A fracture, nerve damage, a brain injury or pain that won't settle can change the course of a claim. For people in Kiama, 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.
South Coast & Shoalhaven · Serious injury compensation
Injury compensation lawyer Kiama
Your doctors describe the injury. The scheme's rules decide what that means for your claim.
Postcode: 2533
- Free claim check, no obligation
- By phone & online, no office to visit
- Helping people in Kiama & Kiama Downs
After a serious injury near Kiama
If Shoalhaven District Memorial Hospital, Milton-Ulladulla Hospital or South East Regional Hospital treated a serious injury first, obtain those early records, including any scans. Scans and surgery may mean travel, but claim help doesn't have to. Kiama is about 95 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 Kiama Municipal Council area, write down what you need and why. Treatment and care needs are part of what the insurer considers under the scheme.
- Region
- South Coast & Shoalhaven
- Postcode
- 2533
- Nearest public hospital
- Shellharbour Hospital
- Distance to Shellharbour
- ~10 km
- Local government area
- Kiama Municipal Council
Serious injury: when legal advice helps
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
- Your injury may stop you returning to the work you did before
- The insurer has classed your injury as threshold and your doctors disagree
- You're wondering whether your impairment could be more than 10%
- Another driver was at fault and a damages claim may be possible
You may not need one
- The insurer accepts the injury is more than threshold and benefits are flowing
- Your question is about treatment options, not compensation
- Your injury is healing as expected and should resolve fully
Serious injuries need coordinated care. Ask us about doctors and allied health who understand CTP claims, from the Certificate of Fitness to ongoing rehabilitation and psychology.
Not quite your situation?
- Injured at work rather than on the road? That is usually a workers compensation claim, which runs under different rules from CTP. The free claim check 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 Kiama
- 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 Kiama
- 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 Kiama
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.
Serious injury, in the scheme's language
Two measurements do most of the work when an injury is serious. One is the threshold line, which separates soft tissue and some psychological injuries from everything else. The other is whole person impairment, a percentage that describes lasting impairment. Between them, they affect how long statutory benefits can run and what a damages claim, if you have one, can include.
Read next:Threshold vs non-threshold injury
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
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.
What makes an injury more than threshold
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.
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 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
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.
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
When the injury isn't only physical
Serious physical injuries often bring a psychological toll: sleeplessness, anxiety, depression or trauma symptoms. These can be part of your claim in their own right. Tell your doctor how you're coping, and ask about psychology if it would help. Whether a psychological injury is threshold or more is a medical and legal question, and the insurer's decision on it can be reviewed.
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
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.
- Imaging reports, such as X-ray, CT or MRI, where done
- Every Certificate of Fitness, in order
- Reports from a treating psychologist or psychiatrist, if any
- Any impairment assessment, and your response to it
Read next:Gathering medical evidence
Frequently asked questions
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.
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.
Tell every doctor about it, even if it seemed mild at first. A brain injury isn't a soft tissue injury, so a diagnosed brain injury is generally more than threshold. Symptoms such as headaches, memory problems, fatigue or changes in mood can take time to show and are easy to put down to stress. Record them, and ask your GP whether further review is needed.
It's a percentage, often shortened to WPI, that a doctor gives 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.
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.
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.
Injury compensation lawyer: suburbs near Kiama
Related reading
- Whole person impairment
- CTP damages claims
- When the insurer says threshold injury
- Threshold disputes: a general guide
- Whiplash
- Traumatic Brain Injury
- Chronic Pain After a Car Accident
- Sciatica and Nerve Pain
- Pre-Existing Condition Aggravation
- South Coast & Shoalhaven: area guide
- CTP Lawyer Help in Wollongong & the Illawarra
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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.