A fracture, nerve damage, a brain injury or pain that won't settle can change the course of a claim. For people in Enfield, this page explains how the NSW scheme draws the line between threshold and more serious injuries, and what whole person impairment measures. It is general information. Your own doctors' findings, and the insurer's decisions about them, are what count.
Inner West · Serious injury compensation
Serious injury? Injury compensation lawyer, Enfield
Your doctors describe the injury. The scheme's rules decide what that means for your claim.
Postcode: 2136
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- Helping people in Enfield & Enfield South
After a serious injury near Enfield
Serious injuries often mean months of specialist follow-up. From the Inner West, trains through Strathfield and Burwood help, but if travel has become hard, tell your doctor; it is part of the injury's effect. Surgery, specialist follow-up or repeat imaging at Canterbury 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. Enfield is about 11 km from the Sydney CBD, and the claim check runs by phone and online. Many lawyers work with seriously injured people the same way.
If a serious injury means you need changes at home, or help getting around the Burwood Council area, write down what you need and why. Treatment and care needs are part of what the insurer considers under the scheme.
- Region
- Inner West
- Postcode
- 2136
- Nearest public hospital
- Canterbury Hospital
- From the Sydney CBD
- ~11 km
- Local government area
- Burwood 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
- Another driver was at fault and a damages claim may be possible
- The insurer has classed your injury as threshold and your doctors disagree
- An impairment assessment is coming up, or you disagree with one
- 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
- You were mostly at fault, so no damages claim is open to you
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 Enfield
- 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 Enfield
- 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 Enfield
Threshold injury, or something more serious?
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
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
Who assesses impairment, and when
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 the injury has stabilised
- Whether every injured body part is included
- Whether you disagree with the result, and the deadline to say so
Read next:Insurer medical examinations
Free claim check
Free claim check for a serious injury
Tell us about your injury and what the insurer has decided. We'll say whether an independent lawyer would help.
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
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
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
Serious injury and your future earnings
A serious injury can change more than the next few months of work. It can limit the kind of work you can do for years, or permanently. In a damages claim, that is called loss of future earning capacity, and it can be a significant part of a serious injury claim. It generally needs evidence from your doctors, your work history and sometimes vocational experts.
Read next:Statutory benefits vs damages
Building the evidence for a serious injury
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.
- Hospital admission and discharge records
- Imaging reports, such as X-ray, CT or MRI, where done
- Operation and specialist reports
- Records of how the injury affects your work
Read next:Gathering medical evidence
Frequently asked questions
Tell your doctor about the change, get it recorded, and make sure the insurer receives the new evidence. An earlier assessment may no longer reflect your condition, and in some circumstances the injury may be looked at again. Whether and how that happens depends on the stage of your claim and the rules for your situation, so this is a good point to get advice.
It could. Tingling, numbness or weakness can sometimes point to nerve involvement, and confirmed nerve damage takes an injury outside the threshold definition. These symptoms can also have other causes, so it's a question for your doctor, who can decide whether tests are needed. Describe the symptoms precisely, note when they started, and make sure any diagnosis reaches the insurer.
It can. The insurer's decision is based on the evidence it has at the time. If a new diagnosis comes to light, such as nerve damage or a tear, the insurer can be asked to look at the classification again. If you disagree with a decision, there's a formal process to challenge it, starting with an internal review, and the CTP claim denied page explains those steps and their deadlines.
Usually, yes, because most whiplash is soft tissue injury to the neck. But not always. If a doctor finds nerve damage, or a full or partial tear of a tendon or ligament, the injury may be more than threshold. Symptoms like arm pain, numbness or weakness are worth describing to your doctor. The insurer decides on the medical evidence, and its decision can be reviewed.
Yes. Psychological injuries caused by the crash can be claimed along with physical injuries. Some are classed as threshold injuries and others are not, depending on the diagnosis. Tell your GP how you're coping, including sleep, mood and any fear of travelling, so it's recorded. If you're referred to a psychologist or psychiatrist, their reports become part of the evidence.
Each injury matters. Your claim should list every injury the crash caused, and your doctors should record all of them, not just the worst. The threshold limits generally apply where all your injuries are threshold injuries, so one injury that is more than threshold can change the whole claim. How several injuries are rated for impairment is technical, so get advice if it matters to you.
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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.