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High Court of New Zealand Decisions |
Last Updated: 20 September 2016
IN THE HIGH COURT OF NEW ZEALAND WELLINGTON REGISTRY
CIV 2015-485-810 [2016] NZHC 1869
UNDER
|
the War Pensions Act 1954 and the
Veterans' Support Act 2014
|
IN THE MATTER
|
of a claim by a group of veterans for declarations of their rights under
the War Pensions Act 1954 and the Veterans' Support Act 2014
|
IN THE MATTER
|
of various decisions made under s 15E of the War Pensions Act 1954 by a
national review officer in respect of each veteran between
10 December 2014
and
27 February 2015
|
BETWEEN
|
CAMPBELL KEELAN First Plaintiff
|
AND
|
RODGER REGINALD HYLAND Second Plaintiff
|
AND
|
WALTER HORTON TE UA Third Plaintiff
|
AND
|
IWIMANENE TUAITI Fourth Plaintiff
|
AND
|
WILLIAM WILSON Fifth Plaintiff
|
AND
|
NEHE ROPATA KARAURIA Sixth Plaintiff
|
AND
|
COLIN IVAN RICKARD Seventh Plaintiff
|
AND
|
RIKI HONE WAIPAPA GOLDSMITH Eighth Plaintiff
|
AND
|
THE GENERAL MANAGER OF VETERANS' AFFAIRS NEW ZEALAND Defendant
|
Hearing: 11-12 July 2016
KEELAN v HYLAND [2016] NZHC 1869 [12 August 2016]
Counsel:
|
G D S Taylor and M Freeman for Plaintiffs
R L Roff and L Jackson for Defendant
|
Judgment:
|
12 August 2016
|
JUDGMENT OF SIMON FRANCE J
Introduction
[1] The War Pensions Act 1954 provided a scheme for the payment of pensions to members of the Armed Forces who suffered injury, illness or disability, or an aggravation of one of those conditions, because of their service.1 The Act mandated
a benevolent approach to claims.2 There were several
presumptions created in
favour of claimants including absolute physical and mental fitness at the
time of enlisting, and a relatively low causation threshold
which, once met,
established a presumption in favour of the claim.
[2] The seven plaintiffs are all veterans of the Vietnam War. The
last to be discharged was the Reverend Te Ua, in 1996. All
the plaintiffs have
made claims for war disablement pensions, and all have had those claims accepted
in part. As a consequence
of the claims that have been accepted, all
are recipients of the maximum level of pension available. However, all have
also had claims for other conditions and illnesses rejected. The plaintiffs
consider these negative outcomes are due to an incorrect
application of the
principles and presumptions contained in the War Pensions Act.
[3] Reverend Te Ua brought proceedings challenging a series of decisions made in relation to him. He had mixed success, but in one respect at least this Court considered the defendant may have been wrongly applying the presumptions and the
principle of benevolence to cases involving either a conflict of
evidence, or limited
1 There are two pensions under the War Pensions Act – the Veterans’ Pension and the War Disablement Pension. The Veterans’ Pension is paid in lieu of New Zealand superannuation. The War Disablement Pension is additional. It is this pension that is the subject of this proceeding.
2 Te Ua v Secretary for War Pensions [2014] NZHC 1050 at [114].
evidence. Whata J set out a series of propositions concerning how the
statutory presumptions worked in relation to these situations.3 The
plaintiffs have styled these “the Te Ua principles”.
[4] Subsequent to Whata J’s decision, the plaintiffs sought
reconsideration of many of their declined claims. The reconsideration
applications were advanced on the basis that there should be a reconsideration
whenever the initial decision had been taken in breach
of the Te Ua principles.
Some reconsideration applications have succeeded, and some not.
[5] The plaintiffs seek to revisit these unsuccessful reconsideration
decisions in a somewhat unorthodox way. Rather than a
judicial review of any
particular decision, certain reasons given by the defendant on the
reconsiderations are singled
out. Those reasons are then the subject of an
application for a declaration either that the reason is incorrect or that the
opposite
principle is correct. The proceedings now seek nine declarations of
varying specificity.
[6] There is a second unorthodox (in my view) aspect to the proceeding.
All the decisions that underlie the declarations were
taken under the War
Pensions Act. That Act is now repealed, and any fresh decisions must be taken
under the Veterans’ Support
Act 2014. Recognising this, and not wanting
to lose what is seen as a hard won success in the Te Ua case, the
declarations are all worded so that the proposition they would establish is said
to apply to the new differently structured
and differently worded
Veterans’ Support Act 2014.
