Injured on the roads around Lithgow, from Hartley to Portland? Our CTP doctors start by telehealth, with the Certificate of Fitness and a care plan.
Central West
Car accident doctor for the Lithgow area: CTP injury care
Last updated , 9 min read

Whether home is Wallerawang, Lidsdale or a farm near Glen Alice, a CTP doctor from our clinic can see you by video, saving a painful trip over the mountains or west to Bathurst. On that call the doctor works through each injury, notes how it ties back to the crash and fills in your Certificate of Fitness. We then set out a treatment plan that can draw on our physios, psychologists and exercise physiologists, and we explain how CTP funding works. The CTP insurer generally pays for treatment that is reasonable and necessary for your accident injuries. It decides what's approved, and its decisions can be reviewed.
Below the western edge of the Blue Mountains, the council area runs from Little Hartley in the east, past Portland and Cullen Bullen, and north into the Capertee Valley. Many people here cover long distances on steep, winding roads that can turn icy or foggy in winter, among freight trucks, commuters and holiday traffic. After a crash, simply getting to appointments can be hard. Telehealth means someone in Glen Davis, Tarana or Hampton can start care from home. If your injury needs a physical examination, we set one up and plan it around your travel, which matters when home is as far out as Rydal or Ben Bullen.
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Local road safety
Where people are hurt on the roads in the Lithgow area
Transport for NSW figures covering 2020 to 2024 put the Great Western Highway, where it drops off the mountains through Little Hartley and Hartley, well ahead of every other road in the council area for crashes in which someone was hurt. The Castlereagh Highway north towards Mudgee and Chifley Road towards Clarence come next. The localities that recur most are Hartley, Lithgow, Bowenfels and Wallerawang. Many injuries were serious: about a third of the people hurt were killed or seriously injured, as recorded by police. Over a third of crashes were in zones with open-road speed limits, where speeds are higher. Motorcyclists were involved in around one in five crashes, and nearly a quarter of crashes happened on wet roads.
| Year | Crashes where someone was hurt | Killed | Seriously injured | All casualties | All recorded crashes (including tow-away crashes) |
|---|---|---|---|---|---|
| 2020 | 67 | 2 | 21 | 77 | 82 |
| 2021 | 61 | 2 | 15 | 77 | 93 |
| 2022 | 59 | 5 | 22 | 84 | 83 |
| 2023 | 84 | 6 | 46 | 128 | 107 |
| 2024 | 65 | 3 | 27 | 79 | 87 |
| 2020 to 2024 | 336 | 18 | 131 | 445 | 452 |
Roads and streets with the most crashes where someone was hurt
- 1.Great Western Highway99 crashes
- 2.Castlereagh Highway28 crashes
- 3.Chifley Road18 crashes
- 4.Jenolan Caves Road17 crashes
- 5.Main Street12 crashes
Localities where people were hurt most often
Localities as recorded by Transport for NSW. A crash near the council boundary can carry the name of a locality next door.
- 1.Hartley47 crashes
- 2.Lithgow44 crashes
- 3.Bowenfels23 crashes
- 4.Wallerawang20 crashes
- 5.Little Hartley16 crashes
Road-user mix. Of the 336 crashes where someone was hurt in 2020 to 2024, 19% involved a motorcycle, 3% a pedestrian, 2% a bicycle and 7% a heavy vehicle (a crash can involve more than one). Crashes in speed zones of 90 km/h or more made up 36% of the total.
Main roads through the Lithgow area
- Great Western Highway
- Castlereagh Highway
- Chifley Road
- Jenolan Caves Road
- Wolgan Road
- Glen Davis Road
Source: Transport for NSW, NSW Road Crash Data 2020 to 2024 (open data). Casualty crashes by LGA of crash. View the dataset (opens in a new tab)
First steps
After a crash in the Lithgow area: getting checked and recorded

