Case Law[2022] ZAGPPHC 979South Africa
Van Heerden v Road Accident Fund (62228/2018) [2022] ZAGPPHC 979 (23 November 2022)
High Court of South Africa (Gauteng Division, Pretoria)
23 November 2022
Judgment
begin wrapper
begin container
begin header
begin slogan-floater
end slogan-floater
- About SAFLII
About SAFLII
- Databases
Databases
- Search
Search
- Terms of Use
Terms of Use
- RSS Feeds
RSS Feeds
end header
begin main
begin center
# South Africa: North Gauteng High Court, Pretoria
South Africa: North Gauteng High Court, Pretoria
You are here:
SAFLII
>>
Databases
>>
South Africa: North Gauteng High Court, Pretoria
>>
2022
>>
[2022] ZAGPPHC 979
|
Noteup
|
LawCite
sino index
## Van Heerden v Road Accident Fund (62228/2018) [2022] ZAGPPHC 979 (23 November 2022)
Van Heerden v Road Accident Fund (62228/2018) [2022] ZAGPPHC 979 (23 November 2022)
Download original files
PDF format
RTF format
make_database: source=/home/saflii//raw/ZAGPPHC/Data/2022_979.html
sino date 23 November 2022
SAFLII
Note:
Certain
personal/private details of parties or witnesses have been redacted
from this document in compliance with the law and
SAFLII
Policy
IN
THE HIGH COURT OF SOUTH AFRICA
GAUTENG
DIVISION, PRETORIA
CASE
NO: 62228/2018
(1)
REPORTABLE: NO
(2)
OF INTEREST TO OTHER JUDGES: NO
(3)
REVISED.
Date:
23 November 2022
In
the matter between:
RENIER
VAN HEERDEN
Plaintiff
and
ROAD
ACCIDENT FUND
Defendant
DATE
OF JUDGMENT:
This judgment was handed down electronically by
circulation to the parties’ representatives by email. The date
and time of
hand-down is deemed to be 10h00 on
23 November 2022
.
JUDGMENT
KHASHANE
MANAMELA, AJ
# Introduction
Introduction
[1]
The plaintiff was injured in a motor vehicle accident in the evening
of
13 January 2017 on the R29 Kinross/Leslie road. He was 41 years at
the time of the accident as he was born on 27 September 1975.
The
plaintiff was the driver of one of the two motor vehicles involved in
the accident. He attributes the cause of the accident
to be the
negligent driving of the driver of the other motor vehicle (‘the
insured vehicle’). Due to the accident,
the plaintiff sustained
bodily injuries, including the following: head injury; fracture of
face right maxillary; fracture of right
orbit floor sinus; fracture
of right scapular blade; multiple fractured ribs; right haemothorax;
pulmonary contusion; grade 2 liver
laceration; open fracture of right
radius/ulna; open fracture of right femur; open wound on the right
elbow, and multiple soft
tissue injuries. He, consequently, suffered
damages in the form of past and future medical, hospital and related
expenses; past
and future loss of income, and general damages. On 29
November 2017, the plaintiff caused a claim for compensation to be
lodged
against the defendant by dispatch of the necessary form and
supporting documents to the defendant in terms of the provisions of
the Road Accident Fund Act 56 of 1996 (‘the Act’), but in
vain.
[2]
On 27 August 2018, the plaintiff caused summons to be issued against
the
defendant for compensation relating to the damages suffered as a
result of the accident in terms of the provisions of the Act. The
composite amount of the plaintiff’s claim was initially in the
amount just below R2 million. The claim was defended by the
defendant
until its defence was struck out by an order of this Court on 20 May
2022
per
Ndlokovane AJ. Thenceforth, the plaintiff pursued
default judgment proceedings against the defendant.
[3]
The matter came before me for a hearing by way of video link on 3
October
2022. Mr RG Bowles appeared on behalf of the plaintiff. Due
to, ostensibly, the striking-out of its defence there was no
appearance
on behalf of the defendant. I reserved this judgment after
listening to oral submissions by Mr Bowles for the plaintiff. The
judgment
also benefited from the written submissions filed by him on
behalf of the plaintiff in terms of the practice directive of this
Division.
[4]
Plaintiff’s counsel confirmed that the issues relating to
liability
or merits, future medical and hospital expenses, and
general damages have been disposed of in terms of the order of this
Court
referred to above. The issue of liability or merits was ordered
by the Court to the effect that the defendant will be fully (i.e.
