Neutral Citation Number: [2006] EWHC 2886 (Admin)
Case Nos: CO/1557/2006, CO/1559/2006, CO/1932/2006, CO/1819/2006
IN THE HIGH COURT OF JUSTICE
QUEEN’S BENCH DIVISION
ADMINISTRATIVE COURT
Royal Courts of Justice
Strand, London, WC2A 2LL
Date: 16/11/2006
Before :
MR JUSTICE STANLEY BURNTON
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The Queen on the application of:
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Claimants |
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Defendants |
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Martin Spencer QC and Jamie Carpenter (instructed by Helen Caulfield, Legal Department, Royal College of Nursing ) for theClaimants
Nathalie Lieven QC (instructed by the Office of the Solicitor ) for the Defendants
Hearing dates: 18, 19 October 2006
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Approved Judgment
Stanley Burnton J :
Introduction
The issues before the Court
The statutory provisions
(1) For the purposes of this Act, an establishment is a care home if it provides accommodation, together with nursing or personal care, for any of the following persons.
(2) They are
(a) persons who are or have been ill;
(b) persons who have or have had a mental disorder;
(c) persons who are disabled or infirm;
(d) persons who are or have been dependent on alcohol or drugs.
(3) But an establishment is not a care home if it is
(a) a hospital;
(b) an independent clinic; or
(c) a children’s home,
or if it is of a description excepted by regulations.
(1) Subsections (2) to (7) apply for the purposes of this Part.
(2) Care worker means
(a) an individual who is or has been employed in a position which is such as to enable him to have regular contact in the course of his duties with adults to whom accommodation is provided at a care home;
(b) an individual who is or has been employed in a position which is such as to enable him to have regular contact in the course of his duties with adults to whom prescribed services are provided by an independent hospital, an independent clinic, an independent medical agency or a National Health Service body;
(c) an individual who is or has been employed in a position which is concerned with the provision of personal care in their own homes for persons who by reason of illness, infirmity or disability are unable to provide it for themselves without assistance.
Paragraph (b) of section 80(2) is not in force.
(6) Vulnerable adult means
(a) an adult to whom accommodation and nursing or personal care are provided in a care home;
(b) an adult to whom personal care is provided in their own home under arrangements made by a domiciliary care agency; or
(c) an adult to whom prescribed services are provided by an independent hospital, independent clinic, independent medical agency or National Health Service body.
Again, paragraph (c) is not yet in force.
81 (1) The Secretary of State shall keep a list of individuals who are considered unsuitable to work with vulnerable adults.
(2) An individual shall not be included in the list except in accordance with this Part.
(3) The Secretary of State may at any time remove an individual from the list if he is satisfied that the individual should not have been included in it.
82(1) A person who provides care for vulnerable adults (the provider) shall refer a care worker to the Secretary of State if there is fulfilled -
(a) any of the conditions mentioned in subsection (2); or
(b) the condition mentioned in subsection (3).
(2) The conditions referred to in subsection (1)(a) are
(a) that the provider has dismissed the worker on the grounds of misconduct (whether or not in the course of his employment) which harmed or placed at risk of harm a vulnerable adult;
(b) that the worker has resigned, retired or been made redundant in circumstances such that the provider would have dismissed him, or would have considered dismissing him, on such grounds if he had not resigned, retired or been made redundant;
(c) that the provider has, on such grounds, transferred the worker to a position which is not a care position;
(d) that the provider has, on such grounds, suspended the worker or provisionally transferred him to a position which is not a care position but has not yet decided whether to dismiss him or to confirm the transfer.
(3) The condition referred to in subsection (1)(b) is that-
(a) in circumstances not falling within subsection (2), the provider has dismissed the worker, he has resigned or retired or the provider has transferred him to a position which is not a care position;
(b) information not available to the provider at the time of the dismissal, resignation, retirement or transfer has since become available; and
(c) the provider has formed the opinion that, if that information had been available at that time and if (where applicable) the worker had not resigned or retired, the provider would have dismissed him, or would have considered dismissing him, on such grounds as are mentioned in subsection (2)(a).
(4) If it appears from the information submitted with a reference under subsection (1) that it may be appropriate for the worker to be included in the list kept under section 81, the Secretary of State shall
(a) determine the reference in accordance with subsections (5) to (7); and
(b) pending that determination, provisionally include the worker in the list.
