Tang Kin Hwa v Traditional Chinese Medicine Practitioners Board: Acupuncturist Suspension Appeal

In Tang Kin Hwa v Traditional Chinese Medicine Practitioners Board, the High Court of Singapore heard an appeal by Tang Kin Hwa against the Traditional Chinese Medicine Practitioners Board's decision to suspend his registration as an acupuncturist for two years. The Board found Tang guilty of improper conduct under s 19(1)(j) of the Traditional Chinese Medicine Practitioners Act, based on a complaint by Dr. Tan Kia Choo alleging a forged signature on a certificate of employment and inaccurate particulars in Tang's application for registration. Andrew Phang Boon Leong JC dismissed the appeal, affirming the Board's decision and emphasizing the public interest in regulating TCM practices.

1. Case Overview

1.1 Court

High Court

1.2 Outcome

Appeal dismissed.

1.3 Case Type

Regulatory

1.4 Judgment Type

Grounds of Decision

1.5 Jurisdiction

Singapore

1.6 Description

Appeal against acupuncturist's suspension for improper conduct. The High Court affirmed the Board's decision, emphasizing public interest in TCM regulation.

1.7 Decision Date

2. Parties and Outcomes

Party NameRoleTypeOutcomeOutcome TypeCounsels
Tang Kin HwaAppellantIndividualAppeal DismissedLostT Subramaniam, Gulab Sobhraj
Traditional Chinese Medicine Practitioners BoardRespondentStatutory BoardDecision AffirmedWonRebecca Chew Ming Hsien, Mark Cheng Wai Yuen

3. Judges

Judge NameTitleDelivered Judgment
Andrew Phang Boon LeongJudicial CommissionerYes

4. Counsels

Counsel NameOrganization
T SubramaniamSobhraj Tay Low Subra and Teo
Gulab SobhrajSobhraj Tay Low Subra and Teo
Rebecca Chew Ming HsienRajah and Tann
Mark Cheng Wai YuenRajah and Tann

4. Facts

  1. Dr. Tan Kia Choo complained that Tang Kin Hwa submitted a document with a forged signature.
  2. The forged document was a certificate of employment (COE) submitted with Tang's application to be registered as an acupuncturist.
  3. The complaint alleged Tang included inaccurate particulars in his application, misleading the Board.
  4. Tang claimed he was a full-time TCM physician employed by ECM Chinese Medical Centre.
  5. The Board convened an investigation committee (IC) to inquire into the complaint.
  6. The IC found the complaint justified and recommended cancelling Tang's registration.
  7. The Board decided Tang's conduct fell under s 19(1)(j) of the Act and suspended his registration for two years.

5. Formal Citations

  1. Tang Kin Hwa v Traditional Chinese Medicine Practitioners Board, OM 23/2004, [2005] SGHC 153

6. Timeline

DateEvent
Appellant submitted application to the Board.
High Court decision.

7. Legal Issues

  1. Bias
    • Outcome: The court found that the allegations of bias were without basis.
    • Category: Procedural
  2. Forgery
    • Outcome: The court found that the appellant was responsible for the forged signature.
    • Category: Substantive
  3. Inaccurate Particulars in Application
    • Outcome: The court found that the appellant had included inaccurate particulars in his application form.
    • Category: Substantive
  4. Improper Act or Conduct
    • Outcome: The court found that the appellant's conduct fell within the scope of s 19(1)(j) of the Act.
    • Category: Substantive

