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Where am I now? Lawlink > Law Reform Commission > Publications > Report 43 (1984) - Accident Compensation: A Transport Accidents Scheme for New South Wales

Report 43 (1984) - Accident Compensation: A Transport Accidents Scheme for New South Wales


Table of Contents

 

Terms of Reference and Participants

Table of Abbreviations

Glossary

Summary of Recommendations

Preface

Accident Compensation Reference Publications

 

CHAPTER 1. INTRODUCTION

I. Background to the Report


    A. Terms of Reference

    B. Publications


      1. Issues Paper

      2. Working Paper


    C. Research Program

      1. Case Studies

      2. Other No-Fault Compensation Schemes

      3. Modification of the Common Law

      4. Health Care and Rehabilitation

      5. Workers' Compensation

      6. Aspects of the Transport Accidents Scheme


    D. Public Consultations

      1. Preliminary Discussions

      2. Submissions

      3. Meetings and Seminars

      4. Interstate and Overseas Contacts

      5. Consultative Committees

      6. Rehabilitation

II. Transport Accidents - A First Step

    A. Motor Vehicle Accidents

      1. The Magnitude of the Problem

      2. Failure to Compensate Motor Vehicle Accident Victims

      3. Community Concern

      4. No-Fault Motor Vehicle Accident Compensation Schemes

      5. Cost Pressures

      6. Funding Source


    B. Public Transport Accidents

III. Structure of this Report

    A. Background

    B. Existing Compensation Systems

    C. General Principles

    D. A Comparison

    E. A Transport Accidents Scheme for New South Wales: Detailed Proposals

    F. Scope of the Scheme

    G. Administration and Decision-Making

    H. The Cost of the Scheme

    I. The Scheme in Context


 

CHAPTER 2. THE COMPENSATION SYSTEM

I. Introduction

II. Historical Background


    A. The Common Law

      1. Negligence as a Basis for Compensation

      2. Restrictions on the Common Law Negligence Action


    B. Expanded Compensation Arrangements

      1. The Negligence Action

      2. Statutory Compensation Schemes

      3. The Action for Breach of Statutory Duty


    C. Distribution of Losses

      1. Spreading the Risk

      2. Compulsory Insurance

III. The Current Compensation System in New South Wales

    A. The Common Law Negligence Action

      1. Liability

      2. Damages

      3. Wrongful Death Claims

      4. Loss of Consortium

      5. Summary


    B. Workers' Compensation

    C. Limited Statutory Schemes


      1. Criminal Injuries Compensation

      2. Sporting Injuries


    D. The Social Security System

      1. Invalid Pensions

      2. Sickness Benefits

      3. Unemployment Benefits and Sheltered Employment Allowances

      4. Services and Fringe Benefits for Social Security Recipients

      5. Commonwealth Rehabilitation Service

      6. Summary

IV. Summary

 

CHAPTER 3. THE COMMON LAW NEGLIGENCE ACTION

I. Introduction

II. A Critique of the Common Law


    A. Arguments in Support

      1. The Fault Principle

      2. Deterrence

      3. Lump Sum Awards

      4. Individual Assessment and Full Compensation

      5. The Decision-Making Process


    B. Arguments Against

      1. The Fault Principle

      2. Other Inadequacies of the Fault Principle

      3. Once-and-For-All Assessment

      4. Difficulties in Assessing Non-Economic Loss

      5. Effects of the Common Law on Rehabilitation

      6. Delays

      7. Burden on the Court System

      8. Legal and Administrative Costs

      9. Judicial Independence

      10. Increasing Cost of Motor Vehicle Third Party Insurance

      11. Incidental Costs to the Community


    C. The Need for Reform

III. Summary

 