100%) liable for the plaintiff’s damages, proven or agreed.
Therefore, the outstanding issues for determination relate to
past
medical expenses and loss of earnings, which were previously
postponed
sine die
.
# Evidence
and submissions on behalf of the plaintiff
Evidence
and submissions on behalf of the plaintiff
General
[5]
The plaintiff has a grade 10 qualification obtained in 1992. He had
failed
grade 4. He was employed at Pick-n-Pay over various years
after doing various internal short courses which were duly completed.
[6]
The plaintiff’s work history includes the following. From 1996
to June 2004 he was employed as a security guard on a permanent basis
at Oscar Victor Security. He quit this job in search of better
opportunities. From July 2004 to August 2006 he was employed as a
receiving manager on a permanent basis at OK Foods. He also quit
this
job for better opportunities. As from September 2006 to September
2012 the plaintiff was employed as a receiving and floor
manager at
Pick-n-Pay Secunda Mall on a permanent basis. Upon promotion he was
employed at Pick-n-Pay Corporate as acting store
manager in Leandra
from October 2012 to 13 January 2017, when he met the accident. The
plaintiff was absent from work for a period
of six months following
the accident. And from 3 August 2017 the plaintiff has been a floor
manager at Pick- n-Pay Secunda Mall.
[7]
To
establish his claims against the defendant, the plaintiff appointed
various medico- legal experts to assess his injuries sustained
during
the accident and their
sequelae.
The
plaintiff filed reports containing these experts’ respective
opinions. For purposes of the hearing, the experts also filed
affidavits to confirm the contents of their reports as evidence in
terms of the requirements of the practice directives of this
Division. I ruled that the reports by the various medico-legal
experts, subsequently confirmed under oath in terms of the affidavits
filed, be admitted in terms of Uniform Rule 38(2)
[1]
of this Court.
Plaintiff’s
injuries and/or sequelae
[8]
Apart from the injuries stated above, the plaintiff underwent a total
below-knee amputation of the right leg. I will return to this major
surgical procedure and its consequences, below. The plaintiff,
reportedly, also underwent subsequent surgery relating to his
abdominal injuries, two operations on the right ankle and a left
total knee replacement.
[9]
Currently, the plaintiff’s complaints include the following:
right
arm pain (resulting in weakness and difficulty carrying
objects); bilateral knee pain and stiffness (worsening in inclement
weather);
right shoulder and elbow pain, as well as significant right
ankle pain and decreased movement. And from recent examination, the
plaintiff’s complaints included significant shoulder, ankle and
knee impairment. Also, it has been postulated that the plaintiff
would require in the future revision total knee replacement. The
effect of the aforementioned complaints is that the plaintiff
struggles when walking, standing or sitting for long periods of time;
struggles when picking up heavy objects, climbing stairs
(which is
painful); has frequent headaches; psychological and cognitive
complaints (such as depression, irritability and problems
with
concentration).
[10]
The plaintiff’s complaints have the following effect on his
work environment. As stated
above, the plaintiff is the floor manager
at his workplace and, therefore, due to his current complaints or
deficits arising from
the accident he has problems walking, standing
and sitting for long periods during the day. These activities are
extremely painful.
He also experiences problems when climbing
staircases. His psychological deficits due to the accident has caused
his work pace
to become slower when compared to what it was before
the accident, due to what is referred to as ‘brain fog and
decrease
in concentration’. The latter affects the plaintiff’s
ability to focus whilst carrying out his daily administrative
or
management duties.
[11]
Overall, the plaintiff had suffered a combined Whole Person
Impairment or WPI of 38%. The plaintiff
was hospitalised and/or
received treatment for a period of 3½ weeks. He also received
rehabilitation, pain management, physiotherapy
and therapy for a
period of about 6 weeks. For a period of about 3 weeks the plaintiff
ambulated through the mode of wheelchair
and for a period of about a
week he used a walking frame.
[12]
The plaintiff, reportedly, also suffered brain injury as a result of
the accident. Apparently,
he lost consciousness after the accident
and only remembers waking up in hospital after a period of three
weeks. His Glasgow Coma
Scale or GCS was 2/10 upon admission.
[13]
As indicated above, the plaintiff also has a claim for past hospital,
medical and related expenses
arising from the injuries sustained in
the accident in the amount of R4 189 490.62. It is submitted on
behalf of the plaintiff
that the various vouchers substantiating the
aforesaid amount were furnished to the relevant department of the
defendant, but to
no avail. I will revert to this claim towards the
end.
