Sell and Comcare

Case [2003] AATA 711


Administrative

Appeals

Tribunal

 

DECISION AND REASONS FOR DECISION [2003] AATA 711

ADMINISTRATIVE APPEALS TRIBUNAL      )

)          No A2002/110

GENERAL ADMINISTRATIVE  DIVISION )
Re Rodney Spencer SELL

Applicant

And

Comcare

Respondent

DECISION

Tribunal Mr G A Mowbray, Member

Date19 June 2003

PlaceCanberra

Decision

For reasons given orally the Tribunal sets aside the Respondent's decision of 31 October 2001 and remits the matter to the Respondent for reconsideration with a direction to give effect to the findings of the Tribunal as set out in the reasons for decision that:

(a) Mr Sell’s compensable condition, namely “bilateral anterior compartment syndrome, right posterior and borderline left posterior compartment syndrome”, has resulted in a permanent impairment under section 24 of the Safety, Rehabilitation and Compensation Act (“the Act”);

(b)     The degree of permanent impairment resulting from the compensable condition is 20% under Table 9.5 of the “Guide to the Assessment of the Degree of Permanent Impairment” (“the approved Guide”);

(c) Mr Sell is entitled to additional compensation for non-economic loss under section 27 of the Act in accordance with the following scores under Part B of the approved Guide:

·     Pain  4

·     Suffering  3

·     Mobility  2

·     Social Relationships  1

·     Recreation and Leisure Activities   3

·     Other Loss  2

·     Loss of Expectation of Life             0

The Tribunal orders the Respondent to pay the Applicant’s costs as agreed or taxed.

..................[signed].................

Member

CATCHWORDS

COMPENSATION - permanent impairment - degree of impairment - difficulty with grades, steps and distances - meaning of "difficulty" - jurisdiction to consider non-economic loss

Safety, Rehabilitation and Compensation Act 1988 ss 24, 27

Administrative Appeals Tribunal Act 1975 s 43(1)

Comcare v Nichols [1999] FCA 209

Re Nguyen and Comcare (AAT 10133, 18 April 1995)

Comcare v Moon [2003] FCA 569

Comcare v Fiedler (2001) 115 FCR 328; 34 AAR 237

Re Mooney and Australian Postal Corporation (AAT 9969, 27 January 1995)

Re Curtis and Australian Postal Corporation (AAT 10098, 30 March 1995)

Re Watkins and Comcare (2002) 69 ALD 498; [2002] AATA 613

Re Nuss and Comcare [2002] AATA 170

Re MacDonald and Australian Postal Corporation [2003] AATA 388

Australian Postal Corporation v Oudyn [2003] FCA 318

Lees v Comcare (1999) 29 AAR 350; 56 ALD 84

REASONS FOR DECISION

28 July 2003 Mr G A Mowbray, Member           

History of the Application

1.      On 23 August 2000 Mr Rodney Sell completed a claim for rehabilitation and compensation for shin splints and compartment syndrome.  He stated that he had first received treatment in June 1997 and that the condition was due to running in boots and jumping in and out of vehicles.

2.      On 5 September 2000 the Department of Veterans' Affairs as delegate for Comcare accepted liability for "bilateral anterior compartment syndrome, right posterior and borderline left posterior compartment syndrome”.  For the purposes of the Safety Rehabilitation and Compensation Act 1988 (“the Act”) the date of injury was determined to be 27 May 1997 when treatment was first sought.

3. On 19 January 2001…

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AGLC
Sell and Comcare [2003] AATA 711
Case
[2003] AATA 711
Decision Date

CaseChat Overview and Summary

The case of Sell v Comcare was heard by the Administrative Appeals Tribunal (AAT), involving a dispute over compensation for permanent impairment and non-economic loss. Mr Sell, the applicant, sought compensation for injuries sustained while performing his duties, which led to bilateral anterior compartment syndrome, right posterior compartment syndrome, and borderline left posterior compartment syndrome. Comcare, the respondent, was the entity responsible for providing compensation under the Safety, Rehabilitation and Compensation Act 1988.

The legal issues at hand revolved around the determination of the degree of permanent impairment and the quantification of non-economic loss. The Tribunal had to decide whether the applicant's condition warranted a specific percentage of impairment as per the approved guide and if the applicant was entitled to additional compensation for non-economic loss. The interpretation of the term "difficulty" in the context of grades, steps, and distances was also a matter of contention.

The Tribunal reviewed the relevant provisions of the Act and considered precedent cases, including Comcare v Moon and Comcare v Fiedler. It also examined decisions from the Administrative Appeals Tribunal, such as Re Nguyen and Comcare and Re Mooney and Australian Postal Corporation. The Tribunal found that the applicant's condition resulted in a 20% permanent impairment, as per Table 9.5 of the approved guide. Furthermore, the Tribunal held that the applicant was entitled to additional compensation for non-economic loss, awarding specific scores for pain, suffering, mobility, social relationships, recreation and leisure activities, other loss, and loss of expectation of life.

In light of the findings, the Tribunal set aside the respondent's decision of 31 October 2001 and remitted the matter to the respondent for reconsideration. The Tribunal directed the respondent to give effect to the findings regarding the degree of permanent impairment and the entitlement to additional compensation for non-economic loss. Additionally, the Tribunal ordered the respondent to pay the applicant's costs as agreed or taxed.

Orders

Orders of the court

For reasons given orally the Tribunal sets aside the Respondent's decision of 31 October 2001 and remits the matter to the Respondent for reconsideration with a direction to give effect to the findings of the Tribunal as set out in the reasons for decision that:

(a) Mr Sell’s compensable condition, namely “bilateral anterior compartment syndrome, right posterior and borderline left posterior compartment syndrome”, has resulted in a permanent impairment under section 24 of the Safety, Rehabilitation and Compensation Act (“the Act”);

(b) The degree of permanent impairment resulting from the compensable condition is 20% under Table 9.5 of the “Guide to the Assessment of the Degree of Permanent Impairment” (“the approved Guide”);

(c) Mr Sell is entitled to additional compensation for non-economic loss under section 27 of the Act in accordance with the following scores under Part B of the approved Guide:

· Pain 4

· Suffering 3

· Mobility 2

· Social Relationships 1

· Recreation and Leisure Activities 3

· Other Loss 2

· Loss of Expectation of Life 0

The Tribunal orders the Respondent to pay the Applicant’s costs as agreed or taxed.

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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