I thank the joint committee for the opportunity to report to it on the progress of the Personal Injuries Assessment Board to date. I would like to go through the PIAB's objectives, the mission that was set for it, its operations, its results and the challenges it faces. Ms Dowling mentioned that there were challenges. While the PIAB has had good results, it is important for it to remain focused on areas which have yet to be encountered and dealt with. As the chief executive of the PIAB, I would like to highlight some of those areas at this meeting on behalf of the operational team.
The PIAB has made a great deal of progress, but much more remains to be done. The PIAB's mission statement makes it clear that it has been established to act as an independent facilitator in the delivery of compensation entitlements in a fair, prompt and transparent manner for the benefit of society. I will not go through the PIAB's six clear objectives in detail, although I would like to mention some of them. The PIAB is charged with assessing fairly and accurately the amount of compensation due to individuals. It is responsible for reducing administration and processing costs, while maintaining the actual level of compensation for injured parties. It has to promote a culture of innovation and excellence within the new environment. It is very focused on its duty to develop a superior level of customer service. It knows there are two key parties — the claimant and the respondent — and other parties, including the staff of the PIAB, are servants in that process. It has a responsibility to increase public awareness of the board and its benefits to society. There is no point in developing a superior service if people do not know how to access it. The board is charged with contributing positively to the changing environment across a large spectrum of public services, including the health service. Other classes of claims are made in other parts of the public sector.
I would like to remind the joint committee of how the PIAB model was developed. The legislation that brought the board into being was passed by the Dáil in December 2003. The board was formally established in April 2004 and it brought its operations into service in July that year.
As members may recollect, there was a rush of litigation by the legal fraternity at that time. We really had no work to handle for the rest of that year and new accidents had to occur during the latter part of 2004 for work to arise. The first trickle of claims came through in 2005 and now, in 2006, we are ramping up our volume. Full-cycle processing will be carried out next year.
Our first awards came through in March 2005 and these resulted from trawling through the small volume of claims on our books at that time. This at least proved the model to those Members of the Oireachtas who had confidence in us. We are now delivering in a higher-volume environment.
It is very important that we all be clear on how the process works. It is a simple seven-point process, as can be seen on our website, www.piab.ie. One’s claim is notified by telephone to the service centre, although we will be moving to a full web service next year which will be available at any time of the day. Claims are currently notified through our lo-call 1890 number between 8 a.m. and 8 p.m., six days per week. We assist the claimant in completing his or her application form over the telephone and then send it out to him or her for signature. If the claimant wants to fill out the form at home, it can be sent to him or her for completion. The form is returned with a medical report. This report does not require a new medical examination; it is simply a record of the treatment received by the patient at the time in question. We only ask the medical professionals to tell us what they encountered and saw and not to prognose beyond that. If we do require a further medical examination, we have it carried out by one of over 300 practitioners on the independent PIAB nationwide panel.
Once the medical record is received, the claim is entered into our system and registered fully. We follow through by looking for special damages, which might include hospital doctors' bills or a wages declaration. We make our awards within the statutory timeframe of nine months and we are currently delivering them in just over seven months. When full claims processing obtains next year, we will make awards in nine months.
Once an award is made, we issue formal notification to the claimant and the respondent. The respondent has 21 days to accept it and the claimant has 28 days. Once the award is accepted by both parties, an order to pay is issued. This order has the same status as a court decree and that is the end of the matter.
The vast majority of claims are settled between parties in our service centre where we facilitate the claimants in copying from the papers what has been pursued. Many claims are settled at this point and the vast majority of the remaining claims are settled by means of the formal award system. A very small volume of claims now remain within the court system. That is the good news today.
When the PIAB was established, it took three top deliverables from the relevant legislation as points of focus within our operations, namely, to deliver the same awards as the courts, to do so in a shorter timeframe, and at a lower delivery cost. Every employee in the PIAB has these deliverables in mind when at work.
I assure the committee that the board is making the same awards the courts would make. We have trawled through the Courts Service's statistics and noted that 89% of claims awarded historically in the courts were under the Circuit Court threshold of €38,000. On the claims made through the PIAB, 93% of awards were under this threshold. Therefore, the same claims profile remains and we are making the same awards. The variance of 4% is owing to the fact that we are not dealing with medical negligence claims. There is a category of claims that we release to the courts under section 17 notice as we deem them inappropriate to our timelines. They are either longer term or shorter term but more complex and require adjudication by way of oral hearing. These are the outliers which, in a lower volume environment, require adjudication.
The circulated graph shows that the vast majority of court awards under the threshold of €35,000 are now awarded by the PIAB. The average timeframe for delivery by the PIAB is 7.1 months or less. The maximum statutorily allowed timeframe is nine months and we are adhering to this in respect of all claims. In the past, the average litigation time was 36 months and we are all quite aware that many cases took four or five years before they were resolved.
