Surtie v Road Accident Fund (4470/2018) [2022] ZAFSHC 42 (7 March 2022)

85 Reportability
Personal Injury Law - Road Accident Fund

Brief Summary

Damages — Road Accident Fund — Claim for general damages and loss of earnings — Plaintiff sustained bodily injuries in a motor vehicle accident — Plaintiff previously settled merits with defendant, who agreed to pay for past medical expenses and future medical needs — Court adjudicated on claims for general damages and loss of earnings due to neuro cognitive impairments resulting from the accident — Plaintiff's business suffered significant decline post-accident, leading to claims for loss of income — Court awarded R720,000 for general damages and R5,273,370 for loss of income, along with past medical expenses, based on evidence of cognitive impairment affecting employability and business management capabilities.

Comprehensive Summary

Summary of Judgment


1. Introduction


This was an action for delictual damages arising from bodily injuries sustained in a motor vehicle accident. The plaintiff, Yaseen Surtie, sued the defendant, the Road Accident Fund, for compensation in terms of the statutory scheme governing third-party road accident claims.


The procedural history was materially shaped by a prior determination of the merits. Liability (the merits) had already served before the court and was settled on the basis that the defendant would be liable for 90% of the plaintiff’s proven or agreed damages. The proceedings culminating in this judgment therefore concerned only outstanding issues of quantum, specifically general damages and loss of earnings / loss of earning capacity. Past medical expenses and future medical expenses were dealt with by agreement, including an undertaking under the Road Accident Fund Act.


The general subject-matter of the dispute was the appropriate monetary quantification of compensation for the plaintiff’s pain and suffering and loss of amenities of life, and whether the plaintiff had established and quantified a compensable diminution in his ability to earn income given the post-accident sequelae, including asserted neurocognitive impairment and its impact on a previously successful furniture business.


2. Material Facts


The plaintiff’s occupational and business background was central to the court’s assessment of earning capacity. He was removed from school at an early age to work in the family furniture business, learning the trade from his father. After his father’s death in 2000, the plaintiff took over the business and became the owner and manager of Yasmin Investments (Pty) Ltd. His work was not confined to managerial functions; it included physically demanding tasks such as loading and off-loading furniture, as well as stock sales and procurement.


On the undisputed financial material placed before the court, the business was successful before the accident, with turnover exceeding R1.4 million in 2013 and 2014. After the accident, turnover gradually declined to R454,338.00 in 2018 and R277,230.00 in 2019. The financial statements admitted into evidence reflected the plaintiff’s income as director as R300,000.00 (2011–2013), R240,000.00 (2014), R180,000.00 (2015–2018), and R120,000.00 (2019).


The court also recorded two pre-accident assaults resulting in head injuries. In 1997 the plaintiff was attacked with a baseball bat, sustained a head injury with a brain haematoma, and experienced total paralysis of the left hand; the haematoma was surgically removed and the plaintiff recovered well on the evidence accepted. In 2011 the plaintiff sustained a second head injury in an assault and recovered and returned to work.


The accident giving rise to the claim occurred on 11 September 2013. The plaintiff sustained a fracture of the right humerus and also bumped his head. As part of the orthopaedic treatment, a titanium rod was inserted in the arm; a screw protruded, causing inflammation and fluid build-up above the elbow. Before the accident, the plaintiff participated in sporting activities including squash, swimming, and high jump.


Post-collision sequelae relied upon by the court included psychological and neurocognitive symptoms. The plaintiff’s evidence was that after the collision he struggled with depression, opted not to be treated at the time, and was only assessed in 2016. He employed a manager (previously employed by his father) to assist in running the business; although the business initially did well, he later dismissed the manager for alleged underperformance. The business later closed, forming the factual basis advanced for the claim for loss of earnings.


