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High Court of Ireland Decisions |
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You are here: BAILII >> Databases >> High Court of Ireland Decisions >> L. (R.) v. Minister for Health and Children [2001] IEHC 64; [2001] 1 IR 744 (6th April, 2001) URL: http://www.bailii.org/ie/cases/IEHC/2001/64.html Cite as: [2001] IEHC 64, [2001] 1 IR 744 |
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1. The
Applicant in this case was born on the 29th May, 1967. At the age of 6 years
he was diagnosed as suffering from moderate Haemophilia A. To treat this
condition he received multiple cryo precipitate and Factor 8 concentrate
treatments over the years in addition to a blood transfusion in June of 1982.
2. It
is common case that as a result of either the cryo precipitate or the Factor 8
concentrate the Applicant was infected with the Hepatitis C virus. The
Applicant was diagnosed as Hepatitis C antibody positive in November, 1990. He
had evidence of abnormal liver biochemistry since 1982 and he has tested PCR
positive for the virus since then. His HCV genotype is type 1.
3. The
Applicant received the cryo
precipitate
starting in 1975 and the Factor 8 starting in 1983. I except the evidence of
Professor Eric Preston that the latest point in time at which the Applicant
would have been infected with Hepatitis C was 1983 but it is probable that he
was infected earlier than this from the cryo precipitate.
4. I
also except Professor Preston's evidence that having regard to the time that
has elapsed since his infection with the virus it is probable that the
Applicants liver is either now cirrhotic or will be very shortly. I also
except Professor Preston’s evidence that as a consequence of this the
Applicant is likely to develop decompensation liver disease in the time scale
of 5-10 years from now.
5. The
inevitable consequence of this will be liver failure which will require a liver
transplant for the Applicants survival. Notwithstanding being haemophiliac the
Applicant would be a candidate for liver transplantation but the
transplantation would have to be carried out in a centre where the expertise of
a liver transplant team and a haemophiliac team were located on the one site.
At the moment such a centre does not exist in Ireland and it would therefore be
necessary if that state of affairs continued for the Plaintiff to have the
transplantation done in the United Kingdom.
6. Assuming
that a successful liver transplantation is carried out, the Applicant’s
new liver will immediately and inevitably be infected with the Hepatitis C
virus and it is probable that the Applicant will continue to suffer the
symptoms of Hepatitis C which he has at the moment and in due course should he
survive long enough his transplanted liver will also fail.
7. The
Applicant is now 33 years of age, he is married and has one young child and his
wife is expecting another. Since the early 1990’s he has the hallmark
symptom of Hepatitis C namely profound fatigue. This fatigue has had a very
significant effect upon his life, both in terms of his working life and his
domestic life. Insofar as work is concerned the Applicant set out when he left
school to have a career in catering. It was his ambition, indeed his dream to
have his own restaurant. To equip himself with the necessary skills and
experience to achieve that ambition he trained as a chef and having gained that
experience he then took up work as a waiter in order to fully equip himself to
deal with the business of a restaurant. In 1993 he was working as a full-time
waiter in a restaurant. From September, 1993 until April, 1994 he underwent
treatment with Interferon. While on this treatment he was unable to continue
work as a full-time waiter but continued working part-time. By April, 1994 he
found that he was unable to continue this, so he gave up the catering industry
entirely. From then he worked as a curtain fitter for his mother who was in
the curtain business, until he had a serious road traffic accident in November,
1997. In this accident he suffered very serious injuries to his legs, resulted
in the amputation of his right leg above the knee. He was successfully fitted
with a prosthesis but, that notwithstanding he was obliged to give up work as a
curtain fitter because he was unable for the work regime of a curtain fitter
involving as it did climbing ladders and ascending and descending stairs and
carrying heavy loads. He adapted very well to this situation and he commenced
work as a pelmet maker and upholsterer in a self employed capacity. He found
that this suited his health at the time because he was able to adapt his hours
of work so as to fit in with his energy levels. He finds that at times his
energy levels are very low and there are days when he can’t work at all,
but because of the flexibility of being self employed and of the nature of the
work involved he is able to get by and make a living from this business.
8. Since
his early 20’s the Applicant has had to endure serious symptoms of
Hepatitis C. These have seriously compromised his enjoyment of life and are
continuing to do so. I accept his evidence that he has no energy for any
activity other than work and that in the domestic situation he is unable to
participate in the normal way in family life, leaving the burden of all of this
to his wife. But for the Hepatitis C the Applicant would have been enjoying
relatively normal health as his haemophilia was of a relatively mild nature and
during his adult life it had not troubled him at all.
