Case Law[2025] ZAWCHC 147South Africa
Simayile-Sigijimi v Road Accident Fund (5465/2021) [2025] ZAWCHC 147 (31 March 2025)
Judgment
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# South Africa: Western Cape High Court, Cape Town
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## Simayile-Sigijimi v Road Accident Fund (5465/2021) [2025] ZAWCHC 147 (31 March 2025)
Simayile-Sigijimi v Road Accident Fund (5465/2021) [2025] ZAWCHC 147 (31 March 2025)
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IN
THE HIGH COURT OF SOUTH AFRICA
(WESTERN
CAPE DIVISION, CAPE TOWN)
REPORTABLE
Case
Number: 5465/2021
In
the matter between
NOLUVUYO
SIMAYILE-SIGIJIMI
PLAINTIFF
and
ROAD
ACCIDENT FUND
DEFENDANT
JUDGMENT
Date
of hearing: 12 March 2025
Date
of judgment: 31 March 2025
BHOOPCHAND
AJ:
1.
The Plaintiff is a 36-year-old female. She was involved in an
accident on 25 September 2019 when a motor vehicle collided with her.
She was a pedestrian. The Defendant is the statutory body
established
under the Road Accident Fund Act, 56 of 1996 (‘the RAF Act’)
to pay compensation for loss or damages wrongfully
caused by driving
motor vehicles.
2.
The unresolved issues included the issue of liability and the
Plaintiff’s claim for damages. The parties agreed to a
truncated trial under Rule 39(20). The Court would hear testimony
on
the issue of liability. If Defendant were found liable, it would
determine the Plaintiff’s claim for general damages based
on
the papers and the written arguments submitted by the legal
representatives. The expert reports relied upon would be supported
by
the Rule 38(2) affidavits in place of the experts testifying.
LIABILITY
3.
The Plaintiff’s testimony was brief. She remembered crossing
the R300 in Mitchell’s Plain and nothing else. She broke down
in the witness box, and any attempt to elicit any further information
came to nought. Ms Yanga Koyo (‘Koyo’) was then called on
behalf of the Plaintiff. She testified that she and two companions,
one of which was the Plaintiff, were walking to Westgate Mall from
Samora Machel. It was shortly after midday. The three reached
the
dual-lane Vanguard Expressway. They were walking on the pavement. The
third member of the trio was Nosipo, who had since passed
away. They
were familiar with the road and had walked it many times.
4.
A minibus taxi heading northwards, i.e. away from Mitchells
Plain,
turned against the red light, intending to proceed southwards in the
direction it had traversed. The trio were walking a
short distance
away from the robot. Koyo heard the sound of tyres squealing, and the
taxi knocked the Plaintiff. The Plaintiff
was on the pavement. The
two others escaped the collision. The taxi sped off. The Plaintiff
did not lose consciousness. She phoned
the emergency services for
assistance. The owner of the vehicle arrived. She accompanied the
plaintiff to the police station in
Samora Machel. They refused to
assist. They then went to Mitchell’s Plain Hospital. The
Plaintiff received attention. Koyo
left the hospital at about 6 pm.
The Plaintiff spent six days in hospital.
5.
Koyo underwent cross-examination. She testified that the Vanguard
Expressway is a busy road in the mornings and evenings but not busy
during the day. The trio were walking with their backs to the
traffic. They could not see the traffic behind them. They were
walking to the left of the yellow line. The Plaintiff was hit on
her
right shoulder and suffered a ‘hole’ in the head on the
left side. Blood oozed from the head and leg injuries.
The taxi owner
met them at the police station. None of the trio were walking on the
road surface. The pavement she referred to
was not made of concrete
blocks but had a concrete pathway. Nosipho and the Plaintiff walked
on the concrete path, while she walked
on the gravel, away from the
pathway. The gap between the concrete and the yellow line was tarred.
6.
The Court attempted to establish the layout of the pavement
relative
to the road surface. The walking area alongside the road was slightly
elevated, and the yellow line was less than a metre
away from where
the trio were walking.
7.
The Plaintiff raised the usual grounds of negligence encountered
in
road accident claims, such as failing to keep a proper lookout and
driving at an excessive speed, etc. She also pleaded
that the
driver of the insured vehicle made a U-turn when it was dangerous
and/or inopportune to do so. The evidence supported
the latter
ground, but it was not a ground of negligence on which the Plaintiff
could rely. The driver changing direction against
a red robot did not
lead to the accident. The Plaintiff led evidence that the cause of
the accident was the driver mounting the
pavement and colliding with
her off the tarred surface of the roadway. That would constitute
evidence of negligence unless controverted
by the Defendant. The
problem is that Plaintiff did not plead this material fact.
