Case Law[2023] ZAGPPHC 585South Africa
M.I v Road Accident Fund (16384/2013) [2023] ZAGPPHC 585 (14 July 2023)
High Court of South Africa (Gauteng Division, Pretoria)
14 July 2023
Headnotes
is that the treatment or diagnosis in issue accorded with sound medical practice. The Court must be satisfied that such opinion has a logical basis, in other words, that the expert has considered comparative risks and benefits and has reached ‘a defensible conclusion’ (at 241G-242B). . . .
Judgment
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# South Africa: North Gauteng High Court, Pretoria
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## M.I v Road Accident Fund (16384/2013) [2023] ZAGPPHC 585 (14 July 2023)
M.I v Road Accident Fund (16384/2013) [2023] ZAGPPHC 585 (14 July 2023)
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IN THE HIGH COURT OF SOUTH AFRICA
GAUTENG DIVISION, PRETORIA
CASE NO: 16384/2013
(1) REPORTABLE: NO
(2) OF INTEREST TO OTHER JUDGES: NO
(3) REVISED. YES
DATE: 14 July 2023
In
the matter between:
M[...]
I[...]
PLAINTIFF
and
ROAD
ACCIDENT
FUND
DEFENDANT
Coram: Sardiwalla J
Motor
vehicle Accident -
Damages – motor
vehicle accident – bodily injury – loss of earning
capacity pre-accident academic potential –
disability resulting
in a reduction of 20% of earning capacity as a general labourer.
JUDGMENT
SARDIWALLA
J
:
Introduction:
[1]
The plaintiff was a passenger injured as a result of a motor vehicle
collision on
31 May 2008 along Mogogelo and M21 Road, Stinkwater,
Gauteng when two vehicles collided both of which the drivers are
known. At
the time of the collision the plaintiff was allegedly a
Grade 12 pupil at Rakgotso Secondary/High School.
[2]
Liability and General damages have already been resolved as per the
Offer and Acceptance
in favour of the plaintiff by the defendant and
the only issue for determination is the quantum of plaintiff’s
loss of earnings
and/or capacity and in particular the plaintiff’s
pre-accidental educational and career progression. The parties have
agreed
that the plaintiff has for practical purposes been left
functionally unemployable and if he were to find employment, such
will
be sympathetic in nature.
[3]
The claim for General damages was settled and the
defendant
will issue
a
certificate to the plaintiff in terms of
s17(4)(a)
of the
Road
Accident Fund Act 56 of 1996
in respect of future medical, hospital
and related expenses.
[4]
It is past and future loss of income (if any) that is in issue and
the contingency
deduction to be applied,
[5]
The plaintiff contends that he has suffered a loss of earnings or
earning capacity
and that a contingency deduction of 5% for past loss
and 20%
in
respect
future
loss should be applied.
[6]
The defendant’s contention is that the opinion of the
Educational Psychologist
is without basis for the conclusion she
arrived at and the defendant submits that the initial calculation
that was done before
the appointment of the Educational Psychologist
was at the very least the closest to what the plaintiff will go on in
life given
his failure rate and the unavailability of the history of
his performance at school.
However,
should the Court find
that
plaintiff has indeed suffered a loss of earning capacity then a
contingency
of 25% for past loss and 50% in respect of future loss of income
should be applied
.
[7]
The legal position relating to a claim for diminished earning
capacity is trite.
The
mere fact of physical disability does not necessarily reduce the
estate or patrimony of the person injured. Alternatively, it
does not
follow from proof of a physical injury which impaired the ability to
earn an income that there was in fact a diminution
in earning
capacity.
[1]
[8]
In
Dippenaar
v Shield Insurance Co Ltd
[2]
the principle was articulated in the following terms:
“
In
our law, under the lex Aquilia, the defendant must make good the
difference between the value of the plaintiff’s estate
after
the commission of the delict and the value it would have had if the
delict had not been committed. The capacity to earn money
is
considered to be part of a person’s estate and the loss or
impairment of that capacity constitutes a loss if such loss
diminishes the estate. This was the approach in Union Government
(Minister of Railways and Harbours) v Warneke
1911
AD 657
at
665 where the following appears:
“
In
later Roman law property came to mean the universitas of the
plaintiff’s rights and duties, and the object of the action
was
to recover the difference between the universitas as it was after the
act of damage and as it would have been if
the
act had not been committed (Greuber at 269). Any element of
attachment or affection for the thing damaged was rigorously
excluded.
