Case Law[2024] ZAKZDHC 87South Africa
Manqana v Road Accident Fund (D4007/2017) [2024] ZAKZDHC 87 (2 December 2024)
Headnotes
(a) The neuropsychologists, Dr Hardy and Dr Gumbi agreed that the
Judgment
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# South Africa: Kwazulu-Natal High Court, Durban
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## Manqana v Road Accident Fund (D4007/2017) [2024] ZAKZDHC 87 (2 December 2024)
Manqana v Road Accident Fund (D4007/2017) [2024] ZAKZDHC 87 (2 December 2024)
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sino date 2 December 2024
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IN THE HIGH COURT OF
SOUTH AFRICA
KWAZULU-NATAL LOCAL
DIVISION, DURBAN
CASE NO: D4007/2017
In the matter between:
KAYALETHU
MANQANA
Plaintiff
and
ROAD ACCIDENT
FUND
Defendant
ORDER
The following order is
granted:
1.
Judgment is granted against the defendant in respect of general
damages in the amount of R 425 000.00.
2.
The defendant is directed to furnish to the plaintiff an undertaking
envisaged in
section 17(4)(a)
of the
Road Accident Fund Act 1996
for
85% of the costs of all future accommodation of the plaintiff in a
hospital or nursing home and all medical treatment or rendering
of
service or supplying of goods to him arising out of the injuries he
sustained in a motor vehicle collision that is the subject
matter of
these proceedings and to compensate him therefore after such expenses
have been incurred.
3.
The payment of the amount in paragraph 1 is to be affected within 180
calendar days from 2 December 2024.
4.
The defendant is directed to pay interest on the amount referred to
in paragraph 1 above at a rate of
11,5% per annum calculated from the
181
st
calendar day from 2 December 2024 to date of
payment.
5.
The defendant is directed to make payment of the plaintiff’s
taxed or agreed party and party scale
cost to date, not already
covered by a previous cost order, at Scale B, such costs to include:
(i)
the reasonable and necessary costs of counsel,
including counsel’s
reasonable costs for his preparation for trial, such costs to include
preparation of written submissions,
as well as reasonable costs of
counsel and the attorney for attending on any necessary consultations
with the undermentioned expert
witnesses and the plaintiff;
(ii)
the fees and expenses reasonably incurred for the undermentioned
experts for
inter alia
, the experts reasonable qualifying
fees, their reasonable reservation fees, and the reasonable fees of
attending upon any necessary
consultations with the plaintiff’s
counsel and attorney to testify at trial (with the quantum of their
fees to be determined
by the Taxing Master) namely:
(aa) Dr
L Rajah – orthopaedic surgeon
(bb) Dr
M Du Trevou – neurosurgeon
(cc) Dr
R M Hardy – neuropsychologist
(iii)
the plaintiff is directed in the event of the aforementioned costs
not being agreed to:
(aa)
serve the notice of taxation on the defendant’s attorneys of
record;
(bb) to
allow the defendant 180 calendar days to make payment of the taxed
costs.
(iv)
the defendant is directed to make payment in terms of the costs
directly to the trust account of the plaintiff’s attorneys
whose details are as follows:
Name:
Askew Martin & Adrain Incorporated Trust Account
Bank:
Nedbank
Branch:
A[…]
Branch code: 1[..
Account No.: 1[….]
Reference:
[….]
6.
It is recorded the defendant’s link number is 4[...].
JUDGMENT
Tucker AJ
[1]
The plaintiff seeks judgment for the balance of its claim
against the defendant arising out of the injuries sustained by the
plaintiff
on 6 October 2016 at Umlazi when he, as a pedestrian, was
driven into by one Mr Mdlalose.
[2]
With all other aspects of the claim having already been
resolved between the parties, what remained for determination at the
hearing
was the quantification of general damages and the issue of
future medical expenses.
