Secretary to Department of Social Security v. Siviero, G. [1986] FCA 382
Federal Court of Australia
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CATCHWORDS.
ADMINISTRATIVE LAW ~- appeal from Administrative Appeals
Tribunal - social security - recovery of sickness
benefits following receipt of lump sum workers'
compensation payment - whether benefits and compensation
payable in respect of same incapacity - whether 1979 and
1982 amendments significantly changed operation of
recovery provisions
Words and Phrases - "in respect of"
"incapacity"
Social Security Act 1947 (Cth) Part VII, ss.24, 108,
115(2), 115B, 115C, 115D, 115E, 115F
Workers Compensation Act 1971 (SA) ss.9, 51, 53, 59, 69,
70, 72
Workers' Compensation Act 1926 (NSW) ss.9, 16
Compensation (Commonwealth Government Employees) Act
1971 (Cth) s.98
Re Castronuovo and Director-General of Social Security
(1984) 5 ALN No.344
State Government Insurance Office (Qld) v Rees (1979),
144 CLR 549
Butler v Johnston, Guild & Somes (1984) 55 ALR 265
Australian Telecommunications Commission v Leech (1982)
44 ALR 441
Commonwealth of Australia v Keogh (1983) 50 ALR 693
Day v Standard Waygood Ltd (1941) 65 CLR 204
Commissioner for Railways v Bain (1965) 112 CLR 246
BETWEEN : SECRETARY TO THE DEPARTMENT OF SOCIAL
SECURITY
Applicant
AND : GIOVANNI SIVIERO
Respondent
No. SA G.64 of 1985
CORAM 3 Keely, Fisher, Davies JJ
12 September 1986
Adelaide
IN THE FEDERAL COURT OF AUSTRALIA )
)
SOUTH AUSTRALIA DISTRICT REGISTRY ) No. SA G.64 of 1985
GENERAL DIVISION
JUDGES MAKING ORDER
DATE OF ORDER
WHERE MADE
THE COURT ORDERS THAT
)
)
ON APPEAL FROM THE ADMINISTRATIVE APPEALS
TRIBUNAL, GENERAL ADMINISTRATIVE DIVISION
BETWEEN 3 SECRETARY TO THE DEPARTMENT
OF SOCIAL SECURITY
°
Applicant
AND : GIOVANNI SIVIERO
Respondent
MINUTE OF ORDER
: Keely, Fisher, Davies JJ
: 12 September 1986
: Adelaide
The appeal be dismissed with costs.
Note : Settlement and entry of orders is dealt with in Order 36
of the Federal Court Rules.
IN THE FEDERAL COURT OF AUSTRALIA )
)
SOUTH AUSTRALIA DISTRICT REGISTRY ) No. SA G.64 of 1985
)
GENERAL DIVISION )
ON _ APPEAL FROM THE ADMINISTRATIVE APPEALS
TRIBUNAL, GENERAL ADMINISTRATIVE DIVISION
BETWEEN : SECRETARY TO THE DEPARTMENT
OF SOCIAL SECURITY
Applicant
AND : GIOVANNI SIVIERO
Respondent
REASONS FOR JUDGMENT
CORAM : KEELY, FISHER, DAVIES JJ
DATE. : 12 SEPTEMBER 1986
PLACE : ADELAIDE
KERELY J : I have had the advantage of reading the reasons
for judgment prepared by Davies J and agree with them.
Accordingly in my opinion the appeal should be dismissed with
costs.
I certify that this page i5 a
true copy of the Reasons for
Judgment herein of his Honour
Mr. Justice Keely.
Associate wiv
Dated: 12 September 1986 '
IN THE FEDERAL COURT OF AUSTRALIA )
)
SOUTH AUSTRALIA DISTRICT REGISTRY ) No. SA G.64 of 1985
)
GENERAL DIVISTON )
ON APPEAL FROM THE ADMINISTRATIVE APPEALS
TRIBUNAL, GENERAL ADMINISTRATIVE DIVISTON
BETWEEN:
SECRETARY TO THE DEPARTMENT OF SOCIAL
SECURITY
Applicant
- and -
GIOVANNI SIVIERO
Respondent
REASONS FOR JUDGMENT
CORAM: Keely, Fisher & Davies Jd.
12. September 1986
Fisher J.: I have had the advantage of reading the reasons for
judgment prepared by Davies J. and agree with them. Accordingly
in my opinion the appeal should be dismissed with costs.
I certify that this is a
true copy of the Reasons
for Judgment of Mr Justice
Fisher.
Associate Wht legs
Dated: 1a7™ Bape Aer 178
IN THE FEDERAL COURT OF AUSTRALIA )
)
SOUTH AUSTRALIA DISTRICT REGISTRY >) No. SA G.64 of 1985
)
GENERAL DIVISION )
ON APPEAL FROM THE ADMINISTRATIVE APPEALS
TRIBUNAL, GENERAL ADMINISTRATIVE DIVISION
BETWEEN : SECRETARY TO THE DEPARTMENT
OF SOCIAL SECURITY
Applicant
AND 2 GIOVANNI SIVIERO
Respondent
REASONS FOR JUDGMENT .
