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England and Wales High Court (King's Bench Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (King's Bench Division) Decisions >> Kerseviciene v Quadri & Anor [2022] EWHC 2951 (KB) (21 November 2022) URL: http://www.bailii.org/ew/cases/EWHC/KB/2022/2951.html Cite as: [2022] EWHC 2951 (KB) |
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KING'S BENCH DIVISION
ON APPEAL FROM:
THE MAYOR AND CITY
OF LONDON COURT
HHJ BACKHOUSE
Strand, London, WC2A 2LL |
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B e f o r e :
____________________
RUTA KERSEVICIENE |
Appellant/Claimant |
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- and – |
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(1) MIDE QUADRI (2) ROYAL & SUN ALLIANCE LIMITED |
Respondents/Defendants |
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- and four other appeals - |
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CUCEN v ALI & ANOR QA-2021-000229 YILMAZ v EUI QA-2021-000232 KELES v TAYLOR & ANOR QA-2021-000228 MARDARE v OFFER & ANOR QA-2021-000233 |
____________________
Anya Proops KC and Richard Paige (instructed by DWF Group) for the Respondents/Defendants
Hearing date: 11 July 2022
____________________
Crown Copyright ©
MR JUSTICE FREEDMAN :
(i) on the ground that they amounted to impermissible expert evidence, which had been adduced in contravention of CPR 35 ("the Experts Argument"); and
(ii) on the ground that they were unreliable, by reason of their skewed, selective nature ("the Reliability Argument").
(i) 95% of claims represented by Ersan contain an allegation of psychological injuries;
(ii) 67% of the claimants were recommended for further psychological examination;
(iii) 68% of the claimants served a psychological or psychiatric report;
(iv) in 100% of the reports provided by Doctor Yahli, he diagnosed a recognised psychiatric condition;
(v) 67% of the 207 reports of Dr Yahli provided a recovery period (with intervention) of two years or longer.
(i) the witness statements were not simply statements of fact, but involved and comprised the product of Mr Stevens having selected data to prove a point;
(ii) embedded in the witness statements were a statistical analysis of data held by DWF;
(iii) the witness statements implicitly involved an expression of opinion based upon that statistical analysis so as to attack the merits of the claims. For example, the statistic about the percentage referred for further psychological examination depends on what would be a reasonable proportion who would be expected to be so referred without which the expert evidence has no validity. Likewise it was meaningless to submit that the recovery period was excessive without expert evidence about what recovery periods were normal;
(iv) it was suggested that there was a selection of the cases which were referred to Ersan & Co, and no evidence of how selection had taken place which could invalidate any statistics.
"The [Defendants'] common position on the Debarring Application is that it is obviously without merit and should be refused for the following summary reasons:
(a) The Evidence [ie Stevens WS1] reveals an obviously troubling pattern in relation to the presentation of a significant number of claims who are represented by Ersan &Co, including the instant claims.
(b) More specifically, on its face, the Evidence [ie Stevens WS1] strongly indicates that all of the claims have been cynically managed so as to contrive an outcome whereby in every case, and irrespective of the true circumstances of that case, the Claimant is presenting a claim that they have suffered psychiatric harm as a result of the relevant index event..."
II The Judgment
"28.…it does not seek to draw conclusions as to whether the figures are markedly higher or different. It may be that that will be one of the defendants' submissions, but that is not the evidence. It is simply a series of calculations taken from data in documents given to DWF by Ersan & Co, and in my judgment it is wrong to characterise this statement as trying to give expert evidence. It is, I conclude, similar fact evidence. Looking at the test, it may not ultimately be probative, that is very much a matter for the trial Judges, but I am satisfied that it is capable of tending to prove fundamental dishonesty and so is admissible, and in my judgment it would be contrary to the overriding objective to shut it out.
29. The statement is simply a series of calculations about various stages of the process during Ersan & Co's handling of these claims, and in particular the way in which medical evidence has been obtained…."
(i) to rebut the statement so as to challenge the accuracy of the calculations, but save for some minor errors, that had not been done;
(ii) to apply for permission to call expert evidence so as to rebut the evidence. (Indeed, the Claimants said that they would not oppose the Defendants seeking permission to call expert evidence);
(iii) to make submissions to the trial judge about the methodology, unreliability or lack of weight to be given to the statement.
