Case Law[2025] ZAGPJHC 1002South Africa
S.P.M v Road Accident Fund (000013/2023) [2025] ZAGPJHC 1002 (6 October 2025)
High Court of South Africa (Gauteng Division, Johannesburg)
6 October 2025
Judgment
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# South Africa: South Gauteng High Court, Johannesburg
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## S.P.M v Road Accident Fund (000013/2023) [2025] ZAGPJHC 1002 (6 October 2025)
S.P.M v Road Accident Fund (000013/2023) [2025] ZAGPJHC 1002 (6 October 2025)
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sino date 6 October 2025
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REPUBLIC
OF SOUTH AFRICA
IN
THE HIGH COURT OF SOUTH AFRICA
GAUTENG
DIVISION, JOHANNESBURG
Case
Number: 000013/2023
(1)
REPORTABLE:
N0
(2)
OF INTEREST TO OTHER JUDGES: NO
(3)
REVISED: YES
06/10/2025
In
the matter between:
S[...]
P[...]
M[...]
Plaintiff
And
ROAD
ACCIDENT
FUND
Defendant
DELIVERED:
This judgment was handed down
electronically by circulation to the parties’ legal
representatives by e mail and publication
on Case-Lines. The date and
time for hand-down is deemed to be 10h00 on ---- October 2025.
JUDGMENT
VELE AJ
Introduction
[1]
The plaintiff, in her Nominated Officio capacity,
as the guardian of M[...] M[...] (the minor child or M[...]) issued
summons against
the Road Accident Fund (defendant or the Fund), a
juristic person established in terms of Section 2 of the Road
Accident Fund Act
56 of 1996 (The Act). She is claiming the sum of R
13 500 000.00, as the defendant failed to respond to a
claim lodged
in terms of the Act and its Regulations for compensation
of the minor child’s damages for personal injuries sustained
from
of the accident that took place on 18 of March 2022. The minor
child was a passenger in the motor vehicle (bearing registration
number C[…]) driven by his father Mr Stanley Mohale which
collided with another vehicle (with registration L[…])
along
N12 near Fochville in the Gauteng Province. The minor child was one
year and six months old at the time and a normal bouncy
child.
[2]
The defendant entered its intention to defend the
action. After the close of the pleadings, the plaintiff filed several
expert reports
in support of the minor child’s claim. The
defendant did not file a single expert report. The matter was
certified trial
ready with both merits and quantum contested.
[3]
Thereafter, the matter was enrolled and allocated
to Crawford J, when for the first time the defendant indicated its
intention to
introduce a new defence of
actus
novus intervenes
,
occasioning
the matter to be reallocated. The defendant did not amend its plea
but proceeded with the plea as it is.
[4]
On 10 February 2025, plaintiff brought an
application in terms of Rule 38 (2) for the admission of the expert
witnesses’ reports.
The defendant opposed the said application
indicating that it will be prejudiced because it will not be able to
test the evidence.
The application was dismissed with reasons
provided, and costs in the cause of the main action. The court ruled
that some of plaintiff’s
expert witnesses are to give oral
evidence.
[5]
Following the court’s ruling in terms of
Rule 38(2) of the Uniform Rules, as the way of curtailing evidence
and containment
of costs. The Reports of these experts, Ms M Mokgata
– Speech Therapist; Mr MS Mthimkhulu – Educational
Psychologist;
Ms R Khwela – Occupational Therapist were
admitted as evidence of their contents were not disputed. The
merits and
quantum were not separated as the plaintiff’s
counsel indicated that the evidence was intertwined and may result in
duplication
thereof.
Oral evidence
Stanley Mohale
[6]
Stanley Mohale testified that on 18 March 2022 he
was the driver of a Volkswagen Polo, bearing registration number
C[…],
travelling along the N12 from Tzaneen in Limpopo to
Wolmaransstad in the North West Province. He was with a friend one
Pontso,
his partner S[...] M[...] and his son M[...] M[...] who was
18 months old at the time. His friend was in the front passenger
seat,
whilst his partner and the minor child were at the back
.
[7]
Whilst travelling along the N12 around Fochville;
he attempted to overtake another vehicle, lanes merged, resulting in
a head on
collision with an oncoming vehicle. As a result of the
collision, the witness, his partner and the minor child sustained
serious
injuries. They were all taken to Potchefstroom Hospital in an
ambulance. A few days later, he learnt that the minor child was
transferred
to Chris Hani Baragwanath Hospital due to a condition
that had developed, whilst he and the mother remained at
Potchefstroom Hospital.
[8]
He was cross examined and further testified that
the child was born on 10 October 2020, at Wolmaransstad Hospital. He
only saw the
minor child after six months due to COVID 19 Regulations
restrictions, which prohibited inter–provincial visits. He
confirmed
that he was a member of a medical aid scheme, with the
minor child as a beneficiary since March 2022. The minor child was no
longer
receiving treatment on regular basis, since the stoma-bag was
removed in early 2024 at Welmedpark in Klerksdorp. He last visited
the minor child during September school holidays in 2024
.
He was not sure if the child
received all the stages vaccines, since the child was with the mother
in Wolmaransstad, who possessed
the child’s Health Chart card.
The accident occurred after the mother and
child visited him in Limpopo. He was not contacted by the Road
Accident Fund employees
to confirm if he had medical aid.
The child resides in North West province
and visits the aunt in Gauteng occasionally, mainly for treatment
purposes.
S[...] P[…]
M[...]
[9]
S[...] P[…] M[...] testified that on 18
March 2022, she was a backseat passenger in a motor vehicle driven by
her partner,
Stanley Mohale. She was seated next to her minor child
M[...] M[...]. The vehicle collided with another head-on and they all
sustained
serious injuries. She sustained injuries on both her legs
and hands. She was unconscious when transported to Potchefstroom
Hospital,
together with her partner and minor child in ambulances.
[10]
She was hospitalised for a month and took a
further month recovering at home, prior to her first visit to the
child at Chris Hani-Baragwanath
Hospital. She did not see the child
during her stay in hospital, as she was informed that he was
transferred to Chris Hani-Baragwanath
Hospital for further treatment.
She stayed with her elder sister who resides at Freedom-Park
Location, as it was close to Chris
Hani-Baragwanath Hospital to be
able to visit the child daily. The minor child spent five months in
hospital, three months at Chris
Hani, then transferred to Klerksdorp
Hospital to be nearer to home.
[11]
The
minor child was born naturally, at Nick Bordenstein Hospital in
Wolmaransstad, North West Province on 10 October 2020. He was
like
any normal child. She is the child’s primary caregiver. Up
until the accident, the child was developing normally with
no signs
of abnormality. When at his paternal home in Limpopo, he played with
other children and was developing some vocabulary,
like “papa”
and “mama”.
Post-accident,
he regressed as he could no longer utter those few words and could no
longer walk or stand unaided. He is different
compared to other
children as he can no longer express his needs and is always in a
nappy. If she is to walk with him, she has
to give him support all
the time, as he is not steady. His relations with other children is
very bad, as he is always hitting them.
If he is reprimanded, he
responds by crying. He also cries when hungry or needs attention. The
child receives physiotherapy and
occupational therapy.
[12]
She was cross examined and confirmed that she
completed Grade 12 and can read and understand English. She confirmed
that her injuries
were orthopaedic in nature. She spent one week in
hospital after the child was born, due to her high blood pressure,
not because
of the child’s condition. The child has a Health –
chart card, he used when visiting Sekgametsi Clinic. The child was
attending monthly clinic check-ups on a regular basis and continued
with them, whilst in Limpopo at Modjadji Clinic. She confirmed
that
the child was taken on monthly basis for the first year.
[13]
She lodged the claim on behalf of her child. She
confirmed that she was in possession of a of a South African identity
document.
When her attorney, one Mr Winners, whom she pointed out in
court, approached her at home to obtain instructions, he asked her to
make a copy and forward it to him, as she did not have one ready at
the time. She later sent him an uncertified copy, not the ID
book.
[14]
She was unaware that the child suffered from
meningitis prior to the accident. She was not aware of the
Potchefstroom Hospital doctor’s
records regarding the condition
of the child. She did not know what injuries were sustained by the
child. She further stated that
she was informed that the child
sustained internal injuries during the accident, but never explained
in detail.
Dr Fikile Cynthia
Mabena (expert evidence)
[15]
Dr Mabena confirmed that she was an expert in the
field of Paediatric medicine, with MBChB degree obtained from
University of Pretoria,
MMed – Paed degree obtained from Wits
University and FC Paed (SA). She was admitted to the Specialist –
Register as
a Paediatrician in 2014 and has been a medical
practitioner since 2002. Her full qualifications, professional
registration, membership
to the professional body are set out in
Exhibit “A”. The court is satisfied that she is an expert
in this field of
specialization.
[16]
She initially examined the minor child on 25
October 2022, when he was two years old at the time, following the
road accident that
took place on 19 March 2022. The minor child’s
mother gave the history of the injuries. She was provided with the
medical
Records of the patient from Potchefstroom and Chris
Hani-Baragwanath Hospitals, together with the Form RAF 1 that was
dully completed.
