Rb. Rotterdam - C/10/587469 / HA RK 19-1473: Difference between revisions

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ECLI: NL: RBROT: 2020: 2256
Court of Rotterdam
Authority
Date of pronunciation
Rotterdam District Court
10-04-2020
Date of judgment
Date of publication
03/18/2020  
15-04-2020
Date of publication  
Case number
25-03-2020  
C/10/587469 / HA RK 19-1473
Case number  
Jurisdictions
ROT 19/1393
Civil Justice
Jurisdictions  
Special features
Administrative law
First instance - single
Special characteristics
Content indication
First instance - multiple
Partial dispute. The applicant's choice to have the defendant's liability assessed by a third party (in this case its professional liability insurer) does not mean that the defendant's prohibition on processing medical data (pursuant to Article 9(1) of the AVG) no longer applies. The fact that, in practice, this could make the assessment by the professional liability insurer difficult is of insufficient weight to infringe a fundamental right and, moreover, cannot be relied on against the defendant. The applicant's reliance on exception clauses in the AVG and Article 6 of the ECHR is unsuccessful. The applicant is obliged to consider the defendant's finding of liability in the sense that it takes a position as far as possible on the defendant's allegations.
Content indication  
 
Request for erasure of personal data pursuant to Article 17 (1) GDPR . Appeal founded.  
Sites
Locations
Rechtspraak.nl
Rechtspraak.nl
PS-Updates.nl 2020-0294
Enriched statement
Enriched pronunciation
Pronunciation
Ruling
Rotterdam District Court
disposal
Administrative law
 
case number: ROT 19/1393
ROTTERDAM COURT
Multi - Chamber ruling of 18 March 2020 in the case between
Trade and port team
[claimant], at [domicile claimant], claimant,
 
and
Case number / petition number: C/10/587469 / HA RK 19-1473
the board of the legal aid council, defendant,
 
authorized representative: mr. C. Wijnstra.  
Decision of 10 April 2020
Process flow
 
By decision of 31 October 2018 (the primary decision), the respondent rejected a request from the claimant for erasure of personal data.
in the matter of
By decision of 5 February 2019 (the contested decision), the respondent declared the claimant's objection unfounded.
 
The claimant brought an appeal against the contested decision.
the foundation
The defendant has lodged a statement of defense.
 
The parties have submitted further documents.
ALBERT SCHWEITZER HOSPITAL FOUNDATION,
The investigation at the hearing took place on January 9, 2020, simultaneously with the investigation in the case with the case number ROT 19/1395. Plaintiff has appeared. Defendant has been represented by his authorized representative.  
 
Considerations
established in Dordrecht,
1.1.
 
On March 6, 2018, mr. [Name of lawyer] ([name of lawyer]), lawyer, filed an application with the respondent on behalf of claimant for an addition in connection with a civil appeal procedure (to be conducted) against the municipality [name of municipality]. The application form states that the claimant has been [state of mind].  
applicant,
1.2.
 
The defendant granted the addition by decision of 14 March 2018.
attorney M.J.J. de Ridder in Utrecht,
1.3.
 
On December 18, 2018, [name of lawyer] requested that the addition be withdrawn because another addition includes the legal interest for which the addition was issued. The respondent withdrew the addition by decision of 25 December 2018.  
by
1.4.  
 
In a letter dated 16 September 2018, claimant requested the defendant to delete the 'health damage' stated in the application form.  
[defendant's name]
2. The defendant based the contested decision on the following. The basis for the processing of the personal data included in the application form can be found in Article 6, first paragraph, preamble and under e, of the General Data Protection Regulation ( GDPR ): the processing is necessary for the performance of a task of general interest or of a task within the framework of the exercise of official authority entrusted to the controller. For the purposes of assessing applications for addition, the legal aid provider must provide the necessary information on behalf of the applicant, so that the application can be assessed against the legal criteria. Pursuant to Article 24 (3) of the Legal Aid Act (Wrb), the applicant must provide a satisfactory description of the case. Pursuant to the Basic Selection Document under the Archives Act, a retention obligation of ten years applies.
 
3. Plaintiff has argued that her lawyer has included privacy-sensitive information about her health on the application form without her permission. It is not necessary for this information to be retained by the defendant any longer.
living at [defendant's residence] ,
4. Pursuant to Article 17 (1) of the GDPR , a data subject has the right to obtain erasure of personal data from the controller without unreasonable delay and the controller is obliged to erase personal data without unreasonable delay if one of the data listed in cases applies.  
 
5.1.  
defendant,
Plaintiff confirmed at the hearing, if requested, that it concerns the word '[state of mind]' in the application form. If that word was erased from the application form, the problem would be solved, according to Plaintiff.  
 
5.2.
attorney at law T.K.A.B. Eskes in Dordrecht.
The defendant changed its position at the hearing. According to the respondent, in view of the fact that, partly in view of the fact that the relevant addition file has already been closed, there is no good reason to reject the claim by the claimant.  
 
5.3.  
The parties will hereinafter be referred to as ASZ and [name of defendant].
It follows from the foregoing that the appeal is well founded and that the contested decision must be set aside. It also follows from the above that the claimant's request will still have to be granted. The court cannot settle the dispute definitively by providing for the case itself. After all, the respondent will have to remove the word '[state of mind]' from the application form and from his systems. The court therefore suffices with an order to the defendant to take a new decision on an objection within two weeks. In doing so, the respondent will have to observe the considerations in this ruling.  
 
