Subject: Request for Information – Permanent Injury Compensation, ACC18 Validation, and Systemic Entitlement Transparency Failures.
Pursuant to the Official Information Act 1982, I request the following information relating to the assessment, disclosure, and administration of Permanent Injury Compensation (PIC) entitlements, and the handling of medical incapacity evidence and review processes.

Part 1: Entitlements and Transparency Obligations
1. Disclosure Policies:
• All internal ACC policies, guidelines, manuals, or directives describing the legal obligation to disclose a full list or breakdown of entitlements available to a claimant under a covered claim.
• How and when this information must be communicated to claimants in writing, particularly for those in long-term claim or review status.
2. Client Access to Entitlement Information:
• Systems or databases used to store and track claimant entitlements.
• How claimants can obtain a full breakdown of their individual entitlements and legislative basis.
• Audit trails or access logs kept to confirm this information was shared.

Part 2: Use and Recognition of ACC18 Medical Certificates
3. Validation of Medical Evidence:
• All current policies and operational guidance (including training materials, workflows, or protocols) describing how ACC18 certificates are reviewed and validated in support of incapacity or PIC claims.
• Criteria or thresholds for overriding an ACC18 certificate signed by a registered medical professional.
• How ACC ensures clinical recommendations are not arbitrarily dismissed.
4. Historical Data:
• Number of PIC-related decisions between 2020–2025 that resulted in a 0% impairment rating despite an ACC18 certificate confirming incapacity.

Part 3: Review Processes and Repetition of Assessments
5. Repetitive Review Handling:
• Policies or SOPs on repetitive/successive reviews following declined PIC claims.
• Criteria for requiring new evidence versus reusing prior assessments.
• Limits or escalation procedures for repeated internal reviews.
6. Timeframes and Delays:
• KPIs or benchmarks for resolving PIC entitlement reviews.
• Anonymised data on average time from PIC lodgement to ICRA resolution (2020–2024).

Part 4: Systemic Issues and Complaints
7. Ombudsman & Complaint Tracking:
• Number of complaints (since 2020) referred to the Ombudsman or Privacy Commissioner regarding entitlement transparency or dismissal of ACC18s.
• Outcome summaries or resolution categories (anonymised).
8. Internal Reporting on Systemic Failures:
• Internal audits, QA reviews, or executive summaries identifying systemic issues in:
- Entitlement disclosure;
- Use or dismissal of ACC18 evidence;
- Procedural fairness in PIC reviews.

Format and Response
Please provide all information in accessible electronic formats (PDF, DOCX, or CSV). If any part of this request may be refused under sections 18(d), 18(f), or 18(g), please consult with me to refine the scope.

Clarifying Context. This request supports mediation process and reflects a broader need to understand about systemic practices within ACC. I am seeking transparency and procedural fairness under the Accident Compensation Act 2001 and Privacy Act 2020.

Yours faithfully,

SPENCER JONES