The Hills · Serious injury compensation

Injury compensation lawyer Dural

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

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 Dural 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: 2158

  • Free claim check, no obligation
  • By phone & online, no office to visit
  • Helping people in Dural & Kenthurst

Dural: hospitals, specialists and the medical record

If a serious injury was treated at Westmead Hospital, Hornsby Ku-ring-gai Hospital or elsewhere, the early scans and operation notes are key evidence of how bad it was. Scans and surgery may mean travel, but claim help doesn't have to. Dural is about 27 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 Hills 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
The Hills
Postcode
2158
Nearest public hospital
Hornsby Ku-ring-gai Hospital
Distance to Castle Hill
~6 km
Local government area
The Hills Shire Council

Threshold injury, or something more serious?

Think of this as a map, not a verdict. It shows the kinds of injury usually treated as threshold, and the findings that may take an injury beyond it. Only the medical evidence in your own claim can place you.

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

Most people never need to think about impairment percentages. If your injury is serious, you probably will. The scheme's rules divide injuries by type first, threshold or not, and then, for some entitlements, by the degree of lasting impairment. This page explains both in general terms. Your own claim depends on your diagnosis and on the insurer's decisions, which can be reviewed.

Read next:Threshold vs non-threshold injury

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%.

Because so much can turn on a few percentage points, WPI assessments are often contested. Your treating doctors, the insurer's chosen doctor and, if there's a dispute, a medical assessor through the Personal Injury Commission may reach different figures. Keep every report, and get advice before accepting an assessment you think is wrong.

Read next:Can I claim damages? Quick check

Mental health after a serious crash

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

Does a serious injury need a lawyer?

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

  • The insurer has classed your injury as threshold and your doctors disagree
  • You have a psychological injury as well as a physical one
  • An impairment assessment is coming up, or you disagree with one
  • Another driver was at fault and a damages claim may be possible

You may not need one

  • The injury has settled with no lasting effect on your work or daily life
  • Your injury is healing as expected and should resolve fully
  • You want general scheme information that CTP Assist can give

With a serious injury, the right treating team matters for recovery and evidence alike. We can point you to doctors and allied health experienced with CTP, including GPs who complete the Certificate of Fitness.

Not quite your situation?

  • If the injury happened at work, including on the road for work, workers compensation is usually the scheme that applies first, not CTP. After a crash, a CTP damages claim may still be possible. 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 Dural
  • 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 Dural
  • 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 Dural

Long-term earning capacity

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

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

What makes an injury more than threshold

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.

Getting the classification right early helps. If you have symptoms that could point to nerve involvement or a tear, such as numbness, weakness, locking or a joint giving way, describe them to your doctor. Whether tests are needed is a medical decision. If a diagnosis changes, make sure the insurer has the new evidence, because the classification may need to change with it.

Check the date of your accident

The scheme has been amended over time, most recently for accidents from 1 April 2023. Rules change, so check the current rules for your accident date.

Read next:Threshold injury disputes

The evidence a serious injury claim needs

Serious injury claims rest on medical evidence gathered over time: hospital records, imaging, operation reports, specialist opinions, and treating doctors' notes that track your progress. Your own records add the human detail. Start collecting early, keep everything in date order, and make sure each doctor knows about all your injuries, not just the one they're treating.

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

Read next:Gathering medical evidence

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