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CSR Limited v Jamie Leonard Smith [2011] NSWSC 68 (23 February 2011)
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CSR Limited v Jamie Leonard Smith [2011] NSWSC 68 (23 February 2011)
Last Updated: 2 June 2011
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Case Title:
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CSR Limited v Jamie Leonard Smith
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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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Decision:
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(1) The summons filed 29 July 2010 is dismissed.
(2) Costs are reserved.
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Catchwords:
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WORKERS' COMPENSATION - assessment - medical
assessment - appeal to Appeal Panel - whether Appeal panel was obliged to hear
oral submissions
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Legislation Cited:
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Workplace Injury Management & Workers'
Compensation Act 1998
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Cases Cited:
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Texts Cited:
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Parties:
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CSR Limited - Plaintiff Jamie Leonard Smith -
First Defendant Appeal Panel of the Workers' Compensation Commission - Second
Defendant Registrar of the Workers' Compensation Commission - Third
Defendant
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Representation
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Leigh Virtue & Associates- Plaintiff Steve
Masseloss & Co - Submitting Appearance - First Defendant Crown Solicitor
- Submitting Appearance - Second & Third Defendants
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- Counsel:
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M L Williams SC - Plaintiff
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File number(s):
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Publication Restriction:
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Judgment
- HER
HONOUR: This is an application seeking review of a decision of the Appeal
Panel of the Workers Compensation Commission. It involves a question
as to
whether the Appeal Panel was obliged to grant a party the right to make oral
submissions at the hearing.
- By
summons filed 29 July 2010, the plaintiff seeks firstly, a declaration that the
decision of the second defendant, the Medical Appeal
Panel, dated 18 June 2010,
involved error on the face of the record and jurisdictional error; and secondly,
an order that the decision
of the Medical Appeal Panel be quashed.
- The
plaintiff is CSR Limited (CSR). The first defendant is Jamie Leonard Smith (Mr
Smith). The second defendant is an Appeal Panel
of the Workers' Compensation
Commission (the Appeal Panel) constituted pursuant to s 328(1) of the
Workplace Injury Management & Workers' Compensation Act 1998 (the
Act). The third defendant is the Registrar of the Workers' Compensation
Commission (the Registrar). The defendants have
all filed submitting
appearances. CSR relied on the affidavit of Paul H Macken sworn 27 July 2010.
Counsel appeared on behalf of
the WorkCover Authority of New South Wales as
amicus curiae.
- The
question of the appropriate role that WorkCover should play in proceedings of
this nature was considered in Campbelltown City Council v Vegan & Ors
[2006] NSWCA 284 at [54] - [64]. In Campbelltown City Council v Vegan,
WorkCover was a party to the proceedings. The worker who was the first
defendant took an active role. In those circumstances the role
of WorkCover was
confined to that of an amicus curiae.
The distinction between Campbelltown City Council v Vegan
and these proceedings is that in Campbelltown City Council v Vegan
there was an active contradictor to deal with the merits of the case.
Whereas in these proceedings there is no active contradictor.
- In
Fairfield City Council v Janet Brear & Ors [2010] NSWSC 480 and
Energy Australia v Butler [2010] NSWSC 487, are instructive. In these
cases WorkCover sought leave to appear as amicus curiae where the other parties
had filed submitting appearances.
Leave was granted by Barr J for WorkCover to
appear as amicus. The WorkCover's role was confined to submissions on the law.
No submissions
were permitted going to the merits of the case.
- On
11 October 2010, Hislop J granted leave to WorkCover to appear as amicus curie
at this hearing. CSR opposed leave being granted
to WorkCover to make
submissions on the merits of the case at hearing before me but accepted that
this Court has power to grant leave
to amicus curiae to make submissions on law.
I have followed the approach of Barr J and considered WorkCover's submissions in
relation
to the law only.