9. In
my view the appropriate sum to compensate the Applicant by way of general
damages for his pain and suffering to date and for what he will undoubtedly
have to endure for the rest of his life from Hepatitis C is the sum of
£300,000.00.
10. The
Applicant also claims damages in respect of a future loss of earnings on the
basis that, but for the Hepatitis C he would have continued in the catering
industry and even if he hadn’t opened his own restaurant he would have
being employed either as a chef or a restaurant manager or indeed, perhaps, as
a catering manager in a hospital or large institution. In all of these
occupations, he would be earning now and into the future significantly more
than he can earn as a curtain fitter or a pelmet maker. In these two latter
occupations his earnings were similar.
11. Evidence
was given to me by Ms. Susan Tolan an expert Occupational Therapist and
Vocational Evaluator of the earnings available to a variety of categories of
chefs and restaurant and catering managers, as follows, namely: a sous chef
earns £22,610.00 per annum; a head chef earns between £25,000.00 and
£30,000.00 per annum; a head chef with an excellent reputation can earn in
excess of £35,000.00 per annum, a restaurant manager earns between
£21,000.00 and £31,000.00 per annum and a catering manager in a
hospital earns between £25,000.00 and £30,000.00 plus pension.
12. On
the basis of the differential between these levels of earnings and the
Applicants earnings as a curtain hanger or pelmet maker, the Applicant sought
to introduce the evidence of an actuary Mr. Logan to give evidence of
appropriate capital sums to compensate in respect of the loss claimed. At this
point in the case, Mr. Carson for the Respondents objected to the admission of
this evidence on the grounds that as the evidence stood there was no evidence
of any loss continuing after the date of the Applicants road traffic accident
in 1997, as a result of which he suffered the amputation of his right leg in
consequence of which he could not in any event have continued in the catering
industry. The evidence of Ms. Tolan had been to the effect that the Applicant
could not have continued because of this injury in the catering industry except
as a catering manager in a hospital, an occupation which was essentially
sedentary in nature. It was contended by Mr. Carson that any loss under this
heading would have ceased at that point in time and hence there was no basis or
foundation for the admission of actuarial evidence in relation to the
continuing loss in this regard.
13. The
objection taken by Mr. Carson raises an issue as to the treatment of losses in
the context of supervening events occurring before the date of assessment of
damages. This is a vexed question and notwithstanding the fact that it was an
issue in two appeals taken to the House of Lords, first in the case of
Baker
-v- Willoughby
[1970] AC 467
and in the case of
Jobling
-v- Associated Dairies Limited
[1982] AC 794
,
no clear or persuasive solution has emerged. There does not appear to be any
authority in this jurisdiction directly on the point.
14. Mr.
Carson submits that the principles set out in the case of
Reddy
-v- Bates
[1984] I.L.R.M. 197 govern the problem in the sense that the requirement to
have regard to the vicissitudes of life in the assessment of future loss, must
mean that where an event occurs prior to the assessment of damage the necessity
of conducting the normal exercise of estimating future loss is overtaken, and
on the principle that the Court should not speculate where knowledge of actual
fact is available, the Court must have regard to the supervening event and that
it matters not whether the event is tortious or non tortious.
15. The
above two English cases clearly illustrate the difficulty of finding a
principle or a set of principles which satisfactorily govern the treatment of
supervening events in the context of the assessment of damages.
16. In
this case the speeches of their Lordships explore the various principles and
indeed policies which have a bearing on whether or not a supervening event is
to be disregarded or not. It can fairly be said that the outcome generally of
their extensive consideration of the subject is defeat in the sense that they
were unable individually or collectively to convincedly adopt a principle or a
set principles to apply both in circumstance of the supervening event being
tortious and non tortious.
26. It
is of course the lawyers earnest desire always to find a principled reason to
support a decision and only where that search fails to adopt policy based
reasoning.
27. Before
examining these in turn the backdrop must be set out namely the well settled
range or principles generally governing the assessment of damages and which may
be summarised as follows;
28. The
problem with causation as a general governing principle and in particular the
necessary finding that the original tort and supervening event become
concurrent causes of the damage, is that this would apply with equal force
whether the supervening event was either a tortious act or non tortious event
such as the occurrence of natural disease. That being so the application of
this principle to the facts in Jobling would have involved bringing the Court
into conflict with the well settled principle that the occurrence of natural
illness was one of the vicissitudes of life which a Court must have regard to
in the assessment of future damages. For that reason their Lordships rejected
causation as a general principle governing the treatment of all supervening
events. I would respectively agree. Such an approach would clearly be in
conflict with the Judgments of the Supreme Court in
Reddy
-v- Bates
[1984]
I.L.R.M 197. Thus any approach to this problem which has the effect of
excluding the occurrence of natural illness from the assessment of future
damages would be wrong in principle and unworkable.
