‘BJ1’ and Alfred Health (Freedom of Information) [2020] VICmr 88 (27 March 2020)
Date of decision: | 27 March 2020 |
Applicant: | 'BJ1' |
Agency: | Alfred Health |
Citation: | 'BJ1' and Alfred Health (Freedom of Information) [2020] VICmr 88 (27 March 2020) |
Headnote: | FREEDOM OF INFORMATION – medical records – social work progress note – palliative care assessment – medical progress note – medical certificate cause of death |
Sections in the FOI Act: | 33(1), 35(1)(b) |
Download this file: | BJ1 and Alfred Health Freedom of Information 2020 VICmr 88 27 March 2020 - PDF (596 KB) |
All references to legislation in this document are to the Freedom of Information Act 1982 (Vic) (FOI Act) unless otherwise stated.
Notice of Decision
I have conducted a review under section 49F of the Agency’s decision to refuse access to documents requested by the Applicant under the FOI Act.
My decision on the Applicant’s request is the same as the Agency’s decision.
I am satisfied certain information in the documents is exempt under sections 33(1) and 35(1)(b).
As I am satisfied it is practicable to delete irrelevant and exempt information in the documents in accordance with section 25, I have determined to grant access to the documents in part.
The Schedule of Documents in Annexure 1 sets out my decision in relation to each document.
My reasons for decision follow.
Joanne Kummrow
Public Access Deputy Commissioner
27 March 2020
Reasons for Decision
Background to review
- The Applicant made a request to the Agency for access to their [parent’s] medical records. The request was interpreted by the Agency for the period [date] to [date].
- In its decision, the Agency identified documents falling within the terms of the Applicant’s request and granted access to the documents in part.
- The Applicant complained to OVIC [that they] did not confine [their] request to the timeframe processed by the Agency. The Applicant advised [they seek] all records from [date].
- Following enquiries by this office, the Agency located two additional documents falling within the terms of the Applicant’s request. Therefore, this review relates to ten documents initially located by the Agency and the two documents subsequently located.
- The Agency relied on sections 33(1) and 35(1)(b) to refuse access to the documents in part. The Agency’s decision letter sets out the reasons for its decision.
Review
- The Applicant sought review by the Information Commissioner under section 49A(1) of the Agency’s decision to refuse access.
- The Applicant advised [they did] not seek access to mobile telephone numbers in the documents. Therefore, this information is considered not relevant to my review.
- I have examined copies of the documents subject to review.
- The Applicant and the Agency were invited to make a written submission under section 49H(2) in relation to the review.
- I have considered all communications and submissions received from the parties, including:
-
- the Agency’s decision on the FOI request;
- the Applicant’s review application and subsequent communications with this office; and
- the Agency’s submission received 13 March 2020.
- In undertaking my review, I have had regard to the object of the FOI Act, which is to create a general right of access to information in the possession of the Government or other public bodies, limited only by exceptions and exemptions necessary to protect essential public interests, privacy and business affairs.
Review of exemptions
- The Agency relied on sections 33(1) and 35(1)(b) to refuse access to the documents in part. The Agency’s decision letter sets out the reasons for its decision.
Section 33(1)
- A document is exempt under section 33(1) if two conditions are satisfied:
-
- disclosure of the document under the FOI Act would ‘involve’ the disclosure of information relating to the ‘personal affairs’ of a person other than the Applicant;[1] and
- such disclosure would be ‘unreasonable’.
- Information relating to a person’s ‘personal affairs’ includes information that identifies any person or discloses their address or location. It also includes any information from which such information may be reasonably determined.[2]
- As the nature of disclosure under the FOI Act is unrestricted and unconditional, this is to be interpreted by the capacity of any member of the public to identify a third party.[3]
- A third party’s opinion or observations about another person’s conduct can constitute information related to the third party’s personal affairs.[4]
- The concept of ‘unreasonable disclosure’ involves balancing the public interest in the disclosure of official information held by government with the interest in protecting an individual’s personal privacy in the circumstances.
- Section 33(2A) requires that, in deciding whether the disclosure of a document would involve the unreasonable disclosure of information relating to the personal affairs of any person, I must take into account whether its disclosure would, or would be reasonably likely to, endanger the life or physical safety of any person. However, I do not consider this is a relevant factor in the circumstances.
