1.

4

Burns, with deep second degree, third degree, or full thickness burns affecting 70 per cent or more of whole body surface area.

2.

5

Burns, with deep second degree, third degree, or full thickness burns affecting 50 to 69.9 per cent of whole body surface area.

3.

6

Burns, with deep second degree, third degree, or full thickness burns affecting 15 to 49.9 per cent of whole body surface area.

4.

6

Burns, with deep second degree, third degree, or full thickness burns to the face or face and neck including one or more of the following: loss of or very severe damage to chin, ear, lip or nose, resulting in or expected to result in residual scarring and poor cosmetic outcome despite treatment and camouflage.

5.

7

Burns, with deep second degree, third degree, or full thickness burns to the face or face and neck resulting in or expected to result in residual scarring and poor cosmetic results despite treatment and camouflage.

6.

8

Burns, with deep second degree, third degree, or full thickness burns affecting 9 to 14.9 per cent of whole body surface area.

7.

9

Burns, with deep second degree, third degree, or full thickness burns to the face or face and neck resulting in or expected to result in residual scarring and satisfactory cosmetic results with camouflage.

8.

11

Burns, with deep second degree, third degree, or full thickness burns affecting 4.5 to 8.9 per cent of whole body surface area.

9.

12

Burns, with deep second degree, third degree, or full thickness burns affecting less than 4.5 per cent of whole body surface area.

10.

12

Burns, with first degree or superficial second degree burns affecting more than 15 per cent of whole body surface area.

11.

13

Burns, with first degree or superficial second degree burns to the face or face and neck.

12.

14

Burns, with first degree or superficial second degree burns affecting 4.5 to 15 per cent of whole body surface area.

13.

15

Burns, with first degree or superficial second degree burns affecting 1 to 4.4 per cent of whole body surface area.

1.

5

Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing permanent significant functional limitation and restriction.

2.

5

Loss of both kidneys or chronic renal failure.

3.

6

Complex injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, with complications, causing permanent significant functional limitation and restriction.

4.

6

Injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing permanent significant functional limitation and restriction.

5.

6

Complex injury to chest, with complications, causing permanent significant functional limitation and restriction.

6.

7

Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing permanent significant functional limitation and restriction.

7.

7

Injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, with complications, causing permanent significant functional limitation and restriction.

8.

7

Injury to chest, with complications, causing permanent significant functional limitation and restriction.

9.

7

Complex injury to chest causing permanent significant functional limitation and restriction

10.

7

Complex injury to abdomen, including pelvis, with complications, causing permanent significant functional limitation and restriction.

11.

7

Severe facial lacerations including one or more of the following: loss of or very severe damage to chin, ear, lip or nose, which produce poor cosmetic result despite camouflage and have required, or are expected to require, operative treatment.

F511A.

7

High velocity gun shot wound, deep shrapnel fragmentation or other penetrating injury (or all or any combination of these) with clinically significant damage to bone, soft tissue structures and vascular or neurological structures of the head and neck, chest, back, abdomen or limb, with complications, which have required, or are expected to require, operative treatment with residual permanent significant functional limitation and restriction.

12.

8

Injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing permanent significant functional limitation and restriction.

13.

8

Complex injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing permanent significant functional limitation and restriction.

14.

8

Severe facial lacerations which produce poor cosmetic result despite camouflage and have required, or are expected to require, operative treatment.

15.

8

Injury to abdomen, including pelvis, with complications, causing permanent significant functional limitation and restriction.

16.

8

Complex injury to abdomen, including pelvis, causing permanent significant functional limitation and restriction.

17.

8

Injury to chest, causing permanent significant functional limitation and restriction.

18.

9

Injury to abdomen, including pelvis, causing permanent significant functional limitation and restriction.

19.

9

Injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing permanent significant functional limitation and restriction.

20.

9

Complex injury covering all or most of the hand, with complications, causing permanent significant functional limitation and restriction.

F620A.

9

High velocity gun shot wound, deep shrapnel fragmentation or other penetrating injury (or all or any combination of these) with clinically significant damage to soft tissue structures and vascular or neurological structures of the head and neck, chest, back, abdomen or limb, which have required, or are expected to require, operative treatment with residual permanent significant functional limitation and restriction.

