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SW v Northern Sydney Central Coast Area Health Service [2011] NSWADT 19 (31 January 2011)
Last Updated: 17 April 2011
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Administrative Decisions Tribunal
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Case Title:
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SW v Northern Sydney Central Coast Area Health
Service
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Medium Neutral Citation:
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Hearing Date(s):
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Decision Date:
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Jurisdiction:
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S Higgins, Deputy President
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Decision:
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1. Pursuant to subsection 55(2) of the Privacy and
Personal Information Protection Act, the Tribunal decides to take no further
action
in this matter. 2. Application is dismissed.
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Catchwords:
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PRIVACY - health privacy principle -
disclosure
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Legislation Cited:
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Cases Cited:
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Texts Cited:
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Parties:
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SW (Applicant) Northern Sydney Central Coast Area
Health Service (Respondent) NSW Privacy Commissioner (Intervenor)
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Representation
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- Solicitors:
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In person (Applicant) Mr McAteer
(Intervenor)
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File number(s):
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Publication Restriction:
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ADT Practice Note 22 applies
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REASONS FOR DECISION
Introduction
- The
applicant, SW, a former patient of a hospital operated by the respondent, made
an application to the Tribunal seeking review of
conduct of the respondent which
he asserts was a breach of his privacy.
- SW
initially complained to the respondent, on 14 October 2009, about the conduct of
Ms Lyn Cooke, a medico-legal clerk at hospital
A operated by the respondent. The
complaint was that, on 14 September 2009, Ms Cooke released, to the local
police, documents he
had provided to the hospital that requested an updated
report from his former treating doctor, Dr Maclean. He had requested the report
for the purpose of his Family Court proceedings (complaint 1). SW asserted that
as a consequence of Ms Cooke's conduct he was arrested
and charged for an
offence of intimidation (it should be noted that SW was not convicted of this
offence).
- Subsequent
to this, SW made 2 further complaints about the conduct of Ms Cooke and the
hospital. One complaint concerned an allegation
that the documents he had
provided for the purpose of obtaining the further medical report had been lost
(complaint 2). The other
complaint concerned Ms Cooke's conduct in telephoning
him, in the presence of police and without his knowledge, with her telephone
on
loud-speaker (complaint 3). In regard to the latter complaint, SW alleged that
the purpose of Ms Cooke's telephone call was to
provoke him so that the police
would arrest him.
- The
respondent dealt with each of the complaints in its internal review and found
that the conduct complained of did not breach any
of the health privacy
principles in Health Records and Information Privacy Act 2002 (the HRIP
Act). SW being dissatisfied with the findings of the respondent has sought
external review of the conduct the subject of
his 3 complaints.
- The
role of the Tribunal is to review the conduct complained of by SW. It is not a
review of the internal review decision of the respondent's
internal reviewer:
see sub-section 8(2) of the Administrative Decisions Tribunal Act 1997
and GR v Director-General, Department of Housing (GD) [2004] NSWADTAP 26.
- SW's
application was heard on 3 August 2010. Despite being directed to appear in
person at the hearing, SW chose to participate by
telephone. At the conclusion
of the hearing I made directions for the filing and serving of further
submission by SW and the respondent.
These directions were complied with.
Relevant legislation
- Health
Records and Information Privacy Act - The HRIP Act makes provision for the
protection of health records and information. The Act applies to every
organisation (including
a public sector agency) that is a health service
provider or that collects, holds or uses 'health information': see subsection
11(1)
of the HRIP Act. There is no dispute that the respondent is a public
sector agency to which the Act applies.
- Subsection
11(2) of the HRIP Act provides that every organisation to whom the Act applies
is required to comply with the health privacy
principles contained in Schedule 1
of the Act. These principles govern the collection, access and amendment,
retention, use (see
clause 10) and disclosure (see clause 11) of 'health
information' about an individual. It is the disclosure health privacy principle
that is relevant to this application. This is discussed in more detail below.
