Ground 2: failure to address the alternate case
Submissions
49 The applicant submitted that even if his CPS is not a secondary injury to his shoulder injury, the Tribunal failed to deal with the argument that it has given rise to a further permanent impairment beyond the initial restriction to the range of movement of the shoulder which was assessed under 9.11 of the Guide. The applicant submitted that the failure to address a significant part of the case is an error of law.
50 The applicant noted that a claim made under s 24 is in relation to "permanent impairment" arising out of an injury, and if a further permanent impairment arises from the injury, a further claim can be made. The applicant drew attention to s 25(4), which he contended expressly contemplates a payment for an increase in the degree of permanent impairment if that increase exceeds 10%. The applicant pointed to the fact that the respondent submitted that the CPS was not a separate injury but that it arose out of the initial shoulder injury.
51 The applicant submitted that he made this alternate claim in his Request for Reconsideration of his application for permanent impairment based on CPS. In that request, the applicant contended that he sought compensation beyond the restriction on shoulder movement which had been assessed under 9.11 of the Guide and paid 10%, and that claim was put to the Tribunal. The applicant referred to the claim form and other documentation which he submitted supported this proposition. The applicant submitted that the Tribunal wrongly concluded that there was no dispute about the assessment in relation to the applicant's arm, and there was evidence before the Tribunal upon which it could have acted.
52 The applicant submitted that if the CPS was not a secondary injury, the Tribunal made no findings about whether he had suffered further permanent impairment as a result of his original shoulder injury, and on this basis it failed to exercise its jurisdiction.
53 On the other hand, the respondent submitted that the Tribunal did not address the alternative case because it correctly concluded that it did not have jurisdiction to do so.
54 The respondent outlined, by reference to the SRC Act (and the evidence) the Tribunal's jurisdiction in this case, and noted that the jurisdiction arose as a result of the "three tiered decision-making process" in the SRC Act. The respondent drew attention to the key provisions in relation to this decision-making process, noting that: initial determinations are made under s 61 of the SRC Act; provision for reconsideration of that determination is made pursuant to s 62; and any reconsideration is a reviewable decision: s 60. The respondent noted that the Tribunal is given jurisdiction to review a reviewable decision by s 64, and pointed to the following cases in support of this proposition: Lees v Comcare [1999] FCA 753; (1999) 56 ALD 84 at [32] per Wilcox, Branson and Tamberlin JJ; Comcare v Lofts [2013] FCA 1197; (2013) 217 FCR 220 (Lofts) at [17]-[18] per Mortimer J. The respondent submitted that the test for what the Tribunal had jurisdiction to consider was outlined succinctly in Lofts at [57].
55 Accordingly, on the respondent's submission, for the Tribunal to have had jurisdiction to consider the applicant's alternate argument the respondent's reviewable decision must have included consideration of whether the applicant's right shoulder injury caused the applicant's CPS (not elevated to the status of a secondary injury) which caused the partial loss of use of the arm and hand. The respondent submitted it did not.
56 The respondent detailed what it submitted is the chronology of this matter:
(1) There had been a claim and decision making process involving compensation for the permanent impairment arising as a result of the applicant's "unspecified injury to shoulder upper arm (right)". On 30 July 2015, the applicant made a claim for permanent impairment and noneconomic loss under ss 24 and 27 of the SRC Act in relation to the right shoulder condition. Ultimately on 27 January 2017, the Tribunal found that, with respect to the applicant's right shoulder injury, he was entitled to compensation for 10% WPI under s 24 of the SRC Act, with corresponding compensation paid under s 27 of the SRC Act for non-economic loss.
(2) On 5 December 2016, the applicant made a further and separate claim for compensation for permanent impairment arising as a result of his alleged CRPS. In the claim form, under the heading "what permanent injury/impairment(s) of the body do you want to claim for?" the response was "chronic regional pain syndrome (CRPS)" and the claim form focused on the degree of impairment arising in relation to the claimed CRPS.
(3) On 9 May 2017, the respondent denied liability for this further claim for compensation for permanent impairment.
