Damages
66There was very little dispute on the plaintiff's injuries. As already observed she was hardly cross-examined about them.
67As far as the medical reports were concerned I do not think a detailed analysis is required. I do, however, note the following:
(a)Dr Coffey, an orthopaedic surgeon, was the plaintiff's treating specialist. "An open reduction internal fixation left patellar" was carried out on 21 May, the day of the fall. His post-operative instructions were: "Zimmer splint for two weeks, mobilisation requires crutches, weight bearing as tolerated. Progressive range of motion from then."
(b)Dr Coffey saw the plaintiff on 11 June 2010. He found that her wound had healed well and thought she should commence a "gentle range of motion exercises".
(c)On 6 July 2010 Dr Coffey found continuing good progress and suggested the plaintiff "upgrade her physiotherapy efforts aiming to improve range of motion and strength around the knee".
(d)The last report from Dr Coffey is dated 15 November 2010. He was happy with the plaintiff's progress and recommended the removal of the wires he had inserted. He also suggested an arthroscopy. These procedures took place on 31 January 2011. There is no report from Dr Coffey following the further surgery. There is nothing to suggest the surgery was other than successful.
(e)The plaintiff saw Dr Clarke, a psychiatrist, at the request of her solicitors on 12 July 2011. He found that the plaintiff had suffered a post-traumatic stress disorder which had become "a chronic phobic anxiety state". He thought she should have further psychiatric treatment for a period of between nine months and two years. He thought the plaintiff should be trialled on medication.
(f)Dr Conrad is a general surgeon. He examined the plaintiff on 19 October 2011. He has written two reports. In his first he said that the fracture had "gone on to good union, however she has some pain and restriction of movement of the left knee, which is now permanent and stable. She needs conservative treatment and she may need physiotherapy from time to time".
(g)Dr Conrad noted that the plaintiff was having difficulties with housework and he thought "she may need about six hours per week of Home Care assistance".
(h)Dr Conrad wrote a supplementary report responding to a letter from the plaintiff's solicitors. Dr Conrad said that "there is a strong probability of osteoarthritis developing between the patellar and the rest of the knee joint and this would in my view, occur in a time frame of five to ten years".
(i)Dr Conrad went on to say that if the osteoarthritis did develop then further surgery would be required which might be a patellectomy or an entire knee replacement. If it was the latter it might need to be repeated after about 10 years.
68On the defendants' side I note the following:
(a)Dr Silva, an orthopaedic surgeon, (Exhibit 2D3) examined the plaintiff on 20 October 2011. He found no wasting in her left leg and a slight restriction of movement compared to the right knee. Dr Silva thought the plaintiff was fit for her pre-injury occupation and that "no further treatment in the future is indicated".
(b)Dr Silva wrote a supplementary report on 12 June 2012 responding to the supplementary report of Dr Conrad. He disagreed with the likely possibility of osteoarthritis "because even the slight articular incongruity from the patellar fracture of 21/05/2010 has been corrected". He observed that the plaintiff had had a similar fracture in 1990 which did not lead to any complications. He thought the further surgery envisaged by Dr Conrad was unlikely. He also disagreed with Dr Conrad that the plaintiff could be compelled to retire early.
(c)The plaintiff was referred to Dr Abeya, a psychiatrist (Exhibit 2D4). In his diagnosis Dr Abeya referred to the plaintiff's good work ethic "throughout her life". He did not think that she qualified for a diagnosis of post-traumatic stress disorder but did say "it is clear that she has fears of a phobic anxiety like nature due to the incident". He thought the most appropriate diagnosis was an adjustment disorder with depressive and anxiety symptoms.
(d)Dr Abeya thought that the plaintiff should be referred to a psychologist for fortnightly or monthly sessions for about six months and that she might benefit from medication. He also recommended review by a psychiatrist. Dr Abeya confirmed my impression that the plaintiff had a good deal of anxiety about falling again and re-injuring her left knee.
(e)The defendants also relied on a report from the plaintiff's general practitioner, Dr de Silva (Exhibit 2D5). Dr de Silva said the final diagnosis was a "fracture left patella". He continued: "Her prognosis is for good recovery with some mild residual pain with overuse".
69It can be seen from the above that the main medical controversy is whether or not the plaintiff is likely to suffer from osteoarthritis in the future, in turn necessitating further surgery. Neither side required any doctors for cross-examination. The plaintiff did say that she felt her knee was deteriorating which perhaps suggests the beginnings of arthritis but I do not think I could reach that conclusion without medical endorsement. I do not think that I can reach a firm conclusion about the plaintiff's prognosis in respect of osteoarthritis. The best I can do is take it into account as a possibility which might occur and might, in the future, lead to further treatment expense and perhaps have an impact on the plaintiff's capacity to work.
