Wollongong & the Illawarra · Serious injury compensation

Figtree injury compensation lawyer: serious injuries

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 Figtree 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: 2525

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Serious injury care and records near Figtree

If specialist care means trips up Mount Ousley Road or along the M1 Princes Motorway, note how the travel affects you. Lasting limits belong in your medical records. Surgery, specialist follow-up or repeat imaging at Wollongong 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. If scans, specialist reviews or surgery mean trips to Wollongong, 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.

Whether you live in the Wollongong City Council 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
Wollongong & the Illawarra
Postcode
2525
Nearest public hospital
Wollongong Hospital
Distance to Wollongong
~5 km
Local government area
Wollongong City Council

Which side of the threshold line your injury may fall

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.

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

Threshold injuries and beyond

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.

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 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

WPI: the percentage behind serious injury claims

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.

It's easy to overstate the 10% line. You don't need more than 10% WPI to claim damages for past and future loss of earnings; you need an injury that's more than threshold, another driver at fault, and not to have been mostly at fault yourself. The 10% line decides pain and suffering, and it also affects some timing rules for a damages claim.

Read next:Can I claim damages? Quick check

Serious injury: when legal advice helps

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

  • An impairment assessment is coming up, or you disagree with one
  • Your injury has worsened since it was last assessed
  • A pre-existing condition is being blamed for your symptoms
  • 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 injury has settled with no lasting effect on your work or daily life
  • You were mostly at fault, so no damages claim is open to you

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?

  • 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
  • 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 Figtree
  • 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 Figtree
  • 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 Figtree

When the injury isn't only physical

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

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

The timing of an impairment assessment

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
  • 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 shows an injury is serious

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.

  • Hospital admission and discharge records
  • Every Certificate of Fitness, in order
  • 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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