Darling Point: finding an independent CTP lawyer

A NSW CTP claim can have two stages. The first is statutory benefits: weekly payments and treatment and care, which most injured people can claim regardless of fault. The second is a common law damages claim, a lump sum available only if another driver was at fault, you weren't mostly at fault and your injury is more than a threshold injury. In the first stage, a lawyer's work is usually about disputes. In the second, it's usually the whole claim.

Much of a lawyer's early work is reading. They go through the claim form, your Certificates of Fitness and every decision letter, then work out which rules fit your accident date and what, if anything, is worth challenging. Sometimes the honest advice is that the claim is on track and needs nothing more from them. That is a useful answer too, and a good lawyer will give it plainly.

Recovering from an injury is hard enough without travelling to meetings. CTP work suits remote contact well. Much of a claim happens on paper and by phone, from the first review request to negotiations with the insurer, so many people deal with the whole process without ever sitting in a lawyer's office.

The clearest sign is a decision you disagree with. A refused claim, a threshold classification, a finding that you were mostly at fault, or payments that suddenly stop all have review pathways and deadlines. The internal review window is generally 28 days from receiving the decision, so it pays to get advice quickly rather than waiting to see what happens next.

Many CTP claims never need a lawyer. If your claim has been accepted, weekly payments are arriving at the right rate and treatment requests are being approved, there may be nothing for a lawyer to do. The same is often true when the insurer has classed your injury as threshold, your doctor agrees and you're recovering well. In claims like these, CTP Assist and your treating team usually cover the questions that come up.

Some claims need a paid lawyer; many questions don't. CTP Assist (1300 656 919) answers general questions and can arrange an interpreter. The CTP Legal Advisory Service gives free legal advice on statutory benefits where the accident happened on or after 1 December 2017. Neither will run a damages claim for you, or take on a dispute that's already under way.

Legal costs in NSW CTP claims are tightly regulated. In a statutory benefits claim, costs can only be recovered where the Motor Accident Injuries Regulation or the Personal Injury Commission allows it, the insurer is the one who pays them, and some disputes allow no recoverable costs at all. In a damages claim, the most a lawyer can charge is capped by the same Regulation. The caps are indexed each year, which is why we don't quote figures.

If a decision has gone against you, the internal review window is generally 28 days from receiving it. That's the deadline people most often miss while they wait to see whether the insurer changes its mind. Outside 3 months for statutory benefits and still haven't claimed? Speak to a lawyer straight away, because late claims are accepted only in limited circumstances.