Grounds of review
- The
grounds for review claimed in the summons filed on 29 July 2010 are firstly, an
error by the Appeal Panel in failing to provide
CSR with a hearing which was
sought; secondly, an error by the Appeal Panel in not properly exercising the
discretion in deciding
whether to hold an assessment hearing; thirdly, an error
by the Appeal Panel in not properly considering the grounds relied on by
CSR on
appeal to the Appeal Panel in circumstances where the Registrar was satisfied
that at least one of the grounds of appeal is
made out; fourthly, an error by
the Appeal Panel in failing to revoke the Medical Assessment Certificate
consistent with the finding
of the Registrar and the grounds relied on by CSR;
fifthly, an error by the Appeal Panel in failing to identify the clear reference
in the Medical Assessment Certificate to the Approved Medical Specialist having
been sent the documents excluded from the referral
despite this being clear from
paragraph 2 of the Medical Assessment Certificate; sixthly, an error by the
Appeal Panel in failing
to make a deduction as required by s 323 the Act; and
seventhly, an error by the Appeal Panel in considering that there had been
no
injury to Mr Smith 's lower back after the injury which was the subject of the
referral despite the reference to such a subsequent
injury in the second
paragraph on page 3 of the Medical Assessment Certificate (and elsewhere).
Background
- On
14 December 2009, Mr Smith's claim for lump sum compensation was referred to an
Approved Medical Specialist ("AMS").
- On
15 December 2009, the delegate of the Registrar wrote to the AMS specifying that
the application and attached documents, excluding
the reports of Dr Searle were
forwarded to him.
- On
21 January 2010, the Arbitrator determined the degree of permanent impairment in
respect of the lumbar spine was to be referred
by the Registrar to an AMS for
assessment as a result of the injury on 17 August 2006, in accordance with the
WorkCover Guides for
Evaluation of Permanent Impairment. The documents to be
sent to the AMS were inter alia specified to be the application and all
attachments,
excluding the reports of Dr Searle.
- On
17 February 2010, Mr Smith was examined by the AMS who certified Whole Person
Impairment ("WPI") of 6 per cent. The AMS stated
at [2] of his written reasons
that the documents which were referred to the Commission for assessment were the
application and documents
listed in, and attached to, the application and the
reply and documents listed in, and attached to, the reply.
- On
17 March 2010, CSR applied to appeal against the decision of the AMS.
- On
22 April 2010, the delegate of the Registrar determined that on the face of the
application and the submissions made, he was satisfied
that a ground of appeal
as specified in s 327(3)(d) of the Act was made out in that an error was capable
of being shown in respect
of the assessment of permanent impairment of the
lumbar spine.
- On
18 June 2010, the Appeal Panel confirmed the decision of the AMS.
Submissions
- Counsel
for CSR submitted that there were errors by the Appeal Panel: firstly, in
failing to provide it with the hearing which was
sought; and secondly, in
failing to properly exercise its discretion in deciding whether to hold an
assessment hearing.
- Counsel
for CSR does not dispute that the Appeal Panel has a discretion as to whether or
not it should agree to an oral hearing. Rather
counsel submitted that the Appeal
Panel failed to exercise its discretion in a proper manner. Likewise, WorkCover
submitted that
in this case an issue arises as to the discretionary nature of
the decision whether or not to conduct an oral hearing as part of
the appeal
process. According to WorkCover, in this instance, the Appeal Panel considered
Mr Smith's request that an oral hearing
take place and decided that an oral
hearing was not necessary in the circumstances. That is the matter which it
submitted was wholly
within the discretion of the Appeal Panel.
The legislation and guidelines
- An
appeal against a decision of an AMS is set out in s 328 of the Act. The
statutory framework for medical assessment and appeal is
contained in Part 7 of
the Act and WorkCover Medical Assessment Guidelines published on 27 October
2006. Section 328 reads:
"328 Procedure on appeal
(1) An appeal against a medical assessment is to be heard by an Appeal Panel
constituted by 2 approved medical specialists and 1 Arbitrator,
chosen by the
Registrar.
(2) The appeal is to be by way of review of the original medical assessment.
The WorkCover Guidelines may provide for the procedure
on an appeal.
(3) Evidence that is fresh evidence or evidence in addition to or in
substitution for the evidence received in relation to the medical
assessment
appealed against may not be given on an appeal unless the evidence was not
available to the appellant before that medical
assessment or could not
reasonably have been obtained by the appellant before that medical assessment.
(4) When attending an Appeal Panel for the purposes of an assessment, an
injured worker is entitled to be accompanied by a person
(whether or not a legal
adviser or agent) to act as the injured worker's advocate and assist him or her
to present his or her case
to the Appeal Panel.
