© 2026 Zoe. All rights reserved.
Zoe is a legal information platform. Always consult the Federal Register of Legislation for authoritative text.
[2026] NSWSC 554
Supreme Court of NSW
2026-05-21
Schmidt AJ
Original judgment source is linked above.
Source: NSW Caselaw (www.caselaw.nsw.gov.au). Converted to plain text by ZoeLaw. Not the official version.
Medium Neutral Citation: Brickworks Ltd v Wright [2026] NSWSC 554
Hearing dates: 21 April 2026
Date of orders: 21 May 2026
Decision date: 21 May 2026
Jurisdiction: Common Law
Before: Schmidt AJ
Decision: (1) The Panel’s decision be set aside;
(2) The matter be remitted to the Personal Injury Commission to be dealt with according to law, by a differently constituted appeal panel; and
(3) The parties are each to bear their own costs of these proceedings.
Catchwords: WORKERS COMPENSATION — judicial review of Personal Injury Commission Appeal Panel decision — s 323 of the Workplace Injury Management and Workers Compensation Act 1998 (NSW) — cl 11 of the NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment — whether s 323 was misapplied — deduction for a pre-existing condition — whether Panel’s reasons were inadequate — matter remitted to Personal Injury Commission
Legislation Cited: Workers Compensation Act 1987 (NSW)
Workplace Injury Management and Workers Compensation Act 1998 (NSW), ss 323, 324, 328
Uniform Civil Procedure Rules 2005 (NSW)
Cases Cited: Campbelltown City Council v Vegan & Ors (2006) 67 NSWLR 372; [2006] NSWCA 284
Coca-Cola Europacific Partners API Pty Ltd v Pombinho [2024] NSWCA 191
Federal Commissioner of Taxation v Consolidated Media Holdings Ltd (2012) 250 CLR 503; [2012] HCA 55
Marks v Secretary, Department of Communities and Justice (No 2) [2021] NSWSC 616
Matheson v Baptistcare NSW & ACT [2025] NSWSC 213
Minister for Aboriginal Affairs v Peko-Walsend Limited (1986) 162 CLR 24; [1986] HCA 40
Minister for Immigration and Ethnic Affairs v Wu Shan Liang (1996) 185 CLR 259; [1996] HCA 6
Minister for Immigration v Yusuf (2001) 206 CLR 323; [2001] HCA 323
Pitsonis v Registrar of the Workers Compensation Commission [2008] NSWCA 88
Public Service Board of NSW v Osmond (1986) 159 CLR 656; [1986] HCA 7
Quintiliani-Johns v Secretary, Department of Education [2024] NSWSC 1200
SZTAL v Minister for Immigration and Border Protection; SZTGM v Minister for Immigration and Border Protection (2017) 262 CLR 362; [2017] HCA 34
Thiess v Collector of Customs (2014) 250 CLR 664; [2014] HCA 12
Vitaz v Westform (NSW) Pty Ltd [2011] NSWCA 254
Wingfoot Australia Partners Pty Ltd v Kocak (2013) 252 CLR 480; [2013] HCA 43
Texts Cited: NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment
Category: Principal judgment
Parties: Brickworks Ltd (Plaintiff)
Isabella Maybel Wright as Executor of the Estate of the late Stewart Wright (First Defendant)
The President of the Personal Injury Commission of New South Wales (Second Defendant)
Appeal Panel constituted under s 328 of the Workplace Injury Management and Workers Compensation Act 1998 (Third Defendant)
Representation: Counsel:
P Herzfeld and J Beren (Plaintiff)
P Stockley (First Defendant)
Solicitors:
Hall and Wilcox Lawyers (Plaintiff)
Corcoran Lawyers (First Defendant)
Crown Solicitors (Second and Third Defendants)
File Number(s): 2025/429264
In 2023 Mr Wright brought proceedings under the Workers Compensation Act 1987 (NSW) seeking lump sum compensation for a psychological injury he claimed he had suffered at work in 2019, which Brickworks unsuccessfully resisted. He having earlier successfully pursued weekly workers compensation payments, which Brickworks had unsuccessfully appealed.
Brickworks now seeks judicial review of the decision of the Appeal Panel which assessed Mr Wright’s whole person impairment to be 22%, which it reduced by 10% to reflect the contribution of a pre-existing condition which had contributed to his impairment: Workplace Injury Management and Workers Compensation Act 1998 (NSW), s 323(2).
The parties’ medical dispute after Mr Wright’s workplace injury concerned both his WPI and the contribution which a pre-existing condition had made to it.
There was thus no issue that in assessing Mr Wright’s WPI, account had to be taken of earlier injuries he had suffered in 2008, when he had been involved in a fatal motor vehicle accident while working. He then having suffered both significant physical and psychological injuries and later being diagnosed to be suffering post-traumatic stress disorder and a major depressive disorder. He was assessed to have suffered 22% WPI.
Despite this, Mr Wright had later succeeded in having a long, ongoing history of employment and self-employment. From 2013 until 2020, he was employed as a heavy vehicle driver by a subsidiary of Brickworks. The deemed date of his injury during that employment was in August 2019.
After his workplace injury, Mr Wright’s WPI was assessed by the psychiatrists Dr Rastogi to be 22%, with no deduction for his prior condition; by Dr Bertucen to be 24%, with a 10% deduction for that condition; and by Dr Roberts to also be 24%, but a substantial proportion of which he concluded was attributable to Mr Wright’s prior condition.
The assessor concluded that Mr Wright’s WPI was 24%, with a 30% deduction for his pre-existing condition.
Brickworks successfully appealed the assessor’s decision, persuading the Appeal Panel that in arriving at his conclusions, the assessor had not paid required attention to cl 11.10 of the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment.
But on its fresh assessment, the Appeal Panel came to a different view about both Mr Wright’s WPI and the amount of the deduction, despite also not having been able to apply cl 11.10 to arrive at its conclusions about the amount of the deduction. Brickworks challenges its decision in these proceedings, that raising the proper construction of s 323(2), by which there is no issue that the Panel was bound, as well as other issues.
Brickworks took no issue with the Panel’s conclusion that it was difficult or costly to determine the deduction for the proportion of Mr Wright’s impairment due to his previous injury. But it pressed three grounds of review:
In concluding that a 10% deduction for the deceased’s pre-existing injury was not at odds with the available evidence for the purposes of s 323(2) of the 1998 Act, the Third Defendant erred by seeking to perform a whole person impairment assessment in accordance with the NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment with respect to the pre-existing injury, rather than undertaking the broader inquiry about whether a 10% deduction for the pre-existing injury was at odds with the available evidence;
Alternatively, in so concluding, the Third Defendant failed to provide adequate reasons; and
Alternatively, in so concluding, the Third Defendant came to a legally unreasonable conclusion.
The assessment of Mr Wright’s impairment was complicated by his unfortunate death in May 2023, before the assessor could examine him. With the result that, the assessment and the Panel’s reassessment both had to be undertaken on the papers.
That also had the result that the application of the Guidelines was difficult, given the matters which they require be taken into account in determining an injured person’s whole person impairment. They including personal matters about which an injured person usually gives a history, on examination by an assessor.
This difficulty helps explain aspects of the approach which both the assessor and the Panel took to the resolution of the parties’ medical dispute. As does that Mr Wright’s history, after his 2008 accident, differed significantly from the 2012 assessment that it had resulted in him suffering 22% WPI.
