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Court of Appeal of New Zealand |
Last Updated: 22 July 2024
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BETWEEN |
SARAH GORDON First Appellant GILES NEWTON-HOWES Second Appellant |
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AND |
ATTORNEY-GENERAL First Respondent DIRECTOR-GENERAL OF HEALTH Second Respondent |
Court: |
French and Ellis JJ |
Counsel: |
I H V Reuvecamp for Appellants K Laurenson and I M C A McGlone for Respondents |
Judgment: (On the papers) |
18 July 2024 at 11.00 am |
JUDGMENT OF THE COURT
____________________________________________________________________
REASONS OF THE COURT
(Given by Ellis J)
Background
[10] There are no facts pertaining to any patient or applicant at issue in these proceedings. The proceedings relate solely to the civil commitment provisions of the MHA and whether they can be given a human rights consistent interpretation. ...
(a) the provision of compulsory treatment under a compulsory treatment order “in circumstances where a patient has the decision-making skills/mental capacity to make decisions about assessment and treatment relating to their mental health” was inconsistent with the rights confirmed in ss 11 and 19 of the NZBORA; and(b) the limits on the s 11 right arising from the provisions relating to, and the existence of, compulsory treatment orders, cannot demonstrably be justified in a free and democratic society for a number of reasons, including that they impair the right (to refuse medical treatment) more than is reasonably necessary and the benefits of such orders are outweighed by the significance of the limit on the right.
The PCO in the High Court
(a) Since his initial decision refusing the application, new information had become available to the effect that the appellants were not willing to bear the risk of a costs award themselves; it had become clear that the proceedings would not be pursued in the absence of a PCO.(b) Te Kāhui Tika Tangata | the Human Rights Commission (the HRC) had, by its intervention, lent its weight to the importance of the domestic and international human rights issues at stake in the proceeding.
(c) It had become clearer that the appellants were seeking clarification of the law pending the outcome of the current law reform exercise, which might prove to be lengthy.
(d) It had become clearer that the appellants did not have a material private or personal interest in the outcome of the proceeding but were bringing them in the public interest and to vindicate the rights of those subject to the current mental health law (who were unlikely to be in positions to take proceedings themselves).
(e) Access to justice is a foundational right in our system of justice.
(f) While a costs regime that deters frivolous and vexatious cases increases access to justice overall, the ability of plaintiffs, represented by competent counsel, to bring proceedings that are in the public interest, about serious human rights issues, for no personal benefit, should not be determined by their ability to pay costs.
The judgment under appeal
[53] The underlying premise of the applicant’s proceeding is that “mental capacity” should be the determinative factor in the assessment and treatment of a person’s mental health, and in the consent provisions. The applicants propose that the same test for capacity that is used in the Protection of Personal and Property Rights Act 1988 (PPPR Act), and the Substance Addiction (Compulsory Assessment and Treatment) Act 2017 (Substance Addiction Act), should be adopted in the MHA.
[61] ... reflect the applicants’ challenge underpinning these proceedings, that a person cannot be mentally disordered if they have the decision-making skills or mental capacity to make decisions about assessment and treatment relating to their mental health, and if the patient has mental capacity they are “fit to be released.”
(a) the meaning of “mental capacity” (which is not a term used or defined in the MHA) was unclear;(b) the declarations sought involved generalised and hypothetical assertions; and
(c) the interpretation of the key definition of “mental disorder” proposed was not available to the Court.
[87] It is well established that it is consistent with the courts’ function to make declarations as to the proper construction of legislation, “whether consequential relief is or could be claimed or not” and even in anticipation of an act or event. Whether or not a declaration should be made, is a matter for the Court’s discretion. Here, the Crown, rightly cautions the Court that declaratory judgments are not appropriate for resolving hypothetical questions, devoid of an actual controversy or specific fact setting. The first applicant, while not presently subject to compulsory treatment, submitted that she, at times, meets the MHA criteria for compulsory assessment and treatment. However, she notes that “these proceedings will have no direct impact on me personally at this time” and thus, it is apparent that the application is concerned with the rights of patients generally, or the potential impact on the rights of potential patients.
...
[89] The applicant’s key proposition is that “a person cannot be mentally disordered if they have the decision-making skills/mental capacity to make decisions about assessment and treatment relating to their mental health.” Such a declaration, would require the Court to be satisfied that a person with mental capacity cannot be mentally disordered. Here, the assertion, while supported by the second applicant in his affidavit, has not been supported by an evidence-based analysis or clinical review of whether a person with mental capacity can also be mentally disordered. Without a factual foundation before the Court, the applicants are requesting that the Court adopt the proposition as a clinical given, in the absence of an evidential basis for doing so.
...
