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High Court of New Zealand Decisions |
Last Updated: 13 June 2014
IN THE HIGH COURT OF NEW ZEALAND WELLINGTON REGISTRY
CIV 2014-485-000061 [2014] NZHC 1050
BETWEEN
|
WALTER HORTON TE UA Plaintiff
LYNETTE STANKOVICH Second Plaintiff
|
AND
|
SECRETARY FOR WAR PENSIONS First Defendant
ATTORNEY-GENERAL Second Defendant
|
Hearing:
|
6-7 April 2014
|
Counsel:
|
GDS Taylor and M Freeman for Plaintiffs
A Williams and R Garden for Defendants
|
Judgment:
|
10 June 2014
|
JUDGMENT OF WHATA J
TABLE OF CONTENTS
Background
[6] A war veteran
[7] The claims and assessment process
[9] Father Te Ua’s claimed and approved disabilities
[10]
The claims and relief sought
Judicial review [23]
Breach of statutory duty [24]
Negligence [27]
Statutory framework [29]
Regulations [59]
TE UA v SECRETARY FOR WAR PENSIONS [2014] NZHC 1050 [10 June 2014]
First review claim: Rejecting cover for previously accepted
conditions
[65]
Second review claim: Delay [68] April 2007 claim [71] Resolution [78] February 2009 claim [80] Resolution [81] Strict lodgement policy [90]
Third review claim – Loss of records?
[94] Resolution
[101] “Evidence without foundation”?
[104] Assessment
[107] The proper approach
[114]
Fourth review claim – Withholding medical reports [120] Fifth review claim – The unless notice [129] Sixth review claim – Decision about hernia against evidence [135] Seventh review claim [141] Assessment [150]
Negligence and breach of statutory duty
[165] Negligence
[168] A novel duty of care
[171] Step 1 – Salient features of the claim
[172] Step 2 – Proximity / foreseeability
[174] Statutory policy
[178] Step 3 – fairness
[184] Breach of statutory duty
[189] The general damages claim
[196]
Crown Proceedings Act 1950 [201]
Analysis [204]
Discretion [205]
Outcome [211]
Whether VANZ’s rejection of Father Te Ua’s claim for
disability allowance for a previously approved condition
was a reviewable and/or actionable error [212]
Whether the delay associated with decisions on applications for disability allowances amounts to reviewable error and/or
actionable breach of statutory duty [213]
Whether medical records have been lost, and if so, the consequences of this for the assessment of applications
for disability allowances [214]
Whether withholding medical reports from a claimant prior to the decision of a Claims Panel is a reviewable breach
of natural justice [217]
Whether a misdirected notice to Father Te Ua recording that he was not entitled to further periodic reviews of
his pension in relation to deafness (an approved condition)
is a reviewable breach of natural justice [219]
Whether the decision to decline a disability allowance for
hernia was against the evidence [220]
Whether Ms Stankovich is entitled to be compensated for lost earnings:
(i) Without proof of loss from an employer; and
(ii) While travelling and staying with Father Te Ua when he received treatment for approved conditions in
Palmerston North [221]
Breach of statutory duty and negligence [224] Further direction [226] Costs [227]
[1] Father Te Ua1 joined the New Zealand Army in 1966. He
served three tours of duty in Vietnam. He is entitled to a war disability
pension and other
allowances for medical conditions approved under the War
Pensions Act 1954.
[2] Lynette Stankovich is Father Te Ua’s wife and primary support
person. In certain defined circumstances, support persons
are entitled to
compensation for assistance given to war veterans with approved
conditions.
[3] Veteran Affairs New Zealand (“VANZ”) administers, among
other things, war disablement pensions and related entitlements.
Father Te Ua
claims that VANZ failed to discharge its responsibilities to him in several
ways, causing considerable distress to
him and his family. Ms Stankovich seeks
compensation for among other things, leave taken by her to assist Father Te Ua
with his
treatment for an approved disability.
[4] VANZ is headed by the Secretary for War Pensions and the
Attorney-General is joined because Father Te Ua seeks damages in
relation to
several of his claims.
[5] The central issues before me are:
(a) Whether VANZ’s rejection of Father Te Ua’s claim for
disability allowance for a previously approved condition
was a
reviewable and/or actionable error;
(b) Whether the delay associated with decisions on applications for
disability allowances amounts to reviewable error and/or
actionable breach of
statutory duty;
(c) Whether medical records have been lost, and if so, the consequences
of this for the assessment of applications for disability
allowances;
(d) Whether the decision to decline a disability allowance for hernia was
against the evidence;
1 The plaintiff Walter Horton Te Ua has requested that I refer to him as Father Te Ua.
(e) Whether withholding medical reports from a claimant prior to the
decision of a Claims Panel is a reviewable breach of natural
justice;
(f) Whether a misdirected notice to Father Te Ua recording that he was not
entitled to further periodic reviews of his pension in
relation to deafness (an
approved condition) is a reviewable breach of natural justice and
actionable.
(g) Whether Ms Stankovich is entitled to be compensated for lost
earnings:
(i) Without proof of loss from an employer; and
(ii) While travelling and staying with Father Te Ua when he received
treatment for approved conditions in Palmerston North.
Background
[6] Each of the alleged errors has a distinct factual background and I
propose to address the salient facts under each claim.
The following narrative
is to provide the broader context to these specific claims.
A war veteran
[7] Father Te Ua enlisted with the New Zealand Army in 1966. He commenced
his first tour of Vietnam in May 1967 and completed
that tour in November of the
same year. He volunteered to return to Vietnam and did so in February 1968,
serving there in two stints
until medically evacuated in November 1968. He was
discharged from the Armed Forces in May 1969, but would later enlist as a
Chaplain
with the regular army.
[8] By dint of his service in the theatre of war, Father Te Ua is eligible for a war pension and a war disability pension for approved conditions under the War Pensions Act 1954.
The claims and assessment process
[9] The Secretary for War Pensions provided a helpful summary of the
decision- making process under the War Pensions Act 1954 which
I adopt. When a
veteran makes a claim for a war disability pension, they are now assisted with
their claim by a specifically assigned
VANZ case manager (which was not the case
at the time of Father Te Ua’s 2007 application). The decision on such
applications
is made by the War Pensions Claims Panel (Claims Panel) which is
made up of a VANZ member and a representative of the Royal New Zealand
Returned
Services’ Association. If the decision of the Claims Panel is disputed,
the claimant can seek to have the decision
reviewed by a National Review Officer
(NRO) who is a VANZ employee. The veteran can appeal the decision of the NRO to
the War Pensions
Appeal Board within a six month period. The letters advising
veterans of decisions clearly point out their appeal rights. When
a disability
is accepted by the War Pensions Claim Panel, the date of entitlement for payment
of the war disability pension and various
grants and allowances is taken to be
the date of the application.
Father Te Ua’s claimed and approved disabilities
[10] Father Te Ua was, as lead scout, exposed to a grenade explosion. This
caused significant impairment to his hearing for which
he initially received a
40% disability pension. That was subsequently reviewed and the pension was
increased to 70% for deafness.
[11] In 2006, Father Te Ua applied for a disability allowance in relation to post- traumatic stress disorder. This was granted by the Claims Panel in September 2006. This resulted in a 45% permanent pension. This meant that, taken together, Father Te Ua had a pension entitlement at 115%, but the statutory maximum payment was
100% at that time.
[12] Father Te Ua also applied in April 2007 for a review of pension and medical entitlements to cover conditions including lupus, osteoarthritis, gout, heel spurs, Paget’s disease, thyroidectomy, digestive disease, throat/speech disorder, hypertension, fatigue, diarrhoea, reflux, tinea, and memory loss.
[13] The Claims Panel accepted the claims for hypertension, osteoarthritis and digestive disease, diarrhoea and reflux. The last three are broadly described as irritable bowel syndrome. The claims for Paget’s disease, gout, lupus, fatigue and thyroidectomy were deferred. The claim for gout was later accepted in January
2008, but the claims in relation to throat/speech disorder, Paget’s
disease and thyroidectomy were declined. The claim for
short term memory loss
as a result of hypertension was also approved in January 2009.
[14] In February 2009, Father Te Ua applied for a review of his pension to
include fatty liver, heel spurs, reflux, hypertensive
cardiovascular disease,
benign positional vertigo, back and neck pain, arthritis and lupus. The claim
for lupus would be later withdrawn,
as would the claim in relation to benign
positional vertigo. The Claims Panel accepted the osteoarthritis of the back,
right knee
and hands to a total of 15% in October 2009. While still waiting for
his existing claims to be resolved, Father Te Ua also applied
for review of
his pension to include hernia, diverticulitis and enlarged prostate on 11
November 2009.
[15] In December that year, the Claims Panel accepted the
hypertensive heart disease and short-term memory loss to a total
of 20%. But
the Panel would later decline claims in relation to heel spurs, fatty liver,
diverticulitis, arthritis, hernia and
reflux in February 2010.
[16] Father Te Ua made further application in July 2010 to have his deafness reassessed and in August 2010 applied for review of the decision of the Panel of
9 February 2009. Before the review of the decision was complete, VANZ declined Father Te Ua’s application for a treatment exam by a specialist in laparoscopic reflux surgery. The reason given for this was that the reflux was not an accepted disability. However, on 2 December 2010, the Deputy Secretary for War Pensions overturned the decision of the Panel on the basis that the reflux had already been accepted in
2007.
[17] In March 2011, the NRO accepted the claims of fatty liver (5%), diverticulitis (10%) and arthritis (5%), overturning the Panel’s February 2009 decision but upholding the decision to decline heel spurs and hernia.
[18] At about the same time, Father Te Ua learned that he needed to travel
to Auckland to obtain specialist management of pensionable
disabilities and
sought assistance from Ms Stankovich for the purposes of his travel and stay in
Auckland. VANZ approved transport
expenses for Ms Stankovich to accompany Father
Te Ua, but rejected a request for compensation for lost wages unless Ms
Stankovich’s
employer confirmed that there was no paid leave that she
could take and there was a net loss of wages.
[19] Concerns were then raised with the Ombudsman, later the Deputy
Secretary, Prime Minister and the Honourable Judith Collins in
relation to the
administration of Father Te Ua’s claims. The Secretary nevertheless
remained steadfast in relation to the
claims for wages and other costs incurred
by Ms Stankovich.
[20] Father Te Ua was diagnosed with prostate cancer in March
2012. His subsequent application for prostate cancer to
be included as an
accepted disability was accepted by the Claims Panel and his pension was
increased to 195%, though the total
payable is 100% plus 60% additional
pension under s 23. Further endeavours to obtain assistance for Ms
Stankovich
to support Father Te Ua, including by travelling with him and
staying with him at the venues of treatment were rejected.
The claims and relief sought
[21] The pleadings are in three parts. The first part seeks relief by way
of judicial review of seven allegedly reviewable actions.
The second part
alleges breach of statutory duty alleging four reviewable actions (though the
fourth action was not pursued at the
hearing). The third part of the
proceedings alleges negligence in relation to four alleged reviewable
actions.
[22] The three parts relate to the same underlying facts but it is convenient to deal firstly with the claims by way of judicial review and then with the claims of actionable breach of statutory duty and of negligence.
Judicial review
[23] Father Te Ua alleges that the Secretary and/or the officers of VANZ
made the following reviewable errors:
(a) The Claims Panel and then the NRO erroneously rejected cover for
reflux, a condition that had been previously accepted by
VANZ (first review
claim);
(b) The decisions of the Claims Panel dated 17 December 2009 and 9
February 2010 were unlawful for the following reasons:
(i) The strict order of lodgement policy was unlawful;
(ii) An alleged corroboration policy was contrary to natural
justice;
(iii) The delays were unreasonable. (second review claim)
(c) The Chief of the Defence Force and the Secretary failed to maintain
the integrity of the records of veterans with the consequence
that decisions
made were based on incomplete files, were unreasonable and/or unlawful (third
review claim);
(d) The Secretary breached natural justice in failing to disclose to Father
Te Ua the medical records relied upon for the purposes
of making a decision on a
claim by him (fourth review claim);
(e) VANZ erroneously misaddressed an unless notice to Father Te Ua
thereby depriving him of further reviews in respect of his
hearing loss (fifth
review claim).
(f) The decisions to refuse to accept Father Te Ua’s heel spurs2
and hernia were unlawful in that they were:
2 This part of the claim was withdrawn prior to hearing.
(i) Inconsistent with principle;
(ii) Based on an unlawful policy including a requirement for order
of lodgement and a requirement for corroboration of
information
provided by a veteran (sixth review claim).
(g) The Secretary unreasonably refused to grant travel allowances
to
Ms Stankovich (seventh review claim).
Breach of statutory duty
[24] The first breach of statutory duty relates to the first reviewable
claim. Father Te Ua alleges that VANZ was under a duty to
see what disabilities
had in the past been accepted as attributable to Father Te Ua’s service
and secondly that the Claims
Panel and then the NRO purported to reduce Father
Te Ua’s pension in breach of s 26.
[25] The second claim concerns the delay in making and notifying
decisions. Father Te Ua claims that the delay in making
the decision in relation
to reflux and related conditions did not meet the statutory standard of as soon
as practicable. He claims
that the decisions were not notified
“forthwith”.
