Requesting MAC advice

The vast majority of MAC requests should be made in R&C ISH or iRBS. 

The identity of the MACs must be protected at all times, including in R&C ISH, iRBS, case notes in R&C ISH and emails to both the MAC mailbox and the Senior Medical Adviser (SMA).

Staff must only use the initials of the MAC and position number, if known. 

Registered nurses

A registered nurse is not a qualified medical practitioner and, except in rare circumstances, must not diagnose medical conditions.

Where evidence shows the medical practitioner diagnosed the condition(s), including any requirements of policies and SOPs, it may be reasonable for a registered nurse to fill out the DVA paperwork.

Treating specialists

If delegates or CSOs are unable to obtain the necessary information from the client’s treating GP, it may be necessary to approach a treating specialist.

A specialist is a medical practitioner with the necessary qualifications and clinical training to carry on practice in a particular medical field. Only seek information from a treating specialist in the medical field relevant to the condition(s) being assessed.

Streamlined sequela conditions

Sequelae are medical conditions which arise from other medical conditions.

Many SOPs contain factors requiring another condition to be present at the time of onset of a sequela. If that causal condition is service-related, then a connection to service for the sequela may be established.

If the relevant causal condition has been accepted as service-related by DVA and the causal condition has onset before or at the time of the onset of the sequela condition, the claim may be streamlined without further investigation.

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