6. Because the court declares the appeal to be well-founded, the court will determine that the defendant reimburses the plaintiff the court fee paid by the plaintiff.  
The proceedings
7. There is no reason for a court order against costs, since there are no costs that are eligible for reimbursement.  
The course of the procedure is evidenced:
Decision
 
The court:
-
- declared the appeal to be well founded;
the application, received on 6 December 2019, with productions;
- annuls the contested decision;
 
- instructs the respondent to take a new decision on an objection within two weeks of the dispatch of this ruling, taking into account what has been considered in this ruling;
-
- provides that the defendant reimburses the plaintiff's paid court fee of € 174.00.  
the defence, with production;
This statement was made by Mr. S. Veling, chairman, and Mr. MGL de Vette and Mr. AS Flikweert, members, in the presence of Mr. CHI Zwaneveld-Butter, Registrar. The verdict was made publicly on March 18, 2020.
 
the registrar is unable to chair this decision
-
co-sign
the Oral Hearing on 7 February 2020 and Mr De Ridder's speaking notes submitted on that occasion.
A copy of this ruling has been sent to parties on:
 
Remedy
The facts
An appeal may be lodged against this decision with the Administrative Jurisdiction Division of the Council of State within six weeks of the day it was sent.
2.1.
On 20 April 2018, [name of defendant] underwent keyhole surgery in ASZ by [name of doctor] (hereinafter: [name of doctor]).
 
2.2.
By letter dated 17 December 2018, [name defendant] held ASZ liable for culpable medical surgery.
 
2.3.
By letter dated 17 December 2018 ASZ acknowledged receipt of the attribution of liability to the lawyer of [name of defendant]. ASZ also requested that [name of defendant] complete and sign the medical authorisation attached to the letter in order to authorise the medical director as well as the medical and paramedical staff of ASZ to submit the medical and paramedical data held by them in relation to the liability to the medical advisor of the professional liability insurer of ASZ (hereinafter referred to as: MediRisk) and to provide information in that respect to the medical advisor of MediRisk. By signing the authorisation, [name of defendant] also agrees that the medical advisor shall provide the relevant employees, advisors, claims representatives and labour experts working for MediRisk with the medical data that may be relevant to the handling of the claim.
 
2.4.
Following various requests from MediRisk to (the lawyer of) [name of defendant] to specify the reproaches made to ASZ and to sign and return the medical authorisation, the lawyer of [name of defendant] specified the reproaches made to ASZ in a letter dated 18 October 2019. With this letter, the medical documents of ASZ dated 19 February 2019 and the medical documents of the general practitioner dated 13 May 2019 were also sent (under cover) to MediRisk. The lawyer of [name of defendant] writes the following in this respect:
 
"Herewith I send you (under cover) the medical documents in our possession:
 
- medical documents from the Albert Schweitzer Hospital dated 19 February; and
 
- medical documents from general practitioner H.P. Wildeboer dated 13 May 2019.
 
I would like to refer your medical advisor to the contents of these documents. I would also like to draw your attention to the fact that the client hereby only gives permission to make the medical information available to your medical advisor and to no one else.
 
If you want to have the medical information processed by other persons (claims representatives and/or other types of doctors/experts), I would like to be the first and only one to know, so that client can give her permission or not".
 
The dispute
3.1.
ASZ requests to determine by way of partial dispute:
 
primarily: that the ASZ or Dr [name of doctor] , surgeon, as the case may be, is free, without medical authorisation from [name of defendant], to provide the professional liability insurer of ASZ or Dr [name of doctor], as the case may be, with the medical information necessary to assess its liability;
 
in the alternative: that [name of defendant] has no legitimate interest in not allowing ASZ or Dr [name of doctor] to provide the professional liability insurer with the information necessary to assess its liability and that [name of defendant] may be expected to sign the authorisation submitted as production 18 with the application.
 
3.1.1.
ASZ's primary application is based on the following.
 
ASZ and [name of defendant] do not have the necessary legal expertise to assess the liability of [name of defendant]. It is therefore desirable that ASZ should leave the assessment of the liability to the professional liability insurer, i.e. MediRisk. This is a customary course of events and results from the GOMA. Moreover, it follows from the policy conditions that, in principle, MediRisk is reserved to take a position on liability. In addition, it follows from established case law that a doctor or hospital may invoke medical information available in court in defence. In that case the hospital may, on the basis of Article 6 ECHR, without the patient's authorisation being required, have the medical data relevant to the claim assessed by the court or its professional liability insurer. Although Article 6 ECHR does not formally apply to the extra-judicial phase as in this case, it is reasonable for parties in the extra-judicial phase to have access to the relevant medical data in the same way as in court.
 
