Spencer: 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.

In practice, an experienced CTP lawyer reads the insurer's decisions, checks them against the Motor Accident Injuries Act 2017, advises whether they can be challenged and prepares the paperwork if so. For damages, they also work out which losses can be claimed and when the claim can be made. No lawyer can promise a particular result, and it's wise to be wary of anyone who does.

A lawyer's value comes from something to contest or something to claim. Take those away and the case for legal help gets thin. A statutory benefits claim that's running smoothly is one example. A threshold injury you agree with is another, since for accidents from 1 April 2023 it limits benefits to 52 weeks and rules out damages whoever you hire. Advice can still settle a single question without a lawyer taking on the file.

Two rules shape what a CTP lawyer can charge. First, the Motor Accident Injuries Regulation sets maximum costs for the stages of a claim, and those amounts are indexed every year. Second, in statutory benefits matters the insurer pays whatever costs the rules allow, and for some disputes nothing is recoverable. Ask any lawyer to explain in writing how their fees would be worked out for your matter.

CTP claims run on documents: claim forms, medical certificates, insurer decisions and reports. Almost all of it can be shared by email, and conversations work by phone or video. That means the lawyer with the right experience may be across the state, and it makes little practical difference to how your claim is handled.

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.

SIRA pays for a free CTP Legal Advisory Service that answers statutory benefits questions about accidents since 1 December 2017, and CTP Assist on 1300 656 919 can put you through to it. It's a sensible first stop when you're unsure whether a decision about your benefits is right. Where its help stops is usually where an independent lawyer comes in, and our claim check can tell you whether you've reached that point.

Missed a deadline? It isn't always the end. Claims made more than 3 months after the accident can only be accepted in limited circumstances, usually where there is a full and satisfactory explanation for the delay. The rules are strict and depend on your accident date, which makes this one of the most time-sensitive moments to get an independent lawyer's view.