Docket: T-1708-16
Citation:
2017 FC 468
Ottawa, Ontario, May 10, 2017
PRESENT: The
Honourable Mr. Justice Southcott
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BETWEEN:
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CARL EBY
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Applicant
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and
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THE ATTORNEY
GENERAL OF CANADA
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Respondent
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JUDGMENT AND REASONS
I.
Overview
[1]
This is an application for judicial review of a
decision dated September 8, 2016 of the Appeal Division of the Social Security
Tribunal [Appeal Division], refusing an application requesting leave to appeal
a decision made on January 28, 2016 by the General Division of the Social
Security Tribunal [General Division]. These decisions dismissed successive
levels of appeals of the denial of the Applicant’s application for a disability
pension under the Canada Pension Plan, RSC 1985, c C-8 [CPP].
[2]
This application is allowed, as I have found
that the Appeal Division made an unreasonable decision. As explained in more
detail below, in considering whether the General
Division based its decision on an erroneous finding of fact that it made without
regard for the material before it, the Appeal Division
erred by failing to take into account relevant evidence and by misinterpreting
the decision of the General Division.
II.
Background
[3]
The Applicant, Mr. Carl Eby, was involved in a
motor vehicle accident on April 14, 2011, which resulted in significant
orthopaedic and other injuries. Mr. Eby describes these injuries as including a
complex fracture of his left tibia and fibula and a tear to the left medial
meniscus, both of which required surgery, constant pain in his lower back,
neck, right hip, left leg and left knee, cognitive issues with respect to
concentration, focus and memory, and emotional sequelae/depression.
[4]
Mr. Eby has not worked since his accident. Prior
to the accident, he had been employed as a custodian for the Waterloo Catholic
District School Board since June 2008. Mr. Eby completed high school in Kitchener,
Ontario and also completed a building service worker diploma and supervisor
certificate in Alberta. Before his employment with the School Board, he was
employed in various capacities, including as a meat cutter, a custodial worker in
hospital and nursing home settings, a position with Service Master of Canada
scrubbing, stripping, and waxing floors including a supervisory position, a
load supervisor, and a licensed truck driver.
[5]
My. Eby explains that, despite his significant
pain, he tries to remain active by attending the gym and using the stationary
bike, the pool and the hot tub, and that he also tries to do work around the
house. He advises that he is often prevented from performing these activities
by pain and physical limitations.
[6]
Mr. Eby submitted medical evidence with his pension
application to substantiate his claim of a severe and prolonged disability.
This evidence included reports from his treating orthopaedic surgeon, Dr.
Grosso, and his physiatrist, Dr. Scott Garner. It also included a January 2013 report
[the 2013 Report] authored by Maria Ross and Katrina Kotsopoulos resulting from
a two-day Functional Capacity Evaluation at Ross Rehabilitation and Vocational
Services [Ross Rehabilitation]. Following this assessment, Mr. Eby followed up
with Dr. Grosso and was also assessed by orthopaedic surgeon Dr. Rick Ogilvie. He
also continued with physiotherapy, mainly for his left knee, with Jan Volkes.
[7]
Mr. Eby applied for CPP disability benefits on
August 26, 2013, when he was 51 years old. His minimum qualifying period date
[MQP Date], i.e. the date by which he must have been found to be disabled in
order to be eligible for disability benefits under the CPP, is December 31,
2014. Mr. Eby’s application was denied both initially and upon reconsideration.
On June 11, 2014, he appealed the reconsideration decision to the General
Division. An oral hearing took place before the General Division on December
23, 2016. At the hearing, the tribunal allowed Mr. Eby to submit a
Medical-Legal Situational Assessment report, which had been completed by Maria
Ross and Alex Blair of Ross Rehabilitation on May 28, 2015 [the 2015 Report].
[8]
In a decision on January 28, 2016, the General
Division denied Mr. Eby’s application for CPP disability benefits, finding
that, on a balance of probabilities, he had the capacity to pursue and/or
retrain for alternative suitable employment and therefore did not suffer from a
severe disability within the meaning of the CPP. The General Division
acknowledged that Mr. Eby was involved in a serious accident and was unable to
return to his previous physically demanding employment as a school custodian.
However, it found that he had residual capacity to pursue less physically
demanding alternative employment and therefore was obliged to make reasonable
efforts to do so. Finding that Mr. Eby had made no such efforts, the General
Division concluded that he had failed to establish on a balance of
probabilities a severe disability in accordance with the CPP criteria.
