Case Law[2024] ZAGPJHC 1009South Africa
Van Tonder v Road Accident Fund (2023/013183) [2024] ZAGPJHC 1009 (7 October 2024)
High Court of South Africa (Gauteng Division, Johannesburg)
7 October 2024
Headnotes
SUMMARY OF PLAINTIFF’S EVIDENCE
Judgment
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## Van Tonder v Road Accident Fund (2023/013183) [2024] ZAGPJHC 1009 (7 October 2024)
Van Tonder v Road Accident Fund (2023/013183) [2024] ZAGPJHC 1009 (7 October 2024)
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sino date 7 October 2024
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IN
THE HIGH COURT OF SOUTH AFRICA,
GAUTENG
DIVISION, JOHANNESBURG
CASE
NUMBER: 2023-013183
[1]
REPORTABLE :
[2]
OF INTREST TO OTHER JUDGES: YES/
NO
[3]
REVISED:
7
October 2024
In
the matter between:
Van
Tonder : Craigh-Clinton
Plaintiff
And
ROAD
ACCIDENT FUND
Defendant
JUDGEMENT
T
LIPSHITZ AJ
INTRODUCTION
1.
This matter concerns an application for
default judgment arising from a delictual claim brought by the
plaintiff against the defendant.
The plaintiff seeks compensation for
bodily injuries sustained by the plaintiff in a motor vehicle
accident on 9 March 2020. The
plaintiff suffered significant
injuries, including a severe head injury with neurological
consequences, such as epilepsy, as well
as psychological and
cognitive impairments. Additionally, the plaintiff sustained several
rib fractures, lacerations on the left
knee and foot, and a fracture
of the pelvis with the left pubic ramus extending into the symphysis.
2.
The defendant conceded the merits of the
claim on 26 October 2022. Consequently, the sole remaining issue for
determination is the
quantum of damages.
3.
In the course of these proceedings, the
Court was required to address the following issues:
3.1.
The effect of the late filing of the notice
of intention to defend and plea;
3.2.
Whether
a “without prejudice” offer, which appeared to contain a
tacit admission regarding the seriousness of the plaintiff’s
injuries as contemplated by Section 17 of the Road Accident Fund Act
56 of 1996 (“the RAF Act”), read with Regulation
3
[1]
(“the Regulations”), could be considered by the Court, or
whether such an offer is protected by privilege;
3.3.
The quantum of damages to be awarded.
4.
These matters will be addressed in detail
in the sections that follow.
The Late Delivery of
the Notice of Intention to Defend and the Abuse of the Court’s
Process
5.
The plaintiff initiated an action against
the defendant on 14 February 2023. Despite proper service, the
defendant failed to respond
to the summons within the period
prescribed by the Uniform Rules of Court (“URC”) and
neglected to file a notice of
intention to defend. Moreover, the
defendant made no effort to engage with the plaintiff to resolve the
matter amicably. In the
interim, the plaintiff underwent several
medico-legal evaluations by various experts, and their reports were
duly prepared. Having
complied with all procedural requirements, the
plaintiff subsequently approached this Court for default judgment in
terms of Rule
31(5) of the URC.
6.
A default judgment hearing was set for 30
April 2024, and the defendant was duly notified of the hearing date
through a notice of
set down served on 20 March 2024.
7.
However, on 28 April 2024—just two
days prior to the scheduled hearing—the defendant filed a
notice of intention to
defend, followed by the filing of its plea on
30 April 2024, the day the default judgment was to be heard. The
defendant’s
plea comprised general denials and a special plea,
alleging that the plaintiff’s injuries were not serious as
contemplated
by
Section 17(1)
of the
Road Accident Fund Act 56 of
1996
, read with
Regulation 3.
This position was taken despite the
fact that the defendant had not previously rejected the plaintiff’s
RAF4 forms in writing,
nor had it formally contested the seriousness
of the injuries at any prior stage. On the contrary, the defendant,
just 4 days later,
made a “without prejudice” offer with
respect to general damages, thereby revealing an inconsistent stance.
8.
When
the matter was called, the defendant’s legal representative
argued that the case could not proceed to default judgment,
asserting
that the filing of the plea precluded such a course of action.
Counsel for the plaintiff contended that the defendant’s
conduct—particularly the late filing of both the notice of
intention to defend and the plea—constituted an abuse of
the
court’s process. Plaintiff’s counsel urged the Court to
follow the reasoning in
Delport
v Road Accident Fund (GJ)
[2]
,
treating the belated filing as an abuse and allowing the matter to
proceed to default judgment despite the defendant’s tactical
manoeuvre.
9.
The Court extended an opportunity for the
defendant to file an affidavit explaining the substantial delay. The
defendant, however,
chose not to avail itself of this opportunity. In
the absence of an explanation, I can only infer that the filing of
these documents
at such a late stage was a deliberate attempt to
delay proceedings, thereby forcing a removal of the matter from the
roll. Such
a delay would clearly prejudice the plaintiff, who would
then have to wait an indeterminate period for a new trial date,
further
prolonging the resolution of the claim and deferring
compensation for years to come.
10.
Upon further inquiry, the defendant’s
legal representative disclosed that the primary defence related to
contesting the plaintiff’s
factual earnings, both pre- and
post-accident. I questioned whether the defendant would suffer any
prejudice if the matter proceeded,
allowing cross-examination of the
plaintiff’s witnesses on this issue within the allocated court
time. The defendant’s
representative conceded that no prejudice
would result from proceeding on this basis.
11.
The Court is vested with inherent powers to
regulate its processes, particularly to prevent the abuse of such
processes. In the
present case, I have considered the following
factors:
11.1.
The considerable delay between the
initiation of the action and the filing of the defendant’s
plea;
11.2.
The defendant’s failure to provide
any reasonable explanation for its conduct;
11.3.
The plea itself, which comprises nothing
more than bald denials and fails to raise a
prima
facie
defence; and
11.4.
The prejudicial delay that would follow if
the matter were removed from the roll, only to be re-enrolled on a
later trial date,
with no material improvement in the defendant’s
position.
12.
In view of these considerations, I am
satisfied that the defendant’s conduct constitutes an abuse of
the court’s process.
I find that there is no justifiable basis
for removing this matter from the roll of default judgments.
Accordingly, the proceedings
continued, allowing the defendant an
opportunity to cross-examine the plaintiff’s witnesses on the
limited issues as set
out above.
SUMMARY OF PLAINTIFF’S
EVIDENCE
13.
The plaintiff
brought an application in terms of
Rule 38(2)
, read with Section 3(1)
of the Law of Evidence Act 45 of 1998, seeking leave to introduce
evidence before this Court. Specifically,
the plaintiff sought to
admit medico-legal reports, corroborated by confirmatory affidavits
deposed by the relevant experts and
the plaintiff’s own
affidavit. This application was duly granted, and these affidavits
form part of the evidentiary material
before this Court.
14.
The following
experts evaluated the plaintiff:
14.1.
Dr. Graad –
Orthopaedic Surgeon;
14.2.
Dr. Fine –
Psychiatrist;
14.3.
