Новозеландская система компенсации при травмах: ACC
Accident Compensation Corporation
ACC Новая Зеландия: компенсация травм. Государственная схема без вины для граждан, резидентов и туристов. Финансовая поддержка и выплата пособий с 1974 года.
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Содержание
Введение
Корпорация по компенсации несчастных случаев (ACC) является государственным органом Новой Зеландии, ответственным за администрирование общенациональной системы компенсации травм, полученных в результате несчастных случаев, без установления вины, обычно называемой схемой ACC. Схема предоставляет финансовую компенсацию и поддержку гражданам, резидентам и временным посетителям, получившим личные травмы. Корпорация была основана 1 апреля 1974 года как Комиссия по компенсации несчастных случаев в соответствии с Законом о компенсации несчастных случаев 1972 года. В настоящее время ее основным законом, регулирующим деятельность, является Закон о компенсации несчастных случаев 2001 года. Как государственный орган, ACC управляется советом, который подотчетен министру, ответственному за ACC. В отличие от большинства других государственных органов, у ACC есть собственный отдельный министерский портфель, который с ноября 2023 года занимает Мэтт Дуси.
The Accident Compensation Corporation (ACC) is the New Zealand Crown entity responsible for administering the country's no fault accidental injury compensation scheme, commonly referred to as the ACC scheme. The scheme provides financial compensation and support to citizens, residents, and temporary visitors who have suffered personal injuries. The corporation was founded as the Accident Compensation Commission on 1 April 1974 as a result of the Accident Compensation Act 1972. Its principal governing act today is the Accident Compensation Act 2001. As a Crown entity, ACC is governed by a board that is responsible to the Minister for ACC. Unlike most other Crown entities, it has its own dedicated ministerial portfolio, which since November 2023 has been held by Matt Doocey.
История
ACC берет свое начало в Законе о компенсации работникам за несчастные случаи 1900 года, который учредил ограниченную систему компенсаций для работников, получивших травмы, при отсутствии непосредственно виновной стороны. В 1966 году была создана Королевская комиссия Новой Зеландии под председательством судьи Высшего суда Оуэна Вудхауса. В 1967 году Королевская комиссия рекомендовала распространить эту компенсацию на все травмы, независимо от вины пострадавшего. После публикации этого доклада парламент Новой Зеландии принял Закон о компенсации за несчастные случаи 1972 года, который позднее был изменен в 1973 году. Комиссия по компенсации за несчастные случаи была учреждена 1 апреля 1974 года. В 1992 году комиссия была переименована в Корпорацию по компенсации несчастных случаев (ACC). Впоследствии Закон был заменен Законом о профилактике травм, реабилитации и компенсации 2001 года, который в 2010 году был переименован в Закон о компенсации несчастных случаев 2001 года. В годовом отчете Комиссии за 1989/90 гг. было предложено отказаться от разграничения между "несчастными случаями", которые подлежат компенсации, и "болезнями", которые не подлежат компенсации. Данное предложение правительством не было принято. С 1 июля 1999 года четвертое национальное правительство разрешило частным страховым компаниям предоставлять страхование от несчастных случаев на производстве, что временно подвергло ACC конкуренции. Пятое лейбористское правительство (избранное в ноябре 1999 года) отменило это изменение, и с 1 июля 2000 года восстановило ACC в качестве единственного поставщика страхового покрытия от несчастных случаев.
The ACC has its origins in the Workers' Compensation for Accidents Act 1900, which established a limited compensation scheme for workers who had suffered injuries where there was no directly responsible party. In 1966, a New Zealand Royal Commission, chaired by High Court judge Owen Woodhouse, was established. In 1967 the Royal Commission recommended extending this compensation to cover all injuries on a no fault basis. Following this report, the New Zealand Parliament passed the Accident Compensation Act 1972, later amended in 1973. The Accident Compensation Commission was established from 1 April 1974. In 1992, the commission was renamed the Accident Compensation Corporation (ACC). The Act was later replaced by the Injury Prevention, Rehabilitation and Compensation Act 2001, which was in 2010 renamed the Accident Compensation Act 2001. The Commission's annual report for 1989/90 proposed that the distinction between accidents—which are covered—and "illness"—which is not—should be dropped. This proposal was not taken up by the government. From 1 July 1999, the fourth National government allowed private insurance operators to provide work related accident insurance, and ACC was briefly exposed to competition. The fifth Labour government (elected in November 1999) repealed this change, and as of 1 July 2000 re instated ACC as the sole provider of accident insurance coverage.
