| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Miller v Capgemini Australia Pty Ltd [2025] NSWPICMP 582 |
| APPELLANT: | Amanda Miller |
| RESPONDENT: | Capgemini Australia Pty Limited |
| APPEAL PANEL | |
| MEMBER: | John Wynyard |
| MEDICAL ASSESSOR: | Michael Hong |
| MEDICAL ASSESSOR: | Doug Andrews |
| DATE OF DECISION: | 7 August 2025 |
CATCHWORDS: | WORKERS COMPENSATION - Workplace Injury Management and Workers Compensation Act 1998; review of Medical Assessment Certificate (MAC); appeal by claimant from 20% whole person impairment (WPI) assessment for psychological injury; whether social and recreational category assessment of class 3 should have been increased to class 4; whether travel category assessment of class 1 should have been increased to class 2; whether concentration, persistence and pace category assessment of class 3 should have been increased to class 4; whether one-tenth deduction justified; Held – social and recreational category should have been assessed at class 2 but no appeal made from the employer; category of travel confirmed at class 1 on the facts; category of concentration, persistence and pace confirmed at class 3 on the facts; conflicting Supreme Court decisions noted regarding application of Chapter 11.10 of the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment, 4th ed 1 March 2021 (the Guidelines), Marks v Secretary, Department of Communities and Justice (No 2), Matheson v Baptistcare NSW & ACT (and MP decision of Camden Council v Harle) referred to; Chapter 11.10 of the Guidelines applied; MAC revoked regarding section 323. |
BACKGROUND TO THE APPLICATION TO APPEAL
On 10 March 2025 Amanda Miller, the appellant, lodged an Application to Appeal Against the Decision of a Medical Assessor. The medical dispute was assessed by Dr Suneel Chamoli, a Medical Assessor, who issued a Medical Assessment Certificate (MAC) on
10 February 2025.The appellant relies on the following grounds of appeal under s 327(3) of the Workplace Injury Management and Workers Compensation Act 1998 (the 1998 Act):
· the assessment was made on the basis of incorrect criteria, and
· the MAC contains a demonstrable error.
The delegate is satisfied that, on the face of the application, at least one ground of appeal has been made out. The Appeal Panel has conducted a review of the original medical assessment but limited to the ground(s) of appeal on which the appeal is made.
Rule 128 of the Personal Injury Commission Rules 2021 (the PIC Rules) and Procedural Direction PIC7 - Appeals, reviews, reconsiderations and correction of obvious errors in medical disputes set out the practice and procedure in relation to the medical appeal process under s 328 of the 1998 Act. An Appeal Panel determines its own procedures in accordance with r 128(1) of the PIC Rules.
The assessment of permanent impairment is conducted in accordance with the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment, 4th ed
1 March 2021 (the Guidelines) and the American Medical Association Guides to the Evaluation of Permanent Impairment, 5th ed (AMA 5). WPI is reference to whole person impairment. Baseline WPI is a reference…
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- Case
- [2025] NSWPICMP 582
- Decision Date
CaseChat Overview and Summary
The court was required to determine if the assessments for the social and recreational category, travel category, and concentration, persistence, and pace category should have been increased to a higher class than those originally determined. Additionally, the court needed to decide whether the one-tenth deduction applied to the WPI assessment was justified. The primary legal issue was the interpretation and application of the relevant provisions of the Workplace Injury Management and Workers Compensation Act 1998 and the SIRA NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment.
The Court of Appeal found that the social and recreational category should have been assessed at class 2, but no appeal was made by the employer regarding this category. The travel category assessment was upheld at class 1 based on the facts presented. The concentration, persistence, and pace category was also confirmed at class 3, based on the facts. The court noted conflicting decisions from the Supreme Court regarding the application of Chapter 11.10 of the Guidelines, referencing Marks v Secretary, Department of Communities and Justice (No 2) and Matheson v Baptistcare NSW & ACT, along with the MP decision in Camden Council v Harle. Ultimately, the court applied Chapter 11.10 of the Guidelines and revoked the MAC in relation to section 323 of the Act.
Orders
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Background
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Evidence
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Decision
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