Dr. Bingle –
Neurosurgeon;
14.4.
C. Joyce –
Clinical Psychologist;
14.5.
H. du Preez –
Occupational Therapist;
14.6.
Dr. Vlamingh –
Industrial Psychologist; and
14.7.
G. Whittaker –
Actuary.
15.
At the time of
the collision, the plaintiff was 44 years of age. He was known to be
diabetic, managed by chronic medication, including
Glucophage and
insulin injections. Aside from this condition, the plaintiff had no
other pre-existing medical ailments.
16.
The plaintiff
completed his schooling in 1992 with a Grade 12 qualification. The
plaintiff completed Standard 8 and obtained a three-year
Business
Management diploma. He served in the South African Defence
Force for six years before entering the motor industry,
where he held
positions as a salesman, dealership principal, and tow-truck
owner/driver. In January 2018, the plaintiff founded
Cornerstone
Wellness Centre, a private rehabilitation facility for men struggling
with addiction.
17.
At the time of
the accident, the plaintiff was both the owner and manager of
Cornerstone Wellness Centre, which operated as a live-in
programme
with a minimum duration of eight months, accommodating up to
thirty-six men. The centre provided accommodation, three
meals daily,
one-on-one counselling, and coaching sessions. The plaintiff was
deeply involved in every aspect of the centre’s
operation,
working seven days a week, often fifteen hours daily. His duties
ranged from meal preparation and grocery shopping to
participating in
physical activities and counselling. He also handled disciplinary
matters and fundraising efforts for the centre.
18.
According to
his accountant, the plaintiff drew R25,000 per month for personal
expenses from the business.
19.
On 9 March
2020, the plaintiff was involved in a motor vehicle accident,
resulting in significant trauma. He reported that he lost
consciousness at the scene and remained trapped in the vehicle for
approximately three hours before receiving medical assistance.
Paramedics transported him to Akasia Hospital, where he was initially
treated and stabilised. He was later transferred by helicopter
to
Milpark Hospital, where he was admitted to the ICU. The plaintiff
underwent two surgical procedures: an open reduction internal
fixation of the right acetabulum and a total hip replacement. He was
discharged on 2 April 2020 and subsequently transferred to
a
rehabilitation facility, from which he was discharged on 9 April
2020, ambulating with bilateral crutches.
20.
On 30 June
2020, the plaintiff was readmitted after experiencing twitches,
seizures during sleep, and general suboptimal functioning.
An
electroencephalogram (ECG) confirmed a diagnosis of epilepsy, for
which he was treated with Epilim, a chronic medication.
21.
Following the
accident, the plaintiff attempted to resume his role as owner and
manager of the centre after five months of recuperation.
However, due
to the severity of his injuries, he was unable to return to his
previous duties. His wife and other facility staff
have assumed the
majority of his responsibilities. His involvement has been limited to
daily devotions and occasional one-on-one
counselling sessions. The
plaintiff can no longer perform his previous duties.
22.
His
post-accident income has remained at R25,000 per month, but the
plaintiff’s inability to market and manage the centre
has led
to a decline in the number of clients and increased operational
costs. The centre now operates at a loss and is unlikely
to remain
operational for much longer.
23.
According to
the medico-legal reports and the RAF1 form, the plaintiff sustained
the following injuries as a result of the collision:
23.1.
Severe head
injury, complicated by epilepsy;
23.2.
Multiple rib
fractures;
23.3.
Lacerations to
the left knee and foot;
23.4.
A
fracture
of the pelvis with the left pubic ramus extending into the symphysis.
Expert
Assessments
Dr.
Graad
24.
Dr. Graad
confirmed that the plaintiff sustained a fracture dislocation of the
right hip. He reported that the hip replacement was
in satisfactory
condition but recommended conservative management for post-injury
pain and anticipated two revision hip replacements.
Dr. Graad
assessed the plaintiff’s orthopaedic injuries at an 8% Whole
Person Impairment (WPI) and opined that the injuries
met the
threshold of seriousness under
Section 17
of the
Road Accident Fund
Act, read
with
Regulation 3
, as contemplated by the narrative test.
Dr.
Bingle
25.
Dr. Bingle
noted that the plaintiff exhibited a slight limp and bore unsightly
scars on his right parietal and left frontal scalp,
left knee, foot,
and right gluteal area. He further noted neurocognitive and
psychological
sequelae
,
including chronic headaches, sleep disturbances due to pain, speech
difficulties, and epilepsy. Dr. Bingle, referencing the outcome-based
approach and the opinions of the psychiatrist and clinical
psychologist, concluded that the plaintiff likely sustained a
significant
traumatic brain injury. He also assessed the injuries
under
Section 17
of the
Road Accident Fund Act, read
with
Regulation
3
, under the narrative test.
Dr.
Fine
26.
Dr. Fine
observed that the plaintiff walked with a limp and had hesitant,
slurred speech, with noticeable memory impairment. He
diagnosed the
plaintiff with severe traumatic brain injury and significant organic
brain damage, possibly indicated by the possible
Glasgow Coma Scale
(GCS) score of 6/15 and the treatment of ventilation. Dr. Fine also
diagnosed Post-Traumatic Stress Disorder
(PTSD), accident-related
depression, and post-traumatic epilepsy.
C.
Joyce
27.
Ms. Joyce
conducted cognitive and psychological tests, which revealed
compromised functioning in several areas, including concentration,
memory, executive function, and attention. She noted dysfunction in
the frontal lobe, manifesting in difficulties with task-switching
and
executive functioning. Joyce diagnosed the plaintiff with a moderate
brain injury, highlighting the presence of axonal damage.
She opined
that spontaneous recovery was unlikely, given the time elapsed since
the accident. Additionally, she diagnosed the plaintiff
with PTSD,
anxiety, and depression, which exacerbated his cognitive impairments.
H.
du Preez
28.
Du Preez’s
assessment indicated that the plaintiff’s functional abilities
had significantly diminished. He was now limited
to sedentary to
light physical tasks and rare to occasional mobility demands. Du
Preez opined that, both physically and cognitively,
the plaintiff no
longer met the demands of his pre-accident occupation as the owner
and manager of a wellness centre. She further
concluded that the
plaintiff was unlikely to secure or maintain employment in the open
labour market, given his physical and cognitive
limitations and the
ongoing effects of epilepsy.
Mr Vlamingh
Pre-Accident
Scenario
29.
At the time of the
accident, the plaintiff had only recently founded the wellness centre
and had plans to expand its facilities.
Construction was already
underway when the collision occurred. The plaintiff had previously
achieved success in the motor vehicle
industry and had also operated
a tow truck business, which he closed after deciding to pursue his
new calling.
30.
Although the centre
was not operated with a profit motive, the plaintiff was able to
withdraw R25,000 per month for personal expenses.
According to expert
opinion, had the plaintiff not been injured, he would likely have
expanded the rehabilitation centre, increasing
his personal income to
a peak of R40,000 per month. It is further suggested that he would
have continued running the centre until
retirement, with an expected
retirement age of 68, or possibly extending to 70, as he was
self-employed and had no mandatory retirement
age.
