Gait and Comcare (Compensation) [2018] AATA 4282 (16 November 2018)
Division:GENERAL DIVISION
File Number(s): 2016/4672
Re:Beverly Gait
APPLICANT
AndComcare
RESPONDENT
DECISION
Tribunal:Senior Member Linda Kirk
Dr Ion AlexanderDate:16 November 2018
Place:Sydney
The Tribunal affirms the decision under review.
................................[sgd]....................................
Senior Member Linda Kirk
CATCHWORDS
COMPENSATION – workers compensation – neck injury – whether Applicant suffered an injury or disease – whether claimed injury arose out of, or in the course of, employment – whether employment contributed to a significant degree – expert medical evidence considered – pre-existing history of neck pain and degenerative disease of the cervical spine – decision under review affirmed
LEGISLATION
Compensation (Commonwealth Government Employees) Act 1971 (Cth)
Safety, Rehabilitation, Compensation and Other Legislation Amendment 2007 (Cth)
Safety, Rehabilitation and Compensation Act 1988 (Cth) ss 4, 5A, 5B, 7, 14,CASES
Australian Postal Corporation v Burch (1998) 156 ALR 483
Comcare v Mooi [1996] FCA 1587; (1996) 69 FCR 439
Comcare v Power [2015] FCA 1502; (2015) 238 FCR 187; 149 ALD 286; 68 AAR 228
Comcare v Reardon [2015] FCA 1166; 148 ALD 356
Comcare v Sahu-Khan [2007] FCA 15; (2007) 156 FCR 536
May v Military Rehabilitation and Compensation Commission (2015) 233 FCR 397; [2011] AATA 886
Military Rehabilitation and Compensation Commission v May [2016] HCA 19
Prain v Comcare [2016] AATA 459
Kennedy Cleaning Services Pty Ltd v Petkoska [2000] HCA 45; (2000) 200 CLR 286; 174 ALR 626
Ogden Industries Pty Limited v Lucas [1967] HCA 30; (1967) 116 CLR 537
Reardon and Comcare [2015] AATA 360REASONS FOR DECISION
Senior Member Linda Kirk
Dr Ion Alexander16 November 2018
INTRODUCTION AND BACKGROUND
Ms Beverley Gait (‘the Applicant’) was born in June 1963 and commenced employment with Australian Border Force (ABF) in May 2011 as an Australian Border Force Officer.
By application dated 1 March 2016[1] the Applicant lodged a claim for compensation under s 14 of the Safety, Rehabilitation and Compensation Act 1988 (Cth) (‘the SRC Act’) in respect of a neck injury she claimed to have suffered at work on 27 May 2015 (‘the Claimed Injury’).
[1] T Documents, T9 at pages 37-42.
In a determination dated 18 May 2016,[2] the Respondent denied liability under s 14 of the SRC Act in respect of the Claimed Injury on the basis that the Applicant had not suffered an injury which was significantly contributed to by her employment.
[2] T Documents, T21 at pages 85-88.
On 1 July 2016 a delegate of the Respondent affirmed the determination[3] (‘the Reviewable Decision’).
[3] T Documents, T25 at pages 94-100.
On 31 August 2016 the Applicant applied for a review of the Reviewable Decision by this Tribunal.[4]
[4] T Documents, T2 at pages 4-5, Application for Review of Decision dated 31 August 2016.
The matter was heard by the Tribunal in Sydney on 30 and 31 August 2018. The following witnesses gave oral evidence at the hearing:
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CaseChat Overview and Summary
The court was required to determine three key issues. Firstly, whether the applicant suffered an "injury (other than a disease)" that arose out of, or in the course of, her employment. Secondly, whether the applicant suffered an aggravation of a "disease" to which her employment contributed to a significant degree. Thirdly, if either of these conditions were met, whether the injury or aggravation resulted in incapacity for work or impairment for the purposes of the SRC Act.
The court considered the distinction between an "injury simpliciter" and a "disease" under the SRC Act. An injury simpliciter requires a causal or temporal connection with employment, whereas a disease requires employment to have contributed to a significant degree. The court noted that whether a condition constitutes an injury or a disease is determined on a case-by-case basis, requiring precise evidence concerning the nature of the physiological change. The court found that the applicant did not suffer an injury within the meaning of section 14 of the SRC Act.
Consequently, the court ordered that the reviewable decision be affirmed, and Comcare was not liable to pay compensation to the applicant for the claimed injury.
Orders
Orders of the court
Full text does not contain this section.
Background
Background to the litigation
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Evidence
Evidence Before The Court
Decision
Reasons for decision
Ratio Decidendi
Legal Principle Established
The Respondent argued that the pain and restrictions on movement the Applicant claims to experience are not materially different from those noted by Dr Goldberg in January 2012, more than three years before the incident on 27 May 2015.[110][110] Transcript at page 82.CONSIDERATION The Tribunal has considered the parties’ submissions, the evidence of the witnesses at the hearing, and all the documentary material before it. The Tribunal is satisfied that the parties had an adequate opportunity to be heard by the Tribunal. Issue 1 - Was the Claimed Injury ‘an injury (other than a disease)’ as defined under s 5A(1)(b) of the SRC Act? The first issue for the Tribunal’s consideration is whether the condition for which the Applicant seeks compensation can be considered a “disease” or an “injury other than a disease” for the purposes of the SRC Act.Distinction between an ‘injury simpliciter’ and a ‘disease’ The distinction between s 5A(1)(a) and s 5A(1)(b) of the SRC Act is an important one for an applicant because, for an injury that is not a disease (often referred to as an “injury simpliciter” – see Military Rehabilitation and Compensation Commission v May (2016) 331 ALR 369,[111] the injury must arise out of, or in the course of, the employment: s 5A(1)(b) of the SRC Act. That is, “… the physical or mental injury has to have a causal or temporal connection with the employee’s employment.”[112] [111] Military Rehabilitation and Compensation Commission v May (2016) 331 ALR 369French CJ, Kiefel, Nettle and Gordon JJ at [378].[112] Ibid, French CJ, Kiefel, Nettle and Gordon JJ at [379]. An injury simpliciter is contrasted with a disease, which must be contributed to, to a significant degree, by the employee’s employment.[113] The latter requires a stronger causal connection between the employment and the ailment: Australian Postal Corporation v Burch (1998) 156 ALR 483 at [486] and Prain v Comcare [2016] AATA 459 at [7]-[8]. [113] Safety, Rehabilitation and Compensation Act 1988 (Cth) s 5B(1). Whether a claimed condition is an injury simplicter or a disease must be determined on a case-by-case basis. As Gleeson CJ and Kirby J observed in Kennedy Cleaning Services Pty Ltd v Petkoska (2000) 174 ALR 626 at [632]: “Generalities are dangerous. The duty of the decision-maker is to apply the language of the relevant legislation to the facts as found in the particular case”. Therefore, the question of whether an applicant has a disease or injury must be determined with reference to “… precise evidence … concerning the nature and incidents of the physiological change…”[114] [114] Kennedy Cleaning Services Pty Ltd v Petkoska (2000) 174 ALR 626 per Gleeson CJ and Kirby J at [637].What is an injury simplicter? In Australian Postal Corporation v Burch (1998) 156 ALR 483 at [488], the Full Court of the Federal Court of Australia found a stroke to be an injury because, in the circumstances, it was “…a disturbance of the normal physiological state … or an ascertainable lesion or dramatic physiological change”. Similarly, in Kennedy Cleaning Gleeson CJ and Kirby J stated that “… a sudden and ascertainable or dramatic physiological change or disturbance of the normal physiological state … may qualify for characterisation as an ‘injury’…” at [637].