy.
- On
30 April 2009, Mr Liu wrote to Ms Martinez requesting that his client be given
due process and, in particular, she be given the
opportunity to present an
"appropriate case in reply" and indicating that unless this procedure was
followed, he "would regard our
client as not being afforded procedural
fairness".
- On
7 May 2009, Mr Liu wrote to Ms Martinez informing her that Ms Hinde had, on that
day, informed him that on 5 May 2009 she had
received the letter of 20 April
2009. He explained that the letter had arrived late for reasons concerning
where Ms Hinde was then
housed in the New South Wales prison system. He also
explained that deeds for sale had been exchanged on 29 April 2009 and requested
the "return of Ms Hinde's approval number to deactivated status from cancel
status" to facilitate the sale and noting, in effect,
that that would fulfil the
needs of the Aberdeen community.
- At
this point, Mr Flaherty commenced a dialogue with Medicare Australia about the
approval and the Premises. It received, on 8 May
2009, an application from him
for approval to supply pharmaceuticals from the Premises. On 21 May 2009, he
wrote, through his solicitors,
to Medicare Australia informing it that searches
had indicated that the pharmacist (Ms Hinde) at the Premises had not been a
registered
pharmacist for more than 18 months and that he was now the lessee of
the Premises. Confirmation was sought that Ms Hinde's approval
had been
cancelled and, if not, an indication of the status of the approval and when it
would be cancelled.
- In
the meantime, Medicare Australia sought legal advice (on 12 May 2009) about
whether there had been denial of procedural fairness
in relation to the decision
to cancel Ms Hinde's approval. That advice was given on 26 May 2009. It was to
the effect that Ms Hinde
had been given procedural fairness before 31 March 2009
but that it was arguable she had not been for the period 31 March 2009 to
the
date of cancellation on 20 April 2009. The view that there may have been a
denial of procedural fairness was founded on two
propositions. The first was
that the delegate, knowing that there was a possibility that the pharmacy might
be sold, did not seek
confirmation as to whether Ms Hinde would agree to the
sale and did not investigate why there had been no response to the show cause
letter. These steps were not taken in circumstances where the delegate was
aware of Ms Hinde's personal situation and the complexities
associated with
contacting her. The advice was that arguably this possible failure to afford
procedural fairness constituted jurisdictional
error. The advice went on to
indicate that even if the revocation of the approval had been valid, it was
still appropriate for the
delegate to review the matter and remake the decision.
The advice concluded that the delegate should review the matter taking into
account all facts and evidence then known and review the decision made on 20
April 2009 to cancel the approval and then either remake
the decision or confirm
the decision made on 20 April 2009.
- On
26 May 2009 Ms Martinez made a decision reinstating Ms Hinde's approval and
deactivating it. In a note of what, I infer, was a
discussion Ms Martinez had
with at least one other person within Medicare Australia on 26 May 2009, the
decision was made by her
because she was satisfied procedural fairness may not
have been afforded to Ms Hinde. At that time, Ms Martinez was contemplating
deactivation until 5 June 2009 "to preserve Ms Hinde's rights in relation
to the approval and the pending change of ownership".
She informed Mr Liu of
her decision by letter dated 2 June 2009 when she then indicated the
deactivation would be until 10 July
2009. The clear import of the letter was
that Mr Liu and a Mr Maloney (who Ms Martinez understood were joint attorneys
for Ms Hinde
under a general power of attorney) would prosecute the sale to Ms
Sevil which had earlier been brought to Medicare Australia's attention.
- Thereafter
events were influenced by the fact that Mr Flaherty was, or at least asserted he
was, the lessee of the Premises. On
23 June 2009, Ms Sevil spoke to Medicare
Australia and indicated that she still intended to purchase the pharmacy though
was then
aware that someone else had a lease on the premises. She indicated she
was contemplating relocating the pharmacy approval number.
She was told that
Medicare Australia had not been informed of her intention to relocate the
approval. She was advised that certain
formalities needed to be attended to
promptly in order to progress the application for change of ownership. Ms Sevil
appears to have
indicated that she would attend to them. The contents of this
conversation were relayed to Ms Martinez by e-mail.
- The
following day, 24 June 2009, Medicare Australia wrote to Ms Sevil indicating
what steps she should take to progress the matter
indicating that she should
provide Medicare Australia with evidence of her right to occupy the Premises.