[26] The third claim was that the failure to maintain the records of the
veterans breached an implied statutory duty to keep proper
records.
Negligence
[27] The third aspect of the pleadings relates to claims of negligence, that
is, failure to take reasonable care to:
(a) Be properly informed of previous decisions;
(b) To maintain the integrity and completeness of a veteran’s
file;
(c) To ascertain the correct address of a veteran for notification
purposes;
and
(d) To make a reasonable decision in relation to Ms Stankovich’s
claims
for allowances.
[28] Following the close of the hearing, Mr Taylor helpfully provided a
Schedule of Relief by way of declaration. I do not repeat
this Schedule here
but simply observe that it has assisted me in formulating, where applicable, the
appropriate relief.
Statutory framework
[29] The claims cannot be understood without a detailed examination of the
War Pensions Act 1954 and the War Pensions Regulations
1956. The War Pensions
Act is an act to consolidate and amend the law relating to war pensions and
allowances. The Secretary for
War Pensions is charged with the administration of
this Act.3 The Secretary may either generally or particularly
delegate any of the Secretary’s powers, functions and discretions to any
official or employee of the Department. The Deputy Secretary may also exercise
the powers, duties and functions of the Secretary,
subject however to the
control of the Secretary.4
[30] The Act establishes an Advisory Board with a number of functions
including to approve guidelines for the determination and assessment
of war
pensions to be used by medical examiners and Claims Panels.
[31] The Act also establishes a War Pensions Appeals Board that is comprised of four members appointed by the Minister who are responsible for the administration of the Act. Two members of the Appeal Board must be medical practitioners and one of those members must be appointed as a representative of the members of the forces by nomination of the New Zealand Returned Services Association.5
[32] For present purposes, the genesis of disablement pensions can be found
at s 19 which states:
3 War Pensions Act 1954, s 4.
4 Section 5.
5 Sections 8(2) and (3).
19 General provisions as to grounds for payment of
pensions
(1) Subject to the provisions of this Act, pensions in respect of the
disablement or death of any member of the forces (whether occurring
before or after the commencement of this Act) shall be payable under this
Part
to the member and his dependants (in the case of his disablement) or to the
dependants of the member (in the case of his death)
in any of the following
cases, namely:
(a) ...
(b) in any case where the disablement or death of the member is
attributable to his service in New Zealand or overseas:
(c) in any case where the condition that resulted in the
disablement or death of the member was aggravated by his
service in New Zealand
or overseas:
...
[33] There are exceptions to the reach of s 19, including if the member was
a deserter or where the relevant disablement was attributable
in whole or in
part to wilful misconduct during the period of service.
[34] Section 20 of the Act then provides that the rate of the pension
payable shall not exceed the rate specified in Schedule 1.
There is an
exception to this in terms of disability specified in Schedule 9, but these are
not relevant to the present case. Section
23, however, provides for additional
pension in certain cases of severe disablement, for example, where the member of
the forces
is suffering from two or more serious disabilities.
[35] Section 14 sets out the procedure in respect of claims for pensions.
Relevantly, s 14 states:
14 Claims for war pensions or allowances
...
(2) A claimant for a pension for death or disablement of a member of the forces allegedly caused by or attributable to or aggravated by service may be required by the Secretary, if it is appropriate to the circumstances of the case, to produce a medical report from the claimant’s or, as the case may be, the deceased member of the force’s own medical practitioner which sets out with particularity the nature of the condition from which the deceased member of the forces died, or which occasions the claimant’s disability.
(3) As soon as practicable after receiving a claim under this section, the
Secretary shall consider it and may either-
(a) grant a pension or allowance in accordance with the provisions of
this Act; or
(b) decline the claim on the grounds that the claimant is not entitled to a
pension or allowance under this Act.
(4) The claimant shall be forthwith advised of the decision to
grant or decline the claim, and shall at the same time be supplied with a
written explanation of the reason or reasons for the
decision.
(5) If a claimant, whose right of appeal under section 16
against a decision made under subsection (3) of this section
has not been
exercised and has lapsed, satisfies the Secretary that, because of additional
evidence becoming available or for any
other reason, it is desirable in the
interests of justice that the claim should be reconsidered, the Secretary shall
accept from
the claimant a fresh claim; and any such claim shall be dealt with
in accordance with section 15E. (Emphasis added)
[36] As can be seen the italicised passages reveal the following:
(a) A medical report may be required to support a claim;
(b) The decision on the claim must be made as soon as is practicable; (c) The claimant must be advised of the decision forthwith;
(d) The Secretary may reconsider a claim because of additional evidence or
other reasons if it is in the interests of justice to do
so.
[37] Under s 15A the Secretary may delegate to a Claims Panel or a NRO
appointed under s 15C, the Secretary’s powers, functions
and discretions
under s 14(2) to (4), (among other powers).
[38] The District Claims Panel is established by s 15 and consists of a person who is an official or employee of the Department and appointed by the Secretary or an official or employee of a department of the Public Service listed in Schedule 1 of the State Sector Act 1988. It must also be comprised of a person appointed by the Secretary on the nomination of the National Executive Committee of the New Zealand Returned Services’ Association.
[39] Consideration of the claims by the District Claims Panel is governed by
s 15B. Section 15B specifies that every provision of
this Act relating to claims
for war pensions or allowances where relevant shall with necessary modifications
apply to the consideration
and determination of the claim. Section 15B then
states:
15B Consideration of claims, etc, by district claims panel
(1) Where a claims panel is to consider any claim pursuant to a delegation
under section 15A-
...
(b) the claims panel may require the claimant to undergo such medical
examinations or assessments as may be reasonably necessary
to enable the claims
panel to consider the claim fairly:
(c) the claims panel may require the claimant to attend and give evidence
before the panel in support of the claim, and may accept
evidence in person from
the claimant or any other person whom the claimant wishes to present in support
of the claim:
(d) the claimant shall have the right to make written submissions to the
claims panel in support of the claim.
...
[40] Every decision of the Claims Panel must be unanimous. If it is not
unanimous, then the decision shall be forwarded to a NRO
appointed under s
15C.
[41] Furthermore, any claimant who is dissatisfied with a decision of the
Claims Panel may, within six months after being notified
of the decision, apply
to the NRO for the decision to be reviewed.
[42] On reviewing the decision the NRO may confirm the decision, amend or
reverse it, or make such other decision as is appropriate
in the circumstances
of the case.6
[43] The NRO is subject to the same provisions applicable to the Claims
Panel as set out in s 15B(1)(a)-(d).7 Section 15D(6) also
contemplates that the NRO may
6 Section 15D(3).
require a claimant to attend and give evidence in support of a claim and if
he or she does so, the Secretary shall pay for the actual
and reasonable
travelling and accommodation expenses incurred by the claimant or a
representative of the claimant.
[44] A NRO has the additional power, together with the Secretary, to
determine whether a fresh application under s 14(5) or s 16(4)
should be
accepted for consideration.8
[45] An applicant may appeal to the War Pensions Appeal Board from a
decision of a NRO or of the Secretary. More specifically, s
16 provides that
there may be an appeal from a decision insofar as it consists of:
(a) The rejection of any claim for a pension in respect of
the disablement or death of a member of the forces on
the ground that
disablement or death was not attributable to his service as a member of the
forces or the condition that resulted
in his disablement or death was not
aggravated by that service; or
(b) The assessment of a pension granted to any member of the forces in
so far as the assessment is based on medical grounds;
or
(c) The assessment of any additional pension for severe disablement
under s 23.
[46] The War Pensions Appeal Board may then confirm the decision or may in
accordance with the provisions of the Act grant or refuse
to grant a pension or
increase or reduce the rate of any pension or terminate any pension.
[47] The decision of the Appeal Board is final and conclusive provided
that:9
... if at any time a claimant whose appeal has been determined satisfies the
Secretary that by reason of additional evidence becoming
available or for any
reason whatsoever it is desirable in the interests of justice that his claim
should be reconsidered, the Secretary
shall accept from him a fresh claim and
any claim shall be dealt with in all respects as if it were an original
application for a
pension.
7 Section 15D(5).
8 Section 15E.
9 Section 16(4).
[48] The Appeal Board is precluded from considering any appeal against a
decision made under s 15D until the NRO has completed a
review of the
decision.10
[49] There is then a further limited right of appeal to the Social Security
Appeal Authority. I am advised by Mr Taylor that the
scope of that section is
not relevant to the claims in the present case.
[50] Detailed provisions are included dealing with the assessment of information in support of claims. First, s 17 provides that where a member of the forces was medically graded as fit for service with the forces then the medical grading shall, subject to defined exceptions, be accepted as conclusive proof of the absolute
physical and mental fitness of the member at the time of the
grading.11
[51] This presumption does not operate in any case where it is proved that
the member failed to reveal to the medical examiners any
material facts in
relation to his physical or mental health or history or where it is proved, in
short, that a member falsely stated
his degree of medical fitness.
[52] Second, and in any event, s 17(3) provides that in any
case:
17 Presumption that disablement or death attributable to
service
...
(3) ... the claimant shall be entitled to produce to the
Secretary or an Appeal Board, as the case may be, any evidence (whether strictly
legal evidence or not) to show that the condition that resulted in the
disablement or death of the member was possibly or probably attributable to
or aggravated by his service with the forces in connection with any war or
emergency, and if any reasonable evidence to that effect is produced there
shall thereby be established a presumption that that condition was
in fact
attributable to or aggravated by the service of the member, and that
presumption may be rebutted only by evidence that satisfies the Secretary or
Appeal Board that the condition was not so
attributable or aggravated but was
due entirely to other causes. (emphasis added)
...
10 Section 16(5).
[53]
Third, s 18 overlays s 17 by stating that the Secretary or Appeal Board is not
bound by rules of evidence, but rather must determine
all claims in accordance
with their merits. More specifically under s 18, the Secretary and the
Board:
(1) ... shall decide in accordance with substantial justice and the
merits of the case, and shall not be bound by any technicalities
or legal forms
or rules of evidence.
(2) In the application of the general rule formulated in subsection
(1) the following particular rules shall apply-
(a) in no case shall there be on the claimant any onus of proving that the disablement or death on which the claim is based was in fact attributable to the service of the member or that the condition that resulted in the disablement or death of the member was aggravated by his service:
(b) the claimant shall be given the full benefit of
the presumptions in his favour provided for in section
17:
(c) the Secretary or an Appeal Board, as the case may be, shall be
entitled to draw and shall draw from all the circumstances
of the case, from
evidence furnished, and from medical opinions submitted to the Secretary or
Appeal Board, all reasonable inferences
in favour of the claimant, and the
claimant shall, in every case, be given the benefit of any doubt as to the
existence of any fact,
matter, cause, or circumstance that would be favourable
to him.
[54] In summary, the combined effect of ss 17 and 18 is that on the
production of any reasonable evidence that disablement was possibly
attributable
to or aggravated by service with the forces, then the Secretary or the Appeal
Board must decide in favour of the claimant
unless the Secretary or Board are
satisfied that the condition was due entirely to other causes. I elaborate on
their effect below
at [114].
[55] Section 26 then provides for review of pensions:
26 Review of pensions
(1) Except in any case to which subsection (2) of section 25 applies, a permanent pension granted under this Part to any member of the forces shall not thereafter be reduced unless it is conclusively established, beyond any possibility of doubt, that the disablement in respect of which it was granted has in fact proved to be temporary, either to the full extent thereof or in 1 or more of its essential characteristics.
(2) Subject to subsection (1), any pension granted under this Part to
any member of the forces may from time to time and at
any time be reviewed by
the Secretary. On the review of any pension in accordance with this subsection
the Secretary, having regard
to any change that may have taken place in relation
to his disablement in the physical or mental condition of the member since the
pension was granted or was last reviewed, as the case may be, may terminate the
pension or, within the limits prescribed by this
Act, may increase or reduce the
rate thereof.
[56] The Secretary may also on the advice of not less than two medical
practitioners reduce a member’s pension if that member
without good and
sufficient cause refuses or wilfully fails to undergo medical
treatment.12
[57] There is then provision for the services of attendants in certain
cases. More specifically, s 29 provides that the Secretary
may at the
Secretary’s discretion grant an allowance in respect of the services of an
attendant at a rate not exceeding the
appropriate rate specified in Schedule 2.
The Act also provides for pensions for surviving spouses or surviving partners
of deceased
members and pensions for children of disabled and deceased members.
These provisions are not relevant to the present case except
to the extent that
provision for family members is contemplated by the Act in a general
sense.
[58] A generous power to make regulations is conferred by s 96. I refer to
the most relevant aspects of this power below at [155]
when dealing with the
seventh review claim. For present purposes it is apt to note their express
power to make regulations to provide
for:
(a) Medical treatment;13
(b) Payment of travel expenses of members undergoing medical
treatment;14
12 Section 27.
13 Section 96(2)(c).
14 Section 96(2)(f).
(c) Payment of compensation for wages lost as a result of such
treatment;15
(d) Travel allowances in respect of an escort.16
Regulations
[59] Relevant to the second review claim, regs 12 and 13 provide that
decisions
must be notified to the claimant “forthwith”.
