Attendant care services, questions injured people ask in Greater Sydney
If you're injured in a motor accident in NSW and need help with daily living tasks, you may be eligible for attendant care services under the Compulsory Third Party (CTP) scheme. This article explains what types of care qualify, how claims are assessed, and what evidence you need to support your request.
What types of care count as 'attendant care' under NSW CTP rules?
Attendant care services cover assistance with daily living activities that you cannot perform independently due to your injury. This includes help with:
- Bathing or dressing
- Eating or drinking
- Using the toilet
- Mobility support (e.g., helping you walk or transfer)
- Supervision of personal care
SIRA (State Insurance Regulatory Authority) determines eligibility based on your injury's impact and medical evidence. For example, if you have a spinal injury that limits your mobility, you may qualify for assistance with walking or transferring from a wheelchair.
How does SIRA assess eligibility for attendant care services?
SIRA evaluates whether your injury requires ongoing assistance by reviewing:
- Medical reports from healthcare professionals
- Evidence of your injury's effect on daily living
- Your ability to perform basic tasks like dressing or eating
A doctor's report stating that you need help with bathing due to a fractured hip would support a claim for attendant care. The assessment focuses on whether the care is 'reasonably necessary' to maintain your health and independence.
What evidence is needed to claim attendant care services?
To support your claim, you'll need:
- Detailed medical records showing your injury's impact
- A care plan from a registered nurse or physiotherapist
- Evidence of the care provider's qualifications (e.g., a nurse's license)
- Records of how the care has helped you (e.g., a diary of assistance received)
If you're using a home care provider, keep invoices and a log of services. SIRA may request these documents to verify the care's necessity.
Time limits and disputes over attendant care claims
You have 52 weeks from the accident date to claim statutory benefits like weekly payments or treatment costs. After this period, SIRA may stop paying benefits unless your injury meets the 'whole person impairment' threshold (e.g., a 10% or greater loss of function). If your claim is disputed, SIRA will review your evidence and may request additional medical opinions.
When to seek legal advice for attendant care claims
If you're unsure whether your care qualifies, or if your claim is rejected, you may need to consult a solicitor. A lawyer can help you:
- Challenge a decision to stop benefits
- Negotiate for additional services
- Ensure you meet all SIRA requirements
Next steps for injured people in Greater Sydney
If you're struggling to claim attendant care services or need help understanding your options, contact a legal professional. Every claim depends on its own facts, and time limits may apply. To request contact about your circumstances, complete the quick, no obligation enquiry form.