Case Law[2022] ZAGPPHC 819South Africa
Knoetze obo Malinga and Another v Road Accident Fund (77573/2018 & 54997/2020) [2022] ZAGPPHC 819 (2 November 2022)
Headnotes
Summary:
Judgment
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# South Africa: North Gauteng High Court, Pretoria
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## Knoetze obo Malinga and Another v Road Accident Fund (77573/2018 & 54997/2020) [2022] ZAGPPHC 819 (2 November 2022)
Knoetze obo Malinga and Another v Road Accident Fund (77573/2018 & 54997/2020) [2022] ZAGPPHC 819 (2 November 2022)
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sino date 2 November 2022
HIGH
COURT OF SOUTH AFRICA
(GAUTENG
DIVISION, PRETORIA)
CASE
NO: 77573/2018 & 54997/2020
REPORTABLE:
YES.
OF
INTEREST TO OTHER JUDGES: YES
REVISED.
2
NOVEMBER 2022
In
the matters between:
ADVOCATE
KNOETZE obo N.B MALINGA
First Plaintiff
EVERT
JOHANNES PRETRUS DE GOEDE
Second
Plaintiff
and
ROAD
ACCIDENT FUND
Defendant
Amici
Curiae
PRETORIA
ATTORNEYS ASSOCIATION
First
Amicus
MARIUS
COETZEE
Second
Amicus
BRITS
BEUKES
INC
Third
Amicus
FRANS
SCHUTTE & MATHEWS PHOSA INC
Fourth
Amicus
BLACK
LAWYERS ASSOCIATION
Fifth
Amicus
SIZAKELE
FLORENCE GUMEDE
Sixth
Amicus
Summary
:
In
terms of
section 14(1)(a)
of the
Superior Courts Act 10 of 2013
, the
then Acting Judge President of this Division has referred the
following questions for determination by a full court:
-
Is it competent for a court to order
that a plaintiff’s claim for future medical and hospital
expenses be compensated by the
Road Accident Fund (the Fund) by way
of an undertaking issued in terms of Section 17(4)(a) of the Road
Accident Fund Act 56 of
1996 (the RAF Act) where default judgment is
granted, in the absence of an election by the Fund to furnish an
undertaking?
-
Having regard to the specific
obligations placed upon the Fund as set out in Regulations 3(3)(dA),
3(4) of the Road Accident Fund
Regulations, 2008 (as amended), is a
plaintiff entitled to pursue the adjudication of general damages at
trial or in the default
trial court, in the absence either of the
Fund having accepted the injuries in question as constituting serious
injury as contemplated
in Section 17(1A) of the RAF Act or of
assessment of such injuries as constituting serious injury by an
appeal tribunal in accordance
with Regulation 3?
Both
questions were answered in the negative. During the course of
litigation, the Fund produced a “blanket election”
to
furnish undertakings as contemplated in section 17(4)(a) of the RAF
Act and urged courts to take judicial notice thereof.
Various
amici curiae participated as friends of the court in the hearing of
two matters which were jointly heard and costs orders
were made
against the Fund, based on its litigation delinquency.
ORDER
1.
It is declared
that it is generally not competent for a court to direct the Road
Accident Fund to furnish an undertaking as contemplated
in
section
17(4)(a)
of the
Road Accident Fund Act 56 of 1996
in circumstances
where the Road Accident Fund has not elected to furnish such an
undertaking, by default or otherwise.
2.
It is noted
that the Road Accident Fund has, during the course of the hearing of
this matter conveyed a “blanket election”
to furnish an
undertaking to compensate plaintiffs claiming compensation in terms
of
section 17
of the said Act, in respect of costs for the future
accommodation of any person in a hospital or nursing home or
treatment of or
rendering of a service or supplying goods to him on
her, after such costs have been incurred and on proof thereof or to
the provider
of such service or treatment directly, and the Road
Accident Fund has tendered that courts can take judicial notice of
this election.
3.
It is declared
that plaintiffs in actions against the Road Accident Fund are not
entitled to pursue the adjudication of non-pecuniary
damages in
absence of either the Road Accident Fund having accepted the injuries
in question as constituting serious injury as
contemplated in Section
17 (1A) of the Road Accident Fund Act 56 of 1996 or of assessment of
such injuries as constituting serious
injury by the appeal tribunal
contemplated in Regulation 3 of the Road Accident Fund Regulations,
2008 (as amended).
4.
The Road
Accident Fund is ordered to pay the costs of the plaintiffs in case
numbers 77573/2018 and 54997/2020, on the scale as
between attorney
and client, including the costs of two counsel, where employed and
that of the curator
ad
litem
in
case no 77573/2018.
5.
The Road
Accident Fund is ordered to pay the costs of the
amici
curiae
, on
the scale as between party and party, including the costs of two
counsel, where employed.
6.
Matters
77573/2018 and 54997/2020 are postponed
sine
die
and it
is directed that those actions henceforth proceed separately before
the judges seized with the matters.
J
U D G M E N T
This
matter has been heard in open court and is otherwise disposed of in
terms of the Directives of the Judge President of this
Division.
The judgment and order are accordingly published and distributed
electronically.
DAVIS
et VAN DER SCHYFF et MUNZHELELE JJ
Introduction
[1]
The
Road Accident Fund (the Fund) is a perpetual litigant in our courts
and particularly in this division. It mostly features
as the
defendant by virtue of its statutory obligation to compensate the
victims of motor vehicle accidents
[1]
.
The Fund is, however, a serial delinquent litigant and chronically
either fails to defend matters or fails to participate
in the proper
finalization of actions. This delinquency has featured in
numerous judgments
[2]
.
[2]
The
result of the Fund’s failure to oppose and defend actions
against it, not only clogs this court’s rolls, but results
in
numerous actions proceeding by default
[3]
.
The plaintiffs in this joint hearing are two of literally hundreds of
litigants in a similar position who seek judgment
against the Fund.
[3]
The two questions
which feature in this matter and on which the plaintiffs seek
guidance are the questions whether the court can
order the furnishing
of an undertaking as opposed to payment of a lump sum in respect of
future medical expenses, in the absence
of the exercise of an
election by the Fund and whether it is permissible for the court to
award general damages in the absence
of a determination of whether
the injuries sustained qualified as a “serious injury”.
[4]
The joint hearing of the two matters which came
before us, was as a consequence of a directive issued in terms of
section 14)(1)(a)
of the
Superior Courts Act 10 of 2013
, by the
Acting Judge president of the Division at the time. The matters
were case managed by Van der Schyff J. The
plaintiffs and,
after some coercion, the Fund, filed heads of argument and appeared
at the hearing of the matter. They were
joined by six
amici
curiae
who, as friends of the court,
presented both written and oral argument. This assisted the
Court and they are thanked for
their contributions.
The
furnishing of an undertaking as contemplated in
section 17(4)(a)
[5]
The question in relation to this aspect was
formulated as follows in the Acting Judge President’s
directive: “
Is it competent for
a court to order that a Plaintiff’s claim for future medical
and hospital expenses be compensated by the
Road Accident Fund by way
of an undertaking issued in terms of
section 17(4)(1)(a)
of the
Road
Accident Fund Act, Act
56 of 1996, where default judgment is granted,
and in the absence of a tender to that effect?
”.
[6]
An ancillary
question which arose, was whether it is competent for a plaintiff to
claim an undertaking as appropriate relief as
of right, or whether
the election is the sole prerogative of the Fund. Should it be
found that the election is the sole prerogative
of the Fund, could
courts take judicial notice of an alleged general practice in order
to direct the Fund to furnish an undertaking
in favour of a
plaintiff? If there is no general practice, has the Fund now made a
“blanket election” in all matters
where plaintiffs claim
future medical and ancillary expenses?
[7]
In order to adjudicate these issues, the
starting point is the wording of Section 17 (4) (a) of the Act.