Medico-legal
opinions or evidence
[14]
The orthopaedic surgeon expressed, among others, the following
opinions. Generally, the plaintiff’s
prognosis is poor and his
future work capacity would be significantly affected by the injuries
from the accident and/or their
sequelae
. He will be
permanently disabled due to his injuries and will only be able to
perform light duty or sedentary type of work. The
plaintiff, due to
the combined effects of all the orthopaedic and non-orthopaedic
injuries sustained in the accident is also possibly
permanently
disabled for any type of work up to the age of about 60 years. He may
also need revision surgery to his left knee as
he is still young and
the current prosthesis may fail in a few years’ time.
[15]
The following are some of the opinions expressed by the occupational
therapist regarding the
injuries sustained by the plaintiff and/or
the
sequelae
. Given the plaintiff’s ongoing symptoms,
the occupational therapist opines that the plaintiff would be
optimally suited for
sedentary to light nature of work tasks, albeit
that neither of which ought to be exerted on a constant basis. Also,
those tasks
should avoid the constant use of the lower extremities of
the body, such as walking, standing, squatting and kneeling. Further,
the plaintiff has to avoid static postures such as sitting on a
constant basis. Some of these tasks constitute inherent requirements
for the plaintiff’s job as a floor manager. The plaintiff has
already been in a temporary incapacity due to his current conditions.
[16]
The clinical psychologist’s opinions include the following. The
plaintiff had sustained
a severe head injury from the accident and
there is a possibility of the plaintiff having sustained a secondary
brain injury, due
to hypoxia post-accident. He suffers from
post-traumatic stress disorder and depressive disorder, due to the
traumatic brain injury.
The plaintiff, reportedly, has decreased
concentration abilities and the clinical psychologist also noted
cognitive difficulties.
Both are considered likely to impact
negatively on the plaintiff’s performance in any occupation
especially in tasks of a
more administrative nature. His productivity
and performance are likely to be negatively affected.
[17]
It is stated that the plaintiff was transferred to a floor manager
position at Pick-n-Pay in
Secunda Mall due to his limitations related
to driving and his need for supervisory assistance. Mr Duncan Oliver,
the current store
manager of Pick-n-Pay Corporate: Secunda Mall, was
contacted for collateral information. He, among others, stated the
following:
the plaintiff, post- accident, was unable to engage in all
various supervisory and physical duties required of an acting store
manager and was transferred to the store in Secunda as a floor
manager from 3 August 2017 to 1 August 2019.
[18]
The plaintiff was declared temporarily disabled after the accident
from 1 August 2019 until April
2022 and received 75% of his monthly
salary as a result. Thereafter, as from May 2022 the plaintiff
started working again as floor
manager under the supervision of Mr
Oliver at the Secunda store due to his physical limitations,
specifically related to walking
and standing during the day. The
plaintiff is said to require close supervision in his financial and
administrative duties subsequent
to the accident. Before the accident
the plaintiff was reportedly an effective acting store manager in
Leandra, which store had
thrived and flourished. He was on the verge
of becoming a permanent store manager at Leandra Pick-n-Pay store,
prior to the accident
due to his extensive work experience at
Pick-n-Pay and his two year stint as an acting store manager. Due to
his long loyal service
to Pick-n-Pay he has been accommodated
subsequent to the accident. Further collateral information was
obtained from Ms Lucelle
Jooste, the current Human Resource Manager
at Pick-n-Pay Corporate: Secunda Mall.
[19]
According to the industrial psychologist, the plaintiff’s loss
of earnings could be calculated
in the following scenarios or
calculation bases:
[19.1] Calculation
base 2A. This is considered to consist of very optimistic
assumptions. In terms of this base the plaintiff
would continue
working in his current position at Pick-n-Pay as a floor manager with
inflation related growth until retirement
age 60. Higher
post-accident contingencies are to be applied if this base is to be
used for calculations.
[19.2] Calculation
base 2B. This base is considered by the plaintiff to be conservative
probable scenario when considering
expert opinion. In terms of this
scenario or base, consideration ought to be given to what Dr A
Younus, the orthopaedic surgeon,
had mentioned, being that the
plaintiff would have to be re-evaluated after six months. It is
considered probable that the plaintiff
would be declared medically
permanently disabled. Therefore, for purposes of calculations it can
be accepted that the plaintiff
is declared permanently disabled to
work as from December 2022 and that from January 2023 he would
receive only 75% of his basic
salary and other benefits. Appropriate
higher contingencies are to be applied providing for the plaintiff’s
less than postulated
earnings.
