You are here:
AustLII >>
Databases >>
High Court of Australia >>
2009 >>
[2009] HCA 38
[Database Search]
[Name Search]
[Recent Decisions]
[Noteup]
[Download]
[Help]
Fellowes v Military Rehabilitation and Compensation Commission [2009] HCA 38 (23 September 2009)
Last Updated: 23 September 2009
HIGH COURT OF AUSTRALIA
HAYNE, HEYDON, CRENNAN, KIEFEL AND BELL JJ
ROBYN CHRISTINE FELLOWES APPELLANT
AND
MILITARY REHABILITATION AND COMPENSATION
COMMISSION RESPONDENT
Fellowes v Military Rehabilitation and Compensation Commission
[2009] HCA 38
23 September 2009
B8/2009
ORDER
1. Appeal allowed with costs.
- Set
aside the orders of the Full Court of the Federal Court of Australia made on 4
August 2008 and, in their place, order that:
(a) the appeal to that Court be allowed with costs;
(b) the decision of the Administrative Appeals Tribunal made on
7 September 2007 be set aside and, in its place, there be a direction
that
the respondent determine the amount payable to the applicant for review by the
Tribunal assessed under ss 24 and 27 of the Safety, Rehabilitation and
Compensation Act 1988 (Cth) in respect of an injury, being a right knee
condition resulting in a degree of permanent impairment of the applicant of 10%
as assessed under Table 9.5 of the applicable Guide to the Assessment of the
Degree of Permanent Impairment; and
(c) the respondent pay the applicant's costs of the review by the
Administrative Appeals Tribunal.
On appeal from the Federal Court of Australia
Representation
P J Hanks QC with R F King-Scott for the appellant (instructed by Slater &
Gordon Lawyers)
T M Howe QC with L A Walker for the respondent (instructed by Australian
Government Solicitor)
Notice: This copy of the Court's Reasons for Judgment is subject to formal
revision prior to publication in the Commonwealth Law
Reports.
CATCHWORDS
Fellowes v Military Rehabilitation and Compensation
Commission
Workers' compensation – Injury resulting in permanent impairment –
Under s 24 of Safety, Rehabilitation and Compensation Act 1988 (Cth),
where "an injury to an employee results in a permanent impairment", respondent
liable to pay compensation "in respect of the
injury" – Amount of
compensation fixed by degree of permanent impairment resulting from injury as
assessed under Guide to the
Assessment of the Degree of Permanent Impairment
("Guide") – Guide provides that "[w]here two or more injuries give rise to
the same impairment a single rating only should be given" – Appellant
previously compensated for injury to left knee resulting
in permanent impairment
– Whether appellant entitled to compensation for separate injury to right
knee resulting in permanent
impairment to same degree – Whether "degree of
permanent impairment" refers to impairment of whole person or impairment to
particular part of person's body.
Words and phrases – "degree of permanent impairment", "impairment",
"injury", "permanent impairment", "resulting from".
Safety, Rehabilitation and Compensation Act 1988 (Cth), ss 4(1), 24, 28,
142, 147.
Guide to the Assessment of the Degree of Permanent Impairment, 1st ed
(1989).
- HAYNE,
HEYDON, CRENNAN AND BELL JJ. The appellant enlisted in the Australian
Army on 11 November 1986. In 1986, she suffered
a left knee injury. As a
result of work-related factors, the left knee injury left the appellant with no
loss of range of movement
of the left knee but with permanent difficulty with
grades and steps, as distinct from distances. In 1987, the appellant suffered
a
right knee injury. As a result of work-related factors, the right knee injury
left the appellant with no loss of range of movement
of the right knee but with
permanent difficulty with grades and steps, as distinct from distances.
- Is
the appellant entitled to compensation for each injury? Or, because the second
injury does not affect her ability to walk to
any significantly greater extent
than the first injury, is she not entitled to compensation for the second
injury? These reasons
will show that she is entitled to compensation for each
injury.
- In
December 2005, the appellant applied to the respondent, the Military
Rehabilitation and Compensation Commission ("the Commission"),
for compensation
for each injury under the Safety, Rehabilitation and Compensation Act
1988 (Cth) ("the SRC Act"). The claims made by the appellant related to
injuries sustained in connection with defence service before the commencement of
the Military Rehabilitation and Compensation Act 2004 (Cth). That Act
did not govern the appellant's claims. It was common ground that the
appellant's claims are governed by the SRC Act. The Commission had to determine
the claims under s 142 of the SRC Act.
