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

(*) An award for brain injury in levels 1, 3 or 4 includes compensation for associated epilepsy.
(*) Any references to duration of effects in column (b) are from date of injury or onset of illness.
(*) When applied to any injury or disorder, the expression “functional limitation and restriction” or “functionally limiting or restricting” means difficulty in executing an activity or requirement to avoid an activity because of the risk of recurrence, or of delayed recovery or of injury to self or to others as a direct result of the injury or disorder itself.
(*) Spinal cord injury – the level of spinal cord injury is the lowest intact spinal cord segment. An award for a spinal cord injury includes compensation for long-term neurological consequences, muscle spasms and effects on skin, spine, joints, bladder, bowel and sexual function and the cardiovascular and respiratory systems.
(*)Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.
(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 6-8.
(d)

The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of 9-12.
(e) The Claimant is likely to have had a post-resuscitation Glasgow Coma scale of 13–15.
(f)

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

Column (a)

Level

Column (b)

Injury
1. 1 Spinal cord injury, at or above vertebra C3.
2. 1 Brain injury with persistent vegetative state. (a)
3. 1 Brain 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, no language, double incontinence and requires full-time skilled nursing care. (b)
4. 2 Spinal cord injury at vertebra C4, C5 or C6.
5. 3 Spinal cord injury at vertebra C7, C8 or T1.
6. 3 Brain injury where epilepsy is present (or where there is a high risk of epilepsy) where the claimant has limited response to the environment; substantial physical and sensory problems; one or more of cognitive, personality or behavioural problems and requires regular skilled nursing care. (c)
7. 4 Spinal cord injury at vertebra T2 to T6.
8. 4 Brain injury where epilepsy is present (or where there is a high risk of epilepsy) where the claimant has some limitation on response to the environment; some physical and sensory problems; and one or more of cognitive, personality or behavioural problems but does not require skilled nursing care.(d)
9. 4 Uncontrolled post head injury epilepsy.
10. 5 Spinal cord injury at vertebra T7 to T10.
11. 5 Hemiplegia.
12. 5 Brain injury with some risk of epilepsy, where the claimant has moderate physical or sensory problems; one or more of cognitive, personality or behavioural problems and requires some help from others with activities of everyday living but not personal or nursing care. (d)
13. 6 Spinal cord injury at vertebra T11 to L1.
14. 7 Spinal cord injury at vertebra below L1.
15. 7 Brain injury with some persisting physical or sensory problems; one or more of cognitive, personality or behavioural problems and requires occasional help from others with activities of everyday living (d) or (e).
16. 9 Permanent upper limb paralysis due to traumatic damage to brachial plexus – pre-ganglionic.
17. 9 Permanent isolated damage to one cranial nerve.
18. 10 Permanent foot or wrist drop.
19. 11 Brain injury from which the claimant has made, or is expected to make, a substantial recovery beyond 26 weeks, except for residual objectively verified vertigo (f).
20. 11 Brain haemorrhage or stroke which has caused, or is expected to cause, persistent significant functional limitation and restriction at 26 weeks, but where there has been, or is expected to be, a substantial recovery beyond that date.
21. 11 Brain injury from which the claimant has made a substantial recovery and is able to resume work and social life with no significant physical, sensory or cognitive deficits but some residual problems with concentration and memory, disinhibited mood, personality change or depression.
22. 11 Minor head injury which has caused, or is expected to cause, functionally limiting or restricting impaired balance or post traumatic syndrome for more than 52 weeks.
23. 12 Controlled post head injury epilepsy.
24. 12 Permanent substantial peripheral motor sensory or autonomic nerve damage.
25. 12 Entrapment neuropathy which has not responded to treatment.
26. 12 Permanent upper limb paralysis due to traumatic damage to brachial plexus – post-ganglionic.
27. 13 Permanent facial numbness including lip.
28. 13 Entrapment neuropathy which has responded, or is expected to respond, to treatment.
29. 13 Minor head injury which has caused, or is expected to cause, functionally limiting or restricting impaired balance or post-traumatic syndrome for more than 6 weeks, with substantial recovery beyond that date.
30. 14 Permanent facial numbness which does not include the lip.
31. 15 Permanent minor peripheral sensory nerve damage.