The letter indicated that
she should send Medicare Australia the original change
of ownership application (the letter noted that only a faxed version had been
received which was almost illegible) and that these various matters needed to be
attended to by no later than 1 July 2009. On 25
June 2009 Mr Liu wrote
indicating "a special change of circumstances has arose (sic) that affects Ms
Hindes sale of the pharmacy".
He referred to the fact that another pharmacist
had taken what he described as a "standby" lease in relation to the Premises.
Doubtless
this was a reference to Mr Flaherty. Mr Liu said that other premises
suitable for a pharmacy were the subject of an application
for approval by
another pharmacist. He described this process as "blocking out" available
premises. He sought an extension of time
of the deactivation from 10 July 2009
for a further two months until 10 September 2009.
- In
late June 2009 there was correspondence concerning Ms Sevil's application for
change of ownership which, on 3 July 2009, was refused.
It was refused on the
basis that she could not supply pharmaceuticals from the Premises.
- In
the result, on 8 July 2009, Ms Hinde was granted a further extension of the
deactivation for 38 days to 17 August 2009. She was
informed of this in a
letter of 7 July 2009 to Mr Liu. The letter made it clear that the 38 day
extension would provide Ms Sevil
with two opportunities to lodge an application
for relocation of the approval which could be considered by the Authority either
on
28 August 2008 or 25 September 2009. The letter indicated that Ms Hinde's
approval would be cancelled without further notice if,
by 17 August 2009, Ms
Sevil had not lodged a complete application to relocate the approval. The
letter also indicated that if the
application was made and failed, Ms Hinde's
approval would be cancelled without further notice. Ms Sevil lodged such an
application
on 17 August 2009.
- A
further decision to extend the deactivation of Ms Hinde's approval was made on
or about 18 August 2009.
Legislative provisions and the documents creating the statutory scheme for the
grant and cancellation of approvals
- Approval
is granted to a pharmacist for the supply of pharmaceutical benefits at
particular premises. Section 90 of the NH Act
provides:
(1) Subject to this section, the Secretary may, upon application by a pharmacist
for approval to supply pharmaceutical benefits at
particular premises, approve
that pharmacist for the purpose of supplying pharmaceutical benefits at those
premises.
(2) ...
(3) Subject to this section, where an approved pharmacist desires to supply
pharmaceutical benefits at premises other than premises
in respect of which
approval has been granted, the Secretary may on application by the approved
pharmacist, grant approval in respect
of those other
premises.
"Pharmacy" is defined in this section as "a business in the course of the
carrying on of which pharmaceutical benefits are supplied."
- An
approval granted under s 90 can be cancelled under s 98(3) which
provides:
(3) If the Secretary is satisfied that:
(a) an approved pharmacist is not carrying on business as a pharmacist at
premises in respect of which the pharmacist is approved;
or
(b) the premises are not accessible by members of the public for the purpose of
receiving pharmaceutical benefits at times that,
in the opinion of the
Secretary, are reasonable;
then the Secretary may (at his or her discretion), by notice in writing to the
pharmacist, cancel the approval of the pharmacist
under section
90.
- The
expression "(at his or her discretion)" was added in 2003. The Explanatory
Memorandum for the Health and Ageing Legislation Amendment Bill 2003,
said of the amendment introducing that
expression:
Section 98 of the National Health Act 1953 provides the Secretary with
the power to cancel approvals to supply pharmaceutical benefits given to
pharmacist and medical practitioners
under sections 90 and 92 respectively.
Section 98AA provides the Minister with a similar power in regard to approvals
to supply pharmaceutical benefits given to hospital authorities
under section
94.
It is proposed to amend sections 98 and 98AA by inserting after the word "may",
the words "(at his or her discretion)" in the following relevant
subsections:
subsection 98(2), (3) and (3A); and
subsection 98AA(2) and (3).
The proposed amendments will put beyond doubt that the decision-maker has the
discretion whether or not to cancel the relevant
approvals.
For example, the Secretary might decide not to cancel an approval where an
approved pharmacist has ceased to trade temporarily through
illness or other
unanticipated circumstances. If the discretion where not available the
Secretary would be obliged to cancel the
approval in such circumstances and
there would be a requirement for the pharmacist to reapply for a new approval,
which may not be
appropriate in all cases.