3.1.2.
ASZ bases its subsidiary application on the following.
 
In so far as ASZ does require authorisation from [name of defendant] to provide MediRisk with the medical data of [name of defendant], [name of defendant] has no justified interest in not providing such authorisation. In the first place, it follows from recommendation 14 of the GOMA that it is reasonable for [name of defendant] to grant the authorisation. In addition, MediRisk has nothing to gain from the mere permission of [name of defendant] to make the medical information it has sent available to the medical advisor. Although the medical advisor can consider the medical side of the case, he cannot share his findings with anyone. Moreover, a medical advisor is not an expert when it comes to a legal assessment of the matter. Ultimately it is the case handler who, taking into account the advice of the medical advisor and the documents on which that advice is based, takes the legal position regarding the liability claim. Furthermore, without medical authorisation, ASZ is not in a position to verify whether MediRisk has all relevant information and whether MediRisk has other information than [name of doctor] was known at the time. The reverse also applies to MediRisk. It cannot check with ASZ whether the selection of medical documents, such as the lawyer of [name of defendant] who provided MediRisk with them, provides a complete picture. Finally, without medical authorisation MediRisk cannot take cognizance of [name of doctor]'s view, which is undesirable because a doctor has more specific expertise than MediRisk's medical advisor. As a result, the liability cannot be assessed. ASZ refers in this respect to the judgment of the Supreme Court of 16 March 2018 (ECLI:NL:HR:2018:363).
 
3.2.
3.2. [name of defendant] seeks the rejection of ASZ's application.
 
3.2.1.
In opposition to ASZ's primary application, [name of defendant] submits the following.
 
In so far as what ASZ has put forward must be understood as reliance on the possibility of exception provided for in Article 9(2)(f) of the AVG, ASZ has never indicated what legal action it intends to bring. Nor has the possibility of exception provided for in Article 9(2)(h) of the AVG become apparent. The permitted processing no longer serves to provide health care and an obligation to pay compensation in the event of failure to comply with a treatment agreement does not fall within the scope of this exception. Furthermore, the required guarantee that the data processing will be carried out by or under the responsibility of a professional who is bound by a professional confidentiality cannot be met since MediRisk can be regarded as an independent processing manager and furthermore, the persons employed by MediRisk or commissioned by third parties employed by MediRisk do not work under the responsibility of such a professional who is bound by a professional confidentiality. In so far as ASZ invokes the possibility of exception provided for in Section 9(2)(g) in conjunction with Section 30(3)(b) of the UAVG, MediRisk is not at liberty to process the data of [name of defendant] now that it has already expressed its objection to this.
 
3.2.2.
Against the subsidiary application of ASZ, [name of defendant] submits the following.
 
The lawyer of [name of defendant] has already sent the complete medical file of [name of defendant] to MediRisk. ASZ therefore no longer has any interest in processing its subsidiary application. According to standards of reasonableness and fairness, [name of defendant] cannot be required to give up its rights arising from the privacy and data protection rules before ASZ, or at least MediRisk, first has to deal with the substance of the claim for liability. [name of defendant] is supported in this respect by a decision of the District Court of Oost-Brabant of 12 October 2018, which was submitted as production 16 with the application. The scope of the authorization demanded by ASZ is unnecessary and, because of the far too broad wording, disproportionate.
 
3.3.
By way of counter-application, [name of defendant] requested by order, enforceable in stock, that ASZ or MediRisk, as the case may be, should deal with the case (without a signed authorisation) and give an opinion on the allegations made by [name of defendant]. In the alternative, [name of defendant] seeks the appointment of Professor D.J. Gouma as an expert and to ask him the questions referred to in the defence under reference number 81. Furthermore, [name of defendant] requests that ASZ be ordered to pay the costs of the partial dispute amounting to € 12,069.75 plus court registry fees and that these costs be transferred by ASZ to [name of defendant]'s lawyer within fourteen days of the order.
 
3.4.
ASZ primarily claims that [name of defendant] in its counter-application should be declared inadmissible, or at least that the application should be rejected.
 
The assessment
4.1.
ASZ has applied to the court with a request as referred to in Section 1019w of the Dutch Code of Civil Procedure (Rv). This article includes the possibility of partial dispute proceedings. This procedure offers both the person who suffers damage as a result of death or injury, and the person who is held liable for this, the opportunity to appeal to the court during the extrajudicial negotiation phase. The purpose of the partial dispute procedure is to simplify and speed up the out-of-court settlement of personal injury and death damage.
 
4.2.
There is no dispute between the parties that ASZ's requests and the counter-application of [name of defendant] lend themselves to being dealt with in a partial dispute procedure. With both requests ASZ aims to ensure that the medical details of [name of defendant] end up with MediRisk so that MediRisk can assess the liability of [name of defendant]. Conversely, [name of defendant] takes the position with its primary counter-application that ASZ should handle the liability claim without providing MediRisk with its medical data. These requests ask the court whether it is necessary for ASZ to provide MediRisk with [name of defendant]'s medical data (with or without [name of defendant]'s authorisation) for the purposes of handling and assessing [name of defendant]'s liability. An assessment of the contentious issues may lead to the smoothing of the negotiations which could ultimately lead to a settlement agreement. The case is therefore suitable for treatment as a partial dispute. The court will consider ASZ's requests as well as the primary counter-application of [name of defendant], in view of their interdependence. If necessary, the subsidiary counter-application will be dealt with separately.
 
4.3.
The District Court will consider the applications as follows.
 
4.4.
4.4. [name of defendant] rightly argues that the processing of special personal data, including medical data, is in principle prohibited (ex Article 9 paragraph 1 of the AVG). Respect for privacy (as laid down in, among other things, Article 10 of the Constitution) and, by extension, the right to privacy, is one of the most important fundamental rights. These rights can only be infringed under exceptional conditions.
 
4.5.
ASZ states that it is customary for a doctor and/or a hospital to leave the assessment of liability to the professional liability insurer, which also follows from the GOMA and from the policy conditions.
 
