A B v Road Accident Fund (09/2016) [2019] ZAFSHC 190 (24 October 2019)

82 Reportability
Personal Injury Law - Road Accident Fund

Brief Summary

Damages — Future loss of earnings — Claim for future loss of earnings due to injuries sustained in a road accident — Plaintiff's injuries leading to reduced earning capacity and early retirement — Causation contested by defendant, but merits of liability previously settled — Court accepts uncontradicted expert testimony on plaintiff's condition and future earning potential — Plaintiff awarded R893,060 for future loss of income and costs.

Comprehensive Summary

Summary of Judgment


1. Introduction


This judgment concerns an action for patrimonial damages, specifically a claim for future loss of earnings (loss of earning capacity) arising from bodily injuries sustained in a motor vehicle collision. The proceedings were brought in the High Court of South Africa, Free State Division, Bloemfontein.


The parties were A B (plaintiff) and the Road Accident Fund (defendant). The claim was pursued under the Road Accident Fund scheme, with the defendant ultimately bearing liability for compensable loss caused by the collision.


The matter had a significant procedural narrowing before trial. The issues of merits, including negligence and causation (in the delictual sense), were conceded and settled on 28 February 2017 on the basis that the defendant would be liable for 100% of the plaintiff’s proven or agreed damages. As a result, the trial proceedings and the judgment focused on the remaining dispute concerning damages, in particular the quantification and proof of future loss of income, and ancillary relief such as an undertaking for future medical costs.


In broad terms, the dispute concerned whether the plaintiff had established a sustainable basis for future loss of earnings, and, if so, what amount should be awarded given the inherently speculative nature of predicting future earning capacity and retirement outcomes.


2. Material Facts


The plaintiff was 29 years old at the time of giving evidence. The collision occurred on 17 August 2002, when she was 12 years old and a Grade 6 learner. She received medical treatment at Dihlabeng Provincial Hospital, Bethlehem, where x-rays were taken and she was discharged.


The court accepted, on the plaintiff’s version, that after the collision she experienced middle to lower back pain, which affected her daily functioning and participation in physical activities, including sports, and limited her ability to lift objects. The plaintiff’s evidence further described that in 2012, after she had become employed, she injured or aggravated her back while attempting to lift heavy crates.


The plaintiff’s condition, as described in the evidence relied upon by the court, included ongoing pain that did not resolve with medication, progression of symptoms to the point that she had been using a back brace for approximately two years, and functional limitations restricting her to lifting only light objects. She attributed workplace consequences to these limitations, including that she was demoted because she could not perform optimally. The plaintiff also described disrupted sleep due to severe pain episodes, and an adverse impact on her emotional well-being and social functioning.


Expert evidence was led for the plaintiff from an orthopaedic surgeon (Dr LF Oelofse), an occupational therapist (Anthea Jansen), and an industrial psychologist (Dr Everd Jacobs). Their evidence, as accepted by the court, supported the proposition that the plaintiff would be capable of continuing only in light duty work and that provision should be made for retirement approximately ten years earlier than the typical retirement age. Dr Oelofse further expressed the view that the risk of degeneration to end-stage spondylosis was real and that the plaintiff would experience chronic pain for the rest of her life.


An actuarial report prepared by Munro Forensic Actuaries was handed in by agreement and was not challenged by oral evidence. On the actuarial calculation referred to by the court, the total future loss (after contingencies as applied in the report) was R893 060.00.


The defendant raised an argument framed as one of causation, relying on the proposition that early x-rays did not confirm injury and that later imaging did. The court treated that contention as misplaced given the prior settlement of merits, and further noted that a particular report (Dr Repko’s) was admitted but its contents were not proved through evidence, whereas Dr Oelofse provided an explanation that was not contradicted.


3. Legal Issues


The central legal question for determination was whether, on the evidence accepted by the court, the plaintiff had established a compensable future loss of earnings and, if so, what the appropriate quantification of that loss should be.


