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Cameron v SAS Trustee Corporation [2011] NSWIRComm 69 (25 May 2011)
Last Updated: 20 June 2011
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Industrial Relations Commission
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Case Title:
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Cameron v SAS Trustee Corporation
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Medium Neutral Citation:
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Hearing Date(s):
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Decision Date:
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Jurisdiction:
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Before:
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Decision:
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1) The time during which the applicant must make the
appeal, the subject of these proceedings, is extended to and including 11
September
2009. 2) I find that the applicant is entitled to be paid a total
and permanent invalidity benefit under s 39 of the State Authorities
Superannuation Act , being satisfied that his cessation of employment with
NSW Maritime was due, directly or indirectly, to a permanent mental incapacity
and that when he ceased to be employed by NSW Maritime, he was permanently
unable, by reason of that mental incapacity, to be engaged,
or to be employed in
any remunerative occupation in which, in the opinion of the Court, it would
otherwise be reasonable to expect
him to engage. That mental incapacity is
constituted by a major depressive disorder, which is moderately severe and
chronic, and
an adjustment disorder with mixed anxiety and depressed mood, also
chronic. 3) The appeal of the applicant is upheld. 4) The respondent is
to pay the applicant's costs of the proceedings in an amount assessed under the
Legal Profession Act in default of agreement.
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Catchwords:
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SUPERANNUATION APPEAL - appeal against a decision
of SAS Trustee Corporation to deny benefits - claim for total and permanent
invalidity
benefit -application lodged out of time - whether applicant should be
granted leave to institute proceedings - whether applicant
totally and
permanently incapacitated - expert opinions - "any remunerative occupation" -
burden of proof - held applicant entitled
to total and permanent invalidity
benefit - factors regarding whether leave should be granted for extension of
time finely balanced
- extension of time granted - appeal upheld - orders
made
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Legislation Cited:
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Cases Cited:
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Texts Cited:
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Parties:
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Bruce Malcolm Cameron (Applicant) SAS Trustee
Corporation (Respondent)
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Representation
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Mr G Beauchamp of counsel (Applicant) Mr T Ower
of counsel (Respondent)
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- Solicitors:
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WG McNally Jones Staff (Applicant) SAS Trustee
Corporation Disputes and Appeals (Respondent)
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File number(s):
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Publication Restriction:
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Judgment
- This
is a superannuation appeal. The applicant is Bruce Malcolm Cameron who was, for
many years, employed by the organisation now
known as NSW Maritime Authority. In
the course of his employment, the applicant became depressed and developed other
symptoms of
a psychiatric disorder which resulted in him being medically retired
on 4 May 2006. The applicant was a member of the State Authority
Superannuation
Scheme ("SASS"). He brought a claim to be paid a total and permanent invalidity
benefit under s 39 of the State Authorities Superannuation Act 1987 ("the
Act"). That claim was ultimately denied. In these proceedings, the applicant has
appealed from the decision to deny him benefits.
In addition to this issue, the
applicant failed to initiate the appeal to this Court within the time prescribed
by the Act and the
Court is also called upon to determine whether the applicant
should be given leave to institute the proceedings although out of time.
- Section
39 of the Act is in the following terms:
39 Benefit on total and permanent invalidity before early retirement age
The benefit provided by this section is payable by STC to a contributor
where, before attaining the early retirement age, the contributor
ceases to be
employed by an employer and STC is satisfied:
(a) that the contributor's cessation of employment was due, directly or
indirectly, to the permanent physical or mental incapacity
of the contributor
(not caused by any act or default of the contributor intended to produce that
incapacity), and
(b) that the contributor is, when the contributor ceases to be employed by the
employer, permanently unable, by reason of that incapacity,
to be engaged, or to
be employed, in any remunerative occupation in which, in the opinion of STC, it
would otherwise be reasonable
to expect the contributor to engage.
The benefit provided by this section is an amount equal to the sum of:
(a) the amount of the contributor-financed benefit,
(b) an amount of employer-financed benefit calculated in accordance with the
formula:
E = S x A x 0.025
where:
E represents the amount to be ascertained,
S represents the higher of the contributor's final salary or the
contributor's final average salary, and
A represents the accrued benefit points for the contributor at the
contributor's exit date, and
(c) where an approval under section 20 (Additional benefit) is in force-the
amount of the additional benefit.
STC is entitled to rely on a certificate by an employer as to any matter
mentioned in subsection (1) (a) if it thinks fit.
If STC makes a determination under section 45A in relation to a benefit to be
provided by this section, the amount of that benefit is reduced by the amount
specified in STC's determination.
The factual background
- The
following narration is taken from the evidence given in the proceedings, which
was predominantly in documentary form, supplemented
by oral evidence to which I
shall refer to the extent relevant.
- The
applicant is currently 48 years of age. He commenced employment with the New
South Wales Maritime Services Board in July 1983,
then aged 21, as a trades
labourer. At the time of joining, the employer was known as NSW Waterways
Authority. The applicant was
a member of the Harbour Cleaning Services
department. Between 1983 and 1994, he worked in the shipyard as a trades
labourer holding
trades certificates as a saw doctor. The shipyard closed and he
was transferred to the Harbour Cleaning section. At that time he
held a
certificate for rigging, scaffolding and formwork.
- Whilst
working as an Environmental Service Officer ("ESO") in the Harbour Cleaning
section, the applicant came into contact with a
supervisor, Mr Leslie
Brix-Nielsen. The evidence is not clear as to precisely when this occurred.
However, there are in evidence
email communications from Mr Brix-Nielsen to a
human resources officer complaining that the applicant and one other person did
not
hold a current NSW driver's licence and an indication that this was a
necessary prerequisite for the work that was being carried
out.
- The
applicant commenced to complain that Mr Brix-Nielsen treated him "in a
contemptuous and dismissive fashion." He said that he endeavoured
to continue
with his work but by mid-2002 he was finding it difficult to work under his
supervision. In narrating this evidence I
should make it clear that whether or
not and to what extent the applicant was harassed by Mr Brix-Nielsen was not an
issue in the
proceedings and it has not been determined, nor is it necessary to
determine, whether the allegations are correct.
- In
June 2000, the applicant complained to the General Manager, Operations and other
personnel concerning some instances that he said
constituted harassment. I
emphasise that it is possible that Mr Brix-Nielsen was doing nothing more than
carrying out his managerial
functions. Whatever is the case, it is clear that
the applicant reacted badly to his interaction with Mr Brix-Nielsen.
- After
investigation, the General Manager, Operations wrote to the applicant stating
that changes were to be made to processes involved
in formal counselling of
employees by supervisory staff, to be monitored by a human resources officer.
- Despite
this, the applicant continued to come into contact with Mr Brix-Nielsen. He
said:
I began to lose sleep and was becoming irritated and irritable ... in July
2002 I woke sweating profusely and bleeding from the cheek.
The next day my
state was uncontrollable. I went to work early, without realising it, and broke
down.
He saw a workplace counsellor and consulted him on five occasions
between 25 July 2002 and 11 September 2002. In a letter, the counsellor
said:
"Bruce presented with stress associated with ongoing conflict with management
within the Harbour Cleaning department."
- As
a result of advice given by the workplace counsellor, the applicant was referred
by his general practitioner to a psychiatrist,
Dr Thomas Newlyn. He first
consulted Dr Newlyn on 21 August 2002. He was prescribed medication.
- Details
of the applicant's further working history are provided by Susanne Ohanian, the
Manager, Human Resources of NSW Maritime Authority.
The applicant had a period
of leave between 25 July 2002 and 27 September 2002, for which was ultimately
paid workers' compensation
benefits. He then worked on selected duties until
certified fit to return to his normal duties in June 2003. However, upon return
to full duties, he again came into contact with Mr Brix-Nielsen and complained
that he was again being "harassed and bullied". He
was off work from 13 June
2003 to 17 October 2003 and was again paid workers' compensation benefits.
- Upon
return to work, the applicant was again given alternative duties.
- In
November 2003, consideration was given by Ms Ohanian to the applicant taking
medical retirement.
- In
April 2004, the applicant was required to reapply for his substantive position
as an Environmental Service Officer. He was concerned
to find out that Mr
Brix-Nielsen was on the selection panel. His application was rejected because
did not hold a driver's licence.
This was an advertised prerequisite for the
position following a reclassification.
- There
is some reference in the evidence as to whether the applicant had represented to
the Authority that he was taking steps to obtaining
a driver's licence. It was
put to him in cross-examination, and denied, that he had indicated that he would
be in a position to secure
the licence within a few weeks. I do not think that
anything turns upon this controversy.