Особенности
ACC является единственным и обязательным страховщиком от несчастных случаев в Новой Зеландии для всех травм, полученных на работе и вне ее. Корпорация администрирует схему ACC по принципу отсутствия вины, что означает, что любой человек, независимо от обстоятельств получения травмы, имеет право на ее покрытие в рамках схемы. В силу принципа отсутствия вины, лица, получившие телесные повреждения, не имеют права подавать иски к виновной стороне, за исключением случаев, когда речь идет о возмещении морального вреда. Схема предоставляет широкий спектр льгот пострадавшим, однако в 2011–2012 годах 93,5% новых обращений касались только расходов на лечение. Другие льготы включают еженедельную компенсацию за утраченный заработок (выплачивается в размере 80% от заработной платы до получения травмы) и покрытие расходов на адаптацию жилья или транспортного средства для лиц с тяжелыми травмами. Предоставление льгот осуществляется на основании различных критериев соответствия. ACC сотрудничает с партнерами и местными сообществами в рамках инициатив, направленных на предотвращение травм. Эти инициативы включают программы "RugbySmart" совместно с New Zealand Rugby, "Ride Forever", "Mates and Dates" и "Make Your Home a Safety Zone" совместно с Safekids Aotearoa. Утверждается, что данная система стимулирует медицинских работников сообщать об ошибках. Затраты на судебные разбирательства для системы здравоохранения значительно ниже, чем в ряде других стран.
ACC is the sole and compulsory provider of accident insurance in New Zealand for all work and non work related injuries. The corporation administers the ACC Scheme on a no fault basis, so that anyone, regardless of the way in which they suffered an injury, has coverage under the scheme. Due to the scheme's no fault basis, people who have suffered personal injury do not have the right to sue an at fault party, except for exemplary damages. The scheme provides a range of entitlements to injured people, however 93.5 percent of new claims in 2011 to 2012 were for treatment costs only. Other entitlements include weekly compensation for lost earnings (paid at a rate of 80% of a person's pre injury earnings) and the cost of home or vehicle modifications for the seriously injured. The scheme offers entitlements subject to various eligibility criteria. ACC works with partners and communities on initiatives to prevent injuries. These initiatives include "RugbySmart" with New Zealand Rugby, "Ride Forever", "Mates and Dates", and "Make Your Home a Safety Zone" with Safekids Aotearoa. It is claimed that the system encourages clinicians to report mistakes. The cost of litigation to the health system is considerably less than in some other countries.
Альтернативные методы лечения
ACC подвергается критике за финансирование ряда альтернативных методов лечения, не имеющих научного обоснования, в том числе акупунктуры, остеопатии и мануальной терапии.
ACC has been criticised for providing funding for several alternative therapies that are unsupported by scientific evidence, including acupuncture, osteopathy and chiropractic interventions.
Финансирование
ACC финансируется преимущественно за счет сочетания взносов и государственных субсидий. Доходы, поступающие от каждого источника, направляются на предопределенные счета в зависимости от источника финансирования. Расходы, связанные с травмой, оплачиваются из одного из этих счетов, исходя из типа и причины травмы. Четыре основных счета: «Работа», «Заработная плата», «Неработающие» и «Моторные транспортные средства». Существует также пятый счет: «Травмы, связанные с лечением» (ранее «Медицинские ошибки»), который финансируется из счетов «Заработная плата» и «Неработающие». Ставки взносов были утверждены Кабинетом министров в ноябре 2021 года после окончательной рекомендации министра по делам ACC Кармеля Сепулони на периоды 2022/23, 2023/24 и 2024/25. Периоды уплаты взносов начинаются с [дата] и заканчиваются [дата] следующего года.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Типы счетов
Травмы, покрываемые
Источники дохода
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Работа
Травмы, связанные с работой
Взносы, взимаемые с работодателей и самозанятых лиц. Сумма к оплате в среднем составляет 0,63% от фонда заработной платы работодателя или полученного дохода, хотя ставки варьируются в зависимости от отрасли работодателя и связанных с ней рисков.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Заработная плата
Не связанные с работой, для получателей дохода
Взносы, взимаемые совместно с удержанием налогов из дохода. Оплачиваются работниками через систему PAYE или самозанятыми лицами напрямую. Сумма к оплате составляет 1,39% от полученного дохода.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Неработающие
Не связанные с работой, для не получающих доход
(т.е. дети, пожилые люди и безработные, посетители)
Государственная субсидия из общего налогового фонда.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Моторные транспортные средства
Относящиеся к автотранспортным средствам на общественных дорогах
Взносы, включенные в цену бензина (не дизельного топлива или СПГ), а также через сборы за лицензирование автотранспортных средств. Взнос за лицензию на автотранспортное средство в среднем составляет 113,94 доллара США (без НДС) в год за транспортное средство, при этом мотоциклы и грузовые автомобили платят больше среднего из-за повышенной вероятности травм, связанных с этими видами транспорта, а взнос на бензин установлен в размере 6 центов за литр (без НДС).
