In addition, Dr Knoll states that within 28 days of arrival into custody, older patients have a long term health plan completed in which their ongoing health needs are assessed and organised and that, in summary, the Justice Health Service is able to co-ordinate ongoing medical care for older patients suffering from a variety of health problems including physical and mental illnesses and drug dependence. This report of Dr Knoll is of considerable assistance to the court and does not in any way detract from the need for the non-parole period of imprisonment to reflect the criminality involved."
32 In R v Smith (1987) 44 SASR 587 at 589 King CJ said this:
"The state of health of an offender is always relevant to the consideration of the appropriate sentence of the offender. The courts, however, must be cautious as to the influence which they allow this factor to have upon the sentencing process. Ill health cannot be allowed to become a licence to commit crime, nor can offenders generally expect to escape punishment because of the conditions of their health. It is the responsibility of the Correctional Services authorities to provide appropriate care and treatment for sick prisoners. Generally speaking ill health will be a factor tending to mitigate punishment only when it appears that imprisonment will be a greater burden on the offender by reason of his state of health or when there is a serious risk of imprisonment having a gravely adverse impact on the offender's health."
33 In R v De Vroome (1987) 38 A Crim R 146 at 147 his Honour applied those remarks in the following passage:
"The courts can make some adjustment to sentences to take account of the additional hardship caused to an offender by his condition, but they are necessarily limited in the extent of such adjustment by the necessity of maintaining proper standards of punishment."
34 I can observe no basis for the submission that his Honour fell into error in any way in the manner in which he had regard to the evidence or applied it to the facts of the present case in the light of these authorities. I do not agree that his Honour failed to give sufficient weight to the applicant's disabilities or that he focused inappropriately upon the problems that these difficulties would present to the correctional authorities. The very nature of his Honour's deliberations was to have regard to the conditions in which and under which it might be expected that the applicant would be required to serve his sentence. The extent to which appropriate care and medical assistance is available, and the nature and extent of facilities that are at hand to care for prisoners with ill health, are factors that are directly related to questions of whether or not the applicant will or might be subjected to an unduly burdensome period in custody. There is no significant weight of medical opinion that suggests that the applicant's indifferent health will impose unique hardship upon him in the circumstances, even if his period in custody might reasonably if not obviously have been thought to be somewhat easier for him if he were well. The balancing exercise that his Honour was required to undertake having regard to the idiosyncratic nature of the applicant's combination of conditions and the need to impose a sentence that reflected the extent of his criminality does not appear to me to have miscarried.
35 Even though the applicant's age, physical disabilities and limited eyesight are in all likelihood going to make his time in custody difficult, they will not in my view make that experience so difficult as to attract the principles to which King CJ has referred. The necessary limitations that are imposed upon the extent to which an individual's health can operate as a factor favouring a lighter sentence apply to this Court's consideration of whether or not the sentencing judge fell into error. In my opinion no error has been demonstrated.
36 This ground of appeal is not made out.
Ground 3
37 The applicant submitted that the individual sentences were manifestly excessive both when considered objectively and after taking into account the particular subjective features of this case.
38 For the s 29B offence the sentencing judge is said to have chosen a starting point, before a discount for the plea of guilty, of two thirds of the maximum penalty. For the s 135.1(5) offences the starting point is said to have been 87 per cent of the maximum before the same discount is applied. The overall non-parole period is, as already discussed, 2 years and 8 months.
39 These contentions are to be compared with, or considered in the light of, the following considerations. First, the offending persisted over a period of approximately 28 years. Secondly, the sum of $203,000 is not inconsiderable and was obtained in the course of a premeditated scheme involving a false identity. Thirdly, the offences did not cease until the applicant was detected.
40 The Crown emphasised the line of authorities that underscores the heavy penalties that those who defraud the social welfare system might expect to encounter. See, for example, R v Sopher (1993) 70 A Crim R 570; R v Hinton [2002] NSWCCA 405, (2002) 134 A Crim R 286; R v Purdon (Court of Criminal Appeal, 27 March 1997, unreported). The importance of general deterrence when sentencing for offences of this type has also been emphasised: see R v Keir [2004] NSWCCA 106; Bick v R [2006] NSWCCA 408 at [16]; R v Purdon (supra).
41 The Crown also submitted that the applicant's attention to the individual sentences imposed and their relevant starting points should yield as a matter of importance to the overall sentence that was actually imposed: Rutkowskyj v R [2008] NSWCCA 10; SZ v R [2007] NSWCCA 19, (2007) 168 A Crim R 249; cf TYN v R [2009] NSWCCA 146 at [34].
42 In my view the sentences imposed by his Honour were within the range of sentences imposed for like offences. The sentences were not in any sense outside what might be expected to apply in cases involving the level of systematic and repeated deception that was the hallmark of the present offences. Comparison with cases such as Bick v R (supra) and Charkawi v R [2008] NSWCCA 159 makes this clear. Having regard to the principle of totality I observe again that the complete absence of any accumulation of the sentences imposed for the individual offences amounted to a significant amelioration of the sentences overall.
43 The sentences imposed by his Honour were not manifestly excessive. This ground of appeal is not made out.
Orders
44 In my opinion, leave to appeal should be granted but the appeal should be dismissed.