Hit while walking or riding? You’re covered by CTP.
Our doctors, physiotherapists and psychologists treat people struck by vehicles, and the treatment is funded through the NSW motor accident scheme.
You were not driving, you have no policy of your own, and nobody handed you a claim number at the scene. None of that puts you outside the scheme. This page explains what CTP covers when a vehicle hits a person, what happens when the driver does not stop, and how to get treatment under way.
The cover follows the vehicle, not the driver
This is the single point most people struck while walking or riding get wrong, and it is the reason they wait weeks before seeing anybody.
Compulsory Third Party cover in New South Wales attaches to a vehicle rather than to a person. What the scheme asks is whether a motor vehicle was involved in the accident that hurt you. It does not ask whether you own a car, whether you hold a licence, or whether you were behind a windscreen at the time. Somebody knocked down on a pedestrian crossing, a rider taken out by a car door opening into the bike lane, a courier struck reversing out of a driveway and a child hit in a shopping centre car park have all been injured in a motor accident, and statutory benefits are the pathway that funds their treatment.
The boundary is the vehicle. A cyclist who washes out on a wet corner with no car anywhere near, or a walker who trips on a broken kerb, is dealing with something outside this scheme. That is worth knowing, but it is not worth agonising over at home on day three with a shoulder you cannot lift. Describe what happened to us on the phone and we will tell you which pathway you are in before you come through the door.
Fault is the second thing people misjudge. For the first year the scheme does not sort people by blame. Treatment and care are funded, and weekly payments are available where you cannot earn, for 52 weeks even for a person who was wholly or mostly at fault. Mostly at fault has a technical meaning: contributory negligence greater than 61%, a finding the insurer has to make and justify. Crossing against the light does not put you outside the scheme, and it is not a reason to sit at home untreated while you decide whether you deserve to ring.
Source: Motor Accident Injuries Act 2017 ss 3.11 and 3.28. Checked September 2026.
Four dates that decide what you keep
None of these are countdowns designed to panic you. They are the actual statutory dates, and the only one that quietly costs money is the second.
Report to police
Report the accident to police within 28 days. Sooner is better, and the event number you receive is the reference every insurer asks for.
Lodge to keep back-dated income
Lodge a statutory benefits claim within 28 days and weekly payments can be back-dated. Lodge later and they run from the day you claim. Treatment is not affected by this one.
Make the claim
A statutory benefits claim must be made within three months of the accident. A late claim needs a full and satisfactory explanation for the delay.
The insurer answers
The insurer must tell you whether it accepts liability for statutory benefits in the first 52 weeks within four weeks. If it does not notify you properly, it is taken to have accepted.
Source: SIRA, Guide for people injured in a motor vehicle accident; Motor Accident Injuries Act 2017 ss 6.13 and 6.19. Checked September 2026.
Hit-and-run and unidentified vehicles
A vehicle nobody can name is not the end of the road. It does, however, put a job on your side of the table that most people are never told about.
Where the vehicle that hit you cannot be identified, or turns out to have no CTP policy behind it, the claim is directed to the Nominal Defendant. The Nominal Defendant Fund is managed by SIRA, the state insurance regulator, and it exists precisely so that a person left on the road by a driver who kept going is not left without cover too. The same lodgement clocks apply, including the 28-day rule for back-dated weekly payments, so a hit-and-run is not a reason to slow down.
The obligation that surprises people is due inquiry and search. The claimant carries the responsibility for making proper efforts to identify the vehicle before the Nominal Defendant takes the claim on. In practice that means work you should start in the first few days, because the evidence decays fast. Report to police and keep the event number. Knock on the shops, service stations and homes along that stretch of road and ask about cameras before the footage is overwritten, which on many systems happens inside a week or two. Take the phone number of anyone who stopped, note any partial registration or a description of the vehicle while it is fresh, and check whether a council or transport camera covers the intersection. Keep a simple written log of each inquiry with the date you made it. That log is the evidence of your search.
We are a clinic and not a law firm, so where a question is genuinely legal rather than clinical we can put you in touch with one of our partner firms. On the treatment side, none of this needs to be resolved before you are examined. Get seen, get the injury recorded properly, and let the identification work run in parallel.
Source: SIRA, Nominal Defendant; Motor Accident Injuries Act 2017 s 6.13. Checked September 2026.
What a vehicle does to an unprotected body
An occupant is decelerated by a seat, a belt and a crumple zone. A person on foot or on a bike has none of those, and the injury pattern reflects it.
