PART 3U.K.BENEFITS PAYABLE FOR INJURY

Temporary AwardsU.K.

26.—(1) This article applies where the Secretary of State considers that—

(a)a person has sustained an injury of a description for which no provision is made in the tariff in force on the date—

(i)on which the claim for benefit was made; or

(ii)of an application for a review under articles 55, 56, 57 or 59;

(b)that the injury is sufficiently serious to warrant an award of injury benefit; and

(c)that injury is listed in the International Statistical Classification of Diseases and Related Health Problems M1 or in the Diagnostic and Statistical Manual of Mental Disorders M2.

(2) The Secretary of State is to make a temporary award in respect of that person relating to the level of the tariff which the Secretary of State considers appropriate for that injury.

(3) The amount of the lump sum payable under a temporary award is the amount which would have been payable had a descriptor been included in the tariff at the tariff level which the Secretary of State considers appropriate for the injury.

(4) Where guaranteed income payment is payable under a temporary award, the amount payable is that which would have been payable had the descriptor been included in the tariff at the tariff level which the Secretary of State considers appropriate for the injury.

(5) The making of a temporary award does not give rise to a right to—

(a)a reconsideration of the decision under article 53; or

(b)a review of the decision under article 55, 56 or 57.

(6) Except where paragraph (7) applies, if the Secretary of State—

(a)does, within the period of 1 year starting with the date on which the temporary award is given or sent to the claimant, amend this Order by including a descriptor which describes the injury and is at the same tariff level for which the temporary award is made—

(i)a decision is to be issued making a permanent award in favour of the claimant, which takes effect on the day on which the amending Order comes into force; and

(ii)guaranteed income payment is to continue to be paid in accordance with this Order; or

(b)does not within the period of 1 year so amend this Order—

(i)a decision is to be issued refusing to make a permanent award in favour of the claimant; and

(ii)guaranteed income payment ceases to be payable under the temporary award at the end of the period but no amount of benefit paid in accordance with that award is recoverable.

(7) This paragraph applies where, after the date of a claim or application for review (referred to in paragraph (1)(a)(ii)) but before the determination of that claim or application, the Secretary of State has amended this Order, by including a descriptor in the tariff which describes the injury at the tariff level which the Secretary of State considers appropriate for that injury.

(8) Where paragraph (7) applies the Secretary of State is to make a temporary award and immediately issue a decision making the temporary award permanent.

Marginal Citations

M1World Health Organisation, Geneva. 10th revision (1992).

M2American Psychiatric Association, Washington DC 20005 USA. 4th Edition, Text Revision (2000).