austlii:nsw/NSWPIC/2025/356
General information, not legal advice.
NSWPIC
2025-07-28
Original judgment source is linked above.
"1. Leave to appeal an interlocutory decision is granted, pursuant to s 352(3A) of the , to the extent that this is necessary. > > 2. The Certificate of Determination dated 26 March 2024 is revoked. > > 3. The matter is remitted to a different non-Presidential member for redetermination."
(a) The appropriate date of injury, and as a consequence:
- the calculation of the applicant's Pre Injury Average Weekly Earnings (PIAWE), and
- the calculation of the applicant's entitlement to weekly compensation benefits as a result of injury.
PROCEDURE BEFORE THE PERSONAL INJURY COMMISSION
(a) Application to Resolve a Dispute and attached documents;
(b) Reply and attached documents, and
(c) An Application to Lodge Additional Documents, filed by the applicant on 9 May 2025, attaching a supplementary statement of the applicant and a list of payments.
(a) The applicant on 16 April 2025;
(b) The respondent on 7 May 2025;
(c) The respondent's further submission on 12 May 2025, and
(d) The applicant on 28 May 2025.
(a) 31 March 2022 - provisional weekly payments notice issued, with a date of injury of 3 January 2022 and a PIAWE of $1092.53;
(b) 11 April 2022 - review application made by Ms Wells-Demant (from what I can see, personally), in respect of the calculation of PIAWE;
(c) 22 April 2022 - review decision made, confirming the calculation of PIAWE as set out in the earlier notice;
(d) 22 June 2022 - the respondent accepted liability for a psychological injury "that happened whilst at work on 21/03/2022". The PIAWE figure in that decision was $1150.03;
(e) 14 July 2022 - the applicant (through her solicitors), sought review of the "determination in relation to our client's PIAWE rate". The decision under review is not dated but is said to be attached to the correspondence;
(f) 5 August 2022 - review decision issued, to "confirm our original decision and matters in dispute dated 31 March 2022 and 22 April 2022", with a PIAWE of $1,050.03;
(g) 4 November 2022 - the applicant's solicitors sought a review of the "decision in relation to our client's PIAWE";
(h) 6 December 2022 - review decision issued confirming the original decision and matters in dispute in notices of 31 March 2022, 21 April 2022, and 5 August 2022, confirming the PIAWE of $1,050.03;
(i) 10 January 2023 - further review sought of PIAWE by the applicant's solicitors. I cannot see, in the material before me, a decision in respect of this review request. Based on the content of other review documents, I do not think a decision was made following this request;
(j) 18 May 2023 - the applicant's solicitors requested a review via email (I do not have this email before me);
(k) 8 June 2023 - review decision issued, confirming decisions made on 31 March 2022, 22 April 2022, 5 August 2022 and 6 December 2022 (this decision refers to the above email);
(l) 14 June 2023 - review form completed by Ms Wells-Demant (digitally signed by her), seeking a review of injury date and PIAWE. Ms Wells-Demant asserts that the injury date should be 11 March 2021, with a loss of capacity from 17 December 2021, with the PIAWE being $2,388.30;
(m) 28 June 2023 - review decision issued, confirming previous decisions of 31 March 2022, 22 April 2022, 5 August 2022, 6 December 2022 and 8 June 2023;
(n) 30 November 2023 - Application lodged in the Commission with a date of injury of 19 July 2021, claiming compensation from 18 March 2022 with a PIAWE of $2,282.90. It is noted that "The issue in dispute is the correct period for which the PIAWE calculation should be used."
(o) 19 December 2023 - Reply lodged by the respondent, raising disputes as per the dispute notice, as well as seeking to raise other issues including federal jurisdiction, injury, and incapacity.
"The appellant raises the following grounds of appeal: > > (a) The Member erred in the exercise of her discretion in not allowing the appellant to place 'injury' in dispute. (Ground No. 1) > > (b)The Member erred as a matter of fact in finding that the respondent suffered injury on 19 July 2021 and not 18 March 2022. (Ground No. 2) > > (c) The Member erred in law by not providing any or any adequate reasons for the finding of injury that she made. (Ground No. 3)" (at [16])
"1. Leave to appeal an interlocutory decision is granted, pursuant to s 352(3A) of the Workplace Injury Management and Workers Compensation Act 1998, to the extent that this is necessary. > > 2. The Certificate of Determination dated 26 March 2024 is revoked. > > 3. The matter is remitted to a different non-Presidential member for redetermination."