(4) In his request for reconsideration of that decision dated 10 May 2017, the applicant emphasised he did not take issue with the respondent's previous determination accepting 10% impairment in relation to the right shoulder injury. He submitted that "CPS is a separate accepted injury" and that he "is entitled to have assessed any permanent impairment arising from the accepted CPS injury".
(5) On 8 June 2017, the respondent affirmed the determination of 9 May 2017. The Review Officer only addressed the issue of whether the applicant's then accepted chronic pain "injury" resulted in a compensable permanent impairment, concluding it did not. The previous decision making process in relation to the right shoulder injury was only noted as a historical fact and was neither challenged by the applicant nor in any way reconsidered by the respondent.
57 The respondent submitted that this chronology is in the context where up until the Tribunal, the respondent had accepted liability to compensate the applicant for two separate injuries, (1) "unspecified injury to shoulder upper arm (right)" and (2) "complex regional pain syndrome".
58 The respondent submitted in light of those matters the reviewable decision before the Tribunal did not, either expressly or impliedly, consider whether the applicant was entitled to compensation for a further impairment arising as a result of the right shoulder/upper arm injury. Therefore, on the respondent's submission, the Tribunal did not have jurisdiction to consider the applicant's alternate argument that he was entitled to further compensation on the basis of an additional impairment arising from this injury. On this basis, the respondent submitted that the Tribunal's conclusion at [125] was therefore correct and did not involve any error of law.
Consideration
59 As the respondent submitted, the test for determining what the Tribunal had jurisdiction to consider, is succinctly summarised by Mortimer J in Lofts at [57] as follows:
What the Court is required to identify is the reviewable decision that was made by Comcare under s 62 of the SRC Act. That identification will delineate the jurisdiction of the Tribunal. If the reviewable decision included, expressly or impliedly, consideration of Comcare's liability for compensation by way of medical expenses in the terms of s 16 of the SRC Act, as well as a decision on liability under s 14, then the Tribunal was also authorised to consider and determine that issue.
60 The focus is on the reviewable decision, which is the decision of 8 June 2017.
61 The applicant relied on Irwin v Military Rehabilitation and Compensation Commission [2009] FCAFC 33; (2009) 174 FCR 574 and Telstra Corporation Ltd v Kotevski [2013] FCA 27; (2013) 209 FCR 558 in support of the submission that his matter was put on an alternative basis, and that as the reviewable decision did not address that basis, it can implicitly be taken to have dismissed it. However, that proposition does not assist the applicant with the factual issue underlying this ground: whether the alternative basis of the claim now contended for was before the decision-maker conducting the review.
62 The alternate case, while it might have been articulated before the Tribunal, was not a matter before the reviewing decision-maker. The documents relied on by the applicant, properly considered, do not support an alternative case.
63 As to those documents the following observations can be made.
64 First, none of the documents refer to "an alternative case" or put a basis "in the alternative", and so there is nothing explicit in the documents relied on. For example, in relation to the claim form, as the respondent noted, under the heading "what permanent injury/impairment(s) of the body do you want to claim for?" the response was "chronic regional pain syndrome (CRPS)" and the claim form focused on the degree of impairment arising in relation to the claimed CRPS. The applicant does not point to any matter on the form in support of the alternative claim.
65 Second, the applicant relied on the content of the letter he received in relation to the decision of 9 May 2017 where the respondent rejected his claim for liability. In particular, the applicant relied on a reference to an aspect of the evidence of Dr Gorman, which stated "[l]iabilty was accepted in November 2016 for chronic pain syndrome related to his right shoulder condition. I do not believe this is a different condition - the right shoulder led to chronic pain" which was one piece of evidence relied upon by the delegate in concluding that "I find Mr Singleton is not entitled to further compensation for permanent impairment and non-economic loss, on the basis that the degree of the impairment has not increased by 10% as required by section 25(4) of the SRC Act".