Table 7 - senses(*)

(*) For the purposes of the Scheme the following definitions apply:
“Total blindness in both eyes” 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;
“Total blindness in one eye” means that the claimant must have been diagnosed by an accredited medical specialist and have a visual acuity of 3/60 or worse in the affected eye;
“Total deafness” means that the claimant’s bilateral average hearing threshold level is 90dB 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;
“Total deafness in one ear” means that the average hearing threshold is 90dB 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.
(*) Degree of visual field loss should be assessed by reference to an accredited specialist physician report which includes reasons.
(*) The tariff values for blast injury to ears apply where the tympanic membrane is intact. Where the tympanic membrane is perforated the award shall be increased by £1000.
(*) Any references 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.
Item

Column (a)

Level

Column (b)

Injury
1. 1 Total deafness and loss of both eyes, or total deafness and total blindness in both eyes, or total deafness and loss of one eye and total blindness in the other eye.
2. 2 Loss of eyes.
3. 2 Total blindness in both eyes.
4. 2 Loss of one eye and total blindness in the other eye.
5. 5 Loss of one eye and permanent damage to the other eye, where visual acuity is correctable to 6/36.
6. 6 Total deafness in both ears.
7. 6 Severe binocular visual field loss.
8. 8 Loss of one eye or total blindness in one eye.
9. 9 Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with severe persistent tinnitus.
10. 9 Partial loss of vision where visual acuity is correctable to 6/60.
11. 9 Permanent and inoperable cataracts in both eyes.
12. 10 Total deafness in one ear.
13. 10 Partial loss of vision where visual acuity is correctable to better than 6/60 and at least 6/36.
14. 10 Bilateral permanent hearing loss of more than 75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.
15. 10 Detached retina in both eyes.
16. 11 Bilateral permanent hearing loss of 50–75dB averaged over 1, 2 and 3kHz, with severe tinnitus.
17. 11 Partial loss of vision where visual acuity is correctable to better than 6/36 and at least 6/18.
18. 11 Blast injury to ears with permanent sensorineural hearing loss in one ear of over 75dB averaged over 1, 2 and 3 kHz with severe persistent tinnitus.
19. 12 Partial loss of vision where visual acuity is correctable to better than 6/18 and at least 6/12.
20. 12 Permanent and inoperable cataract in one eye.
21. 12 Operable cataracts in both eyes.
22. 12 Moderate binocular visual field loss.
23. 12 Detached retina in one eye.
24. 12 Blast injury to ears with permanent sensorineural hearing loss in one ear of 50-75dB averaged over 1, 2 and 3 kHz with severe persistent tinnitus.
25. 12 Blast injury to ears with permanent sensorineural hearing loss in one ear of over 75dB averaged over 1, 2 and 3 kHz with mild or no tinnitus.
26. 13 Bilateral permanent hearing loss of 50–75dB averaged over 1, 2 and 3kHz, with mild or no tinnitus.
27. 13 Significant penetrating injury to both eyes.
28. 13 Retinal damage (not detached) to both eyes.
29. 13 Partial loss of vision where visual acuity is correctable to better than 6/12.
30. 13 Dislocation of lens in one eye.
31. 13 Degeneration of optic nerve in both eyes.
32. 13 Permanent diplopia.
33. 13 Blast injury to ears with permanent sensorineural hearing loss in one ear of 50-75dB averaged over 1, 2 and 3 kHz with mild or no tinnitus.
34. 14 Blast injury to ears.
35. 14 Diplopia 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.
36. 14 Operable cataract in one eye.
37. 14 Corneal abrasions in both eyes.
38. 14 Hyphaema in both eyes which has required, or is expected to require, operative treatment.
39. 14 Retinal damage (not detached) in one eye.
40. 14 Significant penetrating injury in one eye.
41. 14 Degeneration of optic nerve in one eye.
42. 14 Slight binocular visual field loss.
43. 15 Diplopia which is present, or is expected to be present, at 6 weeks, from which the claimant has made, or is expected to make, a substantial recovery beyond that date.
44. 15 Corneal abrasions in one eye.
45. 15 Hyphaema in one eye which has required, or is expected to require, operative treatment.

