austlii:nsw/NSWPIC/2026/69
General information, not legal advice.
NSWPIC
2026-02-05
Original judgment source is linked above.
BPX v Insurance Australia Limited t/as NRMA Insurance [2026] NSWPIC 69
MOTOR ACCIDENTS - Motor Accident Injuries Act ; assessment of damages; high speed head-on collision; liability admitted; significant physical and psychological injuries; claimant entitled to non-economic loss damages; school student at time of accident and university student at time of assessment; claim for past economic loss disputed; dispute about most likely future circumstances; dispute about quantification of future economic loss award; non-economic loss award $530,000; past economic loss assessed as a buffer; $854,669 awarded for future economic loss including buffer of $100,000; total damages assessed $1,510,323.
11 December 2025. There was no objection by the claimant to the insurer relying on the report. 3. The parties were given leave to file a bundle containing the Award, the VCC reports, and relevant material from the clinical records referred to in the index to the joint bundle at R36 - R41. 4. The proceedings were listed for further oral submissions.
"[30] I was trapped in my car, by the accident. The airbags had activated. The car body was crumpled around me. I saw my father and heard him screaming. I felt sheer terror, being trapped in my car, knowing I was injured, unable to move or leave the vehicle without assistance, and feeling excruciating pain, mingled with daze and shock."
8 December 2023, having conducted a joint assessment of the claimant. Among other observations, Dr Hughes recorded that difficulties with motivation and engagement were indicated on formal testing, substantiated by formal measures of performance validity. The claimant was noted to fatigue towards the end of the assessment and was noted to yawn and subtly move and stretch from discomfort. Testing was limited and results should be interpreted cautiously. 3. The doctor opined that on a self-rated measure of personality and psychopathology, validity indicators were within acceptable limits, with no problems with unscorable items nor indication of over or under-reporting. Scores on the Substantive Scales indicated somatic and cognitive complaints, and emotional and interpersonal dysfunction. Somatic complaints included preoccupation with poor health, malaise, and neurological symptoms. 4. The claimant reported a diffuse pattern of cognitive difficulties including memory problems, difficulties with attention and concentration, and possible confusion. Her responses indicated significant emotional distress. She reported various negative emotional experiences, particularly multiple anxiety-related experiences, including generalised anxiety, intrusive ideation, startle responses, panic, and being anger-prone. She reported multiple fears that significantly restrict normal activity in and outside the home, an above-average level of stress, excessive worry, including worries about misfortune and finances, as well as preoccupation with disappointments. She also reported a lack of positive emotional experiences and a lack of interest, as well as self-doubt and futility. She did not enjoy social events and avoided social situations. 5. In Dr Hughes' opinion, diagnostic considerations raised by the scale include anxiety-related disorders such as generalised anxiety disorder, post-traumatic stress disorder, agoraphobia, and panic disorder, anger related disorders, disorders associated with social avoidance such as avoidant personality disorder. 6. The claimant's mood was noted to be reduced. Motivation was reduced generally, although some variability was indicated. She described cognitive complaints but noted that these appeared to be worsening, which, in the doctor's opinion, is incongruent with brain injury. The claimant also indicated that cognitive symptoms appeared to correspond to mood state, suggestive of more psychologically-based origins. 7. On testing, performance validity measures were "suspicious of suboptimal effort" on cognitive tasks meaning results needed to be interpreted with caution. That said, the doctor thought the claimant's performance on tasks were within age-normative limits despite some personal reductions and inefficiencies in memory and complex attention, which could also be interpreted as consistent with her mood. Psychological inventories, including one with inbuilt symptom validity scales, indicated results were valid. Responses on these scales were consistent with her established diagnosis of post-traumatic stress disorder. 8. In Dr Hughes' opinion, the claimant's reported cognitive symptoms are most consistent with her psychological diagnosis, with likely superimposed impact from physical pain, which would make it "more effortful" for her to attend and concentrate. She was not considered to have sustained a permanent brain injury as a result of the accident. With alleviation in mood state there would be concurrent alleviation in report of such symptomology. It was "somewhat concerning" that after almost a year of psychological treatment the claimant experiences poorer mood following psychological sessions due to feeling "drained". Although the claimant appeared to have implemented some strategies, this was limited. The doctor recommended that the claimant trial at least a brief period of psychopharmacological treatment to aid motivation so that she can further engage in treatment and implement learnt strategies aimed at managing both distress and pain. More frequent sessions could also be considered so that she can implement and maintain skills.
