austlii:nsw/NSWPIC/2025/595
General information, not legal advice.
NSWPIC
2025-11-07
Original judgment source is linked above.
Midha v Insurance Australia Limited t/as NRMA Insurance [2025] NSWPIC 595
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; assessment of damages pursuant to (3) and (4); non-economic loss; injuries included multiple facial fractures, abrasions, left distal radius fracture, cervical spine C7/T1 fracture and disruption, chronic thoracic pain multiple surgeries, and dental injuries; psychological injuries; past economic loss; -claimant entitled to weekly loss as they are a high earner unable to return to work; future economic loss caused significant disadvantage on open labour market with ongoing restrictions; weekly loss to age 70 with deduction of vicissitudes of 40%; no allowance post age 70 for ongoing business enterprise.
4.The insurer is to have credit The insurer is to have credit for statutory weekly payments made pursuant to s 3.40 in the sum of $77,162.
(a) statutory payments amounted to the sum of $77,162, and
(b) income tax paid in the sum of $26,697.
(a) fracture of C7 cervical spine;
(b) zygomatic fracture;
(c) nasal fracture;
(d) traumatic cranial subarachnoid haemorrhage;
(e) upper lip degloving;
(f) stellate lacerations to the mouth/cheeks;
(g) septum fracture;
(h) deviated septum;
(i) dental injury resulting in dental fragments;
(j) C7/T1 anterior longitudinal ligament disruption;
(k) left distal radius fracture;
(l) C7/T1 disc bulge;
(m) general soft tissue damage;
(n) shock, and
(o) post-traumatic stress disorder.
(a) ongoing chronic pain and stiffness in the neck and into the shoulders;
(b) reduced range of movement in the neck;
(c) reduced range of movement in the left and right shoulder;
(d) reduced range of motion in the left wrist;
(e) inability to sit for longer than 30 minutes at a time due to ongoing neck pain;
(f) inability to drive for longer than 30 minutes at a time due to ongoing neck pain;
(g) ongoing chronic pain in the upper back;
(h) significant tension headaches approximately two to three times per week;
(i) stiffness and discomfort affecting the thoracic spine;
(j) stiffness and discomfort affecting the left wrist;
(k) left wrist pain;
(l) intermittent pins and needles and numbness affecting the right and left upper limbs and lower limbs;
(m) altered sensation, stiffness, and pain in both lips;
(n) area of numbness over the vermillion border of the upper lip;
(o) difficulty with chewing food and pronouncing words;
(p) loss of confidence in the ability to speak effectively in a vocational/occupational environment;
(q) loss of smell;
(r) increased sensitivity to hot and cold food in the teeth;
(s) significant residual scarring over the upper lip and right cheek;
(t) loss of sleep as a result of the pain;
(u) pervasive fatigue;
(v) difficulty concentrating throughout the day as a result of poor sleep;
(w) impaired ability to travel due to damages sinuses, and
(x) increased anxiety.
(a) an acute depressed frontal bone fracture (skull fracture), with an associated small subarachnoid haemorrhage;
(b) an acute fracture to the nasal bones (fractured nose);
(c) deep lacerations affecting the upper lip and lower lip, as well as multiple fractured teeth;
(d) multiple facial abrasions;
(e) an acute anteroinferior C7 vertebral body fracture with an associated disruption of the anterior longitudinal ligament, and
(f) an acute displaced left distal radius fracture.
(a) washout and repair of facial abrasions and lacerations on the 14 August 2023;
(b) a closed reduction of nasal bones on 14 August 2023;
(c) an open reduction and internal fixation of left distal radius fracture on
14 August 2023, and
(d) immobilisation of cervical fractures with hard halo collar for an extended period of time.
"neck fractures + skull/facial fractures + subarachnoid bleed +forearm fracture."
(a) recurrent headaches, difficulty concentrating and fatigue, an associated visible forehead deformity, secondary to an acute blunt trauma head injury with an associated depressed frontal bone skull fracture and associated small subarachnoid haemorrhage;
(b) partial loss of sense of smell, secondary to an acute nasal bone fracture;
(c) multiple significant facial lacerations/abrasions, most noticeably affecting his upper lip, lower lip, and right maxillary region. Residual scarring, stiffness of both lips, difficulties with speech and difficulties with chewing, as well as sensory loss in the distribution of the cutaneous branches of the maxillary nerve over his upper lip;
(d) multiple fractured teeth necessitating multiple dental surgeries;
(e) chronic cervical spine pain, stiffness and discomfort, with an associated loss of range of movement of both shoulders, secondary to an acute hyperextension injury with an associated C7 anteroinferior vertebral body fracture and an associated C7/T1 anterior longitudinal ligament disruption;
(f) chronic non-specific thoracic spine pain, stiffness and discomfort secondary to an acute musculoligamentous strain, and
(g) chronic left wrist pain, stiffness and discomfort, secondary to an acute distal radius fracture.
