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Standard 11 - changes in capacity

It is important for work capacity assessments to be undertaken promptly following receipt of a certificate indicating a change in a worker’s capacity, to ensure workers continue to receive appropriate compensation and support.

Changes in capacity

Principle: A worker’s work capacity will be re-assessed promptly upon receipt of new information indicating a change in work capacity.

 ExpectationBenchmarks
S11.1Upon receipt of a certificate of capacity indicating a change in a worker’s capacity, insurers must investigate the reasons for a change in a worker’s capacity, which may require consultation with the worker, the nominated treating doctor and any treating specialists or workplace rehabilitation providers.Evidence on claim file.
S11.2As soon as practicable upon receipt of a certificate of capacity indicating a change in a worker’s capacity, the insurer must conduct a work capacity assessment, make a work capacity decision and advise the worker of the outcomes of the assessment and decision.Advice provided to the worker within two working days after decision.
ApplicationThis standard does not apply to exempt workers.