Ballas v Department of Education
[2020] NSWCA 86
At a glance
Source factsCourt
Court of Appeal (NSW)
Decision date
2020-02-18
Before
Bell P, Payne JA
Source
Original judgment source is linked above.
Judgment (12 paragraphs)
The application to the Registrar
- On 8 June 2018, pursuant to s 327(4) of the 1998 Act, Ms Ballas lodged with the Registrar an application to appeal against the medical assessment, on the basis that when making the assessment of Social and Recreational Activities, Dr Hong had made a "demonstrable error" and applied "incorrect criteria", adopting the terminology of ss 327(3)(c) and (d) of the 1998 Act.
- Ms Ballas's application was accompanied by submissions styled "Draft Appellant's Submissions". It was submitted in this Court that both the form prescribed for the making of applications to appeal to the Appeal Panel, and the practice before the Commission, required that such submissions accompany the application to the Registrar but were for the benefit of the Appeal Panel, if the Registrar permitted the appeal to pass through the gateway. This submission would appear to be consistent with the submissions being styled "Draft Appellant's Submissions" in much the same way as an applicant in this Court who requires leave to appeal is required to file a Draft Notice of Appeal with any application for leave.
- In truth, the Draft Submissions which accompanied the application to the Registrar were required for dual purposes: first, consideration by the Registrar in the discharge of the statutory task assigned to the Registrar by s 327(4) of the 1998 Act; and, secondly and contingently, for the benefit of the Appeal Panel if the gateway was passed.
- For the purpose of understanding the decision of the Delegate of the Registrar, and the basis for the application for judicial review, it is necessary to set out in full the Draft Appellant's Submissions which accompanied the application to the Registrar. They were as follows, subject only to the fact that for ease of later consideration, we have assigned paragraph numbers to the submissions: "1. The Appellant was referred to the Approved Medical Specialist, Dr Hong, to assess whole person impairment resulting from a psychiatric/psychological disorder with a deemed date of injury of 24 October 2016. The AMS assessed an 8% whole person impairment. In arriving at that assessment, the AMS assessed social and recreational activities as Class 2. In doing so, the AMS has made a demonstrable error and applied incorrect criteria. 2. In respect of social and recreational activities, the AMS took a history that when the Appellant is not working she usually stayed at home and does not do much. About once a month, she would go to the RSL club by herself, where she would gamble on the poker machine. He recorded that prior to her injury, she was sociable and took pride in her appearance. She used to enjoy entertaining guests at home. In his history, he did not record any other social interactions. 3. Despite the fact that he did not record it in his history, when commenting on Dr Rastogi's assessment the AMS added that the Appellant would attend to family activities particularly Christmas and birthdays. He made no record of the circumstances in which the Appellant would attend those family activities. In particular, he did not record whether the Appellant went out to attend those activities of whether they occurred within her home. He also did not record if the Appellant only attended because she was encouraged to by her family. It should be noted that she continues to live with her second husband although they are separated. Otherwise, the AMS observed that the Appellant would attend the RSL club by herself typically once a month and would spend an hour there. 4. When completing the PIRS rating form, the AMS cited as his reasons for assessing social and recreational activities as Class 2 as 'frequency of social recreation reported to have reduced, sees one friend regularly, goes to RSL club, around once each month, unaccompanied. Gambles on poker machines, at times $500. Spends around 1 hour at the club.' 5. By assessing social and recreational activities in the way that he has, the AMS has both failed to take into account relevant considerations and has taken into account an irrelevant consideration. 6. The assessment of social and recreational activities is carried out in accordance with Table 11.2 of the NSW Worker's Compensation Guidelines for Evaluation of Permanent Impairment 4th Edition. It should first be observed that social and recreational activities are not travel and are not social functioning. It is apparent from a reading of the table that social and recreational activities is directed to the kind of activities that involve interactions with other people. For example, Class 1 refers to being actively involved with clubs or associations. Class 2 refers to being actively involved, e.g. dancing, cheering favourite team. 7. The table is not directed to solitary activities that do not involve interactions with other people. 8. It is apparent from the reasons given in the medical assessment certificate, that the AMS placed great significance on the fact that the Appellant would attend the RSL club about once a month to gamble on the poker machines for one hour. The major feature of such an activity is that it is a solitary activity that does not involve interactions with other people. It does not require any of the type of participation which is contemplated by social and recreational activity. The fact that the Appellant is able to travel to the RSL club is relevant to the assessment of travel and is consistent with the assessment of Class 2 for that category. It is not, however, relevant to the assessment of social and recreational activities. By including that matter in his assessment, the AMS has both applied incorrect criteria in that he has not properly applied the guidelines and has made a demonstrable error. 9. When assessing social and recreational activities, the AMS also refers to the Appellant seeing one friend regularly. There is no reference to this in the history and accordingly, it is unknown in what circumstance[s] this contact occurs. In any event, the AMS has repeated the same error of taking into account an irrelevant consideration. The issue of ability to maintain friendships is relevant to the Class of social functioning not social and recreational activities. To the extent that it is relevant to social and recreational activities, it is only to the extent that the appellant responds to prompting by a close friend or tolerates the company of a close friend. It should be noted that the ability to tolerate the company of a close friend is consistent with a rating of Class 4. 10. When he saw the Appellant, Dr Rastogi recorded that the Appellant does not get too involved in social activities and will only attend events with family. 11. In her statement, the Appellant describes how she attempted to go on a holiday and ended up in hospital. She went to Perisher with a few friends and that night she could not cope. She had a massive panic attack and was taken to Cooma. She described how she lost a close friend due to what was happening because she couldn't go out with her. She cannot function like a friend should be functioning. 12. When Dr Kaplin saw the Appellant in January 2018, she said that she had some contact with her siblings at Christmas but gave no other history of social contact, other than attending at the RSL club to gamble. 13. The descriptor for Class 3 is 'moderate impairment: rarely goes out to such events, and mostly when prompted by family or close friends. Will not go out without a support person. Not actively involved, remains quiet or withdrawn.' 14. The evidence discloses that the only social and recreational events to which the Appellant attends are family events at Christmas. She attends those with her family. There is no evidence of her attending any social and recreational event without a support person. There is no evidence that she ever becomes actively involved. Her only activity which takes her outside the house is the solitary activity of attending at the RSL club once a month to play the poker machine. When the relevant evidence is properly considered, the Appellant should have assessed as Class 3 for social and recreational activities. 15. The result of properly assessing social and recreational activities is that the median Class becomes 3 and the aggregate score 16, resulting in a 17% whole person impairment. 16. The medical assessment certificate dated 14 May 2018 should be revoked and a new certificate issued which certifies 17% WPI."