Issue 7: October 2017
On Appeal Issue 7 - October 2017 includes a summary of the September 2017 decisions
On Appeal
Welcome to the 7th issue of ‘On Appeal’ for 2017.
Issue 7 – October 2017 includes a summary of the September 2017 decisions.
These summaries are prepared by the Presidential Unit and are designed to provide an overview of, and introduction to, the most recent Presidential and Court of Appeal decisions. They are not intended to be a substitute for reading the decisions in full, nor are they a substitute for a decision maker’s independent research.
Please note that the following abbreviations are used throughout these summaries:
ADP | Acting Deputy President |
AMS | Approved Medical Specialist |
Commission | Workers Compensation Commission |
DP | Deputy President |
MAC | Medical Assessment Certificate |
Reply | Reply to Application to Resolve a Dispute |
1987 Act | Workers Compensation Act 1987 |
1998 Act | Workplace Injury Management and Workers Compensation Act 1998 |
2003 Regulation | Workers Compensation Regulation 2003 |
2010 Regulation | Workers Compensation Regulation 2010 |
2010 Rules | Workers Compensation Rules 2010 |
2011 Rules | Workers Compensation Rules 2011 |
Table of Contents
Court of Appeal Decision:
Tudor Capital Australia Pty Limited v Christensen [2017] NSWCA 260
WORKERS COMPENSATION – injury – personal injury arising out of or in the course of employment – where employee suffering from a viral illness died as a result of ventricular fibrillation which caused cardiac arrest – whether Arbitrator and Deputy President identified “injury” within meaning of s 4, 1987 Act – whether employment substantial contributing factor to injury – where Deputy President made finding of “injury” different from Arbitrator – 1987 Act, ss 4(a), 9, 9A, 25; where Deputy President identified “experience of stress” as s 4 “injury” – whether injury “psychological injury” – 1987 Act, s 11A WORKERS COMPENSATION – appeal from Arbitrator to Presidential member pursuant to 1998 Act, s 352 – whether decision of Arbitrator affected by error of fact, law or discretion – whether Presidential member erred in point of law EVIDENCE – sufficiency of evidence – competing medical evidence as to cause of employee’s death – whether sufficient proof to support finding of probable causal connection where medical science did not deny possibility of connection – whether Arbitrator overlooked material medical evidence – whether Deputy President’s reasoning processes inadequate – whether sufficient analysis of medical evidence ADMINISTRATIVE LAW – procedural fairness – whether appellant raised new issue on appeal – whether respondent had opportunity to call evidence
Presidential Decisions:
Mahal v State of New South Wales [2017] NSWWCCPD 41
Purported appeal under cl 125 of the 2016 Regulation; threshold requirements; s 352 of the 1998 Act; dismissal of proceedings; s 354(7A)(b) of the 1998 Act
Munce v Thomson Cool Rooms Pty Ltd [2017] NSWWCCPD 39
Error of fact; application of the principles discussed in Whiteley Muir & Zwanenberg Ltd v Kerr (1966) 39 ALJR 505 and Fox v Percy [2003] HCA 22; 214 CLR 118; noncompliance with Practice Direction No 6 – Appeal Against a Decision of the Commission Constituted by an Arbitrator
Liao v Hammond Care [2017] NSWWCCPD 40
Reasons to be read as a whole: Beale v Government Insurance Office of NSW (1997) 48 NSWLR 430; reconsideration pursuant to s 350(3) of the 1998 Act; Samuel v Sebel Furniture Limited [2006] NSWWCCPD 141; 5 DDCR 482; consideration of ‘delay’ as a factor; procedural fairness – Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1; issues not raised at first instance: Metwally v University of Wollongong [1985] HCA 28; 60 ALR 68; 59 ALJR 481
Chattha v Malik t/as Malik Cabs [2017] NSWWCCPD 42
Alleged factual error in dealing with medical evidence; procedural fairness: application of Stead v State Government Insurance Commission [1986] HCA 54; 161 CLR 141 and Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1; the rule in Browne v Dunn (1893) 6 R 67 in the Commission; hearsay evidence in the Commission: Onesteel Reinforcing Pty Ltd v Sutton [2012] NSWCA 282; 13 DDCR 351
Miller v State of New South Wales [2017] NSWWCCPD 38
Section 9A of the 1987 Act; substantial contributing factor; mere temporality is not sufficient to satisfy the requirements for s 9A
Decision Summaries
Tudor Capital Australia Pty Limited v Christensen [2017] NSWCA 260
NB: This headnote substantially follows the headnote issued by the Court of Appeal with this decision.
WORKERS COMPENSATION – injury – personal injury arising out of or in the course of employment – where employee suffering from a viral illness died as a result of ventricular fibrillation which caused cardiac arrest – whether Arbitrator and Deputy President identified “injury” within meaning of s 4, 1987 Act – whether employment substantial contributing factor to injury – where Deputy President made finding of “injury” different from Arbitrator – 1987 Act, ss 4(a), 9, 9A, 25; where Deputy President identified “experience of stress” as s 4 “injury” – whether injury “psychological injury” – 1987 Act, s 11AWORKERS COMPENSATION – appeal from Arbitrator to Presidential member pursuant to 1998 Act, s 352 – whether decision of Arbitrator affected by error of fact, law or discretion – whether Presidential member erred in point of law
EVIDENCE – sufficiency of evidence – competing medical evidence as to cause of employee’s death – whether sufficient proof to support finding of probable causal connection where medical science did not deny possibility of connection – whether Arbitrator overlooked material medical evidence – whether Deputy President’s reasoning processes inadequate – whether sufficient analysis of medical evidence
ADMINISTRATIVE LAW – procedural fairness – whether appellant raised new issue on appeal – whether respondent had opportunity to call evidence
McColl JA, Macfarlan JA, Payne JA
17 October 2017
Facts
Tudor Capital Australia Pty Limited (Tudor Capital) appealed from a decision of a Deputy President of the Commission in which he dismissed Tudor Capital’s appeal from a decision of an Arbitrator finding the respondent, Penelope Christensen and her children, entitled to compensation payments from Tudor Capital pursuant to ss 9 and 25 of the 1987 Act in respect of her late husband’s death.
Mr Christensen died suddenly at home when he suffered ventricular fibrillation (a hearth rhythm disturbance) leading to cardiac arrest. At the time of his death he was employed as a Portfolio Manager by Tudor Capital. He had recently commenced work in its Sydney office after having relocated from its London office.
In his first few weeks in the Sydney office, Mr Christensen experienced a number of technical difficulties, largely related to a slow internet connection speed, causing him frustration in not being able to operate a unique database system he had developed for market closing prices. Although the technical difficulties were largely resolved by 27 February 2008, they caused a nine week delay in total, compromised Mr Christensen’s ability to perform, and meant his actual trading results and earnings fell well behind his expected results. Mr Christensen also experienced difficulties in dealing with the time difference between Sydney and the European and US markets, in which he mainly traded. On 1 July 2008 Tudor Capital’s Capital Allocation Committee placed Mr Christensen on a “watch list”, meaning his performance would be reviewed over the balance of the financial year.
In early September 2008, Mr Christensen developed the flu. On 4 September 2008 he consulted his family doctor for a chest infection and was prescribed an antibiotic. He took sick leave on 5 September 2008. He returned to work on 8 September 2008. On that day he was observed by a colleague to be short of breath when walking to his car. That evening, after putting the children to bed, Mr Christensen was sitting on a couch with Mrs Christensen when he suddenly stopped talking, sighed and collapsed unconscious and pulseless. Ambulance officers who were called noted he was in ventricular fibrillation. He was unable to be revived.
Mr Christensen had no family history of sudden death, nor any history of collapses, chest pain, shortness of breath (other than as reported on the day of his death) or palpitation. He had been physically active, playing cricket and football, and was a keen cyclist. The autopsy report indicated that, whilst there was circumstantial evidence suggesting myocardial infarction (death of heart muscle as a result of blockage of blood flow to heart) leading to ventricular fibrillation, the cause of death was “unascertained” but was likely to have been a “cardiac arrhythmia”.