[7] To illustrate, Declaration Four provides:4
A veteran is not required to provide evidence of a “definitive”
diagnosis and “demonstrate associated disablement”
before
the decision-maker can proceed to consider causation or aggravation by
qualifying service under (a) the War Pensions
Act 1954 or (b) the Veterans
Support Act 2014 under scheme 1.
3 Above n 1 at [114]–[119].
4 The scheme 1 reference at the end reflects the fact there are two schemes under the Veterans’ Support Act. The dividing line is whether service occurred prior to or after 1 April 1974. The plaintiffs are all scheme 1 veterans. I have re-labelled the proposed declarations, submitted with letter references, with numbers.
[8] The absence of a “definitive diagnosis” of the
claimant’s condition had been given in a reconsideration
as a reason for
declining the application. The plaintiffs ask the Court not only to say that
was wrong under the War Pensions Act,
but also to declare it would equally be
wrong under the Veterans’ Support Act 2014. The Court does not have
before it any
decision made under the new Act, but is asked to apply the
veteran’s factual situation to the new Act and assess whether the
same
reasoning would still be wrong.
Some potential stumbling blocks to declaratory relief
[9] There are several complications identified by the defendant with
what the plaintiffs seek. The defendant (Veterans’
Affairs New Zealand
– Vanz) submits that collectively these complications mean the Court, as a
matter of discretion, should
not engage with the proceeding. This is not
advanced as a jurisdictional challenge, but as the appropriate exercise of
discretion.
[10] The first issue is the repeal of the War Pensions Act. It is common
ground that all decisions from now on in relation to
any of the plaintiffs will
be made under the Veterans’ Support Act. Vanz submits there is no utility
in making declarations
about an Act that is now repealed and will not
apply to any future decision. Mr Taylor replies on behalf of the plaintiffs
that a declaration that certain approaches were in error may inform other
veterans of their situation, and encourage them to seek
reconsiderations.
[11] Next, the challenged decisions are submitted to be of no practical utility to the claimants. All are at their maximum pension entitlement. Veterans with multiple conditions have a figure allocated to each condition. The total of these allocations may exceed 100 per cent, but the person is capped at 100 per cent.5 The plaintiffs’ response, as I understand it, is that there is utility in “banking” (not in any sense a pejorative term) extra ratings as some conditions can improve or be reassessed. Vanz disputes this is a practical reality for any of the present plaintiffs. The plaintiffs also
identify a utility to the proceedings beyond their personal
situations.
[12] Third, the choice of a Declaratory
Judgments Act procedure rather than the usual judicial review process means the
Court
is not properly informed about each case and is unable to assess the
correctness of decisions in relation to individual claimants.
In terms of
available information, there is an agreed statement of facts about each claimant
which sets out what conditions have
been the subject of claims, and what the
outcomes were. The Court also has a medical file in relation to each plaintiff
although
Vanz says the information is not complete. The file provided includes
only documents referred to in the “challenged”
reconsideration.
Vanz notes each plaintiff ’s complete file contains extensive material on
their service history, service
medical reports, specialist reports, all previous
claims for conditions and any decisions made in relation to those, as well as
past
assessments of the percentage of impairment.
[13] Related to this is a submission that extracting single reasons from
a decision and basing a declaration around them is artificial.
It does not
allow a proper consideration of the plaintiff’s case and the whole
decision. Even if a particular reason is
incorrect or poorly worded, it does
not mean the particular decision was incorrect. It is further submitted that a
consequence of
the plaintiffs’ approach is that the declarations exhibit a
generality that makes them of no use for the future (or the past).
[14] The plaintiffs respond that the agreed facts, and the reconsideration
documentation, provide sufficient facts given the general
nature of the
declarations sought. That is all that is needed.
[15] The next stumbling block is that there is no decision at all before
the Court that has been taken under the Veterans’
Support Act. Vanz
submits it is inappropriate for a court to provide advisory opinions on how Vanz
should deal with a hypothetical
case should such a case come before
it.
[16] Vanz further submits that the scheme and structure of the new Act is now very different. A new approach to veterans’ needs is signalled by the Act with greater emphasis on rehabilitation, rather than just monetary assistance. The administrative processes are also different and the Court should not be providing
general anticipatory comment on how Vanz should carry out its functions.
