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Supreme Court of the ACT |
Last Updated: 26 October 2009
SHARYN LEE PRIMROSE v WENDY J PAGE &
ANOR
[2009] ACTSC 132 (9 October 2009)
Safety, Rehabilitation and Compensation Act 1988 (Commonwealth) ss 5,
11, 14, 16, 19, 48, 50, 53, 54, 61
Workmen’s Compensation Ordinance
1949-1968 (NT)
Freedom of Information Act 1982
(Commonwealth)
Administrative Decisions (Judicial Review) Act 1977
(Commonwealth)
Judiciary Act 1903 (Commonwealth)
Workers
Compensation Act 1987 (NSW) s 151Z
Motor Accidents Compensation Act
1999 (NSW)
Court Procedures Rules 2006 Div 2.15.3
Tickle Industries Pty Ltd v Hann [1974] HCA 5; (1974) 130 CLR 321
Behan v
Australian Telecommunications Corporation [1990] FCA 502; (1990) 99 ALR 79
Telstra Corporation Ltd v Barrow (1994) 19 AAR 532
Shergold v Tanner [2002] HCA 19; (2002) 209 CLR
126
Saraswati v The Queen [1991] HCA 21; (1991) 172 CLR 1
Telstra Corporation
Ltd v Flynn (2002) 55 NSWLR 303
Tamerji v Rhee [2008] NSWCA
314
STATUTORY INTERPRETATION – Safety, Rehabilitation and Compensation Act 1988 (Commonwealth) – plaintiff claiming damages for personal injury from tortfeasor – plaintiff previously received compensation under Act – dispute as to causal connection between tort and impairment – whether open to Court to make declaration as to amount of compensation required to be repaid under section 48
PRACTICE and PROCEDURE – Court Procedures Rules 2006 Division 2.15.3 – circumstances in which Court will determine preliminary question of law
No. SC 35 of 2007
Judge: Master Harper
Supreme Court of the ACT
Date: 9 October 2009
IN THE SUPREME COURT OF THE )
) No. SC 35 of 2007
AUSTRALIAN CAPITAL TERRITORY )
BETWEEN: SHARYN LEE PRIMROSE
Plaintiff
AND: WENDY J PAGE
First Defendant
COMCARE
Second Defendant
ORDER
Judge: Master Harper
Date: 9 October 2009
Place: Canberra
THE COURT ORDERS THAT:
The question asked in the statement of preliminary point be answered in the negative.
1. This action commenced as a conventional claim for damages for personal injury
arising out of a motor vehicle collision. The collision
happened on 11 February
2004 in Canberra Avenue, Griffith. The defendant ran into the back of the
plaintiff’s car while it
was stopped in traffic.
2. The plaintiff was
on her way home from work. She worked as a dental technician with ACT Community
Care, a position in the ACT
Public Service. She was an employee as defined in
section 5 of the Safety, Rehabilitation and Compensation Act 1988 (Commonwealth)
(The SRC Act) and was entitled to claim benefits from Comcare.
3. Section 14
of the SRC Act provides that Comcare is liable to pay compensation in accordance
with the Act in respect of an injury
suffered by an employee if the injury
results in incapacity for work. By section 16, Comcare is liable to pay
compensation of such
amount as Comcare determines to be appropriate in respect
of the cost of medical treatment obtained in relation to the injury. Section
19
makes Comcare liable to pay an employee who is incapacitated for work an amount
of compensation calculated by reference to a statutory
formula.
4. Section 53
makes the application of the Act in relation to an injury to an employee
dependent on written notice of the injury being
given to Comcare as soon as
practicable. Section 54 provides that compensation is not payable under the Act
unless the claimant
lodges with Comcare a written claim in an approved form,
accompanied by a medical certificate which is also to be in an approved
form.
5. The plaintiff completed a Comcare claim form on 17 February 2004.
She described her compensable injury as “overuse syndrome
plus car
accident”. The injured body parts were said to be her neck, upper back
and lower back. She said she had first sought
medical treatment for the injury
in about May 2003 from Dr Mark Strelnikow and Dr Richard Rowe. In answer to the
question “When
were you injured or when did you first notice you were
ill?” she wrote “Car accident 11 February 2004 5.25 pm”.
