Independent consultants provide independent peer review of allied health practitioner (physical or psychological) treatment.
Any member of the injury management support team may recommend a referral to an independent consultant. Any referral to an independent consultant is to be arranged by the insurer who completes the independent consultant referral form.
At the request of the insurer
The insurer should consider a referral to an independent consultant where an allied health practitioner requests treatment that continues beyond 16 sessions, or if, after discussion with the treating allied health practitioner, there is concern about:
- the treatment duration, frequency and/or whether treatment is reasonably necessary
- treatment that has continued for an extended period without any improvement in functional outcomes, particularly in relation to a worker’s capacity
- the treatment approach most likely to achieve positive work outcomes for the worker
- barriers to recovery at work and/or psychosocial risk factors for delayed recovery and work loss
At the request of the allied health practitioner
As an allied health practitioner, you are encouraged to request involvement of an independent consultant where barriers to recovery, progress, return to work or active participation are evident, and you consider that an independent opinion and/or expert advice is likely to be beneficial in the management of the worker’s injury.
We support the proactive involvement of an independent consultant in these cases in order to achieve the best outcome for the worker.
Contact the insurer by phone or note your request and rationale in the space provided on the allied health recovery request (AHRR). If you are having trouble opening the interactive form, use the static form.
At the request of another member of the support team
Other members of the injury management support team, (eg the employer or worker, doctor or workplace rehabilitation provider), can request an independent consultant review if recovery progress has been delayed, or if guidance regarding treatment management options is required.
Independent consultants are approved by us and must abide by their conditions of approval.
Review of physical treatment
An independent consultant for the review of physical treatment must be a registered:
Review of psychological treatment
An independent consultant for the review of psychological treatment must be a registered psychologist.
All independent consultants must be experienced in the assessment, treatment and management of workplace injuries, and must be approved by us.
Independent consultants have the cost of their services paid by the insurer (as a claims cost). Fees are outlined in the independent consultants fees order.
See invoicing for additional information.
Find an independent consultant
If (following a review by an independent consultant) a worker is not satisfied with the insurer's decision regarding treatment, they may request a further review by the insurer.
If the worker is dissatisfied with the insurer’s response, they may seek advice from our Customer Service Centre on 13 10 50.