4.6.
However, it may be the case that ASZ has made the choice to leave the assessment of the liability to MediRisk, which it is also free to do; this does not affect [name of defendant]. [name of defendant] is not bound by the GOMA or the policy conditions. Nor is it the case that, as ASZ seems to state, the choice of ASZ to have the liability assessed by a third party (in this case its professional liability insurer) means that the ban on processing medical data of [name of defendant] no longer applies. The circumstance that in practice this could make the assessment by the professional liability insurer difficult is of insufficient weight to infringe a fundamental right.
 
4.7.
ASZ also invokes Article 9(2)(f) of the AVG, from which it follows that Article 9(1) of the AVG does not apply if the processing is necessary for the institution, exercise or substantiation of an action or if courts are acting within the framework of their jurisdiction. During the oral hearing, ASZ argued that the exception of Article 9 subsection 2 f AVG also relates to the extrajudicial phase in which the parties currently find themselves as well as to conducting a defence against a claim for liability. The latter would also follow from the English translation of Article 9(2)(f) AVG. ASZ also relied on Article 6 of the ECHR to substantiate its application. According to ASZ, it is reasonable for parties in the extrajudicial phase of a dispute to have access to the relevant medical data in the same way as in court.
 
4.8.
The court does not follow ASZ in its argument. The AVG defines exceptions to the prohibition to process special personal data, including medical data. However, the exception referred to by ASZ relates to legal proceedings and not to the situation in which the parties are negotiating, as is currently the case.
 
Article 6 ECHR also refers to the judicial procedure and does not provide any guarantees for the extrajudicial process. ASZ cannot therefore invoke these articles at this stage of the dispute. Nor can an appeal to reasonableness and fairness extend the scope of application of these articles to the extrajudicial phase. This is not in itself because the extrajudicial phase, in which the parties are free to determine the frameworks for the settlement of their dispute themselves, is an essentially different phase from the judicial procedure. If legal proceedings are initiated between the parties, ASZ will, of course, have recourse to the aforementioned articles. Incidentally, in that case [name of defendant] also bears, in principle, the obligation to assert and the burden of proof of its assertion that it has suffered damage.
 
4.9.
Nor does the Court follow ASZ in its argument that it is necessary for the assessment of liability that it shares the medical data of [name of defendant] with MediRisk, with or without the authorisation of [name of defendant], because ASZ and the medical advisor of MediRisk are only able to assess the medical side of the case and not the legal side. To that end, the following is of decisive importance.
 
ASZ already possesses the medical data of [name of defendant] on the basis of which it can defend itself against the liability of [name of defendant]. ASZ's wish to outsource the assessment of the liability to MediRisk cannot - as already considered - be relied upon against [name of defendant]. This also applies to any obligations of ASZ arising from a (contractual) relationship existing between it and MediRisk.
 
Apart from the above, (the lawyer of) [name of defendant] indicated during the oral hearing that the advice of MediRisk's medical advisor can be shared with a lawyer without that lawyer being aware of [name of defendant]'s medical file. If an authorization from [name of defendant] is required, [name of defendant] will issue a specific authorization. Also, [name defendant] has no objection if the medical advisor communicates with [name doctor] . Finally, [name of defendant] is not unwilling to grant (stepwise) authorisations if ASZ requests it to do so. However, [name of defendant] wishes to retain control of whoever takes cognizance of her medical details.
 
4.10.
The foregoing considerations lead to the conclusion that there is already no need for ASZ to provide its medical data (with or without the authorisation of [name of defendant]) to MediRisk in order to deal with and assess the liability of [name of defendant] and that ASZ is obliged to deal with the liability in the sense that it takes a position as far as possible on the allegations made by [name of defendant]. This implies that both ASZ's primary and subsidiary applications will be rejected and that [name of defendant]'s primary counter-application will be granted in the above sense.
 
4.11.
The granting of the primary counter-application of [name of defendant] implies that the subsidiary counter-application no longer needs to be dealt with.
 
Partial dispute costs
 
4.12.
Pursuant to Article 1019aa Rv, the costs incurred by the person suffering loss or injury (in this case [name of defendant]) in dealing with the application are estimated in the decision. The double test of reasonableness must be applied.
 
4.13.
The statement of defence, also containing an independent counter-application, contains a specification of the costs incurred by the lawyer of [name of defendant]. The costs of [name of defendant]'s lawyer amount to a total of € 12,069.75 (including 21% VAT) up to and including the hearing, based on an hourly rate of € 285.00 (excluding 21% VAT).
 
4.14.
ASZ disputed the reasonableness of the amount of the costs claimed.
 
4.15.
According to the specification, the lawyer of [name of defendant] spent 3 hours studying the application, 15 hours drafting the defence, 8 hours studying jurisprudence/literature, 1 hour studying documents/file, 1 hour consulting with [name of defendant] , 1 hour letters/e-mail various, 1 hour preparing the hearing and 5 hours attending the hearing (including travel time), thus a total of 35 hours.
 
