Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00855 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

OLECRANON BURSITIS

(Balance of PROBABILITIES) (NO. 64 OF 2018)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(3) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018).

3.             The Authority is of the view that on the sound medical-scientific evidence available it is more probable than not that olecranon bursitis and death from olecranon bursitis can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning olecranon bursitis pursuant to subsection 196B(3) of the VEA.

Purpose and Operation

4.             The Statement of Principles will be applied in determining claims under the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).

5.             The Statement of Principles sets out the factors that must exist, and which of those factors must be related to the following kinds of service rendered by a person:

 eligible war service (other than operational service) under the VEA;

 defence service (other than hazardous service and British nuclear test defence service) under the VEA;

 peacetime service under the MRCA,

before it can be said that, on the balance of probabilities, olecranon bursitis or death from olecranon bursitis is connected with the circumstances of that service.  The Statement of Principles has been determined for the purposes of both the VEA and the MRCA.

6.             The Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board or Administrative Appeals Tribunal cannot accept any claim for pension; or a claim for liability or compensation relating to olecranon bursitis or death from olecranon bursitis that was lodged on or after 1 June 1994 in the case of the VEA, or 1 July 2004 in the case of the MRCA respectively, unless this Statement of Principles upholds that claim (subsection 120B(3) of the VEA or subsection 339(3) of the MRCA).

7.             This new Instrument results from an investigation notified by the Authority in the Government Notices Gazette of 23 January 2018 concerning olecranon bursitis in accordance with section 196G of the VEA.  The investigation involved an examination of the sound medical-scientific evidence available to the Authority.

Consultation

8.             Prior to determining this Instrument, the Authority advertised its intention to undertake an investigation in relation to olecranon bursitis in the Government Notices Gazette of 23 January 2018, and circulated a copy of the notice of intention to investigate to a wide range of organisations representing veterans, service personnel and their dependants.  The Authority invited submissions from the Repatriation Commission, organisations and persons referred to in section 196E of the VEA, and any person having expertise in the field.  No submissions were received for consideration by the Authority during the investigation.

Human Rights

9.             This instrument is compatible with the Human Rights and Freedoms recognised or declared in the International Instruments listed in Section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.  A Statement of Compatibility with Human Rights follows.

Finalisation of Investigation

10.         The determining of this new Instrument finalises the investigation in relation to olecranon bursitis as advertised in the Government Notices Gazette of 23 January 2018.

References

11.         A list of references relating to the above condition is available to any person or organisation referred to in subsection 196E(1)(a) to (c) of the VEA.  Any such request must be made in writing to the Repatriation Medical Authority at the following address:

The Registrar

Repatriation Medical Authority

GPO Box 1014

BRISBANE    QLD    4001


Statement of Compatibility with Human Rights

(Prepared in accordance with Part 3 of the Human Rights (Parliamentary Scrutiny) Act 2011)

 

Instrument No.:   Statement of Principles No. 64 of 2018

Kind of Injury, Disease or Death: Olecranon bursitis

 

This Legislative Instrument is compatible with the human rights and freedoms recognised or declared in the international instruments listed in section 3 of the Human Rights (Parliamentary Scrutiny) Act 2011.

Overview of the Legislative Instrument

1. This Legislative Instrument is determined pursuant to subsection 196B(8) of the Veterans' Entitlements Act 1986 (the VEA) for the purposes of the VEA and the Military Rehabilitation and Compensation Act 2004 (the MRCA).  Part XIA of the VEA requires the determination of these instruments outlining the factors linking particular kinds of injury, disease or death with service such being determined solely on the available sound medical-scientific evidence.

2. This Legislative Instrument:-

  • facilitates claimants in making, and the Repatriation Commission in assessing, claims under the VEA and the MRCA respectively, by specifying the circumstances in which medical treatment and compensation can be extended to eligible persons who have olecranon bursitis;
  • facilitates the review of such decisions by the Veterans' Review Board and the Administrative Appeals Tribunal; and
  • outlines the factors which the current sound medical-scientific evidence indicates must exist before it can be said that, on the balance of probabilities, olecranon bursitis is connected with the circumstances of eligible service rendered by a person, as set out in clause 5 of the Explanatory Statement.

3. The Instrument is assessed as being a technical instrument which improves the medico-scientific quality of outcomes under the VEA and the MRCA. 

Human Rights Implications

4. This Legislative Instrument does not derogate from any human rights. It promotes the human rights of veterans, current and former Defence Force members as well as other persons such as their dependents, including:

  • the right to social security (Art 9, International Covenant on Economic, Social and Cultural Rights; Art 26, Convention on the Rights of the Child and Art 28, Convention on the Rights of Persons with Disabilities) by helping to ensure that the qualifying conditions for the benefit are 'reasonable, proportionate and transparent'[1];
  • the right to an adequate standard of living (Art 11, ICSECR; Art 27, CRC and Art 28, CRPD) by facilitating the assessment and determination of social security benefits;
  • the right to the enjoyment of the highest attainable standard of physical and mental health (Art 12, ICSECR and Art 25, CRPD), by facilitating the assessment and determination of compensation and benefits in relation to the treatment and rehabilitation of veterans and Defence Force members;
  • the rights of persons with disabilities by facilitating the determination of claims relating to treatment and rehabilitation (Art 26, CRPD); and
  • ensuring that those rights "will be exercised without discrimination of any kind as to race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status" (Art 2, ICESCR).

