Statement of Principles concerning frostbite No. 166 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00320 Not in force Legislative Instrument

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Instrument No.166 of 1995

 

 

Statement of Principles

concerning

FROSTBITE

ICD CODES: 991.0, 991.1, 991.2, 991.3

Veterans’ Entitlements Act 1986
subsection 196B(2)

1. Being of the view that there is sound medical-scientific evidence that indicates that frostbite and death from frostbite can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting frostbite or death from frostbite with the circumstances of that service, are:

 

(a) exposure of an area of the body to freezing temperatures immediately before the clinical onset of frostbite to that area; or

 

(b) inability to obtain appropriate clinical management for the frostbite.

 

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


3. The factor set out in paragraph 1(b) applies only where:

 

(a) the person’s frostbite developed before a period, or part of a period, of service to which the factor is related; and

 

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

 

4. For the purposes of this Statement of Principles:

 

“frostbite” means an injury to the skin and subcutaneous tissues and, in extreme cases to deeper structures of the body, from exposure to freezing temperatures, attracting an ICD code in the range 991.0, 991.1, 991.2 or 991.3;

 

“ICD code” means a number assigned to a particular kind of injury or disease in the tenth edition of the International Classification of Diseases 9th Revision, effective date of 1 October 1993, copyrighted by the US Commission on Professional and Hospital Activities, and having the Library of Congress number 77-94472.

 

 

 

Dated this  Twenty-fifth day of  May 1995

 

 

The Common Seal of the    )

Repatriation Medical Authority   )

was affixed to this instrument  )

in the presence of:    )

 

 

KEN DONALD

CHAIRMAN

Overview

The Statement of Principles concerning Frostbite ICD Codes: 991.0, 991.1, 991.2, 991.3, issued under subsection 196B(2) of the Veterans’ Entitlements Act 1986, was enacted in 1995 to address the medical-scientific evidence linking frostbite and death from frostbite to operational service by veterans, peacekeeping service by members of peacekeeping forces, and hazardous service by members of the Australian Defence Force. The Repatriation Medical Authority, acting under the authority of the Commonwealth Parliament, established these principles to ensure that a reasonable hypothesis can be raised connecting frostbite or death from frostbite with the circumstances of service. The objective is to facilitate claims by veterans and their dependents for benefits and compensation related to frostbite, provided that the conditions specified in the principles are met, such as exposure to freezing temperatures immediately before the onset of frostbite or the inability to obtain appropriate clinical management for the condition.

Scope and Application

The Statement of Principles concerning Frostbite ICD Codes under the Veterans’ Entitlements Act 1986 provides a framework for determining the eligibility of veterans, peacekeeping force members, and members of the Australian Defence Force for benefits related to frostbite. The principles set out in this statement apply to individuals who have experienced frostbite or death from frostbite, with a focus on establishing a connection between the condition and their service. Specifically, the statement applies to cases where there is evidence of exposure to freezing temperatures immediately before the onset of frostbite or where there was an inability to obtain appropriate clinical management for frostbite, both of which must be related to the person's service. The statement delineates that the inability to obtain clinical management applies only if the frostbite developed before the relevant service period and if the service falls under specific categories outlined in the Act. The legislation, which is administered under the Commonwealth jurisdiction, also specifies that these conditions must attract a particular range of International Classification of Diseases codes. The application of this statement extends to veterans, peacekeeping force members, and members of the Australian Defence Force who have suffered from frostbite, ensuring that their claims for benefits are assessed with consideration to the outlined medical-scientific evidence and criteria. There are no explicit exclusions or thresholds mentioned in the statement; however, it is subject to interpretation and application by the Repatriation Medical Authority. The statement itself does not create subordinate instruments but relies on the broader provisions of the Veterans’ Entitlements Act 1986 for its implementation and enforcement.

Key Provisions

The Statement of Principles concerning FROSTBITE ICD CODES, issued under the Veterans’ Entitlements Act 1986, establishes the criteria necessary for establishing a connection between frostbite or death from frostbite and certain types of service rendered by veterans, peacekeeping forces, and members of the Australian Defence Force (sections 1-4). It specifies that a reasonable hypothesis of such a connection can be raised if there was exposure to freezing temperatures immediately before the onset of frostbite or if appropriate clinical management was unavailable. This exposure or lack of management must relate to the service in question. Under the Act, the Statement of Principles imposes certain obligations on veterans, peacekeeping force members, and ADF personnel seeking to establish a link between their service and frostbite or death from frostbite. These individuals must demonstrate that at least one of the specified factors (exposure to freezing temperatures or lack of clinical management) is related to their service. For the factor concerning the lack of clinical management, it must be shown that the frostbite developed before the service period and that the relationship between the frostbite and the service is one of the specified types outlined in the Act. The Statement of Principles does not explicitly outline offences, penalties, or consequences for non-compliance in the legislative instrument itself. However, any breaches of the provisions would likely fall under the broader legislative framework of the Veterans’ Entitlements Act 1986, which could include civil or administrative penalties. The precise consequences would depend on the nature and severity of the breach, as well as any relevant regulations or guidelines that may be in place to support the implementation of the Act.

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