"…I do not consider that it would be detrimental to that process to allow Mr Stevens' statement to form part of the overall evidence. As Ms Proops said, it is for the court ultimately to assess all the evidence in each individual case and come to a conclusion as to whether the claimant proves their case in whole or in part or is found to be fundamentally dishonest."
III Similar fact evidence
"The law relating to these matters is now relatively straightforward. The judge applied the principles set out in the judgments of this court in O'Brien v Chief Constable of South Wales [2003] EWCA Civ 1085. Although the Chief Constable appealed, the House of Lords made the principles for admissibility even simpler when it dismissed his appeal (see the report at [2005] UKHL 26; [2005] 2 WLR 1038). There is a two-stage test: (i) Is the proposed evidence potentially probative of one or more issues in the current litigation? If it is, it will be legally admissible. (ii) If it is legally admissible, are there good grounds why a court should decline to admit it in the exercise of its case management powers? Lord Bingham suggested at para 6 three matters that might affect the way in which a judge exercised his/her discretion in this regard:
(i) That the new evidence will distort the trial and distract the attention of the decision-maker by focussing attention on issues that are collateral to the issues to be decided;
(ii) That it will be necessary to weigh the potential probative value of the evidence against its potential for causing unfair prejudice;
(iii) That consideration must be given to the burden which its admission would lay on the resisting party."
"the burden in time, cost and personnel resources, very considerable in a case such as this, of giving disclosure; the lengthening of the trial, with the increased cost and stress inevitably involved; the potential prejudice to witnesses called upon to recall matters long closed, or thought to be closed; the loss of documentation; the fading of recollections."
"That evidence of what happened on an earlier occasion may make the occurrence of what happened on the occasion in question more or less probable can scarcely be denied. If an accident investigator, an insurance assessor, a doctor or a consulting engineer were called in to ascertain the cause of a disputed recent event, any of them would, as a matter of course, inquire into the background history so far as it appeared to be relevant. And if those engaged in the recent event had in the past been involved in events of an apparently similar character, attention would be paid to those earlier events as perhaps throwing light on and helping to explain the event which is the subject of the current inquiry. To regard evidence of such earlier events as potentially probative is a process of thought which an entirely rational, objective and fair-minded person might, depending on the facts, follow. If such a person would, or might, attach importance to evidence such as this, it would require good reasons to deny a judicial decision-maker the opportunity to consider it."
"5 The second stage of the inquiry requires the case management judge or the trial judge to make what will often be a very difficult and sometimes a finely balanced judgment: whether evidence or some of it (and if so which parts of it), which ex hypothesi is legally admissible, should be admitted. For the party seeking admission, the argument will always be that justice requires the evidence to be admitted; if it is excluded, a wrong result may be reached. In some cases, as in the present, the argument will be fortified by reference to wider considerations: the public interest in exposing official misfeasance and protecting the integrity of the criminal trial process; vindication of reputation; the public righting of public wrongs. These are important considerations to which weight must be given. But even without them, the importance of doing justice in the particular case is a factor the judge will always respect. The strength of the argument for admitting the evidence will always depend primarily on the judge's assessment of the potential significance of the evidence, assuming it to be true, in the context of the case as a whole.
"…I would simply apply the test of relevance as the test of admissibility of similar fact evidence in a civil suit. Such evidence is admissible if it is potentially probative of an issue in the action."
IV The Claimants' submissions
(i) this evidence is an implied opinion that the statistics demonstrated untruthfulness and a propensity to false claims. Contrary to the central conclusion of the Judge, WS1 comprised statistics selected by Mr Stevens in order to opine on propensity;
(ii) WS1 constituted opinion evidence in all but name — Mr Stevens selected statistics that in his opinion support the conclusions he invites the Court to reach.
(iii) statistics is a well-recognised body of expertise: there is a Royal Statistical Society, there are chartered statisticians and there are university departments dedicated to statistics.
