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[2016] NSWCA 110
Court of Appeal (NSW)
2016-04-29
Basten JA, Leeming JA, Simpson JA, Ms J, Wilson J
Original judgment source is linked above.
Ian Cameron, in his capacity as a Medical Assessor of the State Insurance Regulatory Authority (Third Respondent) Representation: Counsel: Mr R S Sheldon SC/Ms E E Welsh (Appellant) Mr M A Robinson SC/Ms J Gumbert (First Respondent) Submitting appearances (Second and Third Respondents)
Solicitors: Brydens Compensation Lawyers (Appellant) Moray & Agnew (First Respondent) Crown Solicitor's Office (Second and Third Respondents) File Number(s): 2015/255050 Decision under appeal Court or tribunal: Supreme Court Jurisdiction: Common Law Division Citation: [2015] NSWSC 1068 Date of Decision: 4 August 2015 Before: Wilson J File Number(s): 2014/265231
[Note: The Uniform Civil Procedure Rules 2005 provide (Rule 36.11) that unless the Court otherwise orders, a judgment or order is taken to be entered when it is recorded in the Court's computerised court record system. Setting aside and variation of judgments or orders is dealt with by Rules 36.15, 36.16, 36.17 and 36.18. Parties should in particular note the time limit of fourteen days in Rule 36.16.]
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)
Judgment
Reasoning of assessor
Procedural steps
(a) grounds of review
(b) evidence admitted before primary judge
Reasoning of primary judge
(a) inadequacy of reasons
(b) failure to address relevant considerations
Notice of contention - irrelevant considerations
(a) factual flaws
(b) legal flaws
Conclusions
Endnotes
Ali
AAI Limited
(2012) 83 NSWLR 302
(1995) 184 CLR 163
(1986) 162 CLR 24
(2001) 206 CLR 323
(2001) 206 CLR 57
(1981) 38 ALR 363
(2013) 252 CLR 480
(2015) 72 MVR 23
[2001] HCA 30
[2001] HCA 22