Legal boundaries of ACC's cover for treatment injury not fully decided

The High Court interpreted the meaning of “ordinary consequence” of treatment in ACC v Ng [2018] NZHC 207, an important determinant of cover for treatment injury.

The Accident Compensation Act provides cover for personal injuries caused by medical treatment, such as surgery, in certain circumstances. The treatment must be by a registered health professional. The personal injury must be caused by the treatment, and must not be a “necessary part, or ordinary consequence” of the treatment, taking into account all the circumstances of the treatment including the person’s underlying health condition. For example, a stroke may be a risk of surgery for a brain aneurysm, but if it occurs, was it an “ordinary consequence” of treatment?

The Accident Compensation Scheme doesn't cover disease - or does it?

The extent of cover for disease under the Accident Compensation Scheme may be wider than you think. The original legislation of 1972, provided cover for personal injury caused by accident, but excluded personal injury caused “exclusively” by disease, infection, or the ageing process. It also included cover for diseases arising out of employment.

The ACC Scheme has never been expanded to provide comprehensive protection for disease, but the general principle continues to be qualified.