(iv) such evidence should only be admitted by an expert having statistical expertise or being capable of giving evidence of statistical analysis;
(v) Mr Stevens has no relevant expertise, and his statements were not subject to the declarations of an expert and the overriding duty to the Court as referred to in CPR 35.3(1) and in PD 35 para.3;
(vi) to the extent that the Court can receive evidence of patterns of conduct, this is the exclusive domain of an expert. It is a matter of opinion to what extent the events demonstrate a pattern, not least in the choice of events;
(vii) there was no evidence as to how cases were allocated to DWF by the insurers and whether they were representative of cases as a whole;
(viii) even if they were representative, there were no comparable data or other way for the Claimants or the Court to test whether the percentages were unduly high or otherwise explicable by reference to factors other than the assumptions made by Mr Stevens in his second witness statements;
(ix) even if the statistical analysis in Mr Stevens' evidence were legally admissible as similar fact evidence, given the unreliability of Mr Stevens' analysis the only correct application of principle at a case management stage was to debar their admission on the basis that their prejudicial effect overwhelmed their evidential utility;
(x) Mr Stevens acknowledged that he had made some errors, but he evaluated them as not making any significant difference: since he had no expertise, he was not in a position to make this evaluation.
(i) to ensure and explain that the sample selection has been picked by a method that is properly representative of the whole: Imperial Group plc v Phillip Morris Ltd [1984] RPC 293 at 302; Customglass Boats Ltd v Salthouse Brothers Ltd [1976] RPC 589 at 595.
(ii) to ensure and explain that the sample size is sufficient for that which is sought to be proven: Imperial Group plc v Phillip Morris Ltd [1984] RPC 293 at 302.
(iii) to ensure and explain that the comparators (if required) are sufficient in quantity and quality to sustain the conclusion sought to be drawn from the similarity.
(iv) to explain the normal distribution, variance, significance level and other standard statistical measures of reliability, so that the Court can decide for itself, with the benefit of the expert opinion, whether and to what extent the similarities are probative of the fact necessary to the success of the claim.
(i) The Judge made a mistake in believing that (a) she could discern, without any qualifications in statistics, whether any statistical assumptions were embedded in the account provided in WS1, and that (b) without more a trial judge, unaided by expert evidence, would be able to discern the evidential value of WS1.
(ii) The consequences of this were said to be as follows at paras. 39-40:
"39. This had the consequence for the Judgment that:
(1) the Judge failed to recognise that the selection of data for analysis is central to the science of statistics;
(2) without any expert statistical material before her, the Judge was unaware of other basic statistical concepts that impinge on the reliability of numbers and the conclusions that can be drawn from them, including study design, imputation of missing data multivariate analysis, normalisation, weighing, sensitivity analysis and so forth;
(3) the Judge was unphased by the absence of any comparator in Mr Stevens' analysis, characterising it as a matter "going to weight"; and
(4) the Judge was indifferent to the statement being used to support an allegation of fraud, when that should have made her particularly careful before leaning over in favour of admissibility.
40. The Court cannot know whether the claimed propensity has been proven by the similarity of the facts selected by the Respondents as reported in Stevens WS1 without normative evidence whether the facts selected are endeictic of the claimed propensity."
(iii) On this basis, the evidence was not relevant, or the Defendants were unable to establish that the evidence was arguably relevant in that the inferences sought to be derived from the statistics could not be drawn without more. It is not sufficient to base relevance on unsubstantiated assertions of an opinion nature. Further, there are case management reasons to exclude the evidence at this stage. If admitted, it puts a burden on the party not bearing the burden to prove that the information is not probative by expert evidence in circumstances where this ought to have been adduced by the Defendants, but at this stage the Defendants have failed or elected not to do so.
V The Defendants' submissions
(i) all of the claims concern minor road traffic accidents;
(ii) all the claims have been brought through the low value claims portal;
(iii) the vast majority of the claims (95%) include claims for psychiatric damage (including notably claims for psychiatric damage brought on behalf of children aged between 1 and 4 years old);
(iv) they all otherwise contain a number of similar if not identical features in terms of the evolution of the medical referrals/assessment process;
(v) 58% of all claimants underwent a First-Tier medical examination at the same address, and in a building leased by Ersan, with the majority of the assessments being undertaken by doctors from within the same very small pool of doctors; and
(vi) the majority of the cases culminated in the production of an "expert" report from a Dr Yahli, in which it is uniformly concluded, effectively irrespective of the facts of the particular case, that the individual claimant has suffered a psychiatric injury.
