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[2000] VSC 339
Supreme Court of Victoria
2000-08-28
Ashley J
Original judgment source is linked above.
CATCHWORDS - Accident Compensation - Medical Panel - whether opinion of panel vitiated by internal inconsistency - whether opinion that worker was partially incapacitated vitiated by failure to consider relevant criteria - whether opinion perverse - whether reasons for opinion adequate.
What is the nature of the plaintiff's medical condition(s) relevant to the injuries alleged in the statement of claim in particular:
There is no physical medical condition relevant to any injury to the right elbow.
The plaintiff has a mild adjustment disorder with depressed mood.
There is no medical condition relevant to post-traumatic neurosis.
Is the plaintiff partially or totally incapacitated?
In the Panel's opinion the plaintiff is partially incapacitated.
Is the plaintiff's partial or total incapacity permanent?
"On the 14th day of February 1995 the plaintiff suffered injuries arising out of or in the course of her employment with Franet Pty Ltd trading as Frank Hook Products when she was struck by a trolley.
Injury to the right elbow with the aggravation, acceleration, exacerbation, and precipitation thereof.
Anxiety and Depression with the aggravation, acceleration, exacerbation, and precipitation thereof.
Post traumatic anxiety with the aggravation, acceleration, exacerbation, and precipitation thereof.
Post traumatic neurosis with the aggravation, acceleration, exacerbation, and precipitation thereof."
"(a) the Medical Panel's reasons for decision do not support the opinion given in answer to medical question 1(a), that 'there is no physical medical condition relevant to any injury to the right elbow'. Rather the reasons for decision support the following opinion, there is a resolved traumatic lateral epicondylitis that is susceptible to recurrence. (b) on all the evidence and having found as the Medical Panel did, that the Appellant suffered from: (i) cervical spondylosis; (ii) soft tissue injury to the right wrist; (iii) osteoarthritis of the carpometacarpal joint of the right thumb; (iv) susceptibility to recurrence of lateral epicondylitis; (v) an adjustment disorder with depressed mood; such that the Appellant was capable only of employment that avoided heavy lifting and forceful or repetitive use of her right upper limb and whereby the Appellant should return to work graduated over a three month period, no Medical Panel properly applying the definitions in section 5 of The Accident Compensation Act 1985 of 'suitable employment', 'partial incapacity' and 'total incapacity' could reasonably have found that the Appellant was partially incapacitated and ought to have found that the Appellant was totally incapacitated. (c) the Medical Panel failed to take into account relevant considerations, make appropriate findings or apply the definition of 'suitable employment' set out in section 5 of the Accident Compensation Act 1985 in giving its opinion that the worker is partially incapacitated. (d) The Medical Panel failed to consider having regard to:
(a) the nature of the Appellant's incapacity;
(b) the age, background, education and work experience of the Appellant;
(c) the absence of any return to work plan or occupational rehabilitation services provided to the Appellant;
whether she was unfit for her pre-injury employment and if so, what other employment she had a capacity for.
(e) the Medical Panel failed to give any adequate or proper reasons for finding that the Appellant was partially incapacitated."
* First, that the answer to question 1(a) was inconsistent with the answer to question (2) and with the panel's reasons, the latter answer and the reasons being only consistent with the continued existence of a medical condition relevant to injury to the plaintiff's right elbow. It must be concluded that the answer to question 1(a) proceeded on a misunderstanding of the question - which paraphrased paragraph (a) of the definition of "medical question" in s.5 of the Act.
* Second, that the findings and implicit findings made by the panel precluded a conclusion that Mrs Calleja was partially incapacitated. Such a conclusion was unreasonable, perverse. The findings and implicit findings commanded a conclusion that Mrs Calleja was totally incapacitated at the time when the panel provided its opinion. The panel failed to take into account some one or more of the matters set out in the definition of "suitable employment" in s.5 of the Act - the issue of "suitable employment" being pertinent to the question whether the worker was totally or partially incapacitated.
* Third, the panel failed to provide reasons adequate to disclose how it determined that Mrs Calleja was partially incapacitated, thereby concealing the presence of reviewable error - whether of construction of the statute, failure to apply its findings to the statutory regime, or failure to consider matters which the statutory regime obliged it to consider.
" ... it is the Panel's opinion that Mrs Calleja is capable of employment that avoids heavy lifting and forceful or repetitive use of her right upper limb because of the possible risk of recurrence of symptoms in her right elbow. In view of her mild psychiatric state the Panel considers that any return to work should be graduated over a period of three months. The Panel therefore concludes that Mrs Calleja is partially incapacitated for work."
"total incapacity in relation to a worker, means an inability arising from an injury such that the worker is not able to return to work, either in the worker's pre-injury employment or in suitable employment." "partial incapacity in relation to worker, means an inability arising from an injury such that the worker is not able to return to his or her pre-injury employment but is able to return to work in suitable employment."
"suitable employment, in relation to a worker, means employment in work for which the worker is suited (whether or not that work is available), having regard to the following - (a) the nature of the worker's incapacity and pre-injury employment; (b) the worker's age, education, skills and work experience; (c) the worker's place of residence; (d) the details given in medical information including the medical certificate supplied by the worker; (e) the worker's return to work plan, if any; (f) if any occupational rehabilitation services are being provided to or for the worker."
any residual epicondylitis, nor of triceps tendonitis. X-rays of the elbow had been non-contributory. The absence of findings led the panel to conclude that the plaintiff had no current physical medical condition in relation to her right elbow.
Calleja
Franet Pty Ltd [2000] VSC 339
(1989) 167 CLR 533
(1965) 114 CLR 505
(1996) 185 CLR 259