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The Armed Forces and Reserve Forces (Compensation Scheme) Order 2005

Status:

This is the original version (as it was originally made).

Article 2(1)

SCHEDULE 1MEANING OF “SUBSTANTIAL AND EXCLUSIVE RELATIONSHIP”

PART ISUBSTANTIAL RELATIONSHIP

In deciding whether a relationship of a deceased member of the forces (“the deceased”) and the claimant is a substantial relationship, the Secretary of State shall have regard to any evidence which the claimant considers demonstrates that the relationship is substantial and shall in particular have regard to the following examples of evidence which could, either alone or together, indicate that the relationship is substantial.

1.  Evidence of regular financial support by the deceased.

2.  Evidence of a valid will or life insurance policy, valid at the time of the deceased’s death, in which—

(1) the deceased nominates the claimant as principal beneficiary or co-beneficiary with children; or

(2) the claimant nominates the deceased as the principal beneficiary.

3.  Evidence indicating that the deceased and the claimant were purchasing accommodation as joint owners or evidence of joint ownership of other valuable property, such as a car or land.

4.  Evidence of a joint savings plan or joint investments of a substantial nature.

5.  Evidence that the deceased and the claimant operated a joint account for which they were co-signatories.

6.  Evidence of joint financial arrangements such as joint repayment of a loan or payment of each other’s debts.

7.  Evidence that the deceased or the claimant had given the other a power of attorney.

8.  If the deceased and the claimant lived in rented accommodation, evidence that both their names appeared on the lease or rental agreement.

9.  Evidence that the deceased and the claimant shared responsibility for children.

10.  The length of the relationship.

PART IIEXCLUSIVE RELATIONSHIP

A relationship is not an exclusive relationship if—

(a)one or both of the parties to the relationship is married to, or is the civil partner of, someone other than the other party to the relationship; or

(b)one or both of the parties is a party to another relationship which is, or could be considered to be, a substantial and exclusive relationship having regard to the provisions of this Schedule.

Article 12(1)

SCHEDULE 2MODIFICATIONS FOR RESERVE FORCES

1.  The following definitions are inserted in article 2(1) in the appropriate alphabetical order—

“relevant service” has the same meaning as in regulations made under sections 83 and 84 of the Reserve Forces Act 1996(1);

“Reserve Forces Pension Scheme” means the occupational pension scheme established by regulations made by the Defence Council, in exercise of the powers conferred on them by sections 4(2) and 8(1)(a) of the Reserve Forces Act 1996;

“reservist’s award” means an award payable to a member of a reserve force by virtue of regulations made under sections 83 and 84 or the Reserve Forces Act 1996 in respect of financial loss suffered by him during relevant service, but does not include—

(a)

any award payable to a self-employed member of a reserve force in respect of his status as an employer,

(b)

any amount payable to a reservist as a result of expenses incurred by him during a period of relevant service, or

(c)

any payments made into his civilian occupational pension scheme;

2.—(1) For paragraph (1) of article 4 there is substituted the following paragraph—

(1) Subject to paragraph (3), in this Order “salary”, in relation to a member of the reserve forces in respect of whom benefit is payable, means—

(a)the basic pay of a regular member of the forces who is of equivalent rank and seniority,

(b)an amount which represents any reservist’s award to which he is entitled on the day he leaves the service by virtue of him being in relevant service on that day,

(c)where he is not in relevant service on the day he leaves service, an amount which represents any reservist’s award he would have been entitled to had he been in relevant service on that day, and

(d)any other amount if and to the extent that the Secretary of State has determined that it is to be treated as salary.

(2) In paragraph (2) of article 4 for “(1)(b)” there is substituted “(1)(d)”.

3.  For article 31 there is substituted the following article—

31.(1) Where a person is entitled to guaranteed income payment, survivor’s guaranteed income payment or child’s payment for any period during which he is also entitled to—

(a)a pension under the AFPS 1975 or the AFPS 2005 (“a pension”);

(b)a payment under the Armed Forces Early Departure Payments Scheme Order 2005 (“a payment”);

(c)a pension under the Reserve Forces Pension Scheme (“a reserve forces pension”); or

(d)benefit under an occupational pension scheme or a personal pension scheme in respect of the same injury or death for which guaranteed income payment, survivor’s guaranteed income payment or child’s payment is paid (“a civilian pension”)

the guaranteed income payment, survivor’s guaranteed income payment or child’s payment as the case may be is reduced in accordance with paragraphs (2) and (3).