66 However, the applicant's request for reconsideration of that decision makes it plain that was not the claim that he made. In a letter to the respondent dated 10 May 2017, the applicant outlined the basis of his requested reconsideration. The request stated "[t]he CPS is a separate accepted injury even if it is secondary to the prior physical shoulder injury. Mr Singleton is entitled to have assessed any permanent impairment arising from the accepted CPS injury". And later, "[t]his is a permanent impairment claim that Mr Singleton applied for but it is NOT the claim [that] was assessed by the Delegate". That is, the applicant submitted that the delegate had not considered his claim, and rather, what was considered by the delegate was not his claim. The applicant did not submit that what was considered by the delegate was an alternate claim that he had made and that the primary claim had not been considered. Read as whole, the letter disavows the approach taken by the delegate and that it related to his claim. Indeed, the whole tenor of the letter is that the delegate approached the consideration on the wrong basis, namely that the applicant might be entitled to compensation under s 25(4) based on increased impairment. That it was contended was not the basis of his case. That is correct.
67 The applicant's submission as to the penultimate paragraph in that letter, appears to be the highpoint of his argument. That paragraph is as follows:
Counterfactually, even if there were not separate injuries but only the original physical injury to the shoulder, the doctor's assessment would still be based on a false legal premise. As you are well aware, section 24 encompasses 'impairments' and not the mere existence of injury. The one injury can result in more than one impairment. Thus, even if, counterfactually, this matter was approached on the basis of a single shoulder injury, it would still be the case that Mr Singleton should be entitled to have both physical impairments assessed on Table 9.11 AND the CPS impairment assessed under Table 9.13.3.
68 The applicant submitted that passage described "the two arms of the argument: that it was an injury entitled to be assessed in its own right which would mean it would receive a straight-up assessment under the guide; or, if it's not an injury entitled to be assessed in its own right, it is a further impairment resulting from the original injury, and, no doubt, it would be assessed under one of those combined impairment tables within the Comcare guide". It was submitted to be the "plain implication" of the passage, that there should be assessment for impairment even if it was regarded as one injury. However, in the context of the letter, that is not clear from that passage. Rather, the passage is premised on the basis that it was contrary to the facts, and that even on that basis, the delegate's decision is still based on a false legal premise. A statement that even if it was approached that way the applicant would be entitled to have the impairment assessed, is not a claim to approach it in that way.
69 This letter is from the applicant's legal representatives. If the applicant's claim was put on alternative bases it would be expected to say so. If it was intended that the claim be on the alternative basis, the drafting of the various documentation did not follow that intention through. That position was not put until the argument in the Tribunal. However, that the applicant there submitted that his case was put on an alternative basis does not alter the content of the claim that had been made, and the nature of the reviewable decision. Although I note that the applicant in his written submission to the Tribunal made clear that he was not reagitating the claim for the accepted right shoulder injury and it was not a claim for a subsequent increased impairment under s 25(4).
70 Third, the applicant in reply called in aid of his submission a passage by Beaumont J in Australian Telecommunications Commission v Novak (1985) 86 ALR 457 that "it became the duty of the Commissioner to make such determinations from time to time as were necessary to confer upon the respondent the particular benefits to which she was, on the facts as they may be from time to time, entitled" citing, Wilcox J in Commonwealth of Australia v Ford [1986] FCA 94; (1986) 65 ALR 323 at 327. From that the applicant submitted that if it is apparent that somebody may have an entitlement, the respondent is supposed to look at it, without fine distinctions being made based upon the wording of the application. It was submitted it was sufficient to draw the issue to the attention of the respondent, sufficiently so it can look at it.
71 However, that does not address the current issue and therefore does not assist the applicant. The Tribunal only has jurisdiction in relation to a reviewable decision that was made by the respondent under s 62 of the SRC Act. As made clear in Lofts, it is the identification of that reviewable decision which will delineate the jurisdiction of the Tribunal.
72 Finally, contrary to the applicant's contention, the respondent's submission was not that if an applicant advanced two matters, but the respondent only dealt with one, there would be no jurisdiction for the Tribunal to hear the two matters. Rather, the respondent's submission, properly considered, was that the claim had not been put on alternative bases and therefore, there were not two bases before the reviewing decision maker. That submission is correct.
73 It follows that the Tribunal's conclusion that it did not have jurisdiction to consider the applicant's alternate basis of the claim was correct, and no error of law has been established.
74 I note however, as the respondent submitted, the applicant can submit a claim for permanent impairment for a second impairment resulting from the right shoulder injury, which is an injury that has been accepted by the respondent.