Let me focus on savings in delivery costs — I refer to the processing costs and not to the level of compensation. Where an award of €10,000 is made, the PIAB makes a saving in delivery costs of €3,250 over the figure pertaining to the courts. On an award of €20,000, it makes a saving of €7,850 and on an award of €30,000 it makes a saving of €12,450. The vast majority of awards are under €38,000, which is the old Circuit Court threshold. It is the low value to medium value claims that we are clearing from our books in a much shorter timeframe and at a much lower delivery cost.
The new system has resulted in a significant cultural change. The relevant slide projects that, on the basis of emerging trends, 40% of all personal injury claims will be resolved by the PIAB's intervention in the service centre, 40% will be resolved by the formal awards and 20% will enter the courts system.
How did the cultural change arise? An alternative to the courts was long advocated. I will not outline the history of the PIAB, as the members know it. Suffice it to say that, in 1996, a report on insurance costs was issued by Deloitte & Touche. In 2003 the Government insurance reform programme began and the results are coming through in 2006. It is thanks to the Legislature and the vision of the joint committee that the PIAB is in existence and in a position to deliver upon its promise. Insurance costs were crippling small and medium-sized businesses and affecting economic productivity.
Will, conviction and action were required to effect the cultural change. Legislation came first and it has proven to be very solid and tight. It has been a privilege to work with it. It has served us very well and there are only a few sections that might need to be tightened. The agency came second.
It is important to remember that habits which developed over more than 100 years have changed over the past three years, starting with the Legislature and ending with the formation of the board. It is important not to lose sight of the fact that we are tackling approximately €450 million in litigation costs.
The great cultural change is very significant and it is good for society. One of the Bacon reports highlighted that, for every €1 saved in personal injury claims, there is a knock-on impact amounting to approximately €8 across the economy, particularly across State services. It is important to keep these chunky figures at the back of one's mind. As Ms Dowling says, we should not become complacent so as to maintain our momentum and close any gaps.
The cultural change was driven by the opening of a service centre. We banked on the fact that the public wanted a better service and a more appropriate and efficient system. They have embraced the new model and have connected with us. We have reached out to them and they responded to us very easily once we spoke to them in very straightforward terms. As Ms Dowling stated, in the early days, prior to the McMenamin judgment, claimants were coming to us directly. We were stepping up our awareness campaign and they wanted to be kept in the loop. Once their solicitor was copied, that was what the public wanted. We will go back to the Supreme Court and we hope to win that appeal. If not, however, we may need to come to this committee to talk about that.
Medical facts are exchanged from the outset. What we derive in the first 90 days is absolute clarity. Insurers are now carrying out their investigations within those 90 days and in many instances within 40 days. The small volume of claims where a dispute arises is being identified within the 90 days. Once that has happened we release those cases into the courts system for adjudication. More importantly, we harness the volume of claims where no dispute or fog are involved and bring them into the PIAB to have them resolved. We engage with the public, assist them where they have any difficulties in sourcing information and point them in the right direction.
There are two key outputs of the PIAB. One is the service through the service centre where clarity is promoted in terms of identifying the small volume of claims involving a dispute. Insurers are then in a position to resolve those claims within 90 days. For claims that cannot be resolved at that point, we make a formal award. The smaller volume of claims sits in the courts system for adjudication.
There was historic public dissatisfaction with the old system, which was lengthy and costly. It was not customer-centred, but adversarial. As we find from our daily customer surveys, very few people want to go into an adversarial environment. They may be injured enough as a result of accidents in cars, at work or in public places and they do not want any more adversity in their lives. They want to get their claims resolved with the redress effected and then get back to their normal lives and in many instances back to the work place.
Some 90% of claims do not involve a dispute and never did. This is not a new fact but is just harnessed by the new system. Some 90% of claims were under €40,000. Some 10% only ever went into a trial room and, of those, only 4% were ever successfully defended in a trial room, yet it took three years to get that resolution and a processing cost of an add-on of 46%.
The PIAB is a key part of the Government reform programme. The public have spoken and did so years ago in stating that they did not want the old system to prevail. The legislators responded in the form of legislation and the new agency that was set up. We are happy to report that this does not involve a charge on the State because we are a self-funding agency. We are pleased to have delivered upon the target set for us by the Legislature. There is no going back but we want to ensure that complacency does not set in and that the loophole issues we have highlighted today are plugged.
There are a few important challenges ahead. We need to increase public awareness of our service. We take that on board and will undertake to move forward on that front on behalf of the legislators. However, to truly understand the full outputs of the PIAB, I will provide members of the committee with some compelling statistics on our sales, processing costs and deliverables on the formal awards. However, we cannot source data on the 40% of claims being resolved through our service centre where we supply both parties with copies of the claims papers, after which those claims disappear and do not reappear on our books. They do not require a formal award.