Statement of Principles concerning immersion foot No. 168 of 1995

Administered by Department of Veterans' Affairs

Legislation au F2008B00322 Not in force Legislative Instrument

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Instrument No.168 of 1995

 

 

Statement of Principles

concerning

IMMERSION FOOT

ICD CODE: 991.4

Veterans’ Entitlements Act 1986
subsection 196B(2)

1. Being of the view that there is sound medical-scientific evidence that indicates that immersion foot and death from immersion foot 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 immersion foot or death from immersion foot with the circumstances of that service, are:

 

(a) having exposed a foot to moisture and non-freezing temperatures below 10øCelsius, for a period of at least ten hours immediately before the clinical onset of immersion foot; or

 

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

 

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 immersion foot developed before a period, or part of a period, of service to which the factor is related; and

 

(b) the relationship suggested between the immersion foot 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:

 

“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;

 

“immersion foot” (also known as trench foot) means nerve and muscle damage to the foot due to prolonged exposure of the foot to wet and cold conditions, attracting ICD code 991.4.

 

 

 

 

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 Veterans’ Entitlements Act 1986 was enacted to provide benefits and services to Australian veterans and their families, ensuring they are appropriately compensated for any injuries or conditions arising from their service. One specific legislative instrument under this Act is the Statement of Principles concerning Immersion Foot (ICD code: 991.4), issued by the Repatriation Medical Authority in 1995. This instrument was introduced to address the gap in recognising immersion foot, also known as trench foot, as a service-related condition for veterans, peacekeeping force members, and hazardous service personnel. The instrument outlines the minimum conditions that must be met to establish a reasonable hypothesis connecting immersion foot or death from immersion foot with the relevant service. The policy objective is to ensure that affected individuals receive the necessary benefits and entitlements under the Act by establishing clear criteria for service-related immersion foot.

Scope and Application

The Statement of Principles concerning Immersion Foot under the Veterans’ Entitlements Act 1986 applies to veterans, members of peacekeeping forces, and members of the Defence Forces who have rendered operational, peacekeeping, or hazardous service, respectively. The document delineates the conditions necessary to establish a connection between immersion foot or death from immersion foot and the service rendered by these individuals. Specifically, the Act requires that the affected individuals were exposed to moisture and non-freezing temperatures below 10°C for at least ten hours immediately before the onset of immersion foot, or that they were unable to obtain appropriate clinical management for immersion foot, with the latter condition applicable only if the immersion foot developed prior to the service in question and if the relationship between the foot condition and the service meets certain criteria outlined in the Act. The jurisdictional reach of this legislation is national, as it pertains to veterans and service members across Australia. The legislative instrument provides a clear framework for determining eligibility for entitlements related to immersion foot by specifying the medical-scientific evidence required and the precise circumstances under which a connection can be established. The Statement of Principles does not explicitly mention exclusions or exemptions, but it does set stringent conditions that must be met for a claim to be considered valid. Subordinate instruments may further refine the application of these principles, but no such instruments are referenced in the provided text.

Key Provisions

The Statement of Principles issued by the Repatriation Medical Authority under subsection 196B(2) of the Veterans’ Entitlements Act 1986 outlines the minimum factors necessary to establish a connection between immersion foot or death from immersion foot and operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces, or hazardous service rendered by members of the Forces. According to section 1, these factors include either exposure of a foot to moisture and non-freezing temperatures below 10°Celsius for at least ten hours immediately before the clinical onset of immersion foot, or the inability to obtain appropriate clinical management for the condition. The key point here is that at least one of these factors must be related to the service rendered by a person as per section 2. In terms of obligations and requirements, the Statement of Principles imposes on the relevant parties the necessity to demonstrate that one of the specified factors was indeed related to the service in question. For instance, if a veteran or service member claims entitlement based on immersion foot, they must provide evidence that either they were exposed to the specified conditions immediately before the onset of the condition, or they were unable to obtain appropriate clinical management. This evidence must be connected to the specific service period in question. Additionally, if the claim pertains to the inability to obtain appropriate clinical management, the relationship between the immersion foot and the service must be as outlined in certain subsections of the Act, as per section 3. The Statement of Principles also addresses the consequences of non-compliance with these provisions. While the legislative instrument itself does not explicitly state penalties for non-compliance, breaches of the Veterans’ Entitlements Act 1986, under which this Statement of Principles is issued, can lead to civil and criminal consequences. For instance, under section 196D of the Act, making a false or misleading statement in connection with a claim for a benefit can result in a civil penalty of up to $11,000 and/or imprisonment for up to two years. Additionally, the Act includes provisions for the recovery of any benefits that were wrongly paid out due to fraudulent claims, which can have significant financial and legal repercussions for the offending party. Furthermore, the Repatriation Medical Authority has the authority to review and assess claims based on the criteria set out in the Statement of Principles. Any determination that a claim does not meet the specified factors could result in the denial of benefits. This legal framework ensures that the entitlement process is both thorough and fair, protecting the integrity of the benefits system while also providing necessary support to those who have genuinely suffered immersion foot or death from immersion foot as a result of their service.

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