- It
is not disputed that, if the appellant suffered no permanent impairment other
than that attributable to the injury to her left
knee, she would be entitled to
compensation in respect of a 10% level of impairment of the whole person
assessed in accordance with
the then applicable "Guide to the Assessment of the
Degree of Permanent Impairment" prepared pursuant to s 28 of the SRC Act.
It is likewise not disputed that, if the appellant suffered no permanent
impairment other than that attributable to the injury
to her right knee, she
would have the same entitlement.
- In
January 2007, after review and revocation of prior determinations to the
contrary, the Commission determined that it was liable
to pay the appellant
compensation for the injury to her left knee on the basis that she had a 10%
whole person impairment. In February
2007, the Commission accepted liability
for the injury to the appellant's right knee but, in March 2007, determined that
it was not
liable to pay compensation for permanent impairment in relation to
this injury because the appellant had already been compensated
for a 10% whole
person impairment. The Commission was asked to review this determination but
affirmed it.
- The
appellant applied to the Administrative Appeals Tribunal for review of the
Commission's decision. The Tribunal
affirmed[1] the
decision. The appellant appealed to the Federal Court of Australia against the
Tribunal's decision. The Full Court of the Federal
Court (French, Moore and
Lindgren JJ)
dismissed[2] the
appeal. By special leave, the appellant appeals to this Court.
The SRC Act
- The
appellant's entitlements to compensation depend upon the proper construction and
application of the SRC Act. Section 24 of that Act, so far as now
relevant, provided at the times relevant to this matter:
"(1) Where an injury to an employee results in a permanent impairment, Comcare
is liable to pay compensation to the employee in respect
of the injury.
(2) For the purpose of determining whether an impairment is permanent, Comcare
shall have regard to:
(a) the duration of the impairment;
(b) the likelihood of improvement in the employee's condition;
(c) whether the employee has undertaken all reasonable rehabilitative treatment
for the impairment; and
(d) any other relevant matters.
(3) Subject to this section, the amount of compensation payable to the employee
is such amount, as is assessed by Comcare under subsection
(4), being an amount
not exceeding the maximum amount at the date of the assessment.
(4) The amount assessed by Comcare shall be an amount that is the same
percentage of the maximum amount as the percentage determined
by Comcare under
subsection (5).
(5) Comcare shall determine the degree of permanent impairment of the employee
resulting from an injury under the provisions of the
approved Guide.
(6) The degree of permanent impairment shall be expressed as a
percentage."
Section 147 of the SRC Act provided, in effect, that for defence-related
claims, references to "Comcare" are to be taken as references to the Commission
but
that it is the Commonwealth that is liable to pay amounts due under the
Act.
- Some
of the terms used in s 24 (notably "injury", "impairment" and "permanent")
were defined in s 4(1) of the SRC Act. Those definitions provided:
"impairment means the loss, the loss of the use, or the
damage or malfunction, of any part of the body or of any bodily system or
function or
part of such system or function.
injury means:
(a) a disease suffered by an employee; or
(b) an injury (other than a disease) suffered by an employee, being a physical
or mental injury arising out of, or in the course
of, the employee's employment;
or
(c) an aggravation of a physical or mental injury (other than a disease)
suffered by an employee (whether or not that injury arose
out of, or in the
course of, the employee's employment), being an aggravation that arose out of,
or in the course of, that employment;
but does not include any such disease, injury or aggravation suffered by an
employee as a result of reasonable disciplinary action
taken against the
employee or failure by the employee to obtain a promotion, transfer or benefit
in connection with his or her employment.
...
permanent means likely to continue
indefinitely."
The Guide
- The
"Guide" mentioned in s 24(5) was prepared under s 28 of the SRC Act.
Among other things, the Guide set out criteria by reference to which the degree
of the permanent impairment of an employee resulting
from an injury was to be
determined and the methods by which the degree of permanent impairment, as
determined under those criteria,
was to be expressed as a percentage.