CORAM : Keely, Fisher, Davies Jd
12 September 1986
DAVIES, J : This is an appeal from a decision of the
Administrative Appeals Tribunal, made 23 September 1985, which
set aside a decision to recover, under s.115B of the Social
Security Act 1947 (Cth), from the amount of a lump sum payment
made to Mr Giovanni Siviero pursuant to s.70 of the Workers
Compensation Act 1971 (SA), amounts of sickness benefit which had
been paid to him under Part VII of the Social Security Act 1947
(Cth).
The Workers Compensation Act 1971 (SA) contains the
following relevant provisions :
"9.(1) If in any employment personal injury arising
out of or inthe course of the employment is
caused to a worker, his employer shall, except as
provided in this Act, be liable to pay
compensation in accordance with this Act."
"S1.(1) Where total or partial incapacity for work
results from the injury, the amount of
compensation shall, subject to this section, be a
weekly payment during the incapacity equal to the
average weekly earnings of the worker during the
period of twelve months immediately preceding the
incapacity if the worker has been so long employed
but, if not, then for any less period during which
he has been in the employment of the same
employer.
(4) The total liability of the employer in
respect of payments under this section shall not -
(a) exceed the sum of thirty-six thousand
dollars, unless the injury results in total
permanent incapacity for work; .
and
(b) where the injury results in total permanent
incapacity for work, exceed the sum of fifty
thousand dollars."
"53.(1) Except as is provided in this. section,
payments by way of weekly payments of compensation
provided for by this Part shall be made as soon as
possible after the occurrence of the incapacity in
respect of which they are payable and in any case
not more than fourteen days after the worker has
provided to his employer evidence of his
incapacity, which evidence shall be in the form of
a certificate from a legally qualified medical
practitioner together with an assertion in the
prescribed form that the worker believes himself
entitled to compensation in respect of that
incapacity, and thereafter shall be made on the
days on which but for the incapacity the worker
would have been paid his wages.
(2) An employer who disputes his liability to
pay compensation under this Act may, within the
period of fourteen days referred to in subsection
(1), take out an application to the Court for an
order that that subsection shall not apply and
such application shall be heard and determined as
a proceeding in the summary list and the
application of that subsection and of subsection
(3a) shall
be suspended pending the results of
that hearing and determination."
"69.(1) The compensation payable for the injuries
mentioned
hereinafter
in the first column of the table
set forth shall be assessed in the
manner indicated in the second column of that
table, unless the worker, by notice in writing
given to the
employer or his insurer before the
amount of the compensation is settled, states that
he does not desire to have the compensation
assessed under this section and, if the worker
duly gives such notice, the compensation shall be
assessed as
if this section had not been enacted.
(2) Nothing in this section or section 70 shall
limit the amount of compensation payable for any
injury referred to in either of those sections
during any
that injury
period of incapacity resulting from
eccurring before an assessment of
compensation is made in accordance with either of
those sections."
"70.(1) If the worker suffers a permanent injury
not mentioned in the table set forth in section 69
and that injury results in either total or partial
incapacity for work, whether such incapacity is
actual or potential or that injury is an injury
referred to
in subsection (3), compensation for
that injury shall, subject to subsection (2), be
assessed by the Court as if -
(a) the injury were set out in that table;
and
(b) a percentage fixed by the Court having
regard to -
(i)
and
(ii)
the nature of the injury;
the employment or occupation for
which the worker was suited before
the occurrence of the injury and the
employment or occupation for which
the worker is suited after the
occurrence of the injury,
were set out in that table opposite the
description of the injury,
and section
respects as
69 shall apply and have effect in ail
if the injury were set out in the
table and the percentage fixed by the Court were
set out in the table opposite the description of
the injury."
"72.¢(1) The liability for weekly payments or other
compensation under this Act may, on application by
or on behalf of either the worker or the employer,
be redeemed by the payment of a lump sum to he
settled, in default of agreement, by proceedings
under this Act, and such lump sum may be ordered
by the Court to be invested or otherwise applied
as abovementioned, and where permanent total or
partial incapacity for work results from the
injury, any weekly payments made prior to an
application under this section shall,
notwithstanding anything in this Act, be in
addition to any such lump sum, but nothing in this
section shall be construed as preventing
agreements being made for the redemption of a
weekly payment by a lump sum."
The reasons for decision of the Tribunal stated these
facts :
"3. The applicant [Mr Giovanni Sivierol] is a 62
year old man born on 30 August 1923. He allegedly
sustained an injury to his back, with pain
radiating to his left leg, on 11 April 1980 in the
course of his employment. He suffered a
recurrence of that injury in June 1981. He had
time off from work for both of these injuries for
which he was paid compensation. He worked until
23 December 1981 after which he went on holidays
to Italy.
4. Whilst he was in Italy the applicant had a
further recurrence of his back condition of such
severity that he underwent operative treatment.
He was not paid compensation, and liability was
denied by his employer. He applied to the
Department of Social Security for Sickness Benefit
which was approved on 16 April 1982 and paid from
25 February 1982 until 6 October 1982. He
received a total of $3,678.52 for that period.
