Ntombela v Road Accident Fund (3035/2016) [2022] ZAFSHC 269 (10 October 2022)

82 Reportability
Personal Injury Law - Road Accident Fund

Brief Summary

Damages — General damages — Quantum of damages for personal injuries sustained in a motor vehicle accident — Plaintiff sustained severe injuries including head trauma, spinal fractures, and long-term psychological effects — Defendant conceded liability but disputed the quantum of general damages — Court awarded R850,000.00 as fair compensation based on the severity of injuries and comparable case law, rejecting the defendant's lower valuation.

Comprehensive Summary

Summary of Judgment


Introduction


This was a delictual damages claim arising from a motor vehicle collision, in which the plaintiff sought compensation from the Road Accident Fund (the defendant) in terms of the Road Accident Fund Act 56 of 1996. The proceedings were heard in the High Court of South Africa, Free State Division, Bloemfontein.


The parties were Mr Mkhokhoa Paulus Ntombela as plaintiff and the Road Accident Fund as defendant. By the time of trial, the RAF had conceded the merits on a 100% basis (liability for the plaintiff’s proven or agreed damages), had tendered the statutory undertaking for future medical expenses under section 17(4)(a), and the parties had agreed an amount for loss of income. The litigation therefore proceeded on a single remaining issue, namely the quantum of general damages.


The judgment records that no oral evidence was led. The matter was determined on the basis of the plaintiff’s expert reports, which were handed in by concurrence, and on submissions regarding comparable awards. The general subject-matter of the dispute concerned compensation for pain and suffering and loss of amenities of life, with particular emphasis on the long-term sequelae of spinal injuries, neurocognitive symptoms, and severe visual impairment.


Material Facts


The collision occurred on 29 November 2013. At that time, the plaintiff was 53 years old and employed (then and at the time of trial) as a Divisional Officer (Fire Fighter) with the Dihlabeng Municipality. Immediately before the collision, he was driving his vehicle when another driver disobeyed a stop sign and collided with the plaintiff’s vehicle.


It was common cause that the plaintiff sustained a head injury, facial abrasions, and fractures of the spine and sternum. He was transported by ambulance to Medi-Clinic, where he was admitted and remained until his discharge on 4 December 2013.


On the expert evidence accepted by agreement, the plaintiff’s injuries included fractures of the chest and spine (identified as involving L1, L2, T11, T12 transverse and compression fractures, with injury to adjoining ligaments), together with a mild traumatic brain injury associated with post-concussive syndrome, and facial abrasions. The abrasions healed without disfigurement, but the court accepted that significant symptoms persisted.


The court treated as material that the plaintiff continued to experience ongoing pain and suffering, including chronic headaches, concentration difficulties, memory loss, dizziness, and loss of balance. The plaintiff’s vision in both eyes was described as having been severely affected, and he was reported to be medico-legally blind, with consequent inability to read as before.


Although the fractures were described as having united, the plaintiff’s enduring pain and discomfort were found to hinder the proper performance of work duties, particularly with strenuous activities and prolonged sitting, walking, and standing, and to impact household activities. Future treatment was anticipated, including possible thoracolumbar spinal surgery, physiotherapy, and long-term biokinetics, and the court noted the potential risks associated with prolonged use of analgesics and anti-inflammatory medication.


The plaintiff was also reported to suffer from an anxiety-depressive disorder, with anti-social behaviour, sleep difficulties, and reduced libido affecting his marriage, and psychological intervention was recommended. These sequelae formed part of the factual matrix relevant to assessing general damages.


The facts relevant to the remaining dispute were essentially undisputed: the entitlement to some general damages was not in dispute, but the parties differed on the appropriate amount. The plaintiff contended for R850 000 with reference to comparable awards; the defendant argued the claim was excessive and proposed R500 000, also contending (in argument) that the plaintiff did not qualify for general damages under the narrative test.


Legal Issues


The central question was the quantum of general damages to be awarded for the plaintiff’s injuries and their sequelae, in circumstances where liability had been conceded and other heads of damage were either agreed or dealt with by statutory undertaking.


This required the court to make a value judgment involving the application of established principles governing the assessment of non-patrimonial loss (pain and suffering, and loss of amenities of life) to the accepted medical and functional consequences of the injuries. The assessment was not a purely factual determination, nor a purely legal one; it involved the exercise of a wide judicial discretion informed by the evidence and by guidance from comparable awards.


