Inner West · Serious injury compensation

Serious injury? Injury compensation lawyer, Chiswick

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

When an injury from a motor accident is serious, two questions shape the claim. Is it more than a threshold injury? And how much lasting impairment does it leave? The answers affect how long benefits can run and whether damages are possible. If you're in Chiswick and your injury is serious or not improving, our free claim check looks at where you stand and whether an independent lawyer would help.

Postcode: 2046

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Chiswick: hospitals, specialists and the medical record

If a serious injury was treated at Royal Prince Alfred Hospital, Concord Repatriation General Hospital or Canterbury Hospital, ask for the imaging reports and operation notes as well as the discharge summary. If scans, specialist reviews or surgery mean trips to Burwood, about 5 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 City of Canada Bay 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
Inner West
Postcode
2046
Nearest public hospital
Concord Repatriation General Hospital
Distance to Burwood
~5 km
Local government area
City of Canada Bay

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.

What 'serious' means in claim terms

In everyday speech, a serious injury is one that hurts a lot or takes a long time to heal. The CTP scheme uses narrower tests. The first is whether the injury is more than a threshold injury. The second, for some kinds of compensation, is how much permanent impairment it leaves, measured as whole person impairment. Pain matters to you, but the scheme looks at diagnosis and lasting effect.

Read next:Threshold vs non-threshold injury

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

When whole person impairment is measured

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 every injured body part is included
  • Changes in your condition since the last report
  • Whether you disagree with the result, and the deadline to say so

Read next:Insurer medical examinations

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

  • You're wondering whether your impairment could be more than 10%
  • You have a psychological injury as well as a physical one
  • Your injury has worsened since it was last assessed
  • Your injury may stop you returning to the work you did before

You may not need one

  • Your injury is healing as expected and should resolve fully
  • The insurer accepts the injury is more than threshold and benefits are flowing
  • Your question is about treatment options, not compensation

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?

  • 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
  • If you want to know what compensation can include and when it is paid, the car accident compensation page sets out the whole package. Car accident compensation in Chiswick
  • 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 Chiswick
  • 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 Chiswick

What whole person impairment is

WPI turns a lasting injury into a percentage. A doctor examines you and rates the impairment under the assessment guidelines that apply to motor accident claims. The number doesn't reflect how hard your life has become; it reflects measurable impairment. Even so, it can decide important questions, especially whether damages for pain and suffering are possible.

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

When an injury limits your work for years

Earning capacity compares what you could have earned without the injury with what you can realistically earn now. For a tradesperson with a damaged shoulder, or an office worker with a brain injury, that gap can be large and long-lasting. Record every change to your working life: hours, duties, roles you can no longer do. Those facts sit alongside the medical evidence.

Read next:Statutory benefits vs damages

Threshold injuries and beyond

The threshold line is a medical line drawn by legal rules. Your doctor diagnoses the injury; the scheme's definition decides which side it falls on. Sprains, strains and whiplash without nerve findings usually sit on the threshold side. Confirmed nerve damage, a tear, a fracture or a brain injury generally takes an injury beyond it. The insurer makes the call, and you can challenge it.

Which side you're on matters. For accidents from 1 April 2023, statutory benefits for a threshold injury generally last up to 52 weeks. For accidents between 1 December 2017 and 31 March 2023, the limit was 26 weeks. If your injury is more than threshold and you weren't mostly at fault, benefits can generally continue for longer, and a damages claim may be possible.

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.

  • Imaging reports, such as X-ray, CT or MRI, where done
  • Reports from a treating psychologist or psychiatrist, if any
  • Records of how the injury affects your work
  • Any impairment assessment, and your response to it

Read next:Gathering medical evidence

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