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[2019] ZAFSHC 206
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Mothabe v Road Accident Fund (3181/2017) [2019] ZAFSHC 206 (7 November 2019)
IN
THE HIGH COURT OF SOUTH AFRICA,
FREE
STATE DIVISION, BLOEMFONTEIN
Case
number: 3181/2017
In
the matter between:
MOLELEKOA
PETROS MOTHABE
Plaintiff
and
ROAD ACCIDENT
FUND
Defendant
HEARD
ON:
07
& 10 MAY 2019
JUDGMENT
BY:
MATHEBULA, J
DELIVERED
ON:
07 NOVEMBER
2019
Quantum
of damages – Expert opinion and evaluation – Calculation
of damages and comparable awards.
Introduction
[1]
The only issue to be determined in this matter is quantum of damages.
An offer of settlement
conceding the merits was accepted by the
plaintiff. In an endeavour to prove his claim, the plaintiff
adduced evidence of
five (5) expert witnesses who had examined and
assessed him. Apart from their oral testimonies they also compiled
detailed medico-legal
reports. No oral or documentary evidence was
placed before me by the defendant. The parties settled the
claim regarding past
medical expenses in the sum of R67 663.83.
Evidence for the
plaintiff
[2]
Jeanne Morland, a qualified Occupational Therapist, testified that
she obtained a Bachelor
of Occupational Therapy degree from the
University of the Free State. After working for two (2) years at
Baragwanath Hospital in
Johannesburg, she went into private practice
specializing in medico-legal report work. She also did work for Case
Management Trust
Companies post the Road Accident Fund settlement.
[3]
On 16 March 2018 she assessed the plaintiff and compiled the
medico-legal report on pages
119 to 163 of the plaintiff’s
bundle. The plaintiff presented severe head injury, laceration to the
upper left, injury to
the right eye, multiple fractured ribs,
pneumothorax and right tibia-fibula fracture.
[4]
The plaintiff reported that he experiences pain in his right knee and
lower leg, headaches
± twice a week and his sleep is
interrupted by restlessness. He also informed her that he forgets a
lot at work and even
small issues like the pin code of his bank card.
His wife reported that he forgets inter alia to fetch the child from
creche. He
is also reported to be irritable and loud. She concluded
that these were consistent with what is found in persons with severe
head
injury.
[5]
She explained that in assessing the plaintiff she listened to what
was reported to her as current problems
and compared it with
collateral information. The purpose was to check whether what
was reported to her ties up with her observations.
Accordingly, the
current complaints of headaches and restlessness were consistent with
the neurological damage that the plaintiff
had sustained. As a result
his daily living activities have been altered since the injuries. The
loss of motivation and drive for
self-care were sequelae of his
injuries.
[6]
It was her evidence that the plaintiff was unable to function
properly. During
the assessment his concentration was fluctuating and
displayed cognitive difficulties. The injuries have severely altered
his independence
and activities of daily living which includes his
work. On the basis of the physical and physiological deficits
suffered by the
plaintiff, it was her view that he will have to
retire five (5) years before the retirement age of 60 years.
[7] On
16 May 2014 Rolene
Hovsha,
a qualified Clinical
Psychologist conducted the psycho-legal screening assessment on the
plaintiff. The purpose was to establish
whether he had suffered any
traumatic brain injury as a result of the accident, and if so, the
sequelae thereof and his mental
state and the emotional impact of the
injuries. She compiled a medico-legal report starting from page 14 to
34 of the plaintiff’s
bundle.
[7] On
page 20 of her report she noted that the records from Anncron
Hospital in Klerksdorp showed that the plaintiff
suffered a head
injury. Based on collateral information obtained from his wife she
concluded that the plaintiff appears to have
suffered an extended
period of Post Traumatic Amnesia. As a result the plaintiff suffered
from neurocognitive as well as physical
deficits consistent with
those prevalent in persons with traumatic brain injuries. She
emphasised that traumatic brain injuries
was diagnosed in terms of
its outcomes as opposed to initial reported severity at the time of
the injury.
[8]
As a Clinical Psychologist with special interest in neuropsychology,
she conducted various tests
on the plaintiff. This covered attention
and concentration, basic mental tracking, mental control, information
processing as well
as speed of information processing etc. The
conclusion was that the neurophysiological assessment revealed
moderate to severe deficits
in the areas covered. These were absent
prior to the accident.
[9]
A neurosurgeon who assessed the plaintiff namely Dr. Cyril
Lewer-Allen also gave evidence
and substantially confirmed the
contents of his detailed report contained in pages 48 to 93 of the
plaintiff’s bundle. He
also recorded the injuries as noted by
other experts. The current problems conveyed to him were lack of
concentration and memory
as well as irritability and short temper.