- The
Guide specified what it referred to as the "percentage whole person impairment"
attributable to different levels of impairment
of parts of the body. In
particular, Table 9.5 of the Guide provided, in relation to "Limb
Function – Lower Limb (Percentage Whole Person Impairment)":
"% DESCRIPTION OF LEVEL OF IMPAIRMENT
- Can
rise to standing position and walk BUT has difficulty with grades and steps
- Can
rise to standing position and walk BUT has difficulty with grades, steps and
distances
- Can
rise to standing position and walk with difficulty BUT is limited to level
surfaces
- Can
rise to standing position and maintain it with difficulty BUT cannot walk
- Cannot
stand or walk".
The decisions below
- In
the Administrative Appeals Tribunal, the Deputy President
concluded[3]
that, although the appellant had sustained "two separate and distinct injuries
that each give rise to a liability upon the Commission
to pay compensation",
s 24(5) of the SRC Act required that compensation be determined having
regard to the degree of permanent impairment identified by reference to the
Guide,
and that the Guide "directs explicitly that two or more separate injuries
that give rise to the same impairment result in a single
rating of impairment".
The reference to explicit direction in the Guide was a reference to an
introductory section of the Guide
entitled "Principles of Assessment", which
said, under the heading "Combined Impairments":
"It is important to realise that impairment is system or function based and that
a single injury or disease may give rise to multiple
loss of function. When
more than one table applies to a single injury separate scores should be
allocated to each functional impairment.
Where two or more injuries give
rise to the same impairment a single rating only should be given."
(emphasis added)
- In
the Full Court of the Federal Court, French and Lindgren JJ concluded that
the Tribunal made no error in its decision. Their
Honours
concluded[4] that
it would not have been open to the Tribunal to determine that the degree of
permanent impairment resulting from the second injury
(the injury to the
appellant's right knee) was of the class "[c]an rise to standing position and
walk BUT has difficulty with grades
and steps". Moore J joined in the
orders proposed by French and Lindgren JJ but did so on the
footing[5] that
he was bound to follow the earlier decision of the Full Court of the Federal
Court in Comcare v Van
Grinsven[6].
- As
French and Lindgren JJ rightly
observed[7], it
was not in issue in the present matter that the second injury suffered by the
appellant "must have resulted in some further impairment,
in the sense that [the
appellant] must have been at least somewhat worse off after the second injury
than she was immediately beforehand".
Nonetheless, French and Lindgren JJ
concluded that the effect of the legislation, in this case, was that an employee
who suffered
a work-related injury causing her deleterious consequences was not
entitled to compensation. This conclusion was
held[8] by their
Honours to follow from the necessity to make allowance for the appellant's
existing permanent impairment when determining
the degree of permanent
impairment "resulting from" the second injury. Their Honours held that this
outcome was required by the
earlier decision of the Full Court in Comcare v
Van
Grinsven[9]
and not denied by this Court's later decision in Canute v
Comcare[10].
Injury and impairment
- As
this Court pointed out in
Canute[11],
"[t]he concept of 'an injury' is a term of pivotal importance in the structure
of the [SRC] Act". Section 24(1) provided that where an injury to an
employee results in a permanent impairment, Comcare (or in this case the
Commonwealth) is "liable
to pay compensation to the employee in respect of the
injury". As the Court also pointed
out[12] in
Canute, three observations may be made about the concept of injury:
"First, the Act does not oblige Comcare to pay compensation in respect of an
employee's impairment; it is liable to pay compensation
in respect of 'the
injury'. Secondly, the term 'injury' is not used in the Act in the sense of
'workplace accident'. The definition
of 'injury' is expressed in terms of the
resultant effect of an incident or ailment upon the employee's body. Thirdly,
the term
'injury' is not used in a global sense to describe the general
condition of the employee following an incident."
- It
was not disputed that the appellant had suffered two injuries. Each injury
resulted in a permanent impairment in the sense that
each injury resulted in
permanent damage to, or loss of the use of, a part of her body. Each injury
caused damage to, or loss of
the use of, a different part of the body: in one
case the left knee; in the other, the right. The central question in the appeal
is that presented by s 24(5) of the SRC Act: how was "the degree of
permanent impairment of the employee resulting from" the second injury to be
determined "under the provisions
of the approved Guide"?
The competing arguments
- The
appellant submitted that, each injury having led to a separate impairment, the
degree of permanent impairment of the employee
that resulted from the injury was
determined by looking to the consequences that followed from that injury. The
consequences to
be identified, so the appellant submitted, were the consequences
that followed from the particular impairment as that term is defined
in the SRC
Act. In this case, because there were two injuries and two impairments, two
amounts of compensation should be awarded.