The dispute was predominantly concerned with the application of law to fact and the exercise of judicial estimation in the assessment of damages. While the defendant sought to characterise part of the dispute as one of factual causation (linking the collision to the alleged loss), the court treated the causation question as not live because merits (including causation) had already been settled. The remaining question was therefore one of quantum, involving a value-laden assessment informed by expert evidence and actuarial calculation, together with an evaluative judgment about contingencies.


A further issue embedded in the quantification exercise was how the court should approach the speculative nature of future earning capacity assessments, including whether to adopt actuarial calculations and what adjustment (if any) should be made through contingencies.


4. Court’s Reasoning


The court began from the premise that, following the settlement of merits on 28 February 2017, the only remaining matter was the plaintiff’s damages and their quantum. On that footing, the defendant’s causation argument—advanced on the basis of the timing and content of x-rays—was regarded as misplaced because the issues of negligence and causation had already been agreed and settled.


In evaluating the evidence relevant to future earning capacity, the court placed substantial weight on the plaintiff’s expert witnesses. The evidence of Dr Oelofse (orthopaedic surgeon), Anthea Jansen (occupational therapist), and Dr Everd Jacobs (industrial psychologist) was described as uncontradicted and was accepted. The court emphasised that these witnesses explained their findings and conclusions in a clear manner. On the accepted medical evidence, the court concluded that the plaintiff would be restricted to light duty work and that the progressive degenerative consequences of the spinal injury made it necessary to provide for early retirement, specifically ten years before age 65.


The court then turned to the proper approach to quantifying loss of earning capacity, expressly invoking the principle that such an enquiry is inherently speculative because it requires prediction about the future. Relying on the guidance articulated in Southern Insurance Association Limited v Bailey NO 1984 (1) SA 98 (A), the court recognised two broad permissible methods: a broad “round estimate” or a more structured approach using mathematical calculation based on assumptions grounded in the evidence. The court treated the actuarial calculation method as acceptable where the assumptions are sound, while acknowledging that the strength of assumptions may range from strongly probable to speculative.


In this case the actuarial report from Munro Forensic Actuaries was before the court by agreement and was unchallenged. The court considered the report’s assumptions and stated that the calculation of capital values was based on sound principles “to the extent” that the court could rely upon it. At the same time, the court stressed that actuarial quantification does not remove the court’s discretion to award what is right in the circumstances.


In addressing contingencies, the court reaffirmed that contingencies are not capable of accurate mathematical ascertainment and depend on the judicial officer’s impressions of the case. The court also noted that contingencies are not necessarily only adverse (and thus not only a basis for reducing an award). On the facts and evidence before it, the court was satisfied that the contingencies deduction applied in the actuarial report had been calculated and that there were no cogent reasons to replace them. Consequently, the court accepted the actuarial quantified figure and concluded that the plaintiff had proved her case for future loss of earnings.


Having found for the plaintiff on the principal outstanding issue, the court held that the plaintiff, as the successful party, was entitled to costs.


5. Outcome and Relief


The court made an order separating the plaintiff’s claim for general damages from the remaining issues, postponing general damages for later determination in terms of Rule 33(4).


On the claim for future loss of income, the defendant was held liable to pay the plaintiff R893 060.00 as compensation for future loss of earnings resulting from the collision of 17 August 2002.


The court further ordered that the defendant furnish the plaintiff with an undertaking in terms of section 17(4)(a) of the Road Accident Fund Act 56 of 1996 for 100% of qualifying future medical-related expenses (hospital, nursing home, treatment, services, or goods) arising from the injuries, payable after the costs are incurred and proven.


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 categories of costs related to expert preparation and attendance, pre-trial preparation, consultations, and related travel and reservation expenses. The order also regulated payment time-frames, interest consequences for late payment, and the mechanism for taxation if costs were not agreed.


Cases Cited


Southern Insurance Association Limited v Bailey NO 1984 (1) SA 98 (A) at 113G–H.


Legal Assurance Co Ltd v Botes 1963 (1) SA 608 (A) at 614F.