- 'Health
information' is defined in section 6 of the HRIP Act. It relevantly provides as
follows:
6Definition of "health information"
In this Act, health information means:
(a)personal information that is information or an opinion about:
(i)the physical or mental health or a disability (at any time) of an
individual, or
(ii)an individual's express wishes about the future provision of health
services to him or her, or
(iii)a health service provided, or to be provided, to an individual, or
(b)other personal information collected to provide, or in
providing, a health service, or
(c)other personal information about an individual collected in connection
with the donation, or intended donation, of an individual's
body parts, organs
or body substances, or
(d)other personal information that is genetic information about an individual
arising from a health service provided to the individual
in a form that is or
could be predictive of the health (at any time) of the individual or of any
sibling, relative or descendant
of the individual, or
(e)healthcare identifiers,
but does not include health information, or a class of health information or
health information contained in a class of documents,
that is prescribed as
exempt health information for the purposes of this Act generally or for the
purposes of specified provisions
of this Act.
- The
term 'personal information' is defined in subsection 5(1) of the HRIP Act. It
relevantly provides as follows:
Definition of "personal
information"
(1) In this Act, personal information means information or an opinion
(including information or an opinion forming part of a database and whether or
not recorded in a material
form) about an individual whose identity is apparent
or can reasonably be ascertained from the information or opinion.
(2) Personal information includes such things as an individual's
fingerprints, retina prints, body samples or genetic characteristics.
(3) Personal information does not include any of the following:
(a)...
- It
is not disputed that SW's one page request contained information that was
'personal information' about him and that this personal
information included
information about a health service provided to him as well as information about
his mental health.
- Privacy
and Personal Information Protection Act 1998 (the PPIP Act) - The PPIP Act
provides for the protection of 'personal information', and the protection of the
privacy of individuals
generally. The term 'personal information' is defined in
subsections 4(1) and (2) in exactly the same terms it is defined in subsection
5(1) and (2) of the HRIP Act.
- Subsection
20(1) of the PPIP Act provides that the 'information protection principles' set
out in Division 1 of Part 2 of the PPIP
Act apply to public sector agencies.
These information protection principles relate to the collection, retention,
access, alteration,
use (see section 16 and 17) and disclosure (see section 18
and 19) of personal information about an individual that is collected
or held by
a public sector agency. I have not considered these information protection
principles any further as SW, nor the respondent
have raised them as an issue in
this application.
- Complaints
about the conduct of a public sector agency that allegedly contravenes an
information protection principle or a health
privacy principle - Part 5 of the
PPIP Act (i.e. sections 52 to 56) makes provision for the review of conduct of a
public sector
agency. Section 52 of the PPIP Act prescribes the conduct that can
be reviewed under Part 5 of the Act. This includes conduct by
a public sector
agency that is a contravention of an information protection principle that
applies to that agency: see paragraph
52(1)(a) of the PPIP Act.
- Section
53 of the PPIP Act gives every person who is aggrieved by conduct of a public
sector agency falling within the terms of section
52 a right to make an
application (i.e. a complaint) to the agency concerned and request the agency to
undertake an internal review
of that conduct. If dissatisfied with the findings
of, or action taken by the public sector agency, the person who made an
application
for internal review is given a right to seek external review of that
conduct by the Tribunal: see section 55 of the PPIP Act.
- Subsection
21(1) of the HRIP Act provides that conduct by a public sector agency, which is
a contravention of a health privacy principle
applying to that agency is conduct
to which Part 5 of the PPIP Act applies. Accordingly, complaints about a public
sector agency
having contravened a health privacy principle in regard to an
individuals 'health information' is dealt with in the same manner as
a complaint
about an agency having contravened an information protection principle in regard
to an individual's personal information.
- There
is no dispute that SW's application to the Tribunal is an application for review
under section 21 of the HRIP Act.
NSW Health Privacy Manual
- The
NSW Department of Health has published a guide on the application of the
provisions of the HRIP Act. The guide, which is publicly
available on the
Department's website, is entitled 'NSW Health Privacy Manual - Version 2'.