"On the basis of the information available to me it seems likely that if the accident had not occurred then the claimant ... had the potential to complete the highest level of secondary schooling and obtain entry to university. She was a student of high average but not superior ability based on her school achievement. She obtained an [ATAR] of 76.65. It seemed likely to me that she might have obtained a slightly higher rank due to the effects of the injury. Notwithstanding that she might have obtained a higher rank, it was never likely to be in the order of 96.0 or more, which was required for most law courses at the major metropolitan universities in Sydney.
Therefore, it did not seem that she was ever excluded from studying law at Macquarie University, University of Sydney, University of Technology Sydney or Western Sydney University. Paradoxically, she met the lowest student rank for entry into law at Australian Catholic University and continues to meet that criterion. To her credit, she has continued studying and has achieved at around a Pass-Credit level in a teaching degree. She has the capacity to work as a teacher and if she so desires and still has the potential to take up study in law as a postgraduate degree or through other pathways. She may require specialized guidance and advice..."
Mr Sharobim, a physiotherapist, the second a vocational assessment report prepared by Dr Henricks, an organisational psychologist, and the third a "Job Match Report". 7. Mr Sharobim's report contains a summary of various matters, including the claimant's history and treatment, a description of her pre and post-accident functioning, details of her university studies, including practical placements, and the work she had recently undertaken at a primary school for two days. 8. The claimant reported symptoms in her neck, low back, right hip, right knee, mid back and left wrist. She had recently experienced increased low back pain after undertaking casual work at a primary school. Otherwise, the pain she experienced was predominantly in her neck. 9. All the findings on physical examination have been considered, in particular those referred to by counsel in oral submissions. Under the heading "Comments" it is recorded that the findings indicated limited core strength. Grip strength in her left hand was below average. 10. The report refers to both "consistencies and inconsistencies". The inconsistencies relate to the differences between the claimant's reported physical tolerances and the tolerances she exhibited at the assessment. 11. Mr Sharobim's report records both the claimant's "demonstrated" abilities and restrictions, together with descriptions of the "typical physical demands" of primary and secondary school teachers. 12. Under the heading "physical capacities compared to job description", Mr Sharobim refers to his findings on examination. He thought the claimant demonstrated the ability to work in sitting and standing postures with appropriate postural breaks. She could walk about the workplace and carry to the "light physical demand level". There were no objective signs of restriction, indicating that the results are likely a conservative estimate of the claimant's current ability. 13. The claimant had limitations with overhead work that could be addressed by a targeted gym program. Her ability to work at low levels was compromised. Repetitive forceful gripping with her left hand should be avoided. 14. In Mr Sharobim's opinion, the claimant demonstrated the physical capacity to perform sedentary and light level work and was suited to the work duties of a secondary and primary school teacher. She may, in his opinion, be better suited to older primary aged students to avoid the need for crouching or bending. In a physically suitable occupation, no pathology has been identified that would preclude the claimant from working full-time hours; however, she may be better suited to commencing on part-time work 15- 20 hours a week and increasing to full-time over a period of three to six months to allow for reconditioning. 15. Mr Sharobim recorded that, given possible removal of the left wrist hardware, the claimant's condition may not have stabilised, and her functional capacity may improve. Finally, Mr Sharobim recorded that comment on the claimant's mental health and its impact on her ability to work is outside his area of expertise. 16. Dr Henricks' report records in the opening paragraph that his assessment involved both the exploration of relevant aspects of personal, educational, and employment backgrounds together with the psychometric evaluation of intellectual skills and personal preferences. It is also recorded later in the report that:
"Clinical diagnosis is beyond the scope of a vocational assessment, and this also applies to the question of whether or not a traumatic brain injury occurred, plus whether there remain any residual symptoms."