Table 8 – Fractures and dislocations(*)

(*) The tariff values for fractures refer to closed fractures. Where the fracture is open the award shall be increased by £1,000. Any associated scarring is included in the award.
(*) An award for an injury in this table includes compensation for any expected consequential osteoarthritis.
(*) Any references to duration of effects in column (b) are from date of injury or onset of illness.
(*) When applied to any injury, the expression “functional limitation and restriction” means difficulty in executing an activity or requirement to avoid an activity because of the risk of recurrence, or of delayed recovery, or of injury to self or others as a direct result of the injury itself.
(*) Awards for injuries in this table include compensation for any associated psychological effects short of a distinct diagnosable disorder.
Item

Column (a)

Level

Column (b)

Injury
1. 10 Fractured heels of both feet causing permanent significant functional limitation and restriction.
2. 10 Fractures or dislocations of both hips, both ankles, both knees, both shoulders, both elbows or both wrists causing permanent significant functional limitation and restriction.
3. 10 Multiple face fractures causing permanent significant cosmetic effect and functional limitation and restriction despite treatment.
4. 11 Fractures or dislocations of both hips, both ankles, both knees, 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.
5. 11 Fractured heel of one foot causing permanent significant functional limitation and restriction.
6. 11 Fractured heel of each foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
7. 11 Fracture of pelvis which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
8. 11 Fracture or dislocation of great toe, of each foot, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
9. 11 Fractured tarsal bones of each foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
10. 11 Fractures of both femurs, both tibiae, both humeri, both ulnae or both radii which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
11. 11 Multiple fractures to face, or face and neck where treatment has led, or is expected to lead, to a good cosmetic and functional outcome.
12. 11 Fracture or dislocation of one hip, elbow, wrist, ankle, knee or shoulder causing permanent significant functional limitation and restriction.
13. 12 Fracture of one humerus, femur, radius, ulna or tibia which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
14. 12 Fracture 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.
15. 12 Fracture of each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
16. 12 Fracture of each clavicle or each scapula which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
17. 12 Fracture 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 recovery within 26 weeks.
18. 12 Fracture or dislocation of thumb of each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
19. 12 Fracture or dislocation of one hip, elbow, wrist, ankle, knee or shoulder which has caused, or is expected to cause, significant functional limitation and restriction at 26 weeks, with recovery beyond that date.
20. 12 Fracture or dislocation of index finger on each hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
21. 12 Fracture or dislocation of great toe on one foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
22. 12 Fractured tarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
23. 12 Fractured heel of one foot which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
24. 12 Fractured heel of each foot from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
25. 12 Fractured or dislocated patella on each knee which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
26. 12 Fractured metatarsal bones on each foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
27. 12 Fractures of both femurs, both ulnae, both tibiae, both humeri or both radii from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
28. 13 Fractured tarsal or metatarsal bones on each foot from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
29. 13 Fractured metatarsal bones on one foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
30. 13 Fracture or dislocation of great toe of each foot from which the claimant has made or is expected to make a substantial recovery within 26 weeks.
31. 13 Fracture of one femur, ulna, tibia, humerus or radius from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
32. 13 Fracture of skull with sub-dural or extra-dural haematoma which has not required evacuation.
33. 13 Fracture of ethmoid which has required or is expected to require operative treatment.
34. 13 Fracture of zygoma which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
35. 13 Fracture or dislocation of one hip, ankle, knee, shoulder, elbow or wrist from which the claimant has made or is expected to make a substantial recovery within 26 weeks.
36. 13 Fracture of one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
37. 13 Fractured heel of one foot, from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
38. 13 Fracture of each hand from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
39. 13 Blow-out fracture of orbit which has required, or is expected to require, operative treatment.
40. 13 Dislocated jaw which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
41. 13 Fracture of scapula or clavicle which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
42. 13 Fracture of each clavicle or each scapula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
43. 13 Fracture of pelvis from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
44. 13 Fracture of sternum which has, or is expected to have, symptoms continuing beyond 26 weeks.