[17]
She based her opinion on the hospital Records that
were provided and her own examination of the child. The defendant
objected to
her evidence on the basis that there was no rule 35(9)
notices filed by the plaintiff’s attorney for the hospital
records,
the court provisionally allowed the evidence, on the basis
that the plaintiff indicated that witnesses from the hospitals will
be called at a later stage. Rule 35(9) reads as follows:
“
Any
party proposing to prove documents or tape recordings at a trial may
give notice to the other party requiring him to any other
party
requiring him within ten days after receipt of such notice to admit
that those documents or tape recordings were properly
executed and
are what they purport to be. If the party receiving the said notice
does not within the said period so admit, then
as against such party
the party giving the notice shall be entitled to produce the
documents or tape recordings specified at the
trial without proof
other than proof (if it is disputed) that the documents or tape
recordings referred to in the notice and that
the notice was duly
given. If the party receiving the states that the document or tape
recording are not admitted as aforesaid,
they shall be proved by the
party giving notice before he is entitled to use them at the trial,
but the party not admitting them
may be ordered to pay the costs of
their proof”
[18]
The
court found that the Report of Dr Mabena, was filed in line with the
provisions of the Rules. The defendant did not object thereto
within
the prescribed period of 10 days as stipulated in rule 35(9), which
has long expired. It will be in the interest of justice
to
provisionally allow her to testify, including the information that
she indicated in her Report that it was extracts from the
hospital
records. Mere admission of her evidence based on the hospital records
does not amount to an admission of the contents
of the hospital
records, until the truthfulness there is proven. In this matter the
plaintiff indicated that hospital staff will
be called to prove the
correctness of the contents these records. Erasmus Superior Court
Practice,
[1]
in
commentary on rule 35(9), the writer is of the view that if a
document was not objected to, the party intending to rely on it,
still has the onus to prove the truthfulness of its content. Pending
the plaintiff calling the hospital staff, Dr Mabena’s
evidence
will be provisionally admitted.
[2]
[19]
Dr Mabena proceeded with her evidence and referred
to paragraph 2 of her expert report. In this regard, she stated that
the child
sustained Grade 3 sigmoid colon tear mesenteric avulsion
and exposed spine injuries, as reflected in the Chris
Hani-Baragwanath
Hospital Records.
[20]
In paragraph 3 of her expert report, she referred
to CT – brain and neck scans that revealed no acute injuries to
the brain
and the neck, child was admitted for neuro-observations and
bed rest
.
Child’s
temperature started to rise the following day and followed by the
seizures. On day three, rectal bleeding was noticed,
causing him to
be managed as a case of febrile convulsions, and was transferred to
Chris Hani-Baragwanath Hospital for further
treatment.
[21]
The minor child was taken to theatre for the
exploratory laparotomy leading to following injuries found: grade 3
sigmoid colon perforation,
mesenteric avulsion and spine exposed. The
injuries were then surgically repaired, and stoma bag inserted. Child
developed meningitis
after the operation and an MRI scan of the spine
was conducted and revealed a pyogenic lumbar (L2/L3) spine
spondylodiscitis with
a retroperitoneal abscess spread to the psoas
muscle complicated by arachnoiditis, meningitis and left temporal
subdural empyema.
Leading to the meningitis it was evident that the
child had features of encephalopathy and neurological fallout. He was
Hospitalised
for five months receiving both physiotherapy and
occupational Therapy and provided with the a TLSO brace for lumbar
spine support.
[22]
Dr Mabena opined that the minor child showed signs
of general regression in that he could no longer sit unsupported and
the few
words he uttered were no longer coherent. Mother stated
that the minor child was a generally healthy child prior to the
accident.
The child’s progress was regressed as he could no
longer socialise with other children, as he is disabled and requires
full
time care and support from the mother. The minor child has
cerebral palsy and based on the level of cognitive impairment he has
suffered, he will require special schooling when he gets to school
going age.
[23]
Her clinical examination revealed the following:
head and neck reflected no signs of infection. Child could see and
hear, able to
follow with his eyes. No abnormalities seen or detected
on chest. The abdomen had a full – length laparotomy scar
visible-healing
stoma in situ, with no sign of infection around the
abdomen. Normal bowl sounds, with no tenderness on palpation.
Musculoskeletal
system child had no obvious injuries on his upper and
lower limbs. He had normal muscle bulk on both lower and upper limbs,
though
they had decreased power. He was receiving both physiotherapy
and occupational Therapy regularly and mother continued with
physiotherapy
at home. She concluded that cerebral palsy secondary to
hydrocephalus resulting from meningitis which was a complication of
pyogenic
spondylodiscitis
.
The child’s condition makes it
impossible to be a candidate for employment in the open labour
market. The Occupational Therapist
and Industrial Psychologist are
the once who can provide final opinion on his future employability.
Opinion on loss of earnings
is deferred Industrial Psychologist.
[24]
Dr Mabena was unable to give an opinion regarding
the minor child’s life expectancy at the time given his tender
age and fact
that specialist care was still ongoing. Stating that a
fair and rational opinion can only be given when the child is over 5
years
of age.
[25]
She was cross-examined and confirmed that her
duties entail checking children born in private facilities, as those
born in public
hospital are checked by the Midwives. Children are
checked at various stages of development until they are 18 months old
and finally
when they reach the age of six years. She conceded that
if the mother was suffering from high blood pressure that was not
properly
controlled, it could put the child at risk, but there is no
proof that it was the case in this matter. Information from the
mother
was that the child was born through the natural birth and
appeared normal.
[26]
She was not informed that the mother had high
blood pressure prior to giving birth. She based her diagnosis of post
MVA cerebral
palsy and fact that the child will not be able to
recover and lead a normal life as set out in paragraph 13 of her
Report, and
on Chris Hani-Baragwanath hospital Records. She confirmed
that the diagnosis that he had meningitis was also from the hospital
records, and her examination.
[27]
She further confirmed that she asked about
pre-existing conditions, in the medical history portion of her
Report. She confirmed
that she did not mention meningitis and
hydrophiles, based on the information that the mother informed her,
the child was seating
next to her and was able to walk. She confirmed
that she further re-assessed the child in September 2024 and there
was no improvement.
She was not aware that the child was receiving
medical attention from a private facility. She further stated that it
was not brought
to her attention that the child walked with guidance
or assistance from the mother. She was referred to page 2 of the form
RAF
1. She was further referred to paragraph 11.9 of her expert
report and stated that a child with cerebral palsy and meningitis’s
life expectancy may be shortened by the fact he may develop
complications as a result of infections. She conceded that she was
unable to confirm the veracity of the information contained in Form
RAF1 or hospital records as she was not the author thereof.
[28]
She was re-examined and denied that the cerebral
palsy could have been pre-existed, stating the child was going
through the normal
stages of development, but regressed
post-accident.
[29]
The defendant indicate that it was not going to
contest the evidence of the following witnesses’ Reports:
Educational Psychologist,
Occupational Therapist, the Speech
Therapist and the Actuary. Furthermore, the defendant was not
challenging the hospital records
from Potchefstroom Hospital.
Dr Michael Brian
Huth (expert evidence)
[30]
Dr Huth confirmed that he was an expert in the
field of Neurology medicine, admitted to the Specialist Register as a
Neurologist,
and been in practice for the past 11 years. His full
qualifications, professional registration, membership to various
professional
body were set out in Exhibit “B”. The court
is satisfied that he is an expert in this field of specialization.
[31]
He testified that his duties entail assessing and
treating all diseases of the neurological system, nervous system,
brain, spinal
cord, nerves and muscles. On 27 March 2023, he examined
M[...] M[...] born on 10 October 2020, who was 2 years and 5 months
old
at the time, following the road accident that took place on 18
March 2022. The patient’s mother gave the history of the
accident
as per paragraph 3.1.2 of his Report. At the time of the
accident, the child was unrestrained as he was on his mother’s
lap
not wearing a seatbelt.
[32]
Dr Huth opined that the minor child was taken to
Potchefstroom Hospital by the paramedics and had sustained following
injuries as
per hospital records and reflected on paragraph 3 of his
expert report. In paragraph 3.1.6 following injuries are recorded (1)
Colonic injury; (2) Spinal injury complicated by Meningitis; (3)(2)
complicated by Hydrocephalus. Child was hospitalised for 4 months
and
10 days.
[33]
Following surgical procedures were performed on
the child as reflected on paragraph 3.1.9 of his Report: (1) On 24
March 2022 the
child underwent a Gastroscopy, Colonoscopy,
Exploratory Laparotomy and transfusion. (2) On 01 April 2022 he
underwent a relook
Laparotomy. (3) On 20 June 2022 he underwent
Endoscopic Third Ventriculostomy after ventricular peritoneal shunt
placed failed
due to bleeding obscuring the vision. (4) The patient
had a Ventricular Peritoneal Shunt inserted on 28 June 2022.
[34]
He did not receive the hospital records from
Potchefstroom Hospital, only those from Chris Hani-Baragwanath. The
child was hospitalised
for five months, during which he received
physiotherapy and occupational therapy. The patient was discharged on
28 July 2022 with
a ventricular Peritoneal Shunt and colostomy in
place. The Medical-Records reflect the following injuries, per
paragraph 3.4 of
his Report. Sigmoid colon perforation, mesenteric
avulsion and exposed spine, Meningitis, Hydrocephalus, Spinal injury,
and Head
injury.
[35]
The complaints noted after the accident. The child
had no history of epilepsy or seizures prior to the accident. First
seizure was
recorded on 19 March 2022, a day after the accident.