(5) The Secretary of State shall-
(a) invite observations from the worker on the information submitted with the reference and, if he thinks fit, on any observations submitted under paragraph (b); and
(b) invite observations from the provider on any observations on the information submitted with the reference and, if he thinks fit, on any other observations under paragraph (a).
(6) Where
(a) the Secretary of State has considered the information submitted with the reference, any observations submitted to him and any other information which he considers relevant; and
(b) in the case of a reference under subsection (2)(d), the provider has dismissed the worker or, as the case may be, has confirmed his transfer on such grounds as are there mentioned,
the Secretary of State shall confirm the worker’s inclusion in the list if subsection (7) applies; otherwise he shall remove him from the list.
(7) This subsection applies if the Secretary of State is of the opinion-
(a) that the provider reasonably considered the worker to be guilty of misconduct (whether or not in the course of his employment) which harmed or placed at risk of harm a vulnerable adult; and
(b) that the worker is unsuitable to work with vulnerable adults.
(8) The reference in subsection (6)(b) to the provider dismissing the worker on such grounds as are mentioned in subsection (2)(d) includes-
(a) a reference to his resigning, retiring or being made redundant in circumstances such that the provider would have dismissed him, or would have considered dismissing him, on such grounds if he had not resigned, retired or been made redundant; and
(b) a reference to the provider transferring him, on such grounds, to a position which is not a care position.
(9) This section does not apply where-
(a) the provider carries on a domiciliary care agency, or an independent medical agency, which is or includes an employment agency or an employment business; and
(b) the worker in question is a supply worker in relation to him.
(10) Nothing in this section shall require a person who provides care for vulnerable adults to refer a worker to the Secretary of State in any case where the dismissal, resignation, retirement, transfer or suspension took place or, as the case may be, the opinion was formed before the commencement of this section.”
(a) on the basis of evidence obtained by it in the exercise of its functions under Part II of this Act, the authority considers that the worker has been guilty of misconduct (whether or not in the course of his employment) which harmed or placed at risk of harm a vulnerable adult; and
(b) the worker has not been referred to the Secretary of State under section 82 or 83 in respect of the misconduct.
However, section 84(3) provides:
(3) The reference in subsection (1) to misconduct is to misconduct which occurred after the commencement of this section.
(1) Where a person who provides care to vulnerable adults proposes to offer an individual employment in a care position that person-
(a) shall ascertain whether the individual is included in the list kept under section 81; and
(b) if he is included in that list, shall not offer him employment in such a position.
(2) Where a person who provides care to vulnerable adults discovers that an individual employed by him in a care position is included in that list, he shall cease to employ him in a care position.
For the purposes of this subsection an individual is not employed in a care position if he has been suspended or provisionally transferred to a position which is not a care position.
(4) …
(5) An individual who is included (otherwise than provisionally) in the list kept by the Secretary of State under section 81 shall be guilty of an offence if he knowingly applies for, offers to do, accepts or does any work in a care position.
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86.(1) An individual who is included (otherwise than provisionally) in the list kept by the Secretary of State under section 81 may appeal to the Tribunal against
(a) the decision to include him in the list; or
(b) with the leave of the Tribunal, any decision of the Secretary of State not to remove him from the list under section 81(3).
(2) Subject to subsection (5), an individual who has been provisionally included for a period of more than nine months in the list kept by the Secretary of State under section 81 may, with the leave of the Tribunal, have the issue of his inclusion in the list determined by the Tribunal instead of by the Secretary of State.
(3) If on an appeal or determination under this section the Tribunal is not satisfied of either of the following, namely
(a) that the individual was guilty of misconduct (whether or not in the course of his duties) which harmed or placed at risk of harm a vulnerable adult; and
(b) that the individual is unsuitable to work with vulnerable adults,
the Tribunal shall allow the appeal or determine the issue in the individual’s favour and (in either case) direct his removal from the list; otherwise it shall dismiss the appeal or direct the individual’s inclusion in the list.
The working of the POVA list.
Our analysis shows that around one third of POVA referrals do not result in people being placed on the list. This is because either the evidence to place a person on the list is not being provided, or that the criteria for provisional listing has (sic) not been met.