- Some
details of the work performed by the applicant whilst on restricted duties in
2002/2003 were given by Ms Ohanian in her oral
evidence. An initial period of
work between September and December 2002 involved carrying out work in some
customer service areas
but with basic clerical tasks, and assisting with
storeroom and stocktake work. From January to June 2003, the applicant was given
other duties including that of boatman, general boat cleaning, maintenance and
cleaning out of sheds. All of this work was described
by Ms Ohanian as
"meaningful work", namely a number of duties which were seen to be within the
applicant's capabilities having regard
to his certification as fit for light
work only. This work would otherwise have been done by a number of individuals
but, on the
evidence, appears to have been assigned to the applicant to provide
some form of appropriate work for him. In neither case was Ms
Ohanian prepared
to consider the work performed as being that associated with "a real job".
- Towards
the end of December 2003, Ms Ohanian was considering whether the applicant
should be medically retired. At the insistence
of the Maritime Union of
Australia, the applicant embarked upon a training program that might lead to him
being trained to undertake
Customer Service Officer duties. The purpose of the
program was to "assist him to see it he would be suitable and would want to
apply
for that type of work."
- Evidence
tendered in the proceedings indicates that the applicant commenced this training
in January 2004 and that it continued until
16 April 2004. He was then to
commence "front counter" duties and undertake "face to face transactions as well
as the cash register."
- Ms
Ohanian said that the applicant did not go onto the next stage of the training
and could not recollect why. There was some evidence
about whether or not the
applicant had already undertaken part of the next step in the training and it
may be that he declined to
undertake the same training again. I do not think
that pursuing this aspect of the evidence takes the matter any further.
- The
applicant undertook selected duties from 31 May 2004 for a period of about three
months, which Ms Ohanian described as "doing
basic clerical and basic customer
service duties." This was also "meaningful work".
- After
his failed application to be reclassified as an Environmental Service Officer,
the applicant became a "displaced officer" and
until December 2004 carried out a
variety of functions that were given to him. This was work that was said to be
within his capacity
but that was not associated with any particular position
that was available within the Authority.
- The
applicant went on leave from December 2004 until the date of his medical
retirement.
- The
applicant's further attempted rehabilitation appears to have been interrupted by
the fact that he applied for the regraded ESO
position, was unsuccessful and
subsequently lodged an appeal with GREAT, which was also unsuccessful.
- The
applicant had been referred by his treating doctor, Dr Patrick Coorey, to
Konekt, a rehabilitation provider. A report was provided
to the workers'
compensation insurer by Mr David Pirie of Konekt covering a period from 4
November to 7 December 2005. Mr Pirie attended
a meeting with representatives of
NSW Maritime on 14 November 2005. He indicated that Dr Newlyn, the applicant's
treating psychiatrist,
was hopeful that the applicant would be able to return to
his pre-injury duties because he was no longer experiencing side-effects
of
dizziness from his medication, which had prevented him from undertaking that
work. However, NSW Maritime advised him that the
applicant's pre-injury position
was no longer available and that substantial efforts had been made to redeploy
the applicant in other
positions, which had also been unsuccessful. On this
basis, NSW Maritime was unable to offer any modified duties. The report contains
this comment:
Konekt explained the potential cost of claim associated with external
redeployment, and highlighted the potential barriers to job
seeking including Mr
Cameron's extensive time off work, potential limited transferable skills,
unknown labour market, and possible
motivational issues with job seeking.
The report indicates that NSW Maritime reiterated that it did not have
any suitable duties available to the applicant. Mr Pirie proffered
his ability
to undertake work including "boat detailing, workshop maintenance, car
detailing, working with commercial vessels, or
within the Assets department that
would be suitable." NSW Maritime confirmed that it "would not be able to offer
the above mentioned
duties or any others on a permanent basis."
- There
is comment made by Mr Pirie concerning an apparent inconsistency between the
opinion of Dr Coorey, the treating general practitioner,
to the effect that the
applicant remained unfit for work until 13 January 2006 and that of Dr Newlyn,
who at the relevant time had
indicated that the applicant would be fit for
suitable duties in one week and fit for pre-injury duties in two weeks.
- There
is also reference in the report to an inability
to obtain Mr Cameron's agreement to a vocational goal despite conducting
vocational counselling and explanation of the WorkCover return
to work
hierarchy. Whilst he remains certified unfit for work, Mr Cameron is not obliged
to engage in job seeking efforts.
However, there is also acknowledgment
that "Mr Cameron has presented with a determination to pursue duties with his
pre-injury employer,
and will engage legal action if necessary."
- In
a letter dated 20 April 2006, to the Acting Chief Executive, Ms Ohanian
canvassed three alternatives to the resolution of the applicant's
employment
status. She noted that he had applied for medical retirement. The three
alternatives were termination of his services,
the provision of an alternative
position or alternative duties and medical retirement. Ms Ohanian noted that in
considering the capacity
of NSW Maritime to reasonably provide alternate duties
and the displacement of or disadvantage to other employees occasioned thereby
and the capability of establishing a new position to cater to the applicant's
skills and abilities, and having regard also to his
diagnosis of unfitness for
work on medical grounds that "the option of alternative placement is not
considered a viable proposition."
She recommended medical retirement, which
recommendation was supported by the General Manager, Corporate Services and
approved by
the Acting Chief Executive. This was subsequently processed.
- The
applicant was cross-examined about his application made in March 2004 to perform
the duties of the upgraded ESO position.
- It
was put to him that despite past problems with his medication and despite the
lack of a driver's licence, he would be able to do
the work associated with the
ESO position. He said, "I thought I may be able to, yes."
- The
applicant was also referred to his consultation with Mr Pirie in November 2004.
He said that he was interested in carrying out
work such as boat detailing,
workshop maintenance, car detailing, working with commercial vessels or within
the Assets department
and "I thought I may be capable to doing them." He was
asked why he hesitated in giving that evidence and he said "but it would be
the
effect of the medication I think, yes. I was hoping that I would be able to
perform them."
- It
was further put to the applicant in cross-examination that he was capable of
work as at May 2006. He denied this. He said: "And
I don't believe my health is
capable of performing duties." When pressed to explain this, he said:
Well, with the condition that I have, it's very hard to deal with people. I -
as I said, I keep myself to myself. I find it awkward
travelling. I find it
awkward being in crowds. I have periods of anxiety. Probably, for want of a
better word, you have panic situations.
I have trouble relating to people. And
that's why - that's - it's been one of those things that's stopped me from
progressing now
further. As you know, one hopes one is going to get better and
deal with things, but unfortunately it's - it just doesn't work that
way.
The medical evidence
- A
number of medical reports were tendered into evidence and oral evidence was
given by two psychiatric specialists.
- The
earliest report in point of time is that of Dr Joseph Waks, a general
practitioner who specialises in occupational medicine. The
applicant was
referred to him by Ms Ohanian and was examined on 30 October 2002. Dr Waks'
report of 4 December 2002 was furnished
after some delay in obtaining medical
release statements and after Dr Waks had spoken to Dr Newlyn, who was then
treating the applicant.
Dr Waks, after referring briefly to the applicant's
history as given, diagnosed the applicant as suffering from a "depressive
illness/phobic
reaction" and felt that his long-term prognosis was "guarded"
depending upon whether or not the applicant's workplace issues could
be
resolved. He commented, however, "even then there may have been irreparable
damage in the relationship between his team leader/manager
and himself." Dr Waks
thought that the likelihood of the applicant being able to return to normal
duties depended upon resolution
of the workplace issue.
- It
will be remembered that the applicant had been referred to Dr Thomas Newlyn,
psychiatrist, at an early stage. In a report dated
14 January 2004, Dr Newlyn
diagnosed a "work-related depressive illness" that began in June 2003 and for
which Dr Newlyn had been
treating him since 24 October 2003. He said: "I had
treated a previous episode of work-related depression from 21 August 2002
through
January 2003." In that report, Dr Newlyn thought that the depressive
illness had improved significantly when the applicant was placed
under different
supervision and in a different workplace in 2002. He said:
My psychiatric opinion remains that Mr Cameron's depressive illness would
greatly improve if he were transferred to another position
on the same
entitlements under the supervision of another person.
- On
3 December 2005, Dr Newlyn provided a report to Mr Pirie of Konekt. This
repeated the diagnosis that he had consistently given
(albeit that sometimes Dr
Newlyn referred to the adjustment disorder before the major depressive disorder
and sometimes he reversed
the order). In answer to a request, Dr Newlyn said
that he expected the applicant to be able to return to suitable duties within
one week and to return to his pre-injury duties within two weeks.