(2) Where a person is entitled to a guaranteed income payment for any period during which he is also entitled to—

(a)a pension or a reserve forces pension which is not an invaliding or ill-health pension paid for the same injury for which the guaranteed income payment is paid, a payment, or a civilian pension, then the amount of the guaranteed income payment is reduced by 75 per cent. of the amount of that pension, reserve forces pension, payment or civilian pension;

(b)a pension or a reserve forces pension which is an invaliding or ill-health pension paid for the same injury for which the guaranteed income payment is paid, then the amount of guaranteed income payment is reduced by the full amount of the invaliding or ill-health pension.

(3) Where a person is entitled to a survivor’s guaranteed income payment or a child’s payment for any period during which he is also entitled to a pension, reserve forces pension or civilian pension, then the amount of the survivor’s guaranteed income payment or child’s payment is reduced by 75 per cent. of the amount of that pension, reserve forces pension or civilian pension.

(4) In this article—

(a)any reference to a pension, payment, reserve forces pension, civilian pension, invaliding pension or ill-health pension means the gross amount of that pension, payment, reserve forces pension, civilian pension, invaliding pension or ill-health pension;

(b)“invaliding pension” means a pension payable to a member of the AFPS 1975 by virtue of him being medically discharged from the reserve forces.

(c)“ill-health pension” means a pension under rules D5 or D6 of Schedule 1 to the AFPS 2005 and the corresponding provisions of the Reserve Forces Pension Scheme;

(d)“occupational pension scheme” has the meaning given in section 1 of the Pension Schemes Act 1993(2);

(e)“personal pension scheme” means a personal pension scheme within the meaning of section 1 of the Pension Schemes Act 1993 which has been approved under Chapter IV of Part XIV of the Income and Corporation Taxes Act 1988(3) or provisionally approved under section 655(5) of that Act.

Article 12(2)

SCHEDULE 3MODIFICATIONS FOR GURKHAS

1.  The definition of “salary” in article 4 is modified as follows—

(1) in paragraph (1) for “member or former member of the forces” there is substituted “Gurkha”, and

(2) for sub-paragraph (a) of paragraph (1) there is substituted—

(a)basic pay in the Brigade of Gurkhas for a Gurkha of his rank and seniority, and

2.  Where a Gurkha is discharged into Nepal, the definition of “relevant factor” in articles 16(5), 26(3) and 28(6) has effect as if the reference to the table set out in Schedule 5 was a reference to the table set out at the end of this Schedule.

3.  Where—

(a)the surviving spouse or surviving adult dependant of a Gurkha or former Gurkha who was discharged into the United Kingdom; or

(b)any child of his who is an eligible child

is resident in Nepal, the definition of “relevant factor” in articles 26(3) and 28(6) has effect as if the reference to the table set out in Schedule 5 was a reference to the table set out at the end of this Schedule.

4.  For article 31 there is substituted—

31.(1) This article applies where a Gurkha is discharged into Nepal or where his surviving spouse or surviving adult dependant or any child of his who is an eligible child resides in Nepal.

(2) Where a former Gurkha is entitled to a guaranteed income payment for any period during which he is also entitled to a pension by virtue of the pension arrangements applicable to Gurkhas as a result of their service, guaranteed income payment is reduced by the amount of that pension.

(3) Where the surviving spouse or surviving adult dependant of a Gurkha or former Gurkha is entitled to a survivor’s guaranteed income payment for any period during which he is also entitled to a family pension in respect of the deceased Gurkha by virtue of the pension arrangements applicable to Gurkhas as a result of their service, survivor’s guaranteed income payment is reduced by the amount of that pension.

(4) Where a Gurkha or former Gurkha dies—

(a)without leaving a surviving spouse or surviving adult dependant but leaves at least one eligible child; and

(b)a family pension is payable as a result of his death

the total amount of child’s payment payable to his eligible children shall be reduced by the amount of the family pension.