70The plaintiff claimed damages under the following heads: non-economic loss, past and future medical expenses, past and future economic loss and superannuation benefits, Fox v Wood damages and future paid domestic assistance.
71The plaintiff submitted that non-economic loss should be assessed at 33% of a most extreme case. The defendants suggested 20%. I think both percentages are outside the appropriate range or, perhaps at best, at the extremes of the range. The plaintiff has been through a good deal of pain, has had surgery and continues to suffer, both from a physical and psychological aspect, from the effects of the injury. She will probably do so for the rest of her life. This summary would, at first sight, suggest the correctness of the plaintiff's assessment of 33%. However, the assessment is one "of a most extreme case". On this basis, I think it would be wrong to assess the plaintiff as being, for example, a third as bad (or as injured) as, for example, a quadriplegic. In my view, the appropriate percentage is 28% of a most extreme case. Pursuant to Section 16 of the CLA the resulting figure is $75,000.
72Past out of pocket expenses were agreed at $25,298.
73The plaintiff claimed $50,000 for future medical expenses, based primarily on the need for future surgery to deal with the predicted osteoarthritis. The defendants, in line with their rejection of this prognosis, suggested $10,000. Based on my above conclusions about the osteoarthritis I think a buffer approach is necessary but one that would produce a figure significantly less than that sought by the plaintiff. This is to reflect the possibility rather than the probability of the future treatment. It also takes into account the unknown time in the future when such treatment might occur and the possibility of the plaintiff seeking psychological and psychiatric treatment. I think the allowance should be $20,000.
74Past wage loss was agreed at $7,752, as was the past loss of superannuation benefits of $852.
75Fox v Wood damages were also agreed, in the sum of $1,550.
76The plaintiff claimed, by way of a cushion, $125,000 for future wage loss. This large figure was based on the plaintiff having to retire from work in about three years and on the assumption that she would have worked well beyond the normal retirement age of 65. The defendants, relying on Dr Silva's opinion about the plaintiff's work capacity, said that future economic loss should be assessed at no more than $10,000 and perhaps even at zero.
77It is first of all necessary to make some findings for the purposes of Section 13 of the CLA. In my view, but for the accident, the plaintiff would have continued to work to at least age 65 and perhaps a little longer. I initially thought that there should be an increase in the normal vicissitudes because of the plaintiff's history of breast cancer. On further consideration I do not think this would be fair in the absence of medical evidence to support the extra risk. Accordingly, I think that the plaintiff's future economic loss should be reduced by the normal vicissitudes of 15%.
78I think the plaintiff's excellent work ethic, as described by Dr Abeya, will continue in the future and that she is unlikely to stop working in three years. Even with the impact of osteoarthritis I think it probable that if her capacity to work is impacted it is not likely to result in a change from almost fulltime work to no work at all. I would envisage the plaintiff gradually reducing her hours in accordance with her diminishing capacity.
79The plaintiff is not losing any income at present so that the only possible approach is to award her a buffer. This is not inconsistent with Section 13 as has been often stated in the New South Wales Court of Appeal (see for example Penrith City Council v Parkes [2004] NSWCA 201).
80The plaintiff's wage loss, if any, is not likely to start for another three years so that there should be an element of deferral in the assessment. In my view a figure of $30,000, including the loss of superannuation benefits, is appropriate.
81The plaintiff's claim for future paid assistance is for three hours per week at $40 per hour for the remaining 28 years of her life expectancy. This claim amounts to $95,592. The defendants said the award should be $10,000 based on some continuing lawn mowing plus a small allowance for other tasks.
82The plaintiff's evidence was that she has had the lawn cut by a contractor since her fall. She also said that a friend helped her in the garden. I agree with the defendants' submission that even if this friend continued to help her it would be classed as gratuitous assistance and would not exceed the thresholds set by Section 15 of the CLA.
83The plaintiff's evidence was that she managed the housework currently by carrying it out over an extended period, after which she might feel some discomfort. She did not say she was unable to do any of the work. On the other hand I take into account that she does have restrictions in actions such as squatting and that if osteoarthritis does set in she will be yet more restricted. As far as lawn mowing is concerned I think a time would have come when she would have needed this assistance in any event. I also think that she would have reached a certain age when she would not have been able to do the housework in her relatively large home without assistance.
84I think the plaintiff should be awarded two hours per week of assistance at $40 per hour for 20 years. The defendants did not dispute the rate. The resulting calculation on the 5% tables, is as follows: 2 x 40 x 666.4 = $53,312.
85A summary of the damages I have awarded is as follows:
Non-economic loss $75,000.00
Past out of pocket expenses $25,298.00
Future out of pocket expenses $20,000.00
Past economic loss $7,752.00
Past lost superannuation benefits $852.00
Fox v Wood damages $1,550.00
Future economic loss buffer including superannuation benefits $30,000.00
Future care $53,312.00
Total $213,764.00