And this principle was fully recognised by the law of
Holland.”
[9]
A person’s all-round capacity to earn money consists
inter
alia
,
of an individual’s talents, skill, including his/her present
position and plans for the future and of course external factors
over
which a person has no control. In
casu
,
the court must calculate the total present monetary value of all that
the plaintiff would have been capable of bringing into his
patrimony
had he not been injured, and the total present monetary value of all
that the plaintiff would be able to bring into his
patrimony after
sustaining the injury. The difference between the two (if any) will
be the extent of the patrimonial loss.
[10]
At the same time the evidence may establish that an injury may in
fact have no effect on earning
capacity, in which event the damage
under this head would be nil. In order to determine therefore
whether, as a result of the injury
sustained, the plaintiff’s
earning capacity has been compromised the evidence adduced needs to
be considered and evaluated
in order to decide whether the onus has
been discharged.
[11]
The plaintiff relies on the evidence of the two expert witnesses.
A court’s approach
to expert testimony was succinctly
formulated in
Michael
and Another v Linksfield Park Clinic (Pty) Ltd and Another
[3]
where
the court stated-
“
[36]
. . . what is required in the evaluation of such evidence is to
determine whether and to what extent their opinions advanced
are
founded on logical reasoning. That is the thrust of the decision of
the House of Lords in the medical negligence case of Bolitho
v City
and Hackney Health Authority
[1997]
UKHL 46
;
[1998]
AC 232
(HL
(E)). With the relevant dicta in the speech of Lord Browne-Wilkinson
we respectfully agree. Summarised, they are to the following
effect.
[37] The Court
is not bound to absolve a defendant from liability for allegedly
negligent medical treatment or diagnosis just because
evidence of
expert opinion, albeit genuinely held, is that the treatment or
diagnosis in issue accorded with sound medical practice.
The Court
must be satisfied that such opinion has a logical basis, in other
words, that the expert has considered comparative risks
and benefits
and has reached ‘a defensible conclusion’ (at 241G-242B).
. . .
[40]
Finally, it must be borne in mind that expert scientific witnesses do
tend to assess likelihood in terms of scientific certainty.
Some of
the witnesses in this case had to be diverted from doing so and were
invited to express prospects of an event’s occurrence,
as far
as they possibly could, in terms of more practical assistance to the
forensic assessment of probability, for example, as
a greater or
lesser than fifty per cent chance and so on. This essential
difference between the scientific and the judicial measure
of proof
was aptly highlighted by the House of Lords in the Scottish case of
Dingly v The Chief Constable, Strathclyde Police
200
SC (HL) 77
and
the warning given at 89D-E that
‘
(o)ne
cannot entirely discount the risk that by immersing himself in every
detail and by looking deeply into the minds of the experts,
a Judge
may be seduced into a position where he applies to the expert
evidence the standards which the expert himself will apply
to the
question whether a particular thesis has been proved or disproved
–
instead
of assessing, as a Judge must do, where the balance of probabilities
lies on a review of the whole of the evidence
.” (Emphasis
added)
[12]
In
Radebe v Road Accident Fund
[4]
the
Court held:
'[24] The common
theme is that courts must jealously protect their role and powers.
Courts are the ultimate arbiters in any court
proceedings. The facts
that caused the expert opinions in this case are vital. It was
supplied by the plaintiff.
[25] It is not
for the opposing party to prove the true facts of the plaintiff's
case; it is the onus of the plaintiff.
[26] Only if the
expert's opinion based on the correct facts is questioned could it be
expected that a countering expert should
be called. It is the
expertise that will then be at issue and not the accuracy of the
facts on which it is based. Counsel must
identify and separate the
two aspects. The argument of the actuary in this case that the
failure to call an expert in the defendant's
case is tantamount to a
default judgment is wrong. It is not the expert's veracity that is in
dispute; it is the facts on which
he based his calculations. Experts
must assist the court not a party to the dispute.'
[13]
It is trite that it is for the court to determine the percentage of
contingencies is to be applied. Contingencies is a method
used to
arrive at fair and reasonable compensation. The question of
contingencies was dealt with in
Southern
Insurance Association Ltd v Bailey N.O.