[3]
As became apparent in argument, the determination of both of
these heads of damages rested predominantly on a singular question of
law – whether all injuries sustained in an incident are
relevant for the determination of general damages, or limited
portions
of those injuries where multiple RAF4 serious injury
assessment forms have been submitted and part of the injuries
determined as
serious.
Background
[4]
The procedural background relevant for the matter can be
summated as follows.
[5]
The defendant’s liability for the plaintiff’s
injuries arising out of the incident were settled between the parties
on the basis that the defendant would be liable for 85% of the
plaintiff’s proven damages.
[6]
Moreover, and also as a result of settlement, an order was
taken by consent on 3 June 2024 in respect of loss of earnings,
together
with ancillary relief thereto. The remaining portions
of the claim of general damages and future medical expenses was
adjourned
to 25 November 2024 for hearing.
[7]
It was furthermore agreed that the issue of general damages
would be argued on the papers as they stand, both sides having
obtained
comprehensive medico legal reports and there being joint
minutes available between the parties as neuropsychologists,
occupational
therapists and industrial psychologists.
[8]
The plaintiff had also filed affidavits by its experts
confirming the contents of their respective reports.
[9]
There was nothing in contention of much moment between the
experts where joint minutes were obtained. In summary:
(a)
The neuropsychologists, Dr Hardy and Dr Gumbi agreed that the
neuropsychological assessments demonstrated a neurocognitive deficit
acquired as a result of a head injury. They are further
of the
view that given the plaintiff’s acquired physical cognitive and
emotional difficulties, his prognosis for educational
and vocational
potential is poor. Recommendations were further made for
psycho-educational and family counselling, amongst
other future
medical expenditure.
(b)
The occupational therapists, Ms Kisten and Ms Govender, agreed
that
while the outcomes of vocational capabilities formed a matter of
dispute both recognised the knee injuries sustained by the
plaintiff
and recommended referral to a physiotherapist and occupational
therapist for further treatment.
[10]
The plaintiff furthermore had obtained reports from Dr Rajah,
a specialist orthopaedic surgeon, and Dr Du Trevou, a specialist
neurosurgeon.
[11]
In Dr Rajah’s report, which was not countered by any
expert by the Defendant, Dr Rajah noted evidence of left knee
cruciate
instability, assessed an anterior cruciate laxity of grade
2. This had led to decreased thigh circumference on the left
leg,
the tendency to hyperflex the left knee.
[12]
Dr Rajah was of the view there was a possibility that a
reconstruction may later be required on the left knee, together with
treatment
on the right knee for the soft tissue injuries sustained.
[13]
Dr Rajah concluded his report and completed RAF4 serious
injury assessment by stating that the orthopaedic injuries sustained
by
the plaintiff constituted a 6% whole person impairment.
[14]
Dr Du Trevou, specialist neurosurgeon, also assessed the
plaintiff. Dr Du Trevou’s view was that the injuries
sustained
constituted a mild brain injury, in part deferring to the
results of the assessment of clinical psychologist, Dr Hardy.
[15]
Dr Rajah and Dr Du Trevou both completed separate RAF4 forms,
a practice which is neither envisaged nor precluded under the
Road
Accident Fund Act 56 of 1996
, but a practice which has become common
place nonetheless.
[16]
In Dr Rajah’s RAF4 assessment, he opined that the
orthopaedic injuries constituted a 6% whole person impairment, but
also
stated that the injuries constituted a “serious long-term
impairment or loss of body function” under the narrative test.
[17]
Dr Du Trevou in his separately completed RAF4 assessment
stated that the injuries sustained by the plaintiff constituted a 27%
whole
person impairment, comprised of the weighted average of the 24%
diagnosed by Dr Hardy as a Class III impairment of MSCHIF, a Class
1
disfigurement at 3%, and ongoing headaches at 1%.