29. It
has long been part of the common law that a Court asked to assess damages for
loss of income into the future must have regard to the vicissitudes which can
in the normal course of life befall a person, resulting in a diminution in
their earning capacity or the duration of their working life. The leading
statement on this is to be found in the Judgment of Brett L J in
Philips -v- London and South West Railway Company
[1879]
5 C.P.D. 280, at 291-292 where the following was said:-
30. In
modern times in this jurisdiction this principle finds expression in the
Judgments of the Supreme Court in
Reddy
-v- Bates
[1984]
I.L.R.M 197. In his Judgment Griffin J lists the matters to which regard must
be had as “
unemployment,
redundancy, illness, accident and the like
”.
31. There
could be no doubt, in my view, in the light of this that in assessing damages
for future loss of earnings a Court must have regard to the contingency of
natural illness occurring in the future, and where an event such as this occurs
before the assessment of damages in respect of the first wrong, takes place, I
am quite satisfied that actual knowledge of that fact must replace estimation
of future contingency and the supervening event must be taken into account.
32. The
difficult question is whether a supervening event which happens to be a
tortious act is to be treated in the same way as one of the vicissitudes of
life to be taken into account as either reducing damages in respect of future
loss of earnings or eliminating such damages entirely.
33. Amongst
the events listed by Griffin J in
Reddy
-v- Bates
was that of “
accident”.
That case however did not deal at all with the question of whether tortiously
caused accidents were to be regarded in the same way as the other vicissitudes
of life.
34. Logically
it would seem hard to argue against the inclusion of tortiously caused
accidents. Events of that kind are undoubtedly part of the “
slings
and arrows of outrageous fortune
”
and thus, why in principle should they be excluded? The argument against
including tortious accidents seem to be one of a practicable nature rather than
a principled one and arises from the application of some of the other well
settled principles regulating the assessment of damages, listed above. In
particular the principle that a Defendant must take the Plaintiff as he finds
him would mean as has been argued in this case that when the driver of the
motor car that injured the Plaintiff, collided with the Plaintiff, the
Plaintiff was at that point in time somebody who was already disqualified and
disabled from further participation in the catering industry and at that time
had an accrued loss in respect of that damage. Thus it is to be anticipated
that the Defendant in proceedings in relation to the road traffic accident
would say that he could not have a liability to compensate the Plaintiff in
respect of the diminution in his earning capacity resulting from his exclusion
from the catering industry.
35. If
that be so, then if the Respondents in this case are permitted to say that the
road traffic accident was one of the vicissitudes of life the consequence of
which was that regardless of the occurrence of Hepatitis C, the
Plaintiff’s participation in the catering industry would have ended, in
any event, then the Applicant in this case would find himself in the situation
of being unable to claim any damages in respect of this loss of income from the
time of the road traffic accident onwards. To many that would seem an
unacceptable and indeed unjust result. Why, it may be asked, should the
original wrongdoer i.e. the Respondents in this case, be relieved of a
liability which they undoubtedly had, because of the infliction on the
unfortunate Applicant of a second tort by another party? Should the clean and
clinical lines of logic be permitted to run that far?
36. In
my opinion, to permit principle to go that far is to allow it run into the
realm of caprice. There is no good reason why the Respondent in this case or
in similar cases should have this relief from liability arising directly out of
a second misfortune tortiously visited on the Applicant. Instead it should be
said, that as a matter of policy, tortious events should not be considered to
be amongst the “
vicissitudes
of life
”,
which a Court should have regard to in the assessment of future loss.
37. Where
a claimant has suffered injuries from two or more successive and independent
tortious acts, policy should lean against the application of any rule or
principle which would have the effect of preventing a claimant from being fully
compensated for the aggregate effects of all his injuries. Hence the necessity
in my view to remove subsequent tortious acts from the list of life's
vicissitudes.
