Initial notice and time limits for medical negligence claims in Queensland (2026)

In Queensland, a medical negligence claim goes through the Personal Injuries Proceedings Act 2002. Before the usual Notice of Claim, you must give the health provider an initial notice under s 9A, generally by the earlier of 9 months after the medical incident (or first symptoms) and 1 month after you instruct a lawyer. Court proceedings generally have a 3-year limit.

Medical negligence claim: an empty, brightly lit hospital corridor with waiting chairs

Key takeaways

  • Medical negligence claims have an extra first step: an initial notice under PIPA s 9A, given before Part 1 of the Notice of Claim.
  • The initial notice is generally due by the earlier of 9 months after the medical incident (or first symptoms) and 1 month after you first instruct a law practice, once the respondent is identified.
  • A timely complaint to the Office of the Health Ombudsman can give you a reasonable excuse for a late Notice of Claim, if you give the notice as soon as practicable after finalisation of the complaint.
  • A compulsory conference and exchange of final offers must happen before court proceedings can start.
  • Court proceedings generally must start within 3 years, with exceptions for children, people with impaired capacity and newly discovered facts.

What a medical negligence claim is

A medical negligence claim seeks compensation for personal injury caused by a health provider’s negligent treatment, advice or care. In Queensland, it follows the same pre-court process as other claims under the Personal Injuries Proceedings Act 2002 (PIPA), with one extra step at the start: the initial notice.

Not every poor result is negligence. Whether a provider is legally responsible depends on the facts and on expert evidence, which this guide doesn’t assess. It explains the steps and time limits so you know what applies and when.

Medical negligence claim time limits at a glance

Medical claims have several notice steps before court. The table sets out the main deadlines in the order they arise.

Main medical negligence time limits in Queensland. Sources: Personal Injuries Proceedings Act 2002 ss 9, 9A, 36; Limitation of Actions Act 1974 s 11. Checked 20 October 2026.

Step

Time limit

Law

Initial notice to the health provider

The earlier of 9 months after the medical incident (or first appearance of symptoms) and 1 month after you first instruct a law practice, once the respondent is identified

PIPA s 9A

Part 1 of the Notice of Claim

Given after the initial notice, within 12 months after the provider gives its response and documents. A medical specialist’s report must be given with it

PIPA s 9A(9)

Part 2 of the Notice of Claim

Within 2 months after the respondent complies with s 10(1), or after s 13 presumes compliance

PIPA s 9(3A)

Compulsory conference

The parties must hold it before court. A party can call it at a reasonable time after the relevant day (generally 6 months after a complying Part 1 notice)

PIPA s 36

Starting court proceedings

Generally 3 years from the date the cause of action arose

LAA s 11

Step 1 in a medical negligence claim: the initial notice (s 9A)

The initial notice is the first formal step in a Queensland medical negligence claim. Under s 9A, the claimant must give it before Part 1 of the Notice of Claim, within the earlier of:

  • 9 months after the medical incident happened or, if symptoms of the injury weren’t immediately apparent, 9 months after they first appeared; or
  • 1 month after the claimant first instructs a law practice to act for them and the respondent is identified.

Why symptoms and lawyers affect the deadline

The 9-month period can start from the first appearance of symptoms, which matters in medical cases where harm may not be obvious straight away. Even so, write down when you first noticed symptoms and when someone told you something may have gone wrong.

The 1-month rule starts when you first instruct a law practice to act for you, not when you first look for information. Consulting a community legal service doesn’t start the 1-month clock for the Notice of Claim (s 9(9A)).

Step 2: the Notice of Claim (Parts 1 and 2)

After the initial notice, the claim continues with the PIPA Notice of Claim, but medical negligence claims follow their own timing. First, the provider has 1 month to tell you whether it holds documents about the treatment and to give you copies (s 9A(8)). Then Part 1 is due within 12 months after the provider does this, and the usual 9-month / 1-month rule in s 9(3) does not apply (s 9A(9)). Also, Part 1 must include a written report from a medical specialist. The report must say that care fell below an appropriate standard, why, and that this caused the injury. However, a report does not need to address an allegation of failure to warn of a risk (s 9A(10)).

Part 2 is due within 2 months after the respondent complies with s 10(1), or after s 13 presumes compliance (s 9(3A)). If a notice is late, the obligation to give it continues. In that case, the claimant must also give a reasonable excuse for the delay in Part 1 or by separate notice (s 9(5)).

Health Ombudsman complaints and late notices

Some people first make a complaint to the Office of the Health Ombudsman (OHO) before thinking about a legal claim. PIPA recognises this.

Under s 9(6)(c), a claimant is taken to have a reasonable excuse for a late Notice of Claim if both of the following apply. First, they made a complaint to the Health Ombudsman within 2 years of becoming aware of the matter. Second, they give the notice as soon as practicable after finalisation of the complaint.

A complaint is a separate process from a compensation claim. The court time limit under the Limitation of Actions Act still applies, so check how a complaint fits with your deadlines before relying on it.