[5]
:
"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. Where the
method of actuarial computation is adopted, it
does not mean that the
trial Judge is 'tied down by inexorable actuarial calculations'. He
has 'a large discretion to award what
he considers right'
(per
HOLMES
JA in
Legal
Assurance
Co
Ltd v Botes
1963
(1) SA 608
(A)
at
614F). One of the elements in exercising that discretion is the
making of a discount for 'contingencies' or the 'vicissitudes
of
life'. These include such matters as the possibility that the
plaintiff may in the result have less than a 'normal' expectation
of
life; and that he may experience periods of unemployment by reason of
incapacity due to illness or accident, or to labour unrest
or general
economic conditions. The amount of any discount may vary, depending
upon the circumstances of the case. See
Van
der Plaats v South African
Mutual
Fire
and
General
Insurance
Co
Ltd
1980
(3) SA 105
(A)
at
114 - 5. The rate of the discount cannot of course be assessed on any
logical basis: the assessment must be largely arbitrary
and must
depend upon the trial Judge's impression of the case.
It is, however,
erroneous to regard the fortunes of life as being always adverse:
they may be favourable. In dealing with the question
of
contingencies, WINDEYER J said in the Australian case of Bresatz
v
Przibil/a
[1962]
HCA 54
;
(1962)
36 ALJR 212
(HCA)
at 213:
'It is a mistake
to suppose that it necessarily involves a 'scaling down'. What it
involves depends, not on arithmetic, but on considering
what the
future may have held for the particular individual concerned... (The)
generalisation that there must be a 'scaling down'
for contingencies
seems mistaken. All 'contingencies' are not adverse: All
'vicissitudes' are not harmful. A particular plaintiff
might have had
prospects or chances of advancement and increasingly remunerative
employment. Why count the possible buffets and
ignore the rewards of
fortune? Each case depends upon its own facts. In some it may seem
that the chance of good fortune might
have balanced or even
outweighed the risk of bad."'
[14]
Neurosuregon Dr J Ntimbane lists the injuries sustained by the
plaintiff as:
14.1
head injury – Laceration left eyebrow;
14.2
broken teeth
[15]
Neurologist Prof M Kakaza Lists the injuries sustained by the
plaintiff as”
13.1 Two teeth
missing un the upper jaw and 1 was lose;
13.2 Laceration on
the Chin; and
13.3 Multiple
abrasions on the face.
[16]
Maxillofacial and Oral Surgeon Dr Molomo lists the injuries sustained
by the plaintiff as:
16.1 Forehead
lacerations;
16.2 Laceration
upper lip; and
16.3
Fracture/avulsion right central incisors.
[17]
The plaintiff, who was Grade 12 pupil prior to the accident.
Post-accident he has not returned
to school.
[18]
Medico-legal reports have been procured by both parties. The
parties agreed that the reports
are what they purport to be, without
admitting the truth and content thereof, unless a party objects to a
particular document in
writing.
[19]
By agreement between the parties the joint minutes by the
occupational therapists experts were
handed in and their contents
constitute evidence in this matter. Joint minutes were provided
by the Occupational Therapists
only, Ms Given Moila and Ms
Nonzaliseko Arm. The following documents were considered at the time
of the report compilation.
19.1
Jubilee Hospital Clinical Records;
19.2
RAF 4 form from Medical Practioner;
19.3
Neurosurgeon report from Dr JA Ntimbani dated 12/10/202;
19.4
Clinical Psychologist report from Ms G Bokaba dated 15/10/2020;
19.5
Maxillofacial and Oral surgeon report from DR EM Momolo dated
04/12/2020;
19.6
Educational Psychologist report from Ms M Mantsena dated 30/03/2021.
[20]
At the commencement of the trial both parties handed up written heads
of argument. The
Plaintiff called four witnesses, two
classmates (factual witnesses) and two expert witnesses. The
defendant called the Acting Principal
of Rakgotso High School Ms.
Mate but the defendant did not lead any expert witnesses.
Plaintiff’s counsel submitted
in the heads of argument
that the only issue in dispute was the contingency to be applied in
respect of loss of earnings or earning
capacity and in particular to,
the plaintiff’s pre-accidental educational and career
progression and whether he was in Grade
12, and if so, then he was
destined to obtain a diploma. The Plaintiff submits that given the
lack of academic history available
the best evidence rule should be
applied.