The Court’s role is to review when required. An
affidavit filed by the
General Manager of Vanz notes the extensive restructuring of Vanz and the
decision making process that has
occurred over the last two years. It is said
that the environment is now very different from that which existed under the War
Pensions
Act. The Veterans’ Support Act follows from an extensive review
by the Law Commission, and is intended to be a new scheme and
approach.
[17] Mr Taylor’s general response is that the new Act is not
particularly different from the old, and was never intended
to change the basic
approach such as the benevolent approach to claims. Various statements made
during the Act’s passage through
the House are said to confirm this.
Further, although worded differently, the concepts are the same and it can
accordingly be shown
the Te Ua principles are of equal relevance to the new Act.
The first two declarations are designed to give effect to this submission
and
are of crucial importance to the plaintiffs who do not wish others to have to go
through the same battle.
Some initial observations
[18] It is made plain in Mandic v Cornwall Park Trust Board that there is no requirement for an existing dispute between the parties before the processes of the Declaratory Judgments Act 1908 can be invoked.6 The fact then that the plaintiffs are at their maximum pension, and have not been the subject of any decisions under the Veterans’ Support Act is not therefore a jurisdictional impediment to the proceeding. I also generally agree with Mr Taylor’s proposition that care should be
taken before a factor that was of relevance to a particular case is elevated to a principle that should influence all cases. Mr Taylor submitted some of Vanz’s opposition fell into this error – for example, objection that a situation is hypothetical and therefore should not be considered must confront the fact that declarations can be forward looking and there need not be a lis. As noted by the Chief Justice in Mandic, s 9 of the Act says a declaration may be given in respect of an act that has
not yet happened.7
6 Mandic v Cornwall Park Trust Board [2011] NZSC 135, [2012] 2 NZLR 194 at [5]–[9] per
Elias CJ and at [82] by the majority.
7 At [8].
[19] The defendant advanced four “principles” that it is
submitted will normally see a court decline to grant relief:
(a) an abstract question in anticipation of actual controversy; (b) a mixed question of law and fact;
(c) the matter could come before the Court in its normal jurisdiction; (d) a declaration would lack utility.
[20] The error I see in this proposition is the use of the word ‘principle’. If it is simply said that these are factors that have been identified as relevant, or even have been decisive in a particular case, they then represent uncontroversial statements. As cited by the defendant, Lord Woolf’s text on declaratory judgments refers to the hypothetical nature of an issue as a “most compelling argument” for refusing
declaratory relief.8
[21] I propose to address each of the declarations sought but with the
caveat that they do exhibit many of these features that
have seen courts decline
relief. I am particularly concerned about the declarations that seek forward
interpretations of the Veterans’
Support Act 2014. There are four reasons
for this.
[22] First, it is not the role of the Court to prepare a blueprint or a
procedures manual for how an Act should be implemented.
A statute says who is
responsible for its administration, and those charged with that task are
entitled to have the opportunity to
develop an approach. The Court’s role
is as a review mechanism to ensure, when there is challenge, that the decision
complies
with the statutory scheme and represents fair practice.
[23] Second, those charged with the administration of these claims have experience and expertise the Court does not. Pre-empting the application of that
expertise and experience is not wise.
[24] Third,
and related to these points, declarations about the meaning of the terms or
provisions in the Act should generally
not take place in a vacuum. That is why
an existing dispute, though not essential, is of value as it helps to provide
context, and
to provide identifiable limits to the Court’s observations.
Further, hence there is no actual decision for a Court to consider,
even for
context.
[25] Fourth, and this will be explained more fully, the terms and
structure of the new Act are not the same as the old. The plaintiffs
say the
new Act uses terms that have a conceptual and functional equivalence to the War
Pensions Act so as to allow transfer of the
“Te Ua principles”.
However, the reality is that this can only be done by reading in words and
concepts that are not
there.
[26] I do accept Mr Taylor’s point that allegations of
“hypothetical” can be overstated here. While
the seven
plaintiffs do not have live issues under the new Act, they represent seven
reasonably complete case studies that provide
an informed basis for analysis.
However, for the reason given earlier, my general approach is that the
preferable route is to allow
those charged with the administration of the Act to
have first go at how the new Act should be applied to such cases.
[27] With those general observations I turn to the declarations
sought.