[19.3]
Another approach urged upon to the Court is to calculate the average
between calculation base 2A
and 2B and apply appropriate higher
post-accident contingencies.
The
industrial psychologist’s addenda reports and plaintiff’s
amputation
[20]
The industrial psychologist prepared two
addenda
to the report
filed and stated, among others, the following. On or about 18 May
2022, the plaintiff informed his employer that he
was unable to cope
with his duties and the new position. The plaintiff applied for
permanent medical disability. He explained the
basis for his decision
to include the following: immense pain and difficulties experienced
when performing his duties, and his
consideration for amputation to
his right lower leg on medical advice previously obtained. He also
indicated urgent need for psychological/psychiatric
support and care.
[21]
The industrial psychologist reconsidered the basis for calculating
the plaintiff’s future
loss of income, stated above, and
expressed the following opinions:
[21.1] that, the
Base 2A of calculation, in terms of which it is assumed that the
plaintiff is to continue working for Pick-n-Pay
as a floor manager
upon considering recent changes regarding the plaintiff’s
employment status, is now highly unlikely.
[21.2] that, the
calculation under Base 2B, which in terms of expert opinion is more
probable, commencing with temporary disability
in June 2022 and
permanent disability from January 2023.
[21.3] that,
another alternative possible scenario, called calculation base 2C,
ought to be considered in terms of which the
plaintiff could lose his
employment through dismissal or resignation within the next few
months. This, it is submitted will lead
to temporary disability
payment to end December 2022 and no future earnings from January
2023, as the plaintiff would be considered
uncompetitive and
unemployable.
[22]
The plaintiff’s post-accident employability and work capacity,
according to medical opinion,
is dependent on prosthetic devices and
walking aids for the rest of his life. Further, it came out during
submissions by counsel
that the plaintiff’s right leg has
indeed been amputated by Dr Younus on 21 May 2022 as a result of the
accident. It is opined
that due to this surgical procedure, the
plaintiff will be immediately permanently disabled or be declared
permanently medically
disabled as from December 2022.
[23]
It is reported and/or submitted that the plaintiff - had the accident
not occurred - would have
a net past loss of income of R642 029.00;
net future loss of income of R3 059 006.00 and, therefore, total net
loss of income of
R3 701 035.00. These calculations are prior to the
application of contingencies. Counsel made submissions with regard to
the application
of contingencies to the aforementioned figures.
[24]
The following facts are also material for purposes of determination
of the award for future loss
of earnings. It is reported that a
certain Ms Jacobs provided collateral information with regard to the
plaintiff’s claim
for permanent disability. It is indicated
that Capital Alliance is the administrator of the provident fund of
Pick-n-Pay. As stated
above, the plaintiff was already on temporary
disability leave while being paid by Capital Alliance before he opted
to quit his
job and apply for permanent medical boarding. According
to Ms Jacobs if the plaintiff is declared permanently disabled by
Capital
Alliance, in her experience he will receive 75% of his basic
salary per month, if he is fully (i.e. 100%) disabled to work. The
plaintiff would also receive monthly additional benefits, such as
provident fund and medical aid, from the date of permanent disability
until retirement age.
Claim
for both medical, hospital and related expenses
[25]
As indicated above, the plaintiff has in addition to the loss of
earnings, claimed loss with
regard to past medical, hospital and
related expenses. A schedule detailing these expenses has been
included as part of the papers
accompanied by vouchers in the amount
of R4 189 490.62.
[26]
I indicated during the hearing that I require further evidence with
regard to the chain of evidence
relating to the claim for past
medical, hospital and related expenses. In addition to what was
already before the Court, I indicated
that evidence from a
functionary of the medical scheme be made available to the Court as
to how the computation and collation of
the information related to
this claim was done. The plaintiff’s legal representatives
provided the Court with some documents
and made supplementary
submissions in this regard received on 4 and 5 October 2022.
[27]
On 4 October 2022, Ms Faith Lingham, an employee of Momentum Health
Solutions (‘Momentum’)
deposed to an affidavit which was
also made available to the Court. She is employed as an administrator
in the motor vehicle accident
department of Momentum and she is based
in Cape Town. The material part of her affidavit includes the
following:
[27.1]
she confirmed that she attended the virtual hearing on 3 October 22.