[96] The legislative framework for inclusion of a capacity test clearly requires careful assessment and consideration within the complex mental health context. The declarations involve statutory interpretation questions which the Court cannot properly answer on facts which are not context dependent. It is also inappropriate as I discuss below, for a Court to make such an assertive hypothetical declaration when the issue is clearly part of the legislative reform currently under consideration.
(a) the right to refuse medical treatment (s 11 of the NZBORA) was engaged (and limited) by the compulsory treatment provisions;[17](b) the right to be free from discrimination (s 19 of the NZBORA) and not to be arbitrarily detained (s 22 of the NZBORA) were not engaged;[18] and
(c) the limit on the s 11 right (which was, itself, limited to a relatively few number of patients who are not in a position to give consent to treatment) could be demonstrably justified in a free and democratic society.[19]
[185] I make the observation that the Government has committed to making the MHA more rights consistent. That is commendable and is consistent with New Zealand’s obligations under the CRPD. However, it does not signal, as the applicants appear to suggest, that the challenged MHA provisions are not rights consistent. Clinical advancement and greater understanding of mental illness is organic and has advanced over the last 30 years. It is timely therefore that the MHA is updated and reformed, as the Government has accepted. It does not provide a ground, however, for a declaration of inconsistency.
[235] Plainly, reform of the MHA to reflect contemporary clinical practice and legislative reform in discharging New Zealand’s obligations under the International Conventions is important to overhaul legislation that has been in place for 30 years, as the Government has recognised. The more concerning provisions, which have been the subject of international human rights criticisms have been speedily removed, such as the provision for indefinite compulsory treatment orders. It is now for Parliament to complete its legislative reform without the Court’s interference or influence in that Parliamentary process.
[236] The MHA involves “complex ethical, legal and policy issues” with multiple levels of interests within the mental health system. The MHA affects a wide range of persons. For a Court to unilaterally make declarations importing new meaning into the legislative wording goes well beyond declaring the law.
[237] I acknowledge the applicants’ hope that this will assist in meeting all parties’ collective responsibility to ensure that the current MHA is applied in a way that respects and promotes a person’s rights and places human rights principles at the centre of service provision. However, there is a government commitment to reform the MHA to make it more compliant with New Zealand’s CRPD obligations. Steps have already been made to repeal offending provisions. The complexity of reforming the approach to mental disability in light of more rights-based and current clinical practice requires careful consultation and consideration as part of the reform process and legislative drafting.
The substantive appeal
(a) In relation to the first cause of action — entry and exit criteria, by:(i) finding that the limit imposed on the right to refuse to undergo medical treatment was justified;(ii) finding that the right to freedom from discrimination and the right not to be arbitrarily detained were not engaged;
(iii) finding that a more human rights consistent interpretation of the relevant provisions of the MHA was not available; and
(iv) declining to grant the relief sought;
(b) In relation to the fifth cause of action — community treatment orders, by:
(i) finding that the limit imposed on the right to refuse to undergo medical treatment was justified;(ii) finding that the right to freedom from discrimination was not engaged; and
(iii) declining to grant the relief sought.
Should a protective costs order be made on appeal?
Protective costs orders: principles
[18] The policy behind protective and pre-hearing costs orders is not dissimilar to that behind the reluctance to make an order of costs against a public interest litigant — a view that the risk of costs will otherwise impede access to justice and the representation of the public interest. Such orders permit public interest litigants security from the fear of an adverse costs order, provide them with the security of a cap, or advance the costs they need to carry on the litigation.
[19] The principles on which the courts will make protective costs orders were discussed by the Court of Appeal of England and Wales in R (on the application of Corner House Research) v Secretary of State for Trade and Industry. Relevant considerations include the fact that the claimant has no private interest in the outcome of the case and the likelihood that without such an order the claimant will have to discontinue the proceedings. To be suitable for a protective costs order, the case must raise issues of general public importance, the resolution of which is itself in the public interest. It must be fair and just to make the order having regard to the financial resources of all parties. It is a relevant circumstance likely to enhance the merits of the application if those acting for the claimant are doing so on a pro bono basis. ...
[21] ... It is true that protective costs orders arise only in the extreme case that a public interest point which ought to be heard is likely not to be ventilated if a party without any personal stake is at risk of an undetermined exposure to costs. But they are prompted by the same underlying concern to ensure access to justice for public interest matters that arises when costs are sought against an unsuccessful public interest litigant. So it is of interest in the present circumstances to note that courts in other jurisdictions considering protective costs orders have thought it necessary to consider the converse case where a public interest litigant is successful and have thought fairness may require in some cases that a protective cost order be conditional on such a litigant not being awarded costs if successful.
[45] We should emphasise that our decision on the SOS appeal does not mean that whenever a group claiming to be acting in the public interest brings an appeal to this Court, it will be insulated from paying costs if unsuccessful. Rather, the outcome will be determined by the particular circumstances of this case. Here, it is the fact that SOS did have some success in the appeals that persuades us that costs should lie where they fall, although it is also relevant that the appeals concerned matters of public interest, that SOS was not pursuing a commercial benefit and that it acted reasonably in its conduct of the appeal.