[60] Part 4 of the regulations address appeals to the Appeal Board in a
detailed way, further emphasising the underlying scheme of
the Act to afford a
fair opportunity for claimants to pursue their claims.17
[61] Regulations 34, 35, 40 and 42 set the frame for the seventh review
claim. Regulations 34 and 35 provide for medical treatment
for any person who is
in receipt of a pension in respect of a disablement. Regulation 40 provides for
travelling allowances for
veterans. It states :
40 Warrant or refund for fares for medical treatment
or examination
(1) Any person who is obliged to travel for the purpose of undergoing
medical or surgical treatment in accordance with these
regulations .... may be
provided with a warrant for his or her fares or may be granted a refund of the
cost of transit reasonably
incurred. Where practicable, public transport
facilities should be utilised.
(2) In the discretion of the Secretary, warrants may also be issued
for meals and accommodation during the period of
necessary absence or
a refund may be allowed of actual and reasonable out of pocket expenses for the
period of necessary absence.
(3) The Secretary may authorise payment of a reasonable amount by way
of compensation for loss of earnings where any person
is required to report for
medical examination or treatment, or for attendance before an Appeal Board or a
claims panel. Where any
claim under this subclause relates to wages, it must be
accompanied by a certificate from the claimant's employer.
15 Section 96(2)(f).
16 Section 96(2)(g).
17 Refer in particular War Pensions Regulations 1956, regs 26, 28, 29 and 30.
(4) A claim for any item of out of pocket expenses in excess of $1
(other than train fares) must be supported by a receipt
furnished by the person
to whom payment was made.
...
[62] This allowance is also supplemented by a travel allowance for hospital patients to visit home. The patient must have been receiving treatment for not less than one month and thereafter one free railway ticket may be granted every three months.18
Alternatively, similar provision is made for next of kin if the veteran is
unable to travel.
[63] Regulation 42 then provides for travel allowances for escorts of a
service patient as follows:
42 Allowances for travel escort of hospital patient
In the case of a service patient who is certified by a medical practitioner
or by a senior medical officer of a hospital to be unable
or unfit to travel
alone, the Secretary may authorise him or her to be accompanied by an escort who
may be paid the cost of transit
incurred, actual and reasonable out of pocket
expenses for board and lodging, and compensation for loss of wages, at rates not
exceeding
the rates applicable for the service patient.
[64] I also observe that reg 44 provides a combined travelling personal items
allowance for persons with total disablement and their
escort of $25 per
week.
First review claim: Rejecting cover for previously accepted
conditions
[65] Father Te Ua claims (in short) that VANZ:
(a) Erroneously refused to pay for a colonoscopy and a gastroscopy
in
December 2009; and
(b) Wrongly declined to accept the disability of reflux on 9
February
2010.
[66] The undisputed premise of both limbs of this claim is that Father Te Ua
was in fact entitled to assistance for both the procedures
and the reflux,
having previously
18 Regulation 41.
been approved in 2007 for cover in relation to post-infective irritable bowel
syndrome. During the hearing before me, VANZ accepted
it should reimburse
Father Te Ua in relation to his expenditure on the colonoscopy and the
gastroscopy. That deals with that aspect
of the claim.
[67] As the Secretary reversed the decision to decline to accept the reflux
disability, no further review remedy is needed from me.
I deal with the claim
for breach of statutory duty and negligence below at [165]-[195].
Second review claim: Delay
[68] Father Te Ua claims that VANZ failed to discharge its statutory
obligation to make decisions “as soon as practicable after
they are
lodged”, referring to s 14(3) of the Act. Two applications are
highlighted for review. The first application
was made on 10 April 2007 in
relation to 11 conditions:
Lupus, osteoarthritis (including heel spurs and back pain), gout,
Paget’s disease, thyroidectomy, digestive disease, throat/speech
disorder,
hypertension/fatigue, diarrhoea (including reflux), tinea and short term memory
loss.
[69] The second application on 11 February 2009 concerned eight
conditions:
Reflux, fatty liver, hypertensive cardiovascular disease, benign positional
vertigo, heel spurs, lower back and neck pain, osteoarthritis
and
lupus.
[70] I propose to deal with each of the applications in turn.
April 2007 claim
[71] Helpfully, a chronology has been produced by Mr Taylor dealing with
both claims and is largely though not completely supported
by the affidavit
evidence of Mr Ottaway for VANZ.
[72] Father Te Ua’s April 2007 applications were followed by a request for specialist exams on 23 April 2007. It appears that Father Te Ua attended these appointments on 19 July 2007 with the majority of the reports received by the end of August. The Claims Panel then accepted the claims for hypertension, osteoarthritis,
and digestive disease, diarrhoea and reflux on 20 September 2007. The claims
for Pagets disease, gout, lupus, fatigue and thyroidectomy
were deferred pending
the receipt of specialist reports.
[73] VANZ advised Father Te Ua by letter dated 27 September 2007 that the
hypertension, osteoarthritis and digestive disease, diarrhoea
and reflux
conditions (redefined as irritable bowel syndrome) had been
accepted.
[74] The Claims Panel then accepted the claims for gout on 16 January 2008
but declined the claims for throat/speech disorder, Pagets
disease, and
thyroidectomy. The claim for memory loss was further deferred, as the requisite
specialist report had not been received.
A report was ultimately received on 18
November 2008. The Claims Panel then accepted the claim for short term memory
losses as
a result of hypertension on 16 January 2009.
[75] Mr Taylor submits19 that the common law test in relation to
delay is whether it has so changed things that a decision cannot stand, or an
extreme delay.
Mr Taylor accepts that the delays do not appear to have changed
the circumstances such that the decisions cannot stand, but they
do qualify as
“extreme”. He says that they were well beyond the statutory
requirement of “as soon as practicable”
and the delays were not
accounted for. Mr Taylor also submits that VANZ has adopted a “strict
order of time policy”
which is not lawful. Overall, Mr Taylor also
submits that the delays were essentially unreasonable.
[76] The Secretary, Mr Ottaway, responds that the time taken was not unreasonable given the number of applications. It is noted that the applications were made in April 2007, with medical reports received in August 2007, then a number of decisions made in September. The remaining decisions were then affected by the delay in obtaining requisite reports. He nevertheless accepts that the approach taken was not “best practice”, but since then there have been changes in procedures,
including assignment of case managers.
[77]
He also refutes the suggestion that there is a strict “order in time
policy”. Rather, he says that generally applications
go to the Panel when
the file is ready and medical reports are received. He also notes that VANZ
accords urgency depending on a
condition, for example, when Mr Te Ua was
diagnosed with cancer.
Resolution
[78] Applications must be determined “as soon as
practicable” after they are lodged, and decisions notified
“forthwith”. But “as soon as practicable” affords the
decision-makers a degree of flexibility as to
the management and
timing of responses to applications. Father Te Ua’s applications in 2007
were both numerous and complex.
VANZ sought specialist opinions for the
disabilities within a short timeframe (by 23 April 2007). There was some delay
then until
Father Te Ua attended the specialists’ appointments, and a
decision was made in relation to three of the conditions by
20 September
2007, with the remaining matters deferred pending receipt of other reports.
There was however a considerable
delay until the final decision was made in
relation to five of the conditions. Indeed, as noted in the chronology, the
decisions
are not made until January 2008 and 2009. No suitable explanation has
been given for this delay. These matters should not have
been allowed to linger
for such a lengthy period. Mr Ottaway’s explanation that it was not best
practice confirms rather than
rebuts the complaint made by Father Te Ua as to
delay.
[79] In light of the foregoing, I am prepared to declare that the delay did
not meet the statutory timeframe in relation to the matters
finally decided on
16 January 2008 and on 16 January 2009.
February 2009 claim
[80] Mr Taylor has also helpfully provided a chronology of the key dates in
relation to the February 2009 claim which also broadly
accords with the
chronology provided by Mr Ottaway. Given the number of applications and
the complexity of the assessment
process, I have produced the following table,
based on the parties’ chronologies, recording key dates of application,
medical
reports, and notification.
CONDITION
|
APPLICATION
|
REPORT
|
REFERRAL TO PANEL
|
DECISION
|
NOTIFICATION
|
Reflux & fatty infiltration
|
11 February 2009
|
18 June 2009
(Note date stamped by VANZ 4
December 2009)
|
22 January 2010
|
9 February 2010 (Note: Panel advised Father Te Ua that it was awaiting
reports on 28 October)
|
26 February 2010
|
Hypertensive cardiovascular disease
|
11 February 2009
|
21/22 October 2009
|
5 November
2009
|
10 December 2009
|
11 January 2010
|
Osteoarthritis, lower back and neck pain,
heel spurs
|
11 February 2009
|
22 July 2009
|
13 August 2009
22 January 2010
|
28 October 2009 (Lower back, neck, osteo)
9 February 2010 (heel spurs)
|
28 October 2009
26 February 2010
|
Hernia, diverticulitis and enlarged prostate (withdrawn 22
Dec 2009)
|
11 November
2009
|
|
22 January 2010
|
9 February 2010
|
26 February 2010
|
Resolution
[81] I accept Mr Ottaway’s evidence that the assessments could not be
practicably completed until all relevant medical reports
were obtained. The
period between the receipt of the relevant medical reports and the decisions of
the Claims Panel was just under
eight months for the reflux and fatty
infiltration claims; one month 18 days for the hypertensive cardiovascular
disease; three months
six days for the osteoarthritis, lower back and neck pain;
and for the heel spurs claim seven months 25 days. In relation to the
hernia
and diverticulitis claims, the decision was made within two months 29 days of
the application being lodged.
[82] Mr Ottaway does not offer an explanation for the delays, though he says
that:20
... there appears to be an unduly long period of time between the application
for review and medical information being obtained.
20 Mr Ottaway’s affidavit at [65].
[83] He also observes that:21
Reverend Te Ua presents with a complex medical situation and it takes time to
deal with each individual claim.
[84] Ms Williams for the Secretary does not contend that the
decisions were delivered as soon as practicable. She maintained,
nevertheless,
that the delays were not unreasonable given the huge demands on
VANZ.
[85] I accept that delays of three or so months might fairly be considered
“as soon as practicable,” given the number
and complexity of the
claims. I note that the average time for determination of a claim for an
application is now around 3-6 weeks
once all current medical evidence is
obtained. But an eight month delay from receipt of medical assessments does not
comply with
the statutory standard. Significantly the fault cannot be levelled
at the Claims Panel making the decision. Indeed, as the above
table also
demonstrates, the Panel made the decisions on the claims with commendable
efficiency.
[86] I note for completeness that the medical report relating to reflux and
fatty infiltration was date stamped by VANZ 4 December
2009. That might explain
some of the delay. But it does not explain the failure by VANZ to take steps to
check on progress. Had
it done so before 28 October 2009 it would have
discovered that a report had in fact been produced on the relevant conditions as
early as 18 June 2009.
[87] Accordingly, I am prepared to declare that the delay
associated with the decision on the application for reflux and
fatty
infiltration did not comply with s 14(3). It was not made as soon as
practicable after the claim was received. I consider
however that the delay
associated with the other conditions is partly attributable to matters outside
the reasonable control of VANZ
(for example the timing of any relevant
investigations and medical reports) and that the delay between those reports and
the final
decisions is not excessive.
[88] As to the delay in notifying Father Te Ua, the requirement
is to notify
“forthwith”. I am satisfied that the 2008 decision was
notified within the statutory
21 At [66].
timeframe. There is a letter dated 18 January 2008 (two days after the
decision) recording the outcome of the application. The plaintiffs
say they did
not receive the letter. But for the purpose of assessing compliance, with the
requirement to notify forthwith, I am
satisfied by the production of a letter,
correctly addressed, to Father Te Ua. However, delays in notification for
decisions about
hypertensive cardiovascular disease (one month), reflux, heel
spurs, hernia, diverticulitis and enlarged prostate (17 days) do not
meet the
statutory standard.
[89] I address the significance of the delay below when dealing with
relief.
Strict lodgement policy
[90] A related concern raised by Father Te Ua is a so called strict
lodgement policy. Mr Taylor submits that a strict order of procedural
application is evidenced by three letters from Mr Ottaway and in one of those
letters it is recorded:
The files are being dealt with in the order they are received and we are
taking all steps to complete the review of the information
provided
as quickly as possible.
[91] Mr Taylor submits that this policy admits no exception and is
unlawful.22
[92] Ms Williams responds that as the Secretary explains, applications can be
processed with priority by VANZ particularly when these
concern a terminal
illness as set out in the Case Management Manual. She observed that this
occurred with Father Te Ua’s application
in respect of his terminal
prostate cancer.
[93] While the passages of the letter cited by Mr Taylor in correspondence from VANZ suggests an immutable policy, the evidence is in fact to the contrary. I think it is more accurate to describe it as an administrative practice rather than a fixed policy. I do not consider that the practice is unreasonable in an administrative law sense,
given that there are exceptions, for example, in cases of terminal
illness.
22 Citing British Oxygen v Co Ltd v Board of Trade [1970] UKHL 4; [1971] AC 610 (HL).
Third review claim - Loss of records?