These became frequent during his stay in hospital. There is no
warning signs
or triggers that were recorded. The is no treatment
given.
[36]
The Post Traumatic Cerebral Palsy and MR Report,
the patient’s mother stated that patient cannot seat on his
own. His speech
has not further developed. His motor milestones have
substantially regressed as he could no longer walk. He suffered from
Post
Traumatic Cerebral palsy.
[37]
Records no visual or hearing loss post the
accident. Patient has speech difficulties. He had swallowing
difficulties, causing choking
at times, but no drooling. The bladder
functioning was normal but had abnormal bowel function. His autonomic
functions were normal.
His limbs were weak as a result of
neurological motor deficits. (See the sensory neurological symptoms
in any of the limbs.) His
balance was abnormal, as he could not seat
unaided or crawl, though walking prior to the accident. He had no
joint pain or swelling.
He has surgical scars on his abdomen.
[38]
The vital signs were the temperature, pulse rate
and rhythm, blood pressure, oxygen saturation and respiratory rate
were normal.
He uttered no words, only babbles. He could see objects
and lights. His pupils are equal and reactive to light, with normal
eye
movements. He hears sounds bilaterally easily. The bulbar area,
particularly the tongue and palate demonstrate normal motor and
sensory function with no drooling. His head control is weak. He has
poor axial and truncal control and unable to sit. His spine
has no
tender area.
[39]
His final neurological diagnosis is, there is
clear nexus from the injury to the complication of meningitis and
hydrocephalus. Complicated
meningitis from pyogenic lumbar
spondlylodisitis, leading to Hydrocephalus and cerebral palsy with
spastic diplegic variant with
MR and epilepsy. Pre-accident the
patient was a normal toddler with no history of neurological illness.
However post-accident status
is the child had a VP shunt, symptoms
and signs of cerebral palsy with spastic diplegic variant, Mental
Retardation and epilepsy.
[40]
Permanent Neurological Disability
-
He developed symptoms of Complicated Meningitis due to pyogenic
lumbar spondylodiscitis, leading to MR and cerebral palsy with
spastic diplegic variant and epilepsy that have caused the patient
impairment and disability. The further qualification and
quantification
of the above-mentioned impairment, disability,
reduction in future productivity at school, employment potential,
accommodations
needed and impact in learning and vocation is deferred
to an Educational Psychologist, Occupational Therapist and Industrial
Psychologist.
[41]
Future Disability
–
The
patient has reached maximal medical improvement. The symptoms are
chronic, established and unremitting. It is foreseen that
the
symptoms and disability will not improve with special care.
[42]
Academic Implications and Effect
–
The patient’s academic potential and
trajectory has been affected by the accident. The opinion is deferred
to the Educational
Psychologist.
[43]
Effect on the capacity for higher order
decision making
–
Any funds
awarded to the patient should be protected. The patient and mother
will require curator ad litem and curator bonis.
[44]
Effect on longevity
–
The
lifespan of the patient has been shortened by approximately 5 (five)
years due to epilepsy. Cerebral Palsy with mental retardation
carries
a further variable reduction in lifespan.
[45]
Conservative Treatment
–
The
total cost per annum for comprehensive pharmacological and non-
pharmacological treatment of Complicated meningitis, leading
to MR
and cerebral palsy with spastic diplegic variant and epilepsy,
including treatment for sequela and complications that are
in a
private sector will be in the region of R140 000, 00 per annum
with CPI increasing conservatively. This amount is a global
figure
inclusive of both pharmacological and non-pharmacological treatment,
doctors’ visits, and medication expenses.
[46]
The patient may need further non-pharmacological
optional treatments, which include stress management,
therapeutic-exercise programs,
exercise, acupuncture hydration,
relaxation training, biofeedback and massage. The Surgical expert may
advise on Shunt revision,
monitoring and a possible spinal stimulator
for future consideration.
[47]
Dr Huth further recommended that following
specialist and allied professionals be consulted. Occupational
Therapist, Speech Therapist,
Physiotherapist, Educational
Psychologist and a Neurosurgeon. His observation was that the patient
suffered blunt force injuries
to the brain, which removed any
realistic likelihood of normal recovery.
He concluded that
patient’s life expectancy, was reduced by approximately 10
years compared to a normal individual. The patient
was uneducable and
unemployable. The patient is unable to look after his own affairs. A
curator-bonis
will have to be appointed, and his mother is not
suitable to take this position. He reached a conclusion, that no
signs of improvement
of the patient’s condition is expected in
future, as the condition is permanent.
Siyabonga Siphosethu
Ngobese
[48]
Mr Ngobese is an Administration – officer in
the employment of the Department of Health, Gauteng and stationed at
Chris Hani
– Baragwanath Hospital, attached to the Motor
Vehicle and other accidents cases Department. Their main task was to
assist
in referring claim forms to the doctors for completion of
medical reports in road accident related matters and other insurance
claims. On Form RAF 1 was submitted in the current matter. No request
was received from the Road Accident Fund for the copy of the
medical
records from his Department.
[49]
He confirmed that the plaintiff’s attorney
approached his office for assistance with the comparison of the
Hospital Records
with the information in a completed Form RAF 1. The
request was forwarded to a Medical Doctor, who did the comparison and
confirmed
that they indeed matched. He confirmed that according to
the hospital records, the child M[...] M[...] was admitted on the
24
th
of
March 2022 to Ward 32 and discharged on the 25
th
of June 2022.
[50]
Thereafter he visited the hospital as an
outpatient for follow up treatment on the following dates: On the
08
th
of
August 2022, he visited the Stoma Clinic. On the 22
nd
of August 2022, he visited the Physiotherapy Unit.
On the 08
th
of
September 2022, he visited the Stoma Clinic for a follow up. On the
14
th
of
September 2022, he again visited the Stoma Clinic. On 06
th
of October 2022, he visited Stoma Clinic. On 11
th
of October 2022, he visited the Pharmacy for
collection of prescribed medication. On 24
th
of October 2022, he visited the Neurology Clinic.
On the 02
nd
of
November 2022, he visited the Stoma Clinic. On the 17
th
of November 2022, he visited Stoma Clinic. On the
23
rd
of
November 2022, he visited Stoma Clinic. On the 28
th
of November 2022, he visited the Occupational
Clinic doctors. Lastly on the 01
st
of December 2022, the patient attended to the
Neuro – Surgical Clinic.
[51]
When he was perusing the copies provided by the
patient’s attorney, he was in possession of the original Chris
Hani –
Baragwanath Hospital Records and referred them to the
doctor to verify the correctness thereof.
[52]
He was cross–examined. He confirmed that he
did not see the Hospital Records uploaded on the case-line, as he was
only provided
with the copy from attorneys. He confirmed that he was
using the laptop that was provided by the attorney, due to lack of
resources
at the hospital. He confirmed that the doctor did look at
both records.
[53]
It was put to him that page 42 of the Hospital
Record in his possession was not the same as the one on case- line,
he could not
reply to this, simply saying he did not peruse, he
merely took the two records and give to the doctor to verify. He
confirmed that
the hospital records in his possession was up to June
2022, he could not say why the records in possession of the
plaintiff’s
attorneys, were up to July 2022, deferring same to
the Medical-Officer who checked the files.
[54]
He was re–examined and confirmed that Page
42 on the Caselines and hospital records in his possession were not
the same but
deferred it to the Medical-Officer who checked the file.
He further confirmed that Page 41 on the Case – line reflect a
date
in May 2022, whilst hospital records reflect a date in July 2022
date. He further confirmed that Page 35 on the Case – line
reflect a date in July 2022, whilst hospital records reflect a date
in May 2022. He was further unable to explain as to why is
Page
18.130 on case-line is dated 18 June 2022, if Page 18.129, is a
record for the entry done on the 17 June 2022 in hospital
records.
Dr Babitsanang
Annah Selepe
[55]
Dr Selepe confirmed that she was an expert in the
field of Industrial Psychology
,
having
recently received her doctoral studies qualifications from Rhodes
University. Though there is no curriculum vitae attached
to her
report, following her evidence in court and no objection thereto, the
court is satisfied that she is an expert in this field
of
specialization.
[56]
She assessed and evaluated M[...] on 09 November
2022 and compiled a Report on 27 March 2024. Background information
was that, at
the time of the accident on 19 March 2022, M[...] was
just 1 year and 6 months, and not yet at school; therefore, there is
no school
history. She referred to Mr Mthimkhulu, an Educational
Psychologist’s Report marked as Exhibit “D”.
[57]
The purpose of her Report was to assess the impact
of the injuries sustained as the result of the accident in as far as
M[...]’s
employability, effectiveness in the workplace, family
and other social roles, as well as his earning capacity. She based
her Report
on the interviews with the mother, aunt and Reports of
various specialists who examined the child. Her observations were
that at
the time of the assessment, the child was unable to sit and
was carried by the aunt. He could not talk or walk. He struggles to
balance his neck at the time he was fitted with a stomach pouch and
always tried pulling it out hurting himself. The aunt indicated
that
the child was a special needs child, who needed extra care in
bathing, dressing and feeding, which took a toll on his mother.
This
changed the mother’s life, making it difficult for her to coupe
on her own, as her partner works far away, and the child
is often
crying with as he was in pain.
[58]
The Psychometric evaluation was not conducted on
the child, as he was an infant at the time of the accident with no
earning capacity.