On 9 August 2011 Mrs Christensen commenced proceedings against Tudor Capital in the Commission claiming an entitlement to compensation payments in respect of Mr Christensen’s death pursuant to s 9 of the 1987 Act. It was common ground that Mr Christensen had suffered ventricular fibrillation which led to cardiac arrest causing his death. There were, however, competing arguments, and competing medical evidence laid out in multiple expert reports and oral testimony supporting those arguments, as to the cause of the ventricular fibrillation.
Mrs Christensen framed her claim as one of injury and death caused by stress associated with Mr Christensen’s employment, including by rendering him susceptible to a viral illness, which caused or aggravated ventricular fibrillation, cardiac arrest and death. She relied primarily on the expert evidence of Associate Professor David Richards that the ventricular fibrillation was caused by a viral illness known as viral myocarditis. Acute myocarditis is the presence of inflammatory cells (lymphocytes) in the interstitial cells of the myocardium, the middle layer of the heart wall. In a case of acute myocarditis, inflammatory cells are attracted to the heart muscle which is infected by a virus. They indent (bore into) the underlying myocyte, inflicting damage which causes the muscle cell to stop contracting, eventually compromising the heart function and causing arrhythmia. Whilst there was no histological evidence (cell analysis or autopsy) of myocarditis, Associate Professor Richards was of the opinion that there was a possibility such evidence was missed due to the relatively short time between the onset of the inflammation and death.
The case ultimately put by Tudor Capital was that Mr Christensen was suffering from hypertrophic cardiomyopathy (HCM), a disease in which a portion of the heart muscle wall becomes thickened with fibrous (scar) tissue, a condition that is prone to lead to ventricular fibrillation and sudden death. Tudor Capital primarily relied on the expert evidence of Professor Anne Keogh and Dr Stephen Rainer to this effect. They, in turn, primarily based their opinions on autopsy slides of tissue samples taken from Mr Christensen’s heart on autopsy. The slides were not the subject of evidence until after most of the expert reports were prepared, and until after Associate Professor Richards gave oral evidence. However, prior to giving evidence, and before Professor Keogh and Dr Rainer were called, Associate Professor Richards had seen a report from Dr Rainer discussing the slides. Associate Professor Richards had advised Mrs Christensen’s solicitors he was not qualified to analyse the autopsy slides.
Dr Rainer and Professor Keogh gave oral evidence that the autopsy slides revealed extensive fibrosis in Mr Christensen’s heart, consistent with longstanding HCM, which could cause a ventricular fibrillation arrest at any time, without a trigger, but not viral myocarditis. Dr Rainer was of the view that the sampling of Mr Christensen’s heart was comprehensive, not patchy, and sufficient to eliminate any sampling error. He was also of the opinion that, in the case of acute myocarditis, the microscope would reveal some evidence of its presence, of which there was none in Mr Christensen’s case. Professor Keogh expressed a similar opinion. This evidence differed from a statement in her first report in which she had not excluded the possibility of viral myocarditis “since post mortem sampling does not sample the entire of the right and left ventricles.” In oral evidence she said this statement was written in reliance on the autopsy report, written by a “generalist pathologist”, which was not the same as seeing the autopsy slides.
Associate Professor Richards was not recalled to respond to the evidence of Dr Rainer or Professor Keogh. Although Mrs Christensen subsequently tendered a further report by Associate Professor Richards, in which he commented on an aspect of Professor Keogh’s oral evidence, that report did not address the autopsy slides or, otherwise discuss her or Dr Rainer’s oral evidence.
Arbitrator Wynyard upheld Mrs Christensen’s claim. He found that Mr Christensen’s death had been, in substance, caused by an “injury” within the meaning of s 4 of the 1987 Act being the entry of the T cell lymphocytes into the myocardium as a result of a viral illness Mr Christensen had acquired following the breakdown of his health, which was due to the emotional stress and frustration he encountered with his employer after he had moved to Sydney in 2008. He rejected Professor Keogh’s evidence, on the basis that he did not find persuasive her abandonment of the opinion in her first report. The Arbitrator was also satisfied that the provisions of s 9A, 1987 Act applied and that Mr Christensen’s employment was the main substantial reason for the breakdown of his health and subsequent death. He was not satisfied that the pre-existing condition of Mr Christensen’s heart played any part in his death.
Tudor Capital appealed against the Arbitrator’s decision to the Commission constituted by the Deputy President pursuant to s 352(1) of the 1998 Act. Such an appeal is not a review but is confined to correcting operative errors of fact, law or discretion. The Deputy President confirmed the Arbitrator’s findings and orders and remitted the matter to the Arbitrator for further directions and hearing concerning the question of apportionment.
Tudor Capital appealed to the Court of Appeal pursuant to s 353(1) of the 1998 Act. On such an appeal it was required to establish that it was aggrieved by a decision of a Presidential member of the Commission in point of law.
The following provisions of the 1987 Act were relevant to the appeal. Section 9 provides that the dependents of a worker who received an “injury” (resulting in death) shall receive compensation, the amount of which is specified in s 25. “Injury” is defined in s 4(a) relevantly as “mean[ing] personal injury arising out of or in the course of employment.” However, no compensation is payable in respect of an injury unless the employment concerned “was a substantial contributing factor to the injury” (s 9A(1)), to be determined by reference to a list of factors in s 9A(2). Where an injury, as defined in s 4, is a psychological or psychiatric disorder, no compensation is payable in respect of that injury if it was wholly or predominantly caused by reasonable actions of the employer (s 11A).
The principal issues on appeal were:
(a) Whether the Arbitrator and the Deputy President failed to identify an “injury” for the purposes of ss 9 and 25 of the 1987 Act within the meaning of that term in s 4, leading to confusion in the application of s 9A.
(b) Whether there was insufficient proof to support the Arbitrator’s finding of a causal connection between psychological stress and an increased susceptibility to viral illness on the basis of a commonsense evaluation of the causal chain and that medical science did not deny a possible connection and whether, in making that finding, the Arbitrator overlooked material medical evidence.
(c) Whether the Deputy President’s reasoning processes were inadequate, in particular, whether there was no sufficient analysis of the medical evidence.
(d) Whether Mrs Christensen was denied procedural fairness because she did not have the opportunity to call evidence to meet Tudor Capital’s contention that the opinion of Associate Professor Richards (that death was caused by viral myocarditis) was based on the absence of evidence of a relevant pre-existing condition, the existence of which was confirmed by Professor Keogh’s and Dr Rainer’s evidence that the cause of death was HCM.
Held: Appeal allowed. Matter remitted to the Commission for redetermination.
As to issue (a), per McColl JA (Macfarlan and Payne JJA agreeing)
1. Mrs Christensen was required to identify an “injury” within the meaning of s 4 of the 1987 Act for the purposes of ss 9 and 25 and also establish that Mr Christensen’s employment with Tudor Capital was “a substantial contributing factor to the injury” within the meaning of s 9A(1), taking into account the matters specified in s 9A(2) to the extent that they were relevant. Failure to consider such factors by reference to the underlying facts involved a misconstruction of the provision and an error in point of law. ([301], [329], [335])
Badawi v Nexon Asia Pacific Pty Limited (t/as Commander Australia Pty Limited) [2009] NSWCA 324; 75 NSWLR 503; applied.
Bill Williams Pty Ltd v Williams [1972] HCA 23; 126 CLR 146 referred to.
2. The Deputy President erred in finding that the “injury” for the purposes of s 9 was Mr Christensen’s “experience of stress ... [making] him susceptible to the contraction of an infective virus.” In so finding, the Deputy President:
(a) made a finding of “injury” which differed from the “injury” the Arbitrator identified, being the “entry of the T cell lymphocytes into the myocardium”, and implicitly identified an operative error of fact on the Arbitrator’s part which, once recognised, should have been corrected; ([337], [338], [346]) and
(b) failed to undertake the precise consideration of the evidence, on a fact by fact basis, to determine whether Mr Christensen’s “experience of stress” or susceptibility to the contraction of an infective virus, could constitute an “injury” within the meaning of that term in s 4, and what, if any, physiological change or disturbance of Mr Christensen’s normal physiological state caused the “experience of stress”. This failure to engage with the statutory test in s 4 constituted an error in point of law and a constructive failure to exercise jurisdiction. ([339], [341], [345])
Kennedy Cleaning Services Pty Ltd v Petkoska (2000) 200 CLR 286; [2000] HCA 45; Military Rehabilitation & Compensation Commission v May [2016] HCA 19; 257 CLR 468 applied.