A
further question asked what started the chain of events that led to her injury.
She completed this “Lack of recommended
modification needed in work
environment – suggested by GP in approx June 03 and physiotherapist July
03 / rear end collision
Feb 04.” The next question asked what action,
exposure or event happened to cause her injury. She completed this “None
– structuring of appointment book resulting in large blocks of operative
dentistry being carried out on small children increasing
strain on neck and back
/ rear end collision”. The next question asked what actually injured her.
Her response was “Overuse
in combination with car accident”. A
later question asked whether her injury happened while she was travelling to,
from or
for work. She initially ticked the “No” box but changed
this to “Yes” and added “It was exacerbated
by car
accident”. She said that she was travelling from work to an appointment
with a chiropractor for neck and back problems.
6. The claim form was
accompanied by four medical certificates signed by Dr Strelnikow. The earlier
two were not on the Comcare prescribed
form but the later two were. They
certified that the plaintiff was unfit for work for various periods. The
certificates on Comcare
forms stated that Dr Strelnikow had examined the
plaintiff “in relation to the injury stated as occurring on
11.2.04”.
The injury was described as “soft tissue injury cervical
/ thoracic / lumbar spine”. On the first of the forms, dated
23 February
2004, Dr Strelnikow also noted pre-existing work-related back symptoms. The
next certificate, dated 1 March 2004, referred
only to the injury of 11
February, and no longer mentioned anything about pre-existing factors. This was
the pattern for later certificates,
with one anomalous exception to which I
shall refer.
7. The claim form was received by Comcare on 24 March 2004. As
required by section 61 of the Act, Comcare served on the plaintiff
a notice in
writing setting out the terms of and the reasons for its determination, with a
statement to the effect that, if dissatisfied,
she could request a
reconsideration. The determination related only to the motor vehicle accident
of 11 February 2004, and accepted
neck sprain, thoracic sprain and lumbar sprain
as an injury or injuries arising out of or in the course of her employment. The
statement
of reasons included a paragraph in the following terms:
New
Claim
I note you are also claiming compensation for an overuse injury which
you state is work related. If you wish to claim for this condition
you will
need to complete “Claim for Workers’ Compensation” and provide
medical evidence to support your claim.
Please note the medical evidence should
be an original and consist of precise diagnosis and the relationship to your
employment.
Comcare will advise you of the decision in due course.
8. On 13
April 2004, Comcare wrote to the plaintiff noting that she might be able to
claim damages from a negligent third party.
If she recovered damages, she would
be obliged to notify Comcare. She was informed that section 48 of the Act
allowed Comcare to
recover from her either the total amount of compensation
Comcare had paid or the amount of damages, whichever was the less, and that
no
further compensation would be payable after the recovery of damages.
9. The
plaintiff did not seek reconsideration of the determination, nor did she lodge a
further claim form or medical evidence about
her 2003 injury. It is apparent
from the Comcare file that her employer had received a medical certificate (not
on the prescribed
Comcare form) signed by Dr Strelnikow and certifying that the
plaintiff was unfit for work on 16 March 2003. The doctor had handwritten
a
note reading “I feel this problem is related to work conditions which need
modification to avoid ongoing problems.”
The records also include what
appears to be an internal ACT Health application for leave for the period from
2.30pm to 4.51pm on
16 June 2003, signed by the plaintiff on the following day.
I infer that the plaintiff took the afternoon off work on 16 June 2003
and saw
Dr Strelnikow, who gave her the certificate which she provided to her employer
the following day. I also infer that the
afternoon off was treated as sick
leave and that no Comcare claim was made about it at the time. There was no
evidence advanced
of any other or time off work between 16 June 2003 and the car
accident.
