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What's News in Commonwealth Compensation

Focus: News in Commonwealth Compensation
Services: Insurance
Industry Focus: Insurance
Date: 28 July 2009
Author: National Insurance Team

Decisions for the week ending 24 July 2009 regarding:

Liability

No decisions.

Exclusions

Failure to obtain a benefit

No decisions.

Reasonable disciplinary action

No decisions.

Section 6A: Unintentional Consequences

No decisions.

Journey Claims

Chalfont and Comcare [2009] AATA 540 (21 July 2009) Brisbane (heard in Ballina)

The Tribunal in this instance was asked to consider whether the Applicant was entitled to receive reimbursement for travel expenses incurred whilst travelling to medical appointments, in accordance with section 16 of the Safety, Rehabilitation and Compensation Act 1988 (Cth).

The Applicant suffered from a number of medical conditions which the Respondent had accepted for. These included a left knee injury, diverticula of the colon and a left shoulder injury. The two central issues involved in this matter were firstly, if the Applicant was required to travel for distances greater than 50 kilometres and secondly if he did, whether those instances constituted a single journey or separate journeys.

It was estimated that the Applicant travelled 38 kilometres to the Princess Alexandra Hospital for treatment and 44 kilometres on each of his visits to Wickham Terrace. However, the Applicant submitted he had to travel over 50 kilometres in each of these visits, as his bowel dysfunction necessitated detours to find public toilets, or on occasion a trip home to shower and redress.

Ultimately, the Tribunal decided that the Applicant was not entitled to reimbursement for travel expenses as his trips to seek medical attention did not exceed 50 kilometres. The Tribunal came to this conclusion on the basis that the evidence of the Applicant was unreliable and his accounts of the situation were ‘inherently improbable.’ As such, the Tribunal could not be satisfied that he travelled more than 50 kilometres for medical treatment. As this was the deciding issue, it was therefore considered unnecessary to consider whether the journeys undertaken by the Applicant could be considered to be a single journey or two separate ones.

The Tribunal affirmed the decision under review.

Jurisdiction

No decisions.

Procedure & Costs

No decisions.

Notice provisions & Time limits

No decisions.

Recovery of compensation

No decisions.

Incapacity

Mock and Comcare [2009] AATA 545 (22 July 2009) Sydney

One of the issues for the Tribunal to decide in regard to this matter was whether the Applicant had suffered an aggravation of her condition and as such was entitled to incapacity payments in accordance with section 19 of the Safety, Rehabilitation and Compensation Act 1988 (Cth) (‘the 1988 Act’).

The Applicant had a back and upper arm injury which had been accepted whilst she was engaged in her previous employment. At issue for the Tribunal was whether the Applicant had suffered an aggravation whilst in her current employment, as such, entitling the Applicant to the payment of incapacity payments.

Upon consideration of the medical evidence, the Tribunal accepted the medical opinion of an occupational physician and considered that the Applicant’s current employment caused only a temporary exacerbation of her symptoms and as such, the continuing affects of the Applicant’s condition were the result of her previous employment.

As such, there was no entitlement to compensation in accordance with section 19 of the 1988 Act.

Permanent impairment

Mock and Comcare [2009] AATA 545 (22 July 2009) Sydney

Also at issue for the Tribunal was whether the Applicant was entitled to receive compensation for permanent impairment in accordance with sections 24 and 27 of the Safety, Rehabilitation and Compensation Act 1988 (Cth) (the ‘1988 Act’).

The Tribunal considered that as the Applicant was not entitled to the payment of incapacity and medical expenses for her temporary exacerbation it necessarily followed that she was not entitled to the payment of compensation for permanent impairment or non-economic loss.

As such, the Applicant was not considered to be entitled to compensation in accordance with sections 24 and 27 of the 1988 Act.

Medical expenses

Mock and Comcare [2009] AATA 545 (22 July 2009) Sydney

The Tribunal in this matter was also convened to decide whether the Applicant was entitled to compensation for medical expenses, in accordance with section 16 of the Safety, Rehabilitation and Compensation Act 1988 (Cth) (the ‘1988 Act’).

The Tribunal preferred the medical evidence of an occupational physician who indicated that the Applicant had only suffered from a temporary exacerbation of her symptoms, and as such, any current symptomology was attributable to her previous employment.

Based upon this medical opinion, the Respondent incurred no liability to pay medical costs under s16 of the 1988 Act.

Rehabilitation

No decisions.

Aids and appliances

No decisions.

Household assistance

No decisions.
 
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