There are usually two impacts, not one. The vehicle loads the body first, then the road does, and the two produce quite different injuries in the same person. Bumper height explains the lower limb and knee injuries we see most often in adults. Bonnet and windscreen contact explains the hip, pelvis and rib findings. The landing explains the wrist taken on an outstretched hand, the collarbone, the shoulder and the head. Cyclists add their own signature: handlebar contact to the abdomen, clavicle fractures from going over the bars, and hand and forearm injuries from bracing.
Gravel rash gets dismissed as a scrape and should not be. Grit driven into the dermis infects, scars and takes a long time to settle if it is not cleaned properly early. Nor is the injury only physical. People who have been struck while walking or riding very commonly stop using the road the way they used to, avoid the intersection where it happened, or cannot get back on a bike at all. That is a treatable injury in its own right, not a character flaw.
One clinical detail carries a lot of weight later. The scheme sorts injuries into threshold and non-threshold, and the injuries an unprotected road user takes often sit on the non-threshold side. A fracture is not a soft tissue injury. Neither is a complete or partial rupture of a tendon, ligament, meniscus or cartilage, which the definition excludes outright. Where a person was not mostly at fault and the injury is non-threshold, weekly payments run to 104 weeks and treatment and care continue for as long as they stay reasonable and necessary, instead of stopping at 52 weeks. That classification is decided on examination findings and imaging written down in the first weeks, and the insurer is not obliged to tell you where it lands until nine months in.
Source: Motor Accident Injuries Act 2017 ss 1.6, 3.12, 3.28 and 6.19. Checked September 2026.
What happens once you are with us
Three pieces of work run at once from your first appointment: the clinical care, the certificate that protects your income, and the paperwork that keeps the insurer paying.
The first appointment
Our doctors take the history of the strike itself, examine you properly, arrange imaging where it is indicated, and write the first Certificate of Fitness. On a CTP claim that first certificate has to come from a medical practitioner, and no certificate can cover more than 28 days.
How the certificate worksKeeping the chain unbroken
Every certificate after the first can be written by a medical practitioner or by your treating physiotherapist or psychologist. Because you are treated in one place, the person already seeing you each week can renew it rather than sending you off to find a doctor.
See our car accident serviceGetting treatment approved
One initial allied health assessment needs no permission in advance once a claim number exists. Everything after it is approved through a treatment request, which the insurer must answer no later than 10 days from receipt, with reasons and review rights if it declines.
Read the approvals guideSource: SIRA, Motor Accident Guidelines 4.68, 4.69 and 4.106; Motor Accident Injuries Act 2017 s 3.15. Checked September 2026.
How to book, and what to bring
You can ring us before you have a claim number, before you have spoken to an insurer, and before you have worked out whose vehicle it was.
Call (02) 7238 7379 or use the car accident booking page. Bring the date of the accident, the police event number if you have one, the registration of the vehicle if you got it, and any claim or reference number an insurer has already given you. If you are missing all of those, come anyway. SIRA runs a free helpline, CTP Assist, on 1300 656 919, and it can help you find the right insurer while your treatment is already under way.
You choose who treats you. Where a claimant expresses a preference for a particular provider, the Guidelines require the insurer to facilitate the referral subject to that provider being suitable, and to give written reasons if it declines. You are not required to accept whichever name an insurer puts in front of you, and saying so plainly is not being difficult.
The honest caveat, because it is your money. If an insurer denies liability or declines a treatment request, SIRA is clear that the accounts become the patient’s personal responsibility. We confirm approval before booking a block of treatment and we tell you where things stand rather than assuming you have been told. If the accident happened while you were working, walking or riding as part of your job, there may be a second claim as well, and our page on work-related car accidents sets that out.
Source: SIRA, Motor Accident Guidelines 4.78–4.79 and 4.104; SIRA, Fees paid for motor crash health services. Checked September 2026.
Struck while walking or riding — what people ask us
Six questions our reception and our doctors field from pedestrians and cyclists most weeks.
Related reading
Car accident injury doctors and physios
Where the treatment happens for people struck by a vehicle: the clinic side of a CTP claim, from the first appointment onwards.
Read moreContinueThe first 72 hours after a crash
Police, the insurer, the doctor and the claim, in the order they need to happen.
Read moreContinueBook a car accident appointment
Tell us the date of the accident and we will take it from there, claim number or not.
Read moreKnocked down and not sure where to start? Start with the examination.
Our doctors assess the injury and write the first Certificate of Fitness. Our physiotherapists carry the rehabilitation and our psychologists treat the part of this that keeps you off the road. Approved treatment is billed to the CTP insurer, not to you.
Book a car accident appointment