The subject of the claim
49 Section 53(1) of the SRC Act provides that the Act does not apply in relation to an injury unless notice in writing of the injury is given to the relevant authority (Lees v Comcare (1999) 56 ALD 84 at [35]). Compensation is not payable to a person under the SRC Act unless a claim for compensation is made by or on behalf of the person under s 54 (s 54(1)). Section 54(2) provides that a claim shall be made by giving the relevant authority a written claim in accordance with the form approved by Comcare and by giving a certificate by a legally qualified medical practitioner in accordance with the correct form.
50 "Injury" is not defined in the SRC Act in terms of its cause but in terms of an injury suffered by an employee arising out of, or in the course of, the employee's employment. The Tribunal has authority to decide whether there was liability for a particular injury or an aggravation of a disease. The Tribunal is not bound by Australia Post's assessment of what constitutes the injury (Hannaford v Telstra Corp Ltd (2005) 88 ALD 702). Section 7(4) of the SRC Act relevantly provides that an employee is taken to have sustained an injury, being a disease or an aggravation of a disease, on the day when he or she first sought medical treatment for the disease or aggravation. Mr Sellick does not suggest that anything turns on the difference in time between the date of the injury and the seeking of medical advice. Section 7(6) relevantly provides that incapacity for work or impairment of an employee shall be taken to have resulted from a disease or an aggravation of a disease if, but for that disease or aggravation, the incapacity or impairment would not have occurred or would have commenced at a significantly later time or would have been significantly less in extent.
51 The only claim made by Mr Sellick in the approved claim form in relation to the upper body was for shoulder pain. Mr Sellick described his injury as 'pain in right shoulder'. Australia Post accepted liability for soft tissue injury of the shoulder girdle musculature. The Tribunal considered whether it had jurisdiction to take into account the effects of aggravation of the degenerative condition of the spine and ligamentous strain in deciding whether Mr Sellick had ceased to suffer the effects of the injury suffered in October 2002 and the preceding months. It expressed itself satisfied that the injury in respect of which Mr Sellick claimed compensation was not limited to the soft tissue injury of the right shoulder. It noted at [17] that the medical certificates 'at the time, or very soon after, the claim form was lodged, referred to strained muscles of the right upper back, upper back pain and interscapular stabilizer strain' (at [63]).
52 The Tribunal also referred to Mr Sellick's history of informing some of the medical practitioners who examined him, including Dr Chew, that he suffered pain in the upper back, including the area of the mid-thoracic spine. The Tribunal concluded at [52] that:
…in the period of several months prior to and including October 2002 Mr Sellick suffered a soft tissue injury to his shoulder but that at present he does not suffer the effect of this injury.
[emphasis added]
53 In evidence to the Tribunal, Mr Sellick indicated that the pain from which he continued to suffer was in the mid-thoracic region of his back. The Tribunal continued at [52]:
However, we are satisfied on the balance of probabilities that as a result of his duties as a Postal Deliver Officer employed by Australia Post he has suffered, and at the date of this decision continues to suffer, pain in the mid-upper back as a result of an aggravation of the condition of degenerative cervical spondylosis and/or a chronic sprained interspinous ligament.
54 The Tribunal came to this conclusion after referring to the fact that each of these conditions were referred to in the medical evidence over the period of 2002 to 2005. The medical evidence differed as to the cause of Mr Sellick's pain, the link between the pain and his work activities in 2002 and whether or not the symptoms were temporary or ongoing.
55 In Abrahams v Comcare (2006) 93 ALD 147, Madgwick J recognised that different descriptions can be given of the one injury and said at [18] that 'a broad, generous and practical interpretation' should be made to recognise the understanding of the lay person making the claim and different levels of medical advice and to understand whether the lay person completing it was asserting a different injury to that notified. The Tribunal said that, in applying the principles in Abrahams, it was satisfied that the proper interpretation of the claim made by Mr Sellick was for 'an injury which caused pain in the upper back, which included, but was not limited to, pain in the area of the right scapula'. Accordingly, the Tribunal determined that although Mr Sellick did not then suffer the effects of the soft tissue injury to the right shoulder, it could proceed to consider whether he continued to suffer the effects of the aggravation of the degenerative condition of his spine and the sprain of the interspinous ligament. Based on the views of Drs Griffith and Cassar, the Tribunal found that his duties are likely to continue to aggravate those conditions and to make the conditions symptomatic.
56 The Tribunal accepted that the effects of the injury to the right shoulder had resolved by the date of its decision. While it did not specify whether it had resolved by the date of the reviewable decision, it is implicit from the reasoning that the Tribunal accepted that it had resolved by that time. The basis for the Tribunal's decision was that the use of the V-sort machine also caused the additional conditions. The effects of the additional conditions continued to be present at the date of the decision and, therefore, necessarily present at the date of the reviewable decision. While the Tribunal noted at [55] that Mr Sellick's description of his symptoms was referable to one or both of the additional conditions, it accepted on the basis of the medical evidence as a whole that he suffered from both injuries (at [59]). Contrary to the submissions of Australia Post, the Tribunal's reasons sufficiently explain why it accepted both diagnoses.