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Травмы, связанные с лечением
В результате медицинского вмешательства (ранее известные как медицинские ошибки)
Финансируется из счетов «Заработная плата» и «Неработающие», в зависимости от трудового статуса клиента.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Первоначально ACC использовала модель «полного финансирования», при которой собиралось достаточно взносов для покрытия пожизненной стоимости каждой травмы, которая может потребовать компенсации в течение 30 лет и более. В 1982 году схема была переведена на модель финансирования «по мере поступления», при которой схема собирает достаточно взносов в течение года для покрытия стоимости претензий за этот год. В 1999 году модель «полного финансирования» была восстановлена. Другим фактором стало предоставление физиотерапевтических услуг бесплатно в момент оказания, что привело к чрезмерному обслуживанию клиентов. В период с 2000 по 2008 год это, по-видимому, способствовало увеличению расходов на физиотерапию на 214%. Схема 100% возмещения услуг физиотерапевтов была прекращена, и взносы ACC с заработной платы и с владельцев автотранспортных средств были увеличены. Председатель ACC Джон Джадж заявил Sunday Star Times, что для обеспечения устойчивого положения ACC потребуется «жесткий» подход. Это потребует «значительного» увеличения взносов и «изменения законодательства, чтобы люди могли быстрее покинуть систему и вернуться к работе». В конце 2012 года министр ACC Джудит Коллинз объявила, что правительство не будет сокращать взносы ACC на 2013–14 год. В то время как Совет ACC и Министерство бизнеса, инноваций и занятости рекомендовали снизить взносы на 12–17 процентов, Коллинз заявила, что решение правительства было обусловлено неопределенной экономической ситуацией и желанием обеспечить устойчивость сокращения взносов. Эндрю Литтл, представитель Лейбористской партии, раскритиковал это решение, заявив, что оно вызвано попыткой правительства добиться профицита бюджета, а снижение взносов стимулирует экономику. В бюджете 2013 года Коллинз объявила о сокращении взносов ACC на 1,3 миллиарда долларов в течение следующих двух лет. Коллинз заявила, что счета «Заработная плата» и «Работа» теперь полностью финансируются после того, как корпорация сократила количество долгосрочных получателей выплат ACC с 14 000 до менее 11 000. В 2015/16 году непогашенная задолженность по претензиям ACC (OCL) увеличилась на 6,4 миллиарда долларов, что привело к чистому дефициту в 3,4 миллиарда долларов. OCL измеряет будущие затраты по всем существующим претензиям ACC. В том же году было принято 1,93 миллиона претензий, что на 5,2% больше, чем в предыдущем году. На все новые и существующие претензии было выплачено 3,5 миллиарда долларов. Существуют некоторые предположения о том, получали ли сотрудники ACC стимулы за удаление долгосрочных клиентов из еженедельных выплат. Это было опровергнуто бывшим генеральным директором Ральфом Стюартом в 2012 году. В том году в ACC было зарегистрировано 10 400 долгосрочных получателей выплат, что на более чем 1000 меньше. В 2019 году ACC сообщила о рекордном убытке в размере 8,7 миллиарда долларов.