21.

10

Serious permanent damage to, or loss of, one kidney.

22.

10

Severe facial lacerations which have required, or are expected to require, operative treatment resulting in or expected to result in a satisfactory cosmetic result.

23.

10

Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

24.

10

Complex injury to chest, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

25.

10

Complex injury covering all or most of the foot, with complications, causing permanent significant functional limitation and restriction.

26.

11

Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

27.

11

Traumatic damage to spleen which has required splenectomy and where there is, or where there is a high risk of, overwhelming post-splenectomy infection.

28.

11

Severe facial scarring which produces a poor cosmetic result despite camouflage.

29.

11

F7High velocity gun shot wound, deep shrapnel fragmentation or other penetrating injury (or all or any combination of these) with clinically significant damage to soft tissue structures of the head and neck, chest, back, abdomen or limb, which have required, or are expected to require, operative treatment with residual permanent significant functional limitation and restriction.

30.

11

Complex injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

31.

11

Injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

32.

11

Complex injury to chest, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

33.

11

Complex injury to abdomen, including pelvis, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

34.

11

Complex injury covering all or most of the hand, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

35.

12

Complex injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

36.

12

Severe scarring of face, or face and neck, or neck, scalp, torso or limb, where camouflage produces a good cosmetic result.

37.

12

Injury to chest, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

38.

12

Injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

39.

12

High velocity gun shot wound, deep shrapnel fragmentation or one or more puncture wounds (or all or any combination of these injuries) to the head and neck, chest, back, abdomen or limb F8which have required, or are expected to require, operative treatment with substantial functional recovery..

40.

12

Traumatic injury to genitalia requiring treatment resulting in severe permanent damage or loss.

41.

12

Injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

42.

12

Complex injury to abdomen, including pelvis, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

43.

12

Complex injury covering all or most of the foot, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

44.

13

Injury to abdomen, including pelvis, with complications, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

45.

13

Injury to all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

46.

13

Injury to chest, causing or expected to cause significant functional limitation and restriction at 26 weeks, where the claimant has made or is expected to make a substantial recovery beyond that date.

47.

13

Moderate facial scarring where camouflage produces a good cosmetic result.

48.

13

Lung damage due to toxic fumes, smoke inhalation or blast, where symptoms have continued, or are expected to continue beyond 6 weeks and where the claimant has made or is expected to make a substantial recovery within 26 weeks.

49.

13

Traumatic tension or open pneumothorax.

50.

13

Superficial shrapnel fragmentation or one or more puncture wounds (or both such injuries) to head and neck, torso or limb which have required, or are expected to require, operative treatment.

51.

13

Fractured tooth which has required, or is expected to require, root resection.

52.

13

Loss of two or more front teeth.

53.

14

Injury to abdomen including pelvis, causing or expected to cause significant functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.

54.

14

Moderate scarring of scalp, neck, torso or limbs where camouflage produces a good cosmetic result.

55.

14

Minor facial scarring.

56.

14

Flesh wound which has required, or is expected to require, operative treatment.

57.

14

Traumatic injury to genitalia requiring treatment resulting in moderate permanent damage.

58.

14

Damage to one front tooth which has required, or is expected to require, a crown or root canal surgery.

59.

14

Damage to two or more teeth other than front which have required, or are expected to require, crowns or root canal surgery.

60.

14

Loss of one front tooth.

61.

14

Loss of two or more teeth other than front.

62.

14

Cold injury with persisting symptoms and significant functional limitation and restriction.

63.

15

Minor scarring of scalp, neck, torso or limbs.

64.

15

Injury to abdomen, including pelvis, causing or expected to cause significant functional limitation and restriction at 13 weeks, with substantial recovery within 26 weeks.

65.

15

Shrapnel fragmentation or one or more puncture wounds (or both such injuries) to head and neck, torso or limb not requiring operative treatment.

66.

15

Cold injury which has caused, or is expected to cause, symptoms and significant functional limitation and restriction at 6 weeks, with substantial recovery beyond that date.

1.

8

Permanent mental disorder, causing severe functional limitation and restriction.

2.

9

Permanent mental disorder, causing moderate functional limitation and restriction.

3.

