A Failure To Give Reasons
23 The Corporation's first Ground of Appeal focused attention upon the following two paragraphs of the reasons for decision of the Administrative Appeals Tribunal:
[43] We accept that both Professor Fearnside and Dr Maxwell accepted that the incident caused the gluteal injury. Ms Hughes' description of events around the injury involved adduction (away from the midline) of her left leg rather than adduction (towards the midline). Both Professor Fearnside and Dr Maxwell considered gluteal tendinopathy to result form [sic] an adduction of the leg rather than abduction. There was some evidence relating to twisting. Professor Fearnside presumed that there had been a twisting from the manner of the fall. Dr Maxwell said in effect that if she [sic] was any twisting at that point that could have caused the injury.
…
[45] We find that as at 24 April 2007 Ms Hughes continued to suffer from the effects of the injury to her lower back and left hip joint sustained during the course of her employment on 13 January 2006. She was asymptomatic before the incident on 13 January 2006 and continues to experience symptoms. Australia Post therefore continues to be liable for the effects of the injury pursuant to sections 16 and 19 of the Act.
24 It was common ground that one form of "gluteal injury" is an injury that occurs when there has been some "internal rotation of the hip" or where there has been "a sort of twisting". That form of movement was described as "adduction". By way of contrast, "abduction" is the movement which occurs where the leg moves sideways as opposed to twisting. There was some unresolved debate as to whether the Tribunal had correctly employed the term "adduction" at the outset of its findings at paragraph [43].
25 The Corporation contended that the Tribunal's conclusion expressed at paragraph [45] was founded upon its finding at paragraph [43] that the "hip injury" was a "gluteal injury" occasioned by a "twisting" movement and that there was no evidence of any such injury. The Tribunal erred, so it contended, because the Tribunal's reasons for decision did not include any reference to the evidence or other material on which its finding of liability for that "gluteal injury" or that form of "injury to [the] left hip joint" was based.
26 The case for the Corporation was that there was no evidence to support any such finding. The Corporation accepted the account of the "incident" or "accident" suffered by Ms Hughes on 13 January 2006. The account as summarised by the Tribunal was as follows:
[8] Ms Hughes gave evidence that on Friday 13 January 2006, while delivering mail on a motorcycle, she turned right up a driveway and as she pulled up to a delivery point she slid on a seed pod when she put her left foot down. She was suspended momentarily off the bike and "did the splits", with her left hip lower than her right. She felt a popping sensation in her hip and a burning sensation in her hip and lower lumbar region. Her right leg was hooked over the seat, "semi bent" and her left leg was "directly straight out, as in the splits". She was unable to reach the right-hand handle bar to access the kill switch. She placed her left hand on the fence and "walked" herself up, enabling her to let the bike go with her right leg. She rested for a short while and then resumed her deliveries. …
Relevant to that account, according to the Corporation, was the absence of any reference to a "twisting" movement. The Corporation also placed reliance upon a similar account provided by Ms Hughes to the medical practitioners, including Dr Fearnside. His report repeats the same description that she "did the splits".
27 The Corporation submitted that the manner in which the medical witnesses approached their task further supported its claim that there was a lack of evidence of an injury occasioned by a "twisting" movement. One medical expert (for example) said that he "perhaps … omitted to ask her about rotational elements …". Another expert stated that he "didn't get any specific history of particularly twisting; it was more of an abduction strain to her hip" and that "there was no particular twisting injury she related to me".
28 The case for Ms Hughes was that paragraph [43] of the Tribunal's reasons for decision should not be given the significance or prominence advanced by the Corporation. The submission on her behalf was that the principal finding was that set forth at paragraph [45], namely a simple finding that she continued to suffer from the effects of the injury to her lower back and hip joint sustained during the course of her employment. Alternatively, it was contended on her behalf that there was evidence of a "gluteal injury" occasioned by "twisting".
29 The first Ground of Appeal has not been made out. It is considered that the Tribunal's reasons adequately disclose the manner in which it proceeded and that its conclusion as to the liability of the Corporation was supported by the evidence. It matters not whether the reading of the Tribunal's reasons as advanced by the Corporation or on behalf of Ms Hughes prevails - on either approach, it is not considered that the Tribunal committed any appellable error.
30 On either approach, the Tribunal accepted that the accident occurred on 13 January 2006. And it further accepted that Ms Hughes had "a total absence of any symptomatology of the lower back or hip prior to 13 January 2006" and accepted that as at April 2007 she "continued to suffer from the effects of the injury to her lower back and left hip joint sustained during the course of her employment …". The medication being taken by Ms Hughes was said to be consistent with the evidence that she gave. This, together with the other medical evidence summarised by the Tribunal in its reasons for decision, would support the conclusion expressed at paragraph [45].