(5) Where paragraph (4) applies—

(a)the amount of the family pension shall be divided by the number of eligible children; and

(b)the child’s payment paid to or in respect of each eligible child shall be reduced by the amount resulting from the division.

Table of Guaranteed Income Payment Factors for Gurkhas

Age at last birthdayGIP FactorAge at last birthdayGIP Factor
161.127370.831
171.118380.808
181.109390.784
191.100400.758
201.090410.730
211.080420.701
221.069430.671
231.057440.638
241.046450.604
251.034460.566
261.021470.527
271.008480.484
280.993490.439
290.978500.390
300.963510.339
310.947520.282
320.931530.221
330.913540.155
340.894550.083
350.874Over 550.083
360.853

Article 14

SCHEDULE 4THE TARIFF

Table 1– Burns*

Column (a)Column (b)
LevelInjury

*Awards for all burns include compensation for any residual scarring or pigmentation.

*Awards for deep second degree, third degree or full thickness burns include compensation for actual or expected metabolic or cardiovascular consequences.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

4Burns, with deep second degree, third degree, or full thickness burns affecting 70 per cent or more of whole body surface area.
5Burns, with deep second degree, third degree, or full thickness burns affecting 50 to 69 per cent of whole body surface area.
6Burns, with deep second degree, third degree, or full thickness burns affecting 15 to 49 per cent of whole body surface area.
7Burns, 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.
8Burns, with deep second degree, third degree, or full thickness burns affecting 9 to 15 per cent of whole body surface area.
9Burns, 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.
11Burns, with deep second degree, third degree, or full thickness burns affecting 4.5 to 8.9 per cent of whole body surface area.
12Burns, with deep second degree, third degree, or full thickness burns affecting less than 4.5 per cent of whole body surface area.
12Burns, with first degree or superficial second degree burns affecting more than 15 percent of whole body surface area.
13Burns, with first degree or superficial second degree burns to the face or face and neck.
14Burns, with first degree or superficial second degree burns affecting 4.5 to 15 percent of whole body surface area.
15Burns, with first degree or superficial second degree burns affecting 1 to 4.4 per cent of whole body surface area.

Table 2 - Injury, Wounds and Scarring*

Column (a)Column (b)
LevelInjury

*When applied to limb injuries the expression “complex injury” means that the injury affects all or most of the following structures: skin, subcutaneous tissues, muscle, bone, blood vessels and nerves.

*When applied to limb injuries the expression “with complications” means that the injury is complicated by at least one of septicaemia, osteomyelitis, vascular or neurological injury, avascular necrosis, gross shortening of the limb, mal-united or non-united fracture, or the fact that the claimant has required, or is expected to require a bone or skin graft.

*When applied to chest and abdominal (including pelvis) injuries the expression “complex injury” means that there is damage to vital structures and organs including two or more of the following: trachea, lungs, heart, oesophagus, great vessels, diaphragm, chest or abdominal wall, liver, kidneys, spleen or ovaries.

*When applied to chest and abdominal (including pelvis) injuries the expression “with complications” means that management of the injury has required two or more of the following: resuscitation, ventilation, thoracic or abdominal drainage or a laparotomy with repair and/or removal of organs and structure.

*An award for an injury to limbs, chest or abdomen includes compensation for related damage to or removal of structures.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

5Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing permanent functional limitation and restriction.
5Loss of both kidneys or chronic renal failure.
6Complex 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 functional limitation and restriction.
6Injury covering all or most of the area from thigh to ankle or shoulder to wrist, with complications, causing permanent functional limitation and restriction.
6Complex injury to chest, with complications, causing permanent functional limitation and restriction.
7Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing permanent functional limitation and restriction.
7Injury covering all of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, with complications, causing permanent functional limitation and restriction.
7Injury to chest, with complications, causing permanent functional limitation and restriction.
7Complex injury to abdomen, including pelvis, with complications, causing permanent functional limitation and restriction.
8Injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing permanent functional limitation and restriction.
8Complex injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing permanent functional limitation and restriction.
8Severe facial lacerations which produce poor cosmetic result despite camouflage and have required, or are expected to require, operative treatment.
8Injury to abdomen, including pelvis, with complications, causing permanent functional limitation and restriction.
8Injury to chest, causing permanent major functional limitation and restriction.
9Injury to abdomen, including pelvis, causing permanent functional limitation and restriction.
9Injury covering all or most of the area from thigh to knee, knee to ankle, shoulder to elbow or elbow to wrist, causing permanent functional limitation and restriction.
10Serious permanent damage to, or loss of, one kidney.
10Severe facial lacerations, which have required, or are expected to require, operative treatment resulting in or expected to result in a satisfactory cosmetic result.
11Complex injury covering all or most of the area from thigh to ankle or shoulder to wrist, causing or expected to cause functional limitation and restriction at 26 weeks with substantial recovery beyond that date.
11Traumatic damage to spleen which has required splenectomy and where there is, or where there is a high risk of, overwhelming post-splenectomy infection.
11Severe facial scarring which produces a poor cosmetic result despite camouflage.
12Complex 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 functional limitation and restriction at 26 weeks with substantial recovery beyond that date.
12Severe scarring of face, or face and neck, or neck, scalp, torso or limb, where camouflage produces a good cosmetic result.
12Injury to chest with complications, causing or expected to cause functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.
12Injury covering all or most of the area thigh to ankle or shoulder to wrist, causing or expected to cause functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.
12High velocity gun shot wound affecting skin, subcutaneous tissue and muscle of the abdomen, chest or limbs.
13Injury to abdomen including pelvis, with complications, causing or expected to cause functional limitation and restriction at 26 weeks with substantial recovery beyond that date.
13Injury 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 functional limitation or restriction at 26 weeks, with substantial recovery beyond that date.
13Injury to chest, causing or expected to cause functional limitation or restriction at 26 weeks, where the claimant has made or is expected to make a substantial recovery beyond that date.
13Moderate facial scarring where camouflage produces a good cosmetic result.
13Lung 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.
13Traumatic tension or open pneumothorax.
14Injury to abdomen including pelvis, causing or expected to cause functional limitation and restriction at 26 weeks, with substantial recovery beyond that date.
14Moderate scarring of scalp, neck, torso or limbs where camouflage produces a good cosmetic result.
14Minor facial scarring.
14Flesh wound which has required, or is expected to require operative treatment.
14Fractured tooth which has required, or is expected to require root resection.
14Loss of two or more front teeth.
15Minor scarring of scalp, neck, torso or limbs.
15Damage to one front tooth which has required, or is expected to require a crown or root canal surgery.
15Damage to two or more teeth other than front which has required, or is expected to require crowns or root canal surgery.
15Loss of one front tooth.
15Loss of two or more teeth other than front.

Table 3- Mental disorders*

Column (a)Column (b)
LevelInjury

*In assessing functional limitation and restriction for mental disorders account shall be taken of psychological, social and occupational function.

*Functional limitation and restriction is likely to be severe where symptoms or behaviours include mania, delusions, hallucinations, severe depression with suicidal preoccupations or abnormal rituals.

*Mental disorders must be diagnosed by a relevant accredited medical specialist.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

8Permanent mental disorder, causing severe functional limitation and restriction.
10Permanent mental disorder, causing moderate functional limitation and restriction.
11Mental disorder, which is functionally limiting and restricting, and has continued, or is expected to continue for 5 years.
12Mental 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.
13Mental 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.
14Mental 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.

Table 4 - Physical disorders including infectious diseases*

Column (a)Column (b)
LevelInjury

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

6Physical disorder causing severe functional limitation and restriction where life expectancy is less than five years.
7Physical disorder causing severe functional limitation and restriction where life expectancy is reduced, but is more than 5 years.
8Infertility.
9Physical disorder causing permanent severe functional limitation and restriction.
11Physical disorder which has caused, or is expected to cause severe functional limitation and restriction at 26 weeks where the claimant has made, or is expected to make, a substantial recovery beyond that date.
11Physical disorder causing permanent moderate functional limitation and restriction.
13Physical 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.
13Physical 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.
14Physical 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.
14Physical 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.
15Physical 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.

Table 5 – Amputations*

Column (a)Column (b)
LevelInjury

*Loss of a finger means that amputation has taken place at the metacarpophalangeal joint.