10

Mental disorder, causing functional limitation and restriction, which has continued, or is expected to continue for 5 years.

4.

12

Mental disorder, which has caused or is expected to cause functional limitation and restriction at 2 years, from which the claimant has made, or is expected to make, a substantial recovery within 5 years.

5.

13

Mental disorder, which has caused, or is expected to cause, functional limitation and restriction at 26 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 2 years.

6.

14

Mental disorder, which has caused or is expected to cause, functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

1.

6

Physical disorder causing severe functional limitation and restriction where life expectancy is less than five years.

2.

7

Physical disorder causing severe functional limitation and restriction where life expectancy is reduced, but is more than 5 years.

3.

8

Infertility.

4.

9

Physical disorder causing permanent severe functional limitation and restriction.

5.

11

Physical disorder which has caused, or is expected to cause severe functional limitation and restriction at 26 weeks from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

6.

11

Physical disorder causing permanent moderate functional limitation and restriction.

F96A.

12

Persisting physical disorder where symptoms and functional effects are well controlled by regular medication.

7.

13

Physical disorder which has caused, or is expected to cause, severe functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

8.

13

Physical disorder which has caused, or is expected to cause, moderate functional limitation and restriction at 26 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

9.

14

Physical disorder which has caused, or is expected to cause, severe functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

10.

14

Physical disorder which has caused, or is expected to cause, moderate functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

11.

15

Physical disorder which has caused, or is expected to cause, moderate functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

1.

1

Loss of both legs (above or below knee) and both arms (above or below elbow).

2.

1

Loss of both eyes or sight in both eyes and loss of either both legs (above or below knee), or both arms (above or below elbow).

3.

1

Total deafness and loss of either both legs or both arms.

4.

2

Loss of both legs above knee (hip disarticulation or hemipelvectomy).

5.

2

Loss of both arms above elbow (shoulder disarticulation or forequarter).

6.

2

Loss of both legs above or below knee (not hip disarticulation or hemipelvectomy) and one arm (above or below elbow).

7.

2

Loss of both arms above or below elbow (not shoulder disarticulation or forequarter) and one leg (above or below knee).

F107A.

2

Loss of one arm, above or below elbow, and one leg, above or below knee, with total loss of use of another limb due to traumatic injury involving vital structures.*

8.

3

Loss of both legs at or above knee (trans–femoral or knee disarticulation).

9.

3

Loss of both arms at or above elbow (trans–humeral or elbow disarticulation).

10.

3

Loss of one leg above knee (hip disarticulation or hemipelvectomy).

11.

3

Loss of one arm above elbow (shoulder disarticulation or forequarter).

12.

4

Loss of both legs below knee (trans-tibial).

13.

4

Loss of both arms below elbow (trans-radial).

14.

4

Loss of both hands (wrist disarticulation) or where amputation distal to that site has led to permanent total loss of use of both hands.

15.

5

Loss of both feet at ankle or where amputation distal to that site has led to permanent total loss of use of both feet.

16.

5

Loss of one leg at or above knee (trans-femoral or knee disarticulation).

17.

5

Loss of one arm at or above elbow (trans-humeral or elbow disarticulation).

18.

6

Loss of one leg below knee (trans-tibial).

19.

6

Loss of one arm below elbow (trans-radial).

20.

6

Loss of one hand (wrist disarticulation) or where amputation distal to that site has led to permanent total loss of use of one hand.

21.

7

Loss of both thumbs.

22.

8

Loss of one foot at ankle or where amputation distal to that site has led to permanent total loss of use of foot.

23.

10

Loss of both great toes.

24.

10

Loss of thumb.

25.

10

Loss of both index fingers.

26.

10

Loss of two or more fingers, other than thumb or index finger, from each hand.

27.

10

Partial loss of thumb and index finger from each hand.

28.

11

Loss of two or more fingers, other than thumb or index finger, from one hand.

29.

12

Loss of great toe.

30.

12

Loss of two or more toes, other than great toe, from each foot.

31.

12

Loss of index finger from one hand.

32.

12

Partial loss of thumb and index finger from one hand.

33.

12

Partial loss of two or more fingers, other than thumb or index finger, from each hand.

34.