It provides: “
Where a claim for
compensation under subsection (1)-
(a)
includes a claim for the costs of the future accommodation of any
person in a hospital or nursing home or treatment of or rendering
of
a service or supplying of goods to him or her, the Fund or an agent
shall be entitled, after furnishing the third party concerned
with an
Undertaking to that effect or a competent Court has directed the Fund
or the agent to furnish such Undertaking, to compensate
the third
party in respect of the said costs after the costs have been incurred
and on proof thereof
”
.
[8]
The predecessors of section 17(4)(a) of the Act
were section 21(1C)(a) inserted in 1978 into the Compulsory Motor
Vehicle Insurance
Act 56 of 1972, section 8(5)(a) of the Motor
Vehicle Accidents Act 84 of 1986 and section 43(a) of the
Multilateral Motor Vehicle
Accident Fund Act 93 of 1989. These
sections read virtually identical to each other concerning the issue
of the “entitlement”
of the various funds and insurers or
their agents to elect the furnishing of an undertaking to pay medical
and ancillary costs
as and when they were incurred, rather than
paying a lump sum. Apart from differing wording used pertaining
to who would
carry the liability from time to time as either insurer
or successive funds, the wording “…
be
entitled, after furnishing the third party … with an
undertaking to that effect or a competent court has directed …
”
were retained in all these enactments.
[9]
The
next step is to have regard to the principles governing the
interpretation of statutes, which have been explained in
Natal
Joint Municipal Pension Fund v Endumeni Municipality
[4]
at para 18 that:
‘
interpretation
is a process of attributing meaning to the words used in a document,
be it legislation, some other statutory instrument,
or contract,
having regard to the context provided by reading the particular
provision or provisions in the light of the document
as a whole and
the circumstances attendant upon its coming into existence
.’
[10]
At
the outset, the context within which the Act and its provisions must
be interpreted, is by having regard to its purpose. This
was stated
in
Mbele
v Road Accident Fund
[5]
at para 17, to be the following:
‘
The
Act was established, in my view, to give the greatest possible
protection and to promote the socio-economic rights of victims
of
motor vehicle accidents’.
[6]
[11]
Although
our courts have interpreted this object expansively
[7]
,
the principle remained that a plaintiff must quantify its claim and
seek relief for the compensation of damages in a single action
according to the “once-and-for-all” principle. This
means that the compensation claimed (and the award ordered
by a
court) must cater for past, present and future loss suffered from the
same cause of action.
[12]
The
“once-and-for-all” principle and how the furnishing of an
undertaking ties in with it, was explained in
Marine
& Trade Insurance Co Ltd v Katz NO
(
Marine
& Trade Insurance Co
)
at 970, G-H, as follows:
[8]
“
[It]…is
designed for the benefit of authorised insurers and has the effect,
if invoked, of eliminating the uncertainties
and imponderables
inherent in having to adjudicate once and for all the quantum for the
future loss or damage mentioned therein.
Its provisions, however,
only apply if the insurer concerned elects to invoke them."
[13]
What one extracts from the above, is that the
context of the Act is that it forms part of social legislation,
designed to benefit
victims of motor vehicle collisions. Section
17(4)(a) is designed to remove contingencies created by estimating
the future costs
of medical and ancillary expenses and then to
recalculate those costs to a present value, further estimating that
it would be sufficient
to cover expenses over the lifetime of a
plaintiff (itself a contingent estimate). The furnishing of a
undertaking provides for
an “as-and-when” payment scheme
of actual expenses, removing all contingent permutations.
Damages suffered are
then paid as they eventuate.
[14]
It
is within this context that the following interpretation had been
given to the section under consideration in
Van
der Walt v Road Accident Fund
[9]
(
Van
der Walt
)
para 13 where, after reference to
Marine
& Trade Insurance Co Ltd v Katz
,
it was stated that:
‘
The
right to furnish the Undertaking is specifically given to the Fund.
The furnishing of the Undertaking is not an obligation placed
on the
Fund but a right given to the Fund. The Act also does not create a
right for the injured plaintiff to claim the Undertaking.
The
claimant can therefore not claim, as of right, that the Fund should
furnish an Undertaking. Only the Fund may make the election
either to
pay the costs claimed (which is generally referred to as “future
medical expenses”) or to furnish an Undertaking
in lieu of
payment. A priori, the Court may not order it, unless it is
tendered. There is no obligation to furnish an undertaking
unless it
has been tendered
.'
[15]
So
far the determination of the right of election by the Fund, but what
to make of the words “or directed by a court”?
One
of the
amici
have argued that these words, specifically the use of “or”,
meant that a court may “direct” the furnishing
of an
undertaking. These words have however already been interpreted, in
Marine
& Trade Insurance Co
with
reference to one of section 17(4)(a)’s predecessors as
follows
[10]
:
“
Its
provisions … only apply if the insurer concerned elects to
involve them.
That
… flows from the words 'the authorised insurer shall be
entitled etc…'. The claimant cannot himself claim or
insist
that the insurer shall furnish the Undertaking, nor can the trial
Court mero motu direct the insurer to furnish it. For
the election
lies entirely with the insurer. If the claimant accepts [the
undertaking], ceadit quaestio …. If
he does not accept
it, or if no such undertaking is furnished, the litigation ensues,
the insurer can at the trial furnish it or
tender to furnish it, or
otherwise convey his election to the claimant and the trial Court.
In that event, if the claimant
is successful in the litigation, the
trial court must by its order direct, and the claimant must submit to
that direction, that
the insurer shall furnish the undertaking to the
claimant. The reason and need for the judicial direction is to
render the
undertaking binding on both parties for the future.
[11]
”.
The
court then concluded this point as follows at 971 H:
“
As
has already been pointed out, the trial Court
must
direct the insurer to furnish such an Undertaking if the insurer so
elects, and it
cannot
direct the insurer to do
so if no such election is made. The trial Court has no discretion to
direct or withhold it. And, in either
event, the claimant has no say
at all in the matter” (the then Appellant Division’s
emphasis)
.
[16]
It is clear from the above-quoted judgment that
a court has no jurisdiction to direct the Fund to furnish an
undertaking where the
Fund did not make such an election. The
corollary is that, if a court cannot grant such relief, neither can a
plaintiff claim
it. Where the Fund has not made an election to
furnish an undertaking either by choice or by default, the
consequence is that it
will only be competent for a court to award
payment of an amount calculated to cover future medical expenses,
once proven, taking
into account the contingencies referred to
above.
[17]
In an affidavit submitted by the CEO of the
Fund, he
submitted that plaintiffs have been claiming undertakings during
default judgment hearings and the courts have been granting orders
containing such undertakings. This, the CEO labelled the “standard
way” and alleged that this practice has been going
on for quite
a long time, allegedly “for decades”. It is then
argued that this has become such a well-known practice
or usage that
courts can take judicial notice thereof and continue to order such
directives to the Fund to furnish undertakings.
This indeed
appears to be the position adopted by many plaintiffs, virtually on a
daily basis in this Division.
[18]
For
a practice or “usage” to qualify for legal recognition,
it must however be shown to be universally and uniformly
observed
within the particular trade concerned, be long established, be
reasonable and certain, and not be in conflict with positive
law
[12]
.
[19]
We are not convinced that this argument passes
muster. As a starting point, the applicability of a “trade
usage”
forms part of the law of contract. Where the
election is a statutory right, it is highly doubtful that the law of
contract
would be applicable. The plaintiffs further argue
that, to invoke this principle in claims against the Fund would be in
conflict
with the principle of separation of powers, which forms an
integral part of our law. The powers of election to furnish
undertakings
reside only with the Fund, and it is impermissible for a
court to usurp the function of the Fund.
[20]
There is, however, a more fundamental objection
to allowing the “practice” or “usage” to
continue, based
on its alleged entrenchedness. Once the legal
position is as set out in paragraph 16 above, the fact that some
courts may
have been granting orders not sanctioned by the Act does
not entitle either plaintiffs or the Fund to expect all courts to
follow
suit. To do so, would result in courts applying a practice or
usage which would be in breach of the “positive law”
referred to in paragraph 18 above. That cannot be countenanced.