8. Remedies Sought

  1. Appeal against suspension

9. Cause of Actions

  • Breach of Traditional Chinese Medicine Practitioners Act

10. Practice Areas

  • Regulatory Litigation

11. Industries

  • Healthcare

12. Cited Cases

Case NameCourtAffirmedCitationJurisdictionSignificance
Arts Niche Cyber Distribution Pte Ltd v PPSingapore Court of AppealYes[1999] 4 SLR 111SingaporeCited for general principles relating to an appellate court’s consideration of the lower court’s or tribunal’s decision.
Er Joo Nguang v PPSingapore Court of AppealYes[2000] 2 SLR 645SingaporeCited for general principles relating to an appellate court’s consideration of the lower court’s or tribunal’s decision.
Jeyaretnam Joshua Benjamin v Lee Kuan YewSingapore Court of AppealYes[1992] 2 SLR 310SingaporeAdopted the 'reasonable suspicion of bias' test for apparent bias.
Regine v Liverpool City Justices, ex p ToppingLiverpool City JusticesYes[1983] 1 WLR 119EnglandStatement of principle laid down by Ackner LJ adopted in Jeyaretnam Joshua Benjamin v Lee Kuan Yew [1992] 2 SLR 310.
Alkaff & Company v The Governor-in-CouncilStraits Settlements Court of AppealYes[1937] MLJ 211SingaporeCited for adoption of the 'reasonable suspicion of bias' test.
De Souza Lionel Jerome v AGSingapore High CourtYes[1993] 1 SLR 882SingaporeCited for adoption of the 'reasonable suspicion of bias' test.
Tang Liang Hong v Lee Kuan YewSingapore Court of AppealYes[1998] 1 SLR 97SingaporeAffirmed the 'reasonable suspicion of bias' test but referred to the 'real likelihood of bias' test.
R v GoughHouse of LordsYes[1993] AC 646EnglandReferred to for adopting a more stringent test of apparent bias, the 'real likelihood of bias' test.
Re Singh KalpanathSingaporeYes[1992] 2 SLR 639SingaporeCited as embodying both the 'reasonable suspicion of bias' and 'real likelihood of bias' tests interchangeably.
Re the Medical Registration Act (Cap 174)SingaporeYes[1994] 1 SLR 176SingaporeCited as perceiving both the 'reasonable suspicion of bias' and 'real likelihood of bias' tests as interchangeable.
B Surinder Singh Kanda v Government of the Federation of MalayaPrivy CouncilYes[1962] AC 322MalaysiaCited for the principle of natural justice: Nemo judex in causa sua and Audi alteram partem.
Metropolitan Properties Co (FGC) Ltd v LannonEnglish Court of AppealYes[1969] 1 QB 577EnglandCited for the importance of justice being rooted in confidence.
Webb v The QueenAustralian High CourtYes(1993–1994) 181 CLR 41AustraliaCited as a case that criticised Gough and refused to follow it.
The Queen v Watson, ex p ArmstrongAustralian High CourtYes(1976) 136 CLR 248AustraliaReference to earlier cases of the Australian High Court.
Johnson v JohnsonAustralian High CourtYes(2000) 201 CLR 488AustraliaReference to earlier cases of the Australian High Court.
Ebner v Official Trustee in BankruptcyAustralian High CourtYes(2000) 205 CLR 337AustraliaReference to earlier cases of the Australian High Court.
In re Medicaments and Related Classes of Goods (No 2)English Court of AppealYes[2001] 1 WLR 700EnglandCited for the emphasis on the public perception.
Bradford v McLeodScotlandYes[1986] SLT 244ScotlandCited as a decision that adopted the 'reasonable suspicion of bias' test.
Millar v DicksonScotlandYes[2002] SLT 988ScotlandCited as a decision that adopted the 'reasonable suspicion of bias' test.
Majlis Perbandaran Pulau Pinang v Syarikat Bekerjasama-sama Serbaguna Sungai Gelugor dengan TanggunganMalaysian Federal CourtYes[1999] 3 MLJ 1MalaysiaCited as a case that endorsed Gough in the Malaysian context.
Allied Capital Sdn Bhd v Mohamed Latiff bin Shah MohdMalaysian Federal CourtYes[2001] 2 MLJ 305MalaysiaCited as a case that endorsed Gough in the Malaysian context.
Mohamed Ezam bin Mohd Nor v Ketua Polis NegaraMalaysian Federal CourtYes[2002] 1 MLJ 321MalaysiaCited as a case that endorsed Gough in the Malaysian context.
Tan Kim Hor v Tan Chong & Motor Co Sdn BhdMalaysian High CourtYes[2003] 2 MLJ 278MalaysiaCited as a case that endorsed Gough in the Malaysian context.
Auckland Casino Ltd v Casino Control AuthorityNew Zealand Court of AppealYes[1995] 1 NZLR 142New ZealandCited as a case that endorsed Gough in the New Zealand context.
