The decision in Canute & its aftermath
11 The decision relied upon by the Tribunal, and a decision of seminal importance to the manner in which the Compensation Act is administered, is the decision of the High Court in Canute v Comcare.
12 Mr Canute had been employed by the Department of Defence as a civilian contractor engaged in cleaning and maintenance duties. In 1998 he injured his back. Comcare awarded him lump sum compensation for 12% whole person impairment under s 24 of the Compensation Act. Mr Canute lodged a second claim for compensation in respect of an adjustment disorder with anxious and depressed mood arising from his back condition. The Tribunal assessed the whole person impairment arising from this adjustment disorder as 10%. But the Tribunal further found that the back injury and adjustment disorder combined produced a whole person impairment of 21%.
13 Of central relevance were s 25(4) and s 25(5) of the Compensation Act which at the time provided as follows:
(4) Where Comcare has made a final assessment of the degree of permanent impairment of an employee (other than a hearing loss), no further amounts of compensation shall be payable to the employee in respect of a subsequent increase in the degree of impairment, unless the increase is 10% or more.
(5) If Comcare has made a final assessment of the degree of permanent impairment of an employee constituted by a hearing loss, no further amounts of compensation are payable to the employee in respect of a subsequent increase in the hearing loss, unless the subsequent increase in the degree of binaural hearing loss is 5% or more.
Since the whole person impairment of 21% did not result in a 10% increase on the 12%, the Tribunal found that no further lump sum compensation was payable.
14 The decision was thereafter the subject of an appeal to the primary Judge, Hill J, who allowed the appeal and remitted the matter to the Tribunal: Canute v Comcare [2005] FCA 299, (2005) 87 ALD 11. There was subsequently a further appeal to the Full Court: Comcare v Canute [2005] FCAFC 262, (2005) 148 FCR 232. French and Stone JJ concluded that although the Tribunal had erred, it had nevertheless come to the right result. Gyles J dissented and agreed with Hill J. The High Court disagreed with the reasoning of French and Stone JJ and agreed with the approach of Hill and Gyles JJ. Gummow A-CJ, Kirby, Callinan, Heydon and Crennan JJ referred at the outset to the structure of the Compensation Act whereby compensation was payable in respect to an employee's "injury" as follows:
[10] At this juncture, three things may be observed about the concept of "an injury". First, the Act does not oblige Comcare to pay compensation in respect of an employee's impairment; it is liable to pay compensation in respect of "the injury". Secondly, the term "injury" is not used in the Act in the sense of "workplace accident". The definition of "injury" is expressed in terms of the resultant effect of an incident or ailment upon the employee's body. Thirdly, the term "injury" is not used in a global sense to describe the general condition of the employee following an incident. The Act refers disjunctively to "disease" or "physical or mental" injuries and, at least to that extent, it assumes that an employee may sustain more than one "injury". The use in s 24(1) of the indefinite article in the expression "an injury" reinforces that conclusion.
Their Honours then turned to the reasoning of French and Stone JJ and said:
[27] … an injury for the purposes of the Act. For the majority, the error by the AAT was in assuming that an injury which is consequential upon a compensable injury is necessarily to be treated as an increase in the level of impairment attributable to that injury without addressing the relevant question; this was whether the adjustment disorder was an "impairment". Having posed that question, the majority answered it affirmatively and supported the application by the AAT of s 25(4).
[28] In his dissenting reasons, Gyles J endorsed the reasons of Hill J and added some reasons of his own. His Honour essentially was of the view that there was no ground for not applying s 24 to the psychiatric injury, given it was "an injury" for the purposes of the Act, and that, on its proper construction, s 25(4) could not affect this conclusion.
Their Honours continued:
[32] For the majority, it was critical that the "injury" constituted by the adjustment disorder could also be described as contributing to a "subsequent increase in the degree of impairment" attributable to the earlier back injury in respect of which a final determination had been made (for the purposes of s 25(4)). This was possible because of the breadth of the statutory definition of "impairment". In those circumstances, the majority construed the Act as requiring that the relevant condition only be treated as going to "impairment" and not as a separate "injury" resulting in an impairment. Upon that reasoning the injury constituted by the adjustment disorder did not give rise to a separate liability under s 24 of the Act because it was also an impairment resulting from the back injury.
In rejecting the approach of French and Stone JJ, their Honours said:
[34] Reduced to its essentials, the conclusion of the Full Court majority depended upon the proposition that:
"the policy of [the Act] seems to require such an injury to be treated as an aspect of the impairment created by the initial injury."