12

Loss of finger, other than thumb or index finger, from each hand.

35.

12

Partial loss of thumb or index finger from each hand.

36.

12

Persistent phantom limb pain.

37.

12

Stump neuroma with trigger point stump pain.

38.

13

Loss of two or more toes, other than great toe, from one foot.

39.

13

Partial loss of each great toe.

40.

13

Partial loss of one finger, other than thumb or index finger, from each hand.

41.

13

Loss of one finger, other than thumb or index finger, from one hand.

42.

13

Partial loss of two or more fingers, other than thumb or index finger, from one hand.

43.

13

Partial loss of thumb or index finger from one hand.

44.

14

Partial loss of great toe from one foot.

45.

14

Loss of one toe, other than great toe, from each foot.

F1145A.

14

Partial loss of two or more toes, other than great toe, from one foot.

46.

14

Partial loss of one finger, other than thumb or index finger, from one hand.

47.

15

Loss of one toe, other than great toe, from one foot.

1.

1

Spinal cord injury, at or above vertebra C3.

2.

1

Brain injury with persistent vegetative state.^(a)

3.

1

Brain injury where epilepsy is present (or where there is a high risk of epilepsy) and the claimant has reflex activity but has little or no meaningful response to the environment, no language, double incontinence and requires full-time skilled nursing care_. ^(b)

F43A.

2

Brain injury where epilepsy is present (or where there is a high risk of epilepsy) and full-time skilled nursing care is required, and the claimant has two of the following: reflex activity but little or no meaningful response to the environment, no language or double incontinence.^(ab)

4.

2

Spinal cord injury at vertebra C4, C5 or C6.

5.

3

Spinal cord injury at vertebra C7, C8 or T1.

6.

3

Brain injury where epilepsy is present (or where there is a high risk of epilepsy) where the claimant has limited response to the environment; substantial physical and sensory problems; one or more of cognitive, personality or behavioural problems and requires regular skilled nursing care. ^(c)

7.

4

Spinal cord injury at vertebra T2 to T6.

8.

4

Brain injury where epilepsy is present (or where there is a high risk of epilepsy) where the claimant has some limitation on response to the environment; some physical and sensory problems; and one or more of cognitive, personality or behavioural problems but does not require skilled nursing care.^(d)

9.

4

Uncontrolled post head injury epilepsy.

10.

5

Spinal cord injury at vertebra T7 to T10.

11.

5

Hemiplegia.

12.

5

Brain injury with some risk of epilepsy, where the claimant has moderate physical or sensory problems; one or more of cognitive, personality or behavioural problems and requires some help from others with activities of everyday living but not personal or nursing care. ^(d)

13.

6

Spinal cord injury at vertebra T11 to L1.

14.

7

Spinal cord injury at vertebra below L1.

15.

7

Brain injury with some persisting physical or sensory problems; one or more of cognitive, personality or behavioural problems and requires occasional help from others with activities of everyday living ^{(d) or (e)}.

16.

9

Permanent upper limb paralysis due to traumatic damage to brachial plexus – pre-ganglionic.

17.

9

Permanent isolated damage to one cranial nerve.

18.

10

Permanent foot or wrist drop.

19.

11

Brain injury from which the claimant has made, or is expected to make, a substantial recovery beyond 26 weeks, except for residual objectively verified vertigo ^(f).

20.

11

Brain haemorrhage or stroke which has caused, or is expected to cause, persistent significant functional limitation and restriction at 26 weeks, but where there has been, or is expected to be, a substantial recovery beyond that date.

21.

11

Brain injury from which the claimant has made a substantial recovery and is able to resume work and social life with no significant physical, sensory or cognitive deficits but some residual problems with concentration and memory, disinhibited mood, personality change or depression.

22.

11

Minor head injury which has caused, or is expected to cause, functionally limiting or restricting impaired balance or post traumatic syndrome for more than 52 weeks.

23.

12

Controlled post head injury epilepsy.

24.

12

Permanent substantial peripheral motor sensory or autonomic nerve damage.

25.

12

Entrapment neuropathy which has not responded to treatment.

26.

12

Permanent upper limb paralysis due to traumatic damage to brachial plexus – post-ganglionic.

27.

13

Permanent facial numbness including lip.