Post-Accident
Scenario
31.
Experts have
concluded that the plaintiff will no longer be able to reach his
pre-accident earning potential. His psychological,
physical, and
cognitive impairments render him unfit to continue as the centre's
owner and manager. It is further opined that his
continued
involvement may lead to the facility's closure, leaving him
unemployable with little chance of securing alternative employment.
32.
Based on all
available information, the expert concludes that the plaintiff is no
longer capable of resuming his pre-accident career
or achieving his
prior level of income, and that the wellness centre may be forced to
close in the foreseeable future.
33.
Mr Vlamingh provided oral evidence, which
can be summarised as follows:-
33.1.
The expert witness's evidence in this
matter focused on the plaintiff’s pre- and post-accident
earning capacity and the impact
of the accident on his ability to
continue managing his business. The expert interviewed the plaintiff
and his wife and reviewed
relevant medico-legal reports and other
documents, including the plaintiff’s work history.
33.2.
Before the accident, the plaintiff had
worked in various roles, including as a sales dealer principal and a
driver in the towing
industry. He had also demonstrated managerial
skills, eventually starting his own towing business. In 2018, he
founded the Cornerstone
Wellness Centre, a rehabilitation facility,
following a personal calling to do so. His business, though small,
provided him with
a monthly income of R25,000, which was drawn as
salary for personal expenses.
33.3.
The expert postulated that the plaintiff,
as a self-employed individual, would have continued to draw this
salary, and his income
could have increased had the wellness centre
expanded as planned. The expert estimated the plaintiff’s job
grading at a B5/C1
level using the Paterson grading system,
reflecting his skills and responsibilities. This was considered a
conservative estimate,
and the expert opined that his income would
have likely increased had the plaintiff not been injured.
33.4.
Following the accident, however, the
plaintiff’s capacity to manage the wellness centre was severely
compromised. The expert
described the plaintiff’s post-accident
ability as “extremely compromised,” with him relying
heavily on others
to perform tasks he previously handled. The expert
recommended that the plaintiff consider surrendering the management
of the wellness
centre to a church or similar organisation and secure
a modest monthly income for himself through less demanding work. The
expert
further noted that the plaintiff’s ability to handle
complex interpersonal and behavioural issues had been significantly
diminished, casting doubt on his continued involvement in the
centre’s operations.
33.5.
Regarding retirement age, the expert
suggested that pre-accident, the plaintiff could have worked until
age 68 to 70, given his
self-employed status. However, post-accident,
the expert proposed a more conservative retirement age of 60,
reflecting the plaintiff’s
diminished capacity.
33.6.
During cross-examination, it was confirmed
that the expert did not have access to all pre-accident financial
records or collateral
sources when compiling the report. However, the
expert relied on available medico-legal reports, the plaintiff’s
curriculum
vitae, and interviews with the plaintiff and his wife to
form his conclusions.
Lay Witnesses
Ms Van Tonder –
The Plaintiff’s Wife
34.
Ms Van Tonder
gave evidence that the plaintiff was involved in a serious motor
vehicle accident on 9 March 2020 while returning
home after
purchasing food for the wellness centre he managed. The collision was
head-on, and both the plaintiff and the other
passenger were trapped
in the vehicle for approximately three hours before being airlifted
to Milpark Hospital. Upon admission,
it was determined that the
plaintiff had sustained multiple fractures, including broken ribs, a
crushed pelvis and hip, as well
as leg and head injuries. He
underwent two surgeries for hip replacement and was discharged after
a month, although he continued
to rely on crutches and faced
significant difficulty in walking.
35.
Post-accident,
the plaintiff suffered from convulsions during sleep, leading to a
diagnosis of brain damage, which impaired his
speech and cognitive
abilities. His wife testified that prior to the accident, the
plaintiff was actively involved in managing
the Cornerstone Wellness
Centre, which he had founded in 2017. His daily responsibilities
included preparing meals, organising
physical activities, providing
spiritual guidance, and handling the centre’s day-to-day
operations. Since the accident, he
has been unable to perform these
duties, repeating himself frequently and displaying cognitive
deficits. His wife, who handled
the administrative aspects of the
centre, stated that they have had to hire additional staff to perform
tasks that the plaintiff
previously managed, including gardening and
domestic help.
36.
Before
establishing the wellness centre, the plaintiff worked in car sales
and towing, earning more than he did as the centre’s
manager.
At the time of the accident, the plaintiff drew R25,000 per month for
personal expenses from the centre’s income.
However, due to the
financial impact of the accident, no salary is currently being drawn,
and the centre is struggling to cover
its operational costs. Efforts
to secure additional funding, including attempts to open a non-profit
company and attract donations,
have been unsuccessful.
37.
During
cross-examination, the plaintiff’s wife confirmed that although
she was not at the accident scene, she obtained information
from
traffic officers and medical personnel. She could not confirm the
plaintiff’s Glasgow Coma Scale (GCS) score upon admission
but
noted that he had sustained gashes on his head. The defendant argued
that no head injuries were recorded on admission.
38.
The wellness
centre's financial struggles were also discussed in detail. The
plaintiff’s wife, who is a bookkeeper, stated
that the centre’s
income has diminished significantly since the accident, and it is now
operating at a loss. Although the
plaintiff initially drew R25,000
monthly, he no longer receives a salary, and the centre’s
financial records reflect a worsening
situation. Attempts to reduce
expenses, including adjusting the menu for the residents, have not
been sufficient to prevent the
financial decline.
M
Glantz – the plaintiff’s accountant.
39.
The
plaintiff’s accountant, responsible for managing the financial
records since 2018, provided detailed testimony regarding
the
financial status of the plaintiff’s business. The accountant
confirmed that the plaintiff had no income in 2018, and
financial
records prior to 2021 were not readily available during testimony.
However, from 2021 onwards, the accountant confirmed
that the
plaintiff drew a R25,000 monthly salary. This amount included medical
aid, rent, and other living expenses. The accountant
also testified
that the plaintiff’s wife earned R18,396 monthly after
deductions.
40.
The financial
records revealed that in 2021, the plaintiff’s company
generated R355,838 in income, with a net profit after
expenses. By
2022, the income had increased slightly to R370,990. However, the
company experienced financial difficulties, as reflected
by the
profit and loss statements showing a decline in overall profits and
an eventual loss of R221,000 in the 2022–2023
financial period.
The accountant further provided the tax assessments for 2022 and
2023, which indicated that the plaintiff owed
no taxes to SARS and
had complied with all tax obligations.
41.
Cross-examination
revealed that the plaintiff’s business, classified as a
non-profit organisation assisting with rehabilitation,
had only two
temporary employees at the time. It was confirmed that the plaintiff
and his wife used drawings from the business
for personal expenses.
Although the business maintained separate books for individual and
company finances, the company struggled
to remain financially viable
due to declining income and increasing operational costs.
General
Damages
42.