(5) The Appeal Panel may confirm the certificate of assessment given in
connection with the medical assessment appealed against, or
may revoke that
certificate and issue a new certificate as to the matters concerned. Section 326
applies to any such new certificate.
(6)..."
- The
Act makes provision for WorkCover Guidelines for medical assessments and
appeals.
- Section
331 provides:
"Medical assessments, appeals and further assessments under this
Part are subject to relevant provisions of the WorkCover Guidelines
relating to
the procedures for the referral of matters for assessment or appeal, the
procedure on appeals and the procedure for assessments."
- And
in s 328(2) itself contains a provision that "WorkCover Guidelines may provide
for the procedure on an appeal".
WorkCover Medical Assessment Guidelines
- The
Guidelines dated 25 October 2006 read:
" Procedure of the Appeal Panel
45. An appeal panel consists of two approved medical specialists and one
arbitrator. The appeal panel may adopt any of the following
procedures in
accordance with the needs of the individual cases:
- A preliminary
review (in all matters),
- 'on the papers'
review,
- further medical
examination by an approved medical specialist on the appeal panel,
- assessment
hearing.
Where a further medical examination is required, the registrar will
advise the worker of the time and place of the examination. A
support person
(other than an agent or legal adviser) may accompany a worker to the
examination. The worker should not bring any
additional medical or other reports
to the examination, unless specifically asked to do so. If it is necessary to
bring x-rays or
similar documents the worker will be advised of this in the
letter from the registrar.
The registrar must be advised in advance if an interpreter is required for
the examination.
Assessment Hearing
46. Where the appeal panel determines a matter is not capable of
determination on the papers, with or without a further medical examination,
an
assessment hearing will be arranged.
The appeal panel assessment hearing will be informal and non-legalistic, and
will afford the parties a full opportunity to present
oral submissions in
support of their claims. The assessment hearing is non-adversarial and in most
cases no evidence will be taken
or cross-examination permitted. A party is
entitled to be represented at the assessment and may choose to be accompanied by
a person
(including but not limited to a legal adviser or agent) to assist in
the presentation of their case. The assessment will be sound
recorded and a copy
of the recording will be available to the parties on request. The parties may
seek clarification of matters raised
with the assistance of the panel members."
The authorities
- Counsel
for CSR referred to Ah Dar v State Transit Authority of New South Wales [2007] NSWSC 260; (2007)
69 NSWLR 468; and again to Energy Australia v Butler and Fairfield City Council
v Brear. Counsel for WorkCover also referred to Estate of Brockman
v Brockman
Metal Roofing Pty Limited [2006] NSWSC 235; Symbion Health Limited v Hrouda
[2010] NSWSC 295 at [86] - [92] and Fletcher International Exports Pty Limited v
Lott & Anor [2010] NSWCA 63 at [40] to [51]. WorkCover submitted that this
Court should prefer the approach Brockman v Brockman as it considered the
construction of
the Act. All of these cases except Fletcher International
Exports v Lott involve the exercise of the discretion of the Appeal Panel
in
determining whether or not to hold an assessment hearing pursuant to s 328 of
the Act.
- In
Ah Dar v State Transit Authority, Mr Ah Dar, a bus driver, suffered an
injury to his left knee at work. His application to resolve his dispute was made
under the Act.
Mr Ah Dar filed an application to appeal against the assessment
of the AMS. He had objected to the determination of the appeal without
a
hearing. The Appeal Panel had dealt with the appeal on the papers in the
mistaken belief that both sides had consented to that
manner of determination.
Bell J stated at [67] that while it is accepted that it was open to the Appeal
Panel to determine that the
appeal would proceed without an assessment hearing,
there is force to the complaint that the Appeal Panel's discretion to decide
whether to hold as assessment hearing was not properly exercised. Her Honour
stated that this discretion was not exercised at all
because the Appeal Panel,
wrongly, understood that each of the parties to this medical dispute wanted the
appeal to be determined
on the papers. In Ah Dar v State Transit, Bell J
concluded that the resulting determination was attended by jurisdictional error.
As a consequence the determination of the
Registrar and the Appeal Panel were
quashed with the matter was referred back for assessment.
