July 16, 2021
Anyone injured in a motor vehicle accident needs to be aware of the changes to the CTP scheme in New South Wales which applies to all motor vehicle accident personal injury claims on and from 1 December 2017. Some key takeaway points include: Everyone injured in a motor vehicle accident is entitled to statutory benefits for reasonable and necessary treatment and rehabilitation expenses and for weekly benefits by way of income support including the person at fault in the accident unless the injured person has committed a serious driving offence. A claim form must be lodged with the CTP insurer within 3 months of the accident (under the former scheme you had 6 months). To claim weekly benefits by way of income support from the day following the accident the claim form must be lodged with the CTP insurer within 28 days of the accident otherwise those benefits are only payable from the date the insurer received the claim form. Certificates of Fitness must be issued by a treating doctor and provided to the CTP insurer on a regular basis in order to obtain continuing weekly benefits. If you have suffered a "minor" injury you have no entitlement to any statutory benefits beyond 26 weeks from the date of the accident. A "minor" injury is an injury to soft tissue such as muscles, tendons, ligaments, menisci, cartilage, blood vessels and other soft tissues. Statistically about 90% of motor vehicle accident victims suffer only minor injuries and their entitlement to any benefits under the CTP scheme is limited to statutory benefits for up to 26 weeks only. Many people who have suffered soft tissue injuries still suffer from the ongoing symptoms and disabilities for well beyond 26 weeks and often for many years. The scheme provides no assistance to those accident victims. Anyone suffering a "minor" injury also has no entitlement to any damages for pain and suffering or loss of past or future earnings. Their only entitlement is to statutory benefits for up to 26 weeks. Injuries involving any kind of fracture or complete or partial tears to tendon, ligaments, menisci and cartilage are not "minor" injuries and statutory benefits are payable beyond 26 weeks and theoretically for life. Oddly enough, a soft tissue injury combined with a very minor fracture to a little finger which quickly heals without complication is not a "minor" injury and statutory benefits beyond 26 weeks and theoretically for life are payable. An injury to a vertebral disc is considered a "minor" injury, with some limited exceptions involving disc injuries with certain types of nerve root impingement. Some psychiatric injuries are classified as "minor" only. Common law damages are now limited to, firstly, non-economic loss (pain and suffering but only if the injured person suffers a degree of permanent whole person impairment greater than 10% and, secondly, to past and future economic loss or loss of earning capacity. No other damages can be claimed. There are caps or limits on the amount of damages which can be claimed. Statistically, only about 10% of accident victims suffer a permanent impairment greater than 10%. A damages claim must be made within 3 years of the accident but generally one can only be made after 20 months following the accident. Disputes with an insurer about the payment of statutory benefits are now determined by a new body which commenced on 1 March 2021 called the Personal Injuries Commission. Very few claims are now handled by the courts. For most disputes about statutory benefits, lawyers are prohibited from charging for their services in assisting a client in the dispute. Where legal fees are payable the amount is capped at a maximum and the client's legal costs are usually payable by the insurer. Insurer's have greater power to decide what treatment and rehabilitation is offered to an injured person and insurer's often override the recommendations of treating doctors. Disputes about treatment and care must be referred to the Commission. There is a complex procedure involved in making a claim including a thorough understanding of the legislation, the regulations, the guidelines and the Commission's practice notes. Changes to the way claims are handled occur frequently. There are forms and procedures for every aspect of making a claim. The object of the current scheme is to keep greenslip premiums relatively cheap but at the cost of reducing benefits to most accident victims. The law in this area is complex and despite the limitation on legal fees it is important that accident victims obtain proper and thorough legal advice about making a claim, disputing an insurer's decision and making a damages claim where that is possible. For any questions concerning a personal injury claim arising out of a motor vehicle accident please contact Michael Schwab , our accredited specialist in Personal Injury Law.