Lim Teng Ee Joyce v Singapore Medical Council: Appeal Against Costs Order in Disciplinary Proceedings

Dr. Lim Teng Ee Joyce appealed to the High Court of Singapore against a costs order made by the Singapore Medical Council (SMC) following disciplinary proceedings. Dr. Lim pleaded guilty to two charges but was acquitted of a third. The court, on 19 July 2005, allowed the appeal in part, reducing the costs Dr. Lim was required to pay, finding that the SMC's order to bear the costs of the whole inquiry was erroneous.

1. Case Overview

1.1 Court

High Court

1.2 Outcome

Appeal allowed in part.

1.3 Case Type

Regulatory

1.4 Judgment Type

Grounds of Decision

1.5 Jurisdiction

Singapore

1.6 Description

Dr. Lim Teng Ee Joyce appeals a costs order by the SMC. The court allowed the appeal in part, reducing costs due to acquittal on one charge.

1.7 Decision Date

2. Parties and Outcomes

Party NameRoleTypeOutcomeOutcome TypeCounsels
Singapore Medical CouncilRespondentStatutory BoardCosts order reducedPartial
Lim Teng Ee JoyceAppellantIndividualAppeal allowed in partPartial

3. Judges

Judge NameTitleDelivered Judgment
Chao Hick TinJustice of the Court of AppealYes
Andrew Phang Boon LeongJudicial CommissionerNo
Yong Pung HowChief JusticeNo

4. Counsels

4. Facts

  1. Dr. Lim, a dermatologist, was subject to disciplinary proceedings by the SMC following a patient complaint.
  2. The patient, Wendy Lim Ai Beng, consulted Dr. Lim for facial acne and skin problems between February and May 2003.
  3. Dr. Lim prescribed laser treatment, administered by her nurse, Ms. Evelyn Lee, on April 28 and May 29, 2003.
  4. The patient complained of pain during the May 29 treatment and later noticed fluid dripping from her cheek.
  5. Three charges of professional misconduct were brought against Dr. Lim under the Medical Registration Act.
  6. Dr. Lim pleaded guilty to the first two charges but defended the third charge, which related to improper management of treatment.
  7. The Disciplinary Committee acquitted Dr. Lim of the third charge but ordered her to pay all costs of the proceedings.

5. Formal Citations

  1. Lim Teng Ee Joyce v Singapore Medical Council, OM 16/2005, [2005] SGHC 129

6. Timeline

DateEvent
Patient consulted Dr. Lim for treatment.
Laser treatment prescribed for patient's left cheek.
Patient received further laser treatment and complained of pain.
Patient returned to Dr. Lim due to swelling.
Dr. Lim was given notice of the charges.
Dr. Lim notified the SMC that she would be pleading guilty to the first two charges.
Dr. Lim submitted her mitigation.
Hearing before the Disciplinary Committee commenced.
Disciplinary Committee acquitted Dr. Lim of the third charge.
Appeal heard by the court.
Court allowed the appeal in part.

7. Legal Issues

  1. Administrative Discretion
    • Outcome: The court held that the notion of a completely subjective or unfettered discretion is contrary to the rule of law.
    • Category: Substantive
    • Related Cases:
      • [1988] SLR 132
  2. Costs in Disciplinary Proceedings
    • Outcome: The court held that principles on costs in normal civil proceedings are applicable to disciplinary processes and that an appellate tribunal is entitled to interfere with a costs order if it is manifestly wrong or exercised on wrong principles.
    • Category: Procedural
    • Related Cases:
      • [1994] 2 SLR 489
      • [1992] 1 WLR 1207
      • (1995) 36 NSWLR 440
      • (1994) 152 NBR (2d) 230
      • (1995) 36 NSWLR 77
      • [2004] EWHC 2762
      • (1985) 41 SASR 226
  3. Fairness in Disciplinary Proceedings
    • Outcome: The court held that it is inconsistent with principle and contrary to the notion of fairness for a disciplinary committee to punish a medical practitioner with costs if the practitioner is acquitted of a charge.
    • Category: Substantive

8. Remedies Sought

  1. Appeal against costs order

9. Cause of Actions

  • Professional Misconduct

10. Practice Areas

  • Regulatory Law
  • Appeals

11. Industries

  • Healthcare

12. Cited Cases

Case NameCourtAffirmedCitationJurisdictionSignificance
Chng Suan Tze v Minister of Home AffairsHigh CourtYes[1988] SLR 132SingaporeCited for the principle that the notion of a completely subjective or unfettered discretion is contrary to the rule of law.
Walton v McBrideCourt of Appeal of New South WalesYes(1995) 36 NSWLR 440New South WalesCited for the principle that the power to award costs should be exercised judicially.
Tullio v MaoroHigh CourtYes[1994] 2 SLR 489SingaporeCited for the principle that an appellate tribunal is entitled to interfere with a costs order if it is manifestly wrong or was exercised on wrong principles.
Elgindata Ltd (No 2)Not specifiedYes[1992] 1 WLR 1207England and WalesCited for the principle that costs should always follow the event unless the circumstances of the case warrant some other order.
Hasan v College of Physicians & Surgeons (New Brunswick)New Brunswick Court of AppealYes(1994) 152 NBR (2d) 230New BrunswickCited as an example where costs were apportioned when a medical practitioner successfully defended one charge but was ordered to bear the costs of the whole inquiry.
Ohn v WaltonCourt of Appeal of New South WalesYes(1995) 36 NSWLR 77New South WalesCited for the principle that costs should follow the event unless the circumstances of the case require otherwise.
Gage v General Chiropractic CouncilAdministrative Court of the Queen’s Bench DivisionYes[2004] EWHC 2762England and WalesCited as an example illustrating the need to make proper apportionment on costs in relation to a disciplinary inquiry.
Beard v WildeNot specifiedYes(1985) 41 SASR 226South AustraliaCited for the principle that a medical practitioner should not be denied costs even if there was criticism of their practice if the charge was not established.

13. Applicable Rules

Rule Name
No applicable rules

14. Applicable Statutes

Statute NameJurisdiction
Medical Registration Act (Cap 174, 2004 Rev Ed)Singapore

15. Key Terms and Keywords

15.1 Key Terms

  • Disciplinary proceedings
  • Costs order
  • Professional misconduct
  • Medical Registration Act
  • Disciplinary Committee
  • Mitigation plea
  • Laser treatment
  • Delegation of treatment
  • Unfettered discretion
  • Apportionment of costs

15.2 Keywords

  • Singapore Medical Council
  • Disciplinary Proceedings
  • Costs
  • Medical Law
  • Administrative Law

17. Areas of Law

16. Subjects

  • Administrative Law
  • Medical Law
  • Regulatory Law
  • Costs