HEADNOTE
[This headnote is not to be read as part of the judgment]
On 13 November 2006, Mr Abbas Ibrahim Ali suffered injuries as a result of a motor vehicle accident. He lodged a claim for damages against AAI Ltd, the insurer of the vehicle at fault. To be awarded damages for non-economic loss Mr Ali needed to demonstrate that he had suffered a degree of permanent impairment greater than 10%. Mr Ali underwent assessments by medical assessors for the Medical Assessment Service of the Motor Accident Authority. The assessments were to be conducted with reference to the MAA's "Permanent Impairment Guidelines". On 16 July 2013 a "further assessment" was conducted by Dr Ian Cameron who assessed his whole person impairment due to brain injury at 7%. This calculation, together with an assessment of other injuries, resulted in a combined certificate of 11% permanent impairment. Accordingly, he was entitled to non-economic loss payments.
On 9 September 2013, AAI lodged an application for review of Dr Cameron's further assessment. The proper officer of the MAA refused to refer the application for review. On 28 January 2014, AAI sought to challenge both Dr Cameron's certificate and the decision of the proper officer in the Common Law Division pursuant to s 69 Supreme Court Act 1970 (NSW). On 4 August 2015 Wilson J set aside both the further assessment certificate and the proper officer's decision refusing review. Mr Ali sought leave to appeal from that judgment. AAI filed a notice of contention seeking to restate the additional grounds of review presented in the Supreme Court which the primary judge had not expressly addressed.
The issues for determination on appeal were:
(i) whether the assessor had failed to consider relevant evidence relating to pre-accident injuries and surveillance material which purported to cast doubt on Mr Ali's post-accident impairment;
(ii) whether the assessor had taken into account evidence considered "unreliable", especially Mr Ali's own statements as to his disabilities; and
(iii) whether the assessor had satisfied the statutory obligation to provide reasons for his assessment.
The Court held (per Basten JA, Leeming and Simpson JJA agreeing) in allowing the appeal:
In relation to (i)
- The assessor had referred to the evidence before him when making his assessment. Incomplete references in the trial judge's reasons to passages extracted from the assessor's reasons led to incorrect inferences being drawn as to the assessor's purported failure to address relevant material: [52]. A failure to identify correctly the nature of the medical dispute led the primary judge into error when concluding that the assessor had failed to consider pre-accident psychiatric injury in making his assessment: the legislative scheme required psychiatric injury and physical impairment to be dealt with separately: [58].
Allianz Australia Insurance v Kerr (2012) 83 NSWLR 302 referred to.
In relation to (ii)
- Assessing an account as "unreliable" does not bar its consideration: [60]. Self-reporting which is adjudged to be unreliable does not become irrelevant information which, if taken into account, will invalidate the assessment process: [63]. Where a statute confers exclusive power to determine facts and exercise discretion, there is limited room for implying limits on how the repository of the power can exercise that power. There is no statutory basis for suggesting that the assessor did not have power to identify material as unreliable whilst giving it some limited weight: [69].
Minister for Aboriginal Affairs v Peko-Wallsend Ltd (1986) 162 CLR 24; Craig v South Australia (1995) 184 CLR 163; Minister for Immigration and Multicultural Affairs v Yusuf (2001) 206 CLR 323, discussed.
In relation to (iii)
- The assessor's role is not defined by principles relating to the judicial function: [5]. Assertions of the inadequacy of reasons were based on a misapprehension of the nature of the assessor's function. Any finding of breach should properly address the issue by reference to the terms of the statutory obligation: [51]. Brief reasons provided by the assessor addressing a precise point were sufficient to satisfy the statutory requirement: [55].
(per Leeming JA)
- The MAA Guidelines do not of themselves impose statutory obligations on the assessor: [85]. Neither the requirement for their gazettal (s 44(4) MAC Act) nor their treatment as disallowable instruments (s 45(5) MAC Act) converts the Guidelines into delegated legislation: [85]. A failure to have regard to a matter in the Permanent Impairment Guidelines would therefore not vitiate an assessor's determination: [98].