4.16.
An hourly rate of € 285.00 excluding VAT is considered too high by the District Court, also taking into account the nature of the case for a specialised personal injury lawyer. The Court considers an hourly rate of € 260.00 excluding VAT to be reasonable. Moreover, a specialised personal injury lawyer such as Mr. Eskes may be expected to need less time than average for a case like this. In particular, the court does not consider the number of hours declared for drawing up the statement of defence to be reasonable because it largely consists of a representation of the legal AVG framework. An estimate of 8 hours will be made for the drafting of the defence. The number of hours spent studying jurisprudence/literature is also unreasonably high for a specialist. For this purpose, 5 hours will be budgeted. Finally, the number of hours budgeted for the hearing, including travel time, does not seem reasonable to the court, also taking into account that the full hourly rate has been charged for the travel time. Instead of the budgeted 5 hours, 3 hours will be budgeted. All in all, the court estimates the number of hours spent on the partial dispute at 23 hours. The costs for the partial dispute therefore amount to (the hourly rate of € 314.60 including 21% VAT x 23 hours =) € 7,235.80, to be increased by the court fee of € 83.00 paid by [name of defendant]. The costs of the partial dispute proceedings on the part of [name of defendant] are estimated at € 7,318.80 including VAT. Since it has not now been established that ASZ is liable for the damage that [name of defendant] claims to have suffered, ASZ will not be ordered to pay these costs.
 
The decision
The court
 
5.1.
Dismisses ASZ's primary and subsidiary applications,
 
5.2.
provides that ASZ is to deal with the case (without a signed authorisation) and that it is to take a position as far as possible on the allegations made by [name of defendant],
 
5.3.
estimates the costs referred to in Section 1019aa(1) of the Rv on the part of [name of defendant] at € 7,318.80 including VAT,
 
5.4.
hereby declares this Decision under 5.2. executable in stock,
 
5.5.
Rejects the more or otherwise requested by [name of defendant].
 
This order was issued by S.M. den Hollander and signed and publicly pronounced by A.F.L. Geerdes on 10 April 2020. [3078 / 2872]
 
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Revision as of 16:20, 21 April 2020

Rb. Rotterdam - ROT 19/1393
CourtsNL.png
Court: Rb. Rotterdam (Netherlands)
Jurisdiction: Netherlands
Relevant Law: Article 17(1) GDPR
Decided: 18. 3. 2020
Published: 25. 3. 2020
Parties: Anonymous vs. The board of the legal aid council
National Case Number: ROT 19/1393
European Case Law Identifier: ECLI:NL:RBROT:2020:2256
Appeal from: n/a
Language: Dutch
Original Source: De Rechtspraak (in NL)

The Rotterdam Court of First Instance ruled that a legal aid council will have to delete information relating to the state of mind of the plaintiff according to Article 17(1) GDPR. The legal aid council processed the personal data for the purposes of assessing applications.

English Summary

Facts

The legal aid council rejected a request from the plaintiff for erasure of personal data. For the purposes of assessing applications, the legal aid provider must provide the necessary information on behalf of the applicant, so that the application can be assessed against the legal criteria.

The plaintiff has argued that her lawyer has included privacy-sensitive information about her health on an application form in connection with a civil appeal procedure (to be conducted) without the permission from the plaintiff. According to the plaintiff, this information is not necessary to be retained by the defendant any longer.

Dispute

Τhe Court had to assess whether the legal aid council was required to delete the information about the mental health status of the plaintiff according to Article 17(1) GDPR.

Holding

The Court decided that the respondent will have to remove the word relating to the state of mind of the plaintiff from the application form and from its systems according to Article 17 (1) GDPR. In view of the fact that the relevant addition file has already been closed, there is no good reason to reject the claim by the plaintiff.

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English Machine Translation of the Decision

The decision below is a machine translation of the original. Please refer to the Dutch original for more details.

Court of Rotterdam
Date of pronunciation
10-04-2020
Date of publication
15-04-2020
Case number
C/10/587469 / HA RK 19-1473
Jurisdictions
Civil Justice
Special features
First instance - single
Content indication
Partial dispute. The applicant's choice to have the defendant's liability assessed by a third party (in this case its professional liability insurer) does not mean that the defendant's prohibition on processing medical data (pursuant to Article 9(1) of the AVG) no longer applies. The fact that, in practice, this could make the assessment by the professional liability insurer difficult is of insufficient weight to infringe a fundamental right and, moreover, cannot be relied on against the defendant. The applicant's reliance on exception clauses in the AVG and Article 6 of the ECHR is unsuccessful. The applicant is obliged to consider the defendant's finding of liability in the sense that it takes a position as far as possible on the defendant's allegations.

Sites
Rechtspraak.nl
PS-Updates.nl 2020-0294
Enriched pronunciation
Ruling
disposal

ROTTERDAM COURT
Trade and port team

Case number / petition number: C/10/587469 / HA RK 19-1473

Decision of 10 April 2020

in the matter of

the foundation

ALBERT SCHWEITZER HOSPITAL FOUNDATION,

established in Dordrecht,

applicant,

attorney M.J.J. de Ridder in Utrecht,

by

[defendant's name]

living at [defendant's residence] ,

defendant,

attorney at law T.K.A.B. Eskes in Dordrecht.

The parties will hereinafter be referred to as ASZ and [name of defendant].

The proceedings
The course of the procedure is evidenced:

-
the application, received on 6 December 2019, with productions;

-
the defence, with production;

-
the Oral Hearing on 7 February 2020 and Mr De Ridder's speaking notes submitted on that occasion.

The facts
2.1.
On 20 April 2018, [name of defendant] underwent keyhole surgery in ASZ by [name of doctor] (hereinafter: [name of doctor]).