Legislation Cited


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, because the merits (including causation) had been settled on a 100% liability basis, the only live dispute was the quantification of damages, primarily the plaintiff’s future loss of earnings. On the accepted and uncontradicted evidence of the plaintiff’s experts, the court found that the plaintiff’s back injury would restrict her to light duty work and justified provision for retirement ten years earlier than the normal retirement age.


The court further held that the actuarial quantification of future loss, having been placed before the court by agreement and not challenged, could be relied upon. The court exercised its discretion regarding contingencies and found no basis to depart from the contingencies already applied in the actuarial report. Judgment was therefore granted for R893 060.00 for future loss of income, together with a statutory undertaking for future medical costs and an award of party-and-party costs.


LEGAL PRINCIPLES


The judgment applied the principle that an enquiry into damages for loss of earning capacity is inherently speculative, because it entails predicting future events and outcomes. In line with the approach set out in Southern Insurance Association Limited v Bailey NO 1984 (1) SA 98 (A), a court may either adopt a broad, impressionistic lump-sum estimate or prefer a more structured assessment by mathematical calculation based on assumptions supported by evidence, while recognising that the soundness of assumptions may range from probable to speculative.


The judgment further applied the principle that contingencies in damages assessment are not susceptible to precise mathematical determination and involve a judicial evaluation responsive to the circumstances of the case. Although actuarial calculations may assist materially in quantification, they do not displace the court’s discretion to determine a just award; however, where the applied contingencies and assumptions are not shown to be unsound, a court may accept them and decline to substitute its own adjustments.


Finally, the judgment proceeded from the procedural principle that where merits have been settled, attempts to reintroduce causation disputes at the quantum stage are not entertained as a live issue, and the focus remains on proof and quantification of the remaining heads of damage.

About SAFLII
Databases
Search
Terms of Use
RSS Feeds
South Africa: Free State High Court, Bloemfontein
SAFLII
>>
Databases
>>
South Africa: Free State High Court, Bloemfontein
>>
2019
>>
[2019] ZAFSHC 190
|

|

A B v Road Accident Fund (09/2016) [2019] ZAFSHC 190 (24 October 2019)

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: 09/2016
In
the matter between:
A
B
Plaintiff
And
ROAD ACCIDENT
FUND
Defendant
HEARD
ON:
11 & 12
JUNE 2019
JUDGMENT
BY:
MATHEBULA, J
DELIVERED ON:
24 OCTOBER 2019
Claim
for future loss of earnings – Assessment and Enquiry into
damages – Speculative nature thereof and the approaches
to it.
[1]
This is a claim for future loss of earnings against the defendant as
a result of injuries sustained by the plaintiff in a road
accident
that took place on 17 August 2002. The merits were conceded and
settled on 28 February 2017 on the basis that the defendant
is liable
for 100% of the proven or agreed damages.
[2]
The plaintiff aged 29 years testified that she was involved in a road
accident when she was 12 years and still a Grade 6 learner.
She
received medical attention at Dihlabeng Provincial Hospital,
Bethlehem.  X-rays were taken and she was discharged. After
the
accident she suffered from middle to lower back pain. As a result she
struggled to participate in sports activities and was
unable to pick
up objects. In 2012 now employed, she hurt her back while attempting
to pick up heavy crates.
[3]
The pain has not subsided despite taking medication for it. It has
progressed to such an extent that she has been wearing a
back brace
for the past two (2) years. It is a daily struggle and because of it
she can only pick up light objects. This has resulted
in her demotion
at work because she could not perform optimally. She is experiencing
irregular sleep because of excruciating episodes
of pain. This has
also had an adverse effect on her emotional well-being because she
cannot go out and socialize with other people.
[4]
Dr. Oelofse, the orthopedic surgeon, who examined the plaintiff and
compiled a medico-legal report (whose report was handed
in as
evidence) testified on behalf of the plaintiff. He stated and
confirmed in oral testimony that because of her injury, she
will only
be able to continue working in a light duty position. He was of the
view that the provision should be made that the plaintiff
will retire
ten (10) years before the retirement age. It was his opinion that
because of the spinal injury and its possibilities
for degeneration,
the progress to end-stage sponelylosis was real. Further that she
will experience chronic pain for the rest of
her life.
[5]
The Occupational Therapist Anthea Jansen will also compiled the
detailed medico-legal report on the plaintiff testified that
she
agrees with the assessment of Dr. Oelofse on the pertinent issue of
early-retirement.
[6]
This is also the view of the Industrial Psychologist Dr. Everd
Jacobs. His brief which was limited to investigating her uninjured