She was ready to give factual
evidence in respect of the vouchers and
schedules for the plaintiff’s
claim in this regard.
Further, she confirmed that she has been advised by plaintiff’s
attorneys of record that the Court requires
further specific
evidence.
[27.2]
Momentum works in co-operation with Pick-n-Pay Health Scheme. Her
duties include drawing, assessing, identifying
and listing those
medical expenses which in the opinion of Momentum are recoverable
from the Road Accident Fund, the defendant
herein, in action
proceedings.
[27.3] How it works
is that Momentum will be notified of medical expenses recoverable
from the defendant. Momentum will contact
the policyholder and
confirm the details regarding the accident and also acquire members
undertaking in this regard.
[27.4] As an
administrator, Miss Lingham deals exclusively with accident-related
medical expenses and exclusively those to
be recovered from the Road
Accident Fund. She will assess the particular policyholder’s
entire claims’ history by identifying
from the payments history
those claims which are processed for payment containing, something
she describes as ‘ICD-10’
code. Such code will illustrate
‘MVA’, which refers to a motor-vehicle accident. Ms
Lingham will then calculate all
claims with the aforementioned code
and generate a list through the system. She will have to contact all
service providers individually
for purposes of acquiring the relevant
medical vouchers in terms of the list generated. Thereafter, she will
assess the corresponding
medical vouchers with the schedule that it
been generated and in her discretion separate vouchers relating to
the accident and
those relating to other ailments such as colds and
general ‘check-ups’. She would liaise with the
policyholders’
designated attorneys for purposes of providing
them with the necessary documentation. All this was done in this
matter, Ms Lingham
confirmed under oath in terms of her affidavit
deposed to on 4 October 2022.
[28]
Also, an affidavit by the Fund Manager of Momentum, namely, Ms Dawn
Theron, deposed to on 6 October
2022, was furnished. She is also
based in Cape Town as with Ms Lingham. Her job involves processing of
medical account invoices
on behalf of policyholders, such as the
plaintiff in this matter. The primary purpose of her affidavit was to
explain to the Court
how medical aid claims are handled by her
employer. The highlights of the content of her affidavit include the
following:
[28.1] that,
expenses relating to treatment of policyholders is covered in terms
of the ‘Scheme Rules’ at agreed
rates;
[28.2] that, the
professionals treating the policyholder would generate invoices using
the internal software for approval
by the medical scheme. Previously
they would generate invoices using internal software and send or
forward such invoices directly
to the medical scheme and upon receipt
of the medical scheme;
[28.3] that,
the medical scheme will assess the invoices according to the Scheme
Rules’ at agreed rates;
[28.4] that,
approval of such invoices can be with or without ‘co-payment’,
directly recoverable by the service
provider from the policyholder;
[28.5] that, Ms
Theron confirms that the vouchers included in the plaintiffs claim
for past medical and hospital expenses
‘have been received and
honoured by the Medical Scheme … and accounts have been
settled with the medical service providers’
in the amount of R4
189 490.62.
# Further
actuarial calculations and submissions
Further
actuarial calculations and submissions
[29]
On 7 November 2022, through my erstwhile registrar, I requested that
the following communication
be forwarded to the plaintiff’s
legal representatives:
2.1
the current actuarial calculation as appearing in the actuarial
report do not reflect the suggested
contingencies. Kindly furnish a
revised certificate reflecting application of the suggested
contingencies and the effect thereof
on the figures or calculations.
2.2
kindly also furnish a calculation ( in addition to what is requested
in 2.1 above) reflecting
application of 10%/20%, as opposed to
10%/30%, contingencies. It is the preliminary view of Manamela AJ
that the plaintiff may
still be able to use his skills in the same
industry or related industry in one capacity or the other, despite
his post-morbid
deficits.
2.3
kindly furnish further submissions as to the implications of the
monies that may be received by
the plaintiff from the insurer or
employer. There is reference to 75% pay-out. The implication of this
to the damages sought from
RAF has to be clearly explained by way of
further submissions.
2.4
kindly furnish medical confirmation under oath that the plaintiff has
been amputated. The plaintiff
himself may confirm this under oath, by
furnishing details of the procedure, the date and the doctor who
performed such procedure.
[30]
The legal representatives were also allowed to file legal submissions
they deem fit simultaneously
with the requested information by no
later than 18 November 2022.