2.2.
By letter dated 17 December 2018, [name defendant] held ASZ liable for culpable medical surgery.

2.3.
By letter dated 17 December 2018 ASZ acknowledged receipt of the attribution of liability to the lawyer of [name of defendant]. ASZ also requested that [name of defendant] complete and sign the medical authorisation attached to the letter in order to authorise the medical director as well as the medical and paramedical staff of ASZ to submit the medical and paramedical data held by them in relation to the liability to the medical advisor of the professional liability insurer of ASZ (hereinafter referred to as: MediRisk) and to provide information in that respect to the medical advisor of MediRisk. By signing the authorisation, [name of defendant] also agrees that the medical advisor shall provide the relevant employees, advisors, claims representatives and labour experts working for MediRisk with the medical data that may be relevant to the handling of the claim.

2.4.
Following various requests from MediRisk to (the lawyer of) [name of defendant] to specify the reproaches made to ASZ and to sign and return the medical authorisation, the lawyer of [name of defendant] specified the reproaches made to ASZ in a letter dated 18 October 2019. With this letter, the medical documents of ASZ dated 19 February 2019 and the medical documents of the general practitioner dated 13 May 2019 were also sent (under cover) to MediRisk. The lawyer of [name of defendant] writes the following in this respect:

"Herewith I send you (under cover) the medical documents in our possession:

- medical documents from the Albert Schweitzer Hospital dated 19 February; and

- medical documents from general practitioner H.P. Wildeboer dated 13 May 2019.

I would like to refer your medical advisor to the contents of these documents. I would also like to draw your attention to the fact that the client hereby only gives permission to make the medical information available to your medical advisor and to no one else.

If you want to have the medical information processed by other persons (claims representatives and/or other types of doctors/experts), I would like to be the first and only one to know, so that client can give her permission or not".

The dispute
3.1.
ASZ requests to determine by way of partial dispute:

primarily: that the ASZ or Dr [name of doctor] , surgeon, as the case may be, is free, without medical authorisation from [name of defendant], to provide the professional liability insurer of ASZ or Dr [name of doctor], as the case may be, with the medical information necessary to assess its liability;

in the alternative: that [name of defendant] has no legitimate interest in not allowing ASZ or Dr [name of doctor] to provide the professional liability insurer with the information necessary to assess its liability and that [name of defendant] may be expected to sign the authorisation submitted as production 18 with the application.

3.1.1.
ASZ's primary application is based on the following.

ASZ and [name of defendant] do not have the necessary legal expertise to assess the liability of [name of defendant]. It is therefore desirable that ASZ should leave the assessment of the liability to the professional liability insurer, i.e. MediRisk. This is a customary course of events and results from the GOMA. Moreover, it follows from the policy conditions that, in principle, MediRisk is reserved to take a position on liability. In addition, it follows from established case law that a doctor or hospital may invoke medical information available in court in defence. In that case the hospital may, on the basis of Article 6 ECHR, without the patient's authorisation being required, have the medical data relevant to the claim assessed by the court or its professional liability insurer. Although Article 6 ECHR does not formally apply to the extra-judicial phase as in this case, it is reasonable for parties in the extra-judicial phase to have access to the relevant medical data in the same way as in court.

3.1.2.
ASZ bases its subsidiary application on the following.

In so far as ASZ does require authorisation from [name of defendant] to provide MediRisk with the medical data of [name of defendant], [name of defendant] has no justified interest in not providing such authorisation. In the first place, it follows from recommendation 14 of the GOMA that it is reasonable for [name of defendant] to grant the authorisation. In addition, MediRisk has nothing to gain from the mere permission of [name of defendant] to make the medical information it has sent available to the medical advisor. Although the medical advisor can consider the medical side of the case, he cannot share his findings with anyone. Moreover, a medical advisor is not an expert when it comes to a legal assessment of the matter. Ultimately it is the case handler who, taking into account the advice of the medical advisor and the documents on which that advice is based, takes the legal position regarding the liability claim. Furthermore, without medical authorisation, ASZ is not in a position to verify whether MediRisk has all relevant information and whether MediRisk has other information than [name of doctor] was known at the time. The reverse also applies to MediRisk. It cannot check with ASZ whether the selection of medical documents, such as the lawyer of [name of defendant] who provided MediRisk with them, provides a complete picture. Finally, without medical authorisation MediRisk cannot take cognizance of [name of doctor]'s view, which is undesirable because a doctor has more specific expertise than MediRisk's medical advisor. As a result, the liability cannot be assessed. ASZ refers in this respect to the judgment of the Supreme Court of 16 March 2018 (ECLI:NL:HR:2018:363).

3.2.
3.2. [name of defendant] seeks the rejection of ASZ's application.

3.2.1.
In opposition to ASZ's primary application, [name of defendant] submits the following.

In so far as what ASZ has put forward must be understood as reliance on the possibility of exception provided for in Article 9(2)(f) of the AVG, ASZ has never indicated what legal action it intends to bring. Nor has the possibility of exception provided for in Article 9(2)(h) of the AVG become apparent. The permitted processing no longer serves to provide health care and an obligation to pay compensation in the event of failure to comply with a treatment agreement does not fall within the scope of this exception. Furthermore, the required guarantee that the data processing will be carried out by or under the responsibility of a professional who is bound by a professional confidentiality cannot be met since MediRisk can be regarded as an independent processing manager and furthermore, the persons employed by MediRisk or commissioned by third parties employed by MediRisk do not work under the responsibility of such a professional who is bound by a professional confidentiality. In so far as ASZ invokes the possibility of exception provided for in Section 9(2)(g) in conjunction with Section 30(3)(b) of the UAVG, MediRisk is not at liberty to process the data of [name of defendant] now that it has already expressed its objection to this.