[18]
Two further important aspects from this form are:
(a)
Dr Du Trevou was of the view that under the narrative test
the
injuries also constituted a severe long term mental or severe long
term behavioural disturbance or disorder.
(b)
The annotation was specifically made at page 4 of the report:
‘
To this must be
added any orthopaedic impairment.’
[19]
These two RAF4 forms and their treatment is what has caused
the dispute between the parties that serves before the Court.
Both RAF4 assessments were submitted to the defendant, and both were
rejected. Both were subsequently taken on appeal by the
plaintiff to the Health Professions Council of South Africa.
[20]
Curiously, the Health Professions Council refused the appeal
in respect of Dr Du Trevou’s RAF4 serious injury assessment,
but upheld the appeal in respect of Dr Rajah’s RAF4 serious
injury assessment stating that the Council was in agreement that
the
orthopaedic injuries sustained constituted a serious long terms
impairment and loss of body function under the narrative test.
[21]
It is these appeal results that has led to the two arguments
that served before the Court:
(a)
The plaintiff argues that, considering
the injuries sustained by the
plaintiff in the collision have been assessed as having been serious
by the acceptance of the RAF4
form detailing the orthopaedic injuries
constituting a serious long-term impairment under the narrative test,
the plaintiff is
entitled to general damages for all injuries
sustained in the incident.
(b)
The defendant contends that, considering
the express rejection of Dr
Du Trevou’s RAF4 serious injury assessment and the limitation
by the Health Professions Council
of the qualifying injuries to the
orthopaedic injuries under the narrative test, this Court is
restricted in determining what general
damages the plaintiff is
entitled to and that only the sequelae arising out of the orthopaedic
injuries must be considered to the
exclusion of those arising from
the head injury and disfigurement.
[22]
At the outset of the hearing, it was pointed out that the
particulars of claim itself does not deal with the orthopaedic
injuries,
and instead is limited to the head injury, a fractured
tooth, and the scarring. Upon this enquiry counsel for the
plaintiff
made an application for an amendment to the particulars of
claim.
[23]
The sought amendment to the particulars of claim was objected
to. The basis of the objection was two-fold:
(a)
The claim for the orthopaedic injuries has prescribed;
(b)
The defendant is otherwise prejudiced (the nature of such prejudiced
being otherwise undefined).
[24]
In
determining whether an amendment should be granted or not the
principles in
Affordable
Medicines Trust and Others v Minister of Health and Another
[1]
are worth particular mention where the Court stated:
‘
The principles
governing the granting or refusal of an amendment have been set out
in a number of cases. There is a useful collection
of these cases and
the governing principles in
Commercial Union Assurance Co Ltd
v Waymark NO
. The practical rule that emerges from these
cases is that amendments will always be allowed unless the amendment
is
mala fide
(made in bad faith) or unless the
amendment will cause an injustice to the other side which cannot be
cured by an appropriate
order for costs, or “unless the parties
cannot be put back for the purposes of justice in the same position
as they were
when the pleading which it is sought to amend was
filed.’
[25]
The first objection raised by the defendant – that of
prescription – is improperly raised as the addition of a
further
injury from which damages is claimed does not constitute a
new “debt” for the purposes of the Prescription Act. It
is an amplification of the injuries sustained in the same incident
for which the defendant is statutorily liable, and an amendment
to
the extent of the injuries has no impact on this underlying claim for
the purposes of the Prescription Act. The “debt”
owed by
the defendant has remained at all times compensation for the injuries
sustained on 6 October 2016 at Umlazi when he, as
a pedestrian, was
driven into by one Mr Mdlalose.
[26]
As for the second objection, the prejudice that was apparently
sustained was not specified.
[27]
It must be mentioned at this point that both parties had
signed joint minutes and agreed on the nature of the injuries
sustained,
which included the injuries to the knees that were sought
to be introduced through the amendment.