31 Paragraph [45] is, however, clearly susceptible of the interpretation sought to be ascribed to it on behalf of the Corporation. Paragraph [45] is within that part of the reasons for decision which sets forth what may be regarded as the Tribunal's account of its findings on "material questions of fact" - and the inference is that the finding at paragraph [43] was "material" to the ultimate conclusion reached at [45]. But the Tribunal's reasons, when read in their entirety, expose a more generally expressed conclusion that Ms Hughes continues to suffer from an injury to her left hip or joint. To confine that conclusion by reference to whether or not there was a "gluteal injury" and to then isolate the evidence relevant to an injury occasioned by a "twisting" of the joint is to not read the reasons for decision in their entirety. Any looseness of language as may emerge from paragraph [45] does not lead to a conclusion that the Tribunal has not resolved the claim as advanced on behalf of Ms Hughes.
32 Even if, however, the Tribunal's reasons were confined to a finding that the only injury suffered by Ms Hughes was a "gluteal injury" occasioned by "twisting", it is further considered that there was evidence in support of that finding. As the Tribunal recognised, "some evidence" of that was to be found in what had been said by Dr Fearnside.
33 For the purposes of s 43(2B) of the 1975 Act, the requirement that there be a "reference to the evidence" is satisfied if the Tribunal identifies in a meaningful manner the evidence upon which it relies in making a finding on a "material question of fact". The evidence to which "reference" is made need not be set forth in its entirety. Section 43(2B) merely requires that there be a "reference" to the evidence. It may not be sufficient in a particular case if the Tribunal merely refers to the evidence of a particular witness or simply states that there was evidence but without identifying the evidence it had in mind. If an identified witness only gives evidence on one discrete matter relevant to a finding on a material question of fact and that evidence is brief and succinct, it may be a sufficient compliance with s 43(2B) if the Tribunal simply refers to the evidence given by that witness without more. Much may depend upon the factual issues in dispute in any particular case and the nature of the evidence being given by a number of witnesses. It may also be the case that a failure on the part of the Tribunal to expressly refer to the evidence of a particular witness or to refer to identifiable evidence may not be a failure to comply with the terms of s 43(2B) or that any such failure is non-prejudicial. The evidence relied upon may be readily identifiable even in the absence of any express reference to it on the part of the Tribunal. But, given the requirements imposed by s 43(2B), and where a contention is advanced that there is "no evidence" to support a particular fact, it may not be permissible for this Court when entertaining an "appeal" to itself review the evidence given before the Tribunal with a view to itself determining whether there was evidence upon which the impugned finding of fact may have been based. The task of making findings of fact and the task of referring to the evidence are tasks entrusted to the Tribunal. Likewise, the task of explaining the decision reached is a task which only the Tribunal itself can discharge.
34 But such difficulties may presently be left to one side. In the present proceeding the Tribunal at paragraph [43] of its reasons for decision identified both the witness upon whom it was relying - Dr Fearnside - and that part of his evidence which it had in mind - namely, his evidence that he had "presumed that there had been a twisting from the manner of the fall". That "reference to the evidence" is sufficient to enable the following parts of his evidence to be identified. One passage in his evidence-in-chief was the following exchange:
Can you tell the tribunal why you formed an opinion that the applicant suffered from that condition arising out of the fall, the incident I should say?---In the history, while low back injuries can cause pain in the buttock, Ms Hughes had what I thought was probably more pain than I would have expected given the pathology in her back and it was more placed over the upper end of her femur and the side, the lateral aspect of the buttock. So that was a feature in the history that required further investigation. In the physical findings she had a restriction of hip movement, in particular internal rotation of the hip. Internal rotation of the hip places on stretch the muscles and the attachments of the gluteal muscles to the femur. The gluteal muscles run from the sacrem or the tailbone to the back of the femur and they, when they contract, rotate the hip and the leg outwards. So if one performs the opposite action of internally rotating the hip, it places those muscles and the tendons on the stretch. So if there is an inflammatory reaction or there has been an injury, then pain will occur in the local region and that was so with her. Thirdly, the investigations by way of ultrasound and also by way of MRI, the ultrasound being that of 28.2.06 and the MRI of 15.6.06, did show abnormality at the insertional levels and I therefore concluded that she had sustained an injury to those attachments. Again, I thought that the mechanism of the injury could have caused such an injury.
There was also shortly thereafter the following exchange:
So your written notes are identical to paragraph 1.2?---I would need to check that but I would be very disappointed if they weren't. She put her left foot down after she pulled up the motorbike. Her right foot was on the brake. She put her left foot on the ground and it slipped on some flame tree seed pods and she sustained a forced abduction injury, which means the leg going out, and in that I would anticipate that there would be a rotational element as well because that would be usual, which left her right leg hanging over the bike and her left foot was angled between the concrete of the footpath, I think, and a fence, that's right. Now my handwritten notes confirm that and after that she lent herself up against the fence with the left hand and climbed off the bike. In fact she said that she let it fall to the ground. I have got an indication there that the bike was fully laden with mail. So it was presumably heavy to manipulate.