3. Once the Deputy President identified “the relevant injury” as Mr Christensen’s “experience of stress”, it was incumbent upon the Deputy President to determine whether the “experience of stress” was a “psychological injury” within the meaning of s 11A(3). Failure to consider this question was a constructive failure on the part of the Deputy President to exercise his jurisdiction to correct the Arbitrator’s errors. ([342], [344])
4. Alternatively, the Deputy President should have held that the Arbitrator had erred in law in failing to consider on a step by step basis which aspect of the process to which he referred in making his “injury” finding was the relevant “injury” for the purposes of s 4 of the 1987 Act and in what respect it was a consequence of a physiological change. ([345])
5. Absent isolation of the relevant “injury”, the Arbitrator could not properly undertake the evaluative process s 9A required of determining whether the employment concerned was a substantial contributing factor to the injury. The Deputy President, in turn, failed to recognise that was an operative error of law on the Arbitrator’s part and correct it. ([338], [346]–[359])
6. The Deputy President erred in failing to hold that the Arbitrator’s failure to consider for the purposes of s 9A, Mr Christensen’s pre-existing cardiac condition as being a factor that “played any part in his death” without considering the evidence of Tudor Capital’s experts and Associate Professor Richards as to the relevance of the underlying cardiac pathology, revealed he misunderstood Tudor Capital’s case such as to undermine the lawfulness of his decision in a fundamental way, such as to constitute an error in point of law. ([348]–[352])
7. The Deputy President also misapprehended Tudor Capital’s case in his reliance on Department of Education & Training v Sinclair [2005] NSWCA 465; 4 DDCR 206. ([353]–[359])
Department of Education & Training v Sinclair [2005] NSWCA 465; 4 DDCR 206; Department of Education & Training v Jeffrey Sinclair [2004] NSWWCPD 90 discussed.
As to issues (b) and (c), per McColl JA (Macfarlan JA agreeing)
8. While an unproven connection between psychological stress and an increased susceptibility to viral illness does not amount to positive knowledge, supplying some adequate ground for believing that the events are naturally associated. If medical science is prepared to say that something is possible, a judge, after examining the lay evidence, may decide that it is probable. However, a judge must not undertake the temporal inquiry in isolation from the medical evidence. ([369]–[383])
Adelaide Stevedoring Co Ltd v Forst [1940] HCA 45; 64 CLR 538; Ramsay v Watson [1961] HCA 65; 108 CLR 642; EMI (Aust) Ltd v Bes [1970] 2 NSWR 238; Seltsam Pty Ltd v McGuiness [2000] NSWCA 29; 49 NSWLR 262 discussed.
9. In examining the medical evidence, the Arbitrator overlooked material facts, or gave material facts undue or too little weight in deciding the inference to be drawn from the evidence as to the cause of Mr Christensen’s death. Such material facts included uncontested contemporaneous records, such as the autopsy slides, and the evidence of Professor Keogh and Dr Rainer. This constituted an error of law which the Deputy President failed to identify, resulting in a constructive failure on his part to exercise jurisdiction. ([384], [396])
EMI (Aust) Ltd v Bes [1970] 2 NSWR 238 applied.
10. There will be a failure to give adequate reasons amounting to a constructive failure to exercise jurisdiction where a decision-maker ignores evidence critical to an issue in a case and contrary to an assertion of fact made by one party and accepted by the decision-maker. ([387]–[388])
Soulemezis v Dudley (Holdings) Pty Ltd (1987) 10 NSWLR 247; Resource Pacific Pty Ltd v Wilkinson [2013] NSWCA 33 applied.
11. As there was starkly contrasting medical evidence, both the Arbitrator and the Deputy President were obliged to consider the evidence in a manner which entailed a rational analysis of the issues. ([389])
Wiki v Atlantis Relocations (NSW) Pty Ltd [2004] NSWCA 174; 60 NSWLR 127 applied.
12. The Arbitrator failed adequately to have regard to significant aspects of Tudor Capital’s experts’ evidence in reaching his decision contrary to that evidence, and made errors of fact in the course of reaching his conclusion. The Deputy President ought to have held the Arbitrator had erred in law in failing to give adequate reasons. ([392]–[394])
13. In concluding that the Arbitrator adequately analysed the medical evidence, and in failing himself adequately to analyse that evidence, there was a constructive failure of jurisdiction on the Deputy President’s part. ([391]–[419])
As to issue (d), per McColl JA (Macfarlan JA agreeing, Payne JA dissenting)
14. Tudor Capital was not raising a new issue on appeal. ([303]) Alternatively, even if it was, it was not precluded from doing so as Coulton v Holcombe [1986] HCA 33; 162 CLR 1 applied. ([303])
15. Mrs Christensen was aware, or at least should have been aware, of the evidence and the arguments in Tudor Capital’s favour based on its experts’ evidence. ([302], [304]–[307]) She had an opportunity to respond to the evidence and arguments before the Arbitrator such that there was no denial of procedural fairness. ([427], [443])
Mahal v State of New South Wales [2017] NSWWCCPD 41
Purported appeal under cl 125 of the 2016 Regulation; threshold requirements; s 352 of the 1998 Act; dismissal of proceedings; s 354(7A)(b) of the 1998 Act
Parker ADP
11 September 2017
Facts
This matter concerned a purported appeal pursuant to s 352 of the 1998 Act and cl 125 of the 2016Regulation against two decisions. Firstly, the decision of a delegate of the Registrar dated 30 November 2016 pursuant to s 327(4) of the 1998 Act, that determined an application to appeal a Medical Assessment Certificate did not satisfy s 327(3) of the 1998 Act (the gatekeeper decision). Secondly, the decision of the Registrar dated 5 January 2017, declining the appellant worker’s request that a reconsideration of the gatekeeper decision be determined by a different person.
Held: The appeal was misconceived and dismissed pursuant to s 354(7A)(b) of the 1998 Act.
Threshold and jurisdiction
1. The decisions under appeal did not satisfy s 352(3) of the 1998 Act. The appellant had no right of appeal under s 352. ([31])
2. Section 352(1) of the 1998 Act provides that a Presidential member may determine an appeal against a decision of the Commission constituted by a Commission Arbitrator. The decisions of the Registrar and his delegate were not decisions of the Commission constituted by an Arbitrator. The Acting Deputy President accepted the respondent’s submissions, that the appellant’s right of review of the decisions may more properly be exercised by seeking judicial review and declaration in the Supreme Court. The s 352 appeal was incompetent. ([32]-[35])
3. The appellant’s alternative appeal was pursuant to cl 125 of the 2016 Regulation, which provides that a party to an application who is dissatisfied with a decision of the Registrar as to a matter of law arising in the proceedings to determine the application may appeal to a Presidential member. ([36]-[37])
4. The absence in the 1998 Act of a right of appeal to the Presidential level from the Registrar’s decision under s 327(4) is consistent with the Legislature’s intention that review of the Registrar’s decision under s 327(4) should be by application to the Supreme Court in its Administrative Law Division pursuant to s 69 of the Supreme Court Act 1970. ([44])
5. The Acting Deputy President observed that headings to Parts and Divisions are regarded as part of the Act. The headings of the Part, the Divisions and Subdivisions in which cl 125 appears direct attention to the conclusion that the draftsman’s intention was that the appeals with which cl 125 is concerned are from matters the subject of Pt 17. Part 17 provides for costs to be assessed on application to the Registrar. The matters with which the reasons of the Registrar are to be concerned are matters arising out of the cost assessments the subject matter of Pt 17. (Silk Brothers Pty Limited v State Electricity Com (Vic) [1943] HCA 2; 67 CLR 1 and s 35(1)(a) of the Interpretation Act 1987 considered) ([45]-[52])
6. The application(s) the subject of cl 125 are those that derive from the decisions made under Pt 17. When cl 125 is read consistently with the scheme and provisions of the 1998 Act the right of appeal is confined to decisions of the Registrar concerning assessments of cost. That is the intention of the 1998 Act. ([55], [58]-[60])
7. Clause 125 is not a general right of appeal from decisions of the Registrar or his delegate. It did not authorise the present appeal from a decision by the delegate of the Registrar. ([61]-[62])
8. The decision by the Registrar to refer the application for reconsideration to be determined by the original decision maker is administrative in nature. Such a decision is not amenable to appeal under either s 352(1), because it is not an appeal from an Arbitrator, or cl 125, because it is not an appeal from a Registrar’s decision on a matter of costs. ([63])
9. There is no jurisdiction in a Presidential member of the Commission to review the decision of the Registrar or his delegate under s 327(4). ([64])
10. The appeal was misconceived and dismissed pursuant to s 354(7A)(b) of the 1998 Act. ([65])
Munce v Thomson Cool Rooms Pty Ltd [2017] NSWWCCPD 39
Error of fact; application of the principles discussed in Whiteley Muir & Zwanenberg Ltd v Kerr (1966) 39 ALJR 505 and Fox v Percy [2003] HCA 22; 214 CLR 118; noncompliance with Practice Direction No 6 – Appeal Against a Decision of the Commission Constituted by an Arbitrator
Keating P
7 September 2017
Facts
In January 1999 the worker suffered an injury to his left wrist and arm.