ACC is primarily funded through a combination of levies and government contributions. Income collected from each source goes into predetermined accounts based on the source. Costs relating to an injury are paid from one of these accounts based on the type and cause of the injury. The four main accounts are: Work, Earners, Non Earners, and Motor Vehicle. There is also a fifth account: Treatment Injury (formerly Medical Misadventure), that draws on both the Earners and Non Earners accounts. Levy rates were most recently approved by Cabinet in November 2021 after a final recommendation from ACC Minister Carmel Sepuloni, for the 2022/23, 2023/24 and 2024/25 levy periods. Levy periods run from the to the the following year. Account Types of injury covered Income sources Work Work related Levies collected from employers and self employed people. The amount payable averages 0.63% of an employer's payroll or income earned , though rates vary depending on the employer's industry and risks associated with it. Earners Non work related, by income earners Levies collected in conjunction with tax deductions on income. Paid by employees through PAYE or by self employed people directly. The amount payable is 1.39% of income earned Non earners Non work related, by non income earners (i. e. children, the elderly and unemployed, visitors) Government contribution from the general taxation pool. Motor Vehicle Relating to motor vehicles on public roads Levies included in the price of petrol (not diesel or LPG), and through motor vehicle license fees. The levy on motor vehicle license fees averages $113.94 (GST exclusive) per vehicle per year , with motorcycles and heavy vehicles paying more than average due to the increased likelihood of injury associated with these modes of transport, and the petrol levy is set at 6c per litre (GST exclusive). Treatment Injury As a result of medical treatment (previously known as medical misadventure) Funded from the Earners and Non Earners accounts, depending on the clients' employment status. ACC initially had a "fully funded" model whereby sufficient levies were collected to cover the lifetime cost of each injury, which might require compensation over a period of 30 years or more. The scheme was shifted to a "pay as you go" funding model, where the scheme collects enough levies during a year to cover the cost of claims for that particular year, in 1982. The “fully funded” model was restored in 1999. Another factor was physiotherapy services being made free at the point of delivery leading to over servicing of clients. Between 2000 and 2008 this appears to have contributed to an increase in physiotherapy costs of 214%. The 100% reimbursement scheme for physiotherapist services was ended, and ACC levies on wages and motorists were increased. ACC chairman John Judge told the Sunday Star Times that it was going to take a "hard nosed" approach to get ACC into a sustainable position. This would require "substantial" levy increases and "legislative change to get people off the scheme and back to work quicker". Towards the end of 2012, ACC Minister Judith Collins announced that Government would not cut ACC levies for the 2013–14 year. While the ACC Board and Ministry of Business Innovation and Employment had recommended reducing the levies by between 12 and 17 per cent, Collins stated that the government's decision was motivated by the uncertain economic conditions and a desire to ensure that reductions to the levy were sustainable. Andrew Little, the Labour Party's ACC spokesman, criticised this decision, claiming that it was driven by the government's attempt to bring the budget into surplus and reducing the levy would provide a boost to the economy. In the 2013 budget, Collins announced a $1.3 billion cut in ACC levies over the next two years. Collins said the Earners and Workers accounts were now fully funded after the Corporation reduced the number of long term ACC claimants from 14,000 to less than 11,000. In 2015/16, ACC's outstanding claims liability (OCL) increased by $6.4 billion, which lead to a net deficit of $3.4 billion. The OCL measures the future cost of all existing ACC claims. That year also saw 1.93 million claims accepted; a 5.2% increase from the previous year. $3.5 billion was paid out to all new and existing claims. There has been some conjecture over whether or not ACC staff were paid incentives to remove long term clients off weekly compensation. This was refuted by Ex CEO Ralph Stewart in 2012. That year there were 10,400 long term claimants registered with ACC—down by over 1,000. In 2019 ACC posted a record $8.7 billion loss.
