Werschkull v Victorian WorkCover Authority
[2017] VCC 1409
•19 October 2017
| IN THE COUNTY COURT OF VICTORIA AT MELBOURNE COMMON LAW DIVISION | Revised Not Restricted Suitable for Publication |
SERIOUS INJURY LIST
Case No. CI-17-01156
| JEFFREY WERSCHKULL | Plaintiff |
| v | |
| VICTORIAN WORKCOVER AUTHORITY | Defendant |
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JUDGE: | HIS HONOUR JUDGE BOWMAN | |
WHERE HELD: | Melbourne | |
DATE OF HEARING: | 21 and 22 August 2017 | |
DATE OF JUDGMENT: | 19 October 2017 | |
CASE MAY BE CITED AS: | Werschkull v Victorian WorkCover Authority | |
MEDIUM NEUTRAL CITATION: | [2017] VCC 1409 | |
REASONS FOR JUDGMENT
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Catchwords: Accident Compensation Act 1985 – s134AB – injury to the lumbar spine – injury resulting from a single accident – occurrence of accident not disputed – reliance upon paragraph (a) of the definition only – concession that plaintiff entitled to leave in respect of pain and suffering damages – credit of the plaintiff – whether the plaintiff fit for suitable employment – whether the requirements of s134AB(38)(c),(e) and (f) satisfied – factors to be considered.
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APPEARANCES: | Counsel | Solicitors |
| For the Plaintiff | Mr S Smith with Mr L Allan | Zaparas Lawyers |
| For the Defendant | Ms R Kaye | Hall & Wilcox |
HIS HONOUR:
General background
1 This matter comes before me by way of an application pursuant to s134AB(16)(b) of the Accident Compensation Act 1985, hereinafter referred to as “the Act”. The plaintiff originally sought leave to bring proceedings in respect of both loss of earning capacity and pain and suffering. However, the defendant conceded that the plaintiff was entitled to leave in respect of any claim for pain and suffering damages – see Transcript (hereinafter referred to as “T”) 1, 16 and 17. That admission was made in writing on 27 July 2017. I appreciate that this admission was in respect of consequences related to pain and suffering, as opposed to loss of earning capacity, but there will be some references to it throughout this Judgment. It seems to me that, whilst not binding, it does have some relevance to various issues to be considered. The injury relied upon is one to the lumbar spine, with reliance being placed solely on paragraph (a) of the definition of “serious injury” contained in s134AB(37) of the Act – again, see T1. The injury occurred as a result of a single incident, which occurred on 19 December 2012 and when the plaintiff, whilst in the course of his employment as a mechanic, slipped off a step of a truck and fell – again, see T1 and 2. This shall hereinafter be referred to as “the accident” and the injury suffered as “the injury”. The occurrence of the accident is not disputed. As might be expected in circumstances where leave in respect of pain and suffering damages is accepted, the claim generally in respect of the injury was also accepted. The plaintiff received payment of benefits for a period.
2 Mr S Smith of counsel with Mr L Allen of counsel appeared on behalf of the plaintiff. Ms R Kaye of counsel appeared on behalf of the defendant. The plaintiff gave oral evidence, including the adoption of the contents of two affidavits as being true and correct. The balance of the evidence was documentary in nature, including surveillance material, and was tendered either by consent or without objection.
Factual background
(a)The plaintiff’s background, training and employment prior to the injury
3 The plaintiff is aged 39 years, he having been born in 1978. After being educated to Year 10 level, he became a labourer doing sheet metal work for approximately six months. Following that, he worked for two years as a trades assistant at a Ford dealership. He then obtained an apprenticeship with R Kent & Sons, an entity for which he worked for some 15 years. During that period, he received his trade certificate in relation to the automotive industry and then, after attending night school, obtained an automotive electrical trade certificate. Essentially, he worked for R Kent & Sons as a mechanic. He has a great love, almost an obsession, with things mechanical, but especially motor vehicles and particularly Fords – see, for example, T50, 52 and 86.
4 In any event, on approximately 26 March 2012, the plaintiff commenced employment with an entity called Sherrin Equipment Pty Ltd (hereinafter referred to as “Sherrin”). It was whilst employed by Sherrin that the accident occurred and the plaintiff suffered the injury. It would seem that Sherrin, which is based in Queensland, builds cranes and cherry pickers. Its activities are conducted all over Australia and the plaintiff’s job, at its Melbourne establishment, was to service and repair these items of machinery. As stated, the accident occurred on approximately 19 September 2012. As the accident occurred in approximately the middle of the night, there has been some slight confusion as to whether it occurred on 19 or 20 September 2012.