For reasons which follow I have still concluded that the Appeal Panel did err, given its approach to the requirements of s 323(2) and the reasons which it gave for the conclusions which it arrived, which were not adequate. With the result that its decision must be set aside.
Despite the cases the parties advanced before the Appeal Panel, in these proceedings there was no issue about the validity of cl 11.10 of the Guidelines.
As the Panel explained in its reasons, conflicting views have been expressed about the validity of cl 11.10 by Simpson AJ in Marks v Secretary, Department of Communities and Justice (No 2) [2021] NSWSC 616 and Basten AJ in Matheson v Baptistcare NSW & ACT [2025] NSWSC 213. It was common ground in these proceedings that the validity of the Guidelines did not arise to be considered on this application.
There was also no issue about the applicable principles, which shortly include:
The task of construction begins, as it ends, with the statutory text, in this case that of s 323. It having, from beginning to end, to be construed in context, with an understanding of context having utility “if, and in so far as, it assists in fixing the meaning of the statutory text” : Thiess v Collector of Customs (2014) 250 CLR 664; [2014] HCA 12 at [22], quoting Federal Commissioner of Taxation v Consolidated Media Holdings Ltd (2012) 250 CLR 503; [2012] HCA 55 at [39], referred to in SZTAL v Minister for Immigration and Border Protection; SZTGM v Minister for Immigration and Border Protection (2017) 262 CLR 362; [2017] HCA 34 at [37];
Integral to making a choice between a range of potential meanings being discernment of the statutory purpose: SZTAL at [39];
Having upheld the appeal, the Panel had to form and reach its own opinion about the parties’ medical dispute, having considered what they each advanced on the appeal, in light of the information it had to consider: Wingfoot Australia Partners Pty Ltd v Kocak (2013) 252 CLR 480; [2013] HCA 43 at [44]-[48];
The Panel was not called on to choose between the competing arguments, or to opine on the correctness of other opinions about the medical dispute. It had to form its own opinion, its members applying their own medical experience and expertise to what was in issue;
In forming that opinion, the Panel did have to take into account the opinions of other medical practitioners, including those expressed in earlier certificates, by treating doctors and those practitioners who had expressed medico-legal opinions. It also had to take account of earlier diagnostic findings and other available notes and reports, including those from allied health professionals;
The Panel also had to explain its conclusions. While the reasons given did not have to be elaborate, they had to disclose the actual path of reasoning by which it arrived at the opinions it formed, on the issues which it had to resolve;
If there was a medical controversy over a particular issue, more expansive explanations needed to be given: Campbelltown City Council v Vegan (2006) 67 NSWLR 372; [2006] NSWCA 284 at [122];
There can be circumstances where the failure to give reasons supports an inference that the decision-maker had no good reason: Public Service Board of NSW v Osmond (1986) 159 CLR 656 at 663-664; [1986] HCA 7;
But on judicial review, a Panel’s reasons are not to be scrutinised overzealously with an eye attuned to error: Minister for Immigration and Ethnic Affairs v Wu Shan Liang (1996) 185 CLR 259 at 271-272; [1996] HCA 6;
Given the statutory scheme under which the Panel’s decision was made, any failure to take into account a relevant consideration involves jurisdictional error: *Minister for Aboriginal Affairs v Peko-*Walsend Limited (1986) 162 CLR 24 at 39-40; [1986] HCA 40; and
Such an error involves an error of law, which results in the decision-maker exceeding the powers given by the statute: Minister for Immigration v Yusuf (2001) 206 CLR 323; [2001] HCA 323 at [80]-[82].
What was in issue was:
The proper construction of s 323;
Whether Dr Glozier, whose report the Panel had adopted, had undertaken the exercise s 323(2) requires, or had rather come to a legally unreasonable conclusion;
Whether that exercise could be undertaken by a partial application of the PIRS categories provided by the Guidelines; and
Whether the reasons which the Panel gave for its conclusions were adequate.
“a. In my opinion the worker suffers from the following relevant previous injuries, pre-existing conditions or abnormalities:
(i) Post-traumatic stress disorder and major depressive disorder
b. The previous injury, pre-existing condition or abnormality directly contributes to the following matters that were taken into account when assessing the whole person impairment that results from the injury, being the matters taken into account in 10a, and in the following ways:
(i) Some symptoms of post-traumatic stress disorder and significant aggravation of symptoms of major depressive disorder
c. Whilst the extent of the deduction is difficult or costly to determine the available evidence is that the deductible proportion is large and a deduction of one tenth is at odds with the available evidence. In my opinion the deductible proportion is 3/10 for the following reasons:
(i) The pre-existing condition consisted of a leading diagnosis of post-traumatic stress disorder and a lesser diagnosis of major depressive disorder. The situation caused by the 2019 work injury was the reverse of that i.e. a leading diagnosis of major depressive disorder and a lesser diagnosis of post-traumatic stress disorder. I draw attention to the nature of the injury which was not sustained in a motor accident and to the fact that the injury resulted in Mr Wright's suicide.
In my opinion the deductible proportion is 3/10 for the following reasons:
(i) The main psychiatric injury was Major Depressive Disorder while the lesser psychiatric injury was Post Traumatic Stress Disorder. Had it been the other way around, a 7/10 deduction would be warranted.”
These conclusions were challenged by Brickworks on appeal as having been made on the basis of incorrect criteria and containing demonstrable error: 1998 Act, s 327(3). Its complaint being that the assessor had not correctly applied the PIRS categories in his assessment, as cl 11.10 of the applicable Guidelines required, contending that the deduction for the pre-existing condition should have been more than 30%.
The appeal was upheld, after the Appeal Panel had issued a number of preliminary review decisions, the re-assessment being delegated to one of its members, Dr Glozier.
In its first review notice, the Panel required all available clinical and medical records between July 2012 and August 2019 to be produced. This having the result that it had more information to consider than the assessor.
The second review notice advised that the Panel had concluded that the assessor had erred in his assessment of Mr Wright’s WPI. Not having undertaken “the necessary assessment of his pre-injury level of functioning, especially by reference to the PIRS categories under the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment.”
The Panel found that this had involved error of the kind dealt with in Quintiliani-Johns v Secretary, Department of Education [2024] NSWSC 1200 at [75] and [77], where it was concluded that the Appeal Panel had asked itself the wrong question.
By its third notice, the Panel gave the parties further directions about the provision of other identified records, which had not already been supplied.
In its final May 2025 review notice, the Panel began by quoting from Coca-Cola Europacific Partners API Pty Ltd v Pombinho [2024] NSWCA 191 at [86], where Ward P had explained that:
“… in order to determine the impact of pre-existing injury on current whole person impairment, a comparative exercise was necessary and that it would be logically incoherent simply to begin the exercise from a fixed starting point (i.e., the 24% whole person assessment made by the Medical Assessor) and then separately to consider the extent to which pre-existing injury contributed to that whole person impairment (and then to apply that amount to the fixed starting point) without considering the starting point itself. The approach required by the Guidelines is a subtractive approach, requiring a deduction from the starting point of whole person impairment but it would make the exercise artificial if, having been required to consider all of the material that the Medical Assessor had failed to consider, the Appeal Panel could not then revisit the starting point of the assessment.”