- Dr
Newlyn was asked to complete a medical certificate, in standard form, by State
Super which he did on 27 March 2006, this being
the date of his last
consultation with the applicant. The certificate asked Dr Newlyn to furnish his
opinion on the applicant's incapacity
for work by indicating his agreement with
a number of alternative propositions. In indicating which of those propositions
he agreed
to, Dr Newlyn certified that, in his opinion, the applicant:
Will never be able to be employed in his/her normal occupation due
to this incapacity.
Is still able to be employed in some form of paid
occupation - examples are (but no examples were provided by him).
Is still
able to administer his/her own financial affairs.
- In
signing the certificate, Dr Newlyn agreed to the following:
I certify that the member named here is suffering from a medical condition
which, in my opinion, is likely to result in their being
unable ever to be
employed in a capacity for which they are reasonably qualified by education,
training or experience. I also certify
that, in my opinion, the person has
suffered from that condition for a period of three and three-quarter years.
- For
completeness, I note that the "incapacity" referred to in the certificate was
one of "depression".
- Dr
Newlyn provided a detailed psychiatric report on 24 July 2006, some four months
after the earlier certificate. He had not examined
the applicant in the interim.
- That
report set out in some detail the history received by Dr Newlyn from the
applicant, which it is not necessary to repeat for present
purposes. Dr Newlyn
had last been consulted by the applicant on 31 May 2006. Prior to that he had
examined the applicant on a monthly
basis.
- In
his report, Dr Newlyn diagnosed the applicant as suffering from "adjustment
disorder with mixed anxiety and depressed mood, chronic
and major depressive
disorder, single episode, moderate."
- In
responding to questions put to him by State Super, to whom the report was
addressed, Dr Newlyn proffered the opinion:
Mr Cameron was released to return to work by me in December 2005. However,
his employer was unwilling to reemploy him so he chose
medical redundancy.
He said that the applicant was "fit to resume work similar to the work
he was performing at NSW Maritime", was "capable of working
30 or more hours per
week" and was "capable of working part-time".
- When
responding to a question about whether the applicant was permanently unable to
do any particular kinds of work, Dr Newlyn said
that the applicant had
reported on 31 May 2006 that the stress of redundancy had exacerbated his
depression and that he believed that he was unable to work
at this time but
should be able to resume work in the future.
He thought that the
applicant had "a good prognosis". It should be observed that this report
expresses an opinion that is inconsistent
with that contained in the earlier
certification of 30 March 2006 and these conflicting opinions were the subject
of detailed cross-examination.
- Before
dealing with Dr Newlyn's oral evidence, I refer to a further report issued by
him dated 9 October 2007 to Dr Coorey, the applicant's
treating general
practitioner. In that report, Dr Newlyn repeated the diagnosis that he had given
in the report of 25 July 2006,
which I have earlier set out. He then referred
briefly to the applicant's medication and said:
Today I again said that the circumstances of his resignation from Waterways
was such that I couldn't change the opinion that I gave
State Super. I told him
that I could no longer help him unless he sought a second psychiatric opinion
with a psychiatrist of your
choosing. It is possible that the second opinion
psychiatrist would agree to take care of Mr Cameron, but I would be willing to
accept
him back with an opinion concerning care options.
- Dr
Newlyn was called to give evidence by the respondent. In examination in chief,
he was referred to the conflicting opinions in the
certificate and report
respectively, to which I have earlier referred. His explanation centred around
the fact that he was given
a limited opportunity to express an opinion in the
certificate because he was obliged to assign assent or otherwise to particular
matters. He said that his more detailed report represented his real opinion.
- In
cross-examination, Dr Newlyn was taken to his records and, firstly, to the
report to Mr Pirie of 3 December 2005, to which I have
earlier referred. Dr
Newlyn's detailed records subsequently became evidence in the proceedings. In
those records, he had assigned,
on each occasion that he saw the applicant, a
"global assessment function". Dr Newlyn explained in evidence that this was
intended
to reflect the functionality of the patient. He said:
... God might get a 100, everybody else doesn't quite make it. Most of us
function between 90 and 95; people at 80 are doing very
well but are
occasionally stressed by their work. At 70 you have got some stress; at 65 you
are stressed but able to work.
In cross-examination, Dr Newlyn said that
at 65 the global assessment function indicated that a person was visibly showing
signs of
stress but still able to work, but that below that level "it gets more
dire." He said that at a level of 50 a person would be having
difficulty with
stressful work and that at level 45 he probably would not be able to work.
- The
records of Dr Newlyn indicated that as at November 2005 he had assigned a global
assessment function of 45. When he reported to
Mr Pirie on 3 December 2005, he
changed that to 65, without having seen the applicant in the interim. He was
asked why such a change
occurred and he said:
That was my - on reviewing my records I decided that I had made an error in
assigning an assessment of 45 and it should have been
65.
Furthermore,
Dr Newlyn conceded that in furnishing his report of 3 December 2005 expressing
an opinion of fitness to return to full
employment within two weeks, he had not
seen the applicant since 3 November 2005 and had not discussed with the
applicant in any
way that he was of the opinion that the applicant would be able
to return to the workforce at the end of 2005. This was despite the
fact that on
3 November 2005 the applicant had told Dr Newlyn that he was continuing to have
difficulties about his work situation
and had not worked for a year, was
continuing on medication prescribed by Dr Newlyn, that his condition was chronic
and that he continued
to suffer from major depression. When asked whether he had
given consideration to the fact that the same person who the applicant
had said
had bullied him as his supervisor might again be present, Dr Newlyn said that he
had given no consideration to this matter
and could not deal with the issue.
When asked to elaborate on his opinion, Dr Newlyn said:
... I really believe that in answering a question about whether a person can
return to their pre-injury duties I'm not - my role there
is saying: can the
person return to work? It's the employer's responsibility to make sure that the
workplace is safe.
He was then asked whether he should introduce some
"disclaimer" about whether the applicant should work under the same supervisor
as previously. He replied that in his experience of disclaimers "they're
counterproductive." By this he meant that qualifications
on return to work
produced "extraordinary difficulties in returning people to employment."
- The
upshot of Dr Newlyn's evidence was that he thought it would be more productive
for the applicant to return to work under the care
of Konekt, a rehabilitation
provider, than not being at work. He would leave it to the rehabilitation
provider and to the employer
to ensure that the work that was provided was
suitable for the applicant. At that stage, he was also unaware that the employer
was
considering medical retirement for the applicant.
- Dr
Newlyn conceded that in expressing an opinion about the applicant's ability to
return to work with NSW Maritime, he was not familiar
with the jobs that were
available with that organisation and that he was "not a workplace placement
specialist".
- In
re-examination, Dr Newlyn was asked about his opinion as to the applicant's
fitness for work in May 2006. He said: "My opinion
in May 2006 was that Mr
Cameron could work, albeit maybe not at Waterways, but he could work."
- Dr
Hugh Morgan, a specialist psychiatrist, commenced treating the applicant in
November 2007 having been referred by Dr Coorey. In
a report to Dr Coorey of 30
November 2007, Dr Morgan diagnosed a major depressive disorder, moderately
severe, chronic. He prescribed
medication, and referred him to a psychologist to
undertake a course of cognitive behaviour therapy. Dr Morgan has continued to
treat
the applicant since.
- Dr
Morgan was asked to provide a medical report to the applicant's current
solicitors. That report is dated 10 August 2009. Dr Morgan
said that the
applicant remained "substantially disabled by his condition and ... very
vulnerable to exacerbations in his condition
due to relatively minor stressors
..."
- Dr
Morgan said that he believed that the applicant was totally and permanently
disabled at the time that he ceased to be employed
by NSW Maritime in May 2006
in that he was then permanently unable to be employed in any remunerative
occupation in which it would
be reasonable to expect him to be able to engage
but for his condition. He said that the applicant had reached "maximal medical
improvement"
and that his condition:
unfortunately has become chronic and I believe is very unlikely to improve
much over the ensuing years. Mr Cameron has been struggling
with symptoms of
mixed depression and anxiety now for more than seven years ..."
- Dr
Morgan gave oral evidence. It was put to him by counsel for the applicant that
the applicant's long-term relationship had ended
some four to six months before
Dr Morgan had first seen him, and that prior to that time he had lived an active
social life and had
been a union delegate. He was then asked a question
concerning the applicant's condition as at May 2006 and gave the following
evidence.
Q. Does that assist you in determining how he was in May 2006 is or is not as
you have seen him since 2007?