10. After the car accident, the plaintiff continued to provide
Comcare with medical certificates from Dr Strelnikow’s practice,
and
accounts for treatment. The treatment expenses were paid by Comcare, and from
time to time the plaintiff was paid incapacity
payments for certified absences
from work. All of the payments were made under claim number 00826591/02. The
plaintiff had had
a previous Comcare claim, in relation to an accident in
October 2002, which had been allocated claim number 00826591/01. I infer
that
Comcare’s practice is to allocate a number to a claimant, and to retain
that number for the claimant, numbering later
separate claims in the manner
indicated. This is consistent with the fact that the plaintiff made a claim for
Comcare benefits in
January 2007 which was allocated claim number 826591/3,
although ultimately refused. The 2007 claim was in respect of stress with
some
accompanying physical symptoms said to result from sexual harassment and
intimidation by fellow employees.
11. All of the medical certificates after
the motor accident until January 2007 were completed as consequent on the motor
accident.
After that date, some certificates were based on the stress claim
whilst others related to the motor accident. The last medical
certificate
related to the motor accident in evidence which I have been able to identify was
dated 5 April 2007, and the last letter
from Comcare to the plaintiff in
evidence, confirming approval of payments of amounts claimed, is dated 8 May
2007. A list of payments
made by Comcare under the claim number 00826591/02,
printed on 25 February 2009, shows payments of expenses throughout 2007 and up
to 27 June 2008, and incapacity payments up to 27 October 2006.
12. The
plaintiff instructed her present solicitors to act on her behalf in a claim for
damages against the present defendant in December
2006. In January 2007, the
present action was commenced in the plaintiff’s name by solicitors
instructed by Comcare, a course
available under section 50 of the Act. In July
2007 the plaintiff’s solicitors took over the conduct of the action from
the
solicitors who had been instructed by Comcare.
13. In October 2008 the
plaintiff’s solicitors applied for an order that Comcare be joined as a
defendant. The application
was supported by an affidavit by Ms Deborah Rolfe.
Ms Rolfe set out the history of the matter. She said that at the time of the
car accident, “the plaintiff was driving from her work to attend a
chiropractor who had been treating her for neck and back
problems which had been
ongoing since at least mid-2003.” It is not clear whether the plaintiff
had been seeing the chiropractor
since mid-2003, or indeed whether the plaintiff
had seen the chiropractor at all before the car accident, and there is no other
evidence
to assist on this point, although there is in evidence a report by a
physiotherapist who saw the plaintiff on 25 June 2003 with complaints
of
cervical, thoracic and lumbar pain, and other related symptoms. He thought the
plaintiff had early signs of occupational overuse
syndrome and that if
adjustments were not made in her workplace her condition would worsen.
14. In
January 2007 the plaintiff was seen by an occupational physician, Dr Virginia
Pascall, at the request of the solicitors for
the defendant. Dr Pascall took a
detailed history, conducted an examination, and provided the defendant’s
solicitors with
a seventeen-page report. She expressed the opinion that the
plaintiff’s symptoms by September 2004 were more probably than
not due to
work practices and work equipment, and not to the motor accident. She noted
that the last record in the physiotherapy
notes of any symptoms that could be
attributed to the motor accident were in June 2004. Her opinion was that the
symptoms caused
by the accident had persisted in some degree until June 2004,
but that the effects of the motor accident had ceased within six months
of its
occurrence.
15. On 13 March 2009 I ordered, with the consent of the
plaintiff, the defendant and Comcare, that Comcare be made a defendant. I
gave
leave to file an amended originating claim and statement of claim and ordered
that the plaintiff’s entitlement to relief
in the form sought against
Comcare be determined as a preliminary point of law.
16. The pleadings are
now closed. The parties have asked that the Court determine, as a preliminary
point of law, whether the Court
has power to make a declaration that the amount
repayable by the plaintiff to Comcare based on the Court’s findings
concerning
the nature, extent and duration of the plaintiff’s injuries, is
a different amount from the amount paid by Comcare to the plaintiff
and on her
behalf pursuant to its determinations under the SRC Act (being an amount of
$69,130.53 at 14 April 2009). The course
is available under Division 2.15.3 of
the Court Procedures Rules 2006.