“(a) what is the assessment of the worker’s permanent impairment as a result of his injury, in accordance with the relevant PIRS scales applicable under the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment, 4th ed 1 March 2021 (the PIRS scales);
(b) whether (in accordance with s 323(2) of the Workplace Injury Management and Workers Compensation Act 1998, and in accordance with Quintiliani-Johns v Secretary, Department of Education [2024] NSWSC 1200) it will be difficult or costly to determine a deduction for the proportion of the permanent impairment assessed that is due to any previous injury or that is due to any pre-existing condition or abnormality, and
(c) if the answer to (c) is that it is not difficult or costly to determine the relevant deduction the PIRS scales in relation to his previous injury or pre-existing condition or abnormality.”
The parties took no issue with this approach. But it did not indicate what would result if Dr Glozier concluded that it was difficult or costly to determine the deduction for the proportion of the permanent impairment assessed due to Mr Wright’s previous injury.
In August 2025 the Panel adopted Dr Glozier’s opinions, quoting his report in its entirety in its statement of reasons for the conclusions it had arrived at. With the result that Mr Wright’s WPI was then assessed to be 22%, with only a 10% deduction for his pre-injury condition.
The Panel having accepted Dr Glozier’s view that it was impossible to assess Mr Wright’s previous condition according to the PIRS categories. With the result that it made a 10% deduction for the contribution of those injuries, having concluded that was not at odds with the available evidence.
“323 Deduction for previous injury or pre-existing condition or abnormality
(1) In assessing the degree of permanent impairment resulting from an injury, there is to be a deduction for any proportion of the impairment that is due to any previous injury (whether or not it is an injury for which compensation has been paid or is payable under Division 4 of Part 3 of the 1987 Act) or that is due to any pre-existing condition or abnormality.
(2) If the extent of a deduction under this section (or a part of it) will be difficult or costly to determine (because, for example, of the absence of medical evidence), it is to be assumed (for the purpose of avoiding disputation) that the deduction (or the relevant part of it) is 10% of the impairment, unless this assumption is at odds with the available evidence.
Note. So if the degree of permanent impairment is assessed as 30% and subsection (2) operates to require a 10% reduction in that impairment to be assumed, the degree of permanent impairment is reduced from 30% to 27% (a reduction of 10%).
(3) The reference in subsection (2) to medical evidence is a reference to medical evidence accepted or preferred by the medical assessor in connection with the medical assessment of the matter.
(4) The Workers Compensation Guidelines may make provision for or with respect to the determination of the deduction required by this section.
(5) (Repealed)”
As has been explained in a number of authorities, the assessment of Mr Wright’s impairment having attracted s 323, three steps had to be taken: see Quintiliani-Johns at [64]-[66]. They were:
Determine the level of Mr Wright’s WPI after his workplace injury;
Determine whether a proportion of that impairment was due to the conditions he had suffered as a result of his 2008 accident; and
If they did contribute to his impairment, determine the resulting deduction which reflected that contribution.
This exercise depended on a consideration of the available evidence. If it was concluded that the extent of the deduction for Mr Wright’s pre-existing condition would be “difficult or costly to determine”, the adoption of a 10% deduction only being available in one situation. Namely, when it is concluded on medical evidence accepted or preferred, that this assumption is not “at odds with the available evidence”: s 323(2). If it was, the assumption could not be applied and the deduction had to be either less or more than 10%.
It follows that s 323 requires the available evidence to be considered and the medical evidence accepted or preferred identified by the assessor: s 323(3).
“Medical evidence” is not defined, but logically in this statutory context, must include clinical records, whether kept by a GP or hospital, as well as reports of treating doctors, and medico legal experts on which parties are entitled to rely, in advancing their cases about the medical dispute.
Despite what the Panel said in its reasons, its review notices establish that it was not cost which precluded the extent of the contribution of Mr Wright’s prior impairment being determined. It having required the parties to provide additional documents, no doubt at considerable cost.
It seems rather to have been the difficulty of applying the PIRS categories which drove the Panel’s consideration of the s 323(2) assumption. Dr Glozier having found that he did not have the relevant information on which application of the PIRS categories depended, given the applicable criteria, despite the additional information the Panel had received. With the result his conclusion that it was “impossible to accurately determine” that impairment: Panel decision at page 26.
As the parties agreed in these proceedings, the result was that having concluded that Mr Wright’s WPI was 22%, s 323(2) and (3) required the Panel to consider the available evidence, to determine whether a 10% deduction was at odds with the medical evidence it accepted or preferred.
If it was, the amount of the deduction, more or less than 10%, had to be determined by application of clinical judgment to the evidence, as the Guidelines required: cl 1.27-1.28. It there being noted that “the deduction is 1/10th of the assessed impairment, unless that is at odds with the available evidence”.
Having been delegated the assessment, Dr Glozier thus not only had to consider the available evidence, he also had to identify the medical evidence he accepted or preferred. His conclusions about the amount of the deduction being driven by his consideration of that evidence, having applied his clinical judgment to arrive at a conclusion about whether the statutory assumption provided by s 323(2) could be applied.
Whether, given its adoption of Dr Glozier’s report, the Panel had erred in its approach to determining the amount of the deduction was disputed. As was whether the result was legally unreasonable and whether the actual path of reasoning which led to the conclusions reached, had been disclosed as it had to be.
The Act required the Guidelines to be applied when the assessment of the parties’ medical dispute was undertaken: s 322(1).
The Guidelines deal separately with psychiatric and psychological disorders in cl 11. It noting that such an evaluation requires a medical examination: cl 11.1. That was not possible in Mr Wright’s case because of his death, but he had earlier been examined by treating doctors as well as medico legal experts, whose reports all had to be considered, given the light they shed on histories he had given over time.
The Guidelines also require that a rationale be provided for the injured worker’s impairment rating, which must be arrived at on his or her psychiatric symptoms: cl 11.6. With diagnosis being among the factors to be considered, as well as the severity and possible duration of the impairment. Evaluation of impairments also having to take account of variations in the level of the workers’ functioning over time: cl 11.6.
Impairment being concerned with the behavioural consequences of a psychiatric disorder: cl 11.11.
Clause 11.10 also having to be paid attention, albeit, as has been discussed in earlier authorities, there is a tension between what it and s 323(2) requires. Clause 11.10 providing:
“To measure the impairment caused by a work-related injury or incident, the psychiatrist must measure the proportion of WPI due to a pre-existing condition. Pre-existing impairment is calculated using the same method for calculating current impairment level. The assessing psychiatrist uses all available information to rate the injured worker’s pre-injury level of functioning in each of the areas of function. The percentage impairment is calculated using the aggregate score and median class score using the conversion table below. The injured worker’s current level of WPI% is then assessed, and the pre-existing WPI% is subtracted from their current level, to obtain the percentage of permanent impairment directly attributable to the work-related injury. If the percentage of pre-existing impairment cannot be assessed, the deduction is 1/10th of the assessed WPI.”
Clause 11.11 of the Guidelines requires behavioural consequences of a psychiatric disorder to be assessed, using an impairment rating scale, having regard to functional impairment. This explains why the Guidelines recognise that the PIRS scales cannot always be used. These consequences having to be assessed by use of six scales, utilising class descriptors which range from 1 to 5 in severity for each scale, from no deficit to total impairment: cl 11.12.
The six scales being:
“1. Self-care and personal hygiene (Table 11.1)
- Social and recreational activities (Table 11.2)
- Travel (Table 11.3)
- Social functioning (relationships) (Table 11.4)
- Concentration, persistence and pace (Table 11.5)
- Employability (Table 11.6).”