Declaration One
The principles stated by Whata J in Te Ua v Secretary of War Pensions
[2014] NZHC 1050 at [114]–[118] apply also to ss 14 and 15
of the Veterans’ Support Act 2014 with all necessary adjustments of
language
for the different wording used in the Veterans’ Support Act 2014,
scheme 1.
[28] There are several difficulties with this. The first is that the decision in Te Ua is being given a significance that is inappropriate. The so-called Te Ua principles are first and foremost a summary of the statutory provisions. The genesis for their expression was a conclusion that the Secretary for Veterans’ Affairs may have had a policy requiring corroboration if all that was otherwise available was the veteran’s own statement. Whata J pointed out that such an approach was consistent neither with the benevolent approach mandated by the War Pensions Act, nor the presumptions contained within the Act. In the course of elaborating on this, Whata J
defined the statutory terms “satisfied” and “reasonable
evidence” as they are used in the War Pensions Act.
[29] It is not generally appropriate for a court of the same jurisdiction
to make declarations elevating the outcome of another
case in the
jurisdiction into a collection of defining principles. Subsequent
cases, by means of repeated application,
or appeal courts by means of
endorsement, may achieve this, but it is not done by the device of declarations
within the same jurisdiction.
It is also the case that, although important to
the plaintiffs, the Te Ua decision, with respect, should not be
overstated. It represents an orthodox bringing together of express statutory
provisions, and
then articulation of how they are to be applied to a particular
set of facts. It may often be the case, as it was there, that a
decision may
have wider impact because there are many similar factual cases. But it is at
its heart a decision on a set of facts.
[30] The individuality of the decision is perhaps highlighted by this
passage from Whata J’s judgment. In the midst of
articulating the
“Te Ua principles”. His Honour observes:9
[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 [National
Review
Officer] are also required to give the benefit of doubt to the
applicant.
[31] Whilst confirming that the requirement of reasonable evidence can be met by uncorroborated evidence, the passage also reinforces that such decisions will be context specific. Whether there is reasonable evidence in a particular case will turn on the particular condition at issue, and what evidence there is concerning it. Uncertainty is to be resolved in favour of the veteran. It is, however, important to recognise that this bias in favour of the claimant does not occur because the High Court says it should. It occurs because that is what ss 17(3) and 18(2) of the War
Pensions Act said:10
9 Te Ua v Secretary of War Pensions [2014] NZHC 1050.
10 Emphasis added.
17 Presumption that disablement or death attributable to
service
...
(3) In any case in which the foregoing presumption in favour of the
claimant does not for any reason apply or is
not sufficient to
establish his claim, 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.
...
(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.
Accordingly the first difficulty I see with the proposition that the Te Ua
principles should be taken across to the new legislation
is that, in essence,
the so-called principles are primarily restatements of the terms of the old
legislation.
[32] A second corresponding difficulty is that the Veterans’
Support Act 2014 has its own scheme and presumptions. Section
3 sets out the
purposes. Section 10 then provides:11
10 Functions to be performed and powers to be exercised in accordance
with certain principles
Every person who performs any function or exercises any power under this Act
must do so—
(a) in acknowledgement, on behalf of the community, of the responsibility for the injury, illness, or death of veterans as a result of them being placed in harm's way in the service of New Zealand; and
(b) in accordance with the following principles:
(i) the principle of providing veterans,
their spouses and partners,
their children, and their dependants
with fair entitlements:
(ii) the principle of promoting equal treatment of equal claims: (iii) the principle of taking a benevolent approach to claims: (iv) the principle of determining claims–
(A) in accordance with substantial justice and the merits of the claim;
and
(B) not in accordance with any technicalities, legal forms, or legal rules
of evidence.
[33] Sections 14 and 15 prescribe a process for deciding claims that is both prescriptive and different from that which existed under the War Pensions Act 1954. A central feature of the new scheme is the adoption of what are called statements of principles which govern the consideration of claims for different conditions. These statements of principles are extensive documents that identify a list of criteria applicable to almost every condition. For example, in relation to osteoarthritis (for which there is a standalone Standard) 40 different circumstances are identified, any one of which, if applicable to the veteran, will see the claim presumptively accepted.
In adopting this methodology the Act expressly at s 22 draws on the
statements of
11 Emphasis added.
principle already established by the Australian Reparation Medical Authority.
The fact that the existence of one such situation
will trigger the
presumption is an example of the benevolence principle being built
in.
