Sutherland Shire · Serious injury compensation

Injury compensation lawyer Alfords Point

How serious injuries are measured in a CTP claim, and what those measurements change.

Serious injuries usually mean long claims, with medical evidence gathered over months. It helps to understand the terms early: threshold injury, whole person impairment, non-economic loss. This page covers them in plain language for people in Alfords Point. It won't tell you what your claim is worth, because no honest page can. It will help you ask the right questions.

Postcode: 2234

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Alfords Point: hospitals, specialists and the medical record

If a serious injury has stopped you riding or cycling the Royal National Park roads, or driving any distance, tell your doctors. How an injury limits your life is part of assessing it. Surgery, specialist follow-up or repeat imaging at Bankstown-Lidcombe Hospital all produce reports. Keep a list of what was done and when; if the severity of the injury is questioned later, those reports are where the answer starts. Scans and surgery may mean travel, but claim help doesn't have to. Alfords Point is about 22 km from the Sydney CBD, and the claim check runs by phone and online. Many lawyers work with seriously injured people the same way.

For people in the Sutherland Shire Council area, as anywhere in NSW, the test for a serious injury comes from the scheme's rules and your medical evidence, not from where you happen to live.

Region
Sutherland Shire
Postcode
2234
Nearest public hospital
Bankstown-Lidcombe Hospital
Distance to Sutherland
~6 km
Local government area
Sutherland Shire Council

Does a serious injury need a lawyer?

If your injury is more than threshold, it's worth at least one conversation with someone who knows the scheme. Whether you need more than that depends on your situation. Use these lists as a starting point.

Often worth talking to a lawyer

  • Your injury may stop you returning to the work you did before
  • Your injury has worsened since it was last assessed
  • Another driver was at fault and a damages claim may be possible
  • The insurer has classed your injury as threshold and your doctors disagree

You may not need one

  • The insurer accepts the injury is more than threshold and benefits are flowing
  • You want general scheme information that CTP Assist can give
  • You were mostly at fault, so no damages claim is open to you

Serious injuries need coordinated care. Ask us about doctors and allied health who understand CTP claims, from the Certificate of Fitness to ongoing rehabilitation and psychology.

Not quite your situation?

  • Hurt at work, or in a crash while you were working? That is usually a workers compensation claim first, which is a different scheme from CTP. Tell us what happened and we can point you to the right help. Free claim check
  • For what a claim can actually pay for, and the timing rules for damages, see the car accident compensation page. Car accident compensation in Alfords Point
  • Before any of this, if the real question is which scheme or kind of claim covers your injury, the compensation lawyer page is the place to begin. Compensation lawyer in Alfords Point
  • To dispute a threshold decision the insurer has made, see the CTP claim denied page for the review process and its deadlines. CTP claim denied in Alfords Point

Reading the threshold line

Where an injury falls against the threshold line affects how long statutory benefits can last and whether damages are possible. The comparison below is general. Symptoms alone don't decide it; the medical diagnosis does.

Usually treated as a threshold injury

  • Sprains and strains of muscles, tendons or ligaments
  • Whiplash-type neck pain with no nerve findings
  • Bruising and soft tissue swelling
  • A psychological injury the scheme classes as threshold
  • Statutory benefits generally up to 52 weeks, for accidents from 1 April 2023

May be more than a threshold injury

  • Nerve damage confirmed by a doctor
  • A full or partial tear of a tendon, ligament, meniscus or cartilage
  • A fracture, which is generally not a soft tissue injury
  • A brain injury, or a diagnosed psychological condition beyond the threshold category
  • Damages may be possible if another driver was at fault and you weren't mostly at fault

General information, not legal advice, and not medical advice either. The insurer decides on the medical evidence, its decision can be reviewed, and time limits apply.

When an injury counts as serious

Two measurements do most of the work when an injury is serious. One is the threshold line, which separates soft tissue and some psychological injuries from everything else. The other is whole person impairment, a percentage that describes lasting impairment. Between them, they affect how long statutory benefits can run and what a damages claim, if you have one, can include.

Read next:Threshold vs non-threshold injury

Mental health after a serious crash

A crash can cause psychological injury as well as physical injury, and sometimes instead of it. Some psychological injuries are classed as threshold injuries; others are not, depending on the diagnosis. Anxiety, low mood, flashbacks or fear of driving are worth raising with your GP early, both for your own sake and so the injury is recorded and properly diagnosed.

Read next:Psychological injury after a crash

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Whole person impairment, explained

Whole person impairment, or WPI, is a percentage that describes how much a lasting injury affects the body as a whole. It isn't a measure of pain, and it isn't a measure of what you've lost. It's a medical assessment made under set guidelines once an injury has stabilised. In a CTP claim, WPI matters mainly for damages: non-economic loss is only available where WPI is more than 10%.

An assessment above 10% opens damages for non-economic loss and changes some timing rules as well. But many people with genuine, lasting injuries are assessed at 10% or less. That doesn't mean the injury isn't real, or that there is no damages claim. Economic loss, such as lost earning capacity, can still be claimed where the other conditions are met.

Read next:Can I claim damages? Quick check

Serious injury and your future earnings

Weekly payments cover lost income for a limited time. For a serious injury, the bigger question is the future: will you be able to return to your old job, at the same hours and pay? If not, a damages claim may include past and future economic loss, provided the conditions for damages are met. That part of a claim doesn't depend on WPI above 10%.

Read next:Statutory benefits vs damages

The timing of an impairment assessment

In a serious injury claim, impairment often comes into focus well after the crash, once treatment has run its course. The Personal Injury Commission handles medical assessment where the insurer and the injured person disagree. If you think an assessment is wrong, the steps to challenge it are set out separately, and the deadlines are short, so act promptly.

  • Whether the injury has stabilised
  • How complete and current your medical records are
  • Changes in your condition since the last report

Read next:Insurer medical examinations

Threshold injuries and beyond

From 1 April 2023, the scheme uses the term threshold injury, which replaced the old term minor injury. A threshold injury is generally a soft tissue injury, a threshold psychological injury, or both. Soft tissue here means muscles, tendons, ligaments and similar tissue. Nerve damage is excluded, and so is a full or partial tear of a tendon, ligament, meniscus or cartilage.

The line also decides whether common law damages are open. With only a threshold injury, they generally aren't. With a more serious injury, you may be able to claim damages if another driver was at fault and you weren't mostly at fault. That is why a threshold decision is often the most important decision the insurer makes about a serious injury.

Check the date of your accident

The threshold rules and benefit periods depend on when your accident happened. Check which rules apply to your date before relying on any general statement.

Read next:Threshold injury disputes

What shows an injury is serious

The most persuasive serious injury claims usually have consistent evidence: the same injuries described the same way, from the hospital to the GP to specialists, with no unexplained gaps in treatment. That consistency comes from telling each doctor the full story and following treatment plans. If a report leaves something out, ask the doctor about it rather than letting it pass.

  • Imaging reports, such as X-ray, CT or MRI, where done
  • Operation and specialist reports
  • Every Certificate of Fitness, in order
  • Any impairment assessment, and your response to it

Read next:Gathering medical evidence

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CTP Lawyer is not a law firm. This page is general information, not legal advice; the independent lawyer you speak with can advise on your own situation.

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