Case Law[2025] ZAWCHC 111South Africa
Hassen v Road Accident Fund (25336/2009) [2025] ZAWCHC 111 (17 March 2025)
Judgment
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# South Africa: Western Cape High Court, Cape Town
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## Hassen v Road Accident Fund (25336/2009) [2025] ZAWCHC 111 (17 March 2025)
Hassen v Road Accident Fund (25336/2009) [2025] ZAWCHC 111 (17 March 2025)
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sino date 17 March 2025
IN
THE HIGH COURT OF SOUTH AFRICA
(WESTERN CAPE
DIVISION, CAPE TOWN)
Case
number: 25336/2009
In the matter between:
SHEREEN
HASSEN
Plaintiff
and
THE
ROAD ACCIDENT
FUND
Defendant
JUDGMENT
DELIVERED ON 17 MARCH 2025
VAN
ZYL AJ
:
Introduction
1.
The plaintiff is a 49-year-old woman who
was born on 15 August 1975. She was involved in a motor vehicle
accident in Athlone
on 31 December 2008, when the taxi in which she
was a passenger collided with another vehicle.
2.
This action was subsequently instituted
pursuant to the provisions of the
Road Accident Fund Act 56 of 1996
.
The matter has taken an inordinately long time to reach this Court.
On the morning of the hearing the parties indicated
that the
defendant was about to make an offer of settlement, and the hearing
stood down for that purpose. By midday, however,
no offer had
been forthcoming, and the trial proceeded in the afternoon.
Although counsel for the defendant indicated that
the defendant still
intended to make offer in the days following the hearing, more than a
week have since gone by without a proposal
– hence this
judgment.
3.
The
defendant has conceded the merits of the action, and accepted
liability to compensate the plaintiff for 100% of her proven or
agreed damages. The only issues that remain in dispute are the
quantum
of the plaintiff’s claims for past loss of earnings and for
loss of earning capacity,
[1]
as
well as whether the plaintiff is entitled to a statutory undertaking
in terms of
section 17(4)(a)
of the Road Accident Fund Act for the
payment of the costs associated with future hospital, medical and
related treatments required
as a result of the injuries sustained in
the collision.
4.
At
the outset, the plaintiff made application under Uniform Rule 38(2)
for the evidence of various expert witnesses,
[2]
namely Dr P. Olivier (orthopaedic surgeon), Ms C. Bell (occupational
therapist), Ms E. Auret-Besselaar (industrial psychologist),
and Mr
W. Boshoff (actuary at Munro Forensic Actuaries) to be led by way of
affidavit. The relevant expert evidence is contained
in the
following reports:
4.1.
Dr Olivier: report dated 15 September 2015
and addendum report dated 20 January 2025;
4.2.
Ms Bell: report dated 7 September 2010 and
addendum report dated 23 January 2025;
4.3.
Ms Auret-Besselaar: report dated 11
February 2020 and addendum report dated 22 November 2023; and
4.4.
Munro Forensic Actuaries: actuarial report
dated 8 April 2022.
5.
The application was unopposed, and was
granted.
6.
The
plaintiff gave oral evidence at the hearing. The defendant did
not present any evidence, expert or otherwise.
[3]
The injuries
sustained by the plaintiff
7.
The injuries sustained by the plaintiff and
the consequences thereof are not in dispute.
8.
As indicated, the plaintiff was a passenger
in a taxi on the day of the collision. She was sleeping when the taxi
turned over onto
its right-hand side as a result of the impact. She
was seated next to the window on the right-hand side of the taxi, and
sustained
injuries to her right shoulder and cervical area.
9.
The plaintiff was taken by ambulance to the
Vanguard day hospital. She had an abrasion wound which required
dressings, and an X-ray
of her shoulder was performed and reported as
normal. She was treated for a soft tissue injury and abrasions (there
was glass in
her arm), as well as a possible rotator cuff injury to
the right shoulder. She was discharged on the same day with
pain medication
and a sling to support her arm, and had regular
dressings and physiotherapy for about three weeks thereafter.
10.
The plaintiff currently complains of pain
which is present in the right shoulder region. She says she has
arthritis in the
shoulder. From the medical reports it appears
that the pain is present over the right scapular area, as well as
over the
region of the sternoclavicular joint. The symptoms are
exacerbated when the plaintiff tries to perform strenuous physical
activities
such as carrying heavy objects. She also experiences pain
when she sleeps on the right shoulder.
