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{\f3\fbidi \froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fbidi \fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}{\f34\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria Math;}
{\f36\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}{\f37\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}{\flomajor\f31500\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fdbmajor\f31501\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}
{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}
{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f39\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\f40\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\f42\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\f43\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\f44\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f45\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\f46\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\f47\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f59\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}{\f60\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}
{\f62\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f63\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f64\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f65\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}
{\f66\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f67\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f379\fbidi \froman\fcharset238\fprq2 Cambria Math CE;}{\f380\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}
{\f382\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f383\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f386\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}{\f387\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}
{\f399\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\f400\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\f402\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\f403\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\f406\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\f407\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\f409\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\f410\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}
{\f412\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\f413\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\f416\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\f417\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}
{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}
{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}
{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}
{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}}
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\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 IN THE HIGH COURT OF THE COOK ISLANDS
\par HELD AT RAROTONGA
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid14249202 CIVIL DIVISION}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 
\par PLAINT 80/99
\par 
\par BETWEEN:
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 HEALTH WATCH INCORPORATED
\par a duly incorporated society having its registered office at Rarotonga
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 First Plaintiff
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 
\par AND:
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 CASPER MATEARIKI & LOTIOLA MATEARIKI
\par both of Atiu
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 Second Plaintiff
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 
\par AND
\par 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 THE MEDICAL AND DENTAL
\par COUNCIL OF THE COOK ISLANDS
\par a body corporate established pursuant to Section 3 of the Medical and Dental Practice }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5009877\charrsid15102447 Act 1976}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1182192\charrsid15102447 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 Defendant
\par }\pard \ltrpar\s28\ql \li0\ri0\sl-360\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15102447 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15102447 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926\charrsid1182192 Mr McAnally for First and Second Plaintiffs
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877\charrsid1182192 Mr.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926\charrsid1182192  Lynch for Defendant}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 
\par 
\par Date of Hearing: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15102447 8th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926  and 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14249202 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid15102447 th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926  November 2000
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 Date of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877 Judgment:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15102447 
9th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4676926  November 2000}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192 
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\par }\pard \ltrpar\s28\qc \li0\ri0\sl-360\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14249202 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1781160\charrsid14249202 ORAL JUDGMENT OF GREIG CJ
\par }\pard\plain \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1781160 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
This is an action brought by the Plaintiffs in respect of the consideration by and the findings of a Cook Islands Medical and Dental Council into what is described in their findings as an investigation into the death of Baby Caspe
r on 2 November 1997. The proceedings are brought by a Statement of Claim and the allegations are now set out in an amended Statement of Claim dated 3 May 2000.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4010249 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
The defendant has done nothing more than file a Notice of Intention to Defend.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4010249  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 Proceedings such
 as this are invariably dealt with by affidavits, affidavits which}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
produce the record of the hearing and the other material evidence. In the most unusual case there might be of an application to cross-examine a witness but a case like this is never done on ordinary viva voce evidence.
\par I allowed this case to be done out of the ordinary in this way to deal with it rather than on a regular proper basis so the matter may be heard in appropriate order.
\par The reason that a matter such as this is not dealt with by t
he ordinary process of oral evidence is that a case like this is not an appeal. It is a review of the tribunal to see if it has gone wrong in the conduct of the hearing. It is not to second guess the tribunal. It is not to review the evidence and to decid
e
 whether a Court, this Court, might have come to different conclusion. The decision is about whether the tribunal on the evidence that was before it has acted regularly in hearing and dealing with the matter and then has come to a conclusion which was ope
n
 to it and which has not been influenced improperly by irrelevant considerations or failure to take into account relevant considerations. In the case of a review the papers often make a claim that a tribunal has taken account of irrelevant considerations 
or failed to take account of relevant considerations or has behaved unreasonably.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid815216 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
It is not open to a party dissatisfied with the conduct or decision of a tribunal to attempt by a procedure, such as this claim, to have a Court rehear the evidence before the
 tribunal with a view to that Court coming to a different conclusion. Nor is it open }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877\charrsid1182192 to such}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
 a party to claim that merely because the tribunal has come to a view of the facts which is not in accordance with that party}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 '}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
s view that the tribunal thereby has conducted its investigation improperly or has failed to come to a proper conclusion.
