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United Kingdom House of Lords Decisions


You are here: BAILII >> Databases >> United Kingdom House of Lords Decisions >> Roy v Kensington and Chelsea and Westminster Family Practitioner Committee [1991] UKHL 8 (06 February 1992)
URL: http://www.bailii.org/uk/cases/UKHL/1991/8.html
Cite as: [1992] 1 AC 624, [1992] 3 Med LR 177, [1992] AC 624, [1992] 2 WLR 239, [1992] IRLR 233, [1991] UKHL 8, (1992) 4 Admin LR 649, [1992] 1 All ER 705

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JISCBAILII_CASE_CONSTITUTIONAL

    Parliamentary Archives,
    HL/PO/JU/18/252

    Roy (Respondent) v. Kensington and Chelsea and Westminster
    Family Practitioner Committee (Appellants)

    JUDGMENT

    Die Jovis 6° Februarii 1992

    Upon Report from the Appellate Committee to whom was
    referred the Cause Roy against Kensington and Chelsea and
    Westminster Family Practitioner Committee, That the Committee
    had heard Counsel as well on Wednesday the 6th as on Thursday
    the 7th days of November last, upon the Petition and Appeal of
    Kensington and Chelsea and Westminster Family Practitioner
    Committee of Grove House, 88-94 Westbourne Grove, London W2
    5XB, praying that the matter of the Order set forth in the
    Schedule thereto, namely an Order of Her Majesty's Court of
    Appeal of the 22nd day of March 1990, might be reviewed before
    Her Majesty the Queen in Her Court of Parliament and that the
    said Order might be reversed, varied or altered or that the
    Petitioners might have such other relief in the premises as to
    Her Majesty the Queen in Her Court of Parliament might seem
    meet; as upon the case of Dr. Premananda Roy lodged in answer
    to the said Appeal; and due consideration had this day of what
    was offered on either side in this Cause:

    It is Ordered and Adjudged, by the Lords Spiritual and
    Temporal in the Court of Parliament of Her Majesty the Queen
    assembled, That the said Order of Her Majesty's Court of
    Appeal of the 22nd day of March 1990 complained of in the said
    Appeal be, and the same is hereby, Affirmed and that the said
    Petition and Appeal be, and the same is hereby, dismissed this
    House: And it is further Ordered, That the Appellants do pay
    or cause to be paid to the said Respondent the Costs incurred
    by him in respect of the said Appeal, the amount thereof to be
    certified by the Clerk of the Parliaments if not agreed
    between the parties.

    Cler: Parliamentor:


    Judgment: 6.2.92

    HOUSE OF LORDS

    ROY
    (RESPONDENT)

    v.

    KENSINGTON AND CHELSEA AND
    WESTMINSTER FAMILY PRACTITIONER COMMITTEE

    (APPELLANTS)

    Lord Bridge of Harwich

    Lord Emslie

    Lord Griffiths

    Lord Oliver of Aylmerton

    Lord Lowry


    LORD BRIDGE OF HARWICH

    My Lords,

    The circumstances from which this appeal arises are fully
    set out in the speech of my learned and noble friend Lord Lowry,
    in which he has also undertaken a comprehensive review of the
    relevant authorities. Agreeing, as I do, with the conclusion he
    reaches, I shall state my own reasons briefly.

    The decisions of this House in O'Reilly v. Mackman [1983] 2
    A.C. 237 and Cocks v. Thanet District Council [1983] 2 AC 286,
    have been the subject of much academic criticism. Although I
    appreciate the cogency of some of the arguments advanced in
    support of that criticism, I have not been persuaded that the
    essential principle embodied in the decisions requires to be
    significantly modified, let alone overturned. But if it is important,
    as I believe, to maintain the principle, it is certainly no less
    important that its application should be confined within proper
    limits. It is appropriate that an issue which depends exclusively
    on the existence of a purely public law right should be determined
    in judicial review proceedings and not otherwise. But where a
    litigant asserts his entitlement to a subsisting right in private law,
    whether by way of claim or defence, the circumstance that the
    existence and extent of the private right asserted may incidentally
    involve the examination of a public law issue cannot prevent the
    litigant from seeking to establish his right by action commenced
    by writ or originating summons, any more than it can prevent him
    from setting up his private law right in proceedings brought
    against him. I think this proposition necessarily follows from the
    decisions of this House in Davy v. Spelthorne Borough Council
    [1984] AC 262 and Wandsworth London Borough Council v. Winder
    [1985] AC 461. In the latter case Robert Goff L.J. in the Court
    of Appeal, commenting on a passage from the speech of Lord
    Fraser of Tullybelton in the former case, said at p. 480:

    "I read this passage in Lord Fraser of Tullybelton's speech
    as expressing the opinion that the principle in O'Reilly v.
    Mackman
    should not be extended to require a litigant to

    proceed by way of judicial review in circumstances where
    his claim for damages for negligence might in consequence
    be adversely affected. I can for my part see no reason why
    the same consideration should not apply in respect of any
    private law right which a litigant seeks to invoke, whether
    by way of action or by way of defence.

    "For my part, I find it difficult to conceive of a case where
    a citizen's invocation of the ordinary procedure of the
    courts in order to enforce his private law rights, or his
    reliance on his private law rights by way of defence in an
    action brought against him, could, as such, amount to an
    abuse of the process of the court."

    I entirely agree with this.

    Here the respondent is a medical practitioner whose name is
    on the list of those providing general medical services in the area
    administered by the appellant Family Practitioner Committee in
    accordance with Part II of the National Health Service Act 1977,
    as amended. Accordingly, his entitlement to remuneration for the
    services he provides is established by the National Health Service
    (General Medical and Pharmaceutical Services) Regulations 1974
    (S.I. 1974 No. 160), as amended, which provide by regulation 24 as
    follows:

    "For each financial year the Committee shall cause
    payments to be made to doctors with whom arrangements
    for the provision of general medical services exist in its
    locality in accordance with such rates and subject to such
    conditions as the Secretary of State may determine after
    consultation with such organisations as he may recognise as
    representing doctors with whom arrangements for the
    provision of general medical services exist and publish in a
    Statement."

    The regulation then sets out a list in paragraphs lettered from (a)
    to (k) of the various fees and allowances for which the published
    Statement is to make provision. Sub-regulation (2) provides:

    "Where a doctor is on the medical list of more than one
    Committee any payment due to the doctor may, where the
    Statement so provides, be made on behalf of ail Committees
    concerned." (My emphasis.)

    The Secretary of State has in fact issued a Statement under
    regulation 24 which, in the form in which it was in force at the
    material time, extends to more than 150 pages and which, as one
    would expect, contains the most elaborate and detailed provisions
    for determining and quantifying the remuneration due to general
    practitioners in the National Health Service in all circumstances.
    In many, if not most, cases the ascertainment of the precise
    amount of the payment which regulation 24 requires the
    Committee to "cause to be made" in respect of a doctor's services
    during any given period will depend simply on the application of
    the relevant provisions of the Statement to the facts of the case.
    But in certain instances the quantum of remuneration is made to
    depend on a determination by the Committee involving some
    element of subjective or discretionary judgment. Paragraph 12.1

    of the Statement is such a provision. It is fully quoted in the
    speech of my noble and learned friend, Lord Lowry and I need not
    repeat it. It makes the doctor’s entitlement to the full rate of
    basic practice allowance conditional on the opinion of the Family
    Practitioner Committee that he is devoting “a substantial amount
    of time” to his National Health Service practice. It was the
    decision of the Family Practitioner Committee in November 1984
    in purported reliance on this provision to withhold 20 per cent. Of
    the respondent’s full rate of basic practice allowance as from 1
    January 1985 which gave rise to this litigation.

    I do not think the issue in the appeal turns on whether the
    doctor provides services pursuant to a contract with the Family
    Practitioner Committee. I doubt if he does and am content to
    assume that there is no contract. Nevertheless, the terms which
    govern the obligations of the doctor on the one hand, as to the
    services he is to provide, and of the Family Practitioner
    Committee on the other hand, as to the payments which it is
    required to make to the doctor, are all prescribed in the relevant
    legislation and it seems to me that the statutory terms are just as
    effective as they would be if they were contractual to confer upon
    the doctor an enforceable right in private law to receive the
    remuneration to which the terms entitle him. It must follow, in
    my view, that in any case of dispute the doctor is entitled to
    claim and recover in an action commenced by writ the amount of
    remuneration which he is able to prove as being due to him.
    Whatever remuneration he is entitled to under the Statement is
    remuneration he has duly earned by the services he has rendered.
    The circumstance that the quantum of that remuneration, in the
    case of a particular dispute, is affected by a discretionary decision
    made by the Committee cannot deny the doctor his private law
    right of recovery or subject him to the constraints which the
    necessity to seek judicial review would impose upon that right.

    I deliberately refrain from entering upon any question as to
    the construction of paragraph 12.1(b) of the Statement or the basis
    on which the trial judge should approach the Committee’s decision
    made in November 1984. Those matters will best be resolved in
    the light of all the evidence produced at the trial.

    For these reasons and for those given in the speech of my
    noble and learned friend Lord Lowry I would dismiss the appeal.

    LORD EMSLIE

    My Lords,

    I have had the advantage of reading in draft the speeches
    of my noble and learned friends Lord Bridge of Harwich and Lord
    Lowry. For the reasons which they give I would dismiss the
    appeal.