11.
The plaintiff says that she is aware of a
virtually continuous pain which is present in the right side of her
neck radiating to
the right shoulder since the accident. She is aware
of pain in her cervical area when she attempts to turn her head to
look behind
her. Despite physiotherapy, analgesics and
anti-inflammatories, the symptoms have become progressively worse
over the past
few years.
12.
The
following appears from Dr Olivier’s
[4]
report: Dr Olivier examined the plaintiff on 15 September 2014,
and again on 20 January 2025. His examination indicates paravertebral
muscle spasm of the cervical area, tenderness to palpation over the
spinous process of the mid-cervical region, and painful and
mildly to
moderately restricted passive range of flexion, extension, lateral
flexion and rotation of the cervical spine. Movement
causes pain over
the right side of the neck as well as over the scapular region.
13.
Examination of the right shoulder indicates
tenderness to palpation over the medial aspect of the
sternoclavicular joint, with signs
present of the rotator cuff
tendonitis situated in the supraspinatus portion of the rotator cuff.
14.
Dr Olivier's examination is consistent with
pathology in the right sternoclavicular joint as the medial aspect of
the sternoclavicular
joint is less obvious when compared to the
normal opposite side and is suggestive of posterior subluxation of
the medial aspect
of the right clavicle. The findings are consistent
with a posterior dislocation of the medial aspect of the clavicle in
respect
with the sternum. The plaintiff experiences discomfort over
the right sternoclavicular joint during the passive range of
movement.
X-rays taken on 15 January 2025 indicate
paravertebral muscle spasm of the cervical spine with significant
narrowing present of
the disc between C5 and C6, and retrolisthesis
of C5 in respect with C6.
15.
Dr Olivier is of the view that the
plaintiff sustained an injury to the cervical area when she was
involved in the accident. Her
symptoms are compatible with the
clinical findings as well as the radiological findings. The presence
of significant degenerative
changes is regarded to be post-traumatic
in nature rather than age-related. He advises that provision
should be made for
the conservative treatment for future pain in the
cervical area as well, because of cervical spondylosis. Conservative
treatment
will include follow-up visits, anti-inflammatories,
analgesics, physiotherapy and occupational therapy, as well as
approximately
two cervical rhizotomy procedures.
16.
Although the plaintiff will benefit with
initial conservative treatment, provision must be made for an
anterior cervical fusion
in due course. Based on the radiological
appearance, the fusion will incorporate the levels between C4 and C5,
as well as C5 and
C6.
17.
Dr Olivier indicates that accelerated
degenerative changes are expected in the discs adjacent to the
anticipated fusion area which
will probably be responsible for
intermittent mechanical neck pain. This condition is permanent.
18.
As to the plaintiff’s right shoulder,
Dr Olivier is of the opinion that she sustained an injury to the
right sternoclavicular
joint. She remains symptomatic and will
probably develop degenerative changes involving the sternoclavicular
joint on the right
side. According to Dr Olivier, the plaintiff will
benefit with the surgical procedure whereby a painless
pseudoarthrosis is created
by means of resection of the articular
surface of the medial aspect of the clavicle. Although this procedure
will alleviate her
pain, it will not contribute towards her shoulder
function, as residual instability is expected. Despite this
procedure, Dr Olivier
is of the opinion that the stability and
therefore the functionality of the shoulder girdle will be
compromised permanently.
19.
According to Dr Olivier, as the plaintiff
is predominantly right-handed it is anticipated that the presence of
pathology in the
right shoulder girdle would have a significant
negative impact on her capacity to perform physical activities,
especially overhead
manual activities.
The plaintiff’s
educational and employment background
20.
The plaintiff’s educational and
employment background is also not disputed, and no impact was made in
cross-examination on
the plaintiffs narrative.
21.
Psychologist Ms Auret-Besselaar sets out
the plaintiff’s educational and work history in her initial
report. The plaintiff
also furnished oral evidence in this
respect.
22.