[34] Section 14 provides:
14 Process for deciding claims
(1) This section sets out the sequential steps to be taken in
deciding whether a claim under this Act is accepted.
(2) The first step is to—
(a) consider all the available material that is relevant; and
(b) decide whether the material is consistent with an hypothesis that the veteran’s
injury, illness, or death was service-related.
(3) If the material is consistent with an hypothesis as specified in
subsection (2), the second step is to decide whether
there is a statement of
principles that applies.
(4) If there is no statement of principles that applies, section
15 applies.
(5) If there is a statement of principles that applies, the third
step is to decide whether the hypothesis is consistent with
the statement of
principles.
(6) If the hypothesis is consistent with the statement of principles,
the fourth step is to accept the claim, unless there
are reasonable grounds for
believing that the veteran’s
injury, illness, or death was not service-related.
(7) In this section and section
15, statement of principles means a statement of principles that, under section
22(6) and regulations made under section
265, applies for the purposes of this Act.
The structure therefore is to first consider the evidence and assess whether
it is consistent with a hypothesis that the condition
is service related. If
so, one goes to the statement of principle that relates to that condition. If
one of the qualifying situations
applies to the veteran’s circumstances, a
causal connection is presumed (s 14(6)).
[35] This is sufficient detail to illustrate why it would be inappropriate to declare that Whata J’s analysis of a very different scheme applies here. I am unaware of any principle of interpretation that would support such an approach. It would be rather unexpected that, Parliament having updated a statutory scheme that is itself the product of significant Law Commission work, the Court would then immediately read back various provisions from the old Act that have not been carried over.
[36] There is no good policy reason to make a declaration like the one
sought. The new Act can stand for itself, and be interpreted
as required. It
would also be a declaration that is far too vague to be of benefit – in
order to be effective, one would have
to identify in the declaration what the Te
Ua principles are (the plaintiffs provide a list of them) and then give some
sort of detailed
explanation as to how they apply to ss 14 and 15 of the new
Act. It is not an appropriate process and I decline the
application.
Declaration Two
An applicant is entitled to have a decision made under the War Pensions Act
1954 on a claim for a war pensions allowance reconsidered
where the original
decision did not apply the principles stated by Whata J in Te Ua v Secretary
for War Pensions [2014] NZHC 1050 at [114]–[118] where those
principles were material, whether or not there is new evidence to support the
application under (a) s 15E
of the War Pensions Act 1954 or (b) s 205 of the
Veterans’ Support Act 2014 in respect of scheme 1.
[37] Subsequent to Te Ua, the plaintiffs applied for
reconsiderations. The relevant reconsideration provision was s 15E of the War
Pensions Act:
15E National review officer to determine whether fresh application on
grounds of additional evidence should be accepted
(1) If an application for reconsideration of a claim is received under
section 14(5) or section 16(4), the Secretary or a national
review officer (if
authorised to do so pursuant to a delegation) shall determine, in accordance
with whichever of those subsections
is applicable, whether the fresh application
should be accepted.
(2) If a fresh claim is accepted under subsection (1), the Secretary
or national review officer, as the case may be, shall
refer the claim to the
appropriate claims panel for consideration and decision; and in considering and
deciding on the fresh claim
it shall be dealt with in all respects as if it were
an original claim.
The test under each of s 14(5) and s 16(4) was the same – was
reconsideration desirable in the interests of justice, either
because of
additional evidence or “for any other reason”. As noted, some
reconsiderations were granted and fresh decisions
made adjusting the
claimant’s position. Many were rejected.
[38] The intent of the Declaration is not clear. If it is intended to say everyone is entitled to a reconsideration as of right that cannot be so. If, however, the words
“where those principles were material” are intended to limit the
declaration to cases where the Te Ua principles appear
to have been breached,
then it may well be the case that the declaration is generally correct. But one
cannot be definitive. It
will inevitably depend on the file and the evidence.
One can conceptualise a situation where the apparent error was of no
consequence,
or a separate matter is equally determinative so that a conclusion
that the interests of justice do not require a fresh claim is
reasonably
available to a decision maker.
[39] The plaintiffs submit that if the original decision has not applied
the Te Ua principles there would, of necessity, be an
error of law. Further, if
there is an error of law, a reconsideration must be given, and not to do so
would be to act in bad faith.
