In Health Ombudsman v Hastings [2026] QCAT 139 (16 April 2026) the Queensland Civil and Administrative Tribunal cautioned a paramedic over his delayed responses to several code 1 calls in 2023. The facts are set out in [4]-[7]:
In relation to allegation 1, there are three separate causes of conduct which are included, and generally speaking they relate to a delay in the respondent’s response to code 1 incidents. The first one related to a delay of 10 minutes on 15 July 2023 and the delay was caused by him detouring to pick up something at his home. Code 1 incidents are potentially life-threatening events.
In relation to the second allegation, this occurred on 17 May 2023. He was at the time located at a McDonald’s when he received the dispatch call and he waited for coffee and food for a period of between three and five minutes due to waiting to receive those things. This incident in itself, but for the other incidents of delay in responding, may only have warranted a finding of unsatisfactory professional performance, but the Tribunal is comfortably satisfied it should not be so characterised in light of the other delays.
The third delay occurred on 31 May 2023. On that occasion there was a delay of approximately 15 minutes between the time of dispatch and the time of departure and during that delay the respondent purchased coffee. All the other allegations relate to allegations that there was a delay in notifying the Queensland Ambulance Service Operations Centre (‘OpCen’) of movements post completion of a relevant callout.
The times of those delays are various: in the first case, on 8 May 2023 it was 29 minutes; in the second case on 30 May 2023 it was allegedly 34 minutes, though that may be disputed. During the 30 May 2023 incident there was a 10-minute delay in notifying OpCen of movements post-completion of the relevant callout job; the next one was 20 minutes, and the one on 22 June 2023 was about 18 minutes.
Since these events, Mr Hastings has been subject to disciplinary proceedings by Queensland Ambulance Service (QAS) including some mandatory training but he has returned to duty without further issues and with an otherwise exemplary record ([13]). Further, at [12]:
The Tribunal is of the view that there is sufficient evidence to come to the finding that the delays in allegation one occurred where the respondent was either about to indulge in a long shift, where he was suffering from a considerable degree of stress, where he was suffering health problems that were causing him difficulty, and he was facing a heavy workload. There is an admission by the Board that on many occasions he had missed meal breaks or had to work beyond his shift, and that he had showed considerable insight into what was occurring.
In the circumstances the tribunal determined that given the practitioner’s insight, the fact that these events had occurred some time ago and have there has been no further issue then specific deterrence, ie a sanction designed to deter him from future similar conduct, was not required. The appropriate response was to issue a caution. There was no order as to costs so each party would meet their own legal costs.
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It seems to be always Queensland paramedics.
Is there something different about how that state reports (more things are out in public?)? Something different with their paramedics? Or something different with their ambulance service and how their investigations are done?
That’s an interesting point. I’m sure it not something different about QAS paramedics and I suspect it’s not got much to do with QAS either. It is not QAS putting people before the Tribunal but the Health Ombudsman.
Queensland is a co-regulatory state (as is NSW) so there is more than one regulator. The Health Practitioner Regulation National Law talks about relevant Boards (in this case the Paramedicine Board) making decisions about whether to proceed with disciplinary proceedings and whether to refer a practitioner to a panel or a tribunal. In Queensland those decisions are made by the Health Ombudsman. The Health Ombudsman, on receiving a complaint or a notification from QAS, can take no action or if they are satisfied the offending is at the low end of the scale, refer the matter to a performance review panel rather than QCAT.
I do not have any information on the number of complaints received by the Health Ombudsman compared to the Paramedicine Council in NSW or the Board in other jurisdictions nor can I compare the number that are reported to QCAT compared to the number of referrals or the use of alternative procedures in the other states.
Having said that I don’t have the information, I do agree that it seems that in Queensland there must be a greater tendency to put matters before QCAT. That may be because the Health Ombudsman is better at investigating these matters and putting a case together. And I note here that in other posts I have made a common complaint that these cases take far too long and only seem to proceed when the relevant Board is quite sure the practitioner is not going to try and defend themselves. It may be that the Health Ombudsman takes a tougher view on these matters so refers more to QCAT rather than a panel. There is an argument there that such an action is more transparent as QCATs reasons are published, but the use of the panel is an option that maybe is being denied to Queensland paramedics?
For some relevant commentary see the postscript to the post
• https://australianemergencylaw.com/2026/03/04/queensland-paramedic-suspended-for-sexually-assaulting-a-colleague/
and he text under the heading ‘Discussion’ in the following posts:
• https://australianemergencylaw.com/2025/11/20/qld-paramedic-reprimanded-for-improper-computer-access/
• https://australianemergencylaw.com/2025/11/20/qld-paramedic-reprimanded-for-improper-computer-access/