The expert evidence summarised by the court supported the presence of neurocognitive impairment. A psychiatrist (Dr Botha) described symptoms indicative of frontal-lobe-related neurocognitive impairment, including inability to prioritise, inability to sift information, lack of insight and judgment, and inability to act appropriately on information. She recorded impaired cognition, reduced ability to plan daily activities, concentration problems, and ultra-short-term memory difficulties, diagnosing post-traumatic stress disorder, mild depression, and impaired cognitive functioning indicative of head injury. A neuropsychologist (Mr Janecke) reported test results indicating fluctuating attention, impaired sustained visual concentration and speed of information processing, impaired working memory, slowed motor functioning, poor perceptual motor and constructional functioning, poor planning ability, and impulsivity; he regarded the chronic cognitive impairment as consistent with mild traumatic brain injury. An industrial psychologist (Ms Van Jaarsveld) supported the view that, given the core activities of a business owner and the medical opinions, the plaintiff was no longer able to perform those duties and was functionally unemployable in the open labour market.


In relation to issues that remained contested in argument, the defendant disputed that the plaintiff had established a compensable loss of earning capacity merely because of injury, and contended that the business could have continued under a manager’s supervision. The court’s factual assessment, however, proceeded on the basis that the plaintiff’s neurocognitive impairment materially affected his capacity to manage the business and that his post-accident business and earnings decline corresponded with the asserted impairment.


3. Legal Issues


The court was required to determine, first, the appropriate quantum of general damages for the plaintiff’s bodily injuries and sequelae, including pain and suffering, disability, and loss of amenities of life. This task entailed a predominantly value judgment exercised within a discretionary framework, informed but not dictated by comparable awards.


Second, the court had to determine whether the plaintiff had proved a compensable loss of earning capacity and, if so, the appropriate quantification of that loss. This involved the application of legal principle to fact in a context acknowledged by the court to be inherently speculative, together with the exercise of a discretion in relation to contingencies. A further issue arose from the defendant’s reliance on authority suggesting that loss does not automatically follow from proof of disability, requiring an enquiry into whether the plaintiff’s circumstances established a diminished earning capacity and actual patrimonial loss.


4. Court’s Reasoning


On general damages, the court approached the assessment as a discretionary determination aimed at fair and adequate compensation. It accepted that prior awards can serve as guides but should not be treated as determinative; the proper approach was to consider all the facts and circumstances and then determine an appropriate amount. In support of this general approach to discretion in general damages, the court referred to Road Accident Fund v Marunga [2003] 2 All SA 148 (SCA), which emphasises a trial court’s wide discretion in awarding fair and adequate compensation for pain and suffering, disfigurement, permanent disability, and loss of amenities.


Applying that approach to the particular injury profile, the court took into account that the plaintiff sustained a right humerus fracture (with surgical intervention and complications relating to instrumentation) and a head injury from bumping the head in the collision, together with the residual symptoms described. The orthopaedic sequelae included diagnoses such as painful instrumentation, non-union of fracture, biceps tendonitis, and muscle spasm, and the plaintiff’s pre-accident sporting activities provided a contextual reference for loss of amenities. Having regard to past awards and the circumstances of this case, the court concluded that R800,000 was an appropriate full measure for general damages, and—given the 90% liability settlement—awarded R720,000.


On loss of earnings and earning capacity, the court acknowledged the speculative nature of the enquiry, citing Southern Insurance Association v Bailey N.O. 1984 (1) SA 98 (AD) for the proposition that quantification of such damages is inherently uncertain and dependent on estimation. The defendant argued, with reference to Rudman v Road Accident Fund [2002] 4 All SA 422 (SCA), that a reduction in earning capacity does not automatically equate to patrimonial loss requiring compensation; the plaintiff must establish more than mere disability.


The court treated Rudman as distinguishable on its facts and thus not dispositive. It emphasised that in Rudman the claimant was a CEO rather than the owner of the business, continued receiving the same salary and benefits after the accident, and did not suffer neurocognitive impairment. By contrast, the plaintiff in the present matter was both owner and hands-on operator of his business and was found, on the accepted expert evidence, to have serious neurocognitive impairments affecting judgment, prioritisation, and processing of information. The court linked these deficits to the plaintiff’s diminished capacity to manage core business functions, including staffing decisions such as hiring and firing, and found that this impairment provided a persuasive answer to the defendant’s contention that the business could simply have continued under a manager.