- By
contrast, the respondent submitted that what was to be determined under
s 24(5) was the degree of permanent impairment of the appellant,
fixed by reference to Table 9.5 of the Guide. That table classified the
impairment of the appellant's capacity to undertake the
activities of daily
living resulting from the second injury as the same as that which followed as a
result of the first. Accordingly,
so the respondent submitted, the degree of
impairment resulting from the second injury, when assessed in accordance with
the Guide,
should be assessed as 0%, a result expressly contemplated by
s 28(5) of the SRC
Act[13].
- Resolution
of the competing arguments depends, in the end, upon how the word "impairment"
should be read when used in the phrase
found in s 24(5) ("the degree of
permanent impairment of the employee resulting from an injury") recognising that
the determination called for by
s 24(5) is a determination of degree "under
the provisions of the approved Guide". Is "impairment" to be understood in that
phrase as referring
back to s 24(1) and its provision that Comcare (here
the Commonwealth) is liable to pay compensation to an employee in respect of an
injury "[w]here
an injury to an employee results in a permanent impairment"? In
particular, is the reference to "permanent impairment of the employee"
found in
s 24(5) a reference in the circumstances of this case to permanent damage
to, or loss of the use of, a part of the employee's body, as the
definition of
"impairment" would suggest? Or, as the respondent submitted, should
s 24(5) be read as directing attention to impairment of the particular
employee as a whole person rather than to damage to, or loss of the
use of, a
particular part of the body? Is that reading of s 24(5) required, as the
respondent further submitted, by the Guide?
- In
Canute, this Court pointed
out[14] that
the definition of "impairment" in the SRC Act is not expressed in terms that
require assessing impairment on a "whole person" basis. Rather, the definition
is expressed in terms
conveying a disaggregated sense. As the Court
said[15] in
Canute, "[t]extually, the Act assumes that 'an injury' may result in more
than one 'impairment'". Likewise, it must follow that more than
one injury may
result (and often will result) in more than one impairment.
- It
may be accepted that, as the respondent submitted, s 24(5) requires
determination of the degree of permanent impairment of an employee resulting
from an injury "under the provisions of the
approved Guide". It may also be
accepted that, as the respondent submitted, s 28(1) of the SRC Act
authorised Comcare to prepare a Guide setting out:
"(a) criteria by reference to which the degree of the permanent impairment of an
employee resulting from an injury shall be determined;
[and]
...
(c) methods by which the degree of permanent impairment ... as determined under
those criteria, shall be expressed as a
percentage".
To that extent, the respondent's submission, that the Guide controls the
assessment of the degree of permanent impairment, may be
accepted. But, as
pointed out in
Canute[16]:
"recourse to the criteria and methodologies set out in the Guide is only
necessary once the key statutory criterion of the occurrence
of 'an injury'
(which resulted in at least one permanent impairment) has been
fulfilled".
- Once
it is accepted, as it was in Canute, that the SRC Act hinges about
the concept of "injury" and that "impairment" is to be identified in terms of
effect on bodily parts, systems or functions,
it follows that the appellant's
arguments are to be accepted and the respondent's rejected. The conclusion
reached by the Tribunal
could be supported only by reading s 24(5) as
directing, or permitting, Comcare to provide in the Guide for determination of
the degree of permanent impairment resulting from
an injury by reference to
the pre-existing capacities of the particular applicant for
compensation.
- The
argument that s 24(5) directs an approach of that kind (referred to in
argument as a "whole person" approach) was expressly rejected by this Court in
Canute[17]
and the respondent did not seek to reopen what was decided in that case.
Rather, the respondent sought to emphasise that s 24(5) required
application of the Guide and that s 28(1)(a) required Comcare to state, in
the Guide, the criteria by reference to which the degree of permanent impairment
resulting from an
injury was to be determined.
- The
respondent submitted that there were two reasons to conclude that the Guide
required determination of the degree of impairment
resulting from an injury by
reference to the pre-existing capacities of the particular applicant for
compensation. First, the respondent
pointed to the repeated references in the
Guide to "percentage whole person impairment". Secondly, the respondent pointed
to the
statement made in the introductory section of the Guide which is set out
earlier in these reasons, that "[w]here two or more injuries
give rise to the
same impairment a single rating only should be given".
