| CERTIFICATE OF DETERMINATION OF MEMBER | |
CITATION: | Asgari v iSpark Electrical & Solar Pty Ltd [2021] NSWPIC 295 |
| APPLICANT: | Vahid Asgari |
| RESPONDENT: | iSpark Electrical & Solar Pty Ltd |
| MEMBER: | Cameron Burge |
| DATE OF DECISION: | 18 August 2021 |
| CATCHWORDS: | WORKERS COMPENSATION- Claim for costs of future cervical fusion surgery; injury accepted; whether surgery reasonably necessary as a result of workplace injury; requirement for applicant to demonstrate causal connection on a common-sense basis; Kooragang Cement Pty Ltd v Bates followed; applicant must demonstrate the surgery is reasonably necessary as a result of the work injury; Diab v NRMA Ltd and Bartolo v Western Sydney Area Health Service applied; Held- the surgery is reasonably necessary as a result of the work injury; respondent is to pay the costs of and incidental to the proposed surgery. |
| DETERMINATIONS MADE: | 1. The applicant suffered an injury to his cervical spine in the course of his employment with the respondent on 19 September 2018. 2. As a result of the injury referred to in (1) above, the applicant requires cervical fusion surgery as recommended by Dr Singh, treating surgeon. 3. The surgery recommended by Dr Singh is reasonably necessary as a result of the workplace injury. 4. The respondent has to pay the cost of and incidental to the proposed cervical fusion surgery. |
STATEMENT OF REASONS
BACKGROUND
On 19 September 2018, Mr Vahid Asgari (the applicant) was carrying out his duties in the course of employment with iSpark Electrical & Solar Pty Ltd (the respondent) as a solar installer when part of the roof he was working on gave way, causing him to fall through the ceiling, landing heavily and relevantly sustaining cervical spine injury.
The fact of the applicant suffering a cervical spine injury is not in issue. The applicant brings these proceedings seeking payment by the respondent for the costs of an incidental to a C5-C6 anterior cervical decompression and fusion as recommended by his treating surgeon, Dr Singh.
The respondent denies liability on the basis the proposed surgery is not reasonably necessary as a result of any workplace injury. In particular, the respondent alleges that the effects of the workplace injury on the cervical spine have passed, and the need for surgery, should there be any, does not arise as a result of that injury.
ISSUES FOR DETERMINATION
The parties agree that the only issue remaining for determination by the Commission is whether the proposed anterior cervical decompression and fusion is reasonably necessary.
PROCEDURE BEFORE THE COMMISSION
The parties attended a conference and hearing on 20 July 2021. I am satisfied that the parties to the dispute understand the nature of the application and the legal implications of any assertion made in the information supplied. I have used my best endeavours in attempting to bring the parties to the dispute to a settlement acceptable to all of them. I am satisfied that the parties have had sufficient opportunity to explore settlement and that they have been unable to reach an agreed resolution of the dispute.
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- Case
- [2021] NSWPIC 295
- Decision Date
CaseChat Overview and Summary
The court was required to determine the extent to which the injury accepted by the respondent was causally linked to the necessity for the proposed surgery. It considered the principles established in prior cases such as Kooragang Cement Pty Ltd v Bates, Diab v NRMA Ltd, and Bartolo v Western Sydney Area Health Service. The applicant needed to show that the surgery was reasonably necessary as a direct result of the work injury. The court assessed the evidence provided and the arguments presented by both parties to determine the causal connection and necessity of the surgery.
The court found that the applicant had demonstrated a sufficient causal connection between the workplace injury and the necessity for the proposed cervical fusion surgery. It concluded that the surgery was reasonably necessary as a result of the work injury. Consequently, the respondent was ordered to pay the costs of and incidental to the proposed surgery. The decision underscores the importance of a clear demonstration of the causal link between the injury and the need for medical intervention in workers compensation claims.
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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