45. 13 Fractures or dislocations of two or more toes, other than great, of each foot which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
46. 13 Fracture or dislocation of thumb on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
47. 13 Fracture or dislocation of thumb of each hand which have caused, or are 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 26 weeks.
48. 13 Fracture or dislocation of index finger on each hand, which have caused, or are 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 26 weeks.
49. 13 Fractures or dislocations of two or more fingers, other than index, on each hand, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
50. 13 Fracture or dislocation of index finger on one hand which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
51. 13 Fractured or dislocated patella of one knee which has caused, or is expected to cause significant functional limitation beyond 26 weeks.
52. 14 Dislocated jaw from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
53. 14 Fractured zygoma from which the claimant has made, or is expected to make a substantial recovery within 26 weeks.
54. 14 Fractured ethmoid which has not, or is not expected to require, operative treatment.
55. 14 Fracture of mandible or maxilla from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
56. 14 Fracture of hand from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
57. 14 Deviated nasal septum requiring corrective surgery.
58. 14 Displaced fracture of nasal bones.
59. 14 Simple skull fracture.
60. 14 Fractured fibula which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
61. 14 Fracture or dislocation of thumb on one hand 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 26 weeks.
62. 14 Fracture or dislocation of index finger, on one hand, 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 26 weeks.
63. 14 Fracture or dislocation of one finger, other than index, on each hand, which has caused, or is expected to cause, significant functional limitation and restriction beyond 26 weeks.
64. 14 Fractures 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.
65. 14 Fractures or dislocations of two or more fingers, other than index, on each hand which have caused, or are expected to cause, significant functional limitation and restriction beyond 13 weeks from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
66. 14 Fractures or dislocations of two or more toes, other than great toe, on one foot, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
67. 14 Fractures or dislocations of one toe other than great toe, on each foot, which have caused, or are expected to cause, significant functional limitation and restriction beyond 26 weeks.
68. 14 Fractures or dislocations of two or more toes, other than great toe, on each foot, from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
69. 14 Fracture or dislocation of great toe from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
70. 14 Fracture or dislocation of index finger on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
71. 14 Fracture or dislocation of thumb on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
72. 14 Subluxed acromio-clavicular joint from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
73. 14 Fracture of coccyx from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
74. 14 Fracture of clavicle or scapula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
75. 14 Fracture of sternum from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
76. 14 Fractured tarsal or metatarsal bones on one foot which have caused, or are 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 26 weeks.
77. 14 Fractured or dislocated patella of each knee 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.
78. 14 Stress 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 beyond that date.
79. 15 Fracture of mastoid.
80. 15 Undisplaced fracture of nasal bones.
81. 15 Deviated nasal septum which has not required, or is not expected to require, operative treatment.
82. 15 Fractured or dislocated patella of one knee 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.
83. 15 Fracture of three or more ribs.
84. 15 Fractures or dislocations of two or more toes, on one foot, which have caused, or are 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 26 weeks.
85. 15 Fractures or dislocations of one toe, other than great toe, on each foot, which have caused, or are 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 26 weeks.
86. 15 Fracture or dislocation of thumb from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
87. 15 Fractured tarsal or metatarsal bone on one foot, 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 13 weeks.
88. 15 Fracture or dislocation of two or more fingers, other than index, on one hand 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 26 weeks.
89. 15 Fracture or dislocation of two or more fingers, other than index, on each hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
90. 15 Fracture or dislocation of one finger, other than index, on each hand, 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 26 weeks.
91. 15 Fracture or dislocation of index finger on one hand, from which the claimant has made, or is expected to make, a substantial recovery within 13 weeks.
92. 15 Fracture or dislocation of one finger, other than index, on one hand, which has caused or is expected to cause significant functional limitation and restriction beyond 26 weeks.
93. 15 Fractured fibula from which the claimant has made, or is expected to make, a substantial recovery within 26 weeks.
94. 15 Fracture of three vertebral transverse or spinous processes.

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