The primary judge's decision
20 The primary judge set out in general terms the appellant's evidence with respect to his involvement in the traumatic events to which Glynn J had referred in [68] of her judgment in the Commission. Senior counsel for the appellant informed us that all but one of the 38 events so detailed in the evidence before Glynn J was the subject of identical evidence before the primary judge.
21 The primary judge recorded the appellant's evidence that he began to experience nightmares commencing several years prior to his discharge from the police force whereby he relived traumatic events which he had experienced, and that these dreams occurred well prior to his transfer from the Dog Squad in October 1997. She referred to his evidence of vulnerability at work and sleeping difficulties and to the fact that his family relationships had deteriorated. Reference was made to the appellant's evidence, supported by other witnesses, that he had become agitated and short-tempered.
22 It was common ground that the appellant had not sought any medical treatment or assistance in relation to any of the events which he said troubled him prior to 8 October 1997, notwithstanding that he had suffered nightmares and flashbacks in relation to those events commencing well prior to that date.
23 After detailing the appellant's evidence as well as that of the lay witnesses called on his behalf, together with the evidence of Superintendent Ellis with respect to the events of 8 October 1997, her Honour then turned to the medical evidence. At [36] of her judgment she recorded the evidence of Dr Selwyn Smith, who had treated the appellant since his admission to the St John of God Hospital in early February 1998. The appellant had been admitted, she said,
"… with a diagnostic criteria for chronic alcoholism, major depressive disorder and post-traumatic stress disorder. In respect of that latter diagnosis, Dr Smith noted he had recorded the appellant to have experienced 'flashback' episodes of work-related incidents and in his view these episodes were in keeping with a diagnosis of PTSD."
24 After referring to Dr Smith's report of 28 June 1999, the primary judge recorded the following:
"38. Following further treatment and consultation with the appellant Dr Smith was of the view the diagnostic criteria for PTSD had been satisfied, and the appellant did not have an adjustment disorder. He recorded he had obtained a history from the appellant of exposure to a multiplicity of traumatic events from 1981 up to a discharge from the service and that he had witnessed and associated with many fatal accidents, was confronted with frequent suicides, and witnessed individuals being murdered, and burnt in their motor vehicles. He recorded that whilst on highway patrol duties the appellant had experienced a number of accidents as a result of confrontations with offenders and in particular the death of a young woman pedestrian had been particularly traumatic. He also recorded the appellant to have been knocked from his police motorcycle on several occasions and to have been threatened with a rifle. In his view the appellant satisfied the diagnostic criteria for PTSD.
39. In lengthy and repetitive cross examination Dr Smith did not resile from his opinion."
25 Her Honour then referred to the evidence of Dr J A Roberts who saw the appellant on 14 October 1997 on referral from his GP, Dr Michael. At that first consultation her Honour recorded that Dr Roberts was of the opinion that the appellant suffered an adjustment disorder as a result of his problems at work. Upon review on 16 March 2000, Dr Roberts noted that the adjustment disorder had not resolved and that the appellant was now being treated for PTSD based upon a belief by his treating psychiatrist (Dr Smith), that his condition arose as a result of exposure to multiple traumas during the course of his work. It would appear that Dr Roberts did not necessarily agree with this diagnosis.
26 The primary judge then referred to the evidence of Dr Canaris, a consultant psychiatrist called on behalf of the appellant. Her Honour recorded that Dr Canaris thought there was a very high incidence of alcohol abuse amongst PTSD sufferers, and continued (at [47]):
"He [Dr Canaris] thought several factors contributed to the appellant's decompensation, including the history of severe exposure to trauma but the immediate trigger was his perception of unfair and nepotistic displacement from his job. However he thought it important to note that symptoms of PTSD were present for many years before that incident and thus whilst his transfer from the Dog Squad was also a substantial cause of his illness it was by no means the only substantial cause."