[94] Father Te Ua claims that the records of veterans were purged. He refers to the fact that the front file cover of his NZDF was stamped “purged”. This claim is supported by the affidavit evidence of Mr John Mountain, Patrick John Duggan, Wayne Anthony Chester and Warren Ross Ayre.23 Mr Mountain was a Medical Corpsman from 1965 to 1987 and a Commissioned Staff Officer. He also served in Vietnam. He says he saw the transfer of written clinical treatment notes from
original files into new clinical sheets. He says the original A5 treatment
cards were disposed of. He then says that the new clinical
sheets did not
contain a full chronological history of medical treatments, noting:
I knew this to be a fact as some of the old A5 treatment cards had contained
notes that I had made during that current and
earlier postings to
other Medical Units, where I had made notes on old cards when that particular
soldier had reported for treatment.
[95] Mr Mountain made a complaint in 1992 that was rejected but notes that
an apology was made by General Mateparae in his tribute
speech of 2008. Mr
Duggan served between 1962 and 1987, achieving the rank of Sergeant Major. He
obtained a copy of his file in
2006 and observed that there was no mention at
all of his being admitted to hospital in Nui Dat with a virus of unknown
origin.
[96] Mr Ayre served in the New Zealand Navy as a leading seaman from 1962
to
1971. He served in Malaysia and Indonesia. Mr Ayre's records appeared to be
incomplete. Mr Chester served from 1967 to 1970.
He also served in Vietnam
and Malaysia. Mr Chester's records could not be found at
all.24
[97] John Alexander Dennistoun-Wood, a war veteran who achieved the rank of
Brigadier, responded for the Secretary. He described
the “purging”
of files in this way:
24 Although it transpires that immediately before the hearing his records were located
documents that were duplicated in two or more of the series of personal
files; this was known as purging and the fact that a file
had been purged was
noted on its cover. To the uninitiated the word “purged” may seem
to have a sinister implication.
However, if the purging has been done properly
a complete record of a person’s service will be held across all three of
four
of his/her personal files.
[98] He states that clerks removed and destroyed duplicates from files. He
has also examined Father Te Ua’s file. While he
could not say that
nothing was missing, he observed that the range of subject matter on the file is
what he would have expected to
see. There is then the evidence of Nigel Peter
Lucie-Smith, Manager of Resources Law with the New Zealand Defence Force (NZDF).
He
referred to a copy of Father Te Ua’s medical file as at 13 September
1990. This material pre-dates the date stamp of 24 August
1998 recording the
file as “purged”. He says every document recorded as present at
that time is still on the file.
[99] Mr Taylor contends that Mr Mountain’s personal knowledge of the purging process is to be preferred over the largely speculative evidence given on behalf of the Secretary. He also noted that the then Lieutenant General Mateparae acknowledges that the NZDF had let down the veterans on the integrity and completeness of their files. The corollary of all of this is said to be that the files are incomplete and that any decisions based on the files must be flawed on what he describes as an
innominate ground25 or failure to consider relevant factors, or
mistake of fact. He
also maintains that there is uncontradicted evidence that VANZ has been aware
of there being missing information. Indeed he says Ms
Campbell was told about
the purge, and has not rejected this account in her evidence. The remedy sought
is a declaration. There is
also a claim for negligence and breach of statutory
duty (which I address below).
[100] The Secretary denies that the files of the veterans are
incomplete.
Resolution
[101] I am unable to resolve whether veterans’ files were
inappropriately purged of
relevant information. I accept Mr Mountain observed the culling of
files. But his
evidence is simply too generalised for me to be able to find, on the balance of probabilities, that materially relevant records were removed for the purposes of applications made by Father Te Ua. Conversely, in the absence of cross- examination, I am not prepared to dismiss as untruthful Mr Dennistoun-Wood’s explanation that only duplicates were purged. Furthermore, again in the absence of cross-examination, I am not prepared to dismiss as unreliable evidence that a cross check of Father Te Ua’s records was undertaken by reference to the contents of his files prior to the purge and that no material absences were noted. For completeness the fact that Ms Campbell has not filed evidence denying that she was told about the purging of the files does not assist me much, even with a liberal application of the
rule in Jones v Dunkel.26 The inference I can draw from
this is that VANZ was told
about the purging and did nothing about it. But it says nothing about what
was in fact purged. I am therefore unable to provide the
remedy of declaration
on the evidence as it currently sits.
[102] I acknowledge the difficulties confronted by Father Te Ua in proving
the absence of records. I am also mindful of the record
of the apology (not
challenged) given by Lieutenant General Mateparae. Mr Mountain’s evidence
together with that apology raises
a legitimate concern. But there are limits to
the process of judicial review particularly in a context where, as is ordinarily
the
case, conflicting evidence was not tested by way of
cross-examination.
[103] It is unnecessary for me to address the argument for the Secretary that there has been undue delay in pleading this claim. Apparently Father Te Ua received his medical record in 1990. It is said that he could have known about the allegedly missing documents then. I simply observe that the materiality of the absent documents (if any) would unlikely to have been apparent until such time as Father Te Ua became aware of the Secretary’s policy about the weight to be afforded to the evidence of veterans without corroborating information. This suggests to me that the delay point lacks substantive merit. But as noted I have formed no final view about
it.
26 Jones v Dunkel [1959] HCA 8; (1959) 101 CLR 298 (HCA).
“Evidence without foundation”?
[104] A related substantive issue is the extent to which statements of veterans may be relied upon by the Claims Panel in the absence of corroborative information. The approach taken by VANZ to this issue is (apparently) recorded in a letter from the Secretary to Ms Stankovich dated 27 January 2011 including the following
observation:27
If there is no relevant information on the Service File, and the disability
is not consistent with what is known about the role undertaken
by the claimant
when they were in service and the environment they served in, then any
statements that are provided with the claim
are considered.
These statements on their own are considered evidence without foundation.
This does not in its own right constitute evidence; it only
indicates that there
is an absence of evidence about the cause of a disability. The War Pensions
Claims Panel seek to corroborate
these statements by considering whether they
are consistent with the other evidence they have available.
[105] Mr Taylor submits that this approach is tantamount to saying that
regardless of credibility, a veteran’s account is not
evidence. He
submits that this is erroneous because it is:
(a) Arbitrary;
(b) Fails to take into account relevant factors such as things any decision
maker considers in deciding whether or not and how much
weight to give the
evidence;
(c) Creates an overriding policy that includes no room for
exceptions;
(d) Is irrational because the veterans’ own experience of one symptom
coinciding with another is by definition valid and relevant
(that is what a
doctor uses to some extent in making diagnoses).
[106] The Secretary does not elaborate on the meaning of the above passage.
But he observes in his evidence that:28
27 Letter from Mr Ottaway to Ms Stankovich dated 27 January 2011.
28 Mr Ottaway’s affidavit at [63].
The Panel needs to receive sufficient information to establish that the
veteran is currently suffering from the disability they are
claiming for, and to
be able to make a decision about the level of impact that disability is having
on the veteran, and whether that
disability is attributable to his or her
eligible service. If medical evidence about whether a veteran is suffering
from a disability
is equivocal, the WCPC will take a benevolent approach and
rely on the evidence from the veteran. An example of the benevolent approach
is
the Panel’s approval of Rev Te Ua’s application for gout.
...
Assessment
[107] The observation recorded at [104] is ambiguous. Indeed, Ms
Williams accepted that key explanatory words or phrases
appear to be missing.
For example, it is not clear whether the letter is referring to veterans’
statements when it states
that:
These statements ... are without foundation.
[108] It is equally not clear what is meant by “without
foundation”. Does it mean baseless? Or is it simply saying that
there is
no corroborative information? I am also unclear as to the import of the second
sentence:
This does not in its own right constitute evidence; it only indicates that
there is an absence of evidence about the cause of a disability.
[109] This passage could conceivably mean (at least) three things. It could
be saying that the statements do not constitute evidence.
Or it could be saying
that the fact that the statements are “without foundation” does not
constitute evidence. And/or
it could simply be saying “that there is an
absence of evidence about the cause of a disability”. But that then
implies
that the veteran’s statement is not evidence (which is Mr
Taylor’s main criticism).
[110] Further complicating matters, the passage concludes by stating that the
Claims
Panel will:
seek to corroborate these statements by considering whether they are
consistent with the other evidence they have available.
[111] But that will be difficult given the passage is predicated on the assumption that:
...there is no relevant information on the Service File, and the disability
is not consistent with what is known about the role undertaken
by the claimant
when they were in service and the environment they served in...
[112] I am not greatly assisted by the Secretary’s evidence on this,
though it suggests that the underlying policy is to seek
sufficient information
about a claim and where there is competing medical information, to favour the
applicant’s view.
[113] In any event, the best I can do is interpret the passages to mean that
the present policy of the Secretary is to require corroborating
information
where the statements of a veteran are not supported by information on the
service file and the disability is not consistent
with what is known about the
role undertaken by the veteran. If so, then it is flawed, for the following
reasons.
The proper approach
[114] Sections 17 and 18 mandate a benevolent approach to claims by veterans. Those sections are recorded at [52]-[53]. In summary, strict rules of evidence are jettisoned in favour of a merits based approach.29 There is no onus on a veteran to prove that the condition was attributable to service.30 Rather, for the purpose of the merits assessment three presumptions are to be applied. First, a veteran is presumed
to have been as fit for service unless it is proven that the claimed disablement was not revealed to medical examiners.31 Second, even where this presumption does not apply, the disablement will be presumed to be attributable to service if there is
‘reasonable evidence’ produced to the effect that it is possibly (or probably) attributable to or aggravated by his service with the forces.32 And this second presumption can only be rebutted by evidence that “satisfies” the Secretary or Board that the disablement was due entirely to other causes.33 Notably, “satisfies” is a directional verb requiring that there must be sufficient and/or adequate information placed before the decision maker before he or she or it can properly reject the
veteran’s claim. 34 The Secretary and the
Board are then also mandated to draw all
29 War Pensions Act 1954, s 18(1).
30 Section 18(2)(a).
31 Section 17(1).
32 Section 17(3).
33 Section 17(3).
reasonable inferences in favour of the claimant from all available
information.35
Third, a claimant must be given the benefit of the doubt as to the existence
of any fact, matter, cause, or circumstance that would
be favourable to
him.36
[115] I also consider that the definition of reasonable evidence must be
given an interpretation that is consistent with the benevolent
approach of the
scheme as a whole. Conversely, a higher threshold of reasonableness could
defeat the scheme’s merits based
approach and interlocking statutory
presumptions. It seems to me therefore that reasonable evidence simply
means information
that is relevant, credible and reliable
information.37
[116] The assessment of relevance, credibility and reliability will naturally
depend on the context, including available information
about Father Te
Ua’s service and medical history. But the test of reasonableness is not
whether the statement is corroborated
by other information. Rather, in
assessing the reasonableness of the evidence the Secretary, Claims Panel and NRO
are also required
to give the benefit of doubt to the applicant.
[117] Returning then to the underlying complaint, the Secretary (or any
delegated authority) erred if he proceeded on the basis that
Father Te
Ua’s statement in support of his claim was, in the absence of
corroborating information, unsubstantiated. If the
veteran’s statement was
relevant, credible and reliable, then the claim had to be accepted by the
Secretary unless he was satisfied
that the disablement was due to entirely other
causes.
[118] The Secretary also refers to the need for “sufficient” information. But that standard begs the question of what is meant by sufficient in this context. Given the three presumptions envisaged in ss 17 and 18, a veteran need only provide some relevant, credible and reliable information that presents a plausible basis for the
alleged condition and then the possibility that the condition is
attributable to service.
34 Refer Discount Brands Ltd v Westfield (New Zealand) Ltd [2005] NZSC 17, [2005] 2 NZLR
597.
35 War Pensions Act 1954, s 18(2)(c).
36 Section 18(2)(c).
This might
only be the statement of the veteran as to his or her service, the nature of his
or her symptoms, and a combined medical
opinion identifying the relevant
condition and that the condition is possibly attributable to service.
The Secretary must then accept the claim unless he is satisfied that
there is another explanation for the condition.
[119] The practical application of this process is set out below when dealing
with the fifth claim. I address the claims to breach
of statutory duty and
negligence under this heading below.
Fourth review claim - Withholding medical reports
[120] Father Te Ua complains that a decision by the Claims Panel in relation
to his applications in 200938 was made based on medical reports that
were not provided to him in advance of the decision having been made. Mr Taylor
claims that
that is a breach of natural justice that is amenable to
review.39 The application of the principle of natural justice
will depend on the context, including the statutory frame. As Mr Taylor put
it,
the principle of natural justice, audi altereram partem, is
variable.40
[121] In this case the statutory frame specifically contemplates at s
15B(1)(d):
(d) the claimant shall have the right to make written submissions to the
claims panel in support of the claim.
[122] This right is prefaced by the power of the claims panel to require
medical examination “to enable the claims panel to
consider the claim
fairly”41 and to require a claimant to attend and give
evidence.42
[123] I accept that these provisions must also be seen in light of s 15D which provides for review of decisions by a NRO with a further right of appeal to the War
Pensions Appeal Board. Furthermore, while the decision of the Appeal
Board may
38 For recognition of diverticulitis, fatty liver, heel spurs, hernia, enlarged prostate, and reflux.
39 Citing from Secretary for Justice v Simes [2012] NZAR 1045 (CA).
40 Refer Webster v Auckland Harbour Board [1987] 2 NZLR 129 (CA) at 132.
41 War Pensions Act 1954, s 15B(1)(b).
42 Section 15B(1)(c).
be final and conclusive, the Secretary also has an additional discretion, by
reason of additional evidence becoming available or for
any reason it is desired
by the interests of justice, to reconsider the claim.43 This
scheme therefore contemplates multiple opportunities to correct
error.