The plaintiff attended Arcadia Secondary
School from Standard 6 (now Grade 8) to Standard 8 (Grade 10). She
left school during Standard
8 at the age of 16. Her highest completed
level of education is Standard 7 (Grade 9).
23.
From 1999 until November 2008, the
plaintiff was employed as a saleslady at an outfit called Choice
Clothing, earning about R2 500,00
per month towards the latter part
of that period. She resigned in November 2008, because new
management imposed strict working
conditions and she found the shift
work difficult. She had young children to care for at the time.
24.
The accident occurred on 31 December 2008,
and the plaintiff did not return to work. She remained
unemployed from 31 December
2008 until January 2010.
25.
From January 2010 to March 2010, the
plaintiff was employed as a lifeguard at the Bonteheuwel Municipal
Pool on a 3-month contract.
She testified that she was unable to do
life-saving duties, because she could not swim fast enough because of
the pain in her shoulder.
She was thus unable to complete the
training to be employed as a lifeguard due to the injuries.
26.
However, the supervisor at the pool knew
her well (she had been an avid swimmer prior to the collision, and
had previous aspirations
of working as a lifeguard), and appointed
her to do patrolling and cleaning duties on the pool deck and the
restrooms. The
plaintiff earned about R7 500,00 to R7 800,00
per month during this time. She struggled with the duties
because of the pain,
however, and could not have her contract
renewed.
27.
From February 2010 until March 2011, the
plaintiff worked as a cleaner on an
ad
hoc
basis for two to three days per
week, earning R100,00 to R150,00 per day.
28.
From April 2011 until September 2011, the
plaintiff remained unemployed.
29.
She eventually returned to the Bonteheuwel
Municipal Pool with the request of renewing her contract to earn
better wages. She was
unsuccessful as she was obliged to complete the
lifesaver training program which required 100% physical ability and
mobility. The
plaintiff had to be very active to perform the required
duties, and she was unable to complete the lifesaver training program
due
to the chronic pain and restricted mobility in her right
shoulder. She was, instead, offered a job as pool patroller, which
was
a contract position again for 3 months only. She therefore worked
from October 2011 to December 2011 at the Bonteheuwel Municipal
Pool
as a pool patroller, earning R6 300,00 per month.
30.
After that contract ended, she remained
unemployed until 2013 when she worked for 4 months at Britos Butchery
in Mitchell’s
Plain as a cashier and packer, for a wage of
R650,00 per week. She was again unable to cope due to her injuries,
as she had to
work in cold conditions in the freezer area. Packing
meat into and out of the freezer caused the plaintiff to suffer
increased
pain in her right shoulder.
31.
From 2013 to 2014, the plaintiff remained
at home whilst searching for a more suitable job. In 2015, she worked
at the Bonteheuwel
Civic Centre as a cleaner of the community and
town halls as an EPW contractor for 3 months.
32.
After her contract ended the plaintiff did
not look for more cleaning jobs due to her neck and shoulder
limitations, and the increased
pain that she experienced whilst doing
cleaning work. She testified that she could not bear the pain
anymore.
33.
The plaintiff has since been remained
unemployed.
The experts’
views in respect of the plaintiff’s ability to work
Dr Olivier
34.
Insofar as the plaintiff’s ability to
work is concerned, Dr Olivier is of the opinion that she should be
able to perform a
job that entails sedentary duties, semi-sedentary
duties, or light operational duties. She is not able to perform a job
that requires
more strenuous activities, as the functional
restrictions to which I have referred earlier in this judgment are
permanent. The
plaintiff is not suited to perform activities that
entail the lifting of heavy objects, and she must be regarded as
unable to haul
herself from a swimming pool during a routine
lifesaving procedure. Dr Olivier concludes that the plaintiff is not
suited to perform
the duties of a lifesaver on a permanent basis.
Ms Bell
35.
Occupational therapist Ms Bell evaluated
the plaintiff on 7 September 2010, and again on 23 January 2025.
Ms Bell is of the
opinion that the plaintiff has reduced muscle
strength in the right shoulder girdle. Her physical endurance
capacity of the·right
upper limb is impaired, and she is
restricted to very light category tasks with the right (the dominant)
upper limb. Prolonged
exposure to very light tasks contributes
to sensory dysfunction in the right upper limb. The plaintiff’s
productivity in
physical tasks is limited by residual right upper
limb symptoms, and she suffers right-sided neck musculature which is
tight with
pain.