8.
The pleadings are intended to outline the material facts on
which the
plaintiff relies for their claim. Courts often emphasise the
importance of consistency between the pleaded case and the
evidence
presented during the trial. Suppose a plaintiff's testimony
introduces a fact not explicitly stated in the particulars
of claim,
such as the driver mounting the pavement and striking her. In that
case, the court may consider this evidence if it aligns
with the
broader allegations of negligence. The grounds of negligence, cast
generally, which include the driver's failure to take
adequate
measures to avoid the accident, may rescue the plaintiff’s case
in this instance. This omission could have resulted
in Plaintiff
being non-suited unless she applied to amend her particulars without
prejudice to Defendant.
9.
It
emphasises the need for the legal representatives to ensure that the
case they intend to lead is properly reflected in the pleadings.
The
onus was always on the Plaintiff to prove her case. The purpose of
pleadings is to inform the opposing party of the case they
must meet
and to assist the court in clearly and precisely determining the
factual and legal issues in dispute. However, deviations
may be
permitted if they do not result in procedural unfairness.
[1]
The Defendant appreciated the evidence, and no objections were
raised. The Defendant interrogated the Plaintiff’s witness
about her testimony that placed the trio off the road when the
collision occurred. In the circumstances, the Court accepts the
evidence as there is no discernible prejudice to the Defendant.
10.
Defendant pleaded, among other things, that Plaintiff had positioned
herself
on a ‘trafficable surface’ of a public road at a
time when it was unsafe, inopportune, and/or dangerous to do so.
Defendant
pleaded that the insured driver was in the process of
reversing when Plaintiff crossed the road in the path of the
(behind?) vehicle.
The Defendant also pleaded for an apportionment of
liability.
11.
The Defendant argued that Koyo was uncertain about how far the yellow
line was
from the edge of the pavement and that she could not confirm
whether Plaintiff was walking on the road surface or within the
emergency
lane. The latter does not accord with the evidence.
Although Koyo was insecure about the distance from the concrete
pathway to
the yellow line, her evidence consistently placed
Plaintiff off the road surface. The defendant did not seriously raise
their defence
that the Plaintiff was hit by a reversing vehicle or
make out a case for apportionment of liability. The Defendant did not
call
any witnesses.
12.
The
Plaintiff argued that a driver is required to exercise reasonable
care towards pedestrians. A motorist is
prima
facie
negligent when they strike a pedestrian on a sidewalk.
[2]
A pedestrian on a sidewalk, which is allocated for their use, is not
obliged to look and see whether a vehicle is approaching that
may
collide with them.
[3]
A
motorist who permits any part of their vehicle to protrude onto the
sidewalk would be
prima
facie
negligent. The vehicle colliding with a pedestrian on a sidewalk is
in a position where it has no right to be.
13.
In the circumstances, the Defendant is liable for the Plaintiff’s
damages.
GENERAL
DAMAGES
14.
The
Plaintiff sustained injuries to her head, right lower limb, and left
shoulder. She suffered a fracture of her right supra-orbital
wall and
an injury to the trigeminal cranial nerve causing neuralgia
[4]
.
The Plaintiff sought R1 250 000 under this head of
damages but submitted that an award of R800 000 would
be
suitable. The Defendant contended for an award of R400 000.
15.
The Plaintiff filed seven expert reports in support of this claim.
They included
a Neurologist, Orthopaedic Surgeon, Ophthalmologist,
Clinical Psychologist with an interest in neuropsychology,
Occupational Therapist,
and Speech Therapist. The Defendant did not
file any expert reports.
16.
The
Plaintiff's appointed neurologist assessed the Plaintiff in October
2020. She reviewed the hospital notes, which indicated that
the
Plaintiff was conscious on admission. A computerised tomography scan
(CT scan) suggested a supraorbital fracture. She was diagnosed
on
discharge, five days after admission, with a diffuse brain injury.
[5]
The Neurologist described the Plaintiff’s emotional state
during the assessment. She broke down and cried at least twice
during
that consultation. Some of the other experts noted a similar
reaction. The same situation repeated itself in Court four
years
later, and proceedings had to be adjourned. The reaction is
inexplicable. The Neurologist suspected that the majority of
the
Plaintiff’s symptoms are related to depression and anxiety
rather than true cognitive fallout, given the Plaintiff’s
‘essentially normal’ CT brain scan. The expert documented
chronic headaches and backache, right eye tiredness, and
multiple
somatic complaints
[6]
, for which
the Plaintiff resisted medication. She had symptoms related to her
right knee. The Plaintiff had a mildly disfiguring
scar on her
forehead. The Neurologist elicited hypersensitivity over the
distribution of the fifth cranial nerve in its branches
and stated,
rather profoundly, that she believed it to be a genuine finding.
