| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Unisys Technical Services v Walke [2024] NSWPICMP 83 |
| APPELLANT: | Unisys Technical Services |
| RESPONDENT: | Shane Walke |
| APPEAL PANEL | |
| MEMBER: | Catherine McDonald |
| MEDICAL ASSESSOR: | Douglas Andrews |
| MEDICAL ASSESSOR: | Ash Takyar |
| DATE OF DECISION: | 20 February 2024 |
| DATE OF AMENDMENT: | 21 March 2024 |
| CATCHWORDS: | WORKERS COMPENSATION - Workplace Injury Management and Workers Compensation Act 1998; psychological injury; assessment of pre-existing impairment; paragraph 11.10 of the Guidelines, Marks v Secretary, Department of Communities and Justice (No 2) considered; inapplicability of one-tenth deduction in light of history; re-examination; need for medical members of Panel to use judgement, knowledge and experience; Cole v Wenaline Pty Ltd considered; assessment under Psychiatric Impairment Rating Scale; Bojko v ICM Property Service Pty Ltd and Ferguson v State of New South Wales applied; Held – Medical Assessment Certificate revoked. |
BACKGROUND TO THE APPLICATION TO APPEAL
On 16 October 2023 Unisys Technical Services (Unisys) lodged an Application to Appeal Against the Decision of a Medical Assessor. The medical dispute was assessed by Dr John Lam-Po-Tang, a Medical Assessor, who issued a Medical Assessment Certificate (MAC) on 18 September 2023.
Unisys relies on the following grounds of appeal under s 327(3) 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 delegate was satisfied that, on the face of the application, at least one ground of appeal was made out. 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
Mr Walke suffered a psychological injury in the course of his employment with Unisys which is deemed to have been suffered on 1 January 2019. When he commenced that employment in 2016, Mr Walke was under treatment for a pre-existing psychological condition, including consulting a psychiatrist and taking medication. It was agreed that the injury was the aggravation, acceleration, exacerbation or deterioration of a disease and the referral to the Medical Assessor was made by consent.
The Medical Assessor assessed 22% whole person impairment (WPI) under the PIRS (Psychiatric Impairment Rating Scale), placing Mr Walke in class 2 for self care and personal hygiene and social functioning, class 3 for social and recreational activities, travel, and concentration,…
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- AGLC
- Unisys Technical Services v Walke [2024] NSWPICMP 83
- Case
- [2024] NSWPICMP 83
- Decision Date
CaseChat Overview and Summary
The tribunal had to determine whether the one-tenth deduction, as outlined in paragraph 11.10 of the Guidelines for the Assessment of Psychiatric Impairment, should be applied in light of Mr Walke's history of psychological issues. The tribunal examined the reasoning behind Marks v Secretary, Department of Communities and Justice (No 2) and found it inapplicable due to the specific circumstances of Mr Walke's case. The tribunal also considered the necessity for medical members of the Panel to exercise their judgement, knowledge, and experience in assessing such claims, drawing on the principles from Cole v Wenaline Pty Ltd. Furthermore, the tribunal evaluated the assessment conducted under the Psychiatric Impairment Rating Scale, referencing Bojko v ICM Property Service Pty Ltd and Ferguson v State of New South Wales.
The tribunal found that the initial Medical Assessment Certificate was flawed and revoked it. The tribunal concluded that the medical members of the Panel had not appropriately exercised their judgement, knowledge, and experience in assessing Mr Walke's pre-existing psychological impairment. Consequently, the tribunal ordered a re-examination of Mr Walke's case, ensuring that the assessment process adhered to the statutory requirements and properly considered all relevant factors.
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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