In the case of
Knoetze obo
Malinga and Another v Road Accident Fund (77573/2018 &
54997/2020) [2022] ZAGPPHC 819 (2 November 2022)
,
the court reaffirmed the principle that it does not have jurisdiction
to determine whether injuries qualify as serious for purposes
of
general damages unless such injuries have been classified as serious
in accordance with the process prescribed in the regulations.
It is
common cause that the defendant has not formally reacted to the
plaintiff’s serious injury assessment form, neither
having
expressly accepted nor rejected it.
43.
In the present
matter, it is common cause that on 2 May 2024, the defendant made a
“without prejudice” offer, which
included compensation
for general damages and loss of earnings, as well as an undertaking
for future medical expenses in terms
of
Section 17(4)
of the
Road
Accident Fund Act 56 of 1996
. The plaintiff, however, did not accept
this offer.
44.
The
plaintiff contends that the “without prejudice” offer
constitutes a tacit acceptance by the defendant that the plaintiff’s
injuries meet the statutory threshold of seriousness. Such a tacit
acceptance, it is argued, vests this Court with the necessary
jurisdiction to adjudicate the quantum of general damages. In support
of this argument, the plaintiff relies on the cases of
Mertz
v Road Accident Fund
[3]
and
Chetty
v Road Accident Fund
[4]
.
45.
Conversely,
the defendant asserts that the “without prejudice” nature
of the offer shields it from being admitted into
evidence, citing
Berning
Keagan v Road Accident Fund
[5]
.
The defendant argues that the Court is precluded from considering the
offer due to the privilege attached to settlement negotiations.
46.
The Court now
turns to address the relevant law.
Without
Prejudice Privilege and Exceptions
47.
The “without
prejudice” rule serves as a cornerstone of dispute resolution
by encouraging parties to settle their disputes
amicably without the
need for protracted litigation. The principle is well-established in
South African law, as explained in
Naidoo
v Marine & Trade Insurance Co Ltd
1978 (3) SA 666
(A) (“Naidoo”)
.
At its core, the rule allows parties to engage in settlement
negotiations without fear that statements made in the course of such
discussions will be used against them should the negotiations fail.
This protection fosters an environment of candour, allowing
parties
to explore potential compromises and make concessions in the pursuit
of a settlement, knowing that such concessions cannot
later be
treated as admissions in subsequent litigation.
48.
The public
policy rationale underpinning this rule was eloquently described by
Trollip JA in
Naidoo
,
where he cited Lord Mansfield’
s 19th
-century statement that
parties must be allowed “to buy their peace” without
prejudice if the negotiations are unsuccessful.
The rule thus ensures
that offers made during settlement talks cannot later be construed as
admissions of liability. By shielding
parties from the potential
negative consequences of failed negotiations, the law seeks to
incentivise settlement and reduce the
burden on courts and the
litigation system. This principle remains vital in contemporary legal
practice, as litigation is often
costly, time-consuming, and fraught
with hostility.
49.
The
scope of the “without prejudice” rule has been further
clarified in subsequent cases, reinforcing its broad applicability
in
the context of settlement negotiations. However, it is essential to
recognise that the protection afforded by the rule is not
absolute.
Various exceptions exist where public policy or other considerations
dictate that communications marked as “without
prejudice”
may be admissible in evidence. By way of example, “without
prejudice” correspondence may be used to
prove an act of
insolvency,
[6]
to prove an
acknowledgement of liability to interrupt prescription.
[7]
50.
The decision
of
Jili v
South African Eagle Insurance Co Ltd
1995 (3) SA 269
(N) (“Jili
case”)
is
instructive. In this case, the plaintiff argued that the defendant's
“without prejudice” settlement offer should
be
inadmissible in court based on the privilege ordinarily attached to
such communications. The court, however, found that this
correspondence could be admitted into evidence.
51.
The
plaintiff’s argument rested on the premise that since the offer
was marked “without prejudice,” it constituted
a
privileged communication and thus could not be used to establish an
“offer of settlement” under Section 14(2)(b)
of the Motor
Vehicle Accidents Act 84 of 1986. According to the plaintiff, this
would mean that the offer could not trigger the
90-day suspension of
prescription under the Act, and thus, her claim had not prescribed.
52.
Judge
Combrink, however, dismissed this argument. He held that the phrase
“without prejudice” does not automatically
confer upon a
communication immunity from disclosure. The judge made it clear that
the mere fact that a communication bears the
phrase “without
prejudice” does not necessarily shield it from being admitted
in evidence. The key consideration is
the purpose of the
communication. If the communication forms part of
bona
fide
settlement negotiations, it may be protected from disclosure to
prevent admissions made during those negotiations from prejudicing
the party in subsequent litigation. However, if the purpose of
admitting the communication is merely to prove the existence of
an
offer rather than to rely on the admissions contained within it, the
privilege does not apply.
53.
In the Jili
case, the defendant’s offer was made with the intention of
settling the matter, and it was not tendered as evidence
of any
admission of liability. As such, it was admissible for the limited
purpose of proving that an offer of settlement was made,
which
triggered the 90-day suspension of prescription under Section
14(2)(b) of the Act. The court noted that acceptance of the
offer
would have resulted in a binding settlement of the dispute, and
whether the offer was marked “without prejudice”
or not
was irrelevant to its effect in this regard.
54.
The judgment
also emphasised that the “without prejudice” privilege
does not attach to communications that are not part
of genuine
settlement negotiations or are being tendered to prove facts that are
not reliant on any admissions made during the
negotiations. In this
instance, the defendant did not seek to rely on any admissions but
merely the fact that an offer of settlement
was made.
55.
In summary,
the court’s decision highlights that the “without
prejudice” rule is not absolute. While it generally
protects
parties from using admissions made during settlement negotiations,
this protection does not extend to the mere fact of
an offer being
made, especially when such an offer is relevant to the legal
mechanism—such as the suspension of prescription—without
relying on any admissions within the communication.
Conflicting
Case Law dealing with the admission of offers of settlement to prove
tacit admission of the Road Accident Fund’s
acceptance of an
injury as serious.
56.
In
the matter of
Chetty
v Road Accident Fund
[8]
,
the Full Bench found that an offer of settlement pertaining to
compensation for general damages was sufficient to demonstrate
that
the defendant had accepted the plaintiff’s injuries as serious,
thereby triggering the Court’s jurisdiction to
determine the
quantum of damages under this head. The Court, however, did not
provide a comprehensive explanation of the legal
basis upon which it
took the settlement offer into account, particularly in light of the
principle that such offers of settlement
are typically shielded by
privilege.
57.
In
Mertz
v Road Accident Fund
[9]
,
the Court was confronted with a situation in which the Road Accident
Fund was requested during pre-trial proceedings to admit
the
plaintiff’s expert reports, including, by inference, the
serious injury assessment report. The Road Accident Fund undertook
to
provide a formal response by a specific date, failing which it would
be deemed to have admitted the findings contained in the
plaintiff’s
reports. The issue before the Court was whether this constituted an
acceptance of the serious injury assessment
report, thereby invoking
the Court’s jurisdiction to determine the quantum of general
damages.
58.
