Northern Beaches · Serious injury compensation

Injury compensation lawyer Belrose

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

Compensation for a serious injury isn't a single figure you can look up. It depends on the injury, its lasting effects, your earnings and who was at fault, all measured under the scheme's rules. People in Belrose can use this page to understand those rules, then get a free claim check. Many claims run without a lawyer; serious ones often benefit from one.

Postcode: 2085

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  • Helping people in Belrose & Belrose West

Serious injury care and records near Belrose

Northern Beaches Hospital, Mona Vale Hospital or Royal North Shore Hospital may have treated a serious injury. Ask for the imaging and specialist reports, not just the discharge summary. If scans, specialist reviews or surgery mean trips to Dee Why, about 7 km away, keep a note of each trip and what it cost. Where you live needn't hold your claim back: advice and the claim check both work by phone and online, from home. Living in the Northern Beaches Council area doesn't change the rules on serious injuries: the threshold line and whole person impairment work the same way across NSW. What differs from person to person is the medical evidence.

Region
Northern Beaches
Postcode
2085
Nearest public hospital
Northern Beaches Hospital
Distance to Dee Why
~7 km
Local government area
Northern Beaches Council

Which side of the threshold line your injury may fall

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

When whole person impairment is measured

Impairment is generally assessed once an injury has stabilised, meaning it's unlikely to change much with further treatment. Assessing too early can understate a serious injury. The insurer may arrange an assessment, your own doctors may give opinions, and if the insurer and you disagree about the degree of impairment, the Personal Injury Commission can carry out a medical assessment.

  • Whether every injured body part is included
  • How complete and current your medical records are
  • Whether you disagree with the result, and the deadline to say so

Read next:Insurer medical examinations

What whole person impairment is

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: when legal advice helps

The more serious and lasting the injury, the more likely the claim will involve impairment assessments, damages and long timeframes. Those are the areas where a lawyer tends to help. These lists are a rough guide.

Often worth talking to a lawyer

  • Your injury has worsened since it was last assessed
  • Another driver was at fault and a damages claim may be possible
  • A pre-existing condition is being blamed for your symptoms
  • The insurer has classed your injury as threshold and your doctors disagree

You may not need one

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

If you're not sure your injury has been fully investigated, a doctor experienced with CTP can help. We can suggest doctors and allied health familiar with the Certificate of Fitness and serious injury care.

Not quite your situation?

  • Injured at work rather than on the road? That is usually a workers compensation claim, which runs under different rules from CTP. The free claim check 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 Belrose
  • If the question is still which sort of claim you have at all, start with the compensation lawyer page before going further. Compensation lawyer in Belrose
  • If the insurer has already decided your injury is threshold and you want to challenge it, the CTP claim denied page sets out the steps. CTP claim denied in Belrose

When the injury isn't only physical

The scheme treats psychological injury seriously, but it still sorts it by diagnosis. A threshold psychological injury is generally handled like a threshold physical one. A more serious diagnosed condition may take the claim beyond the threshold. Because the difference turns on the diagnosis, the opinion of a treating psychiatrist or psychologist can matter a great deal.

Read next:Psychological injury after a crash

Long-term earning capacity

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

What makes an injury more than threshold

The definition works by exclusion. An injury is generally threshold if it is soft tissue damage with no nerve damage and no torn tendon, ligament, meniscus or cartilage, whether the tear is complete or not, or if it is a psychological injury the scheme classes as threshold. Injuries outside that description, such as fractures, torn ligaments or brain injuries, are generally more than threshold.

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

Building the evidence for a serious injury

Because serious injuries take time to show their full effect, evidence builds in layers. Early records show the injury happened and how bad it was. Later reports show how it has settled and what it has left behind. An independent lawyer can help spot gaps, but the underlying evidence comes from your treatment. Getting good care is also how good evidence is made.

  • Hospital admission and discharge records
  • Imaging reports, such as X-ray, CT or MRI, where done
  • Every Certificate of Fitness, in order
  • Reports from a treating psychologist or psychiatrist, if any

Read next:Gathering medical evidence

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