A further issue arose from the defendant’s submissions that the plaintiff did not qualify for general damages under the narrative test. The court had to determine, on the posture of the case as pleaded and conducted, whether the defendant could effectively pursue that line of argument at the quantum stage, given the procedural mechanisms in the Act and the concessions already made.


Court’s Reasoning


The court reiterated that the nature, severity, and impact of the plaintiff’s injuries on his life amenities were indisputable on the record before it. It emphasised that there is no mathematical or scientific formula for fixing an amount for pain and suffering and loss of amenities of life, and that the court retains a wide discretion aimed at awarding compensation that is fair and adequate to the plaintiff while remaining fair to the defendant.


In exercising that discretion, the court endorsed the principle that previous comparable awards may serve as a guide, while also recognising that adjustments must be made to account for changes and increases in awards over time. The court evaluated the authorities relied upon by each side in that context.


The court accepted that the authorities referred to by the plaintiff involved nearly similar injuries, including brain and spine injuries, loss of sight, and long-term neurocognitive sequelae, and treated them as a suitable baseline for determining a fair amount. By contrast, it found the defendant’s reliance on D.S v Road Accident and Mbalathi v Road Accident Fund to be misplaced, on the basis that those matters were concerned with fractures of the body and limbs and did not reflect the combination of injuries and sequelae present in the plaintiff’s case (including the brain injury and visual impairment).


On the defendant’s attempt to question the plaintiff’s qualification for general damages under the narrative test, the court reasoned that if the defendant was not satisfied that the injuries were sufficiently serious, it should have invoked the statutory mechanism in section 17(1A) to reject the claim on that basis or to require further assessment. The court noted that, on the available facts, the plaintiff’s right to claim general damages had not been disputed, and that once the defendant had admitted the assessment of the plaintiff’s injuries, the defendant was obliged to compensate the plaintiff in that respect.


The court characterised the defendant’s late attempt to dispute the seriousness assessment as an unsound effort to use that contention as a bargaining tool to reduce quantum. Taking the totality of the plaintiff’s injuries and sequelae into account, the court determined that R850 000 constituted adequate compensation for general damages and was fair to both parties.


Outcome and Relief


The court made an order (reflecting an amended draft order) directing the defendant to pay the plaintiff a total capital amount of R1 279 510.00, comprising R850 000.00 for general damages and R429 510.00 for loss of past and future income (the latter by agreement between the parties).


The defendant was ordered to furnish the plaintiff with a statutory undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for 100% of the costs of future hospital or nursing home accommodation, treatment, services, or goods arising from the accident-related injuries, payable after the costs are incurred on proof thereof.


The defendant was ordered to pay the plaintiff’s taxed or agreed party-and-party costs on the High Court scale up to the date of the order, including specified expert qualifying and reservation fees and expenses. Provisions were made for payment within 180 days, and for interest at 7% per annum, compounded, to accrue in respect of the capital and costs from the specified dates.


The plaintiff’s claim for past hospital and medical expenses was separated under Rule 33(4) and postponed to the pre-trial roll of 7 November 2022.


Cases Cited


Bismilla v Road Accident Fund (2012/12325) [2017] ZAGPJHC 277 (26 September 2017).


Pooe v Rosenbach 1972 (213) QOD 242 (W).


Tobias v Road Accident Fund (4934/2009) [2010] ZAGPPHC 537 (15 April 2010).


D.S v Road Accident (78615/2015) [2017] ZAGPPHC 951 (8 December 2017).


Mbalathi v Road Accident Fund (4817/2019) [2020] ZAGPJHC 327 (1 September 2020).


AA Mutual Insurance Association Ltd v Maqula 1978 (1) SA 805 (A).


Protea Assurance Co Ltd v Lamb 1971 (1) SA 530 (A).


Road Accident Fund v Marunga 2003 (5) SA 164 (SCA).


De Jongh v Du Pisanie NO 2005 (5) SA 457 (SCA).


Legislation Cited


Road Accident Fund Act 56 of 1996, section 17(1).


Road Accident Fund Act 56 of 1996, section 17(1A).


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


Rules of Court Cited


Uniform Rules of Court, Rule 33(4).


Held


The court held that the plaintiff’s injuries and their consequences warranted an award of general damages of R850 000.00, and that the defendant’s reliance on authorities dealing primarily with uncomplicated fractures was not an appropriate comparator given the plaintiff’s combined spinal injury, mild traumatic brain injury with post-concussive symptoms, and severe visual impairment.