[7]
The expert concluded that the Plaintiff can perform her daily
activities of living adequately. The Plaintiff has reached
maximum medical improvement and should benefit from psychological
intervention.
17.
The Clinical Psychologist found, through testing, that the
plaintiff’s
attention and concentration results were variable.
Her motor dexterity was impaired, and she had difficulties initiating
speech.
Her verbal memory was influenced by distraction and delay,
but her visual memory was intact. Her visuospatial and
perceptual
abilities were intact. On testing executive functioning,
the Psychologist noted that the Plaintiff was distracted by pain. The
expert found that the executive testing was predominantly impaired.
Although drawing a correlation between the severity of the brain
injury and anticipated neuropsychological fallout, the expert
suggested that the fracture to the Plaintiff’s orbit may well
indicate damage and some shearing to the brain neurons. She accepts
that the Plaintiff’s symptoms may well be a result of
some mood
disorder but that the sequelae of the perceived brain injury
co-exist. She goes on to say that the genesis of the behavioural,
cognitive and emotional changes is academic and must be accepted as a
result of the accident. She then diagnosed the Plaintiff
with Major
Depressive Disorder and recommended both psychiatric assessment and
psychological interventions. She concluded by stating
that
significant improvement from a neuropsychological perspective was not
expected. The Psychologist’s assessment
was performed in
May 2021.
18.
The Occupational Therapist was more forthright. She referred to the
Plaintiff’s
decreased resilience to pain and suspected a
psychological component to the Plaintiff’s reaction. The expert
qualified the
statement by saying that it was not attributed to
malingering or a conscious attempt to magnify her symptoms, but
rather part and
parcel of her symptomatology.
19.
In her second report, following an assessment on 25 June 2024, the
expert noted
that the Plaintiff was more composed than previously,
able to provide a clear account of her current situation, and more
concise
in her responses. The Plaintiff received treatment at her
local clinic and a general practitioner. She received analgesia,
which
she took daily and used anti-inflammatories occasionally. She
began a gentle exercise regimen at her local gymnasium. She has
received
counselling from her pastor since her divorce. She has lost
weight, and her self-esteem has improved. She accepted her facial
disfigurement
and wanted to encourage others to do the same. The
birth of her third child had given meaning to her life, helped her
remain positive,
and stabilised her mood. The Plaintiff’s
self-report included a myriad of somatic and functional symptoms.
20.
The Plastic Surgeon provided a schematic drawing of a face,
illustrating the
distribution of the right supraorbital and
supratrochlear nerves and depicted the area of anaesthesia to the
left of the midline.
He initialled the drawing. It is unclear as to
why this drawing was included in the report. The area of anaesthesia
is on the opposite
side of the face to where the injury to the orbit
occurred. The Plastic Surgeon identified the scar from the laceration
to the
forehead and the slight asymmetry of the Plaintiff’s
face that could be surgically revised. He did not recommend any
surgical
intervention for the knee, leg, or shoulder. He drew a
correlation between facial injuries and psychological symptoms.
21.
The Ophthalmologist found no visual disability from the right orbital
wall fracture.
22.
The Speech Therapist found word retrieval deficit, poor cognitive
lexical search
strategies and executive dysfunction, disturbances of
complex attention, mental tracking difficulties and poor verbal
working memory,
preserved ability to think abstractly, poor verbal
selective attention and difficulties in sustaining auditory
attention, compromised
complex listening comprehension skills, the
latter forming part of the Plaintiff’s receptive communication
difficulties,
central auditory dysfunction and impaired
conversational skills. The Speech Therapist considered it highly
probable that the Plaintiff’s
expressive and receptive
communication impairments are attributable to traumatic brain injury
sustained in the accident. The expert,
like the Psychologist,
acknowledged the Plaintiff’s depressive symptoms but believed
that the Plaintiff’s communication
difficulties likely and
understandably contributed to her disturbances of mood, her
irritability, and her social withdrawal. The
Speech Therapist
assessed the Plaintiff in May 2021.
23.
The Speech Therapist provided an addendum report based on a follow-up
assessment
on 26 September 2024. She elicited the history that the
Plaintiff’s husband had deserted her, and she was filing for a
divorce.
She gave birth to another child two years after the Speech
Therapists initial assessment. The Plaintiff obtained work for one
and
a half months in 2022. The Plaintiff had enrolled for a sewing
course, which she aimed to complete in October 2024. The Therapist
concluded after her second assessment that the Plaintiff’s
accident-related sequelae about speech had remained the same.