[124] That said, the first step in the scheme of the Act contemplates a right
to make submissions, presumably because that assists
the decision making
process. Significantly, the medical examinations are linked to the objective of
enabling the Claims Panel to
consider the claims fairly. That purpose could be
undermined if claimants could not then sensibly comment on the medical evidence
provided to the Claims Panel. There may be, for example, factual errors
contained within a medical assessment which ought to be
brought to the attention
of the Panel. It appears from the evidence that the rationale for excluding or
not providing the medical
reports was that the Act did not contemplate a forum
for medical disputes or debates. That might be so, but the significance of the
claimant’s submission must surely be to inform the Panel of any relevant
matter, including any matter asserted in a medical
report, that might result in
a better informed and more robust decision. Nor is there any reason in
efficiency for denying a claimant
the opportunity to comment on medical reports,
particularly if a request is made by the claimant to comment. If the medical
report
contains an error then that will inevitably form the basis of a review or
subsequent appeal.
[125] The Secretary says nevertheless that there is an appeal to correct any
mistake made. I accept that this must be relevant in
terms of relief which I
address below. But it is important to clarify the obligations of the Panel in
this context. The Panel was
obliged to provide an applicant, on request, with
copies of medical statements or opinions that affect the claim. The reason for
this is that the claimant can then make an informed submission to the Panel and
so that the Panel is better able to reach a fair
decision.
[126] As to relief, I will make a declaration reflecting my statement above. But I do not set aside the decisions made on the February 2009 applications. The relevant
medical reports were supplied to Father Te Ua in advance of the NRO
review. He
43 Section 14(5).
therefore had the opportunity to comment on those reports. This in my view
remedied the prior procedural irregularity.
[127] For completeness I do not accept these arguments of either side about
the exact nature and function of the Claims Panel and
the NRO. Ms Williams
submitted that the Claims Panel is not an “adversarial body” so that
fairness does not require
circulation of medical reports in advance. Mr Taylor
submitted that the NRO undertakes a review, not a de novo hearing, so that
it
does not cure prior irregularity. In reality, whatever description is placed on
them, the Claims Panel and the NRO are exercising
statutory powers of decision
affecting the lives of a vulnerable class of person. Both make decisions of
substance and must observe
basic principles of natural justice.
[128] Notably also, the NRO has the same powers as the Claims Panel and may
make a fresh decision,44 as it did in respect of three of the five
conditions previously declined by the Panel. For my part the NRO effectively
performs
an appellate function, quite different from the review function in
Secretary v Simes.45 In that case, cited by Mr Taylor, the
Court of Appeal resolved that review under the Legal Services Act 2000 did not
cure a prior
breach of natural justice as it did not exercise de novo
jurisdiction. By contrast, while the function performed by the NRO is not
literally “de novo”, it is mandated to fully reconsider the
application, and did so in this case.
Fifth review claim - The unless notice
[129] By letter dated 6 November 1996, VANZ’s predecessor purported to
advise
Father Te Ua as follows:
Dear Mr Te Ua
On 30 September 1996 you were offered the option of a review of your war
pension for hearing loss. As you have not uplifted this
option your pension for
hearing loss will remain at 70%.
44 Refer s 15D(1) and s 15D(5).
45 Secretary for Justice v Simes, above n 39.
Please note:
Unless recommended by a nominated ENT specialist, no further applications or
reviews of your hearing disability will be accepted.
[130] The September letter has not been found and it appears neither letter
was served on Father Te Ua.
[131] Mr Taylor submits that the purported denial of further review was of no
effect without valid notice of the letter.
[132] I will deal with this aspect succinctly. The basis for the purported
decision to refuse further automatic reviews (if that
was in fact the case) is
unclear. If I considered it necessary I would set it aside and refer the
matter back for reconsideration
given the lack of notice. But I accept Ms
Williams’ contention that the error was without a consequence as Father Te
Ua continued
to be entitled to pension and medical treatment related to his
deafness.
[133] Furthermore, Father Te Ua retained the right to have his pension
reviewed under ss 14(5) or 16(4) or 26(2) throughout the period
of apparent
ineligibility for automatic review. It also appears Father Te Ua did not seek
to have his deafness allowance reviewed
from November 1996 to July 2010. This
strongly suggests that the absence of reviews was not a matter of significance
to him at that
time.
[134] There is a related claim that the misdirecting of the letter was
negligent. I
address this below.
Sixth review claim - Decision about hernia against
evidence
[135] Father Te Ua claims that the refusal by the Claims Panel and then the
NRO to recognise that the hernia was attributable to service
is flawed as
against the evidence. This claim also links to the previous claims concerning
the appropriate statutory threshold for
evidence and the significance of
veterans’ evidence.
[136] Mr Taylor highlights the reasons given by the NRO for rejecting the review of his hernia claim on the basis:
There is no medical evidence available to suggest that [the] ... hernia is
related to his irritable bowel syndrome.
[137] Mr Taylor says that this “neatly illustrates the way
that VANZ approach denying evidential validity to
the veteran’s
comments”. More particularly he submits:
First, in the absence of “medical evidence”, the claim is
necessarily lost. His evidence about straining and the link
to irritable bowel
syndrome is given no weight. It is treated, as Mr Ottaway has said in his
letters that it will be as “without
foundation” and [does]
“not .... constitute evidence”.
[138] I have already found that to presumptively treat a
veteran’s evidence as
“without foundation” is flawed.
[139] But as I read the decision it is stating that there is no medical
evidence to suggest that the hernias are related to the irritable bowel
syndrome. The GP assessment was that the condition was caused by
connective
tissue degenerating with age. Father Te Ua’s statement as to fact, namely
the existence of the hernia and the appearance
of symptoms in conjunction with
straining associated with his irritable bowel syndrome, unless proven to be
lacking in credibility,
must be taken into account. But the Claims Panel and
the NRO are mandated to form a view as to whether or not there was a proper
medical basis for the conclusion that the hernia related to the irritable bowel
syndrome. Unqualified assertion by a veteran to
that effect is not, with
respect, reasonable evidence on that specific diagnostic issue. It does not
meet the basic requirement
of reliability.
[140] None of this analysis however precludes the ability of the Claims Panel to resolve a claim in favour of a veteran without medical evidence, bearing in mind that the ordinary rules of evidence do not apply. So, the Claims Panel may apply its own judgment to find that the nexus has been established on the evidence of fact. Plainly also, if there is some reasonable evidence that the hernia might be linked to the irritable bowel syndrome, then that would have been sufficient to engage the presumptions in favour of Father Te Ua. But this was not the medical opinion of his then GP, and the Claims Panel and the NRO were acting within their jurisdiction to reject the claim on the basis that, in light of the available medical opinion, the claim had not been properly established.
Seventh review claim
[141] The seventh claim concerns two requests by Ms
Stankovich for reimbursement. The first request concerned reimbursement
for
lost wages while she travelled with Father Te Ua for consultation and an
endoscopy. The second request concerned travel and
accommodation expenses
incurred in relation to her travel with Father Te Ua while he underwent an eight
week chemotherapy course
at Palmerston North. She also seeks compensation for
loss of income.
[142] The Secretary pleads that that he refused to accede to the first
request because he required a certificate from Ms Stankovich’s
employer as
to the quantum of lost wages.46 It is also pleaded that
the second request was refused because Ms Stankovich was not
accompanying Father Te Ua
for the purpose of escorting him to or from treatment
but for the purpose of staying with him. In correspondence and in argument
the
Secretary also maintained that there was no power to pay for lost wages unless
the veteran was required to report for treatment
as part of the process for
applying for a pension.
[143] Mr Taylor contends that the requirement for written
confirmation from Ms Stankovich’s employer and the refusal
to
reimburse Ms Stankovich for accommodation costs was unlawful and
unreasonable. He submits (in summary) that:
(a) Section 29 of the Act mandates the Secretary to pay an allowance to
an attendant if he is “satisfied that the services
of the attendant are
indispensable”;
(b) The combination of regs 34, 35, 40 and 42 contemplate payment for lost
earnings and travel expenses to attendants obliged to travel
with a
46 The reasons for refusal to consider the application were also recorded in a letter from the
Secretary as follows:
“Therefore, before any consideration of a claim for loss of compensation occurs I require a certificate from your wife’s employer with the following information:
the leave entitlement available to your wife at the time the travel was undertaken;
and
details of your wife’s daily wages after the deduction of tax.
Your request for loss of compensation will be considered when your wife’s employer provides the information listed above.”
veteran who is required to report for medical examination or
treatment or to attend an Appeal Board or Claims Panel;
(c) Reg 42 specifically deals with loss of income and does not require
the production of an employer’s certificate (unlike
reg 40(3) dealing with
claims by veterans).
[144] He thus submits that the Secretary went astray in:
(a) Requiring a certificate from Ms Stankovich’s employer;
and
(b) Limiting payments to situations where the authorities have exercised a
power to compel Father Te Ua to attend somewhere.
[145] Mr Taylor also contends that the Secretary also made errors as to
quantum. He says that the Secretary erroneously assumed that
reg 42 meant that
if Father Te Ua did not receive anything while in hospital, his attendant cannot
either. Mr Taylor says reg 42
simply fixes the maximum that can be paid. For
the first decision that was 100% of the pension. In relation to the second
decision,
Father Te Ua had an additional 60% payment and that this needed to be
added in to find the maximum amount payable.
[146] The plaintiffs seek that the decisions to refuse to make payment be set
aside and that orders substituting payments of an appropriate
daily rate in
respect of Ms Stankovich’s lost income should be made.
[147] Ms Williams responds that:
(a) VANZ can only make payments where authorised by statute.
(b) VANZ is entitled to seek evidence that Ms Stankovich incurred lost
wages.
(c) There is no provision for an escort attendant to stay with a patient while they are hospitalised for routine medical treatment.
(d) The power to make payment under regs 40(3) and 42 only arises when an
order under ss 27 or 15B is made. Those sections
provide that
compensation for wages can only occur when a veteran is required to report for
medical examination or treatment.
(e) As a travel escort cannot receive more than the veteran, if the
veteran is not entitled to compensation of wages under reg
40(3) (for example
because he or she is not required to report for treatment) nor then is the
escort entitled to compensation.
[148] In relation to the first claim, Ms Williams accepts that Dr Belfield
informed Father Te Ua’s case manager that the first
plaintiff had to
travel to Auckland to see a specialist regarding his reflux but was unfit to
travel alone. In this context reg
40(3) requires that a claim for lost wages be
accompanied by a certificate from the claimant’s employer and that any
payment
authorised must be reasonable. As the information was not provided the
claim was not completed and could not be considered.
[149] In relation to the second claim for wages, that is, while Ms Stankovich
was staying with the first plaintiff in Palmerston North
in 2012, the first
defendant submits there is no legal basis on which the payment could be made, as
Father Te Ua’s treatment
in Palmerston North was not required for
treatment under reg 40(3).
Assessment
[150] Ms Stankovich’s essential complaint about the first refusal to reimburse her for lost wages is that she was required to provide proof of loss of wages. For my part, it is quite plain that the Secretary was able, indeed obliged, to obtain proof of any relevant loss claimed. No express language is necessary. It is an automatic corollary of the proper implementation of a limited statutory power to expend public money. Put another way, a condition precedent to the exercise of the power to make a payment under reg 40 or 42 is that the claimant has, in fact, lost wages. A bare assertion is not enough. There must be some proper supporting information to enable power to be triggered.
[151] In this case, Ms Stankovich sought payment for lost wages but refused
to provide evidence from an employer as to whether or
not she in fact lost those
wages. On that basis, I can see no proper objection to providing a proof of loss
by way of loss of wages
and Ms Stankovich’s complaint on this ground must
fail.
[152] The second claim is more complex and touches and concerns the scope of
the power to make payment for the assistance afforded
to veterans.
[153] The relevant statutory provisions for reimbursement are as Ms Williams
aptly put it, “relics.” Nevertheless I am
satisfied that their
meaning is reasonably clear, to the effect that escorts are eligible for
reimbursement for reasonable outgoings
and lost wages but only in respect of the
period of travel with a service patient. My reasons follow.
[154] First, I am not able to agree with Mr Taylor that the statutory source
for payments to travel escorts is s 29. That section
provides that the Secretary
may grant an allowance not exceeding the sums at Schedule 2 for
“indispensable services”
of an “attendant”. Schedule 2
caps the amount payable at $382.68 per week. There is no statutory definition
of attendant,
but reg 24 states that the Secretary may require “the
attendant to make a declaration to the effect that he or she is engaged
as an
attendant and to disclose ... his or her rate of pay and any other relevant
terms of his or her engagement or contract of service”.
There can be no
suggestion here that Ms Stankovich is assisting Father Te Ua pursuant to a
contract of service.
[155] Second, s 19 provides the genesis for disability
pensions (including allowances)47. It declares that
“pensions in respect of the disablement... shall be payable ... in any
case where the disablement
... is attributable to ...service.”