(a) fractured right femur requiring open reduction and internal fixation;
(b) fractured left distal radius (wrist) requiring open reduction and internal fixation;
(c) soft tissue injury to the right hip;
(d) soft tissue injury to the right knee;
(e) damage to the sigmoid colon requiring resection;
(f) caecal serosal tear requiring partial caecectomy with appendicectomy, and
(g) mesenteric haematoma in the distal ileum.
Dr Anderson's opinion should be accepted because it is most consistent with the claimant's evidence. In Mr Daley's submission, the depression and the adjustment disorder, which are superimposed upon the chronic post-traumatic stress disorder, will remain. 3. It was also argued that unless the claimant is given a dispensation by the university, she may not qualify for a Bachelor of Education because she cannot complete the remaining 35 days of practical experience. If that comes to pass, she will only be awarded the exercise science degree. 4. Finally, reference was made in oral submissions to the recent certification issued following her two days of work in a school, the application for a disability parking permit, and the claimant's willingness to try antidepressant medication. All these matters, it was argued, support a finding that her condition is not improving.
"Whilst she is attending a university course, she is not working. However, she is struggling with her course and she has no energy or capacity for anything else. This would be equivalent to working part-time."
Dr Berry. 2. It follows from my findings that I do not accept the opinion of the VCC assessors with respect to the claimant's capacity for work. 3. I am not, however, persuaded that she has no practical earning capacity. While her injuries and consequential disabilities have caused significant difficulties in terms of her university studies, she has persisted and is likely to graduate with two degrees this year. Her ability to undertake a double degree is some evidence that she has a practical earning capacity. 4. None of the medico-legal doctors have expressed the opinion the claimant cannot work at all as a teacher. There is no evidence from any treating doctor to that effect. The certificate issued by the claimant's GP in November 2025 certifies her as having some capacity to work. 5. For the reasons that follow, I am comfortably satisfied that upon completing her double degree, the claimant will have a practical, not just theoretical, capacity to work as a teacher on a part-time basis. 6. While the claimant will not be able to undertake the physical aspects of teaching PDHPE she is likely to have the capacity to teach the theoretical and classroom-based component of that subject. She will also be able to teach religious studies and other subjects. 7. I am not satisfied the claimant will be limited to teaching PDHPE and religious studies. While these were the focus of her university studies, I consider it more likely than not the claimant will be able to teach other subjects. If not maths or science, then business studies, legal studies or one of the many other subjects in the current school curriculum. As the claimant's recent brief period of casual work illustrates, there are various teaching roles available in a school, including as a support teacher or librarian. 8. Even if the claimant is limited to teaching religious studies, which I find is unlikely, I reject the submission that religious studies is a "niche" subject. It is a subject taught at both religious and non-religious schools and is an HSC subject. 9. In terms of the availability of part-time teaching roles, job-share arrangements in workplaces, including schools, are now commonplace. I consider it more likely than not that the claimant will be able to secure a part-time position as a teacher. 10. The insurer argues the claimant is fit to work in non-teaching roles, including as a contract administrator, insurance investigator, and conveyancer. I am satisfied that as a result of her accident caused disabilities the claimant would not be capable of performing those roles on a full-time basis. The functional limitations that have reduced her capacity to work as a teacher will also compromise her ability to work in alternative roles such as those identified in the VCC report. 11. Having evaluated the totality of the evidence and assessed the claimant's practical earning capacity, I find she has a 50% loss of capacity to earn as a result of her accident caused injuries.