The court further held that the defendant’s belated attempt to contest the seriousness assessment (by suggesting non-compliance with the narrative test) was unsound in circumstances where the defendant had not invoked the statutory procedures contemplated by section 17(1A) and where the plaintiff’s entitlement to claim general damages had not been disputed on the record.


LEGAL PRINCIPLES


The assessment of general damages for pain and suffering and loss of amenities of life is not capable of precise calculation; it involves a wide judicial discretion exercised to achieve fair and adequate compensation in the circumstances of the particular case, while maintaining fairness to the defendant.


Comparable awards in prior cases may be used as a guide in determining an appropriate quantum, provided they are treated as guidelines rather than a tariff, and adjusted to account for differences in injuries and sequelae as well as for changes in award levels over time.


Where a defendant seeks to dispute whether an injury meets the statutory seriousness threshold for general damages, the judgment reflects that such a dispute should be pursued through the statutory procedures contemplated by the Act (including section 17(1A)), and that a late attempt to contest seriousness after concessions and admissions may be treated as procedurally and substantively unsound on the facts as accepted by the court.

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[2022] ZAFSHC 269
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Ntombela v Road Accident Fund (3035/2016) [2022] ZAFSHC 269 (10 October 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
Case
number: 3035/2016
Reportable:
YES/NO
Of
Interest to other Judges: YES/NO
Circulate
to Magistrates: YES/NO
In
the matter between:
MKHOHLOA
PAULUS NTOMBELA
Plaintiff
and
ROAD
ACCIDENT FUND
Defendant
HEARD
ON:
05
OCTOBER 2022
JUDGMENT
BY:
DANISO,
J
DELIVERED
ON:
This
judgment was handed down electronically by circulation to the
parties' representatives by email and by release to SAFLII. The
date
and time for hand-down is deemed to be 12h00 on 10 October 2022.
[1]
The only issue that I have to determine in this matter is the quantum
pertaining to
general damages resulting from the injuries the
plaintiff sustained in a motor vehicle accident which occurred on 29
November 2013.
[2]
At the time of the accident, the plaintiff was 53 years old. He was
and still employed
as a Divisional Officer (Fire Fighter) by the
Dihlabeng Municipality. Immediately before the collision occurred, he
was driving
a motor vehicle with registration numbers and letters
[....]
when the driver of a motor vehicle with registration
numbers and letters
[....]
disobeyed a stop sign and collided
into his (the plaintiff’s) vehicle.
[3]
It is common cause that as a result of the accident, the plaintiff
sustained a head
injury, facial abrasions and fractures of the spine
and the sternum. He was transported from the scene of the accident by
an ambulance
to Medi-Clinic where he was admitted until discharged on
4 December 2013.
[4]
The plaintiff’s resultant claim against the defendant for
damages consisting
of past and future medical expenses, past and
future loss of income and general damages was defended.
[5]
The defendant has since conceded the merits, 100% of the plaintiff’s
proven
or agreed damages and undertook to furnish the plaintiff with
the statutory undertaking for future medical expenses in terms of

section 17(4) (a) of the Road Accident Fund Act 56 of 1996 (“The
Act”) and to pay to the plaintiff an amount of R429 510.00