(b)The plaintiff as a witness
5 I have no reason to doubt the credibility of the plaintiff. I note that Dr David Middleton, occupational health and rehabilitation consultant, who examined the plaintiff at the request of his solicitors, described him as being cooperative and as answering questions honestly. Dr Gary Davison, occupational physician, who examined the plaintiff at the request of the defendant, described him as a pleasant and cooperative historian. I would agree with these observations.
6 Some surveillance film of the plaintiff was shown. I do not regard it as damaging his credit in the slightest. Apart from anything else, the most recent portion of this comparatively brief video material was taken on 20 July last. On 27 July, the defendant gave notice that it was satisfied that the injury in question to the plaintiff’s lumbar spine satisfied the requirements of s134AB(38)(b)(i) of the Act – that is, that the plaintiff satisfied the “serious injury” test in relation to pain and suffering. Further, the duration of the video shown was less than 10 minutes. It was admitted that the total period of surveillance was 55 hours and 45 minutes. In addition, the very limited video material that was tendered showed virtually nothing of significance. The plaintiff bent over a few times, but the bottom half of his body was obscured by a type of fence. Whilst apparently walking downhill, he entered into what could be called a slow jog for a few strides. On one occasion he got into a car, but appeared to me to do that quite carefully. The surveillance material did not damage his credit.
7 The impression which the plaintiff gave in the witness box was that of a forthright and truthful witness. He did not seem to exaggerate and made appropriate concessions. All in all, I regard his credit as being undamaged. He seemed to me to be an honest and straightforward witness. I agree with the observations made by the medical examiners referred to above and would again refer to the fact that, at a date subsequent to the surveillance, he was granted a certificate in respect of pain and suffering.
(c)The plaintiff’s health prior to the injury
8 The plaintiff has freely admitted that, in approximately September 2004, he had some low back pain after working on a car for a few days. He was absent from work for one day, but the problem “cleared up” – see his affidavit of 15 November 2016. He also admitted having some low back pain after mowing the lawn in November 2011. He was absent from work for a few days, but that problem resolved. Approximately three months prior to the accident, he had some left hip pain. He saw his general practitioner on 21 September 2012 and was given some anti-inflammatories. I accept that he suffered from no prior back injury or symptoms of any significance. Given the admission in relation to pain and suffering, it is hardly surprising that this was not an issue of importance.
(d) The injury, its treatment and diagnosis
9 Again, given the admission to which reference has been made, the amount of detail required in this regard is not as great as might otherwise have been the case.
10 The plaintiff was employed on a full-time basis by Sherrin as a mechanic and fitter. His work took him to various parts of Victoria and he worked regular overtime. He suffered his back injury effectively in a fall from a stationary truck whilst steam-cleaning it. He subsequently saw his general practitioner, underwent physiotherapy and the like, and was ultimately referred to a neurosurgeon, Mr John McMahon. An MRI was organised, this being performed on 21 January 2013. The conclusion of the radiologist was that the plaintiff had L5-S1 disc disease, which was most likely responsible for the clinical symptoms. At L5-S1 in the left paracentral region, there was a disc extrusion. Without going into the technical details, there was contact and compression of the existing left L5 nerve root.
11 In his ultimate report of 10 February 2017, Mr McMahon commented that the development of the acute L5-S1 disc prolapse which the plaintiff suffered was completely consistent with the type of injury described. Whilst Mr McMahon had not seen the plaintiff since 2013, he felt that there would be permanent restrictions upon the plaintiff’s future work capacity. The views of Mr McMahon about the plaintiff’s prognosis generally and his capacity for work have to be considered in the context of a specialist who has not seen the plaintiff for in excess of four and a half years.
12 The plaintiff was also treated by another neurosurgeon, Mr Craig Timms. Mr Timms reported to the plaintiff’s general practitioner on 31 July 2014, commenting that the plaintiff was still debilitated by left leg sciatica. Another MRI scan was organised. The radiologist reported on 5 August 2014. Her conclusion was that there was a left L5-S1 subarticular disc protrusion with an annular fissure, compressing the traversing S1 nerve root. In the opinion of Mr Timms, the scan showed a persistent L5-S1 disc bulge from which the symptoms seem to be coming. The possibility of surgery was raised, although Mr Timms was hopeful that it could be avoided.
