Claim Types
When something goes wrong with your medical care, the confusion and grief that follow can be overwhelming. Maybe you’re only now understanding what actually happened to you. Maybe a doctor dismissed your concerns for months before someone finally found what was wrong — and by then, the damage was done. Or perhaps someone you love was hurt in a way that should never have happened, and you’re still trying to make sense of it.
Fair Go Australia works with specialist medical negligence lawyers across Australia who understand both the legal complexity of these claims and the very real human cost behind them. This page explains your rights, what a claim involves, and what the process looks like from start to finish.
Understanding your rights
Medical negligence is what happens when a health professional fails to provide care that meets the standard expected of a competent practitioner in their field — and that failure causes real, measurable harm.
It’s worth being clear about what that means in practice. A bad outcome on its own isn’t negligence. Surgery carries risk. Diagnoses aren’t always straightforward. The question a court asks is not “did something go wrong?” but rather: “did this health professional do what a reasonable, competent practitioner in their position would have done — and if not, did that failure cause this person’s harm?”
In Australia, the standard of care isn’t simply defined by what other doctors say they would have done. The High Court settled that question in Rogers v Whitaker [1992] HCA 58, which established that the standard is assessed objectively — and that health professionals must disclose all material risks to patients, even if general medical practice might not have required it. That case changed how medical negligence is assessed in this country, and it remains central to how claims are evaluated today.
To make a successful medical negligence claim, you generally need to establish three things:
If you’re unsure whether your situation meets these elements, that’s exactly what a free case evaluation is for. Many people who contact us aren’t certain — and certainty isn’t required to start a conversation.
Real situations, real harm
Medical negligence takes many forms. What follows are the types of failures our lawyers encounter most often — not as abstract categories, but as situations that real people have lived through.
A GP who kept attributing symptoms to stress, ordered no further investigation, and sent the patient home — until eighteen months later when a specialist found cancer that had been quietly growing all along. The treatment options that existed at the start were no longer available.
Wrong-site procedures, damage to surrounding tissue or organs, or surgical instruments left inside a patient post-operatively. These failures often cause harm that extends well beyond the original condition being treated.
A pharmacist dispensing the wrong medication. A doctor prescribing a drug with a documented contraindication in the patient's own medical history. A dosing error in a hospital setting that caused a serious adverse reaction.
A practitioner who recognises that something is beyond their expertise — or should have recognised it — but fails to refer the patient to a more appropriate specialist. In some cases, a patient's deteriorating condition is documented across multiple appointments with no action taken.
Failure to monitor foetal distress during labour. Delayed decisions about delivery. Inadequate responses to clear clinical warning signs. Birth injuries caused by obstetric negligence can affect a child and their family for life.
A treating psychiatrist who failed to adequately assess suicide risk despite clear indicators in the clinical notes. A psychologist who breached professional boundaries in a way that caused lasting psychological harm.
Could this apply to you?
This checklist won’t replace a proper legal assessment — but it can help you understand whether the circumstances you’re describing could support a claim.
Did this health professional owe you a duty of care? In almost every patient-provider relationship, the answer is yes. The duty arises the moment a professional takes on your care.
Would a competent, reasonably skilled practitioner in the same specialty have done the same thing? If there's reason to believe the care fell short, there may be a breach.
It's not enough that something went wrong and something bad happened. There needs to be a connection — the negligent act or omission must have materially caused or contributed to your outcome.
This includes physical harm, psychological injury, financial loss (including lost income and the cost of additional treatment), and the cost of ongoing care needs.
One practical note: if you’re considering making a formal complaint to the Australian Health Practitioner Regulation Agency (AHPRA), that’s a separate process from a legal claim. An AHPRA complaint addresses professional conduct — it won’t get you compensation. The two can run alongside each other, and making (or not making) an AHPRA complaint doesn’t affect your limitation period for a legal claim.
Step by step
The process is more straightforward than most people expect. Here’s what a medical negligence claim looks like in practice.
1
The first step is a confidential conversation. No commitment, no cost. You explain what happened, and a specialist lawyer assesses whether the circumstances are likely to support a claim. Have a rough timeline of events in mind, and if you have any medical records or correspondence already, bring those too.
2
Your medical records are your most important piece of evidence. Under the Privacy Act 1988 (Cth) and state-based health records legislation, you have a legal right to access your own records. Your lawyer will assist you through this process.
3
Medical negligence claims require an independent clinical expert — a practitioner in the same specialty — to review the records and provide a formal opinion on whether the standard of care was breached. Your lawyer handles this; you don’t need to organise it yourself.
4
Most medical negligence claims in Australia are handled by specialist medical defence organisations such as MDA National or Avant. Once a formal claim is notified, there is typically a period of pre-litigation negotiation. Many claims resolve at this stage without going to court.
5
If negotiation doesn’t reach resolution, proceedings are filed in the relevant state Supreme Court. The vast majority of matters that reach this stage still settle before trial. Your lawyer will keep you informed at every step.