It is clear from the context that what was being referred to was what the majority described as a "consequential injury", a notion supported by Comcare in terms of "primary" and "secondary" injuries. Comcare's case depends upon confining the meaning of "injury" to exclude such "consequential injuries". However, there is no foundation in the Act for any such distinction between "an injury" and a consequential or secondary injury. Neither of these qualifiers finds any expression in the Act. The Act speaks exclusively in terms of "an injury".
A little later, their Honours said:
[37] … It is true that the Guide seeks to provide for the assessment of "the degree of permanent impairment of the employee" on a whole of person basis. But, as indicated earlier in these reasons, s 24(5) of the Act imposes a duty upon Comcare to determine "the degree of permanent impairment of the employee resulting from an injury". It is the occurrence of "an injury" which both actuates and defines the ambit of Comcare's duty pursuant to s 24 of the Act. Once that duty has been performed, subss (3) and (4) of s 24 operate, in a self-executing way, to quantify the amount of compensation payable by Comcare. That amount is payable in satisfaction of Comcare's liability which arises "in respect of the injury" under s 24(1). The Act only adopts the "whole person impairment" approach with respect to permanent impairments resulting from each "injury". That "whole person" approach cannot properly be used to deny the applicability of s 24 to something which corresponds to the legislative definition of an "injury". The statutory criterion of an "injury" is antecedent to the concept of "whole person" impairment, not the other way around.
The decision of the Full Court was, accordingly, set aside. The order made by Hill J was varied such that the decision of the Tribunal was set aside and the matter remitted to the Tribunal to direct Comcare to "determine an amount payable to the applicant … in respect of an injury, being an adjustment disorder with anxious and depressed mood resulting in a degree of permanent impairment … of 10 per cent...". See also: Comcare v Lofts [2013] FCA 1197 at [60], (2013) 137 ALD 522 at 534 per Mortimer J.
15 The decision in Canute was subsequently sought to be distinguished in Fellowes v Military Rehabilitation and Compensation Commission [2008] FCAFC 140, (2008) 170 FCR 531. Ms Fellowes was suffering from an injury both to her left and right knees. The injury to her left knee occurred first, in 1986. She then suffered an injury to her right knee in 1987. The Tribunal distinguished the decision in Canute on the basis that in that case two injuries had been suffered which resulted in separate and distinct impairments; on the facts in Fellowes, the Tribunal concluded that the cumulative effect of both injuries was 10%: Re Fellowes and Military Rehabilitation and Compensation Commission [2007] AATA 1740, (2007) 97 ALD 220. The Full Court concluded that it was not open to the Tribunal to determine that the degree of permanent impairment "resulting from" the second injury attracted a second 10% whole person impairment, as the classification of the degree of impairment was the same following the second injury as it had been immediately before. In the Full Court, French and Lindgren JJ concluded that it was necessary to make allowance for Ms Fellowes' existing permanent impairment when determining the degree of permanent impairment "resulting from" the second injury.
16 Special leave to appeal to the High Court was granted. The High Court reversed the decision of the Full Court of the Federal Court: Fellowes v Military Rehabilitation and Compensation Commission [2009] HCA 38, (2009) 240 CLR 28. Hayne, Heydon, Crennan and Bell JJ summarised the competing arguments as follows:
The competing arguments
[16] The appellant submitted that, each injury having led to a separate impairment, the degree of permanent impairment of the employee that resulted from the injury was determined by looking to the consequences that followed from that injury. The consequences to be identified, so the appellant submitted, were the consequences that followed from the particular impairment as that term is defined in the SRC Act. In this case, because there were two injuries and two impairments, two amounts of compensation should be awarded.
[17] By contrast, the respondent submitted that what was to be determined under s 24(5) was the degree of permanent impairment of the appellant, fixed by reference to Table 9.5 of the Guide. That table classified the impairment of the appellant's capacity to undertake the activities of daily living resulting from the second injury as the same as that which followed as a result of the first. Accordingly, so the respondent submitted, the degree of impairment resulting from the second injury, when assessed in accordance with the Guide, should be assessed as 0 per cent, a result expressly contemplated by s 28(5) of the SRC Act.