[28]
Further, the defendant’s argument that the general
damages should be limited to the orthopaedic injuries (which injuries
had
not in fact been pleaded in the particulars of claim),
demonstrates that this is an oversight to which neither party could
claim
any prejudice arising therefrom as both parties have been
focused on the expert reports without even noticing the deficiencies
in the particulars of claim.
[29]
Furthermore,
and considering this is an aspect the orthopaedic injuries were
common cause between the parties and fully canvassed
through their
experts, the Court had a discretion to amend the pleadings in the
absence of prejudice, and no prejudice was established.
[2]
[30]
I consequently permitted the amendment to the particulars of
claim to add the orthopaedic injuries to the knees.
[31]
It is against this background the principal argument must be
returned to – the implication of multiple RAF4 forms being
submitted,
and whether an acceptance of a particular type of injury
under the narrative test limits general damages to the sequelae
arising
from that part of the injuries sustained.
[32]
To determine this question, it is necessary to repeat the
legislative context.
The Legal Framework
[33]
Since the amendment to the
Road Accident Fund Act in
2005, the
defendant’s liability for general damages is limited to
instances where the injuries sustained are serious. This
is embodied
in
Section 17(1)
which states:
‘
The Fund or an
agent shall-
(a) subject
to this Act, in the case of a claim for compensation under this
section arising from the driving of a motor
vehicle where the
identity of the owner or the driver thereof has been established;
(b) subject
to any regulation made under
section 26
, in the case of a claim for
compensation under this section arising from the driving of a motor
vehicle where the identity of neither
the owner nor the driver
thereof has been established,
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 to himself or
herself or the death of or any bodily injury to any other person,
caused by or arising from the driving
of a motor vehicle by any
person at any place within the Republic, if the injury or death 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.’ (Own emphasis)
[34]
Section 17(1A)
in turn provides:
‘
(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.’
[35]
The Act itself does not provide further definition as to the
manner of the assessment, but section 26 empowers the Minister of
Transport
to make regulations relating to the manner method of
assessment and ancillary issues, an opportunity the Minister has
seized through
the promulgation various regulations, particularly
regulation 3.
[36]
The full regulations shall not be quoted in this judgment.
They are readily available. A summary of the important considerations
for the purpose of this judgment that can be readily concluded from a
reading of the regulations are as follows:
a.
Whenever reference is made to the serious injury assessment being
conducted by a medical practitioner, the reference to a medical
practitioner and assessment is always in the singular;
b.
References to “the injury” are also in the singular;
c.
The American Medical Association’s guidelines on assessment
are
incorporated as a general basis for assessment.
Application to the
Facts
[37]
Against this legislative background, the circumstances of the
claim and convention must be considered.
[38]
As stated at the outset, it has become common for plaintiffs
to submit more than one RAF4 form in the circumstances of the claim.
This can arise where some experts do not wish to sign RAF4 serious
injury assessments incorporating injuries beyond their expertise
(though this does not appear to be a circumstance where required
deference must be given), or also in other circumstances where
it
could well be established (and often is) that the injuries sustained
by the plaintiff are broader than was initially anticipated.
This latter scenario can often arise after an expert determines
during an assessment the possibility of a further injury not within
that expert’s field, and a recommendation is made for a
referral to a suitable expert.
[39]
The clear purpose from the statutory framework is to determine
whether the injuries sustained by a plaintiff in a collision
constitute
a whole person impairment of at least 30%, alternatively
under the narrative test the injuries nonetheless are so serious that
general damages is claimable against the defendant. This is envisaged
to be done by the provision of a singular RAF4 serious injury
assessment.
[40]
The defendant’s argument that the injuries can be
separated by virtue of submission of different RAF4 forms (though
arising
from the same incident) is not envisaged by the Act, though
neither is the plaintiff’s submission of multiple RAF4 forms
from the same incident.
[41]
With
this deviation from a strict reading of the Act, it should be borne
in mind that the purpose of the Act is to compensate those
who have
suffered loss or damage wrongfully caused by the driving of motor
vehicles.