3.2.2.
Against the subsidiary application of ASZ, [name of defendant] submits the following.

The lawyer of [name of defendant] has already sent the complete medical file of [name of defendant] to MediRisk. ASZ therefore no longer has any interest in processing its subsidiary application. According to standards of reasonableness and fairness, [name of defendant] cannot be required to give up its rights arising from the privacy and data protection rules before ASZ, or at least MediRisk, first has to deal with the substance of the claim for liability. [name of defendant] is supported in this respect by a decision of the District Court of Oost-Brabant of 12 October 2018, which was submitted as production 16 with the application. The scope of the authorization demanded by ASZ is unnecessary and, because of the far too broad wording, disproportionate.

3.3.
By way of counter-application, [name of defendant] requested by order, enforceable in stock, that ASZ or MediRisk, as the case may be, should deal with the case (without a signed authorisation) and give an opinion on the allegations made by [name of defendant]. In the alternative, [name of defendant] seeks the appointment of Professor D.J. Gouma as an expert and to ask him the questions referred to in the defence under reference number 81. Furthermore, [name of defendant] requests that ASZ be ordered to pay the costs of the partial dispute amounting to € 12,069.75 plus court registry fees and that these costs be transferred by ASZ to [name of defendant]'s lawyer within fourteen days of the order.

3.4.
ASZ primarily claims that [name of defendant] in its counter-application should be declared inadmissible, or at least that the application should be rejected.

The assessment
4.1.
ASZ has applied to the court with a request as referred to in Section 1019w of the Dutch Code of Civil Procedure (Rv). This article includes the possibility of partial dispute proceedings. This procedure offers both the person who suffers damage as a result of death or injury, and the person who is held liable for this, the opportunity to appeal to the court during the extrajudicial negotiation phase. The purpose of the partial dispute procedure is to simplify and speed up the out-of-court settlement of personal injury and death damage.

4.2.
There is no dispute between the parties that ASZ's requests and the counter-application of [name of defendant] lend themselves to being dealt with in a partial dispute procedure. With both requests ASZ aims to ensure that the medical details of [name of defendant] end up with MediRisk so that MediRisk can assess the liability of [name of defendant]. Conversely, [name of defendant] takes the position with its primary counter-application that ASZ should handle the liability claim without providing MediRisk with its medical data. These requests ask the court whether it is necessary for ASZ to provide MediRisk with [name of defendant]'s medical data (with or without [name of defendant]'s authorisation) for the purposes of handling and assessing [name of defendant]'s liability. An assessment of the contentious issues may lead to the smoothing of the negotiations which could ultimately lead to a settlement agreement. The case is therefore suitable for treatment as a partial dispute. The court will consider ASZ's requests as well as the primary counter-application of [name of defendant], in view of their interdependence. If necessary, the subsidiary counter-application will be dealt with separately.

4.3.
The District Court will consider the applications as follows.

4.4.
4.4. [name of defendant] rightly argues that the processing of special personal data, including medical data, is in principle prohibited (ex Article 9 paragraph 1 of the AVG). Respect for privacy (as laid down in, among other things, Article 10 of the Constitution) and, by extension, the right to privacy, is one of the most important fundamental rights. These rights can only be infringed under exceptional conditions.

4.5.
ASZ states that it is customary for a doctor and/or a hospital to leave the assessment of liability to the professional liability insurer, which also follows from the GOMA and from the policy conditions.

4.6.
However, it may be the case that ASZ has made the choice to leave the assessment of the liability to MediRisk, which it is also free to do; this does not affect [name of defendant]. [name of defendant] is not bound by the GOMA or the policy conditions. Nor is it the case that, as ASZ seems to state, the choice of ASZ to have the liability assessed by a third party (in this case its professional liability insurer) means that the ban on processing medical data of [name of defendant] no longer applies. The circumstance that in practice this could make the assessment by the professional liability insurer difficult is of insufficient weight to infringe a fundamental right.

4.7.
ASZ also invokes Article 9(2)(f) of the AVG, from which it follows that Article 9(1) of the AVG does not apply if the processing is necessary for the institution, exercise or substantiation of an action or if courts are acting within the framework of their jurisdiction. During the oral hearing, ASZ argued that the exception of Article 9 subsection 2 f AVG also relates to the extrajudicial phase in which the parties currently find themselves as well as to conducting a defence against a claim for liability. The latter would also follow from the English translation of Article 9(2)(f) AVG. ASZ also relied on Article 6 of the ECHR to substantiate its application. According to ASZ, it is reasonable for parties in the extrajudicial phase of a dispute to have access to the relevant medical data in the same way as in court.

4.8.
The court does not follow ASZ in its argument. The AVG defines exceptions to the prohibition to process special personal data, including medical data. However, the exception referred to by ASZ relates to legal proceedings and not to the situation in which the parties are negotiating, as is currently the case.