- The
Manual is intended to provide operational guidance to the legislative
obligations imposed on the health system by the HRIP Act.
To this extent the
manual outlines procedures to support compliance with the Act in any activity
that involves personal health information.
- It
is the respondent's contention that the conduct of its officers accorded with
the relevant procedural guidance set out in the manual.
These procedures are
discussed more fully below.
The evidence
- The
respondent tendered into evidence a statement by Ms Cooke, Ms Merry Herbert and
a facsimile cover sheet, dated 4 December 2009,
from Detective Senior Constable
Melanie Leatity to Maryanne Fernandez, the respondent's internal reviewer of
SW's complaints. At
the request of SW, Ms Cooke and Ms Fernandez were available
for cross-examination at the hearing of SW's application for review.
However, SW
only sought to cross-examine Ms Cooke.
- SW
also tendered into evidence a statement and was cross-examined by the
respondent's counsel. Prior to the hearing, SW had requested
Ms Carolyn Yap, an
employee of the respondent, be summonsed to give evidence. With the agreement of
the respondent, it was not necessary
to issue the summons as the respondent made
her available to give oral evidence, by telephone, on behalf of SW.
- Evidence
of Ms Cooke In her statement dated 2 July 2007 (see Exhibit R1), Ms Cooke
said that sometime in early September 2009, she received a written request
from
SW for a medical report from Dr N Maclean. She said SM's request 'comprised' a
'typed letter' requesting a report from Dr Maclean
'together with numerous other
documents.' She said that, in accordance with usual practice, she retrieved SW's
hospital records and
clinical notes and added these the documents SW had sent
in. She then forwarded SW's documents and SW's hospital records to Dr Maclean,
via another hospital (hospital B) operated by the respondent.
- Attached
to Ms Cooke's statement was a copy of SW's request to Dr Maclean. That document
was entitled 'Attention Dr Neil Maclean'.
- Ms
Cooke said, in accordance with usual practice, the secretary of hospital B would
then forward the documents to a related clinic
where Dr Maclean was working.
Once Dr Maclean had finished with the documents he would return these, via
hospital B, to the Medico-Legal
Office of hospital A where Ms Cooke worked.
- Ms
Cooke said that shortly after she had prepared the documents for forwarding to
Dr Maclean, she received a telephone call from SW.
She advised him that his
request had been received and forwarded for Dr Maclean's attention. She said
that during the telephone call
SW had indicated to her that 'he was concerned
about when he would get all of his documents back.' Sometime after this, Ms
Cooke
received a further telephone call from SW enquiring about the progress of
his request. Ms Cooke told SW that she would 'chase up'
his request. She said
she then telephoned Dr Maclean's secretary who said she too would follow up SW's
request. Ms Cooke then telephoned
SW to let him know what Dr Maclean's secretary
had said.
- Ms
Cooke said that, on 14 September 2009, she received a telephone call from Dr
Maclean's secretary. The secretary informed Ms Cooke
that Dr Maclean would not
respond to SW's request as he had not seen SW for a number of years. Ms Cooke
said she immediately telephoned
SW to inform him of what she had been told. Ms
Cooke said SW responded by saying he was 'on the edge' and that:
'Dr Maclean will respond to this, I will have to take matters into
my own hands. I will come over there and do something I will regret.
You had
better ring the Police.'
- Ms
Cooke said SW told her he would not accept Dr Maclean's answer and that he would
'not be accountable for' his own actions and that
she had better warn him. Ms
Cooke said she was very shaken up by SW's threats and mentioned her conversation
with SW to her supervisor.
At the suggestion of her supervisor, Ms Cooke
telephoned Dr Maclean, who told her that he did not wish to see SW and asked her
to
telephone the police. After consulting her supervisor, Ms Cooke contacted the
local police station.
