Inner West · Serious injury compensation

Injury compensation lawyer Mortlake

General information about serious injury claims in NSW, not legal or medical advice.

A fracture, nerve damage, a brain injury or pain that won't settle can change the course of a claim. For people in Mortlake, 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.

Postcode: 2137

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  • Helping people in Mortlake & Breakfast Point

After a serious injury near Mortlake

If a serious injury was treated at Royal Prince Alfred Hospital, Concord Repatriation General Hospital or Canterbury Hospital, ask for the imaging reports and operation notes as well as the discharge summary. Scans and surgery may mean travel, but claim help doesn't have to. Mortlake is about 10 km from the Sydney CBD, and the claim check runs by phone and online. Many lawyers work with seriously injured people the same way. Living in the City of Canada Bay area doesn't change the rules on serious injuries: the threshold line and whole person impairment work the same way across NSW. What differs from person to person is the medical evidence.

Region
Inner West
Postcode
2137
Nearest public hospital
Concord Repatriation General Hospital
Distance to Burwood
~5 km
Local government area
City of Canada Bay

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

What whole person impairment is

Whole person impairment, or WPI, is a percentage that describes how much a lasting injury affects the body as a whole. It isn't a measure of pain, and it isn't a measure of what you've lost. It's a medical assessment made under set guidelines once an injury has stabilised. In a CTP claim, WPI matters mainly for damages: non-economic loss is only available where WPI is more than 10%.

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 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.

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 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

Is your injury serious enough to get advice?

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

  • You're wondering whether your impairment could be more than 10%
  • A pre-existing condition is being blamed for your symptoms
  • You have a psychological injury as well as a physical one
  • Your injury may stop you returning to the work you did before

You may not need one

  • Your question is about treatment options, not compensation
  • The insurer accepts the injury is more than threshold and benefits are flowing
  • You want general scheme information that CTP Assist can give

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?

  • 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 Mortlake
  • 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 Mortlake
  • 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 Mortlake

When an injury limits your work for years

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

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

The timing of an impairment assessment

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 every injured body part is included
  • How complete and current your medical records are
  • Whether you disagree with the result, and the deadline to say so

Read next:Insurer medical examinations

Building the evidence for a serious injury

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, but the underlying evidence comes from your treatment. Getting good care is also how good evidence is made.

  • Imaging reports, such as X-ray, CT or MRI, where done
  • Operation and specialist reports
  • Records of how the injury affects your work
  • Any impairment assessment, and your response to it

Read next:Gathering medical evidence

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