[9]
On April 28, 2016, Mr. Eby requested leave to
appeal the decision of the General Division, pursuant to s. 53(3) of the Department
of Employment and Social Development Act, SC 2005, c 34 [DESDA]. In its
decision dated September 8, 2016, which is the subject of this judicial review,
the Appeal Division denied Mr. Eby’s appeal.
III.
The Appeal Division Decision
[10]
The Appeal Division considered whether Mr. Eby’s
application for leave to appeal raised arguments that had a reasonable chance
of success on appeal. First, it considered Mr. Eby’s submissions that the
General Division failed to consider particular evidence and that it had
mischaracterized some of the information contained in the relevant medical
reports.
[11]
The Appeal Division concluded that the General
Division had not disregarded the 2015 Report. The Appeal Division observed that
the findings in the 2015 Report were summarized and discussed by the General
Division. The Appeal Division also observed that the General Division found
there were inconsistent conclusions in the 2013 Report and the 2015 Report,
even though they shared an author. The Appeal Division also considered Mr.
Eby’s argument that the General Division was incorrect to say that his
attendance at the May 2015 Situation Assessment fell short of an attempt to
pursue alternative employment. However, the Appeal Division did not find this
conclusion unreasonable. As the General Division had already found that the
January 2013 functional assessment did not fulfill Mr. Eby’s obligation (under Inclima
v Canada (Attorney General), 2003 FCA 117 [Inclima]) to mitigate his
impairments, the Appeal Division stated that it was difficult to see how Mr.
Eby’s attendance at a similar assessment in 2015 could be characterized as an
effort to upgrade his skills or pursue alternative employment.
[12]
With respect to the evidence from Dr. Grosso,
Dr. Garner, and Dr. Ogilvie, the Appeal Division found no error by the General
Division in highlighting certain passages from their reports as showing that
none of Mr. Eby’s treatment providers had ruled out some form of alternative
work.
[13]
The Appeal Division then considered the finding
that Mr. Eby failed to sufficiently mitigate his impairments, and his assertion
that the General Division erred in law in requiring him to demonstrate that he
physically attempted to return to employment or the classroom. Again, the
Appeal Division found this submission to have no reasonable chance of success
on appeal. The General Division determined that Mr. Eby had made no efforts to
upgrade his work skills or to pursue alternative employment, and the Appeal
Division saw no reason to overturn that finding. The General Division had drawn
an adverse inference from the fact that Mr. Eby made no attempt to remain in
the workforce despite having residual capacity. The Appeal Division noted that Mr.
Eby was arguing that he had no residual capacity, but it found no error in the
General Division’s disagreement with this submission.
[14]
The Appeal Division also found that the General
Division took into account the test prescribed by Villani v Canada (Attorney
General), 2001 FCA 248 [Villani], requiring assessment of the
severity of disability in a “real world context”,
considering factors such as age, education level, and past work and life
experiences, but found that none of these factors prevented Mr. Eby from
seeking and maintaining suitable, less physical gainful employment. The Appeal
Division determined that the General Division applied the correct legal tests
and that Mr. Eby’s submissions were essentially a request to reassess the
evidence.
[15]
Finally, the Appeal Division considered Mr.
Eby’s argument that the General Division erred in its treatment of his chronic
pain, including its dismissal of his pain contrary to the opinion of Ross
Rehabilitation which concluded that he was not capable of less physically
demanding employment. The Appeal Division found that the General Division was
cognizant of Mr. Eby’s pain complaints and that it gave lesser weight to the
2015 Report because it appeared to contradict the 2013 Report which had been
co-authored two years earlier by one of the same assessors. In the absence of
an error, the Appeal Division found no reason to challenge this finding.
[16]
Concluding that Mr. Eby had not identified
grounds of appeal that would have a reasonable chance of success, the Appeal
Division refused the application for leave.
IV.
Issues
[17]
While the Applicant sets out a longer list of
issues in his Memorandum of Fact and Law, his written arguments addressed the
following issues on that list:
A. The Appeal Division erred in law and fact by concluding that the
General Division had grounds to find that Mr. Eby had the capacity to work, in
the absence of any evidence to support that conclusion;
B. The Appeal Division erred in law and fact by concluding that the
General Division had grounds to find that Mr. Eby had the capacity to work, in
the face of direct evidence to the contrary;
C. The Appeal Division erred in law by misapplying the Inclima
principle and concluding that the General Division was justified in finding
that the Applicant was not severely disabled because he had not physically
attempted to go back to work or school; and
D. The Appeal Division erred in law in finding that the General
Division had properly applied the real world principle as set out in Villani.
