J.S.D. obo L.D. v Road Accident Fund (20298/2013) [2025] ZAWCHC 207 (19 May 2025)

79 Reportability
Personal Injury Law - Road Accident Fund

Brief Summary

Damages — Loss of earning capacity — Claim for loss of earning capacity of a minor following a pedestrian accident — Plaintiff's failure to provide comprehensive expert evidence regarding brain injury — Court's reliance on circumstantial evidence and expert consensus regarding cognitive deficits — Holding that the minor suffered a mild traumatic brain injury (TBI) with sequelae and PTSD, impacting future earning capacity — Award of damages calculated with appropriate contingencies applied.

Comprehensive Summary

Case Note


This case, numbered 20298/2013, involves J[…] S[…] D[…] acting on behalf of the minor L[…] D[…] as the plaintiff against the Road Accident Fund as the defendant. The matter was heard in the High Court of South Africa (Western Cape Division, Cape Town) and the judgment was delivered on 19 May 2025.


The judgment pertains to a damages action concerning an unresolved head of damages relating to the loss of earning capacity of a minor. The case is particularly significant due to the complexities surrounding evidential gaps, expert report discrepancies, and the management of proceedings following an accident that occurred when the minor was only four years old.


The court’s detailed analysis highlights procedural and substantive issues in personal injury litigation, and it emphasizes the essential nature of documentary evidence such as hospital admission notes in assessing injury claims.


Reportability


This case is reportable because it tackles the intricate issues of damages assessment in a personal injury claim involving a minor. The judgment examines the interplay between clinical evidence and expert testimony, especially where essential documentation is missing from the record. In addition, the case demonstrates the challenges courts face when adjudicating loss of earning capacity claims where details of head injuries and psychological sequelae are contested.


The judgment is significant in that it outlines a rigorous approach to refining case management processes before trial certification and emphasizes narrowing issues for trial. The decision also provides guidance on how to handle discrepancies in expert evidence, which could influence future personal injury claims.


The reportability is further underscored by the implications for both legal and medical practitioners, stressing the importance of complete and accurate expert evidence, including neurophysical assessments when head injuries are alleged.


Cases Cited


There are no reported cases with full citations referenced in the judgment text provided. The judgment mainly discusses expert reports and evidentiary shortcomings without citing previous case law.


Legislation Cited


The case references the Road Accident Fund Act 56 of 1996. This piece of legislation is central to the assessment of general damages and serious injury evaluations in road accident claims.


Rules of Court Cited


No specific rules of court are cited in the judgment text provided.


HEADNOTE


Summary


The judgment concerns a damages action for the unresolved determination of loss of earning capacity in a minor following a road accident. The minor, who was a pedestrian during the accident at the age of four, sustained facial injuries with an alleged head injury. Multiple expert reports were submitted by both parties, yet critical evidence, including hospital admission notes and neurophysical assessments, was missing from the trial bundle. This omission has significant implications for how the claim for loss of earning capacity is determined.


The dispute primarily arises from conflicting expert opinions regarding the severity and nature of the head injury. While the plaintiff emphasizes a brain injury leading to long-term psychological effects, the absence of a specialized neurophysical report weakens this claim. The court’s focus was on narrowing the evidentiary issues and refining case management before trial readiness certification.


The court ultimately decided that the unresolved claim be adjudicated on the papers with a clearer focus on the proper evidence required for quantifying loss of earning capacity.


Key Issues


The key legal issues addressed include whether the evidence provided sufficiently demonstrates the existence and extent of a head injury sustained by the minor, the impact of missing clinical records on establishing liability and damages, and the adequacy of the expert evidence in supporting claims for loss of earning capacity. The judgment also examines the procedural implications of unresolved evidentiary issues in actions proceeding on the papers, particularly in the context of personal injury claims.


Held


The court held that the unresolved issues, particularly the lack of appropriate neurophysical evidence and critical hospital admission notes, undermined the clarity of the plaintiff’s claim for loss of earning capacity. It found that a more precise alignment between the particulars of claim and the supporting expert evidence was necessary. As a result, the matter was refined for further determination on the papers to ensure that only relevant and substantiated issues are presented at trial.


THE FACTS


The minor, L[…] D[…], was involved in a road accident on 12 May 2012 when he was just four years old. As a pedestrian, the child suffered facial injuries and potentially a head injury, the details of which were ambiguously presented in the claim. Over the years, multiple expert reports were submitted concerning the minor’s injuries, including assessments of facial trauma, neck pain, and possible brain injury.