Thereafter he was granted an Invalid Pension from
7 October 1982 to date.
ee eee
6. On 28 August 1982 the applicant's employer
lodged an application in the general form in the
Industrial Court of South Australia seeking, if
appropriate, an assessment of compensation
pursuant to ss.69 or 70 of the South Australian
Workers' Compensation Act 1971 as amended ("the
Workers Compensation Act") or, alternatively,
redemption pursuant to s.72 of the said Act.
Sections 69 and 70 of the Workers' Compensation
Act relate to lump sum payment for what are called
'schedule' or 'table' injuries. Section 72 of the
Act is redemption of weekly or other payment of
compensation.
7. A copy of the employer's application was not
before this Tribunal but such applications follow
a well-known formula which request determination
by the court as to whether an employee has
suffered a compensable injury and, if so, requests
the court to assess the compensation payable in
respect of a found injury and incapacity pursuant
to either s.69 and/or s.70 or s.72 of the Workers'
Compensation Act.
8. On 3 June 1983, the applicant lodged an
application for compensation claiming weekly
payments as from 18 January 1982, medical expenses
and costs. The applicant alleged 'back injury
with pain radiating into leg'. The applicant
Claimed injury in 'April 1980' and in 'June 1981'
but did not specifically claim for recurrence in
January or February 1982.
9. These two applications were finally settled by
a consent order recorded by the Industrial Court
on 25 January 1984. On the applicant's
application, it was ordered by consent that his
claim for weekly payments be dismissed, that the
employer pay outstanding medical expenses to the
date of the order, and also pay his legal costs
and disbursements.
10. With regard to the employer's application, it
was ordered by consent that the employer pay a sum
of $20,000 pursuant to s.70 of the Act; $12,900
pursuant to s.69 of the Act; and $100 for
redemption of future medical expenses pursuant to
s.72 of the Workers Compensation Act. The
applicant also gave an undertaking pursuant to
s.82(4) of the Act, not to institute or proceed
with any proceedings in relation to the injury
independently of the Act (commonly called a
'common law discharge') and the parties also noted
that the applicant's employment with the employer
was terminated, if that had not already occurred.
It was also noted that the above settlement was a
settlement 'in respect of all injuries sustained
by the worker, whether pleaded or not pleaded,
arising out of or in the course of his employment
with the employer'."
I need only add that, before the two applications came on
for hearing in the
there
January 1984, was
filed
in that
South Australian Industrial
Court
Court on 25
the following
schedule
"The following orders are sought by consent on the
Application for Compensation filed herein on 3rd
June, 1983 :
1. That the claim set forth in paragraph 14(1)
be dismissed.
2. That the respondent pay the applicant's
Section 59 expenses to date with liberty to
apply as to quantum.
3. That the respondent pay the applicant's
legal costs and disbursements to be
or taxed.
agreed
The following orders are sought by consent on the
employer's Application in the General Form filed
on 24th August, 1982 :
4. That the respondent's entitlement to
compensation be assessed by reference to
Section 70 of the Act in the sum of
$20,000.00.
5. That the respondent's entitlement to
compensation be assessed by reference to
Section 69 of the Act in the sum of
$12,900.00.
6. That the applicant's liability to pay the
respondent's future expenses pursuant to
Section 59 be redeemed pursuant to Section
72 in the sum of $100.00.
7. The respondent expressly undertakes not to
bring or continue with any proceedings
against the applicant independently of the
Workers Compensation Act in respect of
injuries arising out of or in the course of
his employment with the applicant.
The parties ask the Court to note the following
matters :
8. In the event that the worker's employment
with the employer has not already been
terminated, such employment is terminated by
mutual consent effective as of the date of
making the orders herein.
9. That the
respect of
settlement recorded herein is in
all injuries sustained by the
~"
worker, whether pleaded or not pleaded,
arising out of or in the course of his
employment with the employer."
The South Australian Industrial Court, by consent, made the
orders sought. Accordingly, Mr Siviero's application for weekly
payments was dismissed. On the employer's application, a lump
sum of $20,000 was awarded under 5.70 of the Workers Compensation
Act 1971 (SA) and a lump sum of $12,900 was awarded under s.69
thereof. The employer's liability under s.59 to pay future
medical and like expenses was redeemed, pursuant to s.72, in the
sum of $100.
I cannot perceive a factual situation which would support
the terms of that award. However, the parties to the
compensation proceedings did not agree upon a factual substratum'
for the award. They agreed upon the terms of an award and the
South Australian Industrial Court made that award by consent.
Neither the Administrative Appeals Tribunal nor this Court was
asked to go behind the terms of the award. Nor is there any
basis for doing so.
The award under s.69 must be attributed to loss of function
in Mr Siviero's leg, a leg being one of the table injuries and Mr
Siviero having radiated pain in that leg. The award under s.70
must be attributed to Mr Siviero's back injury. As s.70
specifies, the compensation thereunder is lump sum compensation
fixed by' the Court having regard to the nature of the injury, the
employment or occupation for which the worker was suited before
the occurrence of the injury and the employment or occupation for
which the worker is suited after the occurrence of the injury.