She relied on the family members’
achievements and concluded that had it not been for the accident,
M[...] would have gone
through High school and matriculated, which
would have been his passage to tertiary education and obtaining at
least a diploma,
which is NQF level 6. Due to him sustaining the
injuries at a very early stage in life, she used the broader
guidelines for determining
Mr M[...]’s pre – accident
occupational and income attainment. His mother has passed Grade 12
and is unemployed. His
father has a teaching degree and is employed
as a High school teacher.
[59]
She referred to Mr Mthimkhulu, Educational
Psychologist’s Report, that the child in an uninjured state
could have passed matric
and gained entry to university, due to
academic excellence could have obtained a study bursary or qualified
for NFSAS. He could
have obtained a degree qualification and secured
internship by age of 22 years, this coupled with the practical work
experience
he could have accumulated, would helped him to secure
permanent/ long/fixed- term contract employment at the age of 23
years at
Koch Upper Band semi-skilled salary of R204 000 p.a.
(2023 July rand value). He would have earned in with Paterson B4/C1
Lower
total guaranteed package. He could have progressed until he
reached the age of 45 years at Paterson D1 Median Band in corporate
sector followed by inflationary increases under retirement depending
on the policy of the organisation or employer.
[60]
Though she reflected that above was scenario 1, it
was the only scenario. She further indicated that in the absence of
serious health
impairments and with willingness to study further, he
could have been able to exercise his career choice, moving from one
job to
the next, depending on availability of job opportunities. He
could have been able to function as expected, until he reached the
retirement age and beyond depending on strength to do so. M[...]’s
post-accident earning capacity potential was not affected
as he was
still a minor, who has not yet started schooling and was still
undergoing treatment sessions.
[61]
She referred to other experts reports. In
this regard, she referred to Ms R. Khwela, the Occupational
Therapist, who indicated
that M[...] has a low toned body and his
left leg presents with spasticity. During the assessment, M[...]
presented with limitation
and inability to balance on the one leg,
walk on heel and toes, as well as squatting, stooping, crouching and
climbing with regards
to mobility and agility skills. Her observation
was, he was unable to interact with other persons.
[62]
She further referred to Dr Mabena Specialist
Paediatrician’s Report, which point to the serious injuries
that M[...] sustained
as a result of the accident in question. He now
has a post- traumatic cerebral palsy with the VP shunt and stoma bag
in situ
.
[63]
She further concluded that he was unable to attend
mainstream school as he presents cerebral palsy and is permanently
disabled.
Ongoing occupational therapy was recommended in his life.
[64]
She further referred to Dr Huth - Specialist
Neurologist’s Report that M[...] sustained head injury, spinal
injury, hydrocephalus
and meningitis. M[...] developed symptoms
of Complicated Meningitis due to pyogenic lumber spondylodiscitis,
leading to mental
retardation and cerebral palsy with spastic
diplegic variant and epilepsy, that have caused the patient
impairment and disability,
resulting in WPI of 55%. She further
concluded that he was unable to attend mainstream school as he
presents with cerebral palsy
and is permanently disabled. Ongoing
occupational therapy was recommended in his life.
[65]
Dr F C Mabena Specialist Paediatrician confirmed
that M[...] suffered serious injuries from accident in question. As a
result, M[...]
has a post -traumatic cerebral palsy with a VP shunt
and stoma bag in situ. She did not expect him to make a remarkable
recovery,
as his condition was permanent. He was permanently disabled
and would need full time support and care going forward.
[66]
She further referred to Dr D.J.D Surridge,
Colorectal Surgeon and certified Gastroenterologist’s Report,
that M[...] suffers
avulsion of the sigmoid mesentery with resulting
necrosis of the synod colon and perforation, which resulted in the
sepsis in the
central nervous system with complications. As a way of
controlling the source of sepsis, the sigmoid colon is removed, and
an end
colostomy brought out. A colostomy is an opening in the bowel
into the skin to allow the faeces to drain via an alternative route.
His colon was compromised by the damage to the blood supply and a
primary anastomosis would have healed. Due to complications
associated with the sepsis, which require repeat surgery. The
Hartman’s procedure may be reserved, and the colostomy closed
by another operation in the future as long as M[...]’s
neurology allows for him to be continent. His further conclusion was
that M[...] will require a lifelong management of his colostomy.
[67]
Dr Selepe concluded that M[...] is unlikely to
follow the typical educational trajectory. The likelihood is that
M[...] can be considered
as a child who will have special educational
needs once he embarks on his educational journey. She referred to Ms
Malusi Mokgata,
the Speech Therapist and Audiologist, who concurs
that, M[...] will require an individualised education and
rehabilitation plan
(IEP) in the form of an intensive period of
speech-language therapy whilst receiving a multi-disciplinary team
approach. He will
need to be placed in an appropriate early
development centre/ care centre where he would receive stimulation,
learning opportunities
and therapeutic intervention within a
specialised environment
.
She concluded that though the multi-disciplinary
interventions will provide educational stimulation, which will be
costly to the
family, M[...] will remain uneducable
.
[68]
Dr Selepe further finds that the accident has
negatively impacted M[...]’s future employment prospects. It
has also impacted
on his future scholastic achievement, which
subsequently affect his future earning potential. Based on her
observations, in line
with Dr Mabena, the (Specialist Paediatrician’s
Report), M[...]’s final orthopaedic impairment score is 60% and
he
qualifies for general damages. M[...] will not be a candidate for
employment in the open labour market due to his current condition.
[69]
Dr Selepe concluded that based on his severe
long-term poor medical prognosis, work history coupled with no
educational background,
M[...] may be regarded, for practical
purposes functionally unemployable in an open market. He will not be
able to proceed in life
as per scenario in 7.1,1 of her Report, which
will result in total loss of the potential earnings as a result of
the accident.
[70]
It clear that healing is not foreseeable,
impairing the prospects of venturing into the open labour market, as
he will not be able
to compete with his non-injured peers, he has no
skills, knowledge and experience.
[71]
She concluded that he was functionally and
virtually unemployable in an open labour market, which means that a
provision of total
loss of earnings should be made, in line with the
content of para 7.2.1.1 of her Report.
[72]
Her recommendations are that medical costs as
incurred as a result of the accident should be provided for,
including future medical
costs as recommended by the various experts.
He should be reimbursed for all transportation costs incurred as a
result of the accident.
She also recommended the he be compensated
for general damages for pain and suffering. She has deferred the
quantification thereof
to other experts and actuarial report for
accuracy.
[73]
She confirmed under cross – examination,
that the child could have completed a diploma, which is NQF level 5
and not a degree
which is NQF level 7
.
She further conceded that the Corporate scale is
compiled by taking into consideration the top 100 companies in the
country and
that majority of South Africans were not employed by
these companies but only a selected few
.
She has no data to support that
someone with a degree will always earn more than someone holding a
diploma. She further conceded
that due to hard economic conditions,
it was harder to get employment. She further conceded that it was
hard to gain tertiary institution
placement, due to high number of
applications, with only the top candidates securing placements.
[74]
She further conceded that it now took longer than
two years for a person to enter the labour market with tertiary
qualifications.
She further indicated that she referred to Koch Upper
Band and not Statistics South Africa Report (Stats SA), as Koch Upper
Band
is more researched. She was not aware that courts were referring
Stats SA, as opposed to Koch Upper band or Patizen Scale, as a
way of
determining damages. She further conceded that she failed to consider
the Educational Psychologist’s Report in her
initial Report,
when she concluded that the child could have obtained a degree (NQF
level 6) instead of a diploma which is (NQF
level 5).
Maurious Mthimkhulu
[75]
Mr Mthimkhulu’ s expert report was one of
those admitted into the record and marked as Exhibit “F”
in terms of
Rule 38 (2) of the Uniform Rules, as the way of
curtailing evidence and containment of costs. He is an expert in the
field of Educational
Psychology. He is a registered Educational
Psychologist with HPCSA number: PS 0132861 and Practice number:
0642371. His curriculum
vitae was not attached to the Report. Since
there was no challenge to his qualifications, the court is satisfied
that she is an
expert in this field of specialization.
[76]
He assessed the child, M[...] M[...] on 12 October
2023, when he was 3 years old and compiled the Report on 07 February
2024. Purpose
of his Report was to assess the required cognitive,
emotional and scholastic functioning of the child. It was aimed at
gathering
M[...]’s developmental milestones, health status as
well as his behaviour pre and post – accident status.
[77]
He consulted with the mother, who informed him
that, M[...] was born through natural birth, after a full term of
pregnancy. There
were no pre and post-natal complications, though the
mother suffered from hypertension at the time, she denied presence of
stressors.
M[...]’s pre-morbid developmental milestone
were normal but has since regressed as a result of the accident.
Mother stated
he started walking at the age of 11 months and was
starting to utter a few words. He has since regressed as he cannot
walk unsupported
and struggles to stand on his own. He is not fully
potty trained due to his injuries. His speech development has
stagnated.
[78]
His mother denied any family history of chronic or
psychiatric illness. Mother informed him that following the
collision, the child
fell underneath the front seat, as he was
unrestrained and was crying as a result of injuries.
[79]
He assessed the child and referred to Dr M. Huth,
a Specialist Neurologist, Dr F Mabena, Specialist Paediatrician, Dr D
Surridge,
a Colorectal Surgeon and Ms M Mokgata, a Speech Therapist
and Audiologist’s Reports, whilst focusing on educational level
and training, that M[...] could have achieved had it not been for the
accident.