[3]
[42]
The purpose of the restriction emphasised above of section
17(1) of the Act is to limit liability of the defendant to injuries
sustained
in a culpable vehicle incident resulting in a whole person
impairment of 30% or more, or an otherwise serious injury under the
narrative test.
[43]
The difficulty with the defendant’s argument is that it
seeks to impose a restriction on the damages claimable based on the
arbitrary practice of separating out the RAF4 forms. This is
not an interpretation that it supported from any of the express
provisions of the Act or the Regulations.
[44]
While there is some empathy for the complaint raised of
additional administrative difficulties that may be experienced by the
defendant
in having to deal with multiple RAF4 submissions relating
to the same incident, this cannot be regarded as a basis to sanction
the separation of injuries sustained in the same incident into
categories.
[45]
The separation of injuries sustained into separate RAF4 form
submissions by a plaintiff is incorrect. That said, the acceptance of
the RAF4 submissions resulting out of the same incident and in
respect of the same plaintiff with a result of suggesting some
injuries should be considered and others ignored for the purpose of
general damages is not envisaged by the Act, and further arbitrary
and inappropriate.
[46]
The purpose of the Act is to insulate a member of the general
public from claims that may cripple them indefinitely and to
compensate
those impacted by wrongful conduct of road users. To give
credence to the argument raised by the defendant, absent any
statutory
support for the proposition, does violence to this
intention.
[47]
It also appears to ignore that it is a whole person impairment
that is being assessed, in assessing the injuries arising out of a
particular instance. To allow the separation of injuries into
different categories could effectively empower the defendant
to
selectively choose certain injuries and assess them individually as
against the 30% whole person impairment threshold in order
to try
justifying a rejection of the RAF4 form. This cannot have been
the intention of the legislature in the assessment,
and it is against
the very principles that are encapsulated in the AMA Guidelines which
have been incorporated through the Act.
[48]
I am therefore unable to agree with the argument raised by the
defendant on this restriction. The Act makes it clear that the
assessment of an injury sustained in a particular instance is serious
or not is not a matter of degree or individual qualification
but
rather a Boolean – once the injuries have been established as
serious, an entitlement to general damages then after exists.
The full scope of the injuries sustained in the incident are
therefore claimable and will then form the quantification of general
damages, and any restriction on quantification based on what the Road
Accident Fund might have accepted or rejected or the Health
Professions Council would have accepted or rejected, would be an
irrelevance as neither of these bodies are permitted by the
legislation
to exclude parts of the quantification of damages, and
such decision is limited to assessing the extent of the injuries as
serious
or not.
[49]
As a result of the above, the Court must take into account all
of the injuries of the plaintiff in assessing general damages.
[50]
Having found this, the quantification of the full body of
injuries sustained by the plaintiff comes into contention.
[51]
Mr
Murray for the plaintiff, in his heads of argument, raised two
decisions, one of which was persisted with in argument being the
decision of
Vermaak
v Road Accident Fund.
[4]
[52]
In
Vermaak
, a 60-year-old male sustained a mild head
injury, a fracture of the right tibial plateau with onset of
compartment syndrome and
a soft tissue injury to the left shoulder.
He also continued to experience constant knee pain and shoulder pain
and had to
monitor severe laxity of the right posterior cruciate
ligament. The Court in 2017 awarded an amount of R 350 000.00,
which has an adjusted 2024 value of R492 100
.00.
[53]
While a useful comparison, the orthopaedic injuries in this
matter were more severe, but also there was no consideration as to
scarring.
[54]
As further comparatives, the following cases are instructive.
[55]
In
Vukeya v
Road Accident Fund
[5]
the plaintiff there sustained a mild moderate frontal brain injury
together with orthopaedic injuries including whiplash, a lower
back
injury, a fracture to the metacarpal bone in the left hand and a soft
tissue injury to the leg. There are also neurocognitive
consequences, and the plaintiff continues to suffer from chronic
headaches and depression. An amount of R 568 000.00
was
awarded in 2014, with the current value of R941 744.00.
