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First responders – QLD

27 May 2021 by By Lawyers

Workers compensation claims by certain workers, first responders, as defined in the Act, have been streamlined. The onus of proof for certain psychological injury claims has been reversed.

Any valid diagnosis of Post Traumatic Stress Disorder (PTSD) will now be taken to be an injury for the purposes of the Act. There is an assumption that any such injury was caused by the applicant’s work, with the onus then upon the employer/insurer to show otherwise if they consider it appropriate to do so.

‘First responders’ are workers such as police and other emergency service personnel whose…employment requires the person to respond to incidents… that are life-threatening or otherwise traumatic… and for which time may be critical to prevent actual or potential death or injury to persons, or to prevent or minimise damage to property or the environment.

The definition extends to certain volunteers and other eligible employees, as defined in the Act, such as those whose work requires them to deal with certain traumatic material, or be involved in certain traumatic incidents such as dealing with human remains, investigating child sexual abuse, dealing with serious violence or viewing graphic details of such things.

See: Chapter 1, part 4, division 6, subdivision 3BA of the Workers’ Compensation and Rehabilitation Act 2003.

The commentary in the By Lawyers Workers Compensation (QLD) publication has been updated. There are also new and amended precedents, including an Initial letter to client – First responder with PTSD and a corresponding amendment to the Retainer instructions to prompt for relevant details when interviewing such a client.

Filed Under: Legal Alerts, Publication Updates, Queensland, Workers Compensation

Terminal condition entitlements – QLD

13 May 2021 by By Lawyers

The Terminal condition entitlements section of the By Lawyers Workers Compensation QLD publication has been enhanced.

A link to a helpful new resource from Worksafe on Terminal condition lump sum compensation eligibility will assist practitioners to quickly access information required to advise their clients on their workers compensation rights and entitlements.

If a worker has a terminal condition, as defined in s 39A of the Workers Compensation and Rehabilitation Act 2003 (QLD), they are entitled to lump sum benefits as set out in s 128B of the Act.

Terminal conditions, for the purpose of entitlements under the Act, are work-related illnesses or injuries likely to result in the death of the worker in the short term. This is generally within two or three years, but up to five years from diagnosis. They must be incurable. Medical certification is required.

Although common law damages claims are available for workers with a terminal condition, entitlements if paid promptly, may be of more practical and immediate benefit to some clients. The new resource from Worksafe is intended to assist not only workers in understanding their rights, but insurers in making timely and consistent assessments and medical practitioners in understanding questions asked of them when writing assessment reports.

See the By Lawyers Workers Compensation (QLD) publication for more information and guidance on making claims for injured workers. The By Lawyers District Court – Civil – Acting for the Plaintiff guide will also be of assistance to practitioners in bringing common law damages claims for injured workers.

Filed Under: Queensland, Workers Compensation Tagged With: terminal condition entitlements, workers compensation

Personal Injury Commission – NSW

1 March 2021 by By Lawyers

Overview

From 1 March 2021 the Personal Injury Commission (PIC) became the ‘one-stop shop’ for dispute resolution for workers compensation and motor accident claims in NSW.

The PIC has two divisions with a single point of entry via an online portal. The PIC takes over from the Workers Compensation Commission, which has been abolished. The PIC also takes over most of the dispute resolution functions from the State Insurance Regulatory Authority (SIRA) regarding motor accident claims.

The idea of the consolidation is to gain efficiencies via a single entity, especially with medical assessments and medical dispute determination. Medical assessors for both workers compensation and motor accidents claims, along with merit reviewers for motor accident matters and mediators for workers compensation matters, are appointed by the President of the PIC and operate under the PIC legislation.

The substantive law does not change.

The By Lawyers Workers Compensation and Motor Accidents publications – both Prior to 1 December 2017 and From 1 December 2017 – have all been be amended.

Legislation

Personal Injury Commission Act 2020;

Personal Injury Commission Regulation 2020; and

Personal Injury Commission Rules 2021.

What the PIC does

The PIC is not a court but is headed by a President, who is a judge of a court of record. The PIC will publish its decisions.

The two divisions, Motor Accidents and Workers Compensation, have a common registry, and common practice and procedure wherever possible.

The PIC replaces the Workers Compensation Commission and determines all disputes under the Workplace Injury Management and Workers Compensation Act 1998 and the Workers Compensation Act 1987.

Disputes in relation to claims under the Motor Accidents Injuries Act 2017 (MAIA) and the Motor Accidents Compensation Act 1999 (MACA) previously managed and resolved by SIRA are now dealt with by the Personal Injury Commission. The PIC also takes over from the Motor Accidents Claims Assessment and Resolution Service (CARS) and the Medical Assessment Service (MAS).

The Act requires the PIC to deal with proceedings justly, quickly, cost-effectively and with as little formality as possible.

The rules of evidence do not apply and proceedings must be as informal as possible, including telephone conferences instead of formal hearings.

What the PIC does not do

Disputed common law damages claims still go to the District or Supreme Court. However, the PIC must mediate the dispute first and/or provide a certificate before proceedings can be commenced.

As it is not a court, the PIC cannot determine matters that involve federal jurisdiction. The PIC Act provides a mechanism to send proceedings that involve federal jurisdiction to the District Court.

The Workers Compensation Independent Review Office (WIRO) is now known as the Independent Review Office (IRO). It continues to manage disputes regarding insurers previously managed by WIRO, with the addition of CTP insurers for motor accident claims. IRO also continues WIRO’s previous responsibility for the funding of workers compensation claims via the existing ILARS grants.

No change to the substantive law

The establishment of the PIC and the transfer to it of dispute resolution functions does not affect the underlying substantive law.

There is no change to the entitlements of injured persons to damages, benefits and entitlements under either workers compensation or motor accidents legislation.

Transitional provisions

Transitional provisions are set out in the Personal Injury Commission Regulation 2020.

For existing matters – that is, claims lodged before the commencement of the PIC on 1 March 2021 – the PIC deals with disputes and medical assessments. However it does so under the previous legislative framework – so the Workers Compensation Commission Rules 2011 and the existing provisions of the motor accidents legislation. That includes appeals, so for any arbitrated decision that was heard before 1 March 2021, but which is appealed after 1 March 2021, the appeal proceeds on the basis of the pre-existing legislation.

By Lawyers keeps you up to date!

All relevant By Lawyers publications have been updated in line with the commencement of the Personal Injury Commission. Commentary and precedents have been amended, replaced or added wherever required in our Workers Compensation, Motor Accidents and District Court publications.

Filed Under: Legal Alerts, Litigation, Motor Vehicle Accidents, New South Wales, Personal injury, Publication Updates, Workers Compensation Tagged With: motor vehicle accident claims, NSW Workers Compensation, personal injury, personal injury commission, SIRA, SIRA DRS, workers compensation, Workers Compensation Commission

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