The difficulty with these propositions is the lack
of clarity that exists in relation to the concept of “not applying the Te
Ua principles”. As I have noted, in my view the Te Ua principles are
primarily a restatement of the rules set out in the Act,
and then the
application of those rules to a particular situation. I accept that if it
appeared the same error had been repeated
elsewhere, one would expect a
reconsideration because it would mean the Act’s principles had not been
correctly applied.
Beyond that general proposition, it is not possible to go.
It would be inconsistent with the wording of the statute to say there
must in
every case of error be a reconsideration. Whilst I accept very good reasons for
not reconsidering would have to exist, ultimately
the Act requires the decision
maker to make an evaluative assessment of where the interests of justice lie.
That will depend on
all the circumstances of a particular case and absolute
propositions are inappropriate.
[40] It is also the case that reconsiderations will no longer occur under
the War Pensions Act, so a declaration concerning how
the discretion under that
Act should be applied is of no utility.
[41] The reconsideration provision under the Veterans’ Support Act 2014 is different from the War Pensions Act. There is material that suggests it was intended to be more limited in its scope. The new threshold test is whether Vanz considers an
error has been made.12 If it does, there is a
discretion to revisit it. The provision
12 Section 205.
needs no explanation. Whether the power is reasonably exercised in a
particular case will need to await review of such a case, should
that
happen.
[42] In conclusion on Declarations One and Two, I do not consider that it
is correct to refer to the “Te Ua principles”
as if the case was
other than the orthodox application of statutory provisions to a certain
situation. Even if one can regard them
as such I do not consider it appropriate
for a court of the same jurisdiction to give them some different status by
virtue of recognising
them in a declaration. Finally, it is an incorrect
approach to interpretation to seek to in effect transfer repealed provisions
from a repealed Act into a new statute which has its own new scheme.
Declaration Three
A veteran is entitled under scheme 1 to the benefit of the hypothesis
referred to in s 14 of the Veterans Support Act 2014 applied
to determining the
existence of any medical condition or disablement where (a) there is competing
medical evidence, or (b) the only
medical information is that provided by the
veteran, some of which is consistent with the hypothesis, unless there is
medical (or
other) evidence which satisfies Vanz that there is no medical
condition or disablement after:
(i) All inferences are drawn in favour of the veteran; and
(ii) The veteran is given the benefit of the doubt on the existence of all
facts, matters, causes, or circumstances that favour the
veteran.
[43] This declaration is an attempt to adapt the approach of Whata J to
the new scheme under s 14 of the Veterans’ Support
Act. The assumed
factual situation underlying the declaration is that the evidence in support of
the claim for a service related
condition is either sourced only in the claimant
or is the subject of competing medical opinions.
[44] I pause in the analysis to immediately identify difficulties with these assumed facts. It is hard to envisage a case of no medical evidence other than what the applicant says, since the Act conveys ample powers for Vanz to require medical assessments. As for competing medical opinions, in the abstract this is meaningless. Who is the source of the opinions, and did each of them have the same information? Are they of equal experience and standing? Is the issue within the special expertise of one? There are numerous factors that can influence the weight to be attached and
which indeed can lead the opinion of one to legitimately overwhelm
another’s
opinion.13
[45] The propositions advanced in (i) and (ii) of the proposed
declaration are taken from s 18(2) of the War Pensions Act.14
There is no proper reason, nor principle of interpretation, that would
justify taking provisions from the repealed Act and superimposing
them on the
new statutory scheme. The Veterans’ Support Act has its own presumptions
and scheme.
[46] The application for Declaration Three is declined.
Declaration Four
A veteran is not required to provide evidence of a “definitive”
diagnosis and “demonstrate associated disablement”
before
the decision-maker can proceed to consider causation or aggravation by
qualifying service under (a) the War Pensions
Act 1954 or (b) the
Veterans’ Support Act 2014 under scheme 1.
[47] This declaration is directed at the issue of what evidence will
suffice to establish the claimant has a condition. The
plaintiffs’
position is that the presumptions apply equally to that question as to the
causal link between condition and service.
[48] By way of background, one of the applicants was experiencing
blackouts. The available evidence suggested these were a symptom
of some
unidentified condition. To the extent they were linked to PTSD, the
claimant already had coverage for that
to a 70 per cent rating, and it was not
considered the blackouts, if a new symptom, would require that figure to be
adjusted.
Otherwise the reconsideration decision observed:
The evidence provided in respect of any claim must provide a definitive
diagnosis of the current condition and demonstrate associated
disablement before
it can proceed for a determination in respect of attributability to or
aggravation by military service.