Their Honours concluded:
[21] Once it is accepted, as it was in Canute, that the SRC Act hinges about the concept of "injury" and that "impairment" is to be identified in terms of effect on bodily parts, systems or functions, it follows that the appellant's arguments are to be accepted and the respondent's rejected. The conclusion reached by the Tribunal could be supported only by reading s 24(5) as directing, or permitting, Comcare to provide in the Guide for determination of the degree of permanent impairment resulting from an injury by reference to the pre-existing capacities of the particular applicant for compensation.
[22] The argument that s 24(5) directs an approach of that kind (referred to in argument as a "whole person" approach) was expressly rejected by this Court in Canute and the respondent did not seek to reopen what was decided in that case. Rather, the respondent sought to emphasise that s 24(5) required application of the Guide and that s 28(1)(a) required Comcare to state, in the Guide, the criteria by reference to which the degree of permanent impairment resulting from an injury was to be determined.
…
[27] It is, nonetheless, important to make the further point that, on its proper construction, s 24(5) of the SRC Act directs attention to the degree of impairment that results from the injury resulting in the impairment identified in s 24(1). The two sub-sections of s 24 are not to be read as requiring or permitting a different identification of "impairment" in their respective applications. In the application of both sub-sections the focus must fall upon "the loss, the loss of the use, or the damage or malfunction" (s 4(1), "impairment") of a part of the body or a bodily system or function or part of a bodily system or function. And in the present case there were separate losses of use of, or damage to, two parts of the body.
[28] In this last connection, the respondent submitted that, despite there having been separate injuries to each knee, there was in fact only a single effect on (a loss of use of) a bodily function (the function of using the lower limbs). It may be doubted that the function of using the lower limbs is properly described as a bodily function. But even if the words could be understood as extending thus far, the respondent's argument, on examination, is no more than a restatement of the argument that the degree of impairment to be determined under s 24(5) is the degree of impairment as a whole person of the particular applicant for compensation. For the reasons already given, that construction should be rejected.
Again the decision of the Tribunal was set aside and the matter remitted with a direction that Comcare determine "the amount payable … in respect of an injury, being a right knee condition resulting in a degree of permanent impairment … of 10 per cent…".
17 In commenting upon both Canute and Fellowes, Buchanan J in Broadhurst v Comcare [2010] FCA 1034, (2010) 189 FCR 561 at 572 observed:
[49] In Canute and Fellowes the High Court decided that the SRC Act required the individual assessment of each permanent impairment and did not permit any such assessment to be reduced by reference to the occurrence or existence of another impairment, whether resulting from the same injury or earlier occurring. In Canute the High Court emphasised (at [15]) the centrality of "an injury" to the scheme upon which Comcare's liability to compensate depends …
18 The decisions in Canute and Fellowes again came before a Full Court of this Court in Robson v Military Rehabilitation and Compensation Commission [2013] FCAFC 101, (2013) 214 FCR 1. Again the need separately to assess the degree of impairment resulting from each injury was emphasised. Mr Robson had been a member of the Australian Army. Over the years he suffered three injuries which attracted a right to claim compensation, namely:
post-traumatic stress disorder arising from service in Rwanda with the United Nations Peacekeeping Force from August 1994 to February 1995;
aggravation of that disorder resulting from a parachute accident suffered in February 2004, when he suffered fractures to both ankles, his pelvis and coccyx and a duodenal haematoma; and
a major depressive disorder arising from the parachute accident.
The Administrative Appeals Tribunal declined separately to assess compensation for either the aggravation of the post-traumatic stress disorder or the major depressive disorder "because it felt that the medical evidence provided it with only a final overall assessment of the applicant's psychological state." Cowdroy, Buchanan and Katzmann JJ concluded that the approach of the Tribunal "was contrary to the directions given by the High Court in Canute and Fellowes": [2013] FCAFC 101 at [24], (2013) 214 FCR at 6. In so concluding, their Honours reasoned in part as follows:
[31] The respondent attempted to defend the approach taken by the AAT by referring to an instruction in the Guide in the following terms:
6. Combined Impairments
… Where two or more injuries give rise to the same impairment a single rating only should be given.
[32] That is the same instruction with which the High Court dealt in Fellowes. The first difficulty with the argument is that the AAT made no reference to this instruction and did not implement it. Rather than concluding that the applicant's MDD gave rise to the same impairment as the PTSD, the AAT declined to assess that separate condition at all upon the basis that the applicant's overall condition reflected whole person impairment of 50%. The AAT then concluded that, as liability to that level had already been accepted, no further compensation was payable.
The decision of the Tribunal was, accordingly, set aside.