\par The First Plaintiff is a body corporate called Health Watch Incorporated. I have no information or evidence as to what the body is, what it does and what standard or statu
s it might have in relation to a matter such as this. The amended Statement of Claim alleges and this is not denied, or dealt with on the part of the defendant that by letter dated 24 November 1997 it requested the defendant to enquire into the treatment 
of Baby Casper by Dr Raea. The Council}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 '}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
s decision and findings dated 25 March 1998 refer to that letter and mention the request for the Medical Council to investigate. At the same time it appears that the parents of the baby also wrote to the Council about the matter.
\par The matter was first dealt with in an un-official way by the Secretary of Health and in his report dated 5 January 1998 which was addressed to the Chairman of the Medical Council, certain comments and findings were made to enquiries and informa
tion obtained from the doctor concerned and the nurse who had been involved in the matter.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16536424 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
The Secretary of Health came to the conclusion that Dr Raea "had done what he could for this child and I therefore reject the allegation that there was malpractice involved."
\par Dr Robert Woonton in his evidence before me today as Chairman of the Council said that he was not satisfied with that and decided that the Council should investigate the matter itself.
\par The events of this sad matter took place on the island of Mauke. The doctor was brought to Rarotonga as was the nurse and as were the parents and the Council set up an enquiry which sat on 3 days on the 26}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5009877\charrsid1182192 , 27}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192  and 29 January 1998.
\par The Council comprised the chairman, Dr Robert Woonton, Dr Losacker, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877\charrsid1182192 Mr.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192  George Hosking
 who I understand is a member of the Dental profession and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877\charrsid1182192 Mr.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
 Bobby Turua who is appointed by the Minister to represent the general public.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2429028 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
The representative of Health Watch Incorporated, the First Plaintiff sought to be present but that application was 
not accepted. There was present however Sir Thomas Davis, he seems to have been there in a watching capacity. In his evidence to me he clearly said that he represented the parents of the child and as I understood it also Health Watch. There was a referenc
e to the presence of Sir Tom}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192 '}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
s grand daughter Jennifer Davis. She is a solicitor I am told. It appears neither Sir Tom or Miss Davis took any part in the giving of evidence before the Council or in giving submissions to it.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2429028 There is no transcript of the evid}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5261643 ence before the tribunal. I am informed by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877 Mr.}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid5261643  Lynch }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877 that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5261643  the papers of the Council have been lost.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2429028\charrsid1182192 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid5261643 Sir Torn took some notes. These he later transcribed by typing them. He referred to his}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192  type written notes to refresh hi
s memory and described to me what took place before the Council. Dr Woonton has also given evidence, clearly from memory, but that does not in any material respect differ from what Sir Tom has said. Dr Losacker has confirmed what Dr Woonton said.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5261643 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 In the ab
sence of the transcript but with the evidence before me, I believe I have a clear idea of what took place. The Council heard the doctor, the nurse, the parents and the doctor who had attended the mother on the birth of the child.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4458215 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 The general outline of the
 events was that the baby had been born in Rarotonga and after about 4 weeks was taken to the island of Mauke. Towards the end of October the child became ill and was taken to the hospital and was seen by the doctor. The doctor saw the child again and gav
e it some treatment. It was diagnosed of a suspected flu, consideration of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5009877\charrsid1182192 anemia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
 and a treatment was given including an injection of Neo Cytamen and some amoxil syrup. The child became worse and was brought into the hospital again and finally died.
\par }\pard \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1971793 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 There w
as a number of suggestions made that the doctor had not been able to be reached on one or two occasions, that he had used the drug Neo Cytamen which was old. A suggestion was made that it was some 8 years out of date. However there is no suggestion that t
h
at treatment caused any harm to the child. It was accepted that there was a suggestion of some bleeding after the injection. This was not brought to the attention of the doctor and it appears it was not of a nature that caused any real concern to the Coun
cil.
\par There was a suggestion that the parents had told the Council that on one occasion, it seems a Sunday }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793\charrsid1182192 morning that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
 the doctor had smelled of alcohol or was drunk. All of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 this material was before the Council. As I have said the Council met on three days in}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
January 1998 hearing those witnesses. The Council then had three further meetings among themselves to deliberate and to come to a conclusion. Their conclusion was reached on 25 March 1998. They made five observations as follows:
\par {\listtext\tab}}\pard\plain \ltrpar\s21\qj \li1440\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls17\outlinelevel0\adjustright\rin0\lin1440\itap0\pararsid1182192 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 "1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1182192\charrsid1182192  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
We could not establish the cause of death on clinical evidence}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 without a post mortem.
\par {\listtext\tab}}\pard \ltrpar\s21\qj \li1440\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls17\outlinelevel0\adjustright\rin0\lin1440\itap0\pararsid1971793 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793 2. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1781160\charrsid1182192 The bleeding noted by the parents from the injection site by}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 itself could not have caused the death of the baby.

