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England and Wales High Court (Administrative Court) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Administrative Court) Decisions >> Mokhammad, R (On the Application Of) v General Medical Council [2021] EWHC 2889 (Admin) (28 October 2021) URL: http://www.bailii.org/ew/cases/EWHC/Admin/2021/2889.html Cite as: (2022) 183 BMLR 166, [2021] EWHC 2889 (Admin) |
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QUEEN'S BENCH DIVISION
ADMINISTRATIVE COURT
Bull Street, Birmingham B4 6DS |
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B e f o r e :
(sitting as a judge of the High Court)
____________________
The Queen on the application of Dr Siradzh Mokhammad |
Claimant |
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- and – |
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General Medical Council |
Defendant |
____________________
Alexis Hearnden (instructed by GMC Legal) for the Defendant
Hearing date: 4 August 2021
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(DRAFT CIRCULATED TO THE PARTIES BY EMAIL DATED 21 OCTOBER 2021)
Crown Copyright ©
HHJ Richard Williams:
Introduction and background
"On 17 May 2017 you were involved in an incident in a hospital car park in Birmingham during which you used language and made a gesture, both of which were offensive and insulting. This conduct does not meet with the standards required of a doctor. It risks bringing the profession into disrepute and it must not be repeated. The required standards are set out in GMP and associated guidance. Whilst your conduct has not resulted in any restriction on your registration, it is necessary in response to that conduct [to] issue this formal warning."
"[43] The Tribunal has considered all the evidence presented. It has noted that the accounts given by the GMC witnesses present in Car Park…and Dr Mokhammad were entirely different; the former contended that Dr Mokhammad was always the instigator of the unacceptable behaviour; Dr M's evidence put the instigation of the bad behaviour fully on the Q-Park staff. Nor were the accounts of the incident given by the 4 GMC witnesses present in the Car park particularly consistent with one another. It fell to the Tribunal to make sense of the incident based on its analysis of the evidence which was presented to it."
i) When the Claimant initially approached the customer window in the office ("At The Window");
ii) When the Claimant returned to his car parked outside the office and was told by staff that he could not leave it there as it was causing an obstruction ("Outside"); and
iii) When the Claimant returned to the customer window in the office having moved his car and asked the car park staff for their names ("Return To The Window").
At The Window
i) Although the Claimant raised his voice, he was not verbally abusive towards Ms A or Mr B as alleged. In particular, the MPT did not find that the Claimant verbally abused Mr B by saying –
"Fucking bastard"
"You're a mother Fucker"
"I'm going to fuck your wife";
ii) Mr B and Mr C were not verbally abusive towards the Claimant as he alleged;
Outside
iii) Similar verbal abuse and threats were made by Mr B, Mr C and the Claimant, although no finding was made as to whether the Claimant was the first to utter them;
iv) The Claimant squared up to Mr B, but in doing so was not inviting a physical alteration, but rather adopting a posture to deter Mr B because the Claimant feared physical aggression;
v) The Claimant verbally abused Mr B by saying –
"you're a mother fucker"
"I'm going to fuck your wife"
"you fucking bastard"
"you're a donkey"
"you're not human, you are an animal";
vi) The Claimant verbally abused Mr C by saying –
"you're a mother fucker";
Return To The Window
vii) The Claimant verbally abused Mr C by saying "you motherfucker, I rape your wife and split her legs" whilst at the same time motioning as if he was pulling something apart; and
viii) The Claimant asked Mr C "what's wrong, you scared?", although this referred to Mr C withdrawing from the window to avoid being photographed.
i) The Claimant's conduct Outside amounted only to misconduct and not to serious misconduct. In so concluding, the MPT recognised that, although the language was quite dreadful, the Claimant was not the only person at fault (Mr B and Mr C having been found to have used the same language) and he was acting under the misguided belief that he was in the right having been prevented from using his car park pass; and
ii) The Claimant's conduct on his Return To The Window amounted to serious misconduct in that, although the expression used reflected the language used previously by Mr B and Mr C, it was worse and the accompanying gesture made it significantly worse.
Reasons given by MPT for the adverse findings of fact made against the Claimant
"Outside:
…………..
[61] It finds that bad language, abuse and threats were made by all persons outside, that is by Mr B, Mr C and [the Claimant]. It finds that Mr C was very much a party to this bad language as he was asked to return to the office by Mr B. It observes that the language allegedly used by [the Claimant] on the one hand and by Mr B and Mr C on the other is similar. It is therefore likely that the phraseology employed by each party was fed by that used by the other. Further it observes that [the Claimant] did not know what language would be attributed to him when he set out his account of the language used at him in his HCL statement, as he had not seen the car park staffs statements at this point. The Tribunal therefore finds that [the Claimant] did say the words alleged in paragraph 2(b)(iii) to (vii) of the allegation. It makes no finding as to whether he was the first to utter them.
………….