[21]
Adv Mullins SC, appearing on behalf of the Fund
together with adv Pillay, argued the matter on a slightly different
basis.
He contended that the reason for so many plaintiff
claiming (and the courts granting) directives to the Fund to furnish
undertakings,
is because “
a
blanket election has been in operation for decades now
”,
to such an extent that it has become a fact which is so notoriously
known that the courts may take judicial notice thereof.
[22]
As proof of this notoriety, the court
was invited to consider the contents of the “instructional
video” hosted by the
Fund on its website. In it, the Fund
advises claimants that when they claim for future medical expenses,
they “…
will be given an
undertaking
” by the Fund.
In explaining what compensation may be claimed, the website instructs
as follows: “
A third party may
claim his/her expected future medical treatment costs form the RAF,
if it is proven that such future costs are
likely. The RAF will
issue to the third party a medical undertaking (a type of contract)
that would enable the third party
to receive future medical treatment
subject to the terms of the undertaking …
”.
In terms of the Fund’s Claims Procedure Manual, it says with
regard to future medical and hospital expenses
that “
either
a statutory or a contractual undertaking certificate can be issued.
If it is a straightforward agreement with no medical
or other
limitations, a statutory undertaking will be issued
”.
[23]
A
notorious fact of which a court can take judicial notice, is one
which is so commonly known that to hear evidence about
it would be
unnecessary and a waste of time. It is, however, generally
limited to “
matters
of elemental experience in human nature, commercial affairs and
everyday life
[13]
”.
Examples are: the normal period of human gestation
[14]
;
whether a national road is a public road
[15]
;
that no two sets of fingerprints are identical
[16]
;
that public companies trade in order to make profit
[17]
;
that chess is not a game of chance but one of skill
[18]
and that there is a high incidence of crime in the country
[19]
.
[24]
What
a court may also take judicial notice of, is its own functioning and
the matters that come before it
[20]
.
In our experience, the “evidence” referred to by the
Fund’s CEO, mentioned in paragraph 22 above, has
not featured
in this Division and neither does the CEO claim that it has. Insofar
as it may have been known to the “litigating
public”,
that may not have included those courts which have “regularly”
granted such claims. One of the
plaintiff’s counsel
labelled the website as merely “informative”.
Furthermore, the contents of the Fund’s
own Claims Procedure
Manual, appears to cater for various permutations and options
regarding the nature and contents of undertakings.
In addition, there
was some doubt when the matters were argued before us as a whether
the furnishing of an undertaking
always
applied or whether there were exceptions. If there were
exceptions, then a court would not, without having been informed
thereof in a specific case, know whether the “blanket election”
would apply or whether that matter might be one of
the “exceptions”.
After some debate, it appeared that the exceptions mostly, if not
exclusively, occurred
ex
post facto
,
that is after an undertaking had been furnished. Apparently,
the Fund had been known, after the managers of its Post Settlement
Department had been approached, to provide monetary payment in
respect of future medical expenses in lieu of an undertaking. This
apparently occurs where there has been a significant merits
apportionment against a plaintiff and the foisting of an undertaking
on such a plaintiff would lead to unfair results. There is a
last aspect which bears mentioning and it is this: an election
to
furnish an undertaking (or not) should be a formal and conscious
resolution by the Fund, acting through its delegated officers
and
even the “evidence” referred to above, does not confirm
that a “blanket election” has been taken in
this
fashion. At best, it is an indication of what could ordinarily
be expected to happen, but it cannot be said to be conclusive.
For these reasons we decline to find that a “blanket election”
had taken place in respect of the furnishing of guarantees
in all
claims against the Fund where the costs of future medical and
ancillary expenses are claimed as part of a plaintiff’s
damages.
[25]
Clearly alive to this
dispute and in response to the directive of the Acting Judge
President of this Division in referring this
issue to this full
court, the CEO of the Fund, in the affidavit filed in the joint
hearing of these matters, reiterated the fact
that the Fund has
indeed now made a “blanket election” to furnish an
undertaking to every claimant who is entitled
to a claim for payment
of future medical and ancillary expenses in terms of section
17(4)(a). The CEO undertook to have included
in the Fund’s
“first letter” issued to a claimant upon receipt of a
newly lodged claim and allocation of a claim
number “…
a
reiteration of its blanket election by expressly stating that a
claimant will only be entitled to an undertaking in respect of
any
proven claim for the costs of the future accommodation of the
claimant in a hospital or nursing home or treatment of or rendering
of a service or supplying of goods to him or her
”.
The fund has further undertaken to publish via a notice through the
Legal Practice Council and its internal database
of attorneys a
statement reaffirming its blanket election.
[26]
Insofar as there may
have been doubt as to either the existence of a “blanket
election” or whether this fact has sufficiently
been so
notorious that a court could have taken judicial notice thereof, such
doubt has now been removed by the Fund’s CEO.
Counsel for
the Fund has confirmed in open court that courts can now take
judicial notice of this. The result is that, once
a plaintiff
proves its claim as contemplated in section 17(4)(a), it is entitled
to claim an order catering for a direction to
the Fund to furnish
such an undertaking and a court is entitled to grant such an order.
This will also apply in instances
where orders by default are sought.
[27]
The
Black Lawyers Association, as the fifth
amicus
,
argued that the use of the word “or” in section 17(4)(a)
denoted that either the Fund might elect to issue an undertaking
alternatively, that a court might direct the Fund to furnish an
undertaking. Insofar as there may be ambiguity in the meaning
of the section, the Constitution enjoins courts to interpret
legislation in a manner which promotes the spirit, purport and
objects
of the Constitution. The Constitutional Court had
endorsed the contextual and purposive approach espoused by
Natal
Joint Municipal Pension Fund v Endumeni
in
Road
Traffic Management Corporation v Waymark Infotech Ltd
[21]
.
In our view, this court is however bound by the decision in
Marine
& Trade Insurance Co Ltd
.
Even though that decision pre-dates the Constitution, its
interpretation followed the development of the wording of the
section, through its predecessors and had due regard to the wording
of the successive section, including the use of the word “or”.
The decision of
Van
der Walt
,
given in our post – Constitutional dispensation, has also
analysed specifically whether a court could grant a direction
to the
Fund and concluded that it couldn’t, despite the inclusion of
the word “or” in the section. We are
not convinced
that that decision is clearly wrong, as contended for by this
amicus
.
In any event, having regard to the blanket election now having been
exercised in the circumstances set out earlier, this
question has now
become moot and no further interpretational development is necessary.
Is
a plaintiff entitled to pursue the adjudication of general damages at
trial in the default trial court in instances where the
Fund had not
accepted the serious injury assessment report?
[28]
For
purposes of answering this question, which was the second question
posed to this full court by the Acting Judge president, it
was
directed that regard must be had to the specific provisos contained
in and obligations placed upon the Fund, as set out in
regulations
3(3)(dA), 3(4) and 3(5) of the Road Accident Fund Regulations, 2008
(as amended).
Legal
framework
[29]
Section 17(1) Act
inter alia
provides that Fund shall, –
‘
be
obliged to compensate any person (the third party) for any loss or
damage which the third party has suffered as a result of any
bodily
injury … caused by or arising from the driving of a motor
vehicle by any person at any place within the Republic,
if the injury
… is due to the negligence or other wrongful act of the driver
or of the owner of the motor vehicle or of
his or her employee in the
performance of the employee’s duties as employee: Provided that
the obligation of the Fund to
compensate a third party for
non-pecuniary loss shall be limited to compensation for a serious
injury as contemplated in subsection
(1A) and shall be paid by way of
a lump sum
’.
[30]
Section 17(1A)
provides as follows:
‘
(a)
Assessment of a serious injury shall be based on a prescribed method
adopted after consultation with medical
service providers and shall
be reasonable in ensuring that injuries are assessed in relation to
the circumstances of the third
party.
