Damages
54The plaintiff submitted that non-economic loss should be assessed at 30% of a most extreme case. The defendant suggested 25%. Although the monetary product of these percentages is very different, the percentages themselves display only a 5% difference. This is the extent of the difference referred to by Basten JA in Clifton & Ors v Lewis [2012] NSWCA 229 at paragraph 56. I could not say that either submission is wrong but simply express my view that the two submissions probably represent the appropriate range. I have decided to assess damages closer to the plaintiff's submission at 28% principally because of the dramatic effect the injury has had on the appearance of the plaintiff's shoulders. This is a deformity with which the plaintiff will have to live for the remainder of her life together with the effects of the non-union of her fracture and the associated instability and pain. Pursuant to Section 16 of the CLA, 28% has a monetary equivalent of $75,000.
55In respect of past economic loss, the plaintiff's claim is for $14,470.83 which represents the workers compensation payments she has received. The defendant said this figure was "mathematically agreed". I am not sure what this means but do note, in fairness to learned counsel for the defendant, that no submissions were made that I should not accept the figure. I do accept it. I also allow lost superannuation benefits at 11%. This is $1,591.79.
56For future economic loss the plaintiff submitted there should be a buffer in the order of $40,000 to $50,000, being approximately one year's wages. The defendant submitted that there should be no allowance for future economic loss, principally because the plaintiff said in her evidence that she could do fulltime work.
57The test that I need to apply is whether the plaintiff has an incapacity to work and, if so, whether that incapacity is likely to be productive of economic loss (Rabay v Bristow [2005] NSWCA 199).
58Dr Barrett, who I think has accurately summarised the plaintiff's condition said that the plaintiff is fit to continue work but with restrictions in regard to lifting and use of her arm above chest height. Bearing in mind the plaintiff is right handed, these restrictions indicate an interference with her capacity to work as a teacher's aide; however, I do not think that they are likely to be productive of economic loss to the extent submitted by the plaintiff. I do agree that there is a probability that over time the plaintiff will be at a disadvantage on the open labour market or in need of time off from work due to her injuries so that a buffer is an appropriate method of compensating. I think this buffer should be $15,000.
59In assessing future economic loss I have taken into account, for purposes of Section 13 of the CLA, that I am satisfied that but for the accident the plaintiff would have continued to work in a teacher's aide type role to age 65, that this would have been usually on a part-time basis and would have been subject to the usual vicissitudes of 15%. The buffer I have allowed takes into account the reduction for vicissitudes and also any allowance for the loss of superannuation benefits.
60Past out of pocket expenses were agreed at $24,838.28. In this instance the defendant's agreement was unconditional rather than being mathematical.
61The plaintiff's claim for future medical expenses was not precisely quantified but derived from the schedule in the Second Amended Statement of Particulars. The assessment generally relies on the opinion of Dr Barold whose report is part of Exhibit A. I think Dr Barold's assessment is generally of a "Rolls Royce" regime rather than an indication of reasonable needs. This applies both to his assessment of medical expenses and future care needs. I do, however, accept that the plaintiff will need to see a general practitioner fairly regularly and a specialist from time to time. I do not see why the plaintiff needs to see a general practitioner six times a year or a specialist twice a year.
62I also accept there is a need for some physiotherapy and continuing medication. The plaintiff is not likely to have surgery nor undergo psychiatric consultations. I do not see a need for occupational therapy, hydrotherapy or "future investigations".
63I think an allowance of $50 per week for all medical consultations and the cost of medications is appropriate. The plaintiff's life expectancy is 35 years, which produces a 5% multiplier of 875.6. At $50 per week the result is $43,780.
64The plaintiff's claim for past care is based on the reports of Dr Barold and of Ms Hildebrand. The plaintiff took the approach in evidence of simply saying that she had told Ms Hildebrand the truth about her needs and left the matter there. The assessment of these needs, however, includes not only the investigation of the reasonable requirements of the plaintiff but, as far as gratuitous care is concerned, evidence of the number of hours that have been performed by the person who has done the work. I do not think there is satisfactory evidence of this element. I note Ms Hildebrand herself says: "Whilst assistance required in the past was difficult to estimate exactly, the following was agreed as a reasonable summary of the support required, over time". She then sets out some figures based, as I read them, to a large degree, on her assumptions of the plaintiff's needs rather than the actual time for work that had been provided.
65The plaintiff's approach in submissions was to say that gratuitous domestic care should be averaged at 10 hours per week over the whole period from the date of accident to date. I have no difficulty with the general approach of 'averaging' but I do not think it appropriate in this case. The plaintiff's claim for gratuitous domestic assistance has been made under both Section 15 and Section 15B of the CLA. Each of those sections has a 'six hour/six month' threshold. It follows that by averaging the hours at 10 hours, there cannot be an inclusion of two lots of six hours. There is a further complication, which is that since February 2009 the plaintiff has been paying for four hours per week of commercial assistance. If this is deducted from the number of hours attributed to Section 15 damages then the six month threshold will not be met (the fall was in November 2008).
66When these matters were pointed out to plaintiff's counsel he amended his average to 12 hours per week. I do not think this solves the problem. Firstly I am concerned that figures should not be amended to circumvent the provisions of the CLA and secondly, without a delineation between the Section 15 and Section 15B damages it does not necessarily follow that Section 15 damages will remain available because, after the reduction of the four hours of commercial care, there would not necessarily be six hours remaining.
67In addition, I have difficulty in any event in accepting the views of Dr Barold and Ms Hildebrand. Based on the plaintiff's evidence, as well as the view of Dr Barrett, I think that the four hours of commercial care that she receives meets her requirements. I do accept that the plaintiff would have needed more than four hours per week of assistance in the weeks and months following the accident but I am not satisfied that this would have continued beyond February 2009, at least to a degree that would have allowed for a further six hours in addition to the four hours of paid assistance. Accordingly I think the claims under Section 15 and 15B must fail.
68The plaintiff is, however, entitled to be reimbursed for the four hours per week for which she has been paying, at $20 per hour, since February 2009. Giving her the benefit of this care having commenced at the beginning of February 2009, I allow $80 per week for 197 weeks which is $15,760.
69For the future I think the four hours per week should continue for 30 of the 35 years of the plaintiff's life expectancy. The plaintiff submitted the rate should be $35 per hour. The defendant submitted that $20 per hour was appropriate because this was what the plaintiff was now paying. $35 per hour per is less than the commercial rate suggested by Ms Hildebrand; however, there is also force in the defendant's argument. I think I should take into account both arguments on the basis that sooner or later the plaintiff is likely to lose the beneficial rates that she now pays. Accordingly I will assess future care at $27.50 per hour for 4 hours per week for 30 years. On the 5% tables this is $90,420.
70A summary of the damages I have awarded is as follows:
Non-economic loss $75,000.00
Past economic loss $14,470.83
Past lost superannuation benefits $1,591.79
Future economic loss $15,000.00
Out of pocket expenses $24,838.28
Future medical expenses $43,780.00
Past commercial assistance $15,760.00
Future commercial assistance $90,420.00
Total $280,860.90