The Supreme Court has agreed to hear the HSE’s appeal against a decision allowing consultant gynaecologist Prof Ray O’Sullivan to return to work following a lengthy suspension over allegations of misconduct.
The Court of Appeal (CoA) ruled in March that Prof O’Sullivan was entitled to return to his job from which he was suspended on foot of the complaints against him in 2019. It is alleged that he carried out unauthorised and unapproved actions and procedures on five female patients in September 2018. He denies the claims.
The CoA upheld another aspect of the High Court’s ruling, which found that the HSE was entitled to recommend that Prof O’Sullivan be dismissed from his job at St Luke’s Hospital in Kilkenny.
The HSE asked the Supreme Court to hear an appeal against the CoA’s decision to allow Prof O’Sullivan to return to work at St Luke’s. It sought the appeal to ascertain the correctness of its procedures and to protect its decision to suspend Prof O’Sullivan, the Supreme Court heard. Prof O’Sullivan opposed the application.
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In a written determination, a panel of three Supreme Court judges held that the HSE had raised an issue of general public importance that it should determine.
Chief Justice Donal O’Donnell, Mr Justice Peter Charleton and Mr Justice Séamus Woulfe held that the issues that arise in this case concern challenges to an employer’s power to suspend an employee deemed to pose an immediate and serious risk to the health, safety and welfare of patients and staff. The court will also consider what procedures are necessitated for suspension.
The investigation into the allegations against Prof O’Sullivan by a committee established by the Minister for Health is due to be heard in September. It is understood that he is preparing to undergo a training programme that will allow him to return to his post.
Prof O’Sullivan was placed on administrative leave on full pay in August 2019 by the HSE after complaints were made against him by other staff members for allegedly performing unapproved procedures on the five women.
None of the patients were informed about the research or consented to the procedure, nor were they aware of it until afterwards, it is claimed. The court heard the women were not physically harmed by the procedures but on learning what happened were psychologically injured.
It is also alleged that Prof O’Sullivan did not obtain clearance from the hospital’s ethics committee and had sourced the instruments for the procedures outside of the hospital’s usual procurement channels with his own funds.
Following an investigation into the complaints, Prof O’Sullivan was placed on administrative leave. The HSE recommended to the ministerial committee that Prof O’Sullivan be dismissed from his role.
Prof O’Sullivan rejects all allegations of wrongdoing against him and has claimed that a report conducted on the HSE’s behalf states that he does not pose any risk to patient health and safety.
He claimed the investigation against him was flawed because he has been an “outspoken advocate for patients’ rights and in particular pregnant women” and has made public remarks critical of St Luke’s management.
He claims that proper reasons were not given by the HSE regarding its recommendation that he be dismissed. He further claimed that the report’s recommendations are irrational and unreasonable.
Represented by Eoin Clifford SC and Frederick Gilligan BL, Prof O’Sullivan brought judicial review proceedings seeking to have the decision to suspend him and the recommendation quashed.
The High Court dismissed Prof O’Sullivan’s action last year. That ruling was appealed to the CoA, which said his suspension should be lifted immediately as a 2019 report identified no patient safety concerns regarding Prof O Sullivan.
The court also noted the reputational damage that can occur when a suspension gains high profile in the media. The CoA said the damage to Prof O’Sullivan by the “deliberate leaking” of confidential information to the media about the disciplinary process had been “amplified”.
However, the CoA was not prepared to quash the HSE’s recommendation to the Minister. It agreed with the High Court that quashing that decision would be premature and that Prof O’Sullivan’s rights will be fully respected and protected by the committee.
A second set of proceedings brought by Prof O’Sullivan over his suspension remain pending before the High Court.