| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Portelli v Marble Group Pty Ltd [2021] NSWPICMP 31 |
| APPELLANT: | Jason Portelli |
| RESPONDENT: | Marble Group Pty Ltd |
| APPEAL PANEL: | Member John Wynyard Dr Margaret Gibson Dr Brian Noll |
| DATE OF DECISION: | 22 March 2021 |
CATCHWORDS: | WORKERS COMPENSATION- Whether contralateral small joints in the hand showing pronounced restriction of movement was “normal” to be used as a base line; Chapter 2.20 of the Guidelines considered; Nguyen v Pasarela Pty Ltd [2020] NSWSC considered; Held- MAC confirmed. |
STATEMENT OF REASONS FOR DECISION OF THE APPEAL PANEL IN RELATION TO A MEDICAL DISPUTE
BACKGROUND TO THE APPLICATION TO APPEAL
On 20 November 2020 Jason Portelli, the appellant, lodged an Application to Appeal Against the Decision of Approved Medical Specialist. The medical dispute was assessed by Dr David Crocker, an Approved Medical Specialist (AMS), who issued a Medical Assessment Certificate (MAC) on 30 October 2020.
The appellant relies on the following grounds of appeal under s 327(3) of the Workplace Injury Management and Workers Compensation Act 1998 (1998 Act):
· availability of additional relevant information (being additional information that was not available to, and that could not reasonably have been obtained by, the appellant before the medical assessment appealed against),
· the assessment was made on the basis of incorrect criteria,
· 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.
The WorkCover Medical Assessment Guidelines 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 the WorkCover Medical Assessment Guidelines.
The assessment of permanent impairment is conducted in accordance with the NSW Workers Compensation Guidelines for the Evaluation of Permanent Impairment, 4th ed 1 April 2016 (the Guides) and the American Medical Association Guides to the Evaluation of Permanent Impairment, 5th ed (AMA 5). “WPI” is a reference to whole person impairment.
RELEVANT FACTUAL BACKGROUND
Following Consent Orders on 21 August 2020 a delegate of the Registrar on 20 October 2020 made an amended referral for an assessment of permanent impairment caused to the “right upper extremity (wrist, hand, shoulder) – consequential injury” by injury on 29 January 2015.
The Consent Orders, when compared to the original pleadings in the ARD form, demonstrate that by consent a number of claims for compensation had not been pressed, amongst them, the claims for injury to the left arm and the left wrist:[1]
“Injury Description / Cause of Injury
Neck, right arm, right shoulder, right elbow, right hand, right thumb, left arm, left wrist
On or about 29 January 2015 the applicant was working at a bench gluing wooden boxes together. Once the glue was applied, he then had to take the boxes to hold…
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- Case
- [2021] NSWPICMP 31
- Decision Date
CaseChat Overview and Summary
The central legal issue before the court was whether the contralateral small joints in the hand, which showed pronounced restriction of movement, could be deemed "normal" for use as a baseline. The court was required to consider the relevant guidelines, particularly Chapter 2.20, and evaluate the precedent set in Nguyen v Pasarela Pty Ltd. The court needed to assess whether the pronounced restriction of movement in the contralateral small joints should impact the determination of compensation.
The court, after careful consideration, confirmed the decision of the MAC. The reasoning involved a detailed examination of Chapter 2.20 of the Guidelines and the principles established in Nguyen v Pasarela Pty Ltd. The court concluded that the pronounced restriction of movement in the contralateral small joints should not be used as a baseline for determining compensation. The decision was based on the premise that the restriction in movement was not indicative of a "normal" state and thus should not be used as a comparative baseline.
The final orders of the court confirmed the decision of the MAC, with no further orders made beyond this confirmation. The plaintiff's argument that the pronounced restriction of movement in the contralateral small joints should not be used as a baseline was upheld. The court's decision aligns with the principle that a "normal" state should not be based on pronounced restrictions, thereby ensuring a fair assessment of compensation.
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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