Case Law[2024] ZAGPJHC 276South Africa
Emma v MEC for Health Gauteng Province (2022/12482) [2024] ZAGPJHC 276 (15 March 2024)
Judgment
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# South Africa: South Gauteng High Court, Johannesburg
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## Emma v MEC for Health Gauteng Province (2022/12482) [2024] ZAGPJHC 276 (15 March 2024)
Emma v MEC for Health Gauteng Province (2022/12482) [2024] ZAGPJHC 276 (15 March 2024)
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sino date 15 March 2024
REPUBLIC
OF SOUTH AFRICA
IN
THE HIGH COURT OF SOUTH AFRICA GAUTENG
LOCAL
DIVISION, JOHANNESBURG
Case
Number: 2022-12482
REPORTABLE:
NO
OF
INTEREST TO OTHER JUDGES: NO
REVISED:
NO
DATE:
15/03/2024
FANANA:
NOMBUSO EMMA
Applicant
and
MEC
FOR HEALTH GAUTENG PROVINCE
Respondent
JUDGMENT
[1]
The
applicant is the plaintiff in proceedings presently pending in which
she claims damages against the respondent/defendant arising
out of
injuries sustained by her whilst a patient at Chris Hani Baragwanath
Hospital (“the hospital”) in and during
November,
December 2019 and January 2020. The respondent is the MEC for Health
Gauteng Province (“the MEC”).
[2]
In
this application, the applicant seeks declaratory relief to the
effect that her notice in terms of section 3(1)(a) of the Institution
of Legal Proceedings against Certain Organs of State
[1]
(“the Act”) complies with the requirements of section
3(2) of the Act and was timeously served.
[3]
In
the alternative, the applicant seeks condonation in terms of section
3(4) of the Act for the failure to serve the notice timeously
in
terms of section 3(2)(a).
SECTION
3 OF THE ACT
[4]
Section
3(1) provides that no legal proceedings for the recovery of a debt
may be instituted against an organ of state unless the
creditor has
given the organ of state in question notice in writing, of his or her
or its intention to institute the legal proceedings
in question.
[5]
The
notice referred to in section 3(1) must be given within 6 months from
the date upon which the debt became due, and served on
the organ of
state in question in accordance with the provisions of section 4(1)
of the Act.
[6]
For
the purposes of subsection (2), a debt may not be regarded as being
due until the creditor has knowledge of the identity of
the organ of
state and the facts giving rise to the debt, but the creditor must be
regarded as having acquired such knowledge as
soon as he or she or it
could have acquired it by exercising reasonable care, unless the
organ of state wilfully prevented him
or her or it from acquiring
such knowledge
[2]
.
[7]
If
an organ of state relies on the creditor’s failure to serve a
notice in terms of subsection (2):
(a), the creditor may apply to a court
having jurisdiction for condonation of such failure.
[3]
(b)
The court may grant an application referred to in paragraph (a) if it
is satisfied that:
·
the
debt has not been extinguished by prescription;
·
good
cause exists for the failure by the creditor; and
·
the
organ of state was not unreasonably prejudiced by the failure.
[4
]
[8]
The
following facts are relevant to the issues both in relation to the
declaratory relief and the application for condonation
[5]
:
(1)
The
applicant was admitted to the hospital on 24 November 2019. She was
38 weeks pregnant and suffering from hypertension.
(2)
She
was readmitted on 30 November 2019 and assisted by medical staff at
the hospital, gave birth to a baby boy through a Caesarean
procedure
and was discharged from the hospital on or about 1 December 2019.
(3)
According
to her pleadings, the applicant was in hospital from 30 November 2019
to 1 December 2019 during which period the Caesarean
procedure took
place and on 5 December was readmitted as she was bleeding from the
operation and there was a smelly discharge from
the site of the wound
which caused her severe pain. On this occasion, the hysterectomy
operation was performed. Somewhat contradictorily,
she states that on
6 January 2020 she was operated on for the second time (which is
clearly wrong) but this inconsistency has now
been remedied by an
amendment to her particulars of claim. It was during the course of
the hysterectomy that she was advised by
hospital personnel that the
removal of her womb was necessary since her womb was not cleaned
properly by the healthcare personnel
and/or doctors who performed the
first operation.
(4)
In
the present application, the applicant states that she was admitted
to the hospital for the second time on 5 December 2019 but
discharged
on 2 January 2020
[6]
and then contradictorily states that she was discharged form hospital
on 2 January 2019
[7]
.
Both these dates of discharge are wrong and appear to be correctly
recorded in the amended particulars of claim.
(5)
In
summary, it appears that the applicant was hospitalised for the
Caesarean procedure for the period 30 November to 1 December
2019 and
readmitted on 5 December 2019 when the hysterectomy operation was
performed. These inconsistencies are explainable and
do not detract
from or impact upon the merits of the present application.