- Fairfield
City Council v Brear, is a case where the Appeal Panel without notice to the
parties dealt with the matter on a basis that went outside the contents of
the
written submissions. Both parties had submitted that the 2 nd edition of the
Guidelines applied. The Appeal Panel without notice
to the parties dealt with
the matter on a different basis. Barr AJ referred to a long line of authority
concerning the right of the
parties to be heard that were summarised in the
decision Seltsam Pty Ltd v Ghaleb [2005] NSWCA 208 at [7] where Mason P
stated:
"[7] Secondly, there is virtually no means of discovering the
impact of the secret material upon the mind of the adjudicator without
transgressing the very assumptions underlying the doctrines of procedural
fairness and of judicial (or limited appellate) review.
I agree with Professor D
J Galligan who wrote ("Procedural Fairness" in Peter Birks ed, The Frontiers
of Liability Vol 1, 1994):
'How can the court know with any certainty that evidence and argument from a
party would have made no difference? It simply cannot
know in the sense of
knowledge as justified belief. Facts, truth, insight, all emerge from argument
and discourse, and the clearest
case can easily give way to doubt. Megarry V-C
put the point well: "... the path of the law is strewn with examples of open and
shut
cases which, somehow, were not; of unanswerable charges which, in the
event, were completely answered; of inexplicable conduct which
was fully
explained; of fixed and unalterable determinations that, by discussion, suffered
a change."[ John v Rees [1970] Ch 354 at 402]
The difficulty is compounded when we take into account the special position
of the courts in exercising judicial review; their task
is to decide matters of
legality and procedure, not to assess the merits. The court faces a dilemma: to
judge that a procedure would
have made no difference to the original decision,
the court has to put itself in the place of the decision-maker; but the more it
does that, the closer it comes to an assessment of the merits. This difficulty
points to an approach which, in most cases, is the
most sensible: since they
cannot know with any certainty the effects of the procedural defect, the courts
would be wise to order
that the procedural requirements be upheld. This need not
be inflexible, and there may be exceptions; but exceptions should need
to pass a
clear and compelling test, and rarely be allowed.'"
- In
Fairfield City Council v Brear, Barr AJ concluded that because Fairfield
Council had no way of knowing that the Appeal Panel was to depart from the basis
of applicability
of the second edition of the Guidelines, it was denied
procedural fairness. Barr AJ stated that as soon as the Appeal Panel
contemplated
the possibility of the third and not the second edition of the
Guidelines was that which applied, it ought to have informed the parties
and
afforded them an opportunity to make submissions. The failure to do so amounted
to a denial of procedural fairness.
- In
Energy Australia v Butler, Mr Butler suffered a number of injuries to his
knee and over the years its condition continued to worsen. On 30 June 1995, in
the
Worker Compensation Commission he was awarded compensation under s 66 in
respect of 15 per cent loss of the use of his leg at or
above the knee. Dr Bye,
the AMS, stated at [13] "I presume the date of injuries for the left leg at or
above the knee is a Deemed
Date, 30/6/1995 as his original injuries were in
1981." Dr Bye assessed the permanent percentage loss of function of the left leg
as equal to 30 percent. It was implicit in Energy Australia's submissions to the
Appeal Panel that the 30 June 1995 that had been
adopted as the deemed date for
injury to the knee was erroneous. While both parties accepted the 30 percent
assessed for the loss
of function of the left leg. Energy Australia submitted
that the needed to be a deduction applied for the pre-existing abnormality
and
the certificated need to reflect the payment made for the previous 15 percent
loss. The Appeal Panel without notice to the parties
dealt with the matter on a
basis not addressed in the written submissions of either side by determining
that the dispute raised was
one for the arbitrator to determine and it had no
power to deal with it.
- Barr
AJ, in Energy Australia v Butler, observed that there were substantial
arguments that could have been put before the Appeal Panel which, if correct,
were capable of
showing that it would be wrong for the Appeal Panel to come to
the decision it ultimately did.