[10]
He was extensively questioned on the absence of the Glasgow Scale
Scoring. His response was that the
Glasgow Scale was a management
tool for casualty. It was not designed to determine the long-term
outcomes or as a forecaster of
intellectual functionality.
[11]
Therefore, he concluded that it was probable that the plaintiff
suffered a significant brain injury
rendering him less productive.
This diminished his effectiveness to function independently both at
the workplace and in private
life. Given the head injury, it was his
view that it was not curative even by surgery.
[12]
Louis Linde, an industrial psychologist, conducted an assessment with
the objective to evaluate the
effects of the accident and its
sequelae on the employability and earning capacity of the plaintiff.
He concluded that post the
accident, the plaintiff has been fortunate
to be employed in a sympathetic employment. It was almost imperative
that he should
retire at 55 years of age. The most telling statement
is that the plaintiff has suffered a severe loss of his amenities and
life
enjoyment.
[13]
Gregory Whittaker, an actuary, calculated the capital value of the
loss of income suffered by the plaintiff
as a result of the accident.
He concluded that the net compensation due to the plaintiff was the
sum of R776 158.00. This was after
taking into consideration the
necessary contingencies.
Principles pertaining
to expert evidence and the evaluation thereof
[14]
The primary contention on behalf of the defendant was that the
plaintiff had not suffered a brain injury.
It appears that other
injuries were not disputed because no reference whatsoever was made
to them. I accept that this was the only
injury sustained by the
plaintiff that was disputed. It is for this very reason that the
plaintiff called expert witnesses to establish
this aspect.
[15]
It is trite that the function of an expert witness is to assist the
court in matters that the court
does not have the necessary knowledge
to decide. Over and above the expert opinion, the expert must be able
to satisfy the court
that through special skill, training and
experience, the reasons for the expressed opinion are acceptable.
[1]
In the evaluation of such evidence, it must be determined whether and
to what extent the opinion(s) is/are based on logical
reasons.
The emphasis is that the court must be satisfied that such an opinion
has the logical basis. This means that
the expert must have
considered all aspects of the matter and reached a “defendable
conclusion”.
[2]
[16]
All experts called on behalf of the plaintiff corroborated each other
that the plaintiff had suffered
a severe brain injury. These are
experts in their field particularly the area concerning head
injuries. They are all highly skilled
and acquired vast experience
over a period of time. Their opinions were based on logical reasons
after a thorough assessment of
the plaintiff. The outcomes fitted the
current complaints, medical notes and collateral information obtained
from credible and
reliable sources.
[17]
The plaintiff had suffered the laceration on the upper left and an
injury on the right eye. The only
conclusion is that some blunt force
was exerted on his face to cause these injuries. To argue otherwise
will be simply to deny
what is an overwhelming evidence that he was
injured on the head. The only arguable issue is to what extent was he
injured.
[18]
The defendant did not call any expert(s) to contradict the ones
referred to in the preceding paragraphs.
I formed the impression that
the opposition/denial was for the sake of it without any factual or
legal basis. Cross-examination
did not elicit anything of substance
about whether the plaintiff had suffered a brain injury or not.
Therefore I conclude on the
basis of the evidence before me that the
plaintiff suffered severe brain injury.
[19]
There is no doubt that the experts are ad idem that the plaintiff
suffered cognitive and behavioural
problems and must be compensated
thereof. Although the defendant is vehemently opposed to it, no
evidence was placed before me
to the contrary. The plaintiff
manifested with the following neurocognitive problems namely
attention and concentration, numerical
reasoning, motor speed, visual
perception, poor problem-solving skills and impaired judgment.
[20]
There is no fixed method in calculating an award for general damages.
It is largely the discretion
that must be exercised judicially based
on the facts of each case. The court in matters of this nature must
have regard to previous
comparable awards, value of money and
inflation among other factors. At all times the court must be fair to
both sides and award
just compensation to the plaintiff.
[3]
Comparable awards for
general damages
[21]
In Du Pisanie NO (obo J G Rabe) v de Jongh,
[4]
the plaintiff presented deficits in the form of severe impairment of
memory, loss of concentration, loss of insight, impulsivity,
slow
work pace, sleeplessness (restlessness), loss of logical thinking,
impairment of executive ability, impairment of grammatical
capabilities, irritability followed by violent outbursts. His social
life and employability was destroyed. There were other multiple
injuries like damage to the right knee and right ankle. Thring
J awarded him R400 000.00 for general damages.
