Western Weekly Reports
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WESTERN WEEKLY REPORTS Reports of Cases Decided in the Courts of Western Canada and Certain Decisions of the Supreme Court of Canada 2011-VOLUME 1 (Cited [2011] 1 W.W.R.) All cases of value from the courts of Western Canada and appeals therefrom to the Supreme Court of Canada SELECTION EDITOR Walter J. Watson, B.A., LL.B. ASSOCIATE EDITORS (Alberta) E. Mirth, Q.C. (British Columbia) Darrell E. Burns, LL.B., LL.M. (Manitoba) E. Arthur Braid, Q.C. (Saskatchewan) G.L. Gerrand, Q.C. CARSWELL EDITORIAL STAFF Jeffrey D. Mitchell, B.A., M.A. Director, Information Management and Manufacturing Michael Silverstein, M.A., LL.B. Product Development Manager Sharon Yale, LL.B., M.A. Supervisor, Legal Writing Julia Fischer, B.A.(HON.), LL.B. Acting Supervisor, Legal Writing Michel Marison, B.A.(HON.) Content Editor WESTERN WEEKLY REPORTS is published 48 times per year. Subscrip- Western Weekly Reports est publi´e 48 fois par ann´ee. 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ISSN 0049-7525 ISBN 978-0-7798-2908-8 Printed in Canada by Thomson Reuters CARSWELL, A DIVISION OF THOMSON REUTERS CANADA LIMITED One Corporate Plaza Customer Relations 2075 Kennedy Road Toronto 1-416-609-3800 Toronto, Ontario Elsewhere in Canada/U.S. 1-800-387-5164 M1T 3V4 Fax 1-416-298-5082 www.carswell.com E-mail www.carswell.com/email WESTERN WEEKLY REPORTS Reports of Cases Decided in the Courts of Western Canada and Certain Decisions of the Supreme Court of Canada [Indexed as: Prairie North Regional Health Authority v. Kutzner] Prairie North Regional Health Authority (Appellant / Appellant) and Dr. Morley Kutzner and Dr. Thomas Blackwell (Respondents / Respondents) and Dr. Patrick O’Keefe, Regina Qu’Appelle Regional Health Authority and Saskatoon Regional Health Authority (Intervenors) Saskatchewan Court of Appeal Klebuc C.J.S., Lane, Richards JJ.A. Heard: February 10, 2010 Judgment: October 27, 2010* Docket: 1775, 2010 SKCA 132 Christopher Boychuk for Appellant Richard Elson, Q.C., for Respondents Heather MacMillan-Brown for Intervenor, Dr. Patrick O’Keefe Brenda Hildebrandt for Intervenor, Regina Qu’Appelle Regional Health Authority Evert Van Olst for Intervenor, Saskatoon Regional Health Authority Health law –––– Regional matters — Hospitals — Hospital privileges and staff ap- pointment of doctors — Miscellaneous –––– Hospital recruited full time surgeon, Dr. O — Hospital’s board of management (Authority), reduced operating room times of Drs. K and B due to budgetary constraints with addition of new doctor — Drs. K and B ap- pealed Authority’s decision to Tribunal, relying on jurisdiction granted by s. 45(1) of Regional Health Services Act (Act) to entertain appeals relating to amending, suspending or revoking of privileges — Appeal was allowed — Tribunal concluded that privileges were combination of permitted procedures and access to perform them — Authority un- successfully appealed to Queen’s Bench — Authority appealed — Appeal allowed — Tribunal ignored definition of privileges in Attending Health Professionals Regulations (Regulations) — “Privileges” in Regulations meant authority granted by board to physi- cian to admit, register, diagnose, treat or discharge patients — Applications for privileges submitted by Drs. K and B contained no reference to any specific allocation of operating *A corrigendum issued by the court on December 16, 2010 has been incorporated herein. 2 WESTERN WEEKLY REPORTS [2011] 1 W.W.R. room time — Medical staff privileges documents, which formally set out scope of privi- leges, said nothing about operating room allocations — Documents supported reading of s. 45(1)(c) of Act to effect that privileges do not involve any particular grant of operating room time — Each operating room allocation could impact 287 different physicians — Given complexity of such decisions, Legislature could not have intended to create regime in which every change to room allocations would give rise to right of appeal to Tribunal. Administrative law –––– Review for lack or excess of jurisdiction — Ultra vires –––– Hospital recruited full time surgeon, Dr. O — Hospital’s board of management (Author- ity), reduced operating room times of Drs. K and B due to budgetary constraints with addition of new doctor — Drs. K and B appealed Authority’s decision to Tribunal, rely- ing on jurisdiction granted by s. 45(1) of Regional Health Services Act (Act) to entertain appeals relating to amending, suspending or revoking of privileges — Appeal was al- lowed — Tribunal concluded that privileges were combination of permitted procedures and access to perform them — Authority unsuccessfully appealed to Queen’s Bench — Authority appealed — Appeal allowed — Tribunal ignored definition of privileges in At- tending Health Professionals Regulations (Regulations) — “Privileges” in Regulations meant authority granted by board to physician to admit, register, diagnose, treat or dis- charge patients — Applications for privileges submitted by Drs.