If police didn't come out, let them know about the crash later so there's a police event number. Note the other car's rego and the driver's details, and take photos, including the road surface if it was wet or icy, as roads up towards Clarence can be in winter. Have your injuries assessed and recorded even if you feel fine, because neck and back pain often builds over the following days. Our doctors document your injuries for the at-fault car's CTP insurer, by telehealth if you're out at Cullen Bullen.
Get safe, then get help
Call 000 if anyone is seriously hurt or in danger. For police attendance when it isn't an emergency, the Police Assistance Line is 131 444.
Report it and keep the event number
Report the crash to police if anyone was hurt, a driver left the scene or a car was towed. Keep the event number: the claim form asks for it.
Swap details and take photos
Get names, phone numbers, licence details and registration plates from every driver, and witnesses' details before they leave. Photograph the scene when it's safe.
See a doctor early
Ideally within a day or two, even if you feel fine. Pain often builds over the following days. An early appointment records your injuries and starts your Certificate of Fitness.
Which CTP insurer handles your claim
You claim with the CTP (green slip) insurer of the vehicle most at fault, worked out from its registration. If that vehicle can't be identified, the claim may go to the Nominal Defendant.
Lodge the claim form
The form is the Application for Personal Injury Benefits, backed by your Certificate of Fitness. Our step-by-step lodging guide walks through it.
Time limits
A claim served within 28 days of the accident can have benefits backdated to the accident date. A common reference point for lodging is three months from the accident. Your circumstances can change the dates, so confirm yours with SIRA or a solicitor.
CTP injury care
Car accident injury care for the Lithgow area: your first appointment

Getting injuries assessed and written up early matters after a crash on the highways around Lithgow. Impacts at open-road speeds can cause injuries that take time to show, and the insurer looks for records made close to the crash that link your symptoms to it. After a shunt in Main Street, the first visit brings an examination, the Certificate of Fitness, a care plan and notes for the insurer. With the council area stretching from Little Hartley to Glen Davis, many people start by telehealth, and we arrange in-person care where an examination or imaging is needed. The road-user mix in the crash data points to common injury patterns: whiplash and lower back strain from sudden impacts, shoulder, wrist and knee injuries among the many motorcyclists, and anxiety about driving mountain roads again. If your claim runs into a dispute, we can point you to independent legal help.
Our CTP doctors see people injured in motor vehicle accidents across NSW. The first appointment does four jobs, and each one feeds the claim:
A proper assessment
The doctor takes a history of the crash, examines you and records a diagnosis for each injured area, including the ones that seem minor today.
Your Certificate of Fitness
The main medical document in a NSW CTP claim. It records your injuries, your capacity for work and what you can and can't do. The first one must come from a medical practitioner, and each one generally covers up to 28 days, so it's renewed as you recover. See what a Certificate of Fitness should include.
A treatment plan
What you need next, such as physiotherapy, psychology or exercise physiology, with clear reasons the insurer can act on.
The records the insurer asks for
Dated notes, referrals and reports that link your symptoms to the crash. Insurer decisions lean on them, so they need to be specific.
More detail: the CTP medical assessment, and physiotherapy, psychology and exercise physiology under CTP.
CTP injury care
Common injuries after crashes in the Lithgow area
Every crash is different, but some injuries come up again and again after car crashes. Many don't show their full extent on the day:
- Whiplash and other neck injuries, common after rear-end collisions.
- Back injuries and other soft-tissue injuries: sprains and strains that stiffen over the following days.
- Fractures: most are obvious, but some in the wrist, foot or ribs are subtle and need imaging to confirm.
- Concussion and headaches, which can happen without a direct blow to the head.
- Psychological injury, such as anxiety about driving, poor sleep or flashbacks.
Our guide to car accident injuries and their symptoms covers the warning signs.
The road-user mix above shows who else gets hurt on the roads in the Lithgow area. Each of these groups has its own injury pattern:
Motorcycles
Riders have little protection, so fractures and wrist, knee and ankle injuries are more common. See motorcycle accidents in NSW.
Heavy vehicles
Crashes with trucks involve more force, so injuries tend to be more serious, and the shock can linger. See psychological injury.
Pedestrians
A person struck by a vehicle can have leg, pelvic and head injuries, often more than one at once. See pedestrian hit by a car.