A. My impression when I first saw Mr Cameron in November 2007 was that he was
quite significantly depressed and anxious. On balance
of probability from
looking at previous reports, from his account of events, I suspect that he is
correct that he probably began
to be depressed before 2002 and in my experience
this is not an uncommon scenario that people may begin to develop a depressive
illness
and take time before they seek help. In my opinion I think that he
really didn't recover over that time, despite treatment that he
started with Dr
Newlyn and I think that with his partner separating that this would have further
exacerbated his problems.
- Questions
were put to Dr Morgan by the respondent's counsel in cross-examination which
emphasised the fact that the applicant had
endeavoured to return to work on a
number of occasions and that this might indicate some ability to work. Dr Morgan
responded that
it was not uncommon that patients endeavour to return to work. He
said, "I think that's an entirely reasonable thing to do and sometimes
that's
successful and sometimes it's not."
- When
pressed in cross-examination concerning the applicant's condition in May 2006
against the background of the opinion expressed
by Dr Newlyn that the applicant
had an ability to work, Dr Morgan said:
my impression is that the nature of Mr Cameron's condition is that it is
chronic, that it tends to wax and wane, that's by its nature,
that that tends to
be affected by external events and that, I guess, I can't really say that
specifically.
- Notwithstanding
cross-examination, it was Dr Morgan's opinion, expressed as a clinical
impression that he had obtained, that the applicant's
condition was chronic and
stable and that his incapacity in May 2006, as expressed in the report of 10
August 2009, was consistent
with everything that Dr Morgan knew about the
applicant.
- There
appears to be only one report available from Dr Patrick Coorey. It is dated 9
February 2006 and indicates that the applicant
was fit for suitable duties from
13 February 2006 to 17 March 2006. There is no hint as to what those suitable
duties might be.
- The
respondent relied on a report of Dr Michael Robertson, a consultant psychiatrist
who had examined the applicant on behalf of the
workers' compensation insurer of
NSW Maritime Authority on 25 January 2005 and provided a report dated the same
day. After setting
out the history that he had taken, Dr Robertson diagnosed the
applicant as suffering from "dysthymic disorder", complicating a personality
with narcissistic traits. He thought that there had been a "work-related
aggravation of Mr Cameron's personality ...", and that "the
current problem is
likely to be long-term."
- In
assessing the applicant's then current capacity for employment, Dr Robertson
said that he was unlikely to return to employment
under the influence of the
person whom he had perceived to bully him. Dr Robertson said:
I suspect that retraining and redeployment is the only credible option. I
think he would be fit to return to work under a graded return
to work program,
with a rehabilitation provider, perhaps in a different field ... I do believe
that ultimately this worker, if he
is to return to full pre-injury hours, will
need to be given a specific work description, subject to regular constructive
performance
reviews, although these are clearly industrial rather than clinical
issues.
Dr Robertson proffered a prognosis in these terms: "This
condition is likely to persist long-term. I suspect there will be long standing
psychological distress."
- The
applicant did not require Dr Robertson for cross-examination for reasons that
are obvious given his opinion.
The statutory framework
- The
Superannuation Scheme, which is the subject of this claim, is regulated by the
provisions of the Superannuation Administration Act 1996. The
administration of the Scheme is undertaken by SAS Trustee Corporation, also
called STC (Section 48). STC is the trustee of the Scheme. Section 49 of this
Act is as follows:
49 STC to be trustee for STC schemes
STC is the trustee for the STC schemes and is to hold in trust for the
persons who are or will be entitled to benefits under the STC
schemes all assets
held by, and all contributions and other money paid or payable to, STC under
this Act and any Act under which
an STC scheme is constituted or established.
STC is a trustee for the purposes of the Trustee Act 1925.
Accordingly, subject to this Act, and unless this Act, the Trustee Act
1925 or any other Act otherwise provides, STC has the obligations, rights
and duties of a trustee under Division 2 of Part 2 of the Trustee Act
1925.
- In
addition to the normal fiduciary duties that would apply to STC as a trustee,
certain duties are provided for specifically by s 51 of that Act, which is in
the following terms:
51 Duties relating to functions
STC must:
(a) act honestly in all matters relating to its functions relating to the STC
schemes, and
(b) exercise, in relation to all matters affecting the STC schemes, the same
degree of care, skill and diligence as an ordinary prudent
person would exercise
in dealing with property of another for whom the person felt morally bound to
provide, and
(c) ensure that its functions relating to the STC schemes are exercised in the
best interests of persons entitled to receive benefits
under the STC schemes,
and
(d) not enter into any contract or arrangement, or do anything else, that would
prevent STC from, or hinder STC in, properly exercising
STC's functions as a
trustee.
In exercising its functions, STC must have regard to:
(a) the interests of persons entitled to receive benefits under the STC schemes,
and
(b) the Heads of Government Agreement, commencing 1 July 1996, relating to the
exemption of certain State public sector superannuation
schemes from the
Superannuation Industry (Supervision) Act 1993 of the Commonwealth, and
(c) the future liabilities of the STC funds, and
(d) any statement in writing of the policy of the Government on any matter that
is relevant to the functions of STC given by the
Minister to STC.
Subsection (1) (d) does not prevent STC from entering into a contract or an
arrangement under section 53.
- If
any dispute arises under that Act, including a dispute as to the payment of any
benefits, it is dealt with in accordance with s 67, which is in the following
terms:
67 Determination of disputes
A dispute under this or any other Act concerning an STC scheme is to be
determined by STC or an STC disputes committee, except as
otherwise provided by
the regulations.
Regulations made for the purposes of subsection (1) may require that a
dispute concerning the entitlements or obligations of an employee
or beneficiary
arising in respect of service by the employee with an employer that:
(a) was responsible for the payment of benefits under an STC scheme of which the
employee was a member or to which the employee was
a contributor, and
(b) has ceased to be responsible for the payment of benefits under that scheme
but is responsible for the payment of benefits under
a new superannuation scheme
created in accordance with section 127,
be determined, not by STC or an STC disputes committee, but
by the trustee of the new superannuation scheme.
In determining a dispute, STC, an STC disputes committee or the relevant
trustee may inform itself on any matter in such manner as
it thinks fit and, in
so doing, is not bound to observe rules of law relating to evidence.
A trustee acting in accordance with regulations referred to in subsection (2)
and an STC disputes committee have and may exercise
the powers conferred on STC
by sections 66 and 68.
This section does not apply to a dispute in respect of which an application
may be made to the District Court under section 21 of
the Police Regulation
(Superannuation) Act 1906.
- The
appeal to this Court is provided for by s 88 of that Act, which is in the
following terms:
88 Appeals
A person aggrieved by a determination of STC or an STC disputes committee
under section 67 (relating to determination of disputes)
may appeal against the
determination to the Industrial Relations Commission in Court Session (the
Commission ).
The appeal must be made within 6 months after the appellant is notified of
the determination or within such further period as the
Commission allows.
In dealing with the appeal, the Commission may exercise any function that
could have been exercised by STC or the STC disputes committee,
as the case may
be, in making the determination the subject of the appeal.
In dealing with the appeal, the Commission is to have regard to this Act and
any other relevant provisions regulating the superannuation
scheme concerned and
such other matters as it considers to be relevant.
In dealing with the appeal, the Commission is not bound by the rules of
evidence and may inform itself in any manner it thinks fit.
The final determination made by the Commission on the appeal is to be given
effect to as if it were a determination of STC.
- The
provisions of s 88 have recently been considered by Haylen J in this Court in
McKenzie v SAS Trustee Corporation [2009] NSWIRComm 177. His Honour made
the following observations, which I gratefully adopt.
[191] Having set out the statutory provisions, some brief discussion is
necessary concerning the role of the Court on appeal and the
manner in which it
is to perform its task. The appeal is from an administrative decision taken in
circumstances where, although submissions
and medical reports are received,
there is no requirement for the STC to act as a tribunal conducting a formal
hearing. In dealing
with disputes, while the STC is bound by the provisions of s
51 of the Superannuation Administration Act , it is only when an appeal
is made under s 88 of that Act that a hearing is held. In Gedeon v First
State Super Trustee Corporation [2005] NSWIRComm 62, Marks J dealt with the
almost identical provision then appearing as s 40 of the Superannuation
Administration Act . His Honour held that s 40 provided for a hearing de
novo leaving the Court to determine the matter by reference to such evidence
as
the parties placed before it and any other material that the Court might
properly consider. It was observed that s 40 did not
limit the Court in hearing
an appeal to the materials considered by the relevant superannuation authority.