This is a complex exercise. The Guidelines also requiring a median class score and aggregate score to be determined, which is then translated into a range of impairment: cl 11.13-11.20. That finally resulting in an exact percentage of impairment, by use of a conversion table, to arrive at the injured person’s WPI. A PIRS rating form is provided to assist with this exercise, it providing for reasons to be given for conclusions reached about each category.
The Guidelines also require account to be taken of the injured person’s cultural background, as well as activities that are usual for the person’s age, sex and cultural norms: cl 11.12.
Although the form was not used by Dr Glozier to arrive at the amount of the deduction, he did have regard to the PIRS categories in considering whether a 10% deduction was at odds with the available evidence. Neither party urged the view that this approach was impermissible. But Brickworks contended that the result of the approach Dr Glozier so adopted was that the Panel failed to adhere to what s 323(2) required it to consider and determine.
Also necessary to take into account is that the Guidelines require:
the exercise of clinical judgment: cl 1.6.b;
that deductions for pre-existing injuries/conditions be clearly identified in the report and calculated: cl 1.6.c;
if a related injury/condition has not previously been identified, its nature and causal connection to the compensable injury or condition be recorded in the report: cl 1.6.c;
the degree of permanent impairment that results from the injury/condition be determined using the tables, graphs and methodology given in the Guidelines and the AMA5, where appropriate: cl 1.8;
if more than one method for establishing permanent impairment is specified, the method that yields the highest degree of permanent impairment must be used, except in the case of derangement: cl 1.9;
deductions for pre-existing injuries requiring account to be taken of all available evidence to calculate the degree of permanent impairment that pre-existed the injury being assessed: cl 1.27; and
the assessor being required to indicate the degree of permanent impairment due to any previous injury, pre-existing condition or abnormality: cl 1.28.
It follows that the Guidelines do contemplate that there may be circumstances where it is not appropriate to apply the PIRS categories.
This was such a case.
The Guidelines also regulate the contents of reports, requiring:
“1.46 A report of the evaluation of permanent impairment should be accurate, comprehensive and fair. It should clearly address the question(s) being asked of the assessor. In general, the assessor will be requested to address issues of:
• current clinical status, including the basis for determining maximum medical improvement
• the degree of permanent impairment that results from the injury/condition, and
• the proportion of permanent impairment due to any previous injury, pre-existing condition or abnormality, if applicable.
1.47 The report should contain factual information based on all available medical information and results of investigations, the assessor’s own history-taking and clinical examination. The other reports or investigations that are relied upon in arriving at an opinion should be appropriately referenced in the assessor’s report.
1.48 As the Guidelines are to be used to assess permanent impairment, the report of the evaluation should provide a rationale consistent with the methodology and content of the Guidelines. It should include a comparison of the key findings of the evaluation with the impairment criteria in the Guidelines. If the evaluation was conducted in the absence of any pertinent data or information, the assessor should indicate how the impairment rating was determined with limited data.
1.49 The assessed degree of impairment is to be expressed as a percentage of WPI.
1.50 The report should include a conclusion of the assessor, including the final percentage of WPI. This is to be included as the final paragraph in the body of the report, and not as a separate report or appendix. The report must include a copy of all calculations and a summary table. A template reporting format is provided in the Workers Compensation Guidelines at sira.nsw.gov.au.”
The case advanced in Brickworks’ written submissions to the Appeal Panel relied on the prior assessments of Mr Wright’s pre-existing condition, as well as medical evidence of his functioning before his workplace injury. That, it then contended, having enabled the assessor to consider the PIRS table in assessing his pre-existing condition, which the assessor had incorrectly failed to undertake.
Brickworks also challenged the 30% deduction for Mr Wright’s pre-existing condition, which it complained did not accord with the preponderance of the medical evidence which the assessor had to consider, which it explained.
Brickworks also complained that the assessor had failed to give adequate reasons for the conclusions he had arrived at, in relation to Mr Wright’s pre-existing PTSD, major depression and their respective contributions to his impairment after his workplace injury.
This was disputed. It then being contended that cl 11.10 of the Guidelines was invalid and that the conclusions which the assessor had reached were open on the evidence and had been adequately explained.
In these proceedings Brickworks also complained that the Panel had failed to give the required reasons, despite its permissible adoption of Dr Glozier’s report. It contending that the Panel had, as a result, not correctly applied s 323(2).
This was also disputed, the view urged being that Brickworks had misapplied the applicable principles in its submissions. Section 323(2) required consideration to be given to the effect of the earlier injury and resulting conditions, in accordance with the requirements of the statutory mechanism, which had no common law equivalent. Although it required the application of clinical judgment.
On the appeal, Brickworks had relied on the opinion of Dr Roberts that the workplace injury had not contributed to his impairment, it being solely the result of the 2008 accident. That had correctly not been accepted by the Panel.
While the Panel accepted that the assessor had erred in his approach, as Brickworks complained, it did not accept that the preponderance of the medical evidence showed that a deduction of more than 30% had to be made, as was its case. It applying the statutory deduction, satisfied for reasons which it properly explained, that it was available in the circumstances which arose to be considered.
Brickworks not being entitled, to cavil with the exercise of clinical judgment: Pitsonis v Registrar of the Workers Compensation Commission [2008] NSWCA 88 at [59].
I have been persuaded that s 323(2) was misapplied.
As I have explained, despite what was said in the Panel’s reasons, it seems to have been the difficulty of applying the PIRS criteria, Mr Wright having died before he could be examined by the assessor, which prevented their application and made the contribution of his pre-existing condition difficult to determine. That the course Mr Wright’s life took after he had been assessed in 2012 to have suffered a 22% WPI as the result of the 2008 accident, had not accorded with that assessment, no doubt contributing to this difficulty.
The result it was not disputed, was that the Panel did not have all of the relevant information which would usually be gleaned when applicants are examined by an assessor, which is then considered on application of the PIRS criteria.
Section 323(1) still required there to be a deduction for any proportion of the impairment that was due to Mr Wright’s previous injury or pre-existing condition or abnormality.
Section 323(2) requiring a comparative exercise to be undertaken, in arriving at the deduction: Coca*-*Cola at [86]. It only being when the extent of the deduction is difficult or costly to determine, that it will be assumed that the deduction is 10%, “unless this assumption is at odds with the available evidence.”
What s 323(2) did not require was an attempt at the application of the PIRS criteria, when only inadequate information was available. The Guidelines contemplating as they do, that there will be circumstances where they cannot be applied.
Adoption of the s 323(2) 10% deduction assumption rather depended on three things:
the view being formed on the available evidence that the extent of the deduction will either be difficult, or costly to determine, which may be the result of insufficient information being available, as it was in Mr Wright’s case;
if that view is formed, that the medical evidence which is to be accepted or preferred be identified:
that evidence then being considered, in order to determine whether a 10% deduction is at odds with that evidence.
If it is concluded that a 10% deduction would be at odds with the medical evidence which is to be accepted or preferred, the amount of the deduction may be less or more than 10%. Its amount then having to be arrived at by application of clinical judgment in the way explained in Vega**n.
Section 332(2) does not depend on any view being formed about the application of the PIRS criteria to the limited evidence available, which makes their application difficult.