57 No accident report or claim was specifically made for the additional conditions as is required by ss 53 and 54 of the SRC Act. If the additional conditions had not been the subject of a notice of injury under s 53, a claim for compensation under s 54, a determination under s 60, a reviewable decision under s 62 and an application to the Tribunal under s 64 of the SRC Act, the Tribunal had no power or jurisdiction to make the decision that it did. Australia Post accepts that, as the Tribunal noted, the medical certificates provided in support of the shoulder claim referred to complaints referable to the upper back and not related to the shoulder. A medical assessment by Dr Chew of July 2004 noted that Mr Sellick suffered from mid thoracic spine pain in October 2002 with no specific injury to account for the onset of his pain. Dr Chew's diagnosis of his then current condition was of soft tissue injury to his mid thoracic spine while carrying out his postal delivery duties, superimposed on constitutional degenerative changes in his thoracic spine. Australia Post accepts that the reviewable decision addressed whether the problems were due to an underlying constitutional disorder not caused, aggravated or accelerated by his employment. However, a mere reference to the spine in some of the medical certificates is, Australia Post says, insufficient compliance with the SRC Act.
58 The Tribunal concluded that the proper interpretation of Mr Sellick's claim was that it extended to an injury which caused pain to the upper back and Australia Post says that this is not the case. It contends that the claim was for a right shoulder injury which had resolved and there is no explanation of how that injury led to injuries to different parts of the body.
59 The Tribunal was entitled to accept certain of the medical evidence and to reject other evidence. It was entitled to prefer, as it did, the evidence of Dr Griffith (who examined Mr Sellick in December 2004) and Dr Cassar (who examined Mr Sellick in September 2004). However, neither the references made to the various medical reports nor the Tribunal's conclusions drawn from them explain the connection between the symptoms described by Mr Sellick and accepted by the Tribunal, the additional conditions accepted by the Tribunal and the injury of October 2002. For example, Dr Griffith's report addressed the symptoms and conditions at the time of his examination of Mr Sellick. Dr Cassar, whose opinion the Tribunal accepted, gave evidence as summarised at [36]:
...that Mr Sellick suffers degeneration in the thoracic spine as well as in the cervical spine, with the degeneration being "fairly substantial" in the cervical spine and "minimal" in the thoracic area. In his opinion the changes seen in 2003 would have taken at least eighteen months to two years to develop and therefore he expected the changes would have been present in October 2002. In his view at that time Mr Sellick suffered a temporary aggravation of the condition of his cervical spine which would have ended by the time Mr Sellick returned to work in May 2003.
60 There is no explanation given by the Tribunal for the conclusion that the injury of October 2002, described as pain in the right shoulder, caused the additional conditions. Even if the claim were for injury to another part of the body that resulted in right shoulder pain, the Tribunal accepted that the effects of that injury had resolved. Unlike Abrahams where the applicant for review described a wrist injury but did not state the correct diagnosis, the injury to Mr Sellick's shoulder had resolved and different injuries were accepted as a basis for liability. The injuries may have arisen out of Mr Sellick's employment with Australia Post (as accepted at [60]) but the Tribunal has not explained how they arose out of the claimed injury in 2002. It is noteworthy that the medical reports of 2002 summarised by the Tribunal were not the ones referred to as supporting the Tribunal's conclusions.
61 Mr Sellick accepts that the Tribunal characterised the additional conditions as injuries separate to the injury to the right shoulder and that it found three separate injuries, all suffered in 2002. He says that the Tribunal at [66] only accepted that Mr Sellick no longer suffered the effects of the soft tissue injury to the right shoulder but continued to suffer pain, including pain in the right shoulder, arising from the spinal injury and the sprain to the interspinous ligament. If that is the case, the Tribunal's reasoning is far from clear. At [52] the Tribunal expressed itself satisfied that 'at present he does not suffer the effects of'a soft tissue injury to his shoulder but was satisfied that, at the date of its decision, he 'continues to suffer, pain in the mid-upper back as a result of an aggravation of the condition of degenerative cervical spondylosis and/or a chronic sprained interspinous ligament'. That is, the only ongoing pain as at the date of the Tribunal decision was in the mid-upper back and not in the shoulder.
62 Dr Cassar's report noted that the claimed injury was 'right shoulder girdle injury'. He referred to association with the cervical spine. Changes to a minor degree noted in the upper thoracic spine were, in his view, unrelated to employment but aggravated by 'persisting work necessitating constant above shoulder work…as well as work necessitating repeated lifting of full postal bags weighing in excess of 10kg'. Dr Griffith referred to cervical spondylosis which was not work related with "minimal changes" in the thoracic region and said that it was "likely" that the use of the V-sort 'aggravated the symptoms from which he now suffers'. Dr Griffith's prognosis was of cervical and thoracic spondylosis with periodic exacerbations and remissions 'irrespective of activities in the workplace'. He was also of the view that pre-existing degenerative changes would have been rendered symptomatic by activities in the workplace. While each report linked Mr Sellick's work activities and the pain in the mid-thoracic spine, they did not explain the connection with the claimed injury.