While those provisions
have since been repealed, there appears to be no reason
to treat s 88 of the current Act in any different way. This approach is
consistent with the process of categorisation of appeals dealt within in
the
Builder's Licensing Board v Sperway Constructions (Syd) Pty Ltd [1976] HCA 62; (1976)
135 CLR 616 where the High Court pointed to certain provisions as are present in
s 88 as might lead to the conclusion that the appeal is by way
of a de novo
hearing. Nevertheless, the High Court cautioned that, in the end, the answer
would depend on an examination of the legislative
provisions rather than
attempting to classify the administrative authority as one which was entrusted
with an executive or quasi-judicial
function.
[192] As the task of determining the nature of the appeal is primarily a
question of elucidating the legislative intent ( BLB v Sperway per Mason
J at 621-622) it is significant that in s 88(3), on appeal, the Court may
exercise any function that could have been exercised
by the STC or its disputes
committee in making the determination that is the subject of the appeal. By s
88(4), on appeal, the Court
is to have regard to the Superannuation
Administration Act and any other relevant provision regulating the
superannuation scheme concerned and such other matters it considers relevant. By
sub-section
5, in dealing with the appeal, the Court is not bound by the rules
of evidence and may inform itself in any manner it thinks fit.
By sub-section 6,
the final determination made by the Court on appeal is to be given effect to as
if it were a determination of the
STC. By these provisions the legislature has
given a clear direction that in effect, on appeal, the Court acts as if it were
the
STC and is to have regard to the obligations and functions imposed on the
STC as well as the powers that may be exercised by the
STC. In this rather
unusual appeal provision the Court, acting in place of the STC, makes a final
determination in the present matter
of whether or not Mr McKenzie satisfies the
provisions of s 10B of the Police Regulation (Superannuation) Act ,
namely, having regard to medical advice on the condition and fitness for
employment, it can be certified that the former member
of the Police Service was
incapable, from an infirmity of body or mind, of personally exercising the
functions of a police officer.
- I
shall refer further to the role of this Court in determining an appeal under s
88 when considering the provisions of s 39 of the State Authorities
Superannuation Act , under which the applicant has claimed the total and
permanent invalidity benefit in the context of the state of the material
available
to the Court when determining whether the applicant's appeal succeeds.
The total and permanent invalidity benefit
- The
relevant provision under which such a benefit becomes payable is s 39 of the
State Authorities Superannuation Act , which I have set out at [2]. The
proceedings before the Court were conducted by both parties on the basis that
the applicant had
satisfied the provisions of s 39(1)(a). The respondent so
conceded.
- Accordingly,
I proceed on the basis that the applicant ceased to be employed by NSW Maritime
and that such cessation was due either
directly or indirectly to his permanent
physical or mental incapacity.
- It
is obvious, but nevertheless I must state it, that the incapacity which is
referred to in s 39(1)(a) is an incapacity to be employed by NSW Maritime. It is
not necessary in the circumstances of these proceedings for me to consider
the
nature of the employment of the applicant for which he is permanently
incapacitated having regard to the various duties that
were given to him from
time to time, to which I have previously referred.
- This
leaves for consideration the application of s 39(1)(b), which was the focus of
the contest between the parties. I observe, firstly, that the state of affairs
that is to be considered when
dealing with s 39(1)(b) is that which existed as
at the date that the applicant ceased to be employed by NSW Maritime, namely 4
May 2006.
- The
other matters that need to be considered are more contentious. These are:
1) The nature and extent of any permanent inability to work of the
applicant.
2) Such inability being caused by any permanent physical or
mental incapacity.
3) That the inability to work is in any remunerative
occupation.
4) In which it would "otherwise" be reasonable to expect the
applicant to engage.
- I
shall return to 1) and 2) above when I review the state of the evidence and the
conclusions that I am able to draw from that evidence.
- Before
proceeding further, however, it is necessary to deal with 3) and 4). I first
consider what is intended by the words "any remunerative
occupation".
- I
was informed by counsel for the parties during the course of the hearing that
there is no decided case which has determined the
meaning of the words used in s
39(1)(b). I observe that both counsel practise widely in the area of
superannuation law and have appeared as counsel in many of the authorities
to
which I am about to refer.
- Both
counsel were in agreement that the Court should adopt the "common sense"
approach applied by a number of judges in the Supreme
Court of New South Wales
when considering superannuation appeals, albeit that the precise wording of the
definition being considered
was different and, in some cases, markedly
different.
- In
Chammas v Harwood Nominees Pty Ltd (No 1) [1993] 7 ANZ Ins Cas 61 - 175,
Hodgson J (as his Honour then was) said, in part:
and I think those words sufficiently indicate that the relevant employment is
full time employment, and that the question is not merely
incapacity to engage
in some theoretical employment, but actual likelihood of obtaining employment.
In Munios v Johnson and Johnson Retirement Benefits Limited
(unreported, 5 December 1996, No 3597 of 94), McClelland CJ in Eq (as his
Honour then was) said:
In other words it is in the context of the real world, not that of some
theoretical abstraction, that the criterion provided by the
definition of total
and permanent disablement needs to be applied.
- In
Halloran v Harwood Nominees Pty Ltd [2007] NSWSC 913, Brereton J said, at
[47]:
[47] Also like Hodgson J in Chammas , I would conclude that the
reference to employment must be given a reasonable construction, limited to
full-time employment reasonably
open to the member, being employment which the
member is capable of undertaking having regard to his education, experience and
training,
or at least could have become capable of undertaking with further
training that it would be reasonable for him to undertake. In my
view, there is
significance in a context in which disability is often qualified by the
adjective "total and permanent", in the circumstance
that those words do not
appear in clause 18.1. The degree of disablement required by clause 18.1 is less
than "total and permanent",
notwithstanding that "disability" is said by some of
the dictionary definitions to have a connotation of permanence. Light duties,
specifically for an injured worker, would not be the type of full-time
employment in a regular occupation that the provision has
in mind.
- Nicholas
J in Kenan Berk v Westpac Securities Administration Ltd [2010] NSWSC 28
went further and incorporated a concept of remunerative work for which the
claimant was qualified by education, training or experience.
His Honour said:
[131] The definition relates to the disability to obtain future employment in
any occupation. It requires consideration of whether
or not, on the evidence, it
is probable that the insured would actually again work in any occupation (i.e.
remunerative work) for
which he is qualified by education, training or
experience, and whether it is likely his injury has disabled him from doing what
he is qualified to do. The court is expected to take a realistic and common
sense approach in its assessment. The application of
the definition is directed
to the realities affecting the capacity of the insured under consideration. It
is not about theory ( Sayseng v Kellogg Superannuation Pty Ltd & Anor
[2003] NSWSC 945, [54]; Ivkovic v Australian Casualty & Life Ltd
(1994) 10 SR (WA) 325, p 351; Nile v Club Plus Superannuation Pty Ltd
& Anor [2005] NSWSC 55, [64], [65], [68]).
- In
Nile v Club Plus Superannuation Pty Ltd & Anor [2005] NSWSC 55,
Brownie AJ said:
[64] As Hodgson J pointed out in Chammas , a decision that has been
followed from time to time, without anyone ever apparently expressing a doubt
about its correctness, and
the correctness of which is not challenged now, one
must consider not just the theory that someone is physically fit to do
particular
work, but also the actual likelihood of that person obtaining
employment, meaning full time employment (or, I take it, substantially
full time
employment, generally comparable with the plaintiff's employment before his 1996
injury) that was reasonably open to the
plaintiff. Given the plaintiff's
education, training and experience, the prospects of his actually obtaining
employment in any of
the jobs suggested by Dr Innes-Brown were remote, and
perhaps non-existent.
- In
Halloran , previously referred to, Brereton J was considering a
definition of total and permanent disablement that specifically included a
reference to the qualifications of the claimant. His Honour said:
[75] The second limb is whether he has become incapacitated to such an extent
as to render him "unlikely ever to engage in or work
for reward in any
occupation or work for which he is reasonably qualified by education, training
or experience".
[76] That phrase can be distilled into the following components.
(1) unlikely (meaning a probability of less than 50%) ( White v The Board of
Trustees [1997] 2 Qd R 659, 673)
(2) ever to engage (meaning on a full-time regular basis) (Riley v National
Mutual Life Association [1986] 4 ANZ Ins Cas 60-684, 74063; Chammas; Nile v Club
Plus Superannuation Pty Limited [2005] NSWSC 55, cf Wyllie v National Mutual
Life Association of Australasia [1997] 217 ALR 324; Sayseng v Kellogg
Superannuation)
(3) in any occupation or work (meaning a recognised occupation, not a special
light duties job for injured workers) (Cavill Power
v Royale; Dolton v State
Authority Superannuation Board [1995] NSWIRC at 159 [11.1]) and being work which
he is likely to be able
to obtain (Chammas, Nile v Club Superannuation, [64]);
(4) for which he is reasonably qualified by education, training or experience
(as at the date of assessment) (Giles, Fernance)
- I
acknowledge that the reference to qualification by education, training or
experience is not present in the s 39(1)(b) definition. However, the importation
of such a concept is consistent with the approach to construction adopted in the
several Supreme
Court judgments to which I have referred as being one that
reflects a common sense and realistic approach to a consideration of the
availability of the benefit. I shall refer again to this aspect when dealing
with the fourth matter which arises.