*Loss of a toe means that amputation has taken place at the metatarsophalangeal joint.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

1Loss of both legs (above or below knee) and both arms (above or below elbow).
1Loss 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).
1Total deafness and loss of either both legs or both arms.
2Loss of both legs above knee (hip disarticulation or hemipelvectomy).
2Loss of both arms above elbow (shoulder disarticulation or forequarter).
2Loss of both legs (above or below knee) and one arm (above or below elbow).
2Loss of both arms (above or below elbow) and one leg (above or below knee).
3Loss of both legs at or above knee (trans–femoral or knee disarticulation).
3Loss of both arms at or above elbow (trans–humeral or elbow disarticulation).
3Loss of one leg above knee (hip disarticulation or hemipelvectomy).
3Loss of one arm above elbow (shoulder disarticulation or forequarter).
4Loss of both legs below knee (trans-tibial).
4Loss of both arms below elbow (trans-radial).
4Loss of both hands (wrist disarticulation).
4Loss of one leg at or above knee and one leg below knee.
4Loss of one arm at or above elbow, and one arm below elbow.
5Loss of both feet at ankle.
5Loss of one leg at or above knee (trans-femoral or knee disarticulation).
5Loss of one arm at or above elbow (trans-humeral or elbow disarticulation).
6Loss of one leg below knee (trans-tibial).
6Loss of one arm below elbow (trans-radial).
6Loss of one hand (wrist disarticulation).
7Loss of both thumbs.
8Loss of one foot at ankle.
10Loss of both great toes.
10Loss of thumb.
10Loss of both index fingers.
10Partial loss of thumbs and index fingers of both hands.
11Loss of two or more fingers other than thumb or index finger from one hand.
12Loss of great toe.
12Loss of index finger from one hand.
12Partial loss of thumb and index finger from one hand.
12Partial loss of thumb or index finger of both hands.
12Persistent phantom limb pain.
12Stump neuroma with trigger point stump pain.
13Loss of two or more toes, other than great toe, from one foot.
13Partial loss of both great toes.
13Loss of one finger other than thumb or index finger.
13Partial loss of two or more fingers, other than thumb or index finger, from one hand.
13Partial loss of thumb or index finger from one hand.
14Partial loss of great toe.
14Partial loss of one finger, other than thumb or index finger, from one hand.
15Loss of one toe, other than great toe, from one foot.

Table 6 - Neurological disorders, including spinal cord, head or brain injuries*

Column (a)Column (b)
LevelInjury
(a)

The claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 5.

(b)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 5.

(c)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 6-8.

(d)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 9-12.

(e)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 13-15.

(f)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of less than 13-15.

*An award for brain injury in levels 1, 3 or 4 includes compensation for associated epilepsy.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

1Spinal cord injury, at or above vertebra C3.
1Brain injury with persistent vegetative state.(a)
1Brain 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 and requires full-time skilled nursing care.(b)
2Spinal cord injury at vertebra C4 or C5.
3Spinal cord injury at vertebra C6.
3Brain injury where epilepsy is present (or where there is a high risk of epilepsy) where the claimant has limited response to environment and substantial physical, sensory, personality, behavioural or cognitive problems and requires regular skilled nursing care.(c)
3Paralysis of both arms.
3Paralysis of both legs.
4Spinal cord injury at vertebra C7 or C8.
4Brain injury where epilepsy is either present (or where there is a high risk of epilepsy) where the claimant has some limitation on response to environment and some sensory, personality, behavioural or cognitive problems but does not require skilled nursing care.(d)
5Spinal cord injury at vertebra T1.
5Hemiplegia.
6Uncontrolled post-head-injury epilepsy.
7Paralysis of one leg.
7Paralysis of one arm.
9Permanent damage to brachial plexus.
9Permanent isolated damage to one cranial nerve.
10Permanent foot or wrist drop.
11Brain injury from which the claimant has made, or is expected to make, a substantial recovery beyond 26 weeks, except for residual vertigo.(e)
11Brain haemorrhage or stroke which has caused, or is expected to cause, persistent functional limitation and restriction at 26 weeks, but where there has been, or is expected to be, a substantial recovery beyond that date.
12Brain injury from which the claimant has made, or is expected to make, a substantial recovery beyond 26 weeks, except for problems with memory or concentration.(f)
12Controlled post-head-injury epilepsy.
12Permanent substantial peripheral sensory nerve damage.
12Entrapment neuropathy which has not responded to treatment.
13Permanent facial numbness including lip.
13Entrapment neuropathy which has responded, or is expected to respond, to treatment.
14Permanent facial numbness which does not include the lip.
14Minor head injury which has caused or is expected to cause, impaired balance or post-traumatic syndrome for more than 6 weeks from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
15Permanent minor peripheral sensory nerve damage.

