austlii:nsw/NSWPIC/2025/432
General information, not legal advice.
NSWPIC
2025-08-27
Original judgment source is linked above.
AAI Limited t/as AAMI v Herft [2025] NSWPIC 432
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; settlement approval; claimant was injured in a motor vehicle accident; claimant was not working at the time of the accident and in receipt of the aged pension; settlement complies with clause 7.37 of the Motor Accident Injuries Guidelines (version 9.3); -settlement approved in the amount of $325,000; consisting of non-economic loss; nil past economic loss and future economic loss.
(a) multiple bilateral rib fractures;
(b) fracture of proximal phalanx left ring finger, and
(c) crush fracture T12 vertebral body.
(a) 17 months after the accident she remains under the care of her NTD, Dr Janaki Sureshwaran [page 403];
(b) she takes analgesia in the form of Targin and Mobic;
(c) she continues to undergo physiotherapy, hydrotherapy and LED treatment from her chiropractor twice a week [page 403], and
(d) she has consulted a rehabilitation physician, Dr Pushpa Kumari to assist with her recovery, who referred her to a respiratory specialist and neurosurgeon, both were unable to assist with her condition [page 403].
2 June 2025. 2. Dr Wallace observed the following:
"Ms Herft suffered multiple injuries as the result of a motor vehicle collision on
9 December 2023. She was transported by ambulance to Westmead Hospital, where she remained an inpatient for nearly three weeks. She underwent operative intervention for treatment of right-sided rib fractures and a fracture involving the left ring finger. After discharge from Westmead Hospital, she was transferred to Westmead Rehabilitation Hospital, where she remained an inpatient for one month. She was then reviewed by a local medical officer and treated with physiotherapy and chiropractic manipulation. She is currently attending hydrotherapy twice a week, chiropractic manipulation twice a week, and using medication Targin and Panadol. She notes no previous history of significant injury." [page 387]
"At her chest wall, she notes constant aching pain in the region of the right pectoralis major muscle. She notes intermittent shortness of breath.
At her left ring finger she notes no pain at the digit. She notes no paraesthesia or numbness at the left hand. She claims weakness of grip at her left hand. She is right-hand dominant. She notes no stiffness at the left ring finger.
At her thoracic spine, she notes constant aching pain in the right paravertebral region at T12 radiating to the right paralumbar region of the spine with no radiation to her buttocks or legs. Pain is worse with lifting, bending, or twisting movements or sitting or standing for more than 30 minutes and is relieved by lying down or taking medication. She notes no paraesthesia or numbness at her lower limbs. She complains of weakness of the lower limbs and stiffness at her thoracic spine." [page 387]
"Ms Herft is now some 17 months post-injury. She would currently benefit from an unsupervised home exercise program, concentrating on mobilisation and strengthening exercises of the thoracic spine. With the use of simple analgesic medication Panadol, she should cease her current use of narcotic analgesic medication Targin, to prevent narcotic addiction. She would not benefit from further hydrotherapy or chiropractic treatment at this stage, some 17 months post-injury, as it is highly unlikely to lead to a durable reduction in her level of symptoms nor an increase in function at her thoracic spine. She will need review with a local medical officer on a four-monthly basis over the next year. She has a guarded prognosis for further recovery of function of her thoracic spine despite ongoing treatment." [page 389]
"3.40 Effect of recovery of damages on statutory benefits
(1) If a person ('the claimant') recovers damages in respect of the death of or injury to a person caused by the fault of the owner or driver of a motor vehicle in the use or operation of the vehicle then (except to the extent that subsection (2) or (3) covers the case)
(b) the amount of any statutory benefits already paid under Division 3.3 in respect of the injury concerned is to be deducted from the damages (awarded or otherwise paid as a lump sum) and is to be paid to the person who paid the statutory benefits."
"6.23 Restrictions on settlement of claim for damages
(a) the claimant is represented in respect of the claim by an Australian legal practitioner, or
(b) the proposed settlement is approved by the Commission.
(3) The Commission is not to approve the settlement of a claim unless satisfied that the settlement complies with any applicable requirements of or made under this Act or the Motor Accident Guidelines."
(1) If a claimant, who is not represented by an Australian legal practitioner, and an insurer have agreed to a proposed damages settlement, the insurer must lodge an application for approval of a damages settlement under section 6.23 of the MAI Act, on behalf of both the claimant and the insurer, within 7 days of reaching the agreement.
"Under section 6.23(3) of the Act, before the Personal Injury Commission may approve the settlement of a claim for damages, it must be satisfied that:
(a) the proposed settlement satisfies the timing requirements in section 6.23(1) of the Act [since repealed];
(b) the proposed settlement is just, fair and reasonable and within the range of likely potential damages assessments for the claim were the matter to be assessed by the Commission, taking into account the nature and extent of the claim and the injuries, disabilities, impairments and losses sustained by the claimant, and taking into account any proposed reductions or deductions in the proposed settlement;
(c) the claimant understands that they are entitled to be represented in respect of the claim by an Australian legal practitioner, and
(d) the claimant understands the nature and effect of the proposed settlement and is willing to accept the proposed settlement."
(a) a deed of release;
(b) the amount of the proposed damages settlement, including a breakdown of the amount allowed for each head of damage and how each amount allowed has been calculated;
(c) the amount of any reductions in the proposed damages settlement including for contributory negligence or any other reduction, including brief reasons for that reduction and how any reductions have been calculated;
(d) the amount of any advance payments that the insurer has made in advance of the settlement and the dates of those advance payments, including brief reasons explaining why those advanced payments were made, and
(e) the evidence, documents and materials relevant to an assessment of the damages settlement including liability notices.
(a) of the amount of the proposed settlement and a breakdown of the amount allowed for each head of damage [pages 405 - 407], and
(b) an executed settlement deed dated 3 July 2025, which identifies the total amount provided for the settlement and nil deductions to be made from the settlement [pages 408 - 407].
(a) the amount of the settlement is just, fair and reasonable (appropriateness), and
(b) the claimant understands the settlement and its terms and the effect of the settlement in ending her claim for damages (the claimant's understanding).
"It is a relationship of the award to the injury and its consequences ... which is to be proportionate ... It is not a matter to be resolved by reference to some norm or standard supposedly to be derived from a consideration of amounts awarded in a number of other specific cases ... The principle to be followed ... is that the amount of damages must be fair and reasonable compensation for the injuries received and disabilities caused. It is to be proportionate to the situation of the claimant ... and not to the situation of other parties in other actions, even if some similarity between their situations may be supposed to be seen. The judgment of a Court awarding damages is not to be overborne by what other minds have judged right and proper for other situations. It may be granted that a judge who is making such assessment will be aware of and give weight to current general ideas of fairness and moderation. But this general awareness is quite a different thing ...The awareness must be a product of general experience and not formed ad hoc by a process of considering particular cases and endeavouring ... to allow for differences between the circumstances of other cases and the circumstances of the case in hand." [Planet Fisheries Pty Ltd V La Rosa (1968) 119 CLR 118 per Barwick CJ, Kitto and Menzies JJ at paragraph 11].
AAI Limited t/as AAMI
Herft [2025] NSWPIC 432;
(1968) 119 CLR 118