The worker initiated several proceedings in respect of the injury. In 2001, the worker commenced proceedings in the then Compensation Court of NSW. Judge Burke found the only compensable injury was injury to the left arm and ordered that the respondent pay the worker compensation. The worker later commenced further proceedings in the Commission, for which he was awarded additional compensation.
In June 2016 the worker made another claim for compensation in respect of body parts not initially reported as injured (namely, injury to the back, neck, left leg at or above the knee, right leg at or above the knee, left arm at or above the elbow, and right arm at or above the elbow) and alleged consequential condition affecting the right shoulder and arm. The claimed compensation was based upon the Table of Disabilities, which remains in force in respect of injuries which occurred prior to 1 January 2002. The respondent denied the claim.
The matter came before a Commission Arbitrator. The Arbitrator accepted that the worker suffered an injury to his left wrist, left shoulder, other parts of his left arm, and left groin at the time of the injury in 1999. However, he was not persuaded on the balance of probabilities that the worker established a causal relationship between injury to the left arm and the medical condition of his right shoulder in 2010 (when the worker submitted to a steroid injection into his right shoulder which became infected with staph aureus requiring the worker to be hospitalised for two months). He was not persuaded that the worker suffered a consequential injury to his right arm by way of overuse. In addition, he was not satisfied that the worker sustained an injury to his back or neck or any injury that could give rise to loss of use of his left or right leg.
The worker appealed. The issues on appeal concerned whether the Arbitrator erred “as to the facts with respect to the medical evidence provided”.
Held: The Arbitrator’s determination was confirmed.
Discussion
1. The President considered the principles in respect of establishing factual errors (Whiteley Muir & Zwanenberg Ltd v Kerr (1966) 39 ALJR 505 at 506 (Whiteley Muir); Zuvela v Cosmarnan Concrete Pty Ltd [1996] HCA 30; 140 ALR 227; Branir Pty Ltd v Owston Nominees (No 2) Pty Ltd [2001] FCA 1833 considered). ([89]-[93])
2. The President rejected the appellant’s submission that the Arbitrator failed to consider evidence that the worker had no carer at the time of his injury and therefore dismissed the possibility that the injury to the right arm was sustained through overuse. As the appellant made no submissions to the Arbitrator regarding the absence of a carer, in the initial stages after his injury, as a factor contributing to the alleged overuse of his right arm, the Arbitrator could not have erred in failing to address it: Brambles Industries Ltd v Bell [2010] NSWCA 162; 8 DDCR 111. ([94]-[95])
3. The President also rejected the submission that the Arbitrator placed “undue reliance” on the absence of a complete history as a basis for not accepting Dr Giblin’s opinion. The President found that the Arbitrator correctly placed little weight on Dr Giblin’s evidence for a number of reasons. Dr Giblin did not offer any opinion concerning causation of the consequential condition through overuse. Dr Giblin made no reference to the relevant history in his first report of March 1999, which only dealt with injury to the left wrist. In addition, there was a complex history of medical treatment concerning the right shoulder, including the consequences of a steroid injection. The Arbitrator’s findings were open and did not reveal error (Onesteel Reinforcing Pty Ltd v Sutton [2012] NSWCA 282 considered and applied). ([96]-[98])
4. Contrary to the appellant’s submission, the Arbitrator did not misdirect himself by referring to a complex medical condition surrounding the right shoulder. It was undeniable that there was a complex medical history spanning many years. Whether those conditions were constitutional or caused by treatment from the accepted injury were not dealt with by either party. ([100])
5. The appellant’s submission that by reason of the serious nature of the injury to the left shoulder “overloading” of the right shoulder was “obvious and compelling” was rejected. The President observed that it does not necessarily follow that because of a serious injury to the left limb that there must be a resulting overuse of the right limb. It was the lack of such evidence which caused the Arbitrator to conclude that he could not be satisfied on the balance of probabilities of a causal connection between the right shoulder condition and the accepted injury. The Arbitrator did not err in making the factual finding (Whiteley Muir applied). ([101])
6. The appellant’s submission that the Arbitrator failed to consider Dr Skapinker’s evidence which supported the back injury was also rejected. Dr Skapinker made no reference to any alleged injury to the back or complaints relating to the back. It followed that the Arbitrator did not fail to make any reference to Dr Skapinker’s evidence. ([102]-[103])
7. Contrary to the appellant’s submission, the President found that Dr Parameswaran did not record back pain radiating into the left leg some eight months after the accident. ([104])
8. There was no evidence to support the appellant’s submission that a severe injury to the left shoulder requiring medication and intensive treatment masked the injuries to the neck and back. The objective evidence clearly showed that for at least fifteen months after the injury the worker made no complaint of pain to the neck, right arm, and back. ([105]-[106])
9. The worker submitted that the Arbitrator erred by placing reliance on evidence relating to a psychological overlay. The Arbitrator noted Dr Neophyton’s diagnosis and Judge Burke’s comments in this regard. Dr Neophyton diagnosed the worker with hysterical conversion reaction. Judge Burke commented that the worker seemed to have an awful lot of complaints that did not appear to have a physiological basis. The Arbitrator noted that the Judge’s comments were made after a contested hearing in which he had the opportunity to see and hear the worker and consider the medical evidence. ([107]-[108])
10. However, the Arbitrator concluded that the most important reason for his concerns in respect of the worker’s reliability was simply the length of time between the injury and the arbitration hearing (Effem Foods Pty Ltd v Lake Cumbeline Pty Limited [1999] HCA 15; 161 ALR 599). Therefore, it was appropriate for the Arbitrator to give weight to the contemporaneous material before the Commission in reaching a conclusion as to the injuries suffered by the worker at the time of his fall in 1999. ([108])
11. The President rejected the submission that the Arbitrator’s approach to the assessment of the worker’s reliability resulted in any “misdirection”. The President observed that such a finding would only be disturbed on appeal if it were found to be contrary to incontrovertible facts or other uncontested testimony or was glaringly improbable or contrary to compelling inferences. The Arbitrator did not err in his approach to the assessment of the evidence (Fox v Percy [2003] HCA 22; 214 CLR 118). ([109])
12. It was open to the Arbitrator to conclude that the worker failed to discharge the onus of establishing that he had any relevant injury to his back or neck or any relevant injury that could conceivably give rise to a loss of use of his legs. Further, on the evidence presented it was open to the Arbitrator to conclude that the worker failed to establish that he suffered a consequential injury to his right arm by way of overuse. No error was demonstrated. ([110])
Liao v Hammond Care [2017] NSWWCCPD 40
Reasons to be read as a whole: Beale v Government Insurance Office of NSW (1997) 48 NSWLR 430; reconsideration pursuant to s 350(3) of the 1998 Act; Samuel v Sebel Furniture Limited [2006] NSWWCCPD 141; 5 DDCR 482; consideration of ‘delay’ as a factor; procedural fairness – Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1; issues not raised at first instance: Metwally v University of Wollongong [1985] HCA 28; 60 ALR 68; 59 ALJR 481
Snell AP
11 September 2017
Facts
The worker suffered a conceded psychological injury deemed to have occurred on 16 May 2012. Her claim was referred by consent to an AMS, Dr Parmegiani. Dr Parmegiani, in a MAC dated 18 June 2014, found that the worker’s injury consisted of a temporary aggravation of a pre-existing condition, Schizophrenia, and that no permanent impairment resulted from the injury. The worker appealed against the MAC.
