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ARTICLE · 08 APRIL 2022

Consequential conditions – Circumstances where a diagnosis is required for workers compensation

The presence of symptoms, rather than a diagnosis, was insufficient to support a finding of consequential injury.

AustraliaEmployment and HR

In the recent case of Grant v Dateline Imports Pty Ltd [2022] NSWPICPD 3, on appeal, Deputy President Wood confirmed the worker must have evidence of a diagnosis in support of an alleged consequential condition. The presence of symptoms, rather than a diagnosis, was insufficient to support a finding of consequential injury.

Facts

On 31 July 2015, the worker injured his right upper extremity at work and the insurer accepted liability for the injury. The worker subsequently alleged suffering consequential pain in his left upper extremity as a result of overuse in favouring his injured right arm, and a consequential complex regional pain syndrome (CRPS).

Several years later the worker claimed lump sum compensation under section 66 of the Workers Compensation Act 1987 (the 1987 Act) for injury to both upper extremities and CRPS – alleging consequential left upper extremity injury. The insurer disputed liability for the alleged consequential condition of the left

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