"a. the appropriate date of injury, and as a consequence: > > i. the calculation of the applicant's Pre Injury Average Weekly Earnings, > > ii. the calculation of weekly payments as a result of injury."
"(i) at the time of the worker's ... incapacity, or > > (ii) if ... incapacity has not resulted from the injury - at the time the worker makes a claim for compensation with respect to the injury".
"As explained in Thoroughgood, the correct position is that where a disease injury causes an incapacity (in the sense of a reduction in earning capacity) and at the same time gives rise to an entitlement to compensation under the 1987 Act (whether for permanent impairment or treatment expenses or otherwise), s 15(1)(a)(i) operates to deem the date of injury relevant to any such claim to be the time when the worker suffered incapacity. This does not turn on the framing of the claim by the claimant but rather on the entitlement to claim, as illustrated most clearly in Thoroughgood, as to which see especially at [124] below. It means that since, in this case, on 20 January 2017, the appellant suffered a disease injury that caused both an incapacity giving rise to an entitlement to claim weekly compensation and also, at the same time, an entitlement to claim treatment expenses, that was the deemed date of injury relevant to both claims. That is not altered by the fact that he ultimately abandoned the claim for weekly compensation."
work-related injuries result in an incapacity for work. 4. The relevant date, based on incapacity, must be incapacity that gives rise to an entitlement to weekly compensation, being a loss of wages (per Per Hodgson JA in Stone v Stannard Brothers Launch Services Pty Ltd [2004] NSWCA 277 (Stone) at [37]):
"Berkeley Challenge shows that, if the claim under consideration is for weekly compensation based on incapacity, the relevant incapacity for the purposes of s.16(1)(a)(i) is incapacity giving rise to entitlement to weekly compensation. Thus, in such a case, incapacity first occurs when the physical incapacity results in some loss of wages, even if there had previously been incapacity in the Arnotts sense, not resulting in any loss of wages."
"In March 2021, asbestos was found in the Applicant's workplace. One of her male staff members was diagnosed with asbestosis and the Applicant was fearful he would die and that she would come to a similar fate. > > The EAP services were involved to support the other staff members given the anxiety and physical threats. > > The Applicant reached out to EAP services for her own emotional support and addressed her anxiety. It took almost three months to do a deep clean of the classrooms. This caused the Applicant stress. > > During the period of the claim the Applicant was also managing ten staff and there was marked anxiety and anger within the staff and she was supporting the staff with no time for her own health and wellbeing. > > This was emotionally overbearing and extremely distressing and by in June 2021 she became suicidal. > > The Applicant reached out to Lifeline and saw a psychiatrist in July 2021. She was on Escitalopram and Lamotrigine for ten years and the psychiatrist changed her medication to Desvenlafaxine, Quetiapine and Clonidine over a month. > > The Applicant relinquished one of her head teachers positions as she displayed poor stress coping and her anxiety was debilitating. > > The Applicant's condition continued to deteriorate and by 18 March 2022 the compounded stressors in the workplace caused her to suffer injury and claims weekly wage compensation."
"Was on antoideptrssants for depression and anxiety 2015-2017. Waened off last year. > > feels ok now as life has been good. Gone back to teaching this year and feeling anxious again..." (sic)
"Thanks for seeing Michelle who was diagnosed with depression and anxiety 10 years ago. She was treated with lexapro and lamptrigine which helps her symptoms. She broke up with her fiancée in September last year. She experienced some emotional and psychological trauma with this relationship and she is havign difficulty processing these feelings and is feeling very sad and confused. Any thoughts of havign to deal with her ex makes her very anxious and panicky. Could you please assess for PTSD and review medication". (sic)
"Dissatisfied with the relationship, she worked long hours and took excessive responsibilities to escape her partner. Michelle reports she was doing two head teachers job and working around the clock. She has given up excessive responsibilities now. She is happier at work now. Michelle reports he has cut down work as she was not able to cope with the excess responsibilities she has taken up in her role. On cutting down her work Michelle has realised she is easily triggered by negative stimuli in her environment. The negative and environmental stimuli trigger he memories of past trauma".
