Statement of Principles concerning dislocation No. 291 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00199 Not in force Legislative Instrument

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Instrument No.291 of 1995

Statement of Principles

concerning

DISLOCATION

ICD CODES: 718.2, 718.3, 830 - 839
Veterans’ Entitlements Act 1986
subsection 196B(3)

1. Being of the view that on the sound medical-scientific evidence available to the Repatriation Medical Authority, it is more probable than not that dislocation and death from dislocation can be related to eligible war service (other than operational service) rendered by veterans and defence service (other than hazardous service) rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must exist before it can be said that, on the balance of probabilities, dislocation or death from dislocation is connected with the circumstances of that service, are:

 

(a) suffering physical trauma to the affected site immediately before the clinical onset of dislocation; or

 

(b) suffering a disease process affecting the stability or normal structural relationship between the articulating surfaces of the affected joint immediately before the clinical onset of dislocation; or

 

(c) suffering physical trauma to the affected site immediately before the clinical worsening of dislocation; or

 

(d) suffering a disease process affecting the stability or normal structural relationship between the articulating surfaces of the affected joint immediately before the clinical worsening of dislocation; or

 

(e) inability to obtain appropriate clinical management for dislocation.

 

2. Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) to 1(e) must be related to any service rendered by a person.

 

3. The factors set out in paragraphs 1(c) to 1(e) apply only where:

 

(a) the person's dislocation was suffered before a period, or part of a period, of service to which the factor is related; and

 

(b) the relationship suggested between the dislocation and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e) or 70(5)(d) of the Act.

 

4. For the purposes of this Statement of Principles:

 

“a disease process affecting the stability or normal structural relationship between the articulating surfaces of the affected joint” means:

 

(a) any degenerative or inflammatory joint disease, including rheumatoid arthritis, osteoarthrosis, or tuberculosis, which affects the integrity of the joint; or

 

(b) any neurological, muscular, or vascular condition, including tabes dorsalis, syringomyelia, diabetic neuropathy, or stroke, which affects those tissues, or control of those tissues, which maintain the integrity of the joint;

 

“dislocation” means the complete or partial displacement of any bone from its natural anatomical location, known also as luxation or subluxation of the joint, attracting ICD code 718.2, 718.3 or an ICD code in the range 830-839, but does not include congenital dislocation;

 

“ICD code” means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1995, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 22235 5;

 

“physical trauma to the affected site” means a force, applied either directly or indirectly to the body, which, by being transmitted to a particular joint, results in its dislocation.

 

 

 

 

Dated this  Eighteenth day of  July               1995

 

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

KEN DONALD

CHAIRMAN

Overview

The Veterans’ Entitlements Act 1986 was enacted to provide various benefits and compensation to veterans and members of the Australian Defence Force, addressing the need for support for those who have served and may have suffered injuries or health conditions related to their service. This particular legislative instrument, Instrument No. 291 of 1995, is a Statement of Principles issued by the Repatriation Medical Authority under subsection 196B(3) of the Act, to clarify the circumstances under which dislocation and death from dislocation can be considered connected to war service or defence service. The policy objective of this Statement of Principles is to ensure that veterans and members of the Defence Forces receive appropriate recognition and benefits if their dislocation is related to their service, by establishing specific criteria that must be met for such a connection to be acknowledged.

Scope and Application

The Veterans’ Entitlements Act 1986 applies to veterans and members of the Australian Defence Force who may have suffered dislocation during their service, and whose cases are reviewed by the Repatriation Medical Authority. The Act sets out the criteria for determining if a veteran's or service member's dislocation is related to their service, thereby qualifying them for specific entitlements. The scope of the Act is national, as it is a Commonwealth Act, and its application is not limited by state or territory boundaries. The Act's provisions include specific factors that must be considered, such as physical trauma or disease processes affecting the stability of the joint, which must have occurred in relation to the service in question. The Act does not explicitly exclude any groups or types of injuries but rather provides detailed criteria to be met for a claim to be considered valid. The Statement of Principles concerning Dislocation issued under the Act further clarifies the criteria for determining the connection between dislocation and service. It provides specific medical and service-related conditions that must be present for a claim to be substantiated. The Statement of Principles applies to those who have suffered dislocation before or during their service and mandates that at least one of the outlined factors must be related to the service in question. The principles are subject to certain conditions, such as the timing of the dislocation in relation to the service. The Act allows for the extension of its application through subordinate instruments, which can include further detailed guidelines or amendments to the criteria.

Key Provisions

The Statement of Principles, issued under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), outlines specific factors that must exist for dislocation or death from dislocation to be considered connected to service rendered by veterans or members of the Forces. These factors include physical trauma to the affected site immediately before the clinical onset of dislocation (section 1(a)), a disease process affecting the stability or normal structural relationship between the articulating surfaces of the affected joint immediately before the clinical onset of dislocation (section 1(b)), physical trauma to the affected site immediately before the clinical worsening of dislocation (section 1(c)), a disease process affecting the stability or normal structural relationship between the articulating surfaces of the affected joint immediately before the clinical worsening of dislocation (section 1(d)), and the inability to obtain appropriate clinical management for dislocation (section 1(e)). At least one of these factors must be related to the service rendered by the person, with specific conditions applying to factors 1(c) to 1(e) as outlined in section 3 of the Statement. The Repatriation Medical Authority imposes obligations on the parties and entities governed by this legislation. Firstly, it mandates that at least one of the specified factors must be related to the service rendered for a connection between dislocation or death from dislocation and the service to be recognised. This requirement is critical for establishing a causal link between the service and the medical condition. Additionally, the Authority stipulates that certain conditions must be met for factors 1(c) to 1(e) to apply, such as the dislocation occurring before a period of service and the relationship between the dislocation and the service being as defined in specific subsections of the Act (section 3). These obligations ensure that claims are assessed based on clear, evidence-based criteria. Breaches of the obligations set out in this legislation may lead to various consequences. The Act does not explicitly detail specific offences, penalties, or civil/criminal consequences for non-compliance within this Statement of Principles. However, failure to meet the criteria for a causal link between service and dislocation could result in the denial of benefits or entitlements that a veteran or member of the Forces might otherwise be entitled to under the Act. This could include financial support, medical care, or other benefits provided under the Act. The consequences of non-compliance, therefore, revolve around the denial of these entitlements, impacting the affected individual's access to necessary support and services.

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