Table 7 - senses*

Column (a)Column (b)
LevelInjury

*For the purposes of the scheme the following definitions apply:

“Blindness” means that the claimant must have been diagnosed as being blind by an accredited medical specialist, and have a visual acuity of 3/60 or worse in both eyes; and

“Total deafness”, means that the claimant’s bilateral average hearing threshold level is 90 dB or more averaged over 1, 2 and 3 kHz as measured by appropriately calibrated equipment meeting British Standards, and using quality assured pure tone audiometry.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

1Total deafness and loss of both eyes, or blindness in both eyes, or loss of one eye and blindness in the other eye.
2Loss of eyes.
2Blindness in both eyes.
2Loss of one eye and blindness in the other eye.
5Loss of one eye and permanent damage to the other eye, where visual acuity is correctable to 6/36.
6Deafness in both ears.
8Loss of one eye or blindness in one eye.
9Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with severe persistent tinnitus.
9Partial loss of vision where binocular visual acuity is correctable to 6/60.
9Permanent and inoperable cataracts in both eyes.
10Deafness in one ear.
10Partial loss of vision where binocular visual acuity is correctable to 6/36.
10Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.
11Detached retina in both eyes.
11Bilateral permanent hearing loss of 50-75dB averaged over 1, 2 and 3kHz, with severe tinnitus.
11Partial loss of vision where binocular visual acuity is correctable to 6/24.
12Partial loss of vision where binocular visual acuity is correctable to 6/18.
12Permanent and inoperable cataract in one eye.
12Operable cataracts in both eyes.
13Bilateral permanent hearing loss of 50-75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.
13Significant penetrating injury to both eyes.
13Detached retina in one eye.
13Retinal damage (not detached) to both eyes.
13Partial loss of vision where binocular visual acuity is correctable to 6/12.
13Dislocation of lens in one eye.
13Degeneration of optic nerve in both eyes.
13Permanent diplopia.
14Blast injury to ears.
14Diplopia 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.
14Operable cataract in one eye.
14Corneal abrasions in both eyes.
14Hyphaema in both eyes which has required, or is expected to require, operative treatment.
14Retinal damage (not detached) in one eye.
14Significant penetrating injury in one eye.
15Diplopia from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
15Corneal abrasions in one eye.
15Hyphaema in one eye which has required, or is expected to require, operative treatment.

Table 8 - Fractures and dislocations*

Column (a)Column(b)
LevelInjury

*The tariff values for fractures refer to closed fractures. Where the fracture is open the award shall be increased by £1,000.

*An award for an injury in this table includes compensation for any expected consequential osteoarthritis.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

