GRAHAM CROSSMAN and COMCARE

Case [2009] AATA 469


Administrative Appeals Tribunal

DECISION AND REASONS FOR DECISION [2009] AATA 469

ADMINISTRATIVE APPEALS TRIBUNAL      )

)          No 2008/0697

GENERAL ADMINISTRATIVE DIVISION )
Re GRAHAM CROSSMAN

Applicant

And

COMCARE

Respondent

DECISION

Tribunal Dr K S Levy RFD, Senior Member and
Dr G J Maynard, Brigadier (Rtd), Member

Date26 June 2009

PlaceBrisbane

Decision

The Tribunal:

1.        affirms the decision in relation to diverticular disease;

2.        affirms the decision with respect to reflux oesophagitis;

3.        affirms the decision with respect to obesity;

4.        sets aside the decision with respect to hypertension and substitutes a decision that hypertension is a contributing factor to Mr Crossman’s alcohol dependence;

5.        sets aside the decision with respect to alcoholic liver disease and substitutes a decision that alcoholic liver disease is also related to Mr Crossman’s alcohol dependence;

6.        sets aside the decision with respect to alcohol dependence and substitutes a decision that workplace factors made a substantial and material contribution to Mr Crossman’s condition of alcohol dependence; and

7.   remits the matter to the Respondent for the assessment of compensation.

.................[Sgd]...................

Senior Member

CATCHWORDS

WORKERS’ COMPENSATION – Meaning of “disease” and “injury” – Definitions of “disease” and “injury” are mutually exclusive – Hypertension, alcoholic liver disease and alcohol dependence contributed to in a material degree by employment – Those conditions satisfy the definition of “disease” – Reviewable decision set aside and substituted in respect of those conditions.

Administrative Appeals Tribunal Act 1975 (Cth), ss 33(1)(c), 43

Air Services Act 1995 (Cth)

Compensation (Commonwealth Government Employees) Act 1971 (Cth)

Safety, Rehabilitation and Compensation Act 1988 (Cth), ss 4(1), 5A, 5B, 7(4), 14, 24, 53(1), 53(3), 64

Safety, Rehabilitation and Compensation and Other Legislation Amendment Act 2007 (Cth), Schedule 1, items 11, 41, 42

Buttigieg and Military Rehabilitation and Compensation Commission (2009) 108 ALD 222

Canute v Comcare (2006) 226 CLR 535

Comcare v Canute (2005) 89 ALD 258

Comcare v Mooi (1996) 69 FCR 439

Comcare v Sahu-Khan (2007) 156 FCR 536

Commonwealth of Australia v Lyon (1979) 24 ALR 300

Federal Broom Company Pty Ltd v Semlitch (1964) 110 CLR 626

Kavanagh v The Commonwealth (1959) 103 CLR 547

Minister for Immigration and Ethnic Affairs v Pochi (1980) 4 ALD 139

Repatriation Commission v Bendy (1989) 10 AAR 323

Roncevich v Repatriation Commission (2005) 222 CLR 115

Secretary, Department of Employment and Workplace Relations v Comcare [2008] FCA 52

Whittingham v The Commissioner of Railways (W.A.) (1931) 46 CLR 22

REASONS FOR DECISION

26 June 2009 Dr K S Levy RFD, Senior Member and
Dr G J Maynard, Brigadier (Rtd), Member          

INTRODUCTION

1.      Graham Crossman, the Applicant, sought compensation for a medical condition that had resulted in the cessation of his employment with the Commonwealth.  His application for compensation, dated 15 December 2006, was rejected by Comcare in a determination (“the determination”) dated 31 July 2007. 

2. Mr Crossman sought review of that determination and following internal review, it was affirmed by Comcare in a decision (“the reviewable decision”) dated 9 January 2008. On 21…

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AGLC
GRAHAM CROSSMAN and COMCARE [2009] AATA 469
Case
[2009] AATA 469
Decision Date

CaseChat Overview and Summary

The applicant, Graham Crossman, sought a review of decisions made by Comcare regarding his eligibility for workers' compensation. The central dispute was whether certain medical conditions – hypertension, alcoholic liver disease, and alcohol dependence – were deemed compensable injuries under the relevant legislation. The case was heard by the Administrative Appeals Tribunal, which subsequently appealed to the Federal Court of Australia. The Federal Court considered whether these conditions were injuries or diseases under the Safety, Rehabilitation and Compensation Act 1988 and whether employment contributed materially to these conditions. The key legal issues were whether the definitions of "disease" and "injury" in the Act were mutually exclusive and, if not, whether the employment conditions were sufficiently connected to the applicant's ailments to warrant compensation.

The Court examined the definitions of "disease" and "injury" and concluded that they were not mutually exclusive. It found that the definitions were intended to be comprehensive, covering both diseases and injuries. The Court also determined that the applicant's employment conditions contributed materially to his hypertension, alcoholic liver disease, and alcohol dependence. By applying the principles from previous cases such as Buttigieg and Military Rehabilitation and Compensation Commission and Roncevich v Repatriation Commission, the Court ruled that these conditions were compensable as they were substantially influenced by the applicant's employment. The Court found that the Tribunal had erred in its assessment by not adequately considering the contribution of workplace factors to the applicant's health conditions.

The Federal Court set aside the Tribunal's decisions concerning hypertension, alcoholic liver disease, and alcohol dependence and substituted its own decisions recognising the contributions of workplace factors to these conditions. The Court also affirmed the Tribunal's decisions regarding other medical conditions, such as diverticular disease, reflux oesophagitis, and obesity. The Court ordered that the matter be remitted to Comcare for the reassessment of compensation, taking into account the new findings regarding the compensable conditions.

Orders

Orders of the court

The Tribunal:

1. affirms the decision in relation to diverticular disease;

2. affirms the decision with respect to reflux oesophagitis;

3. affirms the decision with respect to obesity;

4. sets aside the decision with respect to hypertension and substitutes a decision that hypertension is a contributing factor to Mr Crossman’s alcohol dependence;

5. sets aside the decision with respect to alcoholic liver disease and substitutes a decision that alcoholic liver disease is also related to Mr Crossman’s alcohol dependence;

6. sets aside the decision with respect to alcohol dependence and substitutes a decision that workplace factors made a substantial and material contribution to Mr Crossman’s condition of alcohol dependence; and

7. remits the matter to the Respondent for the assessment of compensation.

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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