[21]
However, defendant’s counsel submitted that plaintiff had to
prove whether in fact the
plaintiff was at school at the time of the
accident. If he was at school, his capacity to pass Grade 12 or how
long it would take
him to pass Grade 12. If he were to pass Grade 12
the likelihood of him joining the labour market. Lastly if he were to
progress
to a TVET College how long it would take him to complete the
diploma. The defendant submitted that the scenario postulated by the
Educational Psychologist was not the only scenario possible. The
defendant submits that the two experts that led evidence for the
plaintiff were not reliable witnesses in so far as they could not
provide clarification to the Court on factual issues, in which
instance the defendant submits that the plaintiff or his aunt should
have testified to provide clarity. Therefore the evidence
of the
expert is not the best evidence as suggested by the plaintiff as the
facts relied on by the experts and on which their opinion
is based
has not been proven to be correct.
[22] The
defendant submits that given the fact that the plaintiff was twenty
years old at the time of the accident and that there
is no clear
confirmation of schooling or academic record other than clear record
of multiple repetition of classes it is uncertain
if the plaintiff
would reach a TVET College and how he would perform there. The
defendant’s submitted that plaintiff’s
injuries have not
comprised his employment prospects as he has worked and earned an
income.
The
question then is whether or not plaintiff has proved that he is
entitled to an award for loss of future income.
[23]
In their
joint
m
inute
the Occupational Therapists note that the plaintiff suffered mild
traumatic brain injury which has resulted in epilepsy. They
agreed to
defer to the final comment of the Specialist Neurosurgeons regarding
the injuries sustained and the future management.
With regards to the
plaintiff capacity to work they noted that he presented with
cognitive challenges which will cause significant
barriers in the
workplace as well as diminished functional independence in terms of
occupational performance. They noted that he
was unemployable during
the evaluations, however that he has post-accident obtained a job as
a welder but had resigned after six
months. He stated that the
welding flames triggered the seizures. They stated that although he
had the physical capacity to work
his epilepsy diagnosis would place
him at risk for re-injury and it is therefore unlikely that the
plaintiff could be accommodate
at any future employment. The
concluded that that his employability was curtailed by the accident
and he was more suitable to sheltered
employment and that he would
find it difficult to find suitable alternative employment considering
the chronic nature of his post-accident
sequlae
.
[24]
A distinction has to be drawn between the facts
upon which an expert's opinion are based, on the one hand,
and the
expert's opinion as such, on the other hand. It appears that the
defendant is attacking the veracity of both these aspects
of the
evidence placed before court by the plaintiff.
[25]
This Court is of the view that if the defendant
however, if it wanted to dispute the alleged facts should
have called
its own experts to lead evidence specifically the occupational
therapist Ms Arm who concluded the joint minute with
the plaintiff’s
expert, to rebut the plaintiff’s evidence being placed before
court and the plaintiff would then have
had the opportunity to
challenge the evidence by subjecting the witnesses to
cross-examination. However, the defendant has
forfeited that
opportunity. It is not open for the defendant to now attack the
credibility of the witnesses.
[26]
Insofar as the defendant is attempting to
discredit the expert witnesses with regard to their respective
opinions based on the aforesaid facts and their own respective
evaluations, the defendant had the opportunity to cross-examine
the
said experts. It is the Court’s view that the plaintiff’s
experts defended their respective opinions and without
having called
countering expert witnesses of its own the opinion of the plaintiff’s
experts and the conclusion regarding
the possible scenario is the
only one placed before this Court. This Court cannot delve into the
possibilities that other experts
may have on this matter without
corroboration by evidence of counter experts before this Court and
all parties having the opportunity
to test those possibilities.