Section 70 requires an injury to be specified as if it were set
out in the table in s.69, and that a percentage be fixed by the
Court, having regard to the matters I have mentioned. That
precise course was not, in fact, followed but nevertheless, as
the compensation was awarded under s.70, it is necessary to
proceed upon the footing that it was calculated in accordance
with the provisions in that section. The award under s.72
redeemed liability for future medical payments.
The applicant did not seek to rely upon all of the three
sums required by the award to be paid. The applicant did not
rely upon the $100 awarded under s.72. Nor was reliance placed
upon the $12,900 awarded for the table injury under s.69, perhaps
because it was awarded in respect of Mr Siviero's leg or perhaps
because of acceptance of the view stated by the Administrative
Appeals Tribunal in Re Castronuovo and Director-General of Social
Security (1984) 5 ALN No.344, in which the Tribunal ruled that
that provision did not permit recovery of a sum awarded by way of
compensation under s.16 of the Workers' Compensation Act 1926
(NSW), which provided for the making of a lump sum award with
respect to a table injury.
However, Mr J.d. Doyle, QC, senior counsel for the
appellant, submitted that part of the sum of $20,000, awarded
under s.70 of the Workers Compensation Act 1971 (SA) in respect
of Mr Siviero's back injury, was recoverable pursuant to s.115B
of the Social Security Act 1947 (Cth). Recovery was sought
originally of only $1,865.92 and subsequently of only $877.66,
but Mr Doyle conceded that, if his submissions were accepted, a
sum equal to the whole of the sickness benefits paid, $3,678.52,
could have been recovered.
It will be noted that an order under s.70 of the Workers
Compensation Act 1971 (SA) is an award made in respect of a
permanent injury that has resulted in either total or partial
incapacity for work, whether such capacity is actual or
potential. An award under s.70 does not displace or supplant any
liability on the part of an employer to make weekly payments
under s.53 prior to the award, if the employer is liable to make
such payments. Nor is the award made in respect of an incapacity
for work as such. It is an award made for permanent injury that
has resulted in incapacity for work and the amount payable is
calculated having regard to the nature of the injury and any'
diminution in employment or occupational suitability resulting
therefrom. Necessarily, as the award is made in respect of a
permanent injury and does not affect the obligation to make
weekly payments prior to the award, no part of it can be
apportioned or dissected as being related specifically to
incapacity for work as distinct from injury itself and certainly
not as to incapacity for work prior to the award.
I turn now to relevant provisions of the Social Security
Act 1947 (Cth). Section 115B provides, inter alia,
"115B.(1) Where a person who is qualified to
receive a sickness benefit in respect of an
incapacity has received or is qualified or
entitled to receive a payment (whether a payment
forming part of a series of periodical payments or
a payment by way of a lump sum) that is, in the
opinion of the Secretary, in whole or in part a
payment by way of compensation in respect of that
10.
incapacity, the Secretary, having regard to the
amount of that payment or, in the case of a series
of periodical payments, the amounts of those
payments (including future payments), or such part
of that payment or of those payments as, in the
opinion of the Secretary, relates to that
incapacity, may -
(a) where a claim by the person for sickness
benefit in respect of that incapacity has
been lodged but not determined - refuse to
grant that claim or grant that claim but
direct that the amount per week of sickness
benefit that would, apart from this
sub-section, be payable in respect of that
incapacity be reduced by an amount specified
in the direction; or
(bd) in any other case -
(i) cancel the sickness benefit payable
to the person in respect of that
incapacity; or
(ii) direct that the amount per week of
sickness benefit that would, apart
from this sub-section, be payable in
respect of that incapacity be reduced
by an amount specified in the
direction.
es eaee
(3) Where the Secretary is of the opinion
that a payment by way of a lump sum, or a_ series
of periodical payments, received by a person who
is, or has been, in receipt of sickness benefit in
respect of an incapacity (whether the payment was,
or all or any of the payments were, received
before, during or after the close of the period of
receipt of sickness benefit) is a payment that is,
or are payments one or more of which is or are, in
whole or in part, a payment or payments by way of
compensation in respect of that incapacity, the
Secretary may, by notice in writing served by post
or personally on the person, direct the person to
pay to the Commonwealth an amount specified in the
notice, being an amount equal to -
{a) the amount of sickness benefit received by
the person in respect of that incapacity;
or
(b) the amount of the lump sum payment or
periodical payment or payments or such part
of that amount or of those amounts as, in
the opinion of the Secretary, relates to
that incapacity,
ll.
whichever is the lesser amount."
Sections 115C and 115D, which deal with the recovery of sickness
benefit from a person liable to make a payment by way of
compensation and for the giving of notice to insurers, use like
expressions and I need not set them out.
Section 115E provides :
"115E. For the purposes of this Division, the
Secretary may treat the whole or apart of a
payment by way of compensation that has been, or
that will be, made in respect of an incapacity as
not having been made or as not being, or as not
likely to become, liable to be made, if the
Secretary considers that, in the special
circumstances of the case, it is appropriate to do
so."
