The facts
9 The appellant claimed to be a special need relative of her husband's uncle ('the nominator'), an Australian citizen. Her application was submitted by a registered migration agent. It contained a medical report, dated 22 July 1997, recording that the nominator had suffered a heart attack on 14 June 1997. He was hospitalised for two weeks. The report said:
'As he has had two serious attacks on the same day, he needs constant care which should not be neglected and his medication should not be left unaided. He is very depressed at the moment and needs his family around him to
support him emotionally. His wife works full time and she is unable to take time off due to heavy mortgage commitments.'
The report recorded that the nominator's nephew, the appellant's husband, was living in Australia and able to provide help on a regular basis and was already helping.
10 Subsequently, the appellant's migration agent provided to the Department of Immigration and Multicultural Affairs (now the Department of Immigration and Multicultural and Indigenous Affairs) (in both cases 'the Department') a letter from a psychologist, dated 3 August 1998. This stated that the nominator had been attending therapy for the previous 18 months, receiving pain management treatment and assistance with coping with emotional distress. He had suffered a serious injury in the workplace and his quality of life had been affected in a negative way. He had suffered complications with a recent heart condition related to the stress of his injury and experienced mood swings involving high levels of frustration and deep depression. The letter said that the appellant:
'has provided valuable and ongoing support for her Uncle [the nominator] during his treatment. She spends time with [thenominator] during the week usually four days between Monday and Friday while his wife…is at work and is on call for him every day to assist in getting him to medical appointments.
...
[The appellant] also monitors her Uncle's level of depression daily to ensure he has company if he appears unable to cope with his distress.'
The psychologist recommended that the appellant's application for residency as a special need relative be viewed favourably 'as she plays a vital role in the quality of life experienced by her Uncle.'
11 By letter dated 16 March 1999, an officer of the Department sought from the appellant further information in relation to her application. Among the information sought was 'the nature of the disability or prolonged illness and when it was diagnosed'. Through her migration agent, the appellant responded with a written submission of her agent and some additional material, including a further report of the psychologist, dated 30 March 1999. The agent's submission referred to the nominator's post-traumatic stress disorder, following a serious workplace accident. It added:
'He has also had major cardiac problems and underwent double by-pass surgery last year.'
12 According to the psychologist's report:
'[The nominator] first presented for therapy on 27th November 1996 suffering from Post Traumatic Stress Disorder following an accident in the workplace where his leg was crushed by the fire extension of the machinery he was working on. [The nominator] suffers from Lymphodema, involving quite severe pain as a result of his condition and still experiences sleep disorder, anxiety distress from his pain and depressed mood. [The nominator's] condition is ongoing and his anxiety condition has been complicated since experiencing cardiac distress and surgery last year.'
The report went on to say that the appellant and her family had been able to provide ongoing support at the appellant's home on an average of three days per week. The psychologist also expressed the view that the appellant's support would be required on an ongoing basis, particularly as it was necessary for the nominator's wife to work full-time and meet the financial demands of the family.
13 The decision of the Minister's delegate was not given until 5 December 2001. In the reasons for the delegate's decision, the delegate referred to medical evidence that the nominator had suffered a heart attack on 14 June 1997. The delegate also referred to the nominator's earlier work-related injury. She found that the nominator had suffered from a 'disability' and 'prolonged illness', within the meaning of the definition of 'special need relative'. She found that the appellant was not in a position to provide the level of permanent and long-term assistance required by the definition and that the type of care the appellant provided was not 'substantial and continuing' support, within the definition of 'special need relative'. The delegate also referred to the absence of evidence that other family members could not provide the kind of assistance the nominator needed.
14 In support of her application to the Tribunal for review of the delegate's decision, the appellant submitted further material. Among the material is a statement of the appellant, which included the following:
'First let me explain that my uncle needs constant care as a result of his accident which caused a very serious leg injury.. [sic] While he was having difficulties in moving around with his injured leg, and was in pain, in June '97 he suffered from two serious heart attacks and was hospitalised for two weeks. But had to be on a waiting list until January '98 for his double by-pass surgery. However his heart condition had been an on going illness ever since he met with this accident.
He is worried and depressed about what happened to him.
At the time of [sic] my application was lodged,(1998) as a special need relative it was just few months after his operation and [he] needed much more care as it has become too complicated with his accident. His wife had to work, and she would bring him to my place on her way to work, to be taken care of, and finally came to a position where he had to completely depend on us as his wife separated from him and his son does not live with him.
Due to the accident his life style has completely changed which has caused him lots of losses.
How I assist My uncle :
I have been helping and caring, for my uncle as he needs constant care, in controlling his emotions, and depression that he goes through everyday ever since I came to Australia although there was no necessity to publish or bring it forward, until there came a day that he could not be left unaided as he need [sic] lots of care attention and support and [I] took the opportunity in applying as a special need relative.'
The statement went on to detail the sort of care provided by the appellant.
15 Among the material forwarded to the Tribunal was a further report of the psychologist, which repeated the information that the nominator had first presented for therapy on 27 November 1996 and provided substantial information about the nominator's current treatment and his performance in various psychological tests. It also contained a prognosis and a reference to the need for future treatment.