Jones v Road Accident Fund (3967/2019P) [2022] ZAKZPHC 37 (18 August 2022)

85 Reportability
Personal Injury Law - Road Accident Fund

Brief Summary

Damages — Road Accident Fund — Quantum of damages — Plaintiff injured in motor vehicle accident, claiming compensation for general damages and future loss of earnings — Agreement on past medical expenses and loss of income, but dispute over general damages and contingencies for future earnings — Plaintiff sustained severe head injury and other significant impairments affecting cognitive and physical abilities — Court awarded R1 200 000 for general damages and R5 495 782.43 in total compensation, including future medical expenses and legal costs, considering the substantial impact on the plaintiff's quality of life and earning potential.

Comprehensive Summary

Summary of Judgment


1. Introduction


This was a quantum trial in an action for damages arising from a motor vehicle collision. The proceedings concerned the assessment of compensation payable by the Road Accident Fund to an injured claimant in terms of the statutory scheme governing road accident compensation.


The plaintiff, Cameron Ross Douglas Jones, sued the defendant, the Road Accident Fund, for losses suffered as a result of injuries sustained in a collision on 26 February 2017. Liability had already been resolved by settlement on the merits: the Fund agreed to compensate the plaintiff for 90% of such damages as he could prove were caused by the accident.


The matter proceeded to trial on the quantum of damages. By the time the case was heard, the parties had resolved all aspects of quantum except (i) the amount to be awarded for general damages, and (ii) the appropriate contingency deductions to be applied in calculating the plaintiff’s future loss of earnings for both the pre-morbid and post-morbid scenarios. The plaintiff delivered several expert reports (medical and related experts) and an actuarial report. The Fund did not file competing expert reports and accepted the correctness of the plaintiff’s reports.


The general subject matter of the dispute was therefore the appropriate monetary evaluation of the plaintiff’s non-patrimonial loss (pain, suffering, disability, and loss of amenities of life) and the extent to which uncertain future risks should reduce actuarially calculated future earnings (contingencies), given the plaintiff’s neurological, psychological, and visual sequelae.


2. Material Facts


The collision occurred on 26 February 2017, when the plaintiff was 20 years old (born 18 March 1996). He sustained serious injuries, including a severe traumatic brain injury with skull fractures and contusions, and a fracture of the clavicle. The neurosurgical description included an extensive comminuted fracture of the parietal bones extending to the skull vertex, a fracture extending from the occipital bone to the foramen magnum, widening of the occipito-mastoid suture, and contusions of the frontal lobes and corpus callosum, which was treated as indicative of severe brain trauma.


After the accident, the plaintiff received emergency care and stabilisation at a hospital in Ladysmith, during which he experienced three grand mal seizures and underwent CT scanning. He was then transferred to Life Entabeni Hospital in Durban for specialist neurological management and underwent extensive rehabilitation therapies, including cognitive, occupational, speech, and physiotherapy. He was discharged on 13 March 2017.


The court treated the plaintiff’s post-accident sequelae, as recorded in the uncontested expert reports, as material. These included ongoing neurocognitive and emotional difficulties (poor concentration, poor memory, and anticipated severe abnormalities in personality and cognition), sensory impairments (reduced smell and taste), and significant visual impairment. From the ophthalmological perspective, the plaintiff sustained a severe brain injury involving the occipital cortex, resulting in a profound global loss of vision described as permanent and not amenable to improvement by surgical, medical, or device intervention. He also suffered a cranial nerve IV palsy causing binocular double vision, potentially improvable with prisms and possibly extra-ocular muscle surgery. The decreased vision meant he could not legally hold a driver’s licence, with consequences for independence and occupational choice.


Before the accident, the plaintiff was employed as a sports coach and teaching intern at a primary school, and the occupational therapy evidence was accepted as supporting that he could probably have remained in that field until retirement age in the absence of the collision. Post-morbidly, however, the evidence accepted by the court described a markedly impaired vocational outlook, including disorganisation, impaired planning and prioritisation, reduced confidence, difficulty focusing and recalling work-related information, slower processing, increased emotional lability, increased risk of job termination, and a likelihood of periods of unemployment and the need for mentoring.


The judgment distinguished no factual disputes on the medical sequelae or occupational consequences, because the Fund filed no opposing expert evidence and accepted the correctness of the plaintiff’s expert reports. The remaining disputes were evaluative in nature: the appropriate contingency deductions for future loss of earnings, and the appropriate general damages award.