- The
references in the Guide to "whole person impairment" identify the "methods by
which the degree of permanent impairment [resulting
from an injury is] expressed
as a
percentage"[18].
The percentages stated in the Guide describe "the extent of each impairment as a
percentage value of the functional capacity of
a normal healthy
person"[19].
The references to "whole person impairment" that are found in the Guide do not
direct attention to the effect of an injury or disease
on a particular
individual. On the contrary, the effect to be assessed is by reference to the
functional capacities of a normal
healthy person.
- The
statement in the Guide, that "[w]here two or more injuries give rise to the same
impairment a single rating only should be given",
must be understood as
directing attention to an impairment as that term is defined in the SRC Act.
That is, the reference to the "same impairment" must be understood in terms of
the particular identified effect on particular bodily
parts, systems or
functions. Contrary to the respondent's submission, this statement in the Guide
is not to be understood as requiring
a single rating to be given whenever each
of two injuries is assessed as yielding the same degree of impairment of two
separate parts
of the body.
- The
text of the Guide is therefore to be construed as providing that the whole
person impairment to which it directs attention requires
comparison with the
"functional [capacities] of a normal healthy person" rather than the capacities
of the particular applicant as
they existed immediately before the injury in
question. The reference to two injuries causing the "same impairment" requires
attention
to the particular identified effect on bodily parts, systems or
functions that is said to have resulted from the two injuries. It
is,
therefore, not necessary to consider, in this case, the application of the
principle,
stated[20] in
Canute, that if there were some conflict between what is required by the
SRC Act and what is provided by the Guide, it is the Act that must be given
priority.
- It
is, nonetheless, important to make the further point that, on its proper
construction, s 24(5) of the SRC Act directs attention to the degree of
impairment that results from the injury resulting in the impairment identified
in s 24(1). The two sub-sections of s 24 are not to be read as
requiring or permitting a different identification of "impairment" in their
respective applications. In the
application of both sub-sections the focus must
fall upon "the loss, the loss of the use, or the damage or
malfunction"[21]
of a part of the body or a bodily system or function or part of a bodily system
or function. And in the present case there were
separate losses of use of, or
damage to, two parts of the body.
- In
this last connection, the respondent submitted that, despite there having been
separate injuries to each knee, there was in fact
only a single effect on (a
loss of use of) a bodily function (the function of using the lower limbs). It
may be doubted that the
function of using the lower limbs is properly described
as a bodily function. But even if the words could be understood as extending
thus far, the respondent's argument, on examination, is no more than a
restatement of the argument that the degree of impairment
to be determined under
s 24(5) is the degree of impairment as a whole person of the particular
applicant for compensation. For the reasons already given, that
construction
should be rejected.
- It
also follows that the decision of the Full Court of the Federal Court in
Comcare v Van
Grinsven[22],
upon which both the Tribunal and the Full Court relied in the present matter,
was wrongly decided and should be overruled.
Conclusion and orders
- For
these reasons, the appeal to this Court should be allowed with costs. The
orders of the Full Court of the Federal Court made
on 4 August 2008 should
be set aside. The appellant submitted, and the respondent did not submit to the
contrary, that in these
circumstances the appropriate consequential orders were
to order that in place of those orders of the Full Court of the Federal Court
there be orders that:
(a) the appeal to that Court be allowed with costs;
(b) the decision of the Administrative Appeals Tribunal dated 7 September
2007 be set aside and in its place there be a direction
that the respondent
determine the amount payable to the applicant for review by the Tribunal
assessed under ss 24 and 27 of the Safety, Rehabilitation and
Compensation Act 1988 (Cth) in respect of an injury, being a right knee
condition resulting in a degree of permanent impairment of the applicant of 10%
as assessed under Table 9.5 of the Guide;
(c) the Commission pay the applicant's costs of the review by the
Tribunal.
- KIEFEL
J. The facts and the statutory provisions relevant to this appeal are set out
in the reasons of the majority. I regret that
I am unable to agree with those
reasons.
- Section
24(5) is central to the provisions of the Safety, Rehabilitation and
Compensation Act 1988 (Cth) ("the SRC Act") concerning the compensation of
employees[23].
The sub-section requires Comcare to determine "the degree of permanent
impairment of the employee resulting from an injury" (emphasis added).
That determination is to be undertaken under the provisions of a Guide prepared
pursuant to the
SRC Act. No question arises on this appeal as to the validity
of the Guide in
question[24].
