My patient has been injured at work. Now what?
Patients generally receive 95% of
pre-injury wage for 13 weeks
and thereafter 80%
Employer no longer obligated
to provide employment
25% chance of still being off work
at 2 years, if not back by 13 weeks
44% chance of still being off work
at 2 years, if not back by 6 months
Income support stops for most
claims at 2.5 years
Insurance Agent has up to 28 days to make decision
about acceptance.* Majority of claims accepted in 10 days.
DAYS 13 6
MONTHS 12
MONTHS 2.5
YEARS 28
WEEKS
Employer obligations: Employers are required to contact you Patient obligations: Injured workers must to discuss your patient’s return to work. make efforts to participate in planning for If you feel the employer is not assisting your patient to return to their return to suitable employment. work, contact the WorkSafe Advisory Service (1800 136 089).
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Why is it required? • To document capacity and communicate with the employer
and Agent about what your patient can do.
• To enable your patient to access income payments.
How do I complete it? • Talk to your patient about the health benefits of
working and how they can safely stay at, or return to, work.
• Diagnosis should identify injury and include bodily location.
• Complete the certificate based on what your patient can do.
• Provide a timeline for recovery and return to work.
Patients are more than three times as likely to return to work soon after injury if you give them a return to work date.
• Certification should reflect capacity assessment. • The information you provide will assist employers
to plan and identify safe return to work options for your patient.
General enquiries 1800 136 089 gettingback.com.au/gp
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Why is the Certificate of Capacity required and how do I complete it?
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How can I support my patient to stay at or return to work?
• Communication between healthcare providers and workplaces reduces time away from work.
• Patients don’t need to be 100% recovered to stay at, or return to, safe work.
The best way to support your patient is for everyone involved to keep talking.
Consultations Use the time required to talk with your patient about how they can safely stay at, or return, to work.
Case Conferences* Arrange a GP Return To Work Case Conference, or ask the Insurance Agent or Occupational Rehabilitation Provider to organise one. Include the patient, employer and any other providers to discuss appropriate supports for your patient.
Phone calls* Ring the employer to discuss how to safely support your patient to stay at or return to work.
Occupational Rehabilitation Providers These independent providers specialise in assessing the workplace and planning and implementing return to work arrangements. Contact the Insurance Agent to request an Occupational Rehabilitation Provider.
* Invoice using the fee schedule for ‘Medical Services - General Practitioner Return to Work Activities’
When writing a certificate, provide as much information as possible as this may help trigger return to work support services.
General enquiries 1800 136 089 gettingback.com.au/gp
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What mental health support is available?
Initiate your management plan as early as possible.
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• some difficulty with concentration, break tasks into small steps
• provide written as well as verbal instructions
Psychology services for patients with a clinically diagnosed mental disorder.
GP referral to psychology and psychiatry
GP Mental Health
services.
Treatment Plan*
Psychology and psychiatry services*
* Usual patient billing practices apply (private/bulk billing) prior to the Insurance Agent decision about claim liability.
Other services to consider
E-therapy services Telephone or online support for patients www.mindhealthconnect.org.au
Employee Assistance Programs
Confidential counselling services offered by some employers
Beyond Blue Depression and anxiety support www.beyondblue.org.au ph: 1300 224 636
Phoenix Australia Centre for Posttraumatic Mental Health www.phoenixaustralia.org ph: 03 9035 5599
Con
tact
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tactFor a complete list of treatment and services for patients with an accepted WorkSafe Claim, visit www.worksafe.vic.gov.au/gp
General enquiries 1800 136 089 gettingback.com.au/gp
Who can I contact?
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WorkSafe Advisory Service
For general information and advice about: • WorkSafe insurance scheme• occupational health and safety• WorkSafe policy issues
1800 136 089
Insurance Agents and Case Managers
WorkSafe has five authorised Insurance Agents to manage claims. A Case Manager is the primary contact and can assist with: • claim management• treatment requests• return to work planning
GP Support and Clinical Questions
For enquiries about: • general treatment and support• clinical advice from the WorkSafe Clinical Panel• resolving provider issues or concerns
Allianz 1800 240 335 CGU 1800 066 204 Gallagher Bassett 1800 774 377 EML 1800 365 842 Xchanging 1800 801 070
There’s nothing like getting back for getting better. Find out more at gettingback.com.au/gp
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