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Military Compensation MRCA Manuals and Resources Library
Policy Manual
Ch 5 Permanent Impairment
5.16 Determining Level of Impairment and Lifestyle Effects
- 5.16.1 GARP M - The Approved Guide
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GARP M provides detailed instructions and tables for the assessment of the degree of medical impairment suffered by the claimant as a result of the accepted condition(s). Medical impairment has two components:
- physical loss of, or disturbance to, any body part or system; and
- the resultant functional loss.
Chapter 1 to 17 of GARP M contain two principal types of tables for each of these components. Physical loss is given an IP rating against criteria in “Other Impairment” tables and functional loss is given an IP rating against criteria in “Functional Loss” tables.
Medical impairment, as measured chiefly by loss of vital functions, is addressed in twelve system specific chapters, as follows:
- Chapter 1 Cardiorespiratory Impairment
For more information on cardiorespiratory impairment, please see Chapter 9.8.5 of the Compensation and Support Policy Library
- Chapter 2 Hypertension and Non-Cardiac Vascular Conditions
- Chapter 3 Impairment of Spine and Limbs
For more information on spine and limb impairment, please see Chapter 9.8.6 of the Compensation and Support Policy Library
- Chapter 4 Emotional and Behavioural
- Chapter 5 Neurological Impairment
- Chapter 6 Gastrointestinal Impairment
- Chapter 7 Ear, Nose, and Throat Impairment
For more information on ear, nose and throat impairment (including tinnitus), please see Chapter 9.8.7 of the Compensation and Support Policy Library
- Chapter 8 Visual Impairment
- Chapter 9 Renal and Urinary Tract Function
- Chapter 10 Sexual Function, Reproduction, and Breasts
For more information on sexual function etc. please see Chapter 9.8.8 of the Compensation and Support Policy Library
- Chapter 11 Skin Impairment
- Chapter 12 Endocrine and Haemopoietic Impairment
There are five chapters describing methods of assessing certain non-system specific conditions. They are:
- Chapter 13 Negligible Impairment
- Chapter 14 Malignant Conditions
- Chapter 15 Intermittent Impairment
- Chapter 16 Activities of Daily Living
- Chapter 17 Disfigurement and Social Impairment