[31]
On 17 November 2022, the legal representatives submitted the
requested information and made further
submissions, including the
following:
[31.1]
that, according to the industrial psychologist if the plaintiff is
medically boarded he would be
precluded from working in any other
capacity or for any other employer for the remainder of his career
life or whilst his disability
payments continue until retirement or
death;
[31.2]
that, on 21 May 2022 the plaintiff’s right leg received a
below-knee amputation. Consequently,
Dr Younus found that the
plaintiff will not be able to go back to work to perform his job and
should be placed on permanent disability
because he can no longer
walk.
[31.3]
that, in a letter dated 19 July 2022 the employer’s provident
fund and Capital Alliance stated
that the plaintiff is unable to
proceed with his occupation and consequently his disability benefit
will continue until re- evaluation
on 30 November 2022.
[31.4]
that, available information suggests that it is probable that the
plaintiff will be permanently medically
boarded at the beginning of
December 2022 and will probably receive a permanent monthly payment
of 75% of his monthly compensation
probably in line with his
September 2022 income.
[31.5]
that, the actuarial calculation of the plaintiff’s probable
permanent disability from 1 December
2022 should reflect his
temporary disability income as received on 25 September 2022.
Requested
actuarial calculation
:
[32]
It is submitted that the current actuarial calculation includes
suggested contingencies, but
no statutory cap is applicable.
[33]
The calculation of the plaintiff’s past loss of earnings
includes contingencies of 5% in
respect of pre-morbid past loss and
0% in respect of the post-morbid accident past loss and therefore in
the amount of R526 246.65.
With regard to the future loss of earnings
10% contingency deduction is effected to the pre-morbid earnings and
30% contingency
deduction is applied to the post-morbid to result in
a future loss of earnings amounting to R3 312 267.60. It is submitted
that
disability pay-out is taken into consideration to arrive at the
aforementioned amount. The plaintiff’s total net loss on this
calculation is in the amount of R3 838 514.25.
[34]
The calculation in terms of my preliminary view is as follows. The
amount suggested for plaintiff’s
past loss, stated above, is
left untouched or intact, being R526 246.65. With regard to future
loss of earnings 10% contingency
deduction is applied to plaintiff’s
pre-morbid income and 20% to post-morbid income. The future loss of
earnings amount in
terms of this calculation is R3 032 686.50.
Therefore, the calculation in terms of my preliminary view result in
the total net
loss of R3 558 933.15. This, evidently, is lower than
the figure of R3 838 514.25 by an amount of R279 581.10.
[35]
My preliminary view that the plaintiff may still ‘use his
skills in the same industry or
related industry in one capacity or
the other, despite his post-morbid deficits’ is criticised,
among others, for possible
adoption of an incorrect view that the
basis for the post-morbid ‘future loss postulation is premised
on actual earnings
and not disability pay’. It is submitted
that the postulation for post-morbid future loss of earnings is based
on the probable
medical boarding insurance pay-out of 75% of current
earnings, and not actual earnings as the true post- morbid earnings
amount
to nil. Further, the contingencies applied with regard to
post-morbid future loss are for ‘the possible risk that upon
medical
boarding review, such pay-outs are possibly terminated’.
In the event of this eventuality the plaintiff’s loss ‘will
in fact be far more than what is postulated and/or claimed’
and, therefore, the contingencies suggested in terms of my
preliminary
view should not be applied in favour of those suggested
on behalf of the plaintiff above. The main reason for this submission
is
that there is no guarantee that ‘upon yearly review and
assessment the medical boarding
would not
be reversed’
or that ‘permanentand lifelong medical boarding is guaranteed’.
Such an approach is conservative
and possibly prejudicial to the
plaintiff, the submission concludes.
[36]
Further, as already apparent above, the plaintiff’s counsel
gratefully explain the impact
of the 75% pay-out received or to be
received from the employer. There is no need to repeat what is stated
above or the submissions
in their full expanse, save that it is
submitted that monies received monthly as ‘pay-out,
are
not
reclaimable
from
the
defendant
in the circumstances …but constitutes
‘the
proverbial shortfall of 25%
claimed from the
defendant’.
[37]
There was also confirmation of the amputation of the plaintiff’s
right leg below the knee
by the plaintiff under oath, including by
way of photographs.