[27]
I agree that whilst the facts surrounding the plaintiff’s
educational background presents
with certain difficulties
post-accident as mentioned above, given all the facts, the lack of
the school being able to corroborate
his version that he was in Grade
12 at Rakgotso Secondary/High School does not present ‘a bleak
picture’ as suggested
by the defendant. The plaintiff is
currently unemployed. Physically he would not be able to work to
retirement age. Ms Moila and
Ms Arms’s views that in the
employment context, the plaintiff has been rendered vulnerable in the
open labour market and
has been compromised in his ability to
progress occupationally at his pre-accident potential, therefore
cannot be disregarded especially
in light of the fact that upon
compiling the joint minute the defendant’s occupational
therapist took into consideration
the report by the Educational
Psychologist and if she considered the factors which the defendant
raises as vital to the outcome
of the joint report then she would
have at the very least mentioned this in that report. However, she
concurs in her report that
he is not functionally employable and
takes no issue with the lack of academic information that was
available to the Educational
Psychologist in arriving at her
conclusion.
[28]
I do however agree that insofar as there may be a delay of his career
progress
no
offset has been accommodated for in
that
he may possibly have taken a longer period in terms of his premorbid
learning vulnerabilities to pass Grade 12 and/ or obtain
a diploma
but I am also cognisant of the fact that the diagnosis of epilepsy
post-accident may also be a factor that could have
attributed to a
delay in the plaintiff’s career progress had he returned to
school. With regards to the defendant’s
submission that the
plaintiff should have testified to provide further clarity on his
academic career, I do not see how this could
have assisted in taking
the matter further as it is common cause at this stage that there was
a lack of available information from
the school itself to dispel or
confirm the plaintiff’s version, therefore his evidence would
not be able to disproved by
the defendant in any event and I agree
with the plaintiff’s submission that this is the best evidence
before this Court.
[29]
In the defendant’s view, a 50% reduction from what he would
have earned produces a realistic
and considered assessment however,
this is not fully supported by any evidence of expert opinions as the
defendant failed to call
expert witnesses and therefore cannot be
safely accepted. Counsel for the Fund submitted that
R
3 173 865.20
would
be appropriate compensation in this case.
[30]
The actuarial report provided is based on the information by the
industrial psychologist Dr Herbert Kanengoni
that the appropriate
deduction in this case would be 15% on uninjured future income.
However, Plaintiff’s Counsel submitted
that the contingency
should be 20% which given the delay that may have been caused by
premorbid vulnerabilities I think is a fair
estimate as it is higher
than the actuarial report’s schedule of calculations.
Therefore, there should be a further
5% deduction from the amount on
the calculation of the actuary’s calculation.
[31]
On the evidence before me the disabilities from which the plaintiff
suffers or will suffer in the future,
will, in my view, has impaired
his capacity to work and I am satisfied on a balance of probabilities
the plaintiff has proved that
his patrimony has been diminished due
to loss of earning capacity in the future resulting from his injuries
and consequently has
proved an entitlement to be compensated under
this head of damage.
[32]
I
make the following order:
1.
The
defendant is ordered to pay the amount of R 8 285 820.20
for loss of earnings within 14 days of this judgment with
interest
from the date of judgment to the date of payment.
2.
The
defendant shall pay the plaintiff’s costs either as agreed or
taxed including the costs of those expert witnesses whose
reports the
plaintiff had delivered in terms of
Rule 36(9)(b)
and including the
costs of the preparation of joint minutes.
SARDIWALLA J
JUDGE OF THE HIGH COURT
APPEARANCES
Date of trial:
10 October 2022
Date of judgment:
14 July2023
Plaintiffs’
Counsel:
Adv.: P M LEOPENG
Plaintiffs’
Attorneys:
Ramokgaba Gonese
Attorneys Inc.
Defendants’
Counsel:
MR T MUKASI
Defendants
Attorneys:
State Attorneys
[1]
Union &
National Insurance Co Ltd v Coetzee
1970(1)
SA 295 (A) at 300A;
Santam
Versekering Maatskappy Bpk v Byleveldt
1973 (2) SA 146
(A);
Dippenaaar
v Shield Insurance Co Ltd
1979 (2) SA 904
(A);
Krugell
v Shield Ins. Co Ltd
1982 (4) SA 95
(T) at 99E;
Rudman
v RAF
2003 (2) SA 234
(SCA);
Prinsloo
v RAF
2009(5) SA 406 (SE).
[2]
1979
(2)
SA 904 (A)
[3]
2001
(3) SA 1188
(SCA)
[4]
(2457/2017)
2020 ZAFSHC (unreported)
[5]
1984
(1) SA 98
(A)
at 113G and 116G-117A
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