St George & Bayside · Serious injury compensation

Injury compensation lawyer Sans Souci: impairment explained

How serious injuries are measured in a CTP claim, and what those measurements change.

If your injury is worse than a sprain or strain, different rules may apply to your claim. An injury that is more than threshold can mean longer benefits and, if someone else was at fault, a damages claim. People in Sans Souci with a serious injury often benefit from early advice. Start with a free claim check, and we'll connect you with an independent lawyer if the case calls for one.

Postcode: 2219

  • Free claim check, no obligation
  • By phone & online, no office to visit
  • Helping people in Sans Souci & Dolls Point

Sans Souci: hospitals, specialists and the medical record

Specialist reports build up over time after a serious injury. From St George and Bayside, keep a copy of each one in date order, beginning with anything from St George Hospital. If scans, specialist reviews or surgery mean trips to Hurstville, about 4 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. If a serious injury means you need changes at home, or help getting around the Bayside Council area, write down what you need and why. Treatment and care needs are part of what the insurer considers under the scheme.

Region
St George & Bayside
Postcode
2219
Nearest public hospital
St George Hospital
Distance to Hurstville
~4 km
Local government area
Bayside 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.

Serious injury, in the scheme's language

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

When an injury limits your work for years

Earning capacity compares what you could have earned without the injury with what you can realistically earn now. For a tradesperson with a damaged shoulder, or an office worker with a brain injury, that gap can be large and long-lasting. Record every change to your working life: hours, duties, roles you can no longer do. Those facts sit alongside the medical evidence.

Read next:Statutory benefits vs damages

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 every injured body part is included
  • 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

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

  • A pre-existing condition is being blamed for your symptoms
  • You have a fracture, a tear, nerve damage or a brain injury
  • You have a psychological injury as well as a physical one
  • You're wondering whether your impairment could be more than 10%

You may not need one

  • You were mostly at fault, so no damages claim is open to you
  • You want general scheme information that CTP Assist can give
  • The injury has settled with no lasting effect on your work or daily life

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 Sans Souci
  • 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 Sans Souci
  • 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 Sans Souci

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.

Getting the classification right early helps. If you have symptoms that could point to nerve involvement or a tear, such as numbness, weakness, locking or a joint giving way, describe them to your doctor. Whether tests are needed is a medical decision. If a diagnosis changes, make sure the insurer has the new evidence, because the classification may need to change with it.

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

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%.

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

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

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.

  • Hospital admission and discharge records
  • Imaging reports, such as X-ray, CT or MRI, where done
  • Reports from a treating psychologist or psychiatrist, if any
  • Records of how the injury affects your work

Read next:Gathering medical evidence

A man in a jacket reading through a sheaf of papers on a sofa

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.

Free · No obligation

Frequently asked questions

Ready to talk it through?

Get a free, no-obligation claim check. It's the first step toward understanding where your claim stands and what help it needs.

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.

Call now(02) 7238 7379Free claim check