#
# Conclusion
Conclusion
[38]
Starting with the plaintiff’s claim for past medical and
hospital expenses, I hereby confirm
that, on the basis of the
available evidence some of which has been specifically referred to
above, I am satisfied that the plaintiff
has established his claim
against the defendant for past hospital, medical and related
expenses. I will grant default judgment
in the amount of R4 189
490.62
as an award for this claim.
[39]
With regard to the plaintiff claim for the future loss of earning
capacity, I consider the amount
of R3 558 933.15 to be fair and
reasonable compensation for this head of the plaintiff’s claim.
This figure comes from the
contingencies I suggested be applied in
terms of my preliminary view referred to above. I must mention though
that from the submissions
and explanation made I am now clear that
the plaintiff will not be able to be employed elsewhere as long as he
is the recipient
of the disability grant. But in my view the full
spectrum of the circumstances of this matter do justify the
contingencies applied
which led to the aforementioned amount to be
awarded the plaintiff in this matter.
[40]
The defendant will also be held liable for the costs, details of
which appear in the order below.
The details or terms of the order
reflected below essentially accords with the terms of the order
contained in the draft order
submitted by counsel in this matter,
save for the amount granted in respect of the plaintiff’s loss
of earning capacity.
# Order
Order
[41]
In the premises, I make the order, that:
1)
the defendant is ordered to pay the plaintiff a capital amount
of
R7
748 423.77 (seven million seven hundred and forty-eight thousand four
hundred and twenty-three rand and seventy-seven cents)
in full
and final settlement, which amount shall be paid into the trust
account of the plaintiff’s attorneys, Savage Jooste
& Adams
Incorporated, whose trust account details are as follows;
Name of account
holder: Savage Jooste & Adams Inc.
Name of
Bank:
NEDCOR – ARCADIA
Account
type:
Trust account
Branch
code:
16-33-45-07
Account
no:
[....]
Reference:
Mr Hayes/A Sinclair/RB1247
2)
the amount in 1) hereof is constituted as follows:
2.1
R 4 189 490.62 (four million one hundred and eighty-nine thousand
four hundred and ninety rand and sixty-two cents)
in respect of
the plaintiff’s claim for past medical, hospital and related
expenses, and
2.2
R3 558 933.15 (three million five hundred and fifty-eight thousand
nine hundred and thirty-three rand and fifteen cents)
in respect
of the plaintiff’s claim for past and future loss of earnings /
earning capacity.
3)
the amount in 1) and 6) hereof shall be paid into the trust
account
of Savage Jooste & Adams Incorporated, details of which are
provided in 1 hereof, within 180 (one hundred and eighty)
days from
the date of this order;
4)
should the defendant fail to make payment of the capital amount
within 180 (one hundred and eighty) days from the date hereof, the
defendant will be liable for interest on the amount due to the
plaintiff at the prescribed rate per annum, from the 15
th
(fifteenth) day of this order to the date of final payment;
5)
the defendant is expected to capture the payment of the capital
amount onto its “Registered Not Yet Paid” / (RNYP) list
by no later than 30 (thirty) days from the date of this order;
6)
the defendant is ordered to pay the plaintiff’s costs
of suit
of instructing and correspondent attorneys up to date, in respect of
quantum, on the party and party High Court scale,
and which costs
will include the costs of making the order of Court, if any, and
which costs will further include, but not be limited
to:
6.1
costs of attending to the examinations and obtaining the medico-legal
and such reports, addendum
reports, RAF4 forms, as well as the
qualifying fees, preparation fees, joint minutes and attendance fees
(if any), of the following
experts:
6.1.1
Ms Michelle Doran (Occupational Therapist);
6.1.2
Dr S Bismilla (Orthopaedic Surgeon);
6.1.3
Dr H van den Bout (Orthopaedic Surgeon);
6.1.4
Dr APJ Botha (Specialist Physician);
6.1.5
Mr Leon Roper (Clinical Psychologist);
6.1.6
Dr Majeed (Neurosurgeon);
6.1.7
Mr Barry Grobbelaar (Accident Reconstruction Expert);
6.1.8
Dr W Pretorius – (Industrial
Psychologist);
6.1.9
Mr Marco du Plooy (Orthotist);
6.1.10
Human & Morris – (Actuary); and
6.1.11
All Radiologist X-Ray Reports and / or MRI and CT scans requested by
any of the Experts as mentioned above.