It is to be read with the SRC Act, as part of a statutory
scheme[25].
- The
method employed by the Guide in assessing the degree, or level, of impairment is
to determine the effect of the permanent impairment
upon the employee's ability
to function. The provisions of the Guide will be discussed later in these
reasons. The particular type
of impairment suffered by the appellant was
assessed as producing a loss of 10 per cent of the function of her lower limbs.
The
appellant had previously been assessed as having that loss of function and
that level of impairment after she had suffered an injury
to the left knee, for
which she was compensated, and before the injury in question, that to her right
knee. The injury in question
did not increase her loss of function as measured
by the Guide. A conclusion that the degree of impairment found resulted
from the second injury, as s 24(5) requires, is therefore not possible. As a
result, no compensation is payable, as the Full Court of the Federal Court
held[26].
- Some
observations concerning s 24(5), and s 24 as a whole, are necessary before
further consideration is given to the Guide. It may be observed that
s 24(5) involves three steps. The first two are the identification of an
injury suffered by an employee and whether permanent impairment
flows from that
injury[27].
The third, that with which this appeal is concerned, is to determine the degree
or extent of that impairment which results from
the injury.
- The
determination of the degree of impairment is critical to the payment of
compensation. Section 24(5) requires the degree of impairment to be assessed in
accordance with the Guide and that the degree of impairment so determined must
result from the injury in question. Section 24(7) provides that, subject to
some exceptions, where the degree of impairment is determined to be less than
10 per cent, no compensation
is payable.
- The
Impairment Tables in the Guide are said to be based on an evaluation of a "whole
person impairment" drawn from the American Medical
Association's Guides. That
evaluation is "a medical appraisal of the nature and extent of the effect of an
injury or disease on
a person's functional capacity and activities of daily
living."[28]
The "extent of each impairment" is expressed as a percentage value by reference
to "the functional capacity of a normal healthy
person."[29]
- Part
A of the Guide contains Tables which have, as their subject for assessment,
various bodily systems and functions, to which a
person's condition may be
referable, and disorders, both physical and psychiatric. Each Table contains a
heading, referable to a
disorder, or a bodily system or function. The reference
under each heading to "Percentage Whole Person Impairment" is the conclusion,
expressed in a percentage as s 24(6) requires, of the effect of the impairment
in question upon the employee's ability to function, as explained in the
Guide.
- In
some Tables the "description of level of impairment", which appears against the
percentage value, refers to particular activities
or aspects of daily life which
are unable to be undertaken or are rendered more difficult because of the
impairment. With respect
to "Miscellaneous Ear, Nose and Throat Disorders", to
take an example, a figure of 60 per cent is given for "[v]ertigo which
interferes
with all activities to the extent that only self care can be managed
but all other activity is
impossible"[30].
In other Tables the level of impairment is described by reference to the
impairment itself, for example the extent of the loss of
range of movement of an
ankle, hip or knee in Table 9.2. The assessment, which is said to be "in
accordance with the range of joint
movement"[31],
is nevertheless of the impairment of the person's ability to function.
- The
appellant's impairment was assessed under Table 9.5, "Limb Function –
Lower Limb (Percentage Whole Person Impairment)".
The description of the level
of impairment which the appellant was found to suffer is "[c]an rise to standing
position and walk
BUT has difficulty with grades and steps". That represents
the appellant's loss of function, in daily life. The impairment so described
has regard to the use of the lower limbs together. The level of impairment
described above gave rise to a Percentage Whole Person
Impairment of 10 per
cent. That is the same level of impairment that the appellant previously
suffered as a result of the injury
to her left knee.
- The
method of assessment of the degree of impairment under Table 9.5 may be
contrasted with that under Table 9.2, referred to above.
Table 9.2, which
determines a person's loss of ability to function by reference to the limit to
the range of movement of a joint
of the lower limb, involves an assessment of a
single limb. It was common ground that that Table was inapplicable to the
appellant's
condition.
- The
comparator for the assessment, under the Guide, of loss of functional capacity
and the effect upon daily activities is said to
be the functional capacity of a
normal healthy person. But this does not mean that the employee in question is
assumed to be a normal
healthy person at the date of the injury in question and
that no regard is to be had to any pre-existing functional limitations.
The
determination under s 24(5) and the Guide is as to the extent of that person's
permanent impairment, by reference to their capacity to function, which
resulted from the injury.