(b)
The assessment shall be carried out by a medical practitioner
registered as such under the Health Professions
Act, 1974 (Act No. 56
of 1974)
’
.
[31]
Section 26(1A) of the
Act provides that the Minister may make regulations regarding:
‘
(a)
the method of assessment to determine whether, for purposes of
section 17, a serious injury has been incurred;
(b)
the injuries which are, for the purpose of section 17, not regarded
as serious injuries;
(c)
the resolution of disputes arising from any matter provided for in
this Act
’
.
[32]
Section 26(2)
provides that any regulation may provide for penalties of a fine or
imprisonment for any contravention or a failure
to cotherewith.
[33]
Regulation
3 of the Road Accident Fund Regulations
[22]
provides for the assessment of serious injuries in terms of s 17(1A).
It prescribes the methods in accordance with which a medical
practitioner shall assess whether a third party’s injury is
serious.
[23]
In terms of
regulation 3, the third party whose injury has been assessed in
accordance with the prescribed methods is obliged to
obtain a serious
injury assessment report from the medical practitioner concerned,
[24]
and submit the claim for compensation for non-pecuniary loss in
accordance with the Act and regulations.
[25]
The Fund is only obliged to compensate a third party for
non-pecuniary loss if: (i) the claim is supported by a serious injury
assessment report submitted in terms of the Act and regulations, and
(ii) the Fund is satisfied that the injury has been correctly
assessed as serious in terms of the method provided for in the
regulations.
[26]
[34]
If
the Fund is not satisfied that the injury has been correctly
assessed, the Fund must, within 90 days from the date on which the
serious assessment report was sent to it by registered post or
delivered by hand, accept or reject the serious injury report or
direct that the third party submit himself or herself to a further
assessment.
[27]
Where a
further assessment was obtained, the Fund must either accept or
dispute the further assessment in the manner provided for
in the
regulations.
[28]
[35]
Regulation
3(4) provides for the manner in which either (i) the third party who
wishes to dispute the rejection of the serious injury
assessment
report, or (ii) a third party or the Fund who wishes to dispute the
‘assessment performed by a medical practitioner’,
needs
to proceed. The regulation prescribes that the disputant shall within
90 days of being informed of the rejection or the assessment,
notify
the Registrar
[29]
that the
rejection or the assessment is disputed by lodging a dispute
resolution form with the Registrar. The grounds on which
the
rejection or the assessment is disputed, including the submissions,
medical reports and opinions the disputant wants to rely
on, must be
submitted together with the dispute resolution form.
[36]
Regulation 3(5) then
provides as follows:
‘
(a)
If the Registrar is not notified that the rejection or
the assessment is disputed in the manner and within the
time period
provided for in subregulation 4, the rejection or the assessment
shall become final and binding unless an application
for condonation
is lodged with the Registrar as well as sent or delivered to the
other party to the dispute.
(b)
A written response to the application may be
submitted with the Registrar 15 days after the application for
condonation and a reply thereto may be lodged within 10 days.
…
(d)
The Registrar shall refer the application for condonation together
with any response and reply to the
appeal tribunal
’
.
The
plaintiffs’ submissions
[37]
Plaintiffs’
counsel submitted that a dispute resolution process is provided for
in regulations 3(3)(d), 3(3)(e), 3(4) and
3(5). Both parties,
that is the plaintiff and the Fund, are obliged to comply with the
provisions of the regulations. With
reference to
Road
Accident Tribunal and Others v Gouws and Another,
[30]
it may be inferred that regulation 3(4) finalises the process, with
the ‘finalising proviso’ contained in regulation
3(5).
Regulation 3(4) burdens the Fund in the event it elects to dispute an
assessment submitted by plaintiffs, and regulation
3(5) provides for
the Fund’s ‘inaction’. These [sub]regulations
envisage a sanction contemplated by the legislature
that renders an
assessment final, which in turn confers jurisdiction upon a Court to
pronounce on general damages. It finalises
the administrative process
unless an application for condonation is lodged as contemplated in
regulation 3(5). Counsel submitted
that no court has properly
considered the obligations placed on the Fund by regulations 3(4) and
3(5). Existing case law fails
to deal with the result of the Fund’s
failure to meet the compulsory obligations placed on the Fund in
terms of regulations
3(4) and 3(5). Counsel submitted that
regulations 3(4) and 3(5) are unambiguous and capable of the
interpretation assigned to it
by the plaintiffs without arrogating to
the court the powers of the legislature.
The
defendant’s submissions
[38]
The defendant’s
submissions commence with a brief historic oversight. The court is
reminded that prior to the Road Accident
Fund Amendment Act 19 of
2005 (the RAFAA), any person who suffered any non-pecuniary loss as a
result of bodily injury caused by
or arising from the driving of a
motor vehicle was entitled to a claim for general damages. Claimants
were consequently entitled
to general damages for the most minor of
injuries. This was one of the reasons for the Fund’s
liabilities to exceed the income
derived from the fuel levy, and the
situation eventuated in the appointment of the Satchwell Commission.
In accordance with the
recommendations of the Satchwell Commission,
the Fund’s liability in respect of general damages was limited
to claimants
that have suffered serious injury when the RAFAA
commenced.
[39]
The RAFAA and
regulations introduced a paradigm shift in respect of a claim for
non-pecuniary loss. Subsequent to the commencement
of the RAFAA and
the regulations: (i) general damages may only be awarded for injuries
that have been assessed as serious in terms
of the RAF Act and
regulations, (ii) the assessment of injuries as serious has become an
administrative rather than a judicial
decision and is a determination
that lies with experts. The legislature chose to adopt a model in
terms of which the decision of
whether or not an injury is serious
enough to meet the threshold requirement for an award of general
damages is conferred on the
Fund and specialists, and not the court.
[40]
Counsel for the Fund
described the process provided for regarding the assessment of a
serious injury as follows: A medical practitioner
assesses a claimant
and decides whether to certify an injury as serious or not. If the
medical practitioner certifies the injury
as serious, the Fund has
the discretion to accept the certification or not. Where the Fund
does not accept the medical practitioner’s
certification of an
injury as serious, it may refer the claimant to a further medical
practitioner for assessment, or simply reject
the contention of
seriousness. If the Fund rejects the seriousness assessment, a
plaintiff must either accept the rejection or
insist on a referral to
a specialist tribunal. Where the Fund does not straight away reject
the contention of seriousness, but
refers a patient for a further
assessment, then, Counsel contended, whichever party is dissatisfied
with the determination of that
further medical practitioner’s
assessment must, likewise, refer the dispute to a tribunal. If the
Fund does nothing, after
receipt of the first serious assessment
report, the claimant must take steps to force the Fund to take a
decision, and if that
decision is adverse, the claimant must dispute
the decision by referral to a specialist tribunal. It is only the
further serious
injury assessment that will become binding if it is
not rejected within 90 days by either the claimant or the Fund.
[41]
Counsel
for the Fund reiterated that the Supreme Court of Appeal has gone so
far as to hold that a claimant has no claim for general
damages until
such time as the Fund is satisfied that the injury is a serious
injury, or the appeal tribunal has determined it
as such in terms of
the regulations.
[31]
So
entrenched is the Fund’s entitlement to determine whether a
claimant’s injury has been correctly assessed as a serious
injury, that the Fund has the right to dispute the findings of its
own expert.
[32]
The decision
of the Fund or the appeal tribunal is not subject to an appeal to the
court.
[33]
The Fund is an
organ of State as defined by s 239 of the Constitution and performs a
public function. In the event that the Fund
fails to make a decision
within 90 days, the claimant is entitled and obliged to utilise the
remedies provided under the Promotion
of Administrative Justice Act
(PAJA).