CHAPTER 4. PROPOSALS FOR REFORM

I. The Range of Proposals

II. Modification of the Common Law


    A. Interim Assessment and Periodic Payments

      1. Western Australia

      2. South Australia

      3. United Kingdom

      4. New South Wales

      5. Victoria

      6. Tasmania

      7. Structured Settlements


    B. Limits on Awards

    C. Procedural Changes

    D. Other Modifications


III. No-Fault Schemes to Supplement the Common Law

    A. Victoria

    B. Tasmania


IV. No-Fault Schemes Replacing the Common Law

V. Comprehensive No-Fault Schemes


    A. New Zealand

    B. Australia


VI. Proposals in New South Wales

VII. Summary

 

CHAPTER 5. POLICY QUESTIONS

I. Introduction


    A. Losses

    B. Safety

    C. Rehabilitation


II. Influences on Policy Making

    A. A State Inquiry

    B. The Established System

    C. Cost


III. Comprehensive Entitlement

IV. The Assessment of Compensation


    A. The Models

    B. The Welfare Model


      1. Characteristics

      2. Advantages

      3. Disadvantages


    C. The Disability Model

      1. Characteristics

      2. Advantages

      3. Disadvantages


    D. The Restitution Model

      1. Characteristics

      2. Advantages

      3. Disadvantages


    E. The Approach

      1. Background

      2. The Restitution Model

      3. The Disability Model

      4. The Welfare Model

V. Form of Compensation

    A. Money or Services

    B. Lump Sums or Periodic Payments


VI. Administration and Decision-Making

    A. Administration

    B. Dispute Resolution


VII. Summary

 

CHAPTER 6. THE CHOICE: PURE NO-FAULT OR A DUAL SCHEME?

I. Introduction


    A. The Common Law

    B. Proposals for a Dual Scheme


II. A Comparison: No-Fault and a Dual Scheme

    A. Abolition of Fault as a Criterion for Compensation

    B. Full Compensation


      1. The No-Fault Scheme

      2. The Dual Model


    C. Individual Assessment

    D. Form of Compensation

    E. Independent judicial Review

    F. Delays

    G. Rehabilitation

    H. Costs


      1. Administrative Expenses

      2. Overall Costs

III. Summary

 

CHAPTER 7. COMPENSATION FOR LOSS OF EARNING CAPACITY - I

I. Introduction

II. Earners


    A. General Principles

      1. The Yardstick

      2. Measurement of Loss

      3. Definition of Earner


    B. Assessment of Earning Capacity- Employees

      1. Definition of Earnings

      2. Assessment of Earnings


    C. Assessment of Earning Capacity. Self-Employed People

      1. The Problem

      2. The Basis for Assessment of Loss

      3. The Earnings Approach

      4. The Replacement Services Approach

      5. The Equivalent Employee Approach

      6. Earnings both as an Employed and Self-Employed Person


    D. Long-Term Incapacity: The Floor

III. Post-Accident Earning Capacity

    A. The Issue

    B. The Suggested Approach

    C. Notice


IV. Potential for Advancement

    A. Eligibility to Claim

    B. Assessment of Potential for Advancement


      1. The Criteria

      2. Limits on Speculation

V. Non-Earners

    A. Definition

    B. Compensation for Loss of Earning Capacity

    C. Assessment of Compensation


      1. Notional Earning Capacity

      2. Potential for Advancement

      3. Post-Accident Earning Capacity


    D. Short-Term Incapacity

VI. Summary

 

CHAPTER 8. COMPENSATION FOR LOSS OF EARNING CAPACITY - II

I. The Form and Payment of Compensation


    A. Periodic Payments

    B. Redemptions

    C. Gross Earnings

    D. Proportion of Loss Compensated

    E. The Ceiling

    F. Indexation of Compensation

    G. Assignability of Benefits


II. Commencement and Termination of Benefits

    A. Commencement of Benefits

    B. Waiting Periods


      1. The First Five Days

      2. “Earners” Not in Workforce


    C. Termination of Benefits

      1. General

      2. Age Limits

III. Assessment of Permanent Incapacity

IV. Summary

 

