Damages
63 Twelve grounds of appeal were maintained, some with many sub-grounds. The appellant sought an order for a new trial as to damages. The grounds of appeal were verbose, and often unhelpful (eg "such conclusion was not reasonable in light of the totality of the evidence"). These deficiencies were not alleviated by the written and oral submissions.
64 The appellant alleged that she had suffered a closed head injury "with very severe traumatic brain injury", and was left with a host of continuing disabilities including psychological impairments. Her case was opened that she had significant physical and cognitive defects and had developed a "severe functional condition" of chronic invalidism as a "very entrenched psychiatric state", and that she required permanent 24 hour care.
65 Hundreds of reports of medical professionals were put before the judge. A handful of the authors gave oral evidence. Apart from the appellant herself, evidence going to her disabilities was given by her husband Mr Mahmoud Taheer, and her son Mr Abdul Taheer and daughter Ms Taormina Taheer (two of five children in Australia).
66 I have said that the judge's reasons are discursive. It is necessary to find within them his essential reasoning as to damages, if that can properly be done, despite the manner in which they are expressed. To the point where the judge dealt seriatim with the heads of damage claimed by the appellant, it was to the following effect.
67 When he came to damages, the judge immediately said that there had been a significant attack upon the appellant's credibility.
68 The appellant had said in her evidence in chief that her health was "perfect" prior to the accident, apart from an ongoing coughing problem. She maintained that when she was with "the various doctors and others" she "told them the truth about her situation and her symptoms".
69 From medical reports in evidence, the appellant had not had perfect health prior to the accident, nor had she told the doctors and others the truth about her situation and her symptoms. Her pre-accident history "flies in the face of much of the evidence of the plaintiff and indeed much of the plaintiff's husband". Apart from the coughing, the pre-accident history included anxiety and depression, vertigo and vomiting, and what her own doctor described as "a constellation of neurological and gastrointestinal problems". The "clear documented history … by and large undermines and directly contradicts the plaintiff's evidence as to those matters which undoubtedly affected her leading up to the accident". The evidence of Mr Mahmoud Taheer, who had said that the appellant had no health problems prior to the accident, and of Ms Taheer was subject to "a serious question over … veracity".
70 The appellant (and her lay witnesses) had said that after the accident her left side was numb, that her gait was affected and she used a frame, and in particular that she "really does not use her left arm at all". She could not hold a plate or put washing on the line, and specifically denied that she could fold a doona cover using both arms. Mr Mahmoud Taheer said that she was unable to do anything by herself.
71 But a video of the appellant (Ex 2) showed her folding a doona cover and doing other things with both hands without problem. Other video evidence (Ex BB) was to the contrary of the appellant's evidence, including her walking without a frame and using her left arm.
72 Here also the appellant had not told the doctors and others the truth about her situation and her symptoms. A particular example given by the judge was that Dr McCarthy recorded that she was "barely able to walk", and had taken five minutes to cover three metres with the help of her husband and a frame. This was inconsistent with the videos.
73 The judge canvassed medical evidence, referring particularly to that of Dr Buckley (consultant rehabilitation physician), Professor Mattick (psychologist), Dr Jungfer (consultant psychiatrist, and a treating doctor), Dr McCarthy (rehabilitation physician), Associate Professor Spira (consultant neurologist) and Dr Skinner (consultant psychiatrist), but also to a number of other reports. While not gathered concisely by the judge, his references to this evidence included -
there was no muscle wasting or other objective signs of non-use of the left arm (Dr Buckley and others);
there were no injuries on MRI or abnormalities in the brain stem or cerebellum (Dr Buckley and others);
injury to the left side of the brain (as originally revealed) could not account for left sided numbness or loss of sensation (Associate Professor Spira);
numbness was tested by prick testing (Associate Professor Spira);
on assessment, the appellant deliberately exaggerated or feigned cognitive dysfunction (Professor Mattick);
the video Ex 2 was inconsistent with the appellant's presentation (Dr Jungfer, Dr McCarthy), and with Dr Jungfer's previous view that the appellant developed physical symptoms from her distress (the judge labelled this somatisation); and
the videos were clear evidence of "a deliberate attempt on the part of the plaintiff to deceive medical personnel examining her" (Associate Professor Spira).