- As
noted earlier, Medicare Australia has promulgated Guidelines to assist approved
pharmacists who may wish to temporarily "deactivate"
an approval to supply
pharmaceutical benefits under s 90 of the NH Act. These Guidelines have no
legislative foundation. As a matter of internal administration, if deactivation
is agreed to, an approved
pharmacist who may have ceased carrying on business as
a pharmacist at the premises in respect of which the pharmacist is approved,
is
not at immediate risk of having the approval cancelled. The Guidelines indicate
that in certain circumstances the delegate will
consider an application to
deactivate an approval. First, where there is no proposed change in the
location of the pharmacy or the
approved pharmacist, secondly, where there is a
proposed change in the approved pharmacist and no proposed change in the
location
of the pharmacy and thirdly, where there is a proposed change in the
location of the pharmacy irrespective of whether there is also
a proposed change
in the approved pharmacist. The Guidelines identify considerations which will
be taken into account in each of
these circumstances. The Guidelines indicate
the period of deactivation cannot be extended for more than six months unless
exceptional
circumstances exist.
- The
functions of the Authority are set out in s 99K of the NH Act and include
the consideration of applications under s 90 of the NH Act and the making
of a recommendation to the Secretary as to whether approval should be granted.
The Act requires the Authority to
comply with the relevant Rules determined by
the Minister pursuant to s 99L of the NH Act.
- The
current rules are the National Health (Australian Community Pharmacy Authority
Rules) Determination 2006 which have been amended
several times since being made
in 2006. The Rules provide for various kinds of applications and direct that
the Authority, in identified
circumstances, must recommend that the applicant be
approved and, in other circumstances, must recommend that the applicant not be
approved. An application for a new pharmacy (rural) can be made by reference to
Item 114, Schedule 1, Part 2 of the Rules, such
as made by Mr Flaherty on 8 May
2009, with the result that a new pharmacy can be established if the proposed
premises are in a rural
locality and are at least 10 km, by the shortest route,
from the nearest approved premises. An application which involves the
cancellation
of an existing approval under Schedule 3, such as that made by Ms
Sevil on 17 August 2009, can be made under Schedule 1, Part 1 item
105 for a
short distance relocation of more than 1 km.
- In
addition to the Rules, the Commonwealth Government and the Pharmacy Guild of
Australia have entered into a number of agreements
concerning pharmacy approvals
which have the objectives of maintaining a stable and viable community pharmacy
sector. The aim of
the Fourth Community Pharmacy Agreement, signed on 16
November 2005, was to ensure that pharmacy services would be provided to people
living in rural and regional Australia and where there is a community in need.
New location arrangements were introduced by this
agreement and commenced on 1
July 2006. The Minister has also been provided with a discretionary power to
approve pharmacies in
unique circumstances where the location rules would
deprive a community of access to pharmacy services.
- It
is convenient, in this section, to refer to a relevant legislative provision of
general application unrelated to the NH Act. Section 33(3) of the Acts
Interpretation Act 1901 (Cth) provides:
Where an Act confers a power to make, grant or issue any instrument (including
rules, regulations or by-laws) the power shall, unless
the contrary intention
appears, be construed as including an power exercisable in the like manner and
subject to the like conditions
(if any) to repeal, rescind, revoke, amend, or
vary any such instrument.
Revisiting on 26 May 2009 the 20 April 2009 cancellation decision –
procedural fairness
- The
applicant challenges the decisions of 26 May 2009 on a number of grounds. It is
convenient to consider first the question of
whether the delegate could exercise
on 26 May 2009 the cancellation power conferred by s 98(3) and decide not
to cancel Ms Hinde's
approval. The applicant submits the delegate could not.
If this is correct then it would appear that all subsequent decisions challenged
by the applicant could not have been made because there was no extant approval
which could be "deactivated". The respondents submit
that the delegate could
make the decision on 26 May 2009 not to cancel Ms Hinde's approval.
- The
applicant's position has an initial attraction. If a statute confers a power to
grant a right or benefit and a power to cancel
the right or benefit then it
would seem curious that the power to cancel could be exercised, initially to
cancel and subsequently
not to cancel. Ultimately, of course, this question
must be decided by reference to the legislation in question. In the present
case the respondents support the exercise of the cancellation power on 26 May
2009 on two bases. The first is that the decision
of 20 April 2009 did not
involve the exercise of the cancellation power because Ms Hinde was denied
procedural fairness. Accordingly,
and notwithstanding appearances to the
contrary, no decision to cancel was made on 20 April 2009 and the power to
cancel remained
exercisable thereafter. The second basis involves the Acts
Interpretation Act 1901 (Cth).