36.
Ms Bell is of the view that the plaintiff’s
ability to manage her domestic tasks is limited to some extent by
these residual
symptoms. She does these tasks in a piecemeal manner,
with frequent rests in between to accommodate the right upper limb.
She seeks assistance with heavier tasks at home.
37.
According to Ms Bell, the plaintiff’s
scope of employment is restricted, and her future work capacity is
restricted to very
light category tasks, with accommodations required
in relation to her right shoulder and neck symptoms. The
problems currently
experienced by the plaintiff include a restriction
of the mobility of the right shoulder and shoulder girdle,
particularly in sustaining
a position at or above shoulder height,
residual weakness of the right shoulder girdle and shoulder
musculature, the impaired endurance
of muscles of the right shoulder
and shoulder girdle.
38.
Ms Bell is of the view the plaintiff is
unable to manage the physical tasks associated with lifesaving at a
swimming pool or at
the seaside. She can also not work
productively in the cleaning tasks associated with public swimming
pool maintenance.
39.
As to the future, Ms Bell provides for
evaluation and intervention by a biokineticist, adaptation should she
drive a motor vehicle
to a power assisted steering wheel, domestic
assistance for medium and heavy tasks and tasks requiring agility and
prolonged mobility
for one day a week, a daily carer for two hours in
the morning and two hours in the evening in her senior years, a
wheeled tea
trolley to carry things in the home, and assistance from
a clinical psychologist regarding ambiguous losses associated with
the
injury, residual impairments, functional losses and future
interventions and outcome.
Ms Auret-Besselaar
40.
Psychologist Ms Auret-Besselaar assessed
the plaintiff on 12 May 2011, 5 November 2019, and 21 November 2023.
According to
Ms Auret-Besselaar, the plaintiff had always been
occupied in physically demanding jobs such as a cleaner, sales lady,
cashier
and packer, and patroller at a municipal pool.
41.
Given her love and talent for swimming, the
plaintiff would most likely have completed a qualification as a
municipal lifeguard/lifesaver
earning approximately R10 000.00 per
month (in 2020 terms) for 3 months per year. When not occupied
as a lifeguard for that
period, she had other job options available,
such as being a sales lady or cashier or cleaner. In this regard her
income varied
from R100,00 to R150,00 per day (in 2011 terms), 2 to 3
days per week as a cleaner, and R500,00 per week working 5 days per
week
(in 2013 terms) as a cashier, which also required of her to do
manual packing duties.
42.
Ms Auret-Besselaar states that it is
reasonable to assume that the plaintiff’s pre-accident earning
capacity can be determined
at the midpoint between the median of the
unskilled job level, to the median of the semi-skilled job level in
the non-corporate
sector, that is, between R37 900,00 per
annum and R86 000,00 per annum. This equates to R63 400,00
per annum (with
reference to Robert Koch’s “
The
Quantum Yearbook
”, in 2020
terms). According to Ms Auret-Besselaar, no further career
progression would have occurred, and the plaintiff
would have
remained earning at this level with annual inflationary adjustments
until the retirement at the age of 65 years.
43.
Considering the medical evidence, the
plaintiff is restricted in her physical capacity to work as a
lifeguard or any other physically
demanding job. Despite her
attempts to find a job, she has not been able to secure a suitable
role. Diven that
future degeneration is evident, her pain
and restrictions will never restore her to her pre-accident level of
functioning. Ms
Auret-Besselaar is of the opinion that the
plaintiff’s employability has been significantly restricted and
finding a suitable
job in her injured state will become more
difficult, if not impossible, over time, considering the degenerative
injuries of her
cervical area and shoulder. Ultimately, despite
attempts, the plaintiff will become unemployable, with no residual
earning
capacity.
44.
A
physical disability which impacts on the capacity to an income
obviously does not, on its own, reduce the patrimony of an injured
person. There must be proof that the reduction in the income earning
capacity did, and will, result in actual loss of income.
[5]
It is in the present matter clear from the plaintiff’s work
record after the collision that she is unable to maintain
employment
which has a physical element to it, other than very light physical
duties.
45.