13 Mr Timms subsequently reported to the plaintiff’s solicitors on 25 January 2015. He stated that, as at the time of his reviews, the plaintiff was incapacitated for work due to his symptoms of back pain and sciatica. As far as the prognosis was concerned, Mr Timms thought it likely that the plaintiff would have chronic back pain, along with left leg sciatica, due to the disc protrusion.
14 The most recent report from the plaintiff’s treating general practitioner, Dr Shahroze Khan, is dated 16 January 2017. He noted that the plaintiff’s symptoms had improved over the previous four years and that he had tried returning to work a couple of times. However, he had not been able to continue working due to his back pain. Dr Khan considered that the bending and lifting associated with the work of a mechanic was not advisable for the plaintiff. Whilst, in the opinion of Dr Khan, the plaintiff may be able to return to work on alternative duties, it was pointed out that he has not worked in any other field and lacks training.
15 A report dated 13 July 2017 from the plaintiff’s physiotherapist, Mr Rany Louka, contains the opinion that the plaintiff’s condition is stabilised and that the plaintiff currently has no work capacity. There may be deterioration in the future.
16 The plaintiff has been examined for medico-legal purposes. Mr Stephen Doig, orthopaedic surgeon, reported to the plaintiff’s solicitors on 13 June 2017. Mr Doig took a history of the plaintiff making two attempts to return to work as a mechanic in 2016, but not lasting more than a maximum of three weeks. Mr Doig expressed the opinion that the plaintiff should not do any job which requires any heavy lifting, pushing, pulling or bending over any prolonged period of time. He considered these restrictions to be permanent. Mr Doig was not of the view that the plaintiff was fit to return to his pre-injury employment as a mechanic or fitter. He noted that the plaintiff was not particularly literate. He thought that the plaintiff might be able to manage a “desk bound” job, providing he could get up and move around, work at his own rate, and be retrained. However, he still considered that the plaintiff would be restricted to part-time hours at this stage, in the order of 15 hours per week.
17 However, Mr Doig also expressed the opinion that he was not certain whether that would continue into the foreseeable future. It would depend very much on how the plaintiff reacted to his pain and “how he goes”. He did not believe that there was any psychological component present and thought that the plaintiff’s major disability and symptoms stemmed from organic factors. He concluded that, apart from problems in everyday life, the plaintiff had a significant restriction in relation to his capacity for employment. Mr Doig also thought that the prognosis was guarded and that the plaintiff was likely to continue to have some ongoing problems, no matter what else is done.
18 Dr Symon McCallum, pain physician and specialist anaesthetist, examined the plaintiff at the request of his solicitors on 5 July 2017. Amongst other things, he took a history that the plaintiff could not find a job that he could do, despite having applied for two to three years. Dr McCallum thought that the plaintiff would have benefited from a multidisciplinary pain rehabilitation program many years previously, and might now benefit from active physiotherapy and seeing an exercise physiologist. This would be in addition to seeing a chronic pain specialist.
19 Dr McCallum thought it unlikely that the plaintiff would be able to undertake a job which involved lifting, twisting, bending and prolonged walking. He is not fit to return to his pre-injury employment as a mechanic and fitter. He did not believe that the plaintiff could undertake full duties of suitable employment on a full-time basis. He considered that there was an organic basis for the pain, although there were some psychological factors operating. Dr McCallum’s overall conclusion was that it was extremely unlikely that the plaintiff had a current capacity for employment.
20 Dr Middleton reported to the plaintiff’s solicitors on 14 July 2017. Dr Middleton placed a significant number of restrictions upon the plaintiff’s capacity to walk, carry, turn, twist and the like. Dr Middleton considered that the plaintiff had no capacity to perform any of the work he had performed in the past. He is now restricted to sedentary, non-manual duties to be performed in a self-paced manner, with breaks as required. He considered the plaintiff to be limited to part-time work. He would have to return to work on a graduated return to work plan, with his hours carefully monitored.
