The Workplace Health and Safety Act 1995 includes as one of its objectives:
To reduce the burden on the workers’ compensation scheme caused by these deaths, injuries and illnesses, which in turn reduces costs imposed on industry.
The Workplace Health and Safety Act is supported by the Workers’ Compensation and Rehabilitation Act 2003.
What is WorkCover Queensland’s role?
WorkCover assesses and manages serious injury statutory claims in accordance with the Workers’ Compensation and Rehabilitation Act 2003.
The role of the serious injury customer advisor
The serious injury customer advisor will coordinate all medical, rehabilitation, and support needs that relate to your WorkCover Queensland claim.
manage the claim during acute medical treatment, the transition phase from hospital to home, and during your community based rehabilitation
be the main point of contact at WorkCover Queensland during your claim
offer support to you and your family and negotiate individual needs
liaise with medical and rehabilitation providers
approve medical, rehabilitation, and support costs.
The serious injury customer advisor will work with you, your family, treating doctors, and allied health providers to set goals and develop a rehabilitation plan.
Your employer may already have a point of contact with WorkCover Queensland, so your serious injury customer advisor will also work with their contact to keep them up-to-date with your claim.
In cases where return to work may not be an option, the goal of rehabilitation is to enhance quality of life and independent functioning.
What happens while you are in hospital?
In most cases you will be an in-patient for an extended period of time and will undergo intensive specialised rehabilitation prior to hospital discharge. The serious injury customer advisor will visit you in hospital, and regularly consult with hospital staff about your rehabilitation needs.
The discharge process involves assessing your needs in order to leave hospital and live in the community. This process includes the provision of/referral to:
assistive devices, equipment, and/or prosthetics
selection and training of carers (voluntary or paid)
transportation and community access assistance
appropriate community based services
ongoing adjustment to disability needs
ongoing rehabilitation and review.
The serious injury customer advisor will attend family meetings to assist in coordinating these discharge needs.
What is rehabilitation?
Rehabilitation focuses on improving function. After discharge from hospital, private providers in the community carry out rehabilitation under the direction of medical and allied health providers. How long rehabilitation takes is different for each injury and each person.
WorkCover Queensland can only use registered providers to deliver rehabilitation services.
For seriously injured workers, rehabilitation may include:
support worker programme
Who is responsible for rehabilitation?
Rehabilitation is a joint effort involving you, your family, health providers, and WorkCover Queensland. Under the Workers’ Compensation and Rehabilitation Act 2003, we are responsible for providing necessary and reasonable rehabilitation.
You also have an obligation to participate in rehabilitation while receiving benefits from WorkCover Queensland.
Participation in rehabilitation includes being involved in planning and participating in activities approved by your doctor.
What rehabilitation costs are covered?
WorkCover Queensland will pay any necessary and reasonable medical and rehabilitation costs related to your work-related injury. These may include:
medical treatment referred by a doctor and provided by a registered provider
medication or prescriptions that are relevant to the work-related injury
equipment (such as wheelchairs, shower commodes, and hoists)
modifications to the home, or a vehicle, to aid independent functioning.
WorkCover Queensland will not pay for treatment from unregistered providers, such as personal trainers, massage therapists, or naturopaths. You must contact the serious injury customer advisor to determine whether treatment will be covered.