- Was
Ms Hinde denied procedural fairness? She had solicitors acting for her when Mr
Liu wrote the letter of 28 January 2009. In
those circumstances it was
reasonable for Ms Martinez to write the letter of 13 March 2009 addressed to Mr
Liu putting Ms Hinde on
notice that her approval might be cancelled and inviting
her to provide certain information before 10 April 2009. Apart from certain
matters of detail which I mention in a moment, it could scarcely be said that Ms
Hinde would have been denied procedural fairness
because the opportunity to
provide information and argue against the cancellation was offered to her
through her solicitor.
- I
should add that there are, in evidence, some internal Medicare Australia e-mails
which indicate that a view was held within that
organisation (a view
communicated to Ms Martinez by email on 14 April 2009) that by mid-April 2009,
Ms Hinde's solicitors were no
longer acting for her. I do not accept, on the
evidence, that this was so. In her affidavit in these proceedings, Ms Hinde
does
not say that at any relevant time between January 2009 (when she gave
instructions to Mr Liu to respond to the letter of 3 December
2008) and 20 April
2009 did she withdraw her instructions from Mr Liu in relation to dealing with
Medicare Australia about the possible
cancellation of her approval. Indeed it
appears that at least on 13 March 2009 she was continuing to deal with Mr Liu as
this was
when, on her evidence, she provided him (and Mr Maloney) with a power
of attorney which was exercised on 29 April 2009 in executing
a deed for the
sale of the "ownership of the pharmacy and the approval number" by Ms Hinde to
Ms Sevil. In any event, if it was
the fact that Mr Liu at some stage before 20
April 2009 ceased to act, he could readily have informed Ms Martinez that this
was so.
This did not happen.
- It
seems to me that the real procedural vice evident in the events leading to the
cancellation decision of 20 April 2009, was that
Medicare Australia was put on
notice (and Ms Martinez in particular in an e-mail of 14 April 2009) that Ms
Hinde was being invited
to sell the pharmacy for a significant sum ($320,000)
which was a material change in the position that had been put by Mr Liu in
his
letter of 28 January 2009 when he had indicated that Ms Hinde was planning to
reopen a new pharmaceutical business. Ms Martinez's
decision of 20 April 2009
was based on the conclusion that Ms Hinde was not carrying on business as a
pharmacist and not supplying
pharmaceutical benefits at the Premises. In her
letter of 20 April 2009 she adverted to the fact that there had been no response
to her letter of 13 March 2009 seeking additional information. That March 2009
letter invited information and a response on the
assumption that the relevant
question was whether Ms Hinde would carry on business as a pharmacist at the
Premises.
- However
it would have been clear to Ms Martinez immediately before she made her decision
of 20 April 2009, that the assumption on
which she had sought comment and on
which she was about to make her decision was likely to be wrong. That is, Ms
Hinde would not
be dealing with her predicament by endeavouring to resurrect the
pharmacy business herself. There are, in evidence, copies of newspaper
reports
of Ms Hinde's sentencing with a fax notation suggesting that they were in the
possession of Medicare Australia by 16 April
2009. From this I infer that it is
more probable than not that Ms Martinez knew, on 20 April 2009, that Ms Hinde
would remain in
a correctional centre for the following three years.
- The
procedural vice was that no steps were taken to ascertain from Ms Hinde or her
lawyers or both what the true position was. In
other words the decision maker,
Ms Martinez, failed to invite Ms Hinde either herself or through her solicitors
to comment on or
provide information about the true state of affairs then, in
substantial part, known to the decision maker before the decision was
made.
This occurred in circumstances where Ms Hinde was in custody, a fact known by Ms
Martinez (her letter of 20 April 2009 was
addressed to Ms Hinde in a
correctional institution) and that any communication with her either by the
intending purchaser (such
as the letter actually sent on 30 March 2009 by the
agent acting for Ms Sevil and copied to Ms Martinez under cover of the letter
dated 1 April 2009) or her lawyers or both was likely to be fraught as it was
likely it would take some time before any considered
response would be
forthcoming. In my opinion, Ms Hinde was not afforded procedural fairness
before the cancellation decision was
made on 20 April 2009.