The court accepted that the plaintiff’s role encompassed not only managerial (“white collar”) tasks but also physical tasks and operational decision-making, such as travelling to procure stock, pricing merchandise, sales, and loading and unloading goods. In that context, the court considered the post-accident decline in business turnover and the corresponding reduction in the plaintiff’s director’s income as consistent with, and supportive of, the conclusion that the accident-related sequelae had caused a reduction in earning capacity and resultant loss. It therefore held that the plaintiff had demonstrated a compensable loss of earning capacity.


Turning to quantification, the court accepted the actuary’s approach in calculating income by reference to the plaintiff’s salary as reflected in personal income statements together with the profit or loss of Yasmin Investments. The actuary applied contingencies of 5% to past loss and 15% to future loss in the pre-morbid scenario. The court agreed with the actuary’s calculations and further recorded that, once the RAF cap was taken into account, the capped values for loss were R1,591,900.00 (past) and R4,267,400.00 (future), producing a total loss of earnings figure of R5,859,300.00 before applying the 90% apportionment reflected in the final order.


On contingencies, the court treated the matter as squarely within its discretion, noting that there are no direct rules for calculating contingencies and that the inquiry is what is fair and reasonable. It found no reason to reject the contingency percentages suggested by the actuary and proceeded to make an award consistent with that approach and the agreed 90% liability apportionment.


5. Outcome and Relief


The court ordered the defendant to pay the plaintiff a total amount of R6,064,855.74, expressly stated to be calculated with reference to the 90% concession of liability. This total comprised R720,000.00 for general damages, R5,273,370.00 for loss of income, and R71,485.74 for past medical expenses. The order also provided for interest on the amounts at the prescribed rate from the date of judgment to date of payment.


In addition, the court ordered the defendant to furnish the plaintiff with an undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for payment of 90% of the costs of future hospital or nursing home accommodation, treatment, services, or goods arising from the injuries sustained in the collision and their sequelae, after such costs have been incurred and upon proof.


The defendant was ordered to pay the plaintiff’s taxed or agreed party-and-party costs on the High Court scale to date of the order, including reasonable qualifying, preparation, reservation, and appearance fees (where applicable) for the expert witnesses identified in the order, including the psychiatrist, neuropsychologist, industrial psychologist, orthopaedic surgeon, occupational therapist(s), and the actuary.


Cases Cited


Road Accident Fund v Marunga [2003] 2 All SA 148 (SCA).


Southern Insurance Association v Bailey N.O. 1984 (1) SA 98 (AD).


Rudman v Road Accident Fund [2002] 4 All SA 422 (SCA).


Legislation Cited


Road Accident Fund Act 56 of 1996, section 17(4)(a).


Rules of Court Cited


No rules of court were cited in the judgment.


Held


The court held that, given the plaintiff’s accident-related orthopaedic injury and accepted evidence of neurocognitive impairment, a fair and adequate award of general damages (after applying the 90% liability apportionment) was R720,000.00. The court further held that the plaintiff had established a compensable loss of earning capacity, distinguishing Rudman on the basis that the plaintiff was an owner-operator whose post-accident neurocognitive impairment materially undermined his capacity to manage and operate the business, with a corresponding decline in turnover and earnings. The court accepted the actuarial quantification, including the proposed contingencies and the application of the statutory cap, and granted monetary relief, a statutory undertaking for future medical costs, and costs in favour of the plaintiff.


LEGAL PRINCIPLES


A trial court has a wide discretion in awarding general damages for pain and suffering, disability, disfigurement, and loss of amenities of life; comparable awards are guidelines and cannot be treated as determinative in substitution for an assessment of the case’s particular facts.


The quantification of damages for loss of earnings or earning capacity is inherently speculative and depends on estimation informed by evidence; mathematical precision is not required, but the court must make a reasoned assessment on the available material.


