Consideration of Issue 1 - Whether new material has arisen
28At the outset, it is important to determine whether the material relied upon by the defendant in support of its application for review truly represents " additional relevant information about the injury ": s 62(1) MAC Act .
29Whether or not " additional information " has come to light, rather than simply the existence of a restatement of existing information already received, or issues already reviewed, is a question of fact: Garcia v Motor Accidents Authority of NSW [2009] NSWSC 1056, per Rothman J, at [38].
30In determining whether or not " additional relevant information about the injury " has arisen, it is important to observe that such information does not arise simply because a party chooses to commission additional medical reports. If the contrary were true, there would never be an end to controversies arising from medical assessments: Singh v Motor Accidents Authority of NSW [2010] NSWSC 1443, per Rothman J, at [45], following Alavanja v NRMA Insurance Ltd [2010] NSWSC 1182, at [43], per Davies J.
31In this context, the critical feature that distinguishes information as having the character of being additional is where it is evident that it has not hitherto featured in the consideration by the MAS Assessor.
32The relevant question then becomes whether, on the most recently obtained medical evidence relied upon by the defendant, and which post-dates the MAS Assessor's certificate, something new or additional, and of relevance has emerged, justifying a re-assessment by MAS.
33The plaintiff contends that the material submitted in support of the application to MAS for re-assessment is not new, and constitutes subject matter that has already been considered by the MAS Assessor. The plaintiff submits that all that is new is that the defendant has gathered new reports, but the subject matter within those reports has already been the subject of medical examination and assessment by the MAS Assessor. To understand the plaintiff's submission it is unfortunately necessary to examine some matters of detail from within the evidence tendered in this motion.
34Having examined those materials in detail, for the reasons that follow, I have concluded that I should accept the plaintiff's submissions as being correct.
35The starting point that leads to that view is the defendant's 4API MAS application form at page 8, where the basis of the request is made plain, namely a re-assessment of the plaintiff's lumbar spine: "GJM-1", page 8. This is in contrast to the initial MAS assessment, which related to the plaintiff's right arm, face, left arm, neck and lower back, as well as her psychiatric status of a claimed adjustment disorder: annexure to Ms Wyatt's affidavit, page 9.
36The point of distinction is of some significance when the insurer's submission in support of a re-assessment is examined in the light of the medical evidence. It is apparent from that examination, that the application by the defendant is based on erroneous assumptions, as was submitted by the plaintiff. It is not based on new material or additional information in the relevant sense, at all.
37The original MAS certificate dated 14 March indicates that the 13 per cent whole person impairment assessment referred to the plaintiff's right upper limb, lower back, neck and left arm: "GJM-1", page 16.
38In support of the application for re-assessment, the defendant has asserted that the MAS Assessor failed to have regard to the MAS guidelines for assessment by not bringing to the attention of the plaintiff, apparent inconsistencies in her presentation concerning her range of movements when comparisons were made between formal and informal examinations: "GJM-1", page 12. However, when that issue is examined more closely in the MAS assessment report, it is apparent that those comments by the MAS Assessor relate to the plaintiff's cervical spine, and not to her lumbar spine, the area now sought to be re-examined: "GJM-1", page 8.
39Further, in support of the application, the defendant makes reference to three medical observations from within the reports by Dr Fitzsimons, Dr Menogue and Dr Maxwell, to the effect that the plaintiff has exhibited evidence of non-organic manifestations, or exaggerated manifestations, quoting the report of Dr Fitzsimons: "GJM-1", page 13. In support of the application, the defendant makes reference to those three medical observations as identifying alleged inconsistencies. The difficulty with the reference to these matters is twofold. First , that they are references to general matters that are not specifically related to the lumbar spine, and in relation to the specific inconsistency relied upon, it relates to an observation of the plaintiff's right arm - "GJM-1", page 13, which is not the asserted basis for the re-assessment. Secondly , the asserted inconsistencies are not new matters as they were already the subject of consideration by the MAS Assessor, as is plain from the material that was before the Assessor.
40The Assessor clearly examined the plaintiff's lumbar spine and made assessments of the range of movement: "GJM-1", page 22. It is therefore incorrect to assert that no formal or informal examination of the lumbar spine was carried out. In fact, the Assessor concluded - at "GJM-1", page 24, that despite the presence of exaggerated pain behaviour in the plaintiff, on the whole, the clinical presentation was consistent with the complaints. Clearly, on the evidence before the Assessor, this involved a consideration of alleged inconsistency that the defendant now seeks to have raised again. The Assessor also noted that his findings concerning the cervical and lumbar spines were similar to those mentioned in the other reports which had been provided to him. In this regard, he specifically stated that he observed the plaintiff's range of movements outside formal examination to be better then those measured in formal examination: "GJM-1", page 25. This again serves to confirm that the alleged inconsistency now sought to be raised, has already been considered by the MAS Assessor, contrary to the position asserted in the defendant's MAS application.
41This latter observation, which obviously also related to the plaintiff's lumbar spine, clearly indicated that the Assessor took matters of argued inconsistency into account, including by reference the comments within the other reports that had been provided to him: for example, "GJM-1", page 39 (Dr Evans).
42Accordingly, the reliance by the defendant on the reports of Dr Fitzsimons, Dr Menogue and Dr Maxwell, as summarised in the submissions within the application for re-assessment, which claim the plaintiff's lumbar problems involve no impairment, and have thus resolved, demonstrates that the commentaries relied upon by those examiners deal with matters that have already been considered by the MAS Assessor, and are not new matters requiring re-assessment even though those comments appear in newly acquired reports, but as re-iterations : "GJM-1", pages 12-15. In my view, this analysis exposes the flaw in the defendant's application.
43Furthermore, when the defendant's references to the MAS Assessor's assessment of the plaintiff's exhibited range of movement are examined - at "GJM-1", pages 22 and 23, it is clear that the Assessor's findings that are sought to be re-assessed, relate to the plaintiff's cervical spine, yet the defendants application for re-assessment is restricted to the lumbar spine. The argument submitted to MAS in support of an application for re-assessment therefore proceeds upon an incorrect premise.
44The foregoing analysis leads me to the view that there are no new matters that have not been previously assessed or considered and that now require assessment by MAS. There are only new reports, which is an entirely different consideration.
45On the foregoing analysis, I find that no new or additional information about the injury has emerged: Garcia , at [38]; s 62(1)(a) MAC Act . All that has emerged is additional or further medical reports obtained by the insurer: Sing ; Alavanja . This material raises no additional relevant information : s 62(1)(a) MAC Act . Accordingly, I find that no justification has been made out for vacating the hearing date on the ground of the intention or argued need to pursue a MAS re-assessment.