38. In
my opinion, in this situation the governing principle must be to ascertain the
aggregate of damages to which the Plaintiff is entitled to for all of his
injuries and to then determine who caused each item of damage. This task
should be approached, by applying the well settled principles set out above for
the assessment of damages, i.e. a Defendant takes the Plaintiff as he finds
him; a Defendant only pays for such damage as he causes; so that in the end the
claimant is justly compensated for the aggregate of his injuries, losses and
damage and that each Defendant/Respondent pays only for such portion of the
claimant’s injuries, loss and damage as he has caused.
39. Thus
if the supervening event is a tortious act the critical consideration becomes
that of causation of the specific items of damage.
40. This
approach is by no means free of problems. Clearly procedural difficulty will
be encountered in determining these issues involving all necessary parties.
However these problems are not insurmountable and existing Rules of Court
provide procedures for dealing with complications of this kind. In this
context what is involved is a situation where it is possible to say that
particular items of damage were caused either by the original wrong or the
supervening tort. In that situation the task of the Court is to assess the
aggregate of the Plaintiff's losses and to visit upon each party such damage as
has been caused by them.
41. Different
considerations arise where it is not possible to attribute particular items of
damages to particular parties and where it can fairly be said that an item of
loss or damage was caused wholly either by the original wrong-doer or the
supervening tortfeasor. This is indeed the situation which exists in this
case. Undoubtedly the Applicant was excluded wholly from the catering industry
by the Hepatitis C and also would have been excluded by the road traffic
accident. Thus the loss of income as result of exclusion from the catering
industry after the road traffic accident could be wholly attributable to either
of these events. In my opinion the consequence of this is to invoke section
11(1) and (2) of the Civil Liability Act which defines concurrent wrong-doers.
43. In
my opinion the Respondents in this case are "wrong-doers" within the meaning of
the act, as is the driver of the motor vehicle which struck the Plaintiff,
assuming there was some degree of fault on his part. The wrongs in both
instances can be regarded as independent acts causing the same damage and both
wrongs may be regarded as torts. As the act says it is immaterial that they
occurred successively rather than contemporaneously.
44. The
consequence of this so far as the assessment of damages in this case is
concerned is that so far as this item of loss is concerned i.e. the loss of
earnings resulting from the Applicant's exclusion from the catering industry,
the Respondents and the driver of the motor car are to be considered as
concurrent wrong-doers. As such either of them can invoke the provisions of
the Civil Liability Act in order to seek contribution from each other in
respect of this item of loss, but each of them is liable to the applicant for
the entire amount of this loss.
45. It
is of course open to a Respondent as a matter of defence, where a supervening
event takes place, to contend that that supervening event was not tortious at
all, and if successful in that defence, the supervening event would have to be
regarded as a non-tortious accident or one of the vicissitudes of life with all
of the consequences which flow from that, including the removal of that event
from the scope of section 11 of the Civil Liability Act, which proceeds on the
basis that those responsible for both events are "wrong-doers".
46. Before
leaving the subject of causation I should mention that in the course of the
argument it was suggested that the road traffic accident might have been a
novus
actus interveniens
.
In my view it could not have been. A correct analysis leads in my view to the
conclusion that, assuming there was some degree of fault on the part of the
driver in the road traffic accident, that he or she and the Respondent in this
case are concurrent wrong-doers. Necessarily this excludes the
novus
actus interveniens
principle.
47. I
am satisfied on the evidence, that both the Respondent and the owner/driver of
the motor car involved in the road traffic accident were both wrong-doers and
consequently, in my view, concurrent wrong-doers within the meaning of section
11(1) and (2) of the Civil Liability Act, 1961. As a consequence of this the
Applicant is entitled in these proceedings to recover the full amount of his
loss in respect of his exclusion from the catering industry after the road
traffic accident from the Respondent in these proceedings.
48. I
am satisfied from the evidence I have heard from the Applicant, and from Miss
Tolan and from Mr Logan that there is a significant differential between the
Applicant's current earnings as a pelmet maker and what he would be earning had
he remained in the catering industry. Taking a prudent approach to his loss, I
have come to the conclusion that he should be compensated on the basis of a
loss of earnings from the £25,000 to £30,000 bracket. Thus the loss
per week will be somewhere between £130 and £182.) The appropriate
multiplier assuming tax at 20% to age 65 is 998. Having regard to these
factors and also the normal vicissitudes of life as mentioned in
Reddy
-v Bates
in my view the appropriate sum to compensate the Applicant in respect of this
loss into the future from now is the sum of £125,000.
49. In
respect of his loss under this heading since February 1997 to date having
regard to the figures of which Mr Logan gave evidence, in my opinion the
appropriate sum to compensate the Plaintiff for that loss since then is
£17,500.