[80]
According to the Reports he perused, the child
sustained following injuries: Head injury, spinal injury,
hydrocephalus and Meningitis.
He underwent colostomy (Stoma surgery)
during March 2022 and a further surgery to drain water from the brain
in June 2022.
[81]
His pre – morbid condition was that he was a
normal child, who was interacting with other children. Post –
morbid, he
was severely handicapped and could not sit on his own. Can
only walk when supported. His speech was still non – existent.
He is still on nappies, as potty training is impossible. He has poor
pencil grip. He is not aware of dangerous situations. He struggles
to
follow instructions, making it impossible to conduct a proper
assessment.
[82]
He concluded that his pre–morbid condition,
considering the general factors that could have influenced his
position, he could
have present with intact neurodevelopmental
functioning. In this regard she took into consideration the academic
achievement of
other family members, the father, who has a teaching
degree and employed as a teacher, as well as his mother whose highest
qualification
is matric and is unemployed. This could have inspired
him to do well for himself academically in a mainstream school and
completed
Grade 12 and possibly progressed academically to an NQF5
level.
[83]
His conclusion in as far as his post –
morbid position concerned, “Considering M[...]’s current
presentation,
it is important to note that the development of
meningitis can have major cognitive and emotional consequences in
areas such as
processing speed, attention and memory, while
hydrocephalus can cause headaches, impaired vision, cognitive
difficulties, loss
of control and incontinence. The Specialist
Neurologist writes that M[...]’s symptoms are chronic,
established, and unremitting.
According to the Specialist it is
foreseen that the symptoms will not improve with specialist care and
the disability is unlikely
to improve.”
[84]
The Specialist Neurologist is of the opinion that
M[...] has a shortened life span by approximately 5 (five years due
to epilepsy.
Cerebral palsy with mental retardation carries a further
variable reduction in life span. It should be noted that the
Specialist
Neurologist gave a WPI of 55%, which the writer concurs
with and further notes that this indicates the likelihood that M[...]
may
face with activities of daily living along with his functioning
(cognitive, behavioural or emotional). … … It should
be
noted that M[...]’s mother reported that M[...] has regressed
severely with regards to his developmental milestones.
The
writer notes that children who experience severe injuries during
their critical or early developmental periods are likely to
be
susceptible to neurocognitive and neuropsychological fallout
associated with the sustained injury. Additionally, the Speech
Therapist & Audiologist notes that the accident occurred when
M[...] was 18 months which is within the first three years of
development and is considered a crucial period for language
development.” (See Report para 12.3.1 at p.13 – 14).
[85]
His assessment findings are as follows: “It
was impossible to conduct formal assessment. However informal,
qualitative, and
clinical observation identified poor gross motor
skills, poor speech, poor fine motor skills, and an inability to
understand instructions.
M[...] is a severely challenged individual
in many aspects of his functioning, including his cognitive and
behavioural functioning.
According the Specialist Neurologist, M[...]
presents with mental retardation/ intellectual disability which the
writer opines
will continue to make it difficult for M[...] to
function an age-appropriate level. From an educational perspective,
the writer
notes that M[...] is unlikely to follow the typical
educational trajectory. …. The Speech Therapist and
Audiologist concurs
with the later and further notes that M[...]
requires an individualised education and rehabilitation plan (IEP) in
the form of
intensive period of speech-language therapy whilst
receiving multi-disciplinary team approach. Placement in an early
development
centre/ care centre where he would receive stimulation,
learning opportunities and therapeutic intervention within a
specialised
environment is crucial. …, however, M[...] will
remain uneducable
.
The
writer notes that such special needs institutions will be financial
draining on the family. It should be noted that the family
will need
to be equipped with the skills and resources to take care of M[...].”
[86]
He recommended that M[...] be placed in special
needs school/ a stimulation centre will implement an individualised
education and
rehabilitation plan. He further recommended that both
the child and the mother be referred for psychotherapy to assist them
cope
with post-accident reality.
[87]
He further recommended that he be assessed by the
Occupational Therapist for the physical capabilities. Her final
recommendation
was that the Industrial Psychologist should quantify
the loss of earning suffered by the child.
Relebogile Khwela
[88]
Ms Khwela is an Occupational Therapist. Her expert
report was one of those admitted into the record and marked as
Exhibit “G”
in terms of Rule 38 (2) of the Uniform Rules,
as the way of curtailing evidence and containment of costs. Her
Report, she dealt
with M[...]’s residual abilities and the
impact of the injuries he sustained in his participation in daily
living activities,
including leisure, recreation and work. The impact
the accident had in his ability to assist with house-chores. His need
to use
special and adapted equipment, as well as adapted means of
transport.
[89]
She conducted the following tests as part of her
assessment. Physical assessment, Borg Numeric pain scale assessment
and Ransford
Pain Drawing. Since M[...] was18 months old at the time
of the accident, he has not yet attended school and has no employment
history.
Leisure history was that prior to the accident he enjoyed
playing outside, but since the accident he has regressed as he could
no longer walk on his own and only plays with his hands.
[90]
He is fully dependent on his mother for bathing,
cooking, doing laundry, cleaning and general grooming. Prior to the
accident the
child was reaching all the milestones in time and
showing good health signs.
M[...]
is unable to walk, sit, or stand unassisted, play, roll on his own
and needs to be turned over. He is unable to control his
neck’s
movement as it is floppy. His left leg is spastic, though he is able
to flex and extend it slowly and stiffly.
[91]
Her evaluation is that M[...] is unable to follow
instructions to participate in an assessment. He walked with a normal
gait. He
presented with symmetrical standing and sitting posture. His
movement pattern was unusual. He presented low body tone and left leg
presents with spasticity. His range of motion of the Upper and Lower
Limbs is functional. Both his upper and lower limbs presented
a grade
4 Muscle strength. His hands functioning presented a weak mass grasp
and is not fully developed. M[...] presented with
limitation and
inability to balance on the one leg, walk on heel and toes, as well
as squatting, stooping, crouching and climbing
with regards to
mobility and agility skills. Her observation was, he was unable to
interact with other persons.
[92]
M[...] will be unable to attend the main stream
school, as he presents with cerebral palsy and is permanently
disabled, which disrupted
his enjoyment of life amenities, resulting
in him being fully dependent on his mother. Given his severe
long-term neurocognitive,
following the accident, it appears he would
find it difficult to search, secure and maintain gainful employment
in an unskilled
or semi-skilled environment in the open labour
market.
[93]
She further recommended that occupational therapy
would be beneficial to him and recommended 20 hours as necessary for
this purpose.
He will benefit from a case manager to follow-up on his
progress and consider his needs from as he reaches different stages
of
life. She recommends that a 45 minutes Occupational Therapy
cession weekly for period of 12 months, will be necessary to address
the cognitive-perceptual deficits identified during the evaluation.
This will be reviewed after the 12 months period depending
on his
progress. A general undertaking by the Fund will be sufficient. She
estimated the therapy to cost R720, 00 per hour inclusive
of VAT,
with an extra R400, 00 per visit as travelling costs.
[94]
She further recommended physiotherapy to improve
and maintain his physical abilities and pain management. She deferred
the nature
of treatment and the costs thereof to the Physiotherapist.
She further recommended that he will benefit from special and adapted
equipment. She recommended the Standing-frame at a once off cost of
R21 000.00 and a Buggy wheelchair every two years, at
a cost of
R26 000, 00 to be covered by the undertaking by the Fund. She
indicated that a future assessment by the Occupational
Therapist may
result in further assistance devices being recommended.
[95]
She further recommended extra help, as M[...] will
need 24 hours caregiver throughout his life. A Case Manager who will
be an Occupational
Therapist will act as a liaison officer between
the family and the treating doctors as well as other professionals.
She further
recommended that all the funds should be protected as the
mother is not suitable for this purpose. Her recommendations did not
change in the addendum Report that she prepared on 26 February 2024,
as the position remained the same after a year.
Mr Johan Sauer
[96]
Mr Sauer is an Actuary, whose expert report was
handed in by agreement between the parties. He compiled the Actuarial
Report, based
on his experience in field of actuarial sciences. He
quantifies the damages for bodily injuries or death of a person and
miscellaneous
calculations for use in civil litigations. His full
qualifications, professional registrations, membership to various
professional
bodies are not before court, as his curriculum vitae was
not attached to the report. Only information appearing on the Report
is
that he is Fellow of the Institute of Actuaries, United Kingdom
and Fellow of the Actuarial Society of South Africa. The court is
satisfied that he is an expert in this field, as his Report was not
contested.
[97]
In March 2024, Mr Sauer prepared a Report for
M[...] M[...], in line with the Report prepared by the Industrial
Psychologist, Dr
B Selepe on 27 March 2024. On paragraph 7 of Dr
Selepe’s expert report, she indicates what M[...] would have
achieved and
the amount he would have earned had it not been for the
accident. (Pre-morbid scenario). She indicated that no income is
projected
until M[...] reaches the age of 20.5, which will be in the
April 2041, as he was a toddler at the time of the collision and
could
have studied towards obtaining a degree, which is NQF level 7
qualification. Upon completing his studies, he could have been able
secure a practical internship and earn an income, equivalent to the
upper quartile income of semi-skilled workers of R204 000,
00
per annum in 2023 monetary terms.