17. The plaintiff’s concern is that
Comcare has attributed all of the payments it has made since the date of the
motor accident
to the claim in respect of that accident. If, on the hearing of
the present action, Dr Pascall’s opinion is accepted, the
plaintiff cannot
expect to recover treatment expenses or loss of earnings after June 2004. But
if the preliminary point is decided
in Comcare’s favour, she will have to
pay all of those expenses back to Comcare out of her damages. Indeed, her
entire award
of damages may not reach the amount paid out by Comcare (although
in that event her liability to repay Comcare would be limited to
the total
amount of her damages). Senior counsel for the plaintiff suggests that this
would represent a windfall to Comcare, which
would be recovering from the
plaintiff’s damages arising out of the motor accident amounts it had paid
which would have been
found to have had nothing to do with the motor
accident.
18. Senior counsel for Comcare submits that there would be no
windfall, because Comcare would be recovering only payments which it
had
determined at the time of payment were related to the motor accident, and that
regardless of abstract notions of fairness, Comcare’s
right to recovery
was conferred by the statute, which must be construed in accordance with decided
cases and upon proper principles
of statutory interpretation.
19. Senior
counsel for the plaintiff submits that the claim form submitted to Comcare by
the plaintiff after the motor accident should
be read as a composite claim form
relating to two separate injuries, the first being the 2003 overuse injury and
the second being
the injury sustained in the motor accident. Comcare had failed
to deal with the claim insofar as it related to the overuse injury.
The
determination of April 2004 did not amount to a rejection of the overuse claim,
but rather a refusal to deal with it immediately.
There had never been a
determination in respect of the overuse injury. Section 48 of the SRC Act was
intended to prevent double
recovery by an injured worker. It was not intended
to provide a means for Comcare to recover compensation payments which had been
made in respect of a different injury from that for which damages had been
recovered. If the Court, on the hearing of the action,
found on the facts that
the plaintiff had made a complete recovery from the effects of the motor
accident within six months, it would
be unconscionable for the plaintiff to be
required to repay to Comcare payments it had made to her and on her behalf
outside that
period, because the Court would have found that those payments were
unrelated to her motor accident injuries. Although counsel did
not spell the
submission out in so many words, it would seem to follow that the payments must
have been made in respect of the 2003
overuse injury, of which the motor
accident injury must have been found to have been no more than a temporary
exacerbation.
20. It is, of course, overly simplistic to assume that there
are only two possible sets of factual findings which might be made by
the Court
on the hearing of the action. It is entirely conceivable that the Court will
arrive at findings of fact which do not accord
with either the plaintiff’s
case or the first defendant’s case, but fall somewhere between. Senior
counsel for Comcare,
however, submits that whatever findings the Court
ultimately makes as to the facts, if the plaintiff recovers any damages against
the first defendant she will be obliged to repay Comcare in respect of all the
payments it has made pursuant to its determination
or determinations related to
the car accident claim, up to the limit of those damages. Hence it is
appropriate to determine that
issue as a preliminary question of law without
waiting for the findings of fact.
21. Senior counsel for Comcare notes that
no court has ever made a declaration such as is presently sought, and submits
that this
is not surprising, the SRC Act being a code governing the payment of
compensation “in respect of an injury” sustained
by a Commonwealth
or ACT employee in the course of her employment resulting in incapacity for work
or impairment. The amount repayable
under section 48 is the amount of
compensation previously paid to the employee in respect of the injury. Section
48 leaves no room
for a Court to declare otherwise.
22. The applicable parts
of the section are as follows:
48 Compensation not payable where damages
recovered
(1) This section applies where:
(a) an employee recovers
damages in respect of an injury to the employee . . . being an injury . . .
in respect of which compensation
is payable under this Act;
. . .
(3) If,
before the recovery of the damages by . . . the employee . . . any
compensation under this Act was paid to, or for the
benefit of, the employee in
respect of the injury . . . the employee . . . is liable to pay to Comcare
an amount equal to:
(a) the amount of that compensation; or
(b) the
amount of the damages;
whichever is less.
(4) Compensation is not
payable under this Act to the employee in respect of the injury, loss or damage,
. . . after the date on
which the damages were recovered by the employee .
. .
. . .