    LORD GRIFFITHS

    My Lords,


    I have the advantage of reading in draft the speeches
    prepared by my noble and learned friends, Lord Bridge of Harwich
    and Lord Lowry and I agree with them, and for the reasons which
    they give, I would dismiss this appeal.

    LORD OLIVER OF AYLMERTON

    My Lords,

    I have the advantage of reading in draft the speeches
    prepared by my noble and learned friends, Lord Bridge of Harwich
    and Lord Lowry. I agree with them, and for the reasons which
    they give, I would dismiss this appeal.

    LORD LOWRY

    My Lords,

    Dr. Premananda Roy, the respondent, is a general medical
    practitioner who has since 1954 practised in the area for which
    the appellants, the Kensington and Chelsea and Westminster Family
    Practitioner Committee, were at all material times responsible.
    This committee is now known as the Family Health Services
    Authority, but I shall call it “the Committee”.

    Dr. Roy is on the list of doctors undertaking, for the
    purposes of the statutory arrangements under the National Health
    Service Act 1977, to provide general medical services in the area.
    Regulation 24 of the National Health Service (General Medical and
    Pharmaceutical Services) Regulations 1974 (SI 1974 No. 160) (“the
    General Regulations”) required the Committee to cause payments
    to be made to Dr. Roy and other doctors in accordance with the
    Statement of Fees and Allowances (“the Statement”) which was
    made and published under regulation 24 and which is required to
    provide for basic and supplementary practice allowances.

    Paragraph 12.1 of the Statement reads:

    A practitioner will be eligible for the full rate of basic
    practice allowance shown in paragraph 1/Sch. 1 if:-

    1. he provides general medical services and has 1,000 or
      more patients on his ordinary list or, if he is a
      member of a partnership, the average list is at least
      1,000 patients per practitioner; and

    2. he is in the opinion of the responsible Committee
      devoting a substantial amount of time to general
      practice under the National Health Service.”

    At the material time Dr. Roy had a list of 1,600 to 1,700
    patients but the Committee after consulting the local medical
    committee and obtaining the observations of Dr. Roy, considered
    the matter on 25 October 1984 and formed the opinion that he
    was not devoting a substantial amount of time to general practice
    under the National Health Service and reduced his basic practice
    allowance by 20 per cent. From 1 January 1985. Dr. Roy has had
    frequent absences from his practice: between 1979 and 1987 he
    was absent, for reasons connected with his family, sickness or
    holidays, for periods ranging in total from 87 to 186 days in each
    year; in only one year did the total of absences fall below 100
    days and on average Dr. Roy was absent for between one-third and
    one-half of each year. His absences have always been covered by
    the employment of a locum who, when Dr. Roy was there, acted
    as his practice manager. There have been no complaints from
    individual patients concerning the service provided, whether by Dr.
    Roy or by the locum, whose name was Dr. Som.

    Dr. Roy challenged the Committee’s decision on the ground
    that, through himself and his locum, he was, notwithstanding the
    Committee’s opinion to the contrary, devoting a substantial amount
    of time to general practice. The terms of service give a
    practitioner who is dissatisfied with a decision of the Committee
    concerning his remuneration the opportunity of placing additional
    information before the Committee and, if they do not alter their
    decision, the right under paragraph 80.1 of the Statement (to
    which I shall refer hereafter) to make representations to the
    Secretary of State. Dr. Roy was accordingly invited to submit
    further information but he did not do so and the Committee’s
    decision was confirmed by letter dated 16 January 1985.

    There was, as well as the dispute about the practice
    allowance, another question in issue, namely, the expense of
    employing ancillary staff, and on 22 July 1986 Dr. Roy, suing in
    person, issued against the Committee in the Queen’s Bench
    Division of the High Court a writ indorsed with the following
    statement of claim:

    1. The plaintiff has contracted with Kensington and
    Chelsea and Westminster Family Practitioner Committee to
    provide general medical services to National Health Service
    patients under the usual terms and conditions.

    2. In breach of the aforesaid terms and conditions:

    1. The defendants have omitted or refused to reimburse
      the major part of the expense of employing ancillary
      staff since 1st September 1985.

    2. The defendants have omitted or refused to pay the
      full amount of the basic practice allowance to the
      plaintiff since 1st January 1985.

    3. Further the defendants have notified the
    plaintiff their intention to continue to abate the Basic
    Practice Allowance.

    And the plaintiff claims:

    - 5 -

    (a) Repayment of the sums due under 2(a) and (b) above
    amounting to £6,002 up to 30.6.86

    Damages for mental distress and harassment
    amounting to £2,000(sic)

    TOTAL £8,002(sic)

    (b) Interest pursuant to section 85 of the Supreme Court
    Act 1981 TO BE ASSESSED.

    (c) A declaration that the defendants cannot abate the
    Basic Practice Allowance as intended by them.

    (signed) Premananda Roy"

    The Committee served a Defence and Counterclaim, which
    denied liability, and reserved the right to apply to the court for
    an order striking out the plaintiff's claim on the ground that it
    disclosed no cause of action and/or was an abuse of the process of
    the court. The Committee then did apply by summons to strike
    out the parts of the Statement of Claim which related to the
    claim in respect of the basic practice allowance, namely,
    paragraph 2(b), paragraph 3(a) (so far as it related to paragraph
    2(b) and to mental distress and harassment) and paragraph 3(c).
    The Master referred the summons to a judge for hearing and on 27
    February, 1989 His Honour Judge White, sitting as a Judge of the
    High Court, granted the relief claimed in the summons. On 22
    March, 1990 the Court of Appeal (Neill, Nourse and Balcombe
    L.JJ.) heard Dr. Roy's appeal, reversed the judge's order and
    refused leave to appeal to your Lordships' House. In the
    meantime Dr. Roy has proceeded with the other part of his claim
    and recovered judgment for £1,104 and interest thereon.

    It may be helpful first to summarise the submissions in the
    courts below and the conclusions reached thereon. The decisions
    are reported at [1989] 1 Med. L.R. 10 and [1990] 1 Med. L.R. 328
    respectively.

    Dr. Roy's case to the judge, by then presented through
    counsel, alleged a contract and the Committee's breach thereof.
    (The damages claim for distress and harassment was abandoned.)
    The Committee contended that, with regard to the practice
    allowance, to claim in contract, and not by judicial review, was an
    abuse of process, since the claim was founded on an alleged
    breach of the Committee's public duty. The judge considered that
    the argument posed two questions: (1) Did the practitioner have a
    contractual relationship with the Committee? (2) What duty is the
    Committee discharging when it makes a decision under the
    direction upon the eligibility of a practitioner for the full
    allowance? He also observed that no previous decision on the
    nature of the doctor-Committee relationship was forthcoming. He
    found "contractual echoes" in the relationship, but considered those
    echoes deceptive: the rights and duties of those within the scheme
    stemmed from and xvere entirely dependent on statute and
    regulation and were not, in the judge's opinion, dependent on a
    contractual relationship. He then proceeded ([1989] 1 Med. L.R.
    10, 12):

    - 6 -

    "The rights and duties are no less real or effective for the
    individual practitioner. Private law rights flow from the
    statutory provisions and are enforceable, as such, in the
    courts but no contractual relations come into existence.
    The decision I make upon the application is nevertheless not
    dependent on this finding, for, whether or not the plaintiff's
    right to full payments under the scheme were (sic)
    contractually based, I accept that the duty which the
    committee discharges, when establishing for the purposes of
    a practitioner's eligibility whether or not he is devoting a
    substantial amount of time to general practice under the
    National Health Service, is a public law duty; the function
    is a public law function.

    "The decision that has to be made has been firmly placed
    by the Minister giving directions pursuant to regulations
    upon the committee. The directions, as I note, provide that
    the committee will exercise its discretion in determining
    whether a practitioner is eligible for the allowance,
    considering each case on its merits and consulting with the
    local medical committee in those cases in which a
    practitioner's eligibility is in doubt. If the condition of
    eligibility is not satisfied, it is for the committee to make
    an appropriate reduction; in this case a 20 per cent.
    reduction was ordered. It is a decision which requires not
    only findings of fact as to what time was spent by the
    doctor in general practice in the health service but the
    setting of a yardstick, the standard against which the
    individual's activities are to be measured."

    Then, having referred to Cocks v. Thanet D.C. [1983] 2 A.C.
    286 and O'Reilly v. Mackman [1983] 2 AC 237, the judge
    expressed the view that the Committee's decision was clearly a
    public law decision and, as such, was to be challenged only on
    judicial review: since the plaintiff, in order to win, had to impugn
    a public law decision of the Committee, to allow him to proceed
    by action would be to permit an abuse of process.

    In the Court of Appeal Dr. Roy's counsel (who had not
    represented him at first instance) produced a new weapon. I refer
    to R. v. East Berkshire Health Authority, ex parte Walsh [1985]
    Q.B. 152, a decision of the Court of Appeal.