The Minister commended the guidance, which had been produced at the request of the Department of Health. Section 4 (d) of the guidance includes the following passage:
In the first year of the POVA scheme’s operation, employers have been able to refer individuals who are suspended pending further investigation into their alleged misconduct. This has been to ensure that potential abusers do not move around the care sector while suspended, pending an investigation.
Experience shows, that at this stage, there is often very little information with which to evidence the referral, and the POVA team can usually only make a provisional listing and then wait until the disciplinary investigation is concluded.
In a large proportion of suspended cases, the allegations are subsequently unproven. …
Issue (1): Retrospectivity
(a) The submissions of the parties
“A situation can readily be envisaged where a care worker was unfairly dismissed ten years ago by a malicious employer with whom she had fallen out, but, having quickly found alternative employment in another care home, decided not to claim unfair dismissal at what would be an unpleasant hearing before an employment tribunal. That care worker could then have had ten years of subsequent blemish-free employment, but, if the Defendant’s interpretation of section 82 is correct, the former employer could nevertheless refer that person for inclusion on the PoVA List. Assuming that the referral qualifies (but for the point about retrospectivity), the care worker would automatically be provisionally placed on the PoVA list (without being given a chance to be heard) and would lose her job. She has, in effect, been retrospectively penalised for her decision not to seek an unfair dismissal ruling.
Had the care worker known that referral to PoVA would have been a consequence of her dismissal, she would have had an incentive to claim unfair dismissal which was otherwise lacking.”
Indeed, in the case of Mrs Wright, the dismissal occurred on 24 November 2003, and was alleged to be justified by events between 1999 and May 2003.
… I start with the declared purpose of the Act of 1979 and the policy behind its enactment that it is intended to make provision “with respect to the carrying on of and the persons who carry on” estate agent’s activities. The provisions giving the Director (of Fair Trading) power to disqualify are intended for the protection of the public and it would be quixotic to suppose that Parliament intended that the public should be protected from the activities of a practitioner convicted a week after the Act came into force but not from those of the practitioner convicted a week before. Should Parliament be supposed to have regarded the imposition of a disqualification which precluded a person convicted of a serious mortgage fraud only a month or two before the passing of the Act from continuing to act as an estate agent as “unfair?” In my view, Parliament might well have considered it unfair to allow such a person to continue in practice to the possible detriment of the public whilst prohibiting a person convicted of a similar offence a month or two after the Act of 1979 came into force.
I turn to the hardship of the result if the power given to the Director is exercisable in respect of past convictions. I accept that an order of disqualification from carrying on the practice of estate agency is severe and could be a catastrophic hardship. But the conviction of an offence involving fraud or other dishonesty or violence is only a precondition upon which the Director’s powers are exercisable. If satisfied that the person concerned has been convicted, the Director still has to consider whether he is unfit to carry on estate agency work generally or of a particular description and has a wide discretion in determining whether that is so or not. Thus the past conviction is not by itself determinative of the imposition of an order of disqualification. Thus it seems to me that Parliament clearly intended to give the Director power to make an order of disqualification in respect of past convictions whilst trusting in his discretion whether he did so or not. I do not regard it as inconceivable that Parliament regarded conviction in the past as so contradictive of the protection of the public in the future that the Director ought not to have the power to make an order where such conviction is proved. …
(9) Nothing in this section shall require a child care organisation to refer an individual to the Secretary of State in any case where the dismissal, resignation, retirement, transfer or suspension took place or, as the case may be, the opinion was formed before the commencement of this section.
She then went on to say:
The amendment addresses and clarifies transitional issues that arise from moving from the old administrative system to the new statutory one. It provides that child care organisations will not be under a duty to refer cases where dismissal, resignation or retirement took place prior to the commencement of the operation of clause 2. It provides also that the obligation will not arise in relation to referrals made under subsection 2(2)(a) where the opinion that triggers a referral was formed before the commencement of the operation of clause 2.
The amendment also makes it clear that there will be no obligation on any organisation to trawl through its old cases relating to events that occurred before clause 2 was brought into effect. This will still enable an organization to refer names where it thinks that there is a case for doing so. As I have explained, such cases will not be automatically entered into the procedure for considering listing by the Secretary of State unless and until he is satisfied that the person concerned is eligible under clause 2(3) criteria to have his name included in the list, particularly in the light of, for example, the age of the allegations, the distance of the alleged events, the reliability of the evidence and such other factors as are relevant in the circumstances of the particular case.
