Reasoning of medical assessor
- As noted above, the medical assessor correctly identified the deemed date of injury and the period to which it related. He further identified the State as the applicant's employer and his occupation as a courier driver. The first substantial section in the reasons was section 4, entitled "History relating to the injury". Although the worker submitted that this section merely set out background information supplied by him to the assessor, it, together with a brief passage dealing with findings on physical examination, constituted three pages of an eight-page report. The other major section was section 10, entitled "Reasons for assessment". As will be noted, the assessor, understandably, placed significant weight on the history provided by the worker.
- The first section of the history commenced with the following passages:
"The issue at work predominantly related to Mr Wright's manager. … He does not understand why she would pick on him, and described that he was subject to mobbing behaviour, excluded by people because of her, and also repeated passive aggressive behaviour.
He reported that he became sick of the constant harassment and thought about making a complaint in 2015. …
The most significant incident happened in December 2018 and that was when Mr Wright first stopped working. He received treatment and returned to work, but then psychologically deteriorated. He explained there were further problems when he went back to work."
(Although the medical assessor did not refer to the timing, it was common ground that the worker attempted a return to work in February and March 2019.) The account continued:
"He recalled there were changes being made at work, and the drivers were being transferred to Liverpool and he was looking forward to it because it meant he would not be reporting to the same manager. Suddenly management called him and said that his job was gone, he needed to apply for the Liverpool position but the application closed the next Monday. He then discovered that all the other drivers knew they needed to apply in advance, and that again he was the only person being singled out.
…
He said the return-to-work coordinator advised him he should change department to get away from the manager, he just needed to have a [psychiatric] report in support. However, even though he did all that was required, a return to work never happened. He said he was stood down and was told there was no job available for him anymore."
- Some of the history, with additional detail, was repeated in a subsequent passage in section 4 headed "Background history". It reads as follows:
"Mr Wright had been working at Westmead Hospital as a full-time courier and started in 2012. After his injury he tried to go back to work around April 2019, three hours a day, three days a week. He said it lasted about six weeks. He recalled he had a meeting with a higher manager before returning to work and was told that he would not be reporting to the same manager who bullied him, that he would report to another worker and the higher manager. However, when he started work, the higher manager did not turn up and the other worker did not know anything about the arrangement. The manager who bullied him returned to work, and he said that she continued to bully him through the other workers, for example they claimed he has not done the mandatory training online module. He explained to them that he did it, but later discovered that he needed 95% to pass, so even though he did the module he did not pass it. He said there was still ongoing problem. She was still harassing him through other people, and eventually he had to stop work."
- In his "summary of injuries and diagnoses" (section 7) the assessor stated:
"Mr Wright described having developed persisting anxiety and depression, as a result of his employment and interaction with his manager. He described difficulties in returning to work. Since he ceased work with Westmead Hospital, he has not been able to attempt other employment and described chronic functional impairment. Overall, my view is that he developed a Major depressive disorder and his impairment has stabilized."
- As noted above, the assessor concluded in section 8 that there was no "further injury subsequent to the subject work injury".
- The reasons for assessment (section 10) commenced with a very brief paragraph referring to the worker's "numerous statements" and his "major issue relating to his manager". The passage noted the worker's further statement which "discussed the return-to-work problems". The assessor then addressed, with comments, the reports of Dr Michael Robertson, psychiatrist, reports from the St John of God Hospital, and from Dr Clayton Smith, psychiatrist.
- With respect to the first report of Dr Michael Robertson of 28 May 2019, the assessor stated that he:
"noted similar work history and that Mr Wright could not tolerate work trial in March 2019." There is a longstanding pattern of bullying in relation to his line manager and also a co-worker. He stopped work after an argument and accusation from her."
- The assessor also referred to a report by Ms Raj, psychologist, of 19 March 2019, who noted "adjustment disorder due to harassment by manager and the report consistently identified depression and anxiety, as well as noting the return-to-work problems".
- With respect to the first report of Dr Clayton Smith of 18 January 2019, the assessor observed that there was "no psychiatric diagnosis, he could return to work". On 18 March 2020, Dr Smith reported "deterioration in 2019 because he was stuck at home obsessing over what happened at work, and he advised it appeared he developed an adjustment disorder". The assessor also referred to Dr Smith's report of 16 June 2020, which advised that "Mr Wright suffered an aggravation of an adjustment disorder during 2019, especially December 2019 due to decision to relocate position in Liverpool, which required him to reapply for his position and he felt ambushed". (The relevant date should have been earlier in 2019.)
- It is self-evident that lengthy consideration was given to events which occurred in the workplace after 5 December 2018 involving the worker's manager and work colleagues. On the face of the reasons there is no suggestion that Dr Hong appreciated, or had regard to, any limitation on the use that could be made of the "return-to-work problem" which eventuated after 5 December 2018.