[22]
De Vos J in Zarrabi v the Road Accident Fund
[5]
awarded R800 000.00 for general damages. A 30 year old trainee
medical specialist had difficulties with executive functions,
sustained
concentration, memory, psychomotor speed and emotional
control. The plaintiff was found to be unemployable as a medical
doctor
or specialist. She would only be accommodated in some form of
employment in a sympathetic environment.
[23]
In Wessels v Road Accident Fund
[6]
a 19 year old male apprentice mechanical engineer was awarded R350
000.00 for general damages. He suffered from regular headaches,
developed amnesia and experienced elevated levels of anxiety and mood
changes. This was found to be having an impact on his social
life and
all its facets.
[24]
Taking into consideration the average yearly inflation rate of 5.2%,
an award of R400 000.00 will be
approximately R965 189.00 in 2019.
These are the closest cases to the matter under discussion. In this
matter there were other
severe injuries like pneumothorax, fracture
of the leg and ribs. An award of R900 000.00 will be a just
compensation and
by no means at the expense of the defendant.
Calculation of past
and future loss of earnings
[25]
The actuarial calculation in respect of past and future loss of
earnings on behalf of the defendant
were calculated at R10 098.00 and
R776 158.00 respectively. The contingency of 7.5% and 5% for an
injured and injured income had
been taken into consideration. I am
satisfied that the assumption underlying the calculation of capital
values is based on sound
principles. In the absence of any other
evidence to the contrary, I conclude that the plaintiff must be
compensated as per Actuarial
calculations. The plaintiff is in
a sympathetic employment and it is just a matter of time before he is
pushed out.
This is as a result of his injuries which have
diminished his capacity to function properly.
Costs
[26]
The costs must follow the success and I do not intend to deviate from
the principle. The plaintiff
must not be out of pocket because of the
intransigence on the part of the defendant.
Order
[27]
Therefore
I make the following order:
27.1. The defendant is
liable for payment to the plaintiff in the amount of
R1 753 919.83
(One million seven hundred and fifty three thousand nine hundred and
nineteen rand and eighty three cents)
in respect of the
Plaintiff’s claim resulting from a motor vehicle collision that
occurred on
16 May 2014
calculated as follows:-
(i)
In
respect of Past Medical Expenses R
67 663.83
(ii)
In
respect of Past Loss of Earnings
R 10 098.00
(iii)
In
respect of Future Loss of Earnings R
776 158.00
(iv)
In
respect of General Damages
R
900 000.00
R1 753 919.83
27.2.
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.
27.3.
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:
27.3.1
The costs attendant upon the obtaining of payment of the amounts
referred to in
this order;
27.3.2
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:
27.3.2.1
Ms R Hovsha (Clinical Psychologist);
27.3.2.2
Dr L Fine (Psychiatrist);
27.3.2.3
Dr CM Lewer-Allen (Neurosurgeon);
27.3.2.4
Dr A H van den Bout (Orthopaedic Surgeon);
27.3.2.5
Ms A Crosbie (Occupational Therapist);
27.3.2.6
Mr L Linde (Industrial Psychologist);
27.3.2.7
Mr G A Whittaker (Actuary);
27.3.3
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;
27.3.4
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;
27.3.5
The travelling costs occasioned by the plaintiff and the plaintiff’s
witnesses
to attend to necessary consultation with his attorney and
expert witnesses.
27.4. 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;
27.5. No interest will
accrue in respect of any of the aforesaid amounts if payment is made
on or before the stipulated dates;
27.6 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.
27.7. In the event that
costs are not agreed the plaintiff agrees as follows:
27.7.1
The plaintiff shall serve a notice of taxation on the defendant's
attorney of record;
and
27.7.2
The plaintiff shall allow the defendant fourteen (14) court days to
make payment
of the taxed costs.
MATHEBULA, J
On
behalf of Plaintiff:
Adv. J.L.
Olivier
Instructed
by:
McIntyre & van der
Post
Bloemfontein
On
behalf of
Defendant
:
Adv. J.S. Motloung
Instructed
by:
Maduba Attorneys
Bloemfontein
[1]
Menday v Protea Assurance Co. Ltd
1967 (1) SA 565
(E) at 569B
[2]
Michael and another v Linksfield Park Clinic (Pty) Ltd and
another
2001 (3) SA 1188
(SCA) paras 36 and 37
[3]
Pitt v Economic insurance Co. Ltd
1957 (3) SA 284
(D) at 287 E-F
[4]
2002 (5B4) QOD 109 (C)
[5]
2006 (5B4) QOD 231 (T)
[6]
2010 (6B) QOD 6 (ECP)