Section 96 then confers a general power to make all regulations necessary or
expedient
for the purposes of the Act, and without limiting that power to make a
regulation:
(c) providing for medical and surgical treatment of members of the New
Zealand ... forces; ...and for the supply of necessary
surgical and other
appliances and equipment for any such members:
47 Under reg 2 pension means any pension or allowance under the Act.
(f) providing for payment of travelling expenses and allowances
in respect of any such members undergoing medical or
surgical examination or
treatment, and for the payment of compensation for wages lost as a result of any
such examination or treatment,
and, in respect of any such member who is unfit
to travel, for the payment of the travelling expenses of his next of kin
or other person nominated by him in visiting him in hospital:
(g) providing for travelling allowances and concessions in respect of
any such disabled members and, in cases where the member
is unfit to travel
alone, in respect of an escort:
[156] Third, reg 42 specifies that the Secretary may authorise a veteran who
is “unable or unfit to travel alone” to be
accompanied by an
“escort” who may be paid for “cost of transit incurred, actual
and reasonable out of pocket expenses
for board and lodging, and compensation
for lost wages, at rates not exceeding the rates applicable” for the
veteran.
[157] Fourth, when reg 42 is read in light of s 96(g) its logical purpose is
to enable assistance to be afforded to veterans who are
unfit to
“travel” alone to, for example, receive medical treatment. It is
not directed to accommodation or other expenses
associated with stay with the
veteran during treatment, where it can usually be expected that the veteran will
receive care commensurate
with his or her condition.
[158] Fifth, this narrow interpretation reflects the scheme of the
regulations in general which for example, prescribe “a
free railway
ticket” for veterans to visit home after one month or when he or she is
unfit to travel, for the next of kin to
visit him or her in hospital (reg 41).
An accommodation allowance for the entire period of the treatment for escorts
(most likely
next of kin) does not fit with this legislative
parsimony.
[159] Sixth, the phrase “required to report” in reg 40(3) should be considered in context, as Mr Taylor submits, but not at the expense of the text used. Section 96 enables regulations to provide “for medical and surgical treatment of members”48 and “for payment of travelling expenses ... of any such members undergoing
medical or surgical... treatment, and for the payment of compensation
for wages lost
48 War Pensions Act 1954, s 96(2)(c).
as a result of any such examination or treatment.”49
Regulation 34 then simply states that “medical treatment shall be
available ... in respect of any person who is in receipt of
... a pension ... in
respect of his or her own disablement”. Persons entitled to these
services are referred to as “service
patients”. It plainly has a
wide ambit and aligns with the basic entitlement prescribed at s 19 to a pension
for disabilities
attributable to service in the theatre of
war.50
[160] By contrast, reg 40(1) refers to any “person who is obliged
to travel for the purpose of undergoing medical or surgical treatment in
accordance with these regulations ... may be ... granted
a refund of the cost of
transit reasonably incurred.” Regulation 40(2) also contemplates a
“refund ... of actual and
reasonable out of pocket expenses for the period
of necessary absence”. Regulation 40(3) then authorises payment
“for
loss of earnings where any person is required to report for
medical examination or treatment, or for attendance before an Appeal Board or a
claims panel”. The class of persons embraced
by these regulations is
therefore overtly narrowed by the effect of the reference to
“obliged” in relation to travel
expenses and “required to
report to” in relation to earnings.
[161] Indeed the language of “required to report” connotes a
specific response to a demand, rather than simply an incident
of the need for
treatment. It also naturally links to the power of a claims panel at s 15B
“to require the claimant to undergo
... medical examinations or
assessments” and of the Secretary to reduce the pension of veteran that
refuses to undergo treatment
at s 27. Therefore, while s 96(2)(f) expressly
contemplates a wide power to compensate for wages lost as a result of medical
examination
or treatment, reg 40(3) expressly restricts the class of persons
eligible for compensation for lost earnings to veterans required
to report
for a medical examination.
[162] Ninth, notably reg 42 deals more broadly with the case “of a service patient”
unable to travel alone. This links back to the entitlement of a veteran to
receive medical treatment under reg 34. On its face,
this regulation empowers
the Secretary
49 Section 96 (2)(f).
to authorise an escort to be
“paid the cost of transit incurred, actual and reasonable out of pocket
expenses for board and
lodging, and compensation for loss of wages, at rates not
exceeding the rates applicable for the service patient.” I can see
no
reason to read down this entitlement by reference only to the requirement to
report at s 40(3). The reference to “rates”
is more likely a
reference to the now repealed Schedule 5 which specified the applicable rates.
I also consider that different policy
considerations apply to
‘escorts’ who by definition are serving a beneficial purpose
contemplated by the Act and regulations
for which they ought to be
compensated.
[163] Tenth, the decision to grant an allowance for travel costs is
discretionary, though refusal in circumstances where the
treatment has
been approved would appear discordant with the purpose of the regulations and
presumptively unreasonable. However,
in this regard I see nothing wrong with
the Secretary deciding not to award an allowance if he is satisfied that the
costs of the
veteran or the escort are already met by another person (for
example a DHB). Any additional payment under the regulations would
provide an
illegitimate windfall.
[164] Accordingly, Ms Stankovich was eligible for reimbursement of her
reasonable out of pocket expenses for board and lodging and
compensation for
loss of wages, but only in respect of the period of travel with Father Te Ua.
She is also required to provide proof
of loss of wages. I will make an order
directing that the Secretary reconsider the application for costs in relation to
the travel
to Palmerston North in light of my judgment.
Negligence and breach of statutory duty
[165] Father Te Ua contends that the Secretary was negligent in relation to
his first, third, fifth and seventh claims. He also
contends that the
Secretary is liable for breach of statutory duty in relation to the first,
second and third claims.
[166] I preface this discussion by observing that claims based on negligence and/or breach of statutory duty face the objection that, save in respect of the claim in respect of the lost records, the Act provides a purpose built remedy for all of the claims. A parallel private law action to achieve largely the same result is therefore superfluous, and in my view discordant with the scheme of the Act.
[167] In any event, I propose to deal first with the claims in
negligence.
Negligence
[168] Mr Taylor commences argument on the negligence claim by distinguishing
the decision of the Court of Appeal in Morrison v Upper Hutt City
Council. 51 The Court held that there could be no liability in
negligence in relation to the exercise of statutory powers under the Resource
Management
Act 1990. Mr Taylor submitted that that decision was concerned with
the evaluative function of a Council and the interpretation
of a District
Scheme. By contrast, Father Te Ua’s claim concerns the administration
of the War Pensions Act 1954 affecting a limited class of people and dealing
with actions, omissions and/or decisions that are not
otherwise
appealable.
[169] Mr Taylor also contends that the duty of care in this context properly
arises by reference to the principles established in
North Shore City Council
v Attorney- General,52 submitting that in this
context:
(a) There is the requisite proximity;
(b) It is foreseeable that the applicant will suffer damage as
a consequence of negligent administration; and
(c) “It is eminently reasonable that there should
be liability by Government administration to its
vulnerable clients
who have rendered such service to the body politic that they merit special
pension arrangements.”
[170] Mr Taylor concedes, however, that:
This will really have to wait on the Court of Appeal that where a decision-
maker is so outrageous in his decision making as to come
close to creating a
“pattern of perversity” (to quote from one of the formulations for
unreasonableness) it is appropriate
that there be liability in
negligence.
51 Morrison v Upper Hutt City Council [1998] 2 NZLR 331 (CA).
52 North Shore City Council v Attorney-General [2012] NZSC 49, [2012] 3 NZLR 341 [The
Grange].
A novel duty of care
[171] Mr Taylor did not cite authority directly supporting the imposition of
a duty of care in this context. Given this novelty,
I propose to adopt the
principles established by the Supreme Court in North Shore City
Council v Attorney-General (the Grange)53 as a guide,
namely:
(a) I must identify and examine salient features of the claim to determine whether the relational conditions (proximity) exist to establish duty of care in the manner sought. In this regard, the ability to foresee is a useful screening mechanism to exclude claims which must obviously fail because no reasonable person could have foreseen the loss. Assuming the damage was foreseeable, I must then assess whether there was a sufficient connection between the parties so that the defendant assumed a responsibility to take care, in the manner
claimed, to secure the avoidance of damage to the
plaintiff.54
(b) Given that the sole basis for proximity or connection is the
performance of a statutory function (albeit in an
administrative
setting) conflicting public duties may preclude the requisite
proximity. Having said that:55
Where the asserted basis for proximity is grounded in specific
conduct and interactions, ruling a claim out at the proximity
stage may be
difficult. So long as there is a reasonable prospect that certain interactions
could, if true, result in a finding
of sufficient proximity, and the statute
does not exclude that possibility, the matter must be allowed to proceed to
trial, subject
to any policy considerations that may negate the prima facie duty
of care at the second stage of the analysis.
(c) If I am ultimately satisfied that the requisite proximity exists, I
must then decide whether it is fair, just and reasonable
to impose a
legal
53 At [157]. See also my approach in Swordfish Co Ltd v Buller District Council [2012] NZHC
2339.
54 North Shore City Council v Attorney-General, above n 52, at [158], [188] and [220].
55 R v Imperial Tobacco Canada Limited [2011] 3 SCR 45 at [47], cited with approval in The
Grange, above n 52, at [166].
liability for its breach (assuming there is one).56 This final
stage of the assessment brings into account externalities or bigger picture
considerations – or as Blanchard J stated:57
The effect on non-parties and on the structure of the law and on society
generally.
Step 1 – Salient features of the claim
[172] Father Te Ua claims, in short, that there was a positive duty to take
reasonable care to:
(a) Be properly informed of previous decisions (the first
reviewable action / first negligence claim);
(b) To maintain the integrity and completeness of a veteran’s file
(the
third reviewable action / second negligence claim);
(c) To ascertain the correct address of a veteran for notification
purposes
(the fifth reviewable action / third negligence claim);
(d) To make a reasonable decision in relation to Ms Stankovich’s claims
for allowances (the seventh reviewable action / fourth
negligence
claim).58
[173] Father Te Ua and Ms Stankovich claim (in short) that VANZ
and/or the
Secretary failed to perform these basic duties to the requisite standard
of care, and
56 Refer The Grange, above n 52, at [156].
57 At [156] and see also [159].
(b) Holding in any event only travel and out of pocket expenses could be compensated; (c) Failure to recognise the deliberate distinction in reg 40(3) between salary and wages; (d) To invent a power in reg 42 to require a certificate of lost wages;
(e) To misread wages in reg 42;
(f) To decide that Father Te Ua did not receive his veteran and disability pensions while
undergoing chemotherapy then Ms Stankovich’s loss could not be compensated; and
(g) To approach the matter in a negative way out of keeping with the policy of the Act and the
Regulations.
He also says that these matters collectively reveal a pattern of perversity which takes them outside the exclusionary ambit of Morrison.
have suffered loss and mental anguish. They seek the following remedies in
respect of:59
(a) the first negligence claim - general damages in the sum of $10,000
for Father Te Ua, and $7,500 for Ms Stankovich –
though this was modified
to a general claim for $100,000 in respect of distress caused to Father Te Ua
and Ms Stankovich;
(b) the second negligence claim – declarations of breach of
duty to maintain the integrity of Father Te Ua’s
file, to make correct
decisions based on all relevant facts, and to generally maintain the integrity
of the personal records of veterans;
(c) the third negligence claim – an order that the Secretary pay
Father Te Ua (or his estate) any sums to which he would
have been entitled from
the review dates as at 7 November 1997, 2002, 2007 and 2012;
(d) the fourth negligence claim – declarations of breach of their
statutory duty not to make unreasonable decisions; special
damages for lost
wages in the sum of $75.49 and $77.83 per day, together with interest; general
damages in the sum of $15,000 and
$7,500. (This was modified in submissions to
seek a daily rate to be fixed.)
Step 2 – Proximity / foreseeability
[174] A war veteran is a specific class of person eligible for consideration under the War Pensions Act for a pension or disability allowance. As Mr Ottaway noted in his evidence, a veteran has a case manager assigned to him or her so as to facilitate the processing of an application for disability allowance. The relationship between them is necessarily a close one at least administratively. Indeed Father Te Ua could legitimately expect that his case manager will be familiar with his file and will be responsible for monitoring the processing of his claims. More broadly he could
reasonably expect that his applications and file history will be known
(or at least
accessible) to VANZ administrators, as will the
effect of any undue delay or mishandling of his applications. It is also
reasonably
clear therefore that material default by a VANZ administrator or an
unreasonable decision by the Secretary would directly affect
a war veteran or
his or her support person in terms of their eligibility for allowances under the
Act.
[175] Approaching then the issue of proximity through the lens of foreseeability, the failure to put the right information before the Claims Panel, the failure to notify a war veteran of a decision affecting him or her, the loss of a war veteran’s records and an unreasonable decision to refuse compensation, could foreseeably result in loss to
the applicant (namely refusal to grant an allowance).60
The inaction or the
unreasonable decision is a logical precursor to this loss in each
case.