10Fractured heels of both feet causing permanent significant functional limitation and restriction.
10Fractures or dislocations of both hips, both ankles, both shoulders, both elbows or both wrists causing permanent significant functional limitation and restriction.
10Multiple face fractures causing permanent significant cosmetic effect and functional limitation and restriction despite treatment.
11Fractures or dislocations of both hips, both ankles, 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.
11Fracture of pelvis which has caused or is expected to cause significant functional limitation and restriction beyond 26 weeks.
11Fractures of both great toes which have caused or are expected to cause significant functional limitation and restriction beyond 26 weeks.
11Fractures of tarsal bones of both feet which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
11Fractures of both femurs, both tibiae, both humeri, both ulnae or both radii which have caused, or are expected to cause, continuing significant functional limitation and restriction beyond 26 weeks.
11Multiple fractures to face, or face and neck where treatment has led, or is expected to lead, to a good cosmetic and functional outcome.
11Fracture or dislocation of one hip, elbow, wrist, ankle or shoulder causing permanent significant functional limitation and restriction.
12Fracture of one humerus, femur, radius, ulna or tibia which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture 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.
12Fracture of both hands which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture of both scapulae or both clavicles which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture 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 functional recovery within 26 weeks.
12Fractures or dislocations of both thumbs which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture or dislocation of one hip, elbow, wrist, ankle or shoulder which has caused or is expected to cause significant functional limitation and restriction at 26 weeks with recovery thereafter.
12Fractures or dislocations of index fingers on both hands which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture of great toe which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture of tarsal bones on one foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture of heel which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Dislocated patellae in both knees which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Fracture of both femurs, both ulna, both tibiae, both humeri or both radii from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Fractured metatarsal bones on both feet which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture of tarsal bones on both feet from which the claimant has made or is expected to make a substantial functional recovery within 26 weeks.
13Fracture of both great toes from which the claimant has made or is expected to make a substantial functional recovery within 26 weeks.
13Fracture of one femur, ulna, tibiae, humeri or radii from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Fracture of skull with sub-dural or extra-dural haematoma which has not required evacuation.
13Fracture of ethmoid which has required or is expected to require operative treatment.
13Fracture of zygoma which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture or dislocation of one hip, ankle, shoulder, elbow or wrist from which the claimant has made or is expected to make a substantial recovery within 26 weeks.
13Fracture of one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fractured of both heels where the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Fracture of both hands from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Blow-out fracture of orbit which has required, or is expected to require, operative treatment.
13Dislocated jaw which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fractured scapula or clavicle which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture of both clavicles or both scapulae where the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
13Fracture of pelvis from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
13Fracture of sternum which has, or is expected to have, symptoms continuing beyond 26 weeks.
13Fractures of two or more toes, other than great, of both feet which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture or dislocation of thumb on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture or dislocation of both thumbs from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Fractures or dislocations of index finger on both hands, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
13Fractures or dislocations of 2 or more fingers, other than index, on both hands which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture or dislocation of index finger on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Fracture or dislocation of one finger, other than index, on both hands which has caused, or is expected to cause significant functional limitation and restriction beyond 26 weeks.
13Fractures of metatarsal bones on both feet, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
13Fractures of metatarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restrictions beyond 26 weeks.
13Dislocated patella which has caused, or is expected to cause significant functional limitation continuing beyond 26 weeks.
14Dislocated jaw from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fractured zygoma from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fracture of index finger on both hands from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fractured ethmoid which has not, or is not expected to require operative treatment.
14Fracture of mandible or maxilla from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fracture of hand from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Deviated nasal septum requiring corrective surgery.
14Displaced fracture of nasal bones.
14Simple skull fracture with no brain injury.
14Fractured fibula which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
14Fracture or dislocation of thumb on one hand from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fracture or dislocation of index finger from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fracture or dislocation of one finger, other than index, of one hand which has caused, or is expected to cause continuing functional limitation and restriction beyond 26 weeks.
14Fracture or dislocation of one finger, other than index, of both hands from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fractures 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.
14Fractures or dislocations of two or more fingers, other than index, on both hands from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fractures of two or more toes, other than great toe, on one foot which has caused, or is expected to cause significant functional limitation and restriction beyond 26 weeks.
14Fracture of two or more toes, other than great toe, on both feet from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fracture of great toe from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Dislocated acromio-clavicular joint from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fracture of coccyx from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Fracture of clavicle or scapulae from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fracture of sternum from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fractures of tarsal or metatarsal bones on one foot from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Fracture of heel from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
14Dislocated patellae in both knees from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
15Fracture of mastoid.
15Undisplaced fracture of nasal bones.
15Deviated nasal septum which has not required or is not expected to require operative treatment.
15Dislocated patella from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
15Fracture of three or more ribs.
15Fractures of two or more toes in one foot from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
15Stress 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 within 13 weeks.
15Fractures of two or more fingers, other than index, on one hand from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
15Fracture of one finger on two hands from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
15Fracture of index finger on one hand from which the claimant has made, or is expected to make a substantial recovery within 13 weeks.
15Fracture of fibula from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.

Table 9 - Musco-skeletal disorders*

Column (a)Column (b)
LevelInjury

*Award for an injury in this table includes any expected consequential osteoarthritis.