(a) ongoing pain in the neck;
(b) fracture of the anteroinferior aspect of C7 body;
(c) facial fractures, including a nasal fracture;
(d) dental injuries, and
(e) fractured left wrist.
11 February 2025. He assessed a whole person impairment (WPI) of 15% and made the following notes and conclusions:
(a) a traumatic brain injury;
(b) an injury to his cervical spine in the C7 region plus a fracture of his left radius and multiple abrasions;
(c) significant orofacial injuries including a fracture of the frontal bone, displaced fracture of the nose, an undisplaced [sic] fracture to the zygoma and maxillary regions, and
(d) a degloving injury of the upper lip region and also some injuries to the 21, 22 and 23 teeth.
(a) a closed head injury;
(b) a fracture of the C7 vertebral body, a fracture of the left radius, together with dental injuries and soft tissue injuries to the face and limbs;
(c) residual impairment of taste and smell;
(d) the fracture at C7 has healed with conservative management but Mr Midha has been left with a restricted and asymmetric range of neck movement, and
(e) scar across upper lip associated with persisting upper lip stiffness and altered sensation.
(a) on 17 October 2023, reported eight to nine weeks post-left distal radius fracture fixation and repair of upper laceration almost full range of motion in wrist, very slight restriction in flexion. Scar healing well with some slight sensitivity. Recommended to start to reintegrate hand into normal day to day life in gradual fashion;
(b) on 6 December 2023, progressing exceptionally well with hand therapy with full range of motion within wrist and minimal pain. Can continue with normal activity with left hand, trying to reintroduce this to day-to-day activity as much as spinal injury will allow;
(c) on 31 January 2024, progressed well with improving range of motion and essentially normal function;
(d) 22 March 2024, removal of left radial distal plate and screws;
(e) 2 April 2024 no issues post-surgery. Well controlled pain. Continue with gentle active range of motion and limit exercise and heavy lifting for next few weeks, and
(f) on 21 January 2025, he reports the claimant has a subtle asymmetry of his upper lip with slight visible scarring. He is conscious of the scars. The claimant is fit for pre-injury duties.
(a) well healed scarring over upper lip;
(b) reduced range of motion in neck - 3/4 range for flexion and ½ for extension;
(c) normal range thoracic and lumbar spine;
(d) normal healing of C7 fracture of anterior aspect;
(e) facial fractures, dental fractures healing;
(f) left wrist fracture which had made good recovery after open fixation and reduction;
(g) prognosis- reasonably good providing further aggravating activities and postures are avoided;
(h) capacity for work that would avoid aggravation of his symptoms and able to work full-time. His future capacity for work should not be affected for the kind of work he is currently looking for, and
(i) disputed the opinion of Dr Dias on shoulder and thoracic impairment as the claimant reported to him he no longer had any problem of pain to shoulders or thoracic spine.
(a) flashbacks /nightmares;
(b) sleep disturbance and insomnia;
(c) dysphoric with appearance, job loss and inability to cycle long distance;
(d) hyperarousal including irritability, exaggerated startle reflex and difficulty settling;
(e) hypervigilant with family's safety /cautious driver;
(f) fatigued, forgetful with reduced mental flexibility;
(g) ability to perform work related duties leading to his termination of employment;
(h) social interaction impaired by inability to ride bicycle and loss of employment;
(i) mild impairment of concentration and short-term memory with fatiguability which improves with time, and
(j) claimant job searching and hoped to return to duties consistent with his skills training and experience.
(a) closed head injury - skull fracture recovered well;
(b) residual impairments of smell and taste - 3% WPI;
(c) intermittent sensory symptoms of upper limb - no clear cause;
(d) cervical physiotherapy to continue for a further six months, and
(e) may require carpal tunnel decompression.
(a) orofacial injuries including fracture of frontal bone, displace fracture of the nose, undisplaced fracture to the zygoma and maxillary regions plus a degloving injury of the upper lip region and teeth injury;
(b) facial disfigurement with the dent in the frontal bone region and fracture of nose with profound scarring of the upper lip;
(c) further treatment could include surgery to repair skull fracture, laser nerve stimulation for upper lip and removal of lump of scar tissue from the right lower lip, and
(d) WPI assessed at 15% with 7% for facial scarring, 4% for loss of sensation to upper lip and 4% for reduced ability to chew hard foods.