Section 115F provides :
"LISP. The Commonwealth may recover in a court of
competent jurisdiction an amount -
{a) that a person is required to pay to it in
accordance with a Girection under
sub-section 115B(3);
(b) that a person is liable to pay to it under
sub-section 115C(5);
(c) that a person is liable to pay to it under
sub-section 115C(6);
(da) that an insurer is liable to pay to it under
sub-section 115D(6),
but the Commonwealth is not entitled to recover
amounts payable to it under this Division in
respect of the same incapacity that, in the
aggregate, exceed the amount of the sickness
benefit paid by the Commonwealth in respect of the
incapacity."
These provisions were introduced by Act No.121 of 1979
which, after amendment by Act No.37 of 1982, came into operation
on 1 August 1982. They were substituted for s.115(2) which, in
12.
the previous legislation, had provided :
"115.(2) Where a person is or has been qualified to
receive a sickness benefit in respect of an
incapacity and the Director-General is of opinion
that the whole or a part of a payment by way of a
lump sum that that person has received, or is
qualified or entitled to receive, can reasonably
be regarded for the purposes of this section as
being a payment that -
{a} is by way of compensation in respect of the
incapacity; and
(b) is in respect of a period during which that
person is or was qualified to receive that
sickness benefit,
the payment, or that part of the payment, as the
case may be, shall, for the purposes of this
section, be deemed to be such a payment."
The substantive issue in this appeal is whether the
amendments which were made by the 1979 Act as amended in 1982 had
the effect of significantly changing the operation of the
recovery provisions.
Mr Doyle submitted in substance that the removal from the
legislative provisions of the reference, previously appearing in
s.115(2), to the "period during which that person is or was
qualified to receive that sickness benefit" was of crucial
significance.
In support of his submission, Mr Doyle relied upon the
Committee Notes for the 1979 Bill which included the following
information -
"Practices have come to notice which limit the
Commonwealth's ability to refuse, reduce,
terminate and, where appropriate, recover sickness
benefit in these cases.
The proposed Division 3A will strengthen the
13.
Director-General's powers in this respect. The
principal change is that it is proposed to remove
the specific requirement that compensation must be
paid for the same period as that for which benefit
has been paid."
With respect to s.115B, the Committee Notes stated :
"Sub-section (1) empowers the Director-General to
refuse, cancel or reduce sickness benefit where he
is of the opinion that part or the whole of any
periodical or lump sum covers the same incapacity
as that for which sickness benefit is claimed or
paid. He is empowered to fix by direction a
reduced rate of benefit. The reduced rate cannot
exceed the rate payable under the income test.
Sub-section (3) empowers the Director-General in
the case of lump sum compensation which he
considers to be wholly or partly in respect of the
same incapacity as that for which sickness benefit
has been paid to direct a current or former
beneficiary to pay to the Commonwealth an amount
equal to the whole or part of the benefit paid or
the amount of compensation or part thereof,
whichever is the lesser amount. The direction
must be in writing and served by post."
Mr Doyle also relied upon the comments of The Honourable V.
Garland, Minister for Special Trade Representations, in his
Second Reading Speech of 11 October 1979, wherein he stated :
"Other matters dealt with in the Bill, to which I
will return later, include maintenance payments
made on behalf of pensioners in benevolent homes,
entitlement to double orphan's pension,
entitlement to unemployment benefit in cases of
industrial action, postponement of unemployment
benefit, and the effects of compensation awarded
for the same incapacity as that for which sickness
benefit has been granted.
When a person receives compensation in respect of
the same incapacity and in respect of the same
period for which he is qualified to receive
sickness benefit the benefit otherwise payable is
reduced by the extent of the compensation payment.
There is no dual Payment of benefit and
compensation unless the rate of compensation is
less than the rate of sickness benefit. In these
cases the amount of benefit paid brings the
14.
person's total income to the maximum rate of
sickness benefit otherwise payable. In the usual
case it is intended that sickness benefit should
be paid only until such time as the person
receives compensation. In the event of a lump sum
award covering the same period for which benefit
has been paid and being in respect of the same
incapacity, the amount of benefit paid is
recovered from the client or the person
responsible for paying compensation or the
insurer. Over recent years, however, practices
have come to notice which limit the Commonwealth's
ability to reduce or recover sickness benefit in
these cases.
Amendments proposed in the Bill will ensure that
the Department of Social Security has power to
effect recovery of sickness benefit payments once
compensation has been received for the same
incapacity 1n respect of which sickness benefits
have been paid. In addition, greater
responsibility will be placed upon the client, the
person responsible to pay compensation and the
insurer to notify the Department of events which
impinge upon recovery of amounts paid out by the
Department."
However, these guides make plain the point that I think is
crucial in this case, namely, that the sickness benefits and the
compensation must be paid in respect of the same incapacity. It
is true that the Committee Notes and the Minister's Second
Reading Speech both refer to practices which had come to notice
which limit the Commonwealth's ability to reduce or recover
sickness benefits and that the guides do not indicate how this is
to be achieved other than by the removal of the specific
requirement that the compensation must be paid for the same
period as that for which the benefits have been paid. However, I
cannot glean more from these guides than that the course was
taken of removing that requirement from the legislation. It is
difficult to imply any clear legislative intent from the removal
of the words "is in respect of a period during which that person
is or was qualified to receive that sickness benefit". Indeed,
15.
in the new s.115B(3), the following words appear in brackets
"(whether the payment was, or all or any of the
payments were, received before, during or after
the close of the period of receipt of sickness
benefit)".