- For
completeness I also observe that the definition being considered by Brereton J
in Halloran is different from that contained in s 39(1)(b) in that there
is a reference in the former to "unlikely" whereas, it seems to me, that the
concept in s 39(1)(b) is one of permanent inability. I think that this is a
significant difference and I propose to consider the matter on the basis that
it
is necessary to conclude that there is a permanent, that is indefinite,
inability for the applicant to be employed in any remunerative
occupation of the
kind referred to in the concluding words of s 39(1)(b). Strictly, it is not
necessary, in determining the nature of any remunerative occupation of the kind
referred to in s 39(1)(b), that I determine whether it should be confined to
regular full time work, or may arguably include a substantive part-time
position.
I am prepared to proceed on the basis that both types of work would
fall within what is a remunerative occupation, because of the
findings that I
shall make to determine this aspect of the proceedings. I should not be taken to
have concluded on any final basis
that a remunerative occupation necessarily
includes part-time work. I should state, however, in advance of the observations
that
I am about to make concerning the fourth matter, that I would exclude work
of a casual nature or light work manufactured to suit
the particular
circumstances of the applicant in the absence of any compelling evidence that
such work was available. In this latter
regard, I adopt the observations of
Bauer J in the Industrial Court of New South Wales in Dolton, Noel v Sasb
[1995] NSWIRComm 296. His Honour said, in the context of a consideration of
the concept of light duties as an appropriate engagement in an industry, the
following:
There is, however, a difference between a job of work given to an employee on
"light duties" where the employer has to make allowances
for the effect of the
injuries on work capacity and work where no such obligation rests on the
employer. There is no category of
light duties or restricted duties within the
definition of "mineworker". Whilst it is correct that the extended definition is
very
wide ... and includes jobs such as clerks, office workers and bathhouse
attendants, those jobs though involving exacting physical
work must be regarded
as full duties jobs not attenuated by concepts of "light" duties. By parity of
reasoning the intention of the
SAS Act would seem to require participation in a
"remunerative occupation" on a full time basis and in a recognised occupation
not
being one that is specially created such as light duties jobs made up from
time to time within industry for injured workers.
- It
is now necessary to consider the fourth matter, a consideration of the opinion
of the STC in the context of the formulation of
a reasonable expectation.
- I
have already observed that STC is a trustee and has a number of duties imposed
upon it by s 51 of the Superannuation Administration Act .
- The
respondent submitted that STC was not a trustee "in the pure sense", pointing to
the administrative nature of the duties of STC.
In making this submission, the
respondent relied upon brief observations of Young JA in the New South Wales
Court of Appeal in Swift v SAS Trustee Corporation [2010] NSWCA 182. At
[68] his Honour said:
[68] I am not at all sure that this view is correct, it is artificial to
consider that the respondent is a trustee in the pure sense
or that the District
Court is doing anything more than reviewing the discretion of a statutory
authority or redeciding that matter.
I will return to this issue.
- With
respect, I am unable to discern what his Honour intended by stating that it is
artificial to consider the respondent as a trustee
"in the pure sense",
particularly as s 49 of the Act specifically designates the STC as a trustee.
However, I do not think that anything
turns on this, particularly when one has
regard to the provisions of s 51, which I have earlier set out and which,
arguably, overlap
the fiduciary duties and obligations imposed upon the trustee
of a superannuation scheme. Specifically, I would import into the duties
and
obligations of STC in considering matters under s 39(1)(b) the necessity to
ensure that it did not knowingly exclude relevant
information from its
consideration of the applicant's claim and to ensure that it did seek relevant
information in order to deal
with the claim, if it thought that it was necessary
to do so. I adopt observations in the joint judgment of the High Court of
Australia
in Finch v Telstra Super Pty Ltd [2010] HCA 36 at [66], which
were made, admittedly, in connection with a different type of superannuation
fund but nevertheless should be applied to the
circumstances of these
proceedings. Their Honours said, in part:
the duty of a trustee in forming an opinion of the present type is a duty to
form a fair and reasonable opinion, or even a duty to
form a correct opinion,
there is because of the importance of the opinion and its place in the Scheme a
high duty on the Trustee
to make inquiries for "information, evidence and
advice" which the Trustee may consider relevant.
- I
would specifically apply these observations in the context of the formation of
an opinion by STC about whether there exists any
remunerative occupation, and
the nature of that occupation in which it would "otherwise" be reasonable to
expect the applicant to
engage.
- I
am not aware of the basis upon which the STC determined that there was some
remunerative occupation in which it would be reasonable
to expect the applicant
to engage. This is not important, or indeed significant, because the Court in
the circumstances of these
proceedings is to determine the matter upon such
evidence and information as is adduced by the parties and available to it. I
shall
examine that evidence and information shortly.
- During
the course of submissions, I raised with the parties whether there was any
particular onus or burden to establish that the
provisions of s 39(1)(b) did or
did not apply. The respondent submitted that the onus fell squarely on the
applicant to exclude that
there was any remunerative occupation in which it
would be reasonable for the STC, in its opinion, to expect him to engage. I
respectfully
disagree. I considered, albeit obliquely, the question of burden of
proof in passing in Gedeon v First State Super Trustee Corporation [2005]
NSWIRComm 62. At [32] I said:
[32] The meaning of these words was considered briefly by Hodgson J (as his
Honour then was) in the Supreme Court of New South Wales
in Chammas v Harwood
Nominees Pty Ltd (No 1) (unreported, 14 April 1983, 2081 of 1980). His
Honour said, in part:
"and I think those words sufficiently indicate that the relevant employment
is full time employment, and that the question is not
merely incapacity to
engage in some theoretical employment, but actual likelihood of obtaining
employment. And the reference to reasonable
qualification, I think,
appropriately encompasses the requirement that the employment should be
something that the member is capable
of undertaking".
This reference was cited with approval by McClelland J in Eq in the Supreme
Court of New South Wales in Munios v Johnson and Johnson Retirement Benefits
Limited (unreported, 5 December 1996, No 3597 of 94). His Honour commented:
"In other words it is in the context of the real world, not that of some
theoretical abstraction, that the criterion provided by the
definition of total
and permanent disablement needs to be applied".
In circumstances where an insured member asserts on the basis of supporting
medical and other evidence that he or she is unable to
follow any of the
occupations described in the definition, then it falls to the party seeking to
rebut the claim to adduce evidence
designed to demonstrate that there is another
occupation to which the claimant is reasonably suited by education, training or
experience.
In my opinion, it is not sufficient to make a bald assertion, or
even to adduce "expert evidence" to the effect that a claimant is
able to work
as an interpreter, translator or clerk. In the "real world" to which McClelland
CJ referred, it is necessary to demonstrate
that there are specific occupations
available to a claimant which are within his or her education, training or
experience. For example,
the mere fact that a person is accomplished in two
languages may not be sufficient to render that person suitable for employment
as
a translator or interpreter. There needs to be some evidence about the
circumstances of the employment, including the nature and
conditions under which
work is to be performed and whether there are any specific qualifications or
requirements associated with
the particular occupation. Mere ability to
undertake some or all tasks in an intellectual sense may not determine that
there is an
ability, both by reference to education, training or experience or
by reference to any medical or other condition to perform the
work associated
with that particular occupation. The work circumstances associated with a
"clerical occupation" are so extensive
as to not permit any worthwhile
discussion in the same vein.
- It
is the second half of the above extract to which I wish to refer, and which I
adopt for the purpose of these proceedings.
- I
would imagine that the circumstances in which STC carries out its functions of
determining whether a benefit is payable under s
39 are significantly different
to those that apply to the exercise of jurisdiction and power by this Court
under s 88. In this Court,
the applicant appears to assert his claim and the
respondent STC, as a party to the proceedings, is entitled to and makes
submissions
concerning the appeal. Thus there is a proponent and a contradictor
and the Court has the benefit of evidence being submitted by
both sides and of
hearing submissions by both parties.
