Johnson v Suncorp Staff Pty Ltd
[2024] NSWSC 102
At a glance
Source factsCourt
Supreme Court of NSW
Decision date
2024-02-08
Before
Griffiths AJ
Catchwords
- [2013] HCA 43 Yenuga v Attorney General (NSW) [2023] NSWCA 227 Category: Principal judgment Parties: Danielle Johnson (Plaintiff)
Source
Original judgment source is linked above.
Catchwords
Judgment (13 paragraphs)
HEADNOTE [This headnote is not to be read as part of the judgment] The plaintiff by an amended summons sought judicial review of a decision dated 25 August 2023 by a Medical Appeal Panel (the decision). The Panel is part of the Workers Compensation Division of the Personal Injury Commission (PIC). On 17 May 2022 the plaintiff served on the first defendant, Suncorp Staff Pty Ltd, a claim for lump sum permanent impairment compensation pursuant to s 66 of the Workers Compensation Act 1987 (NSW) (the 1987 Act) in respect of a claimed 22% whole person impairment (WPI) (psychological) as a result of a psychological injury she sustained whilst employed by Suncorp. Suncorp's solicitors accepted liability to pay the plaintiff lump sum compensation for 19% WPI. Dissatisfied with this determination, the plaintiff lodged an application to resolve a dispute in the PIC regarding the degree of permanent assessment. The PIC referred the plaintiff's application to an Approved Medical Specialist (AMS), Dr Clayton Smith, for an assessment of the plaintiff's WPI. Dr Clayton Smith issued a Medical Assessment Certificate dated 3 May 2023 (MAC), which assessed the plaintiff to have 8% WPI of her psychiatric state (WPI). He determined that the plaintiff fell into Class 2 of the Psychiatric Impairment Rating Scale (PIRS) with respect to "Social functioning" and "Social and recreational activities". The plaintiff lodged an application to appeal against Dr Clayton Smith's assessment, on the grounds that the assessment was made on the basis of incorrect criteria and that the MAC contained a demonstrable error pursuant to ss 327(3)(c) and (d) respectively of the Workplace Injury Management and Workers Compensation Act 1998 (NSW) (the 1998 Act). The plaintiff attached written submissions to the application and ticked "yes" to the question whether she requested to be re-examined by a Medical Assessor who is a member of the appeal panel. The submissions claimed Dr Clayton Smith erred in determining that the plaintiff's marital breakdown was not caused, in part or at all, by the plaintiff's injury. The Panel confirmed the MAC and provided a detailed statement of reasons. The Panel reasoned that even if the plaintiff was correct in her assertion that the effects of her psychiatric injury caused the marital breakdown, the evidence was consistent with a Class 2 impairment and did not satisfy the class descriptor for a Class 3 impairment. Although the Panel considered this conclusion was sufficient to dismiss the appeal, it went on additionally to conclude that it was reasonably open to Dr Clayton Smith on the evidence before him to find that the marital breakdown resulted from causes which did not include the effects of the psychiatric injury. The issues for determination were: (i) Whether the Panel simply conducted a "preliminary review" and failed to discharge its statutory function of determining whether or not the MAC contained a demonstrable error with respect to the cause of the plaintiff's marital breakdown (ground 1 of amended summons); (ii) Whether the Panel's alleged failure to make a "full assessment of all aspects of the relationship before and after the couple separated by re-examining the plaintiff and asking her pertinent questions" constitutes a reviewable error (ground 2 of amended summons); (iii) Whether the Panel erred in not re-examining the plaintiff as per her request (ground 4 of amended summons). Griffiths AJ held, dismissing the amended summons, with costs: (1) Ground 1 is rejected: at [71]. The Panel's reasons make clear that it correctly understood that the plaintiff challenged the MAC on the basis of demonstrable error and incorrect criteria: at [72]. Fairly read, the Panel's reasons indicate that after it had, as it stated, "conducted a preliminary review", it proceeded to determine the appeal on the papers as it was entitled to do under [5.17.1] of the SIRA NSW Workers Compensation Medical Dispute Assessment Guidelines: at [73]. The Panel gave detailed reasons why it rejected the plaintiff's claim that Dr Clayton Smith's assessment involved demonstrable error or the application of incorrect criteria: at [74]. The Panel confirmed the MAC pursuant to its power under s 328(5) of the 1998 Act: at [76]. Moreover, there is no basis to find that the Panel "filled in any gaps" in Dr Clayton Smith's path of reasoning: at [78]. (2) Ground 2 is rejected: at [98]. Firstly, the complaint subject of ground 2 was not squarely raised before the Panel by the plaintiff: at [83]-[84]. Secondly, Campbell J's reasons in Ferguson v State of New South Wales [2017] NSWSC 887 at [27] should be read in the context of that case, which relevantly differ to the proceeding here: at [85]-[86]. Here the Panel engaged in a full and comprehensive on the papers assessment of the plaintiff's grounds of appeal, including the issue of causation: at [86]. To the extent this ground challenges the Panel's finding of fact as to the causation of the plaintiff's marriage breakdown, this does not amount to a reviewable error as there was some evidence to support the Panel's confirmation of Dr Clayton Smith's finding on causation: at [92]. Even if there was no evidence to support this finding, any such error would not be material given the Panel's alternative reasoning that even if the plaintiff's psychiatric injury is taken to have caused her marital breakdown, the evidence was consistent with a Class 2 impairment and did not satisfy the class descriptor for a Class 3 impairment: at [93]. There is no basis in the plaintiff's complaint that she was not re-examined as she requested and asked questions on topics such as her ex-husband's gambling because the Panel had no power to re-examine her where no error was found in Dr Clayton Smith's MAC which warranted its revocation: at [94]-[95], [97]. New South Wales Police Force v Registrar of the Workers Compensation Commission of New South Wales [2013] NSWSC 1792 followed. Finnegan v Komatsu Forklift Australia Pty Ltd [2023] NSWSC 38 considered. (3) Ground 4 is rejected for the reasons in (2): at [99].