13 I am advised the medical assessor does not have the whole service file, so the decision maker has fuller information available. This is another reason why to focus only on conflicting medical reports can be misleading.
14 See [31] above.
[49] The plaintiffs' proposition is that the requirement of definitive diagnosis is inconsistent with the War Pensions Act presumptions, and in particular the drawing of favourable inferences and the benefit of the doubt as contained in s 18(2). Vanz’s position is that without a diagnosis it cannot sensibly assess whether the complaint is service related.15 Under the old Act there was a list of presumptive conditions where it was assumed the condition was service related, but one could not assess if they applied without knowing what condition is being talked about. Under the new Act the statutory statements of principle are similarly categorised according to condition,
so plainly a condition is needed in order to apply them.
[50] I consider the merits here lie with the plaintiffs. Focussing for
the present on the new Act, the relevant threshold hypothesis
to be established
in s 14 is:
an hypothesis that the veteran’s injury illness or death is service
related.
[51] The inability to attach a label to the claimant’s illness
should not of itself be determinative. It may present analytical
difficulties
because there will be no relevant statement of principles (which are all
condition specific), but s 15 provides
an alternative process for assessing
claims when there is no applicable statement of principles. As long as what the
claimant describes
can be termed an “illness”, then the s 15
processes should be applied. The question will then become whether there is
more than a possibility that the illness is service related. If so, the claim
must be allowed unless reasonable grounds exist for
concluding
otherwise.
[52] The above is doing nothing other than identifying what the Act says.
The fact that there is a process for determining
claims in the absence
of an applicable statement of principles suggests that identifying the
condition is not pivotal.
Whatever the condition is, is there a reasonable
possibility it is service related?
[53] That said I do not consider a declaration is needed or appropriate. How s 15 will operate in such a case is best assessed against a specific set of facts, and related
medical opinion on them.
15 The evidence of the General Manager confirms that Vanz’s approach is to require a clinically
diagnosed condition.
[54] Concerning the War Pensions Act, I consider Whata J’s decision
in Te Ua is a sufficient statement of how that Act applied.
[55] The application for Declaration Four is declined.
Declaration Five
A decision-maker must, under s 14(4) of the War Pensions Act 1954 or s
12(3)(b) of the Veterans’ Support Act 2014 in respect
of a decision under
scheme 1, set out in writing the steps of reasoning leading to the conclusions
reached, as well as stating the
conclusions reached.
[56] Both Acts have expressly required written reasons.16
The adequacy of reasons is a decision specific assessment. The
declaration sought is not correct as it cannot be said every decision
must
comply with that format. The general obligations attaching to a duty to give
reasons are well known, and do not need repeating.
The application is
declined.
Declaration Six
Where:
(i) A previously declined claim was accepted after a successful
reconsideration application; and
(ii) The reconsideration application succeeded due to a failure of the
original decision-maker to correctly apply the Te Ua approach;
and
(iii) The veteran did not already receive the maximum pension payable;
then
The veteran is entitled to have his or her pension payable from the date of
the application for the original claim.
[57] This declaration relates to the War Pensions Act. Section 84 of that Act stated that the date for commencement of pensions was to be fixed by the Secretary. Pursuant to this, and in relation to reconsideration situations, the Secretary issued guidelines: “Backdating of War Disablement Pensions – Advice to Decision Makers”. The policy set out a standard approach but noted departures were
permitted where the interests of justice
required.
16 War Pensions Act 1954, s 14(4); Veterans’ Support Act 2014, s 12(3).
[58] The general rule was that where reconsideration led to a change in
position, the adjusted pension would run from the date
of the application for
reconsideration. Specific injustice situations were then also identified as
cases where backdating would occur
– for example, where the adjustment
resulted from a policy change in relation to a specific condition. Applications
for backdating
were required to be in writing.
[59] The situation posited in the declaration might well constitute
a situation where the interests of justice require
a departure from normal
policy in favour of backdating as far back as the original claim. The
defendant accepts as much but resists
the mandatory nature of the declaration in
circumstances where there is a statutory discretion, guidelines have been
issued, and
then a broad discretion granted within those guidelines to the
specific decision-maker.
[60] I agree. None of these plaintiffs are affected by the issue as all
are at the maximum pension. There can be no backdating
for them. In a given
case there may be reasons why the date of application for reconsideration
remains the just outcome. This cannot
be known in the abstract.