74 The judge did not refer to these matters without regard to the entire views of the experts, or to qualifications they acknowledged, and this is by no means a full account of the matters to which he referred. However, it is clear that he saw them as difficulties for the appellant's case.
75 Over some pages, the judge then came to a conclusion. He reiterated that it "comes back to the credibility of this plaintiff". He acknowledged a severe head injury, and said that what was in issue was the results of the injury. He referred again to intentional lack of cooperation on psychiatric testing, and posed whether the appellant was "genuine in her belief". He considered that the appellant "had a capacity to exercise her mind to decide she was not going to cooperate in that testing", and was "not satisfied that is in effect some manifestation of her psychiatric injury if there is indeed one".
76 The nub of the judge's conclusion was -
"I find that she exaggerated her condition. At the same time, I repeat, she did sustain a significant head injury. There is no pathology that can account for her claimed difficulties with her left hand and arm area. I have already dealt with that so far in this judgment.
There could be a variety of possibilities for the plaintiff's condition. I must say I cannot rule out the possibility that it may be entirely caused and brought about by this accident, but that is not the test. Again this is not a case where the court can determine its outcome by seizing upon any particular possibility. Again possibilities are relevant and there is certainly more than one possibility in this case. The test is the balance of probabilities and the plaintiff has that onus as I have said on many occasions."
77 In short, on credibility and other grounds the judge was not satisfied that the appellant had the physical or psychiatric/psychological disabilities she claimed to have. At a later point, dealing with non-economic loss, he said concisely that, while there was brain injury, "I am not satisfied that injury has been sustained to the extent to which has been advanced on behalf of the plaintiff".
78 The judge said that "with that in mind" he dealt with the heads of damage. He dealt, in the following order, with the heads of damage in the schedule.
79 He dealt first with past out-of-pocket expenses. They had been mathematically agreed at $32,075. Most of this issue was for the appellant's treatment in hospital, and the judge allowed it as "reasonably and properly incurred". The balance was for treatment thereafter. The judge said that the respondent asserted that "no causal connection as it were, has been established". He said that he repeated that it could not be expected that the plaintiff had a complete recovery when she left hospital but she was certainly able to mobilise herself as indicated in the documentary material. He allowed half of the balance on the basis that it was "fair and reasonable to allow something towards that cost".
80 He then dealt with non-economic loss. The judge accepted that the appellant sustained "a significant head injury" requiring admission to and treatment in hospital, and that "to a degree, bearing in mind the evidence, there was some brain injury". He said he was "not satisfied that an injury has been sustained to the extent to which has been advanced on behalf of the plaintiff". His reasons thereafter were no more than -
"I am of the view that in this particular instance, and noting that the maximum sum under the Motor Accidents Compensation Act which can be awarded is $390,000, that in this particular assessment general damages by way of non economic loss should be awarded to the plaintiff in the sum of $150,000 and she is awarded that amount."
81 He then dealt with past and future loss of income. The judge rejected the claims of $99,450 and $283,050 for the past and the future respectively, on the ground that there was "no satisfactory evidence" or "reliable evidentiary basis". He found that the appellant's future circumstances but for the injury "would have been in the educative or similar field, but on a limited ad hoc basis, if that". He said that he was "mindful of the well established elements of exaggeration insofar as her claims of disability are concerned". He considered that it was "impossible to arrive at any sensible figure based upon any straight line calculations as such", and -
"I therefore consider that the fair and appropriate way, recognising what the plaintiff has established in this case on the balance of probabilities, that the appropriate award should be arrived at by way of a modest buffer which would include the past and the future, and any loss of superannuation entitlements. Doing the best I can on the evidence I consider that the sum of $50,000 should be awarded to the plaintiff, which in global terms covers the past and the future. The evidence does not justify a finding that goes beyond that."