- In deciding whether disclosure of a document would involve the unreasonable disclosure of a third party’s personal affairs information, an agency must notify that person an FOI request has been received for documents containing their personal information and seek their view on disclosure of the document.[5] However, this obligation does not arise if:
-
- the notification would be reasonably likely to endanger the life or physical safety of a person, or cause them undue distress, or is otherwise unreasonable in the circumstances;
- the notification would be reasonably likely to increase the risk to the safety of a person experiencing family violence; or
- it is not practicable to do so.[6]
- The Agency did not consult with the third parties in this matter. I agree it would not have been practicable to do so.
Do the documents contain personal affairs information of individuals other than the Applicant?
- The medical records contain the name and views of third parties.
- Accordingly, I am satisfied the documents subject to review contain the personal affairs information of individuals other than the Applicant.
Is disclosure of the personal affairs information unreasonable in the circumstances?
- In Victoria Police v Marke,[7] the Victorian Supreme Court of Appeal held there is ‘no absolute bar to providing access to documents which relate to the personal affairs of others’. Further, the exemption under section 33(1) ‘arises only in cases of unreasonable disclosure’ and ‘[w]hat amounts to an unreasonable disclosure of someone’s personal affairs will necessarily vary from case to case’.
- In determining whether disclosure of personal affairs information in the documents would be unreasonable in the circumstances, I have considered the following factors:
-
- The nature of the personal affairs information and the circumstances in which the information was obtained
The personal affairs information exempted by the Agency was obtained by the Agency from third parties in the course of the Agency providing health services to the Applicant. Accordingly, disclosure of this information would disclose the identity of third parties who discussed and provided information to the Agency in confidence. In these circumstances, I accept such information is sensitive and personal in nature. This factor weighs against disclosure.
-
- The Applicant’s interest in the information, and whether their purpose for seeking the information is likely to be achieved
The FOI Act provides a general right of access exercisable by any person, regardless of their motive or purpose for seeking access to a document. However, the reasons why an applicant seeks access to a document is a relevant consideration in determining whether disclosure would be unreasonable.[8]
In their submission, the Applicant states they seek access to the documents in full as they relate to the Applicant’s [parent]. I acknowledge the Applicant’s personal interest in the documents. This factor weighs in favour disclosure.
-
- The likelihood of further disclosure of the information, if released
The nature of disclosure under the FOI Act is unconditional and unrestricted, which means an applicant is free to disseminate widely or use a document as they choose.[9] Accordingly, I must consider the likelihood and potential effects of further dissemination of a third party’s personal affairs information, if released.
There is no information before me to support the view the Applicant would disseminate the information, if disclosed. On balance, this factor neither weighs in favour of or against disclosure.
-
- Whether any public interest would be promoted by release of the information
I consider the Applicant’s interest in the information would serve a personal interest only rather than any public interest.
In addition, there is a public interest in protecting the provision of information provided in confidence to the Agency where it relates to its provision of health and medical services to patients. Disclosure of such information may in fact be contrary to the public interest in that may inhibit third parties from providing relevant information to the Agency in the future. This factor weighs against disclosure.
-
- Whether the individuals to whom the information relates object, or would be likely to object, to the release of the information
Having regard to the context of this matter and the nature of the information, I am satisfied the third parties would be reasonably likely to object to the release of their personal affairs information to the Applicant. This factor weighs against disclosure.
-
- Whether the disclosure of information would, or would be reasonably likely to endanger the life or physical safety of any person[10]
There is no information before me to suggest this is a relevant factor in this case.
- Having weighed up the above factors, I am satisfied the interest in protecting the personal privacy of the third parties, whose personal affairs information is contained in the documents, outweighs the Applicant’s personal interest in disclosure in this instance.
- Accordingly, I am satisfied the relevant personal affairs information in the documents, is exempt under section 33(1).
Section 35(1)(b)
- A document is exempt under section 35(1)(b) if two conditions are satisfied:
-
- disclosure would divulge information or matter communicated in confidence by or on behalf of a person or a government to an agency or a Minister; and
- disclosure would be contrary to the public interest as it would be reasonably likely to impair the ability of an agency or a Minister to obtain similar information in the future.
Was the information or matter communicated in confidence to the Agency?