Perhaps these words express all that was intended to be achieved.
In any event, the removal of the reference to a period in
s.115(2) of Division 3A of the Social Security Act 1947 (Cth) had
only a limited effect for a sickness benefit is payable only in
respect of an incapacity of a temporary nature which persists
during a particular period. Sickness benefit is payable pursuant
to s.108, which provides, inter alia,
"108.(1) Subject to this Part, a person (not being
a person in receipt of a pension under Part III or
IV, a benefit under Part IVAAA, an allowance under
Part VIIA, or a service pension under the
Repatriation Act 1920) is qualified to receive a
sickness benefit in respect of a period (in this
sub-section referred to as the 'relevant period')
if -
(c) the person -
(i) satisfies the Secretary that,
throughout the relevant period, he
was incapacitated for work by reason
of sickness or accident (being an
incapacity of a temporary nature) and
that he has thereby suffered a loss
of salary, wages or other income; or
(ii) not being a person who is qualified
to receive sickness benefit by virtue
of the operation of sub-section
(1AA), satisfies the Secretary that,
throughout the relevant period, he
was incapacitated for work by reason
of sickness or accident (being an
incapacity of a temporary nature) and
that he would, but for the
incapacity, be qualified to receive
an unemployment benefit in respect of
the relevant period."
(the underlining is mine)
16.
Mr Siviero received sickness benefits for an incapacity
considered to be of a temporary nature during a particular
period, namely, 25 February 1982 to 6 October 1982. Had he
received weekly payments of compensation in respect of incapacity
for work during this period or had his entitlement to weekly
payments for incapacity during this period been redeemed, an
amount could have been ascertained by reference to the
compensation paid or to the lump sum redemption awarded which was
referable to the same incapacity in respect of which the sickness
benefits were paid. See Re Castronuovo and Director-General of
Social Security, cited above. But those were not the facts of
the present case.
Mr Doyle accepted that, before there could be recovery, it
is necessary to find that the sickness benefits and the"
compensation have been paid "in respect of the same incapacity",
the term used in s.1l1SF. However, he submitted that the
expressions "in respect of an incapacity", "in respect of that
incapacity", "relates to that incapacity" and like expressions
appearing in the new sections in Division 3A, have a wide effect
and bring into their ambit any payment which relates to, in the
sense of touching upon, the incapacity in respect of which the
Sickness benefit was paid.
Mr Doyle submitted that the words "in respect of" were
words of wide import. I accept that this is so. But they must
be read in the context in which they appear. Thus, Mason J said,
in State Government Insurance Office (Qld) v Rees (1979) 144 CLR
549 at 560-1 :
17.
"The crucial question, then, is the meaning to be
given to the words 'in respect of workers'
compensation'. The expression 'in respect of'
denotes a relationship or connection between two
things. In State Government Insurance Office
(Queensland) v Crittenden (1966) 117 CLR 412 at
416, Taylor J quoted, with evident approval, the
remarks of Mann CJ in Trustees Executors & Agency
Co Ltd v Reilly £1941] VLR 110 at 111, 'The words
"in respect of" are difficult of definition, but
they have the widest possible meaning of any
expression intended to convey some connection or
relation between the two subject-matters to which
the words refer.' The same view was taken later
in Club Motor Insurance Agency Pty Ltd v Sargent
(1969) 118 CLR 658. But, as with other words and
expressions, the meaning to be ascribed to 'in
respect of' depends very much on the context in
which it is found."
See also Butler v Johnston, Guild & Somes (1984) 55 ALR 265, in
which Blackburn, Gallop and Neaves JJ said, at p.268, after
examining a number of authorities,
"It is clear that the words 'in respect of' can
convey a meaning of wide import, but their exact
width will depend upon the context in which they
appear. Reference to individual cases on
different statutes is of little assistance in
determining their particular meaning. The court
has to construe the meaning of the words with
reference to the purpose or object underlying the
legislation in which they appear (s I5AA of the
Acts Interpretation Act 1901)."
In my opinion, it is clear from the whole of Division 3A,
that Parliament has provided for the recovery of sickness
benefits paid in respect of an incapacity when compensation has
been paid or is payable for the same incapacity, in other words,
where the recipient of the sickness benefits has received or is
entitled to receive double payments for the same incapacity, the
double payments being payments of sickness benefits under' the
Social Security Act 1947 (Cth) and payments under an entitlement
to compensation. The word "same" is used only in s.115F but,
18.
nevertheless, the provisions make the point clear by the use of
the terms "an incapacity" and "that incapacity".
The term "compensation" is defined in s.115(2) widely, but
that is not a matter that affects the present issue save that,
when identifying and determining whether sickness benefits and
compensation have both been paid for the same incapacity, it is
necessary to take into account in a sensible manner the
differences which may exist between the actual entitlements to
payment. Thus, compensation for loss of wages would presumably
be treated as payment in respect of the incapacity for work that
led to the loss of wages.
