| DETERMINATION OF APPEAL PANEL | |
| CITATION: | Wilson v Shoalbus Pty Ltd [2024] NSWPICMP 462 |
| APPELLANT: | David Wilson |
| RESPONDENT: | Shoalbus Pty Ltd |
| APPEAL PANEL | |
| MEMBER: | Catherine McDonald |
| MEDICAL ASSESSOR: | Robert Payten |
| MEDICAL ASSESSOR: | Thandavan Raj |
| DATE OF DECISION: | 17 July 2024 |
| CATCHWORDS: | WORKERS COMPENSATION - Workplace Injury Management and Workers Compensation Act 1998; appeal against assessment of whole person impairment in respect of noise induced hearing loss; long work history in varied employment and not all in noisy employment; Shone v Country Energy distinguished; Held – Medical Assessor gave detailed reasons for relying only on findings at 3000 Hz and 4000 Hz; when the hearing loss was not progressive; Medical Assessment Certificate confirmed. |
BACKGROUND TO THE APPLICATION TO APPEAL
On 28 March 2024 David Wilson lodged an Application to Appeal Against the Decision of a Medical Assessor. The medical dispute was assessed by Medical Assessor Henley Harrison, who issued a Medical Assessment Certificate (MAC) on 4 March 2024.
Mr Wilson relies on the following grounds of appeal under s 327(3)(d) of the Workplace Injury Management and Workers Compensation Act 1998 (the 1998 Act) – that the MAC contains a demonstrable error.
The President’s delegate was satisfied that, on the face of the application, the 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 Wilson was employed by Shoalbus Pty Ltd (Shoalbus) as a bus driver. He claimed permanent impairment compensation for 13% whole person impairment (WPI) as a result of hearing loss, with a deemed date of injury of 1 December 2020. Shoalbus did not dispute that it was Mr Wilson’s last noisy employer nor that he suffered noise induced hearing loss, though did dispute that he suffered more than 10% WPI.
The Medical Assessor assessed 5% WPI, after making a deduction for presbycusis and allowing 1% for severe tinnitus. The Medical Assessor determined that only the loss at 3000 and 4000 Hz was consistent with occupational hearing loss.
PRELIMINARY REVIEW
We conducted a preliminary review of the original medical assessment in the absence of the parties and in accordance with the Procedural Direction PIC7.
As a result of that preliminary review, we determined that it was not necessary for Mr Wilson to undergo a further medical examination…
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- Case
- [2024] NSWPICMP 462
- Decision Date
CaseChat Overview and Summary
The court examined the relevant legislation and case law, particularly Shone v Country Energy, to determine the proper approach to assessing whole person impairment. The court found that the Medical Assessor provided detailed reasons for focusing on the 3000 Hz and 4000 Hz frequencies, as these were critical to diagnosing noise-induced hearing loss. Given that Wilson's hearing loss was not progressive, the court held that the Medical Assessor's approach was appropriate. The court also noted that the Medical Assessment Certificate supported the decision, affirming that the assessment was correctly made.
Consequently, the appeal was dismissed. The court upheld the assessment of Wilson's whole person impairment based on the findings at the specified frequencies. The detailed reasoning provided by the Medical Assessor was deemed sufficient to justify the decision, and the court found no basis to overturn the assessment.
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