The Civil Liability (Amendment) Act 2017 addressed concerns around the deficiencies in the lump sum system by introducing Periodic Payment Orders (PPOs). When resolving catastrophic injury claims, PPOs provide an alternative to single lump sum payments, offering an ongoing annual payment over the lifetime of the injured person. In 2019, the High Court found that PPOs using the legislative indexation alone would lead to under-compensation. Following a Report of the Inter Departmental Working Group, the Minister for Justice has accepted that the PPO indexation rate should be based on a combination of the Harmonised Index of Consumer Prices (HICP) and Annual Rate of Change (ARC) in nominal hourly health earnings. Work is now underway on drafting regulations which will facilitate a revised and dynamic PPO scheme which assesses healthcare costs and future inflation.