[56]
In
the decision of
Tshongolo
v Road Accident Fund
[6]
the
plaintiff sustained a mild brain injury as well as abrasions to the
face and a fracture of the right clavicle. The plaintiff
had
continued to experience headaches on a near daily basis and had
shoulder pains induced by lifting heavy objects, together with
back
pain resulting from a soft tissue injury. The Court awarded R
500 000.00 in 2021, for an adjusted value of R594 000.00
.
[57]
Taking into account these authorities, I am in agreement with
submission by Mr Murray that an appropriate quantum for general
damages
would be an amount of R500 000.00, such amount reduced
to R 425 000.00 taking into account the 85/15 apportionment.
[58]
Ms Ramothar’s submissions relating to the quantification
were hinged on the Court finding that it was limited to the
orthopaedic
injuries that it did not consider the head injury
sequelae. Consequently, these amounts of the authorities
mentioned by Ms
Ramothar would not constitute adequate compensation
for the whole of the injuries sustained.
[59]
This brings us to the final aspect of the claim – future
medical expenses.
[60]
The occupational therapist and the neuropsychologist all
recommend and envisage further medical treatment going forward.
Ms
Ramothar for the defendant stated duly not having instructions to
tender the undertaking, and that this difficulty in tendering
the
undertaking resulted from the same fundamental question above –
whether the plaintiff’s entitlement would be for
all injuries
or orthopaedic injuries only owing to the HPSCA’s decision.
[61]
The difficulty I have with this argument is that future
medical expenses is not contingent on a finding of general damages.
This
is not a condition under section 17(4) of the Act which
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-
(i) the third
party in respect of the said costs after the costs have been incurred
and on proof thereof; or
(ii) the
provider of such service or treatment directly, notwithstanding
section 19 (c) or (d), in accordance with the
tariff contemplated in
subsection (4B);
(b) includes
a claim for future loss of income or support, the amount payable by
the Fund or the agent shall be paid
by way of a lump sum or in
instalments as agreed upon;
(c) includes
a claim for loss of income or support, the annual loss, irrespective
of the actual loss, shall be proportionately
calculated to an amount
not exceeding-
(i) R368 035
per year in the case of a claim for loss of income; and
(ii) R368 035
per year, in respect of each deceased breadwinner, in the case of a
claim for loss of support.’
[62]
Accordingly, future medical expenses would in any event have
been for all the injuries sustained, and the joint minutes clearly
agree on the need for future consequent medical expenses.
[63]
Neither
side has, in order to avoid this position, repudiated their
experts.
[7]
Accordingly this
position is binding on the parties.
[64]
The
second argument raised by Ms Ramothar for the defendant is the
suggestion that a Court cannot order an undertaking to be provided.
In support of this,
the
unreported
decision of
Knoetze
obo
Malinga
and Another v Road Accident Fund
[8]
was referred to.
[65]
While this decision did declare that it is generally not
competent for a Court to direct the Fund to provide an undertaking,
the
Court also confirms the blanket election that had been made by
the defendant through its Chief Executive Officer to provide
undertakings
to compensate for injuries in terms of section 17 of the
Act for future accommodation in hospital or resting home treatment or
rendering of a service or good supplied. Particularly at
paragraphs 24 to 27 of that judgment the Court found:
‘
[24]
What a court may also take judicial notice of, is its own functioning
and the matters that
come before it. 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 counsels 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 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. 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.’
[66]
I was not informed by Ms Ramothar on raising these paragraphs
of any change to the defendant’s stance on these matters.