Article 6 ECHR also refers to the judicial procedure and does not provide any guarantees for the extrajudicial process. ASZ cannot therefore invoke these articles at this stage of the dispute. Nor can an appeal to reasonableness and fairness extend the scope of application of these articles to the extrajudicial phase. This is not in itself because the extrajudicial phase, in which the parties are free to determine the frameworks for the settlement of their dispute themselves, is an essentially different phase from the judicial procedure. If legal proceedings are initiated between the parties, ASZ will, of course, have recourse to the aforementioned articles. Incidentally, in that case [name of defendant] also bears, in principle, the obligation to assert and the burden of proof of its assertion that it has suffered damage.

4.9.
Nor does the Court follow ASZ in its argument that it is necessary for the assessment of liability that it shares the medical data of [name of defendant] with MediRisk, with or without the authorisation of [name of defendant], because ASZ and the medical advisor of MediRisk are only able to assess the medical side of the case and not the legal side. To that end, the following is of decisive importance.

ASZ already possesses the medical data of [name of defendant] on the basis of which it can defend itself against the liability of [name of defendant]. ASZ's wish to outsource the assessment of the liability to MediRisk cannot - as already considered - be relied upon against [name of defendant]. This also applies to any obligations of ASZ arising from a (contractual) relationship existing between it and MediRisk.

Apart from the above, (the lawyer of) [name of defendant] indicated during the oral hearing that the advice of MediRisk's medical advisor can be shared with a lawyer without that lawyer being aware of [name of defendant]'s medical file. If an authorization from [name of defendant] is required, [name of defendant] will issue a specific authorization. Also, [name defendant] has no objection if the medical advisor communicates with [name doctor] . Finally, [name of defendant] is not unwilling to grant (stepwise) authorisations if ASZ requests it to do so. However, [name of defendant] wishes to retain control of whoever takes cognizance of her medical details.

4.10.
The foregoing considerations lead to the conclusion that there is already no need for ASZ to provide its medical data (with or without the authorisation of [name of defendant]) to MediRisk in order to deal with and assess the liability of [name of defendant] and that ASZ is obliged to deal with the liability in the sense that it takes a position as far as possible on the allegations made by [name of defendant]. This implies that both ASZ's primary and subsidiary applications will be rejected and that [name of defendant]'s primary counter-application will be granted in the above sense.

4.11.
The granting of the primary counter-application of [name of defendant] implies that the subsidiary counter-application no longer needs to be dealt with.

Partial dispute costs

4.12.
Pursuant to Article 1019aa Rv, the costs incurred by the person suffering loss or injury (in this case [name of defendant]) in dealing with the application are estimated in the decision. The double test of reasonableness must be applied.

4.13.
The statement of defence, also containing an independent counter-application, contains a specification of the costs incurred by the lawyer of [name of defendant]. The costs of [name of defendant]'s lawyer amount to a total of € 12,069.75 (including 21% VAT) up to and including the hearing, based on an hourly rate of € 285.00 (excluding 21% VAT).

4.14.
ASZ disputed the reasonableness of the amount of the costs claimed.

4.15.
According to the specification, the lawyer of [name of defendant] spent 3 hours studying the application, 15 hours drafting the defence, 8 hours studying jurisprudence/literature, 1 hour studying documents/file, 1 hour consulting with [name of defendant] , 1 hour letters/e-mail various, 1 hour preparing the hearing and 5 hours attending the hearing (including travel time), thus a total of 35 hours.

4.16.
An hourly rate of € 285.00 excluding VAT is considered too high by the District Court, also taking into account the nature of the case for a specialised personal injury lawyer. The Court considers an hourly rate of € 260.00 excluding VAT to be reasonable. Moreover, a specialised personal injury lawyer such as Mr. Eskes may be expected to need less time than average for a case like this. In particular, the court does not consider the number of hours declared for drawing up the statement of defence to be reasonable because it largely consists of a representation of the legal AVG framework. An estimate of 8 hours will be made for the drafting of the defence. The number of hours spent studying jurisprudence/literature is also unreasonably high for a specialist. For this purpose, 5 hours will be budgeted. Finally, the number of hours budgeted for the hearing, including travel time, does not seem reasonable to the court, also taking into account that the full hourly rate has been charged for the travel time. Instead of the budgeted 5 hours, 3 hours will be budgeted. All in all, the court estimates the number of hours spent on the partial dispute at 23 hours. The costs for the partial dispute therefore amount to (the hourly rate of € 314.60 including 21% VAT x 23 hours =) € 7,235.80, to be increased by the court fee of € 83.00 paid by [name of defendant]. The costs of the partial dispute proceedings on the part of [name of defendant] are estimated at € 7,318.80 including VAT. Since it has not now been established that ASZ is liable for the damage that [name of defendant] claims to have suffered, ASZ will not be ordered to pay these costs.

The decision
The court

5.1.
Dismisses ASZ's primary and subsidiary applications,

5.2.
provides that ASZ is to deal with the case (without a signed authorisation) and that it is to take a position as far as possible on the allegations made by [name of defendant],

5.3.
estimates the costs referred to in Section 1019aa(1) of the Rv on the part of [name of defendant] at € 7,318.80 including VAT,

5.4.
hereby declares this Decision under 5.2. executable in stock,

5.5.
Rejects the more or otherwise requested by [name of defendant].

This order was issued by S.M. den Hollander and signed and publicly pronounced by A.F.L. Geerdes on 10 April 2020. [3078 / 2872]