Инвестиции
ACC инвестирует полученные премии в различные предприятия. Объем ее инвестиционного портфеля составляет 40 миллиардов долларов, а ее инвестиционный менеджер считался самым высокооплачиваемым государственным служащим в Новой Зеландии. Из 50 крупнейших инвестиций 47 приходятся на компании, котирующиеся на биржах Новой Зеландии и за рубежом. Заметными исключениями являются 22% доля в Kiwibank, а также консорциумы, строящие автомагистраль Transmission Gully и автомагистраль Puhoi–Wellsford. С момента своего основания ACC неоднократно оказывалась в центре споров из-за характера некоторых своих инвестиционных решений. В 2003 году депутат парламента от партии "зеленых" Сью Брэдфорд заявила, что ACC инвестировала в крупнейшие пивоваренные компании DB Breweries и Lion Nathan, что, по ее мнению, противоречило юридическому обязательству ACC осуществлять этичные инвестиции для защиты глобальной репутации Новой Зеландии. В 2016 году ACC признала, что косвенно инвестировала в шесть компаний, включенных в ее собственный "черный список", в том числе производителя вооружений Lockheed Martin и British American Tobacco. Этическая инвестиционная политика ACC вновь оказалась под вопросом в 2019 году, когда депутат парламента от партии "зеленых" Хлои Сварбрик публично раскритиковала данное государственное учреждение за продолжение инвестиций в ископаемое топливо, утверждая, что в условиях климатического кризиса такие инвестиции неэтичны и что необходимо осуществить вывод средств, следуя прецеденту, установленному исключением инвестиций в табачные компании.
ACC invests the premium it collects in various ventures. It has a portfolio of $40b and its investment manager was believed to be the highest paid public servant in New Zealand. Of its top 50 investments, 47 are listed companies in NZ and overseas. Notable exceptions include a 22% shareholding in Kiwibank and the consortiums building Transmission Gully Motorway and the Puhoi to Wellsford Motorway. ACC has attracted controversy at several junctures since its establishment due to the nature of some its investment decisions. In 2003 Green Party MP Sue Bradford revealed that ACC held investments in brewery industry giants DB Breweries and Lion Nathan, which she claimed contravened ACC's legal obligation to engage in ethical investments to protect New Zealand's global reputation. In 2016 ACC admitted it had indirectly invested in six companies on its own exclusion list, including weapons manufacturer Lockheed Martin and British Tobacco. ACC's ethical investment policy was drawn into question again in 2019, when Green Party MP Chlöe Swarbrick publicly criticised the Crown Entity for continued investment in fossil fuels, arguing that in light of the climate emergency this investment was unethical and that divestment should take place according to the precedent set by its exclusion of investment in tobacco companies.
Страхование для самозанятых
ACC CoverPlus Extra был введен организацией ACC для обеспечения страхового покрытия самозанятых работников и владельцев бизнеса, которые в противном случае не получили бы достаточной защиты по стандартному полису ACC CoverPlus. Программа предусматривает выплату согласованного размера компенсации в случае травмы, повлекшей за собой потерю трудоспособности. Благодаря заранее согласованному уровню покрытия, бизнесу не требуется доказывать потерю дохода, и он может быть уверен в размере компенсации в случае травмы, полученной на производстве. Полис ACC CoverPlus был разработан для покрытия 80% от чистого налогооблагаемого дохода работника. С ACC CoverPlus Extra самозанятый подрядчик получает 100% от предварительно согласованной компенсации до момента восстановления и возвращения к работе на полный рабочий день. Владелец бизнеса может получить компенсацию по программе ACC CoverPlus Extra, даже если бизнес продолжает приносить доход, пока владелец не может работать из-за травмы – что невозможно по стандартному полису. В этой программе участвуют более 140 новозеландских работодателей. Организация ACC Futures Coalition и Партия зеленых критикуют эту программу, утверждая, что она создает конфликт интересов, побуждающий работодателей неправомерно отклонять страховые требования, и призывают к ее отмене.
ACC CoverPlus Extra was introduced by ACC to provide cover for self employed workers and business owners that would fail to otherwise be covered adequately by the standard ACC CoverPlus policy. It works by paying an agreed level of compensation, in the event of an injury resulting in time off from work. With this cover already agreed upon, any business would not have to prove loss of income and has certainty on their amount of cover in the event of an accident related injury. The ACC CoverPlus policy was designed to cover employees at 80% of their net taxable income. With ACC CoverPlus Extra, a self employed contractor would get 100% of the pre agreed compensation paid until they were fit to return to full time work. A business owner would be able to get compensation under ACC CoverPlus Extra even if the business continued to earn income whilst the business owner could not work because of injury. This would not be possible with the standard policy. More than 140 New Zealand employers participate in this programme. ACC Futures Coalition and Green Party criticize this programme because creates a conflict interest for employers to wrongly deny claims and say it should be cancelled.