(7) Where an employee, . . . establishes to the
satisfaction of Comcare that a part of the damages referred to in subsection (1)
did not relate to an injury . . . in respect of which compensation is payable
under this Act, subsection (3) applies in relation
to that employee . . . as
if the amount of the damages were an amount equal to so much of the amount of
the damages as did relate
to an injury . . . in respect of which compensation
is payable under this Act.
23. Section 51 (Payment of damages by persons to
Comcare) authorises Comcare to give a notice in writing to a person who appears
to
be liable to pay damages to an employee in respect of an injury in respect of
which an amount of compensation has been paid under
the Act, requiring the
person to pay to Comcare on settlement of or judgment in the claim so much of
the amount of the damages as
does not exceed the amount that would be payable by
the employee to Comcare under section 48 if the damages had been paid to the
employee. The section authorises Comcare to give a similar notice to a person
who has agreed to pay damages, or against whom damages
have been awarded. The
payment of an amount to Comcare in accordance with the section is a discharge of
the liability of the person
to the employee, and also of any liability of the
employee to Comcare under section 48.
24. Section 11 is also submitted by
senior counsel for Comcare to be relevant to the determination of the point of
law. That section
is in the following terms:
11 Liability of relevant authority
The liability of a relevant authority to pay compensation to a person under this Act is the liability of that authority to pay to the person such amount or amounts as are determined by that authority to be payable to the person under this Act.
Comcare is a relevant authority for the purposes of the section. Counsel submits that it would be inconsistent with the section for this Court to declare that some amount is payable to Comcare under section 48 other than the amount or amounts which were determined by Comcare to be payable.
25. I was referred by counsel to a number of decided cases. None dealt
precisely with the point which arises for decision on the
present application.
Tickle Industries Pty Ltd v Hann [1974] HCA 5; (1974) 130 CLR 321, in which the High Court
reversed a decision of the Supreme Court of the Northern Territory, involved the
construction of a section
of the Workmen’s Compensation Ordinance
1949-1968 of that Territory in comparable but not identical terms to section 48
of
the SRC Act. There was no dispute between the parties about the amount which
had been paid out by the workers’ compensation
insurer and was claimed
from the tortfeasor.
26. In Behan v Australian Telecommunications Corporation
[1990] FCA 502; (1990) 99 ALR 79, Lockhart J, in holding that it was not permissible for a
Commonwealth instrumentality to “settle” a Comcare claim with
an
employee for a lump sum, said that what is now the SRC Act provided an elaborate
and detailed code governing the right of employees
to compensation and the
obligation of the Commonwealth or its authorities to pay it. It was
inconsistent with the legislation for
the Commonwealth and its employees to
contract out of the legislation other than as specifically provided by the
legislation itself.
The obligations of the Commonwealth and its authorities,
and the rights and liabilities of employer and employee, were to be found
within
the four corners of the Act. The Commonwealth could not depart from the
statutory code and adopt a course which would impose
a charge on the
Commonwealth revenue outside the legislation.
27. Telstra Corporation Ltd v
Barrow [1994] FCA 1141; (1994) 19 AAR 523, a decision of Carr J in the Federal Court of
Australia, raised a somewhat different issue to the present case. The employee
had
been injured in a car accident and had recovered damages from the
tortfeasor. Although his claim had included particulars of a neck
injury, the
trial judge had held that the neck symptoms were in no way connected with the
car accident and were not to be taken into
account in the assessment of damages.
The employee subsequently lodged a workers’ compensation claim for neck
symptoms. A
disc protrusion in the cervical spine was identified
radiologically, and the Administrative Appeals Tribunal, altering a Comcare
decision, found the neck injury had been caused by the car accident. The AAT
substituted a determination that the employer was liable
to pay compensation for
aggravation of cervical spondylosis caused by both the employment and the car
accident. Carr J held that
the decision of the Tribunal was correct
notwithstanding section 48(4) of the SRC Act (set out above), because the
plaintiff had
not recovered damages for the neck injury.
