This paper asserts there can be no situation where a worker is more vulnerable or in a more precarious position than after suffering a work related injury or contracting a work related disease causing incapacity to work. It sets out the British system which imposes liability on employers to pay damages to employees who have suffered injury or disease through their employer’s fault. Acknowledging the faults of this system it looks at an International Labour Organisation publication which refers to systems in other states and supplements this by further research. Then it returns to the ILO paper’s criteria for a good system and measures the British system against that criteria. Finally, it questions the fate of those whose incapacity is not work related.