Inner West · Serious injury compensation

Injury compensation lawyer Concord: threshold and beyond

The threshold line and whole person impairment, explained without promises.

If your injury is worse than a sprain or strain, different rules may apply to your claim. An injury that is more than threshold can mean longer benefits and, if someone else was at fault, a damages claim. People in Concord with a serious injury often benefit from early advice. Start with a free claim check, and we'll connect you with an independent lawyer if the case calls for one.

Postcode: 2137

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Serious injury care and records near Concord

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. Scans and surgery may mean travel, but claim help doesn't have to. Concord is about 10 km from the Sydney CBD, and the claim check runs by phone and online. Many lawyers work with seriously injured people the same way. Whether you live in the City of Canada Bay area or elsewhere, the scheme measures a serious injury the same way. The local part is your treating team, and the record they keep of your injury over time.

Region
Inner West
Postcode
2137
Nearest public hospital
Concord Repatriation General Hospital
Distance to Burwood
~4 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.

Serious injury, in the scheme's language

An injury can be serious in human terms and still sit on the threshold side of the line, and the reverse can happen too. That can feel unfair. It helps to know the scheme's tests are about the type of injury and its lasting effects, not how much you've suffered. Knowing which test applies lets you and your doctors focus on the evidence that matters.

Read next:Threshold vs non-threshold injury

Psychological injury and the threshold

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

Who assesses impairment, and when

There's usually no single moment when WPI is measured. Opinions may come from treating doctors, from doctors the insurer arranges, and, where the two sides disagree, from a medical assessment through the Personal Injury Commission. Timing matters, because injuries can improve or worsen for months. A lawyer can advise whether an assessment is premature before you rely on it.

  • Whether the injury has stabilised
  • 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

Is your injury serious enough to get advice?

Serious injuries are where legal advice most often earns its place, because the stakes and the rules are both higher. Even so, not every serious injury claim needs a lawyer at every stage. Here is a general guide.

Often worth talking to a lawyer

  • You have a fracture, a tear, nerve damage or a brain injury
  • A pre-existing condition is being blamed for your symptoms
  • The insurer has classed your injury as threshold and your doctors disagree
  • Another driver was at fault and a damages claim may be possible

You may not need one

  • You were mostly at fault, so no damages claim is open to you
  • The injury has settled with no lasting effect on your work or daily life
  • Your injury is healing as expected and should resolve fully

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
  • For what a claim can actually pay for, and the timing rules for damages, see the car accident compensation page. Car accident compensation in Concord
  • 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 Concord
  • 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 Concord

When an injury limits your work for years

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 threshold line and what takes an injury past it

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.

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

WPI: the percentage behind serious injury claims

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

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
  • Reports from a treating psychologist or psychiatrist, if any
  • Records of how the injury affects your work

Read next:Gathering medical evidence

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