(1) that there was a considerable amount of understatement by the respondent and her family concerning her condition prior to the accident and a considerable amount of overstatement about her condition after the accident;
(2) that she did not accept that the evidence established that the respondent had suffered the "considerable disability of which she now complains" as a result of the accident.
60 These conclusions indicated that her Honour had accepted the appellant's case. Other passages in the judgment also support the appellant's argument that the primary judge appeared to favour his case. I have underlined the relevant portions of her Honour's judgment in the preceding paragraphs. When dealing with the appellant's medical evidence she appeared to indicate she accepted it. Moreover, she appeared to contrast that evidence with conclusions which were unfavourable to the respondent. In contrast, her Honour recited the respondent's medical evidence without any indication that she accepted it. Indeed, as I have noted, she was critical of Doctor Kent's evidence in a manner which, on my reading, indicated that she rejected it.
61 Notwithstanding these matters, her Honour made an award of damages which could only be consistent, in my view, with acceptance of the respondent's case, that she had suffered a substantial injury the effect of which was likely to afflict her for the rest of her life.
62 A useful illustration of the gravamen of the appellant' s complaints can be seen in the manner in which the primary judge dealt with Doctor Cummine's evidence. Her Honour referred to his evidence immediately after expressing the conclusion that the plaintiff and her family had considerably understated her pre-accident condition and overstated her post-accident condition. She referred to the fact that the respondent had suffered a fractured sternum, that the accident involved an impact of considerable force "which would undoubtedly have placed strains on her body such as to generate soft tissue injury and perhaps symptomatology in a previously asymptomatic degenerative neck condition" and then said she had "some sympathy" with Doctor Cummine's views "that in ordinary circumstances the consequent symptoms of discomfort and disability ought gradually to have resolved".
63 As at least one of the respondent's principal complaints concerned her ongoing disability said to be related to her neck condition, the primary judge's expression of "some sympathy" for Doctor Cummine's views might, ordinarily, be understood to reflect her acceptance of his opinion. In this respect it is relevant to note that her Honour only extracted a portion of Doctor Cummine's opinion concerning the resolution of the respondent's symptoms. The full text of Doctor Cummine's opinion was as follows:
"I consider in the subject accident she has sustained a fractured sternum and minor soft tissue injuries only to the neck, left shoulder and left upper arm.
In the normal course of events I would have envisaged a gradual resolution of all such symptoms with no late complications or permanent impairment attributable to them. " (emphasis added)
64 The primary judge's apparent acceptance of Doctor Cummine's opinion that the respondent's symptoms would have "gradually resolved", indicates to my mind that she also accepted his view that there would be no permanent impairment. Her Honour appeared to accept Doctor Smith's opinion that the respondent "had presented with significant embellishment to her pain presentation". Doctor Smith had also concluded that the car accident had not produced a major depressive episode. If her Honour had, in fact, accepted both Doctor Cummine's and Doctor Smith's opinions, her conclusions on the issues of lost earning capacity and domestic assistance and, prima facie, on her assessment of non-economic loss at 30% of a most extreme case could not, in my view, be supported.
65 Her Honour was also critical of the absence of any report from Doctor Lamb dealing with the respondent's pre-accident and post-accident medical conditions. This was a particularly telling observation in the light of Doctor Lamb's letter written barely a week before the accident which was at least open to the interpretation that the respondent was suffering from both chronic fatigue syndrome and chronic depression at that time. She also criticised the respondent's failure to call evidence, or explain the absence of evidence, concerning what appears to have been pre-accident psychiatric treatment. Notwithstanding those criticisms, her Honour does not appear to have drawn an inference adverse to the respondent: cf Jones v Dunkel [1959] HCA 8; (1959) 101 CLR 298.
66 Finally, and regrettably, although her Honour had identified the issue in the case as being "the precise nature of the injuries and disabilities causally related to the accident and the extent to which those injuries aggravated medical conditions from which the respondent suffered at the time of the accident", there is no finding in her judgment which resolves that issue in favour of either party.
67 The respondent may well be correct in submitting that there was medical evidence which could support the primary judge's conclusions. The difficulty is that a substantial portion of the judgment was consistent with acceptance of the appellant's medical evidence which supported his case. At no stage did her Honour undertake a comparative exercise and determine which expert evidence she should prefer and for what reasons. She did not express any findings on medical issues in language of conclusion but, rather, in language of ambivalence: "generate … perhaps symptomatology"; "may well have aggravated".
68 The respondent is not assisted, in my view, by the remarks the primary judge made on 4 December 2003. Those statements do not accurately reflect the reasons her Honour had given the previous day.
69 The primary judge's duty was not only to record the evidence but also to record the findings she made based on that evidence: Mifsud v Campbell (1991) 21 NSWLR 725 at 728. While the extent of that duty may depend upon the circumstances of the individual case (ibid), where there is disputed expert evidence, the "parties are entitled to have the judge enter into the issues canvassed before the Court and to an explanation by the judge as to why the judge prefers one case over the other": Archibald v Byron Shire Council [2003] NSWCA 292; (2003) 129 LGERA 311 at [54] per Sheller JA (with whom Beazley JA agreed); see also Bright v Joodie Holdings No 2 Pty Ltd [2005] NSWCA 134 at [33] per Santow JA (with whom Sheller JA and Campbell AJA agreed).
70 The primary judge's failure to analyse the competing medical evidence and make express findings as to which party's evidence she preferred, coupled with her apparent rejection of the respondent and her family as witnesses of credit in the circumstances of a large award of damages, raise real concerns as to whether she has properly considered the appellant's case.
71 In my view, the appellant has established that he has been left with a legitimate sense of injustice having regard to the inadequacy of the primary judge's reasons which has occasioned a substantial wrong or miscarriage of justice: Mifsud at 428; Dixon v Whisprun Pty Ltd at [74].
72 It would not be appropriate for this Court to seek to reassess the damages. Clearly that exercise will depend substantially upon issues relating to the respondent's credibility. In such circumstances the appeal should be allowed and there should be a new trial limited to damages.