(a) but for the accident she would have become a qualified lawyer with at least average success, or
(b) that she would eventually qualify as a schoolteacher but be restricted in that endeavour, or
(c) average weekly earnings.
$2,000 net a week - $627 = $1,373 x 966.6 less for vicissitudes 15%
$1,593 - $627 = $966 x 966.6 less 15% for vicissitudes.
"4.7 Future economic loss - claimant's prospects and adjustments
(1) Damages may not be awarded for future economic loss unless the claimant first satisfies the court or Commission that the assumptions about future earning capacity or other events on which the award is to be based accord with the claimant's most likely future circumstances but for the injury.
(2) The amount of damages for future economic loss that would have been sustained on those assumptions is to be adjusted by reference to the percentage possibility that the events concerned might have occurred but for the injury.
(3) If an award for future economic loss is made, the court or Commission is required to state the assumptions on which the award was based and the relevant percentage by which damages were adjusted."
(a) the claimant's evidence that before the accident she wanted to become a teacher or a lawyer;
(b) uninjured the claimant would not have achieved the marks required to be offered a position in a law course at "one of the better universities", and
(c) the claimant's responses contained in the university application.
$1,600 x 50% = $800 x 412.0 (multiplier for 10 years) less 15% for vicissitudes
$2,100 x 50% = $1,050 x 0.614 (deferred multiplier for 10 years) x 865.9 (multiplier for 34 years) less 15% for vicissitudes
[1] As recorded earlier, the claimant does not allege a brain injury.
[2] Report of A/Professor Adie dated 16 January 2023.
[3] Report of Dr Sungaran dated 22 February 2023.
[4] History in MRI cervical and lumbar spine report dated 15 March 2024.
[5] See the reasons of Medical Assessors Menogue, Berry and Sidorov.
[6] Report dated 28 February 2024 at [7.4].
[7] Report dated 23 June 2025 at [6.4].
[8] Report dated 29 July 2025 at [10].
[9] Section 4.13 MAI Act as adjusted by cl 5 Motor Accident Injuries (Indexation) Order (No 2) 2025.
[10] Hodgson v Crane (2002) 55 NSWLR 199; 36 MVR 551; [2002] NSWCA 276 at [39] per Heydon JA (Sheller JA and Davies AJA agreeing).
[11] RACQ Insurance Ltd v Motor Accidents Authority (NSW) and Others (No 2) [2014] NSWSC 1126 at [25].
[12] RACQ Insurance Ltd v Motor Accidents Authority (NSW) and Others (No 2) [2014] NSWSC 1126 at [30].
[13] Graham v Baker [1961] HCA 48; (1961) 106 CLR 340 at [347] Dixon CJ, Kitto and Taylor JJ; Medlin v State Government Insurance Commission [1995] HCA 5; (1995) 182 CLR 1 at [3] per Deane, Dawson, Toohey and Gaudron JJ; McHugh J at [16].
[14] Husher v Husher [1999] HCA 47; (1999) 197 CLR 138; at [6].
[15] Husher v Husher [1999] HCA 47; (1999) 197 CLR 138 at [7] - [8].
[16] State of NSW v Moss [2000] NSWCA 133 Heydon JA at [87].
[17] Nominal Defendant v Livaja [2011] NSWCA 121 at [65].
[18] Functional Assessment dated 11 December 2025 page 6.
[19] Residual earning capacity - see Mr Martin's report.
[20] Multiplier for 48 years on the 5% tables.
[21] To compensate for the possibility of earnings significantly higher than the base earnings referred to by
[23] See for example Sch 2A and 7 in the Award.
[24] Claimant's statement dated 27 October 2025 at [43].
BPX
Insurance Australia Limited t/as NRMA Insurance [2026] NSWPIC 69;
(2002) 55 NSWLR 199
(1961) 106 CLR 340
(1995) 182 CLR 1
(1999) 197 CLR 138