Evidence in the case includes expert opinions from an Orthopaedic Surgeon, several Psychiatrists, a Clinical Psychologist, and other specialists, all of whom provided varied insights regarding the injury. However, the absence of hospital admission notes and a specialized neurophysical expert report created significant gaps in the record. This evidentiary shortfall has been pivotal in the court's analysis.


Additionally, the case highlights a discrepancy between the amended particulars of claim and the expert evidence, as the amended claim did not fully capture the alleged head injury or its long-term sequelae, such as PTSD. This inconsistency further complicated the determination of the minor’s loss of earning capacity.


THE ISSUES


The legal issues that the court had to decide centered on the sufficiency and reliability of the evidence pertaining to the minor’s head injury and its impact on future earning capacity. One critical question was whether the available expert reports, lacking a dedicated neurophysical assessment, could adequately support the claim for long-term damages.


Another major issue was the absence of key clinical documents, such as hospital admission notes, which are typically essential for establishing the extent and nature of injuries sustained during an accident. The court also had to consider how the discrepancies between the various expert reports affected the overall credibility of the claim.


Furthermore, the court examined the implications of proceeding on the papers with unresolved evidentiary issues, especially in the context of the procedural approach to certifying trial readiness and narrowing the relevant issues for trial.


ANALYSIS


The court’s analysis focused on the critical role that proper documentation, especially hospital admission notes, plays in personal injury claims. The absence of these records created a significant evidentiary gap that affected the credibility of the plaintiff’s claim for loss of earning capacity. The court emphasized that the initial assessment of injuries, as documented in hospital records, is a cornerstone in understanding both the immediate and long-term impacts of traumatic events.


In dissecting the expert evidence, the court noted inconsistencies in the reports provided by both parties. The plaintiff’s reliance on an alleged brain injury was undermined by the lack of a neurophysical examination by a qualified specialist. At the same time, while both sides presented evidence describing head injuries and psychological effects like PTSD, there was divergence in the specific findings and the methodologies applied. This led the court to insist on a more focused and thorough presentation of the facts to avoid speculative assessments.


Moreover, the court examined the broader implications of proceeding on the papers in complex claims. It acknowledged the need for refining the case management process so that the issues presented for trial are limited and narrowly defined. This approach is intended to ensure that only well-supported evidence is brought forward, thereby improving the overall integrity of the adjudication process in personal injury cases.


REMEDY


The remedy provided by the court involves narrowing the issues for trial and refining the case management process to better address the gaps in evidentiary support. The unresolved claim for loss of earning capacity was submitted for adjudication on the papers, with the understanding that a more robust evidentiary package must be assembled if the issues are to be properly litigated at trial.


The court ordered that the proceedings focus on the direct correlation between the minor’s alleged head injury and the consequent long-term impacts, ensuring that only substantiated claims are considered. This direction is meant to facilitate a more efficient trial process by eliminating extraneous or unproven elements from the argument.


Additionally, the court emphasized that future submissions must include all relevant clinical and expert evidence, particularly from neurophysical specialists where head injuries are alleged. This directive is aimed at preventing similar evidentiary shortcomings in subsequent cases and ensuring that all material aspects of a personal injury claim are comprehensively documented.


LEGAL PRINCIPLES


The key legal principles established in this case include the necessity for comprehensive and corroborated expert evidence when alleging complex injuries such as head trauma in personal injury claims. The case illustrates that omissions in critical clinical documentation, such as hospital admission notes, can seriously undermine a claim and affect judicial determinations regarding damages.


It is also emphasized that parties have a duty to ensure that the particulars of claim are aligned with the evidence presented, particularly when it comes to claiming long-term damages like loss of earning capacity. The court’s decision reinforces the principle that claims proceeding on the papers must be supported by a coherent and complete evidentiary record.


Finally, the case underscores the importance of appropriate expert testimony in resolving disputes over injury claims. The failure to secure specialized neurophysical assessments in cases involving alleged head injuries not only weakens a party’s case but also highlights the need for stringent evidentiary standards in personal injury litigation.

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
(WESTERN CAPE DIVISION, CAPE TOWN)

Reportable
Case no: 20298/2013

In the matter between:

J[…] S[…] D[…] on behalf of
L[…] D[…] PLAINTIFF

and

ROAD ACCIDENT FUND DEFENDANT

Coram: BHOOPCHAND AJ
Heard: On the papers, scheduled date: 22 April 2025,
Arguments finalised on 15 May 2025
Delivered: 19 May 2025
Summary: Damages action, unresolved head of damages for loss of earning
capacity of a minor . The requisite evidence, expert support , and differences in the
proof of organic and functional brain damage. The considerations involved in
deciding an action proceeding on the papers - refining the case management process
before certifying trial readiness - limiting and narrowing issues for trial. Loss of
earning capacity and contingencies applied if earnings projections are inappropriate.

