austlii:sa/SAET/2025/139
General information, not legal advice.
SAET
2025-12-12
Original judgment source is linked above.
(1) The Tribunal or a court may, on its own initiative or an application by a party to proceedings before the Tribunal or court, refer any medical question or questions arising in proceedings before the Tribunal or court to 1 or more independent medical advisers specified by the Tribunal or court for inquiry and report.
(2) In connection with subsection (1) -
(a) the rules of the Tribunal or the court may specify when a medical question must be referred to 1 or more independent medical advisers; and
(b) the selection of an independent medical adviser must be consistent with any principle or process prescribed by the regulations (including any process which determines which independent medical adviser should be used); and
(c) different medical questions may be referred to different independent medical advisers as part of the same proceedings; and
(d) to the extent that a medical question is referred to more than 1 independent medical adviser, any dispute between the independent medical advisers will be resolved in a manner specified or determined by the Tribunal or the court (as the case may be); and
(e) the question or questions to be referred to an independent medical adviser will be framed by the Tribunal or court after inviting submissions from the parties to the proceedings.
(1) An independent medical adviser to whom a medical question has been referred under this Division may -
(a) consult with any medical practitioner or other health practitioner who is treating or has treated the worker to whom the proceedings relate (the relevant worker); and
(b) consult with such other persons as the independent medical adviser thinks fit (including another independent medical adviser who has considered or is considering the same or another medical question that relates to the relevant worker); and
(c) call for the production of such information (including medical reports, x-rays and the results of other tests) as the independent medical adviser considers necessary or desirable for the purpose of determining the medical question; and
(d) require the relevant worker to submit himself or herself for examination by the independent medical adviser.
(2) Information (including confidential information) may be disclosed to an independent medical adviser under subsection (1) without the breach of any law or principle of professional ethics.
(3) If a worker refuses to comply with a requirement under subsection (1) or in any way hinders an examination of the worker, the independent medical adviser may refer the matter to the Tribunal or the court (as the case may require).
(4) If the Tribunal or a court, on a referral under subsection (3), considers that a worker has acted unreasonably, the Tribunal or court may, by order -
(a) suspend the worker's rights to recover compensation or damages under this Act with respect to the relevant injury;
(b) suspend the worker's rights to weekly payments,
(c) the worker has complied with any requirements specified by the Tribunal or court; or
(d) the Tribunal or court makes an additional order in relation to the matter.
(5) Any weekly payments that would otherwise be payable during a period of suspension under subsection (4)(b) are forfeited by force of this subsection.
(8) Subject to the operation of the preceding provisions, an independent medical adviser may determine any medical question in such manner as the independent medical adviser thinks fit (including by adopting such processes and procedures as the independent medical adviser thinks fit).
(9) An assessment by an independent medical adviser as to any of the following matters is to be taken to be conclusive evidence with respect to the relevant matter in proceedings before the Tribunal or court (as the case may be) unless the Tribunal or court, in the exercise of its adjudicative function, determines otherwise:
(b) the nature and extent of any hearing loss suffered by a worker.
(10) The Tribunal or court (as the case may be) may, as it thinks fit, accept any other matter contained in a report furnished by an independent medical adviser as conclusive evidence for the purposes of proceedings before the Tribunal or court, or give any such matter such other weight as the Tribunal or court thinks fit.
(11) Without limiting any other circumstance where it is appropriate to give reasons, the Tribunal or a court must -
(a) when it makes a determination under subsection (9) in the exercise of its adjudicative function; or
(b) when it decides not to accept any matter as conclusive evidence under subsection (10),
give reasons for its determination or decision (as the case requires).
...
33. The adviser must prepare a report (or participate in the preparation of a joint report) at the conclusion of his or her consideration of the medical question and provide the Registrar with a completed report within 10 working days of the assessment or such longer period as the Registrar may allow. The report should be impartial and unbiased and should be comprehensible, easy to read, and explain medical terminology.
(1) A person who -
(a) wilfully insults a member or officer of the Tribunal, during a sitting of the Tribunal or in going to or returning from the Tribunal; or
(b) wilfully disturbs or interrupts proceedings of the Tribunal; or
(c) misbehaves in any other way before the Tribunal; or
(d) wilfully disobeys an order or direction of the Tribunal,
(2) If a party to proceedings before the Tribunal -
(a) contravenes or fails to comply with an order in the nature of an interlocutory order or an order to do, or refrain from, a particular act; and
(b) makes no reasonable and adequate excuse to the Tribunal for the contravention or non-compliance, the Tribunal may (without limiting its powers to deal with the matter in any other way) order that the party be not heard, or further heard, in the proceedings, or impose another procedural disability or civil penalty the Tribunal considers appropriate to the circumstances of the case.
(3) Before acting under subsection (2), the Tribunal must give the relevant party an opportunity to be heard on the question.
