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Nguyen (Migration) [2020] AATA 5958 (14 December 2020)
Last Updated: 3 March 2021
Nguyen (Migration) [2020] AATA 5958 (14 December 2020)
DECISION RECORD
DIVISION: Migration & Refugee Division
REVIEW APPLICANT: Ms Nghia Thi Nguyen
VISA APPLICANTS: Mr Van Son Vu
Mrs Hoang Van Trinh
Miss Hoang
Linh Chi Vu
Mr Minh Duc Vu
CASE NUMBER: 1927596
HOME AFFAIRS REFERENCE(S): OSF2015/072047 OSF2016/073592
MEMBER: Steven Griffiths
DATE: 14 December 2020
PLACE OF DECISION: Adelaide
DECISION: The Tribunal remits the applications for Other Family
(Migrant) (Class BO) visas for reconsideration, with the direction that the
following criteria for a Subclass 116 (Carer) visa are met:
- cl.116.211 of
Schedule 2 to the Regulations; and
- cl.116.221 of
Schedule 2 to the Regulations.
Statement made on
14 December 2020 at 11.33am
CATCHWORDS
MIGRATION – Other Family (Migrant) (Class BO) visa –
Subclass 116 (Carer) – ‘carer’ of an Australian
relative
– aged person with dementia – nature and scope of the assistance
required – assistance from relatives
– current care giver of the
sponsor – reasons why other relatives cannot provide the care –
assistance from certain
services – language barriers – only
comfortable when in the home environment – willingness and ability to
provide
care – substantial and continuing assistance – sponsorship
requirements – decision under review
remitted
LEGISLATION
Migration
Act 1958 (Cth), s 65
Migration Regulations
1994 (Cth), rr 1.03, 1.15AA; Schedule 2, cls 116.212,
116.221
CASES
Anveel v
Minister for Immigration and Border Protection [2013] FCCA
2181
Jajo v Minister for Immigration &
Border Protection [2013] FCCA 1554
Perera v
MIMIA [2005] FCA 1120
Xiang v MIMIA [2004] FCAFC
64
STATEMENT OF DECISION AND REASONS
APPLICATION FOR
REVIEW
-
This is an application for review of a decision made by a delegate of the
Minister for Home Affairs on 13 September 2019 to refuse
to grant the visa
applicants Other Family (Migrant) (Class BO) visas under s.65 of the
Migration Act 1958 (the Act).
-
The visa applicants applied for the visa on 23 July 2015. At that time, Class
BO contained three subclasses, Subclass 114 (Aged
Dependent Relative); Subclass
115 (Remaining Relative) and Subclass 116 (Carer): item 1123A of Schedule 1 to
the Migration Regulations 1994 (the Regulations). In the present case, the
applicant is seeking to satisfy the criteria for the grant of a Subclass 116
visa. The
criteria for a Subclass 116 visa are set out in Part 116 of Schedule 2
to the Regulations. Relevantly to this matter, the primary criteria to be met
include cl.116.221.
-
The delegate refused to grant the visas on the basis that cl.116.221 was not
met as it was assessed that the requirements of Regulation 1.15AA(1)(e)(i) and
(ii) had not been met in that the assistance cannot reasonably be provided by
any other relative in Australia and the assistance
cannot reasonably be provided
by welfare, hospital, nursing or community services in Australia.
-
The parties were assisted by their registered migration agent, Mr. Mitchell
Simons, of MSM Legal.
-
The review applicant appeared before the Tribunal on 9 December 2020 to
give evidence, respond to questions and present arguments. The
Tribunal noted
the documented and oral evidence of the others at the hearing that the sponsor
is an aged person with dementia and
a variety of other health issues impacting
on her awareness of the circumstances around her, noting the sponsor was in the
room for
all of the hearing and asleep, with the Tribunal regularly viewing the
sponsor and noting she was asleep at all times.
