Delivering measurable outcomes

In our 2025 pilot, the Functional Pathway Assessment Service demonstrated measurable value for insurers by improving decision quality and reducing claims duration.

• 45 referrals in a 6‑month pilot, leading to 33 completed assessments enabling defensible determinations
• Cohort were referred an average of 126 weeks after date of injury, and 88% had no capacity to work
• 12 inappropriate referrals filtered out, saving time and costs
• 3 workers identified as genuinely unfit, avoiding unnecessary vocational assessment
• 20 workers confidently upgraded using objective functional evidence

With a 66% success rate for supported upgrades, the service reduces uncertainty, strengthens decision‑making, and supports faster, more sustainable recovery outcomes.

Indications for referral

• Delayed or unclear recovery
• Insufficient functional information
• Anticipated redeployment or vocational redirection
• Approaching legislative milestones (e.g. Section 38)
• Need for objective work capacity evidence

Evaluations and Assessments

Psychological Functional Capacity Evaluation

A Psychological Functional Capacity Evaluation is an independent evaluation by a psychologist that is undertaken to assess how psychological injury is impacting work capacity.

This assessment includes diagnosis clarification, functional impacts, barriers, and supports, followed by conferencing with treating providers.

Physical Functional Capacity Evaluation

A Physical Functional Capacity Evaluation is an objective assessment of physical capacity, job demands, and safe work abilities which provides measurable findings, duty recommendations, and guidance for transparent return to work planning.

Vocational Assessment

A Vocational Assessment identifies safe, suitable, and sustainable employment pathways based on functional capacity, transferable skills, interests, and labour-market conditions.

Why insurers rely on Functional Pathway Assessments

• Increases certainty in complex claims
• Helps validate ongoing incapacity
• Supports legislative compliance
• Provides sustainable return to work pathways when pre-injury duties aren’t viable