[98]
The actuary projected this income with
inflationary increases under he turns the age of 22.5 (22) + 23) /
2), therefore until 2043/04/10,
when he would have completed his
internship and secured employment in the corporate sector. Thereafter
he would have been able
to earn a total package, equal to lower
quartile B4/C1 Paterson level, of R385 500,00 ((R513 000 +
R458 000,00)
/ 2) (Quantum Yearbook 2024 figure) per annum in
current monetary terms. 10% of this income is assumed to consist of
non-taxable
fringe benefits. This income is projected with linear
increases until age 45, which will be in 2065/10/10, when he reached
his
career ceiling. Thereafter he would have been able to earn a
total package of R1 114 000 (Quantum Yearbook 2024 figure)
per annum in current monetary terms. 10% of this income is assumed to
consist of non-taxable fringe benefits. He further projected
this
income with inflationary increases until retirement at age of 65.
[99]
Mr Sauer, further dealt with his post morbid
earning capacity, based on Dr Selepe the Industrial Psychologist’s
Report and
project no income for M[...], he was only 18 months at the
time of the accident and was rendered functionally unemployable in
the
open labour market as a result of the accident.
[100]
He
further pointed out that the calculations were done in line with the
industrial psychologist’ recommendations and do not
in any way
certify its correctness, as it is not part of his expertise. He
worked on the Past escalation rate of 6. 01% per annum
(Average CPI
over past period). The future escalation rate is 4. 6% per annum. In
as far as the tax is concerned, past earnings
are taxed at the tax
rate applicable in the relevant financial year, whilst future
earnings are taxed at the latest available tax
rates. He made the
mortality deduction according to the life table 2 published in The
Quantum Yearbook of Robert Koch. He also
allowed for contingency
deductions in line with RAF Amendment (Act 19 of 2005) and followed
the precedent set in Swartman v RAF
(WCC)
[3]
.
[101]
He further made provision for the contingencies in
the following fashion. 5% total deduction for past losses
(pre-morbid) and 0%
total deduction for past losses (post-morbid).
20% total deduction for future losses (pre-morbid) (approximately
0.5% per future
working year.) and 0% total deduction for future
losses (post-morbid).
[102]
Mr Sauer concluded that following will be the
calculations. Future earnings pre-morbid is an amount of R9 782 026,
less
20% contingency deductions in the sum of R1 956 405,
with the total of R7 825 621. Post-morbid the figure is 0,
leaving the sum of R7 825 621 as the total loss of earnings
suffered by M[...], as there is no RAF cap applicable.
[103]
Mr Sauer concluded that following will be the
calculations. Future earnings pre-morbid is an amount of R9 782 026,
less
20% contingency deductions in the sum of R1 956 405,
with the total of R7 825 621. Post-morbid the figure is 0,
leaving the sum of R7 825 621 as the total loss of earnings
suffered by M[...], as there is no RAF cap applicable
[104]
This concluded his expert report, which formed
part of the record and marked as exhibit “H”. The
plaintiff closed her
case. The defendant also proceeded to close its
case without calling any witnesses.
[105]
On the merits, the plaintiff adduced the evidence
that on 18 March 2022, at around 20H45 the vehicle they were
travelling in, driven
by the child’s father was involved in a
collision. As result there of the child sustained personal injuries.
He was taken
to Potchefstroom Hospital where received treatment,
including the CT- brain and neck scan, that reflected no acute
injuries. He
only developed high temperature followed by the seizures
the following day. He suffered Grade 3 sigmoid colon tear with
mesenteric
avulsion and exposed spine. He was transferred to Chris
Hani – Baragwanath Hospital for further treatment on day three,
upon
noticing that there was rectal bleeding. Upon examination
it was discovered that he suffered a Grade 3 sigmoid colon
perforation,
mesenteric avulsion and spine was expose. He was
surgically repaired, and a stoma bag was inserted.
[106]
The mother was not challenged when she stated that
prior to the accident the child was developing normally, with no
signs of abnormality.
Post-accident, he regressed as he could no
longer utter those few words and could no longer walk unaided, as if
she is to take
him for a walk, she has to give him support at all
times, as he is not steady. This is in direct contrast with what the
expert
witness is saying as expert stated child was unable to walk.
She further gave evidence that contrasted Dr Mabena, as she indicated
that the child can sit on his own and had bad relations with other
children, as he hits them with whatever is available. If reprimanded
he reacts by crying, and same when hungry he cries for attention.
Though alleged that the child received all vaccination injections,
for the child his age, his Health Chart card was not discovered and
mysterious was uploaded on the case-line before closing address.
[107]
Mr Ngobese was very evasive on what exactly did he
place before the doctor to verify and outcomes thereof. On several
times, the
court had to instruct him to look at the camera and not on
the side when answering questions, as he with the plaintiff’s
attorney in the room.
Strange
enough, is that he could not provide the name of the doctor who
perused the file and the copies provided by the plaintiff’s
attorney and confirmed that they matched, his answer was evasive as
well. What he answered with ease in chief, became very difficult
for
him to deal with during cross – examination.
[108]
After this treatment he was developed meningitis,
an MRI scan of the spine was conducted and revealed a pyogenic lumbar
(L2/L3)
spine spondylodiscitis with a retroperitoneal abscess spread
to the psoas muscle complicated by arachnoiditis, meningitis and left
temporal subdural empyema. This was confirmed by Dr Mabena in Para 3
of her Report. Dr Huth, Specialist Neurologist’s Report,
connects the head injury, spinal injury, hydrocephalus and meningitis
suffered by M[...] to the accident that occurred on 18 March
2022.
He further confirmed that the injuries M[...] sustained led to mental
retardation and cerebral palsy with spastic diplegic
variant and
epilepsy, that have caused the patient impairment and disability. In
this regard, Dr Huth created the causal link between
the accident and
the injuries. Though the defendant disputed the merits, it has as in
most of its cases, no witnesses were in support
of its case.
The defendant’s attempt to introduce
a special plea of the
actus novus
intervenes
was not carried through, as
matter was proceeded with without an amendment.
[109]
The defendant objected to the plaintiff’s
claim on the basis that it did not comply with the provisions of
Section 17 of the
Act, as no properly certified identity document of
the plaintiff was, provided to the Fund. The plaintiff in this regard
testified
that when the attorney approached her at her home, she did
not have her ID book with her, she arranged to forward a copy to the
attorney. It is not clear as to how the copy ended in possession of
the attorney. What is clear is that when she forwarded it,
it was not
commissioned. During the closing address, the plaintiff’s
counsel clarified that, the attorney that certified
the copy was not
attorney Winners Mathebula, who is the attorney of record, but
another Mathebula who is not linked to this matter.
This aspect was
not challenged by the defendant’s attorney, though problematic
on its own, as the original was never in Johannesburg
at that point,
but with the plaintiff in Wolmaransstad in the North West Province.
The original was never produced. The Defendant
during cross –
examination of the plaintiff, attempted to produce another copy of
identity document that it alleged belonged
to the plaintiff.
Plaintiff objected and the court ruled in her favour, as the said
document was not discovered and amounted to
trial by ambush.
The Law
[110]
In
Road
Accident Fund v Busuku
[4]
the
Supreme Court of Appeal per Eksteen AJA held the following:
“
Before
I turn to the special plea, it is necessary to reflect on the
principles relating to the interpretation of the Act. The general
principle applicable to the interpretation of documents are settled
and have been repeatedly restated in this Court. In considering
the
context in which the provisions appear and the purpose to which they
are directed, it must be recognised that the Act constitutes
a social
legislation, and its primary concern is to give the greatest possible
protection to persons who suffered loss through
negligence or through
unlawful acts on the part of the driver or owner of a motor vehicle.
For
this reason, the provisions of the Act must be interpreted as
extensively as possible in favour of the third parties to afford
them
the widest protection.
On
other hand, courts should be alive to the fact that the Fund relies
entirely on the fiscus for its funding, and they should be
astute to
protect it against illegitimate or fraudulent claim.” (My own
underlining).
[111]
The above dictum resonates with what we see on a
regular basis in courts, where unscrupulous syndicates hatch plans of
how best
to defraud the Fund/defendant. Can we say that it is the
position in the current case? It is clear that the Fund is raising a
point
other than that the claim is either illegitimate or fraudulent.
It is not disputing that a collision occurred on 18 March 2022,
resulting in the minor child sustaining injuries, that curtailed his
young life and left him uneducable and unemployable.
[112]
The
Fund is relying on technicalities, that could have been resolved
during the pre – trial, if it played open cards, as it
appears
to be in possession of a different copy of the plaintiff’
identity document. If this the case, why was this copy
not
discovered? What defendant is complaining about is form and not
content, as the plaintiff is acting on behalf of a child who
is part
of the vulnerable group that the court in
Busuku
[5]
is
referring to, who need the greatest of protection, and have his claim
rejected for minor grounds. The shortcomings of the attorneys
in this
regard cannot be visited on the child.
[113]
Clearly a copy of the identity document of the
mother was provided, as requested, though not properly commissioned,
the Form RAF1
was completed as prescribed in Regulation 7
including the medical report portion that
was completed by the doctor at Chris Hani – Baragwanath, the
hospital where the
child spent about five months receiving treatment
as per section 24(1) (a) of the Act.