- The
"whole person impairment" referred to in the Guide is a conclusion, expressed as
a percentage, of the extent to which a person's
ability to function in daily
life has been impaired. Whilst having that broader perspective, it is
nevertheless an assessment of
the particular condition suffered by the person
which amounts to a permanent impairment under the SRC Act. In the appellant's
case the assessment with respect to her right knee was of a degree of permanent
impairment of 10 per cent of
her functional capacity, which is to say of "the
whole person". But that represented no change in her existing capacity, which
was
already impaired to the same degree by virtue of the injury to her left
knee. The degree of impairment assessed with respect to
the right knee cannot
be said to have "resulted from" the injury.
- In
Canute v Comcare it was pointed out that the definition of "impairment"
in the SRC Act is not given in terms of an impairment of a "whole person";
rather the word "impairment" was expressed in a disaggregated sense,
in terms of
effects on bodily parts, systems and
functions[32].
However, the question as to the degree of impairment is one different
from that as to whether the person has an impairment of a particular part of
their body or of a particular
bodily system or function. It involves a further
enquiry, as to the effect of that particular impairment upon the person's
ability
to function, in accordance with the Guide.
- It
was not necessary in Canute to consider what was comprehended by a
determination of the degree of an employee's permanent impairment. It
may be accepted that in the second step required by s 24(5), namely the
identification of the impairment, regard is to be had to the definition of
"impairment" contained in the SRC Act, as was done in Canute. But the
assessment of the degree of that impairment involves the use of the Guide and
the concept upon which it is based. The
meaning of the term "whole person
impairment" on its own may be unclear. However, the Guide explains that the
"Percentage Whole
Person Impairment" is a value given to the effect, or
limitation, upon a person's functional capacity. That is the expression of
the
"degree" of the impairment for the purpose of s 24(5).
- In
Canute it was said that, because the SRC Act assumes that more than one
"injury" may occur, it is not correct to say that s 24(5) imports a "whole
person" approach to the determination of the degree of permanent
impairment[33].
That case concerned two different kinds of injury arising out of one incident.
Statements as to a "whole person" approach should
be understood in the context
of the issues in that case and the argument put by Comcare as to what that
approach involved.
- The
employee in Canute had been awarded compensation for a back injury. It
was assessed under the Guide at 12 per cent whole person impairment. He
subsequently
claimed compensation for an adjustment disorder arising from the
back condition. Comcare relied upon s 25(4) to deny liability. That section
provides that where there has been a final assessment of a degree of permanent
impairment, no further
amount of compensation is payable unless there is an
increase in that degree of impairment of 10 per cent or more. Comcare's
argument,
it may be inferred, was that the earlier assessment of the degree of
permanent impairment of the employee extended to include the
impairment for
which compensation was later claimed. That followed from the assessment
being of the "whole
person"[34].
- The
operation attributed to the Guide by Comcare in argument in Canute
appears to have been that an assessment of a person's degree of impairment
takes into account all injuries and consequent impairments
they have suffered
arising out of the one incident. That is clearly incorrect. The Guide assesses
the effect of a particular impairment
upon a person's functional capacity under
the Table relevant to it.
- It
was not necessary for the Court in Canute to consider the proper
operation of the Guide. The effect contended for by Comcare was plainly
inconsistent with the SRC Act's identification
of an injury suffered by an
employee as giving rise to a claim for compensation. The Court said that the
word "injury" in s 24(1) was not used to describe a workplace accident; but
rather was expressed in terms of the resultant effect of an incident upon the
employee's body. It was not used "in a global sense to describe the general
condition of the employee following an
incident."[35]
The SRC Act assumes that a person might suffer more than one injury. The Court
held that the psychiatric disorder was a separate injury giving
rise to a claim
for
compensation[36].
- In
Canute the SRC Act was seen to comprehend two injuries arising from the
same incident. The application of the Guide to the question posed by s 24(5) in
this case shows that two injuries may give rise to the same degree of
impairment. This possibility was recognised by the primary
judge in
Canute[37].
Nothing said by this Court in Canute affects that outcome, in my
respectful view.
- A
different question arises in this case from that considered in Canute.