Whatever conclusion is arrived at about the amount of the deduction which has to be made for the contribution of the pre-existing injury, condition or abnormality, the reasons given have to disclose the actual path of reasoning which led to that result. That requires disclosure of what the conclusions reached rested on, with an explanation of what evidence was available to be considered alone, being insufficient.
The template reporting form provided by the Guidelines for the conclusions reached in arriving at WPI, it should be noted at this point, is apt to lead to error, which I will explain further. Although in Mr Wright’s case, neither the Panel nor Dr Glozier used that template to help explain its conclusions.
Dr Glozier’s reasons show that he attempted, but was unable to, apply the PIRS criteria to the assessment of Mr Wright’s pre-existing condition, not having all of the pertinent information about what happened to him after he was assessed in 2012 to have suffered 22% WPI, despite the further information the Panel had been provided. Despite the result being that the Panel had more information to consider than the assessor had.
Under this statutory scheme, the provision of such further information can be the result of a call for production of records under s 324(1)(b), or fresh or additional evidence being provided in accordance with s 328(3).
In Mr Wright’s case, the additional evidence was presumably called for by the Panel, because of the light it might have shed on histories Mr Wright must have given before his death. The assessor’s challenged conclusion having been that his prior condition had made only a 30% contribution to his impairment, contrary to Brickwork’s case.
On the reassessment, it was only if the Panel concluded that a 10% deduction was at odds with all of the then available evidence, that a deduction of either less or more than 10% could be made for Mr Wright’s prior condition.
Dr Glozier’s conclusion that the PIRS categories could not be applied to arrive at the deduction for his pre-existing condition was not challenged in these proceedings, contemplated as that is by the Guidelines. But how he and, as a result of its adoption of his report, the Panel undertook the exercise s 323(2) required, was.
The Panel considered that the assessor had fallen into the same error as that which had arisen in Quintiliani-Johns, where a 50% deduction had been arrived at: at [75]. It there being explained to have incorrectly involved a focus on “the contribution to the current injury by the pre-existing bipolar disorder”: at [77]. It having concluded that the contribution of it and the psychological injury being assessed had been about equal.
The statutory question which the Appeal Panel had to consider, being whether a 10% deduction was at odds with the medical evidence it accepted or preferred. If it was, the amount of the deduction had to be arrived at applying clinical judgment.
I am satisfied that in Mr Wright’s case, this was also not how the Panel approached its task.
The Panel quoted Dr Glozier’s report in its entirety at [68], from pages 18 to 27 of its reasons.
Dr Glozier began with Mr Wright’s past medical history, which he described in a single paragraph. Noting it included a motor vehicle accident which had “led to many years of physical and psychological treatment with a slow but significant gain in symptoms of amelioration and function, and with further relapses over the years prior to the index injury”.
He then turned to the “relevant information that could enable an assessment of impairment arising from pre-existing condition”. Referring to:
Mr Wright’s April 2012 statement, explaining in a paragraph his symptoms after his 2008 injury;
A few references relevant to impairment he had found in handwritten clinical notes made by Dr Chan from 2005 to 2021, which were mostly illegible. Referring briefly to entries in 2011, 2013, 2016 and 2018 which he concluded were relevant to impairment, which were at odds with him being totally unable to work; driving trucks; feeling suicidal; and being admitted to hospitals in 2016;
Dr Gertler’s 2012 medical assessment certificate for Mr Wright’s psychiatric PTSD injury, when he was found to be unfit for any employment, having resulted in an assessment of 22% WPI;
Clinical records from Emu Plains doctors from 2014 to 2017, which he briefly summarised, noting matters such as how they:
(a) accorded with Mr Wright experiencing symptoms of PTSD in 2016; (b) revealed an impact on his social functioning described as “pervasive” for many years after the 2008 accident; (c) established a psychiatric admission to hospital and treatment by a psychiatrist for relapse of PTSD, with a noted remission in November 2013 when Mr Wright had been assessed fit to drive and to return to driving normal trucks; and (d) showed he had taken a holiday in 2017 on an island;
Nepean Hospital notes from 2016, when Mr Wright was brought in by police due to concerns about suicidality;
Admission and discharge records and notes taken at St John of God hospital, which reflected increased PTSD symptoms;
A March 2017 report from Ms Seydler, who had provided Mr Wright with outpatient counselling and therapy after a flare up in symptoms after another motor vehicle accident;
Brickworks payroll records from 2018 and 2019 which did not reflect any sick leave; and
Clinical records and letters from 2019, postdating the workplace injury.
Dr Glozier then turned to consider records after the workplace injury, before turning to his pre-injury impairment from his pre-existing conditions, to which I will return.
He then turned to his WPI at the time of his death. There Dr Glozier also referred to:
Dr Bertucen in January 2023, having assessed Mr Wright’s WPI to be 24%, having applied the PIRS categories, with a s 323 1/10 deduction;
Dr Ravimohan had assessed him to be unfit for all forms of employment the week before his death in May 2023;
Dr Rastogi in July 2020 assessed his WPI then to be 22%, for very different reasons, which Dr Glozier did not explain, his report understandably differing in relation to certain classes, but not providing relevant information for the ascertainment of impairment in 2023;
Dr Roberts’ 2021 report, which was a review of an earlier report which had not been located, but with which Dr Glozier did not agree, Dr Roberts not there having explained how he had arrived at the WPI and his views not being supported by Mr Wright’s asymptomatic conditions, which had possibly been in remission, given his high functioning at times;
the fact that he also disagreed with Dr Roberts’ 2023 report, provided a month before Mr Wright died, when he considered that Mr Wright’s presentation was not reflective of his response to employment by Brickworks. Quoting conclusions Dr Roberts reached about four of the PIRS categories, despite which he could not assess his WPI;
Mr Wright’s hospital admission in December 2022, and what was noted on a January 2023 discharge summary about his mental health and ongoing problems; and
text messages Mr Wright sent to his solicitor, in the months before his death.
Dr Glozier concluded that after his workplace injury, Mr Wright’s WPI was 22%, explaining under the heading Summary, firstly:
“On review of the assessment of whole person impairment, the ascertainment by Dr Bertucen in January 2023 fits with the evidence, including the evidence of impairment provided by Dr Roberts and Griskiatis for 5 of the 6 PIRS classes.
Social Functioning is moderately impaired. Dr Bertucen was only told at the time that he had ‘irregular contact with one of his children’. However the evidence indicates that in the months prior to his death that he was caring for his son for at least a week with significant limitations from finances, not his impairment. Dr Bertucen was not informed of any partner and it was reported that he had no intimate relationships. Clearly Mr Wright had a partner over the subsequent months who was described as very supportive. He also had support from siblings. As such the evidence is that in the time just prior to his death, his social functioning was moderately impaired.
Thus, in toto, I assess that the whole person impairment at the time of his demise in May 2023 would be:
Self-care and personal hygiene Moderately impaired class 3
Social and recreational activities Moderately impaired - class 3
Travel Unimpaired class 1
Social Functioning Moderately impaired - class 3
Concentration, persistence and pace Moderately impaired - class 3
Employability Totally impaired class 5
Classes in ascending order: 1,3,3,3,3,5
Total: 18
Median class: 3
Interim Whole person impairment: 22%”
This reveals that Dr Glozier preferred Dr Bertucen’s views, but why he concluded that Mr Wright’s WPI was 22%, while Dr Bertucen considered it was 24%, was not explained.