[18]
The Respondent characterizes the sole issue as
whether the Appeal Division erred in refusing the application for leave to
appeal because the appeal did not have a reasonable chance of success.
[19]
At the hearing of this application for judicial
review, counsel for Mr. Eby further narrowed his characterization of the issues
raised by this application. He explained that the central issue Mr. Eby is
raising surrounds the evidentiary foundation for the General Division’s
determinative finding, that he had residual capacity to pursue less physically
demanding alternative employment, and more specifically the Appeal Division’s
finding that he did not have a reasonable chance of success in raising this
issue in his application for leave to appeal. My analysis below is based on
this issue as articulated by the Applicant.
V.
Standard of Review
[20]
The parties agree that, in reviewing a decision
regarding leave to appeal from the Social Security Tribunal, the applicable
standard of review is reasonableness (see Karadeolian v. Canada (Attorney
General), 2016 FC 615, at para 7; Tracey v. Canada (Attorney General),
2015 FC 1300, at paras 17-23; Atkinson v Canada (Attorney General), 2014
FCA 187, at paras 22-33). I agree that reasonableness is the standard
applicable to the issue raise by Mr. Eby.
VI.
Procedural Issue
[21]
As a preliminary procedural issue, the
Respondent’s counsel submits that the Applicant has improperly named the
Respondent in the style of cause in this application. The Applicant has named
as Respondents the Attorney General of Canada, the Social Security Tribunal of
Canada, and The Ministry of Human Resources and Skills Development. Relying on
Rule 303(2) of the Federal Courts Rules, RSC c F-7, the Respondent’s
counsel submits that only the Attorney General of Canada should be named.
[22]
At the hearing of this application, the
Applicant’s counsel agreed with the Respondent’s position on this point. As
such, my Judgment in this matter will amend the style of cause by removing the
Social Security Tribunal of Canada and The Ministry of Human Resources and
Skills Development as Respondents.
VII.
Analysis
[23]
The sections of DESDA relevant to appeals from
the General Division to the Appeal Division provide as follows:
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Grounds of appeal
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Moyens d’appel
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58 (1) The only grounds of appeal are
that
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58 (1)
Les seuls moyens d’appel sont les suivants :
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(a) the General Division failed to observe a principle of natural
justice or otherwise acted beyond or refused to exercise its jurisdiction;
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a) la division générale n’a pas observé un principe de justice
naturelle ou a autrement excédé ou refusé d’exercer sa compétence;
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(b) the General Division erred in law in making its decision,
whether or not the error appears on the face of the record; or
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b) elle a rendu une décision entachée d’une erreur de droit, que
l’erreur ressorte ou non à la lecture du dossier;
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(c) the General Division based its
decision on an erroneous finding of fact that it made in a perverse or
capricious manner or without regard for the material before it.
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c) elle a fondé sa décision sur une conclusion de fait erronée,
tirée de façon abusive ou arbitraire ou sans tenir compte des éléments portés
à sa connaissance.
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Criteria
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Critère
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(2) Leave to appeal is refused if the Appeal Division is satisfied
that the appeal has no reasonable chance of success.
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(2) La division d’appel rejette la demande de
permission d’en appeler si elle est convaincue que l’appel n’a aucune chance
raisonnable de succès.
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[24]
Mr. Eby’s principal arguments focus upon the
treatment by the General Division of the 2013 Report and the 2015 Report, and
the Appeal Division’s consideration of that treatment. As characterized by the
Respondent, Mr. Eby’s principal arguments amount to a submission that s.
58(1)(c) of DESDA applies and that the Appeal Division erred in its
consideration of his position that the General Division based its decision on
an erroneous finding of fact that it made in a perverse or capricious manner or
without regard for the material before it.
[25]
The parties do not disagree on the expression of
the law as derived from Inclima, to the effect that an applicant seeking
to demonstrate a severe disability under the CPP must not only show a serious
health problem but, where there is evidence of work capacity, must also
demonstrate that efforts at obtaining and maintaining employment have been
unsuccessful by reason of that health problem. Nor do the parties disagree that
the obligation to demonstrate such efforts does not arise in the absence of
evidence of work capacity. Rather, the issue between them surrounds the General
Division’s finding that Mr. Eby has residual work capacity, such that failure
to demonstrate mitigating efforts precluded the success of his claim, and the
Appeal Division’s consideration of that finding.