and injured scenario concluded that based on medical opinion, the
plaintiff will have to retire ten (10) years earlier.
[7]
These witnesses whose evidence was not contradicted impressed me in
the lucid manner that they explained their opinions, findings
and
conclusions. Their evidence is undisputed and I accept it. To that
extent I conclude that a claim for future loss of earnings
is
sustainable. In particular Dr. Oelofse in his opinion concluded that
because of progressive degeneration on her back injury,
the plaintiff
will have to retire ten (10) years earlier than the retirement age of
sixty-five (65).
[8]
The defendant’s case relies heavily on the issue of causation.
The argument is that the plaintiff has failed to determine
that the
collision is the
causa
sine qua non
of the
loss. In essence, that the plaintiff has filed to show that the
collision is sufficiently closely linked to the loss. The
basis of
this submission is that the x-rays that were taken in 2002 did not
confirm any injuries and only in 2015 did the x-rays
confirm
injuries.
[9]
The argument about causation is misplaced. The issues of negligence
and causation were agreed upon and settled on 28 February
2017. This
means that they have been adjudicated and the only outstanding issue
is the damages and the quantum thereof. The second
point of
contention is the discrepancies of the x-rays as recorded by Dr.
Repko and Oelofse in 2013 and 2015. The content of the
report of Dr.
Repko though admitted into evidence, its contents were not. This
intricate medical aspect was adequately explained
by Dr. Oelofse
whose opinions were uncontradicted.
[10]
This then brings me to one aspect for determination in this matter.
The plaintiff’s future earning capacity has been
well
articulated. The assessment of future loss of earning capacity was
summed up as followed by Nicholas JA in Southern Insurance

Association Limited v Bailey NO
[1]
:-

Any
enquiry into damages for loss of earning capacity is of its nature
speculative, because it involves a prediction as to the future,

without the benefit of crystal balls, soothsayers, augurs or oracles.
All that the Court can do is to make an estimate, which is
often a
very rough estimate, of the present value of the loss.
It
has open to it two possible approaches.
One
is for the Judge to make a round estimate of an amount which seems to
him to be fair and reasonable. That is entirely a matter
of
guesswork, a blind plunge into the unknown.
The
other is to try to make an assessment, by way of mathematical
calculations, on the basis of assumptions resting on the evidence.

The validity of this approach depends of course upon the soundness of
the assumptions, and these may vary from the strongly probable
to the
speculative.”
[11]
In this matter the Actuarial Report prepared by Munro Forensic
Actuaries was handed in per agreement without leading any oral

evidence. This means that it contents have not been challenged at
all. It is appropriate to mention that the total loss of earnings
but
for the accident is calculated at R893 060.00 after contingencies
have been factored in their calculations. In my view the
assumptions
underlying calculation of capital values is based on sound principles
to the extent that I can rely on it. However
that does not mean that
my discretion to award what is right is usurped.
[2]
It has long been accepted that the allowance for contingencies is not
something that is readily ascertainable or can be accurately
or
mathematically ascertained. It will always depend on what the
particular judicial officer’s impressions are given the
case
before him/her. However, it should always be kept in mind that
contingencies need not only be adverse necessitating a “scaling

down”. Given the circumstances of this matter, I am convinced
that the contingencies deduction for the net loss but for the

accident in respect of prospective future loss of income have been
calculated in the Actuarial Report and there is no cogent reason(s)