Dr Glozier then briefly explained his conclusions about the deduction:
“I would further assess that the significant pre-existing condition was intermittently symptomatic and led to some impairment, certainly at times in social functioning. The actual determination, despite the enormous amount of evidence provided, is impossible to accurately determine but is not at odds with a Section 323 one-tenth deduction on the basis of a probable moderate impairment in social functioning and possibly some impairment in social and recreational activities although no evidence of impairment elsewhere.
This would result in a total whole person impairment arising from the workplace injury of 16 August 2019 of 22% - 1/10th = 20%.”
“Dr Gertler recorded a whole person impairment of 22% in 2012 which by definition is meant to indicate a maximum medical improvement.
However this proved remarkably incorrect with subsequent remission, further recurrence and associated impairment and treatment.
In the period prior to the index injury I can identify no impairment in self-care recorded.
There is no evidence either for or against a degree of impairment in social and recreational activities after 2012.
Mr Wright was working as a truck driver and it would appear that he was unimpaired in his capacity to travel.
He would appear for a number of years to have been moderately impaired in the area of social functioning given there were recurrent periods of separation and interpersonal violence which he himself and his clinicians attributed to the symptoms arising from his pre-existing disorder.
He had assessments for cognitive function which showed no clinically significant impairment, certainly during the time he was admitted in 2016, and no indication that there would have been any further impairment after that.
He was working full time and even became a union representative.”
As such the estimate of pre-existing impairment attributable to his pre-existing condition would indicate no impairment in four classes, moderate impairment in another, and an indeterminate amount of impairment in the sixth. The complete calculation of WPI is not possible.
A Section 323 one-tenth deduction is not at odds with the evidence of the pre-existing impairment relating to his pre-existing condition and the contribution of that condition and its impairment to the whole person impairment at the time of his demise and/or certification.”
The reasons given, I accept, do reveal that s 323(2) was misapplied.
Dr Glozier concluded that on the available evidence, the extent of the required deduction was difficult or costly to determine, it not permitting that assessment to be undertaken by use of the six PIRS scales and the five categories it provides for each scale. They being concerned with the behavioural consequences of a disorder, about which there was limited and somewhat contradictory information, given the 2012 assessment.
Dr Glozier approached the determination of the deduction, having explained his views about what the available evidence revealed about the pre-existing condition, that having allowed him to indicate ratings for some of the PIRS categories, there being no information about others.
Despite it being common ground in these proceedings that Dr Glozier’s explanation was permissibly given by reference to the PIRS ratings, Brickworks contended that his conclusions about whether a 10% deduction was at odds with the available evidence, could not rest on that exercise. Given his unchallenged conclusion that the evidence did not permit the PIRS calculation to be made.
That was disputed. Dr Glozier’s approach, it being contended, being permissible. It having resulted in a conclusion about the median class score which cl 11.16 of the Guidelines required be considered. With the result that it was apparent that a PIRS rating, had it been able to be completed, would have resulted in a deduction for the pre-existing condition of between 0 and 3%.
While no positive PIRS findings were made by Dr Glozier, his approach established, it was argued, that the deduction was incapable of being more than 10%. The Act and Guidelines not requiring that the PIRS categories be ignored when s 323(2) was applied. With the result that the deduction “was never going to be at odds with 10 percent” and that the 10% deduction was, accordingly, correct.
That submission, it seems to me, underscores the problem with the approach Dr Glozier adopted.
Dr Glozier concluded that no findings about two of the scales were possible, on the available evidence. It must be accepted that it is not valid to conclude that if such evidence had been available, the result would have been a conclusion that the contribution to the impairment of the pre-existing condition fell in the 0-3% range, as was also submitted.
If the submission that this would have been the result of a complete application of the PIRS scales could be accepted, it would necessarily follow that the deduction should have been less than 10%. Because the evidence then would have been at odds with a 10% deduction.
Brickworks’ case, that a consideration of the available evidence could not be approached by a partial application of the PIRS scales, thus has force. Section 323(2) did not require such a consideration and the Guidelines only require the PIRS categories to be applied, when appropriate. In Mr Wright’s case, given that there was insufficient information available to undertake that rating assessment, the consideration which Dr Glozier gave to the application of the scales to the evidence which was available, was irrelevant.
What s 323 required, but Dr Glozier did not undertake, was to consider the available evidence in order to identify the medical evidence he accepted or preferred. Then determining whether a 10% deduction for the contribution of Mr Wright’s prior conditions, was at odds with that evidence. That not depending on a partial application of the PIRS categories, but his clinical judgment.
I am satisfied that was not how Dr Glozier approached his task.
Had Dr Glozier done so, his reasons would have:
not only identified the available evidence he had to consider, but would have clearly identified the medical evidence he accepted or preferred and why;
explained why his views departed from those expressed in the medical evidence he accepted or preferred, if they did;
thereby revealed more than his report did about the basis of the opinions he had to consider, they having shed light not only on relevant factual matters which had to be considered, given histories Mr Wright must have given those who did have the opportunity to examine him, but also on the basis of their respective views about the deduction which had to be made for Mr Wright’s pre-existing condition;
thereby disclosed, in the required way, his path of reasoning to the conclusion that a 10% deduction was, or was not at odds with the evidence he accepted or preferred; and
if it was, would also have disclosed his path of reasoning to the deduction applied.
The absence of such explanations, when considered with Dr Glozier’s unnecessary concentration on the requirements of the PIRS categories, in light of the limited available evidence on which their application depends, supports the conclusion that s 323(2) was misapplied.
Despite this conclusion, I am not satisfied that the Panel’s conclusion about the amount of the contribution was shown to be illogical, irrational or unreasonable. That involving an error of law.
These proceedings do not permit a merits review of the Panel’s decision. Nor a review of Dr Glozier’s exercise of his clinical judgment.
It is apparent from the reasons given that the Panel agreed with Dr Glozier, that despite the PTSD and major depression which Mr Wright had suffered, following the 2008 motor vehicle accident — resulting in the assessment that he had then suffered 22% WPI and was unable to work— he recovered much more than expected over time. Before his workplace injury, to such an extent that he was able to pursue employment and work full-time, including for quite a number of years, as a truck driver for Brickworks, as well as undertaking a union role.
That alone, it must be accepted, logically left open the conclusion that Mr Wright’s pre-existing condition had a more limited role in the impairment which resulted from his workplace injury than the assessor had concluded, despite what Brickworks contended on its appeal.
That depending on the Panel’s assessment of the nature and extent of the injuries Mr Wright suffered in the 2008 accident, the conditions they caused and their consequences. Rather than on what had been assessed and anticipated in 2012.
It was undoubtedly fortunate for Mr Wright that he had such a significant recovery. Although the evidence also shed light on the considerable ongoing problems he still had to contend with, before he was injured at work. It was not in issue that after his workplace injury, the level of his impairment was significantly greater.
That Mr Wright’s unanticipated recovery may properly have left open a basis for the conclusion that the available evidence was not at odds with a deduction of only 10% for the contribution his pre-existing condition to his impairment after the workplace accident, should be accepted as a matter of logic alone. It is not for this Court to determine if that conclusion was correct.
The submissions Brickworks advanced thus did not persuade me that this ground of appeal was established.
But I have been persuaded that the reasons the Panel gave were inadequate. That is driven by its adoption of Dr Glozier’s report, which I have already explained.
The reasons the Panel gave initially noted the relevant factual background and what had occurred during its preliminary review. It also referred to the assessor’s certificate and what he had concluded, as well as to the submissions which the parties had advanced on the appeal.
