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Dáil Éireann díospóireacht -
Wednesday, 11 Jul 1945

Vol. 97 No. 20

Adjournment Debate. - L.D.F. Man's Claim for Compensation.

On July 5th I addressed the following question to the Minister for Defence:—

"To ask the Minister for Defence if he will state the date when he received a claim for compensation from John Wheeler (L.D.F./276), Castlegrogan, Errill, County Leix, for injuries received while engaged at rifle practice with the local company of the Local Defence Force on September 17th, 1944; if he was admitted to and detained and examined at St. Bricin's Hospital on two occasions between the date of the accident and December 4th, 1944; whether he is still certified as medically unfit to resume his normal duties by the local medical officer; and if so, if he will now sanction the payment of compensation at the appropriate rate for the full period of his incapacity."

The Minister in his reply stated:

"John Wheeler's application for compensation was received in the Department of Defence on 21st October, 1944. The applicant received medical treatment in St. Bricin's Hospital during the period from the 19th September, 1944, to 12th October, 1944. Following on his claim for compensation, Mr. Wheeler was called to St. Bricin's Hospital for medical examination by the Army Pensions Board and was detained in the hospital during the period from the 28th November, 1944, to the 4th December, 1944. As a result of their examination the board advised that Mr. Wheeler was unfit for his normal duties for the period from the 17th September to the 26th October, 1944, due to the injury he received on the 17th September. The board advised that after the 26th October Mr. Wheeler suffered no further disability consequent on the said injury.

In view of the board's report Mr. Wheeler was granted compensation at the maximum rate, viz., 37/6 per week, together with additional compensation at the rate of 7/6 per week in respect of his wife and 16/- per week in respect of four children for the period from the 17th September to the 26th October, 1944.

Mr. Wheeler appealed against this award. The investigation of this appeal has now been concluded, but it is not possible to increase the amount of the compensation already granted."

The Minister further on, in reply to a supplementary question, added:

"A local medical officer did in fact furnish a certificate on a couple of occasions to the effect that Mr. Wheeler was suffering from an injury to his left eye and was, therefore, unfit for work. When the Department asked the medical officer for further information as to the pathological condition present in the left eye, the doctor said that the Army oculist would be able to supply a report. When the authorities of the Department went to the Army oculist he reported that the man was suffering from 10 per cent. disability of each eye due to astigmatism not attributable to service, and 100 per cent. disability due to conjunctivitis for the first period of hospitalisation and for 14 days after that, due to service. The award of compensation was based on the board's assessment, and the local doctor has not given the Army Pensions Board any reason for reaching the conclusion that Mr. Wheeler is unfit for work."

I am very reluctant for personal and other reasons to raise a case of this kind in this House because I do not want to say anything here that would prejudice any claim this man may have to better treatment elsewhere. I do not want particularly anything I say to prejudice his right to resume work with the company with which he was employed for a period of over 20 years. This man is well known to me personally for well over 20 years. I know also —it is no harm to mention it—that he has not been a political supporter of mine and that the members of the Local Defence Force in the South Leix and North Tipperary areas are taking a very active interest in the way in which this man has been treated up to the present time. I understand that some of them, at any rate, have encouraged him to pursue his claim through other channels but the man concerned feels—and I feel too—that if his case is properly investigated by the Minister and the Army medical officers, it should be possible to give him compensation based at least on the same measure of treatment as would be meted out to him under the provisions of the Workmen's Compensation Act, provided he met with the injury during his normal daily work.

I do not think this man could be charged with malingering, because he has a first-class record for work in the position that he has held. For a period of over 20 years he worked as a bucket-loader on the aerial ropeway at Lisduff Quarry. His minimum wage from 1944 was at the rate of £3 per week. Then, after his daily work was done, for a long period of years he worked in his spare time as a mechanic and clock-mender, work which brought him a further income of about £2 10s. per week. That goes to show that he is an exceptionally industrious type of man. He is a married man with a very big family, and, as I say, his average income over a period of years was £5 10s. per week. If there is any doubt as to the accuracy of these figures, I understand that evidence can be produced to the Minister's Departmental advisers to prove that these figures are approximately correct. Mr. Wheeler joined the L.D.F. in response to the appeal made at the commencement of the emergency. He is one of the very few men with large families in that part of the country who did that. He received the injury while engaged on rifle practice on September 17th, 1944, and he was admitted to St. Bricin's Hospital on the 19th September. He was discharged from the hospital without any certificate to show that he was in fit condition to resume his pre-accident duties. As a result of further representations, he was readmitted on the 28th November, and discharged again on the 4th December. I have yet to learn that on the second discharge he was furnished with a certificate to indicate that he was in a physically fit condition to resume his normal duties. Since his discharge he has been attending the local medical officer who, up to last Saturday, refused to give him a certificate of fitness which would enable him to take up his normal duties.