-
The Tribunal accepts that it was it was not possible for the sponsor to provide
evidence due to her health conditions, and accepted
the legal determination of
other authorities for the current carer of the sponsor, her daughter Ms. Nga Vu
who is the owner of the
home the sponsor lives in, to be legally responsible for
the requirements of the sponsor, and determined Ms. Nga Vu would provide
oral
evidence on behalf of the sponsor. The Tribunal has determined to note Ms. Nga
Vu as the primary care giver of the sponsor.
-
The Tribunal also received oral evidence from the other daughter of the
sponsor, Ms. Nguyet Thi Minh Vu, who lives in Australia,
with the applicant and
adult secondary applicant providing oral evidence from Vietnam. The Tribunal
hearing was conducted with the
assistance of an interpreter in the Vietnamese
and English languages.
-
The Tribunal exercised its discretion to hold the hearing by Microsoft Teams
Video. The hearing was held during the COVID-19 pandemic.
The Tribunal
determined it was reasonable to hold a hearing by Microsoft Teams Video, having
regard to the nature of this matter
and the individual circumstances of the
applicants. The Tribunal also had regard to the Tribunal’s objective of
providing a
mechanism of review that is fair, just, economical and quick, and
the delay to the matter if the hearing was not to be conducted
by Microsoft
Teams Video. No concerns were raised by the parties on holding a Microsoft Teams
Video hearing and the Tribunal is satisfied
that the applicants were given a
fair opportunity to give evidence and present arguments.
-
The registered migration agent took part in the hearing
-
For the following reasons, the Tribunal has concluded that the matter should be
remitted for reconsideration.
BACKGROUND OF THE EVIDENCE
-
Applicant Mr. Vu was born in Vietnam in 1961. His father is deceased, with his
mother, the visa sponsor, born 1937, and having lived
in Australia since 2012.
He has an older brother living in Vietnam and 2 sisters living in Australia. He
is married, with 2 daughters,
born 2002 and 2009, with the wife and
daughter’s the secondary applicants to the visa. He visited Australia
from 28/5/15 to
22/6/15.
-
Sponsor Mrs. Nguyen was born in Vietnam in 1937. Her husband is deceased and
she has 4 children, with 2 daughters living in Australia
and two sons in
Vietnam. She arrived in Australia on 12/6/12 on a Contributory Parent 143 Visa
granted 18/5/12 and is an Australian
Permanent Resident and became an Australian
Citizen on 1/11/16. As part of her visa conditions she is not eligible for the
Australian
Aged Pension.
INFORMATION TO THE TRIBUNAL
-
Since the Department of Home Affairs made its decision, the applicant has
provided further information to the Tribunal including:-
Migration
Agent request for priority consideration, due to health issues of carer
daughter, 30/1/20 and supporting review of women
by Bronwen Winterburn, Clinical
Psychologist, 28/1/20
Statement by non-residing daughter of sponsor of inability to care for
mother, 11/8/20
Statement by residing daughter of sponsor of care needs of mother, attempts
to source care from third parties, 13/8/20
Sponsor report on health condition by GP, 24/6/20
Consulting Psychologist report, 29/7/20, on sponsor by Bridge Consulting
Submission 23/11/20, including:-
Migration Agent comments
My Aged Care, Australian Government, confirmation of Level 2 Home Care
Package, 6/10/20
Australian Government, Services Australia, Residential Aged Care Fees
CONSIDERATION OF CLAIMS AND EVIDENCE
-
In this case, Mr. Vu is seeking to satisfy the criteria for the grant of a
Subclass 116 (Carer) visa. The criteria for a Subclass
116 visa are set out in
Part 116 of Schedule 2 to the Regulations. Mr. Vu must meet the primary criteria
in Part 116 to be granted the visa, and his wife and two children need only meet
the secondary criteria.
-
The primary criteria to be met include cl.116.221 which requires that Mr. Vu is
to be the carer of the Australian relative. The
term “carer” is
defined in r.1.15AA.