CHAPTER 9. REHABILITATION

I. Introduction

II. Emergence of Rehabilitation


    A. Australia

      1. Charities

      2. The Commonwealth Government

      3. The State Hospital System

      4. The Workers' Compensation System

      5. The Australian Woodhouse Committee

      6. The Victorian No-Fault System


    B. New Zealand

    C. International Developments

    D. Anti-Discrimination Legislation


III. Role of the Accident Compensation Corporation

    A. The Right to Rehabilitation

    B. Ensuring the Provision of Rehabilitation Services

    C. A Rehabilitation Section


IV. Medical and Functional Rehabilitation

    A. The Aim

    B. Problems Requiring Attention


      1. Medical Treatment

      2. Shortage of Rehabilitation Specialists

      3. Centralised Services

V. Medical Equipment and Mechanical Aids

    A. Medical Equipment and Pharmaceutical Supplies

    B. Aids and Appliances

    C. Research


VI. Workforce Rehabilitation

    A. Training and Retraining

    B. Alteration to Workplace

    C. Liability to Pay Workers' Compensation

    D. Placement Programs

    E. Return to Work and Compensation Entitlement

    F. Business Loans


VII. Social Rehabilitation

VIII. Summary

 

CHAPTER 10. SUPPORT SERVICES AND INDEPENDENT LIVING

I. Introduction

II. Household Services


    A. Introduction

    B. Scope of Household Services

    C. Provision of Services

    D. Possible Limits


III. Attendant Care

    A. Introduction

    B. Assessment of Need

    C. Provision of Services

    D. Family Members


IV. Emergency Family Support

V. Accommodation


    A. Introduction

    B. Home Ownership

    C. Home Modifications

    D. Institutional Accommodation


VI. Mobility

    A. Introduction

    B. Vehicle Modifications

    C. Mobility Allowance


VII. Summary

 

CHAPTER 11. COMPENSATION FOR PERMANENT DISABILITY

I. Introduction

II. The Concept of Permanent Disability


    A. The Meaning of Permanent Disability

    B. The Scope of Permanent Disability


III. Comparisons with Existing Compensation Systems

    A. The Common Law

      1. Pain and Suffering

      2. Loss of Amenities and Enjoyment of Life

      3. Loss of Expectation of Life

      4. Once-and-For-All Assessment

      5. Why not the Common Law Approach


    B. The New South Wales Workers' Compensation System

    C. The New Zealand Accident Compensation Act


      1. Compensation for Permanent Impairment

      2. Compensation for Pain and Suffering

IV. Detailed Proposals

    A. The Form of Compensation

    B. The Amount of Compensation

    C. Thresholds


      1. A Minimum Level of Disability

      2. Total Disability


    D. Variations Because of Age

    E. The Deceased or Unconscious Victim

    1. The Deceased Victim

    2. The Unconscious Victim

    F. Duty to Mitigate

    G. Assessment


V. Summary

 

CHAPTER 12. COMPENSATION ON DEATH

I. Introduction


    A. The Need for Death Benefits

    B. Other Compensation Systems


      1. Common Law

      2. Workers' Compensation

      3. No-Fault Schemes


    C. Form of Compensation - Working Paper Proposals Reconsidered

    D. Eligible Claimants


      1. Material Dependence

      2. Family Membership

      3. Eligibility Summarised

II. Lump Sum Payment

    A. Surviving Spouse and/or Children

    B. Surviving Spouse and/or Children and Other Dependent Family Members

    C. Surviving Dependent Family Members Other than Spouse and/or Children


III. Periodic Compensation for Children

IV. Additional Compensation for the Spouse of an Earner


    A. Spouse of Earner with Child-Care Responsibilities

    B. Surviving Spouse of an Earner with Long-Term Child-Care Responsibilities

    C. Surviving Spouse of an Earner where the Earning Capacity of the Spouse is Impaired for Reasons other than Child-Care Responsibilities