[34]
The SCA held in
Mpahla
v Road Accident Fund (Mphahla)
[35]
that the Fund is not deemed to have accepted that the claimant
suffered a serious injury in the event that it has not communicated
a
decision within 90 days. Therefore, counsel submitted, any suggestion
by the plaintiffs or
amici
curiae
,
that a court may itself accept medical evidence to the effect that an
injury is serious, or the serious injury assessment submitted
by the
plaintiff in the absence of a decision by the Fund that it is
satisfied that the injury has been correctly assessed as serious,
is
ill-founded, and has been rejected by the Supreme Court of Appeal.
The
submissions by the
amici curiae
[42]
The
amici
curiae
highlighted the problems that plaintiffs and the courts face because
the Fund is, in the overwhelming majority of cases, not legally
represented and most RAF matters proceed on a default basis.
[43]
The
Pretoria Attorneys Association and Mr. Marinus Coetzee are,
respectively, the first and second
amici.
They
highlight that litigants may wish to take advantage of the RAF’s
default in those cases where the Fund is not represented.
It was
submitted on their behalf that regulation 3(5) does not confer
jurisdiction on the court to adjudicate general damages prior
to a
decision from the Fund. The court was referred to
RS
v Road Accident Fund
[36]
(
RS
)
where the court, with reference to
Bee
v Road Accident Fund
[37]
(
Bee
)
and
Thomas
v BD Sarens (Pty) Ltd
[38]
awarded
compensation for general damages despite the Fund’s rejection
of the seriousness of the injuries. In
RS
the
seriousness of the plaintiff’s injuries was established by a
joint expert minute that, in line with the
Bee
,
bound the court. Accordingly, if a litigant wished not to be bound by
such an agreement, the litigant ought to repudiate the concession
by
its expert timeously. The court in
RS
,
however, did not refer to
Faria,
and
counsel accordingly submitted that the judgment in
RS
is
open to criticism and was wrongly decided.
[44]
As the third
amicus
,
Brits & Beukes Inc. dealt with the Fund’s submission that
where the Fund fails to accept or reject a plaintiff’s
serious
injury report or request a further assessment, a plaintiff should
launch an application in terms of s 6(2)(g) and s 6(3)(b)
of PAJA to
compel the defendant to make such decision. The plaintiff faces a
predicament, however, if the Fund still fails to comply
with the
court order granted in terms of s 6(2)(g) and s 6(3)(b) of PAJA. The
Health Professions Counsel of South Africa HPCSA,
as an appeal
tribunal, can only be approached once the plaintiff is provided with
a rejection letter. As a result, if the Fund
is correct in its
submissions, regulation 3 does not provide recourse to a plaintiff
where the Fund fails to reject the serious
assessment or to request a
further assessment. It would never have been the intention of the
legislator to leave a plaintiff ‘remediless
and at the mercy of
the defendant’. This
amicus
submitted that all the cases referred to by the Fund, being
Duma,
Mphala
and
Lebeko
are distinguishable on the basis that in all those cases the serious
injury assessment reports were rejected. In those instances,
this
amicus
submitted, it is in agreement that courts cannot dispose of general
damages without the HPCSA Appeal Tribunal having been approached.
This
amicus
nevertheless submitted that in a case where the 90-day period has
lapsed and the plaintiff has brought an application in terms
of PAJA
to compel the Fund to make an election and the Fund remained in
contempt of such an order, the court should finalise the
determination of general damages to prevent an injustice to the
public at large.
[45]
Frans
Schutte Mathews Phosa Inc., the fourth
amicus
curiae
,
was critical of the fact that the Fund’s impasse led to the
present situation. The Fund fails to accept or reject serious
injury
assessment reports, and then ‘comfortably’ takes the
position that the court cannot make a finding regarding
the
seriousness of an injury in any circumstances where a plaintiff’s
RAF4 (the serious injury assessment) has not been accepted
or
rejected. This cannot be equitable toward a plaintiff. Based on the
judgment in
Baliso
v Firstrand Bank Limited t/a Wesbank,
[39]
the fourth
amicus
submitted that the court was entitled to proceed on the basis that
the allegations made by the plaintiff have not been disputed.
All
that remains then, is for the court to hear evidence regarding the
quantum of the claim, including the quantum of general damages.
[46]
The fourth
amicus
compared the position where a plaintiff seeks to be granted general
damages by default, to a defendant in a negligence claim who
either
files no plea or does not place the plaintiff’s own fault in
dispute. The Fund’s failure to plead that it has
declared a
dispute regarding a plaintiff’s positive serious injury
assessment should allow the court to accept that the Fund
does not
dispute such serious injury assessment and is accordingly satisfied
with it. This, the
amicus
submitted, is not the consequence of any deeming provision but the
inevitable conclusion to be reached from the Fund’s failure
to
place its case before court. An alternative argument raised is that
where a plaintiff has obtained both an order striking the
Fund’s
defence and an order in terms of PAJA to compel the Fund to make a
decision as required by regulation 3(3), and the
Fund still fails to
take the decision, the remedy provided for in s 8(2) of PAJA allowing
the court to make a substituting decision
is automatically triggered.
In cases where the court then rejects a serious injury assessment
report, the plaintiff would be at
liberty to proceed with the appeal
process provided for in the regulations and approach the HPCSA.
[47]
The Black Lawyers
Association is the fifth
amicus.
It lamented the fact that regulation 3 in its current form is a
cumbersome and unnecessary regime. The submission was made that
regulation 3(3)(b) is
ultra
vires
, but
since this court is not seized with a review application and that was
not the issue directed to it for consideration, this
submission
cannot be dealt with, irrespective of its merits. The
amicus
submitted
,
however,
that regulation 3(c) ousted the jurisdiction of the court and that a
claimant cannot proceed with its claim if the Fund
is not satisfied
that the injury has been assessed correctly. The Fund’s
decision to accept or reject a serious assessment
report is an
administrative decision. Due to the nature of the decision,
substitution is out of the question since courts are not
equipped to
determine whether an injury is serious.
[48]
It was submitted on
behalf of Ms. Sizakele Florence Gumede, the sixth
amicus
,
that exceptional circumstances may exist that exempt a plaintiff from
exhausting internal remedies, where the Fund fails or refuses
to
accept or reject the serious injury assessment report, allowing the
court to adjudicate on the issue of general damages, e.g.
where the
seriousness of the injury is a foregone conclusion as in cases where
the plaintiff suffered severe neuro-cognitive damage
or are rendered
quadriplegic as a result of a motor vehicle accident. This
amicus
submitted that regulation 3(5) should be interpreted to mean that
where the Fund does not notify the Registrar that it rejects
the
serious injury assessment, the assessment becomes final and binding,
in which case a court can proceed to quantify the general
damages.
Discussion
[49]
It
is clear from the case law referred to above that a court does not
have the jurisdiction to find that injuries sustained by any
plaintiff constitute serious injury or qualify for a claim for
general damages in the absence of the injury having been classified
as a serious injury in accordance with the process prescribed in the
said regulation.
[40]
This
being said, however, this matter calls for the consideration of the
‘process prescribed in the said regulation’.
It is
necessary to determine whether a plaintiff is entitled to pursue the
adjudication of general damages at trial without the
injury being
found to constitute a serious injury by the Fund, where the defendant
is in default and the Fund had not accepted
nor rejected the serious
injury assessment report, regard being had to the specific
obligations placed upon the Fund
.
[50]
With the benefit of
the context provided by the parties and the
amici
,
it is necessary to consider the two judgments by the Supreme Court of
Appeal that dealt with the question of whether a court can
entertain
the issue of general damages where the Fund has not accepted a
serious injury assessment report submitted to it.
[51]
In
Duma
,
the matrix of the legislative scheme regulating the Fund’s
liability to compensate a third party for general damages, or
non-pecuniary loss as it is called in the section, has received
consideration. The learned judges of appeal explained that regulation
3 prescribes the method contemplated in s 17(1A) for the
determination of ‘serious injury’. For completeness sake
it is necessary to have regard to the SCA’s exposition of the
framework of regulations 3:
‘
As
a starting point it provides in 3(1)(a) that a third party who wishes
to claim general damages ‘shall submit himself or
herself to an
assessment by a medical practitioner in accordance with these
Regulations’. In terms of 3(3)(a) a third party
who has been so
assessed, ‘shall obtain from the medical practitioner concerned
a serious injury assessment report
’ ...