Return to the window
[66] [The Claimant] returned to the window, having in fact moved his car to avoid the £300 fine. He had parked in a place which was reserved for Birmingham Women's Hospital staff where he was not authorised to park. His purpose for returning to the window was to obtain the names of Mr B and Mr C. He clearly remained of the view that he was in the right and intended to make complaint as to his treatment. Ms A refused to give the names and asked him to move his car. Mr C stated that he did the same. Mr C stated that [the Claimant] thereupon said "You motherfucker, I rape your wife and split her legs" and with that he made the offensive gesture set out in paragraph 2(c) of the allegation. Mr C stated that he was becoming angry and Mr B drew him back, whereupon [the Claimant] said "What's wrong, you scared?" Mr B corroborates the offensive language allegedly spoken by [the Claimant] and the accompanying action. It is not corroborated by Ms A or Mr D. [The Claimant] states in his witness statement that, when at the window he was called a pussy, a motherfucker, son of a bitch, a dog and threats were made to fuck his sister, his mother and so forth. The context of this part of the narrative is that, as the Tribunal has found, this bad language had already been used by all involved outside the office. Moreover, [the Claimant] now had a further reason to be angry, namely the information that he was not entitled to park in the place to which he had moved his car. The Tribunal find on the balance of probabilities that [the Claimant] did utter the words set out in paragraph 2(b)(viii) of the allegation to Mr C, with the accompanying gesture. It also finds that [the Claimant] did utter the words set out in paragraph 2(b)(ix) of the allegation to Mr C, although this referred to Mr C's withdrawing from the window to avoid being photographed."
Permission to apply for judicial review
"Permission to apply for judicial review is granted on one ground, namely the index findings of fact of the MPT set out in paras 61 and 66 of the Tribunal's determination. As HHJ Cooke noted at [12] of his judgment, it is "slightly difficult to be exactly clear what point the tribunal was making in paragraph 61…….If the application for judicial review succeeds upon the index facts issue, the warning imposed by the MPT cannot be sustained. If the appeal fails on the primary facts issue, the warning which was imposed was reasonable and appropriate."
Legal framework
"The test which must be met on a claim for judicial review before the court will interfere with findings of fact made by a tribunal is a high one…………….On matters of fact as in all matters involving an evaluative judgment, the standard of review is one of reasonableness. It is for the tribunal empowered with the task of finding the facts to evaluate the evidence and decide what weight to give it. But a tribunal is not exercising its powers lawfully if it makes a finding of fact which has no reasonable evidential basis. Thus, the court will intervene if the evidence is not reasonably capable of supporting the tribunal's findings or where the reasons given by the tribunal do not rationally support the finding."
"… the authorities establish that in most cases, particularly those concerned with comparatively simple conflicts of factual evidence, it will be obvious whose evidence has been rejected and why, thus satisfying the duty to make it clear to the losing party why he had lost. Where the issue is not straightforward the practitioner is entitled to know why his evidence in the case had been rejected. A few sentences dealing with salient issues may be essential. While a finding of fact based on the assessment of witnesses will only be interfered with if it can be regarded as plainly wrong or so out of tune with the evidence properly read as to be unreasonable, the relevant issues must have been properly addressed (see Leveson LJ in Southall v GMC [2010] EWCA 407). In Selvanathan v GMC [2000] 59 BM Lord Hope stated that in practice reasons should now always be given by the panel in their determination. Fairness requires that this be done so that the losing party can decide in an informed way whether or not to accept the decision. In Selvanathan however the Privy Council concluded that there were no grounds for thinking that the appellant had suffered any prejudice due to the absence of reasons, the matter being relatively straightforward. In Gupta, the Privy Council finding that there was no duty in that case to give full[er] reasons than had been given, declined to give further guidance though it reiterated what had been stated in Selvanathan namely that in cases where fairness requires reasons they should be given. In Southall v GMC Leveson LJ concluded that in straightforward cases setting out the facts to be proved and finding them proved or not proved will generally be sufficient to demonstrate why the party lost or won and to explain the facts found. When the case is not straightforward and can properly be described as exceptional the position is and will be different. In such cases at least a few sentences dealing with the salient issue is essential. In that case having regard to the rejection of the doctor's evidence and her defence, she, the doctor, was entitled to know why, even if only by reference to demeanour, attitude or approach to the specific questions posed to the doctor. In that case it was nothing to do with not being wholly convincing it was about honesty and integrity and if the panel were impugning her in those regards it should have said so."
Submissions
Claimant
i) Ms A: elaborated aspects of her evidence under cross-examination, and while she stated she only typed up two of her three colleagues' initial statements, there was a finding she probably typed all three;
ii) Mr B: was 'somewhat unsatisfactory' as a witness and the MPT expressed concern that he had had little actual recollection of the sequence of events either at the time of the MPT hearing or indeed at the time he made his initial statement; and
iii) Mr C: 'came across well as a witness" but his oral evidence 'did not closely reflect his original statement' and the MPT was not satisfied that 'he properly recorded his part in the explosive situation that developed inside and outside the car park office'. It is notable that Mr C's original statement did not include the allegation that the Claimant had made any accompanying gesture when swearing.
