Statement of Principles concerning popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017)

Administered by Department of Veterans' Affairs

Legislation au F2017L01058 Not in force Legislative Instrument

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EXPLANATORY STATEMENT

 

Statement of Principles concerning

POPLITEAL ENTRAPMENT SYNDROME

(Balance of PROBABILITIES) (NO. 55 OF 2017)

 

VETERANS' ENTITLEMENTS ACT 1986

MILITARY REHABILITATION AND COMPENSATION ACT 2004

 

  1. This is the Explanatory Statement to the Statement of Principles concerning popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017).

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 popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017).

3.             The Authority is of the view that on the sound medical-scientific evidence available it is more probable than not that popliteal entrapment syndrome and death from popliteal entrapment syndrome can be related to particular kinds of service.  The Authority has therefore determined this Statement of Principles concerning popliteal entrapment syndrome 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, popliteal entrapment syndrome or death from popliteal entrapment syndrome 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 popliteal entrapment syndrome or death from popliteal entrapment syndrome 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 10 January 2017 concerning popliteal entrapment syndrome 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 popliteal entrapment syndrome in the Government Notices Gazette of 10 January 2017, 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 popliteal entrapment syndrome as advertised in the Government Notices Gazette of 10 January 2017.

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. 55 of 2017

Kind of Injury, Disease or Death: Popliteal entrapment syndrome

 

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 popliteal entrapment syndrome;
  • 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, popliteal entrapment syndrome 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 Popliteal Entrapment Syndrome (Balance of Probabilities) (No. 55 of 2017), established under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004, addresses the issue of linking popliteal entrapment syndrome and related deaths to particular kinds of military service. Enacted by the Repatriation Medical Authority, this legislative instrument aims to provide clarity and consistency in the assessment of claims related to this condition, ensuring that they are evaluated based on available sound medical-scientific evidence. The Authority determined this Statement of Principles to facilitate claims processing and to uphold the rights of veterans, service personnel, and their dependants by ensuring that compensation and medical benefits are granted where the balance of probabilities indicates a connection between the syndrome and the service rendered. This instrument also ensures compatibility with human rights, promoting equitable treatment and social security benefits for affected individuals.

Scope and Application

The Statement of Principles concerning popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017) applies to veterans, current and former Defence Force members, and their dependents who are seeking benefits under the Veterans' Entitlements Act 1986 and the Military Rehabilitation and Compensation Act 2004. It sets out the criteria that must be met for a claim concerning popliteal entrapment syndrome to be considered valid, specifically linking the syndrome to certain types of military service. This Statement of Principles aims to facilitate the assessment and review of claims related to this condition by providing clear guidelines on the factors that must be proven for a connection between the syndrome and service to be established on the balance of probabilities. The principles apply to claims lodged on or after 1 June 1994 under the Veterans' Entitlements Act and on or after 1 July 2004 under the Military Rehabilitation and Compensation Act. This legislative instrument is designed to ensure that the claims process is transparent, fair, and based on sound medical-scientific evidence, thereby promoting the human rights of veterans and Defence Force members by facilitating access to necessary benefits and healthcare.

Key Provisions

The Statement of Principles concerning popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017) outlines the circumstances under which claims for pension or compensation relating to popliteal entrapment syndrome can be accepted under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA). This legislative instrument sets out the specific factors that must exist, and which of those factors must be related to certain kinds of service, before it can be said that, on the balance of probabilities, popliteal entrapment syndrome or death from popliteal entrapment syndrome is connected with the circumstances of the service rendered by a person (section 5). The Statement of Principles will be applied in determining claims under both the VEA and the MRCA (section 4). Claims for pension or compensation relating to popliteal entrapment syndrome or death from popliteal entrapment syndrome that were lodged on or after 1 June 1994 in the case of the VEA, or 1 July 2004 in the case of the MRCA, cannot be accepted unless this Statement of Principles upholds that claim (subsection 120B(3) of the VEA or subsection 339(3) of the MRCA). The Statement of Principles was determined following an investigation by the Repatriation Medical Authority, which involved an examination of the available sound medical-scientific evidence. This instrument finalises the investigation as advertised in the Government Notices Gazette of 10 January 2017 (section 10). Under the Veterans' Entitlements Act 1986 (VEA) and the Military Rehabilitation and Compensation Act 2004 (MRCA), the Repatriation Medical Authority has an obligation to determine Statements of Principles concerning specific injuries, diseases, or deaths that can be related to particular kinds of service. This obligation is founded on the available sound medical-scientific evidence. The Authority is responsible for examining this evidence and determining whether there is a sufficient basis to establish a connection between the condition in question and the service rendered. Additionally, the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, and Administrative Appeals Tribunal are bound by the Statement of Principles when assessing claims under the VEA and the MRCA. They cannot accept any claim for pension or compensation relating to popliteal entrapment syndrome or death from popliteal entrapment syndrome unless the claim is upheld by the Statement of Principles. Breach of the provisions outlined in the Statement of Principles concerning popliteal entrapment syndrome (Balance of Probabilities) (No. 55 of 2017) may lead to civil or administrative consequences. Claims for pension or compensation relating to popliteal entrapment syndrome or death from popliteal entrapment syndrome that do not align with the factors specified in the Statement of Principles will not be accepted by the Repatriation Commission, Military Rehabilitation and Compensation Commission, Veterans' Review Board, or Administrative Appeals Tribunal. There are no criminal penalties or specific maximum penalties outlined in the Statement of Principles itself, but failure to adhere to the Statement of Principles in the assessment of claims could result in the denial of benefits to which a claimant might otherwise be entitled under the VEA or the MRCA. Such denials may be subject to review by the Veterans' Review Board and the Administrative Appeals Tribunal, where further legal recourse could be pursued.

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