In my opinion, the issue in the present case does not turn
upon the width of the words "in respect of" but upon the issue
whether the sickness benefits and the compensation paid to Mr
Siviero were both paid in respect of the same incapacity. A like
issue was considered in Australian Telecommunications Commission
v Leech (1982) 44 ALR 441 and in Commonwealth of Australia v
Keogh (1983) 50 ALR 693. Both cases considered the application
of s.98(1) of the Compensation (Commonwealth Government
Employees) Act 1971 (Cth) which provided that
"98.(1) Compensation is not payable under this Act
to an employee in respect of an injury if the
employee has received, or is entitled to receive,
in respect of an incapacity resulting from that
injury, a pension (other than a service pension)
in pursuance of a determination or assessment made
under the Repatriation Act 1920-1973 (other than
Division 10 of Part III), the Repatriation (Far
East Strategic Reserve) Act 1956-1966, the
Repatriation (Special Overseas Service) Act
1962-1968, the Interim Forces Benefits Act
1947~1966 or the Native Members of the Forces
Benefits Act 1957-1968."
19.
In my reasons in Keogh's case, cited above, I considered
the reasons for decision delivered in Leech's case, cited above,
and said, at pp.708-710,
"This provision was considered by the Federal Court
of Australia, constituted by Fox, Franki and
Lockhart JJ, in Australian Telecommunications
Commission v Leech (1982) 44 ALR 441. The court
considered a case in which the applicant for
Commonwealth employees' compensation was receiving
a pension under the Repatriation Act 1920 (Cth) in
respect of incapacity arising from hypertension
and other causes which were attributable to war
service, that is to say, to which war service had
contributed in a material way. The appellant
sought compensation under the Compensation Act for
an aggravation to his hypertension to which
aggravation his civilian employment had
contributed in a material way.
Fox and Lockhart JJ left open the question whether
s.98(1) of the Compensation Act applies to a
disease or the aggravation thereof. Franki J
expressed the view that it did apply. I agree
with the reasoning of Franki J in this respect. [1
adopt what his Honour had to say in this regard
and need not repeat it.
on eae
All the judges referred to the necessity for the
incapacity resulting from the work-related injury
to be compensable under both the Compensation Act
and the Repatriation Act. The judges referred to
the finding of the Tribunal, which was under
appeal, that the incapacities which were the
subject of the compensation claim and of the
repatriation claim in that case were 'markedly
different'. Fox and Lockhart JJ said (at 445) :-
',.. The point has not been reached, if it
will ever be reached during the respondent's
lifetime, when the consequences of war
service and of the aggravation merge.
'For these reasons, it is not correct to say
that the respondent has received or is
entitled to receive a pension under the
Repatriation Act in respect of an incapacity
resulting from the injury for which
compensation is payable.'
Franki J said (at 446 and 447) :-
'In my opinion if an employee is entitled to
receive a pension under the Repatriation Act
20.
pursuant to a determination or assessment
for an incapacity resulting from a
particular injury he is not entitled to
compensation under the Act.
eneoe
'In my opinion the onus lay upon the
appellants to establish that, pursuant to a
determination or assessment, the respondent
was entitled to a pension in respect of
incapacity resulting from the second injury
under the Repatriation Act.
'I consider that they did not discharge that
obligation.'
I respectfully agree with the views expressed by
their Honours. Indeed, I do not see that any
other view of s.98(1) is possible. Because the
Compensation Act gives compensation in respect of
an injury, when incapacity or death has resulted
therefrom, and the Repatriation Act gives a
pension for incapacity resulting from injury,
s.98(1) refers to 'an injury' when speaking of a
claim for compensation and to 'an incapacity
resulting from that injury' when speaking of the
pension entitlement. The terminology 1s not
significant. Section 98(1) is designed to
preclude a person from obtaining double
compensation in respect of incapacity arising from
an injury. Section 98(1) refers to 'an
incapacity' but, in the context, it undoubtedly
means 'the incapacity'. It would be absurd to
think that a person's claim for compensation for a
work-related injury could be defeated by proof
that part of the incapacity arising from that
injury was pensionable under the Repatriation Act.
That view was rejected by all the judges in
Leech's case.
Thus, s.98(1) applies in the circumstance that a
work-related injury has resulted in incapacity and
the incapacity resulting from that injury is
pensionable under the Repatriation Act. As Franki
J pointed out, in a review by the Administrative
Appeals Tribunal, the onus lies upon the
Commonwealth to establish that the circumstances
prescribed by s.98(1) are fulfilled."
The above comments are of relevance, not only because of
the similarity in the terminology used and in the context in
which the legislation operates, but also for the guidance given
21.
as to the proper approach to the issue whether benefits have been
paid or are payable in respect of the same matter.
In the present case, Mr Doyle submitted that the sickness
benefits were paid in respect of an incapacity which arose from
Mr Siviero's back injury and that the compensation was also paid
for his back injury. He therefore submitted that the benefits
were paid in respect of the same incapacity.