Certain heads of damage were agreed. The plaintiff’s past hospital and medical expenses were agreed at R232 103.78. The plaintiff’s past loss of income was agreed at R315 923. The Fund agreed to furnish a section 17(4)(a) undertaking in respect of future medical expenses (subject to the 90% apportionment). The unresolved components were general damages and the contingency deductions affecting the calculation of future loss of earnings.


3. Legal Issues


The court was required to determine two central questions relating to quantum.


The first issue was the appropriate award for general damages, being a discretionary assessment of compensation for the plaintiff’s pain and suffering, disability, and loss of amenities of life, informed by comparable awards only as general guidance.


The second issue was the determination of appropriate contingency deductions in the actuarial calculation of future loss of earnings, both in the pre-morbid scenario (what the plaintiff likely would have earned but for the accident) and the post-morbid scenario (what he was now likely to earn given the injuries). This required an evaluative judgment based on the evidence of the plaintiff’s impaired functioning and reduced employability.


These issues primarily involved the application of established principles to the facts and, in relation to general damages and contingencies, a significant element of value judgment and discretion in quantification, rather than the resolution of factual disputes between competing evidence.


4. Court’s Reasoning


In addressing the contingency deductions, the court approached the issue by considering the purpose of contingencies as accounting for the ordinary vicissitudes and uncertainties of life and employment, and then calibrating the deductions in light of the plaintiff’s particular circumstances in each scenario. The court placed material weight on the occupational therapist’s evidence, which it regarded as particularly helpful to the evaluation of future employability and risk.


For the pre-morbid contingency, the court accepted that the plaintiff’s pre-accident occupational trajectory as a sports coach and teaching intern was likely stable, and that the contingency deduction needed only to reflect ordinary risks such as accidental death and other general uncertainties. On that basis, and aligning with submissions accepted by the court, it concluded that a 20% contingency deduction was appropriate for the pre-morbid future earnings scenario.


For the post-morbid contingency, the court found that the plaintiff’s future employment position was “considerably bleaker” due to the accepted sequelae of the brain injury, emotional dysregulation, and functional impairments affecting workplace performance. The court relied on evidence describing disorganisation, impaired planning, attention and memory difficulties, slow information processing, emotional volatility, and an increased risk of termination and unemployment. The occupational therapist recommended “much higher than average unemployment contingencies”, and the consulting psychologist was described as supporting a similar picture. A more recent occupational therapy report addressing the plaintiff’s ongoing struggles in his then employment reinforced the conclusion that he was not coping well and was likely to face unemployment periods.


Weighing these accepted difficulties and the increased labour-market vulnerability they entailed, the court agreed with the plaintiff’s submission that a 40% contingency deduction should be applied to post-morbid future earnings. This was framed as a reflection of materially heightened risks and diminished sustainability of employment due to the accident-related impairments.


Turning to general damages, the court accepted that previous awards could assist only by indicating a broad range, because factual comparability is limited. The court evaluated the seriousness and permanence of the plaintiff’s injuries, particularly the non-improving consequences of the traumatic brain injury, the substantial disability, and significant loss of amenities of life. It treated the plaintiff’s inability to pursue the anticipated opportunity to play professional rugby overseas as a significant contributor to his loss of life amenities. The court considered the parties’ proposed figures—R1 500 000 for the plaintiff and R900 000 for the Fund—and concluded that R1 200 000 constituted fair compensation.


In explaining the nature of the general damages inquiry, the court emphasised that the purpose was not to “place a value” on what had been lost, but to award compensation aimed at ameliorating suffering, while recognising constraints such as limited resources. The award reflected the court’s discretionary balancing of severity, permanence, and impact on life prospects.


5. Outcome and Relief


The court ordered the defendant to pay the plaintiff a capital amount of R5 495 782.43.


The defendant was ordered to furnish the plaintiff with an undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996, limited to 90% of the plaintiff’s qualifying future costs for hospital or nursing home accommodation, treatment, services, and goods, subject to the conditions that such costs were incurred as a direct consequence of the accident injuries and were actually, necessarily, and reasonably incurred.


The defendant was ordered to pay the plaintiff’s party-and-party costs, including the costs of counsel and the reasonable costs of the plaintiff’s listed experts (including specified consultation, reservation, and qualifying fees where noted) and the actuarial report. The order further regulated taxation procedure and provided the defendant 180 court days to pay taxed costs if not agreed.


The capital amount was directed to be paid into the plaintiff’s attorneys’ trust account by 10 February 2023.