The Medical Appeal Panel (the Panel) accepted the views of the AMS regarding the condition of Schizophrenia, and its constitutional nature. However, the Panel said that the appellant had also suffered injury involving “an exacerbation of symptoms from a prior anxiety disorder”. The Panel said that the appellant continued to suffer from “this co-morbid condition”, which had “not resolved completely”. The Panel assessed permanent impairment of 24 per cent, which it reduced by 50 per cent for the proportion of the impairment which was due to the pre-existing condition of Schizophrenia, and certified whole person impairment resulting from the injury at 12 per cent. This assessed impairment was insufficient to entitle the appellant to lump sum compensation: s 65A(3) of the 1987 Act.
The worker sought reconsideration of the Panel’s decision and the Panel declined to do so. The Commission issued a Certificate of Determination on 18 January 2016, noting that the 12 per cent permanent impairment assessment did not reach the threshold and there was no entitlement to compensation. The appellant made an application pursuant to s 350(3) of the 1998 Act that the Certificate of Determination be rescinded for the purpose of appealing the MAC. Alternatively, the appellant sought an order that the matter be referred by the Registrar for further assessment pursuant to s 327(6) of the 1998 Act. Before Arbitrator Egan (the Arbitrator) and on appeal, the appellant no longer sought to appeal the decision of the Panel and no longer relied on the appeal provisions in s 327.
The issues on appeal were whether the Arbitrator erred in:
(a) law in failing to correctly apply the decision in Samuel v Sebel Furniture Limited [2006] NSWWCCPD 141; 5 DDCR 482 (Samuel) (Ground No 1);
(b) discretion by assuming that the removal of Schizophrenia would not have an effect on the amount of impairment (Ground No 2);
(c) fact by accusing the appellant of making petty or unnecessary objections against a proven misdiagnosis of Schizophrenia (Ground No 3);
(d) fact and discretion by determining that the appellant delayed in requesting a reconsideration of the Panel decision two years after the decision was made and that the time required to gather evidence to prove misdiagnosis by the Panel was excessive delay (Ground No 4);
(e) fact and discretion in deciding that the further relevant information that was not reasonably available at the time of the original assessment, would not aid in the interpretation of the appellant’s presentation and that the AMS or the Panel would be unlikely to change their decision (Ground No 5), and
(f) fact by assuming that the appellant was suggesting that her former legal representatives were incompetent and not sufficiently diligent to progress the matter in the Commission or Supreme Court (Ground No 6).
Held: The Arbitrator’s decision dated 2 May 2017 was confirmed.
Ground No 1
1. Although it was pleaded as a separate ground, this ground relied on the errors identified in the other grounds. The Acting President noted that Grounds Nos 2–6 were rejected, and it followed that Ground No 1 was also rejected. ([36])
Ground No 2 – the effect of Schizophrenia on impairment
2. Acting President Snell held that the Arbitrator was clearly aware of the assessment process, including the effect of applying a 50 per cent deduction. ([41])
3. The Arbitrator (at [72] of his reasons) said that, if Dr Akkerman’s (psychiatrist) findings on examination were accepted, the absence of such symptoms established either:
(a) the absence of schizophrenic symptoms, or
(b) remission of such symptoms compared with how they were before the AMS. ([45])
4. The Acting President held that when the passage at [72] was read in context, it did not support an argument that the Arbitrator “erred in discretion by assuming that the removal of Schizophrenia would not have an effect on the amount of impairment”. It was quite apparent that the Arbitrator was well aware of the findings made by the AMS and the Panel, and the effect of these on the appellant’s entitlement to permanent impairment compensation. He described them in his reasons. Ground No 2 described the alleged error, in general terms, as both discretionary, and a failure to do justice according to the substantial merits of the case. However the alleged error was described, it was not made out. ([48])
5. The Acting President further observed that the Arbitrator’s decision under challenge was a discretionary one pursuant to s 350(3) of the 1998 Act. He noted that the appellant’s submissions did not specifically address the principles in House v The King [1936] HCA 40; 55 CLR 499 (Micallef v ICI Australia Operations Pty Ltd [2001] NSWCA 274 at [45], and Atomic Steel Constructions Pty Ltd v Tedeschi [2013] NSWWCCPD 33 at [58] referred to). ([49])
Ground No 3 – petty or unnecessary objections
6. The appellant took issue with the Arbitrator’s use of the word “cavil”, where he held that the “application is an attempt to cavil with the clinical determination of the AMS and the Medical Appeal Panel based on differing opinions by other examiners.” The Acting President rejected this ground, noting that the submissions were argumentative, rather than going to whether appealable error could be identified, within the meaning of s 352(5) of the 1998 Act. ([60]–[61])
Ground No 4 – delay
The submissions argument
7. The appellant advanced an argument concerning the Arbitrator’s regard to delay in determining the matter. Acting President Snell held that there was nothing in how the case was run, which suggested that the appellant was denied procedural fairness, by the Arbitrator having regard to ‘delay’, as a factor relevant to the exercise of his discretion pursuant to s 350(3) of the 1998 Act (Samuel; Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1, and Stead v State Government Insurance Commission [1986] HCA 54; 161 CLR 141 applied). ([87])
8. Acting President Snell held that the way in which the Arbitrator dealt with the submission that was actually made to him was open to him, and appropriate. The explanation for the ‘delay’, given to the Arbitrator in the appellant’s original submission, was not realistically available, given the argument the appellant pursued that there was a misdiagnosis, and she had never suffered from Schizophrenia. The Acting President was of the view that there was no error in the Arbitrator’s rejection of the explanation for ‘delay’ proffered in the submission made to him. ([91])
Was the claim met by the respondent?
9. The appellant took issue with the Arbitrator’s reasons where he said that “the respondent has met the [appellant’s] claim”. Acting President Snell held that this submission was pedantic and it was clear in context that the Arbitrator was not saying that the respondent had met the claim in terms of paying it. He held that the submission could not reasonably have been in support of any ground of appeal, and was simply argumentative. ([92])
The presence of delay
10. The appellant challenged the proposition that there was “unreasonable delay” by her or her solicitors. In her submissions, the worker set out a chronology of the two year period where there was delay. After setting out the appellant’s chronology and submissions, the Acting President held that the chronology and list of events did not show much activity relevant to the claim until 5 November 2015, when Dr Subhas (treating psychiatrist) provided a certificate stating that the worker “has not displayed any schizophrenia” (emphasis in original). Acting President Snell held that the Arbitrator’s conclusion regarding ‘delay’ was open on the evidence, as was his conclusion regarding the failure to put further evidence to the Panel at the time of the reconsideration dated 24 December 2014. He held that the Arbitrator’s factual conclusions in this regard did not disclose error. ([99], [111])
11. Ground No 4 was rejected. ([113])
Ground No 5 – would the fresh evidence be likely to affect the outcome?
The interpreter argument and re-examination
12. The appellant argued that she was denied procedural fairness, as an interpreter was not arranged for her examination with the AMS. The Acting President held that there was no indication that the absence of an interpreter was raised as an issue on the appeal to the Panel, noting that the decision of the Panel and the reconsideration did not suggest that the absence of an interpreter at the AMS examination was raised as an issue. Acting President Snell held that given it was not raised before the Panel or on the reconsideration application, it was inappropriate to raise it on the appeal (Metwally v University of Wollongong [1985] HCA 28; 60 ALR 68; 59 ALJR 481 at [7]; Coulton v Holcombe [1986] HCA 33; 162 CLR 1 at [9], and Inghams Enterprises Pty Ltd v Hickey [2017] NSWWCCPD 36 at [113]–[114] applied). ([134], [136]–[138])
13. The Acting President also noted that the appellant’s further argument that she was denied procedural fairness by not being examined by the Panel was not made on the reconsideration application. He noted that the issue of whether to conduct a re-examination would remain a discretionary matter for the Panel that is only available once the Panel finds error (Bojko v ICM Property Service Pty Ltd [2009] NSWCA 175 at [22] and New South Wales Police Force v Registrar of the Workers Compensation Commission of New South Wales [2013] NSWSC 1792 at [33] applied). ([139]–[144])
Would the fresh evidence have affected the outcome of the proceedings?