82 He then dealt with past voluntary and contracted care. The judge adverted to s 128 of the Motor Accidents Compensation Act 1999, which imposed a threshold requirement of services for at least 6 hours per week and for a period of at least 6 consecutive months. He accepted that there was "a need for occasional assistance in that early period following the motor accident", but was "not satisfied that there has been a sufficient amount of evidence which would lead this court to conclude that it exceeds the threshold". He accepted that "aunties" (it seems relatives or friends) from time to time attended on the house and "effectively did a number of things in the house for the rest of the family", but said that there was "no objective, reliable evidence which would justify an award of the amount which has been claimed" and that the claim had not "been substantiated to the extent which would warrant an award".
83 He then dealt with future domestic care. This was the large claim for $5,000,000, and I set out the entirety of the judge's reasons -
"I note the total claim is based on Dr Buckley's report of 13 May 2008, and other matters as submitted by Mr Gross. This claim is in the total sum of $5 million. Alternatively, if I do not accept Dr Buckley's report, it is submitted that I should make an award on the basis that the plaintiff's husband and family would have to provide these services.
I make the same observations that I have made earlier about the question of care in general terms. I appreciate what has been set forth in the evidence, in particular the evidence of Dr Buckley. This claim has to depend on whether I accept the plaintiff as a witness of truth and others. I need to assess the evidence and determine the outcome of this claim based upon that evidence, it is not a matter for conjecture or speculation. A claim of this nature needs to be assessed as with every other aspect of the claim in this case.
I have taken the view that whilst I accept there is some evidence which would indicate perhaps some lingering problems with the accident, that is having regard to the limited brain injury that she has sustained, that from time to time there may well be a need, but in the way this claim has been cast I am not satisfied that the evidence would justify an award for the amount which has been claimed of $5 million, nor am I satisfied (given the concerns that this court has about the veracity of the evidence) that the plaintiff has satisfied the onus of proof that an award of this nature should be made. So I decline to award the plaintiff any funds at all for that, and I have the same view as to the alternative submission made by Mr Gross."
84 He then dealt with costs of case management and funds management. After an introductory paragraph, the entirety of the judge's reasons was -
"As to the costs of the case manager, the plaintiff still needs to satisfy the court on the balance of probabilities that there is a need for that, a need based upon the consequences of the defendant's negligence. When it comes to the costs of case management, and indeed funds management, I consider it is relevant to have regard to what was said in the High Court in The Nominal Defendant v Gardikiotis , specifically in relation to funds management. It was said by McHugh J at p 54:
'Damages may therefore be awarded for the expense of managing a plaintiff's verdict monies when the disabilities are the foreseeable consequence of the defendant's negligence.'
That pronouncement is conjunctive. Not only is there a requirement that the plaintiff's disabilities prevent the plaintiff from managing her own funds, but the additional requirement is that it must be a foreseeable consequence of the defendant's negligence, and that is the problem in this case for the plaintiff when it comes to satisfying the court on the balance of probabilities that she should be awarded anything for future costs of case management and indeed future costs of fund management.
In my view there is no evidentiary basis upon which an award can be made, bearing in mind the principles in Gardikiotis , for any award for future costs of case management, nor fund management, and accordingly I decline to award the plaintiff the respective amounts claimed."
85 He then dealt with costs of a handyman and gardener assistant for the future. The appellant lived in her son's home. The judge said that $20,000 was claimed against the prospect that the appellant may need to have some assistance if her husband became unavailable through illness, death or breakdown of marriage "which is a contingency which must be taken into account given the plaintiff's extreme psychiatric state". The judge said -
"The reality of the situation has to be looked at in the context of the plaintiff's current circumstances, and the court is entitled to look to any future circumstances that may have been addressed in the evidence. Any cost of engaging a gardener or handyman in these particular circumstances in my view has not been made out on the evidence. There needs to be a proper evidentiary basis to award such an amount, as indeed there is in respect of every component. There is no evidentiary basis to award that component, accordingly I decline to allow it."
86 He then dealt with costs of accommodation. The judge said only -
"As far as the future costs of accommodation are concerned, this is cast [sic] on the basis that the court should allow the sum of $96,250 to install carer accommodation within the plaintiff's existing residence, reliance again is on what is stated in Mr King's report. I have had regard to that. But again there is no evidentiary basis for that either, I therefore decline to allow it."