The Panel then turned to its findings and reasons. Beginning with the obligation to give reasons explained in Campbelltown City Council v Vegan & Ors (2006) 67 NSWLR 372; [2006] NSWCA 284 and the procedural requirements imposed by s 328. It also noted the grounds of appeal Brickworks pressed.
The Panel observed that there was no issue that Mr Wright had sustained a psychological injury while in Brickworks’ employ: at [51]. It then referred to the requirements of s 323 and the applicable Guidelines. Accepting that the assessor had erred in not utilising the applicable PIRS categories in his assessment: at [54].
The Panel reiterated its view that the assessor had fallen into the same error as that dealt with in Quintiliani-Johns*:* at [55]-[56].
The Panel noted the submission that cl 11.10 of the Guidelines was invalid: at [57]. It then gave an extensive explanation of inconsistencies which it perceived in various decisions to which it referred: at [57]-[61]. Finally indicating that it intended to apply the approach of Basten AJ in Matheson v Baptistcare NSW & ACT [2025] NSWSC 213. His Honour having concluded that the Guideline was not inconsistent with the operation of s 323: at [34].
In these proceedings it was common ground that what was dealt with in Matheson arose in a context where it was an asymptomatic earlier condition which had to be considered. Factual circumstances far removed from this case. And that the Guidelines are valid, given how they deal with the requirements of s 323.
At [63]-[64], the Panel explained the consequences of its conclusion that the assessor had erred:
“63 The Appeal Panel finds both demonstrable error and the incorrect application of criteria in this regard.
64 Having found error, it is incumbent upon the Appeal Panel to re-assess the worker’s permanent impairment. This assessment needs to both:
(a) access the worker’s permanent impairment afresh - without being bound by any ‘fixed starting point’ such as the 24% permanent impairment finding of the Medical Assessor, and
(b) correctly utilise cl 11.10 of the Guidelines impairment with respect to his previous injury, pre-existing condition or abnormality, in accordance with the PIRS categories or to make a determination in accordance with s 323(2) of the 1998 Act if such an assessment is difficult or costly to find and therefore cannot be assessed.”
The Panel noted the assessor’s conclusion that Mr Wright had suffered 24% WPI had not been challenged on appeal, but that there was still a need for reassessment: Coca-Cola Europacific Partners at [86].
The Panel then quoted the entirety of Dr Glozier’s report from pages 18-27, without noting that while Dr Glozier had concluded that Mr Wright’s WPI was 22%, despite having explained that “the ascertainment by Dr Bertucen in January 2023 fits with the evidence, including the evidence of impairment provided by Dr Roberts and Griskiatis for 5 of the 6 PIRS classes.” That having led Dr Bertucen to conclude that his impairment was 24%, like the assessor and another expert had.
This makes it difficult to see that the Panel disclosed its actual path of reasoning, as it needed to.
The Panel’s explanation for its resulting conclusions followed immediately after Dr Glozier’s report. There it was shortly said:
“67 The Appeal Panel is satisfied with the report prepared by Nicholas Glozier, and it is also satisfied that the Medical Assessor’s re-assessment of the worker’s permanent ‘on the papers’ was conducted thoroughly, and that the Medical Assessor considered all the relevant and significant material that is in the evidence before the Appeal Panel. The information referred to in the report is exhaustive and the report undertakes the necessary re-assessment as outlined at paragraph 64 above. The assessments in the report are in accordance with the PIRS categories. The Medical Assessor has used his clinical judgement in this regard.
- The Appeal Panel is satisfied that it took all reasonable steps (see paragraphs 20-25 above) to obtain as much evidence as it could regarding the worker’s pre-existing psychological condition, to enable it (and specifically Nicholas Glozier during his re-assessment of the worker’s permanent impairment ‘on the papers’) to decide whether, in accordance with s 323(2) of the 1998 Act, it was too difficult or costly to determine the extent of the permanent impairment deduction to be applied due to that pre-existing condition.
- The Appeal Panel accepts the opinion and the reasoning of Nicholas Glozier regarding the significant difficulty (indeed impossibility), on the evidence before it, of being able to assess the worker’s previous injury, pre-existing condition or abnormality according to the PIRS categories. It also accepts the opinion and the reasoning of Nicholas Glozier that a 10% deduction (for the previous injury, pre-existing condition or abnormality) to the level of the level of the worker’s assessed permanent impairment is not ‘at odds with the available evidence’.
70. The Appeal Panel therefore finds that, in accordance with s 323 of the 1998 Act, there is to be a 10% deduction to the level of the worker’s assessed permanent impairment of 22%.
- In Pombinho, Ward P considered (at [88]):
‘The statutory provisions assume power on the part of a medical member of the Appeal Panel to carry out a re-examination and assessment of the worker. It may be inferred that the Appeal Panel, in adopting the report and findings, was endorsing the reasoning in that report since that is where the reasons are to be found. I do not accept that the Appeal Panel was required to deliver separate or distinct reasons as to why the Appeal Panel (or two of the three members of it, perhaps) accepted Medical Assessor. In my opinion, it was sufficient for the Appeal Panel to adopt Medical Assessor Glozier’s assessment (for the reasons contained therein).’
- The Appeal Panel formally adopts the report prepared by Nicholas Glozier, and the findings and assessments contained in it. It is noted:
(a) a slightly lower overall permanent impairment percentage was found 22% compared with 24% as found by the Medical Assessor, and
(b) in relation to the deduction to that overall permanent impairment percentage to be made in accordance with s 323 of the 1998 Act, a finding of a 10% deduction in accordance with s 323(2) was made, rather than the Medical Assessor s 30% deduction.
- For these reasons, the Appeal Panel has determined that the MAC issued on 14 October 2024 should be revoked, and a new MAC should be issued. The new certificate is attached to this statement of reasons.”
“(a) set out details of the matters referred for assessment, and
(b) certify as to the medical assessor’s assessment with respect to those matters, and
(c) set out the medical assessor’s reasons for that assessment, and
(d) set out the facts on which that assessment is based.”
The Panel concluded that the assessor had not complied with all of these obligations. The Act imposes no express obligation on an Appeal Panel to also give reasons for its decision. As the Panel observed, there is an implied statutory obligation to do so: Vega**n at [117].
There it was explained that where, as in Mr Wright’s case, “more than one conclusion is open, it will be necessary for the Panel to give some explanation of its preference for one conclusion over another.” That may “have particular significance in circumstances where the medical members of a Panel have made their own assessment of the applicant’s condition and have come to a different conclusion from that reached by other medical practitioners, as set out in reports provided to the Panel.”: at [121].
This was such a case.
Although “to fulfil a minimum legal standard, the reasons need not be extensive or provide detailed explanation of the criteria applied by medical specialists in reaching a professional judgment”: at [122].
In this case, the reasons given were extensive, that reflecting the difficulty of the task which the Panel had to undertake, given what was in issue on the appeal. But that does not preclude the conclusion that they were inadequate.
In Vegan, the challenged reasons were concluded not to have been adequate because they demonstrated “no attempt to explain significant departures from the assessment made” by the approved medical specialist appointed to resolve the parties’ dispute. Nor “any attempt to explain the errors which were said to exist in his reasons and findings, other than the bald statement of the preferred levels of impairment.”: at [128]. With the result that the reasons were manifestly deficient: at [129].