The significance of any evidence as to a rotational movement was clearly at the forefront of the minds of both of the Counsel appearing and of the two Tribunal members. There was thus an objection taken on behalf of the Corporation to the evidence being given upon the basis that "[t]here was never any evidence about a twist in the leg". There was then a further exchange during Dr Fearnside's evidence-in-chief as follows:
Just to end on that point. If you were to presume that there was a twisting, does that have any significance to the type of injury that you have diagnosed?---No. I mean I suppose it makes it more possible that she sustained an injury either or both to the back and to the leg. There's generally a rotational [element] in these sorts of injuries and I mean perhaps I omitted to ask her about rotational elements but I thought that I obtained a fairly concise history of that.
35 Such evidence may not have been as fulsome as may be desirable, but the weight to be given to such evidence was a matter for the Tribunal and not for this Court. The Tribunal was not bound to only have regard to such parts of the evidence as the Corporation now wishes to emphasise. The evidence of Dr Fearnside to which the Tribunal referred cannot simply be dismissed, as the Corporation sought to characterise it, as but a "presumption" as to what had happened on 13 January 2006; his evidence was evidence as to the present medical condition of Ms Hughes and evidence as to how such conditions occur.
36 There is a further basis upon which the Corporation's first Ground of Appeal should be rejected.
37 Not only is it impermissible for the Corporation to seek to confine the basis of the Tribunal's decision to a conclusion as to "gluteal injury" and to thereafter seek to isolate the evidence referable to that injury, such a course is equally impermissible when reference is made to the claim in respect to the "injury" for which compensation was claimed.
38 Section 14 of the 1988 Act provides that Comcare is liable to pay compensation "in respect of an injury suffered by an employee …". Section 53 requires notice to be given "of the injury" and s 54 provides that compensation is not payable "unless a claim for compensation is made …" that complies with certain requirements set out in that section. Section 54 is a procedural prerequisite to an entitlement to compensation: Lang, supra, at [43]. The claim as made by a claimant is to be given "a broad, generous and practical interpretation …": Abrahams v Comcare [2006] FCA 1829 at [18], 93 ALD 147 at 152; Australian Postal Corporation v Sellick, supra, at [55]. Section 24 provides for the payment of compensation for "permanent impairment" and s 25 provides for the "interim payment of compensation" pending the final determination of a claimant's disability. Section 26 provides that "an amount of compensation payable to an employee under section 24 or 25 … shall be paid to the employee within 30 days after the date of the assessment of the amount".
39 In the present proceeding, the claim as made by Ms Hughes was dated 23 February 2006 and identified the injury as follows:
Lower Lumbar 5 / I.T Left Hip
Repetitive Strain / Bursitis
The injury was similarly described at each of the various stages of reconsideration prior to the application for review before the Administrative Appeals Tribunal. Before that Tribunal, Ms Hughes in her Statement of Facts, Issues and Contentions claimed to be "entitled to compensation in respect of permanent impairment to her lower back and left hip joint, including bowel bladder dysfunction, pursuant to section 24 and 26 of the Act". The Corporation in its Statement of Facts and Contentions contended as follows:
The medical evidence supports the conclusion that the Applicant does not suffer ongoing lower back and left hip conditions that were materially contributed to by the Applicant's employment.
40 Although it may readily be accepted that there are no "pleadings" before a tribunal, the findings of fact as made by a tribunal may be informed by reference to (inter alia) the decision the subject of review and the issues identified by the parties as relevant to reaching the "correct or preferable decision" in respect to the decision under review.
41 In the present proceeding, the decision the subject of review by the Tribunal was the decision refusing compensation in respect to the "injury" as claimed by Ms Hughes. The issues as identified by the parties relevant to the Tribunal's decision-making processes did not then seek to confine the injury to that of a "gluteal injury" occasioned by "adduction" or "twisting".
42 Nor, it is considered, was the Tribunal in its reasons for decision attempting to narrow down its finding to either:
· the resolution of a claim founded upon a "twisting" movement; or
· the resolution of the claim as strictly described in the account given by Ms Hughes of the events of 13 January 2006.
Paragraph [43] of its reasons unquestionably exposes the fact that the Tribunal was aware of the difference between "abduction" and "adduction". Indeed, given the expertise of the medical member of the Tribunal, it would be surprising if such a distinction was not well understood. Section 7(2)(b) of the 1975 Act provides for the appointment of persons to the Tribunal who have "experience … in … the practice of a profession …" and such a member is "entitled to use his or her experience in interpreting and weighing the material and in reaching conclusions on technical matters": cf Application by Chime Communications Pty Ltd (No 2) [2009] ACompT 2 at [7], 257 ALR 765 at 770.