6.2
reasonable costs relating to any further expert reports, not
specifically named herein, but appointed
and whose reports were
served by the plaintiff’s attorneys;
6.3
reasonable taxable costs of transportation at AA rate and
accommodation of the plaintiff to attend
the medico-legal
examinations;
6.4
costs of counsel to date, including the preparation costs, drafting
of heads of argument, further
submissions and costs of attending the
pre-trial conferences, trial interlocutory court, attendances to
trial on 03 October 2022,
and costs relating to the further
submissions and other activities at the instance of the Court between
7 and 17 November 2022;
6.5
costs of counsel previously involved in Judicial Case Management
appearances;
6.6
costs of the instructing and correspondent attorneys, which includes
reasonable travelling costs
at the AA rate, costs for preparing for
Pre-Trial Conferences, and costs for actual attendances to Pre-Trial
Conferences, Pre-
Trial Agenda’s, and Pre-trial minutes, costs
of preparation and drafting of the Trials Interlocutory Court
Application, costs
for preparing for trial and attendance to trial on
03 October 2022, costs of formulating the draft order, costs relating
to the
further submissions and other activities at the instance of
the Court between 7 and 17 November 2022; request for further
particulars,
drafting of all expert confirmatory affidavits, trial
readiness affidavits, directive compliance affidavits and all Rule
35(9)
notices to date;
6.7
costs of the Trials Interlocutory Court Application, including the
preparation costs and drafting
of same and counsel’s appearance
on 07 March 2022;
6.8
reasonable costs for preparation for trial for instructing and
correspondent attorneys;
6.9
reasonable costs of the plaintiff attending court including
travelling expenses at the AA rate
and accommodation expenses (if
any), and
6.10 costs of
the preparation of 1 trial bundle as per the Gauteng High Court
Directives and as agreed upon in the Pre-Trial
Minutes.
7)
should the defendant fail to pay the plaintiff’s party
and
party costs, as taxed or agreed, within 14 (fourteen) days from the
date of taxation, alternatively date of settlement of such
costs, the
defendant shall be liable to pay interest at the prescribed rate per
annum on such costs as from and including the date
of taxation,
alternatively the date of settlement of such costs up to and
including the date of final payment thereof;
8)
the plaintiff shall, in the event that the parties are not in
agreement as to the costs referred to in paragraph 6 above, serve the
notice of taxation on the defendant and shall allow the defendant
14
(fourteen) court days to make payment of the taxed costs, and
9)
it is noted that there is no Contingency Fee Agreement between
the
plaintiff and the plaintiff’s attorneys.
Khashane
La M. Manamela
Acting
Judge of the High Court
Date
of Hearing
: 03 October 2022
Date
of Further Submissions
: 17
November
2022
Date
of Judgment
: 23 November 2022
Appearances
:
For
the Plaintiff
: Mr RG
Bowles
Instructed
by
: Savage Jooste
& Adams Attorneys, Pretoria
For
the Defendant
: No
appearance
[1]
Uniform Rule 38(2) reads as follows: “The witnesses at the
trial of any action shall be orally examined, but a court may
at any
time, for sufficient reason, order that all or any of the evidence
to be adduced at any trial be given on affidavit or
that the
affidavit of any witness be read at the hearing, on such terms and
conditions as to it may seem meet: Provided that
where it appears to
the court that any other party reasonably requires the attendance of
a witness for cross-examination, and
such witness can be produced,
the evidence of such witness shall not be given on affidavit.”
sino noindex
make_database footer start
Similar Cases
Van Niekerk v Road Accident Fund (40408/2016) [2023] ZAGPPHC 645 (2 August 2023)
[2023] ZAGPPHC 645High Court of South Africa (Gauteng Division, Pretoria)99% similar
van der Merwe v Road Accident Fund [2023] ZAGPPHC 176; A283/2020 (10 March 2023)
[2023] ZAGPPHC 176High Court of South Africa (Gauteng Division, Pretoria)99% similar
Van Tonder v Road Accident Fund (19470/2021) [2024] ZAGPPHC 227 (5 March 2024)
[2024] ZAGPPHC 227High Court of South Africa (Gauteng Division, Pretoria)99% similar
van Rooyen v Road Accident Fund [2023] ZAGPPHC 116; 73266/2017 (22 February 2023)
[2023] ZAGPPHC 116High Court of South Africa (Gauteng Division, Pretoria)99% similar
Van Heerden v Minister of Police (2024-008691) [2024] ZAGPPHC 116 (6 February 2024)
[2024] ZAGPPHC 116High Court of South Africa (Gauteng Division, Pretoria)99% similar