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Dickinson and Secretary, Department of Families, Housing, Community Services and Indigenous Affairs [2011] AATA 2 (10 January 2011)
Last Updated: 10 January 2011
Administrative Appeals Tribunal
DECISION AND REASONS FOR DECISION [2011] AATA 2
ADMINISTRATIVE APPEALS TRIBUNAL )
) No 2010/3301
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GENERAL ADMINISTRATIVE DIVISION
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Re
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Applicant
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And
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SECRETARY, DEPARMENT OF FAMILIES, HOUSING,
COMMUNITY SERVICES AND INDIGENOUS AFFAIRS
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Respondent
DECISION
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Tribunal
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Senior Member Dr K S Levy RFD
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Date 10 January 2011
Place Brisbane
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Decision
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The decision to deny the applicant disability
support pension is affirmed.
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.................[Sgd]......................
Senior Member
CATCHWORDS
SOCIAL SECURITY – Benefits and entitlements
– Newstart allowance – Disability Support Pension – Impairment
Point assessment – Continuing inability to work – Decision under
review affirmed.
Social Security Act 1991 (Cth) s 94
Social Security (Administration) Act 1999 (Cth) s 13, sch 2
Crossland and Secretary, Department of Family and Community Services
[2004] AATA 864
Secretary, Department of Social Security v Pusnjak [1999] FCA 994; (1999) 56 ALD
444
REASONS FOR DECISION
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Senior Member Dr K S Levy RFD
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INTRODUCTION
- The
applicant, Julie-Ann Dickinson, suffers from a number of impairments. These are
orthopaedic impairments, Asthma, Immunodeficiency,
Hearing Loss and
a Psychological/Psychiatric Disorder. She applied for recognition of these
and acceptance of Disability Support
Pension (DSP).
- Her
application was made via an enquiry with Centrelink on 14 January 2010 and
followed up with a formal application dated 5 February
2010. She subsequently
provided medical reports and other information requested. The claim was
rejected on 25 March 2010. She
requested reviews of the original decision and
these were considered and rejected sequentially by the original decision maker,
an
authorised review officer and the Social Security Appeals Tribunal. On 5
August 2010, she lodged an appeal against these decisions
with this
Tribunal.
ISSUES
- The
questions to be determined by the Tribunal are:
- (a) Has Ms
Dickinson a permanent medical condition or conditions which have a rating of 20
points or more under the Impairment Tables?;
and if so
- (b) Does she
have “a continuing inability to work?
THE
EVIDENCE
- Ms
Dickinson has been receiving Newstart Allowance since 20 March 2008.
- The
earliest report of Dr Ng dated 1 August 2008 noted a right arm, shoulder and
neck cluster condition which would persist for more
than 24 months; and a knee
and ankle complaint due to falls which were said not to be documented and which
were expected by Dr Ng
to also last for more than 24 months. He reported that
how it might affect Ms Dickinson’s ability to function was regarded
as
“uncertain”[1].
A further letter dated 18 March 2010 noted back pain, knee pain, deafness
and poor eyesight. Dr Ng further reported on 1 April
2010 that Ms Dickinson had
pain in the back which was a degenerative condition and pain in the knee and
ankles from falling off horses.
These were conditions which would persist for up
to 24 months. He noted reduced eyesight capacity and further stated her
deafness,
asthma and idiopathic thrombocytopenia had some impact.
- A
report from Psychologist Kristel Stillman dated 20 August 2008 noted her Asthma,
Immunodeficiency and Hearing Impairment were permanent
conditions but her upper
and lower limb orthopaedic conditions were temporary, as was a psychiatric
disorder. Her report which was
based on medical reports and that of an
audiologist resulted in a nil impairment rating.
- Another
report from a Job Capacity Assessor, Karen Northey was dated 17 March 2010
and found similarly to the Psychologist’s
report, also concluding there
was a nil rating under the Impairment Tables. Ms Northey gave oral evidence and
told the Tribunal
she had had some experience in providing such reports as a
Job Capacity Assessor. She completed a second report dated 30 April
2010
because Ms Dickinson had disagreed with her earlier report. Ms Northey had
contacted Dr Ng in the course of her second
assessment and verified the
back condition on this occasion. She then concluded that Ms Dickinson did not
appear to be able “to
endure a full work day and so a work capacity of
23–29 hours is more realistic at this
time”[2].
-
In oral evidence before the Tribunal, Ms Dickinson said under cross examination
that her eyesight had deteriorated although she agreed
that the opinion of Dr Ng
was that some conditions such as the left leg and right ankle conditions were
expected to improve within
12–24 months.
- Ms
Dickinson became emotional during her cross examination and described how her 16
year old daughter comes around to Ms Dickinson’s
house at 9pm in the
evening and turns off her power and is often is violent towards her. She lives
in fear and because of her poor
eyesight which has deteriorated of recent times,
she is vulnerable. She had to go to Court in December 2010 in relation to a
Domestic Violence
Order against her daughter.
- Between
14 January 2010 and 15 April 2010, both dates inclusive, Ms Dickinson
agreed the medical reports showed her vision did
not attract an impairment
rating, nor did her spinal condition, her shoulder condition was not considered
fully treated and her hearing
loss, at 21% loss, fell within the band of 0-24%.
These resulted in a nil impairment rating.
CONSIDERATION
- The
evidence and the relevant legal provisions applicable to this application have
been fully considered. In order to qualify for
the DSP, s 94(1) of
the Social Security
Act 1991 (“the Act”) requires the applicant to meet the
following criteria:
- (a) have a
physical, intellectual or psychiatric impairment;
- (b) attract 20
points or more under the relevant Impairment Tables; and
- (c) ...