    Mr. Walsh was a senior nursing officer employed under a
    contract of service by the Health Authority. He was dismissed by
    a district nursing officer and applied for judicial review to quash
    the dismissal on the grounds that the district nursing officer had
    no power to dismiss him and that there had been a breach of the
    rules of natural justice in the procedure which led up to his
    dismissal. The Health Authority, however, contended that judicial
    review was not the appropriate procedure by which to remedy his
    alleged grievance. The judge rejected the Health Authority's
    argument, but the Court of Appeal accepted it, holding that Mr.
    Walsh, although his terms of service were determined by statute,
    was seeking to enforce a private contractual right under his
    contract of employment so that judicial review was inappropriate.

    Each member of the Court of Appeal expressed the view
    that Ex parte Walsh was decisive of what they saw as the two

    - 7 -

    main issues in the case which is now before your Lordships, as
    showing, first, that Dr. Roy had a contract (for services, although
    not of service) with the Committee, and secondly, that his proper
    remedy was by action against the Committee and not by judicial
    review of their decision.

    The Committee's present appeal is brought pursuant to leave
    granted by an appeal committee of this House on 12 November
    1990. In its support two new weapons have been brought to bear.
    They consist of a reported case, Wadi v. Cornwall and Isles of
    Scilly Family Practitioner Committee
    [1985] I.C.R. 492, a decision
    of the Employment Appeal Tribunal in which the judgment was
    delivered by Peter Gibson J., and an argument, which was not
    advanced in either court below, and which, at its highest, contends
    that Dr. Roy was in law bound to make representations in writing
    to the Secretary of State before he could challenge in the courts,
    by any means, the decision of the Committee.

    Wadi's case was cited to reinforce the argument that there
    was no contract between Dr. Roy and the Committee. Dr. Wadi
    had. in response to an advertisement applied unsuccessfully to his
    local family practitioner committee for a vacant position in a
    general medical practice. He was not interviewed or shortlisted
    and, concluding that he had been rejected on the ground of his
    race or colour, he then complained to an industrial tribunal,
    alleging unlawful discrimination contrary to section 4(1) of the
    Race Relations Act 1976. The industrial tribunal's decision that
    the Act did not apply was upheld by the Employment Appeal
    Tribunal.

    Peter Gibson 3. described (at pp. 494E-495H) what he aptly
    styled "the highly complex statutory scheme affecting general
    practitioners in the National Health Service". As he pointed out,
    section 4 of the 1976 Act makes it clear that an applicant for
    employment by an employer cannot lawfully be discriminated
    against by him and "employment" is defined by section 78(1) of the
    Act as "employment under a contract of service or of
    apprenticeship or a contract personally to execute any work or
    labour". There must be, the judge said, "a contract of one of the
    designated descriptions" between the employer and the employee
    (in the extended meaning of those terms) for there to be
    employment and (at p. 496B) "whether such a contract exists . . .
    is at the centre of the debate before us." Having noted certain
    propositions of the 1976 Act, he continued at p. 496G:

    "We come back to the central issue of the existence of a
    contract. Mr. Susman accepts that a doctor on the medical
    list has no contract of service or of apprenticeship, but he
    submits that the doctor has a contract for services which is
    a contract for the doctor personally to execute work."

    The judge noted at p. 497C the argument on the other side "that
    the doctor works pursuant to arrangements made under a statutory
    scheme conferring rights and obligations" (emphasis supplied) "but
    not under a contract with anybody" and summed up as follows at
    p. 497F:

    "It is clear from the Act of 1977 and the Regulations of
    1974 that the family practitioner committee's designated

    - 8 -

    role in the statutory scheme is merely to administer on
    behalf of the district health authority the arrangements
    which it is the duty of the district health authority to make
    with medical practitioners."

    and also at p. 498A:

    "There is in our view little to support Mr. Susman's
    suggestion that the family practitioner committee, still less
    the medical committee, enters into a contract with the
    doctor who successfully applies for a vacancy. The family
    practitioner committee is obliged to cause payments to be
    made to doctors, but it is a mere conduit pipe for such
    moneys which the Secretary of State must pay to it and
    which it must pass on to the doctors. It has no discretion
    in the amounts or the circumstances of the payments. Nor
    does the 'light supervision' (to use the industrial tribunal's
    words) which it exercises over the doctors signify a
    contract. Still less is there anything to indicate that the
    medical committee has a contract with the doctor, there
    being no continuing relationship between them. In summary,
    our view is that under the statutory arrangements the
    doctor on the one side and each of the family practitioner
    committee and the medical committee on the other have
    rights and obligations conferred by statute rather than by
    contract. It is not necessary and we think it wrong to seek
    to import a contract into a scheme of things which is
    governed by the very detailed statutory arrangements made
    by neither the family practitioner committee nor the
    medical committee."

    My Lords, what I may call the new argument depends on
    paragraph 80.1 of the Statement:

    "80.1 Separate arrangements obtain for making
    representations to the Secretary of State under the rent and
    rates scheme (see paragraphs 51.1-75). In other cases, a
    practitioner who is dissatisfied with any decision of a
    Committee concerning his remuneration (including recoveries
    in respect of overpayments) should in the first instance
    place before the Committee any additional information
    which he considers to have a bearing on the matter. If the
    Committee do not alter their decision and the practitioner
    is still dissatisfied, he may make representations in writing
    to the Secretary of State. Any representations should be
    made as soon as possible after receiving notice of the
    Committee's final decision and should be accompanied by a
    statement of the grounds
    on which the practitioner bases his
    representations. After considering the representations and
    any comments of the Committee the Secretary of State will
    give to the Committee such direction, if any, on the matter
    as he thinks fit."

    (I have emphasised certain words in the above paragraph on which
    I will comment presently.)

    The argument may be partly deduced from paragraph 16 of the
    Appellant's printed case:

    - 9 -

    "(b) Similarly, when an adverse determination was made,
    the respondent had no private law right to the balance of
    the practice allowance which the appellant, in its discretion,
    had denied him, but he could have applied for judicial
    review of that decision. If he had done so before availing
    himself of the right to make representations under paragraph
    80.1 of the Statement, he would probably have had difficulty
    in obtaining the leave of the court. An adverse decision of
    the Secretary of State would also be amenable to judicial
    review on the usual grounds. To permit the respondent to
    proceed by ordinary action is to ignore and effectively by-
    pass the role of the Secretary of State.

    "(c) It would only be if the appellant failed to pay the
    respondent sums which the Secretary of State had directed
    it to pay under paragraphs 80.1 of the Statement, or the
    sums to which the appellant had in any event determined
    that the respondent was entitled, that a right protected by
    private, as opposed to public, law could arise."

    In oral argument, however, Mr. Collins Q.C. appeared to go further
    than this, submitting that to have made representations in writing
    to the Secretary of State is a condition precedent to the
    practitioner's right, whatever it may be, to sue or to seek judicial
    review. If this is right, it means that the only permissible way, in
    the first place, for a doctor to challenge any decision of the
    Committee concerning his remuneration is by proceeding under
    paragraph 80.1. I have said "in the first place" because I
    understood Mr. Collins to be contending that paragraph 80.1
    constitutes not an ouster but simply a necessary postponement of
    the court's jurisdiction. The result of his contention, if it be
    correct, would, however, place a limit on the court's jurisdiction,
    because he submits that the only remedy open to a doctor who is
    dissatisfied with the Secretary of State's decision would (so far as
    it could help him) be by judicial review of that decision, with all
    the limitations which confinement to that remedy would involve.
    It is convenient to deal with the point now, because it is an
    objection in limine to court proceedings of any kind.

    My Lords, Regulation 24(1) of the General Regulations
    provides:

    "For each financial year the Committee shall cause
    payments to be made to doctors with whom arrangements
    for the provision of general medical services exist in its
    locality in accordance with such rates and subject to such
    conditions as the Secretary of State may determine after
    consultation with such organisations as he may recognise as
    representing doctors with whom arrangements for the
    provision of general medical services exist and publish in a
    Statement. The determination shall make provision for the
    following matters -"

    (There follows a list of different kinds of payment lettered
    (a) to (k).)

    "and may be amended from time to time by the Secretary
    of State after consultation with such organisations and
    published as aforesaid."

    - 10 -

    I will not discuss the question, which was not debated before your
    Lordships, whether in a statement of fees and allowances made
    and published under Regulation 24(1) the Secretary of State would
    have any power to restrict whatever right of access to the courts
    a dissatisfied doctor may otherwise possess. I content myself with
    saying that I lean against attributing such an intention and effect
    to a provision of the statement if another reasonable interpretation
    is available. The point can in my opinion be adequately dealt with
    by considering the words of paragraph 80.1 itself. The procedure
    laid down is informal; this much is indicated by the words "should"
    and "may". And the power to "make representations" may be
    contrasted with the right to "appeal" to the Secretary of State
    which is conferred by other provisions of the 1977 Act and the
    Regulations. It has obviously been evolved with the reasonable,
    indeed laudable, intention of resolving quickly and inexpensively
    queries raised by doctors about their pay. The working out of the
    procedure is somewhat loose and uncertain; for example, if the
    Committee alter their decision, but not as much as the
    practitioner has requested, can the latter then make
    representations to the Secretary of State? When I say further
    that I can find no necessary implication, much less an express
    statement, that the aggrieved doctor is confined to making
    representations to the Secretary of State, the weakness of the
    exclusionary argument becomes clear. The language used in
    paragraph 80.1 is not that of finality or exclusivity and I consider
    that to hold that acceptance of the Committee's decision is the
    only alternative to making representations would be a most
    unreasonable construction. I readily concede that, depending on
    the circumstances, a doctor who does not first resort to the
    paragraph 80.1 procedure could be penalised in costs. Furthermore
    (depending on the nature of the point at issue), he may (but not
    must) be refused leave to apply for judicial review on the ground
    that he has not exhausted his statutory remedy. In an extreme
    case (for example, where he complains of an elementary
    mathematical error) an action begun by writ might be struck out
    as an abuse of process.