87 He then dealt with holiday expenses for carers. The judge said -
"I appreciate, and some comment has been made about this already, that this has been effectively calculated on the basis of a trip to the Gold Coast, and I appreciate that is a fairly generic way of casting a claim of this nature. Certainly there is nothing to indicate that the plaintiff ever had any intention whatsoever to go to the Gold Coast, but that is not something I need to determine. What is important however is that there is nothing to indicate what the plaintiff's intentions would have been for the future, nothing at all. To make an award of $50,000 is simply quite inappropriate, totally unjustified, and should not be permitted. Accordingly I decline to award the plaintiff any monetary benefit for that component."
88 He finally dealt with future costs of medical treatment. The claim was $24,568 as calculated in Mr King's report. The judge said -
"I have taken this claim into account in the context of the evidence. The difficulty that the plaintiff has in this case is satisfying me on the balance of probabilities that whatever disability she has now has been caused by the motor vehicle accident. In my view that onus has not been discharged for the reasons I have already indicated in some detail in this judgment.
I cannot rule out the possibility of that, but that is not the test. The plaintiff has failed that test. Accordingly there is no evidentiary foundation to make an award for the costs of medical treatment as claimed by the plaintiff. I have already indicated that the court declines to award the costs of future fund management for reasons I have already indicated."
89 As I have said, there were twelve grounds of appeal as to damages. It is not necessary to set out all of them, or to deal with all matters which could arise under them (which is not to say that all deserved attention).
90 The grounds included, as part of ground 2, that the judge erred "in failing to make findings of fact which disclosed how the allowances made under all the Heads of Claim had been arrived at", and "in concentrating unduly on making findings adverse to the appellant's credibility and stating what in the Appellant's case he disbelieved or rejected, while failing to set out what facts he actually found as to the consequences of the accident". Ground 3 complained of error in failing to give adequate reasons which "discriminated between" the extent to which the appellant's symptoms, disabilities, incapacity for work and various needs were caused by the accident, rather than being caused by her pre-existing medical problems.
91 The written submissions did not particularly elaborate on these grounds, but within them and central to them was want of findings as to the actual nature and extent of the appellant's injury and her disabilities resulting from the accident.
92 I have sought to extract the judge's essential reasoning, not to endorse it but to enable consideration of his then dealing with the heads of damage.
93 The judge considered that the appellant had exaggerated her condition, and was not satisfied that she had suffered the extent of physical and cognitive disability claimed in her case as a result of the accident. This was a negative finding; it left open that the appellant had suffered a lesser extent of physical and cognitive disability as a result of the accident, or at least disability for a period following the accident. The judge did find that she had suffered a brain injury, also calling it a significant or a severe brain injury. He did not find whether or to what extent the brain injury had affected the appellant and would continue to affect her, albeit not to the extent she had claimed.
94 There are occasional hints in the course of the reasons prior to dealing with the heads of damage. For example, the judge cited, possibly with acceptance, an opinion of Associate Professor Spira that the appellant had made "a reasonable physical recovery from her head injury" and that "her ongoing dysfunction is largely determined by psychological factors including conscious elaboration"; that left an extent of dysfunction caused by the accident. He appeared to accept, from Dr Skinner's evidence, that there could be "a large number of explanations" for the appellant's behaviour. He said that it was "difficult to find" evidence establishing loss of earning capacity directly attributable to the consequences of the accident - not that it could not be found. He accepted that "[o]ne could not say that she had an immediate recovery as soon as she left hospital, because there is indeed … clear evidence that rehabilitation was required". The express statement that the appellant "exaggerated her condition" indicated that there was some lesser condition, and the statement was immediately followed by repetition that the appellant "did sustain a significant head injury". What is lacking is any attention to finding what the consequences of the head injury were, as well as finding (in the sense of not being satisfied) what the consequences were not.
95 Apart from any individual deficiencies, the judge's dealing with the heads of damage exposes this fundamental inadequacy.