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JUDGMENT



Bhoopchand AJ:

[1] The parties referred the claim for loss of earning capacity for adjudication ,
having settled the liability issue , general damages, and m edical expenses . The
minor, L[…] D[…], was born on 6 May 2008. He is 17 years old. The minor was
involved in an accident on 12 May 2012. He was a pedestrian. Thirteen years have elapsed since t he accident which occurred when the minor was 4 years old.
[2] The Plaintiff’s particulars of claim describe the minor’s injuries as ‘facial
injuries’. Although the Plaintiff amended her particulars of claim , no amendments
were sought to amplify the nature of the injuries sustained by the minor or the sequelae thereof. Notably, there is no reference to either a Traumatic Brain Injury
(TBI) or post -traumatic stress disorder (PTSD), the significance of which will become
evident.
[3] By agreement between the parties, the relevant expert reports were
supported by affidavits and the unresolved claim for loss of earning capacity was
submitted for determination on the papers. The Plaintiff presented the expert reports
of an Orthopaedic Surgeon, two psychiatrists, a clinical psychologist, a speech
therapist, an Industrial Psychologist, and an Actuary . The Defendant presented the
expert reports of a Psychiatrist , an Educational Psychologist, an Occupational
Therapist, and an Industrial Psychologist. The Psychiatrists and the Industrial
Psychologists provided joint minutes.
[4] The clinical notes relating to the minor’s hospital visit after the accident were
not included in the trial bundle. The Court cannot emphasise enough how important
the hospital admission notes are to determining liability and damages arising in
personal injury cases. The ambulance report and a careful selection of the admission
notes after an accident provide the Court with the first assessment of injuries
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sustained in the damage- causing event. These documents provide a history of the
injury , the medical examination details , and the diagnosis in the acute phase. Expert
opinion is valuable in assessing the acute and chronic sequelae of injuries sustained.

[5] In this case, the Plaintiff relies primarily upon a brain injury, but did not instruct
a Neurologist or Neurosurgeon to provide an expert report on the neurophysical
injury. Neither do the amended particulars of claim allude to these injuries. The
Defendant was al ive to this omission . Still, it fared no better in its selection of
experts, opting to appoint a Psychiatrist, an Educational Psychologist , an
Occupational Therapist and an Industrial Psychologist . Yet, all experts across the
board allude to the minor suffering a head injury, at least , and a psychological injury.
[6] The Plaintiff filed the report of an Orthopaedic Surgeon dated 3 February
2014, which is the earliest report The expert dealt with the serious injury assessment
required by the Road Accident Fund Act 56 of 1996 to determine if the claim
qualif ied for general damages T he Orthopaedic Surgeon stated that the local
hospital had made a diagnosis of a possible head injury and regretted that a CT scan
of the brain was not done. There is a reference to the clinical notes , which are not
part of the trial bundle, which s uggest s that the minor presented with a frontal
haematoma. The Orthopaedic Surgeon concluded that the minor presented with mechanical neck pain in the posterior cervical area, which radiated to the
interscapular region, arising from a hyper extension injury. The Orthopod expected
the minor’s mechanical neck pain to recover completely. A lthough the serious injury
assessment report enquires about X -rays and CT scans, there is no evidence that
any were done. Neither did the Plaintiff’s legal representatives take the cue and appoint the relevant neurophysical experts.
[7] The Plaintiff submitted two reports by Psychiatrists , the first dated 5 May 2015
and the second 5 October 2024. The earlier report also contains a serious injury
assessment . It refers to the minor’s father. It states that the father , who was 30 years
old, received a disability grant for mental problems. The report states that the minor
had symptoms of aggression and stressed behaviour indicative of PTSD in a child,
and has much more conflict now. The expert concludes by saying that although the
minor did not suffer any physical injuries of note, it would appear that he now has
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PTSD. This is likely to change the trajectory of his life. Schooling troubles,
relationship problems and in the longer term, physical and psychiatric problems are
sequelae of PTSD in young children. The expert states that he thinks it would be fair
to say that the minor has serious , long- term mental and behavioural disorder.