    If the effect of paragraph 80.1 were thought to be more
    doubtful than in my opinion it is, the principle enunciated in Pyx
    Granite Co. Ltd. v. Ministry of Housing and Local Government
    [1960] A.C. 260 would lend support to the interpretation which I
    prefer. In that case the Ministry unsuccessfully contended that
    the court had no jurisdiction to make the declarations sought by
    the plaintiff quarry owners on the ground that the Minister's
    decision was "final" by virtue of sections 15 and 17 of the Town
    and Country Planning Act 1947. Viscount Simonds said at page
    286:

    "It is a principle not by any means to be whittled down that
    the subject's recourse to Her Majesty's courts for the
    determination of his rights is not to be excluded except by
    clear words."

    Since there was not a no certiorari clause in the Planning Act, the
    "finality" of the Minister's decision did not preclude an ultimate
    challenge by certiorari (see the respondents' argument at pp. 275-
    6), and therefore, despite the differences in subject-matter and
    statutory background, the relevant arguments had something in
    common with those which were or could have been advanced in
    the instant case.

    - 11 -

    Having once referred to the Pyx Granite case, I might also
    invite your Lordships' attention to the observation of Lord Goddard
    on another point. Having adverted to the leading case of
    Barraclough v. Brown [1897] AC 615, he continued (p.290):

    "I agree with the majority in the Court of Appeal, who held
    that this decision had no application to the facts of this
    case and that there were no words in the statute which
    deprived the appellants of their right to obtain a
    declaration. It was also argued that if there was a remedy
    obtainable in the High Court it must be by way of
    certiorari. I know of no authority for saying that if an
    order or decision can be attacked by certiorari the court is
    debarred from granting a declaration in an appropriate case.
    The remedies are not mutually exclusive, though no doubt
    there are some orders, notably convictions before justices,
    where the only appropriate remedy is certiorari."

    This brings me back conveniently to the Committee's original
    contention in the courts below, which was that Dr. Roy should
    have "proceeded not by action but by an application for judicial
    review. The authorities relied on were (and still are) Cocks v.
    Thanet District Council
    [1983] 2 AC 286 and O'Reilly v.
    Mackman
    [1983] 2 AC 237, two cases heard consecutively by the
    same appellate committee, in which the judgments were later
    delivered on the same day.

    Cocks v. Thanet D.C. was a case in which the plaintiff had
    applied to the council, which was the local housing authority, for
    permanent accommodation. The council provided temporary
    accommodation. The plaintiff then sued in the county court for a
    declaration that the council owed, and was in breach of, a duty to
    house him permanently under the Housing (Homeless Persons) Act
    1977. The case was removed into the High Court for
    determination of the preliminary issue whether the plaintiff was
    entitled to proceed in the county court or should go by judicial
    review. The judge held that the plaintiff could proceed in the
    county court but, on a leapfrog appeal, this House held that he
    must proceed by judicial review. The leading opinion was
    delivered by my noble and learned friend Lord Bridge of Harwich,
    with whom the other members of the appellate committee agreed.
    He said at p. 292D:

    "The procedural issue on which the appeal turns will
    naturally fall for decision in the light of the principles
    expounded in the speech of my noble and learned friend,
    Lord Diplock, in O'Reilly v. Mackman [1983] 2 AC 237 in
    which judgment has just been delivered. But before
    attempting to apply those principles, it is necessary to
    analyse the functions of housing authorities under the
    Housing (Homeless Persons) Act 1977. These functions fall
    into two wholly distinct categories. On the one hand, the
    housing authority are charged with decision-making functions.
    It is for the housing authority to decide whether they have
    reason to believe the matters which will give rise to the
    duty to inquire or to the temporary housing duty. It is for
    the housing authority, once the duty to inquire has arisen,
    to make the appropriate inquiries and to decide whether

    - 12 -

    they are satisfied, or not satisfied as the case may be, of
    the matters which will give rise to the limited housing duty
    or the full housing duty. These are essentially public law
    functions. The power of decision being committed by the
    statute exclusively to the housing authority, their exercise
    of power can only be challenged before the courts on the
    strictly limited grounds (i) that their decision was vitiated
    by bias or procedural unfairness; (ii) that they have reached
    a conclusion of fact which can be impugned on the
    principles set out in the speech of Lord Radcliffe in
    Edwards v. Bairstow [1956] AC 14; or (iii) that, in so far
    as they have exercised a discretion (as they may require to
    do in considering questions of reasonableness under section
    17(1) (2) and (4)), the exercise can be impugned on the
    principles set out in the judgment of Lord Greene M.R. in
    Associated Provincial Picture Houses Ltd. v. Wednesbury
    Corporation
    [1948] 1 KB 223. All this is trite law and the
    contrary has, so far as I know, never been argued in any
    case which has come before the courts under the Act of
    1977.

    "On the other hand, the housing authority are charged with
    executive functions. Once a decision has been reached by
    the housing authority which gives rise to the temporary, the
    limited or the full housing duty, rights and obligations are
    immediately created in the field of private law. Each of
    the duties referred to, once established, is capable of being
    enforced by injunction and the breach of it will give rise to
    a liability in damages. But it is inherent in the scheme of
    the Act that an appropriate public law decision of the
    housing authority is a condition precedent to the
    establishment of the private law duty."

    I refer to two further passages in the speech of my noble
    and learned friend:

    (1) at p. 294C:

    "I have already indicated my agreement with the views of
    my noble and learned friend, Lord Diplock, as expressed in
    O'Reilly v. Mackman [1983] 2 AC 237, and I gratefully
    adopt all his reasons for the conclusion that:

    'it would ... as a general rule be contrary to public
    policy, and as such an abuse of the process of the
    court, to permit a person seeking to establish that a
    decision of a public authority infringed rights to
    which he was entitled to protection under public law
    to proceed by way of an ordinary action and by this
    means to evade the provisions of Order 53 for the
    protection of such authorities.'

    "Does the same general rule apply, where the decision of
    the public authority which the litigant wishes to overturn is
    not one alleged to infringe any existing right but a decision
    which, being adverse to him, prevents him establishing a
    necessary condition precedent to the statutory private law
    right which he seeks to enforce? Any relevant decision of
    a housing authority under the Act of 1977 which an

    - 13 -

    applicant for accommodation wants to challenge will be of
    that character. I have no doubt that the same general rule
    should apply to such a case."

    (2) at p. 295B:

    "Even though nullification of a public law decision can, if
    necessary, be achieved by declaration as an alternative to
    an order of certiorari, certiorari to quash remains the
    primary and most appropriate remedy. Now that all public
    law remedies are available to be sought by the unified and
    simplified procedure of an application for judicial review,
    there can be no valid reason, where the quashing of a
    decision is the sole remedy sought, why it should be sought
    otherwise than by certiorari. But an unsuccessful applicant
    for accommodation under the Act of 1977, confronted by an
    adverse decision of the housing authority as to, say, the
    question of his intentional homelessness, may strictly need
    not only an order of certiorari to quash the adverse decision
    but also an order of mandamus to the housing authority to
    determine the question afresh according to law."

    In O'Reilly v. Mackman, the facts of which I need not
    rehearse, Lord Diplock, who delivered the leading opinion, said at
    p. 274F:

    "Prison rule 56, however, expressly empowers the Secretary
    of State to remit a disciplinary award and, since he would
    presumably do so in the case of a disciplinary award that
    had been declared by the High Court to be a nullity, such a
    declaration would achieve, though less directly, the same
    result in practice as quashing the award by certiorari.

    So no question arises as to the 'jurisdiction' of the High
    Court to grant to each of the appellants relief by way of a
    declaration in the terms sought, if they succeeded in
    establishing the facts alleged in their respective statements
    of claim or originating summons and the court considered a
    declaration to be an appropriate remedy. All that is at
    issue in the instant appeal is the procedure by which such
    relief ought to be sought. Put in a single sentence the
    question for your Lordships is: whether in 1980 after
    R.S.C., Ord. 53 in its new form, adopted in 1977, had come
    into operation it was an abuse of the process of the court
    to apply for such declarations by using the procedure laid
    down in the Rules for proceedings begun by writ or by
    originating summons instead of using the procedure laid
    down by Ord. 53 for an application for judicial review of
    the awards of forfeiture of remission of sentence made
    against them by the board which the appellants are seeking
    to impugn?

    In their respective actions, the appellants claim only
    declaratory relief. It is conceded on their behalf that, for
    reasons into which the concession makes it unnecessary to
    enter, no claim for damages would lie against the members
    of the board of visitors by whom the awards were made.
    The only claim was for a form of relief which it lies within
    the discretion of the court to grant or to withhold. So the

    - 14 -

    first thing to be noted is that the relief sought in the
    action is discretionary only.

