Statement of Principles concerning olecranon bursitis (Reasonable Hypothesis) (No. 63 of 2018)

Administered by Department of Veterans' Affairs

Legislation au F2018L00854 In force Legislative Instrument

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EXPLANATORY STATEMENT

 

STATEMENT OF PRINCIPLES CONCERNING

OLECRANON BURSITIS

(REASONABLE HYPOTHESIS) (NO. 63 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 (Reasonable Hypothesis) (No. 63 of 2018).

Background

2.             The Repatriation Medical Authority (the Authority) has determined, under subsection 196B(2) of the Veterans' Entitlements Act 1986 (the VEA), Statement of Principles concerning olecranon bursitis (Reasonable Hypothesis) (No. 63 of 2018).

3.             The Authority is of the view that there is sound medical-scientific evidence that indicates 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(2) 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 as a minimum exist, and which of those factors must be related to the following kinds of service rendered by a person:

 operational service under the VEA;

 peacekeeping service under the VEA;

 hazardous service under the VEA;

 British nuclear test defence service under the VEA;

 warlike service under the MRCA;

 non-warlike service under the MRCA,

before it can be said that a reasonable hypothesis has been raised connecting olecranon bursitis or death from olecranon bursitis, 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 120A(3) of the VEA or subsection 338(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. 63 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 as a minimum exist, before it can be said that a reasonable hypothesis has been raised, connecting olecranon bursitis 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 (Reasonable Hypothesis) (No. 63 of 2018) was enacted under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, addressing the issue of linking olecranon bursitis with particular types of military service. The Repatriation Medical Authority determined this statement of principles, finding sound medical-scientific evidence supporting the relationship between olecranon bursitis, death from olecranon bursitis, and specific military services. This legislative instrument aims to facilitate the assessment and review of claims for benefits related to olecranon bursitis, ensuring that claims made post-June 1994 under the VEA and post-July 2004 under the MRCA align with the established principles. The instrument is designed to uphold human rights by promoting social security, adequate living standards, and health benefits for eligible veterans and service members, without discriminating against any individual based on various attributes. This instrument was developed following an investigation by the Authority, which involved examining available medical-scientific evidence and consulting with relevant organisations and experts. The Authority finalised the investigation, ensuring the new instrument aligns with human rights as recognised by international instruments. The legislative instrument is considered compatible with human rights, promoting rights such as social security, adequate living standards, and health benefits, without infringing upon any human rights.

Scope and Application

The Statement of Principles concerning olecranon bursitis (Reasonable Hypothesis) (No. 63 of 2018) applies to claims made under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. It sets out the minimum factors that must be present and connected to specific types of service, including operational, peacekeeping, hazardous, British nuclear test defence, warlike, and non-warlike service, for a reasonable hypothesis to be raised that olecranon bursitis or death from olecranon bursitis is related to the service. Claims for pension or compensation related to olecranon bursitis or death from olecranon bursitis lodged after 1 June 1994 under the Veterans' Entitlements Act 1986, and after 1 July 2004 under the Military Rehabilitation and Compensation Act 2004, cannot be accepted unless the claim is upheld by this Statement of Principles. The instrument finalises an investigation into olecranon bursitis and is compatible with human rights as it promotes several rights, including social security, an adequate standard of living, and health, without derogation.

Key Provisions

The Statement of Principles concerning olecranon bursitis (Reasonable Hypothesis) (No. 63 of 2018) sets forth the medical and scientific criteria that must be met to establish a link between olecranon bursitis or death from olecranon bursitis and certain types of service rendered by a person (subsection 196B(2) of the Veterans' Entitlements Act 1986). This Statement of Principles (SoP) applies to claims under both the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). It delineates the factors that must exist and be related to specific kinds of service, including operational, peacekeeping, hazardous, and British nuclear test defence service under the VEA, as well as warlike and non-warlike service under the MRCA, before a reasonable hypothesis can be raised connecting olecranon bursitis with the circumstances of that service (clause 5 of the Explanatory Statement). The SoP imposes certain obligations on the parties involved. For instance, the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, or Administrative Appeals Tribunal cannot accept claims for pension or compensation relating to olecranon bursitis or death from olecranon bursitis that were lodged after 1 June 1994 under the VEA or 1 July 2004 under the MRCA unless the claim is upheld by this SoP (subsection 120A(3) of the VEA or subsection 338(3) of the MRCA). This requirement ensures that only claims that meet the established medical and scientific criteria are considered for benefits. The SoP also facilitates the review of decisions by the Veterans' Review Board and the Administrative Appeals Tribunal by outlining the necessary conditions that must be met to establish a link between olecranon bursitis and the service rendered. Any breach of the provisions set out in this SoP can lead to civil or criminal consequences, depending on the nature and severity of the breach. For example, under the VEA, any person who knowingly makes a false or misleading statement in a claim for a benefit or in connection with any such claim may be liable for a penalty (section 120B of the VEA). The maximum penalty for such an offence is 2,000 penalty units or imprisonment for five years, or both. Similarly, under the MRCA, any person who makes a false or misleading statement in a claim for compensation may be liable for a penalty (section 339 of the MRCA). The maximum penalty for such an offence is also 2,000 penalty units or imprisonment for five years, or both. These penalties underscore the importance of adhering to the criteria set out in the SoP and ensure that claims are made in good faith and based on sound medical-scientific evidence.

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