A DHB’s decision to report a nurse who had bullied fellow nurses to the Nursing Council has been upheld by the Employment Court.
The complainant was a registered nurse employed by Southern District Health Board. Several nurses made complaints against the complainant, alleging bullying, undermining the practice, confidence and decision-making of colleagues and disparaging others.
Following an independent investigation, the investigator concluded that the complaints had been substantiated and that the DHB’s Code of Conduct and the Nursing Council’s Code of Conduct had been breached.
The complainant rejected the report’s conclusions and any suggestion that her behaviour fell short of what was expected. After receiving the report, the DHB informed the complainant that its preliminary decision was to accept the report’s findings. Prior to reaching any conclusion on whether misconduct had occurred (and the resulting disciplinary action), the parties entered into a settlement agreement, which was signed by a mediator.
The settlement agreement included the following:
- The terms of settlement were confidential to the parties “so far as the law allows”.
- Both parties would not make disparaging comments about each other to third parties.
- The complainant agreed to resign.
- The settlement agreement was a “full and final settlement of all matters between the employee and the employer arising out of their employment relationship”.
There was no reference in the settlement agreement to the complainant’s reasons for resigning or about the DHB’s reporting obligations under the Health Practitioners Competency Assurance (HPCA) Act 2003.
Notification to the Nursing Council
Several months later, the DHB’s Executive Director of Nursing and Midwifery notified the Nursing Council pursuant to section 34(3) of the HPCA Act. The notification was brief. It stated that the complainant had resigned prior to the conclusion of an investigation into complaints about her and that, due to the seriousness of the allegations, the complainant had been on paid leave during the investigation. The DHB attached copies of the complaints, its letter to the complainant informing her about the complaints and the investigation terms of reference.
The complainant claimed that the DHB’s notification had breached the settlement agreement and could not rely on the HPCA Act to justify its behaviour. The DHB did not accept this, given its statutory obligations under the HPCA Act. It also relied on the statutory protection from civil liability in section 34(4) of HPCA Act.
The DHB’s mandatory reporting obligations could not be circumvented by a settlement agreement
Section 34(3) of the HPCA Act requires employers to notify the relevant regulatory authority (here the Nursing Council) whenever a health practitioner resigns or is dismissed from employment “for reasons relating to competence”.
The Employment Court confirmed that section 34(3) is a compulsory reporting obligation that could not be circumvented by a settlement agreement. It also held that the HPCA Act threshold for notification is low and that section 34(3) only required that the subject of competence was raised or played some part in the decision to end the nurse’s employment. It was not necessary for the DHB to establish a competence issue or issue a final decision prior to notifying the Nursing Council.
The court also analysed the meaning of competence, including whether the complainant’s behaviour fell within the Nursing Council’s domain. The Nursing Council’s competencies extend beyond patient care and clinical competence and apply to ethical matters such as the way in which nurses deal with one another. These include effective communication, collaboration and participation with colleagues. The Code of Conduct also requires nurses to work and communicate clearly, effectively and respectfully with other nurses.
In the court’s view, the alleged bullying behaviour (if substantiated) could be a breach of these expectations. Even though no decision had been made by the DHB, once the DHB reached this view, notification to the Nursing Council was compulsory and inevitable.
No breach of settlement agreement
The settlement agreement required confidentiality “so far as the law allows”. The DHB acted in reliance on its statutory obligations and only disclosed information necessary to discharge its obligation. The notification contained simple statements of fact and did not include the settlement agreement or any terms of settlement. As such, there was no breach of confidentiality, nor was there any disparagement.
Further, while the settlement agreement was a full and final settlement of all matters arising out of their employment relationship, this did and could not cut across the DHB’s statutory duties.
Potential for wider professional consequences
The Court was very clear that the parties could not contract out of their statutory obligations and that the settlement agreement did not prevent notification to the Nursing Council. It is not clear whether the DHB informed the complainant at any stage of the process that it was considering notifying the Nursing Council and the Court did not comment on whether there was any requirement to inform her.
While doing so could have been a barrier to settlement, arguably the DHB’s obligation of good faith could have required disclosure. We expect that any obligation to disclose will depend on the circumstances, including the employer’s own assessment of whether the behaviour meets the relevant threshold.
Different thresholds and statutory reporting duties apply to professionally registered employees whose work is subject to regulatory supervision and oversight, including health practitioners, educators, lawyers and accountants. The dismissal or resignation of a professionally registered employee endangers not only their employment, but their prospects of working again in their chosen field. Employers should therefore take additional care in reaching adverse findings that may result in a professional body investigation.
Earlier cases have suggested that employers should consider advising an employee early on in the process if there is the potential for wider professional consequences and expressly take professional consequences into account in its decision-making. As there is little, if any, opportunity for employment without registration, notifying the relevant professional body could potentially give rise to a claim for unjustified disadvantage. Employers should therefore ensure that they consider their statutory obligations carefully before deciding how to proceed, and whether the threshold for notification has been reached prior to contacting the relevant professional body.
Authors: This article on the Evans-Walsh v Southern District Health Board  NZEmpC 46 case was written by Buddle Findlay lawyers Hamish Kynaston and Jennifer Howes and originally published here.