" Personal Injury " is defined to include
" …
(b) impairment of a person's physical or mental condition."
25 The award of personal injury damages is specifically governed by Pt. 2. In s.11 "injury" is defined as "personal injury" and includes the same matters as are defined in s.5.
26 Damages for gratuitous attendant care services are provided for in s.15, which is in the following terms:
"(1) In this section:
attendant care services means any of the following:
(a) services of a domestic nature,
(b) services relating to nursing,
(c) services that aim to alleviate the consequences of an injury.
Gratuitous attendant care services means attendant care services:
(a) that have been or are to be provided by another person to a claimant, and
(b) for which the claimant has not paid or is not liable to pay.
(2) No damages may be awarded to a claimant for gratuitous attendant care services unless the court is satisfied that:
(a) there is (or was) a reasonable need for the services to be provided, and
(b) the need has arisen (or arose) solely because of the injury to which the damages relate, and
(c) the services would not be (or would not have been) provided to the claimant but for the injury.
(3) Further, no damages may be awarded to a claimant for gratuitous attendant care services if the services are provided, or are to be provided:
(a) for less than 6 hours per week, and
(b) for less than 6 months.
…"
27 Senior counsel for the appellants submitted that the respondent had not established an entitlement to damages for such services because she had not satisfied the provisions of sub-s.2(b). The argument, as I understand it, was that the respondent suffered from pre-existing degenerative changes and there was medical evidence (although the appellant did not identify the medical report that was relied on for this argument) that those degenerative changes may have remained asymptomatic but for the accident. It followed that a converse inference could, and it would seem on the argument should, have been drawn that those pre-existing degenerative changes may have become symptomatic. It was submitted, therefore, that as the injury had impacted upon a pre-existing condition, it could not be said that the need for the gratuitous attendant care services arose "solely" because of the injury.
28 As developed, it seems there were two aspects of the argument. One argument proceeded as a matter of construction of the section and the second on the evidentiary framework which I have just outlined. I will return to the latter of these arguments shortly. Insofar as the argument proceeded in respect of the proper construction of the section, it was submitted that sub-s.2(b) only operated where there was no other cause or reason why the gratuitous services needed to be provided. An example on the appellant's argument in which an award under s.15 would be precluded was where a plaintiff with pre-existing symptomatic degenerative changes already required assistance of say five hours per week at the time of an accident. If, as a result of an accident causing an aggravation of those pre-existing changes, it was found that such a person needed more attendant care services, say 15 hours per week, there was no entitlement under s.15 because of the operation of s.15(2)(b). In other words the need for attendant care services had more than one cause. The opposing argument and one which was adopted by senior counsel for the respondent, was that in such a case, the plaintiff would be entitled to an award of ten hours for gratuitous attendant care services because the need for those ten hours had arisen "solely because of the injury to which the damages relate". This construction derives directly from the definition of "injury" which includes "impairment of a person's physical or mental condition".
29 Although the matter is not without difficulty, I am inclined to the view that the second of these constructions is correct. It derives from a construction of the Act as a whole. In my opinion, such construction does not do any violence to the express words of the section. Senior counsel for the appellant argued that if such a construction was intended some word other than "solely" would have been used. He postulated that "substantially" would have been a likely candidate. In my opinion, that argument reinforces the likelihood that the second construction is correct. If the word "substantially" were used, instead of the word "solely", then the section would have directed the Court to make an assessment whether the need for the services arose substantially or mainly because of the injury. If the need arose substantially because of the injury a plaintiff would be entitled to an award notwithstanding that portion of the need was attributable to some other cause. So in the example given in the previous paragraph, a plaintiff would be entitled to an award for 15 hours of attendant services, not 10.
30 But in any event, it is not strictly necessary to determine the construction of the section for the purposes of this case. The evidence was that the plaintiff's need arose because of the injury. True it was that the injury itself was an aggravation, but there was no medical evidence that the plaintiff's pre-existing degenerative condition would have, on the balance of probabilities, brought her to the same condition at some stage in the future. Accordingly, her Honour was entitled, and indeed it was probably the only finding available on the evidence, to find that the respondent's need for gratuitous attendant care services arose solely because of the injury.
31 It follows, in my opinion, that the appeal should be dismissed with costs.
32 The matter came before this Court on the basis that the Summons for Leave to Appeal would be heard simultaneously with the argument on the appeal. It became apparent during the course of argument that leave was not required, as the amount in issue was in excess of $100,000.00. Accordingly, the matter proceeded before this Court on the basis that it was an appeal as of right.
33 There was a further technical defect in the appellant's case in that the Summons for Leave to Appeal itself was filed one day out of time.
This should have been brought to the Court's attention as an extension for time to file the Summons would have been required had the matter been one requiring leave. Although leave to appeal is not required, the appeal is out of time and an extension of time for that is necessary. In the normal course, the extension of time should have been sought in a Notice of Motion supported by Affidavit. Notwithstanding this omission, as the failure to take steps to initiate the appellate process was only one day late an extension of time ought to be granted.
34 The Court does not have before it however, a Notice of Appeal. As proceedings were commenced by way of an Ordinary Summons for Leave to Appeal there is only a draft Notice of Appeal. A Notice of Appeal should be filed, and I propose directions to take account of that.
35 Accordingly I propose the following Orders;