[8] The second Psychiatric report refers to the minor having suffered bruises to
the face and hands, haematoma to the forehead, a possible brief loss of
cons ciousness, soft tissue neck injury and bleeding from the ears. The source of this
information is not disclosed. The Psychiatri st noted complaints of behavioural
changes, including irritability and oppositional aggression, restless and disturbed
sleep, enuresis and regression, slow progression at school , reading and
communication problems , easily startled, fear when travelling, slower, and episodic
behaviours. The minor had repeated grade 1 and had difficulties in grades 2 and 3.
The Psychiatrist notes the previous diagnosis of PTSD.
[9] The second Psychiatrist noted that the minor was in grade 7 in 2023, but had
not attended school in 2024 due to inadequate progress in the normal schooling
stream. The minor could not read or write, but had developed practical skills . He
breeds pigeons as a hobby and builds cages for the birds. He sells birds for pocket money and helps an uncle repair cars. He has played soccer.
[10] The psychiatric examination revealed that the minor presented with anxiety .
He was small and immature, lacked self -confidence, and sought reassurance. He
has poor concentration and his attention is easily distracted. The minor
mispronounces words , and a hearing problem is evident. The minor was of low
normal intelligence on clinical evaluation. The Psychiatrist diagnosed the minor with TBI with neurological and cognitive symptoms, PTSD, hearing impairment and
headaches . The reference to neurological symptoms remained unexplained. The
expert noted that learning difficulties were present from the school entry stage. The
minor had not been placed in practical training.
[11] The Defendant -appointed Psychiatrist agreed that there was a possible head
injury , and there were no areas of dispute between him and the Plaintiff -appointed
Psychiatrist. He also completed a serious injury assessment report in which he
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identified cognitive impairment and PTSD as his differential diagnosis. The expert
noted that there was no family history of mental illness , contrary to the history
obtained in the other reports . The minor repeated grade 7 thrice, and his family was
advised to find an appropriate school for him to attend. He failed grades 2, 4 and 6.
The expert noted that there were no reports documenting a head injury at the time of
the accident . He referred to the Orthopaedic Surgeon’s report and the description of
neck pain, which could be related to a head injury.

[12] The Clinical Psychologist provided a Neuropsychological report . She had
obtained a history of the minor suffering ear infections as an infant . He required
surgical repair of the eardrum twice. The expert obtained clarity from the maternal
grandmother about the minor’s immediate post -accident state. She described him as
being quiet for about ten minutes before he began crying hysterically and
uncontr ollably . The mother confirmed this report and added that the minor was
discharged shortly after being assessed at the hospital. The minor has been wetting
the bed since the accident , until a nighttime toilet schedule was introduced in 2017.
He presented with a plethora of behavioural and cognitive difficulties and deficits. His
full-scale IQ was in the low average range on testing, although some subtest scores
were in the average range or higher.
[13] The expert commented that , on the available information, it seemed highly
probable that the minor sustained a mild concussive head injury , following which he
developed post -concussive syndrome. The expert described post -concussive
syndrome in general terms and referred to research on its pattern of presentation in
children under five years of age. Some symptoms are those experienced by adults ,
like headaches , but others are more unique to younger children, e.g., regression in
toilet training and behavioural changes.

[14] The minor had achieved his normal developmental milestones before the
accident and had not presented with any obvious neurodevelopmental or
neuropsychological difficulties. The difficulties became pronounced once he began
schooling. The attention and concentration testing revealed a variable response from
normal to average. His complex or alternating attention or working memory , which
allows the shifting of focus of attention when moving between tasks with different
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cognitive requirements, revealed noticeable compromise. His motor functioning was
average.

[15] Regarding speech and language , his receptive communication skills were an
area of concern, especially when confronted with verbal information of greater
volume or complexity. The minor had a fairly wide vocabulary but returned poor scores on testing. His visuo -perceptual and visuo- spatial information processing
returned low average scores. The minor performed in the average to above average range on verbal memory testing and low average to average in visual memory
testing. His executive functioning revealed impaired testing scores in the visual
domain, but average to low- average scores in other areas of executive testing.

[16] The expert also elicited symptoms of PTSD , anxiety and reduced self -esteem .
PTSD in minors progresses with behavioural changes over time. She found that the
minor presented with a significant deficit in terms of attention, especially complex attention or working memory. The Clinical Psychologist commented that the minor had gradually developed symptoms of anxiety and reduced self -esteem, which
negatively impacted his psychosocial development and his quality of life. The minor’s
trauma and anxiety , in conjunction with his reduced self -esteem, hamper his ability to
engage in exploratory activities that form an integral part of any child’s mastery of age-appropriate skills. His psychological problems interfere with his scholastic
progress and compound his learning and attention difficulties.

[17] The Clinical Psychologist did not comment on whether the basket of
psychological symptoms could have caused the neuropsychological deficits elicited
on testing. She did say that the trauma left the minor more susceptible to mental disorders such as anxiety and depression in adulthood. The report is well- reasoned
and supported by references to the relevant literature.

