CICA Claims

First-Tier Tribunal Appeals

Specialist independent psychiatric evidence for First-Tier Tribunal Appeals regarding CICA claims, focusing on the verification of psychiatric injury and complex causation. We provide high-quality, urgent reports to support appellants in the First-tier Tribunals (Social Entitlement Chamber).

Section 12 Approved Psychiatrists
CPR Part 35 Compliant
Urgent Reports Available

Expert Type

  • Forensic Psychiatrist
  • Clinical Psychologist
  • Neuropsychologist
  • Consultant Psychiatrist

Applicable Law

  • Criminal Injuries Compensation Scheme 2012
  • Tribunals, Courts and Enforcement Act 2007
  • CPR Part 35
  • Human Rights Act 1998

When Needed

This assessment is essential when a claimant seeks to challenge a CICA decision regarding the eligibility, severity, or causation of a psychiatric condition.

What Is a First-tier Tribunal Appeal Assessment?

A First-Tier Tribunal Appeals assessment is a formal psychiatric or psychological evaluation designed to provide independent evidence to the Social Entitlement Chamber. It specifically addresses whether a claimant has sustained a recognised psychiatric injury as defined by the Criminal Injuries Compensation Scheme 2012, often following an initial rejection or an insufficient award by the CICA.

The evaluation focuses on the legal test for compensation, requiring objective evidence of a disabling mental injury that meets specific severity thresholds. Our experts analyze the clinical diagnosis, the impact on the claimant’s daily life, and the direct link between the incident of violence and the subsequent psychological symptoms.

  • Recognised psychiatric injury — identification of a specific diagnosis according to ICD or DSM criteria
  • Causation analysis — determining if the injury was directly caused by a crime of violence
  • Pre-existing conditions — evaluating the impact of prior mental health history on the current presentation
  • Functional impairment — assessing how the injury affects the claimant’s ability to work and maintain social links
  • Prognostic outlook — estimating the likely duration of the injury and the potential for clinical recovery
  • Treatment pathways — identifying the necessity and cost of future psychological or psychiatric interventions

Our experts provide evidence that adheres to the rigorous standards of the First-tier Tribunal, ensuring all reports are CPR Part 35 compliant and suitable for judicial scrutiny. The expert acts as an impartial advisor to the tribunal, assisting the panel in navigating complex clinical evidence and conflicting medical opinions.

This assessment is critical in cases where the CICA has disputed the severity of a diagnosis or attributed the claimant’s condition to non-compensable factors. Our specialists provide the clarity needed for the tribunal to reach a fair determination based on robust psychiatric data.

Key Assessment Components

Our assessment evaluates the following areas:

Clinical Interview

A comprehensive face-to-face or remote examination to assess the claimant’s current mental state and trauma history.

Medical Record Review

A thorough analysis of GP and hospital records to establish a clear clinical timeline of the injury.

Diagnostic Verification

Confirmation of a recognised psychiatric injury using standardised international diagnostic frameworks like the ICD-11.

Causality Assessment

A detailed expert opinion on the etiological link between the criminal incident and the psychiatric symptoms.

Severity Rating

Evaluation of the injury against the CICA tariff levels to ensure the award reflects the true level of impairment.

Oral Testimony

Provision of expert evidence during tribunal hearings to answer questions from the panel and legal representatives.

Conditions That May Affect This Assessment

A range of psychiatric and psychological conditions can affect this assessment. These include:

Post-Traumatic Stress Disorder (PTSD)
Complex PTSD (C-PTSD)
Major Depressive Disorder
Generalized Anxiety Disorder
Adjustment Disorder
Somatoform Disorders

Our experts are skilled at differentiating between pre-existing vulnerabilities and the acute psychological impact of a criminal act.

Assessment Process

  1. Instruction Received

    We receive formal instructions from the solicitor, including the CICA decision letter and grounds for appeal.

  2. Expert Matched

    We select a psychiatrist or psychologist with specific expertise in CICA schemes and tribunal requirements.

  3. Assessment Conducted

    A detailed clinical assessment is performed to gather evidence on diagnosis, causation, and prognosis.

  4. Report Delivered

    A comprehensive, CPR Part 35 compliant report is delivered, addressing all points of the tribunal appeal.

Turnaround Times

Urgency Level Timescale
Standard Report 4-6 weeks from assessment
Priority Report 1-2 weeks
Urgent Report 1-4 days
We prioritise First-Tier Tribunal Appeals to ensure expert evidence is available for strict judicial deadlines.

What’s Included in the Report

Summary of Instructions
List of Documents Reviewed
Detailed Clinical History
Current Mental State Examination
Standardised Diagnostic Findings
Causation Opinion
Assessment of Functional Disability
Review of Pre-existing History
Prognosis and Future Care Needs
Expert Declaration and Statement of Truth

All reports are prepared by experienced expert witnesses ready to provide oral testimony at the Social Entitlement Chamber.

Frequently Asked Questions

Need a First-Tier Tribunal Appeal Report?

Contact us today for a First-Tier Tribunal Appeal assessment; we provide expert witness CVs and transparent quotes promptly upon enquiry.