Step 3: the compulsory conference and final offers

The parties must hold a compulsory conference before court proceedings start (s 36). Any party can call it at an agreed time or, after the relevant day (generally 6 months after a complying Part 1 notice), at a reasonable time it nominates.

If the claim doesn’t settle at the conference, the parties must exchange written final offers (s 39). Offers at or below the upper offer limit must exclude costs, a respondent denying liability must offer $nil, and offers stay open for 14 days.

2026–27 PIPA thresholds. Source: <a href="https://www.legislation.qld.gov.au/view/whole/html/asmade/sl-2026-0091">Personal Injuries Proceedings Indexation Notice 2026</a>. Checked 20 October 2026.

Threshold (PIPA)

Amount from 1 July 2026

Declared costs limit

$4,960

Lower offer limit

$59,300

Upper offer limit

$98,890

Court time limits for a medical negligence claim, and exceptions

In general, the time limit for a personal injury action is 3 years after the cause of action arose (LAA s 11). The PIPA steps take time, so the 3 years can be shorter in practice than it sounds.

Exceptions that can matter in medical cases:

  • Children and people of unsound mind: the 3-year limit generally runs from when the disability ends (LAA s 29). For a child, that is generally by their 21st birthday.
  • Newly discovered facts: a court may extend the period to 1 year after a material fact of a decisive character came within your means of knowledge (LAA s 31). This can be relevant where the cause of an injury only becomes clear later.
  • Child abuse: claims for sexual abuse or serious physical abuse of a child have no limitation period (LAA s 11A), and the PIPA notice time limits don’t apply to them (s 9(9C)).

How courts measure general damages in a medical negligence claim

In claims governed by the Civil Liability Act 2003, the court gives general damages for pain, suffering and loss of amenities an Injury Scale Value (ISV) from 0 to 100. The court uses the ranges in Schedule 3 of the Civil Liability Regulation 2025 and ISVs given in similar earlier cases.

The court then converts the ISV to dollars using the indexation notice for the year the injury arose. For injuries arising from 1 July 2026, an ISV of 10 equals $21,850 and an ISV of 100 equals $494,150 (Civil Liability Indexation Notice 2026). General damages are only one part of a claim, and these figures don’t predict what any claim is worth.

Costs, refunds and getting advice

If a lawyer acts on a “no win, no fee” basis, the 50/50 rule in Legal Profession Act s 347 caps their claim-related costs at half of what remains after deducting refunds and disbursements. A law practice must give you costs disclosure before, or as soon as practicable after, it is retained.

Refunds can include Medicare benefits paid for injury-related services, which Services Australia can recover from settlements over $5,000, and Centrelink payments where the compensation includes an economic loss component. Our fees guide explains costs in more detail. If you are unsure which deadline applies to you, get advice from a Queensland lawyer.

Frequently asked questions

An initial notice is the first formal step in a medical negligence claim under s 9A of the Personal Injuries Proceedings Act 2002. The claimant must give it before Part 1 of the Notice of Claim. The deadline is the earlier of 9 months after the medical incident (or first appearance of symptoms) and 1 month after you first instruct a law practice, once the respondent is identified.

The general limitation period for personal injury is 3 years from when the cause of action arose, under s 11 of the Limitation of Actions Act 1974. Before court, you must complete the PIPA steps, starting with an initial notice that is generally due within 9 months. Children, people of unsound mind and people who later discover a decisive fact may have more time.

Not exactly. Under s 9(6)(c) of the Personal Injuries Proceedings Act 2002, you are taken to have a reasonable excuse for a late Notice of Claim if you complained to the Health Ombudsman within 2 years of becoming aware of the matter and give the notice as soon as practicable after finalisation of the complaint. The 3-year court time limit is separate.

Under s 9A of the Personal Injuries Proceedings Act 2002, if symptoms weren’t immediately apparent, the 9-month period for the initial notice runs from when they first appeared. The 1-month rule after instructing a lawyer can still make the deadline earlier. Separately, a court may extend the 3-year limitation period if a decisive material fact was unknown (Limitation of Actions Act s 31).

The law treats a child as under a disability. As a result, the 3-year court limitation period generally runs from when they turn 18. This means proceedings are generally due by their 21st birthday (Limitation of Actions Act ss 5(2), 29). Even so, it helps to give PIPA notices as early as possible. Some exceptions to the child rule exist, so get advice from a Queensland lawyer.

The parties meet to try to settle the claim before any court case, as required by s 36 of the Personal Injuries Proceedings Act 2002. If it doesn’t settle, each side must exchange a written final offer. A provider that denies liability must offer $nil, and offers at or below the upper offer limit ($98,890 from 1 July 2026) exclude costs.

Marshall Fenech, Editor of Compare Personal Injury Lawyer QLD

About the author

Marshall Fenech, Editor

Marshall Fenech is the editor of Compare Personal Injury Lawyer QLD. He researches Queensland personal injury law firms and claim rules, checks every fact against public sources such as the Queensland Law Society, MAIC, WorkCover Queensland and Queensland legislation, and dates each check. He does not give legal advice.

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