28.

13

Entrapment neuropathy which has responded, or is expected to respond, to treatment.

29.

13

Minor head injury which has caused, or is expected to cause, functionally limiting or restricting impaired balance or post-traumatic syndrome for more than 6 weeks, with substantial recovery beyond that date.

30.

14

Permanent facial numbness which does not include the lip.

31.

15

Permanent minor peripheral sensory nerve damage.

1.

1

Total deafness and loss of both eyes, or total deafness and total blindness in both eyes, or total deafness and loss of one eye and total blindness in the other eye.

2.

2

Loss of eyes.

3.

2

Total blindness in both eyes.

4.

2

Loss of one eye and total blindness in the other eye.

5.

5

Loss of one eye and permanent damage to the other eye, where visual acuity is correctable to 6/36.

6.

6

Total deafness in both ears.

7.

6

Severe binocular visual field loss.

8.

8

Loss of one eye or total blindness in one eye.

9.

8

Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with severe persistent tinnitus.

10.

9

Partial loss of vision where visual acuity is correctable to 6/60.

11.

9

Permanent and inoperable cataracts in both eyes.

12.

9

Total deafness in one ear.

13.

9

Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.

14.

10

Partial loss of vision where visual acuity is correctable to better than 6/60 and at least 6/36.

15.

10

Detached retina in both eyes.

16.

10

Bilateral permanent hearing loss of 50–75dB averaged over 1, 2 and 3kHz, with severe tinnitus.

17.

10

Blast injury to ears with permanent sensorineural hearing loss in one ear of over 75dB averaged over 1, 2 and 3 kHz with severe persistent tinnitus.

18.

11

Partial loss of vision where visual acuity is correctable to better than 6/36 and at least 6/18.

19.

11

Blast injury to ears with permanent sensorineural hearing loss in one ear of 50-75dB averaged over 1, 2 and 3 kHz with severe persistent tinnitus.

20.

11

Blast injury to ears with permanent sensorineural hearing loss in one ear of over 75dB averaged over 1, 2 and 3 kHz with mild or no tinnitus.

21.

12

Partial loss of vision where visual acuity is correctable to better than 6/18 and at least 6/12.

22.

12

Permanent and inoperable cataract in one eye.

23.

12

Operable cataracts in both eyes.

24.

12

Moderate binocular visual field loss.

25.

12

Detached retina in one eye.

26.

12

Secondary glaucoma.

27.

12

Bilateral permanent hearing loss of 50–75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.

28.

12

Blast injury to ears with permanent sensorineural hearing loss in one ear of 50-75dB averaged over 1, 2 and 3 kHz with mild or no tinnitus.

29.

13

Significant penetrating, or blunt, injury to both eyes.

30.

13

Retinal damage (not detached) to both eyes.

31.

13

Partial loss of vision where visual acuity is correctable to better than 6/12.

32.

13

Dislocation of lens in one eye.

33.

13

Degeneration of optic nerve in both eyes.

34.

13

Permanent diplopia.

35.

13

Blast injury to ears.

36.

14

Diplopia which is present, or is expected to be present, at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

37.

14

Operable cataract in one eye.

38.

14

Corneal abrasions in both eyes.

39.

14

Hyphaema in both eyes which has required, or is expected to require, operative treatment.

40.

14

Retinal damage (not detached) in one eye.

41.

14

Significant penetrating, or blunt, injury in one eye.

42.

14

Degeneration of optic nerve in one eye.

43.

14

Slight binocular visual field loss.

44.

14

Traumatic mydriasis.

45.

15

Diplopia which is present, or is expected to be present, at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

46.

15

Corneal abrasions in one eye.

47.

15

Hyphaema in one eye which has required, or is expected to require, operative treatment.

F13AA1.

9

Fracture of femur, tibia, humerus, radius or ulna, with complications, causing permanent significant functional limitation and restriction.

A1.

9

Fracture or dislocation of hip, elbow, wrist, ankle, knee or shoulder, which has required, or is expected to require, arthrodesis, osteotomy or total joint replacement.

1.

10

Fractured heels of both feet causing permanent significant functional limitation and restriction.

2.

10

Fractures or dislocations of both hips, both ankles, both knees, both shoulders, both elbows or both wrists causing permanent significant functional limitation and restriction.