- Shortly
thereafter, two detectives arrived to see Ms Cooke. She said that after she had
explained to the detectives what SW had said
to her, she 'indicated' that she
wanted to call SW 'to make sure that he had calmed down'. She said that with the
agreement of Senior
Detective Constable Fuchs, she called SW. At the request of
the detectives, she made the call by putting the telephone on speaker
and that
when SW answered she explained to him that her work colleague, Merry, could hear
what was being said. Ms Cooke said that
SW had not calmed down and continued to
make threats by saying that 'he wasn't going to be accountable for his actions.'
- Ms
Cooke said that, at the request of the detectives and in consultation with her
colleague Merry, she had provided them with a copy
of SW's written request for a
report from Dr Maclean. A copy of that request was attached to her statement.
She said that she did
not recollect how this document had come into her
possession that day. She could only assume Dr Maclean had returned the
documents,
via hospital B, to hospital A. Ms Cooke said that she did not provide
any other document to the detectives.
- Ms
Cooke said that she subsequently returned the written request and the attached
bundle of documents to SW. She said that a no time
had she told SW that his
documents were lost. She said she may have said they were 'in transit'.
- Evidence
of Ms Herbert The statement dated 17 July 2010, of Merry Herbert, full-time
medico-legal clerk at hospital, supports the evidence given by Ms Cooke
in her
statement (see Exhibit R2).
- Evidence
of SW In his statement, dated 20 July 2010, SW explained that he had made
the request for Dr Mclean to prepare a report as he needed it
for his Family
Court proceedings concerning the shared custody of his child (see Exhibit A1).
SW explained that he had provided to
the Family Court a copy of an earlier
report Dr Maclean had made about him. He said that the Family Court Judge
hearing the proceedings
had requested a further report. SW explained that in
support of his request for a further report he had enclosed a bundle of
documents
relating to an incident that occurred when he was 14 years of age and
that he only wanted Dr Maclean to see.
- SW's
account of events, differ in some respects to that of Ms Cooke. These
differences are as follows:
(a) on 14 September 2010 he received a
reply from Dr Maclean saying that he was unable to prepare the requested report
and that he
should go elsewhere. He said he asked for his documents to be
returned to him as soon as possible;
(b) he said that about an hour after this, Ms Cooke telephoned him and
informed him that his documents had been lost and that they
did not know where
they were. He said that he 'panicked' and became 'extremely worried' about his
documents getting in the wrong
hands and told Ms Cooke to contact hospital B and
request that they find them immediately as they contained details he did not
want
anyone to know about. He said Ms Cooke telephoned him again to say that
hospital B staff had said they would look for them when they
were ready. He said
that this really caused him to become very frustrated;
(c) he said that during her subsequent telephone call that day, Ms Cooke
provoked him in reacting the way he did because he was extremely
worried about
where his documents were; and
(d) the day after the police had arrested and charged him, he telephoned
Carolyn Yap, the then manager of the Medico-Legal Department
of hospital A and
asked her if she could go and find his documents as he did not want anyone
reading them. He said that 2 days later,
Ms Yap called him to say that she had
found his documents and that she would return them to him.
- Evidence
of Ms Yap In her oral evidence Ms Yap said she recollected receiving a
telephone call from SW on or about 15 September 2009. She said her recollection
was that SW wanted to make a complaint about one of the staff members having
disclosed a document he had provided to the hospital
and that he wanted to have
the documents he had provided to the hospital to be returned to him.
- Ms
Yap said that she recollected having telephoned SW about 3 days later to say
that she had found his documents and that she had
mailed them to him. Ms Yap
said that at no time were SW's documents missing. She said she did not drive to
hospital B to look for
the documents. She agreed she may have contacted Dr
Maclean's office and the documents were then sent via the internal courier
system
to hospital A, but she did not believe that the documents were at any
stage lost.
- Facsimile
of Detective Senior Constable Leaity In the facsimile from Detective Senior
Constable Leaity (Exhibit R4), it was stated that Ms Cooke provided one document
to the police
and that the document was entitled 'Attention Dr Neil Maclean'.
The facsimile went on to say 'this document is evidence in a criminal
investigation.'
