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Is Alberta Doing Enough to Protect Patients from Abuse by Health Professionals?

By: Lorian Hardcastle

PDF Version: Is Alberta Doing Enough to Protect Patients from Abuse by Health Professionals?

Headlines such as “Grande Prairie doctor suspended, charged over inappropriate examinations”, “Disgraced Calgary psychiatrist Aubrey Levin facing new abuse allegations” and “Southern Alberta doctor accused of sex assault on disabled patient” are not isolated incidents. Despite limited data, one news report found that at least 250 Canadian doctors were disciplined by self-regulatory bodies for boundary offences between 2001 and 2016. The term “boundary offences” encompasses a wide range of conduct including sexual comments, inappropriate touching (often under the guise of a physical exam), taking photographs or videos without a patient’s knowledge, or sexual intercourse with a patient (without or with consent—if a patient can truly provide valid consent in this context). Although evidence on the prevalence of sexual misconduct by health professionals is limited, in a study of 10,000 US doctors, 9% reported sexual contact with patients. Ten of the 21 disciplinary decisions currently listed on the website of the Alberta College of Physicians and Surgeons relate to boundary offences. The harm resulting from sexual abuse by health professionals is substantial. Patients are often in a vulnerable position and, when a health professional exploits his or her position of trust and power, victims report feeling shame, confusion, anxiety, and depression. These cases not only damage the relationship between the victim and the perpetrator, but harm public trust in health professionals and self-regulation. In what follows, I recommend several reforms to better protect patients from abuse.

Proving Parties to an Offence Beyond a Reasonable Doubt: A Clear Application of Sections 21(1) and 21(2) of the Criminal Code

By: Jeanine Zahara

PDF Version: Proving Parties to an Offence Beyond a Reasonable Doubt: A Clear Application of Sections 21(1) and 21(2) of the Criminal Code

Case Commented On: R v Hardy, 2017 ABQB 588 (CanLII)

The Alberta Court of Queen’s Bench released a decision on 2 October 2017 which directly applied the law on parties to an offence to the evidence heard at trial. In R v Hardy, Tamra Hardy and her brother Cody Hardy were co-charged with manslaughter contrary to s 236(b) of the Criminal Code, RSC 1985, c C-46, break and enter with intent to commit an indictable offence contrary to s 348(1)(a) of the Criminal Code and robbery contrary to 344(1)(b) of the Criminal Code. Cody Hardy pled guilty to manslaughter prior to Tamra Hardy’s trial. Furthermore, while Tamra pled not guilty to the charge of break and enter with intent to commit theft, at the end of her trial she “invited a conviction on” s 348(1) (a) of the Criminal Code (at para 113) and a conviction was entered on that count She did dispute her criminal liability for the robbery and manslaughter, however, which turned on whether she was a party to these offences.

The Confidential Informant as a Creation of Law

By: Lisa A. Silver

PDF Version: The Confidential Informant as a Creation of Law

Case Commented On: Her Majesty The Queen v Named Person A, 2017 ABQB 552 (CanLII)

We are all conversant with a creation story, be it biblical or cultural. We are less apt, however, to recite a purely legal creation story, where the law is not in itself created but creates. In the decision of Her Majesty The Queen v Named Person A, Madam Justice Antonio applies the law and in doing so creates a legally constructed status, as confidential informant, for Named Person A (NPA). The effect of the law or the privilege that arises, requires that NPA’s identity be strictly protected and non-disclosable, subject to the “innocence at stake” exception. This is a status which NPA neither wanted nor asked for. Once NPA became this pronounced creation of law, NPA became nameless. The discussion we will undertake will provide us with the ultimate creation story of how certain encounters can transform a person into a creation of law. With that transformation, comes the full force of the law as legal principles must be and are rigidly applied. The preliminary issue of whether NPA was, in law, a confidential informant is incredibly important. If NPA is not such an informant then the issues flowing from this status are moot. If, however, NPA is a confidential informant, then the court must decide how the Crown can fulfill its Stinchcombe obligations requiring full disclosure of NPA’s criminal file to NPA’s counsel without violating the sacrosanct confidential informant privilege. To disclose or even to edit the disclosure would reveal NPA’s identity. To not disclose would run afoul of NPA’s right to full answer and defence. Alternatively, if NPA’s defence counsel is within NPA’s confidential “circle of privilege”, then disclosure may be made within the safety of that legal privilege. This post considers the initial decision by Justice Antonio to find that, in law, NPA is a confidential informant. It is this finding which engages the law and which matters most to NPA.