[18] The Speech Therapist found that the minor had relatively sound language
skills but presented with specific and significant cognitive -communicative deficits,
significant expressive and receptive communication impairments, and a failure to
have acquired basic literacy. The deficits identified by the Speech Therapist included
mispronunciations , word retrieval, initiation of cognitive- linguistic processes ,
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sustaining focussed auditory attention, complex attention, mental tracking, verbal
working memory , organisation and planning thoughts, auditory attention, verbal
selection attention, auditory attention processing and immediate recall of longer and
more detailed auditory verbal information, gestalt processing, central auditory
dysfunction and basic literacy and generation of novel written sentence difficulties.
The minor ’s deficits manifested in compromised conversational skills both as a
speaker and a listener within his daily socio -communicative interactions.
[19] The Speech Therapist found support for her findings in those of the Clinical
Psychologist on the latter’s neuropsychology assessment as far as attention,
complex attention, and working memory were concerned. The Speech Therapist
found it highly probable that the minor’s cognitive- communicative deficits and
expressive and receptive communication impairments , as well as his disturbances in
the acquisition of basic literacy , are attributable to TBI sustained in the accident ,
which seems to have been missed. The expert explained why she considered the
deficits to be accident -related and permanent. She suggest ed that the minor would
have attained grade 12 and continued in tertiary education if the accident had not occurred. She believed that the minor would be best placed to pursue his education
in a school of skills , as his post -accident educational opportunities are severely
compromised and will translate into restricted future vocational opportunities . His
speech impairments will further compromise him in any form of employment and in
sustaining it. She concludes by saying that the minor is another case illustrating that
a mild head injury does not necessarily imply a mild outcome.

[20] The Educational Psycholog ist appointed by the Defendant found that the
minor's strengths were fluid reasoning, visual motor speed, construction skills, spatial
reasoning, and visual memory . He struggled with English vocabulary . His visual
abstract reasoning and auditory memory were his weaknesses. He had a variable
processing speed. The minor met the criteria for a specific learning disorder with
impairment in reading. His auditory memory was insufficient to support learning. He
met the minimum requirements for PTSD. [21] In assessing the minor’s pre- accident potential . The expert noted that the
minor was born in a milieu- impeded environment , but had attained his
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developmental milestones appropriately. The father was unemployed and had a
mental illness. He completed grade 10 and was a welder. The mother completed
grade 12 and had a secure job as a general worker until she resigned. The minor’s
sister completed grade 12 and enrolled for a four -year teaching diploma. The minor’s
pre-accident potential was considered within the low average range. If not for the
accident, the minor would have been selected to attend a school for learners with
special needs , where he could have been accommodated until 18. After leaving
school , he could have followed in his father’s footsteps to become a welder and a
respectable community citizen.

[22] Following an accident at a fragile age, the post -accident position is that a lack
of intervention to address emotional and auditory delay, and his socio- economic
background, clouded his pre-injury cognitive ability. The minor left school at grade 6.
He is illiterate and has few skills to secure employment. He may obtain work as a
labourer from a sympathetic employer. She concluded that the sequelae of the
accident curtailed the minor’s enjoyment of life, sociability, dignity, and potential to
reach self-actualisation. He cannot go to a school where he is with peers competing
in sports . He feels inferior and sees himself as worthless , and he will find it extremely
challenging to reach self -actualisation . The expert considered the other expert
reports in her conclusions about the minor. Her report was well- reasoned, and her
conclusions were supported by sufficient literature.
[23] The Defendant appointed an Occupational Therapist, who provided a useful
reference for the minor to seek a skills program to prepare him for employment once
he tur ns 18. Chris Steytler Industries in the Stikland Industrial area offers a suitable
work preparation program free of charge. It assists with learning about working,
employers’ expectations about employees , preparation and updating of curriculum
vitae , job seeking and interviewing skills

EVALUATION OF THE EXPERT TESTIMONY RELATING TO THE MINOR’S
INJURIES

[24] The Court has examined the psychiatric , psychological , speech and
communicative, and educational expert reports in detail to emphasise certain
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principles that emerge from the adjudication of this case. These opinions expressed
in these reports inform the opinions of the Industrial Psychologist s who are experts in
projecting potential careers and earnings for the uninjured and injured scenarios.