The adequacy of the Panel’s reasons depended on those Dr Glozier gave in his report, it having adopted the report as it did.
The explanation for why, unlike the assessor, Dr Glozier concluded that a 10% deduction was not at odds with the available evidence, may have lain in the additional material he had to consider, although that is not what his report suggests.
Dr Glozier’s explanation of the evidence relevant to the PIRS categories could not relieve the Panel of the obligation to give reasons which satisfied the requirements explained by the High Court in Wingfoo**t, to which it did not refer, in relation to the exercise s 323(2) required be undertaken.
That requiring the Panel to disclose the path of reasoning which had actually led it to the conclusion that the evidence it accepted or preferred was not at odds with a 10% deduction. The Panel could undoubtedly have given further reasons, if not satisfied that Dr Glozier’s report had disclosed the actual path of reasoning which had led to that conclusion, in the required way.
It did not do so, being satisfied that the report met the requirements explained in Vegan. Attention also had to be paid, however, to what was explained in Wingfoot. Had attention been given to this, the error into which I am satisfied the Panel fell may have been avoided.
Even though the Panel’s reasons must be read as a whole and without an eye to error and despite the explanations given, I am satisfied that it must be accepted that they were inadequate, not adhering to its obligations as it needed to.
Section 323(1) required a deduction to be made for any proportion of Mr Wright’s post workplace injury impairment that was due to any previous injury, pre-existing condition or abnormality.
The Appeal Panel concluded that cl 11.10 of the Guidelines was not invalid and had to be utilised in the assessment of the deduction which s 323(2) required: at [61]. The difference between cl 11.10 and s 323(2) was that the Guideline did not require a consideration of whether a 10% deduction was at odds with the available evidence. The Panel, properly, did give consideration to this, the PIRS categories not being able to be applied, as I have explained.
Dr Glozier understandably concluded that the PIRS categories could not be utilised, given the limited information available about the applicable criteria. That reflecting that Mr Wright had not been able to be examined, as applicants ordinarily are, at least by an assessor, when such information is typically elicited from them. And that he had recovered more than had been anticipated in 2012.
The available evidence having established that Mr Wright’s work history had been inconsistent with the 2012 assessment of his then WPI. The deduction which s 323(2) required be made for the contribution of the conditions which he suffered as the result of the injuries the 2008 accident caused, was thus undoubtedly difficult to determine.
Those who had examined Mr Wright before his death had come to differing conclusions about the deduction. They having had the opportunity to examine him. Reference is made to their reports in Dr Glozier’s report. But there is no explanation of the reasons for their differing opinions, what their reports revealed about the histories Mr Wright had given them, or why Dr Glozier departed from Dr Bertucen’s opinions, even though it seems he preferred his report.
There could only be a 10% deduction for Mr Wright’s pre-existing condition, if the Panel concluded that deduction was not at odds with the available evidence, the medical evidence preferred or accepted having been identified. What had to be explained was the actual path of reasoning which had led to the conclusion that a 10% deduction was not at odds with that evidence.
Those who had examined Mr Wright and received the histories he gave them, reached different views about his WPI and the deduction which had to be made for his pre-existing impairment.
How these opinions and the other evidence to which Dr Glozier had to apply his clinical judgment, drove his path of reasoning to the conclusion that a 10% deduction was not at odds with the evidence accepted or preferred, was in my view thus not explained, as it needed to be.
Dr Glozier’s explanation of his views about what conclusions the available evidence permitted in respect of some PIRS categories and criteria, was incapable of providing the required reasons.
In these proceedings, on the analysis which it was urged supported the conclusion Dr Glozier reached, the deduction for Mr Wright’s pre-existing condition should have been even less than 10%.
As explained in Vegan:
“[121] Where it is necessary for the Panel to make findings of primary fact, in order to reach a particular conclusion as to the existence, nature and extent of any physical impairment, it may be expected that the findings of material facts will be set out in its reasons. Where facts are in dispute, it may be necessary to refer to evidence or other material on which findings are based, but the extent to which this is necessary will vary from case to case. More importantly, where more than one conclusion is open, it will be necessary for the Panel to give some explanation of its preference for one conclusion over another.
[122] On the other hand, to fulfil a minimum legal standard, the reasons need not be extensive or provide detailed explanation of the criteria applied by medical specialists in reaching a professional judgment: see Soulemezis (at 273-274) (Mahoney JA) and (at 281-282) (McHugh JA). At least, that will be so where the medical science is not controversial: if it is, a more expansive explanation may be required.”
Given what the Panel had to consider, this was a case where a more expansive explanation had to be given than that provided for the conclusions Dr Glozier arrived at, and those provided by the Panel for the adoption of his report. This not being a case where the Appeal Panel was entitled to reach conclusions on an intuitive basis, an alternative conclusion not being presented by the evidence which had to be considered.
The result is that it must be accepted that the reasons given did not explain, in the required way, the basis of the conclusion that a 10% deduction was not at odds with the available evidence, given the medical evidence which the Panel accepted or preferred.
The causative relationship between Mr Wright’s pre-existing condition and his impairment after his workplace injury, having to be considered and explained by reference to what that evidence relevantly established: Vitaz v Westform (NSW) Pty Ltd [2011] NSWCA 254 at [43]-[45]. That could not turn on Dr Glozier’s partial application of the PIRS system, even if it could be accepted that this was a relevant consideration. Of which I am not persuaded, given what the Act and the Guidelines required, as I have explained.
The cases which the parties advanced shed light on what appears to be a deficiency in the State Insurance Regulatory Authority’s PIRS form. It provides:
The Guidelines contemplate that the exercise s 323(1) requires may involve cl 11.10 being applied to the determination of the contribution which a pre-existing injury, condition or abnormality has made to permanent impairment, if the required information is available.
That is not made apparent by this form, given its limited reference to a deduction for “pre-existing impairment (if any)”. Nor does that indicate that the amount of the deduction may result from the application of s 323(2), which does not involve the application of the PIRS categories.
The use of this form is not mandatory. But it must be accepted that it could be improved, to assist both assessors and Appeal Panels, who should not be led into error about how a deduction has to be arrived at.
This will be drawn to the attention of the Personal Injury Commission and the State Insurance Regulatory Authority.
The usual costs order under the Uniform Civil Procedure Rules 2005 (NSW) is that costs follow the event. In this case, that would be an order that Brickworks bear Mr Wright’s costs, as agreed or assessed.
But the parties announced at the hearing that they had agreed that they should each bear their own costs. Accordingly, that will be the Court’s order.
For the reasons given I order that:
The Panel’s decision be set aside;
The matter be remitted to the Personal Injury Commission to be dealt with according to law, by a differently constituted appeal panel; and
The parties are each to bear their own costs of these proceedings.
**********
Paragraph 155 amended by deleting the words "Personal Injury Commission's" and replacing with the words "State Insurance Regulatory Authority's". Paragraph 159 amended by adding the words "State Insurance Regulatory Authority".
Amendment to the heading before paragraph 155 to read: "State Insurance Regulatory Authority"
Brickworks Ltd
Wright
[1996] HCA 6
[2001] HCA 323
[1986] HCA 7
(2006) 67 NSWLR 372
(2012) 250 CLR 503
(1986) 162 CLR 24
(1996) 185 CLR 259
(2001) 206 CLR 323
(1986) 159 CLR 656
(2017) 262 CLR 362
(2014) 250 CLR 664
(2013) 252 CLR 480