(6)
Following
her discharge, she frequented the hospital for regular medical
check-ups until at least October 2020. In addition, she
underwent a
tracheotomy operation on 30 March 2020 since she was losing her voice
due to the extensive time spent in ICU.
(7)
Pausing
here for a moment it seems to me to be reasonable to infer that the
applicant was subjected to trauma, discomfort and ill-health.
(8)
On
23 March 2021 she consulted Mr Samora Mabasa, an attorney, who, for
the first time, advised her that she might have a serious
case of
medical negligence against the hospital. Her explanation for not
consulting him at an earlier stage is in the circumstances
reasonable. Until at least October 2020, she attended the hospital
and being emotionally drained, she did not have the financial
means
to engage in a legal battle with the government who apparently she
was advised to sue.
(9)
Based
on instructions given by Mr Mabasa, a notice in terms of
section 3(2)(a) of the Act was delivered to the respondent
on 9 April
2021 and summons was issued and served on 30 March 2022. It is common
cause that the action against the respondent has
not prescribed.
(10)
In
sum therefore, the applicant contends that the cause of action did
not arise and the debt did not become due on 30 November 2019
but
only on 23 March 2021 when she received legal advice that she had a
strong case and that she should pursue a civil action against
the
hospital.
[8]
The applicant states that prior to that date, she did not know that
she could institute against the “hospital” for
what had
occurred, and in addition, she still required medical attention and
was emotionally drained and had no financial means
to engage in a
legal battle with the government.
[9]
.
[9]
It
seems to me reasonable to accept that at least until she consulted
with a legally qualified practitioner she would not have known
that
she had a claim against the hospital or the respondent as the
official responsible for the negligent acts of the employees
and
staff of the Department of Health and Social Development.
[10]
WAS
NOTICE TIMEOUSLY FURNISHED?
[10]
The
resolution of this issue depends upon determination of when the debt
became due, namely when can it be said that the applicant
had
knowledge of the identity of the debtor and of the facts from which
the debt arose and whether, by the exercise of reasonable
care, this
knowledge could have been acquired at an earlier date.
[11]
The
affidavit of the applicant explains in some detail the material
events which occurred prior to her consulting with her attorney
in
March 2021, and reasons for failing to initiate these proceedings at
an earlier stage. The reason for not proceeding against
either the
hospital or respondent is plausible and understandable in the
circumstances as it is unlikely that the applicant would
have
appreciated that she had a claim against the respondent.
[12]
The
scope and requirements of section 12(3) of the Prescription Act
[11]
were stated in
Drennan
Maud and Partners v Pennington Town Board
[12]
and were to the effect that a creditor exercising reasonable care
requires diligence not only in the ascertainment of the facts
underlying the debt but also in relation to the evaluation and
significance of those facts. This means that the creditor is deemed
to have the requisite knowledge if a reasonable person in his
position would have deduced the identity of the debtor and the facts
from which the debt arises.
[13]
The
applicant probably knew from at least 5 December 2019 that there was
negligence in the performance of the Caesarean procedure.
But she
would not have known that she had a claim against the hospital or the
respondent
[13]
.
Indeed it is uncontradicted that she did not have knowledge that she
could institute action against the hospital
[14]
.
[14]
In
the circumstances, I am satisfied the first occasion upon which
applicant would have become aware of the identity of the debtor
at
any stage prior to this consultation was when she consulted her
attorney in and during March 2021 and it is highly unlikely
that
given her personal circumstances, she would have been aware of the
fact that the respondent was her debtor
[15]
.
[15]
In
the circumstances, I am satisfied that the notice was timeously given
in terms of section 3(2) of the Act.
[16]
In
any event, even if notice was not timeously given, I am of the view
that condonation should be granted.
[17]
A
litigant seeking either condonation or an indulgence in relation to
non-compliance with a legislative enactment is required to
show good
cause which involves the following, namely:
#
# (1)A
reasonable explanation for the delay or default;
(1)
A
reasonable explanation for the delay or default;
# (2)That the application isbona
fide; and
(2)
That the application is
bona
fide
; and
# (3)There
are reasonable prospects of success in the litigation in the sense
that there is aprima
facecase
or defence[16].
(3)
There
are reasonable prospects of success in the litigation in the sense
that there is a
prima
face
case
or defence
[16]
.
#
# [18]The
essential facts relating to the applicant’s failure to give the
notice earlier have been properly explained and there
is no real
challenge by the respondent to these essentials facts. The applicant
was obviously severely traumatised by the events
which occurred at
the end of November 2019 and the beginning of December 2019 and
underwent further medical treatment and was in
and out of hospital
until at least October 2020. The delay from that date until she
consulted her attorney on 23 March 2021 has
been satisfactorily
explained.