- The
question that then arises is what is the legal effect of this failure. It seems
to me that this failure can appropriately be
described as constituting
jurisdictional error: Re Refugee Review Tribunal; ex parte Aala [2000] HCA 57; (2000)
204 CLR 82, with the consequence that the decision to cancel made on 20 April
2009 was of no legal effect. If so, it was open to the delegate
to consider
exercising the power to cancel on 26 May 2009 and decide not to cancel Ms
Hinde's approval. This approach is consistent
with the observations of Gleeson
CJ and Gaudron and Gummow JJ (McHugh J agreeing at [63]) in Minister for
Immigration and Multicultural Affairs v Bhardwaj [2002] HCA 11; (2002) 209 CLR 597 at [5]
and [52]–[53] respectively. It is an approach which was recently adopted
by Gordon J in White v Designated Manager of IP Australia (No 2) (2008)
FCR 15 at [66]-[67].
- Given
this conclusion, it is probably unnecessary to consider the alternative basis on
which the power to decide not to cancel exercised
on 26 May 2009 is said to have
arisen, namely by operation of s 33(3) of the Acts Interpretation Act which
would require, as I understood the submission, the provision conferring power to
cancel an approval as also conferring a power
exercisable from time to time to
rescind or revoke the cancellation. Having regard to the nature of the power
and the statutory
scheme requiring, in some circumstances, a procedure to be
followed leading to a recommendation by the Authority before an approval
is
given, I would have thought that the NH Act evinced an intention that the
cancellation power, once exercised, could not be exercised again to rescind or
revoke the cancellation
with the practical and legal consequence of creating an
approval. In addition, I doubt that the power conferred by s 98(3) of the
NH Act is a power of the type addressed by s 33(3) to "make, grant or issue
any instrument" even though notice of the cancellation
must be given in writing.
It is simply a decision which must be evidenced in writing: Laurence v Chief
of Navy [2004] FCA 1535; (2004) 139 FCR 555. The subsection concerns a power to cancel an
approval and not a power to make, grant or issue any instrument:
Nicholson-Brown v Jennings [2007] FCA 634; (2007) 162 FCR 337 at
[27].
Other challenges to 26 May 2006 decision and decisions of 8 July and 17 August
2009
- The
other bases on which the applicant challenges the decision of 26 May 2009 can
conveniently be dealt with together. The applicant
accepts that, with minor
exceptions, the challenge to the later decisions of 8 July and 17 August 2009
proceed on the same footing.
Thus, and subject to those exceptions, if the
challenge to the decision of 26 May 2009 fails, so too does the challenge to the
two
later decisions. The applicant contends that the delegate failed to take
into account relevant considerations, took into account
irrelevant
considerations, exercised a discretion without regard to the merits of the
particular case and the exercise of power was
so unreasonable that no reasonable
person could have so exercised the power.
- As
I understood the submission, the relevant considerations not taken into account
included that Ms Hinde was suspended from registration
as a pharmacist, was not
carrying on business as a pharmacist at the Premises, the Premises (at which Ms
Hinde's approval operated)
were not accessible to the members of the public for
the purposes of receiving pharmaceutical benefits, Ms Hinde did not have any
right to occupy the Premises, the decision not to cancel (the decision to grant
deactivation) followed a period of deactivation which
exceeded, by a
considerable period, the period identified in the Guidelines and that Mr
Flaherty had applied for approval to supply
pharmaceuticals from the Premises.
Irrelevant matters taken into account included the proposed application to
transfer the approval
of Ms Hinde to Ms Sevil (an application incapable of
approval). This was also said to be the improper purpose namely to assist Ms
Hinde to arrange for a transfer of ownership of the approval and/or relocation
of the approval. These various matters also pointed
to the delegate's exercise
of the discretion without regard to the merits of the particular case and also
revealed the unreasonableness
of the decision in the relevant legal sense.
- The
short answer, in my opinion, to these various contentions is that the power to
cancel is, in terms, unconstrained though obviously
must be exercised in a way
which accords with the NH Act's scope, objects and purposes. The power has been
described, correctly,
as a discretion enlivened when an approved pharmacist is
not carrying on business at the premises to which the approval relates:
Shaffer v Secretary, Department of Health and Aged Care [2002] FCA 1028; (2002) 124 FCR
234 at [23], a proposition now made abundantly clear by the later addition of
the expression "(at his or her discretion)" to s 98(3). Plainly the section
itself contemplates that the possible exercise of the power to cancel arises,
relevantly, in circumstances where
an approved pharmacist is not carrying on
business as a pharmacist at premises to which the approval relates. That is the
starting
point. There may be a myriad of reasons why that is so.