Cases Cited


No specific case authorities were identified by name or citation in the text of the judgment.


Legislation Cited


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


Rules of Court Cited


No rules of court were expressly cited in the text of the judgment.


Held


The court held that, for purposes of calculating the plaintiff’s future loss of earnings, a 20% contingency deduction was appropriate for the pre-morbid scenario, reflecting ordinary life risks, and a 40% contingency deduction was appropriate for the post-morbid scenario, reflecting materially increased risks of diminished employability and unemployment due to the accepted neurocognitive, emotional, and functional sequelae.


The court further held that an award of R1 200 000 constituted fair compensation for general damages in light of the seriousness and permanence of the plaintiff’s traumatic brain injury, visual impairment, and consequent loss of amenities of life, including the loss of the opportunity to pursue professional rugby overseas.


Based on the agreed items of loss, the actuarial calculation as affected by the court’s contingency findings, and the determined general damages, the court granted judgment for R5 495 782.43, together with a section 17(4)(a) undertaking limited to 90%, and ordered the Fund to pay the plaintiff’s party-and-party costs including specified expert costs.


LEGAL PRINCIPLES


The judgment applied the principle that contingency deductions in claims for future loss of earnings serve to account for the uncertainties and vicissitudes affecting future events, and that the appropriate percentage is a matter of judicial evaluation based on the proven circumstances of the claimant’s life and vocational prospects. The court applied a lower contingency to the pre-morbid scenario where only ordinary risks were relevant, and a higher contingency to the post-morbid scenario where the evidence established materially increased employment vulnerability attributable to the accident injuries.


The judgment also applied the principle that awards for general damages are discretionary and are informed, but not dictated, by prior awards, because comparability between cases is inherently limited. The assessment requires a value judgment based on the extent of disability, permanence of sequelae, and the impact on the claimant’s amenities of life, rather than an attempt to place a precise market value on the loss.


Finally, the judgment applied the statutory mechanism in terms of which the Road Accident Fund may be ordered to provide an undertaking under section 17(4)(a) to compensate qualifying future medical and related expenses (subject to the agreed apportionment), conditional upon proof that the costs are causally linked to the accident injuries and were actually, necessarily, and reasonably incurred.

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[2022] ZAKZPHC 37
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Jones v Road Accident Fund (3967/2019P) [2022] ZAKZPHC 37 (18 August 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
KWAZULU-NAT
AL DIVISION, PIETERMARITZBURG
Case
No: 3967/2019P
In
the matter between:
CAMERON
ROSS
DOUGLAS
JONES
Plaintiff
and
THE
ROAD
ACCIDENT
FUND
Defendant
JUDGMENT
Ploos
Van Amstel J:
[1]
The plaintiff in this matter was injured
in a motor vehicle accident on 26 February 2017. He instituted an
action for compensation
against the Road Accident Fund, which was
settled
on
the basis that
the
Fund
will
pay to the plaintiff
90%
of such damages
as he is able to prove he suffered as a
result of the accident.
[2]
The matter came before me on the trial
roll for the quantum of his damages to be determined. The parties
have reached agreement
on all the issues relating to quantum, save
for general damages and the contingencies that need to be applied to
the calculation
of his future loss of earnings, both in respect of
the pre-morbid and the post-morbid periods. The plaintiff was 20
years old at
the time of the accident. He was born on 18 March 1996
and is currently 26 years old. He has delivered a number of expert
medical
reports and an actuarial report. The Fund has not delivered
any reports and accepted the correctness of those delivered by the
plaintiff.
[3]
The
injuries
suffered
by
the plaintiff
are
described
as
follows
by
Dr
Du
Trevou: a severe head injury; an extensive comminuted fracture of the
parietal bones extending to the skull vertex; a fracture
extending
from the occipital bone to the foramen magnum; widening of the
occipito-mastoid suture; contusions of the frontal lobes
and a
contusion with the corpus callosum, which he says is always an
indication of a severe traumatic brain injury. He also suffered
a
fracture of his collar bone.
[4]
The plaintiff was transported by
ambulance to a hospital in Ladysmith, where he received emergency
care and was stabilized. Whilst
being stabilized he experienced three
grand mal seizures and was sent for CT scans. He was transferred to
the Life Entabeni Hospital
in Durban for specialist neurological
management, where he received extensive cognitive therapy,
occupational therapy, speech therapy
and physiotherapy. He was
discharged from hospital on 13 March 2017.
[5]
The plaintiff now has poor vision and
wears glasses. He has a poor concentration span and a bad memory. Dr
Du Trevou says no further
improvement with respect to his brain
injury can be expected. The plaintiff was a good rugby player before
the accident and was
hoping to play rugby overseas. Dr Du Trevou says
this is now out of the question. He also says it is inevitable that
the plaintiff
will be found by a neuropsychologist to have severe
abnormalities of both personality and cognition. These abnormalities
in the
long­ term are likely to prove to be his major impairment,
influencing his educational and therefore vocational prospects. He