The
expert does not refer to whether the Plaintiff sought psychiatric or
psychological treatment.
24.
Two
Orthopaedic Surgeons assessed the Plaintiff. The Plaintiff does not
seem to rely on the first expert who assessed her in November
2021.
She provided a more recent report from another Orthopaedic Surgeon
dated 16 September 2024. The second expert agreed with
the findings
made by the first expert, who diagnosed soft tissue injuries to the
lumbar spine, right shoulder, and right knee,
all of which would be
amenable to medication. The first expert assessed the Plaintiff’s
whole-person impairment relating
to her soft tissue injuries to be
6%.
[8]
The second Orthopod found
the examination of the spine, knees and shoulder to be normal.
25.
The Defendant submitted three cases for the Court’s
consideration. None
of the victims in those cases suffered a brain
injury or psychological symptoms. The Plaintiff could not source any
comparable
awards.
EVALUATION
26.
The evidentiary base supporting the claim for general damages is
confounding.
As a starting point, the Court observed the Plaintiff’s
emotional reaction when asked questions relating to the accident.
The
hospital notes confirm a head injury with bruising of the right
forehead that required suturing and a fracture of the right
orbital
wall. The Neurologist did not grade the brain injury except for
recording that the hospital diagnosed a diffuse injury
without an
open intracranial wound. She referred to the CT scan, which was
normal except for the fracture of the orbit wall. The
Ophthalmologist’s examination indicated normal visual
functioning.
27.
The
Neurologist suspected the majority of the Plaintiff’s symptoms
to be related to anxiety and depression rather than true
cognitive
fallout. The expert conducted an examination of the Plaintiff’s
gait. She described it as follows: “There
was extremely
exaggerated impairment whilst doing tandem gait, unable to keep her
balance, wobbling dramatically all over the place.
This is likely
functional.”
[9]
28.
The test results of the Clinical Psychologist and Speech Therapist
suggest florid
neuropsychology deficits and communication problems.
They acknowledged the Neurologist’s opinion but attributed the
deficits
elicited to the sequelae of organic brain injury.
Neither of them considered whether a mood disorder could influence
their
test results, although they noted pain and distraction whilst
testing. Neither suggested re-testing after psychiatric or
psychological
intervention. The Defendant did not appoint any
experts. The only suggestion that the Plaintiff may have residual
symptoms is her
reaction in the witness box. She let out a loud wail
and began crying once the topic of the accident was broached. There
is no
indication that she has sought psychological or psychiatric
interventions over the years or that she is on any psychotropic
medication.
29.
In at least two of the three updated reports, there has been
documented improvement
in the Plaintiff’s social and mental
functioning. The Orthopaedic report excludes sequelae from the
accident-related injuries
to the right shoulder, knee, and
lumbosacral spine. A thread of optimism regarding the Plaintiff’s
general functioning runs
through the Occupational Therapist’s
second report, although the conclusions are guarded. There is
no recent neuropsychology
report.
30.
The Court accepts as proven that the Plaintiff suffered a brain
injury that
should not have caused cognitive fallout, disfigurement
from her facial scarring and mild asymmetry of her face, and loss of
amenities
of life from her inadequately explained or updated
reactions to references to the accident. The Plaintiff suffered acute
pain and
psychological distress. The chronic or ongoing sequelae have
improved to the extent that the Plaintiff enrolled for a sewing
course
and seeks medical attention occasionally. After considering
all these factors, the Court awards the Plaintiff R500,000 in general
damages.
31.
The Plaintiff provided a draft order, which has been adjusted in the
order that
follows. The order covers the standard undertaking
statutorily provided to accident victims, which includes coverage for
future
medical expenses and payment provisions for the Plaintiff’s
and experts' costs, as well as the costs incurred in obtaining
payment thereof. The Plaintiff sought her party and party costs, as
well as counsel’s costs on the C scale. The order also
makes
provision for the further conduct of the remaining head of damages
relating to loss of earnings. The dates provided by the
Plaintiff for
the further conduct of this matter have been adjusted to accommodate
the date of this order.
ORDER
1. The
Defendant is liable for the Plaintiff’s proven damages arising
from her injuries and their sequelae
of a motor vehicle accident that
occurred on 25 September 2019,
2. The
Defendant shall provide the Plaintiff with an undertaking in terms of
section 17(4)(a) of the Road Accident
Fund Act 56 of 1996 (‘the
undertaking’) to compensate the Plaintiff for her future
medical expenses and costs arising
from her accident-related injuries
on 25 September 2019 and their sequelae. The undertaking shall cover
the Plaintiff’s costs
of future accommodation in a hospital or
nursing home or the treatment or rendering of services for the supply
of goods after the
costs have been incurred and upon proof thereof.
