| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Albright & Wilson (Australia) Limited v Bisson [2023] NSWPICMP 618 |
APPELLANT: | Albright & Wilson (Australia) Pty Limited |
RESPONDENT: | David Thomas Bisson |
| APPEAL PANEL | |
| MEMBER: | Richard J Perrignon |
| MEDICAL ASSESSOR: | Alan Home |
| MEDICAL ASSESSOR: | Tommasino Mastroianni |
| DATE OF DECISION: | 28 November 2023 |
| CATCHWORDS: | WORKERS COMPENSATION - Appeal from assessment of whole person impairment (right upper extremity); whether the assessor erred in failing to use the contralateral left limb ‘as a baseline comparator’ in accordance with the Guidelines at 2.20; whether he failed to take into account an argument that such a comparator should be used; Held – Medical Assessment Certificate revoked and replaced. |
BACKGROUND TO THE APPLICATION TO APPEAL
The appellant employer appeals from the Medical Assessment Certificate of Medical Assessor Giles dated 23 April 2023.
He assessed a 23% whole person impairment (23% right upper extremity, 0% scarring) as a result of injury on 17 April 2018, when the worker injured his right thumb while pushing a high-pressure hose into a hose coupling in the course of his duties as a maintenance fitter. On 21 August 2018, he came to fusion of the carpometacarpal joint of the right thumb at the hands of Dr Kadir, involving right thumb trapeziectomy and suspension plasty.
The appellant submits that the Medical Assessor erred in his assessment of the right upper extremity only, by:
(a) failing to make a deduction for a pre-existing condition or abnormality pursuant to s 323 of the Workplace Injury Management and Workers Compensation Act 1998, by using the contralateral left limb ‘as a baseline comparator’ as did
Dr Breit, on whose assessment the insurer had relied;(b) failing to explain why he made no deduction, and
(c) failing to take into account the report of independent orthopaedic surgeon Dr Breit dated 29 November 2022.
In accordance with the President’s referral, the Medical Assessor assessed the right upper extremity by reference to impairment of the right thumb, fingers and wrist. The parties agree that he erred when combining the various impairments together. They agree that, when accurately combined, these impairments amount to 29% upper extremity impairment in respect of the right hand, and 6% upper extremity impairment in respect of the right wrist, yielding 33% upper extremity impairment which converts to 20% whole person impairment, rather than the 23% assessed.
Nothing turns on it as, for the reasons given below, the Panel has referred the worker to one of its members for examination and assessment.
The Appeal Panel conducted a preliminary review of the Medical Assessment Certificate in the absence of the parties and in accordance with the NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment (4th edition) (the Guidelines).
Submissions
The parties made written submissions which have been taken into account. The appellant’s submissions are summarised briefly above.
The respondent’s worker’s submissions are not repeated in full, but are summarised briefly below.
(a) in effect, Dr Breit assessed a 21% whole person impairment with respect to the right upper extremity and…
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- Case
- [2023] NSWPICMP 618
- Decision Date
CaseChat Overview and Summary
The court was tasked with determining whether the assessor's omission constituted an error that warranted a reassessment of the WPI. The primary legal issue revolved around the proper application of the statutory guidelines in conducting the impairment assessment and whether the failure to use the contralateral limb as a comparator was a significant oversight. The court considered the statutory framework and the Guidelines in evaluating the assessor's methodology and the implications of the contralateral limb's role as a comparator. The court also examined whether the argument regarding the contralateral comparator was adequately presented and considered during the initial assessment.
The court found that the assessor indeed erred in not using the contralateral left limb as a baseline comparator, as mandated by the Guidelines. The court held that this failure to apply the guidelines correctly constituted a significant oversight that affected the accuracy of the WPI assessment. Consequently, the Medical Assessment Certificate was revoked and replaced. The court ordered that a new assessment be conducted in accordance with the correct application of the Guidelines, ensuring that the contralateral limb was appropriately considered in the evaluation of the right upper extremity impairment.
Orders
Orders of the court
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Background
Background to the litigation
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Evidence
Evidence Before The Court
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Decision
Reasons for decision
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Ratio Decidendi
Legal Principle Established
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