- When determining whether information was communicated in confidence, it is necessary to consider the position from the perspective of the communicator.[11] Further, confidentiality can be express or implied from the circumstances of the matter.[12]
- Information exempted by the Agency under section 35(1)(b) includes information provided by third parties in the course of the Agency providing medical treatment to the patient.
- I am satisfied the information communicated by the third parties to the Agency was provided in confidence.
Would disclosure be contrary to the public interest as it would be reasonably likely to impair the ability of the Agency to obtain similar information in the future?
- The second condition to be met under section 35(1)(b) is that, disclosure of the information would be contrary to the public interest as it would be reasonably likely to impair the Agency’s ability to obtain similar information in the future.
- This means I must be satisfied, if the information were to be disclosed, it would impair the ability of the Agency to obtain similar information in the future. For example, others in the position of the communicator would be reasonably likely not to provide similar information to the Agency in the future.
- I accept such information, where it relates to a patient receiving medical treatment by the Agency, by its very nature, will generally be personal and sensitive.
- In my view, if individuals who provide information to the Agency regarding a patient’s health were aware their identity and the information they provide would be routinely disclosed in response to an FOI request, they would be less likely to communicate similar information to the Agency in future.
I consider this would be detrimental for the Agency, which relies on receiving such information to provide timely and necessary medical treatment and health services to patients. - In the context of the Agency being a healthcare provider, the voluntary provision of information in a clinical context is necessary for the Agency to be able to effectively discharge its medical and healthcare functions. Importantly, I also consider the withholding of such information from the Agency would have a detrimental impact on the medical outcomes and wellbeing of patients.
- I acknowledge the Applicant has a genuine interest in obtaining full access to their [parent’s] medical records, as outlined in their submission. However, in weighing these competing considerations,
I consider the need to protect information provided in confidence to the Agency by a third party in the interests of a patient’s healthcare and wellbeing, outweighs an applicant’s personal interest in obtaining access to this information. - Accordingly, I am satisfied the relevant information in the documents is exempt under section 35(1)(b).
Deletion of exempt or irrelevant information
- Section 25 requires an agency to grant access to an edited copy of a document when it is practicable to delete exempt or irrelevant information and the applicant agrees to receiving such a copy.
- Determining what is ‘practicable’ requires consideration of the effort and editing involved in making the deletions ‘from a resources point of view’[13] and the effectiveness of the deletions. Where deletions would render a document meaningless, they are not ‘practicable’, and release of the document is not required under section 25.[14]
- I have considered the effect of deleting irrelevant and exempt information from the documents in accordance with section 25. In my view, it is practicable for the Agency to delete the irrelevant and exempt information, as to do so would not require substantial time and effort, and the edited documents would retain meaning.
Conclusion
- On the information before me, I am satisfied certain information in the documents is exempt under sections 33(1) and 35(1)(b).
- As I am satisfied it is practicable to delete irrelevant and exempt information in the documents in accordance with section 25, I have determined to grant access to the documents in part.
- The Schedule of Documents in Annexure 1 sets out my decision in relation to each document.
Review rights
- If either party to this review is not satisfied with my decision, they are entitled to apply to the Victorian Civil and Administrative Tribunal (VCAT) for it to be reviewed.[15]
- The Applicant may apply to VCAT for a review up to 60 days from the date they are given this Notice of Decision.[16]
- The Agency may apply to VCAT for a review up to 14 days from the date it is given this Notice of Decision.[17]
- Information about how to apply to VCAT is available online at www.vcat.vic.gov.au. Alternatively, VCAT may be contacted by email at admin@vcat.vic.gov.au or by telephone on 1300 018 228.
- The Agency is required to notify the Information Commissioner in writing as soon as practicable if either party applies to VCAT for a review of my decision.[18]
When this decision takes effect
- My decision does not take effect until the relevant review period (stated above) expires. If a review application is made to VCAT, my decision will be subject to any VCAT determination.
