POSSE Framework, Next-Generation Case Management, Administrative Decision-Making
Andrew Allan made this Official Information request to Accident Compensation Corporation
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From: Andrew Allan
Dear Accident Compensation Corporation,
I am writing to request the following information under the Official Information Act 1982:
1. POSSE Framework and "Serious Service Failure"
• The total number of Payment Outside Scope of Statutory Entitlements (POSSE) requests received by ACC between March 2024 and March 2026.
• The number of these requests that were declined because they did not meet the "serious service failure" threshold.
• The total number of active complaints currently with the Office of the Ombudsman regarding ACC’s POSSE decisions.
• A copy of the internal "rationale" or policy document that defines where the threshold for serious service failure sits.
2. Next-Generation Case Management (NGCM) Impact
• The specific criteria used to triage claimants with traumatic amputations or treatment injuries into the "Assisted Recovery" (remote/team-based) stream.
• The total number of claimants currently in the "Assisted Recovery" stream who have an accepted cover for a Treatment Injury.
• Any internal reports or audits produced since 2020 that mention the Assisted Recovery model being "constrained" or "hampering clients' recovery".
3. Administrative Decision-Making
• ACC's policy regarding the requirement to issue formal written decision letters under Section 64 of the AC Act 2001.
• The number of internal complaints received in the last 12 months regarding a failure to issue a formal decision (i.e., "constructive refusal").
Yours faithfully,
Andrew Allan
From: Government Services
Accident Compensation Corporation
Kia ora,
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