- What
the decision maker must do is evaluate whether, in the circumstances, the
approval should be cancelled or not. I do not doubt
that the decision maker
must bear in mind that the purpose of the legislative scheme as it concerns
pharmacists which involves this
process of approval, has as its overarching
purpose to ensure that members of any particular community in Australia have
access to
pharmaceutical benefits through a pharmacist operating in that
community though probably subject to issues of practicability. This
matter
(whether pharmaceutical benefits will continue to be available to a given
community) is almost certainly a relevant consideration
implied, but not
expressed, in the NH Act which the decision maker would be bound to take into
account when considering whether to cancel an approval. But the applicant's
case is not advanced on the basis that the delegate in this case failed to take
this into account at least at that level of generality.
- But
beyond that consideration, it seems to me that a delegate is entitled to
evaluate the mix of facts arising in any given situation
as the delegate sees
fit. To take an extreme but not fanciful example, all or virtually all housing
in a community might be destroyed
by bushfire (as happened in Victoria in
February 2009). Also destroyed might be the premises from which an approved
pharmacist was
then carrying on business and supplying pharmaceutical benefits.
A delegate might decide not to cancel the approval even though
the rebuilding of
housing had priority and premises from which the pharmacist might again carry on
business might not, as a matter
of priority, be rebuilt immediately or indeed
for some years. However, if the delegate was satisfied that the approved
pharmacist
(or someone to whom he or she proposed to sell his business in due
course because the pharmacist was not prepared to return to the
community) was
committed to supplying pharmaceutical benefits again in that community as soon
as practicable, a decision to cancel
the approval might not be made. I give
this example without descending into the legal question of whether there were,
relevantly,
"premises" for the purposes of the NH Act in the interregnum.
- It
seems to me that the decision made on 26 May 2009 was not infected by error in
the various ways contended. Firstly, it is by
no means clear from the evidence
that the decision maker did not take into account the various matters said to be
relevant. In any
event, Ms Martinez was not bound to take them into account. A
distinction needs to be drawn between matters which might constitute
irrelevant
or relevant considerations for the purposes of the ADJR Act and factual matters
which are what, in substance, are identified
by the applicant in its case: see,
for example, the discussion by RD Nicholson J in Walsh v Department of
Employment, Education, Training and Youth Affairs (1998) 51 ALD 690 at
693-694. The matters the applicant identifies are not matters which, by
necessary implication, the NH Act requires a delegate to take into account or,
by necessary implication, are matters which a delegate is prevented from taking
into
account.
- While
the immediate purpose of the decision maker (not to cancel) in this case was
fairly clearly to facilitate the sale of the business
and the transfer of the
approval to Ms Sevil, that states the purpose too narrowly. Consistent with the
NH Act, that sale and transfer if consummated would have achieved the purpose of
the supply of pharmaceutical benefits from the Premises
(or, later, at other
premises) by Ms Sevil to the Aberdeen community which was a purpose entirely
consistent with the NH Act. It is true that by 26 May 2009, Mr Flaherty was
asserting a right to occupy the Premises and the failure of the initial
application
to transfer the approval by Ms Sevil for this reason is relied on as
an additional consideration the delegate failed to take into
account in the
decision not to cancel made later in 2009. However on 26 May 2009 and at all
times thereafter (and in particular
on 8 July and 17 August 2009) there was
material before the delegate which indicated that by one means or another Ms
Sevil intended
to put herself in a position of being able to supply
pharmaceutical benefits in Aberdeen in conjunction with Ms Hinde relinquishing
her right to do so. In those circumstances, the delegate was entitled to do as
she did, namely refrain from exercising the power
to cancel.
- The
decisions taken on 26 May, 8 July and 17 August 2009 not to cancel Ms Hinde's
approval did not involve the delegate taking into
account irrelevant
considerations or failing to take into account relevant considerations, and were
not taken for an improper purpose
nor were the decisions unreasonable in any
relevant legal sense.
- I
propose to dismiss the application with costs though, subject to the submissions
of the parties, it may be appropriate to make
a declaration that the decision to
cancel of 20 April 2009 was a nullity.
I certify that the preceding fifty-six (56)
numbered paragraphs are a true copy of the Reasons for Judgment herein of the
Honourable
Justice Moore.
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Associate:
Dated: 12 February 2010
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