28. Shergold v
Tanner [2002] HCA 19; (2002) 209 CLR 126 was a decision about the application of Commonwealth
freedom of information legislation, not about Comcare or personal injury. It
was cited by senior counsel for the plaintiff because the High Court, in a
single judgment (Gleeson CJ, McHugh, Gummow, Kirby and
Hayne JJ) mentioned the
general proposition that a law of the Commonwealth is not to be interpreted as
withdrawing or limiting a
conferral of jurisdiction unless the implication
appears clearly and unmistakeably. The Freedom of Information Act 1982
(Commonwealth) was not to be interpreted as redefining the jurisdiction of the
Federal Court under the Administrative Decisions (Judicial Review) Act 1977
(Commonwealth) or the Judiciary Act 1903 (Commonwealth). But a closer reading
of the decision makes it clear that their Honours were talking about the issue
of implied repeal
of an earlier statutory provision by a later one. Their
Honours cited a passage from the judgment of Gaudron J in Saraswati v The
Queen
[1991] HCA 21; (1991) 172 CLR 1, in which her Honour said at p17:
It is a basic rule of
construction that, in the absence of express words, an earlier statutory
provision is not repealed, altered
or derogated from by a later provision unless
an intention to that effect is necessarily to be implied. There must be very
strong
grounds to support that implication, for there is a general presumption
that the legislature intended that both provisions should
operate and that, to
the extent that they would otherwise overlap, one should be read as subject to
the other . . .
29. There is no suggestion in the present case that
anything in the SRC Act effected an implied repeal of any earlier statutory
provision
conferring jurisdiction on this Court.
30. Telstra Corporation Ltd
v Flynn (2002) 55 NSWLR 303 was a decision of the NSW Court of Appeal (Beazley,
Hodgson and Santow JJA) which dealt with the operation of sections of the SRC
Act not relevant for the purposes of the present action. A Telstra employee had
made an unsuccessful claim under the SRC Act and
had subsequently sued Telstra
for damages under the general law in the District Court of New South Wales. The
Court of Appeal held
that on a proper reading of the provisions of the SRC Act
this was impermissible. Beazley JA said at para 45 that where there had
been a
determination by a relevant authority under the SRC Act, it was not open to the
authority to challenge the determination in
a common law claim, nor could an
employee circumvent such a determination by seeking to have the court which was
determining the
common law matter determine the SRC Act issue again for
itself.
31. Tamerji v Rhee [2008] NSWCA 314 (Campbell JA, with whom Beazley
and Ipp JJA concurred) dealt with a dispute about the amount required to be
repaid by an employee
out of his common law damages to his employer’s
workers’ compensation insurer. The position was governed by section 151Z
of the Workers Compensation Act 1987 (NSW), a section apparently intended to
have the same general effect as section 48 of the SRC Act, though differently
worded and
with some substantive differences in the provisions. The
employee’s common law action had gone to trial and judgment in the
NSW
District Court, and the trial judge had made findings as to the various
components of the award. The general law as to the assessment
of damages for
personal injury in New South Wales had been modified in various relevant
respects by the Motor Accidents Compensation Act 1999. The workers’
compensation insurer had made payments of $192,803.19. The award of damages to
the plaintiff in the District
Court was $252,536.00. This included amounts
identified as referable to future economic loss and future treatment expenses.
Section 151Z of the Workers Compensation Act provided in specific terms that a
worker was not liable to repay an insurer or employer out of damages awarded for
such future loss.
This left damages for past economic loss, treatment expenses
and domestic assistance of $100,555.00. The employee accepted that
he was
obliged to repay an amount equal to all of the sum allowed in respect of past
economic loss, but submitted that he was obliged
to refund to the insurer in
respect of past treatment expenses only an amount equal to the treatment
expenses paid by the insurer,
an amount some $2,650.00 less than had been
allowed for past treatment expenses in the common law proceedings. Campbell JA
arrived
at the view that the effect of section 151Z was that “whenever a
worker recovers any amount of compensation under the Workers Compensation Act
for an injury, and later recovers damages in respect of that injury from some
person other than the employer . . . the total amount
of damages that the
worker recovers is a fund from which the worker is liable to repay the total
amount of compensation . . . paid
in respect of the injury.” Unlike in
the present case, the parties accepted that all of the payments made by the
workers’
compensation insurer related to the injury for which the worker
had recovered damages. Campbell JA did not accept the worker’s
submission
that the decision amounted to an unjust or capricious result. The intention of
the legislation was that a person who
received compensation and damages in
respect of the same injury did not ultimately recover any greater sum than the
amount of the
damages awarded. The practical operation of section 151Z was that
the amount of money the worker ultimately received was the greater of the amount
of compensation paid and the amount of
damages awarded. His Honour saw nothing
unjust or capricious in that outcome.