14. The appellant submitted that it was clear from the additional relevant information, that she did not have Schizophrenia. The Acting President held that it was not the duty of the AMS to perform a decision making role which involved choosing between competing arguments, or the medical opinions relied on by the parties. His function was to apply his own medical experience and medical expertise, in forming and giving his opinion, on the matter referred to him. He was not obliged to choose between the competing diagnoses of others who had previously assessed the appellant. He did not err, simply because he arrived at a diagnosis different to other medical practitioners (Wingfoot Australia Partners Pty Ltd v Kocak [2013] HCA 43; 252 CLR 480 at [47] and State of New South Wales (NSW Department of Education) v Kaur [2016] NSWSC 346 at [26] applied). ([161], [164])
15. The appellant submitted that in considering her application, “caution is paramount to ensure that a medical opinion is left in the medical profession”. Acting President Snell held that the application, at its first step, was one to set aside the COD dated 18 January 2016. That involves the exercise of the discretionary power in s 350(3) of the 1998 Act. The power is exercised by the Commission, not by an AMS or a Medical Appeal Panel, neither of which comprises the Commission: s 368 of the 1998 Act. The persuasive onus rests on the moving party, the appellant (Commonwealth v Muratore [1978] HCA 47; 141 CLR 296 at [11]). Whether that onus is discharged was not affected by the suggested need for “caution”. ([171], [173])
16. The Arbitrator concluded that the additional material relied on by the appellant was not likely to lead to a different result before either the AMS or the Panel. This was because the substance of the different diagnoses and various clinical presentations were before the AMS and the Panel in any event. The Acting President, adopting the language of O’Meally J in Galea v Ralph Symonds Pty Ltd [1989] NSWCC 4; 5 NSWCCR 192 said the further evidence “can not accurately be described as fresh evidence; it is more evidence”. ([182])
17. It followed that the Arbitrator’s conclusion, that it was unlikely that the additional evidence would lead to the AMS or the Panel taking a different approach, was well open to him on the evidence. He took appropriate matters into account. There was no error in the conclusion which he reached on this issue. ([183])
The combination of diagnoses by the Medical Appeal Panel
18. The appellant asserted that the diagnoses of adjustment disorder and Schizophrenia cannot be made together under DSM IV and DSM V. Acting President Snell held that the Arbitrator correctly observed in his reasons that the third and fourth editions of the WorkCover Guides for the Evaluation of Permanent Impairment require an AMS to make a diagnosis “based upon a psychiatric diagnosis (according to a recognised diagnostic system) and the report must specify the diagnostic criteria upon which the diagnosis is based”. No recognised psychiatric system is mandated in the Guides. It followed that the submission that the diagnosis “must be in line with the relevant DSM criteria” was incorrect. Ground No 5 was rejected ([184]–[186])
Ground No 6 – was an allegation about former legal representatives relied upon?
19. Acting President Snell held that the Arbitrator made no finding in the passage at [79] of reasons, about the diligence or competence of the appellant’s solicitors. The Arbitrator observed that such a complaint, if made, would not constitute a basis for reconsideration consistent with Hurst v Goodyear Tyre & Rubber Co (Australia) Ltd [1953] WCR 29. The Acting President held that Ground No 6 simply involved a misreading of this passage of the Arbitrator’s reasons, and was rejected. ([191])
Chattha v Malik t/as Malik Cabs [2017] NSWWCCPD 42
Alleged factual error in dealing with medical evidence; procedural fairness: application of Stead v State Government Insurance Commission [1986] HCA 54; 161 CLR 141 and Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1; the rule in Browne v Dunn (1893) 6 R 67 in the Commission; hearsay evidence in the Commission: Onesteel Reinforcing Pty Ltd v Sutton [2012] NSWCA 282; 13 DDCR 351
Snell AP
26 September 2017
Facts
The worker was a deemed worker of the first respondent, Anwar Malik t/as Malik Cabs as a bailee taxi driver. The worker alleged he suffered injury to his back on 3 November 2010 at 5 pm, lifting luggage into the boot of the taxi he was driving at Sydney Airport. He said he rested for a while and returned to the taxi base where he reported the injury to his employer, who was uninsured. On 6 November 2010, the worker attempted to return to work. He said that when he was getting into his private motor vehicle, his back spasmed and he was unable to drive and was taken to Canterbury Hospital by ambulance. The worker said that his employer told him that there was no need to make a workers compensation claim. The worker stated that the first respondent took shifts off him. In December 2010 he started driving for the third respondent, Shaukat Rana t/as Rana Spare Parts, on a casual basis. The worker said that in August 2011, the pain became too much to bear and he was unable to work. He resumed work in February 2012, working until November 2013 and has not worked since.
The worker completed a claim form dated 5 September 2011 directed to the second respondent, as the first respondent was uninsured. Liability was denied on the basis of injury, incapacity and s 9A of the 1987 Act. Ultimately, he commenced proceedings in the Commission for compensation on the basis that he suffered injury on 3 November 2010 lifting luggage into the boot of the taxi and injury due to the ‘nature and conditions’ of his deemed employment thereafter, with each of the first and third respondents. Counsel for the second respondent, Insurance & Care NSW, also represented the third respondent.
The Arbitrator made awards in favour of the three respondents. The worker appealed. Despite being served, the unrepresented first respondent did not appear in the proceedings before the Arbitrator or on the appeal.
The issues on appeal were whether the Arbitrator erred in fact, law or discretion as follows:
(a) the Arbitrator gave undue weight to the fact that the incident was not mentioned in the notes of Canterbury Hospital (reasons at [59]–[65]) (Ground No 1);
(b) the finding that there was an attempt to alter the claim form (reasons at [78]) was not open on the evidence, and should not have caused the Arbitrator “some concern” (Ground No 2);
(c) the Arbitrator failed to give adequate reasons for not accepting the veracity of the history in the certificate and report of Dr Qidwai (reasons at [81]–[91]) (Ground No 3), and
(d) the Arbitrator gave undue weight to a hearsay statement by the first respondent, referred to in a s 74 notice (dated 6 July 2012), dealing with the report of the incident to the first respondent (Ground No 4).
Held: The Certificate of Determination as against the first and second respondents was revoked and the matter was remitted for re-determination by another Arbitrator. The Certificate of Determination was confirmed as regards the award in favour of the third respondent.
The recusal application
13. Earlier proceedings between the same parties were discontinued at a telephone conference before the Acting President in his then capacity as Senior Arbitrator. Acting President Snell declined the second and third respondents’ application that he recuse himself on the basis that he had convened the earlier telephone conference (Inghams Enterprises Pty Limited v Belokoski [2017] NSWWCCPD 15 at [32]–[48] applied. Passages at [36]–[37] referred to). ([33]–[37])
Ground No 1 – Canterbury Hospital notes
14. The Arbitrator’s reasons made two specific points about perceived inconsistency between the hospital notes and the worker’s statement. The first point was that the denial of “recent injury, trauma, falls, heavy lifting” was inconsistent with the worker’s allegation of a frank injury on 3 November 2010. The second was that “if he had an acute episode of back pain” on 6 November 2010, as he stated, the Arbitrator “would have expected such a history to be provided to the hospital”. ([46])
15. When married up with the material in the supplementary statement, that the appellant used his private car to drive to the taxi base, the appellant submitted that the notes (at least this part of them) were consistent with the appellant’s statement. Acting President Snell held that this submission was correct. The Arbitrator did not refer to this part of the notes and this amounted to a factual error. The Acting President was of the view that the material not referred to was potentially corroborative of the worker’s evidence in his statement. He held that this should have been dealt with by the Arbitrator. ([47]–[48])
Ground No 2 – the finding of an attempt to alter the claim form
16. The claim form gave a date of injury of 3 November 2010. The numeral 3 was inserted for the time of injury and both the “AM” and “PM” options on the form had been circled. It was unclear as to whether the injury as marked on the claim form occurred at 3 am or 3 pm. The time alleged had an effect of whether the claim form and the note of Dr Houfani (the GP) were consistent. The worker had seen Dr Houfani at 10.21 on 3 November 2010 and the doctor did not note that the worker had been injured. If the injury had occurred at 3 am, the claim form and Dr Houfani’s notes would be inconsistent. ([55]–[58])
17. Acting President Snell held that an inference that the worker had behaved, in relation to alteration of the claim form, in a fashion which impacted adversely on his credit, was not squarely raised before the Arbitrator. With a submission to that effect not having been clearly made, procedural fairness required that the Arbitrator inform the worker if she was considering such a course. This was consistent with Stead v State Government Insurance Commission [1986] HCA 54; 161 CLR 141 at [6]–[7] and [11], and Seltsam Pty Limited v Ghaleb [2005] NSWCA 208; 3 DDCR 1 (Ghaleb) at [78]. The Acting President held that the treatment of such evidence by the Arbitrator, where she said “the fact that the form has clearly been amended is of some concern, particularly when he had already sought the advice of his solicitor” constituted error (Gardiner v Oxford Art Supplies and Books Pty Ltd [2007] NSWWCCPD 210 at [47] and Bale v Mills [2011] NSWCA 226 at [79] applied) ([63]–[65]).