(a) fracture of C7 cervical spine;
(b) zygomatic fracture;
(c) nasal fracture;
(d) traumatic cranial subarachnoid haemorrhage;
(e) upper lip degloving;
(f) stellate lacerations to the mouth/cheeks;
(g) septum fracture;
(h) deviated septum;
(i) dental injury resulting in dental fragments;
(j) C7/T1 anterior longitudinal ligament disruption;
(k) left distal radius fracture;
(l) C7/T1 disc bulge;
(m) general soft tissue damage;
(n) shock, and
(o) post-traumatic stress disorder.
(a) unrelenting neck pain;
(b) fatigue;
(c) impaired concentration;
(d) post-traumatic stress disorder;
(e) hypervigilance;
(f) loss of taste and smell;
(g) loss of his career;
(h) impact on his marriage;
(i) impact on social life;
(j) impaired ability to participate in pre-injury social, recreational and sporting activities, and
(k) impaired ability to travel.
(a) a closed head injury;
(b) C7 vertebral body fracture;
(c) displaced distal fracture on his nose;
(d) deep lacerations;
(e) psychological sequelae, and
(f) loss of taste and smell in itself "eating being a great enjoyment in life is very serious and permanent."
"Just, fair and reasonable and within the range of likely potential damages assessments for the claim were the matter to be assessed by the Commission, taking into account the nature and extent of the claim and the injuries and disabilities and losses sustained by the claimant."
Non-economic loss is defined in s 1.4 of the Motor Accident Injuries Act 2017 (MAI Act) to mean:
(b) loss of amenities of life;
(c) loss of expectation of life, and
(d) disfigurement."
(a) the maximum amount for damages that may be awarded for non-economic loss is $691,000.
non-economic loss by other Members and courts (James Hardie & Co v Newton [1977] 42 NSWLR 729 as per Handley JA at 732). 4. The degree of WPI is used as a statutory mechanism to qualify a claimant for entitlement to non-economic loss only. It is not a reliable indicator of the severity or otherwise of the claimant's injuries and disabilities and the impact of such injuries. It does not directly measure incapacity, pain and suffering which is required when determining damages for
non-economic loss. 5. The claimant is now aged 62 years with a life expectancy of a further 23.79 years (Medium Life Expectancy, Australia, 2025). 6. Having regard to the severe nature and extent of injuries suffered by the claimant. His statement dated 2 May 2025 at paragraph 57 lists his ongoing problems:
"Although the treatment detailed above has improved the injuries I sustained in the subject accident, I continue to suffer the following disabilities:
(a) Ongoing chronic pain and stiffness in my neck;
(b) Reduced range of movement in my neck;
(c) Reduced range of movement in my left and right shoulder;
(d) Inability to sit for longer than 30 minutes at a time due to ongoing neck pain;
(e) Inability to drive for longer than 30 minutes at a time due to ongoing neck pain;
(f) Ongoing chronic pain in the upper back;
(g) Significant tension headaches approximately two to three times per week;
(h) Stiffness and discomfort affecting my thoracic spine;
(i) Stiffness and discomfort affecting my left wrist;
(j) Left wrist pain;
(k) A slightly reduced range of motion in my left wrist;
(l) Intermittent pins and needles and numbness affecting the arms;
(m) Altered sensation, stiffness and pain in my lip;
(n) Area of numbness over the vermillion border of my upper lip;
(o) Difficulty with chewing food, and pronouncing words;
(p) Loss of confidence in my ability to speak effectively, in a vocational/occupational environment;
(q) Loss of smell;
(r) Increased sensitivity to hot and cold food in my teeth;
(s) Significant residual scarring over my upper lip and over my right check;
(t) Loss of sleep as a result of the pain;
(u) Pervasive fatigue;
(v) Difficulty concentrating throughout the day as a result of poor sleep; and
(w) Difficulty with air travel due to damaged sinuses."
(a) $5,106 x 115.5 = $589,743 round down to $580,000 to reflect a very short attempt to return to work.