On Saturday last, the medical officer, in accordance with his practice over a long period, furnished this man with a certificate. I understand that the certificate has been furnished for two weeks and that copies have been sent to the Department. It reads:

"I have been attending John Wheeler for injury to his left eye and also for deafness and megrim caused by the accident from 30th October, until 27th June, 1945."

I understand that Wheeler has been instructed to see the medical officer again in the course of the next few days for further examination, for the purpose of ascertaining whether he will then be in a fit condition to resume his normal duties. The Minister will agree that it is a serious matter for this man to be unable to secure a certificate from the local medical officer which would enable him to resume his normal duties. I do not know how the opinion of the local medical officer can be reconciled with the opinions tendered to the Minister by his Army medical advisers, but I suggest that, if it has not already taken place, there should be consultation between the Army medical officers advising the Minister and the local medical officer who still refuses to give a certificate of physical fitness to this man. That is an obvious way out of a very delicate kind of case.

Quite recently, at the request, I presume, of the Minister's advisers, Army officers—not Army medical officers— have called personally to see the applicant and on no occasion have they indicated to him that the Army medical officers were of the opinion that he was physically fit to resume his normal duties. They did not suggest—and I do not suppose that they would have any good grounds for suggesting—that he should resume his normal duties. If such an opinion had been conveyed to the applicant and he had in turn conveyed it to the local medical officer, the matter would have to be treated very seriously, for obvious reasons.

I am assured—I do not want the Minister to accept my opinion on the matter as it is one for medical men— that this man is still suffering considerable pain in the left side of his head and is practically stone deaf in one ear. I am merely repeating now a statement made to me by a layman. It is not contained in the certificate of the medical officer, but I appeal to the Minister, who I know has a very deep interest and a greater interest in the welfare of the L.D.F. than even I have, to try to find some better way out of this position than that indicated in the official reply to me. Perhaps the Minister will accept from me the statement that the average earnings of this man in the pre-accident period were at the rate of £5 10s. per week, and on that basis the man has lost an income for himself and his family of approximately £200 for the 42 weeks since the accident.

The applicant is a native of my own parish, and I can assure the Minister, from my close knowledge of his domestic circumstances, that were it not for the goodness of some of his comrades who are better off than he, and of some local merchants, he would be fully justified in making an appeal for home assistance; but a man with an L.D.F. record such as his would not dream of going to the local authorities if he could get assistance from any other source. He is in debt as a result of the accident, and I make the case now that he should be treated in the same generous, if you like—though I do not think it is very generous—way as that in which he would have been treated if he had met with the accident in the course of his duties.

I notice that the compensation offered of £16 12s. 1d. is based upon a scheme founded on an Emergency Powers Order, that is, the Local Defence Force Scheme, 1942, and I wonder whether it is portion of the Emergency Powers Act which is to be repealed by the terms of the Bill at present before the House. I hope that is so. I appeal to the Minister personally to re-examine this case and to try to arrange for a joint consultation between the Army medical officers who have advised the Military Service Pensions Board and the local medical officer, in the hope that whatever compensation is eventually paid will cover the loss of earnings incurred by this man since he met with the accident on 17th December and that it will at least be as generous as the terms which would have been given to him if he had met with the accident in the course of his ordinary day's work.

I join with Deputy Davin in appealing to the Minister to have an investigation into this case. Like my colleague, I am very familiar with the area in which the man resides, and I have been told, when making inquiries as to his health, that he is exactly as Deputy Davin has said. He suffers from very severe deafness and the sight of one eye is very seriously affected. Deputy Davin has pointed out that the man earned money through watchmaking and the Minister knows that a man engaged in watchmaking requires very good eyesight. For the rest of this man's days, his injury will be a very severe disability.

I ask the Minister to look into it very sympathetically, because neither Deputy Davin nor I would rise here to plead his case if we were not convinced that he has a genuine case. I am convinced that his case is absolutely genuine. As Deputy Davin said, he was one of the first men in South Laoighis to join the L.D.F. in the service of the country and the Department of Defence is making a very poor repayment to this man who has suffered severe personal loss. The Minister knows the old saying: Doctors differ and patients die. This is a case of doctors differing and a patient suffering severely.

I urge that consultation should take place with the least possible delay between the Army medical authorities and the local medical officer, because the local medical officer in that area is as good a doctor as is in any part of the world. He knows very well the condition of this man's health and would not give the certificate, unless the man was in a poor state of health and suffering serious disability as a result of his service. I ask the Minister, who is always anxious for the welfare of those in the service of the country, to have the matter reconsidered as sympathetically as possible.

I also have been asked to make representations to the Minister in this matter. I believe the position as set out by Deputy Davin is correct. It has been represented to me that the man is still suffering from pains in the head and from deafness and that the injury to his eye is likely to come against him in the future. He has a very young family, and, as he states himself, his pecuniary circumstances make it more difficult daily for him to meet the needs of his family. I join with Deputy Davin in his appeal to the Minister to have this case reconsidered more favourably.