A Closer Look at Leave to Appeal Requirements Under the Municipal Government Act (Alberta)

By: Shaun Fluker

PDF Version: A Closer Look at Leave to Appeal Requirements Under the Municipal Government Act (Alberta)

Case Commented On: Arctos & Bird Management Ltd v Banff (Town), 2017 ABCA 300 (CanLII)

This is a decision by Justice Barbara Veldhuis to deny the applicant leave to appeal an approval for development of lands in the Town of Banff. Statutory leave to appeal decisions such as this rarely attract legal commentary because no substantive law is decided. These decisions result from an application before a justice in chambers from a person who seeks permission to proceed with a substantive appeal of an administrative decision. Nonetheless, I have been studying these leave to appeal decisions to better understand the basis upon which superior courts decide whether to hear an appeal from an administrative decision. Arctos & Bird Management provides me with an opportunity to add to the findings Drew Yewchuk and I previously disseminated on ABlawg in Seeking Leave to Appeal a Statutory Tribunal Decision: What Principles Apply?” (“Seeking Leave”).

ENMAX PPA Terminates Under the Change of Law Clause When the Buyer Provides the Balancing Pool with Notice of Termination

By: Nigel Bankes

PDF Version: ENMAX PPA Terminates Under the Change of Law Clause When the Buyer Provides the Balancing Pool with Notice of Termination

Case Commented On: ENMAX PPA Management Inc v Balancing Pool, 2017 ABQB 605 (CanLII)

In this decision Justice Paul Jeffrey concluded that ENMAX terminated (as against the Balancing Pool (BP)) its Battle River Power Purchase Arrangement (PPA) on the effective date of the termination notice that it had sent to the BP. ENMAX sent its termination notice on December 11, 2016 and prescribed an effective date and time of termination as January 1, 2016 at 12:01 a.m. The BP took the view that termination did not become effective until it was legally able to take over the buyer’s responsibilities under the PPA. This did not happen in this case until the BP was able to appoint an agent to act for it with respect to the technical tasks associated with offer control. The BP could not do this until it had obtained the approval of the Alberta Utilities Commission (AUC) to permit sharing of records as required by section 2(f) of the Fair Efficient and Open Competition Regulation, Alta Reg 159/2009. The BP did not get that approval until June 28, 2016 (see AUC Decision 21406-D01-2016) and did not assume offer control through its appointed agent (Capital Power Generation Services Inc) until July 13, 2016. Accordingly, the BP took the position that ENMAX’s termination only became effective on that date i.e. July 13, 2016. In this application for a declaration brought by ENMAX Justice Jeffrey rejects the BP’s position and finds decisively in favour of ENMAX.

It is perhaps important to observe at the outset that all that this judgment decides is the termination date as between ENMAX and the BP. The BP had not objected to the termination itself and indeed had accepted ENMAX’s termination notice as a valid termination – it merely questioned its effective date. It will be recalled however that the right to terminate is very much still an issue as between the Province of Alberta and ENMAX and the BP. The Province has commenced an application before the courts contesting the terms of the PPA (the “more unprofitable” issue), the interpretation of the PPA (was the PPA unprofitable/more unprofitable by reason of the Province’s carbon levy or for other market reasons) and the BP’s decision to accept the termination as a valid termination. For previous posts on this litigation see here, here, here and here. Justice Jeffrey does not mention this litigation and presumably this judgment cannot touch the issues that lie at the heart of those proceedings although no doubt parties will still try to make something of phrases here and there in Justice Jeffrey’s admirably crisp and elegant judgment. In fact it’s hard to resist the temptation myself—I can’t help but note that Justice Jeffrey (at para 8) quotes the un-amended version of section 4.3(j) of the PPA—but I suspect we cannot attach any significance to that especially as Justice Jeffrey acknowledges the “amendment” at para 37. ENMAX in turn will likely take comfort from para 57 of Justice Jeffrey’s judgment in which he emphasizes that in drafting the PPA and especially the change of law clause “the legislators endeavoured to provide as much certainty as possible to potential buyers and relieve them of non-market related risks” but of course the effect of including the “more unprofitable language” is potentially to accord the Buyer relief from market risks as well as non-market risks.