[2] The orders sought and the difficulties associated with Mr Xie's application are addressed in Xie at [20]-[32].
[3] [33]-[37] and the reasoning in addressing the report of Dr Gareth Kastell dated 28 May 2025 that follows.
[4] [2023] NSWCA 152 at [103]- [110] and the reference therein to Ryan v Regent Enterprises (Ryan) (1991) 3 WAR 552.
[7] In relation to claims for damages see Billett v Nominal Defendant (1996) 66 SASR 500; Wilson v Cetovic (1979) 23 SASR 77; Casley-Smith v the District Council of Stirling (No8) (1989) 151 LSJS 135; Stace v Commonwealth (1988) 48 SASR 492, and on appeal_, Stace v Commonwealth_ [1989] SASC 1509; (1989) 51 SASR 391. In the area of workers compensation see Hill v Workers Rehabilitation and Compensation Corporation (1997) 191 LSJS 300; Matusha v Return to Work Corporation of South Australia [2020] SAET 95; Houghton v the State of South Australia in the right of the Department of Human Services (SA) [2023] SAET 61.
[8] The RTW Act is a relevant Act for the purpose of s 42 of the SAET Act.
[9] Cf s 32 of the RTW Act which provides that in the case of the payment of interim benefits, if upon final determination the claimant was not entitled to the interim benefits, the Corporation may recover that amount as a debt in a court of competent jurisdiction.
[10] Xie supra [44] and the reference to Slaveski v State of Victoria and Ors. [2009] VSC 596 and Price v Department for Education [2020] SAET 43.
Xie
Return to Work Corporation of South Australia
For the reasons given in Xie v Return to Work Corporation of South Australia [2025] SAET 52 the Tribunal referred six medical questions to an independent medical adviser (IMA) - a Ministerial Advisory Committee identified Associate Professor Khalid, an accredited psychiatrist, as an appropriate IMA - the Tribunal made arrangements for the applicant to be examined by Dr Khalid so as to enable him to then answer the six questions raised by the Tribunal - the applicant attended the rooms of MLCOA where he was to be examined by Dr Khalid, on the day and at the time that was set for the examination - upon arrival, the applicant asserted that he should be entitled to record the examination and referred to Google reviews of Dr Khalid which had been critical of him - the applicant was advised that consent would not be given to a recording of the examination and the applicant declined to be examined unless the condition he sought to be imposed was accepted - the examination did not take place - the respondent contended that the applicant had refused to comply with a requirement under s 122(1) of the Return to Work Act 2014 (the RTW Act) or he had hindered the examination of him by Dr Khalid, that there had been a referral to the Tribunal in accordance with s 122(3) of the RTW Act and that the Tribunal should exercise the powers conferred by s 122(4) and suspend the applicant's rights to recover compensation under the RTW Act and suspend the applicant's rights to weekly payments until the applicant has complied with requirements set by the Tribunal for him to be examined by an IMA - the applicant contended that he acted reasonably in seeking to impose a condition that the examination be recorded, that the criteria set out in s 122(3) had not been proven, and he opposed the making of the orders sought by the respondent - the applicant pursued an application for separate orders including an order that he not be required to submit to an examination by an IMA - HELD - where examinations to be undertaken by a medical practitioner not the choosing of the worker are by reference to a concept of reasonableness, there is a material difference in its application between an examination arranged by a party to the proceeding in an adversarial system and an examination required by the Tribunal, which affords parties natural justice and procedural fairness, and which the Tribunal finds is necessary in order to achieve justice between the parties - HELD - it is for the Tribunal to determine whether any conditions are to be imposed in relation to an examination to be undertaken by an IMA - the applicant did not contact the Tribunal and seek an order of the Tribunal that conditions be imposed upon Dr Khalid in relation to the examination that would include the recording of the examination - HELD - in the circumstances of this case it was unreasonable to seek to record the examination - HELD - the applicant refused to comply with a requirement relating to the examination and, alternatively, his conduct hindered the examination that was to take place - HELD - there has been a referral to the Tribunal by Dr Khalid, as IMA, in accordance with s 122(3) of the RTW Act - HELD - orders should be made suspending the applicant's rights to recover compensation under the RTW Act and suspending the applicant's rights to weekly payments until the applicant complies with requirements of the Tribunal for him to be examined by an IMA.
New South Wales v Hollingsworth [2023] NSWCA 152
Stace v Commonwealth [1989] SASC 1509; (1989) 51 SASR 391
Matusha v Return to Work Corporation of South Australia [2020] SAET 95
Houghton v the State of South Australia in the right of the Department of Human Services (SA) [2023] SAET 61
Slaveski v State of Victoria and Ors. [2009] VSC 596
Price v Department for Education [2020] SAET 43
(1991) 3 WAR 552
(1979) 23 SASR 77
(1988) 48 SASR 492
(1989) 51 SASR 391
(1996) 66 SASR 500