Been in an accident?
Book an appointment with one of our CTP doctors. We coordinate your care and handle the paperwork.
CTP benefits
What CTP pays for, and weekly payments
Approved treatment is generally arranged through the CTP scheme rather than paid by you directly. Depending on your injuries, it can include:
- Appointments with our CTP doctors, and specialist care where it's needed.
- Physiotherapy, psychology and exercise physiology with our allied health team.
- X-rays, scans and other imaging when they're clinically justified.
- Medication prescribed for your accident injuries.
- Reasonable travel to approved treatment, where the insurer agrees. Check its process first.
If your injuries stop you working, or cut your hours, weekly payments may be paid where the scheme rules allow. The amount is based on your pre-accident earnings, it steps down at set points, and there's a cap. Your Certificate of Fitness records your capacity for work, so keep it current. Being mostly at fault, or having an injury classified as minor, shortens how long some benefits run. See CTP weekly payments, minor vs non-minor injury and CTP benefits in NSW.
Booking
Telehealth or in person: how to book

Telehealth makes it simpler to see a CTP doctor from the Lithgow area without a long drive while you're sore. Where an in-person examination is needed, we'll talk through the options when you book.
Book online or call
Use the booking form or call (02) 7238 7379.
We confirm by phone
We call to confirm the time, whether it's telehealth or in person, and what to bring.
Bring what you have
Photo ID, the police event number, a claim number if you already have one, any scans or hospital letters, and a list of your medications.
New to telehealth? Here's what to expect from a telehealth CTP appointment.
Around the area
Suburbs and towns across the Lithgow area
These are some of the suburbs and towns in the Lithgow area. We see people from all of them. Where we have a local page, the name is linked.
- Lithgow
- Portland
- Bowenfels
- Wallerawang
- South Bowenfels
- Marrangaroo
- Littleton
- Little Hartley
- Hartley
- Lidsdale
- Vale of Clwydd
- Meadow Flat
- Oakey Park
- Clarence
- Tarana
- Cullen Bullen
- Rydal
- Capertee
- Hampton
- Glen Davis
- Sodwalls
- Hartley Vale
- Ben Bullen
- Glen Alice
- Newnes
Neighbouring council areas: Blue Mountains, Hawkesbury, Singleton, Mid-Western Regional, Bathurst Regional, Oberon.
Frequently asked questions
Yes. Our doctors can assess you by video or phone, complete the Certificate of Fitness and set up your treatment plan without you making the trip. Should the doctor think you need imaging or a face-to-face check, we'll explain why and help organise it with as little travel from Capertee as possible. Many follow-up reviews can stay on telehealth too, which saves long drives on the Castlereagh Highway while you're recovering.
It is. Neck stiffness after even a low-speed rear-end crash is often whiplash, and it can take a while to show its full extent. A consultation gets the injury assessed, gives you a plan to manage it and puts the details on record, which matters if you need treatment later. In a rear-end crash the driver behind is often found at fault, so that car's CTP insurer would normally handle the claim. A video consultation from home in Wallerawang saves driving into town with a sore neck.
Possibly. Physio is a common part of care for shoulder injuries after a motorcycle crash. The insurer decides whether physio for a shoulder hurt on Wolgan Road is reasonable and necessary, and a refusal can be reviewed. Who was at fault can affect what's covered and for how long. Our doctors document the injury and set the plan, and our physios carry it forward.
No. You can book before you've lodged a claim. The Certificate of Fitness from your first appointment is one of the documents your claim needs, so the appointment often comes first.
- Transport for NSW: NSW Road Crash Data (open data) (opens in a new tab)
- SIRA: Motor accidents and CTP (green slip) information (opens in a new tab)
- SIRA: Certificates of fitness for motor crash injuries (opens in a new tab)
- SIRA: What you can claim, medical expenses (opens in a new tab)
- NSW Legislation: Motor Accident Injuries Act 2017 (opens in a new tab)
Last checked:
General information, not legal advice. CTP Doctor is a medical clinic, not a law firm or an insurer, and this page isn't medical advice for your situation. For the scheme rules, see SIRA.

Next step
See a CTP doctor after a crash in the Lithgow area
Often seen within the week. Telehealth across NSW, or in person where appropriate. No claim number needed to start.