[18]
The
essential facts relating to the applicant’s failure to give the
notice earlier have been properly explained and there
is no real
challenge by the respondent to these essentials facts. The applicant
was obviously severely traumatised by the events
which occurred at
the end of November 2019 and the beginning of December 2019 and
underwent further medical treatment and was in
and out of hospital
until at least October 2020. The delay from that date until she
consulted her attorney on 23 March 2021 has
been satisfactorily
explained.
# [19]The
requirement of notice in terms of the Act is to afford the state
institution an opportunity to investigate claims and decide
before
getting embroiled in litigation at public expense[17].
The present case is rather curious since initially on 17 August 2023
the respondent through the state attorney indicated that
it would not
be opposing the application for condonation provided the issue of
costs was reserved. When the applicant did not accede
to this
request, the respondent decided to oppose the application which in
the circumstances is rather strange. In my view, the
requirements in
relation to section 3(4)(b) have been satisfied. There is good cause,
the debt has not been extinguished by prescription
and there is no
suggestion that the respondent has been prejudiced by failure to
comply with the provisions of section 3 of the
Act.
[19]
The
requirement of notice in terms of the Act is to afford the state
institution an opportunity to investigate claims and decide
before
getting embroiled in litigation at public expense
[17]
.
The present case is rather curious since initially on 17 August 2023
the respondent through the state attorney indicated that
it would not
be opposing the application for condonation provided the issue of
costs was reserved. When the applicant did not accede
to this
request, the respondent decided to oppose the application which in
the circumstances is rather strange. In my view, the
requirements in
relation to section 3(4)(b) have been satisfied. There is good cause,
the debt has not been extinguished by prescription
and there is no
suggestion that the respondent has been prejudiced by failure to
comply with the provisions of section 3 of the
Act.
# [20]In my view, the applicant is
entitled to the declaratory relief sought and I make the following
order:
[20]
In my view, the applicant is
entitled to the declaratory relief sought and I make the following
order:
# (1)It is declared that the
applicant’s notice dated 9 April 2021 complies with section
3(2) of the Act;
(1)
It is declared that the
applicant’s notice dated 9 April 2021 complies with section
3(2) of the Act;
# (2)The respondent is ordered to pay
the applicant’s costs.
(2)
The respondent is ordered to pay
the applicant’s costs.
#
D
M FINE SC
ACTING
JUDGE OF THE HIGH COURT
[1]
Act 40 of 2002.
[2]
Section 3(3) of the Act to all intents and purposes is identically
worded to section 12(3) of the Prescription Act 68 of 1969
(“the
Prescription Act&rdquo
;) which reads: “A debt shall not be
deemed to be due until the creditor has knowledge of the identity of
the debtor and
of the facts from which the debt arises: Provided
that a creditor shall be deemed to have such knowledge if he could
have acquired
it by exercising reasonable care.” It follows
therefore that decisions in relation to
section 12(3)
are
instructive and would be of assistance in interpreting the aim,
scope and purview of section 3(3) of the Act.
[3]
Section 4(a) of the Act
[4]
Section 4(a) and (b) of the Act. Section 4(c) provides that “If
the application is granted in terms of (b), the court may
grant
leave to institute legal proceedings in question on such conditions
regarding notice of the organ of state as the court
may deem
appropriate”. Action has already been instituted, so that the
need for a direction from the court does not arise.
[5]
They emerge from the affidavits filed in this application and the
pleadings in the pending action. There are contradictions between
the pleadings and the affidavits but in my view they do not affect
the outcome of this application.
[6]
para 3.4 of the application
[7]
para 3.7 of the application
[8]
Apparently she was not told she could pursue an action against the
respondent who is the official responsible in law for acts
and/or
omissions of persons in the employment of the Department of Health
and Social Development.
[9]
10/12, para 5.2
[10]
MEC for
Education KwaZulu-Natal v Shange
2012 (5) 313 SCA
[11]
68
of 1969.
[12]
[1998] ZASCA 29
;
1998 (3) SA 200
SCA.
[13]
Even in this regard, there is some uncertainty since in her
affidavit, she states that before the hysterectomy was done she was
advised by the medical staff at the hospital that the infection was
caused by her negligence or was a normal occurrence associated
with
Caesarean sections. Para 3.6, pg. 10/10
[14]
Affidavit, para 3.11, pg. 10/11. In any event, in terms of
section
12(3)
of the
Prescription Act, if
the debtor (
in
casu
)
is to succeed in proving the date from which prescription begins to
run, he/she must allege and prove that the creditor had
the
requisite knowledge on that date.
Gericka
v Sack
1978 (1) SA 821
AD
[15]
Shange
supra at pg. 319 D-E
[16]
Ferns and Another v First Rand Bank Limited
2014 (3) SA 39
CC
[17]
Madinda
v Minister of Safety
[2008] ZASCA 34
;
2008
(4) SA 312
(SCA)
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