[25] The Plaintiff ’s experts contend that the minor ’s claim for los s of earning
capacity arises primarily from the sequelae of the TBI and, to a lesser extent, from
the chronic PTSD attributable to the accident. The Plaintiff particularised the
accident -related injury as ‘facial injuries’ and did not provide direct elaboration of that
injury or its sequelae. The report of how the accident occurred was that a vehicle being attended to for ignition problems suddenly surged forward and knocked the
minor. The narrative thereafter varies from the minor falling onto the ground to the
minor landing on the vehicle's bonnet . The minor appeared to be shocked for about
ten minutes before he began crying hysterically. He was taken to the hospital and
discharged shortly thereafter with analgesia and creams to apply to his wounds. The
hospital notes were not included in the trial bundle.
[26] Although there is a reference to a possible head injury , no CT scan, neurology
referral, or a return assessment date is referred to. The Court would expect experts
to deal with the ambulance report and the hospital notes to document how the
accident occurred, the minor’s level of consciousness , the test s performed, and the
extent of the injuries sustained, or have the opportunity to scrutinise these notes for
itself. The Court notes that the minor was conveyed by private transport to the hospital in this case. Yet, for the extent of the brain injuries attributable to the
accident , a Court would expect that a C T scan would have been done on admission
or later to exclude structural brain damage in circumstances where the sequelae are
attributed to both general and local brain damage. The Plaintiff did not appoint neurophysical experts ; neither a Neurologist nor a Neurosurgeon to provide expert
opinion on any physical or structural brain injury. The Claimant who fails to attend to
these basic preparatory principles risks being non- suited. In the absence of proof of
organic injury , greater scrutiny of the claim of this nature is required. The proof of
functional sequelae has to be sufficiently compelling to attribute it to brain damage
arising from the injury -causing event.

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[27] In these circumstances, it would n either be anticipated nor logical for the
minor to have suffered a brain injury, even a TBI, let alone the florid and extensive
sequelae that have been attributed to it. Yet, the Clinical Psychologist and Speech
Therapist express sufficient security in their opinion that the cognitive fallout
conveyed to them on the minor’s history and from their testing and assessment is
probably attributable to a TBI. They go further and explain that a mild TBI may have
serious consequences . Neither suggested a referral to a Neurosurgeon or a
Neurologist , the appropriate experts to deal with structural brain damage. The
Defendant's submission that this opinion is absent is well taken.

[28] However, in the absence of proof of structural brain damage, a
neuropsychological assessment, as was done by the Clinical Psychologist,
supported by the findings of the Speech Therapist and Educational Psychologist , can
provide valuable insights into functional brain impairment . The history of
developmental milestones , like walking, talking, and toilet training being attained at
the expected ages , assists in delineating a pre- and post -accident phase of the
injury -causing event.

[29] The expert opinions need to be scrutinised to determine whether the claim is
substantiated by reliable evidence. The evidence's reliability will require considering
the expert’s formal training, experience, and recognised credentials in the relevant
field. An expert must demonstrate specialised knowledge beyond that of a layperson
or general practitioner. Their opinions must be evaluated to determine whether they
are based on scientifically accepted methods , peer-reviewed research, and logical
reasoning. The Court may reject the opinion if the methodology is flawed or lacks
empirical support . The expert’s testimony must directly apply to the legal issues in
dispute. Courts may reject opinions too speculative or outside the expert’s domain.
[30] If confirmation of TBI is absent, a Court may question whether the
impairments stem from TBI or another condition. In the latter respect, the experts
identified a severe long-term mental disorder which has been presented as a parallel
sequel of the accident .