3.

10

Multiple face fractures causing permanent significant cosmetic effect and functional limitation and restriction despite treatment.

4.

11

Fractures or dislocations of both hips, both ankles, both knees, both shoulders, both elbows or both wrists which have caused, or are expected to cause, significant functional limitation and restriction at 26 weeks, from which the claimant has made, or is expected to make a substantial recovery beyond that date.

5.

11

Fractured heel of one foot causing permanent significant functional limitation and restriction.

6.

11

Fractured heel of each foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

7.

11

Fracture of pelvis which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

8.

11

Fracture or dislocation of great toe, of each foot, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

9.

11

Fractured tarsal bones of each foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

10.

11

Fractures of both femurs, both tibiae, both humeri, both ulnae or both radii which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

F1410A.

11

Fracture of femur, tibia, humerus, radius or ulna causing permanent significant functional limitation and restriction.

10AA.

11

Fracture of femur, tibia, humerus, radius or ulna, with complications, which has caused, or is expected to cause, significant functional limitation and restriction at 52 weeks with substantial recovery beyond that date.

11.

11

Multiple fractures to face, or face and neck where treatment has led, or is expected to lead, to a good cosmetic and functional outcome.

12.

11

Fracture or dislocation of one hip, elbow, wrist, ankle, knee or shoulder causing permanent significant functional limitation and restriction.

13.

12

Fracture of one humerus, femur, radius, ulna or tibia which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

14.

12

Fracture of mandible or maxilla which has required or is expected to require operative treatment and which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

15.

12

Fracture of each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

16.

12

Fracture of each clavicle or each scapula which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

17.

12

Fracture of the skull with sub-dural or extra-dural haematoma which has required evacuation, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

18.

12

Fracture or dislocation of thumb of each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

19.

12

Fracture or dislocation of one hip, elbow, wrist, ankle, knee or shoulder which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks, with recovery beyond that date.

20.

12

Fracture or dislocation of index finger on each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

21.

12

Fracture or dislocation of great toe on one foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

22.

12

Fractured tarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

23.

12

Fractured heel of one foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

24.

12

Fractured heel of each foot from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

25.

12

Fractured or dislocated patella on each knee which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

26.

12

Fractured metatarsal bones on each foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

27.

12

Fractures of both femurs, both ulnae, both tibiae, both humeri or both radii from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

28.

13

Fractured tarsal or metatarsal bones on each foot from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

29.

13

Fractured metatarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

30.

13

Fracture or dislocation of great toe of each foot from which the claimant has made or is expected to make a substantial recovery within 26 weeks.

31.

13

Fracture of one femur, ulna, tibia, humerus or radius from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

32.

13

Fracture of skull with sub-dural or extra-dural haematoma which has not required evacuation.

33.

13

Fracture of ethmoid which has required or is expected to require operative treatment.

34.

13

Fracture of zygoma which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

35.

13

Fracture or dislocation of one hip, ankle, knee, shoulder, elbow or wrist from which the claimant has made or is expected to make a substantial recovery within 26 weeks.

36.

13

Fracture of one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

37.

13

Fractured heel of one foot, from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

38.

13

Fracture of each hand from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

39.

13

Blow-out fracture of orbit which has required, or is expected to require, operative treatment.

40.

13

Dislocated jaw which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

41.

13

Fracture of scapula or clavicle which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

42.

13

Fracture of each clavicle or each scapula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

43.

13

Fracture of pelvis from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

44.

13

Fracture of sternum which has, or is expected to have, symptoms continuing beyond 26 weeks.

F1544A.

13

Subluxed dislocated acromio or sterno-clavicular joint, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

45.

13

Fractures or dislocations of two or more toes, other than great, of each foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

46.

13

Fracture or dislocation of thumb on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

47.

13

Fracture or dislocation of thumb of each hand which have caused, or are expected to cause, significant functional limitation and restriction at 13 weeks from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

48.

13

Fracture or dislocation of index finger on each hand, which have caused, or are expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

49.

13

Fractures or dislocations of two or more fingers, other than index, on each hand, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

50.

13

Fracture or dislocation of index finger on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

51.

