austlii:tas/TASCAT/2025/153
General information, not legal advice.
TASCAT
2025-08-07
Member Jack
Original judgment source is linked above.
The decision has been anonymised for the purpose of publication.
R arm radiculopathy with paraesthesia's intermittently and right elbow pain + R elbow pain + R wrist pain + R hand numbness.
Cervical spine degeneration, Medial and lateral R epicondylitis, R carpel tunnel syndrome.
The Act does not require the employer's case about liability be strong or compelling, but the case that the claim may ultimately be rejected must be reasonably arguable.
(i) Email from Ms QM to Ochre Health Medical Centre (Smithton) dated 21 May 2025 enclosing the report of Dr Seevnarain;
(ii) Email from Ms QM to the worker (copied to TT) dated 21 May 2025 confirming that the report had been sent to Ochre Health Medical Centre (including a relevant email from the worker in the chain);
(iii) Email from Ms QM to the Tribunal and copied to the worker dated 21 May 2025 enclosing the s 81A referral, along with the report of Dr Seevnarain (also provided with the s 81A referral).
(iv) Email from Ms QM to Ochre Heath Medical Centre dated 8 May 2025 entitled "request for documents for IME", attaching worker's consent to release of documentation.
(i) The report of Dr Seevnarain was, contrary to the worker's submissions at the hearing, and as the worker was aware, served on her treating medical practitioner within 7 days of receipt as required by s 90B(3)(a).
(ii) That s 90B(4) required the treating medical practitioner rather than the employer to provide the report to the worker.
(iii) That the worker had been served with the report of Dr Seevnarain alongside the s 81A referral. It was the employer's counsel's submission that this satisfies the only provision of Division 1A that would have any effect on the employer's reliance on that report, being the requirement in s 90D(1) of the WRC Act.
(i) She had not received Dr Seevnarain's report within 7 days, contrary to s 90B(3);
(ii) The employer did not meet the requirements of s 90B(4) as that provision required her treating medical practitioner, rather than the employer, to provide her with a copy of that report;
(iii) That there had been a breach of s 90B(3)(a) as a consequence of the employer or insurer not discussing with the worker's treating medical practitioner the reason why it intended to have the review conducted.
90A. Workers may be required to submit to independent medical reviews > > (1) For the purposes of this Act, an independent medical review of a worker is a review, conducted by a single medical practitioner (other than a medical practitioner chosen by the worker) who has expertise in a field, or a part of a field, relevant to the worker's injury, and may include - > > (a) one or more examinations of the worker; and > > (b) a review of any diagnostic test results, or other medical records, in respect of the worker. > > (2) If a worker claims compensation or is receiving weekly payments, the worker's employer, or the employer's insurer, may require the worker to submit to an independent medical review of the worker by a medical practitioner. > > (3) A worker may only be required under subsection (2) to submit to an independent medical review if the employer or the employer's insurer - > > (a) has discussed with the worker's primary treating medical practitioner the reasons why it is intended to have the review conducted; and > > (b) has informed the worker, in writing, of the reasons why it is intended to have the review conducted. > > (4) A worker who is required under subsection (2) to submit to an independent medical review by a medical practitioner - > > (a) is to - > > (i) submit, at a reasonable time, and at a reasonable place, of which the worker has been given reasonable notice in writing, to the review, including any examination conducted by the medical practitioner as part of the review; and > > (ii) be taken to have given consent to the provision, to a medical practitioner nominated by the worker's employer, of any medical reports or records that relate to the injury to which the worker's claim for compensation relates; or > > (b) is to, within 30 days, refer the matter under section 90C(2) to the Tribunal. > > (5) Subject to subsection (6), a worker is not required to submit to more than one independent medical review in any 3-month period. > > (6) Despite subsection (5), a worker is required to submit to an independent medical review if - > > (a) the worker has suffered multiple injuries or the worker's injury requires the consideration of medical practitioners who are specialists in different fields or aspects of the injury; and > > (b) the review is conducted by a medical practitioner specialising in a different injury, or a different field or different aspect of the injury, to the previous practitioner who conducted a review in the 3-month period. > > (7) If a medical practitioner conducting an independent medical review reports that any medical or surgical treatment specified by the practitioner will terminate or shorten the period of incapacity of the worker to whom the report relates, the following provisions apply: > > (a) subject to paragraph (b), the worker must submit to that treatment; > > (b) if