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[31] A differential diagnosis is required to determine whether the minor’s cognitive
deficits stem from TBI or PTSD. The Court also required guidance on whether the
cognitive, communicative, executive dysfunction, attention and concentration deficits,
identified in this case and attributed solely to TBI , could have been caused by the
minor’s PTSD or any of the other psychological ailments , like anxiety or depression.
The problem , restated , is that of differentiating between functional and organic
experts when it concerns brain injuries. Functional impairments refer to impairments
that affect how the brain operates , and organic impairments occur from structural
damage to brain tissue. Psychiatrists and Clinical Psychologists can diagnose PTSD,
may suggest organic brain injury , but cannot confirm TBI without the expertise of a
neurophysic ian.
[32] However, in this case, the c ircumstantial evidence is sufficiently overwhelming
that the minor suffered a TBI in the accident. If multiple experts independently
conclude that the minor exhibits neurocognitive and communicative deficits, the Court may consider this circumstantial evidence of TBI. If an expert’s opinion contradicts established medical facts or other expert testimony, courts may question its reliability . The latter does not arise in this case. The three Psychiatrists agree on
the diagnosis of PTSD. The Clinical Psychologist, Educational Psychologist, and Speech and Language Therapist tick the boxes identified in the previous paragraph. Their reports are supported by empirical evidence and sufficient literature.
[33] Adjudicating a case on the papers that lack the perspective of certain experts
compounds the problem , which may be better suited for resolution with oral
testimony and cross -examination. However, the parties agreed to the Court’s
suggestion that the unresolved claim for loss of earnings could be decided on the
papers as supported by written argument . Every delictual case goes through the
Rule 37A case management process. In matters involving claims for brain damages ,
it would be helpful if the parties and the case management Judge ensure that
discovered documents like the ambulance report and a modicum of the hospital or clinical notes are included in the trial bundle. The parties should ensure that the
appropriate experts support their cases premised upon structural brain damage. The
latter goes to adequate, appropriate, knowledgeable, and meticulous preparation of
cases presented to the Court for adjudication. In personal injury cases, practitioners
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should be guided by their experts and case precedents to determine whether the
claims are supported b y the appropriate expertise or risk being unsuited.
[34] A matter should not be certified as trial -ready until the parties agree to a
concise statement of the unresolved issues . Merely stating that the claim for loss of
earnings remains unresolved is insufficient. As is evident in personal injury matters and the judgment thus far, a claim for loss of earnings requires a consideration of the
nature of the injuries that inform the claim and the opinions of the medical and paramedical experts on the long -term or chronic sequelae of those injuries . The
statement should identify the material facts agreed to and those that are of common
cause. The parties should also address the extent to which the disputes between the
experts have been addressed in the respective joint minutes and whether there are
other expert opinions , like those of the Clinical Psychologist, the Speech Therapist
and the Educational Psychologist , for whom there are no corresponding experts , that
may impact the adjudication of the matter . The case management process should
also identify those matters that can be disposed of on the papers or submitted to trial
on limited issues. All relevant expert opinions on unresolved issues should be
supported by affidavit s to facilitate the expeditious and efficient disposal of those
matters that remain unresolved.
[35] Section 173 of the Constitution affirms the High Court’s inherent power to
protect and regulate its own process. Personal injury claims arising from accidents, medical malpractice, police interventions, public transport incidents, and others are
amenable to effective case management scrutiny and precise narrowing of the
unresolved issues before being submitted to trial. The parties' implementation of
Rules 37( 6) and judicial intervention with Rules 38(2) concerning affidavit evidence
and 39(20) regulating the conduct of the trial can ensure that these matters do not
clog the court roll. Multiple cases can be set down and adjudicated by a single Judge
on a given date or during a week reserved for these matters.
[36] A case decided on the papers , partially or completely, attracts certain
requirements to ensure fairness and proper adjudication. The Plaintiff’s attorney
must check the Court file to ensure that it is in order and that all documents relevant
to a specific determination are included. The same considerations apply when the
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parties agree to the contents of a trial bundle. Counsel’s written submissions must be
clear , complete and well -structured to avoid ambiguity. The submissions must
identify the relevant part of an expert’s report relied upon. If a dispute of fact arises
that cannot be resolved on the papers, the Court may, as in applications, refer a
limited issue to oral evidence or dismiss the case. The Court should exercise its
discretion if required at any stage to refer complex matters to trial. The parties should
ensure, from an early preparatory stage, that their expert opinions sufficiently
address complex issues. If one party requires an oral hearing, the Court may
consider whether denying it would be procedurally unfair. Disputes involving
credibility assessments or raising novel or constitutional issues should generally
proceed to a full trial.

LOSS OF EARNING CAPACITY
[37] To adjudicate the claim for the minor’s loss of earning capacity, the Court
proceeded on the basis that the minor suffered a mild TBI with sequelae and PTSD
with chronic symptoms. The accident caused them both, and their long- term effects
will affect the minor’s earning capacity .
[38] The Industrial Psychologists (IPs) provided a joint minute on the minor’s
earning capacity . For the uninjured scenario, the IPs agreed that the minor would
have completed his schooling and entered the open labour market as a semi -skilled
worker. The Court takes note of the Educational Psychologist’s opinion that the
minor ’s uninjured potential was considered within the low average range, and he
would have attended a special needs school. In this regard, the Court cannot accept the Speech Therapist’s opinion that the minor would have obtained a grade 12 pass and completed a tertiary qualification in the uninjured state. The Educational
Psychologist is the most qualified expert to make this recommendation. The Court
notes with disapproval the gratuitous comment attributed to both I Ps that in the
absence of a Plaintiff -appointed Educational Psychologist, the Court should strongly
consider the reports of the Speech Therapist and one of the three Psychiatric
reports. Apart from being illogical, the recommendation falls beyond the duty of an
expert to the Court. Had it been the recommendation of one of the IPs, they could
have been accused of bias.
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[39] The IPs agreed that the minor’s future career progress would depend on
developing job skills, gaining relevant work experience, and developing a career propensity. He would have retired at either 60 if he had obtained work in the public
sector or 65 in the private sector. The Plaintiff -appointed IP suggested earnings at
the commencement of the minor’s work on average between the lower and median
quartile and reaching the upper quartile at age 45. The lower quartile earnings for
2025 from the Quantum yearbook are R39 000, the median is R83 000, and the
upper quartile is R218,000 per annum.