-
As the Sponsor, Mrs. Nguyen, is an Australian Citizen by grant and the
applicant Mr. Vu is her son and the sponsor requires care,
the Tribunal accepts
that Regulation 1.15AA(1)(a) is met.
-
The Tribunal accepts that Mrs. Nguyen has the required health provider
assessment that specifies that she has a variety of medical
condition that
causes impairment of her ability to attend to the practical aspects of daily
life, she has the required number of
impairment points and she has a need for
direct assistance in attending to the practical aspects of daily life for at
least two years.
As a result, the requirements of r.1.15AA (b) and (c) are met.
-
In issue in this matter is whether r.1.15AA(1)(e) and (f) of the definition are
met at the time of this decision.
Regulation 1.15(1)(e)
– can the assistance be reasonably provided by certain relatives or
obtained from certain services?
The definition of ‘carer’ in r.1.15AA includes at r.1.15AA(1)(e)
that:
(e) the assistance cannot reasonably be:
- provided
by any other relative of the resident, being a relative who is an Australian
citizen, an Australian permanent resident or
an eligible New Zealand citizen;
or
- obtained
from welfare, hospital, nursing or community services in Australia; and
-
As it applies to Mrs. Nguyen, r.1.15AA(1)(e)(i)
requires a consideration of the assistance she requires, the reasons put forward
by her relatives for being unable
to provide her with this assistance, and
whether these reasons are reasonable.
-
Regulation 1.15AA(1)(e)(ii) involves a consideration of whether the assistance
Mrs. Nguyen needs cannot be obtained from welfare, hospital, nursing or
community
services in Australia.
-
The Tribunal can look at whether the assistance Mrs. Nguyen requires can be met
by a combination of assistance from her family together
with welfare, hospital,
nursing or community services in Australia. This approach was adopted without
comment in Lam v MIBP.
What assistance does Mrs.
Nguyen require?
-
In looking at the type of assistance required, the Tribunal is not required to
turn its mind to the nature and scope of the assistance
required, and is
required to accept the nature and scope of the person’s impairment and any
consequential need for assistance
as documented in the certificate prepared by
the health service provider.
-
The Tribunal has regard to, and accepts, the BUPA Medical Visa Services report,
dated 14 May 2015, of a Carer Visa Assessment Certificate,
attaching a rating of
40 for Social Security Act rating of permanent conditions, being Dementia,
Osteoarthritis, Stress Incontinence,
Hypertension, Hypercholesteremia and
Varicose Vein.
-
The Tribunal has regard to, and accepts, the submissions provided by treating
medical professionals on Mrs. Nguyen as part of the
Visa application lodged 23
July 2015 and Refusal Decision of 13 September 2019.
-
The Tribunal has regard to, and accepts, the report by the Department of
Gynaecology, SA Health, dated 25 January 2016 on the support
provided to the
sponsor by the Nurse Incontinence Clinic, which are required to be ongoing.
-
The Tribunal has regard to, and accepts, the report by Adelaide MRI, Diagnostic
Imaging, dated 1 August 2017, noting the knee and
mobility issues Mrs. Nguyen
deals with are caused by osteoarthritis.
-
The Tribunal has regard to, and accepts, the documented and oral evidence of
the parties that the health needs of Mrs. Nguyen have
continued to increase
since the earlier diagnosis of her health issues, with she now hallucinating
often about the situation she
is in, sleeping poorly during the night and
requiring the primary care giver to have broken sleep every night in calming her
down
and getting her back to sleep.
-
The Tribunal accepts the documented and oral evidence of the current care giver
of the sponsor, being her daughter and her husband
and 7-year-old son, of the
impact that the care needs of Ms. Nguyen has had upon them, which is experienced
every day.