21 Dr Middleton was of the view that the plaintiff’s functional limitations were to be considered as permanent work restrictions. He also pointed out that the plaintiff has no keyboard skills or a commercial level of computer skills. He considered a Vocational Assessment Report dated 9 January 2013, apparently obtained by the defendant. He was critical of that report, concluding that, having assessed all aspects of the definition of suitable employment, his opinion was that the plaintiff had no current work capacity as defined. There would need to be a successful vocational retraining program and a significant improvement in the plaintiff’s safe and reliable physical capacity. There was no work to which the plaintiff was currently suited and which he could perform on a reliable or consistent basis. Dr Middleton identified no suitable employment, also expressing the opinion that the plaintiff had permanent restrictions and would always be working on a part-time basis, although not currently having the safe physical capacity to attend work on a reliable and consistent basis. In his opinion, all the plaintiff’s disability and symptoms have stemmed from the accident and are organic, physiological factors.
22 Dr Middleton provided another report, this being dated 4 August 2017, to the plaintiff’s solicitors. It is not suggested that he had again seen the plaintiff. The particular purpose of this report involved consideration of a Vocational Assessment Report of 14 July 2017 provided to the defendant’s solicitors by an entity called Recovre. Dr Middleton addressed his attention, inter alia, to a number of allegedly suitable employment options for the plaintiff. Essentially, these were work as an electronics process worker, a forklift driver, a sales assistant or a despatch clerk. The last-mentioned position would require additional training. Some possible employments which had been suggested earlier were also considered.
23 The conclusion of Dr Middleton was that the Recovre report of 14 July 2017 should not be relied upon. In his earlier report, he expressed the opinion that the plaintiff had no current work capacity and the provision of the Recovre report did not cause him to alter his earlier views. He did not regard the recommended employment as being suitable for the plaintiff, as he could not perform all the physical and intellectual requirements of the roles on a consistent and reliable basis. Dr Middleton had considered such matters as incapacity, age, education, work experience and the like.
24 The defendant has also had the plaintiff examined for medico-legal purposes. Dr Clive Kenna, who specialises in physical medicine, first examined the plaintiff on 14 March 2013. His diagnosis was of discogenic pathology, particularly at the L5-S1 level, causing both L5 and S1 nerve root involvement, with radicular symptoms involving the left extremity. Dr Kenna expressed the view that the plaintiff could not return to pre-injury duties and hours. He had a current work capacity, but would have to be given completely alternative duties which were sedentary and which, at that time, were not available. He noted that Sherrin was not able to offer alternative duties.
25 Dr Kenna again saw the plaintiff on 18 September 2013. On this occasion, he noted that the plaintiff had a curve of the spine in his upper body and felt that this was contributing to the plaintiff’s persistent pain. However, he “totally accepted” that the plaintiff’s current condition had a significant work-related component. Essentially, his views as to work capacity remained much the same.
26 Dr Kenna saw the plaintiff for the third time on 12 August 2014. Dr Kenna was of the view the plaintiff had improved “about 65% all up”. Dr Kenna stated that the plaintiff had now been injured for some two years and it may well be that he would be left with a permanent partial disability, precluding him from unrestricted activities. He was concerned that the plaintiff may risk further exacerbation and increasingly prolonged absences from the workforce because of such exacerbation. Having viewed the radiology, Dr Kenna opined that the plaintiff’s disc prolapse had essentially resorbed and that his overall level of pain had considerably decreased. In relation to capacity for employment, Dr Kenna stated that, “The concern here is what type of work he will be able to return to”. He thought that the plaintiff would have a capacity for full-time employment, if suitable employment options were identified.
27 Associate Professor Graeme Brazenor, neurosurgeon, examined the plaintiff at the request of the solicitors for the defendant on 31 March 2017. To Associate Professor Brazenor, the plaintiff described how he had been employed by an entity called Baytech for approximately 20 hours per week and for a period of approximately one month. In his employment, he had been performing light mechanics work with no heavy lifting. The employment lasted for approximately one month. About a fortnight after this work, he secured a job as a mechanic with an entity called Sonny Tyres. There was not enough suitable work for him to perform and his duties “stirred up” his back complaint. He had not worked since May 2016. Associate Professor Brazenor was of the view that there had been considerable healing and that “on the balance of probabilities”, he believed that the plaintiff now had minimal symptoms. I should say at this stage that I am not particularly impressed by doctors expressing opinions on the basis of the balance of probabilities, that being the task of the Court. In any event, Associate Professor Brazenor considered that the plaintiff may have some mild chronic lower back pain and some intermittent left-sided sciatica, provoked by certain bending movements and the like. He considered the plaintiff to be fit for full-time employment. He also considered the plaintiff to be fit for a range of duties, including the driving of a heavy truck where he did not have to manually handle the freight. He thought that the plaintiff now had minimal pain, provided that he treated his lower back with sensible care. He did not consider that the plaintiff had the physical capacity to return to either the work at Baytech or at Sonny Tyres. His view was that the plaintiff could be a motor vehicle parts interpreter or a service adviser/manager.
