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[1999] VSC 307
Supreme Court of Victoria
1999-08-27
TEAGUE J.
Original judgment source is linked above.
Masters v McCubbery and Others (No 2) [1995] VICSC 209; [1996] 1 V.R. 635.
"(b) If a party to the proceedings so requests, the Court must refer a medical question to a Medical Panel for an opinion;"
* Dr Michael V. Piperoglou dated 19 September 1997
4. What is the level of impairment assessed in accordance with the American Medical Association's Guides to the Evaluation of Permanent impairment (2nd edition) having regard to s.91 of the Accident Compensation Act?
(a) in failing to admit as evidence the reasons of the Medical Panel's opinion given pursuant to s.45 of the Accident Compensation Act 1985.
(b) in failing to permit the appellant to call evidence that he was an "odd lot" notwithstanding the opinion of the Medical Panel.
(ab) a question as to the existence, extent or permanency of any incapacity of a worker for work or suitable employment and the question whether a worker is partially or totally incapacitated; or
(d) a question as to the level of impairment of a worker including a question of the degree of impairment of a worker assessed in accordance with the American Medical Association's Guides to the Evaluation of Permanent Impairment (Second Edition or a subsequent subscribed edition); or
(e) a question as to the probable duration of any physical or mental condition resulting from or materially contributed to by the injury.
48. Admissibility of certificates and reports of Medical Panels
(1) A certificate or report given by a Medical Panel is admissible in evidence in any proceedings under this Act.
"There is no place under the statutory scheme for the opinion to be reconsidered by the magistrate in the light of any reasons. The Act makes it clear he is to act upon the opinions expressed. If there is any error of law contained in such an opinion which is revealed by the reasons, that is a matter to be taken up in a superior court where application might be made to set aside the opinion."
"to enable a Court to see whether the decision does or does not involve any error of law".
"A medical panel is not required to do more than provide sufficient reasons to enable it to be seen by the court and the parties that it has arrived at its decision in accordance with its statutory functions."
(at 650). "..., they are not obliged to overwhelm themselves with the provision of elaborate reasons." (at 651)
"It may be conceded the Parliament did not require the opinion given to take the form of a judgment but that does not mean that it did not consider it appropriate that, when asked, such panels should not give sufficient explanation of their reasoning as to enable a review thereof by the Supreme Court either under the Administrative Law Act or otherwise by judicial review." (at 653)
"The statutory provision that a certificate is to be conclusive makes it imperative that its effect be kept within narrow bounds and that it be strictly construed. The purpose of the statutory provision is to make medical men the final judges of medical facts."
(2) In assessing a degree of impairment under sub-section (1), regard must not be had to any psychiatric or psychological injury, impairment or symptoms arising as a consequence of, or secondary to, a physical injury.
His current level of impairment is 17% whole person impairment in regard to the lower back.
There is a psychiatric impairment which has been assessed at a 15% psychiatric impairment but that is secondary to his physical symptoms and not a primary psychiatric impairment and is thus not additional to that impairment.
The level of impairment as thus assessed is a 17% whole person impairment
There is no reason to believe that he had any significant illness prior to his back injury following which he developed some depression and abnormal illness behaviour. Using the methods in Chapter 12 of the American Medical Association's Guides to the Evaluation of Permanent Impairment (Second Edition) the claimant had a 17% whole person psychiatric impairment. There is no evidence that this was directly a result of his injury but clearly secondary to his physical symptoms and the effect they had on his life.
"partial incapacity" in relation to a 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. "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.
Suitable employment was defined in s. 5(1) of the main Act:
"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
(ab) a question as to the existence, extent or permanency of any incapacity of a worker for work or suitable employment and the question whether a worker is partially or totally incapacitated.
"Its ultimate determination that the worker was 'fit for suitable employment'; that he was 'partially' but not 'totally' incapacitated for employment ... must necessarily have involved the panel in making a number of findings as to what it regarded as 'suitable employment'; and as to what meanings it gave to the various defined concepts expressed in the Act."
(1) Where the County Court exercises jurisdiction
under this part-
(c) the opinion of the Panel on that question
shall, subject to this section, be adopted by
the Court as the answer to that question.
Sub-section 68(4), which was inserted by Act No. 107 of 1997, provides:
(4) For the purposes of determining any question or matter, the opinion of a Medical Panel on a medical question referred to the Medical Panel is to be adopted and applied by any court, body or person and must be accepted as final and conclusive by any court, body or person irrespective of who referred the medical question to the Medical Panel or when the medical question was referred.