the worker notifies the employer, not later than 14 days after the date on which a copy of the practitioner's report has been provided to the worker in accordance with section 90B(4), that the worker, after consulting with the worker's primary treating medical practitioner, is not satisfied with the report, the worker must submit to an examination by another medical practitioner selected by the worker who may be, but is not required to be, the worker's primary treating medical practitioner; > > (c) the employer or the employer's insurer is to pay for the examination referred to in paragraph (b); > > (d) if the report, provided in accordance with section 90B(2) , of the medical practitioner who makes an examination in accordance with paragraph (b) is in agreement with the report provided under section 90B(1) by the medical practitioner conducting the independent medical review, the worker must as soon as practicable submit to the treatment specified in the last-mentioned report. > > ... > > 90D. Reliance on medical reports > > (1) If a worker has submitted to an independent medical review under section 90A by a medical practitioner, a report in relation to the review, and any evidence of the medical practitioner, cannot be used as evidence in respect of a claim for compensation unless the report is served on the worker. > > (2) If a worker has been examined under section 90A(7)(b) by a medical practitioner chosen by the worker, a report in relation to the examination, and any evidence of the medical practitioner, cannot be used as evidence in respect of a claim for compensation unless the report is served on the worker's employer. > > (3) If a worker has been examined, otherwise than under section 90A(7)(b) , by a medical practitioner chosen by the worker, a report in relation to the examination, and any evidence of the medical practitioner, cannot be used as evidence in respect of a claim for compensation unless the report is served on the worker's employer.
79. Principles governing proceedings > > In any proceedings, but subject to the provisions of a relevant Act - > > (a) the procedure of the Tribunal is, subject to this Act, to be conducted with the minimum of formality; and > > (b) the Tribunal - > > (i) is not bound by the rules of evidence; and > > (ii) may adopt, as in its discretion it considers appropriate, any findings, decision or judgment of a court or other tribunal, insofar as may be relevant to the proceedings; and > > (iii) may otherwise inform itself as it considers fit; and > > (c) the Tribunal must act according to equity, good conscience and the substantial merits of the case and without regard to legal technicalities and forms.
Even though the Tribunal is not bound by the rules of evidence, both parties agree that the Tribunal may be guided by those rules. This is undoubtedly correct. Both parties refer to s 138 of the Evidence Act 2001, which relevantly provides: > > (1) Evidence that was obtained - > > (a) improperly or in contravention of an Australian law; or > > (b) in consequence of an impropriety or of a contravention of an Australian law - > > is not to be admitted unless the desirability of admitting the evidence outweighs the undesirability of admitting evidence that has been obtained in the way in which the evidence was obtained. > > (2) ... > > (3) Without limiting the matters that the court may take into account under subsection (1), it is to take into account - > > (a) the probative value of the evidence; and > > (b) the importance of the evidence in the proceeding; and > > (c) the nature of the relevant offence, cause of action or defence and the nature of the subject matter of the proceeding; and > > (d) the gravity of the impropriety or contravention; and > > (e) whether the impropriety or contravention was deliberate or reckless; and > > (f) whether the impropriety or contravention was contrary to or inconsistent with a right of a person recognised by the International Covenant on Civil and Political Rights; and > > (g) whether any other proceeding, whether or not in a court, has been or is likely to be taken in relation to the impropriety or contravention; and > > (h) the difficulty, if any, of obtaining the evidence without impropriety or contravention of an Australian law.
The provisions of the WRC Act governing independent medical reviews have been considered by the Workers Rehabilitation and Compensation Tribunal in Swick Mining Services v M [2012] TASWRCT 25 (Swick). What can be taken from that decision is that a worker will be under an obligation to attend an independent medical review if an employer complies with the prerequisites set out in s 90A(3) of the WRC Act. Where an employer does not comply with those prerequisites, the worker is under no obligation to attend a scheduled review, but may, nonetheless, elect to do so. In those circumstances a report that comes into existence as a result of the worker opting to attend the review appointment may be taken into evidence by the Tribunal. > > It follows from the observations in Swick that an election by a worker to attend an independent medical assessment can only properly be made where a worker understands what the assessment is about.
Indical Bioscience GmbH
BE [2025] TASCAT 153