(i)
have a continuing inability to work.
- It
is undeniable that Ms Dickinson has a number of conditions that qualify as
impairments: a sight problem, a hearing disability and
a difficulty with the
right hand. The right arm complaint was referred for further assessment during
the period under review. It
is apparent that this condition has resulted in
some loss of capacity. The SSAT determined that Ms Dickinson was entitled
to
5 impairment points for that condition. I agree with that assessment.
- The
assessment of Ms Dickinson’s application is restricted to the period
14 January 2010 to 15 April
2010[3]. In that
period, the assessments presented seem to have been undertaken by appropriately
qualified professionals who have some experience
in making those assessments.
There was evidence of some conditions not being “...a fully documented,
diagnosed condition which
has been investigated, treated and
stabilised”[4].This
is a requirement for assignment of an impairment rating using the Impairment
Tables. There was no evidence that would enable
me to dispute the views of the
professionals who provided the reports or assessments. I accept those
assessments as being accurate
for the relevant assessment period for this
appeal, that is, 14 January 2010 to 15 April 2010. I am not empowered to review
the
assessments for later periods under the legislation for the purposes of this
application.
- My
review is concerned with the allocation of points for the various conditions
claimed by Ms Dickinson. I am conscious of her assertions
that some of her
conditions have deteriorated since that period and it may be that this review
does not reflect her present position.
However, the legislation is specific and
it relates only to the points to be awarded for the assessment period under the
Impairment
Tables and the applicant’s continuing inability to
work.
How many points do the applicant’s conditions attract
under the Impairment Tables?
- As
referred to above, the assessment for the purpose of this appeal is limited to
the period14 January 2010 to 15 April 2010. I have
indicated that a total of
5 points can be awarded for this period, this being for the right hand and
forearm and consequential
loss of grip and function. The evidence in relation
to the other conditions either did not meet the criteria in the Impairment
Tables
to score an impairment rating; or were not fully investigated, treated
and stabilised, thereby preventing an impairment rating being
determined.
- In
making this assessment it was apparent that Ms Dickinson suffered some
psychological distress and this had been alluded to by Ms
Stillman,
Psychologist. Her description of constantly living with threats of violence and
harassment by her daughter are undoubtedly
contributing to her psychological
state and this may have some significant impact on her capacity to work or her
other conditions.
However, I cannot take this into account as no evidence
of an expert referable to the relevant period was tendered and therefore,
there
is no evidence that this condition is fully diagnosed, treated and
stabilised.
- I
therefore find that Ms Dickinson did not meet the minimum criterion of
20 impairment points in accordance with s 94(1)(b) of
the
Act.
Did the applicant have a continuing inability to
work?
- The
requirements of s 94(1) are cumulative and therefore, as I have found
s 94(1)(b) has not been satisfied, the application
cannot succeed.
Consideration of this element is strictly speaking, not required. However, for
completeness, it is noted briefly
that to demonstrate a continuing inability to
work, Ms Dickinson’s incapacities must be directly related to that
inability
to work[5].
- In
particular, the availability of a person for work or training, and the
opportunities in a local labour market are to be
disregarded[6].
Other personal preferences or idiosyncrasies of an applicant or a potential
employer are also to be disregarded. These requirements
are clearly intended to
increase the objectivity of assessments. The respondent has submitted the
objective of this Australian Government
initiative in 2006 was to increase
workforce participation by those on welfare. The introduction of Job Capacity
Assessors provides
a more comprehensive assessment based on a person’s
primary impairment and contributes to meeting the objectives of the legislation.
- It
is apparent that, despite the possible exacerbation of Ms Dickinson’s
conditions since the period of assessment and the possibility
of an undiagnosed
psychological condition, the reports of Dr Ng, Ms Stillman and Ms Northey are
the only evidence of the applicant’s
conditions during the assessment
period. Those reports have been taken into account by the Job Capacity Assessor
who has concluded
that Ms Dickinson was capable of working between 15–22
hours per week, with or without intervention during the assessment period.
- The
question for the Tribunal is whether I can be satisfied that the applicant has a
continuing inability to work within the meaning
of s 94(1)(c) as elaborated upon
in s 94(2) of the Act. I accept Ms Dickinson is distressed in a significant way
and has physical
impairments, which may now be more severe than during the
period of assessment. Nevertheless, during the relevant period of assessment,
the evidence does not show she had a continuing inability to work.
CONCLUSION
- The
decision to deny the applicant disability support pension is affirmed.
I certify that the 22 preceding paragraphs are a true copy of
the reasons for the decision herein of Dr K S Levy RFD, Senior Member
Signed:
...................[Sgd]....................................................
Alex Seagar, Research Associate
Date/s of Hearing 24 November 2010
Date of Decision 10 January 2011
Applicant was self-represented
Solicitor for the Respondent Ms Jasmine Forsyth, Departmental
Advocate
[1] Folio 56 of the
T-documents
[2]
Folio 86 of the
T-documents
[3] See s
13(2) and Schedule 2 of the Social Security (Administration) Act 1999
(Cth)
[4]
Paragraph 4 of the Introduction, Schedule 1B to the Social Security Act 1991
(Cth)
[5]
Secretary, Department of Social Security v Pusnjak [1999] FCA 994; (1999) 56 ALD 444 at
452; and Crossland and Secretary, Department of Family and Community
Services [2004] AATA
864
[6] See s 94(3)
of the Act
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