- In
Energy Australia v Butler at [26] Bar AJ continued:
"26 A party has the right to decline to consent to a hearing on the
papers and to make oral submissions to a Tribunal: Ah Dar v State Transit
Authority of NSW [2007] NSWSC 260; (2007) 69 NSWLR 468 per Bell J at [63]-[69]. That does not
mean, of course, that in a proper case a tribunal may not, subject to the
requirements of
its statute, determine to deal with a matter without a requested
oral hearing. But when a tribunal has been requested to give an
opportunity to a
party to make oral submissions, it needs to be confident that questions are
unlikely to arise that call for oral
submissions. And even if it so appears at
first, if such questions arise during the course of its consideration the
tribunal should
be astute to recognise the fact and reconsider its original
decision."
- Barr
AJ decided at [31]:
"31 In my opinion the Panel ought to have realised when it decided
to deal with the appeal on a basis contemplated by neither of the
parties that
they ought to have been given an opportunity to attend a hearing to make
submissions. The Panel knew that the plaintiff
had asked it not to deal with the
matter on the papers. It ought to have known that the way in which it proposed
to deal with the
appeal was likely to raise substantial questions of a
contentious nature. In my opinion the circumstances required the Panel to give
the plaintiff the opportunity it had requested to attend and make oral
submissions. In denying the plaintiff that opportunity the
Panel failed to
afford it procedural fairness."
- The
determination of the Appeal Panel was quashed and the matter remitted to the
Appeal Panel for determination.
- In
Brockman v Brockman, the AMS in his supplementary certificate, made a
determination that the permanent loss of function of the sexual organs was 100
per cent with nil pre-existing. This revised assessment was unacceptable to
Brockman Metal Roofing. One of the medical specialists
on the Appeal Panel, Dr
Watters, re-examined Mr Brockman. MrBrockman (now deceased) was not served with
a copy of Dr Watter's report
and no hearing was afforded to him following Dr
Watter's assessment. The Appeal Panel recorded the findings and opinion of Dr
Watters
on examination at paragraph 20 of its reasons.
- Studdert
J in Brockman v Brockman considered s 328 and its Guidelines in force at
that time. Submissions had been filed on behalf of the deceased, together with
medical
reports to the Appeal Panel and the deceased submitted that, "the appeal
should be determined on the papers". But those submissions
had been made before
notice was given of the Appeal Panel's determination that there should be a
medical examination. When the notice
was given of the further examination it did
not prompt the deceased to revise his submission that the matter should be
determined
on the papers.
- Studdert
J in Brockman v Brockman stated (at [61]) that it was reasonable to
conclude from the statement of the Appeal Panel's reasons that Dr Watters'
examination
influenced his decision and that his report influenced the other
member of the Panel. Studdert J stated that the Appeal Panel was
entitled to
draw upon the expertise of one of its members, as plainly it did. It was
entitled to take into account that expertise
and the conclusions reached by that
expert without disclosing those conclusions to the deceased, before coming to a
final conclusion.
Studdert J (at [65]) concluded that s 328 provided for an
Appeal Panel being structured by three members, two of whom were to be
approved
medical specialists. Hence, it was only reasonable to assume that the deceased
was on notice that the Appeal Panel would
use the medical expertise and
experience of its medical specialist members in its deliberations. It was
Studdert J's view (at [67])
that he was not persuaded that the deceased was
denied procedural fairness by the Appeal Panel and the Appeal Panel was entitled
to act as it did. The application for judicial review was dismissed.
- In
Symbion Health Limited v Hrouda, the Appeal Panel wrote to the parties
and informed them that it would be considering an issue that had not been raised
by either party.
It was:
"Given that the respondent (the worker...) has not smoked since the
motor vehicle accident on 3 September 2003, which accident resulted
in her
having a coma [sic] and having amnesia for 7 weeks did the AMS err in
attributing the respondent's partial loss of smell as
a result of her smoking
rather than the injuries she suffered in the accident."
- Symbion
Health in its original submissions to the Appeal Panel and in its supplementary
submissions made requests for a hearing to
address the issue. The submissions
did not elaborate in any further detail what issues it wished to address.
- In
response, the Appeal Panel in Symbion Health Limited v Hrouda determined:
"... in the absence of any cogent reason being indicated by the
appellant as to why it is necessary to hold an assessment hearing,
the panel is
of the view that it would derive no benefit in terms of its consideration and
determination of the appeal by holding
an assessment hearing."