Conclusion

This Legislative Instrument is compatible with human rights as it does not derogate from and promotes a number of human rights.

 

Repatriation Medical Authority

 

 

 

 

 

 

[1] In General Comment No. 19 (The right to social security), the Committee on Economic, Social and Cultural Rights said (at paragraph 24) this to be one of the elements of ensuring accessibility to social security.

Overview

The Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018) was enacted to address the problem of linking olecranon bursitis and related deaths to particular kinds of service under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This Statement of Principles was determined by the Repatriation Medical Authority under subsection 196B(3) of the VEA, based on the sound medical-scientific evidence available. It outlines the factors that must exist for a claim to be considered connected to eligible war service, defence service, or peacetime service, facilitating both the assessment of claims and the review of such decisions by the relevant authorities. The purpose of this legislative instrument is to ensure that claims for pension or compensation relating to olecranon bursitis can only be accepted if they are upheld by this Statement of Principles, thereby providing clarity and consistency in the application of benefits and entitlements. The Statement of Principles has been determined in accordance with the legislative requirements under the VEA and MRCA, which mandate the examination of available medical-scientific evidence to establish the connection between specific service and injury. The Authority's determination was made following an investigation and public consultation, which involved advertising the intention to investigate and inviting submissions from relevant stakeholders. The compatibility of this legislative instrument with human rights has also been affirmed, ensuring that it promotes and does not infringe upon the rights of veterans, current and former Defence Force members, and their dependants.

Scope and Application

The Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018) is a legislative instrument determined under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, aiming to outline the circumstances under which olecranon bursitis, an inflammation of the olecranon bursa of the elbow, is considered connected with service rendered by a person. The instrument applies to claims lodged under the VEA and MRCA, specifically focusing on eligible war service, defence service, and peacetime service. It sets the criteria that must be met for such claims to be upheld, thereby facilitating the assessment and determination of social security benefits and compensation. This legislative instrument does not specify any exclusions or exemptions but ensures that any claim for pension or compensation relating to olecranon bursitis must align with the principles outlined, thus supporting veterans, current and former Defence Force members, and their dependents. The instrument has been finalised following an investigation by the Repatriation Medical Authority, which involved examining available medical-scientific evidence, and it is compatible with human rights as it does not derogate from any human rights while promoting the rights of affected individuals.

Key Provisions

The Statement of Principles concerning olecranon bursitis (Balance of Probabilities) (No. 64 of 2018) outlines the factors that must exist and must be related to particular kinds of service before it can be said that, on the balance of probabilities, olecranon bursitis or death from olecranon bursitis is connected with the circumstances of that service (section 5). This Statement of Principles is determined pursuant to subsection 196B(3) of the Veterans' Entitlements Act 1986 (VEA) and applies to claims made under the VEA and the Military Rehabilitation and Compensation Act 2004 (MRCA) (section 4). It specifies the kinds of service that must be considered, including eligible war service (other than operational service), defence service (other than hazardous service and British nuclear test defence service), and peacetime service (section 5). Claims for pension or compensation relating to olecranon bursitis or death from olecranon bursitis that were lodged on or after 1 June 1994 under the VEA, or 1 July 2004 under the MRCA, cannot be accepted unless this Statement of Principles upholds the claim (sections 6, 120B(3) of the VEA, and 339(3) of the MRCA). The Statement of Principles imposes obligations on the parties involved in the claims process, including the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal. These bodies must apply the Statement of Principles in determining claims under the VEA and MRCA. Additionally, the Statement of Principles requires that any claim for pension or compensation relating to olecranon bursitis or death from olecranon bursitis be assessed based on the factors outlined in the Statement (section 6). The Statement of Principles does not impose criminal penalties for breach; however, any claim that does not meet the criteria set out in the Statement will not be accepted (section 6). The Statement of Principles facilitates the review of decisions by the Veterans' Review Board and the Administrative Appeals Tribunal. This ensures that the claims process is transparent and that claimants have the opportunity to challenge decisions that do not uphold the Statement of Principles. The Statement of Principles is compatible with human rights and does not derogate from any human rights (section 9). It promotes the human rights of veterans, current and former Defence Force members, and their dependents, including the right to social security, an adequate standard of living, and the highest attainable standard of physical and mental health (section 9). The Statement of Principles ensures that these rights "will be exercised without discrimination of any kind" (section 9). This compatibility with human rights ensures that the Statement of Principles does not infringe upon the rights of individuals while facilitating the assessment and determination of claims for compensation and benefits related to olecranon bursitis.

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