    D. Assessment of Earning Capacity


V. Replacement Household Services

VI. Limits of Benefits


    A. General Limits

      1. Time Between Accident and Death

      2. Deaths in Rapid Succession

      3. Deaths of Both Parents


    B. Limits on Periodic Payments to Spouse and Children

    C. Death Of Spouse or Child

    D. Remarriage Of Spouse


VII. Funeral Expenses

VIII. Solatium

IX. Administrative Matters


    A. Interim Payouts

    B. Establishing Eligibility


X. Summary

 

CHAPTER 13. MEDICAL, HOSPITAL AND RELATED SERVICES

I. Introduction

II. A Necessary Balance


    A. The Experience in Other No-Fault Schemes

    B. The Experience of the General Health Care System

    C. Lessons for the Transport Accidents Scheme


III. Existing Health Care Arrangements

    A. The Community Generally

      1. Medical Costs

      2. Hospital Costs

      3. Ancillary Services

      4. Convalescent Care

      5. Home Nursing Care

      6. Institutional Care


    B. The Compensable Accident Victim

      1. Medical Costs

      2. Hospital Costs

      3. Other Services

IV. Proposals

    A. Introduction

    B. Medical and Hospital Funds


      1. Provision of Services

      2. The Cost


    C. Ancillary Services and Home Nursing

    D. Nursing Home and Institutional Care


V. Summary

 

CHAPTER 14. SCOPE OF THE SCHEME

I. Introduction

II. Transport Accidents


    A. Forms of Transport

      1. Motor Vehicles

      2. Public Transport

      3. Other Forms of Transport

      4. Motor Sports


    B. Transport Accident Defined

    C. Commonwealth Vehicles


III. Death or Bodily Injury

    A. Pre-natal injury

    B. Nervous Shock

    C. Artificial Members and Aids


IV. Problems of Causation

    A. Death or Bodily Injury “Caused by or Arising out of the Use of a Motor Vehicle or Other Forms of Transport

    B. Pre-Accident Condition


      1. The Causal Connection

      2. Existing Disability or Incapacity

      3. Latent Disability or Incapacity

      4. Susceptibility to Injury


    C. Post-Accident Aggravation of Injury

      1. Consequences of the Transport Accident

      2. Independent Events

V. Coverage of the Scheme

    A. Geographical Scope

      1. Other Schemes

      2. Our Approach

      3. Limits on Coverage

      4. Recommendations


    B. Residents and Non-Residents

      1. Definition of Resident

      2. Overseas Resident

      3. Beneficiary under the Scheme takes up Residence Overseas

VI. Abolition of Other Rights to Compensation

    A. Introduction

    B. Defective Products

    C. Occupiers' Liability

    D. Conclusion


VII. Indemnification of New South Wales Owner/Driver

VIII. Work-Related Accidents


    A. The Workers' Compensation System

      1. Journey Transport Accidents

      2. Course of Employment Transport Accidents

      3. The Cost of Course of Employment and Journey Claims

      4. Recommendations


    B. Common Law Actions and Work- Related Accidents

IX. Double Compensation

    A. Election and Alternative Source of Compensation

    B. Avoiding Double Compensation


      1. Set-Offs

      2. Forfeiture and Assignment of Rights


    C. Collateral Benefits

      1. The Existing System

      2. Proposals for the Scheme

X. Exclusions

    A. Exclusions under Existing Schemes

      1. New Zealand

      2. Victoria

      3. Tasmania

      4. Northern Territory


    B. Matters of Principle

      1. The Policy Choice

      2. What is Excluded?


    C. Proposals

      1. Self-Inflicted Injury

      2. Crimes of Violence

      3. Driving Offences

      4. Imprisonment

XI. Summary

 

CHAPTER 15. ADMINISTRATION OF THE SCHEME

I. Introduction

II. Principles of Administration

III. Administrative Functions


    A. Promotion Of the Scheme and Assistance to Claimants

    B. Policy Formulation

    C. Assessment of Entitlements and the Provision of Benefits

    D. Coordination

    E. Research

    F. Accident Prevention and Safety

    G. Conclusion


IV. The Accident Compensation Corporation

    A. The Options

    B. An Independent Statutory Authority


V. Structure of the Accident Compensation Corporation

    A. Accountability

    B. Management

    C. Staff Structure

    D. Decentralisation

    E. Investment of Funds

    F. Liablilty to Taxation


VI. Policy Review

VII. Summary

 