    It is not, and it could not be, contended that the decision
    of the board awarding him forfeiture of remission had
    infringed or threatened to infringe any right of the appellant
    derived from private law, whether a common law right or
    one created by a statute. Under the Prison Rules remission
    of sentence is not a matter of right but of indulgence. So
    far as private law is concerned all that each appellant had
    was a legitimate expectation, based upon his knowledge of
    what is the general practice, that he would be granted the
    maximum remission, permitted by rule 5(2) of the Prison
    Rules, of one third of his sentence if by that time no
    disciplinary award of forfeiture of remission had been made
    against him. 5o the second thing to be noted is that none
    of the appellants had any remedy in private law."
    (emphasis
    supplied.)

    "In public law, as distinguished from private law, however,
    such legitimate expectation gave to each appellant a
    sufficient interest to challenge the legality of the adverse
    disciplinary award made against him by the board on the
    ground that in one way or another the board in reaching its
    decision had acted outwith the powers conferred upon it by
    the legislation under which it was acting; and such grounds
    would include the board's failure to observe the rules of
    natural justice: which means no more than to act fairly
    towards him in carrying out their decision-making process,
    and I prefer so to put it."

    Then, after a most learned, fascinating, controversial and
    challenging survey of the prerogative jurisdiction and its
    development, Lord Diplock concluded his speech with the following
    observations (p. 284G):

    "My Lords, Order 53 does not expressly provide that
    procedure by application for judicial review shall be the
    exclusive procedure available by which the remedy of a
    declaration or injunction may be obtained for infringement
    of rights that are entitled to protection under public law;
    nor does section 31 of the Supreme Court Act 1981. There
    is great variation between individual cases that fall within
    Order 53 and the Rules Committee and subsequently the
    legislature were, I think, for this reason content to rely
    upon the express and the inherent power of the High Court,
    exercised upon a case to case basis, to prevent abuse of its
    process whatever might be the form taken by that abuse.
    Accordingly. I do not think that your Lordships would be
    wise to use this as an occasion to lay down categories of
    cases in which it would necessarily always be an abuse to
    seek in an action begun by writ or originating summons a
    remedy against infringement of rights of the individual that
    are entitled to protection in public law."
    (emphasis supplied.)

    "The position of applicants for judicial review has been
    drastically ameliorated by the new Order 53. It has
    removed all those disadvantages, particularly in relation to
    discovery, that were manifestly unfair to them and had, in

    - 15 -

    many cases, made applications for prerogative orders an
    inadequate remedy if justice was to be done. This it was
    that justified the courts in not treating as an abuse of their
    powers resort to an alternative procedure by way ,of action
    for a declaration or injunction (not then obtainable on an
    application under Order 53), despite the fact that this
    procedure had the effect of depriving the defendants of the
    protection to statutory tribunals and public authorities for
    which for public policy reasons Order 53 provided.

    Now that those disadvantages to applicants have been
    removed and all remedies for infringements of rights
    protected by public law can be obtained upon an application
    for judicial review, as can also remedies for infringements
    of rights under private law if such infringements should also
    be involved, it would in my view as a general rule be
    contrary to public policy, and as such an abuse of the
    process of the court, to permit a person seeking to establish
    that a decision of a public authority infringed rights to
    which he was entitled to protection under public law to
    proceed by way of an ordinary action and by this means to
    evade the provisions of Order 53 for the protection of such
    authorities.

    My Lords, I have described this as a general rule; for
    though it may normally be appropriate to apply it by the
    summary process of striking out the action, there may be
    exceptions, particularly where the invalidity of the decision
    arises as a collateral issue in a claim for infringement of a
    right of the plaintiff arising under private law,"
    (emphasis
    supplied) "or where none of the parties objects to the
    adoption of the procedure by writ or originating summons.
    Whether there should be other exceptions should, in my
    view, at this stage in the development of procedural public
    law, be left to be decided on a case to case basis - a
    process that your Lordships will be continuing in the next
    case in which judgment is to be delivered today [Cocks v.
    Thanet District Council
    [1983] 2 AC 286].


    In the instant cases where the only relief sought is a
    declaration of nullity of the decisions of a statutory
    tribunal, the Board of Visitors of Hull Prison, as in any
    other case in which a similar declaration of nullity in public
    law is the only relief claimed, I have no hesitation, in
    agreement with the Court of Appeal, in holding that to
    allow the actions to proceed would be an abuse of the
    process of the court. They are blatant attempts to avoid
    the protections for the defendants for which Order 53
    provides.

    I would dismiss these appeals."

    O'Reilly v. Mackman, Cocks v. Thanet District Council and
    two other cases which reached your Lordships' House were referred
    to In An Bord Bainne Co-operative Limited v. Milk Marketing
    Board
    [1984] 2 C.M.L.R. 584, in which the Irish Dairy Board sought
    damages and an injunction to restrain the Milk Marketing Board
    from selling at differential prices milk for making butter,
    according to whether the butter was to be sold to an intervention

    - 16 -

    agency or into the United Kingdom domestic market. The grounds
    of the action were (a) breach of E.E.C. Regulations 1422/78 and
    1565/79 and of the U.K. Milk Marketing Scheme (Amendment)
    Regulations 1981 and (b) abuse of a dominant position under
    Articles 86 and 90(2) of the Treaty of Rome. The defendants
    applied to strike out the grounds under (a) arguing that the claim
    alleged a cause of action in the field of public law and could be
    brought only by way of judicial review under Order 53 and that
    the defendant's action amounted to an abuse of process. The
    Court of Appeal, affirming the decision of Neill J. ([1984] 1
    C.M.L.R. 519) and dismissing the appeal, held that the action was
    based on private law rights, whether or not it was also based on
    public law rights, and that the right procedure was by action and
    not by judicial review.

    Sir John Donaldson, M.R., delivering the judgment of the
    court, observed that the appeal was "only the latest in a line of
    cases which sterns from the decision of the House of Lords in
    O'Reilly v. Mackman." He then referred to the facts of that case
    and to Lord Diplock's formulation of the "general rule" that it
    would:

    "be contrary to public policy, and as such an abuse of the
    process of the court, to permit a person seeking to establish
    that a decision of a public authority infringed rights for
    which he was entitled to protection under public law to
    proceed by way of an ordinary action and by this means to
    evade the provisions of Order 53 for the protection of such
    authorities."

    The Master of the Rolls continued (at p. 588):

    "In so doing he stressed that it was a general rule, subject
    to exceptions to be evolved on a 'case to case basis' and
    not a rule of universal application. In particular he drew
    attention to the possibility of exceptions where all parties
    consented or where the invalidity of the public law decision
    arose as a collateral issue in a claim for infringement of a
    right of a plaintiff arising under private law.

    "O'Reilly v. Mackman was followed by Cocks v. Thanet
    District Council.
    There the plaintiff's private law right was
    not collateral to the public law issue. It only arose if,
    consequent upon the court determining that issue in his
    favour, the local authority made a further administrative
    decision favourable to him. In other words, at that stage
    the plaintiff was not in a position even to allege a private
    law right and the only issue was one of public law. The
    general rule was therefore applied. In Davy v. Spelthorne
    B.C.
    [1984] AC 262 in the House of Lords, a claim in
    negligence was allowed to proceed by action, it being clear
    that the Order 53 procedure was inappropriate and, if it
    could have been adopted at all, might well have defeated
    the claim. In Wandsworth v. Winder (29 March 1984) this
    court, by a majority, allowed a council tenant to resist a
    claim for an increased rent on the basis that the council
    had acted unlawfully in deciding to increase it. Some
    argument was addressed to us as to the true ratio decidendi.
    For our part we regard it as an illustration of the fact that

    - 17 -

    the rule in O'Reilly v. Mackman is indeed subject to
    exceptions where, although the principal issue is one of
    public law, private law rights are involved and it would
    cause the citizen injustice to be required to use the judicial
    review procedure. We do not regard it as a decision which
    turns upon the accident that the citizen was the defendant,
    although this was important in the sense that the choice of
    forum has not been his and he was entitled to argue that he
    should not be penalised for that choice."

    Giving the court's reasons for dismissing the appeal, the
    Master of the Rolls concluded (at p. 589):

    "The Irish Dairy Board's claim for damages is admittedly
    based upon alleged private law rights whether or not it is
    also based upon public law rights. If it can make good its
    case on the facts and the private law, the court will have
    no discretion whether or not to grant relief. The Order 53
    procedure is wholly inappropriate to any non-discretionary
    claim and the prosecution of such a claim by the procedure
    of an action is in no way an abuse, or as we prefer to style
    it 'a misuse', of the process of the court. It is a
    completely proper use of that process. The claim for an
    injunction does indeed enable the court to exercise a
    discretion, but only as to the choice of remedy, i.e.
    damages or injunction, not as to granting any remedy at all.
    Although the plaintiffs would, if necessary, have contended
    that there are no public law issues, we assume for present
    purposes that Neill J. was right to reject this contention.
    However, we can see no way in which they can be severed
    from the private law issues and, if they can, we do not
    think that they should be. As it was put in argument, the
    public and private law issues were not even collateral one
    to another. They are inextricably mixed - 'homogenised' is
    the term which springs to mind in the context of the
    subject matter of the dispute.