27 Her Honour then made reference to a medico-legal report of Dr Lewin, a consultant psychiatrist called on behalf of the respondent, relating to his assessment of the appellant on 18 January 2000. Objection was taken to the tender of this report upon the basis that it was apparently prepared for the purpose of determining whether the appellant was suffering from PTSD at the time he was discharged from the police force. In other words, it was prepared for the purpose of defending the accuracy of the STC's certificate that excluded PTSD as an infirmity. As her Honour recorded (at [52]), Dr Lewin's view was that the appellant's essential problem was his emotional reaction to the events of October 1997 magnified by his alcohol abuse over a period of time and by aspects of his hospital treatment. Dr Lewin had concluded in these terms:
"Prior to 1997 Mr Murray experienced stress in the context of a range of unpleasant experiences in the line of his duty. He had some post-traumatic symptoms. However, diagnosis of Post Traumatic Stress Disorder would not explain his reaction to the problems in October 1997, nor does it explain his period of dysfunction leading to his medical retirement in May 1999. In my opinion the correct diagnosis is Adjustment Disorder, anxiety and depressive symptoms in a vulnerable individual."
28 Although Dr Lewin accepted that it was arguable that the appellant had some clinical features of PTSD, in his opinion the appellant's case did not fulfil the diagnostic criteria for that disorder.
29 I interpolate at this point that Dr Lewin's report was, in my opinion, inadmissible on the ground that it was irrelevant to the issue which the primary judge had to decide. It was common ground and, for that matter, recognised by her Honour initially (at [2]), that the issue of causation was the primary matter for her determination. Furthermore, she was bound by the STC's amended Certificate of Incapacity that the appellant was incapable of discharging the duties of his office as a consequence of PTSD: Saad v Commissioner of Police (1995) 12 NSWCCR 70 at 75F. In these circumstances, Dr Lewin's opinion that the appellant was not suffering from PTSD was irrelevant. It was a given. The only question was whether it was work-related.
30 Finally, the respondent relied upon a report of Dr Lee, also a consulting psychiatrist. He also expressed the view that it was unlikely that "the infirmity was pre-existing". He suggested that he should be provided with further information. However, he consolidated his report in these terms:
"On the other hand, built into the definition of Post Traumatic Stress Disorder is the statement that the condition is caused by life-threatening or dangerous situations. Accordingly, if he genuinely suffered symptoms before the attempt to transfer him, the condition of Post-Traumatic Stress Disorder would be work-related."
31 Having received additional documentation in a subsequent report of 14 August 2002, Dr Lee expressed the opinion that the appellant's then condition "whether PTSD or otherwise", was precipitated by his being overlooked to lead the newly created Dog Squad and his later removal from that squad. He also said this:
"It is difficult to reject the proposition that he did not suffer a condition significantly caused by his duties because of these complaints (provided they are genuine reports) and because there was no indication of post-traumatic stress disorder until some time after the admission to St John of God Hospital."
32 This last statement is difficult to understand but I take it to be an expression of Dr Lee's opinion that the appellant had not suffered any condition significantly caused by his duties as a police officer. Furthermore, it may be that he was opining that the appellant was not in fact suffering from PTSD.
33 At [56] of her judgment, her Honour noted that the appellant had given evidence of a number of stressful events to which he was exposed in the course of his employment. She acknowledged that many of those events were traumatic and involved the appellant in dangerous situations at times. However, she considered that
"such events are part and parcel of the duties of a police officer".
34 That may be true, but what it has to do with the present issue is difficult to fathom. If her Honour was intending to convey that the appellant could not have suffered from PTSD as a consequence of those events because they were part and parcel of his duties as a police officer, then clearly she was in error. However, such an error was probably one of fact rather than of law.
35 The primary judge then noted (at [57]) that in October 1997 the appellant appeared to relate all his problems to his transfer from the Dog Squad. This, she said, gave credence to the respondent's submission that the appellant performed some rationalisation of prior events after his transfer in October 1997 and then sought to attribute his emotional problems to those prior events in the police service. However, it is noteworthy that the respondent has not referred us to any medical evidence to support this submission and, according to senior counsel for the appellant, there was none.