(a) his employment limitations as recommended by Dr Dias were as follows:
(i) work on a part-time basis of up to 20 hours per week (four hours per day five days per week);
(ii) avoid lifting any items weighing greater than 5kg on a repetitive basis;
(iii) avoid performing any pulling and pushing duties using force greater than 5kg;
(iv) avoid walking on flat ground for longer than 20 minutes at a time;
(v) avoid standing for longer than one hour at a time;
(vi) take a break from seated computer-based work every 20 minutes;
(vii) computer workstation should be ergonomically optimised wherever possible;
(viii) avoid driving for longer than 30 minutes at a time;
(ix) avoid performing any tasks that involve repetitive bending and twisting of the torso;
(x) avoid performing any tasks that involve overhead or above shoulder height work;
(xi) avoid performing any work tasks in confined spaces;
(xii) avoid performing any tasks that involve repetitive tight gripping with the left hand;
(xiii) avoid talking continuously for longer than 10 minutes at a time; and
(b) Dr Mitchell prescribed the following vocational restrictions:
(i) physical activities below mid chest height and close to the body trunk, particularly if repeated or sustained in nature, to avoid aggravating his symptoms;
(ii) frequent manual handling actions should be limited to 5kg in force with respect to lifting, carrying, pushing and pulling actions undertaken;
(iii) on an occasional basis, up to 10kg should be possible in the manner described above, and
(iv) fixed and awkward head and neck spinal postures should be avoided.
(a) no allowance should be made for past and future economic loss other than the amount of statutory weekly payments made;
(b) the claimant was not terminated, he resigned his position and relied upon a letter from the employer provided in August 2024 which supported this proposition;
(c) the claimant had been able to exercise capacity to worked unpaid for the period of at least six months in June to December 2024 working a day a week to assist a friend setting up his business, and
(d) he was applying for full-time positions and clearly believed he had the capacity to undertake full-time work.
15 December 2023." 4. Further questioning took place as to why he received payment to end of January 2024, and the claimant believed these payments were in lieu of notice. 5. The insurer relied on the letter provided by Bluestone in August 2024 to evidence the employer's position that the claimant resigned from employment and was not terminated. 6. Critical to the ongoing issue between the parties at the assessment was the impact of this piece of information. Did the claimant in fact resign or was he terminated. 7. The insurer submitted that the claimant left this position for unknown reasons. No logical basis was offered other than the contention that even on the claimant's evidence he had significantly fulfilled the tasks of financially turning the company around by this stage.
(a) Westpac in finance roles ending as Head of Finance and Programme Office from 1985 to 2003;
(b) Santander for over 10 years as finance director of wealth management, managing director of intermediary and corporate banking - 2004 to 2014;
(c) consultancy in UK 2014 to 2016 - returned to Australia, and
(d) NSW Treasury Deputy Secretary of the Policy and Budget group from 2016 to 2022.
post-accident. 6. The claimant gave evidence that he attempted a returned part-time in November 2023 with many of his injuries still impacting upon him. His evidence is that he was terminated on 11 December 2023 and this was a consequence of his reduced capacity which resulted from his injuries sustained in the motor accident. 7. His evidence was clear on this point. He gave his recollect of a meeting with CEO Mark Jones and HR representative Helen Attier:
"I was called into a meeting and advised that they wanted to make it my last week as I was unable to meet the role and they needed someone else that could deal with the demands of the role and attention required."
"... at this point I was in too much pain and too exhausted from my injuries to question the decision. I was suffering high levels of pain and discomfort. I simply did not have the ability or energy to consider alternatives. I also knew that I needed to properly focus on my recovery, both mentally and physically. I had no insight about any PTSD at that time..."
(ii) Duties and Responsibilities
(iii) Basis of employment
(b) Performance Issues
(i) Performance of duties
(j) No issues
(ii) General Health and Attendances
If appropriate, the date and reason(s) for termination of the
ill-health as this was contrary to legislation and highly unlikely in the circumstances. 3. The claimant's counsel took issue with the weight I should give the particular document noting it was unsigned and the author unknown. 4. Having reviewed the various documents provided and referring to the evidence before me on this point, I have accepted the claimant as a witness of truth. I agree with the claimant that the information contained in this response should bear little weight in relation to his cessation of employment and the reason why it took place. If indeed the claimant was requested to leave his position as he could not complete his duties, the employer is unlikely to record it as a termination due to his injuries or illness and more likely persuade the claimant to leave the position and record a "resigned" to avoid legal ramifications. 5. Neith party sought to call the employer to give evidence on this.
"7.7 It is my view that the claimant would not be a suitable candidate for the CFO role with ASIC. If you look at the profile of the person who left the role, Peter Dunlop, the first thing that I see as a major difference is that Peter is a qualified Chartered Accountant. He has 13 years of experience in Federal Government organisations, and he has extensive experience on audit & risk committees. Peter is also a graduate of the Australian Institute of Directors.
7.8 The person who is currently acting in the CFO role, Lisa Rees,2, as per the ASIC Organisational Chart,3 has a similar background to Peter Dunlop. She has almost 10 years' experience in Federal Government, and she is a qualified Chartered Accountant. This demonstrates that the things that were valued by ASIC were having a qualified accountant in the role and having someone with Federal Government experience."