- The
argument presented by Symbion at the judicial review was that it was not for the
Appeal Panel to speculate as to the benefit that
it might derive from
submissions until they were made. It was contended that the Appeal Panel
effectively judged in advance the appellant's
capacity to persuade it.
- Symbion
also submitted that Guideline 45 was invalid so far as it is inconsistent with
the obligation imposed by s 328(1) and there
is an error on the face of the
record in the Appeal Panel's refusing an application for hearing in the light of
s 328(1). Hall J
(at [74]) followed the decision of Studdert J in Brockman v
Brockman and held that Guideline 45 is valid and not inconsistent with the
provisions of s 328(1).
- So
far as whether or not Symbion should have been afforded a hearing, Hall J stated
at [79]:
"79 Accordingly, Symbion elected not to respond directly to the
issue raised by the Panel in terms of the merits of the issue or otherwise.
Further, it did not identify any reason or basis upon which it asserted a
hearing was necessary for the purpose of addressing the
issue. Thus, the comment
made in para [14] of the Statement of Reasons of the Appeal Panel:
'... The Appellant neither indicated why it had not addressed fully this
issue in its further written submissions nor what it was
about this issue that
necessitated the holding of an Assessment Hearing.'"
- In
Symbion Health Limited v Hrouda, Hall J noted that in the absence of any
cogent reasons (as quoted above) the Appeal Panel determined that it would not
hold an assessment
hearing. The issue was then whether Symbion had a legitimate
grievance or complaint in contending, as it did, that it had been denied
procedural fairness in the Appeal Panel failing to advise it before its final
decision on 12 June 2009, that it refused its request
for a hearing. Hall J
decided that it did not.
- The
final case referred to by WorkCover was Fletcher International Exports Pty
Limited v Lott. It concerns whether the failure to grant an oral hearing
under s 354 of the Act was an error in point of law. This authority concerns
a
different issue and is not of assistance here.
The Appeal Panel's reasons for determination in this application
for judicial review
- In
the application to appeal form at question 4.4 the following question and answer
appear:
"4.4 Do you request the opportunity to present oral submission to
the Appeal Panel?
FORMCHECKBOX Yes FORMCHECKBOX No
If yes, attach reasons why the appeal should not be determined by the Appeal
Panel on the papers, and why the presentation of oral
submission is necessary.
Failure to attach submissions may result in the application being rejected."
- CSR
in its submissions attached to the application to appeal stated at [4]:
"The Appellant is of the view that the Appeal cannot be determined
"on the papers" and rather is a matter in which it is preferable
for a Hearing
to be appointed before the Appeal Panel."
- Paragraphs
[5] and [6] of those submissions were intended to demonstrate error and are as
follows:
"5. The Appellant firstly says, generally, that the Medical
Assessment Certificate contains demonstrable errors and show the application
of
incorrect criteria, by reason of the Certificate going beyond the issues the
Approved Medical Specialist may determine, failing
to take into account relevant
considerations, taking into account irrelevant considerations, making an
Assessment where there is
no evidence to support it, or where it is insufficient
to support it, or where it is inconsistent with the evidence and denying
procedural
fairness.
6. Further and in addition, the Appellant says that the following aspects of
the Medical Assessment Certificate demonstrate the Assessments
to have been made
on the basis of incorrect criteria and show the Certificate to contain
demonstrable errors, as follows:-
(a) The Approved Medical Specialist (AMS), is in error in having regard to (or
even being provided with) the Application and documents
listed in and attached
to the Application (see paragraph 2) in circumstances where the referral
specifically excluded material attached
to that Application. The Appellant says
that this is both a demonstrable error and the application of incorrect
criteria.
(b) The Appellant submits that there is a further error by the AMS in failing to
make a deduction for pre-existing abnormality on
the mistaken basis that prior
problems the Applicant experienced were with his thoracic spine whereas the
evidence clearly indicated
(and the Claimant asserted) that his prior problems
were with both his lower back and his mid-back. This is evident not only from
the history given to the AMS but also from the Statement of the Applicant (see
for example paragraph 8) and the Permanent Impairment
Claim Form which
specifically alleged injuries to the lumbar spine firstly on 2 April 2003 and 12
November 2003.
