Future Attendant Care Services
51The respondent submitted that once the appellant's claim that she had failed to mitigate her damages was rejected, the primary Judge was wrong to limit the award of damages in respect of future attendant care services to a period of ten years. According to Mr Molomby, the primary Judge should have found that the respondent's need for those services would continue indefinitely into the future and the damages award should be increased accordingly.
52The only reason given by the primary Judge for selecting a period of ten years was that if the respondent had the recommended surgery for reconstruction of her ACL, she would not require care for the rest of her life. The basis for the implicit finding that the respondent would be likely to have the surgery within ten years of the trial was not spelt out. His Honour may have considered that the respondent's fear of the surgery (which his Honour found to be unreasonable) would be dispelled, or at least overcome, if the benefits and risks were properly explained to her by the treating doctors. An alternative possibility is that his Honour considered that the respondent would be more amenable to undergoing surgery once her children had grown up (the youngest will be 15 years of age 10 years after the trial) and were no longer substantially dependent on her for their own care.
53The principal difficulty facing the respondent's submission is that she claimed and was awarded damages on the basis that she was likely to have the recommended surgery. At no stage has it been said on her behalf that she disclaims her entitlement to damages for the cost of the operation, or for the cost of medication or treatment consequential on surgery. On the contrary, in his oral submission at the trial the respondent's counsel stated that the claim for further medical expenses included the cost of the recommended surgery, which he described (confusingly) as "the probability of a possibility of surgery". Moreover, the respondent did not give evidence that she would continue to refuse surgery because of her fear of an adverse outcome, regardless of her future circumstances. She merely gave her reasons for not undergoing the procedure up to and including the date of the trial, despite her orthopaedic surgeon giving her the option to have the operation.
54The onus is on the respondent to prove that her need for attendant care services would continue for longer than the period of ten years allowed by the primary Judge. The starting point is the primary Judge's finding that the respondent refused to undergo the surgery prior to the trial because she was afraid of the adverse consequences. For the reasons that have been given, it must be accepted that her fear of the surgery was not unreasonable, although this conclusion rests in part on the absence of evidence that the risks and benefits were fully explained to her. However, it is also necessary to take into account that the respondent claimed and was awarded the cost of the operation on the basis that it was likely she would undergo the surgery. It is also necessary to bear in mind that the respondent did not give evidence that, even if the risks and benefits were properly explained and even if her condition continued to cause her pain and limit her mobility, her fear of the procedure would prevent her undergoing the surgery at any time in the future.
55Once all these matters are taken into account, in my opinion, there is no sound basis for finding that the respondent's need for attendant care services and her inability to provide domestic services to her children would continue for longer than the period of ten years allowed by the primary Judge.
56The more difficult question is raised by the appellant's submission that the period of ten years allowed by the primary Judge for future attendant care services was too long. Mr Cavanagh submitted that a period of no longer than two years should have been allowed. He selected that period because there was some evidence that the waiting time for ACL reconstructive surgery in the public hospital system was up to two years. But, as was pointed out in argument, if the respondent is awarded the cost of the operation in the private sector, she would not be required to join the public hospital waiting list.
57In part Mr Cavanagh relied on the primary Judge's finding that the respondent's refusal to undergo the surgery was unreasonable (a finding now set aside). But he also submitted that a finding that the respondent would require gratuitous attendant care services overlooked the fact that she claimed and was awarded damages to enable the operation to take place and that she never stated that she would refuse to have the operation in the future (although Mr Cavanagh accepted she was not asked about this directly).
58The primary Judge made no finding that the respondent's fear of the recommended surgery would continue for any particular time in the future or indeed at all. The respondent herself was not asked, either by her own counsel or the appellant's counsel, whether her attitude was likely to change in the future. Nor was she asked whether she would continue to be too "scared" to have the surgery if the benefits and risks were fully explained to her.
59As I have noted, the respondent bore the onus of proving that she would require attendant care services in the future. She claimed and received damages for the cost of the operation which, as the primary Judge found, is relatively safe and is likely to produce a favourable outcome. For the reasons I have given, his Honour's finding that the respondent's refusal to undergo the surgery was unreasonable cannot stand, but the basis for that conclusion is that the evidence does not establish that the respondent was provided with sufficient information to make a fully informed decision at the time she refused to undergo the surgery. That conclusion does not justify an inference that the respondent's fear would prevent her from having the recommended ACL reconstructive surgery for a further period of ten years.
60In my opinion, the finding that the respondent would require attendant care services for a period of ten years after the trial (a total of fifteen years in all) cannot be supported by the evidence. As in virtually all cases where damages are awarded in respect of period of future incapacity, there is a substantial element of uncertainty. While the finding that the respondent's fear of surgery at the date of the trial was not unreasonable must be given due weight, I do not think that the evidence supports an award of damages for attendant care services in respect of a period any longer than five years.
61Bearing in mind that any estimate of the extent of the respondent's need for attendant care services is necessarily approximate, I would not disturb the primary Judge's finding that the respondent required attendant care services in the future for seven hours per week. For the reasons I have given, the award of damages should be limited to the cost of future gratuitous attendant care services for seven hours per week for a period of five years.