A fracture, nerve damage, a brain injury or pain that won't settle can change the course of a claim. For people in Guyra, 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. The findings in your own claim, and the insurer's decisions about them, are what count.
New England & North West · Serious injury compensation
Serious injury? Injury compensation lawyer, Guyra
How serious injuries are measured in a CTP claim, and what those measurements change.
Postcode: 2365
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After a serious injury near Guyra
Around Tamworth and Armidale, if a serious injury has stopped physical or seasonal work, record the change with dates. Future earning capacity is assessed against the work you could realistically have done. Guyra is about 32 km north of Armidale. With a serious injury, travel is often the hardest part of the week, so the claim check and any legal advice can happen by phone and online instead. If a serious injury means you need changes at home, or help getting around the Armidale Regional Council area, write down what you need and why. Treatment and care needs are part of what the insurer considers under the scheme.
- Region
- New England & North West
- Postcode
- 2365
- Distance to Armidale
- ~32 km
- Local government area
- Armidale Regional 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
- Confirmed nerve damage
- 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
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
Threshold injuries and beyond
The threshold line is a legal line drawn around medical facts. The diagnosis describes 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 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
When whole person impairment is measured
Impairment is generally assessed once an injury has stabilised, meaning it's unlikely to change much from here. Assessing too early can understate a serious injury. The insurer may arrange an assessment, you may obtain your own reports, 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
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
- A pre-existing condition is being blamed for your symptoms
- Your injury may stop you returning to the work you did before
- You have a fracture, a tear, nerve damage or a brain injury
- Another driver was at fault and a damages claim may be possible
You may not need one
- Your injury is healing as expected and should resolve fully
- You want general scheme information that CTP Assist can give
- The injury has settled with no lasting effect on your work or daily life
If the insurer has classed your injury as threshold and you disagree, note the date of the decision. An internal review is generally due within 28 days of receiving it. Threshold injury disputes
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 Guyra
- 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 Guyra
- 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 Guyra
Long-term earning capacity
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 medical evidence, your work history and sometimes vocational experts.
Read next:Statutory benefits vs damages
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 having recorded early, so the injury is properly identified in the claim rather than surfacing months later.
Read next:Psychological injury after a crash
What whole person impairment is
People are often surprised by how technical WPI is. It is assessed under guidelines that rate specific impairments, such as lost movement in a joint, and express the result as a whole-body percentage. More than 10% is the key line in CTP claims, because damages for non-economic loss, meaning pain and suffering, are only available above it. Loss of earnings doesn't need that level.
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
What shows an injury is serious
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 and decide when the evidence is complete enough to act on.
- The police report and your own account of the crash
- Any reports prepared for the claim
- Every Certificate of Fitness, in order
- A diary of how the injury affects daily life
Read next:CTP damages claims
Free claim check
Check where a serious injury leaves your claim
An injury that's worse than first thought can change your claim. A short, free conversation can show you what to ask next.
Frequently asked questions
It's a percentage, often shortened to WPI, given to the lasting impairment an injury leaves. It's usually assessed once the injury has stabilised, and it measures impairment, not pain or lost income. The figure to know is 10%. Above it, damages for pain and suffering become possible and some timing rules for a damages claim change. At 10% or less, lost earnings can still be claimed if the other conditions for damages are met.
Possibly. A soft tissue injury with nerve damage, or with a full or partial tear of a tendon, ligament, meniscus or cartilage, is generally not a threshold injury. If yours is more than threshold, another driver was at fault and you weren't mostly at fault, you may be able to claim damages, including loss of earnings. Pain and suffering needs WPI of more than 10%.
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. Make sure how you're coping, including sleep, mood and any fear of travelling, is recorded. Any diagnosis, and the reports that support it, become part of the evidence.
Usually, yes, because most whiplash is soft tissue injury to the neck. But not always. If nerve damage, or a full or partial tear of a tendon or ligament, is found, the injury may be more than threshold. Symptoms like arm pain, numbness or weakness are worth having recorded. The insurer decides on the medical evidence, and its decision can be reviewed.
It compares what you could have earned without the injury with what you can realistically earn now, over the years ahead. Evidence comes from your work history, payslips and tax records, and opinions about the work you can still do, sometimes from vocational experts. It's usually part of a damages claim, so the other conditions for damages need to be met. Keep records of every change to your hours, duties and roles.
Get the change 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.
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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.