Annexure 1 – Schedule of Documents
Document No |
Date of document | Document description | Number of pages | Agency’s decision |
OVIC decision | OVIC comments |
1 |
[date] [time] |
Social Work IP Progress Note |
2 |
Released in part Section 33(1)
|
Release in part Section 25
The document is to be
|
Section 25: The applicant |
2 |
[date] [time] |
Social Work IP Progress Note |
2 |
Released in part Section 33(1) |
Release in part Section 25
The document is to be
|
Section 25: The applicant |
3 |
[date] [time] |
Palliative Care Assessment |
1 |
Released in part Section 33(1) |
Release in part Section 25
The document is to be
|
Section 25: The applicant |
4 |
[date] [time] |
Social Work IP Progress Note |
2 |
Released in part Section 33(1)
|
Release in part Section 25
The document is to be
|
Section 25: The applicant |
5 |
[date] [time] |
Palliative Care Assessment |
2 |
Released in part Section 33(1)
|
Release in part Section 25
The document is to be
|
Section 25: The applicant |
6 |
[date] [time] |
Palliative Care Assessment |
2 |
Refused in full
Sections 33(1), 35(1)(b) |
Refuse in full Sections 33(1), 35(1)(b)
|
Sections 33(1) and 35(1)(b): See reasons set out in |
7 |
[date] [time] |
Medical IP Progress Note |
1 |
Refused in full Sections 33(1), 35(1)(b) |
Refuse in full Sections 33(1), 35(1)(b)
|
Sections 33(1) and 35(1)(b): See reasons set out in |
8 |
[date] [time] |
[redacted] Flag |
1 |
Refused in full Sections 33(1), 35(1)(b) |
Refuse in full Sections 33(1), 35(1)(b)
|
Sections 33(1) and 35(1)(b): See reasons set out in |
9 |
[date] [time] |
Medical IP Progress Note |
2 |
Refused in part Sections 33(1), 35(1)(b) |
Release in part Sections 33(1), 35(1)(b)
The document is to be
|
Sections 33(1) and 35(1)(b): See reasons set out in |
10 |
[date] |
Medical Certificate |
5 |
Refused in part Section 33(1) |
Release in part Sections 33(1), 25
The document is to be |
Section 33(1): The document contains an email address of a medical practitioner. The Applicant has been provided with the practitioner’s name and telephone number. While it appears the email address is a professional one, I do not consider the informaiton is required by the Applicant to satisfy [their] request for medical information relating to their [parent]. Therefore, I am satisfied disclosure of this information would be unreasonable and it is exempt under section 33(1).
|
11
|
[date]
|
Social Work IP Progress Note
|
1 |
Refuse in full
Sections 33(1), 35(1)
|
Refuse in full
Sections 33(1), 35(1) |
Sections 33(1) and 35(1)(b): See reasons set out in notice of decision above.
|
12
|
[date]
|
Palliative Care
|
1 |
Refuse in full
Sections 33(1), 35(1) |
Refuse in full
Sections 33(1), 35(1)
|
Sections 33(1) and 35(1)(b): See reasons set out in notice of decision above. |
Endnotes
[1] Sections 33(1) and (2).
[2] Section 33(9).
[3] O’Sullivan v Department of Health and Community Services (No 2) [1995] 9 VAR 1 at [14]; Beauchamp v Department of Education [2006] VCAT 1653 at [42].
[4] Richardson v Business Licensing Authority [2003] VCAT 1053, cited in Davis v Victoria Police (General) [2008] VCAT 1343 at [43], Pritchard v Victoria Police (General) [2008] VCAT 913 at [24], Mrs R v Ballarat Health Services (General) [2007] VCAT 2397 at [13].
[5] Section 33(2B).
[6] Section 33(2C).
[7] [2008] VSCA 218 at [76].
[8] Victoria Police v Marke [2008] VSCA 218 at [104].
[9] Victoria Police v Marke [2008] VSCA 218 at [68].
[10] Section 33(2A).
[11] XYZ v Victoria Police [2010] VCAT 255 at [265].
[12] Ibid.
[13] Mickelburough v Victoria Police (General) [2009] VCAT 2786 at [31]; The Herald and Weekly Times Pty Limited v The Office of the Premier (General) [2012] VCAT 967 at [82].
[14] Honeywood v Department of Human Services [2006] VCAT 2048 at [26]; RFJ v Victoria Police FOI Division (Review and Regulation) [2013] VCAT 1267 at [140] and [155].
[15] The Applicant in section 50(1)(b) and the Agency in section 50(3D).
[16] Section 52(5).
[17] Section 52(9).
[18] Sections 50(3F) and (3FA).