"depression and anxiety fluctuating since 4/21 as a resutl of stressors at work > > started as a result of trying to manage asbestos in building at work > > has been to psychiatrist" (sic)
"At the 2nd follow-up in September 2021, Michelle reported remission of depression. She presented for review last week with a relapse of depression with severe anxiety. This is in context of significant stress from work place. Michelle reported she had been working at the Queanbeyan high school for last 4 years. She has worked as head teacher on and off for last 2 to 3 years. Michelle reports she was carrying the workload of two teachers previously. She enjoys teaching and has gone back to being a classroom teacher. She is feeling burnt out from prolonged periods of stressful working environment".
"has been suffering with derpression and anxiety for some time and has been on medication and psychological care for this in the past > > She was reviewed by my colleague Dr Curtotti at this practice and a referal to a psychologist was mad on 19/7/21 to address these issues as well as to address increasing anxiety due to stressors as Deputy principal at Queanbeyan High School as also contributing to her worsening symptoms > > I would support Ms Wells in her claim that her psychological health had been impacted from this time" (sic)
"The finding of a deemed date in the circumstances is not simply a matter for medical evidence; it is to be determined "by reference to all the relevant evidence". Of necessity it will involve a consideration of the lay and medical evidence."
"Her onset of her psychological condition and decline occurred in June 2021 with her relinquishing her other position and gradually deteriorated with resuming school with exacerbation and inability to work since March 2022. She was partially incapacitated since 2021 and became fully incapacitated in March 2022 due to progression of anxiety with adjustment disorder. There was shame, embarrassment and financial stress but she pushed herself to continue working until March 2022."
"Ms Wells believed her injury had occurred in March 2021 and said that she was in dispute with Allianz around the injury being in March 2022. She believed she had reached a point of incapacity in December 2021."
"Around this time she was referred to a psychiatrist. She had wondered at the time whether it was an issue related to a breakup that had occurred twelve months earlier, although recognised in retrospect this was not likely. She did not want to accept that this was a workplace issue because her identity as a teacher had been so important for her."
"I would state this date is most likely March 2021 when the issues around the asbestos started. According to the history provided by Ms Wells, this led to a deterioration in her mental state. She had continued to try and work as her mental state was deteriorating which further exacerbated the situation".
"Ms Wells denied any mental health issues or acute stressors in the lead up to the asbestos incident in 2021. She reported the new onset of psychological symptoms in March 2021. She felt scared/anxious, responsible for the wellbeing of the affected teachers, unsupported, and developed insomnia."
"In summary, although it would seem likely that Ms Wells was sensitive to developing stress, anxiety and mood problems after relationship breakups, the predominant contributor in this case remains the workplace injury. She self-reported feeling well in the leadup to the workplace injury. Because of the time course that I understand separated the relationship break up to the workplace injury, I think it would be unlikely that the breakup played a predominant role in her symptoms in March 2021 or now."
"Ms Wells is a full-time secondary school teacher (head teacher) who has lodged a claim for a psychological injury (18 January 2022) due to decompensating over the course of the past year. The trigger events were the process around asbestos removal from the school, a claim of overwork, managing two faculties, as well as having to do casual teaching and briefly relieving for the deputy principal".
"The respondent's statement at [33] to [47] dealt at some length with her psychological symptoms in the latter part of 2021. She said she was at "breaking point with [her] emotional reserves depleted in June 2021 during the school holidays. [She] then became suicidal." She said she had time off work without specifying when and that her continued absences exhausted her sick leave. The evidence does not support the found deemed date of injury of 19 July 2021. The appellant submits this was an error of fact. > > I accept that the finding of a deemed date of injury at [25] of the reasons involved error."
Wells
Secretary, Department of Education [2025] NSWPIC 356;