32. In the present case, I prefer the
interpretation of section 48 of the SRC Act urged upon me by senior counsel for
the defendant.
It is apparent from the documentation on the Comcare file that
Comcare determined all payments made to the plaintiff or on her behalf
after the
motor accident as payable in respect of the injury suffered by the plaintiff in
the motor accident. True it is that the
plaintiff, in her claim form, made an
attempt to combine the motor accident injury with an earlier workplace injury.
In my view
she did not succeed in that endeavour in relation to the earlier
injury. Section 54 of the SRC Act required her to lodge a written
claim in
respect of the earlier injury in a form approved by Comcare, and to provide a
certificate by a medical practitioner, also
in an approved form, supporting the
claim. The lack of a supporting certificate by a medical practitioner was
pointed out to her
immediately. I am not satisfied that she ever provided one.
The medical certificate completed by Dr Strelnikow in relation to the
work
absence on the afternoon of 16 June 2003 was not a certificate in a form
approved by Comcare, and it was not capable of supporting
a claim for
compensation in respect of any injury at that time. The certificate did not
describe the injury or its circumstances,
or say anything about treatment. In
any event, the certificate was clearly prepared for the purpose of a claim for
sick leave for
a single afternoon absence from work.
33. Thus the position is
that the plaintiff, although told by Comcare what she needed to do to pursue a
compensation claim for her
overuse injury, never took any steps to do so. She
continued to furnish Comcare with medical certificates which related her
incapacity
to the motor accident. The evidence before me on the application did
not extend to other expert specialist medical opinion as to
the causation issues
dealt with by Dr Pascall. It is nevertheless clear enough that it only became
apparent to the plaintiff and
her lawyers that there might be a difficulty with
causation when they were provided with a copy of Dr Pascall’s report. I
can do no more than speculate as to whether the plaintiff might have been able
to obtain medical support for the conclusion that
the amounts paid by Comcare
since mid-2004 were related to her 2003 overuse injury. Her difficulty is that
not only were no certificates
provided to Comcare supporting such a conclusion,
but that on the contrary, certificates were provided expressing the expert
opinion
that her impairment and treatment were caused by the motor
accident.
34. On the facts of this case I am satisfied that Comcare
intentionally made all the payments in contention as payments in respect
of the
injury suffered by the plaintiff in the motor accident. The only way available
to the plaintiff to challenge Comcare’s
determinations in that regard
would be via the reconsideration and review mechanisms provided by the SRC Act.
A court of general
jurisdiction given the task of deciding the plaintiff’s
claim for damages against the tortfeasor responsible for the motor
accident has
no power to make the declaration sought by the plaintiff against Comcare as
second defendant in the amended statement
of claim. The question asked in the
statement of preliminary point must be answered in the negative.
35. I shall
hear the parties as to the consequential orders and directions which flow from
this, and as to costs.
I certify that the preceding thirty-five (35) numbered paragraphs are a true copy of the Reasons for Judgment herein of the Master.
Associate:
Date: 9 October 2009
Counsel for the plaintiff: Mr RL Crowe SC
Solicitors for the
plaintiff: Maliganis Edwards Johnson
Counsel for the first defendant: Mr AR
Muller
Solicitors for the first defendant: Moray & Agnew
Counsel for
the second defendant: Mr TM Howe QC
Solicitors for the second
defendant: Minter Ellison
Date of hearing: 15 April 2009
Date of
judgment: 9 October 2009
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URL: http://www.austlii.edu.au/au/cases/act/ACTSC/2009/132.html