(a) $5,106 (net weekly maximum) x 115.5 weeks (date of accident to
21 October 2025) = $589,743 round down to $580,000 to reflect a very short attempt to return to work;
(b) loss of superannuation in the sum of $70,000, and
(c) tax on payments $26,697.
(a) that the dispute was nuanced and required me to take into account the personal circumstances of the claimant. Not merely an impact to earning capacity by way of percentage. I needed to consider that the claimant is competing with others on the open labour market who are not impaired and it is an "all or nothing proposition";
(b) counsel for the claimant submitted: "The claimant has made valiant attempts since his cessation of employment with Bluestone to obtain alternate employment all of which have been unsuccessful." The claimant having worked in a particular field for many years is different to a younger person on the threshold of a career who may have other avenues open. It was suggested that the claimant has considerable disadvantage and persons without impaired capacity would be preferred;
(c) noting that the claimant has attempted to mitigate his loss counsel further submitted "the proper approach to the assessment of damages is to allow close to full loss that has resulted to him", and
(d) in response to the insurer position the claimant submitted "it is too simplistic and probably wrong."
"(1) Damages may not be awarded for future economic loss unless the claimant first satisfies the court of Commission that the assumptions about future earning capacity or other events on which the award is to be based accord with the claimant's most likely circumstances but for the injury.
(2) The amount of damages for future economic loss that would have been sustained on those assumptions is to be adjusted by reference to the percentage possibility that the events concerned might have occurred but for the injury.
(3) If an award for future economic loss is made, the court or Commission is required to state the assumptions on which the award is based and the relevant percentage by which damages were adjusted."
(a) the claimant has been motivated to return to employment and has attempted to seek employment since the accident on five occasions which has not been successful. The basis of his lack of success is multifactored. His age, gender, qualifications and restrictions all play a part;
(b) the claimant to his credit intends to continue to look for employment and is capable of a return to part-time and possible full-time depending on the role he obtains, and
(c) the claimant intended to work to age 70 years and thereafter intended to continue in a consultancy capacity or Board member roles.
55 years as an increased area of demand (7.27 at page 554)." 13. I accept that the claimant to date has not been able to find suitable employment. I also agree with the insurer that the claimant may be able to find a position tomorrow. 14. I am also persuaded by the opinion of Mr Claire that the claimant is likely to find employment in other areas if he seeks such roles. Mr Clare opined he is well suited to "head or risk, head of treasury, head of product in both state government and private commercial enterprises." 15. The claimant is likely to suffer economic loss if a lower paid role is accepted to that he was receiving at Bluestone. Bluestone was paying him a significant amount higher than the industry average. His earning capacity in the role of CFO at Bluestone was $444,708 gross compared to an average for CFO's currently of $225,000 across the industry sector at present as reported by Mr Claire. 16. The claimant to his credit is continuing to seek employment. He is looking for the highly paid roles, applying for them and clearly believes he has the experience, qualifications and capacity to undertake these roles even now. He also gave evidence he will continue to seek employment.
(a) the current statutory weekly maximum $5,106;
(b) for a period to age 70 years (8 years) noting the claimant is currently 62 years of age;
(c) the calculation being $5,106 weekly x multiplier for eight years (345.6) = $1,764,633.60;
(d) less vicissitude of 40% = $705,853.44;
(e) $1,764,633.60 -$705,853.44 = $1,058,780.16;
(f) superannuation as claimed (11%) = $ 116,465.80, and
total inclusive of superannuation amounts to $1,175,245.96**.**
(a) past-economic loss $676,697
(b) Future loss of earnings (incl. superannuation) $1,175,245.96
(c) Travel $50,000
Total of economic losses and non-economic loss $2,326,942.96
(a) on the amount of past economic loss of $599,535 from the last dated of work being 15 December 2023 in the sum of $34,397.06 as per calculations made in paragraphs 16 to 20.
(a) The insurer submitted the application for interest should only commence after it had the opportunity of its own medico-legal evidence after the claim was wholly particularised. Given the claimant was and is still actively job seeking and final particulars were provided on 12 May 2025. It calculated interest in accordance with its mathematical formula in par 16 and 17 of final submissions dated 31 October 2025. The sum conceded was $16,071.03.
(a) 27 March 2025 to 30 June 2025 : 8.35% x 75% = 6.2625% - rate of 102.87 per day x 96 days = $ 9875.52
(b) 1July 2025 to 7 November 2025: 7.85% x 75% = 5.8875% = 96.71 per day x 130 days = $12,572.30
(c) $22,447.82 x 50% = $11,223.91
Midha
Insurance Australia Limited t/as NRMA Insurance [2025] NSWPIC 595;