96 He must have been satisfied that there were some consequences warranting the award of half the costs of past medical treatment after hospitalisation. He must have been satisfied that there was some considerable effect of the brain injury on the appellant, in order to award damages of $150,000 for non-economic loss: that is not consistent with reasonably prompt and complete recovery from the head injury. He appears to have included within the buffer of $50,000 a component for the future, as well as a component for the past, indicating some continuing effect or at least the possibility of a continuing effect of the brain injury. The reasons do not enable an understanding of how the judge arrived at these amounts, particularly in the absence of any finding of what the consequences of the head injury were.
97 There are also apparent inconsistencies. It is difficult to reconcile the award of $150,000 with dissatisfaction that the threshold for voluntary care had not been met. In dealing with future costs of medical treatment the judge appears to have meant that no current disability at all was caused by the accident, but that is difficult to reconcile with the $150,000 or with a component for the future in the buffer. An apparent inconsistency lies in the acceptance that there might be a breakdown of marriage "given the plaintiff's extreme psychiatric state" - the judge had not been satisfied of a genuine psychiatric state. And the reason for declining an award of future costs of domestic care is particularly unsatisfactory, hinting at continuing effects of the accident but declining an award apparently because the claim to the full extent made by the appellant was not found acceptable. To repeat -
"I have taken the view that whilst I accept there is some evidence which would indicate perhaps some lingering problems with the accident, that is having regard to the limited brain injury that she has sustained, that from time to time there may well be a need, but in the way this claim has been cast I am not satisfied that the evidence would justify an award for the amount which has been claimed of $5 million … " .
98 It is not necessary to detail individual deficiencies. It cannot be seen how the judge came, on the evidence, to allowing the amounts he allowed, and rejecting the other claims. But it may be added, as examples, that -
out of pockets are not allowed because it is "fair and reasonable to allow something";
there was not the slightest statement of the basis for the $150,000;
while in relation to past and future loss of income the judge referred to "recognizing what the plaintiff has established in this case on the balance of probabilities", at no point did he find or state what the appellant had established on the balance of probabilities;
the reasons given for declining to award a number of heads of damage, including the large item for future domestic care are no more than conclusory statements of absence of an evidentiary basis.
99 Some of the grounds of appeal were directed to relatively discrete matters, such as the judge's application of Nominal Defendant v Gardikiotis (1996) 186 CLR 49, compliance with the so-called rule in Browne v Dunn (1894) 6 R 67 and use of Jones v Dunkel (1959) 101 CLR 298 reasoning. There is no point in dealing with these or other of the many grounds and sub-grounds of appeal. They will be re-addressed in a new trial.
100 The reasons fall short, even on a benevolent approach appropriate to an ex tempore judgment of a judge under the pressures under which judges of the District Court labour, of fulfilling the obligation to give reasons; it is sufficient to refer to the recent summation, with extensive reference to preceding cases, by McColl JA in Pollard v RRR Corporation Pty Ltd [2009] NSWCA 110 at [56]-[67].
101 The respondent submitted that the judge was "left in a position where he could not be satisfied what it was this accident had caused". However, had that been so the judge would not have awarded any damages at all. The submission rather points up the deficiencies in the reasons.
102 The respondent also submitted that a new trial (as to damages) should not be ordered because some substantial wrong or miscarriage had not been occasioned: UCPR r 51.53. It submitted that the damages awarded were "consistent with the overwhelming weight of the evidence", even if the judgment had errors in structure or expression. The appellant was and is entitled to a reasoned decision on her claim. This Court does not have the necessary findings, and cannot make them for itself (nor was it invited to), and is not in a position to find that the damages awarded are the proper compensation for injury suffered in the accident.
103 In my opinion, there must be a new trial, limited to damages but as to damages in whole. It should be as to damages only, since the appeal does not succeed in relation to contributory negligence. It can not sensibly be as to some heads of damage only. A new trial is regrettable, particularly after a lengthy trial, but can not be avoided. The appellant may or may not obtain a better result in the new trial; she may obtain a worse result. It is to be hoped that, before the parties return to court, attention is given to settlement, and they would be well advised to consider mediation which, with a neutral mediator, may assist in achieving settlement.