-
The Tribunal accepts the documented and oral evidence of the primary care giver
of the concern that she does not provide her husband
and son with attention and
care, the need to assist part-time in the business operated by the husband, the
issues she has dealt with
in her professional life that resulted in her having a
nervous breakdown and dealing with PTSD and the exhaustion she feels each
day
due to the continual need to ensure Mrs. Nguyen has the care and support she
requires.
-
The Tribunal accepts the documented and oral evidence of the parties that
language issues are significant in this case, with Mrs.
Nguyen requiring at all
times a Vietnamese speaking carer and this has resulted in funded services not
being able to be provided
and placed more responsibility upon the primary care
giver.
-
The Tribunal accepts the documented and oral evidence of the parties of the
closeness the visa applicant has with his mother, he
being identified as her
favourite and a family leader, exampled by the sponsor and visa applicant being
in regular contact, that
he is fully aware of the medical issues of the sponsor,
spent 4 weeks caring for her in early 2015 when he came to Australia and
that he
is the person trusted by all other family members as the person to care for Mrs.
Nguyen.
Cannot reasonably be provided by certain other
relatives
-
Regulation 1.15AA(1)(e) requires identification of those relatives of the
sponsor who are Australian citizens, Australian permanent
residents or eligible
New Zealand citizens.
-
The term “relative” is defined in r.1.03 as a close relative or a
grandparent, grandchild, aunt, uncle, niece or nephew,
or a step-grandparent,
step-grandchild, step-aunt, step-uncle, step-niece or step-nephew. A close
relative is a spouse, de-facto
partner, child, parent, brother or sister or a
stepchild, stepbrother or stepsister.
-
As this applies to Mrs. Nguyen this includes her 2 daughters, their husbands
and 3 grandchildren who live in South Australia, each
with their own families
and health and life issues.
-
Regulation 1.15AA(1)(e)(i) was considered by Judge Nicholls in Anveel v
Minister for Immigration and Border Protection, in which he said that this
provision requires an examination of whether, from the perspective of the
relative, they cannot provide
the care, and requires a focus on the reasons the
relatives cannot provide the care. Judge Nicholls remarked that it is important
to note that the test is stated in the negative and said: It is not whether the
care “can” be “provided”,
it is whether it
“cannot” be provided by relatives. The focus of the Tribunal
therefore must be the reasons as to why
the relatives cannot provide the
care.
-
In Jajo v MIBP, Judge Emmett stated that on the facts of that case,
where there were a number of children in Australia, it was open to the Tribunal
to conclude that a number of relatives can provide the assistance required by
the person needing care.
-
It is therefore necessary to look at the circumstances of each of the relevant
relatives and the reasons the relevant relatives
state they cannot provide
care.
-
The Tribunal accepts the documented and oral evidence of the primary care giver
on her professional work roles undertaken since
the sponsor came to live with
her in 2012, her illness and change of work roles and reduced work hours, while
helping her husband,
who operates his own carpentry business and providing for
the care needs of her 7 year old son.
-
The Tribunal accepts the documented and oral evidence of the parties of the
conception issues for the primary care giver and husband,
resulting in long and
expensive medical assistance to ensure the conception and birth of their son,
and the pressures this has placed
on them.
-
The Tribunal accepts the documented and oral evidence of the parties of the
desire to have a second child, and while long and expensive
medical assistance
has been provided a second child was not achieved.
-
The Tribunal accepts the documented evidence of the husband of the primary care
giver that his business involves long work hours
and he is not available to
provide any help with the care needs of Mrs. Nguyen during the day.
-
The Tribunal accepts the documented and oral evidence of the primary care giver
that her 7-year-old son has a relationship with
Mrs. Nguyen but is not old
enough to provide care for her.
-
The Tribunal accepts the documented and oral evidence of the second daughter of
the sponsor, who lives in the same city as the sponsor,
that she has long term
health issues, that she and her husband have lost significant money with a
business venture, that she works
5 days per week, that her husband works full
time, all to ensure the family can meet their debt repayment requirements, and
that
while she sometimes provides food for her mother, she is not able to
provide any regular commitment to the care needs of the sponsor
as she is the
care giver of the aged parent of her husband who lives with them and has care
needs also.