The Court
reaffirmed the principles established in
Chetty
v Road Accident Fund
,
reiterating that when the Road Accident Fund (“RAF”)
offers compensation for general damages without explicitly advising
the claimant that the injuries are classified as serious, such
conduct can be interpreted as an implied acceptance of the
seriousness
of the injuries. The Court held that, in the present
case, the RAF’s failure to provide a timely response as
promised during
the pre-trial proceedings amounted to a deemed
admission. This tacit admission was considered sufficient to
constitute an acceptance
of the serious injury assessment report,
thereby triggering the Court’s jurisdiction to assess the
quantum of general damages.
59.
In
Keagan
v Road Accident Fund
[10]
,
the Court was presented with a situation that mirrors the one in the
present matter. Coincidently, the plaintiff in the
Keagan
matter
was the passenger involved in the collision to which this case
relates. The plaintiff sought to rely on a “without
prejudice”
offer of settlement to argue that the defendant had tacitly accepted
the plaintiff’s injuries as serious,
thereby triggering the
Court’s jurisdiction to determine general damages. The issue
before the Court was whether it could
admit the “without
prejudice” offer as evidence of such acceptance.
60.
The Court
firmly held that it could not pierce the privilege attached to the
“without prejudice” correspondence. It
emphasised that
the very purpose of the “without prejudice” rule is to
protect parties engaged in settlement negotiations
from having their
offers used against them in litigation unless there has been an
express waiver of privilege. The Court made it
clear that in the
absence of such a waiver, the offer remained privileged and could not
be used as evidence to establish liability
or admission of serious
injury.
61.
In
distinguishing the case from the decisions in
Mertz
v Road Accident Fund
and
Chetty
v Road Accident Fund
,
the Court explained that those cases involved factual circumstances
where privilege had been expressly waived or pre-trial admissions
had
been made. In
Mertz
,
the Road Accident Fund had conceded liability for general damages
during a pre-trial conference. At the same time, in
Chetty
,
the waiver of privilege was crucial in allowing the Court to consider
the offer. In
Keagan
,
however, there was no such waiver of privilege, and the case did not
deal with any pre-trial admissions by the defendant.
62.
While the
Court in
Keagan
sought to differentiate its reasoning from
Chetty
on the basis of privilege, I find this approach problematic. The
Chetty
judgment did not explicitly base its finding on the waiver of
privilege, nor did it delve into the waiver issue at all. Instead,
the Court in
Chetty
expressed the principle that an offer of compensation for general
damages could, in general, be interpreted as a tacit acceptance
of
the serious injury assessment report. Any reference to the necessity
of a waiver of privilege did not qualify this broad proposition.
63.
As a result, I
am bound by the general principle established in
Chetty
under the doctrine of
stare
decisis
.
Despite the absence of detailed reasoning in the
Chetty
judgment regarding the role of privilege, the precedent set by the
Full Bench requires this Court to recognise that an offer of
settlement—even if marked “without prejudice”—may,
under certain circumstances, be interpreted as an acknowledgement
of
serious injury sufficient to engage the Court’s jurisdiction to
assess the quantum of damages.
64.
In
Paulson
v The Road Accident Fund
[11]
,
the Court followed the reasoning set out in Keagan and found that an
offer of settlement was inadmissible.
Legislative
Framework and the Road Accident Fund’s Role and Decision-Making
Obligations
65.
The
RAF, as a statutory body entrusted with administering compensation to
victims of road accidents, carries significant administrative
responsibilities.
Section 17(1)
of the
Road Accident Fund Act sets
out that compensation for general damages is only payable if the
injury is deemed “serious” in accordance with the
statutory and regulatory framework. The serious injury assessment
process, as prescribed in Regulation 3 of the Road Accident Fund
Regulations
[12]
, requires the
RAF to assess whether an injury qualifies as serious, based on
objective medical evidence, primarily the serious
injury assessment
report submitted by the claimant.
66.
Regulation
3(c) of the Road Accident Fund Regulations, stipulates that
“
The Fund or
an agent shall only be obliged to compensate a third party for
non-pecuniary loss as provided in the Act if
a claim is
supported by a serious injury assessment report submitted in terms of
the Act and these Regulations and the Fund or
an
agent
is satisfied
that the injury has been correctly assessed as serious in terms of
the method provided in these Regulations.”
67.
As the
Regulations do not expressly provide that the RAF must accept the
serious assessment report in writing, it is now settled
law that this
communication may be explicit or tacit based on the defendant’s
action.
68.
The decision
the RAF makes in this regard constitutes an administrative decision,
and as such, it must adhere to the well-established
principles of
rationality, fairness, and legality. Specifically, any decision made
by the RAF must not be arbitrary, capricious,
or irrational. It must
align with the purpose for which the empowering legislation was
enacted—the equitable compensation
of victims of road accidents
who have sustained serious injuries. A failure to adhere to these
principles would result in a decision
that lacks the necessary legal
grounding and would likely be subject to review.
69.
In making its
decision regarding the seriousness of the injury, the RAF is obliged
to consider all relevant information placed before
it, including the
medical reports and supporting evidence. Furthermore, the decision
must be made with reference to the purpose
of the statutory
provisions it operates under. Critically, the RAF must ensure that
its decision is based on objective evidence
and that it communicates
this decision clearly and transparently to the claimant.
70.
In terms of
Regulation 3(c) and (d) of the Road Accident Fund Regulations, the
RAF is presented with three distinct options: it
may accept the
injury as serious, reject the injury as serious, or direct the
claimant to undergo a further serious injury assessment
at the RAF’s
expense.
71.
It is crucial to distinguish between the
administrative duties of the RAF and its role in settlement
negotiations. While a settlement
offer generally pertains to
financial negotiations regarding quantum and merits, the
administrative task of assessing whether an
injury is serious is
distinct and precedes any financial discussions. A financial offer to
settle does not in itself constitute
an administrative decision, but
it may be indicative of the RAF’s broader conduct regarding the
case.
72.
The RAF cannot
act arbitrarily by linking its decision on the seriousness of the
injury to financial settlement discussions or by
leveraging the
assessment of the seriousness of the injury to force claimants into
unfavourable quantum negotiations. Such practices
would not only
undermine the fairness required in administrative decision-making but
would also distort the statutory framework,
which mandates clear,
evidence-based determinations on the serious injury assessment. This
is said, as if it is found that a conditional
decision in this vain
is allowed, it would imply either the acceptance of a serious injury
report for an undeserving claimant or
it would hold a deserving
claimant’s legitimate entitlement to general damages hostage to
the acceptance of a settlement
figure. Both scenarios would defeat
the fundamental objectives of the Act and the enabling provisions.
73.
The RAF cannot
weaponise its administrative authority in this manner, as this would
amount to an abuse of power. Administrative
decisions must be
exercised within the bounds of fairness, and holding a claimant’s
rights hostage to quantum negotiations
violates these principles.
74.
Once
the RAF has made its statutory decision to accept a claimant’s
injury as serious, such a decision is
functus
officio
[13]
and cannot be varied as the empowering provisions of the relevant
legislation do not permit it to do so.