13

Fractured or dislocated patella of one knee which has caused, or is expected to cause significant functional limitation beyond 26 weeks.

52.

14

Dislocated jaw from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

53.

14

Fractured zygoma from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

54.

14

Fractured ethmoid which has not, or is not expected to require, operative treatment.

55.

14

Fracture of mandible or maxilla from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

56.

14

Fracture of hand from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

57.

14

Deviated nasal septum requiring corrective surgery.

58.

14

Displaced fracture of nasal bones.

59.

14

Simple skull fracture.

60.

14

Fractured fibula which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

61.

14

Fracture or dislocation of thumb on one hand which has caused, or is expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

62.

14

Fracture or dislocation of index finger, on one hand, which has caused, or is expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

63.

14

Fracture or dislocation of one finger, other than index, on each hand, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

64.

14

Fractures or dislocations of two or more fingers, other than index, on one hand, which have caused, or are expected to cause significant functional limitation and restriction beyond 26 weeks.

65.

14

Fractures or dislocations of two or more fingers, other than index, on each hand which have caused, or are expected to cause, significant functional limitation and restriction beyond 13 weeks from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

66.

14

Fractures or dislocations of two or more toes, other than great toe, on one foot, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

67.

14

Fractures or dislocations of one toe other than great toe, on each foot, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

68.

14

Fractures or dislocations of two or more toes, other than great toe, on each foot, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

69.

14

Fracture or dislocation of great toe from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

70.

14

Fracture or dislocation of index finger on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

71.

14

Fracture or dislocation of thumb on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

72.

14

F16Subluxed dislocated acromio or sterno-clavicular joint from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

73.

14

Fracture of coccyx from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

74.

14

Fracture of clavicle or scapula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

75.

14

Fracture of sternum from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

76.

14

Fractured tarsal or metatarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restriction at 13 weeks from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

77.

14

Fractured or dislocated patella of each knee which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

78.

14

Stress fracture where symptoms have lasted, or are expected to last, for more than 6 weeks, where the claimant has made, or is expected to make, a substantial recovery beyond that date.

79.

15

Fracture of mastoid.

80.

15

Undisplaced fracture of nasal bones.

81.

15

Deviated nasal septum which has not required, or is not expected to require, operative treatment.

82.

15

Fractured or dislocated patella of one knee which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

83.

15

Fracture of three or more ribs.

84.

15

Fractures or dislocations of two or more toes, on one foot, which have caused, or are expected to cause significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

85.

15

Fractures or dislocations of one toe, other than great toe, on each foot, which have caused, or are expected to cause significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

86.

15

Fracture or dislocation of thumb from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

87.

15

Fractured tarsal or metatarsal bone on one foot, which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

88.

15

Fracture or dislocation of two or more fingers, other than index, on one hand which has caused, or is expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

89.

15

Fracture or dislocation of two or more fingers, other than index, on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

90.

15

Fracture or dislocation of one finger, other than index, on each hand, which has caused, or is expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

91.

15

Fracture or dislocation of index finger on one hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

92.

15

Fracture or dislocation of one finger, other than index, on one hand, which has caused or is expected to cause significant functional limitation and restriction beyond 26 weeks.

93.

15

Fractured fibula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

94.

15

Fracture of three vertebral transverse or spinous processes.

1.

7

Traumatic back injury with partial spinal cord injury causing permanent significant functional limitation and restriction.

2.

9

Permanent severely impaired grip in both hands.

3.

10

Ligament injury which has resulted in full thickness rupture, affecting both knees, ankles, shoulders, elbows or wrists, causing permanent significant functional limitation and restriction.

4.

11

Ligament injury which has resulted in full thickness rupture, affecting one knee, ankle, shoulder, elbow or wrist, causing permanent significant functional limitation and restriction.

5.

11

Ligament injury which has resulted in full thickness rupture, affecting both knees, ankles, shoulders, elbows, wrists which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks, from which the claimant is expected to make a substantial recovery beyond that date.

6.

11

Traumatic back injury (with medically verified neurological signs and vertebral damage) extending over several levels of vertebrae, which has required, or is expected to require, operative treatment and which has caused, or is expected to cause, significant functional limitation and restriction beyond 13 weeks.