In terms
of regulation 3(3)(c) the Fund is only liable for general damages ‘if
a claim is supported by a serious injury assessment
report submitted
in terms of the Act and these Regulations and the Fund is satisfied
that the injury has been correctly assessed
as serious in terms of
the method provided for in these Regulations.’ If the Fund is
not so satisfied, it must, in terms
of regulations 3(3)(d), either:
(i) reject the third party’s RAF 4 form and give its reasons
for doing so, or (ii) direct
that the third party submits himself or
herself to a further assessment at the Fund’s expense by a
medical practitioner designated
by the Fund in accordance with the
method prescribed in regulation 3(1)(b).
As
to what then happens, regulation 3(4) provides that, if the third
party disputes the Fund’s rejection of the RAF 4 form
(under
regulation 3(3)(d)(i)) – or if either the third party or the
Fund wishes to challenge the assessment by the medical
practitioner
designated by the Fund (under regulation 3(3)(d)(ii)) – the
aggrieved party must formally declare a dispute
by lodging a
prescribed dispute resolution form (RAF 5) with the Registrar of the
Health Professions Council within 90 days of
being informed of the
rejection or the impugned assessment. Regulation 3(5)(a) then goes on
to say that if this is not done, the
rejection of the RAF 4 form or
the assessment by the Fund’s designated medical practitioner,
as the case may be, shall become
final and binding
[41]
.
[52]
Brand JA, writing for
the court of appeal, stated that in accordance with the model that
the legislature had chosen to adopt as
far as the classification of
an injury as a serious injury is concerned,
the
decision of whether or not the injury of a third party is serious
enough to meet the threshold requirement for an award of general
damages was conferred on the Fund and not on the court. The
learned judge of appeal explained it as follows:
‘
This
means that unless the plaintiff can establish the jurisdictional fact
that the Fund is so satisfied, the court has no jurisdiction
to
entertain the claim for general damages against the Fund. Stated
somewhat differently, in order for the court to consider a
claim for
general damages, the third party must satisfy the Fund, not the
court, that his or her injury was serious
’
[42]
.
[53]
Brand JA further
pointed out that the decision in terms of regulations 3(3)(c) and
3(3)(d), whether or not the serious injury assessment
report
correctly assessed the plaintiff’s injury as serious,
constitutes ‘administrative action’ as contemplated
by
the Promotion of Administrative Justice Act 3 of 2000 (PAJA):
‘
(
b)
If the Fund should fail to take a decision within reasonable time,
the plaintiff’s remedy is under PAJA.
(c)
If the Fund should take a decision against the plaintiff, that
decision cannot be ignored simply because it was not taken within
a
reasonable time or because no legal or medical basis is provided for
the decision or because the court does not agree with the
reasons
given.
(d)
A decision by the Fund is subject to an internal administrative
appeal to an appeal tribunal.
(e)
Neither the decision of the Fund nor the decision of the appeal
tribunal is subject to an appeal to the court. The court’s
control over these decisions is by means of the review proceedings
under PAJA’
[43]
.
[54]
In
Mpahla
the
Supreme Court of Appeal was again called upon to decide the question
whether the court can entertain a claim for general damages
in the
absence of the Fund accepting the serious injury assessment report.
The appellant in
Mpahla
contended
before the High Court that on a proper construction of regulation
3(3)(dA), the Fund is deemed to have accepted that the
appellant
sustained a serious injury, because it did not reject the serious
injury assessment report or direct the appellant to
submit to a
further assessment as provided for in regulation 3(3)(d)(ii) after
the incorporation of s 3(3)(dA) to regulation 3.
The appellant
submitted that regulation 3(3)(dA) should be interpreted to mean
‘
that
if the Fund fails to accept or reject a claimants SIA report, or
fails to direct that a claimant submit himself or herself
to a
further assessment within the 90-day period prescribed by the
regulations, then the Fund is deemed to have accepted the injury
as
serious
’.
The argument advanced by the appellant, was that with the
promulgation of the new regulation that was introduced
immediately
after the court’s judgment in
Duma
the
legislature inserted a 90-day limitation period in the regulation in
order to address the concerns raised in
Duma
.
[55]
The SCA held that:
‘
An
interpretation that seeks to suggest that because the Fund did not
make a decision within 90 days of receipt of the SIA report,
it is
deemed to have accepted that the third party has suffered serious
injuries is untenable and in conflict with the provisions
of
subsections 17(1) and 17(1A) of the Act, and regulation 3. It is
always open to the Fund to reject the SIA report when it is
not
satisfied that the injury has been correctly assessed in terms of
regulation 3(3)(dA). This regulation does no more than prescribe
a
period within which the Fund can reject or accept the report. It
would be an anomaly if, in terms of regulation 3(3)(dA), where
the
Fund has failed to make a decision within the prescribed period, an
otherwise not serious injury would by default become serious
because
of the delay. By including the prescribed period, the legislature
sought to ameliorate the hardship experienced by claimants
prior to
and after the Duma case. The intention was to bring legal certainty
and to compel the Fund to act promptly and timeously,
not to create a
presumption in favour of a claimant that the injury in question is a
serious one
’
[44]
.
[56]
The
crux of the SCA’s finding in
Mpahla
is that whilst regulation 3(3)(dA) –
‘
seeks
to define the rights of claimants in unambiguous terms and afford
them an opportunity after 90 days to apply for a mandamus
in terms of
PAJA to compel the Fund to make a decision. It was specifically
enacted to deal with the mischief identified by this
court in Duma
relating to the phrase ‘within a reasonable time’ which
caused uncertainty to claimants’ it is
not a deeming
provision
’
[45]
.
Interpreting
‘assessment’
[57]
In this case, the
plaintiffs’ submissions turn on the point that regulation 3(5)
provides finality in the administrative process
in that, on their
interpretation of regulation 3(5) the serious injury assessment
report becomes final if the Fund did not notify
the Registrar that it
is disputed in the manner and within the time period provided for in
subregulation 4. The plaintiffs interpret
the term ‘assessment’
as it appears in regulations 3(4) and 3(5) to incorporate both the
‘serious injury assessment
report’ and the ‘further
assessment’.
[58]
On
reading regulation 3, it becomes apparent that the regulation
provides for the assessment of a plaintiff by a medical practitioner
at two distinct stages in the prescribed process, and it
differentiates between the medical assessments provided for by using
different terminology. At first, a party who wishes to claim
compensation for non-pecuniary loss shall submit himself or herself
to an assessment by a medical practitioner in accordance with the
regulations. The third party whose injury has been assessed shall
thereafter obtain from the medical practitioner a ‘serious
injury assessment report’. Regulations 3(3)(a) to 3(3)(d)(i)
and 3(3)(dA) refer solely to the ‘serious injury assessment
report’. The second stage at which a medical assessment
comes
into play, is where the Fund, after having received the ‘serious
injury assessment report’ directs that the third
party submit
himself or herself to a further assessment to ascertain whether the
injury is serious. This ‘further assessment’
is
thereafter referred to as the ‘further assessment’ in
regulation 3(3)(e), or ‘the assessment’ in regulation
3(4) and 3(5), with an explicit differentiation being made between
the ‘serious injury assessment report’ and the
‘assessment’ in regulation 3(4).
[59]
In
considering whether the term ‘assessment’ is to
incorporate the meaning ‘serious injury assessment report’
sight should not be lost of the principle set out in
Port
Elizabeth Municipal Council v Port Elizabeth Electric Tramway Co
Ltd:
[46]
‘
In
the construction of statutes a deliberate change of expression is
prima facie taken to import a change of intention
’.