[26]
As noted above, Mr. Eby’s arguments on this
issue surround the two reports issued by Ross Rehabilitation. He submits that
the only evidence (or at least a critical piece of evidence), as to his
capacity to be retrained to perform sedentary work, is found in the 2015
Report. That report expressed the following conclusions with respect to Mr.
Eby:
His vocational aptitudes are in the low
average for general learning, verbal and numerical aptitudes, which falls below
the requirements of the majority of sedentary level occupations available and
rules out many formal academic retraining options.
[27]
Mr. Eby submits, and submitted to the Appeal
Division in his application for leave, that the General Division ignored this
finding in the 2015 Report.
[28]
The Appeal Division considered the General
Division’s treatment of the 2015 Report in several portions of its decision.
First, in rejecting Mr. Eby’s argument that the 2015 Report was admitted by the
General Division but disregarded in its decision, the Appeal Division noted
paragraphs in the General Division’s decision that both summarized and
discussed the 2015 Report. The Appeal Division also observed the General
Division to have noted the conclusions of the 2015 Report to be at odds with
those of the 2013 report, even though the reports shared an author, and the
Appeal Division rejected Mr. Eby’s argument that the General Division unreasonably
found that his attendance at the May 2015 situational assessment fell short of
an attempt to pursue alternative employment.
[29]
However, as emphasized by the Applicant in oral
argument before the Court, his submission to the Appeal Division was not that
the General Division had ignored the 2015 Report in its entirety, but rather
that it ignored the finding in the 2015 Report that the results of Mr. Eby’s
vocational assessment did not indicate any plausible retraining options given
his physical abilities, education and aptitude levels. The above analysis by
the Appeal Division does not consider this particular finding or demonstrate
any consideration of whether that finding was considered by the General
Division.
[30]
Moreover, the paragraphs in the General
Division’s decision that are referenced by the Appeal Division demonstrate no
consideration of this finding. Rather, the General Division appears to have
focused on the conclusion in the 2015 Report, that Mr. Eby is completely
disabled from any occupation for which he is suited by way of his education,
training or experience. The General Division correctly noted that such conclusion
was expressed in relation to a test different from that applicable under the
CPP, which requires a determination whether a person is regularly incapable of
pursuing any form of substantially gainful employment. However, the portion of
the General Division’s decision referenced by the Appeal Division does not
demonstrate any consideration of the finding as to Mr. Eby’s vocational
aptitudes and their impact on his ability to pursue sedentary employment. As
such, the Appeal Division’s first consideration of the General Division’s
treatment of the 2015 Report does not reasonably engage with Mr. Eby’s
submission that the General Division ignored this finding in the 2015 Report.
[31]
Later in the Appeal Division’s decision, in
considering Mr. Eby’s submissions on the application of Inclima, it
noted that the General Division drew an adverse inference from the fact that
Mr. Eby made no attempt to remain in the workforce despite heavy residual
capacity. The Appeal Division observed that the essence of Mr. Eby’s
submissions was that he had no residual capacity but that the General Division
had disagreed, and the Appeal Division found no error that might justify
overturning that conclusion. Again, this portion of the Appeal Division’s
decision demonstrates no analysis of the finding in the 2015 Report upon which
Mr. Eby’s argument was based or his argument that this finding was overlooked
by the General Division.
[32]
Finally, in considering Mr. Eby’s argument
related to chronic pain, the Appeal Division noted his submission that the
General Division’s dismissal of his chronic pain was contrary to the opinion
provided by Ross Rehabilitation, which concluded that he was not capable of
less physically demanding employment. In finding no error by the General
Division in its consideration of Mr. Eby’s pain complaints, the Appeal Division
noted that the General Division had given less weight to the 2015 Report
because it appeared to contradict a report co-authored two years earlier by one
of the same assessors.
[33]
It is difficult to tell whether this portion of
the Appeal Division’s decision may be a reference to the 2015 Report’s findings
on Mr. Eby’s vocational aptitudes. However, even if it is such a reference, the
Appeal Division’s description of the General Division’s reasons appear to demonstrate
a misapprehension of both those reasons and the evidence in the Ross
Rehabilitation reports. The Appeal Division correctly identified that the General
Division observed that Maria Ross was one of the authors of the 2013 Report
which indicated that Mr. Eby was currently functioning at a sedentary category
of work level. However, as argued by Mr. Eby in this application, the General
Division did not make a finding that the 2013 Report and 2015 Report had reached
inconsistent conclusions.