7.

11

Radiologically confirmed juxta-articular aseptic necrosis of hip or shoulder.

8.

11

Ligament injury short of full thickness rupture, to both knees, ankles, shoulders, elbows or wrists, causing permanent significant functional limitation and restriction.

9.

11

Permanent severely impaired grip in one hand.

10.

11

Radiologically confirmed osteoarthritis of both knees, hips, ankles, shoulders, elbows or wrists (caused by a repetitive or attrition injury), causing permanent significant functional limitation and restriction.

11.

12

Two frozen shoulders which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.

12.

12

Ligament injury short of full thickness rupture, to both knees, ankles, shoulders, elbows or wrists, which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks, from which the claimant has made or is expected to make a substantial recovery beyond that date.

13.

12

Ligament injury short of full thickness rupture, to one knee, ankle, shoulder, elbow or wrist, causing permanent significant functional limitation and restriction.

14.

12

Ligament injury which has resulted in full thickness rupture, affecting one knee, ankle, shoulder, elbow or wrist, which has caused, or is expected to cause, significant functional limitation at 26 weeks, from which the claimant has made, or is expected to make a substantial recovery beyond that date.

15.

12

Full thickness muscle or tendon unit rupture which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

16.

12

Traumatic back injury (with medically verified neurological signs and vertebral damage), extending over several levels of vertebrae which has caused, or is expected to cause, significant functional limitation and restriction beyond 13 weeks.

17.

13

Frozen shoulder, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

18.

13

Two frozen shoulders, which have caused or are expected to cause significant functional limitation at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

19.

13

Ligament injury short of full thickness rupture, to both knees, ankles, shoulders, elbows or wrists from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

20.

13

Muscle or tendon unit injury short of full thickness rupture, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.

21.

13

Two muscle or tendon unit injuries, short of full thickness rupture, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

22.

13

Full thickness muscle or tendon unit rupture, from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

23.

13

Ligament injury short of full thickness rupture, to one knee, shoulder, ankle, elbow or wrist which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks with substantial recovery beyond that date.

24.

13

Traumatic back injury with one or more intervertebral disc prolapses or vertebral body or facet joint fractures which has caused or is expected to cause, significant functional limitation and restriction beyond 13 weeks.

25.

13

Radiologically confirmed osteoarthritis of knee, hip, ankle, shoulder, elbow or wrist (caused by repetitive or attrition injury) causing permanent significant functional limitation and restriction.

26.

13

Compartment syndrome which has lasted, or is expected to last, beyond 13 weeks.

F1726A.

13

Ankle, hip, knee, wrist, elbow or shoulder strain, sprain or overuse injury, which has required, or is expected to require, operative treatment.

27.

14

Frozen shoulder which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

28.

14

Ligament injury short of full thickness rupture to one knee, ankle, shoulder, elbow or wrist, which has caused or is expected to cause, significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

29.

14

Muscle or tendon unit injury short of full thickness rupture, which has caused or is expected to cause significant functional limitation and restriction at 13 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

30.

14

Knee meniscus injury, F18. . . which has required, or is expected to require, operative management.

31.

14

Tendon or ligament rupture of finger, thumb or toe which has required, or is expected to require, operative treatment.

32.

14

Back sprain or strain, with one or more intervertebral disc prolapses which has caused, or is expected to cause significant functional limitation and restriction at 13 weeks.

33.

14

Low back or neck pain syndrome.

34.

14

Anterior knee pain syndrome in both knees which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

F1934A.

14

Overuse injury of foot or heel, which has required or is expected to require operative treatment.

35.

15

Knee meniscus injury which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.

36.

15

Anterior knee pain syndrome in one knee which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.

37.

15

Direct hernia which has required operative treatment.

38.

15

Frozen shoulder which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

39.

15

Ligament injury short of full thickness rupture, to one knee, ankle, shoulder, elbow or wrist which has caused, or is expected to cause, significant functional limitation and restriction at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

1

£570,000

2

£402,500

3

£230,000

4

£172,500

5

£115,000

6

£92,000

7

£63,825

8

£48,875

9

£34,100

10

£23,100

11

£13,750

12

£9,075

13

£5,775

14

£2,888

15

£1,155.