28 In a supplementary letter of 21 July 2017, Associate Professor Brazenor considered employment options set out in the Recovre report. He expressed the view that the plaintiff was unlikely to be able to undertake an electronic process worker job, because of prolonged periods of sitting or standing at a bench, together with bending and lifting. He considered the job of a forklift driver to be satisfactory, provided that there were no situations in which the plaintiff would have to get out of the machine and manually move things, something which, in the experience of Associate Professor Brazenor, was sometimes required of forklift drivers. He thought that the work of a sales assistant would only be suitable if the plaintiff did not have to access levels below his waist on a repetitive basis, an activity involved in the unpacking of stock and the placing of it on display. He considered the position of a despatch clerk to be the best option, insofar it was a largely clerical position.
29 Dr Davison saw the plaintiff at the request of the defendant’s solicitors on 27 June 2017. To Dr Davison, the plaintiff described the presence of constant pain in the left lower back region, such pain radiating to the groin and, at times, stabbing in nature. He also described pain down the posterolateral aspect of the left lower limb to the ankle and sensory disturbances in the left foot. Further, he mentioned pain in the neck and left upper back region. He was taking paracetamol tablets at the rate of five to six per day, as well as an anti-inflammatory medication if the pain became “excruciating”. Dr Davison commented that the clinical diagnosis was consistent with the MRI scan findings. The plaintiff has chronic lower back pain and left lower limb radiculopathy as a result of an intervertebral disc protrusion at the L5-S1 level. Dr Davison did not consider that the plaintiff had sufficient capacity to undertake work as a field mechanic, but probably could return to work as a service mechanic on a part-time basis and with appropriate physical restrictions. He thought that the plaintiff could work up to 20 hours per week. He considered the prognosis for further improvement to be poor, believing that symptoms would continue indefinitely.
30 Dr Davison reported again on 28 July 2017. He had been supplied with various documents, including the reports of Dr Kenna and Associate Professor Brazenor, in addition to the Recovre report. It is apparent that Dr Davison did not see the plaintiff again for the purposes of this report. Of the suggested employments, Dr Davison was of the view that the plaintiff could work as an electronics process worker or despatch clerk, but not as a forklift driver or sales assistant. However, he continued to state that the plaintiff could undertake suitable employment for up to 20 hours per week.
31 In relation to diagnosis, I prefer and accept the opinions of those who have treated the plaintiff. Mr Timms has diagnosed a lumbar L5-S1 disc prolapse. Mr McMahon has made a diagnosis of left L5-S1 disc prolapse with compression of the left S1 nerve root. Both are neurosurgeons. I appreciate that their opinions appear to be based on examinations and radiological reports that are now somewhat dated. However, the recent examination for medico-legal purposes by Mr Doig has resulted in what is in essence a similar diagnosis, namely left L5-S1 disc prolapse. Dr Davison, also examining recently and on behalf of the defendant, arrived at a similar conclusion – namely, chronic lower back pain and left lower limb radiculopathy as a result of intervertebral disc protrusion at the L5-S1 intervertebral disc. Associate Professor Brazenor has expressed the opinion that there has been considerable healing in the L4-5 disc. He believed that the plaintiff now has minimal symptoms. Generally, his opinion does not sit comfortably with the views expressed by the majority, although there may be some support for at least a portion of this assessment to be found in the report of Dr Kenna.
32 In any event, I am of the view that the plaintiff has suffered a discal injury to the lumbar spine. I do not accept the opinion of Associate Professor Brazenor that it is now productive of minimal symptoms. Further, it is to be remembered that, on 27 July 2017, the defendant considered that the plaintiff was entitled to leave in relation to pain and suffering – that is, his pain and suffering was at a sufficient level to satisfy the requirements of the Act and particularly the “very considerable” test. That concession post-dates the reports of Associate Professor Brazenor and Dr Kenna.
