This judgment clarifies a long-standing debate over whether pending administrative proceedings before the CMS internal appellate structures (sections 48, 49 and 50 of the Medical Schemes Act, No 131 of 1998) suspend the operation of decisions taken prior to such proceedings or not.

It was held by the Court (correctly, in our respectful view) that such proceedings do indeed have such suspensive effect, which the Applicants had asserted was not the case.

The Court also traversed the nature of such administrative appellate proceedings generally, making a number of findings which will serve to clarify these matters. For example, the Court dealt with the wide versus narrow nature of such appeals, and what this engenders, which has been to date a fairly contentious issue.

Knowles Husain Lindsay Inc acted for the two medical schemes concerned, being the Third and Fourth Respondents.