Justice Jeffrey began by considering the applicable interpretive approach. Should the PPA be interpreted as a contract or some sort of statutory arrangement? Recall that the “A” in PPA stands for “arrangements” and not “agreement”. Justice Jeffrey noted that there was some difference of judicial opinion on the point before referring to the opinion that the AUC expressed in its TAU PPA-related market manipulation decision (MSA v TAU, Kaiser & Connolly, AUC Decision 3110-D01-2015) in which the AUC characterized the PPAs as “a component of a statutory scheme enacted to ensure the fair, efficient and openly competitive operation of the electricity market in Alberta.” Justice Jeffrey concluded that the AUC’s opinion on characterization was entitled to a high degree of deference but he also believed it to be correct for the following reasons (at paras 34-37): the wording of the PPAs was finalized “by legislative act”; PPAs are lacking in some of the essential elements of a contract; PPAs are not stand alone documents—they can only be understood and interpreted within their statutory context; the text of the PPAs makes this statutory context clear; and ENMAX itself (which proposed the contractual approach) relies on the regulatory and statutory context to incorporate the all-important “or more unprofitable” language into the PPA. It followed from this characterization of the PPA that the court should approach the interpretation of the PPA keeping in mind both Rizzo & Rizzo Shoes Ltd. (Re), [1998] 1 SCR 27, 1998 CanLII 837 (SCC) and the Interpretation Act, RSA 2000, c I-8 and especially s 10:

An enactment shall be construed as being remedial, and shall be given the fair, large and liberal construction and interpretation that best ensures the attainment of its objects.

Justice Jeffrey gave seven reasons for concluding that ENMAX was entitled to succeed. The balance of this post summarizes those grounds.

  1. Section 4.3(j) of the PPA simply states that “the Buyer may terminate this Arrangement”. Unlike other provisions of the PPA it does not provide for a notice period. While the clause does not say “immediately” that can be inferred in light of the other termination provisions in the PPA (paras 44-47).
  2. Section 4.3(j) of the PPA contemplates that the Buyer will bear any cost consequences from a Change in Law termination and this suggests that termination should have immediate effect—if not the Buyer will suffer cost consequences (para 48).
  3. The Balancing Pool Regulation, Alta Reg 158/2003 contemplates an interim payment mechanism to cover the period between notice and the BP’s assessment of the validity of the notice. This mechanism would be superfluous if the BP’s interpretation were correct (paras 49-52).
  4. Section 96(3) of the Electric Utilities Act, SA 2003, c E-5.1 when read in conjunction with the Balancing Pool Regulation also supported the immediate termination approach (paras 53-54).
  5. The report of the Independent Assessment Team (IAT) also supported immediate termination.
  6. The whole purpose of the Change in Law Termination was to relieve the Buyer of non-market related risks. The BP’s preferred interpretation would mean that the Buyer would bear some non-market risk until the BP was in a position to assume offer control. This interpretation is inconsistent with the overall purpose of the clause. The fact that the BP had not maintained its own capability to provide offer control service since 2006 should not affect that conclusion.
  7. The BP’s interpretation creates uncertainty as to the effective date of termination and makes it dependent to some extent on the BP’s own previous actions and decisions (e.g. to cease maintaining its own offer control capability). This level of uncertainty is inconsistent with the overall purpose and intent of the Change in Law clause.

This post may be cited as: Nigel Bankes “ENMAX PPA Terminates Under the Change of Law Clause When the Buyer Provides the Balancing Pool with Notice of Termination” (18 October, 2017), online: ABlawg, http://ablawg.ca/wp-content/uploads/2017/10/Blog_NB_ENMAX_PPA.pdf

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