[2013] AATA 149
Division VETERANS' APPEALS DIVISION File Number
2012/0471
Re
PHILLIP ROBERTSON
APPLICANT
And
REPATRIATION COMMISSION
RESPONDENT
DECISION
Tribunal Mr R G Kenny, Senior Member
Date 19 March 2013 Place Brisbane The Tribunal sets aside the decision under review and substitutes its decision that the veteran’s posttraumatic stress disorder is war-caused in accordance with s 9(1)(e) of the Act; that the respondent is liable to pay, in accordance with s 13 of the Act, compensation to the veteran for incapacity associated with that condition with effect from 20 August 2009; and that the matter of the assessment of that incapacity is remitted to the respondent.
.............................[SGD...........................................
Mr R G Kenny, Senior Member
CATCHWORDS
VETERANS’ AFFAIRS – Operational service with Royal Australian Navy – Posttraumatic stress disorder unrelated to eligible service – Clinical worsening of posttraumatic stress disorder in accordance with Statement of Principles – Whether aggravation must be permanent – Reasonable hypothesis of aggravation of posttraumatic stress disorder raised – Not satisfied beyond reasonable doubt that aggravation of posttraumatic stress disorder not war-caused – Decision set aside – Matter remitted for assessment.
LEGISLATION
Veterans' Entitlement Act 1986 (Cth) ss 5D, 9(1), 9(6), 13, 70(5), 177
CASES
Bushell v Repatriation Commission (1992) 175 CLR 408
Conway v Repatriation Commission (1988) 9 AAR 397
Heaps and Repatriation Commission (1987) AATA 718
Meehan v Repatriation Commission (2001) 64 ALD 366
Ramsey and Repatriation Commission [2002] AATA 581
Repatriation Commission v Bawden [2012] FCAFC 176
Repatriation Commission v Deledio (1998) 83 FCR 82
Repatriation Commission v Milenz [2006] FCA 1436
Repatriation Commission v Smith (1987) 15 FCR 327
Repatriation Commission v Yates (1995) 86 ALD 80Smith and Repatriation Commission [2005] AATA 1057
SECONDARY MATERIALS
Statement of Principles: Instrument No. 5 of 2005 (as amended by Instrument No. 77 of 2012)
REASONS FOR DECISION
Mr R G Kenny, Senior Member
BACKGROUND
Phillip Robertson (“the veteran”) served in the Royal Australian Navy (“the RAN”) from 8 April 1966 until 31 December 1973. On 20 November 2009, he lodged a claim, under s 9 of Veterans’ Entitlements Act 1986 (Cth) (“the Act”), for a pension for “aggravation of PTSD”. That claim was rejected by the Repatriation Commission on 8 March 2010 and by the Veterans’ Review Board (“the Board”) on 15 November 2011.
SERVICE, ISSUES AND LEGISLATION
During his RAN service, the veteran rendered eligible service in the form of operational service from 3 April 1971 until 8 April 1971 and from 17 May 1971 until 1 June 1971.
In order for a condition to be accepted as being war-caused, one of the requirements in s 9 of the Act must be met. Relevantly, in this matter, ss 9(1)(e) and 9(6) of the Act read:
(1) … for the purposes of this Act, an injury suffered by a veteran shall be taken to be a war‑caused injury, or a disease contracted by a veteran shall be taken to be a war‑caused disease, if:
…
(e) the injury suffered, or disease contracted, by the veteran:
(i)…
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CaseChat Overview and Summary
The legal issues before the Tribunal included whether the PTSD was contracted during a non-eligible service period and subsequently aggravated by eligible war service, and whether the aggravation of PTSD qualifies as a disease under the Safety, Rehabilitation and Compensation Act 1988 (Cth). The Tribunal also had to consider the credibility of the veteran's evidence and whether the respondent's submissions regarding the veteran's non-disclosure of the incident and the sparseness of the medical reports were valid.
The Tribunal found the veteran to be a reliable witness and accepted his account of the events leading to the aggravation of his PTSD. The Tribunal concluded that the PTSD did become clinically worse due to the incident on the HMAS Duchess, and this constituted an aggravation of his condition under the Act. The Tribunal further determined that the PTSD was war-caused and that the respondent was liable to pay compensation for incapacity associated with the condition. The matter of assessing the incapacity was remitted to the Repatriation Commission.
The Tribunal's decision was based on the evidence provided by the veteran and the medical reports. It rejected the respondent's arguments regarding the veteran's credibility and the sparseness of the medical records. The Tribunal held that the veteran's PTSD was aggravated by his war service, and the respondent was liable to compensate the veteran for the incapacity resulting from the condition.
Orders
Orders of the court
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Background
Background to the litigation
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Evidence
Evidence Before The Court
Decision
Reasons for decision
Ratio Decidendi
Legal Principle Established
Mr Harding noted the descriptions of the veteran in the medical reports as not being “forthcoming”, as being a “proud man”, and the reference to his “not travelling as well on the surface as his brave face would show”. He submitted that this went some way to explaining the non-disclosure of the information over the years about the fan incident. However, in relation to Dr Carter, Mr Harding submitted that the veteran may well have advised her in 2003 of the fan incident. The veteran believed he did so advise her; Dr Carter conceded that he may have done so. He also submitted that regard should be had to the very sparseness of Dr Carter’s clinical notes which clearly could not have encompassed all that passed between her and the veteran over a treatment period spanning some nine years. PROCEDURE FOR CONSIDERATIONA Precondition The relevant causation provision in this matter is s 9(1)(e)(ii) of the Act. It applies where a disease, in this case posttraumatic stress disorder, was contracted during a period of non-eligible service before the commencement of a period of eligible war service rendered by the veteran, in this case from 17 May 1971 until 1 June 1971, and the posttraumatic stress disorder was aggravated by that period of eligible war service. A precondition to the operation of that provision is set out in s 9(6) of the Act. It applies where the veteran has either rendered operational service or where the period of the veteran’s eligible war service by which the disease was aggravated was six months or longer. Those options are expressed in the alternative and, although the period of service which is said to have aggravated the veteran’s disease was of two weeks duration, he had rendered operational service.[8] Accordingly, s 9(1)(e) of the Act has application to the veteran’s circumstances.[8] See Ramsey and Repatriation Commission [2002] AATA 581 at [13] and Smith and Repatriation Commission [2005] AATA 1057 at [31].The Disease A definition of disease is given in s 5D of the Act which, relevantly, reads:(a) any physical or mental ailment, disorder, defect or morbid condition (whether of sudden onset or gradual development); or(b) the recurrence of such an ailment, disorder, defect or morbid condition;but does not include:(c) the aggravation of such an ailment, disorder, defect or morbid condition; or(d) a temporary departure from:(i) the normal physiological state; or(ii) the accepted ranges of physiological or biochemical measures;that results from normal physiological stress (for example, the effect of exercise on blood pressure) or the temporary effect of extraneous agents (for example, alcohol on blood cholesterol levels). The terms of s 5D(1)(c) of the Act exclude aggravation from that definition.[9] That exclusion is consistent with the terms of s 9(1)(e) of the Act,[10] in which the relevant “disease” is the disease contracted earlier and subsequently aggravated by some aspect of service. [9] See Conway v Repatriation Commission (1988) 9 AAR 397 at 401 (Full Court). I have noted the contrary opinion expressed by Wilcox J in Meehan v Repatriation Commission (2001) 64 ALD 366 at 371 that the exclusion of aggravation from s 5D was limited to aggravations which result from the factors listed in s 5D(d) of the Act, namely physiological stress or the temporary effect of extraneous agents.[10] Set out above at para 3 (above).