Riverside Casino Ltd v MoxonNew Zealand Court of AppealYes[2001] 2 NZLR 78New ZealandCited as a case that endorsed Gough in the New Zealand context.
Man O’War Station Ltd v Auckland City Council (Judgment No 1)New Zealand Privy CouncilYes[2002] 3 NZLR 577New ZealandCited as a case that endorsed Gough in the New Zealand context.
R v Papadopoulos (No 2)New ZealandYes[1979] 1 NZLR 629New ZealandCited as an earlier decision in apparent contrast to the endorsement of Gough.
Porter v MagillHouse of LordsYes[2002] 2 AC 357EnglandAcknowledged criticisms of Gough and modified the principles laid down in that case.
Taylor v LawrenceEnglish Court of AppealYes[2002] 3 WLR 640EnglandReferred to the test in Porter v Magill.
Regina v Bow Street Metropolitan Stipendiary Magistrate, ex p Pinochet Ugarte (No 2)House of LordsYes[2000] 1 AC 119EnglandReferred to the test in Porter v Magill.
Erris Promotions v Inland RevenueNew Zealand Court of AppealYes[2003] NZCA 163New ZealandPoint has not been settled yet in the New Zealand courts itself.
Tracomin SA v Gibbs Nathaniel (Canada) LtdCanadaYes[1985] 1 Lloyd’s Rep 586CanadaCited for the argument that in most cases, it would make no difference whether the 'reasonable suspicion of bias' test or the 'real likelihood of bias' test is applied.
Cook International Inc v BV Handelmaatschappij Jean DelvauxEnglish High CourtYes[1985] 2 Lloyd’s Rep 225EnglandCited for the view that there is little indeed between the two tests.
The King v Sussex Justices, ex p McCarthyEnglish Divisional CourtYes[1924] 1 KB 256EnglandCited for the importance that justice should not only be done, but should manifestly and undoubtedly be seen to be done.
Hannam v Bradford CorporationEnglish Court of AppealYes[1970] 1 WLR 937EnglandCited for the view that there really is little (if any) difference between the two tests.
Locabail (UK) Ltd v Bayfield Properties LtdEnglish Court of AppealYes[2000] QB 451EnglandCited for the view that application of the two tests would anyway lead to the same outcome.
Koufos v C Czarnikow Ltd, The Heron IIHouse of LordsYes[1969] 1 AC 352EnglandCited for the dangers and confusion that are engendered by focusing on the form of words as opposed to their substance.
H Parsons (Livestock) Ltd v Uttley Ingham & Co LtdEnglish Court of AppealYes[1978] QB 791EnglandCited for the dangers of “semantic hairsplitting”.
Rajasooria v Disciplinary CommitteePrivy CouncilYes[1955] 1 WLR 405EnglandCited for the court’s role, in so far as the imposition of sanctions by a disciplinary body is concerned, is more one of oversight and must therefore be restrained.

13. Applicable Rules

Rule Name
No applicable rules

14. Applicable Statutes

Statute NameJurisdiction
Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 19(1)(a) Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 19(1)(j) Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 19(5) Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 21 Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 3(b) Application of English Law Act (Cap 7A, 1994 Rev Ed)Singapore
Section 14(1) Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 24 Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 26 Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 23 Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 19(6) Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore
Section 2 Traditional Chinese Medicine Practitioners Act (Cap 333A, 2001 Rev Ed)Singapore

15. Key Terms and Keywords

15.1 Key Terms

  • Traditional Chinese Medicine
  • Acupuncturist
  • Registration
  • Forgery
  • Improper Conduct
  • Bias
  • Certificate of Employment
  • Inaccurate Particulars
  • Investigation Committee
  • Suspension

15.2 Keywords

  • Traditional Chinese Medicine
  • Acupuncturist
  • Suspension
  • Forgery
  • Singapore
  • Regulatory
  • Medical Board

16. Subjects

  • Traditional Chinese Medicine
  • Medical Law
  • Regulatory Law
  • Professions

17. Areas of Law

  • Regulatory Law
  • Professions
  • Medical profession and practice
  • Traditional Chinese Medicine