I am afraid I will not be as helpful as Deputies would like me to be, because I have since had this case examined in the hope that I might get evidence which would be more helpful to me in acceding to the requests made here this evening and the evidence I have secured is not of a helpful character. First, I should say that I had the question of the man's means investigated and I find that they do not conform to the statement which Deputy Davin has made. I am not going to say that Deputy Davin's statement is wrong and that the statement which has been given to me by the investigation officer is the right one, but I must presume that the investigation officer who went into this case had no prejudices, that he simply reported the facts, and, as I said, the facts which he has given to me do not correspond with those listed by Deputy Davin.

I am pretty certain that Deputy Davin, or in fact any Deputy in the House, is not going to suggest that a certificate which merely states that a person is suffering from an injury to his left eye, and therefore is unfit for work, is in fact a certificate. I do not think anyone will suggest that that is a medical certificate upon which a large sum of money might be involved or expended. If we are to have an investigation of this case such as has been suggested here, it will have to be done in such a way that whatever equipment science can bring to our aid will be used. In that sense, I would suggest that a mere visual examination by a local medical officer cannot be compared with an examination undertaken by medical officers who have at their disposal all the equipment which will enable them to make a very detailed examination, an examination upon which they may be prepared to base their final report. This, I think, is what has happened in this case. It appears that the applicant referred on several occasions to the medical certificates which were being received from the local doctor, with the result that the board got into communication with the local doctor, and his only reply appears to have been to refer to the report of the Army oculist. The board did take the matter up with the Army oculist, who reported, as I stated in my reply a week ago, that the man was suffering from a certain amount of astigmatism—I think it was 10 per cent.—and that the other percentage, 100 per cent., was transient. Deputy Davin did not refer to that when he was reading the reply. He did not refer to that 100 per cent. disability, transient. The Deputy omitted that?

Yes; I believe I omitted that word.

That is very important —100 per cent. disability, transient, due to conjunctivitis, for the first period of hospitalisation, and for 14 days after, due to service. In other words, the board paid the man for the complete period while he was in hospital—in fact, for a period of some days over that; a week, or something like that, over and above the period in hospital.

On that point, could the Minister explain why the board or the Minister himself did not sanction compensation in this case up to the period of the second discharge from hospital on 4th December? Why was it not paid over that continuous period from 17th September to 4th December?

I am sorry I cannot explain that particular part. I am presuming it was due to the fact that he was brought in for further examination —that there was a question of a continuation of the examination.

But they admitted that he was entitled to compensation up to the 4th December, but not continuously.

The position is that, in accordance with the Act, I have got to depend upon the medical advisers, and I can assure Deputy Davin that I am not going to go into competition either with the local doctor's opinion or with the opinion of the Army Medical Board. As a layman, I am sure Deputy Davin will steer clear of it as well. As a layman, I am not going to contend that one is right or wrong as against the other. I must accept the report of the Army Medical Board, because I am satisfied in the first place, as I mentioned a few minutes ago, that they have the necessary scientific equipment to make such an examination as would reasonably satisfy themselves and any other medical man who would be likely to become interested in the case.

All I can say then, as a way out of the difficulty, is that if Mr. Wheeler can produce satisfactory evidence to show that he was unfit for his work owing to his injury during the period from 27th October, 1944, onwards, the question of reopening the claim will be considered. It may be contended that medical certificates have already been furnished to cover this period, but in the light of the very detailed examination carried out in St. Bricin's Hospital, those certificates have proved to be unacceptable to the board. Any new medical evidence must give medical reasons for the conclusion that Mr. Wheeler was unfit for work after 27th October on account of the injury to his eye. I think that is fairly reasonable. If Mr. Wheeler can produce any medical evidence—which must give medical reasons—the case will be reopened and re-examined, and if the Medical Board can be convinced that the position is other than it appears to be at the moment, I presume they will give a satisfactory decision in the case. Beyond that, I do not see that I can take any other action. It is regrettable that a man who has given such useful and valuable service as this man appears to have given should find himself perhaps restricted, due in the main to legislation passed by this House, but it will have to be clearly understood that this House has to work within the scope of the legislation which is provided for it, and if he can satisfy the Medical Board within the meaning of the legislation enacted, I will undertake to have his case given every possible sympathetic consideration.

Would the Minister also inquire why it is that compensation, even on the limited lines indicated, is not being offered for the full period of incapacity, that is, from 17th September to 4th December ?

Of course the board contends the opposite. The board contends that he was fit for work after the period for which they have given compensation; in other words, for the period for which he received compensation they are satisfied that he was unfit for work, but outside that period they do not think he was unfit for work.

That he was fit for work when out of hospital and unfit when he was in hospital ?

That is the decision.

The Dáil adjourned at 9.30 p.m. until 3 p.m. on Thursday, 12th July.

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