(four hundred and twenty-nine thousand five hundred and ten rand) for
the loss of past and future income.
[6]
It is not in dispute that the plaintiff is entitled to general
damages, the parties
are however in disagreement with regard to the
amount of damages to be awarded.
[7]
By agreement, no oral evidence was led by either party.
The
plaintiff’s expert reports were handed in by concurrence for
the
matter to be determined on the conclusions as expressed in
the said reports which included the reports by the general
practitioner,
Dr JJ Schutte, orthopaedic surgeon Dr Oelofse,
radiologist Dr F Steyn, neurosurgeon Dr van Aswegen, ophthalmologist
Prof WJ Marais,
clinical psychologist Dr FJ Truter, clinical
neuropsychologist Ms Urvashi Maganlal, occupational therapists Ms R
Kruger and Mrs
Liebenberg of Rita van Biljon Occupational Therapists,
industrial psychologist Dr EJ Jacobs and actuaries Munro Actuaries.
[8]
According to the experts’ reports, the plaintiff sustained
fractures of the
chest and spine (L1, L2, T11, T12 transverse and
compression factures including an injury to the adjoining ligaments).
The head
injury has been diagnosed as a mild traumatic brain injury
with post-concussive syndrome and he also sustained facial abrasions.
[9]
As a result of the injuries, the plaintiff experienced acute pain in
the head, face,
chest, mid and lower spine and left buttock area
immediately after the accident which continued for three weeks
thereafter. The
pain is alleviated by pain medication.
[10]
All the abrasions have healed and there is no disfigurement.
Regrettably, the pain and suffering
is ongoing. The plaintiff is also
battling with dilapidating chronic headaches, concentration
deficiencies, memory losses, dizzy
spells and loss of balance. His
vision on both eyes has been severely affected he is now medico
legally blind as a result, he can
no longer read as he used to.
[11]
The fractures of the chest and spine are united but the enduring pain
and discomfort hinders
his proper performance of work duties. The
pain becomes worse when he performs strenuous activities such as
running and handling
heavy objects. His ability to sit, walk and
stand for a long period of time also impacts on his performance of
household chores
including gardening. A thoracolumbar spine surgery
with physiotherapy and long term bio kinetics will be required in the
future.
[12]
The pain and discomfort in respect of the existing ailments and
post-surgery can be managed by
the use of conservative treatments
including the long term use of pain and anti-inflammatory medication
(NSAIDS) and analgesics
however, when taken for a long time these
pain medications can lead to serious side effects such as peptic
ulcers, kidney damage,
heart defects and drug dependency.
[13]
The plaintiff is also afflicted with a combination of an
anxiety-depressive disorder. He has
become anti-social, he struggles
with sleep and loss of libido which has had an adverse effect on his
marriage. Psychological interventions
have been recommended in this
regard.
[14]
It is the plaintiff’s case that having regard to the damages
awarded in previous comparable
cases
[1]
ranging from R700 000.00 (seven hundred thousand rand) to R1 000
000.00 (one million rand) the amount that would be just
and equitable
under these circumstances is an amount of R850 000.00 (eight hundred
and fifty thousand rand).
[15]
The defendant is of the view that the amount claimed by the plaintiff
is excessive having regard
to the fact that the plaintiff is
presently 62 years old, he is still employed, the fractures have
since unionised and the plaintiff
did not qualify for general damages
under the narrative tests.  Relying on
D.S v Road Accident
(78615/2015 [2017] ZAGPPHC 951
(8 December 2017) and
Mbalathi v Road Accident Fund
(4817/2019) [2020] ZAGPJHC
327 (
1 September 2020) defendant’s counsel contends that
the amount that would be appropriate in this instance is the amount
of
R500 000.00 (five hundred thousand rand).
[16]
The
extent
of the injuries sustained by the plaintiff including their nature,
severity and impact on the plaintiff’s life amenities
is
indisputable. There is neither a mathematical nor a scientific
formula to compute the monetary value on pain and suffering,
and loss
of amenities of life.
[2]
The
court
retains a wide discretion
which
has, as its objective to fairly and adequately compensate a
plaintiff.
[3]
[17]
C
omparable
previous awards do serve as a guide
when
the court determines the amount to award a plaintiff and make
allowance for increases in such awards.
[4]
[18]
The authorities referred to by
the plaintiff involve nearly similar injuries sustained by the
plaintiff namely, brain and spine
injuries, loss of sight and long
term neurocognitive ailments. I can therefore consider them as a
baseline when assessing the damages
to be awarded to the plaintiff.
On the other side, the defendant’s reliance on
D.S
and
Mbalathi
is misplaced as those authorities
only deal with fractures of the body and limbs.
[19]
With regard to the defendant’s contestation of the liability
for the plaintiff’s
general damages, the defendant ought to
have invoked the provisions of section 17(1A) of the Act to reject
the plaintiff’s
claim where it is not satisfied that his
injuries are so serious to fall under the ambit of the narrative test
or
request the plaintiff to submit
himself to a further assessment.
[20]
On the available facts,
the
plaintiff’s right to claim general damages has not been
disputed, see para 6 above and once the defendant has admitted
the
assessment of the plaintiff’s injuries, the defendant is
obliged to compensate the plaintiff.
[5]
I’m thus of the view that the defendant’s attempt to
raise a belated dispute of the assessment of the plaintiff’s