[40] The minor would have had a career spanning at least 40 to 45 years.

[41] For the injured scenario, the IPs differ on certain points. They agree that the
minor would remain with a grade 6 level of education. He would be regarded as an unskilled worker. He is also compromised in terms of physical capacity. The Plaintiff -
appointed IP predicted a total loss of earnings , but suggested that the minor’s loss of
earnings potential should be premised upon his uninjured earnings. The Defendant appointed IP accepted that the minor’s future career prospects and probable
earnings had been truncated to at least a moderate to even severe degree by the
sequelae of the accident -related injuries.
[42] The Defendant appointed IP projected that the minor’s injured career path
would progress slowly , reaching a ceiling at the median earnings of an unskilled
worker by 45- 50 years. The IP considered several factors , namely sporadic
employment, his interpersonal relationships , experiencing difficulties in any form of
employment and being unable to sustain work. The IPs agree that early retirement is
not indicated in the injured scenario.

[43] The Actuary performed two calculations, the first based on the minor
remaining unemployable and the second on finding lower -paying jobs in the injured
state. For the first scenario, the uninjured earnings amount to R3 609 100. There are
no injured earnings , and the loss is R3 609 100. In the second scenario, the
uninjured earnings are R3 609 100, the injured earnings are R931 000, and the loss
of earnings is R2 678 100. The Court has considered the minor’s practical
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inclinations, namely his interest in pigeons , how he has built boxes to house and sell
them, his curiosity in motor mechanics, and the expert's opinions . The Court does
not consider the minor unemployable in the injured state.

[44] In this case, the second part of the uninjured earnings is simply too optimistic
if the Court considers the opinion of the Educational Psychologist as adjusted by the
educational outcomes projected by the other experts and the direct family’s career
progressions . The Court can provide a more realistic earnings projection for the 45-
year to retirement period and require the Actuary to do a further calculation or deal
with the actuarial calculation at hand by applying a higher contingency deduction.
The Court shall use the latter option.
[45] The normal contingency deduction of ½ per cent per year applicable to each
year of employment would be between 20 and 22.5% for uninjured earnings . The
Court agrees with Defendant’s submission that a higher deduction should apply.
Applying a deduction of 32.5% to the calculated earnings potential in the uninjured
state would yield R2 436 142.50 . If the earnings potential for the injured scenario is
considered and a contingency deduction of 40% is applied, considering the bleak
outcomes predicted by the experts across the board, the earnings in the injured state would amount to R558 600. The loss of earnings would thus amount to
R1 877 542.50. The Court has considered the submissions made by both parties but
is satisfied that its application of contingencies yields a fair outcome.

[46] The Plaintiff has argued for party and party costs and Counsel’s fees on the B
scale. The Defendant argued that costs are within the Court’s discretion, but that it
should not be held liable for the costs occasioned by the postponements of the 24
October 2024 and 22 April 2025. The Court is not persuaded that the Defendant
should avoid the latter costs. In the premises, the Court makes the order that follows.

ORDER

1. The Defendant shall pay the Plaintiff’s attorneys the sum of
R1 877 542.50 (one million, eight hundred and seventy thousand, five
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hundred and forty -two rand and fifty cents) (‘the capital’) by way of electronic
transfer to the trust account, the details whereof are set out hereunder ,
2. The Defendant shall pay the Plaintiff’s party and party costs as taxed or
agreed, and Counsel’s fees as taxed or agreed on scale B , as well as any
costs expended in obtaining the capital,
3. The Defendant shall pay the capital within 180 days of this order , and
all other costs within 180 days of them being taxed or settled, with interest
accruing from 14 days respectively ,
4. The Defendant shall pay the costs and related costs of the following
experts :
4.1 Dr P.A. Olivier ,
4.2 Dr K Le Fevre,
4.3 Professor T Zabow,
4.4 Dr D Ogilvy,
4.5 Ms M Coetzee,
4.6 Mr P De Bruyn,
4.7 Munro Forensic Actuaries.
5. The account details of the Plaintiff’s attorneys are as follows:
Bank: F[ …] B[…]
Account Holder: D […] V[…] S[…] C[…] I[…]
Branch: P […]
Account Number: 6 [...]
Branch Code: 2 […]

BHOOPCHAND AJ
Acting Judge
High Court
Western Cape Division

Judgment was handed down and delivered to the parties by e- mail on 19 May 2025

Applicant’s Counsel: E Benade
Instructed by : De Vries Shields Chiat Inc
Defendant’s Legal Representative: Claireese Thomas
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Instructed by : State Attorney