The focus is not upon the "injury" giving rise to a claim to compensation. It
is not disputed that the appellant suffered an injury
to her right knee which
resulted in a condition which might be described as an impairment. The issue
here focuses upon the assessment
of the appellant's "degree of permanent
impairment" and the requirement that that degree of impairment result from the
injury. The
degree, or extent, of the impairment is determined in accordance
with the Guide. The Guide, by Table 9.5, determines the effect
upon a person's
functional capacity by reference to the operation of the person's lower limbs in
conjunction with each other. In
this case the first injury, to the left knee,
was assessed as producing a degree of impairment of 10 per cent whole person
impairment.
The assessment of the degree of impairment following upon the
second injury was the same. It could not therefore be said that the
degree of
impairment so assessed resulted from that injury. No amount of
compensation is payable.
- I
would dismiss the appeal.
[1] Re Fellowes and Military
Rehabilitation and Compensation Commission [2007] AATA 1740; (2007) 97 ALD 220.
[2] Fellowes v Military
Rehabilitation and Compensation Commission [2008] FCAFC 140; (2008) 170 FCR 531.
[3] [2007] AATA 1740; (2007) 97 ALD 220 at 228 [34].
[4] [2008] FCAFC 140; (2008) 170 FCR 531 at 539
[35].
[5] [2008] FCAFC 140; (2008) 170 FCR 531 at 543-544
[55]- [56].
[6] (2002) 117 FCR 169.
[7] [2008] FCAFC 140; (2008) 170 FCR 531 at 539
[32].
[8] [2008] FCAFC 140; (2008) 170 FCR 531 at 539
[33].
[9] (2002) 117 FCR 169.
[10] (2006) 226 CLR 535; [2006] HCA
47.
[11] [2006] HCA 47; (2006) 226 CLR 535 at 539
[8].
[12] [2006] HCA 47; (2006) 226 CLR 535 at 540
[10].
[13] Section 28(5)
provided:
"The percentage of permanent impairment or non-economic loss suffered by an
employee as a result of an injury ascertained under the
methods referred to in
paragraph (1)(c) [the methods set out in the Guide] may be 0%."
[14] [2006] HCA 47; (2006) 226 CLR 535 at 541
[11].
[15] [2006] HCA 47; (2006) 226 CLR 535 at 541
[11].
[16] [2006] HCA 47; (2006) 226 CLR 535 at 542
[14].
[17] [2006] HCA 47; (2006) 226 CLR 535 at 542
[15].
[18] s 28(1)(c).
[19] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989) at 4.
[20] [2006] HCA 47; (2006) 226 CLR 535 at 548
[37].
[21] s 4(1),
"impairment".
[22] (2002) 117 FCR 169.
[23] Canute v Comcare [2006] HCA 47; (2006)
226 CLR 535 at 539 [6]; [2006] HCA 47.
[24] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989).
[25] Deputy Federal Commissioner
of Taxation (SA) v Ellis & Clark Ltd [1934] HCA 54; (1934) 52 CLR 85 at 89; [1934] HCA
54; Master Education Services Pty Ltd v Ketchell [2008] HCA 38; (2008) 236 CLR 101 at
110 [19]; [2008] HCA 38.
[26] Fellowes v Military
Rehabilitation and Compensation Commission [2008] FCAFC 140; (2008) 170 FCR 531 at 539 [33]
and 540 [39] per French and Lindgren JJ.
[27] Canute v Comcare (2005)
40 AAR 327 at 334 [30] per Hill J.
[28] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989) at 4.
[29] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989) at 8.
[30] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989) at 24, Table 7.2.
[31] Guide to the Assessment of
the Degree of Permanent Impairment, 1st ed (1989) at 31.
[32] Canute v Comcare [2006] HCA 47; (2006)
226 CLR 535 at 541 [11].
[33] Canute v Comcare [2006] HCA 47; (2006)
226 CLR 535 at 541 [11].
[34] See Canute v Comcare
[2006] HCA 47; (2006) 226 CLR 535 at 541 [11].
[35] Canute v Comcare [2006] HCA 47; (2006)
226 CLR 535 at 540 [10].
[36] Canute v Comcare [2006] HCA 47; (2006)
226 CLR 535 at 547-548 [36].
[37] Canute v Comcare (2005)
40 AAR 327 at 335 [34] per Hill J.
AustLII:
Copyright Policy
|
Disclaimers
|
Privacy Policy
|
Feedback
URL: http://www.austlii.edu.au/au/cases/cth/HCA/2009/38.html