75.
In light of the principles of
administrative law governing the RAF and considering the exceptions
to the “without prejudice”
rule, I find that the offer of
settlement made by the RAF on 2 May 2024 is admissible for the
limited purpose of exposing the RAF’s
tacit admission that it
has accepted the plaintiff’s injury as serious. The
communication serves to demonstrate the RAF’s
administrative
decision, rather than to disclose any negotiation on liability or
quantum.
76.
The remaining details of the offer,
such as the quantum of compensation tendered, remain privileged and
inadmissible. However, for
the limited purpose of determining that
the RAF has made an election regarding the seriousness of the injury,
the “without
prejudice” correspondence may be considered.
77.
Accordingly, I conclude that the RAF
has tacitly accepted the plaintiff’s injuries as serious, and I
now move to consider
the quantum of general damages to be awarded.
Quantum
of General Damages
78.
In assessing a
claim for general or non-patrimonial damages, the Court is tasked
with the complex and inherently discretionary exercise
of attaching a
monetary value to the plaintiff’s pain and suffering,
disfigurement, permanent disability, and loss of amenities
of life.
This process is particularly challenging, as each case presents
unique facts and circumstances, and there is seldom a
perfect
comparator from precedent.
79.
In
Southern
Insurance Association v Bailey NO
1984 (1) SA 98
(A)
,
the Supreme Court of Appeal acknowledged the difficulty courts face
in devising rigid rules for quantifying general damages. Instead,
the
Court adopted a “flexible approach,” emphasising that the
amount awarded can only be determined through broad,
general
considerations. The award, as expressed in
Sandler
v Wholesale Coal Suppliers Ltd
1941 AD 194
,
“
depends
upon the Judge’s view of what is fair in all the circumstances
of the case.”
80.
While it is
accepted that no two cases will ever align precisely, the use of
comparable cases can provide valuable guidance to the
Court. When
examining previous awards in analogous situations, the Court is able
to align its assessment with prior decisions,
ensuring consistency
and fairness. As noted in
SA
Eagle Insurance Co v Hartley
[1990] ZASCA 106
;
1990 (4) SA 833
(A)
at 841 D, comparative case law assists in reaching a decision that is
not “
substantially
out of general accord
”
with earlier awards, provided that the Court accounts for the
inflationary erosion in the value of money.
81.
In
Protea
Assurance Co Ltd v Lamb
1971 SA 530
at 536 A-B, the Supreme Court of Appeal emphasised the importance of
comparable cases, stating:
“
Comparable
cases when available should rather be used to afford some guidance in
a general way towards assisting the Court in arriving
at an award
which is not substantially out of general accord with previous awards
in broadly similar cases. At the same time, it
may be permissible in
an appropriate case to test any assessment arrived at upon this basis
by reference to the general pattern
of previous awards in cases where
the injuries and their sequelae may have been either more serious or
less than those in the case
under consideration
.”
82.
In other
words, while the Court may rely on previous awards to guide its
judgment, each case must ultimately be determined on its
own merits,
with the Court exercising its discretion in light of all relevant
factors, including the severity of the injuries and
their impact on
the plaintiff’s quality of life.
83.
In the present
matter, the plaintiff has sustained significant injuries as a result
of a motor vehicle accident. The injuries have
severely impacted the
plaintiff’s quality of life and compromised his ability to
work, as evidenced by the various expert
reports submitted.
Plaintiff’s
Submission on General Damages
84.
The
plaintiff’s counsel submitted that an appropriate amount for
general damages would be
R2,500,000
,
citing several cases to substantiate this quantum. Among these cases,
reliance was placed on the following authorities:-
84.1.
M v Road
Accident Fund (12601/2017) [2018] ZAGPJHC 438
In this case, the
plaintiff, a 27-year-old passenger, suffered severe traumatic brain
injuries resulting in right-sided hemiplegia,
severe mobility
difficulties, and a heightened risk of epilepsy. Following medical
treatment, the plaintiff was wheelchair-bound
and unable to mobilise
independently. General damages were awarded at
R1,900,000
,
which, adjusted for inflation, equates to
R2,679,000
in 2024.
84.2.
Zarrabi v
Road Accident Fund 2006 (5B4) QOD 231 (T)
The plaintiff, a
30-year-old trainee medical specialist, sustained a diffuse axonal
brain injury along with significant neuro-cognitive
and
neuro-psychiatric consequences. The plaintiff was unable to resume
her professional duties and suffered lasting impairments
in memory,
speech, and emotional regulation. The Court awarded
R800,000
in 2006, which, when adjusted, amounts to
R2,197,000
in 2024.
84.3.
Segole v
Road Accident Fund (10078/2019) [2023] ZAGPJHC 1288
This
case involved a moderate traumatic brain injury with multiple
fractures and permanent cognitive impairment, affecting the
plaintiff’s ability to perform physical activities. The general
damages awarded in 2023 amounted to
R1,500,000
,
equivalent to
R1,515,750
in 2024.
84.4.
Nando v
Road Accident Fund 2015 JDR 1193 (GP)
The plaintiff
suffered a moderately severe brain injury with cognitive and
neurobehavioral impairments, including memory issues
and a long-term
risk of epilepsy. General damages were awarded at
R850,000
in 2015, which adjusts to
R1,343,000
for 2024.
84.5.
Mpondo v
Road Accident Fund (CA283/2011) [2011] ZAECGHC 24
The plaintiff
sustained fractures that required multiple surgeries, including a
total hip replacement, leading to chronic pain and
difficulty
walking. General damages were awarded at
R550,000
in 2011 and adjusted to
R1,072,500
in 2024.
84.6.
Olivier v
Road Accident Fund 2013 (6A4) QOD 216 (GNP)
The
plaintiff sustained a severe brain injury resulting in epileptic
seizures, memory loss, and physical impairment. General damages
of
R700,000
were awarded in 2013, now equating to
R1,225,000
for 2024.
84.7.
M M v Road
Accident Fund (4119/2015)
[2019] ZAFSHC 5
The plaintiff
suffered traumatic brain injuries and multiple fractures leading to
severe cognitive and emotional impairments. General
damages of
R850,000
were awarded in 2019, adjusting to
R1,105,000
in 2024.
Defendant’s
Submissions on General Damages
85.
The defendant
did not present any submissions or counterarguments regarding the
quantum of general damages.
Court’s
Consideration
86.
In assessing
general damages, the Court is mindful that the award must be fair and
equitable, considering both the severity of the
injuries and the
impact on the plaintiff’s life. While the injuries, in this
case, are severe and life-altering, they do
not rise to the same
level of gravity as some of the more extreme cases cited, such as
M
v Road Accident Fund
or
Zarrabi
v Road Accident Fund
,
where plaintiffs were left with catastrophic physical and cognitive
disabilities. In light of this, the amount sought by the
plaintiff—
R2,500,000
—appears
disproportionate compared to the cited case authorities.
87.