(i) The Judge rightly concluded that (save for a small number of words which have since been excised from Mr Stevens' statement) the evidence amounted to a straightforward, factual account of matters known to Mr Stevens, and was otherwise of a kind that it could properly be given by a lay witness. There is no basis for impugning the Judge's decision on this issue.
(ii) The Judge rightly dismissed the argument that the evidence should be excluded because it was selective and hence unreliable "statistical" evidence. It was not for the reasons set out above. However, if it was, then the Claimants would have the opportunity to put that case to Mr Stevens at trial in the ordinary way. The appropriate course in all the circumstances was for the issue of the reliability and wider probative value of the evidence to be assessed at the conclusion of the trial and not before.
(iii) The suggestion that it is only experts who can provide evidence disclosing a pattern of conduct is hopeless. There is no principled reason why a lay witness cannot in an appropriate case give evidence showing a factual pattern of conduct.
(iv) If that were not the case, the decision would have an impact on other cases such that expert evidence would always be required, which would have serious consequences for insurers seeking to defend high volume cases believed to be based on fundamental dishonesty.
(v) There was no statistical evidence or analysis "embedded" in the witness statements, rather there were incontrovertible statements of fact, the significance of or inferences from which could be tested at trial. The percentages simply required a calculator and did not require any expertise.
(vi) There are cases requiring expert evidence often of a highly technical nature e.g. in the case of R v Clark [2003] EWCA Crim 1020 about sudden and unexpected deaths of infants and R (on the application of Independent Meat Suppliers v DEFRA [2017] EWHC 1961 (Admin) about the stunned slaughter of sheep. This is not such a case where the court and those with experience of these minor motor collisions are able to make assessments without expert evidence.
(vii) The evidence revealed a troubling picture of uniformity in respect of minor road traffic accidents, which may amount to an inauthentic, cynical conveyor belt claims process. It is sufficient for the evidence to exhibit features of an assembly line process without having to prove the abnormality of the figures.
(viii) It will be open to the trial judge having heard all of the evidence to conclude that the evidence sheds no light on the authenticity of claims, but this is not a reason to exclude the evidence at this stage. The evidence will assist the judge in making an assessment as to whether the claims have been manufactured dishonestly.
(ix) The evidence is relevant to a material issue in the case, namely that of fundamental dishonesty. There are no case management reasons to exclude it, and it would be unfair to the Defendants to do so. In any event, the time at which to consider whether it is to be admitted or not is at trial and not at this interim stage of the action.
VI Discussion
VII The relationship between Mr Stevens' evidence and expert and other
factual evidence
"21. After the Judge had given judgment on the Debarring Application, the Claimants' counsel made an oral application to adduce expert evidence in response to JS1. That application was refused on the basis that there was no formal application to adduce expert evidence before the Court and, if the Claimants wished to rely on expert evidence at trial, then they should make a formal application and, in that context, set out the precise details of the expertise of the expert in question and what issues the expert would be addressing. The Judge made clear that, were such an application to be made, it would be considered at a hearing where all the relevant issues could be considered. Thus, contrary to the impression given by the PTA Skeleton, the Judge did not finally debar the Claimants from adducing expert evidence but instead merely insisted they make the application in the proper way."
…
"30(6). The Judge was perfectly entitled to refuse the Claimants' oral application for permission to adduce expert evidence, which application was made only after the Judge had ruled on the Debarring Application. The Judge's decision on this issue constituted an entirely unimpeachable exercise of the Court's case management powers, and indeed any other decision would have led to injustice to the Defendants given that the "off the cuff" nature of the application meant its precise scope remained obscure. Relevantly, and contrary to the impression created by the PTA Skeleton, the Judge did not absolutely refuse permission for the Claimants to adduce expert evidence. Instead, she refused to countenance the informal application made by the Claimants' counsel at the hearing (without notice to the Defendants), making clear that, if an application to adduce expert evidence was to be made by the Claimants, it should be made in the proper way and should, in that context, make clear the nature of the required expertise and the issues which the expert would address."
VIII Disposal and concluding observations