[61] The application is declined.
Declaration Seven
A condition accepted on reconsideration under s 205 of the
Veterans’ Support Act 2014 of an original decision
whether made
under the War Pensions Act 1954 or the Veterans’ Support Act 2014 under
scheme 1 must be backdated to the
date on which application was made for the
original decision.
[62] This relates to the interpretation of s 205(8) of the
Veterans’ Support
Act 2014:
205 Vanz may reconsider decision
...
(8) If, following reconsideration, Vanz decides that a person has an entitlement, the entitlement commences on the date it would have commenced on had Vanz decided that the person had the entitlement at the outset.
[63] The dispute is as to the meaning of “outset”. I admit
to being unclear as to what interpretation the defendant
attributes to it other
than that which is stated in the declaration, namely the date of the original
application. It seems the
obvious meaning. Caution causes me, however, to
decline to make the declaration. There may be a situation of which I am unaware
where it might mean a different date. It is sufficient at this point if I
observe that the wording suggested by the plaintiffs,
namely that outset means
the date of the original application, appears correct. If that is different
from the position under
the War Pensions Act, then the statute has effected
a change.
[64] Although declining a declaration, I also observe that if in a
particular case Vanz applies a different date to that which
I have indicated, it
should make this plain to the claimant and give reasons so that a claimant is
aware of it.
[65] The application for a declaration is declined.
Declaration Eight
A veteran who makes a claim for acceptances of a new condition, and is found
instead to suffer from a new symptom cause by an accepted
condition which
increases a veteran’s disability is not required to make a separate
application under (a) WPA s 26 (b) VSA
s 52 before Vanz reassesses the
veteran’s level of disability.
[66] As noted, one of the plaintiffs made a claim in relation to
blackouts. It seems there is uncertainty as to the cause of
them, but it was
thought they were probably a further or new symptom of an existing condition,
perhaps PTSD. Accordingly the claim
for a new condition was declined. The
plaintiffs have noted that there does not seem to have been consideration given
to whether
the applicant’s rate of disability in relation to the existing
covered condition – PTSD – should have been increased.
The
plaintiffs believe this should be done automatically, hence the
declaration.
[67] The matter does not merit discussion. It is a matter of practice and administration which involves no principle and it certainly does not properly engage the Court’s declaratory judgment regime. The applicant in question was already at the maximum so any reassessment may have been thought by Vanz to be pointless.
Declaration Nine
A veteran whose case was originally decided under (a) the War Pensions Act
1954 or (b) the Veterans’ Support Act 2014 scheme 1 is entitled to have his application accepted for reconsideration where there is medical opinion
before the original decision-maker that is consistent with a reasonable
hypothesis that the condition was aggravated by qualifying service, unless
there is medical (or other) evidence which satisfies Vanz
that the medical
condition is not caused or aggravated by military service after:
(i) All inferences are drawn in favour of the veteran; and
(ii) The veteran is given the benefit of the doubt on the existence of all
facts, matters, causes or circumstances that favour the
veteran.
[68] Reconsiderations can no longer take place under the War Pensions
Act. I
decline the application to make declarations about a repealed
provision.
[69] The reconsideration power in the Veterans’ Support Act is
found in s 205. Section 205(1) is a broad provision that
allows reconsideration
at any time if Vanz considers a decision has been taken in error.
Section 205(3) addresses
reconsideration when there has been a change
in circumstances in specified situations – modified or new statement
of
principles, a new presumptive condition is recognised, or certain examples of
service are reclassified as operational service.
[70] The section is clear and at this point requires no restatement. The
proposed declaration mirrors that rejected at [45] above.
The presumptions
formerly in s 17(4) and 18(2) of the War Pensions Act are not to be read into
the provisions of the new Act, which
applies on its own terms.
[71] The application is declined.
Conclusion
[72] All applications for declaration are declined though comment has been made where it might usefully assist. The proposition that the language and presumptions contained in the previous Act should be overlaid on the text of the present Act is rejected. It is a new Act with its own purposes and principles. It establishes a different methodology for assessing claims. There is no interpretation approach or principle that would support what the plaintiffs propose. Other than this general
comment, I do not repeat the specific observations made in relation
to each declaration.
[73] The defendant is entitled to costs on a 2B scale together with
reasonable disbursements to be fixed by the Registrar if
required.
Simon France J
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URL: http://www.nzlii.org/nz/cases/NZHC/2016/1869.html