-
The Tribunal accepts the documented and oral evidence of the parties that the
husband of the second daughter of the sponsor, refuses
to allow the sponsor to
live with him as his wife is required to care for his aged parent who lives with
them, as this is the responsibility
of his family.
-
The Tribunal accepts the documented evidence that the second daughter and her
husband have been through difficult relationship periods
and that any additional
care responsibilities would not be good for them.
-
The Tribunal accepts the documented evidence of the 2 children of the second
daughter of the sponsor, noting one is at university
and working part-time, with
the other at school and that their commitments do not provide them with the
opportunity to provide care
for their grandmother.
-
The Tribunal accepts the documented evidence of the 2 children of the second
daughter of the sponsor that they came to Australia
when very young and do not
speak Vietnamese to a sufficient level to be able to converse with their
grandmother to a sufficient level
to be able to provide care for her.
-
The Tribunal determines the assistance that Mrs. Nguyen requires cannot be
provided by relatives who are Australian citizen, Australian
permanent residents
or New Zealand citizens.
Cannot reasonably be obtained from
welfare, hospital, nursing or community services in Australia
-
Regulation 1.15AA(1)(e)(ii) requires that the assistance Mrs. Nguyen needs
cannot reasonably be obtained from welfare, hospital,
nursing or community
services in Australia. The Tribunal must look to Mrs. Nguyen’s particular
circumstances in deciding whether
the assistance cannot reasonably be obtained,
as this is more than whether the services are merely available to her.
-
The Tribunal accepts that Mrs. Nguyen has lived in Australia since 2012, noting
she speaks only Vietnamese, has been reliant on
support care since 2014 and this
is increasing as she ages.
-
The Tribunal accepts the documented and oral evidence of the primary care giver
that she, as the legal representative of Mrs. Nguyen,
has sought assistance from
a range of care and support providers, with the sponsor being formally assessed
by ACAT on 9 July 2019
and for example with the MyAgedCare program was
determined in October 2020 to be eligible for a Level 4 Home Care Package, with
the
offered package being Level 2 only, as this was all the available funding
would allow, and this support package has not been able
to be provided to this
time as no Vietnamese speaking support workers have been available.
-
The Tribunal accepts the documented and oral evidence of the parties that Mrs.
Nguyen is easily confused, has hallucination issues
and is only comfortable when
in the home environment in which she has lived since 2012, so any move by her to
a supported facility,
for respite or permanent use, would be seriously resisted
and would likely result in significant negative impact on her health.
-
The Tribunal accepts the documented and oral evidence of the residential care
facilities, being Regency Green and the Calvary Flora
McDonald Retirement
Community, on the basis of Mrs. Nguyen potentially becoming a resident, with
each confirming in writing that
the services at either at capacity, lack
appropriate cultural support and do not support the range of care needs given
her diagnosed
health issues.
-
The Tribunal accepts the documented and oral evidence of the parties that the
issue of bond payment requirements for any care facility
for the sponsor is one
they cannot fund, with the parties all having levels of debt due to home
mortgage, business loans and higher
education debts, while the sponsor has total
assets of $ 6,726 while the estimate cost of an accommodation bond is $
350,000.
-
The Tribunal is satisfied that the assistance cannot reasonably be provided by
a relevant relative, or obtained from welfare, hospital,
nursing or community
services in Australia either individually or cumulatively, and therefore the
requirements of r.1.15AA(1)(e)
are met.
Regulation
1.15AA(1)(f) - is the applicant willing and able to provide assistance of the
kind required?
