The Compensation Protocol mattered because it split the assessment task into separate parts. First, an Eligible Group Member had to be placed into one of four categories under cl 3.1. Category A applied where the person did not meet the criteria for Categories B, C or D. Category B applied to one revision plus one other surgical procedure consequent on the affected implant. Category C applied to one revision plus two or three other surgical procedures. Category D applied where one or more of three criteria were met, including cl 3.1(d)(iii), which covered a person who had experienced extraordinary and significant complications or injury in excess of what group members in Categories A, B or C would experience as a result of failure of the affected implant.
The protocol then linked category to compensation. Under cl 4.1, Categories A, B and C carried fixed amounts for non-economic loss and gratuitous care. Category D(i), D(ii) and D(iii) required individual assessment. That meant the category question was not a side issue. It could materially change the amount and method of compensation.
The protocol also set out a process for deciding category disputes. Medical records were to be provided. If the claimant considered they fell within Category D(iii), their lawyer had to notify the respondents. In the absence of that notification, the parties were to try to agree whether the claimant fell into Category A, B, C, D(i) or D(ii). If they could not agree, there was a stepped process involving a treating surgeon’s report and then an assessor’s report. Only if the applicable category remained in dispute after that report would Independent Counsel be requested to determine the dispute in accordance with cl 10.
Clause 10 separately dealt with referrals to Independent Counsel. It allowed referral of a dispute about category, a dispute about the amount of compensation for financial losses, and a dispute about the amount of compensation for non-economic loss and gratuitous care where that compensation was to be individually assessed. The referring party had to notify the other party of its intention, state its final position, and identify the proposed Independent Counsel. The parties could make written submissions, and Independent Counsel was to determine any items in dispute and provide a written assessment.