    "Neill J. had all these considerations in mind and he
    exercised his discretion. We can see no grounds for
    interfering with such a discretionary decision. Indeed, in
    our judgment, his decision was so plainly right that had he
    reached any other, we think that we should have been
    entitled and indeed bound to interfere."

    The decision in Wandsworth London Borough Council v.
    Winder
    was affirmed by this House and is reported at [1985] A.C.
    461. In that case the decisions in O'Reilly v. Mackman and Cocks
    v. Thanet District Council
    were distinguished. In the Court of
    Appeal Robert Goff L.J., commenting on a passage in Davy v.
    Spelthorne B.C.
    [1984] AC 262, 274, said at p. 480:

    "I read this passage in Lord Fraser of Tullybelton's speech
    as expressing the opinion that the principle in O'Reilly v.
    Mackman
    should not be extended to require a litigant to
    proceed by way of judicial review in circumstances where
    his claim for damages for negligence might in consequence
    be adversely affected. I can for my part see no reason why
    the same consideration should not apply in respect of any
    private law right which a litigant seeks to invoke, whether
    by way of action or by way of defence.

    - 18 -


    "For my part, I find it difficult to conceive of a case where
    a citizen's invocation of the ordinary procedure of the
    courts in order to enforce his private law rights, or his
    reliance on his private law rights by way of defence in an
    action brought against him, could, as such, amount to an
    abuse of the process of the court. But in any event I am
    satisfied that it cannot be right that his so proceeding
    should be held to amount to an abuse of process if the
    effect would be that his power to enforce his private law
    rights, or to rely upon them by way of defence, either
    would or might be adversely affected. I am unable to read
    Order 53 or section 31 of the Supreme Court Act 1981 as
    intended in any way to curtail a citizen's private law
    rights."

    His observation at p. 481B should also be noted:

    "I do not see that the solution to the problem in the
    present case lies in the mere fact that here the challenge
    to the public law decision is made by way of defence. In
    my judgment the crucial question is whether in his defence
    the defendant is (as a defendant usually will be) relying
    upon his private law rights."

    I would further invite your Lordships' attention to the speech of
    Lord Fraser of Tullybelton in Winder's case, where he said at p.
    509E:

    "It would in my opinion be a very strange use of language
    to describe the respondent's behaviour in relation to this
    litigation as an abuse or misuse by him of the process of
    the court. He did not select the procedure to be adopted.
    He is merely seeking to defend proceedings brought against
    him by the appellants. In so doing he is seeking only to
    exercise the ordinary right of any individual to defend an
    action against him on the ground that he is not liable for
    the whole sum claimed by the plaintiff. Moreover he puts
    forward his defence as a matter of right, whereas in an
    application for judicial review, success would require an
    exercise of the court's discretion in his favour. Apart from
    the provisions of Order 53 and section 31 of the Supreme
    Court Act 1981, he would certainly be entitled to defend
    the action on the ground that the plaintiff's claim arises
    from a resolution which (on his view) is invalid: see for
    example Cannock Chase District Council v. Kelly [1978] 1
    W.L.R. 1, which was decided in July 1977, a few months
    before Order 53 came into force (as it did in December
    1977). I find it impossible to accept that the right to
    challenge the decision of a local authority in course of
    defending an action for non-payment can have been swept
    away by Order 53, which was directed to introducing a
    procedural reform. As my noble and learned friend Lord
    Scarman said in Reg. v. Inland Revenue Commissioners, Ex
    parte Federation of Self Employed and Small Businesses Ltd.
    [1932] A.C. 617, 647G 'The new R.S.C., Ord. 53 is a
    procedural reform of great importance in the field of public
    law, but it does not - indeed, cannot - either extend or
    diminish the substantive law. Its function is limited to

    - 19 -

    ensuring "ubi jus, ibi remedium".' Lord Wilberforce spoke to
    the same effect at p. 631 A. Nor, in my opinion, did
    section 31 of the Supreme Court Act 1981 which refers only
    to 'an application for judicial review have the effect of
    limiting the rights of a defendant sub silentio. I would
    adopt the words of Viscount Simonds in Pyx Granite Co.
    Ltd. v. Ministry of Housing and Local Government
    [1960]
    A.C. 260, 286 as follows:

    'It is a principle not by any means to be whittled
    down that the subject's recourse to Her Majesty's
    courts for the determination of his rights is not to be
    excluded except by clear words.'

    The argument of the appellants in the present case would be
    directly in conflict with that observation."

    In this passage the contrast drawn between "a matter of
    right" and "an exercise of the court's discretion" echoes the
    observation of the Master of the Rolls at p. 589 in the Irish Dairy
    Board
    case supra. It will also be seen that Lord Fraser invoked
    the Pyx Granite principle, as he had already done in Davy v.
    Spelthorne B.C.
    supra at p. 274, not merely against barring a
    subject from the courts, but against excluding him from a
    particular mode of procedure. The observation attributed to Lord
    Scarman recalls what he had earlier said in R. v. I.R.C., Ex parte
    Rossminster Ltd. [1980] AC 952 at p. 1025:"

    "The application for judicial review is a recent procedural
    innovation in our law. It is governed by R.S.C. Ord. 53, r.
    2 which was introduced in 1977. The rule made no
    alteration to the substantive law; nor did it introduce any
    new remedy."

    Indeed, it seems to me that Lord Scarman, had the occasion
    demanded it, might well have added the words "or abolish any
    existing remedy."

    In R. v. Derbyshire County Council, Ex parte Noble [1990] I.
    C.R. 808 a deputy police surgeon, whose services were dispensed
    with, unsuccessfully sought judicial review of a police committee's
    decision. The Court of Appeal affirmed the Divisional Court's
    decision that judicial review was an inappropriate remedy, since
    the applicant's grievance arose in connection with his private
    rights. I refer to the case mainly for the sake of a passage in
    the judgment of Woolf L.J. at p. 813 A-C:

    "Although at this stage the court is not concerned with the
    merits of the application but the question as to whether or
    not it was a matter which could be appropriately dealt with
    on an application for judicial review, it is right that I
    should indicate that an affidavit was filed on behalf of the
    council by Mr. Eric Cobb, who was the director and
    treasurer of Derbyshire County Council and county director
    from 1987 to 6 April 1988 and who is now a consultant of
    the council, in which he purports to give an explanation on
    behalf of the council as to why it has adhered to its
    decision. I draw attention to that affidavit because at least
    it can be said, having regard to the contents of the

    - 20 -

    affidavit, that the present application is one which is
    unsuitable for disposal on an application for judicial review -
    unsuitable because it clearly involves a conflict of fact and
    a conflict of evidence which would', require investigation and
    would involve discovery and cross-examination. Cross-
    examination and discovery can take place on applications for
    judicial review, but in the ordinary way judicial review is
    designed to deal with matters which can be resolved without
    resorting to those procedures."

    The concluding observations, by a judge who is an
    acknowledged authority on the subject, remind us that oral
    evidence and discovery, although catered for by the rules, are not
    part of the ordinary stock-in-trade of the prerogative jurisdiction.
    That fact alone must constitute an important qualification of the
    general theory propounded by Lord Diplock in O'Reilly v.
    Mackman.

    McClaren v. Home Office [1990] I.C.R. 824 was concerned
    with an action brought, in connection with a dispute over working
    hours, by a prison officer against the Home Office, which then
    applied to strike out the action on the ground that the plaintiff
    ought to have proceeded by judicial review. Woolf L.J., after
    agreeing with Dillon L.J. in the Court of Appeal that the
    plaintiff's appeal against the Divisional Court's order striking out
    his action should be allowed, continued as follows at p. 835G:

    "However, this appeal and the appeal which was heard
    recently by this court in Reg. v. Derbyshire County Council,
    Ex parte Noble,
    [1990] I.C.R. 808 suggest that problems are
    being experienced as to when proceedings have to be taken
    by way of judicial review by employees - I use that term in
    a wide sense to include those who hold office under the
    Crown or on behalf of other public bodies - who wish to
    bring proceedings against their employer who is a public
    body. The problem appears to be due to a misunderstanding
    as to the effect of the decision of the House of Lords in
    O'Reilly v. Mackman [1983] 2 AC 237 on such
    proceedings."

    The Lord Justice did not discuss in terms that
    "misunderstanding", but a hint of its nature, as perceived by him,
    may perhaps be gathered from three passages in his judgment, (1)
    at p. 836 B-D:

    "In relation to his personal claims against an employer, an
    employee of a public body is normally in exactly the same
    situation as other employees. If he has a cause of action
    and he wishes to assert or establish his rights in relation to
    his employment he can bring proceedings for damages, a
    declaration or an injunction (except in relation to the
    Crown) in the High Court or the county court in the
    ordinary way. The fact that a person is employed by the
    Crown may limit his rights against the Crown but otherwise
    his position is very much the same as any other employee.
    However, he may, instead of having an ordinary master and
    servant relationship with the Crown, hold office under the
    Crown and may have been appointed to that office as a
    result of the Crown exercising a prerogative power or, as in

    - 21 -

    this case, a statutory power. If he holds such an
    appointment then it. will almost invariably be terminable at
    will and may be subject to other limitations, but whatever
    rights the employee has will be enforceable normally by an
    ordinary action. Not only will it not be necessary for him
    to seek relief by way of judicial review, it will normally be
    inappropriate for him to do so: see Kodeeswaran v.
    Attorney-General of Ceylon
    [1970] AC 1111; Reg. v. East
    Berkshire Health Authority, Ex parte Walsh
    [1984] I.C.R. 743
    and Reg. v. Derbyshire County Council, Ex parte Noble."