*Any reference to duration of effects in column (b) are from date of injury or onset of illness.

*Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.

10Permanent severely impaired grip in both hands.
10Ligament injury which has resulted in rupture, affecting both knees, ankles, shoulders or elbows, causing permanent significant functional limitation and restriction.
11Ligament injury which has resulted in rupture, affecting one knee, ankle, shoulder or elbow, causing permanent significant functional limitation and restriction.
11Ligament injury which has resulted in rupture, affecting both knees, both ankles, both shoulders or both elbows, 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.
11Traumatic 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 26 weeks.
11Radiologically confirmed juxta-articular aseptic necrosis of hip or shoulder.
11Ligament injury short of rupture, to both knees, ankles, shoulders or elbows, causing permanent significant functional limitation and restriction.
12Two frozen shoulders which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Ligament injury short of rupture, to both knees, ankles, shoulders or elbows, 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.
12Ligament injury which has resulted in rupture, affecting one knee, ankle, shoulder or elbow, 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.
12Full thickness muscle or tendon unit rupture which has caused, or is expected to cause, significant functional limitation or restriction beyond 26 weeks.
12Traumatic back injury including prolapsed interverterbal discs (with medically verified neurological signs and vertebral damage), which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
12Radiologically confirmed osteoarthritis of both knees, hips, ankles, shoulders or elbows (caused by a repetitive or attrition injury), causing permanent significant functional limitation and restriction.
12Permanent severely impaired grip in one hand.
13Frozen shoulder, which has caused, or is expected to cause, continuing significant functional limitation and restriction beyond 26 weeks.
13Two 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.
13Ligament injury short of rupture, to both knees, ankles, shoulders or elbows from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
13Muscle 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.
13Two 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.
13Full thickness muscle or tendon unit rupture from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
13Ligament injury short of rupture, to one knee, shoulder, ankle or elbow which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks with substantial recovery beyond that date.
13Back sprain or strain, with either more than one inter-vertebral disc prolapse, or more than one vertebral fracture, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
13Radiologically confirmed osteoarthritis of knee, hip, ankle, shoulder or elbow (caused by repetitive and attrition injury) causing permanent significant functional limitation and restriction.
13Compartment syndrome which has lasted, or is expected to last, beyond 6 weeks and which has required, or is expected to require, operative treatment.
14Frozen shoulder which has caused, or is 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.
14Ligament injury short of rupture to one knee, ankle, shoulder or elbow from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Muscle or tendon unit injury short of full thickness rupture from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
14Knee meniscus injury which has required, or is expected to require, operative treatment.
14Tendon rupture of finger or thumb which has required, or is expected to require, operative reconstruction.
14Back sprain or strain, with one vertebral fracture, 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 2 years.
14Low back pain syndrome.
14Anterior knee pain syndrome in both knees which has caused, or is expected to cause significant functional restriction and limitation at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
15Knee 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.
15Anterior knee pain syndrome in one knee which has caused, or is expected to cause, significant functional restriction and limitation at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
15Direct hernia which has required operative treatment.
15Frozen shoulder which has caused, or is expected to cause, significant functional limitation at 6 weeks from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.

Table 10

Column (a)Column (b)
LevelAmount
1£285,000
2£201,250
3£115,000
4£86,250
5£57,500
6£46,000
7£34,500
8£28,750
9£22,000
10£16,500
11£11,000
12£8,250
13£5,250
14£2,625
15£1,050

Article 16(2)

SCHEDULE 5TABLE OF FACTORS

Table of Guaranteed Income Payment Factors

Age at last birthdayGIP FactorAge at last birthdayGIP Factor
160.905370.790
170.902380.781
180.898390.772
190.894400.762
200.891410.751
210.887420.740
220.882430.728
230.878440.715
240.873450.702
250.869460.687
260.864470.672
270.859480.656
280.853490.638
290.847500.619
300.841510.599
310.835520.577
320.829530.554
330.822540.528
340.814550.500
350.807Over 550.500
360.799
(2)

1993 c. 48 as amended by the Welfare Reform and Pensions Act 1999 (c. 30), section 18 and Schedule 2, paragraph 3(1)(a).

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