also has been left with a poor sense of smell and taste, which Dr Du
Trevou says represents a significant impairment.
[6]
A clinical psychologist, Dr Bosch,
provided a comprehensive report, in which she states her diagnosis
and conclusions as follows:
'The clinical and psychometric picture is
consistent with a diagnosis of a mood disorder(depression); a
moderate neurocognitive
disorder involving variable deficits in his
cognitive (neuropsychological) functioning; emotional, personality
and behavioural
changes (emotional dyscontrol as well as being
consistent with his psychopathology to some extent) a probable
reduction in intellectual
functioning, a self- and body-image
disturbance, reduced social/leisure functioning, superimposed upon
his residual physical complaints
and fatigability, which has probably
resulted in reduced academic functioning/potential and reduced
occupational potential.' She
expresses the view, with regard to the
claim for loss of earnings, that higher than usual contingencies
should probably be applied
given the plaintiff's emotional
dysregulation, rigidity and inflexibility which could have adverse
effects in the working environment.
[7]
Dr
Kadi,
an orthopaedic
surgeon,
says
in
his
report
the
fractures
of
the
clavicle may be associated with
degenerative changes at the acromioclavicular joint. He says salvage
surgery in the form of debridement
at the joint and/or excision of
the lateral third of the clavicle should be catered for.
[8]
Dr Sara, an ophthalmic surgeon, says in
his report from an ophthalmology
point
of view
the
plaintiff
sustained
a
severe
brain
injury
involving
the
occipital
cortex. This
has resulted in a profound global loss
of vision. This decreased
vision
will be permanent.
No
surgical,
medical
or
device
intervention
will
improve
the
vision.
He
also
suffered
from
a
cranial nerve 4 palsy
which
has resulted in a binocular
double
vision. The double
vision can be improved by putting prisms
in spectacles and he can also undergo extra ocular muscle surgery to
correct the problem.
He says as a result of the decreased vision the
plaintiff cannot legally hold a driver's license and this will
severely impact
his independence and choice of occupation in the
future.
[9]
Mrs Bainbridge,
an occupational therapist, says in her
report that the plaintiff's clavicular fracture continues to worry
him but has not stopped
him from undertaking rigorous physical
training. I found her report particularly helpful in assessing the
contingencies relating
to the claim for future loss of earnings. It
is detailed and I do not want to burden this judgment by quoting from
it extensively.
Suffice it to say that before the accident the
plaintiff was employed as a sport coach and teaching intern at the
Winterton Primary
School. He could probably have worked in that field
until retirement age. The contingency deduction in respect of the
pre-morbid
situation only has to cater for the usual risks in life,
such as accidental death. I agree with counsel that a 20% contingency
will be appropriate.
[10]
With regard to his future, post-morbid earnings, the picture is
considerably bleaker. Mrs Bainbridge deals with
the difficulties in
detail: the plaintiff is said to be disorganised; lacking in planning
and ability to prioritise; loss of self-confidence;
struggles to
focus; difficulty recalling practice drills; altered memory for
visual and verbal information; slow processing of
information; more
easily provoked; more tearful and emotional; increased risk of
termination of employment; will require mentoring;
increased
frustration; and will face periods of unemployment. She recommends
'much higher than average unemployment contingencies'.
Ms Hill, a
consulting psychologist, is to the same effect.
[11]
In a more recent report Mrs Bainbridge deals with the difficulties
experienced by the plaintiff in his employment as
a coaching/boarding
intern at a primary level school. Suffice it to say that it is clear
from the report that he is struggling,
not doing well at all, and is
likely to face periods of unemployment.
[12]
In those circumstances I am in agreement
with counsel for the plaintiff that the contingency for post-morbid
earnings should be
40%.
[13]
The plaintiff's past hospital and
medical expenses have been agreed in the amount of R232 103.78; the