If
the Fund was not satisfied, it could have referred the child to be
examined by a panel of its appointed doctors in line with
the Act,
but this avenue was not explored.
Further still it could have requested the
hospital records directly from the hospital, if it was suspecting
foul play, but it did
not do so.
[114]
Nestadt
JA in
Multilateral
Motor Vehicle Accident Fund v Radebe
[6]
,
earlier held the view that was followed by the SCA in
Busuku
and
held the following:
“
It
is true that the object of the Act is to give the widest possible
protection to third parties. On the other hand, the benefit
which the
claim form is to give to the Fund must be borne in mind and given
effect to. The information contained in the claim form
allows for an
assessment of its liability, including the early investigation of the
case. In addition, also promotes the saving
of the costs of
litigation.”
[115]
The purpose of the claim form and its supporting
documents is not for the Fund to find fault with each and every
claim, but to gather
information to enable it to investigate the case
and settle it as quickly as possible in a cost–effective
manner. Where fraud
is suspected, it should be investigated without
delay. In the current matter the Fund did not raise a special plea,
nor discover
documents in its possession.
[116]
Busuku
referred
to
Pithey
v Road Accident Fund
[7]
and
stated as follows:
“
It
has been held in a long line of cases that the requirement relating
to the submission of the claim form is peremptory and that
the
prescribed requirements concerning completeness of the form are
directory, meaning that substantial compliance with such requirements
suffices. As to the latter requirement this court in “SA Eagle
Insurance CO Limited v Pretorius” reiterated that the
test for
substantial compliance is an objective one.”
[8]
[117]
The common thread, in all these decisions, is that
substantial compliance test is objective in nature, and minimum
compliance will
suffice. Once there is enough information for the
Fund to investigate, it should proceed to do so. Meaning that the
scales are
tipped in favour of the claimants, as this is a social
protection legislation, more especially now that the general public
has
direct access to claim without the assistance of an attorney.
Where there is sufficient information for the Fund to assess its
risk, it should do so.
[118]
In the current case the Fund was placed in
possession of all documentation that is necessary to investigate,
fulfilling the requirements.
The discrepancy in the hospital records,
was only canvassed during trial, not at the time of assessing the
claim. As I have earlier
indicated, this was an aspect that should
have been canvassed during the pre-trial conference, so that the
plaintiff’s attorney
can decide, who from the hospital to call.
It is clear that Mr Ngobese, is an Administration – officer,
who is merely a custodian
and not an author of any of the entries
therein.
It is
common practice that Administration – Officers are the people
who in most instances are subpoenaed to produce information
contained
in hospital records. He confirmed that his role was nothing more than
to place the records and the claim form before
the doctor, who
completed and return to him to dispatch. If indicated that the
contents of the hospital records were in dispute,
the plaintiff could
have led the evidence of the doctor.
Liability
[119]
It is common cause that the minor child was a
passenger in the motor vehicle when the accident occurred, resulting
in him sustaining
some injuries. Though the defendant attempted to
allege that the child had a pre-existing condition, no evidence was
led in this
regard and was contradicted by the plaintiff’s
expert witnesses, Dr Huth, Specialist Neurologist, and Dr Surridge,
Colorectal
Surgeon, as both confirmed that the injuries sustained by
the child were consistent with the injuries caused by a motor
collision
accident and were not challenged meaning that their
evidence should stand.
[120]
The
plaintiff only needs to prove 1% negligence, as the child was a
passenger and no contributory negligence could be apportioned
to him,
as he is
doli
in capax
,
rendering the defendant fully liable for his damages. DJP Mojapelo
held the following in
Prins
v Road Accident Fund
[9]
:
“
It
is common that a passenger needs only to prove the proverbial 1%
negligence on the part of an insured driver in order to get
100% of
damages that he is entitled to recover from the Fund.”
[121]
Mojapelo
DJP’s views were expressed by Mavundla J in
Groenewald
C v Road Accident Fund
[10]
,
wherein, the Judge was disturbed by the conduct of the Fund’s
representatives when dealing with passengers’ claims.
Fund’s
representative, being fully aware that in multitude of cases it was
repeatedly held, that passengers need to prove
only 1% negligence,
continue to contest merits of the case, in most instances up to the
court’s door-step or in extreme cases
like in current matter,
proceed with the trial on merits being fully aware of the outcome.
Judge Mavundla, attributed this to a
deliberate attempt to build-up
costs in some instances and found it to be disheartening, considering
that these are public funds
and suggested that curtailment measure be
put in place. I echo this view and prompt the Legislature to consider
closing this gap.
[122]
The court is satisfied that in the circumstances
the plaintiff should succeed 100% on the merits, as there is no
contributory negligence.
Quantum
[123]
I now move on to the quantum. The defendant did
not call any witnesses in support of its case nor file an expert
Reports, it relied
only in cross-examination of the witnesses, which
in some instances yielded positive results as some crucial
concessions were made.
Again, as with the merits, the Fund contested
the handing in of the expert Reports, preferring the witnesses to
testify even though
it had nothing to counter with, causing the court
to hear the Rule 38 application and make a ruling in its favour. The
fund then
withdrew its contestation, of the following witnesses Mr
Mokgata, Speech Therapist, Mr Mthimkhulu, Educational Psychologist,
Ms
Khwela, Occupational Therapist, and Mr Sauer, Actuary, when they
were already reserved for hearing, resulting in wasted costs. This
could have been curtailed during pre-trial conference, avoiding costs
for preparation and reservations of these witnesses.
[124]
Dr Selepe, the Industrial Psychologist, relied on
the information that was contained in the other experts’ Report
and her
own assessment to compile her Report. It is clear that Dr
Mabena, confirmed that the life span of a child suffering from
cerebral
palsy and meningitis, may be shortened as a result thereof.
She confirmed that the child not have had a pre-existing condition,
as he was developing normally, only to regress post-accident. She was
not challenged in this regard.
[125]
Dr Selepe further referred to Dr Huth’s
Report, who is of the opinion that, patient’s lifespan may be
shortened by a
period of approximately 10 (ten) years from that of an
average person who do not suffer from Cerebral Palsy and epilepsy.
This will be one of the factors to be
considered when awarding damages. A shortened lifespan means that he
will not need the care
as set out in the expert Reports. This is an
aspect that most of the other experts did not venture into.
The
above-mentioned amount will have to be adjusted taking into
consideration the patient’s anticipated lifespan.
[126]
Dr Huth confirmed that, M[...] sustained head
injury, spinal injury, hydrocephalus and meningitis. He developed
symptoms of Complicated
Meningitis due to pyogenic lumber
spondylodiscitis, leading to mental retardation and cerebral palsy
with spastic diplegic variant
and epilepsy, that have caused the
patient impairment and disability, resulting in WPI of 55%.
[127]
Ms Khwela concluded that he was unable to attend
mainstream school as he presents with cerebral palsy and is
permanently disabled.
Ongoing occupational therapy was recommended in
his life. Dr Surridge, Colorectal Surgeon and certified
Gastroenterologist’s
Report, that M[...] suffers avulsion of
the sigmoid mesentery with resulting necrosis of the synod colon and
perforation, which
resulted in the sepsis in the central nervous
system with complications. This resulted in the sigmoid colon being
removed, as a
way of controlling the source of sepsis, and an end
colostomy brought out and connected to a stoma-bag.
[128]
Ms Mokgata, the Speech Therapist and Audiologist’s
conclusion is, M[...] will require an individualised education and
rehabilitation
plan (IEP) in the form of an intensive period of
speech-language therapy whilst receiving a multi-disciplinary team
approach. M[...]
will need to be placed in an appropriate early
development centre/ care-centre where he would receive stimulation,
learning opportunities
and therapeutic intervention within a
specialised environment.
[129]
Ms Selepe concluded that though the
multi-disciplinary interventions will provide educational
stimulation, which will be costly
to the family, M[...] will remain
uneducable. She later conceded under cross -examination that Koch’s
Upper Band theory was
based on top 100 companies in the country,
which employ a small percentage of the country’s population and
was not guaranteed.
That
it was not easy to attain the contract of employment that due to high
demand for placement of tertiary institutions graduates.
[130]
Ms Khwela, Occupational Therapist, confirmed that
M[...] presented low body tone and left leg presents with spasticity.
He will
be unable to attend the main stream school, as he presents
with cerebral palsy and is permanently disabled. Given his severe
long-term
neurocognitive, following the accident, it appears he would
find it difficult to search, secure and maintain gainful employment
in an unskilled or semi-skilled environment in the open labour
market.
[131]
Ms Selepe referred to Dr Huth – Specialist
Neurologist’s Report, which reflects that M[...] ’s
condition developed
into Complicated Meningitis, which lead to mental
retardation and cerebral palsy which caused the patient impairment
and disability.
M[...]’s severe long-term medical prognosis
would not him to secure and maintain suitable employment. Although
she suggests
he may need a sympathetic employment, it is clear that
his condition cannot allow any form of unskilled work, as he himself
would
need full-time care and is declared uneducable by Mr
Mthimkhulu, Educational Psychologist.
[132]
Dr Huth, Specialist Neurologist is of the opinion
that M[...] has a shortened life span by approximately 5 (five) years
due to epilepsy.
Cerebral palsy with mental retardation carries a
further variable reduction in life span
.
See Report para 12.3.1 at p.13. This will
impact on the total amount awarded for loss of income as he would in
any way not have
lived that long
.