(c) The Appellant submits that there is further error on the part of the AMS in
apparently rejecting the assessment of Dr Millons
apparently on the basis of
recurrences of injury occurring subsequent to his examination (see paragraph
10c) and in failing to properly
consider and assess impairment that can properly
be said to be "... resulting from an injury..." being specifically injury
alleged
on 17 August 2006. The Appellant submits that it is apparent from the
Certificate issued and from the comments by the AMS in respect
of the report of
Dr Millons, that the AMS has mistakenly included in his assessment of impairment
the consequences of the further
back injury allegedly sustained in November 2007
(see page 3)."
- So
far as its decision to not "hold an assessment hearing", the Appeal Panel stated
at [12] and [13]:
"12. The Appellant submits the Appeal cannot be determined on the
papers and "rather it is a matter in which it is preferable for
a hearing to be
appointed before the Appeal Panel." The Appellant does not in the Panels view
indicate adequate reasons for this
request, nor does he draw the Panels
attention to any specific area of appeal that would warrant an assessment
hearing.
13. Having considered the request by the Appellant the Panel determined to
consider the matter on the papers without an Assessment
Hearing or further
examination."
- The
variation of the content of the principles of natural justice or procedural
fairness has been noted in many authorities: see Kioa v West [1985] HCA 81; (1985) 159
CLR 550 at 612 per Brennan J. Equally, it has been emphasised that the
requirements of natural justice depend on the circumstances of the
case, the
nature of the inquiry and the rules under which the Tribunal is acting as well
as the subject matter: Russell v Duke of Norfolk [1949] 1 All ER 109 at
118.
- The
Appeal Panel considered the submissions in relation to the request for a hearing
by CSR. It exercised its discretion not to afford
an assessment hearing. CSR
accepts that the Appeal Panel was entitled to make that determination. The issue
here is whether the Appeal
Panel's discretion was properly exercised.
- Whether
there has been a denial of procedural fairness is influenced by the particular
circumstances, including the relevant statutory
context. The appeal is to be by
way of review (s 328(2)). The Appeal Panel consists of two approved medical
specialists and one arbitrator
(s 328(1)). At the preliminary review the Appeal
Panel has before it the documents that were before the AMS and the submissions
of
the parties in relation to the appeal. The Appeal Panel can determine whether
it will deal with a review "on the papers" or whether
an assessment hearing is
required (WorkCover Guideline 45).
- While
CSR requested the opportunity to present oral submissions to the Appeal Panel,
it had been notified that it should attach reasons
why the presentation of oral
submissions is necessary. In response, CSR stated that it was of the view that
the appeal could not
be determined "on the papers" and rather was a matter in
which it was preferable for a hearing to be appointed before the Appeal
Panel.
CSR did not elucidate what matters it needed to address at the hearing and why
those matters could not be properly articulated
in written submissions. It would
have been of assistance to the Appeal Panel if CSR had given cogent reasons as
how and why an oral
hearing in the circumstances of the present case would have
advanced its interests.
- Nevertheless,
at the preliminary hearing even though there was no additional information as to
why it was preferable for an assessment
hearing to be held, the Appeal Panel
needed to be confident that issues outlined in the submissions were unlikely to
require oral
submissions to be made to it. The issues raised in CSR's
submissions were whether Dr Searle's reports were excluded in the file sent
to
the AMS, whether there should have been a deduction made pursuant to s 323 of
the Act for a pre-existing injury and whether the
findings of the AMS in
relation to Dr Millions report were in error. There was nothing to suggest the
Appeal Panel would benefit
from oral submissions being made at an assessment
hearing. Nor was there anything that was likely to arise during the
determination
that would suggest to the Appeal Panel that oral submissions would
be required. The Appeal Panel was not contemplating going outside
the contents
of the written submissions of the parties. In these circumstances I do not
consider that the Appeal Panel wrongly exercised
its discretion in not affording
CSR an assessment hearing. It is my view that CSR was not denied procedural
fairness.
- The
application for judicial review fails. The summons filed 29 July 2010 is
dismissed. Costs are reserved.
The Court orders:
(1) The summons filed 29 July 2010 is dismissed.
(2) Costs are reserved.
**********
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