Proof of injury or disability does not automatically establish patrimonial loss; the enquiry remains whether the claimant has proved a diminution in earning capacity that results in compensable loss on the facts. The relevance of prior authority depends on factual comparability, and where circumstances differ materially—such as the presence of neurocognitive impairment and an owner-operated business—distinctions may justify a different outcome.


The assessment of contingencies is a matter of judicial discretion aimed at a fair and reasonable result, and there are no fixed rules prescribing contingency deductions; actuarial suggestions may be accepted where the court finds no reason to depart from them.


Where liability has been settled on an apportioned basis, the court’s awards and statutory undertakings may properly be expressed as the relevant percentage of the proved or agreed damages, including undertakings under section 17(4)(a) for future medical-related expenses arising from the accident.

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[2022] ZAFSHC 42
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Surtie v Road Accident Fund (4470/2018) [2022] ZAFSHC 42 (7 March 2022)

SAFLII
Note:
Certain
personal/private details of parties or witnesses have been redacted
from this document in compliance with the law and
SAFLII
Policy
IN THE HIGH
COURT OF SOUTH AFRICA
FREE STATE
DIVISION, BLOEMFONTEIN
Reportable:
Of
Interest to other Judges:
Circulate
to Magistrates:
NO
NO
NO
Case
no: 4470/2018
In
the matter between:
YASEEN
SURTIE
PLAINTIFF
and
ROAD
ACCIDENT FUND
DEFENDANT
JUDGMENT
BY:
MOLITSOANE, J
HEARD
ON:
26
NOVEMBER 2021
DELIVERED
ON:
7 MARCH 2022
This judgement was handed down
electronically by circulation to the parties’ representatives by
email, and released to SAFLII. The
date and time for hand-down is
deemed to be 10H00 on 7 March 2022.
[1]
The plaintiff instituted an action against the defendant for damages
in respect of bodily injuries sustained
in a motor vehicle accident
on 11 September 2013. The merits previously served before this court
and were settled on the basis that
defendant is to pay 90% of the
plaintiff’s proven or agreed damages.
[2]
The defendant has since agreed to pay an amount of R79 428.60 to
the plaintiff for past medical expenses
and further undertook to
provide an undertaking in terms of section 17(4)(a) of the Road
Accident Fund Act in respect of the plaintiff’s
future medical
expenses.
[3]
In these proceedings this court is only called upon to adjudicate the
claim in respect of general damages
and loss of earnings.
[4]
The following background information is relevant: The plaintiff’s
father took him (the plaintiff) out
of school at an early age and
caused him to join him in the family furniture business.  His
father taught him the furniture
business trade. When his father
passed on in 2000, he took over the business and became the owner and
manager of Yasmin Investments
(Pty) Ltd. His work entailed loading
and off-loading the furniture and other goods. He also handled the
sales of the stock.
[5]   The
plaintiff became successful in the running of this furniture business
to such an extent that the turnover of the
business was more than
R1.4 million in 2013 and 2014.This was a year before the accident.
The turnover of the business gradually
decreased after the accident
until it was an amount of R454 338.00 in 2018 and eventually an
amount of R277 230.00 in 2019.
[6]
According to the financial statements admitted into evidence the
income of the plaintiff as the director of Yasmin
Investments was as
follows for the respective years:
Financial Year
Earnings
2011,2012 and
2013
R 300 000.00
2014
R240 000.00
2015,2016,2017
and 2018
R180 000.00
2019
R 120 000.00
[7]
During 1997 the plaintiff was attacked with a baseball bat and
sustained a head injury. He had a brain
haematoma. After the assault,
his left hand was totally paralysed as the haematoma put a strain on
the nerve. The haematoma was surgically
removed and according to the
evidence, he recovered well.
[8]
The plaintiff was again assaulted in 2011 and sustained a second head
injury. The evidence reveal that
he recovered and also returned to
work.
[9]
On 11 September 2013 the plaintiff was involved in the motor vehicle
accident. He sustained a fracture
of the right humerus and also
bumped his head.
[10]   It
is the testimony before court that since the collision the plaintiff