Issue (1): Retrospectivity: discussion
A child care organisation shall, and any other organisation may, refer to the Secretary of State an individual who is or has been employed in a child care position if there is fulfilled-
(a) any of the conditions mentioned in subsection (2) below; or
(b) the condition mentioned in subsection (3) below.
Subsection (10) is as follows:
Nothing in this section shall require a child care organisation to refer an individual to the Secretary of State in any case where the dismissal, resignation, retirement, transfer or suspension took place or, as the case may be, the opinion was formed before the commencement of this section.
It can be seen that subsection (10) is restricted to child care organisations; it does not apply to any other organisation. It would be quite absurd for a child care organisation to have no power to refer an individual to the Secretary of State for pre-Act conduct but for any other organisation to be able to do so. To put it the other way round, it would be absurd if the Secretary of State could not act on such a reference if made by a child care organisation but could act if any other organisation made exactly the same reference. Parliament could not have so intended. And so I have no doubt that in enacting subsection 2(10) Parliament intended only to relieve a child care organisation of the duty that would otherwise have been imposed by subsection (1) in relation to pre-Act events. A reference by a child care organisation based on pre-Act events is nonetheless a reference under subsection (1) for the purposes of subsection (4) on which the Secretary of State may act.
Issue 2: Article 6
In the determination of his civil rights and obligations or of any criminal charge against him, everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal established by law. Judgment shall be pronounced publicly but the press and public may be excluded from all or part of the trial in the interest of morals, public order or national security in a democratic society, where the interests of juveniles or the protection of the private life of the parties so require, or to the extent strictly necessary in the opinion of the court in special circumstances where publicity would prejudice the interests of justice.
The parties’ submissions
Discussion
It is thus clear that article 6(1) is engaged where the decision which is to be given is of an administrative character, that is to say one given in an exercise of a discretionary power, as well as a dispute in a court of law regarding the private rights of the citizen, provided that it directly affects civil rights and obligations and is of a genuine and serious nature.
It could not be seriously suggested that the rights and obligations concerned in the present cases are not of a genuine and serious nature. See too the judgment of the Grand Chamber of the European Court of Human Rights in Pellegrin v France(App. No. 28541/95).
71.. the measures taken by the Sofia City Prosecutor’s Office did not involve a finding of guilt, but were rather designed, as is apparent from the wording of the provisions on which they were grounded and the reasons given, to prevent the future commission of offences and safeguard the public interest .
Accordingly, the criminal limb of Article 6.1 was inapplicable. However, the Court held that the civil limb of Article 6 did apply, because “the ordered suspension of the performance of the privatisation contract and the eviction of the applicant company from the hotel had a clear and decisive impact on its capability to use and operate it, which was undoubtedly an exercise of a civil right”: paragraph 72 of the judgment.
Fairness and justification
“The issues around provisional listing essentially boil down to this: every person referred to the list should have a right to have the allegations against him proved. If one accepts that point, one is inevitably faced with the question of what to do between the time when the Secretary of State is notified that the employer has already taken disciplinary action and the time it takes for the allegations to be proved at an independent tribunal. Either one takes the stand that no action should be taken to protect the vulnerable adults during that period, or one can ensure that precautionary action is taken pending proof.
We have heard that many people in the field believe that it is high time that the Government ensured that effective precautionary action is taken. I agree. That is why provisional listing is a central part of the scheme. In addition, there is an extra safeguard for the worker in ensuring that he comes off the list even before the case goes to a tribunal, unless the Secretary of State believes that there is a reasonable basis for the allegations.”
Article 8
1. Everyone has the right to respect for his private and family life, his home and his correspondence.
2. There shall be no interference by a public authority with the exercise of this right except such as is in accordance with the law and is necessary in a democratic society in the interests of national security, public safety or the economic well-being of the country, for the prevention of disorder or crime, for the protection of health or morals, or for the protection of the rights and freedoms of others.
… A precipitate suspension and subsequent referral to the list that later proves to be based on groundless allegations could cause significant upset and damage to the care worker and his working relationship with colleagues and vulnerable adults.
111. The Court reiterates that, whilst Article 8 of the Convention contains no explicit procedural requirements, the decision-making process involved in measures of interference must be fair and such as to ensure due respect of the interests safeguarded by Article 8 (see Buckley v. the United Kingdom, no. 20348/92, § 76, ECHR 1996-IV).
