| CERTIFICATE OF DETERMINATION OF MEMBER | |
| CITATION: | Parevski v Ventia Boral Amey NSW Pty Ltd [2024] NSWPIC 684 |
| APPLICANT: | Blagoja Parevski |
| RESPONDENT: | Ventia Boral Amey NSW Pty Limited |
| MEMBER: | Diana Benk |
| DATE OF DECISION: | 10 December 2024 |
| CATCHWORDS: | WORKERS COMPENSATION - Workers Compensation Act 1987; claim for whole person impairment arising out of consequential cervical spine condition alleged to have arisen from accepted right shoulder condition; respondent disputed that the applicant had sustained consequential condition; consideration of Murphy v Allity Management Services Pty Ltd, Kooragang Cement Pty Ltd v Bates, and Kumar v Royal Comfort Bedding Pty Ltd; ipse dixit medical opinion providing insufficient reasoning of connection of cervical spine symptoms eight years post injury in the absence of contemporaneous complaints, treatment or investigations; failure to disclose previous pathology and subsequent complaints of neck pain; Held – award respondent in respect of the cervical spine claim. |
| DETERMINATIONS MADE: | The Commission determines: 1. The applicant suffered right shoulder injury on 14 June 2015. 2. The applicant did not suffer injury or consequential condition to his cervical spine. 3. Award for the respondent with respect to the claim for the cervical spine. |
STATEMENT OF REASONS
BACKGROUND
Blagoja Parevski (the applicant) claims lump sum compensation under the Workers Compensation Act 1987 (the Act) for impairment to the right upper extremity (shoulder) and cervical spine/neck said to arise out of injury sustained in the course of his employment with Ventia Boral Amey NSW Pty Ltd (the respondent).
The respondent’s insurer accepted liability for the right shoulder but declined liability for any injury (discrete or consequential) to the cervical spine. Further, it declined to make an offer of settlement in response to the lump sum claim for the shoulder as its qualified opinion resulted in a finding of impairment below the statutory threshold.
This prompted the filing of an Application to Resolve a Dispute (ARD) in the Personal Injury Commission (the Commission). The matter underwent the usual pathway and following conciliation impasse proceeded to arbitration where the sole issue for determination was liability concerning the cervical spine. The parties agreed that if I found an injury/condition in the cervical spine, the impairment dispute was to be referred to a Medical Assessor. In the absence of such a finding, both parties acknowledged referral was redundant as the assessment relating to the shoulder in isolation was below threshold.
At arbitration the applicant was represented by Mr Malouf of counsel instructed by Mr Ayoub. The respondent was represented by Ms Goodman of counsel instructed by Mr Orr. The applicant and an interpreter were present. Ms Brown was the insurer representative.
In the course of decision making, I had regard to the documents attached to the ARD and the Reply along with submissions by counsel. No oral evidence was given.
EVIDENCE
Applicant’s evidence
In his statement dated 4 September 2023 the applicant states;
(a) he was employed by the respondent as a truck driver;
(b) he had no symptoms in the neck or right shoulder prior to…
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- AGLC
- Parevski v Ventia Boral Amey NSW Pty Ltd [2024] NSWPIC 684
- Case
- [2024] NSWPIC 684
- Decision Date
CaseChat Overview and Summary
The court was required to determine whether the cervical spine condition was indeed a consequential injury of the shoulder injury, and if the medical evidence provided by the applicant sufficiently supported this claim. Central to this inquiry was the assessment of the medical evidence presented by the applicant, including whether the ipse dixit opinion offered was adequate in establishing the necessary link between the two conditions, especially given the absence of contemporaneous complaints, treatment, or investigations related to the cervical spine condition. The court also considered the failure of the applicant to disclose previous pathology and subsequent complaints of neck pain, which were pertinent to the causation argument.
The Supreme Court found that the medical evidence presented by the applicant did not adequately establish the connection between the cervical spine condition and the shoulder injury. The court relied on the principles established in Murphy v Allity Management Services Pty Ltd, Kooragang Cement Pty Ltd v Bates, and Kumar v Royal Comfort Bedding Pty Ltd, highlighting the need for a reasoned medical opinion that clearly links the two conditions. The absence of contemporaneous complaints, treatment, or investigations, and the failure to disclose relevant past pathology and subsequent neck pain complaints, further undermined the applicant's claim. Consequently, the court ruled in favour of the respondent regarding the cervical spine condition claim.
The final orders of the court dismissed the applicant's claim for whole person impairment arising from the cervical spine condition, and the respondent was awarded costs associated with the proceeding.
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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