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Court of AppealPartially AllowedCivil Application No E005 of 2024 (arising from Civil Appeal No E984 of 2023)· [2024] KECA 2 (KLR)

The Cabinet Secretary Ministry of Health v Joseph Enock Aura & 8 others

Court of Appeal
19 January 2024
4,772 words in judgment
View original judgmentRead on Kenya Law Watch case
AI-assisted case brief
·~19 min to read original · ~4 min brief

The bottom line

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Kenya's Court of Appeal lifted most of the freeze on the new health laws, allowing SHA and related health statutes to operate while three contested provisions remain suspended pending appeal.

What this practically means

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Executive summary

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This is a ruling of the Court of Appeal at Nairobi (Kiage, Nyamweya and Ngenye-Macharia, JJA) on a motion under rule 5(2)(b) of the Court of Appeal Rules seeking stay of conservatory orders issued ex parte by Mwita, J on November 27, 2023, restraining implementation of the Social Health Insurance Act, 2023, the Primary Health Care Act, 2023 and the Digital Health Act, 2023 in a constitutional petition filed by Joseph Enock Aura. The Cabinet Secretary for Health, whose application to lift the orders was unsuccessful in the High Court, filed a notice of appeal and the substantive Civil Appeal No E984 of 2023, then sought stay pending that appeal. The court first resolved a jurisdictional objection: although no notice of appeal was filed against the November 27 orders, the orders of December 11, 2023, against which notice was given, adopted and reiterated them, donating jurisdiction. Applying the settled twin tests of arguability and nugatory-ness, with public interest as a legitimate consideration, the court found the appeal eminently arguable - the ex parte orders were alleged to be final in character and issued without a hearing - and found a real and present danger to the health rights of citizens, including some 17 million former NHIF members, from the regulatory vacuum. It allowed the motion in part: the High Court orders were suspended so the three statutes could be operationalized, except sections 26(5), 27(4) and 47(3) of the Social Health Insurance Act, which remain suspended pending the appeal. Timelines for submissions were set and an expedited hearing directed by March 31, 2024, with costs of the motion to abide the appeal's outcome.

Key legal issues

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01

Jurisdiction to stay orders not directly appealed

Holding

The court had jurisdiction because the December 11, 2023 orders, against which a notice of appeal was filed, adopted and reiterated the November 27, 2023 orders sought to be stayed.

Reasoning

A notice of appeal had been filed against the December 11 orders, which made specific reference to the November 27 orders and directed compliance with them. The court held the two sets of orders were the same, and distinguishing them would be splitting hairs, so jurisdiction existed despite the absence of a notice of appeal against the November 27 orders directly.

p. 10
02

Arguability of the intended appeal

Holding

The appeal was eminently arguable on the ground that the ex parte conservatory orders were too wide, suspended three statutes, and were final in character, disposing of the motion without a hearing.

Reasoning

The grounds were that the conservatory orders given ex parte were final in effect and issued without affording the CS and other respondents an opportunity to be heard, contrary to the right to fair trial and natural justice. Counsel for Mr Aura effectively conceded the complaints were not idle, and the court had no difficulty holding the appeal arguable without determining the merits.

p. 11
03

Nugatory-ness and public interest

Holding

The second limb was satisfied: the suspension of the three statutes created a regulatory vacuum posing a real and present danger to the health rights of countless citizens not party to the litigation.

Reasoning

Sworn averments established that some 17 million former NHIF members were affected, with inability to grant pre-treatment authorization and exposure of the sick to denial of treatment. Weighing the harm, the court found the risk pending appeal a price too dear to pay and that the appeal would be rendered nugatory, drawing on Reliance Bank v Norlake on proportionate hardship.

p. 12

Legal principles established

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  • The Court of Appeal cannot stay execution of an order with respect to which no notice of appeal has been filed; but where later orders adopt and reiterate earlier orders, a notice of appeal against the later orders suffices to donate jurisdiction.
  • An arguable appeal need not succeed and need not raise a multiplicity of points; one bona fide point of law or fact worthy of the court's consideration suffices.
  • A draft memorandum of appeal need not be annexed to a rule 5(2)(b) application; arguable grounds may be raised on the face of the motion or supporting affidavit.
  • Public interest is a legitimate consideration in the rule 5(2)(b) jurisdiction, alongside arguability and nugatory-ness.

Court orders

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  1. 1.Suspension of the High Court orders restraining implementation and/or enforcement of the Social Health Insurance Act, 2023, the Primary Health Care Act, 2023 and the Digital Health Act, 2023, save for sections 26(5), 27(4) and 47(3) of the Social Health Insurance Act which remain suspended pending the hearing and determination of Civil Appeal No E984 of 2023
  2. 2.Direction that parties file and serve written submissions and bundles of authorities on stated timelines (7 days for appellant and supporting parties; 7 days for the 1st respondent; 5 days for rejoinder)
  3. 3.Direction that the registrar allocate a hearing date for Civil Appeal No E984 of 2023 on a priority basis, no later than March 31, 2024
  4. 4.Costs of the motion to abide and follow the outcome in Civil Appeal No E984 of 2023
On appeal from
High Court of Kenya at Nairobi
Petition (Aura petition), with Civil Appeal No E984 of 2023 pending before the Court of Appeal
Jurisdiction invoked
Rule 5(2)(b) of the Court of Appeal Rules (jurisdiction to grant stay of execution pending appeal); notice of appeal against the orders of December 11, 2023

Key timeline

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Practical implications

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Frequently asked questions

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Later judgments citing this (3)

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Judgments in the corpus that rely on this one. Where the Court said how it treated the authority, that is shown.

Cite this brief

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Cite this brief

Caselaw, "The Cabinet Secretary Ministry of Health v Joseph Enock Aura & 8 others", Case Analysis (2024). Civil Application No E005 of 2024 (arising from Civil Appeal No E984 of 2023). Source: https://new.kenyalaw.org/akn/ke/judgment/keca/2024/2/eng@2024-01-19

Suggested citation format for research notes or client memos. Always verify the original judgment before relying on any point.