Насилие в отношении сотрудников
Клиенты ACC время от времени угрожали или пытались причинить вред сотрудникам ACC. В 1999 году сотрудник был смертельно заколот заявителем в офисе ACC в Хендерсоне. В 2010 году логотипы ACC были удалены с автомобилей компании после того, как несколько сотрудников подверглись таранным ударам или были "сбиты с дороги" другими водителями. В следующем году угроза в адрес бывшего генерального директора Ральфа Стюарта привела к решению о выставлении охраны у его дома. Поступали как минимум две угрозы взорвать автомобиль-бомбу возле офисов ACC, и полицию неоднократно вызывали. В 2012 году было зарегистрировано в общей сложности 134 угроз в отношении сотрудников, большинство из которых направлены против специалистов по делам, "принимающих сложные решения".
ACC clients have occasionally threatened or attempted to harm ACC staff. In 1999, a staff member was fatally stabbed by a claimant at an ACC office in Henderson. In 2010, ACC logos were removed from company vehicles after several staff had their cars rammed or were "driven off the road by other drivers". The following year a threat against former chief executive Ralph Stewart led to a decision for security staff to be posted outside his home. There have been at least two threats to blow up a car bomb outside ACC offices and police have had to be called on several other occasions. In 2012, there were a total of 134 recorded threats made against staff—the majority against case managers "making difficult decisions".
Мошенничество с клиентами
В 2013 году сообщалось, что 64 человека были осуждены за мошенничество с ACC на общую сумму более 10 миллионов долларов за последние четыре года. Среди них – клиенты, заявлявшие о "травмах", но продолжавшие работать, получая пособия ACC, а также медицинские работники, выставлявшие ACC счета за лечение, которое фактически не оказывали. К другой категории мошенников, обманывающих ACC, относятся вдовы, которые продолжали получать выплаты после смерти своих (пострадавших) супругов. В некоторых случаях эти выплаты продолжались почти 30 лет, прежде чем мошенничество было раскрыто, и одна женщина получила почти 150 000 долларов после смерти мужа.
In 2013, it was reported that 64 people have been convicted of defrauding ACC of a total of more than $10 million over the past four years. This includes clients claiming they were "injured" but who kept working while receiving ACC benefits and medical practitioners who billed ACC for more treatment than they actually provided. Another category of ACC fraudster includes widows who continued claiming payments after their (injured) partners have subsequently died. Sometimes these payments went on for nearly 30 years before the fraud came to light, with one woman having received nearly $150,000 after her husband had died.
Мошенничество с персоналом
Сотрудники ACC неоднократно совершали махинации в отношении корпорации. Джеффри Чепмен, бывший генеральный директор ACC с 1985 по 1992 год, был заключен в тюрьму за мошенничество в отношении ACC и других государственных учреждений; Гэвин Робинс, его преемник с 1993 по 1997 год, также был обвинен в мошенничестве, но оправдан. В 2011 году старший менеджер был осужден за совершение преступлений, связанных с нечестностью, в отношении имущества, арендованного ACC частными коммерческими организациями. В конце 2012 года Джонатан Райт, медицинский оценщик, работавший по контракту с ACC, был осужден за нечестное получение более 18 000 долларов в виде поддельных командировочных расходов от ACC.
ACC staff have defrauded the corporation on a number of occasions. Jeffrey Chapman, former ACC chief executive from 1985 to 1992, was imprisoned for defrauding ACC and other government agencies; Gavin Robins, his successor from 1993 to 1997, was also charged with fraud but was acquitted. In 2011, a senior manager was convicted of dishonesty offences involving property leased to ACC by private business interests. In late 2012, Jonathan Wright, an ACC contracted medical assessor, was convicted of dishonestly obtaining over $18,000 in falsified travel expenses from ACC.
Требования по ущербу от обращения
Травма, полученная в ходе лечения, – это повреждение, вызванное зарегистрированным медицинским работником в процессе оказания медицинской помощи, и не являющееся необходимым компонентом или обычным следствием этого лечения. До 2005 года подобные случаи назывались претензиями, связанными с "медицинскими осложнениями".