It appears form the evidence, too, that the
plaintiff could well have had a fulfilling career as lifeguard, in
addition to employment
opportunities encompassing her other work
experience. She is not averse to working, and is otherwise
healthy. She is
49 years old at present, and thus has 16 years
left prior to retirement at the age of 65. As she states,
however, the pain
has become “unbearable”. There is
no indication on record – or any suggestion from the defendant
- that
this situation is anything but a consequence of the injuries
suffered in the collision.
The
quantum
of the plaintiff’s claims: Munro Forensic Actuaries
46.
The report of Munro Forensic Actuaries
dated 8 April 2022 is based on Ms Auret-Besselaar's opinion and the
figures reflected in
her report.
47.
Contingencies
of 5% and 10% have been applied to past and future uninjured earnings
respectively.
The
Quantum Yearbook
[6]
indicates, in respect of contingencies, that a sliding scale of ½%
per year to retirement is usually applied. It is indicated
that the
defendant usually agrees to deductions of 5% for past loss and 15%
for future loss – these are the so-called normal
contingencies.
48.
Contingencies
are within the Court’s discretion:
[7]
“
[43]
It is for this reason that a
trial court has a wide discretion when it comes to determining
contingencies.
An appeal court
will therefore be slow to interfere with a contingency award of a
trial court and impose its own subjective estimates….
[44]
Some general rules have been established in regard to contingency
deductions, one being the age of a claimant.
The
younger a claimant, the more time he or she has to fall prey to
vicissitudes and imponderables of life. These are impossible
to
enumerate but as regards future loss of earnings they include, inter
alia, a downturn in the economy leading to reduction in
salary,
retrenchment, unemployment, ill health, death, and the myriad of
events that may occur in one’s everyday life. The
longer the
remaining working life of a claimant, the more likely the possibility
of an unforeseen event impacting on the assumed
trajectory of his or
her remaining career.
Bearing this in mind, courts have, in a pre-morbid scenario,
generally awarded higher contingencies, the younger the age of the
claimant. This court, in
Guedes,
relying
on Koch’s Quantum Yearbook 2004, found the
appropriate pre morbid contingency for a young man of 26
years
was 20 per cent which would decrease on a sliding scale as the
claimant got older. This, of course, depends on the specific
circumstances of each case but is a convenient starting point.”
49.
There has been no suggestion that the
contingencies applied in the present matter are unreasonable, or that
other contingencies
should be applied. Taking these
contingencies into account, the plaintiff’s past loss of income
amounts to R536 400.00,
and the value of her future loss of earning
capacity amounts to R880 560.00.
The statutory
undertaking under
section 17(4)(a)
of the
Road Accident Fund Act
50.
It
is clear from the available medical
evidence that the plaintiff might well incur costs in the future
arising from the injuries
she sustained in the collision. No
argument has been presented to me as to why the plaintiff is not
entitled to the relevant
statutory undertaking.
Costs
51.
There is no dispute between the parties
that cost should follows the event.
52.
It
is trite that the award of costs falls within the discretion of this
Court.
Rule 67A(3)
, which came into effect on 12 April 2024,
requires that counsel’s fees in the context of party-and-party
costs in the High
Court be awarded on Scale A, B, or C, as the case
may be. This amendment applies prospectively in relation to work done
on a matter
after 12 April 2024.
[8]
53.
Rule 67A(3)(b)
, in relation to the scale of
counsel’s fees, refers to considerations which may include the
complexity of the matter, the
value of the claim and the importance
of the relief claimed. This is clearly not a closed list of
considerations. In
the exercise of my discretion on the
available facts as a whole, I am of the view that an award of
counsel’s fees on Scale
B is warranted in the present matter.
Order
54.
In the circumstances, the following order
is granted:
55.
Leave is granted for the evidence of the
following expert witnesses to be given on affidavit under Uniform
Rule 38(2):
0cm; line-height: 150%">
55.1.
Dr P. Olivier (orthopaedic surgeon);
55.2.
Ms C. Bell (occupational therapist);
55.3.
Ms E. Auret-Besselaar (industrial
psychologist); and
55.4.
Mr W. Boshoff (actuary).
56.
The costs of the application under
Rule
38(2)
are costs in the action.
57.