[34]
Moreover, there does not appear to be any
inconsistency in the conclusions expressed in the two reports. While the 2013
Report concludes that Mr. Eby is functioning at a sedentary category of work,
this conclusion is accompanied by findings as to his physical limitations and
reads as a conclusion as to his physical capabilities. It does not express an
opinion as to whether sedentary employment may be available to him. Rather it
recommends vocational exploration to determine if alternative employment may be
accessible. The 2015 Report reflects the results of such vocational exploration
and expresses the conclusions surrounding Mr. Eby’s aptitudes upon which his
arguments in this application rely. I am conscious that the Court’s role in
this application is to consider the reasonableness of the Appeal Division’s
decision, not that of the General Division. However, in the absence of any
apparent inconsistency in the conclusions in the two Ross Rehabilitation
reports, or a finding to that effect by the General Division, the Appeal
Division’s analysis based on such a finding by the General Division does not
fall within the range of possible acceptable outcomes.
[35]
In the Court’s recent decision in Griffin v
Canada (Attorney General), 2016 FC 874, at paragraph 20, Justice Boswell provided
guidance as to how the Appeal Division should address applications for leave to
appeal under s. 58(1) of DESDA:
[20] It is well established that the
party seeking leave to appeal bears the onus of adducing all of the evidence
and arguments required to meet the requirements of subsection 58(1): see, e.g.,
Tracey, above, at para 31; also see Auch v. Canada (Attorney General),
2016 FC 199 at para 52, [2016] F.C.J. No 155. Nevertheless, the requirements of
subsection 58(1) should not be applied mechanically or in a perfunctory manner.
On the contrary, the Appeal Division should review the underlying record and
determine whether the decision failed to properly account for any of the
evidence: Karadeolian v. Canada (Attorney General), 2016 FC 615 at
para 10, [2016] F.C.J. No. 585.
(Emphasis added.)
[36]
For the reasons explained above, my conclusion
is that the Appeal Division has not reached a reasonable decision, because it
has not addressed in a reasonable manner Mr. Eby’s arguments that the General
Division failed to take into account the findings in the 2015 Report. In
considering whether the General Division based its
decision on an erroneous finding of fact made without regard for the material
before it, the Appeal Division erred by failing to take
into account relevant evidence and by misinterpreting the decision of the
General Division.
[37]
I should note that, in reaching this conclusion,
I have considered the Respondent’s argument that the 2015 Report was issued
after the MQP Date, raising the question whether the evidence represented by
that report is probative of whether Mr. Eby suffered from a severe and
prolonged disability as of the MQP Date. The Respondent has not identified any
indication in the record before me that that this question was raised before
either the General Division or the Appeal Division. Rather, as submitted by Mr.
Eby, the 2015 Report was accepted and considered by the General Division. It
was also considered by the Appeal Division, although not in the manner Mr. Eby
argued in his application for leave. There is also no indication that Mr. Eby’s
vocational aptitudes, which are the subject of the findings that he argues were
not taken into account, deteriorated in the roughly 5 months between the MQP
Date and the issuance of the report. As such, the timing of the 2015 Report
does not assist the Respondent.
[38]
I am therefore allowing this application for
judicial review and setting aside the Appeal Division’s decision. While Mr.
Eby’s written materials requested that the Court grant his application for
leave to appeal the General Division’s decision, he acknowledged in oral
argument that the Court has discretion in selecting the appropriate relief if
granting judicial review. The Respondent expressed the position that, if Mr.
Eby was successful, the Court should not grant leave but rather should quash
the Appeal Division’s decision and return the matter to that body for
redetermination. I agree with the Respondent’s position on the appropriate
relief. My decision to grant judicial review turns on the Appeal Division
failing to properly consider the evidence underlying Mr. Eby’s arguments in
support of his application for leave to appeal and the General Division’s
treatment of such evidence. It is therefore appropriate that the matter be
returned to the Appeal Division to consider such evidence and arguments in
accordance with these Reasons.
[39]
Although the Notice of Application claimed
costs, counsel for each of the parties confirmed at the hearing that no costs
were being claimed. As such, no costs are awarded.