struggled with depression. He chose not to
be treated but was only
assessed in 2016. He hired a manager who used to work for his father.
Initially the business did well but
he later released the manager as
according to his version the manager failed to perform according to
his expected standards. The
business later closed down. Hence a claim
for loss of earnings.
[11]   Dr
Botha, a psychiatrist, testified that the plaintiff had symptoms
indicative of neuro cognitive impairment relating
to the frontal
lobe. She testified that the plaintiff was unable to prioritize,
could not sift information and had no insight and
no judgment and
could also not act appropriately to information gathered.
[12]   The
psychiatrist further in her report indicated that the plaintiff had
impaired cognition. According to her, there
was a clear decrease in
the plaintiff’s ability to plan his daily activities. He had
challenges in prioritizing his thoughts and
his activities and
definitely in his concentration and ultra-short term memory. She
diagnosed the plaintiff with post-traumatic stress
disorder, mild
depression and impaired cognitive functioning. According to her, the
impaired cognitive functioning is indicative
of a head injury.
[13]   Mr
Janecke, a neuro psychologist, performed certain neuro psychological
tests on the plaintiff. According to him
the tests reveal that the
plaintiff experienced fluctuating attention; he had impaired ability
to sustain his visual concentration
and process information quickly
and efficiently; he had impaired working memory; slowed motor
functioning; poor perceptual motor
and constructional functioning; he
had poor planning ability; was impulsive. According to him the
plaintiff’s chronic cognitive
impairment difficulties are
consistent with a mild traumatic brain injury.
[14]  Me
Van Jaarsveld, an Industrial Psychologist stated in her report
admitted into evidence that in light of the opinion of
the various
medical experts and further taking into account the core activities
of a business owner, she supported the opinions of
the other medical
experts that the plaintiff is no longer able to perform the duties of
a business owner and manager. According to
her the plaintiff was
functionally unemployable and will not be able to secure alternative
employment in the open labour market.
[15]   For
the purposes of a claim for general damages it has to be borne in
mind that the plaintiff sustained a fracture
of the right hand
humerus as well as a head injury when he bumped his head at the
front. Following the accident, the doctors inserted
a titanium rod in
the arm. A screw protruded causing inflammation and fluid build-up
just above the elbow.
[16]
Before the accident the plaintiff played squash, did swimming and
high jump. Dr Oelofse, an orthopaedic surgeon diagnosed
the plaintiff
with, inter alia, a traumatic head injury with residual symptoms. He
further diagnosed a mid-shaft humerus fracture
with painful
instrumentation, non-union of fracture; biceps tendonitis and upper
arm muscle spasm.
[17]   In
the assessment for damages the court may have regard to past awards.
The previous awards may serve as useful guides
in awarding damages
but they can hardly be solely relied upon. In this instance the
correct approach is to have regard to all the
facts of the case and
determine the quantum of damages for such facts.
In
Road
Accident Fund v Marunga
[1]
the
court said the following:
“
This
court has repeatedly stated that in cases in which the question of
general damages comprising pain and suffering, disfigurement,
permanent disability and loss of amenities of life arises a trial
court in considering all the facts and circumstances of a case
has a
wide discretion to award what it considers to be fair and adequate
compensation to the injured party...”
[18]   In
my view having regard to the past awards and the facts and
circumstances of this case an amount of R720 000
(being 90% of
R800 000) will be adequate compensation for general damages for
compensation herein.
[19]  The
enquiry into damages for loss of earning capacity is by its nature
speculative.
[2]
It is argued on
behalf of the defendant, based on
Rudman
v Road Accident Fund
,
[3]
that the assumption that plaintiff suffers  loss  once he
proves that his physical disabilities bring about a reduction
in his
earning capacity and that all that remains is to quantify the loss,
