Dr. Otto, charged with fentanyl trafficking, faced a parallel professional discipline investigation by the College of Physicians and Surgeons of Ontario (CPSO).
During the CPSO investigation, Dr. Otto provided a statutorily compelled statement and patient files.
The Crown sought a ruling on the voluntariness and admissibility of this compelled statement and the use of the patient files in the criminal trial, arguing for its use for impeachment purposes if Dr. Otto testified.
The defence sought exclusion of the statement for all purposes and challenged the production order used to obtain the CPSO file.
The court found the statement voluntary and not made to a person in authority, but nevertheless excluded it for all purposes under s. 24(1) of the Charter, applying the principles from R. v. White and R. v. Soules.
The court upheld the production order for the CPSO file, finding sufficient grounds even after excising information derived from the compelled statement.
The patient files were deemed admissible as they were created as part of a regulated profession, not compelled by the state in an adversarial context.