A major difficulty with Mr Doyle's submission is that the
term "incapacity" does not mean "injury". Incapacity 1s a
consequence of disability, injury or disease, but is not itself
disability, injury or disease. Disability is one thing,
incapacity resulting therefrom is another. The Social Security
Act 1947 (Cth), which in ss.24 and 108 refers to "incapacity for
work", must be read as understanding this distinction.
Therefore, the question in this case is not whether the
sickness benefits and compensation were both paid in respect of
an incapacity arising from the same injury but whether they were
both paid in respect of the same incapacity.
As the sickness benefits were paid in respect of an
incapacity for work, thought to be of a temporary nature, between
25 February 1982 and 6 October 1982, the question is whether the
compensation payable under s.70 was payable in respect of that
incapacity.
The lump sum compensation award under s.70 of the Workers
22.
Compensation Act 1971 (SA) was payable in respect of an injury of
a permanent nature which resulted in incapacity for work. It was
not compensation for incapacity for work as such and certainly
not for incapacity for work during the period 25 February 1982 to
6 October 1982. The incapacity for work during that period was
compensable, if at all, by weekly payments under s.51 or by
redemption under s.72 of the Workers Compensation Act 1971 (SA).
No such payment was made in the present case and the award under
s.70 would not have affected any entitlement to compensation
under those sections with respect to the period prior to the date
of the making of the award. Section 69(2) provides that nothing
in that section or in s.70 limits the amount of compensation
payable for any injury during any period of incapacity resulting
from injury occurring before an assessment of compensation is
made under either section.
Not only does an award under ss.69 or 70 not displace any
entitlement to compensation with respect to incapacity for work
during a period prior to the making of the award, but the
compensation payable under ss.69 and 70 is payable for a_ subject
matter different from "total or partial incapacity for work",
which brings into operation ss.51 and 72. Compensation under
ss.69 and 70 is awarded for injury rather than for incapacity for
work. The distinction between compensation for a table injury
and compensation by way of weekly payments was made clear by
McTiernan J in Day v Standard Waygood Ltd (1941) 65 CLR 204 at
215-216, when discussing s.9 (weekly payment) and s.16 (table
injury) of the Workers Compensation Act 1926 (NSW). His Honour
said :
23.
"It is a condition of the worker's right to recover
compensation under either section that the injury
is 'a personal injury arising out of and in the
course of the employment' and that it results in
incapacity. The distinction between the rights
conferred by each section is conveniently
explained by Ferguson J in Horlock v North Coast
Steamship Navigation Co (1927) 27 S.R.(N.S.W.)
236, at pp.240, 241; 44 W.N. 68, at p.69. Sec.16
provides an alternative form of compensation at
the option of the worker inthe case of the
injuries specified in the table. The amount
payable is not a commutation of the weekly
payment, but a substitution for it. If the worker
elects under the section, he is entitled to be
paid the whole amount, whatever the amount of the
weekly payments to which he would otherwise have
been entitled. Ferguson J said :- 'It is clearly
intended as compensation for the physical injury,
as distinguished from the mere loss of wages
resulting from the injury. The amount bears no
relation, as the weekly compensation does, to his
average earnings before the accident, or to the
diminution of his earnings or earning power, and
it is not affected, as the weekly compensation is,
by any consideration of payments made to him by
the employer. It is a new statutory right to .
receive specific compensation for a specific
injury' (1927) 27 S.R.(N.S.W.) at p.241; 44 W.N.
at p.69."
See also Commissioner for Railways v Bain (1965) 112 CLR 246 at
257, per Barwick CJ.
The first criterion of s.115B of the Social Security Act
1947 (Cth) is that a person (Mr Siviero) be qualified to receive
a sickness benefit in respect of an incapacity. Mr Siviero was
qualified to receive sickness benefits in respect of an
incapacity for work considered to be temporary during the period
25 February 1982 to 6 October 1982. The next criterion is that a
payment received by a person (Mr Siviero) is a payment that is,
in whole or in part, a payment by way of compensation in respect
of that incapacity.
a
24.
In my opinion, the Tribunal correctly concluded that the
award under s.70 of the Workers Compensation Act 1971 (SA) was
not a payment in respect of the incapacity for which the sickness
benefits were paid. The sickness benefits were paid in respect
of incapacity for work during a particular period. The award
under s.70 was made in respect of an injury resulting in
incapacity but did not affect any entitlement to compensation for
incapacity for work prior to the making of the award, that is to
say, during the period in respect of which the sickness benefits
were paid.
I agree with the Tribunal's view that the sickness benefit
was paid in this case for an incapacity for work considered to be
of a temporary nature from 25 February 1982 to 6 October 1982
whereas the $20,000 lump sum compensation paid under s.70 of the
Workers Compensation Act 1971 (SA) was paid with respect to a
permanent injury, that the award of that sum did not affect any
entitlement which Mr Siviero may have had for compensation in
respect of his incapacity for work during those dates and that
the award of compensation under s.70 was not an award made in
respect of the incapacity in respect of which the sickness
benefits were paid.
For these reasons, I am of the view that the appeal should
be dismissed with costs.
| certify that this andthe 2.5
preceding pages are a true copy of the
reasons for judgment herein of The Honour-
able Mr. Justice FT. 0. Davies
Ss FPidgeway ' Associate
Dated 12 September 1986