- Attached
to the facsimile of Detective Senior Constable Leaity was a copy of the
transcript of a record of interview she and Detective
Senior Constable Fuchs had
with SW on the day he was arrested and charged following his conversation with
Ms Cooke. The date of the
interview is recorded as 4 September 2009 and the time
of the interview is 4.09 pm. In that record of interview SW is recorded as
having said, in response to a question about his dealings with the hospital that
day (see Q49), the following:
'I've received um, ah, some documents
from the female, we filed an application a couple of weeks ago, both me and my
solicitor, and
we've received a reply on the Judge's um, decisions on that
application and she refused the application saying that there was one
thing that
had to be rectified and fixed up before she would accept my application and this
being um, some um, paperwork had to be
filled out by um, a, a doctor who did a
previous report for me and in order to get those reports to him it has to go
through [hospital
A] Medico Legal. Um, I received a phone call this morning from
[hospital A] Medico Legal stating that the ah, doctor was not inclined
to um, do
the extra bit of paperwork that was required by Newcastle Family Law Court and
um, I said, "Well, I need something in writing
back stating that's the reason
why." And I said, "Look, if he doesn't do it, then I'll just go over there and
I'll speak to him and
if, you know, if he doesn't like it, then I'm just going
to lose it on him." This meaning, I was just going to yell at him and snap.
But
I was, in no way just telling him that I was going to go over to [hospital B]
and see the doctor and the secretary and get them
to put something in writing
themselves and that's it. I was not intimidating anyone ...'
- In
responses to subsequent questions asked of him, SW continued to assert that he
was only seeking something in writing from Dr Maclean
to say that he would not
make a further report so that he could give it to the Family Court.
- At
question 99 and 107 of the transcript is recorded what the police officers say
they heard SW say to Ms Cooke during the subsequent
telephone call that day. In
his response, SW did not deny he had said something about going to see Dr
Maclean and he would 'yell',
'snap', 'argue', 'whatever it takes' 'if they want
to call police, fine' but he was not going back to the Family Court with
nothing.
Findings of fact
- In
my view, Ms Cooke, Ms Yap and SW each gave truthful evidence to the best of
their respective recollections at the time they made
their statements or gave
their oral evidence. This evidence was not contemporaneous to the events that
occurred on the day in question.
For example, Ms Cooke's statement was prepared
some 10 months after the events in September 2009 and Ms Yap's oral was given
some
12 months after the event. Neither witness produced any contemporaneous
file note they or another officer of the respondent had made
on or shortly after
the events had occurred.
- The
most contemporaneous record of what had occurred on the day in question was the
transcript of the police record of interview with
SW on that day. SW did not
dispute the correctness of the transcript. Accordingly, to the extent there is a
dispute about what had
occurred on the day in question, I have given preference
to that recorded in the transcript of interview.
- While
it is not essential to the determination of SW's complaints, I note that the
transcript of SW's record of interview states that
the events giving rise to
SW's complaints occurred on 4 and not 14 September 2009.
- Complaint
1 I accept SW's evidence that he became very anxious, annoyed and frustrated
when told by Ms Cooke that Dr Maclean would
not provide a report as he had
requested. I also find that due to his anxiety SW responded to Ms Cooke in an
angry, agitated and
intimidating tone and said words to the effect that he would
not accept Dr Maclean's response and that he would make him respond.
- I
accept Ms Cooke's evidence that she was very shaken up and felt threatened by
what SW had said to her. However, on the basis of
her evidence this was not the
reason she called the police. Her evidence was that she had called police
primarily because Dr Maclean
had asked her to do so.
- I
find that during the subsequent telephone call Ms Cooke made to SW, he said
words to the effect 'tell Dr Maclean I'm coming up there
and its going to be on.
Call the police 'cause it's going to be on and I'll use this as my defence.'
- I
find that Ms Cooke only provided the police with a copy of SW's one page
request, addressed to Dr Maclean, for a further report.
I also accept Ms Cooke's
evidence that she provided this document because the police had asked for it.
- Complaint
2 I accept SW's evidence that he was concerned that no one, other than Dr
Maclean, should have access to the documents he
had provided to the respondent.