"Although these critical issues are referred to the medical panel couched in terms of 'medical questions' and the responses of the panel to them are couched in terms of 'opinions', such legislative terminology cannot obscure the fact that the panel is being called upon to decide matters of mixed law and fact which decisions operate by virtue of the provisions of the Act to bind the court and thus to effectively dispose of the issues which have been raised by the worker and placed by him before the court for its determination."
"did not necessarily conclude the issue as to whether B. was totally incapacitated for work, an issue which had to be decided upon a review of the concomitant circumstances in which B. might exercise his residual capacity." (at 297) "For such a provision as s.19(4) is strictly construed. But, seeing that the purpose is to leave medical questions to the determination of medical men, what is fairly involved in such a determination must come within its conclusive effect: cf Smith v Mann [1932] HCA 30; (1932) 47 CLR 426 at 451." (at 302)
"In my opinion it does not follow, as a matter of law, that because he is, from a medical point of view, fit for light, selected work, as he has been certified to be in this case, he is not totally and permanently disabled within the meaning of s.9(3); that is to say, it does not follow that he is not totally and permanently disabled from a practical point of view, having regard to his physical condition and to the relation of that condition to the condition of the labour market as existing in New South Wales. In some cases capacity to do light, selected work may have the result, when taken into consideration with all the rest of the facts of the case, that the worker is not permanently and totally disabled - it depends on the facts." (at 97)
"It is not open to the Commissioner for Employees' Compensation by seeking information on non-medical questions to obtain by means of a certificate under s.19(4) evidence which will be conclusive as to those questions."
"The concept of suitable employment is not easy to grasp, particularly where it involves work that may not be available. This makes the task difficult, but it has been one which has been decided by Courts for a very long time. However, for the first time in this State Parliament has seen fit to define both the concept of total incapacity and suitable employment. Previously it was the responsibility of the Court to determine incapacity for work unaided by any statutory provisions. In determining if a worker is suited to employment a number of matters are required to be considered. In my opinion the reference to each of the matters in paragraphs (a) to (e) are designed to achieve a degree of reality when considering whether work can be described as 'suited' to the worker. For example to suggest that a middle aged unskilled labourer with poor communication skills could perform clerical work and so is not totally incapacitated, would probably fail because it is not work to which the worker is suited. In my view the reference in the definition to matters such as the nature of the incapacity together with the age, education, skills, work experience and place of residence are designed to achieve not only a degree of reality but also a degree of fairness and common sense when a Court is required to consider suitability for work. However, if the Court has taken account of all the matters referred to in the definition and a view is formed that the worker could perform a particular type of work, then any claim for incapacity must fail despite the fact that such work in not available either because of the state of the labour market or for any other reason. The issue of whether the odd lot doctrine has survived the amendments does not require a decision in this case. As was suggested by Hansen J. in Harris it may well be that it has not survived and that the definition of suitable employment covers the field in so far as incapacity is concerned. However I do not believe that this would radically alter the position of a worker who would have fallen within the odd lot doctrine, because when account is taken of the matters referred to in the definition of suitable employment, the likelihood is that there will be no suitable employment for such a person."
"suitable employment as defined and the odd lot principles come down to very much the same thing, the only difference being the route each takes to arrive at the common destination." (at 73)
"Here, the factors in the sub-headings under the definition of 'suitable employment' in s.5 do no more that set out the appropriate concomitant circumstances that have to be considered - concomitant circumstances that one would have had regard to in any event when considering the 'odd lot' argument. Accordingly, I see no reason to depart from the view taken by a number of Judges of the County Court in this jurisdiction that the relevant provisions of the Act do not show any intention to overthrow the pre-existing common law in this area, but in fact largely reiterate and enshrine the pre-existing principles." (at 25)
"In my view it can be seen that the legislature did intend to create the medical panels as an alternative method of dispute resolution to the court."
"In my opinion there is no conflict between the requirements set out in the definition of suitable employment and the 'odd lot' principles, as the type of work covered by the odd lot principles is unlikely to be work to which the worker is suited when regard is had to sub-clauses (a) and (e) of the definition." (at 73)
Lianos
Inner & Eastern Health Care Network [1999] VSC 307
(1932) 47 CLR 426