- Whether
the proceedings before this Court under s 88 are strictly adversarial or are
inquisitorial may be open to doubt. The nature
of analogous proceedings brought
in the District Court of New South Wales was considered by Basten JA in the New
South Wales Court
of Appeal in Swift . His Honour's observations are
contained particularly at [39] to [44].
- For
my part, I do not consider it necessary to consider this aspect of the matter
further. I intend proceeding on the basis that the
Court is entitled to exercise
the functions of the STC in determining the appeal by reason of s 88(3), and
that in doing so the Court
will consider carefully all of the evidence before it
and the submissions of the parties.
- Having
regard to the fiduciary and other obligations that I consider are imposed on STC
and that apply to determinations under s 39(1)(b),
and having regard to the
structure of the sub-clause in the context of a determination as to whether a
total and permanent invalidity
benefit is payable, the applicant should
demonstrate, on a prima facie basis, that he is permanently unable by reason of
his, relevantly,
mental incapacity to be engaged in any remunerative occupation.
Once this is established, it is necessary in my opinion for STC to
have
available to it some evidence or information which would justify a conclusion
that notwithstanding the applicant's mental incapacity
he could reasonably be
engaged or employed in a remunerative occupation. Such an occupation must be a
real occupation, not one that
is manufactured, and must exist in the everyday
world. It should either be a full time or at least a substantially part-time
occupation.
- Seen
in this way, the burden in the context of these proceedings of establishing that
there is any such remunerative occupation available
to the applicant falls on
the respondent. Such an approach is necessary to negative any suggestion that
any opinion reached that
is adverse to the applicant's interests has a basis
that is either uninformed or arbitrary. To do otherwise would be to act in
breach
of the fiduciary and other duties imposed upon the STC.
The evidence concerning any remunerative occupation within s 39(1)(b)
- The
evidence on this matter consists of the following:
a) That of the
applicant to the effect that he is unable to perform any work at all. The
applicant said that as at the date of his
medical retirement he was unable to
perform any work. He had previously indicated a desire to attempt work but had
never expressed
any conclusion that he would be able to perform that work. His
previous intentions had been expressed as a willingness to try to
perform such
work. There is simply no suggestion that the applicant was untruthful in saying
how he felt, feigning symptoms or malingering.
The evidence of the applicant is
to be taken at face value.
b) The medical evidence and in particular that of
Dr Morgan to the effect that the applicant is not able to work at all. I accept
the opinion of Dr Morgan that as at May 2006 the applicant was totally and
permanently disabled for work, albeit that Dr Morgan did
not first see the
applicant until November 2007. I accept Dr Morgan's opinion that the applicant's
condition was chronic, had been
so for some years, and represented the
applicant's circumstances as at May 2006.
c) The totality of the remainder
of the medical evidence, which is to the effect that the applicant suffers from
a chronic psychiatric
condition that certainly renders him unfit for his former
employment. There is no medical opinion that expresses a contrary view.
d)
The evidence of Drs Robertson and Newlyn. I have previously set out and analysed
the evidence of both these doctors, the former
being qualified by a workers'
compensation insurer of the employer and the latter having treated the applicant
for some considerable
time. I have some difficulty in accepting the evidence of
Dr Newlyn given his prima facie change of opinion. I do accept, however,
that Dr
Newlyn's opinion concerning the applicant's ability to perform work given in
July 2006 has to be qualified by the fact that
the work that he considered the
applicant was fit to perform was not specified, and had to be specifically
tailored by the employer
for the applicant consistent with his symptoms under
the guidance of a rehabilitation provider. The opinion of Dr Robertson is to
the
same effect and I have set out the relevant extract at [60] above. It is clear
that each of these opinions, in that they are
directed to any capacity for work,
do not touch upon a remunerative occupation in the sense that that expression is
used in s 39(1)(b).
Their evidence refers to the ability to perform work of a
kind to be specifically created by an employer with the assistance of a
rehabilitation provider. This is work of a contrived or artificially created
position. It is not work that, on the authorities, falls
within s 39(1)(b).
- My
analysis of the totality of the evidence leads me to conclude that there is
simply no evidence of any particular or, indeed, any
general form of
remunerative occupation in which, in the opinion of anyone, the applicant could
reasonably be expected to engage.
On this basis, the purported opinion of STC
that there was a capacity of the applicant for employment in a remunerative
occupation
cannot be sustained on the opinions of Drs Robertson and Newlyn,
notwithstanding that STC sought to do so. Those opinions, as expressed
in their
reports, simply do no justify the conclusion to which STC purported to come.
- I
conclude, therefore, that, subject to the question of leave to which I shall
shortly turn, the applicant has satisfied the requirements
of s 39(1) of the Act
and would otherwise be entitled to receive a total and permanent invalidity
benefit.
Leave
- It
will be remembered that by s 88(2) of the Superannuation Administration Act
the applicant was required to initiate an appeal from the decision of the
STC disputes committee within six months after being notified
of that
determination. He has failed to do so and seeks that the Court grant him an
extension of time in this regard.
- Before
dealing with this matter, it is necessary to refer to some of the relevant
history to the making of the claim and the ultimate
determination by STC which
gave rise to the initiation of the appeal.
- The
application for the payment of a total and permanent invalidity benefit was made
by the applicant on 31 March 2006 in anticipation
of the last day of service
being 1 May 2006.
- Some
two years later, on 3 April 2008, Mr Allen Coles, as senior policy officer of
the SAS Trustee Corporation wrote to the applicant.
He commenced by referring to
"your dispute against the decision of the delegate of the SAS Trustee
Corporation (STC) to refuse your
application for a total and permanent
invalidity (TPI) benefit." It may be assumed, therefore, that some time prior to
that date
there had been a determination by the delegate adverse to the
interests of the applicant. The letter proceeded to refer to a review
of the
matter by a medical consultant engaged by STC and an agreement "with the opinion
of Drs Newlyn and Robertson that you are
not permanently incapacitated for any
form of employment." The letter indicated that it was "hard to see" a basis to
grant a TPI
benefit under s 39 of the Act and concluded "Should you now still
wish to pursue this matter, please let me know within 28 days of
the date of
this letter."
- By
letter dated 30 May 2008, Mr Kristofferson, a solicitor then acting for the
applicant, wrote to the respondent referring to a number
of unsuccessful
attempts by the applicant to contact Mr Coles. The letter indicated that the
applicant had available a report from
Dr Hugh Morgan which supported an
application for redetermination. That report and an updated report from Dr
Coorey were forwarded
by Mr Kristofferson to the respondent by letter dated 16
June 2008.
- By
letter dated 21 August 2008 addressed to Mr Kristofferson under the hand of Mr
Coles, the respondent informed the applicant that
at a meeting on 20 August 2008
the Disputes Committee of STC determined the dispute by confirming the earlier
decision of a delegate
to the effect that the applicant was not entitled to a
total and permanent invalidity benefit. The letter specifically drew the
attention
of Mr Kristofferson, and hence the applicant, to s 88(2) of the Act
requiring that an appeal be made within 6 months after the appellant
is notified
of the STC determination or within such further period as is allowed by the
Court.
- There
can be no doubt that the applicant's solicitor was aware of the time limit and,
as the applicant conceded in evidence, he was
aware of that time limit shortly
thereafter, having been so informed by Mr Kristofferson.
- It
was the evidence of the applicant that Mr Kristofferson told him that he did not
have expertise in this particular area of the
law and he was advised to see
someone with more experience.
- The
applicant was then referred by the MUA to a firm of solicitors. He was
interviewed by a "young lady" solicitor but she did not
fill him with confidence
that she understood what his problem was about. Furthermore, she asked him to
pay the firm $14,000 on account
of costs, an amount that he could not afford.
This was about October 2008.
- The
applicant did not do anything more for some little time. He was asked why he
didn't, being aware that the time limit was approaching.
He said,
Well, I knew, but the way that my health was, just the fact, as I say, there
was a lot of things going on. There was an illness in
the family which resulted
in the passing away of the late brother-in-law who I was very close to, so there
was other things that
I had my mind on than just myself within that scope of
time.
- In
about March 2009, Mr Kristofferson contacted the applicant to ask him how his
appeal matter was going. Subsequently, he was referred
by a former official of
the MUA to his current solicitors.
- The
applicant saw Mr David Traynor, solicitor, on 23 March 2009. It may be assumed
that he made Mr Traynor aware of the time limitation.
He signed an authority to
allow Mr Traynor to obtain his file from Mr Kristofferson. Whether or not Mr
Traynor was aware of the precise
time for the lodging of an appeal, it is clear
that the applicant at all times was so aware.