-
Regulation 1.15AA(1)(f) requires that the visa
applicant is willing and able to provide to the Australian relative substantial
and continuing
assistance of the kind needed. In this context, it should be
noted that ‘willingness’ is concerned with the visa
applicant’s
state of mind. In contrast, the issue of ability is an
objective inquiry as to whether the visa applicant is a person who is suitable
or fit to provide the assistance: Xiang v MIMIA [2004] FCAFC 64.
-
The term ‘substantial and continuing assistance’ has not been
directly considered in this context, but has been the
subject of judicial
consideration in the context of the definition of ‘special need
relative’ in the Regulations. In
Perera v MIMIA [2005] FCA 1120,
the Court held that the term ‘substantial’ is directed to the level
of assistance and the term ‘continuing’
is directed at the duration
of the assistance and that it is a composite phrase, in the sense that its two
elements are cumulative.
Although the comments in this case were not made in the
context of the definition of ‘carer’, the Tribunal considers
them to
be of assistance when considering that definition.
-
The Tribunal accepts the documented and oral evidence of the primary care giver
and the second daughter of the sponsor that their
brother, the visa applicant,
could provide daily care and support, had been prepared for many years to do so
and was committed to
doing so if given the chance to be in Australia.
-
The Tribunal accepts the documented and oral evidence of the parties of the
visa applicant spending approximately 1 month in Australia
in 2015, living with
the sponsor and primary care giver for all that time, with the trip only
enforcing the close bond the applicant
and the sponsor have and continue to have
over the last 5 years, with the bond enforced by the video and voice contact the
parties
regularly have.
-
The Tribunal accepts the documented and oral evidence of the parties that when
the applicant was in Australia in 2015, he and his
2 sisters discussed the
current and projected care needs of their mother, the difficulties the primary
care giver was experiencing
then, the inability of the second daughter of the
applicant to contribute to her mother’s care and determined that the only
possible outcome that respected their mother and ensured she had the best
possible care was for the now visa applicant and his family
to come to Australia
to take on the role.
-
The Tribunal notes the visa application was lodged on 23 July 2015 and accepts
the evidence of the applicant that he, his wife and
two children remain
committed to moving to Australia to enable her to be the carer for the Mrs.
Nguyen.
-
The Tribunal accepts the oral evidence of the primary care giver and applicant
that the applicant, his wife and children will live
in the home of the primary
care giver and sponsor, to ensure the applicant is with the sponsor all day
every day.
-
The Tribunal accepts the oral evidence of the applicant that his wife has
experience as a pharmacy assistant and nursing support
in hospitals, has cared
for her aged parents until they passed away and that they will both provide care
to Mrs. Nguyen.
-
The Tribunal accepts the documented and oral evidence of the parties that the
visa applicant and family will be financially supported
by their relatives in
Australia.
-
The Tribunal accepts the oral evidence of the applicant that his children, who
are 18 and 11, will continue their education in Australia
and are supportive of
the family moving to Australia for the father and mother to care for their
grandmother.
-
The Tribunal accepts the documented and oral evidence of the applicant that he
and his wife have some English language skills, with
their children being far
better as it has been part of their education.
-
The Tribunal accepts the oral evidence of the visa applicant, primary care
giver and second daughter of the sponsor that the visa
applicant is the one
person in the family who ensures they deal with issues and do not get stuck on
any problems that exist
-
The Tribunal is satisfied that the visa applicant is willing and able to
provide substantial and continuing assistance of the kind
required by the
sponsor, and therefore meets the requirements of
r.1.15AA(1)(f).
Are the sponsorship requirements
met?
-
Clause 116.212 requires that at the time of application the visa applicant is
sponsored by the Australian relative, or the spouse
(or de facto partner, where
applicable) of the Australian relative, who has turned 18. If sponsored by the
spouse or de facto partner,
the spouse or de facto partner must cohabit with the
Australian relative and must be an Australian citizen, permanent resident or
eligible New Zealand citizen. For these purposes, ‘relative’,
‘Australian permanent resident’ and ‘eligible
New Zealand
citizen’ are defined in r.1.03 of the Regulations. ‘Spouse’ is
defined in r.1.15A (for visa applications
made before 1 July 2009) and s. 5F of
the Act (for visa applications made after that date, whilst
‘de-facto’ partner
is defined in s.5CB of the Act).