Furthermore,
reliance is also placed on the decision in
Kruger
v Road Accident Fund (27383/2009) [2022] ZAGPPHC 73
,
where the plaintiff’s impairment was similar to Mr. Van Tonder,
especially given that both plaintiffs developed epilepsy
sometime
after the accident and both appeared to have worsening of cognitive
and neurological symptoms over time. This case
provides a
helpful comparator for the present matter. The plaintiff in the
Kruger matter was awarded R 1 400 000, 00 in 2022, adjusted
to R 1
561 785. 00 in today’s terms.
88.
In light of
the case authorities cited, the Court is of the view that an
appropriate award for general damages in this matter would
be
R1
500 000. 00
.
Loss
of Earnings
89.
As previously
stated, I accept the findings of Mr. Vlamingh, whose testimony was
both credible and reliable. His assessment that
the plaintiff’s
earning potential at his rehabilitation centre would have grown and
reached a peak of R40,000 per month is
aligned with the fact that the
centre was still in its early stages of development, having only
commenced operations in January
2018. I also take into account the
plaintiff’s diverse work history, which includes experience as
a car salesman and as the
owner of A & A Cornerstone Towing,
where he earned an income of R50,000 per month. Given this
background, I am persuaded that
if the rehabilitation centre had
ultimately failed in the pre-accident postulations, then the
plaintiff would have been able to
secure alternative employment with
an earning capacity likely in the same range.
90.
In this
context, I find Mr. Vlamingh’s projections to be fair and
conservative. Furthermore, it appears to be common cause,
as
reflected in all expert reports, that the plaintiff is no longer
employable due to the injuries sustained. While the plaintiff
has
been able to derive some income from the rehabilitation centre, this
situation is no longer sustainable, as the centre is no
longer
profitable owing to the plaintiff’s diminished capacity to
manage it effectively. Mr. Vlamingh hypothesised that the
plaintiff
would retain a slight residual earning capacity, limited to R 5 000,
00 per month with inflationary increases, demonstrating
his
conservative approach.
91.
Mr Whittaker
calculated the plaintiff’s loss of earnings based on
assumptions provided by Mr Vlamingh regarding the plaintiff’s
career trajectory before and after the accident. The pre-accident and
post-accident earning capacities were carefully considered,
incorporating inflation adjustments and future earning potential.
Pre-Accident
Earnings
92.
At the time of
the accident, the plaintiff was self-employed at the Cornerstone
Wellness Centre, earning approximately
R25
000. 00
monthly. According to the expert report by Mr. Vlamingh, the
plaintiff’s earnings would have progressed, reaching a ceiling
of
R40 000.
00
per
month. From this point, his earnings would have increased annually in
line with inflation until his retirement at the age of
68
.
Post-Accident
Earnings
93.
Following the
accident, the plaintiff was unable to work for five months, though he
continued to draw a salary of
R25
000. 00
per month. However, the Cornerstone Wellness Centre operated at a
loss, with the business showing a deficit of
R24
085. 00
for the tax year ending February 2021.
94.
The
post-accident earnings calculation assumes that the plaintiff will
continue earning
R25
000. 00
monthly, adjusted for inflation, until
31
December 2023
.
Thereafter, based on Mr De Vlamingh's expert opinion, it is expected
that the plaintiff will be capable of performing only lighter
janitorial duties at the Centre, earning a significantly reduced
salary of
R5
000. 00
per month, with further increases aligned with inflation until the
age of retirement at
60
.
Contingencies
95.
Contingency
deductions play a critical role in calculating damages, particularly
in claims for future loss of earnings and loss
of earning capacity.
The purpose of these deductions is to account for the uncertainties
and vicissitudes of life that may affect
a claimant’s future
financial situation. These deductions ensure that the award reflects
not only the known losses but also
the potential risks and benefits
that may arise in the future. The relevant case law establishes that
contingencies allow for both
adverse and favourable possibilities
that may affect the claimant’s life.
96.
In
Mngomezulu
v Road Accident Fund (04643/2010) [2011] ZAGPJHC 107 (8 September
2011)
, the
Court held that “
Contingency
deductions allow for the possibility that the Plaintiff may have less
than normal expectations of life and that he may
experience periods
of unemployment by reason of incapacity due to illness, accident, or
labour unrest, or even general economic
conditions.”
The
rationale behind contingencies is that they account for the general
hazards of life, such as temporary unemployment, illness,
or
retrenchment, as well as factors like savings on travel costs if the
claimant is no longer able to work.
97.
Contingencies,
as recognised by the courts, encompass positive and negative
possibilities. In
Southern
Insurance Association Ltd v Bailey NO
1984 (1) SA 98
(A)
,
Nicholas JA remarked that not all contingencies are adverse. He
noted: “
All
‘contingencies’ are not adverse, and all ‘vicissitudes’
are not harmful. A particular plaintiff might
have had prospects or
chances of advancement and increasingly remunerative employment. Why
count the buffets and ignore the rewards
of fortune?”
98.
The assessment
of contingencies is discretionary and varies with the facts of each
case. As noted in
Bailey
,
while actuarial calculations provide a valuable basis for determining
future loss, they are not binding. The trial judge has broad
discretion to adjust these calculations by applying contingencies
that reflect the uncertainties of life. The amount deducted as
a
contingency may vary depending on the circumstances, and, as Nicholas
JA stated in
Bailey
,
the assessment of contingencies is largely arbitrary, depending on
the judge’s impression of the case.
99.
In applying
contingencies, the courts often employ what is known as a “sliding
scale,” which varies depending on the
age of the claimant. This
approach was highlighted in
Goodall
v President Insurance
1978 (1) SA 389
(W)
,
where the court applied a scale of deductions, suggesting a 25%
deduction for a child, 20% for youth, and 10% for middle-aged
claimants. In practice, it is common for the Road Accident Fund to
agree to standard deductions, typically 5% for past loss and
15% for
future loss, reflecting the “normal contingencies.”
100.
The plaintiff
has submitted that with respect to the pre-accident scenario, there
is no basis to deviate from the “normal
contingencies” as
established in
Goodall
v President Insurance Co Ltd
1978 (1) SA 389
(W)
.
Given the plaintiff’s age, it has been argued that
contingencies of 5% for past loss and 10% for future loss would be
appropriate.
101.
After
considering the evidence, I find that although Dr. Vlamingh’s
projections regarding the plaintiff’s future income
may have
elements of speculation, as is often the case with future earnings
assessments, I am satisfied that the plaintiff’s
pre-accident
earning capacity and prior work experience provide a solid foundation
for the conclusion that the plaintiff would
likely have reached the
projected income level. Even if the rehabilitation centre had not
been successful, the plaintiff’s
background and proven
adaptability suggest he would have secured alternative employment
within his field or in another capacity
for which he had experience.
Upon considering the evidence and the plaintiff’s work history,
I am persuaded that this approach
is both fair and reasonable.
102.
Regarding the
post-accident scenario, the plaintiff has advocated for a 30%
contingency deduction, which I find to be reasonable
and justified.