The defendant is ordered to:
57.1.
pay to the plaintiff the sum of R536
400,00 in respect of past loss of income;
57.2.
pay to the plaintiff the sum of R880
560,00 in respect of loss of earning capacity; and
57.3.
furnish to the plaintiff an undertaking
in terms of
section 17(4)(a)
of the
Road Accident Fund Act 56 of 1996
in respect of 100% the costs associated with future medical, hospital
and related expenses, including the costs relating to the
future
accommodation of the plaintiff in a hospital or nursing home or
treatment of or rendering of a service or supplying of goods
to the
plaintiff after the costs have been incurred, and on proof thereof,
and arising from the motor vehicle collision which occurred
on 31
December 2008.
58.
Payment of the capital payment shall be
effected directly to the plaintiff’s attorneys of record by
means of electronic transfer
into such account as may be nominated by
them. The defendant shall pay the capital amount within 180
days from the date of
this order.
59.
The plaintiff shall not be allowed to
proceed with a warrant of execution in relation to the capital amount
prior to the expiry
of 180 days following the date of this order.
60.
The defendant shall pay interest on the
capital sum of R1 416 960,00 (R536 400,00 plus R880 560,00) at
the prevailing rate
of interest, calculated from 14 days after date
of judgment to date of final payment.
61.
The defendant shall pay the plaintiff’s
costs of suit on the High Court scale, including the qualifying
expenses of the expert
witnesses in respect of whom expert reports
have been delivered, as well as counsel’s fees taxed on Scale B
in respect of
work done after 12 April 2024.
62.
In relation to the plaintiff’s
expert witnesses, the costs shall include the taxed or agreed
expenses of the experts listed
below, the traveling expenses incurred
by the plaintiff in consulting with the experts, the taxed or agreed
costs attached to the
procurement of the medico legal and other
reports, including x-rays, pathology reports and addendum reports and
all experts reports
in respect of which
Rule 36(9)(a)
& (b) and
Rule 36(9)(a)(i)
& (ii) notices have been delivered, and all
expert reports furnished to the defendant’s attorney or the
defendant by
way of discovery or otherwise. The experts are:
62.1.
Dr JS Sagor, orthopaedic surgeon;
62.2.
Dr Brian Bernstein, orthopaedic surgeon;
62.3.
Dr Piet Olivier, orthopaedic surgeon;
62.4.
Christine Bell, occupational therapist;
62.5.
Esther Auret-Besselaar, industrial
psychologist; and
62.6.
Munro Forensic Actuaries.
63.
Payment of the taxed or agreed costs
shall be due within 180 days following taxation or settlement, and
shall be effected by electronic
transfer to the plaintiff’s
attorney’s nominated trust account.
64.
The plaintiff shall serve a notice of
taxation on the defendant in the event that costs are not agreed.
65.
The plaintiff shall not be allowed to
proceed with a warrant of execution prior to the expiry of 180 days
following the date of
taxation or settlement.
66.
The defendant shall pay interest on the
costs referred above at the prevailing rate of interest, calculated
from 14 days after the
date of taxation or settlement of the costs,
to date of final payment.
P. S. VAN ZYL
Acting judge of the
High Court
Appearances:
For
the plaintiff:
Mr A. J. du Toit, instructed by DSC Attorneys
For
the defendant:
Ms M. Mothilal, State Attorney
[1]
See
Santam
Versekeringsmaatskappy Bpk v Byleveldt
1973 (2)
SA 146
(A) at 150A-C.
[2]
The
plaintiff had also delivered reports from Dr J. Sagor and Dr B.
Bernstein, both orthopaedic surgeons.
[3]
The
plaintiff was cross-examined, but no heads of argument were
submitted, and no oral argument presented, on the defendant’s
behalf.
[4]
Orthopaedic
surgeon.
[5]
Rudman
v Road Accident Fund
2003
(2) SA 234
(SCA) at para [11].
[6]
Koch,
2023 at p 123.
[7]
Road
Accident Fund v CK
2019 (2) SA 233
(SCA) at paras [43]-[44]. Emphasis added.
[8]
See
the discussion in
Wanga
v Road Accident Fund
(case number 4503/2021, unreported judgment of the Western Cape High
Court (per Adams AJ) delivered on 19 November 2024) at paras
[7]-[11].
sino noindex
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