Ground No 3 – the evidence of Dr Qidwai
18. This ground argued that the Arbitrator failed to give adequate reasons for not accepting the veracity of the history in the certificates and report of Dr Qidwai. ([66])
19. Acting President Snell observed that the worker’s argument seemed to go to the Arbitrator’s failure to accept the version of the worker’s injury contained in his statement which was generally consistent with the history recorded by Dr Qidwai. ([84])
20. Acting President Snell held that the fundamental reason why Dr Qidwai’s opinion was deprived of weight was that the Arbitrator did not accept the worker’s evidence of sustaining an injury on 3 November 2010 (Paric v John Holland (Constructions) Pty Ltd [1985] HCA 58; 59 ALJR 844 at [9]; Makita (Australia) Pty Ltd v Sprowles [2001] NSWCA 305; 52 NSWLR 705 at [64]; Hancock v East Coast Timber Products Pty Limited [2011] NSWCA 11; 80 NSWLR 43 at [82]–[83] applied). The denial of injury was clearly made (with associated reasons) in the second respondent’s s 74 notice dated 6 July 2012. An argument based on the rule in Browne v Dunn (1893) 6 R 67 did not succeed: Quadi v The Reject Shop (Aust) Pty Ltd [2008] NSWWCCPD 3 Roche DP at [56] applied. For these reasons, Ground No 3 failed. ([104]–[105])
Ground No 4 – the hearsay statement in the section 74 notice
21. There was an issue identified in the s 74 notice, regarding whether the worker made a contemporaneous report of his injury to the first respondent. This was relevant to whether the injury occurred as alleged. The Acting President held that the Arbitrator’s reasons demonstrated that she was aware of the conflict between the worker’s statement, his claim form, and what the first respondent was said to have told the author of the s 74 notice of the second respondent. ([112]–[113])
22. Acting President Snell observed that the hearsay material from the first respondent, the subject of this ground, was contained in a s 74 notice. The Acting President held that the provisions do not provide for the inclusion of evidence as part of the text of a s 74 notice. He observed that as a matter of practice, it is not unusual for such notices to recite passages of evidence, for example from a medical report relied on. This is not in substitution for copies of the source documentation; cl 41 of the 2016 Regulation required that reports falling within its ambit be provided as an attachment to the s 74 notice. One would not anticipate that evidence on which an employer or insurer relied would be recited as part of the text of the notice, and not appear also as a relevant attachment. He added that the inclusion of hearsay material in the s 74 notice, such material not appearing elsewhere in attachments, was unusual and inappropriate. ([122])
23. Acting President Snell said that neither party addressed on the hearsay material, and there was not an indication that the Arbitrator proposed relying on such material. In those circumstances, the worker did not, at the arbitration hearing, address on the weight of that material, or why it should not be accepted. The Arbitrator’s reliance on the hearsay evidence in those circumstances constituted error of the sort identified in Ghaleb at [78]–[79]. Ground No 4 was upheld. ([125]–[126])
Miller v State of New South Wales [2017] NSWWCCPD 38
Section 9A of the 1987 Act; substantial contributing factor; mere temporality is not sufficient to satisfy the requirements for s 9A
Parker ADP
1 September 2017
Facts
The deceased worker suffered from asthma all of her life. She passed away due to anoxia due to a severe asthma attack. The deceased’s duties with the respondent employer, in the Home Care Service Division, were those of a co-ordinator from an office in Brewarrina. Her usual role was to organise drivers for clients. However her regular duties included driving the bus when the drivers were not available. On the occasion of her death the deceased was required to drive a number of clients from Brewarrina to Dubbo. On the return journey, the deceased suffered a severe asthma attack from which she died.
The deceased’s husband brought proceedings in the Commission seeking compensation pursuant to s 25 of the 1987 Act. The Arbitrator held that the cause of the deceased’s injury was a pre-existing medical condition which was not aggravated by her employment (Arbitrator’s reasons at [112]). The Arbitrator held that the appellant had not discharged the onus of proof on him to show that the deceased’s employment was a substantial contributing factor to the injury suffered by her in the course of her employment. The deceased’s husband appealed. The appellant based his claim on the proposition that because her duties placed the deceased at a particular location at which the asthma attack occurred she was remote from medical assistance.
There were 11 grounds of appeal, not all of which were pursued in the appellant’s written submissions. The issues on appeal were:
(a) Grounds 1 to 5 inclusive related to paragraph [114] of the Arbitrator’s reasons, where the Arbitrator set out a number of matters that would have to be assumed in order for the appellant to succeed in his claim, on the basis put forward at the hearing before the Arbitrator;
(b) Ground 6 complained that the Arbitrator failed to apply common sense to the test for substantial contributing factor;
(c) Grounds 7 and 8 challenged the findings of the Arbitrator at paragraph [112] of his reasons and the application of s 4 of the 1987 Act;
(d) Ground 9 asserted that the Arbitrator failed to consider and make findings as to whether the factors were real and of substance in the sense discussed in Badawi v Nexon Asia Pacific Pty Ltd [2009] NSWCA 324; 75 NSWLR 503; 7 DDCR 75 (Badawi);
(e) Ground 10 asserted that the Arbitrator failed to provide adequate “resources” but the Acting Deputy President assumed that this was complaint as to the adequacy of the “reasons”, and
(f) Ground 11 asserted that the Arbitrator failed to make findings with respect to the injury expressed by Drs Bryant, Jennings and Heyns.
Held: The Certificate of Determination dated 21 March 2017 was confirmed.