is an assumption that cannot be made.
[20]   In
my view the
Rudman
case is distinguishable to the case before
me. In
Rudman
the claimant was a CEO and not owner of the
business. He continued to receive the same salary benefits after the
accident after his
physical injuries. He suffered no neuro cognitive
impairment. In contrast, the plaintiff in this case suffered serious
neuro cognitive
impairments relating to the frontal lobe. As
indicated above he is unable to prioritize, he is unable to sift
information. He has
no insight and no judgment and does not act
appropriately to information gathered. His business declined after
accident and concomitantly
his earnings also decreased.
[21]
Although the plaintiff was the owner, it is clear that he was hands
on with his business. He made orders and did
sales. He drove to
Durban from Lesotho to fetch trading stock. He did the pricing of the
merchandise to be sold. He loaded and off
loaded the goods on his
bakkie. He did not only do ‘white collar’ work. It is argued on
behalf of the defendant that the business
could have been continued
under the supervision of the manager. This argument does not take
into account the neuro cognitive impairment
of the plaintiff. He
clearly has no judgment and this affected his ability to manage
business. This would also include the hiring
and firing of staff
including the manager. In my view the plaintiff demonstrated loss of
earning capacity.
[22]   In
calculating the loss, the actuary assumed that the plaintiff’s
total income is the salary indicated in his personal
income statement
plus the profit or loss from Yasmin Investment. He applied 5%
contingency to past loss of earnings and 15% to the
future loss of
earnings in the pre-morbid scenario. In this scenario the past loss
of earnings is an amount of R2 347 800.00
and future loss
of earnings an amount of R5 822 585.00 which add to a total
loss of earnings of R8 170 385.00.
I agree with the
calculation of the actuary and taking into account the RAF cap, the
plaintiff’s past loss of earnings, R1 591 900.00,
future
loss of earnings R4 267 400.00 and the total loss of
earnings R5 859 300.00.
[23]   The
question of contingencies falls squarely in the discretion of the
court as to what is fair and reasonable. There
are no direct rules to
be followed in the calculation of contingencies. I have no reason to
reject the contingency percentages suggested
by the actuary. Having
regard to the circumstances of this case I make the following order:
ORDER.
1.
Defendant
is to pay the plaintiff the sum of R6 064 855-74 (six
million sixty-four thousand eight hundred and fifty-five
rand seventy
four cents), which amount is made up as follows taking into account
90% concession of liability:
1.1
R720 000 in respect of general damages;
1.2
R5 273 370 in respect of loss of income;
1.3
R71
485-74 in respect of past medical expenses.
Into
the following bank account:
Bezuidenhouts
Inc.
ABSA
BRANDWAG
BRANCH
CODE 334334
Account
no [….]
2.
Interest on the aforesaid amounts calculated at the prescribed rate
of interest from date of judgment
to date of payment.
3.
The
defendant is ordered to furnish the plaintiff with an undertaking in
terms of
s 17(4)(a)
of the
Road Accident Fund Act, 1996
, for payment
of 90% of the costs of the future accommodation of the plaintiff in a
hospital or nursing home, or treatment of or rendering
of a service
or supply of goods to him, arising out of the injuries that he
sustained in the motor vehicle collision which occurred
on 11
September 2013 and the
sequelae
thereof, after such costs have been incurred and upon proof thereof.
4.
The defendant shall pay the plaintiff’s taxed or agreed party and
party costs on a High Court scale
to date of this order, which shall
include the reasonable qualifying, preparation, reservation and
appearance fees (where applicable)
of the following experts:
4.1
Dr K Botha;
4.2
Ben Janecke;
4.3
Susan van Jaarsveld;
4.4
Dr LF Oelofse;
4.5
Karen Swanepoel;
4.6
Juané Raats;
4.7
Munro Actuaries (Charl du Plessis).
P.E.
MOLITSOANE, J
Appearances:
For
the Plaintiff    :
Adv M.D.J Steenkamp
Instructed
by:
Bezuidenhouts Inc
BLOEMFONTEIN
For
the Defendant:       Adv I Sander
Instructed
by:
The State Attorney
BLOEMFONTEIN
[1]
[2003]
2 AII SA148 (SCA) at 23.
[2]
Southern
Insurance Association v Bailey N.O. 1984(1) SA 98(AD) on page 113G.
[3]
[2002]
4 AII SA 422(SCA).