Application of the SRC Act
44 In Military Rehabilitation and Compensation Commission v May (2016) 257 CLR 468; [2016] HCA 19 (May), the High Court (French CJ, Kiefel (as her Honour then was), Nettle and Gordon JJ) noted (at [57]) the Full Court's observation that the inquiry demanded by the definition of "injury" under an earlier iteration of the SRC Act was "whether the person has experienced a physiological change or disturbance of the normal physiological state (physical or mental) that can be said to be an alteration from the functioning of a healthy body or mind".
45 In terms of the assessment to be made by a tribunal of fact under the SRC Act, the majority stated the following:
49 It is against that background that the Act requires the tribunal of fact to give consideration to "the precise evidence, on a fact by fact basis…accepted at trial" and then to ask certain questions in order to determine whether an employee is suffering a "disease" or an "injury (other than a disease)".
50 First, does the evidence amount, relevantly, to something that can be described as an "ailment", being a physical or mental ailment, disorder, defect or morbid condition? Secondly, if so, was that state contributed to in a material degree by the employee's employment by the Commonwealth?
51 If the answer to both those questions is "Yes", there is a "disease" within para (a) of the definition of "injury". Of course, in some cases, the answer to those questions may be admitted. That is, the employee may admit that the answer to the first question, or both the first and the second questions, is "No".
(emphasis added)
46 The majority then observed (at [57]) that subjectively experienced symptoms, without an accompanying physiological or psychiatric change, are insufficient to provide a positive answer to the above questions. The proper construction of the SRC Act recognises that an employee may genuinely complain of being unwell, but, unless that employee can satisfy the tribunal of fact that he or she has suffered an "injury" or "disease", s 14 will not be engaged.
47 Of course, a disease may not always manifest itself in the kind of sudden physiological change or disturbance of the normal physiological state that will constitute an "injury" in the primary sense. However, a disease still requires a condition which involves a disturbance of the normal functions of the body or mind: Comcare v Mooi (1996) 69 FCR 439 at 445 (per Drummond J).
48 In De Tarle v Comcare (2022) 178 ALD 339; [2022] FCA 175, Abraham J recently concluded (at [69]) that the above principles from May also apply to the definition of "disease" (see also Prain v Comcare (2017) 256 FCR 65; [2017] FCAFC 143 at [74]-[76] (per Kenny, Tracey and Bromberg JJ)). Her Honour also described the danger of conflating a claimant's symptoms with a compensable injury (at [71]):
It is apparent from May that care needs to be taken not to conflate the concept of symptoms of a disease with the existence or aggravation of an underlying disease. The existence of symptoms without more is not sufficient to establish the existence of disease in the context of the SRC Act. Contrary to the applicant's contention, that the tribunal of fact is satisfied of the existence of symptoms in the case of onset of disease, or the existence of increased symptoms in respect of alleged aggravation, does not necessarily demonstrate the existence of disease or its aggravation for the purposes of the SRC Act.
49 In the circumstances of this case, the Tribunal was required to be satisfied that there was evidence of a physiological or psychiatric change to the respondent for there to have been an ailment for the purposes of the SRC Act.
50 Unfortunately, the Tribunal's decision revealed little of the reasoning in which it engaged to reach the conclusion that the respondent's symptom onset in August 2016 amounted to the existence of an ailment in August 2016. Its reasons in respect of this issue appear under the heading, "Injury". Within that heading, the Tribunal engaged in the following process of reasoning:
(a) First, it recited aspects of the evidence and the parties' competing submissions at length. Among other things, it observed the following (at [24]):
[Comcare] stated that "there is no dispute that on 10 November 2017 [the respondent] did suffer an injury". The [respondent] submitted that the injury started in 2016. The [respondent] submits that the ailment was 'first noticed' in August 2016 and the [respondent] first sought treatment at about the same time. The [respondent] submits: "I was dealing with depression and anxiety as [a] result of customer aggression and long-standing work in a high-risk area without … adequate support".
(italics in original; footnotes omitted)
(b) At [25], the Tribunal referred to the first of the four reports prepared by Dr Murphy. The Tribunal recorded Comcare's submission that Dr Murphy's evidence was uncontradicted, and recited parts of the report as follows:
The report includes the following question and answer, respectively: "Is [the respondent's] employment with the DHS [the] cause of his current diagnosis? If yes, please detail what contribution [the respondent's] employment has made to his current clinical presentation." "Yes. [The respondent] outlined an industrial dispute with the employer with [the respondent's] perception that [the respondent] is a victim of racial vilification." Dr M's report stated that there "is no pre-existing condition", that the condition would not have occurred irrespective of the [respondent's] employment within the Department of Human Services, and that the [respondent] "has not suffered an exacerbation of a pre-existing condition. This is a new diagnosis".
