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s 150

WPI assessment—both physical and psychological injuries

In force
Chapter 2Motor accident injuries—defined benefits
Part 2.6Defined benefits—quality of life benefits
Division 2.6.3Quality of life benefits—WPI assessment

150 WPI assessment—both physical and psychological injuries

(1)

This section applies if an injured person sustains both a physical injury and a primary psychological injury resulting from a motor accident.

(2)

The injured person may request separate WPI assessments of—

(a)

the physical injury; and

(b)

the primary psychological injury.

(3)

However, the injured person may request a WPI assessment of the primary psychological injury only if the person has received—

(a)

mental health treatment for the injury; and

(b)

a notice, in writing, from a psychiatrist or clinical psychologist that the psychiatrist or clinical psychologist reasonably believes the person is likely to have a permanent psychological injury resulting from the motor accident.

(4)

To remove any doubt—

(a)

a WPI assessment of a physical injury may take into account a secondary psychological injury; but

(b)

a WPI assessment of a primary psychological injury must not take into account a secondary psychological injury.

(5)

The relevant insurer for the motor accident is only liable for the costs of 1 WPI assessment for each kind of injury.

(6)

In this section:

primary psychological injury—

(a)

means an injury that is—

(i)

a psychological or psychiatric disorder, including the physiological effect of a psychological or psychiatric disorder on the nervous system, that results directly from a motor accident; and

(ii)

diagnosed by a psychiatrist or clinical psychologist; but

(b)

does not include a psychological or psychiatric disorder that results from a physical injury resulting from a motor accident.

Example—psychological injury resulting from a motor accident post-traumatic stress disorder as a result of witnessing the motor accident secondary psychological injury means an injury that is—

(a)

a psychological or psychiatric disorder that results from a physical injury resulting from a motor accident; and

(b)

diagnosed by a psychiatrist or clinical psychologist.

Example—psychological injury that results from physical injury depression and anxiety as a result of ongoing pain from the physical injury

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