[60]
As the process
prescribed for the assessment of injuries in regulation 3 enfolds
when the regulation is systematically analysed,
it becomes apparent
that the term ‘assessment’, as it appears in regulations
3(3)(d)(ii), 3(4) and 3(5) cannot be interpreted
to refer to the
‘serious injury assessment report’. The deliberate use of
the term ‘assessment’
viz-a-viz
‘serious injury assessment report’ in the structure of
the regulation 3 process, denotes that the term ‘assessment’
is used to refer to the process that follows when the Fund directed a
plaintiff to undergo a ‘further assessment’.
[61]
It is evident that
the SCA in
Duma
was alive to the fact that the
regulation 3 processes might, depending on the circumstances, require
the plaintiff to undergo medical
assessments at two distinct stages.
Brand JA recognised
the differentiation between the ‘serious injury assessment
report’ and the ‘further assessment’, and referred
to the former as the ‘RAF 4 form’. The plaintiff’s
contention that
that
no court has properly considered the obligations placed on the Fund
by regulations 3(4) and 3(5) is thus without merit.
[62]
The
reality of the Fund revealing itself as a defendant with little
respect for the litigation process and seemingly little regard
to
fulfil its statutorily entrenched administrative functions by
accepting or rejecting serious assessment reports or directing
plaintiffs to further assessment, was not foreseen by the Supreme
Court of Appeal when the
Duma
decision was handed down. One cannot but regard with irony, Brand
JA’s remark that:
[47]
‘
First,
an application [in terms of PAJA] may often not be necessary. The
Fund may very well react to a letter of demand and, all
things being
equal, should do so. Incidentally, in none of the four cases on
appeal, did the plaintiff seem to consider a resort
to this rather
obvious and inexpensive solution
’.
[63]
Although the court in
Duma
did not at the time foresee the extent of the Fund’s
recalcitrance or delinquency, the SCA unequivocally stated that the
satisfaction of the Fund that an injury has correctly been assessed
as a serious injury, is a jurisdictional fact that needs to
be
established before a claim for general damages can be entertained by
a court. The Supreme Court of Appeal unequivocally held
that a
plaintiff ‘simply has no claim for general damages’ in
the absence of the Fund accepting the serious injury
assessment
report.
[64]
Already in
Duma,
the SCA
foresaw that, should the
mandamus
solution prove to be unaffordable, and, in the circumstances of this
case it can be added, ineffective,
‘
the
answer may lie in an approach to the legislative authorities or
perhaps a constitutional challenge of the regulation. What is
plain,
however, is that it cannot justify a deviation from the procedure
pertinently prescribed by regulation 3
’.
Conclusion
[65]
The
Fund’s failure to accept or reject serious injury assessment
reports even after being compelled to do so, does not detract
from
the Supreme Court of Appeal’s interpretation that regulation 3
renders a court without jurisdiction to entertain a claim
for general
damages where the Fund has not accepted a plaintiff’s serious
assessment report.
In
view of the above, it is evident that a deviation from the procedure
pertinently prescribed by regulation 3 cannot be justified,
not even
where the Fund is in default.
[48]
We
thus agree with the defendant’s submission that it is only the
further assessment called for by the Fund that will become
binding if
it is not rejected within 90 days by either the claimant or the Fund,
and not the serious injury assessment report that
a plaintiff needs
to submit for it to be considered by the Fund. We are bound by the
decisions in
Duma
and
Mpahla
and the
stare
decisi
s
principle prevents this court from dealing afresh with the legal
issue at hand as a court of first instance. Until the
constitutional validity of regulation 3 is successfully challenged,
or the legislature steps in to ameliorate the position, plaintiffs
have no other option than to seek relief in terms of PAJA.
Costs
[66]
The
general principle is that costs should follow the event. In the
present instance, where the answers to the questions that
this court
had to decide do not necessarily resulted in “success”
for any of the parties, the more overriding principle
is that a
decision relating to costs should be “a matter of fairness to
both sides”
[49]
.
[67]
In the present
instance, it is clear that it is as a result of the Fund’s
inaction or delinquency, that the disputes which
had been placed
before this full court, have arisen. In fact, the virtual
abdication of its duties regarding litigation and
the consequential
burdening of the judiciary has been conceded by the Fund’s
counsel in heads of argument filed on behalf
of the Fund, in our view
correctly so. In dealing with the Fund’s attempt at using
settlement processes or the State
Attorney, as set out in the
affidavit by the CEO of the Fund, the following summary of the
position has been submitted to this
court:
“…
the
fact is as things stand, we cannot deny that a hopefully temporary
situation has already endured for 25 months, in which situation
the
[Fund] has effectively largely abdicated its control functions to the
courts, through the default judgment process. It
is
consequently regrettable that the [Fund] has, by force of
circumstances, had to place its trust in the court with regard to
the
scrutinizing of applications for default judgment and the granting of
such judgments
”.
[68]
We
have in the introduction to this judgment referred to the litigation
delinquency of the Fund, which has now been underlined by
the above
concessions. The virtual abdication of its responsibilities,
not only to plaintiff-litigants, but also to the Court,
justifies, in
our view the exercise of our discretion regarding costs, against the
Fund. This foreseeable result has been
accepted by the Fund in
the written heads of argument submitted on its behalf. We find
further that, in respect of the plaintiffs,
they should not be out of
pocket for litigation costs which the Fund could, and should have
prevented
[50]
. As a mark
of our displeasure, we are of the view that this justifies a costs
order on the scale as between attorney and
client.
[69]
As far as the
amici
goes, we are grateful for their contributions and assistance.
Even though the
amici
were motivated by wide-ranging reasons to take part in (or in some
instances even attempted to intervene) in the joint hearing
of the
matters, they were not so compelled to participate in the same
measure as, by necessity, the plaintiffs were. Different
considerations should therefore apply. For this reason,
although we find that the Fund should pay the costs of the
amici
,
it should be on the scale as between party and party, the balance of
costs remaining a consequence of the
amici’s
own choice of becoming involved in litigation.
Order
[70]
In the premises the
following orders are granted:
1.
It is declared
that it is generally not competent for a court to direct the Road
Accident Fund to furnish an undertaking as contemplated
in
section
17(4)(a)
of the
Road Accident Fund Act 56 of 1996
in circumstances
where the Road Accident Fund has not elected to furnish such an
undertaking, by default or otherwise.
2.
It is noted
that the Road Accident Fund has, during the course of the hearing of
this matter conveyed a “blanket election”
to furnish an
undertaking to compensate plaintiffs claiming compensation in terms
of
section 17
of the said Act, in respect of costs for the future
accommodation of any person in a hospital or nursing home or
treatment of or
rendering of a service or supplying goods to him on
her, after such costs have been incurred and on proof thereof or to
the provider
of such service or treatment directly, and the Road
Accident Fund has tendered that courts can take judicial notice of
this election.
3.
It is declared
that plaintiffs in actions against the Road Accident Fund are not
entitled to pursue the adjudication of non-pecuniary
damages in
absence of either the Road Accident Fund having accepted the injuries
in question as Constituting serious injury as
contemplated in
Section
17
(1A) of the
Road Accident Fund Act 56 of 1996
or of assessment of
such injuries as constituting serious injury by the appeal tribunal
contemplated in Regulation 3 of the Road
Accident Fund Regulations,
2008 (as amended).
4.
The Road
Accident Fund is ordered to pay the costs of the plaintiffs in case
numbers 77573/2018 and 54997/2020, on the scale as
between attorney
and client, including the costs of two counsel, where employed and
that of the curator
ad
litem
in
case no 77573/2018.
5.
The Road
Accident Fund is ordered to pay the costs of the
amici
curiae
, on
the scale as between party and party, including the costs of two
counsel, where employed.
6.
Matters
77573/2018 and 54997/2020 are postponed
sine
die
and it
is directed that those actions henceforth proceed separately before
the judges seized with the matters.
