Amendment to Table 2 (injury, wounds and scarring) of Schedule 3 to the principal Order3
Table 2 (injury, wounds and scarring) of Schedule 3 to the principal Order is amended as follows—
a
before item 1 insert—
A1
2 Bilateral complex injury to both upper limbs including hand on only one side and only from above elbow on the other, causing permanent total or virtually total functional limitation or restriction.
b
after item 22 insert—
22A
9 Non-freezing cold injury in the feet, hands or both, with small fibre neuropathy diagnosed clinically and by appropriate tests with continuing neuropathic pain and severely compromised mobility or dexterity beyond 26 weeks.
c
delete item 27;
d
for item 55 substitute—
55
13 Non-freezing cold injury which has caused neuropathic pain in the feet, hands or both, with significant functional limitation or restriction at 26 weeks and substantial recovery beyond that time. Continuing cold sensitivity may be present beyond 26 weeks.
e
for item 65 substitute—
65
14 Non-freezing cold injury which has caused pain in the feet, hands or both, with functional limitation or restriction at 6 weeks and substantial recovery by 12 weeks. Continuing cold sensitivity may be present beyond 12 weeks.
f
after item 68 insert—
(*) A non-freezing cold injury must be diagnosed by a non-treating consultant neurologist.
(*) Neuropathic pain is pain initiated or caused by a primary lesion or disorder of the nervous system.
(*) A descriptor for a freezing cold injury refers to either unilateral or bilateral damage to the upper or lower extremities.