36 In [60] of her judgment, the primary judge said this:
"It is submitted by Counsel for the appellant that he was suffering impaired function in his day to day living consequent to an undiagnosed condition of PTSD both in the eighties and nineties albeit he was coping with that condition, relying upon the appellant's evidence of dreams he had experienced prior to October 1997 and also to the evidence of Mr Jones that the appellant had become increasingly short tempered, was working excessive hours, and there had been changes in the appellant's attitude to his job prior to that time. There was also evidence of Miss Connors relating to changes in the appellant's personae and appearance. Both these witnesses were credible, but I am of the opinion, on the balance of probabilities, that their evidence does no more than establish the appellant worked long hours, was short tempered and did not take care of himself. It does not establish injury."
37 Her Honour's conclusion that the evidence of Mr Jones and Ms Connors did not establish "injury" fails, in my opinion, to take account of the fact that the changes in the appellant's personae and appearance as observed by those witnesses, particularly short-temperedness, fulfilled one or more of the symptoms of increased arousal referred to in criterion D of the diagnostic criteria for PTSD in DSM-IV. However, for present purposes, that is by the by.
38 In [61] her Honour noted the evidence of Dr Roberts that all the problems of which the appellant complained related to his transfer to general duties rather than to past events by way of traumatic matters during the course of his service. She accepted that evidence.
39 At [64] the primary judge noted that for the appellant to succeed he must establish that he was injured in such circumstances as would, if he were a worker within the meaning of the Workers Compensation Act 1987, entitle him to compensation under that Act. She then referred to s 4 of that Act whereby the appellant was required to establish that he sustained injury arising out of or in the course of his employment with the respondent and that his employment was a substantial contributing factor thereto (s 9A). Her Honour then concluded in the following terms:
"65. Leaving aside s 11A for the moment, it seems to me that up to 8 October 1997 the appellant attended to his duties in the Dog Squad and also worked secondary employment with no outward problem. He sought no medical attention, nor any counselling. He told no one of any difficulties he may have experienced and to all intents and purposes was a fully functional police officer. He clearly enjoyed his position in the squad and enjoyed working with the dogs. It was not until the meeting of 8 October 1997 he became dysfunctional. From that time it seems to me his world fell apart as a result of that meeting and his transfer from the dog squad. The effect of the meeting was to cause the appellant to decompensate and to then seek to rationalise to the extent that he became incapacitated and sought to attribute such incapacity to prior events in the service rather than the effect of the transfer, per se.
66. I am not satisfied on the balance of probabilities the appellant has established that he suffered injury within the meaning of s 4 before 8 October 1997, nor that any incapacity resulted from employment before that date."
40 Her Honour then went on to consider s 11A of the Workers Compensation Act, 1987 which, relevantly, provides as follows:
"(1) No compensation is payable under this Act in respect of an injury that is a psychological injury if the injury was wholly or predominantly caused by reasonable action taken or proposed to be taken by or on behalf of the employer with respect to transfer, demotion, promotion, performance appraisal, discipline, retrenchment or dismissal of workers or provision of employment benefits to works."
41 After considering that the appellant's transfer was reasonable action by his employer within the meaning of s 11A(1), the primary judge held that she was satisfied that the respondent had discharged the onus in respect of that provision. In my opinion that conclusion inevitably carried with it a finding that the PTSD from which the appellant was suffering was wholly or predominantly caused by his transfer from the Dog Squad on 8 October 1997. This is a critical finding as will appear.
42 Accordingly, her Honour determined that she was not satisfied on the balance of probabilities that the infirmity of, inter alia, PTSD arose out of the appellant's employment with the police force nor resulted from injury in the course of that employment. She accordingly dismissed his appeal and confirmed the decision of the respondent that his being "hurt on duty" did not cause his certified infirmities.