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.
| Expectation | Benchmarks | |
|---|---|---|
| S11.1 | Upon 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. |
| S11.2 | As 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. |
| Application | This standard does not apply to exempt workers. |