[67]
Accordingly, and despite there not yet having been any
particular undertaking provided in the current matter (and especially
in
the context in which the undertaking was not provided as yet
detailed above) I can see no preclusion against holding the defendant
to its blanket election to provide undertakings as envisaged in
section 17 of the Act.
Order
[68]
On account of the above, the balance of the order not being
contentious, the plaintiff is entitled to judgment against the
defendant
for the following terms:
1.
Judgment is granted against the defendant in respect of general
damages in the amount of R 425 000.00.
2.
The defendant is directed to furnish to the plaintiff an undertaking
envisaged in
section 17(4)(a)
of the
Road Accident Fund Act 1996
for
85% of the costs of all future accommodation of the plaintiff in a
hospital or nursing home and all medical treatment or rendering
of
service or supplying of goods to him arising out of the injuries he
sustained in a motor vehicle collision that is the subject
matter of
these proceedings and to compensate him therefore after such expenses
have been incurred.
3.
The payment of the amount in paragraph 1 is to be affected within 180
calendar days from 2 December 2024.
4.
The defendant is directed to pay interest on the amount referred to
in paragraph 1 above at a rate of
11,5% per annum calculated from the
181
st
calendar day from 2 December 2024 to date of
payment.
5.
The defendant is directed to make payment of the plaintiff’s
taxed or agreed party and party scale
cost to date, not already
covered by a previous cost order, at Scale B, such costs to include:
(i)
the reasonable and necessary costs of counsel,
including counsel’s
reasonable costs for his preparation for trial, such costs to include
preparation of written submissions,
as well as reasonable costs of
counsel and the attorney for attending on any necessary consultations
with the undermentioned expert
witnesses and the plaintiff;
(ii)
the fees and expenses reasonably incurred for the undermentioned
experts for
inter alia
, the experts reasonable qualifying
fees, their reasonable reservation fees, and the reasonable fees of
attending upon any necessary
consultations with the plaintiff’s
counsel and attorney to testify at trial (with the quantum of their
fees to be determined
by the Taxing Master) namely:
(aa) Dr
L Rajah – orthopaedic surgeon
(bb) Dr
M Du Trevou – neurosurgeon
(cc) Dr
R M Hardy – neuropsychologist
(iii)
the plaintiff is directed in the event of the aforementioned costs
not being agreed to:
(aa)
serve the notice of taxation on the defendant’s attorneys of
record;
(bb) to
allow the defendant 180 calendar days to make payment of the taxed
costs.
(iv)
the defendant is directed to make payment in terms of the costs
directly to the trust account of the plaintiff’s attorneys
whose details are as follows:
Name:
Askew Martin & Adrain Incorporated Trust Account
Bank:
Nedbank
Branch:
A[…]
Branch code: 1[…]
Account No.: 1[…]
Reference:
[…]
(v)
It is recorded the defendant’s link number is 4[...]
_____________________________
TUCKER AJ
Appearances
Counsel for the
Plaintiff:
S Murray
Instructed by:
Askew Martin & Adrain Inc
4
th
Floor,
Room 403
FNB Building
151 Musgrave Road
Berea, Durban
Ref: RIA/M3017/cn/Yuri
Counsel for the
Defendant: S
Ramothar
Instructed by:
State Attorney
12 Floor, Embassy
Building
199 Anton Lembede
Building
Durban
Link No.: 4011924
Date of
Hearing:
25 November 2024
Date Judgment
Delivered:
2 December 2024
[1]
[2005] ZACC 3
;
2006 (3) SA 247
(CC), at paragraph 9
[2]
Shill v
Milner
1937 AD 101
at 105
[3]
See
Section 3
of the
Road Accident Fund Act
[4
]
[2017] ZAGPJHC
[5]
2014 (ZB4) QOD1 (KZP).
[6]
Tshongolo v RAF (19958/14) [2021] ZAGPJHC 29
[7]
See Bee v Road Accident Fund 2018 (4) SA 366 (SCA)
[8]
2022 ZAGPPHC 819.
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