Dr Selepe’s conclusion is that he was
functionally and virtually unemployable in an open labour market,
which means
that a provision of total loss of earnings should be
made, in line with the content of para 7.2.1.1 of her Report.
[133]
She concluded that as a result of the accident, he
sustained injuries on his stomach, head and spinal cord, which
resulted in him
being unable to walk, talk, and sit without, support.
This could have been the position in 2022 at the time of the
assessment,
as his mother at the hearing, gave evidence that he can
now walk with her guidance and can sit on his own. His interaction
with
other children was described by the mother as bad, as he always
hit them with whatever object is available.
[134]
Dr Selepe tried to demonstrate M[...]’s
retirement age Pre – accident. It is clear that although she
tried to refer
to his life-style contributing to him reaching
retirement age of 65 years and working beyond it. This could not be
supported in
any way as the evidence before court is, he was only 18
months old at the time of the accident.
She deferred the post-accident retirement
age to the medical experts to deal with. It is clear that this aspect
was not properly
addressed, as it is clear that his life expectancy
will be seriously shortened, which means that his earning capacity
would have
been affected as well. His life was said to be shortened
by a period of about 10 years.
M[...]
as the results of the accident, he now can work up to age 55,
according to Dr Huth, Specialist Neurologist, whose opinion
is he has
a shortened life span by approximately 5 (five) years due to
epilepsy. Cerebral palsy with mental retardation carries
a further
variable reduction in life span
. See
Report para 12.3.1 at p.13.
This will
impact on the total amount awarded for loss of income as he would in
any way not have lived that long.
[135]
Mr Sauer, the Actuary’s Report for M[...],
relied mainly on Dr B Selepe the Industrial Psychologist’s
Report. In paragraph
7 of Dr Selepe’s Report is the scenario of
what M[...] would have progressed and earned pre-morbid.
She indicated that no income is projected
until M[...] reaches the age of 20.5, which will be in the April
2041, as he was a toddler
at the time of the collision and could have
studied towards obtaining a degree, which is NQF level 7
qualification.
She
conceded under cross-examination that he could have reached NQF level
5 a diploma not a degree, as per Report. He could have
entered the
labour market with a diploma. Dr Selepe further conceded that upper
quartile income of semi-skilled workers of R204 000,
00 per
annum in 2023 monetary terms, was not accessible by majority of young
people in this country, as it was based on what the
top 100 companies
offered
.
[136]
The actuary projected this income with
inflationary increases until the child turns the age of 22.5 (22) +
23) / 2), therefore until
2043/04/10, when he would have completed
his internship and secured employment in the corporate sector. His
projection in this
regard is subject adjustment, as Dr Selepe
conceded that he would obtain a diploma not a degree and that upper
quartile income
was not for everyone. His projected a total package,
equal to lower quartile B4/C1 Paterson level, of R385 500,00
((R513 000
+ R458 000,00) / 2) (Quantum Yearbook 2024
figure) per annum in current monetary terms, should also be adjusted
accordingly.
10%
of this income is assumed to consist of non-taxable fringe benefits.
[137]
A further
adjustment is necessary to his projected income linear increases
until age 45, which will be in 2065/10/10, when he reached
his career
ceiling. Thereafter the total package of R1 114 000
(Quantum Yearbook 2024 figure) per annum in current monetary
terms,
may be lessened by the above factors. Further aspect for
consideration will be that the projected this income inflationary
increases, will be until retirement at age 55, as Dr Huth, indicated
that life expectancy is shortened by approximately 10 years.
[138]
Mr Sauer further pointed out that the calculations
were done in line with the industrial psychologist’
recommendations and
do not in any way certify its correctness, as it
is not part of his expertise.
[139]
He worked on the Past escalation rate of 6. 01%
per annum (Average CPI over past period). The future escalation rate
is 4. 6% per
annum. In as far as the tax is concerned, past earnings
are taxed at the tax rate applicable in the relevant financial year,
whilst
future earnings are taxed at the latest available tax rates.
It is clear that he worked his contingencies provision, informed by
Dr Selepe’s report, which she conceded was based on incorrect
information in as far as the NQF level was concerned and the
life
expectancy of the child. Clearly this would necessitate a further
adjustment.
[140]
Clearly a higher contingency is applicable in the
circumstances. The 5% total deduction for past losses (pre-morbid)
and 0% total
deduction for past losses (post-morbid).
A higher contingency than his 20% total
deduction for future losses (pre-morbid) (approximately 0.5% per
future working year.) and
0% total deduction for future losses
(post-morbid), will be applicable. Mr Sauer concluded that following
will be the calculations.
Future earnings pre-morbid is an amount of
R9 782 026, less 25% contingency deductions in the sum of
R1 956 405,
with the total of R7 825 621. Post-morbid
the figure is 0, leaving the sum of R7 825 621 as the total
loss of earnings
suffered by M[...], as there is no RAF cap
applicable.
[141]
In
determining the loss of earnings, the court has followed the approach
of Stratford, J in
Hersman
v Shapiro and Co
[11]
where
it was held that:
“
Monetary
damage having been suffered, it is necessary for the court to assess
the amount and make the best use it can of the evidence
before it.
There are cases where the assessment by the court is little more than
an estimate; but even so, if it is certain that
pecuniary damage has
been suffered, the court is bound to award damages.”
[142]
The court finds that the evidence placed before it
was of assistance, but laments the fact that Dr Selepe’s Report
and her
evidence in court differed slightly as she placed in her
Report that he could have obtained a degree, which is a NQF level 7,
but
in court under cross – examination confirmed that the
Educational Psychologist’s assessment of a diploma, which is
the NQF Level 5 was the more appropriate in the circumstances. She
further did not take into consideration that his life expectancy
was
shortened life span by approximately 5 (five) years due to epilepsy.
And Cerebral palsy with mental retardation carries a further
variable
reduction in life span
.
An
average of 10 year could be the shortened life span. Based on this Mr
Sauer worked out his calculations and came out with the
final figure
of R9 782 026, 00 less 20% contingency deductions in the
sum of R1 956 405, with the total of
R7 825 621,
00. Post-morbid the figure is 0, leaving the sum of R7 825 621,
00. It is clear that if he was
provided with all this information, he
could have arrived at an amount that is far less than the current
figure.
[143]
As set
out in
Anthony
and Another v Cape Town Municipality
[12]
,
Holmes JA at held the following:
“
I
therefore turn to the assessment of damages. When it comes to
scanning the uncertain future, the court is virtually pondering
the
imponderable, but must do the best it can on the material available,
even if the result may not inappropriately be described
as an
informed guess, no better system has been devised for assessing
general damages for the future loss”.
[144]
The court has considered the information provided
in various Reports and the oral evidence and reach a conclusion that
a less amount
be granted as compensation in the circumstances; with a
higher contingency to compensate for the short coming. The amount as
suggested
by the plaintiff’s attorney in the draft order in the
sum of R6 592 708, 00 will be appropriate in the
circumstances,
as it is less than the amount of R6 847 418,
20, at a higher contingency of 30%.
[145]
The court finds that an amount of R6 592 708,
00 is just and reasonable in the circumstances and make a
compensation order
for this amount.
[146]
The court further makes an order for preservation
of the funds, as the child is not in a position to manage his own
affairs and
the mother is not suitable for this position. His parents
are not married and live apart, with the mother as the primary
caregiver.
His father is not directly involved in the child’s
day to day life and rarely sees the child. The father’s
negligence
was the cause of the child’s condition, putting him
in charge of the funds will amount to him benefitting from his wrong
doing. It will be in the child’s best interests if the fund be
preserved in a Trust to be created in his favour and for his
sole
benefit.
[147]
The defendant is also liable for all the costs
associated with this claim. The draft order will be attached to this
judgment as
part hereof.
Order
[148]
In the circumstances, I make the following order:
1.
The draft order attached hereto marked with an
“X”, is made an order of court and final part of judgment
in this matter.
SO VELE
ACTING JUDGE OF THE
HIGH COURT
GAUTENG DIVISION,
JOHANNESBURG
APPEARANCES
Counsel
for Plaintiff:
Advocate
M Kutama
Instructed
by:
Mathebula W Inc
Counsel
for Defendant:
Ms S Ameersigh
Instructed
by:
State Attorney, Johannesburg
Dates
of Hearing:
10 – 14/02/2025, 31/03/2025, 01/04/2025 and 07/07/2025
Date of Judgement:
06 October
2025
[1]
Uniform
Rules of Court, Volume 2,
Second
Edition, P D1 – 477, Van Loggerenberg, Juta
[2]
See
Absa
Bank Bpk v ONS Beleggins BK
2000
(4) SA 27
(SCA) at 32F – I;
Visser
v 1 Life Direct Insurance Ltd
2015
(3) SA 69
(SCA) at 80H.
[3]
Unreported
17258/11, 2013/12/03
[4]
[2020]
ZASCA 158
at par 6.
[5]
Id
at
para 16.
[6]
1996
(2) SA 154
(A)
at
152 E–I.
[7]
2014
(4) SA 112
(SCA) at para 18.
[8]
Busuku
at
para 14.
[9]
[2013]
ZAGPPHC at para 4.
[10]
[2017] ZAGPPHC 879 (5
October 2017).
[11]
1926
TPD 367
at
369.
[12]
1967
(4) SA 445
(A)
at
451B–C.
sino noindex
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