Yet, on the material before the Tribunal, I find that at no time did the
respondent lose the documents.
I also find that at no time, on the day in
question, did Ms Cooke say to SW that his documents had been lost. Had she said
this,
SW would undoubtedly have raised it during his interview with the police.
This he did not do. In my view, the most probable explanation
for SW's concern
about the whereabouts of his documents arose as a result of having been arrested
and detained that day and the delay,
while short, in Ms Yap informing him that
the documents had been posted back to him.
- Complaint
3 It is not disputed that when Ms Cooke telephoned SW in the presence of the
police that she did not tell him that they
were listening in on the
conversation. I accept Ms Cooke's evidence that during this telephone call she
informed SW that Ms Herbert
was in the room and she could hear everything that
was being said. I also accept SW's evidence that he did not at any time hear Ms
Cooke say that she had her telephone on loud-speaker. This is not inconsistent
with the evidence of Ms Cooke as she did not at any
time say words to this
effect.
- In
my opinion, there is no evidence to support SW's assertion that Ms Cooke
telephoned him on this occasion with the intention of
provoking him to make
further threats so that the police would come and arrest him. However, she was
clearly aware from her first
telephone call that SW was annoyed and distressed
that Dr Maclean would not provide a report as he had requested.
Alleged breaches of health privacy principles
- It
is not the role of the Tribunal to make disciplinary findings against the police
or Ms Cooke in regard to the events that occurred
on the day in question in
September 2009. The role of the Tribunal is to review the conduct of Ms Cooke as
complained about by SW
in his internal review request. That conduct SW
identified as being conduct that breached the disclosure and retention and
security
health information principles under the HRIP Act.
- Complaint
1 On the basis of my findings, the issue for determination is whether Ms Cooke's
disclosure of the one page written request
of SW to Dr Maclean was a breach of
clause 11 of Schedule 1 of the HRIP Act (the disclosure health privacy
principle). That clause
relevantly provides as follows:
'11
Limits on disclosure of health information
(1) An organisation that holds health information must not disclose
the information for a purpose (a " secondary purpose ") other than the
purpose (the " primary purpose ") for which it was collected unless:
(a) ..., or
(b) ..., or
(c) the disclosure of the information for the secondary purpose is reasonably
believed by the organisation to be necessary to lessen
or prevent:
(i) a serious and imminent threat to the life, health or safety of the
individual or another person, or
(ii) a serious threat to public health or public safety, or
(d) the disclosure of the information ...
...
(j) the disclosure of the information for the secondary purpose is reasonably
necessary for the exercise of law enforcement functions
by law enforcement
agencies in circumstances where there are reasonable grounds to believe that an
offence may have been, or may
be, committed, or
(k) ...'
- The
respondent did not contend that the personal and health information about SW in
his request for a further report was 'unsolicited'
information and not
'colleted' information (see section 10 of the HRIP Act and subsection 4(5) of
the PPIP Act). In this regard I
note the recent decision of the Appeal Panel in
ZR v Department of Education and Training (GD) [2010] NSWADTAP 75, where
at [70] to [71] the Appeal Panel agreed with the purposive approach, adopted in
other decisions of the Tribunal, in regard
to information that was at origin
unsolicited. Such information, the Appeal Panel agreed should be treated as
'collected' once the
agency takes the information under its control for one of
its administrative purposes. In this case, while the information in SW's
request
was unsolicited, the respondent did take the information under its control for
one of its administrative purposes, namely
for the preparation of a further
report by Dr Maclean. The fact that he did not prepare a report, in my view is
immaterial.
- It
is the respondent's contention that Ms Cooke's conduct fell within the terms of
paragraphs 11(1)(c)(ii) and 11(1)(j) of Schedule
1 of the HRIP Act.
- In
regard to the exemption in paragraph 11(1)(c)(ii) it must be shown that at the
time Ms Cooke gave SW's request to the police that
she reasonably believed it
was necessary to do so to lessen or prevent a serious and imminent threat to
life, health or safety of
herself or another person. Accordingly, it must be
shown that Ms Cooke had the requisite belief and that it was reasonably held.
