Wilby and Comcare

Case [2003] AATA 651


Administrative

Appeals

Tribunal

 

DECISION AND REASONS FOR DECISION [2003] AATA 651

ADMINISTRATIVE APPEALS TRIBUNAL      )

)          No Q2002/977

GENERAL ADMINISTRATIVE DIVISION

)

Re ANDREW WILBY

Applicant

And

COMCARE

Respondent

DECISION

Tribunal Mr RG Kenny, Member

Date11 July 2003 

PlaceBrisbane

Decision The Tribunal affirms the decision under review. 

(Sgd) RG Kenny
  Member

CATCHWORDS

WORKERS’ COMPENSATION –– severe spinal injuries and burns incurred during employment – liability accepted - benefits and entitlements – attendant care costs - costs of taking carers on overseas holiday

Safety, Rehabilitation and Compensation Act 1988 ss 4, 13, 29

Brennan v Comcare (1994) 50 FCR 556
Haberfield v Department of Veterans’ Affairs as delegate for Comcare [2002] FCA 1579
Re Wilby and Comcare [2001] AATA 739

REASONS FOR DECISION

11 July 2003  Mr RG Kenny, Member      

1.      On 3 August 1989, Comcare (“the respondent”) accepted responsibility under the Safety, Rehabilitation and Compensation Act 1988 (“the Act”) for spinal injuries and burns to the arms and legs of Andrew Wilby (“the applicant”) which were incurred by him whilst he was employed by the Australian Army.

2. On 5 September 2002, a delegate of the respondent determined that, in accordance with section 29 of the Act, attendant care costs could only be reimbursed to the applicant at a maximum rate of $317.65 per week (see T10). That decision was affirmed by a further delegate of the respondent on 20 September 2002 (T12). On 13 November 2002, the applicant sought review of that decision by the Administrative Appeals Tribunal (“the Tribunal”) (see T1).

3.      The applicant attended the hearing and was represented by Mr B Winship of counsel.  The respondent was represented by Ms E Ford of counsel.  In evidence were the following:

§exhibit 1 the T documents (T1-T12) lodged pursuant to section 37 of the Administrative Appeals Tribunal Act 1975;

§exhibit 2     a letter, dated 3 February 2003, from Rachael Eigel, co-ordinator of the Paraplegic & Quadriplegic Association of Queensland; and

§exhibit 3     a copy of an e-mail message, dated 2 September 2002, from the applicant to the respondent.

Issues and Legislation

4. The applicant suffered serious spinal damage and burns in an accident that occurred on 30 June 1989 and it is not disputed that the respondent is liable under the Act in relation to those injuries. In the e-mail message sent by the applicant to the respondent (Exhibit 3), he advised he intended taking a holiday which would involve him in travelling from Australia to South Africa. He requested that the respondent assume responsibility for the payment of the cost associated with his being accompanied by two carers who would fly with him and stay with him in South Africa for the planned duration of the holiday of two weeks. The applicant purported to bring his claim for that assistance within the terms of subsection 29(3) of the Act which reads:

“(3)Where, as a result of an injury to an employee, the employee obtains attendant care services that he or she reasonably requires,…

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Details
AGLC
Wilby and Comcare [2003] AATA 651
Case
[2003] AATA 651
Decision Date

CaseChat Overview and Summary

This case was heard by the Administrative Appeals Tribunal and involved the parties of Wilby and Comcare. The central issue in this case was the entitlement to certain benefits and costs related to the attendant care of Wilby, who had suffered severe spinal injuries and burns during his employment. The dispute primarily revolved around the costs associated with taking his carers on an overseas holiday. The Safety, Rehabilitation and Compensation Act 1988 was the primary legislative framework considered, particularly sections 4, 13, and 29.

The legal issues before the court required a determination of whether the costs incurred for taking carers on an overseas holiday were reimbursable under the Act. The court needed to interpret the relevant provisions of the Act and consider previous cases such as Brennan v Comcare and Haberfield v Department of Veterans’ Affairs as delegate for Comcare, which had set precedents in similar matters. The primary focus was on whether these costs could be classified as necessary and reasonable for the provision of care under the Act.

The Tribunal examined the evidence and arguments presented by both parties. It found that the costs for taking carers on an overseas holiday did not constitute necessary and reasonable care expenses under the Act. The Tribunal relied on previous case law, particularly Re Wilby and Comcare, which had established that such expenses were not reimbursable. Consequently, the Tribunal affirmed the decision under review, rejecting the claim for these costs. This decision upheld the administrative determination that the expenses for the overseas holiday were not eligible for reimbursement under the Safety, Rehabilitation and Compensation Act 1988.

Orders

Orders of the court

The Tribunal affirms the decision under review.

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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