A treatment injury is one caused in the course of treatment by a registered health professional, and are not a necessary part or ordinary consequence of the treatment. Until 2005, these were called "medical misadventure" claims.
Нарушение конфиденциальности Бронвин Пуллар
У ACC произошло несколько нарушений конфиденциальности в отношении заявителей. Наиболее серьезное произошло в 2011 году после передачи данных 6700 заявителей истцу ACC, Бронвин Пуллар. Пуллар боролась с ACC с 2002 года, когда получила травму головы, и подала 45 отдельных жалоб на агентство, лишь одна из которых касалась нарушений конфиденциальности. В 2011 году она и бывший президент Национальной партии Мишель Боаг встретились с двумя старшими менеджерами ACC для обсуждения ее проблем. ACC обратилась в полицию, заявив, что Пуллар угрожала обратиться в СМИ с информацией о нарушениях конфиденциальности, если ее требования не будут удовлетворены. Полиция прослушала запись встречи и решила, что оснований для возбуждения дела нет. В марте 2012 года министр ACC Ник Смит подал в отставку из кабинета министров после того, как стало известно, что он писал письма от имени Пуллар, являвшейся его личной подругой, во время исполнения обязанностей министра ACC. Председатель ACC Джон Джадж продолжал настаивать на своей версии событий, в результате чего министр ACC Джудит Коллинз не продлила его полномочия в совете ACC. На следующий день отставку подал и генеральный директор ACC Ральф Стюарт. Еще три члена совета директоров – Мюррей Хильдер, Роб Кэмпбелл и Джон МакКлиски – также подали в отставку. Последствия этого дела продолжились в мае 2012 года, когда Коллинз подала в суд на депутатов от Лейбористской партии Тревора Малларда и Эндрю Литтла за клевету из-за их комментариев в радиопередачах Radio New Zealand, связывающих ее с утечкой электронного письма от Мишель Боаг после публикации данных. Дело было урегулировано после слушания в Высшем суде в ноябре 2012 года. В конце 2012 года был проведен независимый аудит ACC, который показал, что организации "недостаточно комплексной стратегии защиты и управления информацией заявителей" и что ACC демонстрировала "почти пренебрежительное" отношение к своим клиентам. Аудит выявил, что корпоративная культура в ACC позволяла сотрудникам оказывать давление на клиентов, участвующих в разбирательствах по поводу нарушений конфиденциальности и подаче жалоб, вместо того чтобы проявлять уважение к заявителям. В 2013 году была предложена организация "учебной академии" для сотрудников с "акцентом на клиентоориентированный подход".
ACC has had a number of breaches of privacy relating to claimants. The most significant occurred in 2011 after the release of details of 6700 claimants to an ACC claimant, Bronwyn Pullar. Pullar had been battling ACC since suffering a head injury in 2002—and had 45 separate complaints against the agency—only one of which was about the privacy breaches. In 2011 she and former National Party president Michelle Boag, had a meeting with two senior ACC managers to discuss her concerns. ACC referred the matter to the police claiming Pullar had threatened to go to the media about the privacy breaches if she didn't get what she wanted. The police listened to a tape recording of the meeting and decided there was no case to answer. In March 2012, ACC Minister Nick Smith resigned from Cabinet after it was revealed that he had written letters on behalf of Pullar, who was a personal friend of his, while he was ACC Minister. ACC chairman John Judge continued to insist his version of events was correct and as a result ACC Minister Judith Collins did not renew his tenure on the ACC Board. The chief executive of ACC, Ralph Stewart, also resigned the next day. Three other board members—Murray Hilder, Rob Campbell, and John McCliskie—also resigned. The fallout from the affair continued in May 2012, when Collins sued Labour MPs Trevor Mallard and Andrew Little for defamation over comments they made on Radio New Zealand broadcasts linking her to the leak of an email from Michelle Boag following the release of the files. The case was settled after a High Court hearing in November 2012. An independent review of ACC was conducted toward the end of 2012; it found the organisation "lacked a comprehensive strategy for protecting and managing claimants' information" and said ACC had an "almost cavalier" attitude toward its clients. The review showed that the culture within ACC enabled its staff to target clients involved in privacy breaches and complaints rather than demonstrating respect for claimants. In 2013, a "training academy" for staff was mooted, with an "emphasis on a client centred approach".