- In
my view while I have found that Ms Cooke was shaken and felt threatened by what
SW had said, her evidence did not go so far to
say that SW's comments made her
believe that there was a serious or imminent threat to the life or safety of
herself or Dr Maclean.
In the event I am wrong and she did have that belief, in
my view, on the basis of my findings as to what SW said and the circumstances
in
which they were said, that belief was not reasonably held.
- Paragraph
11.2.3 of the NSW Health Privacy Manual sets out a guide as to when this
exemption may apply. It sates that the situation
where this will apply will be
'relatively uncommon'. An example of where it may apply is said to be where 'a
client of a community
health service arrives in agitated state, making threats
against a close family member over a custody dispute, and leaves. The client
has
a history of violence and faced previous assault charges over the same matter
...' In my view, while I have found that SW was
anxious, annoyed and agitated,
his behaviour in the circumstances was not of such a degree that he had made a
serious and imminent
threat to the life of Ms Cooke or Dr Maclean. SW's
behaviour was nevertheless far from being acceptable in the circumstances.
However,
as I have said it was not sufficient to give rise to a reasonable
belief of serious and imminent threat to the life or safety of
another person.
- In
regard to the exemption in paragraph 11(1)(j) it is not disputed that the police
officers to whom Ms Cooke gave SW's request to
Dr Maclean were officers of a law
enforcement agency falling within the terms of the definition of a 'law
enforcement agency' in
section 4 of the HRIP Act.
- Paragraph
11.2.7 of the NSW Health Privacy Manual sets out a guide as to when this
exemption may apply and the nature of the material
that should be provided if
the exemption does apply. As explained in the manual, this exemption is very
broad in that it covers 'any
information relating to an offence which has or may
be committed, provided that the information is "reasonably necessary" to assist
the law enforcement agency to perform its functions.' The guideline goes on to
say that the exemption does not 'oblige' health services
to provide the
information. What is required is of the Health service is a balancing of the
public interest in assisting law enforcement
agencies to pursue their functions
with their own obligations of confidentiality to their patients and the
sensitive nature of health
information.
- On
the basis of my findings, I am satisfied that Ms Cooke's conduct in providing
the police with SW's request to Dr Maclean fell within
this exemption. Having
heard what SW had said to Ms Cooke during her subsequent telephone call, the
police had clearly formed the
view that SW had possibly committed an offence, or
was possibly about to commit an offence. It is not for the Tribunal to question
this belief of the police officers. SW's request to Dr Maclean was a document
relevant to the circumstances in which SW had said
what he had said and it was a
document the police had requested for the purpose of their functions in
prosecuting or preventing the
commission of an offence. In such circumstances Ms
Cooke had a reasonable ground to believe that an offence may have been
committed,
or may be committed and it was reasonably necessary to provide the
police with SW's request to Dr Maclean.
- Complaint
2 On the basis of my findings that at no time did Ms Cooke say to SW that his
documents were lost, or that they had in fact
been lost, there is no need for me
to deal with this complaint any further.
- Complaint
3 In my view Ms Cooke's motivation in telephoning SW after the police had
arrived is not conduct concerning a health information
principle under the HRIP
Act. However, her use, if any of SW's health information or personal information
for a purpose other than
the purpose for which that information was collected
would involve consideration of the 'use' health information principle in clause
10 of Schedule 1 and the 'use' information protection principle in section 17 of
the PPIP Act.
- As
SW's complaint did not involve an allegation that Ms Cooke inappropriately
'used' his health information or personal information
held or collected by the
respondent, I have not considered these principles any further.
Conclusion
- On
the basis of my finding that Ms Cooke's conduct (i.e. the respondent's conduct)
did not breach a health information principle as
alleged by SW, the appropriate
decision is a decision, pursuant to subsection 55(2) of the PPIP Act, to take no
further action on
this application and an order that the application be
dismissed.
**********
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