(a) the claimant has a private interest in the outcome of the case;(b) the claimant will have to discontinue the proceedings if an order is not made;
(c) the case raises issues of general public importance and resolution of them is in the public interest;
(d) it is fair and just to make the order, having regard to the financial resources of all parties; and
(e) those acting for the claimant doing so on a pro bono basis.
47. As to the procedures to be used in the Court of Appeal, having upheld the guidance in the Corner House case ... it seems to me that any procedure in the Court of Appeal should follow that guidance as far as possible. Let me deal first with cases where PCOs have been granted and the proceedings have been fought out. The governing principles ... can be taken to have been established so far as the case at first instance is concerned. If the person benefiting from a PCO is the would-be appellant, they may however have to be re-examined at the appellate stage. It may have become clear that no issue of general public importance arises or it may be clear that there is no public interest in bringing the case to the Court of Appeal. If the beneficiary of a PCO has succeeded in the court at first instance, it is difficult to think that some protection will not be appropriate in the Court of Appeal.
Discussion
(a) the appellants do not have a private interest in the outcome of the case;(b) the appellants will not pursue the appeal if an order is not made; and
(c) counsel for the appellants is acting pro bono and the appellants would not seek costs if successful on appeal.
Costs
Result
Solicitors:
Vida Law,
Wellington for Appellants
Te Tari Ture o te Karauna | Crown Law Office,
Wellington for Respondents
[1] Gordon v Attorney-General [2023] NZHC 2332, [2023] 3 NZLR 625 [Substantive judgment].
[2] Environmental Defence Society Inc v New Zealand King Salmon Co Ltd [2014] NZSC 167, (2014) 25 PRNZ 637 at [21].
[3] The first appellant, Ms Gordon, is a mental health services consumer with an illness of a nature which, she says, places her at threat of compulsory assessment and treatment under the Mental Health (Compulsory Assessment and Treatment) Act 1992 [the MHA]. The second appellant, Mr Newton-Howes, is a psychiatrist and a clinician in charge of patient treatment under the MHA.
[4] Substantive judgment, above n 1.
[5] Including the definition of mental disorder in the MHA; sections 10, 12, 16, 18, 27, 34 and 35, and the meaning of “fit to be released”, in circumstances where a patient has the decision-making skills/mental capacity to make decisions about assessment and treatment relating to their mental health.
[6] Waitemata Health v Attorney-General [2001] NZFLR 1122 (CA).
[7] Gordon v Attorney-General [2022] NZCA 245.
[8] Gordon v Attorney-General
[2022] NZHC 2143 [Refusal judgment]; and Gordon v
Attorney-General [2022] NZHC 2801 [PCO judgment].
[9] PCO judgment, above n 8, at [14]–[19].
[10] Substantive judgment, above n 1.
[11] At [4], citing United Nations Convention on the Rights of Persons with Disabilities 2515 UNTS 3 (opened for signature 30 March 2007, entered into force 3 May 2008).
[12] Footnotes omitted.
[13] At [76].
[14] At [83]–[85].
[15] Footnotes omitted.
[16] At [97], citing Waitemata Health, above n 6, at [72].
[17] At [169].
[18] At [170].
[19] At [174]–[186].
[20] Footnote omitted.
[21] Environmental Defence Society Inc v New Zealand King Salmon Co Ltd, above n 2, at [21]–[22] per Elias CJ and William Young J. The majority of the Supreme Court in that case did not engage directly with the question of protective costs.
[22] Environmental Defence Society Inc v New Zealand King Salmon Co Ltd [2014] NZSC 38, [2014] 1 NZLR 593.
[23] Sustain Our Sounds Inc v New Zealand King Salmon Co Ltd [2014] NZSC 40, [2014] 1 NZLR 673.
[24] No such orders had, however, been made in the two appeals themselves.
[25] Environmental Defence Society Inc v New Zealand King Salmon Co Ltd, above n 2, per Elias CJ and William Young J, referring to R (on the application of Corner House Research) v Secretary of State for Trade and Industry [2005] EWCA Civ 192, [2005] 1 WLR 2600 (footnotes omitted).
[26] Environmental Defence Society Inc v New Zealand King Salmon, above n 2, at [30] and [49].
[27] The majority did not discuss PCOs.
[28] Footnote omitted.
[29] Environmental Defence Society Inc v New Zealand King Salmon, above n 2, at [19], citing Corner House, above n 25, at [74].
[30] R (Compton) v Wiltshire Primary Care Trust [2008] EWCA Civ 749, [2009] 1 WLR 1436.
[31] Emphasis added.
[32] Corner House, above n 25.
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