A parliamentary question addresses potential conflicts of interest for doctors on WorkCover medical assessment panels and the lack of appeal options for claimants regarding impairment level decisions. The Minister denies a conflict of interest exists due to restrictions on panel membership and defends the panel's final decision-making authority.

AnsweredQoN 3255Legislative Assembly
Asked
19 October 2004
Portfolio
Consumer and Employment Protection

QuestionView source ↗

(b) does the Minister regard it as a conflict of interest that doctors may sit on WorkCover medical assessment panels to determine medical disputes in the workers’ compensation jurisdiction and concurrently perform injury assessments of claimants for insurance companies; (c) if not, why not; (d) has the Minister considered allowing claimants in the workers’ compensation system to appeal decisions made by medical panels about their level of impairment to a merits review tribunal; and (e) if not, why not?
(c) if not, why not; (d) has the Minister considered allowing claimants in the workers’ compensation system to appeal decisions made by medical panels about their level of impairment to a merits review tribunal; and (e) if not, why not?
(d) has the Minister considered allowing claimants in the workers’ compensation system to appeal decisions made by medical panels about their level of impairment to a merits review tribunal; and (e) if not, why not?
(e) if not, why not?
(b) No. (c) A medical practitioner who has examined or treated the worker is not eligible to sit on the panel. (d) Yes, several alternative processes for medical panels were considered during the development of the Workers' Compensation Reform Bill. The final decision however was that medical assessment panels comprise 3 medical practitioners who meet together for the purpose of providing an independent assessment and determination. As such it is appropriate for the panel to be the final determinative body. (e) Not applicable
(c) A medical practitioner who has examined or treated the worker is not eligible to sit on the panel. (d) Yes, several alternative processes for medical panels were considered during the development of the Workers' Compensation Reform Bill. The final decision however was that medical assessment panels comprise 3 medical practitioners who meet together for the purpose of providing an independent assessment and determination. As such it is appropriate for the panel to be the final determinative body. (e) Not applicable
(d) Yes, several alternative processes for medical panels were considered during the development of the Workers' Compensation Reform Bill. The final decision however was that medical assessment panels comprise 3 medical practitioners who meet together for the purpose of providing an independent assessment and determination. As such it is appropriate for the panel to be the final determinative body. (e) Not applicable
(e) Not applicable

AnswerView source ↗

Answered
26 November 2004
Responded by
Minister for Consumer and Employment Protection
Response time
38 days
(a) WorkCover records the names of doctors who sit on medical panels. Insurers do not provide WorkCover with information on doctors used by them.
(b) No.
(c) A medical practitioner who has examined or treated the worker is not eligible to sit on the panel.
(d) Yes, several alternative processes for medical panels were considered during the development of the Workers' Compensation Reform Bill. The final decision however was that medical assessment panels comprise 3 medical practitioners who meet together for the purpose of providing an independent assessment and determination. As such it is appropriate for the panel to be the final determinative body.
(e) Not applicable

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