Fund has agreed to provide
a certificate in respect of the future
medical expenses; and his past loss of income has been agreed in the
sum of R315 923.
[14]
With regard to general damages both
counsel have referred me to previous awards. They do provide guidance
as to the range of awards,
but only in a general way as the facts are
hardly ever truly comparable. The plaintiff's disability and loss of
the amenities of
life is substantial and he should be awarded
substantial compensation. His brain injury and the consequences
thereof will not improve
and this has caused, and will continue to
cause, significant frustration and hardship. The loss of the
opportunity to play professional
rugby overseas contributes
significantly to his loss of the amenities of life. Counsel for the
plaintiff has suggested an award
of R1 500 000 and counsel for the
Fund R900 000.
My
determination
is
that an amount of R1 200 000 will be fair compensation. It is not the
purpose of the exercise to place a value on what the plaintiff
has
lost. It is rather to award some compensation, having regard to the
limited resources, with a view to ameliorate his sense
of suffering.
The
Order that I make is as follows:
[1]
The Defendant is ordered to pay the
Plaintiff the sum of R5 495 782,
43;
[2]
The Defendant is ordered to furnish the
Plaintiff with an undertaking in terms of Section 17(4)(a) of Act 56
of 1996 to compensate
the Plaintiff for 90% of the Plaintiff's costs
for:
(a)
the costs of future accommodation in a
hospital or nursing home;
(b)
the costs of treatment to the Plaintiff;
(c)
the costs of rendering a service to
Plaintiff and the supplying of goods to him.
[3]
Payment to the Plaintiff of the costs of
accommodation, treatment, the rendering of a service and the
supplying of goods referred
to in paragraph
2(a),
2(b)
and
2(c)
above, shall only be made on the
following conditions:
(a)
That the accommodation, treatment,
services and supply of goods are incurred as a direct consequence of
the injuries which the Plaintiff
sustained in the collision described
in the particulars of claim; and
(b)
That such costs have been actually,
necessarily and reasonably incurred.
[4]
The Defendant is ordered to pay the
Plaintiff's legal costs, as between party and party, which costs
shall include, inter alia:
(a)
The costs of counsel;
(b)
All reasonable costs of the Plaintiff's
experts, including preparation time, consultation fees, medico-legal
examinations and drafting
of expert reports, and including
reservation fees and qualifying fees where specifically noted:
(i)
Dr M. D. Du Trevou (Neurosurgeon);
(ii)
Dr B. A. Bosch (Clinical Psychologist-
including consultation, reservation and qualifying fees);
(iii)
Dr D. K. Kadi (Orthopaedic Surgeon);
(iv)
Dr Alan Sara (Ophthalmologist);
(v)
Mrs
Jane
Bainbridge
(Occupational
Therapist
-
including consultation, reservation and qualifying fees);
(vi)
Ms Sonia Hill (Industrial Psychologist-
including consultation, reservation and qualifying fees); and
(vii)
Mr Robert J. Koch (Consulting Actuary-
report only).
[5]
The Defendant shall pay the Plaintiff's
taxed or agreed Party and Party costs on the High Court scale,
subject to the following
conditions:
(a)
The
Plaintiff
shall,
in
the
event
that
costs
are
not
agreed, serve
the
Notice
of Taxation
on
the Defendant's Attorney
of
record;
and
(b)
The Plaintiff
shall allow the Defendant
180 (one hundred
and eighty)
court days to make payment of the taxed
costs.
[6]
The
capital
amount
of
R5
495
782, 43
is
to
be
paid
into
the
Plaintiff's
Attorneys Trust
Account
by
the
10
th
February
2023,
the details
of
which
are
as follows:
VASH
PILLAY & ASSOCIATES TRUST ACCOUNT
NEDBANK
ACCOUNT
NUMBER: [....]
BRANCH:
MIDLANDS MALL
(REF:
YP/RAF.19)
Ploos
Van Amstel J
CASE
INFORMATION
Date
Judgment Reserved           8
August 2022
Date
Judgement Delivered         18
August 2022
Appearances:
For
the Plaintiff                                        Mr

N Maharaj
Instructed
by
Vash
Pillay & Associates
Suite
3, Block C
319
Bulwer Street
PIETERMARITZBURG
Email:
vash@vplaw.co.za
Ref:
YP/RAF.19
For
the Defendant                                    Ms

S Govender
Instructed
by
A
K Essack Morgan Naidoo & Company
311
Pietermaritz Street
PIETERMARITZBURG
Email:
lelo@akemn.co.za
Ref:
FS/RAF/J31/LT
Email:
anitab@raf.co.za