33 Given the concession referred to, the issue of whether or not the injury represents the aggravation of a pre-condition scarcely warrants attention. In any event, even if there had been some pre-existing degenerative changes of sufficient magnitude to enable it to be said that the injury is in the nature of an aggravation, I accept that the plaintiff was symptom-free prior to the accident and that the consequences from which he suffers arise directly from it.
34 Again bearing in mind the concession, in addition to the medical opinions, I am of the view that the consequences of the injury are permanent within the meaning of the Act. Despite the views of Associate Professor Brazenor in relation to the comparatively massive improvement, I prefer those of Mr Doig to the effect that the plaintiff’s restrictions, both in relation to employment and in relation to everyday activities, are permanent and will continue into the foreseeable future. Further, Dr Davison, examining on behalf of the defendant, stated the prognosis for further improvement is poor and that symptoms are likely to continue indefinitely. Those opinions are consistent with the evidence of the plaintiff, which I accept, and with the concession made by the defendant. I would also point out that it is now in excess of 5 ½ years since the accident and that the plaintiff, a credible witness, has sworn in his affidavit of 15 August last that he basically still has the same consequences as those previously described. In my opinion, the requirements of the Act in relation to permanence of consequences have been satisfied.
35 Whilst, pursuant to s134AB(38)(h) psychological or psychiatric consequences are not to be taken into account, in my view, if these exist, they are not of great magnitude. I appreciate that Dr McCallum has stated that, whilst the plaintiff’s disability stems from an organic factor, there are also psychological factors in place. Other medical examiners do not appear to be of this view. Of course, any such consequences that do exist shall not be taken into account. However, the concession made in relation to pain and suffering, together with the impression made by the plaintiff in the witness box and the absence of any psychological or psychiatric material, leads me to the conclusion that any such mental health consequences are not great, if they exist at all. I appreciate that, at the time that the plaintiff swore his earlier affidavit, he stated that there were times when he felt very depressed. However, there is no evidence of his receiving any treatment in this regard. I would also point out that, in a comprehensive closing address, Ms Kaye did not raise this issue as one upon which the defendant relies.
Other developments since the injury
36 Following the accident, the plaintiff continued working for Sherrin for a few weeks, but was in “heaps of pain”. This ongoing work continued for a few weeks until he suffered from an exacerbation of back pain whilst driving. He subsequently attempted to return to work on modified duties on approximately 17 October 2012, but had a further flare up of pain. He again ceased work on 7 November 2012 and, whilst it is not entirely clear, this would appear to represent his last working day for Sherrin. It would seem that Sherrin could not find any suitable light duties for the plaintiff and ultimately, in May 2014, his employment was terminated.
37 In approximately April 2016, the plaintiff, with the assistance of Centrelink, obtained a part-time job doing light “mechanics’” work with Baytech. The plaintiff has sworn that he was very careful in performing his work and was a much slower worker than he used to be. Approximately five hours of such work per day was his limit. He also found going by motor vehicle to and from work to be having an adverse effect upon his back. Subsequently, after an episode of severe cramping of the back, the plaintiff advised his employer that he could not continue working.
38 Very soon after leaving Baytech, where he has sworn he worked for approximately two to three weeks, the plaintiff obtained employment with Sonny Tyres, where he seems to have worked as a mechanic “on call” as required. It would seem that he worked approximately three to four days per week, four hours per day. His work also involved such things as sweeping and cleaning, which, as he has sworn in his affidavit of 15 November 2016, “weren’t too good for my back”. This work took place in approximately May 2016 and only lasted for some three weeks.
39 The plaintiff has not worked since. He has registered with Centrelink and has been looking for casual work, principally in the mechanical or automotive industries. In his more recent affidavit of 15 August 2017, he expressed the view that, in a light work position, he could possibly work 20 hours in a good week. He also believed that it would be difficult for him to guarantee that he would be able to arrive at work every day. He further emphasised that he has always worked as a mechanic and has loved that type of work.
Ruling
40 That the plaintiff has the capacity to perform some work is a proposition which I accept. However, questions arise as to what work, for what number of hours per week and at what rate of pay. In other words, a considerable part of debate in this case centres upon the provisions of s134AB(38)(e) and (f). Allied to that is a subsidiary issue of whether the requirements of s134AB(38)(c) have also been satisfied – that is, the “very considerable” test.