N
DAVIS
Judge
of the High Court
Gauteng
Division, Pretoria
E
VAN DER SCHYFF
Judge
of the High Court
Gauteng
Division, Pretoria
M
MUNZHELELE
Judge
of the High Court
Gauteng
Division, Pretoria
Date
of Hearing: 24
& 25 May 2022
Judgment
delivered: 2
November 2022
APPEARENCES
In
case no: 77573/2018 and
54997/2020
For
the Plaintiffs: Adv
R J de Beer
Attorney
for the Plaintiffs:
Surita
Marais Attorneys, Pretoria
For
the Defendant:
Adv
J F Mullins SC together
with
Adv T Pillay
Attorney
for the Defendant: Malatji
& Co Attorneys, Pretoria
For
the 1
st
Amicus: Adv
B P Geach SC together with
Adv
F H H Kehrhahn
Attorney
for the 1
st
Amicus: Van
Niekerk Attorneys, Pretoria
For
the 2
nd
Amicus:
Adv B P Geach
SC together with
Adv
F H H Kehrhahn
Attorney
for the 2
nd
Amicus:
Roets
&
Van Rensburg Attorneys,
Pretoria
For
the 3
rd
Amicus:
Adv J
Holland-Mter SC together with
Adv
L Swart
Attorney
for the 3
rd
Amicus:
Taute,
Bouwer & Cilliers Inc., Pretoria
For
the 4
th
Amicus:
Adv C van
Jaarsveld
Attorney
for the 4
th
Amicus:
Frans
Schutte Mathews Phosa Inc.,
Pretoria
For
the 5
th
Amicus:
Adv F R Memani
together with
Adv
K M Choeu
Attorney
for the 5
th
Amicus:
Mphahlele
& Masipa Attorneys, Pretoria
For
the 6
th
Amicus:
Adv L T Leballo
Attorney
for the 6
th
Amicus:
HC
Madike
Inc., Attorneys, Pongola
c/o
Madike Inc., Pretoria
[1]
Section 17 of the Road Accident Fund Act 56 of 1996 (the Act).
[2]
See, for example
Road
Accident Fund v Delport NO
2006 (3) SA 172
(SCA),
Bovungana
v Road Accident Fund
2009 (4) SA 123
(E),
Modise
v Road Accident Fund
2020 (3) SA 221
(GP),
Sayed
NO v Road Accident Fund
2021 (3) SA 538
(GP) and
Taylor
v Road Accident
Fund 2021 (2) SA 618 (GP).
[3]
At the time of hearing this matter, this was at a rate of
approximately 180 matters per week in this Division alone. A
similar situation, albeit at a lesser number, prevailed in the
Johannesburg Division of this court.
[4]
[2012]
ZASCA; 2012
(4) SA 593; see also
Bothma-Batho
Transport (EDMS) Bpk v S Bothma & Seun Transport
(EDMS)
Bpk
[2013] ZASCA 176
;
2014 (2) SA 494
para 10.
[5]
2017
(2) SA 34 (SCA).
[6]
Reference was made to
Law
Society of South Africa & another v Minister for Transport &
another
[2010] ZACC 25
;
2011 (1) SA 400
(CC) para 40;
Mvumvu
& others v Minister of Transport & another
[2011] ZACC 1
;
2011 (2) SA 473
(CC) at 479 para 20;
Englebrecht
v Road Accident Fund & another
[2007] ZACC 1
;
2007 (6) SA 96
(CC) para 23 and
Aetna
Insurance Co v Minister of Justice
1960 (3) SA 273
(A) at 285E-F’.
[7]
As set out in
Pithey
v Road Accident Fund
2014 (4) SA 112
(SCA) and
Law
Society of South Africa v Minister of Transport
2011 (A) SA 400 (CC) at para 66.
[8]
1979 (4) SA 961 (A).
[9]
(2014/12763) [2015] ZAGPJHC 86.
[10]
Above,
at footnote 9.
[11]
The
predecessor to section 17(4)(a) referred to was section 21(1C)(a) of
the Compulsory Motor Vehicle Insurance Act 56 of 1972.
It
read: “
[12]
A
J Kerr,
The
Principles of the Law of Contract
6ed (2002) at 380
[13]
Rowe
v Assistant Magistrate
,
Pretoria
1925 TPD 361
at 368.
[14]
R
v Sewgoolam
1961
(3) SA 79
(N) at 81.
[15]
S
v Ndlele
1984
(4) SA 131
(N) at 132.
[16]
R
v Morela
1947
(3) SA 147
(A) at 151.
[17]
R
v African Canning Co (SWA) Ltd
1954
(1) SA 197
(SWA) at 199F.
[18]
Ex
parte Minister of Justice: In re S v Cancalves
1976
(3) SA 629
(A) at 639E.
[19]
Absa
Bank v Mutual & Federal Insurance Co Ltd 2003 (1) SA 635 (W).
[20]
Boyce
NO v Bloem
1960
(3) SA 855
(T) at 863 and
Shell
Zimbabwe (Pvt) Ltd v Webb
1981 (4) SA 749
(ZA) at 753A.
[21]
2019
(5) SA 29
(CC) at paragraphs 29 – 32.
[22]
GNR.770
of 21 July 2008
GG
31249, as amended by R.347 of 15 May 2013
GG
36452.
[23]
Regulation
3(1)(b). The regulation provides for the so-called Whole Person
Impairment -, and narrative tests.
[24]
Regulation
3(3)(a).
[25]
Regulation
3(3)(b).
[26]
Regulation
3(3)(c).
[27]
Regulation 3(dA). Regulation 3(dA) was inserted by GNR.347 of 15 May
2013. Before the insertion of regulation 3(dA) regulation
3(d) only
provided that the Fund must, when it is not satisfied that the
injury has been correctly assessed, (i) reject the serious
injury
assessment report and furnish the third party with reasons for the
rejection; or (ii) direct that the third party submit
himself or
herself, at the costs of the Fund, to a further assessment to
ascertain whether the injury is serious in terms of
the method set
out in the regulations.
[28]
Regulation
3(e).
[29]
The
term ‘Registrar’ is defined in regulation 1 to mean ‘the
Registrar of the Health Professions Counsel of
South Africa
established in terms of section 2 of the Health Professions Act,
1974 (Act No. 56 of 1974).
[30]
2018
(3) SA 413 (SCA).
[31]
Road
Accident Fund v Duma and three similar cases
2013 (6) SA 9
(SCA)
(Duma)
at
par [19] and
Road
Accident Fund v Lebeko
2012 JDR 2176 (SCA) [2012] ZASCA (
Lebeko
).
[32]
Road
Accident Fund v Faria
2014
(6) SA 19
(SCA) (
Faria
)
at par [31].
[33]
Regulation
13(3).
[34]
3 of 2000
.
[35]
(698/16)
[2017] ZASCA 79
(1 June 2017) at par [14].
[36]
(49899/17)
[2020] ZAGPPHC (21 January 2020) at para [30] – [32].
[37]
2018
(4) SA 366
(SCA) at par [6].
[38]
[2012]
ZAGPJHC 161 (2012) JDR 1711 (GSJ).
[39]
2017
(1) SA 292
(CC) at par [12].
[40]
See
inter
alia
Faria
.
[41]
Duma
at
paragraphs [6] to [9].
[42]
Duma
at
para [19].
[43]
Duma
at para [19].
[44]
Mpahla,
at
par [14].
[45]
Mpahla,
at
par [17].
[46]
1947
(2) SA 1269
(A) at 1279.
[47]
Supra
,
at par [21].
[48]
See
also
Maqhutyana
and Another v Road Accident Fund
(CA 17/2020) [2021] ZAECMHC 30 (17 August 2021).
[49]
Van
Loggerenberg,
Erasmus
Superior Court Practice
at D5 – 6 and the cases cited in footnote1, starting with
Fripp
v Gibbon & Co
1913 AD 354.
[50]
See
in this regard
De
Sausa v Technology Corporate Management (Pty) Ltd
2017 (5) SA 577
(GJ) at 655C – 655J.
sino noindex
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