Health professionals and earning capacity decisions in the CTP scheme

We are seeking feedback on proposed advice for CTP insurers and health professionals on the role and expectations for health professionals who are supporting insurer decisions about earning capacity.

  • The Issue

    Consultation period: 14/05/2019 8:30 am to 29/05/2019 11:59 pm

    We are seeking feedback on proposed advice for CTP insurers and health professionals on the role and expectations for health professionals who are supporting insurer decisions about earning capacity.

    Background

    The CTP insurer is responsible for making earning capacity decisions about CTP claimants, under the Motor Accident Injuries Act 2019 and the Motor Accident Guidelines (MAGs) issued by SIRA. In making these decisions, the insurer considers evidence regarding the person's capacity for work provided by health professional/s.

    An insurer can make a decision about the pre-accident earning capacity or post-accident earning capacity of a person at any relevant time. In determining the amount of weekly payments under s 3.8 in respect of the period after week 78 after the motor accident, insurers are to determine ‘employment reasonably available’ to a person.

    This draft advice for health professionals and CTP insurers has been developed in consultation with targeted peak bodies and insurers. The advice sets out expectations of the appropriate qualifications, skills and experience of those providers who support insurers in making earning capacity decisions.

    Have your say

    Please read the proposed advice on ‘The role of health professionals in informing insurers’ earning capacity decisions in the CTP scheme’ and send us your feedback on any aspect of the document using the methods outlined in the ‘Have Your Say’ section below.

    Next steps

    Once the consultation closes we will consider all the feedback and release the advice to CTP insurers and health professionals. Further information will be included on this website when it becomes available.

  • Milestones

    20 December 2018                                             SIRA, CTP insurers and the Australian Rehabilitation Providers Association workshop to discuss the need for advice around earning capacity, and likely issues
    13 May 2019 Consultation opens
    28 May 2019 Consultation closes

Have your say

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We invite you to tell us your views by using our online form. You don't have to answer every question but your submission needs to address the specific issues raised in the documents and where possible provide evidence to support your feedback (eg are there any reports or papers you can refer to?).

Use our online form

If you can't use our online form, you can email your submission to ctppolicy@sira.nsw.gov.au. We will publish your submission if not told otherwise.

If you can't provide your submission electronically, you can send your submission by mail to:

Health professionals and earning capacity decisions in the CTP scheme consultation
Motor Accident Insurance Regulation
SIRA
Level 13 West,
McKell Building
2-24 Rawson Place
Sydney NSW 2000