3. The
Defendant shall pay the Plaintiff’s attorneys the sum of
R500 000 (Five hundred thousand rand)
(‘the capital’)
by way of an electronic transfer into the attorney’s trust
account, the details of which are
set out below.
4. The
Defendant shall pay the Plaintiff’s taxed or agreed-upon party
and party costs, including the taxed
or agreed fees of Counsel on
scale C.
5. The
Defendant shall pay the taxed or agreed costs of the reports and
qualifying expenses (where relevant and
incurred) of the following
medico-legal experts:
6.1
Dr A Richardson,
6.2
Dr K Cronwright,
6.3
Dr P A Olivier,
6.4
Dr A Perrot
6.5
Dr D Ogilvy,
6.6
Ms E Burke,
6.7
Ms E Carey
6. The
Defendant shall be liable for interest on the capital from 14
(fourteen) days of this order, and from 14
(fourteen) days of the
finalisation of the taxed or agreed costs at the prescribed rate of
interest.
7. The
Defendant shall pay the costs involved in obtaining payment of the
capital and other costs referred to
in the preceding paragraph,
8. The
banking details of the Plaintiff’s attorney’s trust
account are:
Account:
A Batchelor & Associates
Bank:
ABSA Bank
Branch:
Heerengracht, Cape Town
Branch Code:
632756
Account number:
4[…]
9. The
Defendant shall have the Plaintiff assessed by an Industrial
Psychologist and Occupational Therapist at
an agreed date.
10. The Defendant shall
file the respective medico-legal reports by 16 May 2025.
11. The parties shall
file a joint minute of the corresponding experts by 9 June 2025.
12. The matter is
postponed for the determination of the Plaintiff’s claim for
loss of earnings to the judicial case management
roll by 12 June
2025.
Bhoopchand AJ
Acting Judge
High Court
Western Cape Division
Judgment was handed down
and delivered to the parties by e-mail on 31 March 2025
[1]
Robinson v Randfontein Estates
Gold Mining Co Ltd 1921 AD 168
[2]
Mosaval v Minister of Posta and
Telecom
1978 (1) SA 369
(C ).
[3]
Mashigo v Santam Insuransie
Maatskappy Bpk. 1973 (1) SA 156 (A)
[4]
rigeminal neuralgia causes
sudden, intense facial pain like an electric shock or stabbing
sensation. The pain typically affects one side of the face and can
be triggered by everyday activities, such as brushing one’s
teeth, eating, or even a gentle breeze. The trigeminal nerve is one
of 12 cranial nerves that connect the brain to the head and
neck.
[5]
A diffuse brain injury affects
multiple areas of the brain rather than a single specific
spot. It
can occur when the brain is shaken or jolted inside the skull, such
as during a car accident or a fall. This movement
can stretch or
tear the brain's nerve fibres, called axons, which are responsible
for sending signals between different parts
of the brain. As a
result, communication within the brain can be disrupted, leading to
a wide range of symptoms
[6]
When a doctor mentions
"multiple somatic symptoms," they are referring to
physical symptoms that a person experiences, such as pain, fatigue,
or shortness of breath, which may not always have a clear
medical
explanation. These symptoms can occur in different parts of the body
and might be linked to a condition like somatic
symptom disorder. In
such cases, the focus is often on how the person reacts to these
symptoms—such as excessive worry,
distress, or difficulty
functioning—rather than the symptoms themselves.
[7]
The fifth cranial nerve is the
trigeminal nerve. It is responsible for both sensory
and motor
functions. It provides sensation to the face, including areas like
the forehead, cheeks, and jaw. It also helps control
the muscles
involved in chewing.
[8]
Whole Person Impairment (WPI)
is a way to measure how much an injury or condition
has permanently
affected a person’s ability to function in daily life. It's
expressed as a percentage, with higher percentages
indicating more
severe impairments. There are specific guidelines to assess WPI e.g
the type of injury, its impact on different
parts of the body, and
whether the condition has stabilised. This measurement is often used
in legal or insurance contexts to
determine compensation for
injuries. It forms part of the initial assessment in road accident
compensation to determine whether
an accident victim’s should
receive compensation for general damages.
[9]
The description of a response
as being ‘functional’ means that it is not
due to a
structural or organic problem. In this case, the nervous
system is not working properly, but there is no detectable
damage or
disease causing the symptoms.
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