Application to extend time to serve fresh evidence
1. The appellant sought leave to file a report of Dr Jennings, two reports of Dr Fulde, an affidavit of Scarlett Abernethy and a statement of Heather Finlayson. Acting Deputy President Parker held the appellant had not demonstrated that the reports could not have been obtained prior to the hearing before the Arbitrator. He also held that there would not have been a different conclusion if the Arbitrator had received the material. The Acing Deputy President held that there was no substantial injustice from declining to admit the further material (CHEP Australia Limited v Strickland [2013] NSWCA 351 at [27]; Northern NSW Local Health Network v Heggie [2013] NSWCA 255 at [66], and CDJ v VAJ [1998] HCA 67; 197 CLR 172 at 202 applied). ([18], [24], [30], [36]–[38], [41]–[42])
2. The appellant sought leave to cross-examine Mr Holman (the off-duty paramedic who was flagged down by passengers and rendered assistance to the deceased prior to the arrival of the ambulance). Acting Deputy President Parker held that the proposed oral evidence from Mr Holman would be unlikely to provide additional information or enhance the exercise of the Commission’s functions as required by s 354(6) of the 1998 Act. ([52]–[58])
As to the grounds of appeal generally
3. Acting Deputy President Parker held that the appellant misconceived what the Arbitrator was intending to demonstrate by [114]. In that paragraph, the Arbitrator identified the “assumptions” that had to be made out to sustain the contention that had the worker had the asthma attack in her office at Brewarrina she would not have died. The Acting Deputy President held that [114] did not form an essential part of the Arbitrator’s reasoning. Rather the essential reasoning was contained at [112]–[113] of the Arbitrator’s reasons. ([77], [80]–[82])
Ground 1 – The Arbitrator erred in finding that there was insufficient evidence to make a finding in favour of the appellant on the fact that the deceased was in or close to Brewarrina at the time of her attack
4. Acting Deputy President Parker held that the Arbitrator correctly identified that the locality at which the acute asthmatic episode occurred was essential to the appellant’s case. On the appellant’s case unless the asthma attack occurred in and close to Brewarrina the deceased would not have had access to the suggested medical assistance. The Acting Deputy President held that the Arbitrator in paragraph [114] endeavoured to demonstrate that the appellant’s contention could not succeed because the necessary assumption, namely that the acute asthma attack had happened in or close to Brewarrina, was not made out and in this respect the Arbitrator was plainly correct. Ground 1 of the appeal failed. ([86]–[88])
Ground 2 – The Arbitrator erred in finding that there was insufficient evidence to make a finding in favour of the appellant on the fact that the deceased immediately recognised the seriousness of the attack
5. Acting Deputy President Parker held that the Arbitrator was correct in his conclusion that the appellant’s case assumed the deceased appreciated the seriousness of her condition immediately before losing consciousness and that this assumption was unsupported by evidence. He observed that on the evidence of one of the passengers, the deceased did not regard the asthma episode as so acute as to require immediate attention. In this regard it was noted that the deceased only pulled over to the side of the road at the insistence of the passengers. Ground 2 of the appeal failed. ([90]–[92])
Ground 3 – The Arbitrator erred in finding there was insufficient evidence to make a finding in favour of the appellant on the use of the additional puffer, nebuliser or Ventolin being insufficient treatment to deal with the attack
6. The Acting Deputy President held that it was open to the Arbitrator to accept the evidence of Professor Young. The effect of his evidence was that the usual modes of treatment (being the “puffer”, nebuliser or Ventolin) would probably not have successfully resolved or dealt with the attack. Professor Young said that the asthma attack seemed to have been very severe such that the only treatment with a realistic prospect of avoiding anoxia and cardiac arrest was immediate attention in a hospital emergency ward. Ground 3 failed. ([93]–[98])
Ground 4 – The deceased was able to get herself to Brewarrina Hospital in time for the appropriate treatment to be administered to her
7. This submission by the appellant assumed that the deceased would have taken a particular course of conduct. The Acting Deputy President held that the probability, however, favoured the deceased attempting measures other than attendance at hospital within a sufficient time to receive effective treatment. Acting Deputy President Parker held that it was open for the Arbitrator to draw the inference that he did. He noted that the deceased only went to hospital when she was suffering from pneumonia. The appellant’s evidence established this, and that she had not attended hospital in Brewarrina for asthma. ([99]–[104])
Ground 4 – The Arbitrator erred in finding that there was insufficient evidence to make a finding in favour of the appellant on the fact that the deceased was able to get herself to Brewarrina Hospital in time for the appropriate treatment to be administered
8. There was no precise calculation in the evidence as to the time between the onset of the attack and the time at which she would have been required to attend at hospital if she was to be ventilated in a manner contemplated by Professors Young and Bryant. The onus was on the appellant to establish a precise timeframe if this was to be relied upon. That timeframe would have involved establishing that the deceased would have chosen, had she been in Brewarrina, to attend Brewarrina Hospital and that she would have done so within the “window of opportunity” contemplated by Professors Young and Bryant. That “window” may have been as little as two or three minutes. The Acting Deputy President held that the Arbitrator was not in error in finding that the appellant had not discharged this onus of proof. Ground 4 failed. ([105], [107]–[109])
Ground 5 – The Arbitrator erred in finding that there was insufficient evidence to make a finding in favour of the appellant of the fact that the treatment given at the hospital would have been adequate to save the deceased’s life
9. The Arbitrator accepted Professor Young’s opinion. In Professor Young’s opinion, unless the attack occurred at a time when the deceased could have been immediately ventilated, it was likely to prove fatal. Acceptance of that opinion, based on the view taken by Professor Young meant that unless the attack occurred in a hospital precinct it was likely to be fatal. Ground 5 failed. ([110]–[112])
Ground 6 – The Arbitrator erred in failing to find that the employment was a substantial contributing factor to her injury and death applying the factual circumstances of the deceased’s passing and applying the common sense test to the circumstances and taking into account the timeline
10. The appellant did not challenge the conclusion that the deceased’s work driving the community bus did not cause the severe asthma attack. Acting Deputy President Parker held that the deceased’s work required her to drive a bus between Brewarrina and Dubbo and return. The Arbitrator found her employment included driving duties in the nature of those she was performing on 15 April 2011. It was undisputed that neither the driving nor the location of the bus when the episode commenced caused the severe asthma attack. He held that s 4 or s 9, much less s 9A were not satisfied (Le Brocq v WorkCover Authority (NSW) [2008] NSWCA 125; 6 DDCR 257; Mercer v ANZ Banking Group Limited [2000] NSWCA 138; 48 NSWLR 740, and Badawi applied). Ground 6 failed. ([113]–[121])
Ground 7 – The Arbitrator erred in law in finding that the deceased had not suffered an injury within the meaning of s 4 of the 1987 Act
11. The Acting Deputy President held that the Arbitrator was correct in his conclusion concerning the location of the deceased when she suffered the asthma attack. The location at which the deceased was at the time and what she was doing driving the bus did not aggravate, accelerate, exacerbate or cause a deterioration in the deceased’s asthma. The task itself and the location at which it was being performed were entirely irrelevant to the onset of the asthma attack. In the Acting Deputy President’s view, the Arbitrator did not make any error in law in finding that the deceased had not suffered an “injury” within the meaning of s 4 of the 1987 Act. Ground 7 failed. ([124]–[126])
Ground 8 – The Arbitrator erred in failing to find that the deceased’s employment was a contributing factor to the aggravation of the deceased’s underlying asthma for the purpose of s 4(b)(ii)
12. For the reasons given in Ground 7, and under Ground 6 (concerning Badawi at [89] and [91] her employment included driving duties in the nature of those she was performing on the day of her death and it was undisputed that neither the driving nor the location of the bus when the episode commenced caused the severe asthma attack) this ground of appeal was not made out. Ground 8 of the appeal failed. ([127])
Ground 9 – The Arbitrator erred in failing to consider and make findings as to whether the factors were real and of substance in the sense discussed in Badawi
13. The appellant submitted that there was an immediate and unbroken chain of causation between the asthma attack, the anoxia causing cardiac arrest and the circumstances of the deceased’s employment. Acting Deputy President Parker held that the underlying premise as to “the circumstances of the deceased’s employment” was not articulated. Other than geography, there was no circumstance in the deceased’s employment of relevance and the geographical location of the events made no contribution. The underlying disease was not aggravated, accelerated or exacerbated by the duties the deceased was performing. There was, therefore, no injury to which the employment contributed. ([129]–[130])
14. The Arbitrator concluded that the causal connection between the deceased’s employment and the acute asthma attack was not real and of substance. The Acting Deputy President held that the Arbitrator was correct to do so and no error was demonstrated. Ground 9 of the appeal failed. ([134])
Ground 10 – A failure to provide adequate reasons
15. Acting Deputy President Parker held that the Arbitrator’s reasons were complete and more than adequate to explicate the reasoning process. The reasons demonstrated that the Arbitrator engaged with all of the evidence, both lay and expert, sufficient to enable the applicant to understand the reasons for his conclusions. The reasons furthermore were adequate to enable the decision to be considered at appellate level (Beale v Government Insurance Office (NSW) (1997) 48 NSWLR 430 at 444 applied). Ground 10 failed. ([136]–[138])
Ground 11 – The Arbitrator erred in failing to have any regard to or to make any finding with respect to the injury expressed by Dr Bryant, Dr Jennings, Dr Heyns
16. Acting Deputy President Parker held that the Arbitrator considered in detail the opinions of those doctors, in particular that of Associate Professor Bryant. It could not be said that the Arbitrator did not consider the opinion of Associate Professor Bryant. The Acting Deputy President held that the Arbitrator did not overlook these opinions. He said, however, that the opinions did not address the fundamental requirement under s 4 and s 9A, namely, that the relevant injury was the aggravation of the pre-existing asthmatic condition. To that aggravation, employment was not a substantial contributing factor, indeed, the employment activities were of no significance at all. Ground 11 of the appeal failed. ([140], [142], [145]–[146])