injuries as a bargaining tool for the reduction of the quantum of the
damages is unsound.
[21]
Taking into consideration the facts of this matter, I consider the
amount of  R850 000.00
(eight hundred and fifty thousand
rand) to be adequate to compensate the plaintiff in respect of
general damages and also fair
to the defendant.
[6]
[22]
In
the result I make the following
order:
1.
The
draft order annexed hereto as annexure “X” (as amended)
is made an order of court.
1.
The defendant is liable for payment to the plaintiff in the amount of
R1 279 510.00
(One million two hundred and
seventy-nine thousand five hundred and ten rand) [hereafter referred
to as “the capital”]
as set out hereunder:
1.1.
R850 000.00
(Eight hundred and fifty thousand rand)
in respect of general damages; and by agreement between the parties:
1.2.
R429 510.00
(four hundred and twenty-nine thousand five
hundred and ten rand) for loss of past and future loss of income
resulting from a motor
vehicle collision which occurred on 29
November 2013.
2.
The defendant shall furnish the plaintiff with an undertaking as
envisaged in
Section 17(4)(a) of the Act for 100% of the costs of the
future accommodation of the plaintiff in a hospital or nursing home
or
treatment of or rendering of a service to her or supplying of
goods to her arising out of the injuries sustained by her in the
motor vehicle collision mentioned above, in terms of which
undertaking the defendant will be obliged to compensate him in
respect
of the said costs after the costs have been incurred on proof
thereof.
3.
The defendant to pay the
plaintiff’s taxed or greed party and party costs on
the High
Court scale, until date of this order, including but not limited to
the costs set out hereunder:
3.1
The reasonable qualifying and reservation fees and
expenses (if any) of the following experts:
3.1.1
Dr JJ
Schutte (General Practitioner)
3.1.2

Dr JF Oelofse (Orthopedic Surgeon)
3.1.3
Dr
F Steyn (Radiologist)
3.1.4

Dr A van Aswegen (Neurosurgeon)
3.1.5

Prof WJ Marais (Ophthalmologist)
3.1.6
Dr FJ
Truter (Clinical Psychologist)
3.1.7
Ms
Urvashi Maganlal (Clinical Neuropsychologist)
3.1.8
Ms
R Kruger and Mrs L Liedenberg of Rita van Biljon (Occupational

Therapists;
3.1.9
Dr EJ Jacobs (industrial psychoTlogist);
3.1.10
Munro Forensic Actuaries.
4.
The payment provision in
respect of the afore-going are ordered as follows;
4.1
Payment of the capital amounts shall be made without
set-off or deduction, within 180 (one hundred and eighty)
calendar
days from date of the granting of this order, directly into account
of the plaintiff’s attorneys of record by means
of electronic
transfer, the details of which are the following:
Honey
Attorneys      Trust Account
Bank
-

Nedbank, Maitland Street, Bfn
Branch
Code -
11023400
Account
No. -
[....]
Reference
-           HL
Bunchner/J03175
(please
quote the reference at all times)
4.2
Payment of the taxed or agreed costs shall be made within 180 (one
hundred and eighty) days of taxation, and
shall likewise be effected
into the trust account of the plaintiff’s attorney.
5
Interest shall
accrue at 7% (the statutory rate per annum), compounded, in respect

of:
5.1
the capital claim, calculated from 14 (fourteen) days
from date of this order.
5.2
the taxed or agreed costs, calculated from 14 (fourteen)
days from date of taxation, alternatively date of settlement
of such
costs.
6.
The plaintiff’s
claim for past hospital and medical expenses is separated in
terms of
Rule 33(4) and postponed to the pre-trial roll of
07 November
2022.
N.S.
DANISO, J
APPEARANCES:
Counsel
on behalf of the plaintiff:
Adv.
PJJ Zietsman SC
Instructed
by:                                                    Honey

Attorneys
BLOEMFONTEIN
Counsel
on behalf of the defendant:
Adv.
Booysen
Instructed
by:
Office

of the State attorney
BLOEMFONTEIN
[1]
Reference was made to various authorities including
Bismilla
v Road Accident Fund
(2012/12325)
[2017]
ZAGPJHC
277
(26
September 2017);
Pooe v Rosenbach
1972 (213) QOD 242
(W) and
Tobias v Road Accident
Fund
(4934/2009) [2010] ZAGPPHC
537
(15 April 2010).
[2]
AA
Mutual Insurance Association Ltd v Maqula
1978
(1) SA 805
(A).
[3]
Protea
Assurance Co Ltd v Lamb
1971
(1) SA 530
(A)
at 534H-535A.
[4]
Road Accident Fund v Marunga
2003
(5) SA 164
(SCA) at 169E-I;
De
Jongh v Du Pisanie NO
2005
(5) S
A
457
(SCA)
paras 58-65.)
[5]
Section 17(1) of the Act.
[6]
De
Jongh,
Ibid at fn 6 above.