\par {\listtext\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793 3. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 Dr Raea was not informed of the bleeding complications either}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 by the parents or the nurse.
\par {\listtext\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793 4. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 There was no evidence provided to the Council to suggest}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid1781160\charrsid1182192 Dr Raea failed to provide medical attention to the baby.
\par {\listtext\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793 5. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 The Council is satisfied that the treatment and management of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 Baby Casper was within the standard medical practice available on Mauke."
\par }\pard\plain \ltrpar\s39\ql \li0\ri0\sb240\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1971793 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
Their conclusion was that no failure or blame could be apportioned to any particular party involved in the death of Baby Casper. The Council expressed their deep regret for the loss of their child. I would repeat that from the Court}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid1182192\charrsid1182192 '}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 s point of view.
\par There is actually no express finding by the Council that there was no misconduct of a professional kind or any misconduct on the part of any person involved in the death.
\par Council is, as I have noted, made up of three professional personnel and a member of the public and they are of course familiar with the practice of the profession in the Cook Islands and in particular the south islands such as Mauke.
\par Evidence was given to me today that there are difficulties in providing complete 
treatment available to all in the south islands. The information was that the doctor in this case had done what he could with what was available to him. Dr Woonton suggested that he himself would}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793  }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 have probably done the same in the circumstances. No doubt he would not have done the same in Rarotonga in the hospital facilities here.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1971793 I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192  am satisfied without any doubt of any kind that the Council carefully considered the ma}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14249202 
terial that was put before it. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 It has before it the evidence that has been repeated to me of what might be considered in some circumstances a failure on the part of a}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid1971793  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192 
medical practitioner. The Council came to the conclusion on the whole of that, after their careful deliberation that there was no failure, that there was treatment afforded and t
hat it was in accordance with the normal practice. It is implicit in what it said that there was no misconduct. It is no real help to keep repeating that there was some evidence of influence of liquor on one occasion on the part of the doctor or that some
 
of the medicine used was out of date. The question before the tribunal was whether the doctor did his best in the circumstances, they concluded that he did. The Council had before it all the evidence the applicant has rehearsed in this Court, it was consi
dered and the Council ruled as it did.
\par Because the Council did not mention some item or items of evidence or did not deal with it in the way the applicant would have liked it does not follow that the Council was wrong or failed to take it into account.
\par I am satisfied that there are no grounds for any review of the tribunal hearing or the conclusion that it made on the grounds that have been raised.
\par It was claimed that the Council had breached its statutory duty in not allowing the First Plaintiff to attend i
ts hearing. The relevant provision is S 28(3) of the Medical and Dental Practices Act 1976. That provides that the complainant is entitled to be present throughout the enquiry held by the Council into a complaint. The First Plaintiff alleges it was a comp
lainant in this case. That has not been denied. It is clear to me however that the First Plaintiff would not have put to the Council anything that was not before the Council and which would have influenced its decision.
\par M}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14249202 y}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1781160\charrsid1182192  conclusion is that although techni
cally there was a breach of the statutory requirement it was not a matter that would have affected the decision and it was not a matter which required the case to be heard again. I do note however that Council must allow the complainant to be present. It 
may be in the relative informality that appears to prevail with the Council that a body like Health Watch Incorporated which has taken some active steps in the action ought to be allowed to be present and to take an active part in the proceedings.
\par In the result then the action must fail and all the applications are dismissed.
\par Mr Lynch for the defendants has applied for costs. Costs normally follow the event; the loser pays the costs. And in a case like this the Plaintiffs have brought the proceedings, they h
ave failed. The defendant has had to take some steps to instruct counsel and to appear in this case. As I have noted, the defendant has taken no steps in the pleadings. Apart from the report it has produced no documentation by way of affidavit or otherwis
e
. We have been engaged half a day. On the other hand the First Plaintiff is a public lobby group, a non governmental organisation, which assisted the parents to bring their claims. The Second Plaintiffs are the parents of the child. I do not accept they h
ave any substantial means. Sadly of course they are parents who have lost a child. In the particular circumstances of this case the costs should lie where they fall, each party should pay their own costs, I make no order as to costs.
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1182192 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1781160\charrsid1182192 
\par }\pard\plain \ltrpar\s28\qc \li0\ri0\sl-360\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12463702 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1781160\charrsid12463702 CHIEF J}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid5009877\charrsid12463702 U}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1781160\charrsid12463702 STICE
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