Under s 93(4)(d) of the Transport Accident Act 1986, pain and suffering consequences must be assessed together with pecuniary disadvantage consequences when determining whether the 'very considerable' test is satisfied — unlike the separate assessment required under the Accident Compensation Act 1985. An applicant's stoicism in continuing to work in a demanding role despite pain should not be treated as a factor against granting leave. For young applicants with permanent spinal injuries causing loss of recreational activities and daily pain, the duration over which consequences must be endured is a significant factor in assessing seriousness.
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