(italics in original; footnotes omitted)
(c) At [26], the Tribunal then set out parts of the report of Associate Professor Taylor dated 9 January 2018. It then observed:
In the report's summary and assessment it states that prior to 2016 the [respondent] had no significant physical or mental health problems, and that during 2016 "it would appear some work-related stressors accumulated such that in 2017 [the respondent] was experiencing symptoms of anxiety and presented [to the General Practitioner] as a consequence" …
(italics in original)
(d) After reciting more of the evidence and submissions (at [27]-[30]), the Tribunal concluded its reasons by recording at [31] (which is set out in full above) that Comcare:
accepted that the [respondent] suffers or suffered from an ailment as defined in the Act, being "Adjustment Disorder with Mixed Anxiety and Depressed Mood" on the estimated nominated date of injury of 8 August 2016.
(italics in original; footnotes omitted)
51 A number of issues can be identified with the above reasoning. Despite the suggestion at [31], Comcare did not at any stage accept that the respondent's adjustment disorder was suffered "on the estimated nominated date of injury of 8 August 2016". Indeed, the Tribunal identified the parties' competing positions regarding the date of injury in a preceding paragraph.
52 Putting that aside, the Tribunal did not engage with any of the submissions or evidence it recited. The Tribunal has not explained what evidence it accepted or given weight (and why). The reasons do not evidence an undertaking of the statutory task, as set out in May, of giving consideration to "the precise evidence, on a fact by fact basis … accepted at trial".
53 The reasons did not identify that any of the above legal principles were applicable in its assessment of whether the respondent had proven he suffered from a disease in August 2016. Nor was the Tribunal's reasoning consistent with those legal principles.
54 Critically, the Tribunal did not have regard to the fact that subjectively experienced symptoms, without an accompanying physiological or psychiatric change, are insufficient to found an injury or disease under the SRC Act. In its recital of the evidence at [24]-[29], the Tribunal made a number of observations of the evidence concerning the respondent's symptoms:
(a) "The [respondent] submits that the ailment was 'first noticed' in August 2016 and the [respondent] first sought treatment at about the same time."
(b) "The report [prepared by Dr Murphy on 28 December 2017] gives the [respondent's] symptoms an onset date of 8 August 2016 and an assessment date of 15 December 2017, with the date last worked being 'November 2017'".
(c) "There is a report by Associate Professor T dated 9 January 2018. The report states a 'symptom onset date' of 8 August 2016, an 'assessment date' of 21 December 2017 and a 'date of work cessation' of 10 November 2017.
(d) "In the report's summary and assessment it states that prior to 2016 the [respondent] had no significant physical or mental health problems, and that during 2016 'it would appear some work-related stressors accumulated such that in 2017 [the respondent] was experiencing symptoms of anxiety and presented [to the General Practitioner] as a consequence'".
55 This suggests that the Tribunal relied almost solely upon evidence as to the respondent's initial, self-reported symptoms. As a result, it has wrongly conflated the respondent's experience of symptoms of a disease with the existence of an underlying disease or aggravation of it that resulted in death, incapacity for work, or impairment. The experience of symptoms was insufficient to support a finding that there was a compensable injury in August 2016.
56 Further, having found that the respondent suffered a disease, it was incumbent on the Tribunal to consider whether the ailment (or aggravation thereof) was contributed to, to a significant degree, by his employment.
57 That required the Tribunal to assess whether the standard specified in s 5B(3) was met. That section (as set out earlier in these reasons) provides that "significant degree" means "a degree that is substantially more than material". Under a previous definition of "disease", it was held that the inclusion of the term "material" "imposes an evaluative threshold below which a causal connection may be disregarded": Comcare v Canute (2005) 148 FCR 232; [2005] FCAFC 262 at [68] (per French (as his Honour then was) and Stone JJ). The current s 5B(3) requires "a claimant to prove that his or her employment was 'more than a mere contributing factor in the contraction of the disease'": Explanatory Memorandum to the current SRC Act.
58 There is nothing in the Tribunal's reasons which indicates that it applied this test in determining that the respondent suffered an injury within the meaning of the SRC Act in August 2016. It did not weigh up or engage with the competing evidence before it concerning the various potential contributing factors to the respondent's condition.
59 It was necessary for the Tribunal to assess the evidence, including the medical opinions, and deal with how the evidence demonstrated that the respondent suffered an injury within the meaning of s 5A of the SRC Act. This evaluation is not evident in the reasons.
60 In my view, the Tribunal did not correctly apply the legal tests required by the SRC Act. That is an error of law.