43 But the reference by the Tribunal to the difference in the nature of the physical movements to which reference had been made in the evidence is not a sufficient basis upon which to conclude that the Tribunal was thereafter confining its attention to the resolution of a claim founded upon that difference alone and to the resolution of a claim for compensation in respect of an injury different to that originally claimed in February 2006 and as identified in the statement of issues as filed by the parties.
44 It should finally be noted that there is not considered to be a clear distinction as between the claim as made by Ms Hughes and her description of the manner in which the accident or injury on 13 January 2006 occurred. Both the claim and the description are but a means of communicating to a decision-maker a description of the injury for which compensation is claimed and how that injury occurred. Either may give content to the other and the two should be read together.
45 Given the absence of any reference in her description of the accident or injury to any "twisting" movement and her description of having done the "splits", it is perhaps understandable that the Corporation accepted Ms Hughes' account and did not question her as to whether there was any "twisting" movement involved. The Corporation may have wished to confine her account of the events to as narrow a factual description as possible. But the task of the Tribunal, however, was to reach the "correct or preferable" decision. And, in discharging that task, s 33(1AA) of the 1975 Act imposes upon the person who made the decision under review the responsibility of using "his or her best endeavours to assist the Tribunal to make its decision …": Harris v Secretary, Department of Employment and Workplace Relations [2007] FCA 404 at [19], 158 FCR 252 at 257 per Gyles J.
46 In the present proceeding, the potential significance of a "twisting" movement or "adduction" as opposed to "abduction" was a matter that did not emerge only during the course of the hearing before the Tribunal. It was a matter of significance that had been identified as early as 6 November 2006 in a report provided to the Corporation by another orthopaedic surgeon, Dr Horsley. His report stated in part:
The injury as described to me by Ms Hughes is of her doing the "splits". This, if anything, would tend to stretch the adductor tendons. In this position, in fact, the gluteus medius and minimus tendons are relaxed. I find it difficult to understand why there would be mild tendinosis with the type of injury she describes.
The distinction having been thus highlighted, it is surprising that there was no further questioning - either in chief or in cross-examination - of Ms Hughes as to the description she had provided. The failure to further question Ms Hughes as to the movement experienced during the accident on 13 January 2006 did little to "assist" the Tribunal.
47 The procedures of the Tribunal, it must be recalled, are not adversarial but designed to facilitate the Tribunal making the "correct or preferable" decision in a manner which is "fair, just, economical, informal and quick": s 2A. The responsibility imposed by s 33(1AA) remains irrespective of whether or not an applicant before the Tribunal is represented or unrepresented. Even prior to the amendments to the 1975 Act which introduced ss 2A and 33(1AA), in Re Beigman and Secretary, Department of Social Security (1992) 29 ALD 332 the Tribunal, comprised of the then President, a Deputy President and a Member, observed:
[24] Proceedings before this tribunal are not adversarial but are designed to enable the tribunal to reach the correct or preferable decision in the circumstances of the case. To this end the role of the parties is to assist the tribunal in reaching its decision. The tribunal expects departments and agencies involved in the review process to have an understanding of that role. …
The non-adversarial role of the Tribunal has been repeatedly referred to: Osborne G, "Inquisitorial Procedure in the Administrative Appeals Tribunal - A Comparative Perspective" (1982) 13 Fed L Rev 150; Bedford N and Creyke R, "Inquisitorial v Adversarial Processes in Australian Tribunals in Shaping Administrative Law for the Next Generation", in Finn R, Shaping Administrative Law for the Next Generation: Fresh Perspectives (AIAL National Administrative Law Forum, 1999) p 91. The non-adversarial role of the Tribunal is of paramount importance. Indeed, with reference to the distinction between adversarial and inquisitorial procedures, it has been noted that a "perceived dichotomy" exists between "an adjudication of the evidence presented and … a search for the truth": Thawley T, "Adversarial and Inquisitorial Procedures in the Administrative Appeals Tribunal" (1997) 4 AJ Admin L 61 at 63.
48 Given these tasks and responsibilities it is not considered appropriate to either confine Ms Hughes' claim or her account of the accident or injury in any artificial manner. The evidence of Dr Fearnside supports the conclusions he reached and his "presumption" - even if that is how his evidence is to be properly characterised - was supported by a "generous and practical interpretation" of both the claim as made and the account of the events that occurred on 13 January 2006.
49 In contrast to the present set of circumstances is the decision in Tralongo v Malios [2007] VSC 239, 27 VAR 74 where a misstatement in the decision of a medical panel as to the history provided by a claimant led to a conclusion that a decision of the panel should be set aside. In the present proceeding it is considered that the account provided by Ms Hughes was clearly at the forefront of the mind of the medical practitioners and the Tribunal itself.
50 The first Ground of Appeal is thus rejected.