    (2) at pp. 837G-838A:

    "In giving his judgment in this case, Hoffman J. [1989]
    I.C.R. 550, 554, was of the view that there was no arguable
    distinction between the facts of this case and those of Mr.
    Bruce - referring to Reg. v. Civil Service Appeal Board, Ex
    parte Bruce
    [1988] I.C.R. 649. - I disagree. In this case,
    unlike Ex parte Bruce, which falls within the second
    category, the plaintiff is not making any complaint about
    disciplinary proceedings. He is seeking declarations as to
    the terms of his employment and a sum which he alleges is
    due for services rendered. If those claims have any merit
    they fall within the first category set out above. They are
    private law claims which require private rights to support
    them. Mr. Tabachnik firmly disavowed any suggestion that
    any public law claim is being advanced by the plaintiff.
    Whether or not he is an employee of the Crown or has a
    contract of service, or holds an office under the Crown, he
    is entitled to bring private law proceedings if he has
    reasonable grounds for contending that his private law rights
    have been infringed. As his claim is pleaded and advanced
    by Mr. Tabachnik, it is entirely unsuited to judicial review."

    (I would suggest, in fairness to the appellants in the present case,
    that one has to read the sentence beginning "Whether or not" as
    part of counsel's argument and not as a view propounded by Woolf
    L.J., but the thought expressed is significant.)

    Finally, at p. 839 A-D:

    "While Mr. Tabachnik accepts that the plaintiff can be
    dismissed at pleasure because he holds an office or is
    employed by the Crown, this does not mean that he cannot
    have a private law right in relation to matters other than
    his dismissal. The fact that a prison officer can be
    dismissed at pleasure does not mean that there do not exist
    other terms as to his service which are contractually
    enforceable and in respect of which he can have a private
    law remedy. There is now a considerable number of dicta
    which indicate that it is possible for a servant of the Crown
    to have contractual rights. It is not necessary for me to
    refer to these authorities because they are all set out in
    Reg. v. Civil Service Appeal Board, Ex parte Bruce [1988]
    I.C.R. 649 and a number of them have already been referred
    to by Dillon L.J. In Ex parte Bruce itself Roch J.
    recognised that there could be terms of the appointment of
    a civil servant which could have legal effect. If there are

    - 22 -

    such terms then they would give rise to private rights. In
    the case of prison officers they would result from the
    exercise by the Home Office of its statutory powers which
    are incidental to its statutory power to appoint prison
    officers; but even if they were derived from the
    prerogative, this would not alter the nature of the rights
    created, only the source of the authority for creating the
    rights.

    Once it is conceded, as in my view it has to be, that there
    is at least an arguable case for contending that the
    relationship between prison officers and the Home Office
    could have a contractual element, then (subject to it not
    affecting the power of the Crown to dismiss) the extent and
    the effect of the contractual element is a matter to be
    determined after evidence and full argument at the hearing."

    I have already referred to the judgment of the Court of
    Appeal, which concluded that there was a contract for services
    between Dr. Roy and the Committee and that it was therefore in
    order for Dr. Roy to sue the Committee for a declaration of his
    rights and an order for payment. (Your Lordships have not the
    benefit of the Court of Appeal's view on what the position would
    have been assuming that no contract existed.) I cannot altogether
    accept the reasoning which led the members of the Court of
    Appeal to conclude that there was a contract, because, although
    there may well have been a contract for services, I am not
    satisfied that there was. Ex parte Walsh [1985] QB 152 does not
    in my view provide a reliable argument in favour of saying that
    there was a contract in the present case and Wadi's case indicates
    the contrary. At the same time, I would be foolish to disregard
    the fact that all the members of a distinguished Court of Appeal
    held that a contract for services existed between Dr. Roy and the
    Committee. It shows, to say the least, that there are "contractual
    echoes in the relationship", as Judge White put it, and makes it
    almost inevitable that the relationship, as was said of that which
    arose in Wadi v. Cornwall and Isles of Scilly Family Practitioner
    Committee
    [1985] I.C.R. 492 gave rise to "rights and obligations"
    and that Dr. Roy's rights were private law rights. I would here
    observe that the mere fact that the Act and the Regulations
    constitute a statutory scheme which lays down the doctor's "terms
    of service" (an expression which has contractual overtones) and
    creates the relationship between him and the Committee, is not
    fatal to the idea of a contract, but that relationship did not need
    to be contractual. Moreover, the discretion which the scheme
    confers on the Committee is not typically characteristic of a
    contractual relationship, and the same can be said of the appellate
    and supervisory role given to the Secretary of State.

    But the actual or possible absence of a contract is not
    decisive against Dr. Roy. He has in my opinion a bundle of rights
    which should be regarded as his individual private law rights
    against the Committee, arising from the statute and regulations
    and including the very important private law right to be paid for
    the work that he has done. As Judge White put it at [1989] 1
    M.L.R. 10, 12:

    "The rights and duties are no less real or effective for the
    individual practitioner. Private law rights flow from the

    - 23 -

    statutory provisions and are enforceable, as such, in the
    courts but no contractual relations come into existence."

    The judge, however, held that, even if the doctor's rights to full
    payments under the scheme were contractually based,
    the
    Committee's duty was a public law duty and could be challenged
    only on judicial review. Mr. Collins admitted that, if the doctor
    had a contractual right, he could (subject always to paragraph
    80.1) vindicate it by action. But, my Lords, I go further: if Dr.
    Roy has any kind of private law right, even though not
    contractual, he can sue for its alleged breach.

    In this case it has been suggested that Dr. Roy could have
    gone by judicial review, because there is no issue of fact, but that
    would not always hold good in a similar type of case. And I do
    not forget that he might have been faced with the argument which
    succeeded in Ex parte Walsh. In any event, a successful
    application by judicial review could not lead directly, as it would
    in an action, to an order for payment of the full basic practice
    allowance. Other proceedings would be needed.

    '"An important point is that the court clearly has jurisdiction
    to entertain the doctor's action. Furthermore, even if one accepts
    the full rigour of O'Reilly v. Mackman, there is ample room to
    hold that this case comes within the exceptions allowed for by
    Lord Diplock. It is concerned with a private law right, it involves
    a question which could in some circumstances give rise to a
    dispute of fact and one object of the plaintiff is to obtain an
    order for the payment (not by way of damages ) of an ascertained
    or ascertainable sum of money. If it is wrong to allow such a
    claim to be litigated by action, what is to be said of other
    disputed claims for remuneration? I think it is right to consider
    the whole spectrum of claims which a doctor might make against
    the Committee. The existence of any dispute as to entitlement
    means that he will be alleging a breach of his private law rights
    through a failure by the Committee to perform their public duty.
    If the Committee's argument prevails, the doctor must in all these
    cases go by judicial review, even when the facts are not clear. I
    scarcely think that this can be the right answer.

    My Lords, whether Dr. Roy's rights were contractual or
    statutory, the observations made by the Court of Appeal
    concerning their enforcement are important. Balcombe L.J. said
    ([1990] 1 M.L.R. at p. 331):

    "Since Dr. Roy's rights against the committee sound in
    contract, on the face of it there would appear to be no
    reason why he should not sue on the contract by ordinary
    action. Of course, as Mr. Briggs accepts, the court will not
    substitute its opinion for that of the committee in deciding
    whether Dr. Roy did devote a substantial amount of time to
    general practice. What the court can do is to decide
    whether the committee, in forming its opinion, did so on an
    incorrect view of the law and, if so, remit the question to
    the committee for reconsideration."

    Then, having effectively distinguished O'Reilly v. Mackman and
    Cocks v. Thanet District Council, he commented in relation to Ex
    parte Walsh -

    - 24 -

    "This court accepted that his Terms of Tenure were
    determined by statute but nevertheless held that he was
    seeking to enforce a private contractual right under his
    contract of employment so that judicial review was
    inappropriate."

    The Lord Justice continued (p. 331):

    "I would add that even if there were an element of public
    duty in the formation by the committee of its opinion under
    paragraph 12.1 of the Statement of Fees and Allowances,
    this would not be sufficient to prevent Dr. Roy enforcing
    his private (contractual) rights by ordinary action - see
    O'Reilly v. Mackman [1983] 2 A,C. 237, per Lord Diplock at
    p. 285: Gillick v. West Norfolk and Wisbech A.H.A. [1986]
    A.C. 112 per Lord Fraser of Tullybelton at p. 163 and per
    Lord Scarman at p. 178."

    Nourse L.J. said at p. 332:

    "In his argument on behalf of the committee Mr. Greening
    accepted that in general the contract between the
    committee and the practitioner gives rise to private law
    rights and duties. But he nevertheless submitted that the
    committee's duty to form an opinion under paragraph 12.1(b)
    of the Statement of Fees and Allowances is a public law
    duty which can only be enforced or controlled in proceedings
    for judicial review. For my part, I would reject that
    submission on the simple ground that the mutual rights and
    duties under a contract of those who are the parties to it,
    whether they be public bodies or private individuals, exist,
    and can only exist, in the field of private law. Although a
    public body which carries out a duty imposed on it by
    contract can often be said to be performing a public duty,
    it is not a 'public law' duty for the purposes of the
    classification which is in point.