This higher contingency reflects the substantial uncertainties that
now exist concerning the plaintiff’s ability
to work and earn
an income. The injuries sustained have significantly diminished the
plaintiff’s earning capacity, leaving
only a small residual
earning potential, if any. The 30% contingency accounts for the
likely challenges the plaintiff will face
in securing any form of
employment, given his injuries, as well as the possibility of
prolonged periods of unemployment or medical
incapacity that may
further hinder his ability to engage in even menial work.
103.
Having
carefully considered all of the relevant factors and the arguments
presented, I am satisfied that the contingencies proposed
by the
plaintiff are fair and appropriate in this matter. Accordingly, I
award the plaintiff the amount of
R
5 432 064. 00
in respect of loss of earnings.
Past
Medical Expenses
104.
The plaintiff
is claiming an amount of
R
671 235.02
in respect of past medical expenses, which have been duly itemised in
a schedule supported by the requisite invoices. The defendant,
however, repudiated the plaintiff’s claim on 2 May 2024,
asserting that it is not liable to reimburse the plaintiff because
the past medical expenses were covered by the plaintiff’s
medical insurer, Fedhealth Medical Aid.
105.
The issue
before this Court is whether the Road Accident Fund (RAF) remains
liable to compensate a claimant for medical expenses
paid by a
medical aid provider. This question has already been addressed in the
decision of
Discovery
Health (Pty) Ltd v Road Accident Fund and Another
,
wherein the Court unequivocally found that benefits received by a
claimant from a third party—whether through private insurance
or a medical aid scheme—constitute collateral benefits. Such
benefits are not to be deducted from the compensation awarded
under
the
Road Accident Fund Act.
106.
The legal
principle governing collateral benefits is rooted in the longstanding
decision of
Zysset
and Others v Santam Ltd 1996 (1) SA 273 (C)
,
where it was held that a wrongdoer should not benefit from the
victim’s foresight in securing insurance or from the
benevolence
of third parties.
107.
The RAF’s
statutory duty to compensate for past medical expenses, as mandated
by the
Road Accident Fund Act, is
not discharged by the involvement
of a private insurer. The Act ensures that a claimant is indemnified
for all reasonable medical
costs incurred due to injuries sustained
in a road accident, and the fact that a medical aid has stepped in to
settle those costs
does not alter the RAF’s obligation to
reimburse the claimant.
108.
Having regard
to the established legal principles, I find that the plaintiff is
entitled to compensation for the full amount of
R
671 235.02
in respect of past medical expenses. The defendant’s contention
that its liability is extinguished by the plaintiff’s
medical
aid covering these expenses is without merit and contrary to the
prevailing jurisprudence.
Conclusion
109.
In the result,
I grant the following order:-
ORDER
That
default judgment is granted in favour of the plaintiff against the
defendant in the following terms:
110.
Merits 100%
awarded in favour of the applicant;
111.
The defendant
shall pay the capital amount of
R
7 603 299, 02
,
which is comprised of:-
111.1.
Past
Medical and hospital expenses
R 671 235.02;
111.2.
General
damages:
R 1 500 000.00;
111.3.
Past loss of
earnings:
R 442 425.00;
111.4.
Future loss of
earnings:
R 4 989 639.00
as
compensation for delictual damages to the plaintiff, Mr.
CRAIG-CLINTON VAN TONDER
112.
The amount of
R 7 603
299.02
shall be paid directly to the attorneys for the plaintiff, A
Rautenbach Attorneys, with the following account details:
NAME
OF ACCOUNT: […] R[…]
A[…]
BANK:
F[…], C[…] M[…]
BRANCH
CODE: 2[…]
ACCOUNT
NO: 6[…]
113.
Interest on
the amount of
R
7 603 299.02
at a rate of 11.75%, payable 181 days hereof to the date of payment.
114.
The defendant
is to provide an undertaking to the plaintiff in terms of
Section
17(4)(a)
of the
Road Accident Fund Act, 56 of 1996
, for the costs of
the future accommodation of the plaintiff in a hospital or nursing
home or treatment of or rendering of a service
to him or supplying of
goods to him arising out of the injuries sustained by him in the
motor vehicle collision on 9 March 2020.
115.
The defendant
is to pay the plaintiff’s taxed or agreed costs on a party and
party High Court scale, including the following:
115.1.
The costs
incurred by senior junior counsel on High Court Scale C;
115.2.
The costs of:-
115.2.1.
obtaining
expert medico-legal reports delivered in terms of
Rule 36(9)(a)
and
(b) by the experts listed below and the reservation fees of the
plaintiff’s experts, if any, including:
115.2.1.1.
Dr M De Graad
- Orthopaedic Surgeon;
115.2.1.2.
Dr Fine –
Psychiatrist
115.2.1.3.
Ms C Joyce –
Clinical Psychologist;
115.2.1.4.
Dr T C Bingle
– Neurosurgeon;
115.2.1.5.
Ms M Snyman -
Occupational Therapist;
115.2.1.6.
Mr D De
Vlamingh - Industrial psychologist; and
115.2.1.7.
Mr G Whittaker
- Actuary.
115.3.
The costs of
obtaining this order.
The
matter was heard on 02 and 03 May 2024
Judgment
Delivered on 07 October 2024
T Lipshitz AJ
Acting Judge: Gauteng
Division Johannesburg
(electronic signature
appended)
07 October 2024
Attorneys for the
Plaintiff
A Rautenbach Attorneys
Counsel for the Plaintiff
D Strydom
Attorneys for the
Defendant
State Attorney
Counsel for the Plaintiff
J Mahlanga
[1]
GNR.770
of 21 July 2008 GG 31249, as amended by R.347 of 15 May 2013 GG
36452.
[2]
Unreported
case no 10928/2020 (8 December 2023) at [18]
[3]
Mertz
V Road Accident Fund (A96/2021) [2022] ZAGPPHC 961 (2 December 2022)
[4]
Chetty
V Road Accident Fund (A91/2021) [2021] ZAGPPHC 848 (7 December 2021)
[5]
Keagan
V Road Accident Fund (15432/2021) [2024] ZAGPJHC 85 (1 February
2024)
[6]
Absa Bank Ltd V Hammerle Group 2015 (5) SA 215 (SCA)
[7]
KLD Residential CC V Empire Earth Investments 18 (Pty) Ltd 2017 (6)
SA 55 (SCA)
[8]
Chetty
V Road Accident Fund (A91/2021) [2021] ZAGPPHC 848 (7 December 2021)
at paragraph 19
[9]
Mertz
V Road Accident Fund (A96/2021) [2022] ZAGPPHC 961 (2 December 2022)
at paragraphs 21- 31
[10]
Keagan
V Road Accident Fund (15432/2021) [2024] ZAGPJHC 85 (1 February
2024) at paragraphs 41-44
[11]
Paulsen
V Road Accident Fund (45261/2019) [2024] ZAGPPHC 145 paragraphs
16-24
[12]
GNR.770
of 21 July 2008
GG
31249,
as amended by R.347 of 15 May 2013
GG
36452.
[13]
Retail Motor Industry Organisation and Another v Minister of Water
and Environmental Affairs and Another 2014 (3) SA 251 (SCA)
at paragraph 21
sino noindex
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