-
The Tribunal determines the visa applicant is sponsored by an Australian
relative, with the sponsor over 18 years of age.
-
Therefore, at the time of application, the visa applicant was sponsored as
required by the legislation and satisfies cl.116.212.
-
Given these findings the Tribunal concludes that at the time of decision the
first named visa applicant is to become the carer of
the Australian relative,
being his mother the sponsor, and therefore satisfies cl.116.221.
-
Given the findings above, the appropriate course is to remit the application
for the visa to the Minister to consider the remaining
criteria for a Subclass
116 visa. As the applicant Mr. Vu meets this criterion, his wife and two
children meet the secondary criteria
for the grant of the visa, and it is
appropriate to remit the visa application of the secondary visa applicants for
reconsideration.
DECISION
-
The Tribunal remits the applications for Other Family (Migrant) (Class BO)
visas for reconsideration, with the direction that the
following criteria for a
Subclass 116 (Carer) visa are met:
- cl.116.211 of
Schedule 2 to the Regulations; and
- cl.116.221 of
Schedule 2 to the Regulation.
Steven
Griffiths
Member
ATTACHMENT
Migration Regulations
1994
1.15AA Carer
1.15AA (1) An applicant for a visa is a carer of a person who is an
Australian citizen usually resident in Australia, an Australian
permanent
resident or an eligible New Zealand citizen (the resident) if:
(a) the applicant is a relative of the resident; and
(b) according to a certificate that meets the requirements of subregulation
(2):
(i) a person (being the resident or a member of the family unit of the
resident) has a medical condition; and
(ii) the medical condition is causing physical, intellectual or sensory
impairment of the ability of that person to attend to the
practical aspects of
daily life; and
(iii) the impairment has, under the Impairment Tables (within the meaning of
subsection 23(1) of the Social Security Act 1991), the rating that is
specified in the certificate; and
(iv) because of the medical condition, the person has, and will continue for
at least 2 years to have, a need for direct assistance
in attending to the
practical aspects of daily life; and
(ba) the person mentioned in subparagraph (b)(i) is an Australian citizen, an
Australian permanent resident or an eligible New Zealand
citizen; and
(c) the rating mentioned in subparagraph (b)(iii) is equal to, or exceeds,
the impairment rating specified in a legislative instrument
made by the Minister
for this paragraph; and
(d) if the person to whom the certificate relates is not the resident, the
resident has a permanent or long-term need for assistance
in providing the
direct assistance mentioned in subparagraph (b)(iv); and
(e) the assistance cannot reasonably be:
(i) provided by any other relative of the resident, being a relative who is
an Australian citizen, an Australian permanent resident
or an eligible New
Zealand citizen; or
(ii) obtained from welfare, hospital, nursing or community services in
Australia; and
(f) the applicant is willing and able to provide to the resident substantial
and continuing assistance of the kind needed under subparagraph
(b)(iv) or
paragraph (d), as the case requires.
(2) A certificate meets the requirements of this subregulation if:
(a) it is a certificate:
(i) in relation to a medical assessment carried out on behalf of a health
service provider specified by the Minister in an instrument
in writing; and
(ii) signed by the medical adviser who carried it out; or
(b) it is a certificate issued by a health service provider specified by the
Minister in an instrument in writing in relation to a
review of an opinion in a
certificate mentioned in paragraph (a), that was carried out by the health
services provider in accordance
with its procedures.
(3) The Minister is to take the opinion in a certificate that meets the
requirements of subregulation (2) on a matter mentioned in
paragraph (1)(b) to
be correct for the purposes of deciding whether an applicant satisfies a
criterion that the applicant is a carer.
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