Serious injuries usually mean long claims, with medical evidence gathered over months. It helps to understand the terms early: threshold injury, whole person impairment, non-economic loss. This page covers them in plain language for people in Mollymook. It won't tell you what your claim is worth, because no honest page can. It will help you ask the right questions.
South Coast & Shoalhaven · Serious injury compensation
Serious injury? Injury compensation lawyer, Mollymook
The threshold line and whole person impairment, explained without promises.
Postcode: 2539
- Free claim check, no obligation
- By phone & online, no office to visit
- Helping people in Mollymook & Ulladulla
After a serious injury near Mollymook
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. Mollymook is about 52 km south of Nowra. 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. For people in the Shoalhaven City 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
- South Coast & Shoalhaven
- Postcode
- 2539
- Nearest public hospital
- Milton-Ulladulla Hospital
- Distance to Nowra
- ~52 km
- Local government area
- Shoalhaven City Council
Does a serious injury need a lawyer?
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
- The insurer has classed your injury as threshold and your doctors disagree
- You're wondering whether your impairment could be more than 10%
- You have a psychological injury as well as a physical one
- Another driver was at fault and a damages claim may be possible
You may not need one
- You want general scheme information that CTP Assist can give
- 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
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?
- 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
- 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 Mollymook
- 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 Mollymook
- 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 Mollymook
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
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
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 evidence from your doctors, your work history and sometimes vocational experts.
Read next:Statutory benefits vs damages
Free claim check
Check where a serious injury leaves your claim
Free and no obligation. For a serious injury, we can connect you with an independent lawyer and with doctors experienced in CTP.
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.
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 the injury isn't only physical
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
Who assesses impairment, and when
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 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
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.
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
Building the evidence for a serious injury
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
- Records of how the injury affects your work
Read next:Gathering medical evidence
Frequently asked questions
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.
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.
Generally, no. A threshold injury is generally a soft tissue injury, and a broken bone isn't soft tissue. So a fracture caused by the crash will usually take the injury beyond the threshold, although the insurer still decides on the medical evidence. If you have a fracture along with soft tissue injuries, make sure the fracture is clearly recorded on every certificate and report.
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.
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.
Generally, yes, for the worsening the crash caused. A pre-existing condition, like arthritis or an old back injury, doesn't stop a claim, but the insurer may argue that some of your symptoms would have happened anyway. Clear evidence helps: records of how you were before the crash, and how you've been since. Tell your doctors about the earlier condition rather than leaving it out.
Injury compensation lawyer: suburbs near Mollymook
Related reading
- Whole person impairment
- When the insurer says threshold injury
- CTP damages claims
- 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.