Wollongong & the Illawarra · Serious injury compensation

Serious injury? Injury compensation lawyer, Unanderra

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

Compensation for a serious injury isn't a single figure you can look up. It depends on the injury, its lasting effects, your earnings and who was at fault, all measured under the scheme's rules. People in Unanderra can use this page to understand those rules, then get a free claim check. Many claims run without a lawyer; serious ones often benefit from one.

Postcode: 2526

  • Free claim check, no obligation
  • By phone & online, no office to visit
  • Helping people in Unanderra & Cordeaux Heights

Unanderra: hospitals, specialists and the medical record

Where a serious injury treated at Wollongong Hospital or Shellharbour Hospital needed surgery or repeat scans, those reports often carry the most weight in assessing it. If scans, specialist reviews or surgery mean trips to Wollongong, about 5 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. Whether you live in the Wollongong City Council area or elsewhere, the scheme measures a serious injury the same way. The local part is your treating team, and the record they keep of your injury over time.

Region
Wollongong & the Illawarra
Postcode
2526
Nearest public hospital
Wollongong Hospital
Distance to Wollongong
~5 km
Local government area
Wollongong 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%
  • A pre-existing condition is being blamed for your symptoms
  • You have a fracture, a tear, nerve damage or a brain injury

You may not need one

  • The injury has settled with no lasting effect on your work or daily life
  • Your injury is healing as expected and should resolve fully
  • 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?

  • 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
  • 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 Unanderra
  • 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 Unanderra
  • 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 Unanderra

Threshold injury, or something more serious?

The scheme separates threshold injuries from more serious ones, and the difference shapes the whole claim. This is a general picture based on the scheme's definition. Your doctors describe the injury, the insurer decides where it falls, and that decision can be reviewed.

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.

What 'serious' means in claim terms

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

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.

It's easy to overstate the 10% line. You don't need more than 10% WPI to claim damages for past and future loss of earnings; you need an injury that's more than threshold, another driver at fault, and not to have been mostly at fault yourself. The 10% line decides pain and suffering, and it also affects some timing rules for a damages claim.

Read next:Can I claim damages? Quick check

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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
  • 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

Serious injury and your future earnings

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

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 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

What makes an injury more than threshold

The definition works by exclusion. An injury is generally threshold if it is soft tissue damage with no nerve damage and no torn tendon, ligament, meniscus or cartilage, whether the tear is complete or not, or if it is a psychological injury the scheme classes as threshold. Injuries outside that description, such as fractures, torn ligaments or brain injuries, are generally more than threshold.

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 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

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.

  • Hospital admission and discharge records
  • Imaging reports, such as X-ray, CT or MRI, where done
  • Operation and specialist reports
  • Reports from a treating psychologist or psychiatrist, if any

Read next:Gathering medical evidence

Frequently asked questions

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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.

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