41 I am of the view that the plaintiff has discharged the burden of proof and is entitled to bring proceedings both for pain and suffering damages, as conceded, and for pecuniary loss damages. I have come to that conclusion for the following reasons, which necessitate a consideration of “without injury” earnings, “after injury” earnings and of the part of the period within 3 years before and 3 years after the injury as most fairly reflects the plaintiff’s earning capacity had the injury not occurred.
(a)Suitable employment
42 In my opinion, the plaintiff is only fit for part-time work. He has been seen by two occupational physicians. Dr Middleton, examining on behalf of the plaintiff, expressed the view in his report of 14 July 2017 that the plaintiff had no current work capacity and that there is no work for which he is currently suited and which he could perform on a reliable or consistent basis. He considered the plaintiff to have permanent restrictions in relation to employment, seeming to be of the view that the plaintiff will always be confined to working on a part-time basis, whilst also pointing out that he does not have the capacity to attend work on a reliable and consistent basis. On 4 August 2017 he referred to the plaintiff needing a graduated return to work plan, commencing on two to three hours in any one day on two to three non-consecutive days in any one week. However, he also expressed the opinion that the plaintiff had no current work capacity.
43 Dr Davison, examining recently on behalf of the defendant, expressed the view in his report of 5 July 2017 that the plaintiff could return to working for up to 20 hours per week with appropriate restrictions. In a supplementary report of 28 July 2017, he considered various employment options. However, he again concluded that the worker could undertake suitable employment for up to 20 hours per week.
44 Mr Doig, examining the plaintiff at the request of his solicitors, stated in his report of 13 June 2017 that, subject to the availability of a suitable job, he would consider the plaintiff to be restricted to 15 hours’ work per week. He then made the somewhat ambiguous comment that he was not certain whether that would continue into the foreseeable future and that it depended very much upon how the plaintiff reacted to pain. The impression gained from this observation is that Mr Doig had some doubts as to whether the plaintiff would be able to continue with work of 15 hours per week, as opposed to contemplating the possibility of an increase in such hours. However, as stated, his observation is somewhat ambiguous. It should be said that Mr Doig also stated that the plaintiff’s prognosis was guarded and that he was likely to continue to have some ongoing problems “no matter what else is done”, this seemingly being more consistent with him having reservations or doubts about the plaintiff’s working future.
45 Dr Symon McCallum expressed the opinion in his report of 10 July 2017 that it is extremely unlikely that the plaintiff has a current capacity for employment. Dr McCallum effectively was the only medical examiner who placed any emphasis upon psychiatric or psychological factors, although stating that the core of the plaintiff’s disability stemmed from an organic factor. He also expressed the belief that the plaintiff had tried to get a job over the last three years and had failed. Dr McCallum also stated that he was unaware of the plaintiff having been offered any retraining or high quality occupational rehabilitation assistance. That may be so, but arguably relates more to the operation of s134AB(38)(g) than to s134AB(38)(e) and (f). In addition, both Dr Kenna and Associate Professor Brazenor have essentially said that the plaintiff may be capable of full-time employment, although Associate Professor Brazenor’s report of 21 July 2017 either eliminates or puts provisos upon occupations other than that of a despatch clerk.
46 In relation to capacity for employment, I am more impressed by the opinions of the two occupational physicians, Drs Middleton and Davison. They are commenting upon matters that are wholly or substantially within their field of expertise – see Giankos v SPC Ardmona Operations Ltd [2011] VSCA 121. In addition, they are occupational physicians selected to give medico-legal expert opinions on behalf of each party in the present dispute. Dr Middleton has provided an expert report to the plaintiff’s solicitors. Dr Davison has provided such a report to the defendant’s solicitors. Their opinions do not coincide entirely. The bottom line is that the maximum number of hours for which the plaintiff can engage in suitable employment, should such be found, is 20 per week. I consider their collective approach to be preferable to and more informed than the opinions of Dr Kenna and Associate Professor Brazenor. I appreciate the argument of Ms Kaye that the opinion of Associate Professor Brazenor is given in circumstances where he had been provided with details of the tasks required in a particular job or jobs – see paragraph 97 of Giankos. That may be so, but it seems to me that the detailed opinions of the occupational physicians, when combined with the entirely credible evidence of the plaintiff, are to be preferred. Apart from anything else, I find the report of Associate Professor Brazenor to be somewhat confusing. For example, I would mention what he has referred to as the “three Rules”, which, in his annexure, .in fact number five. That is but a small point, but overall I am more impressed by the other evidence which I have mentioned.