- Evidence
was given in the proceedings by Mr Mark Port, an employed solicitor in Mr
Traynor's firm. Part of the applicant's file, including
medical reports, was
received by Mr Traynor from Mr Kristofferson on 9 April 2009. It appears that Mr
Traynor did nothing further
until he made a further appointment with the
applicant on 2 June 2009 and on that day wrote to Dr Morgan seeking a report. He
also
sought certain information from the respondent.
- Dr
Morgan delayed sending his report. A follow up letter was forwarded by Mr
Traynor to him requesting that report on 16 July 2009.
On the same day, Mr
Traynor made an FOI request to the respondent. That information was provided by
letter dated 17 August 2009.
The superannuation appeal was filed on 11 September
2009.
- My
impression of the applicant's evidence was that he was of the opinion that in
some way requesting the leave of the Court to extend
the time for lodging the
appeal was something of a formality and nothing that would provide some form of
prima facie bar to the appeal.
I have gained this impression from reading the
applicant's written evidence and from the manner in which he gave his evidence
in
the witness box. This does not, of course, excuse the applicant in any way.
In any event, it is clear that three sets of solicitors
consulted by him were at
all times aware, or ought to have been aware, of the time limit.
- The
seminal statement of authority concerning the proper approach to the grant of an
extension of time is the judgment of McHugh J
in the High Court of Australia in
Brisbane South Regional Health Authority v Taylor [1996] HCA 25; (1996)
186 CLR 541. At 552-4, his Honour said,
The effect of delay on the quality of justice is no doubt one of the most
important influences motivating a legislature to enact limitation
periods for
commencing actions. But it is not the only one. Courts and commentators have
perceived four broad rationales for the
enactment of limitation periods. First,
as time goes by, relevant evidence is likely to be lost. Second, it is
oppressive, even "cruel",
to a defendant to allow an action to be brought long
after the circumstances which gave rise to it have passed. Third, people should
be able to arrange their affairs and utilise their resources on the basis that
claims can no longer be made against them. Insurers,
public institutions and
businesses, particularly limited liability companies, have a significant
interest in knowing that they have
no liabilities beyond a definite period. As
the New South Wales Law Reform Commission has pointed out:
" The potential defendant is thus able to make the most productive use of his
or her resources and the disruptive effect of unsettled
claims on commercial
intercourse is thereby avoided. To that extent the public interest is also
served."
Even where the cause of action relates to personal injuries, it will be often
just as unfair to make the shareholders, ratepayers
or taxpayers of today
ultimately liable for a wrong of the distant past, as it is to refuse a
plaintiff the right to reinstate a
spent action arising from that wrong. The
final rationale for limitation periods is that the public interest requires that
disputes
be settled as quickly as possible.
In enacting limitation periods, legislatures have regard to all these
rationales. A limitation period should not be seen therefore
as an arbitrary cut
off point unrelated to the demands of justice or the general welfare of society.
It represents the legislature's
judgment that the welfare of society is best
served by causes of action being litigated within the limitation period,
notwithstanding
that the enactment of that period may often result in a good
cause of action being defeated. Against this background, I do not see
any
warrant for treating provisions that provide for an extension of time for
commencing an action as having a standing equal to
or greater than those
provisions that enact limitation periods. A limitation provision is the general
rule; an extension provision
is the exception to it. The extension provision is
a legislative recognition that general conceptions of what justice requires in
particular categories of cases may sometimes be overridden by the facts of an
individual case. The purpose of a provision such as
s 31 is "to eliminate the
injustice a prospective plaintiff might suffer by reason of the imposition of a
rigid time limit within
which an action was to be commenced." But whether
injustice has occurred must be evaluated by reference to the rationales of the
limitation period that has barred the action. The discretion to extend should
therefore be seen as requiring the applicant to show
that his or her case is a
justifiable exception to the rule that the welfare of the State is best served
by the limitation period
in question. Accordingly, when an applicant seeks an
extension of time to commence an action after a limitation period has expired,
he or she has the positive burden of demonstrating that the justice of the case
requires that extension. (Citations omitted).
- The
starting point therefore is that the legislature has imposed a six months' time
limit. It may be expected, therefore, that appeals
of this kind should be
instituted relatively quickly; presumably, all of the relevant material
necessary to determine the appeal
needed by the appellant and the respondent
would already be available. In these proceedings, the appeal was instituted
almost seven
months after the expiry of the time limit.
- It
was submitted on behalf of the applicant that six months was not a long period
of time in which to institute an appeal and that
such limitation period should
be compared with one of three years or longer. The counter to this is the fact
that in fixing a short
period of time, the legislature has clearly intended that
matters of this kind be dealt with promptly.
- The
respondent was critical of the delay occasioned by the applicant's current
solicitors. It was said that in reality there was no
need to obtain any
additional evidence and the appeal could have been lodged within time, or
shortly after the time limit had expired,
by those solicitors in anticipation of
obtaining any further evidence as might be necessary prior to the hearing.
Certainly, the
history of these proceedings indicates that there would have been
plenty of time in which the applicant or the applicant's solicitors
could have
secured additional evidence. If the applicant's solicitors were concerned to
ensure that there was a good arguable case
and required the report of Dr Morgan
for this purpose before incurring costs and instituting the proceedings, they
could have said
so. No such evidence was given.
- My
general impression of the evidence is that the applicant did not apply himself
in an appropriate manner to ensure that the appeal
was lodged in a timely
fashion. There is no suggestion of any kind that despite his psychiatric
condition he lacks mental capacity
to undertake and pursue matters of this kind.
However, even though the applicant possesses the necessary capacity to take
steps and
make decisions, there is psychiatric evidence that the applicant's
depressive condition impacts upon his ability to lead a normal
life. The
evidence of the applicant is to the same effect. I take this into account in
determining the matter.
- Another
matter which I take into account in determining whether leave should be granted
under s 88(2) is the fact that the applicant's
claim has been on foot for a long
time. The initial application was originally lodged on 31 March 2006. It was
almost 2 years later
before it was finally determined by the respondent. In
making this comment, I acknowledge that some delay would have been occasioned
by
the fact that the applicant sought a re-determination of the matter.
Nevertheless, in the absence of any evidence to the contrary,
it may be assumed
that, for whatever reason, the ultimate determination of the claim took a
considerable period of time. In this
context, any public policy reason
associated with the grant of leave by reference to the need to have claims
determined quickly may
be given less weight. In these circumstances, also, the
impact of the applicant's claim on the resources of the relevant superannuation
scheme may be said to be diminished.
- The
respondent conceded that no prejudice attached to it by reason of the delay in
the filing of the appeal. The applicant advanced
this as a positive reason why
leave should be granted. In my opinion, it should be seen more as the removal of
an impediment to the
grant of leave.
- I
have found the determination of this matter much more difficult than the
determination as to whether or not the appeal should succeed
on its merits,
assuming the grant of leave. I should state, so that the situation is clear,
that in determining whether to grant
to leave I do not take into account the
fact that, in my opinion, the appeal should otherwise succeed. On the authority
of Brisbane South Regional Health Authority , whether or not the
applicant has a good cause of action is irrelevant to the exercise of the
discretion to extend time.
- As
I have indicated, the matter is finely balanced. Despite the factors that would
militate against the grant of leave, I am persuaded
to extend the time for the
filing of the appeal for two principal reasons. The first is the impact that the
applicant's psychiatric
condition has upon his ability to function on a
day-to-day basis and, secondly, the totality of the time taken between the
lodging
of the initial claim by the applicant and its ultimate rejection. A long
period of time has elapsed and it would be inequitable in
these circumstances to
hold the applicant in a rigid manner to a six months' time limit.
- For
these reasons, I propose to extend time.
Costs
- The
parties agree that costs should follow the event.
Orders
- Having
regard to the reasons that I have given, I make the following orders:
1) The time during which the applicant must make the appeal, the
subject of these proceedings, is extended to and including 11 September
2009.
2) I find that the applicant is entitled to be paid a total and permanent
invalidity benefit under s 39 of the State Authorities Superannuation Act
, being satisfied that his cessation of employment with NSW Maritime was
due, directly or indirectly, to a permanent mental incapacity
and that when he
ceased to be employed by NSW Maritime, he was permanently unable, by reason of
that mental incapacity, to be engaged,
or to be employed in any remunerative
occupation in which, in the opinion of the Court, it would otherwise be
reasonable to expect
him to engage. That mental incapacity is constituted by a
major depressive disorder, which is moderately severe and chronic, and
an
adjustment disorder with mixed anxiety and depressed mood, also chronic.
3)
The appeal of the applicant is upheld.
4) The respondent is to pay the
applicant's costs of the proceedings in an amount assessed under the Legal
Profession Act in default of agreement.
**********
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