What you may recover
Compensation in a medical negligence claim is aimed at putting you back — as close as money can — to where you would have been had the negligence not occurred. It covers several different categories of loss.
Compensation for the physical pain, psychological impact, and loss of enjoyment of life caused by the negligence. Note that most states have thresholds that must be met before general damages are available. Under the Civil Liability Act 2002 (NSW), a claimant must establish that the injury reaches a significant injury threshold before non-economic loss is awarded. Similar provisions apply under the Wrongs Act 1958 (VIC) and the Civil Liability Act 2003 (QLD).
If the negligence has affected your ability to work — whether through a period of recovery or a permanent reduction in your earning capacity — you may be entitled to claim for lost income, past and future.
The cost of corrective treatment, ongoing rehabilitation, specialist consultations, and any medical care directly attributable to the negligence.
Where the injury has required you to rely on family members or paid carers for tasks you could previously manage independently, that cost can form part of your claim.
Travel to appointments, prescription costs, home modifications, aids and equipment — the smaller but real costs that accumulate over time.
Compensation amounts depend entirely on the facts of your case, the severity of your harm, the state in which the claim is made, and how the evidence holds up under scrutiny. No responsible lawyer — and no legal website — can give you a figure before a case is properly assessed.
Time limits matter
Limitation periods in medical negligence are calculated differently from most other claims. Because harm is often not apparent at the time of treatment, most states use a discovery rule — the clock starts running from the date you knew, or ought reasonably to have known, that negligence had caused your harm.
| State | Limitation period | Legislation |
|---|---|---|
| NSW | 3 years from discovery | Limitation Act 1969 (NSW) |
| VIC | 3 years from discovery | Limitation of Actions Act 1958 (VIC) |
| QLD | 3 years from discovery | Limitation of Actions Act 1974 (QLD) |
| WA | 3 years from discovery | Limitation Act 2005 (WA) |
| SA | 3 years from discovery | Limitation of Actions Act 1936 (SA) |
| TAS | 3 years from discovery | Limitation Act 1974 (TAS) |
| ACT | 3 years from discovery | Limitation Act 1985 (ACT) |
| NT | 3 years from discovery | Limitation Act 1981 (NT) |
Special rules for children: Where the claimant is a minor, the limitation period generally does not begin running until they turn 18. This is particularly relevant in birth injury cases.
Some states also impose absolute long-stop periods — a hard deadline regardless of when the harm was discovered. Do not assume that because you only recently understood what happened, you have time to spare.
Why Fair Go Australia
Medical negligence is one of the most technically complex areas of professional negligence law. It requires lawyers who understand both the legal framework and the clinical standards being applied. Not every firm has that depth.
We work exclusively on professional negligence claims. Not general personal injury — not traffic accidents. Medical negligence is precisely the kind of work we exist to support.
If we take your case on, it proceeds on a no-win, no-fee basis. You don't pay unless your claim succeeds.
Whether you're in Sydney, Brisbane, rural Victoria, or regional Western Australia, you can access the same standard of specialist representation.
Your first conversation carries no obligation and no cost. We respond to all enquiries within 1 business day.
✔ No Win No Fee ✔ Free Evaluation ✔ Confidential ✔ Australia-Wide
If you believe a health professional’s care fell short and caused you harm, the right step is to speak with a specialist — not to keep wondering.
We respond to all enquiries within 1 business day.
Your questions answered
Not every poor result from medical treatment amounts to negligence. Medicine carries inherent uncertainty, and outcomes can be poor even when care is provided to an excellent standard. The question is whether the health professional’s conduct fell below what a competent, reasonably skilled practitioner in their position would have done — and whether that failure caused your harm. If the answer to both is yes, there may be a claim. If you’re not sure, that’s what a case evaluation is for.
Yes. A consent form does not waive a health professional’s duty of care, and it does not release them from liability for negligent conduct. Following Rogers v Whitaker [1992] HCA 58, informed consent requires that all material risks be disclosed to the patient. If a risk was not disclosed and it eventuated, that failure may itself support a claim — separate from any other negligent act.
Straightforward claims that resolve at the pre-litigation stage may conclude within 12 to 18 months. More complex matters — particularly those involving disputed expert evidence or severe injuries — can take 2 to 4 years. Court proceedings, if required, extend that timeline further. Most cases, however, resolve without going to trial.
No. A complaint to the Australian Health Practitioner Regulation Agency and a civil negligence claim are entirely separate processes. An AHPRA investigation examines professional conduct — it does not result in compensation for you, and its outcome does not automatically establish civil liability. You can pursue both processes simultaneously, or either one alone.
The foundation is your medical records — from the treating practitioner, the hospital, and any specialists involved. An independent clinical expert opinion is also required to establish that the standard of care was breached. Your lawyer organises the expert evidence; your role is to provide the factual history and any documentation you have. Don’t delay seeking advice because you think you don’t have enough — getting your records is part of the process, not a precondition to starting.