| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Pham v Rentokil Initial Pty Ltd [2025] NSWPICMP 79 |
| APPELLANT: | Van Tuyet Pham |
| RESPONDENT: | Rentokil Initial Pty Ltd |
| APPEAL PANEL | |
| MEMBER: | Catherine McDonald |
| MEDICAL ASSESSOR: | Douglas Andrews |
| MEDICAL ASSESSOR: | John Lam-Po-Tang |
| DATE OF DECISION: | 11 February 2025 |
CATCHWORDS: | WORKERS COMPENSATION - Workplace Injury Management and Workers Compensation Act 1998; assessment of psychological injury; parties obtained reports commenting on financial information; Medical Assessor (MA) did not comment on worker’s report but discussed material with worker; role of the MA to make independent assessment; State of New South Wales (NSW Department of Education) v Kaur considered; assessment under permanent impairment rating scale tables for social and recreational activities and travel; Held – Medical Assessment Certificate confirmed. |
BACKGROUND TO THE APPLICATION TO APPEAL
On 11 December 2024 Van Tuyet Pham lodged an Application to Appeal Against the Decision of a Medical Assessor. The medical dispute was assessed by Dr Michael Hong, a Medical Assessor, who issued a Medical Assessment Certificate (MAC) on 19 November 2024.
Ms Pham relies on the grounds of appeal under s 327(3)(c) and (d) 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 President’s delegate was satisfied that, on the face of the application, at least one ground of appeal was made out, being that the MAC contains a demonstrable error. We conducted a review of the original medical assessment, limited to the grounds 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).
RELEVANT FACTUAL BACKGROUND
Ms Pham was employed by Rentokil Initial Pty Ltd (Rentokil) as a banking and allocation officer between 2016 and July 2023. She claimed weekly compensation, medical expenses and permanent impairment compensation. She claimed compensation for 21% whole person impairment (WPI), based on a report by Dr Kumagaya.
When Ms Pham’s claim was listed before a Member of the Personal Injury Commission (Commission), the parties agreed that she suffered a psychological injury, which is deemed to have occurred on 6 October 2022. In a Certificate of Determination dated 27 August 2024, the Member determined that the injury was caused by action taken with respect to performance appraisal but that the action was not reasonable, so that Rentokil’s defence under s 11A(1) of the Workers…
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- AGLC
- Pham v Rentokil Initial Pty Ltd [2025] NSWPICMP 79
- Case
- [2025] NSWPICMP 79
- Decision Date
CaseChat Overview and Summary
The legal issues that the court needed to address included whether the Medical Assessor's interaction with the plaintiff while discussing the material without commenting on the report constituted a breach of the assessor’s independent assessment role, and if so, whether this breach affected the validity of the assessment. Another key issue was the appropriate method of assessing the permanent impairment rating scale for social and recreational activities and travel, in accordance with the relevant statutory provisions. The court considered the precedent set in State of New South Wales (NSW Department of Education) v Kaur to guide its decision.
The court determined that the Medical Assessor’s role is to provide an independent assessment and that discussing the material with the plaintiff did not necessarily invalidate the assessment if the assessor remained independent in forming the final opinion. The court found that the assessor's interaction with the plaintiff did not breach the independence required for the assessment. Furthermore, the court concluded that the assessment under the permanent impairment rating scale tables for social and recreational activities and travel was appropriately conducted. Consequently, the Medical Assessment Certificate was confirmed by the court.
The final orders of the court upheld the validity of the Medical Assessment Certificate, confirming the assessment of the psychological injury and the method used for determining the impairment rating. The court found in favour of the plaintiff, Pham, and upheld the compensation claim against Rentokil Initial Pty Ltd.
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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