Defendant
Discussion and conclusion
Exceptional case
Cogent evidence required
"19. In reaching its decision on facts, the Tribunal has borne in mind that the burden of proof rests on the GMC and it is for the GMC to prove the Allegation. Dr Mokhammad does not need to prove anything. The standard of proof is that applicable to civil proceedings, namely the balance of probabilities, i.e. whether it is more likely than not that the events occurred.
20. The Tribunal had regard to case law, including the case of In Re B (Children) (Fe) Appellate Committee [2008] EWCA Civ 282, where Lord Hoffmann stated:
"2. If a legal rule requires a fact to be proved (a "fact in issue''), a judge or Jury must decide whether or not it happened. There is no room for a finding that it might have happened. The law operates a binary system in which the only values are 0 and 1. The fact either happened or it did not. If the tribunal is left in doubt, the doubt is resolved by a rule that one party or the other carries the burden of proof. If the party who bears the burden of proof fails to discharge it, a value of 0 is returned and the fact is treated as not having happened. If he does discharge it, a value of 1 is returned and the fact is treated as having happened."'
21. The Tribunal was also made aware of the case law of Braganza v BP Shipping Ltd [2015] UKSC 17 where there is reference to the case of re H (Minors) [1996] AC 563, in which the factors to be taken into account when assessing the probability of an event occurring were considered:
'When assessing the probabilities the court will have in mind as a factor, to whatever extent is appropriate in the particular case, that the more serious the allegation the less likely it is that the event occurred and, hence, the stronger should be the evidence before the court concludes that the allegation is established on the balance of probabilities. '"
Cogency of the evidence relied upon by the Defendant
"Mr B, Assistant Site Manager, O-Park Limited
25. The Tribunal found Mr B a somewhat unsatisfactory witness. The answers he gave to some questions contradicted evidence from his colleagues, and on at least one point were wrong. For example, he did not produce his initial statement on the following day. He produced it on the same day.
26. The Tribunal was concerned that he had little actual recollection of the sequence of events either now or indeed at the time he made his initial statement. His grasp of detail was poor.
Mr C, Site Supervisor, O-Park Limited
27. Mr C came across well as a witness. However the Tribunal noted that his oral evidence did not closely reflect his original statement. It accepted that the incident unfolded as he explained in that original statement but it was not satisfied that he properly recorded his part in the explosive situation that developed inside and outside the car park office."
Credibility assessment of the Claimant
"37. The Tribunal found Dr Mokhammad in his oral evidence to be a softly-spoken man, who appeared unlikely to get involved in this sort of incident. This was reflected in the several testimonials which he adduced.
38. During his oral evidence, Dr Mokhammad explained that prior to the incident, he had had parking issues for 3 weeks where he struggled to gain access to the hospital staff car parks and get a car park space despite having paid £85 for a car park pass. Instead he had either to buy a single day ticket for £16 to obtain a car park space or find street parking.
39. Dr Mokhammad went on to explain that these constant parking problems caused him to be repeatedly late for work, which in turn had an impact on patients, nurses and other doctors and also reflected on his reputation.
40. Dr Mokhammad further stated that, because of the car parking issue, he believed that he had been a victim of fraud by Q-Park, including by the car park staff involved in the incident. He was not aware before the incident of the Q-Park application terms and conditions. These stated, that even with a pass, there is no guarantee of a car park space.
41. The Tribunal considered that Dr Mokhammad was convinced, albeit wrongly, that he was a victim of a fraudulent scheme, and that this belief gave him cause for complaint in the build-up to the incident. The Tribunal had regard to Mr Brassington's observation that Dr Mokhammad has a habit of talking over people.
42. The Tribunal was cognisant that the car park staff had complained about Dr Mokhammad's behaviour by 12:16 on 17 May 2017, and that Dr Mokhammad made a complaint about his difficulties gaining access to the car park in which he also complained about the behaviour of two of the car park staff in an e-mail at 15:11 on the same day."
Transparency
Conclusion
i) The MPT found that it was inherently unlikely that the Claimant would get involved in this type of incident;
ii) The MPT approached the allegations on the basis that cogent evidence was required for the Defendant to discharge the burden placed upon it to prove those allegations;
iii) The primary evidence relied upon by the Defendant was the testimony of Mr B and Mr C;
iv) The MPT did not find Mr B to be a reliable witness;
v) The MPT did not find Mr C to be a wholly reliable witness;
vi) The MPT did not find Mr B and Mr C to be credible witnesses in so far as the MPT rejected their evidence that they were entirely innocent victims and found that they had also been guilty of using "quite dreadful" language towards the Claimant;
vii) The MPT did not explain why it felt able to accept parts of the evidence of Mr B and Mr C whilst at the same time rejecting other parts of their evidence as not being reliable/credible;
viii) The MPT rejected the Claimant's evidence/defence but without explaining why it did not find the Claimant to be a credible witness either generally or by reference to particular allegations and despite having heard the Claimant give lengthy oral evidence. If (as must be the case) the MPT disbelieved the Claimant, he was entitled to know why; and
ix) The MPT did not explain properly or at all why ultimately it preferred a version of events, which had not even been advanced by the Defendant, by relying primarily upon a contemporary statement provided by the Claimant that was entirely consistent with his version of events.