[176] I also consider that the case manager and other administrators,
together with the Secretary must have, by dint of their function,
assumed
responsibility to avoid causing harm to an applicant by way of the identified
administrative error or unreasonableness.61
[177] I proceed therefore on the basis that the requisite proximity
has been established in a factual sense.
Statutory policy
[178] But notwithstanding these observations, and save in respect of negligent loss of records, a private law action for negligent performance either of administrative function or substantive decision making under the War Pensions Act jars against the scheme of the Act. Significantly, the remaining so-called acts of negligence only affect entitlements otherwise conferred by the Act (apart from a consequential claim to general damages). Indeed in each case, contrary to Mr Taylor’s submission, the alleged acts of negligence are capable of remedy under the Act or by way of judicial
review. For example:
60 Compare with Naysmith v Accident Compensation Corporation [2006] 1 NZLR 40 (HC).
(a) The failure to be properly
informed of previous decisions was corrected by the Secretary on review,
with the result
that, as contemplated by the Act, the correct decision was
ultimately reached;
(b) The failure to send notice to the correct address and any consequential
effect can be remedied via the processes, if necessary,
afforded by the Act
(including review under s 14(5) or s 26(2)) – and while the underlying
decision may have had the effect
of precluding further automatic reviews of
Father Te Ua’s pension for deafness, he was well able to seek correction
and further
reviews when it became apparent that he was not being considered for
review;
(c) An unreasonable decision not to grant an allowance is capable of
remedy by way of judicial review for the sum owing with the
result that relief
in negligence is unnecessary and to the extent that it places an additional
essentially unnecessary burden on
VANZ’s resources, contrary to
it.
[179] I accept Ms Williams’ submission that the present situation is
analogous to various cases where the Courts have refused
to find a duty of care
because the legislation thoroughly covers the ground.62
[180] I can also easily envisage situations where VANZ could be confronted with co- extensive public and private law processes, all seeking the same essential relief – that is to obtain an allowance or reimbursement under the Act. I can envisage situations where the Court might be called upon to remedy alleged negligence in private law proceedings and then to declare an entitlement to a pension or allowance when, at the same time, the same claim is being considered by the NRO, or the Appeals Board, or the Secretary. The negligence claim based on the failure to be properly informed of previous decisions provides a good example. Father Te Ua could have conceivably commenced a private law action at any time following the
receipt of the claims panel decision. He could also, at the same time,
have initiated a
62 Referring to Jones v Department of Employment [1988] 1 All ER 725 (CA); Chalecki v Accident
Rehabilitation and Compensation Insurance Corporation HC Greymouth AP 28/01, 10 October
2001, and Pearce v Accident Compensation Corporation (1991) 5 PRNZ 297 (HC).
review to the NRO and then appeal to the Appeals Board. A further review to the Secretary could then have been sought. Any one of those statutory decision makers might reach a different view from the Court in the private law action as to the significance of the previous decision. The mind boggles as to which of the decisions, the Court or the statutory decision maker has primacy. This is in my view an additional significant policy reason to reject a common law duty of care
essentially based on the same statutory relationship established by the
Act.63
[181] As to general damages claims, it would seem odd to be able to sue for general damages when the underlying primary claim is capable of remedy within the statutory frame. There may be circumstances were the evidence of harm or distress engages the Court’s impulse to find a remedy.64 I do not propose to speculate on what those circumstances might be. But on the facts pleaded, I do not consider that the generalised claims to distress and frustration call for separate consideration by this Court in a private law context given the remedies already afforded by the Act. I elaborate further on this when I address the substantive merits of a general damages
claim at [196].
[182] I also consider that the fourth negligence claim based on unreasonableness falls squarely within the purview of Morrison65 where the Court of Appeal refused to permit an action in negligence relating to an erroneous interpretation and application of a District Plan. I consider that the reasoning there, if not directly binding on me, is persuasive in this context. In short, the Secretary’s decision to pay an allowance requires an evaluation (including interpretation) of and by reference to regulatory
requirements. It may involve the application of policy to achieve fairness across all veterans and their support people. It seems to me that the rationality of a decision in
this context is “hardly susceptible to an application of a
negligence
standard”.66
63 Compare with Morrison above n 51, at 338; Pearce v Accident Compensation Corporation,
above n 62, Jones v Department of Employment, above n 62.
64 Naysmith v Accident Compensation Corporation, above n 60, at [71] citing Barrett v London
Borough of Enfield [2001] 2 AC 550 (HL).
65 Morrison, above n 51.
66 At [12].
[183] I accept that the Courts have moved away from the notion that only
irrational decisions are capable of triggering a negligence
claim.67
Nevertheless, in terms of the irrationality claimed in this case, the
legality and rationality of the decision to decline an allowance
can be
tested in the usual way and the equivalent relief obtained in judicial
review proceedings without the added intellectual
gymnastics needed to make out
a negligence claim.
Step 3 – fairness
[184] Mr Taylor emphasises that veterans are a special class of vulnerable
person and the significant distress caused by negligent
performance of statutory
duties or administrative function should be actionable. But, for reasons
already expressed, I consider
that to embroil VANZ in private law actions as
pleaded, that can otherwise be resolved within the scheme of the Act, or
by
orthodox judicial review proceedings, presents a significant and largely
unjustified drain on the resources better directed to
the pension needs of
veterans. I include within this the significant commitment of human resource
required to address private litigation
claims.
[185] In these circumstances, I consider that the benefits of a private
action in negligence in relation to matters that can be
redressed through the
Act’s processes are outweighed by the potentially duplicative costs
associated with them.68
[186] For the forgoing reasons I do not consider that the first, third and
fourth claims as pleaded are actionable by way of negligence.
[187] The negligent (or intentional) mishandling of a veteran’s records falls into a different category. The absence of records might result in declinature of a claim to an allowance, resulting in loss that is not otherwise recoverable under the scheme of the Act. It is also difficult to see why such a claim would be precluded as a matter of policy, because the subject matter of the claim is not about the claims or decisional process, but rather improper or negligent interference with it and for which the Act
may not be able to provide a remedy.
67 See for example: 64 v London Borough of Enfield, above n 64.
[188] Turning to the merits, the
facts at their highest are set out in Mr Mountain’s affidavit evidence.
If it can be proven
on the balance of probabilities that inappropriate culling
occurred, then it might be said VANZ (or its predecessor) has negligently
(or
worse intentionally) failed to protect the interests of veterans for the purpose
of any subsequent applications they may make.
Whether this gives rise to an
action in damages is also difficult to assess. But it could well be that a
policy of destroying a
veteran’s records interferes with a veteran’s
capacity to make a claim and that VANZ should therefore be liable for any
consequential loss flowing from their absence. Against this prospect, I also
accept the submission that any potential unfairness
to a veteran should be
ameliorated in most cases by the correct application of the statutory
presumptions mentioned above. In any
event, I am not prepared to venture a
final opinion on the availability of the claim when the factual basis for it is
yet to be established.
Breach of statutory duty
[189] I gather from Mr Taylor’s submissions that he is claiming breach
of statutory duty simpliciter. Whether an enactment gives rise to such
a cause of action is a question of ascertaining the intent of the
Legislature.69 As stated by Lord Browne Wilkinson in X (Minors)
v Bedfordshire County Council 70:
...The basic proposition is that in the ordinary case a breach of statutory
duty does not, by itself, give rise to any private law
cause of action.
However, a private law cause of action will arise if it can be shown, as a
matter of construction of the statute,
that the statutory duty was imposed for
the protection of a limited class of the public and that Parliament intended to
confer on
members of that class a private right of action for breach of the
duty. ...
[190] His Lordship added:
... If the statute provides no other remedy for its breach and
the Parliamentary intention to protect a limited class
is shown, that indicates
that there may be a private right of action since otherwise there is no method
of securing the protection
the statute was intended to confer. If the statute
does provide some other means of enforcing the duty that will normally indicate
that the statutory right was intended to be enforceable by those means and not
by private right of action: ...
69 See Naysmith v Accident Compensation Corporation, above n 60 and the cases cited therein.
70 X (Minors) v Bedfordshire County Council [1995] 3 All ER 353 (HL) at 364.
[191] It may be anticipated from the foregoing discussion that I do not
consider that Parliament envisaged private law actions for
breach of a statutory
duty simpliciter that are already capable of remedy within the framework
of the Act. I observe further that given the multilayered opportunities
afforded to veterans to redress error by appeal or review, little need or room
has been left by the legislation for such an action.
[192] Reinforcing this view s 16(4) is worth repeating:
16 Appeals to War Pensions Appeal Board
...
(4) The decision of an Appeal Board shall be final and conclusive:
provided that, if at any time a claimant whose appeal has been determined
satisfies the Secretary that by reason of additional evidence
becoming available
or for any other reason whatsoever it is desirable in the interests of justice
that his claim should be reconsidered,
the Secretary shall accept from him a
fresh claim and any such claim shall be dealt with in all respects as if it were
an original
application for a pension.
...
[193] Locked within this provision is an assumption that a decision of the
Appeal Board is final (brooking no further or collateral
challenge), but still
conferring a residual power on the Secretary to review the position on receipt
of further information.
[194] As Ms Williams highlighted in her submissions 71 to allow an
action for breach of a statutory duty simpliciter where the breach can be
so thoroughly remedied within the statutory framework, appears inherently
discordant with the statutory scheme.
[195] Turning then to each of the claims:
(a) The first breach of statutory duty claim has (it appears) two
components. First, the officers of VANZ failed to see
what
disabilities
71 Borrowing dicta from Glidewell LJ in Jones v Department of Employment, above n 47, at 734.
had in the past been accepted as attributable to Father Te Ua’s war
service. Second, in breach of s 26, the claims panel and
then the NRO purported
to reduce Father Te Ua’s pension without authority to do so The details of
this claim are set out at
[65]-[67]. I am prepared to read into the legislation
a duty or function to ensure that past decisions are made known to the Claims
Panel (et al). I am not however satisfied that the claims panel or the NRO can
be said to breach s 26 when they are responding to
an application for pension
lodged by a veteran in respect of a condition for which he already has cover. I
consider that the “breach”
is more properly described as failure to
have regard to a relevant consideration and simply a reviewable error. In any
event, the
alleged breach was remedied by the Secretary pursuant to his
statutory power of review under s 14(5). This is a paradigm example
of how the
Act provides the frame within which to correct error. I am therefore not
prepared to find that a private action for
this breach is available to Father Te
Ua.
(b) The second claim concerns delay. The details of this claim are set out
at [68]-[93]. The delay in making a decision in relation
to the reflux related
conditions did not meet the required statutory standard “as soon as
practicable”. I will make
a declaration to this effect in the context of
the judicial review proceedings. While it could be said that the statute does
not
provide a remedy for delay, I do not consider it is necessary or appropriate
to do so for the purposes of a private law action. As
I have said, the
requisite standard affords some latitude to the VANZ to process claims
at a rate which is practicable.
It is difficult to envisage that in providing
such a flexible, indeed permeable standard that Parliament intended for private
actions
for non compliance with it. Rather, administrative law, with its
flexible remedies, including declaration and mandamus, provides
an obvious
vehicle to redress undue delay.
(c) The third claim concerns the loss of records. Mr Taylor contends that the failure to maintain a complete record is a breach of statutory duty.
As I have said I am unable to make any definitive finding on whether or not VANZ generally, or specifically in relation to Father Te Ua, failed to maintain complete records. Affidavit evidence provided on this matter was largely of a general character, not subject to cross- examination, and therefore does not provide a proper basis to resolve this issue in accordance with acceptable judicial method. For completeness, unlike the other claims for breach of duty and negligence, there may be a proper basis for such a claim at law. I accept that one of VANZ’s functions must be to maintain proper records. It is an aspect of the proper administration of war pensions and is necessarily incidental to the exercise of powers to assess claims and then provide pensions based on those claims. But whether the failure to maintain information on files is an actionable breach of statutory duty in any particular instance is a complex matter. Not every deficient performance of a statutory function correlates to an
enforceable duty to the affected person.72 In this context, the
analysis
is coloured by among other things, the complications inherent to the task of
collating information about servicemen stationed in various
theatres of war and
the historical nature of any alleged error. As with the negligence claim, I am
not prepared then to delve into
whether Parliament envisaged scope for a claim
in damages for mishandling of records, when the factual basis for the alleged
error
is not clearly established.
The general damages claim
[196] General damages are sought in the sum of $60,000 for Father Te Ua
and
$40,000 for Ms Stankovich, or alternatively a global award of $100,000. While this claim is framed in terms of the first claim, I apprehend that Mr Taylor is seeking
redress in relation to what he describes as systemic
failure.
[197] The evidential basis for
this claim is largely found in the second affidavit of
Father Te Ua. He observes:
8. The increased PTSD has also ended up with very disturbed sleep.
Lynette tells me that I am often clambering around in bed waking her and the
children up. I can still get suddenly awoken by the
dog barking –
believing that there is someone on the section. These higher levels of daily
stress and psychological stress,
and increased contact with Health
professionals, have increased dependence upon my wife and our financial
stresses. Lynette is the
only adult working in our household, with one child
attending Polytech and the other child unwell requiring our support as he
recovers
from his own experience in Afghanistan. My anxiety and depression
have increased as a result.