47 In summary, I have arrived at the conclusion that the plaintiff does have a capacity for work. However, it is confined to a maximum of 20 hours per week in suitable employment. That employment would be one involving a considerable number of restrictions in relation to such matters as bending, lifting, driving, sitting, standing and the like.
48 Bearing the above in mind, I turn now to the earning capacity comparison required by s134AB(38)(e) and (f) of the Act.
(b)“Without injury” earnings
49 For the purposes of this calculation, I have selected the figure of the plaintiff’s gross earnings for the financial year ending 30 June 2011. That figure is $60,443. I will leave to one side any argument concerning annual increases thereafter. For that financial year, the plaintiff worked on a full-time basis for R Kent & Sons as a mechanic. Sixty per cent of that figure is $36,266. In the circumstances, and if any subsequent pay increase to workers of this kind is left to one side, that period seems to me to most fairly reflect the plaintiff’s earning capacity had the injury not occurred. It demonstrates what his earning capacity was at the time of the injury. I appreciate that, over the three years following the accident, there may have been pay increases for mechanics, but whether these would have flowed through to the plaintiff is a matter which I leave to one side. I have also selected a figure of $60,443 because it represents earnings for a full financial year.
(c)“After injury” earnings
50 Turning then to “after injury” earnings, the highest weekly wage for the allegedly suitable employments is $1,216 for a forklift driver – see T98. That would be an employment concerning which even Associate Professor Brazenor, who could be described as providing the strongest opinions in support of the defendant’s position in relation to capacity, had reservations. That weekly wage represents an annual gross income of $63,232. Of course, that is on the basis of full-time employment. I have found that the plaintiff’s capacity is limited to a maximum of 20 hours per week. Assuming that the figure quoted above is in respect of a 36 hour week, this means that the plaintiff’s gross annual income, working 20 hours per week as a forklift driver, would be $35,129.
51 Thus, even taking the highest figures provided in relation to allegedly suitable employment, if, as I have found, the plaintiff has no capacity to work beyond 20 hours per week, the requirements of s134AB(38)(e) and (f) have been satisfied. The comparative figures are $36,266 as compared with $35,129.
(d)Section 134AB(38)(g)
52 The defendant also advanced an argument based upon the operation of s134AB(38)(g). This provision, in essence, concerns the reasonableness of the plaintiff’s attempts to participate in rehabilitation or retraining and whether participation in such would have resulted in him earning more than the 60 per cent of gross income to which reference is made in the preceding sub-sections. I am not persuaded by the defendant’s argument. I accept that, as conceded by Mr Smith on behalf of the plaintiff, the burden of proof in this regard rests upon the plaintiff – see T131. I accept that he has made many attempts to find suitable work, particularly in the area in which he is expert and within the limitations from which he suffers. As I understand it, there is no suggestion that he has ever been offered a suitable course involving rehabilitation and retraining. On the basis of the material before me, I cannot be satisfied that he has ever been offered such a course, much less refusing to participate in it. Further, I am not satisfied that there is any lack of reasonableness on his part in this regard. In addition, I am not satisfied on the evidence that, he has a capacity, with or without rehabilitation or retraining, which, if exercised, would result in his earning more than 60 per cent in accordance with paragraph s134AB(38)(f).
(e)Section 134AB(38)(c)
53 I am satisfied that the plaintiff’s loss of earning capacity consequence is, when judged by comparison with other cases in the range of possible losses, one that could be fairly described as being more than significant or marked and as being at least very considerable. The plaintiff is aged 39 years. There is nothing to suggest that he has anything other than a normal life expectancy. If that be so, he will be excluded for decades to come from his chosen occupation as a mechanic, being one in which he was greatly involved and concerning which he was greatly enthusiastic. He will suffer not only a substantial ongoing financial loss, but has been deprived of the pleasure of being able to participate fully, if at all, in an occupation which he clearly greatly enjoyed. I am satisfied that the requirements of s134AB(38)(c) have been satisfied. In addition, I would again refer to the concession made. However, even confining this consideration solely to loss of earning capacity, he has discharged the burden of proof in relation to this sub-section.
Conclusion
54 The plaintiff is successful. He has discharged the burden of proof in relation to leave in respect of pecuniary loss damages. Leave in respect of pain and suffering damages has already been conceded, and will be granted. I shall hear the parties as to any ancillary orders that are required.
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