CHAPTER 16. DECISION-MAKING: ASSESSMENT AND APPEAL

I. Introduction

II. Decision-Making Within the Corporation


    A. The Claims Process

    B. Assessment of Continuing Entitlement to Compensation

    C. Powers

    D. Advice to Claimants

    E. Assessing officers

    F. Medical Assessment

    G. The Claims Manual

    H. Interim Assessment

    I. Adverse Decisions

    J. Time Limit

    K. Secrecy and Protection from Defamation


III. The Appeal Structure

    A. Introduction

    B. A Two-Tiered System


IV. The First Stage: Compensation Review Panels

    A. The Appeal

    B. Decision-Making Powers

    C. Constitution of the Panels

    D. Procedures


      1. Informality and the Rules of Evidence

      2. The File

      3. Open Hearings


    E. Powers

    F. Representation

    G. Witnesses

    H. Expenses and Costs

    I. Reasons for Decision


V. The Second Stage - The Accident Compensation Appeal Tribunal

    A. The Appeal

    B. Decision-Making Powers

    C. Constitution of the Tribunal

    D. Procedures of the Tribunal


      1. Informality

      2. Rules of Evidence

      3. Preliminary Conferences

      4. Open Hearings


    E. Powers

    F. Representation

    G. Witnesses

    H. Expenses and Costs

    I. Reasons for Decision

    J. Placement of the Tribunal


VI. Further Appeal

VII. Other Review

VIII. Summary

 

CHAPTER 17. FINANCIAL ASPECTS

I. Introduction

II. Cost Estimates


    A. Data and Assumptions

    B. Costing Alternatives


      1. Pay-As-You-Go Scheme

      2. Fully Funded Scheme

      3. The Existing System

      4. Dual Scheme - Limited No-Fault/Common Law

      5. Interstate Aspects of the Scheme

      6. A Comparison

III. Fully Funded or Pay-As-You-Go?

IV. Major Revenue Sources


    A. Contributions from Motor Vehicle Owners

    B. Contributions from Public Transport Authorities

    C. Levy on Drivers' Licences

    D. Fines for Motoring Offence

    E. Motor Fuel Tax

    F. Review of Revenue Sources


V. Risk Factors, Safety and Funding

    A. Introduction

    B. Vehicle Risk Classification

    C. Driver Risk Ratings

    D. Public Transport Authorities


VI. Other Funding Sources

    A. Course of Employment and Journey Accidents

    B. Interstate Accidents

    C. The Commonwealth


      1. Commonwealth Vehicles and Employees

      2. Commonwealth Financial Assistance

VII. Transitional Arrangements

VIII. Summary

 

CHAPTER 18. THE SCHEME IN CONTEXT

I. Introduction

II. The Drawbacks of a Limited Scheme

III. From Transport Accidents to a Comprehensive Scheme

 

LIST OF RECOMMENDATIONS

 

DRAFT LEGISLATION

 

APPENDICES

A. THE NEW SOUTH WALES COMMUNITY AND TRANSPORT ACCIDENT VICTIMS - SOME STATISTICS

B. SUBMISSIONS RECEIVED PRIOR TO RELEASE OF WORKING PAPER I IN MAY 1983

C. SUBMISSIONS RECEIVED FOLLOWING RELEASE OF WORKING PAPER I

D. PUBLIC CONSULTATION

E. MEETINGS AND SEMINARS ATTENDED IN THE COURSE OF THE REFERENCE

F. RESPONSES TO THE COMMISSION'S WORK

 

TABLE OF STATUTES

 

TABLE OF CASES

 

LIST OF TABLES

 

SELECT BIBLIOGRAPHY

 

INDEX



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