112. The Court also reiterates that the difference between the purposes pursued by the safeguards afforded by Article 6 § 1 and Article 8 of the Convention, respectively, may justify an examination of the same set of facts under both Articles.
A1P1
Conclusion
Appendix
Profession |
Source of Authority |
Provision for suspension/interim orders hearing |
Notice period before hearing |
Legal representation allowed |
Right of appeal from hearing |
Doctors |
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s.41A( 1) “Where the Interim Orders Committee are satisfied that it is necessary for the protection of members of the public or is otherwise in the public interest, or is in the interests of a fully registered person, for the registration of that person to be suspended or to be made subject to conditions, the Committee may make an order…” |
Rule 26 “prior to the initial or any review hearing relating to an interim order the Registrar shall serve on the practitioner (a) a notice of hearing …in such time before the hearing as is reasonable in the circumstances of the case” |
s.41A(4) “ No order under subsection (1)… shall be made by any Committee in respect of any person unless he has been afforded an opportunity of appearing before the Committee and being heard on the question whether such an order should be made in his case; and for the purposes of this subsection a person may be represented before the Committee by counsel or a solicitor..” |
s.40(1) (d) against “a direction that the right to make further applications under that section shall be suspended indefinitely” s.41 (3) (a) “..to the High Court..” |
Health Professionals[1] |
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Article 31(2) “…if the Committee is satisfied that it is necessary for the protection of members of the public or is otherwise in the public interest…it may - (a) make an order…” |
Rule 6(2) “ The Committee shall not fix a date for the hearing which is before the end of the period of 28 days beginning with the day on which the Committee sent the notice … to the health professional” |
(16) At any such hearing, the person concerned shall be entitled to be represented whether by a legally qualified person or otherwise” |
Article 31(12): Application to vary or revoke any interim order may be made to the High Court |
Chiropractors |
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s.21 (5) “before making an order, the IC shall give the chiropractor concerned an opportunity to appear before it and to argue his case against the making of the proposed order” s.24 has similar powers for the PCC and HC |
Rule 6(1) “the opportunity to appear..shall be offered by the giving of written notice…if he wishes so to appear, requiring him to notify …in writing to that effect before the end of the period of 10 days…” |
s.21(6) “at any such hearing the chiropractor shall be entitled to be legally represented” Rule 6(1)(c ) “informing him that at any such hearing he may be legally represented” |
Appeal to High Court (s. 24(6)) |
Osteopaths |
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s.21(5) “before making an order, the IC shall give the osteopath concerned an opportunity to appear before it and argue his case against the making of the proposed order” s.24(1) similar powers exist for PCC and HC” |
s.26 (2) (c ) “..28 days” |
s.21(6) “at any such hearing the osteopath shall be entitled to be legally represented” |
s.24(6) “where an interim suspension order has been made the osteopath concerned may appeal against it to the appropriate court” |
Dentists |
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s.32 or 36 V Act Article 15 (2) “a Practice Committee shall not make, confirm or replace an interim order, or make an order adding to or varying any conditions imposed by an interim order, under s.32 or s.36V unless they are satisfied that the respondent has been provided with an opportunity of appearing before the Practice Committee and being heard on the question of whether such an order should be made in his case” s22 and Part V (Rules 34-39) |
Article 15(2) “a practice committee shall not make confirm or replace an interim order, or make an order adding to or varying any condition imposed by an interim order…unless they are satisfied that the respondent has been provided with an opportunity of appearing before the Practice Committee and being heard on the question of whether such an order should be made in his case” |
Article 16(b) “the respondent or the respondent’s representative may make submissions, and present any relevant evidence..” Article 22(1) “before making any order for immediate suspension or immediate conditional registration…a Practice Committee shall invite the presenter and the respondent or the respondent’s representative to make submissions as to whether such an order should be made, and if so, on what terms the order should be made” |
Appeal to High Court (s. 32(12)) |
Opticians |
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s.14 Act “disciplinary order” includes a suspension order |
Rule 13D(9) |
s. 23 appeal to the Privy Council within 28 days Rule 23G |
[1] Arts therapists, biomedical scientists, chiropodists, clinical scientists, dieticians, occupational therapists, operating departmental practitioners, orthoptists, paramedics, physiotherapists, radiographers, speech and language therapists