    "The duty imposed on the committee by paragraph 12.1 of
    the Statement of Fees and Allowances is to form an opinion
    as to whether the practitioner is devoting a substantial
    amount of time to general practice under the National
    Health Service and to give a decision accordingly. If that
    duty is not properly discharged, the practitioner's remedies
    are a declaration that the decision is of no effect, an order
    setting it aside and, if appropriate, an injunction directing
    the committee to reconsider the matter and form a fresh
    opinion on a correct basis. It can certainly be said that
    these remedies are suggestive of proceedings for judicial
    review. But they are equally available under the law of
    contract and Mr. Greening did not argue to the contrary.
    Moreover, the great majority of the rights and duties under
    the contract, for example the duty to pay and the right to
    receive the basic practice allowance once the necessary
    opinion has been formed, can only exist in the field of
    private law. If Mr. Greening's argument is correct, difficult
    questions may arise as to whether particular rights and
    duties must be protected and enforced by the one procedure
    or the other. On practical grounds no less than on principle
    there is everything to be said for the view that private law
    applies throughout.

    - 25 -

    "In order that there may be no doubt about the matter, I
    will add that if a practitioner wishes to question an initial
    decision by the committee not to accept his application to
    be included on their list of doctors, he must in that case
    take proceedings for judicial review. At that stage no
    contract has come into existence and the practitioner's only
    right is a public law right to have his application properly
    considered. There is the same two-stage process as there
    was in Cocks v. Thanet District Council [1983] 2 AC 286,
    albeit that there the private law rights and duties which
    arose at the second stage were statutory and not
    contractual. At p. 292H Lord Bridge of Harwich said:

    'Once a decision has been reached by the housing
    authority which gives rise to the temporary, the
    limited or the full housing duty, rights and obligations
    are immediately created in the field of private law.
    Each of the duties referred to, once established, is
    capable of being enforced by injunction and the
    breach of it will give rise to a liability in damages.
    But it is inherent in the scheme of the Act that an
    appropriate public law decision of the housing
    authority is a condition precedent to the
    establishment of the private law duty.'

    "Similarly in the present case, an appropriate public law

    decision of the committee is a condition precedent to the

    creation of the contract and the private law rights and
    duties which arise under it."

    I wish also to mention two passages in the judgment of
    Neill L.J. He said at p. 332:

    "Had the FPC at the outset declined to include Dr. Roy's
    name on the medical list, Dr. Roy would have had no
    contractual remedy, but he could have tested the lawfulness
    of the decision of the FPC by seeking judicial review. At
    that stage, he had a public law right to have his application
    considered by the FPC in accordance with the law. But
    once a contract came into existence between the FPC and
    Dr. Roy, rights and duties were created in the field of
    private law."

    I suggest that the comment remains apt, even if the private law
    rights and duties were non-contractual. The judgment continued:

    "This distinction between public law duties, rights and
    remedies on the one hand and private law duties, rights and
    remedies on the other hand was explained by Lord Bridge of
    Harwich in Cocks v. Thanet District Council [1983] 2 A.C.
    286 in a well-known passage at pp. 292-293 in relation to
    the several functions of a housing authority under what is
    now part III of the Housing Act 1985. In the present case,
    the public law decision of the FPC to include Dr. Roy's
    name on the medical list brought into existence private law
    rights and duties. These duties included a duty imposed on
    the FPC to consider fairly any issues which might arise for
    determining whether Dr. Roy was eligible for the full rate

    - 26 -

    of basic practice allowance. In the present case, the
    matter on which the FPC had to form an opinion was
    whether Dr. Roy was devoting a substantial amount of time
    to general practice under the National Health Service."

    The judgments to which I have referred effectively dispose
    of an argument pressed by the Committee that Dr. Roy had no
    right to be paid a basic practice allowance until the Committee
    had carried out their public duty of forming an opinion under
    paragraph 12.1(b), with the supposed consequence that, until that
    had happened, the doctor had no private law right which he could
    enforce. The answer is that Dr. Roy had a right to a fair and
    legally correct consideration of his claim. Failing that, his private
    law right has been infringed and he can sue the Committee.

    Mr. Collins sought to equate the Committee's task under
    paragraph 12.1(b) with the Council's duty in phase 1 of Cocks v.
    Thanet
    and the Committee's duty to pay with the Council's duty
    in phase 2. For an answer to that argument I refer to the
    judgments in the Court of Appeal and would also point out that
    Mr. Cocks was simply a homeless member of the public in phase
    1, whereas Dr. Roy had already an established relationship with
    the Committee when his claim under paragraph 12.1 fell to be
    considered.

    Dr. Roy's printed case contained detailed arguments in
    favour of a contract between him and the Committee, but before
    your Lordships Mr. Lightman simply argued that the doctor had a
    private law right, whether contractual or statutory. With regard
    to O'Reilly v. Mackman he argued in the alternative. The "broad
    approach" was that "the rule in O'Reilly v. Mackman" did not
    apply generally against bringing actions to vindicate private rights
    in all circumstances in which those actions involved a challenge to
    a public law act or decision, but that it merely required the
    aggrieved person to proceed by judicial review only when private
    law rights were not at stake. The "narrow approach" assumed that
    the rule applied generally to all proceedings in which public law
    acts or decisions were challenged, subject to some exceptions when
    private law rights were involved. There was no need in O'Reilly
    v. Mackman
    to choose between these approaches, but it seems
    clear that Lord Diplock considered himself to be stating a general
    rule 'with exceptions. For my part, I much prefer the broad
    approach, which is both traditionally orthodox and consistent with
    the Pyx Granite principle, as applied in Davy v. Spelthorne B.C. at
    p. 274 and in Wandsworth L.B.C. v. Winder at p. 510. It would
    also, if adopted, have the practical merit of getting rid of a
    procedural minefield. I shall, however, be content for the purpose
    of this appeal to adopt the narrow approach, which avoids the
    need to discuss the proper scope of the rule, a point which has
    not been argued before your Lordships and has hitherto been
    seriously discussed only by the academic writers.

    Whichever approach one adopts, the arguments for excluding
    the present case from the ambit of the rule or, in the alternative,
    making an exception of it are similar and to my mind convincing.

    (1) Dr. Roy has either a contractual or a statutory private law
    right to his remuneration in accordance with his statutory terms of
    service.

    - 27 -

    (2) Although he seeks to enforce performance of a public law
    duty under paragraph 124, his private law rights dominate the
    proceedings.


    (3) The type of claim and other claims for remuneration
    (although not this particular claim) may involve disputed issues of
    fact.

    (4) The order sought (for the payment of money due) could not
    be granted on judicial review.

    1. The claim is joined with another claim which is fit to be
      brought in an action (and has already been successfully prosecuted.)

    2. When individual rights are claimed, there should not be a
      need for leave or a special time limit, nor should the relief be
      discretionary.

    3. The action should be allowed to proceed unless it is plainly
      an abuse of process.

    (8) The cases I have cited show that the rule in O'Reilly v.
    Mack man,
    assuming it to be a rule of general application, is
    subject to many exceptions based on the nature of the claim and
    on the undesirability of erecting procedural barriers.

    My Lords, I have already disclaimed the intention of

    discussing the scope of the rule in O'Reilly v. Mackman but, even

    if I treat it as a general rule, there are many indications in

    favour of a liberal attitude towards the exceptions contemplated

    but not spelt out by Lord Diplock. For example:

    1. The Law Commission, when recommending the new judicial
      review procedure, contemplated the continued coexistence of
      judicial review proceedings and actions for a declaration with
      regard to public law issues. Associated Provincial Picture Houses
      Ltd. v. Wednesbury Corporation [1948]
      1 K.B. 223 is a famous
      prototype of the latter.

    (2) This House has expressly approved actions for a declaration
    of nullity as alternative to applications for certiorari to quash,
    where private law rights were concerned: Wandsworth L.B.C. v.
    Winder
    at p. 477 per Robert Goff L.J.

    (3) "The principle remains intact that public authorities and
    public servants are, unless clearly exempted, answerable in
    the ordinary courts for wrongs done to individuals. But by
    an extension of remedies and a flexible procedure it can be
    said that something resembling a system of public law is
    being developed. Before the expression 'public law' can be
    used to deny a subject a right of action in the court of his
    choice it must be related to a positive prescription of law,
    by statute or by statutory rules. We have not yet reached
    the point at which mere characterisation of a claim as a
    claim in public law is sufficient to exclude it from
    consideration by the ordinary courts: to permit this would be
    to create a dual system of law with the rigidity and
    procedural hardship for plaintiffs which it was the purpose
    of the recent reforms to remove." Davy v. Spelthorne B.C.
    at p. 276 per Lord Wilberforce.

    - 28 -

    In conclusion, my Lords, it seems to me that, unless the
    procedure adopted by the moving party is ill suited to dispose of
    the question at issue, there is much to be said in favour of the
    proposition that a court having jurisdiction ought to let a case be
    heard rather than entertain a debate concerning the form of the
    proceedings.

    For the reasons already given I would dismiss this appeal.

    - 29 -


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