[198] Ms Stankovich observes that the lack of support from VANZ exacerbated
the effects of Father Te Ua’s post-traumatic stress
disorder combined with
the after- effects of an intensive oncology radiation regime. She stated that
it created further physical,
emotional and financial stress for her and the
children.
[199] Assuming I am wrong about the unavailability of actions for
breach of statutory duty and negligence, I nevertheless
reject the claim for
substantial general damages of $100,000 for the following reasons:
(a) I accept Mr Ottaway’s evidence that Mr Te Ua was not financially
disadvantaged as a consequence of the errors, including the error to refuse
cover for reflux. Mr Taylor did not strongly contend otherwise,
observing:
If one thinks of things solely in financial terms, there is some plausibility
to his position.
(b) Distress caused by bureaucratic error,73 even one
leading to substantive error, is to be expected in dealings with any
bureaucracy.74 In my view, there must be clear evidence of serious
harm, attributable to the identified error in order to justify an award of
general
damages. In this regard I am prepared to accept Father Te Ua’s
evidence that:
His PTSD symptoms increased with every fight... with
VANZ...
But the connection between his distress and the specific error or errors is
simply too diffuse on the evidence to properly establish
the claim to
substantial general damages. Relevantly, the claim in respect of reflux was made
together with claims for six other
conditions, each requiring assessment and
evaluation and concomitant delay and distress. Unpicking the harm caused by the
identified
administrative law error is a difficult exercise in this context, and
not capable of resolution on the largely generalised (affidavit
only)
evidence of harm. It is certainly not sufficient or sufficiently specific to
substantiate a claim of $100,000.
(c) General damages in cases involving essentially administrative negligence (eg the leaky building cases) have been relatively modest,
notwithstanding lengthy and demonstrable interference, caused by
the
73 I do not include malicious prosecution or misfeasance in public office within this category.
error, with the lives of affected
persons.75
(d) As far as I can tell, general damages have not been awarded in relation to distress falling short of severe recognisable illness for administrative error in the absence of a related tort (eg causing physical damage and/or economic loss), except in relation to public law compensation for gross violation of the New Zealand Bill of Rights Act 1990. While Father Te Ua’s distress is understandable, it
is not in my view, on the evidence, in this
category.76
[200] Nothing said here should be seen to diminish the distress felt and
caused by VANZ procedures. Assuming the jurisdiction to
do so, it may be that
a modest award for damages to signal the Court’s concern about the failure
to discharge the requirements
under the War Pensions Act may have been
appropriate (again by analogy to the Bill of Rights cases). There was no
detailed argument
on this, so I do not address it further. But it is not the
function of this Court to award substantial sums in general damages unless
the
evidence establishes on the balance of probabilities a serious harm attributable
to the error that might not ordinarily be expected
as an exigency of dealing
with administrative bureaucracies. The evidence did not meet this
threshold.
Crown Proceedings Act 1950
[201] It has proven unnecessary for me to address the scope of the
Crown
Proceedings Act, s 9. That section
states:
75 In the range of $15,000-$25,000 – see Todd, above n 66 at [25.2.09(2)] and cases cited therein.
See for example Body Corporate 191608 v North Shore City Council HC Auckland CIV 2008-404-2358, 19 February 2009 where some unit owners in the Body Corporate were awarded general damages in varying amounts from $15,000 to $50,000; and La Grouw v Cairns (2004) 5 NZCPR 434 where O’Regan J found that Mrs La Grouw was entitled to general damages of $5,000 if the District Court found that there was a misrepresentation.
76 Compare with Manga v Attorney-General [2000] 2 NZLR 65 (HC) where unlawful detention for
252 days resulted in a general damages award of $60,000.
(1) No proceedings for compensation or damages shall lie against the
Crown or any officer of the Crown in respect of the death
or disablement of any
member of the New Zealand armed forces, if-
(a) any pension has at any time been paid or is being paid under the
War Pensions Act 1954 in respect of that death or disablement;
or
(b) a War Pensions Board has determined that for the purposes of
section 19 of the War Pensions Act 1954 that death or disablement
is
attributable to, or is deemed to be attributable to, the service of the member
with the forces, or that the condition that resulted
in that death or
disablement was aggravated by his or her service with the forces:
provided that this subsection shall not exempt an officer of the Crown from
liability for any act or omission in any case where the
court is satisfied that
the act or omission was not connected with the execution of his or her duties as
an officer of the Crown.
[202] Ms Williams submits that as the purpose of s 9 is to protect the
integrity of the Act, proceedings in respect of the administration
of pensions
must also be proceedings in respect of the death or disablement. Section 9 is
therefore, she submits, a bar to proceedings
based on the first, third and fifth
reviewable actions or claims. In particular, she submits:
(a) The first review claim relates to a rejection of the application
for reflux, which has since been corrected. The upshot
is that a pension is
being paid in relation to the subject matter of the claim.
(b) The third review claim relates to the maintenance of records and the
decision making process in respect of the first plaintiff’s
alleged
disablements.
(c) The fifth review claim relates to the misdirecting of letters concerning hearing loss, which is an accepted condition for which Father Te Ua is receiving a pension and therefore directly covered by s 9.
[203] Mr Taylor responds that s 9 is in effect a privative clause and should
be interpreted restrictively. He submits that s 9
operates to remove the
otherwise existing rights to damages or compensation only in respect of those
matters that are within the
remedial system provided by the Act.
Analysis
[204] I have commented at length at what I consider to be the co-extensive nature of the private and public law claims available to the plaintiffs in this case. In short, I consider that a remedy can be found in the remedial structure of the Act in relation to all claims save for the alleged loss of records. My tentative view therefore in relation to s 9 is that the first reviewable action (first claim) and the fifth reviewable action (fifth claim) relate to matters for which a pension has already been granted and in respect of which the Act can provide a remedy. The loss of records, and the potential effect of that on the ability to make a claim, is however in my view outside the scope of s 9. Indeed, it specifically relates to the inability to obtain relief under the Act because of the lack of availability of key information. Accordingly, had it been necessary to do so, I would have found that the claims in relation to loss of records would not have been barred by s 9. In saying this I am cognisant of the
decision of Mahon J in McQuinlan v Attorney-General77
who interpreted the
reference to disablement widely to include not merely incapacity but all the
physical and mental disadvantages arising from the injury
or disease which has
been occasioned or aggravated by service in the armed forces. He went on to
conclude that a determination under
s 9(1)(b) is an independent bar to the
action in that case and would have been a bar even if no pension had in fact
been granted.
But I do not think that those observations bear on the claim in
relation to loss of records, because the underlying focus of the
claim is the
effect of the loss on the ability to make a claim to a pension, rather than a
claim to cover for disablement per se.
Discretion
[205] I address the reasons for grant or otherwise of relief under each claim
where relevant. I record for present purposes
that I proceeded on the
basis that the
77 McQuinlan v Attorney-General [1975] 1 NLZR 550 (SC).
jurisdiction to refuse relief is strictly limited but that as the Court of
Appeal recently said in Rees v Firth:78
Given the discretionary nature of public remedies, it may be that a more
nuanced approach is necessary in the generality of cases.
[206] It will be seen that I propose to make declarations on the issue of
delay. I have considered whether the declarations are necessary
given the
current practice of VANZ. I have, however, come to the view that given the
nature of the delay, that it is appropriate
that the plaintiffs be afforded the
relief of declaration.
[207] I have also resolved to make a declaration that the statement of policy
recorded at [104] of this judgment is flawed insofar
as it purports to require
corroborating information where statements of veterans are not supported by
information on the service
file and the disability is not consistent with what
is known about the role undertaken by the veterans. It is plain to me that the
policy needed a correction and clarification.
[208] I also propose to declare that a veteran is entitled, on request, to
receive all medical reports that will be before the
Claims Panel, so
that the veteran can comment or can include in submissions on the
application, comments about the medical
report. Having found a breach of
natural justice in this respect, I can see no good reason to decline to make
such a declaration.
[209] I have also found that the Secretary erred by not considering Ms
Stankovich’s application for compensation for loss of
wages in respect of
travel only, with Father Te Ua to Palmerston North. I will direct that he
reconsider Ms Stankovich’s
application in this regard. Again, I can see
no reason why this relief should be declined.
[210] I have rejected relief or further consequential relief on the issue of delay or on the misdirection of the unless notice to Father Te Ua. I have come to the view that
relief in relation to those matters is not necessary as I could discern
no material
78 Rees v Firth [2012] 1 NZLR 408 (CA) at [48].
consequential effect of the identified errors or that any further relief
would serve a practical purpose.
Outcome
[211] I now frame the outcomes in terms of the issues as stated at paragraph
[5].
Whether VANZ’s rejection of Father Te Ua’s claim for
disability allowance for a previously approved condition was a reviewable
and/or
actionable error
[212] VANZ has agreed to reimburse Father Te Ua for the costs of the
gastroscopy and colonoscopy and the Secretary reversed the decision
to refuse
cover for reflux. No further relief is needed.
Whether the delay associated with decisions on applications for
disability allowances amounts to reviewable error and/or
actionable breach of
statutory duty
[213] I propose to make a declaration that:
(a) The time taken to make a decision on the following applications did
not satisfy the statutory requirement to make a decision
as soon as
practicable:
(i) The applications for gout, throat/speech disorders, Pagets disease,
thyroidectomy and memory loss dated 10 April 2007;
(ii) The application for reflux and fatty infiltration dated
11 February 2009.
(b) I propose to make a further declaration that the time taken between the decisions of 10 December 2009 and 9 February 2010 and notification of the decisions dated 11 January 2010 and 26 February
2010 respectively did not satisfy the requirement to notify the
applicant forthwith in accordance with s 14(4).
(c) I make no other consequential order or relief. While the delays were
unjustified, I do not consider that they are so extreme as to affect the
underlying reasonableness of the substantive decisions.
In short, I do not
consider that the delay had any material effect on the outcomes of the
applications. Significantly, Mr Taylor
accepts that the “delays do not
appear so to have changed the circumstances that the decisions cannot
stand”.
(d) I reject the claim that VANZ administers the application on a strict
order of lodgement basis.
Whether medical records have been lost, and if so, the consequences of
this for the assessment of applications for disability
allowances
[214] I do not find, on the balance of probabilities, that the records of
veterans were unlawfully or negligently purged.
[215] I propose to declare that the statement of policy recorded at [104] is
flawed insofar as it purports to require corroborating
information where
statements of veterans are not supported by information on the service file and
the disability is not consistent
with what is known about the role undertaken by
the veteran.
[216] I do not propose to make any additional declarations under this claim
but the proper approach to the weight to be afforded
to veteran’s
statement is essayed at [114]–[118].
Whether withholding medical reports from a claimant prior to the decision of a
Claims Panel is a reviewable breach of natural justice.
[217] I propose to declare that a veteran is entitled, on request, to receive
all medical reports that will be before the Claims Panel,
so that the veteran
can include in any submissions on the application, comments about the medical
report.
[218] I do not propose to make any consequential orders in respect of the failure by the Claims Panel to provide Father Te Ua with a copy of medical reports in advance of its decision on his 2009 applications as I consider that any breach of natural justice was remedied on review by the NRO.
Whether a misdirected notice to Father Te Ua recording that he was not
entitled to further periodic reviews of his pension in
relation to
deafness (an approved condition) is a reviewable breach of natural justice and
actionable
[219] The letter recording that Father Te Ua was not entitled to further
periodic reviews of his pension for deafness was misdirected
and did not reach
Father Te Ua. But I do not consider that this error had any material effect on
Father Te Ua. Furthermore to the
extent necessary, any consequential effect can
be remedied via the processes of the Act if necessary, without the intervention
of
this Court.
Whether the decision to decline a disability allowance for hernia was
against the evidence
[220] I find that the decision to reject the application in respect of a
hernia was available to the Claims Panel and the NRO.
Whether Ms Stankovich is entitled to be compensated for lost earnings: (i) Without proof of loss from an employer; and
(ii) While travelling and staying with Father Te Ua when he received
treatment for approved conditions in Palmerston North.
[221] I reject the request for the claim made in relation to compensation for
loss of wages in respect of travel with Father Te Ua
to Auckland without proof
of loss from an employer.
[222] The Secretary erred by not considering the application for compensation
for loss of wages in respect of travel only with Father
Te Ua to Palmerston
North. I direct that he reconsider Ms Stankovich’s application
for reimbursement of outgoings
and loss of wages in relation to her travel
with Father Te Ua to Palmerston North.
[223] I otherwise reject the claim in respect of loss of wages and other costs associated with Ms Stankovich’s stay with Father Te Ua while he received treatment in Palmerston North.
Breach of statutory duty and negligence
[224] The causes of action in relation to breach of statutory duty and
negligence are dismissed for the reasons set out at [165]-[188]
and
[189]-[200].
[225] As noted, it may be that a claim in negligence for mishandling records
is actionable in private law. But I am not prepared
to provide a concluded view
on the evidence currently before me.
Further direction
[226] I direct that the parties confer and where they are able, reach
agreement on the terms of the directions that I propose to make.
Submissions to
this effect are to be filed within ten working days.
Costs
[227] I invite submissions on costs within ten working days and with replies
five working days thereafter.
Solicitors:
Thomas Dewar Sziranyi Letts, Lower Hutt
Crown Law, Wellington
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