to substitute them.  Therefore I conclude that the plaintiff has
proved her case and as the successful party she is entitled
to be
awarded costs.
Order
[12]
The following order is made:
12.1.
The plaintiff’s claim for general damages (paragraph 8.1 of the
particulars of claim) is separated from the remaining
issues in terms
of Rule 33(4), and stands over for later determination.
12.2.
The defendant is liable for payment to the plaintiff in the amount of
R893 060.00
(Eight hundred and ninety three thousand and sixty rand)
in
respect of the Plaintiff’s claim for future loss of income
resulting from a motor vehicle collision that occurred on
17
August 2002.
12.3.
The defendant is
ordered to furnish to the plaintiff an undertaking in terms of
Section 17(4)(a)
of the
Road Accident Fund Act 56 of 1996
, for 100%
of the future accommodation of the plaintiff in a hospital or nursing
home or the treatment of or the rendering of a
service or the
supplying of goods to the plaintiff arising out of injuries sustained
by her in the motor vehicle collision mentioned
above, in terms of
which undertaking the defendant will be obliged to compensate her in
respect of the said costs after the costs
have been incurred and on
proof thereof.
12.4.
The defendant to pay the plaintiff's
taxed or agreed party and party costs on the High Court scale, until
date of this order, including
but not limited to the costs set out
hereunder:
12.4.1
The costs attendant upon the obtaining of payment of the amounts
referred to in this order;
12.4.2
The reasonable preparation / qualifying / accommodation / travelling
and full reservation fees and expenses (if any) of the
following
experts, and the costs relating to the plaintiff attending their
medico legal examinations:
12.4.2.1
Dr P Repko (Neurosurgeon);
12.4.2.2
Dr LF Oelofse (Orthopaedic Surgeon);
12.4.2.3
Dr JHA Venter (Radiologist);
12.4.2.4
Geraldine Lourens (Occupational Therapist);
12.4.2.5
Anthea Jansen (Occupational Therapist);
12.4.2.6
Dr P Greeff (Clinical Psychologist);
12.4.2.7
Dr E Jacobs (Industrial Psychologist);
12.4.2.8
Munro Forensic Actuaries.
12.4.3
The counsels’ costs of preparing for, and attending to
pre-trials, and costs associated with necessary consultations
with
the plaintiff, the plaintiff’s attorneys, the plaintiff’s
witnesses and the plaintiff’s experts;
12.4.4
The attorneys’ costs of preparing for, and attending to
pre-trials, and costs associated with necessary consultations
with
the plaintiff, the plaintiff’s witnesses and the plaintiff’s
experts;
12.4.5
The travelling costs occasioned by the plaintiff and the plaintiff’s
witnesses to attend to necessary consultation
with his attorney and
expert witnesses.
12.5.
The payment provisions in respect of the aforegoing are ordered as
follows:
12.5.1
Payment of the capital amount shall be made without set-off or
deduction, within 30 (thirty) calendar days from date of the
granting
of this order, directly into the trust 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 Buchner/J02228
(please
quote the reference at all times)
12.5.2
Payment of the taxed or agreed costs shall be made within 14
(fourteen) days of taxation, and shall likewise be effected
into the
trust account of the plaintiff’s attorney;
12.5.3
No interest will accrue in respect of any of the aforesaid amounts if
payment is made on or before the stipulated dates;
12.5.4
Should payment not be made in respect of any of the aforesaid amounts
on or before the stipulated date(s), interest will
accrue at 10.25 %
(the statutory rate per annum), compounded.
12.6.
In the event that costs are not agreed the plaintiff agrees as
follows:
12.6.1
The plaintiff shall serve a notice of taxation on the defendant's
attorney of record; and
12.6.2 The plaintiff
shall allow the defendant fourteen (14) court days to make payment of
the taxed costs.
­­_________________
M
A MATHEBULA, J
On
behalf of Plaintiff: Adv. H De La Rey
Instructed
by: Honey Attorneys
Bloemfontein
On
behalf of
Defendant
:
Adv. K Naidoo
Instructed
by: Maduba Attorneys
Bloemfontein
[1]
1984 (1) SA 98
(A) at 113
G-H
[2]
Legal Assurance Co Ltd v
Botes
1963 (1) SA 608
(A) at 614 F