What order should be made?
36What the first and second defendants' evidence at trial will be is not known, for the reasons I have explained. Given the nature of Sharif's injuries, however, that the damages he would be awarded if he succeeds would be substantial, was not in issue. His condition and what is involved for his parents, with increasing difficulty, in providing for his care at home where he lives with them, without any paid care and support or respite, establishes that Sharif is likely to have very considerable orders made in his favour in relation to the provision of both necessary equipment and substantial care over the course of his remaining lifetime, if he succeeds in establishing the disputed causation.
37Given his family's circumstances, it is apparent that he now has very considerable unmet needs. Those needs are growing and changing, including in relation to lifting and other assistance which requires two people, as well as with transportation. On the evidence, there is no question that Sharif's needs are costly and demanding for his family, as he is totally dependent on others, 24 hours per day.
38Even so, orders under s 82 must be approached with caution, given the possibility that a plaintiff may not succeed at trial. The defendants accepted that the orders finally pressed for Sharif in relation to equipment had been extracted from Ms Alach's report as being the equipment Sharif presently requires and reflecting her assessment of its cost, together with her estimate of the cost of the commercial care which she assessed he required for a one year period.
39The first and second defendants did not admit that the equipment was reasonable and necessary to meet Sharif's needs, that the actual cost was as Ms Alach had assessed, or even that commercial care was required on the basis she had assessed, in order to meet Sharif's needs. The first and second defendants did not lead any evidence to challenge Ms Alach's opinions and assessments, or require her for cross-examination, submitting rather that her assessment rested on the basis of what optimal, rather than reasonable equipment and care required.
40Given the nature of the equipment in issue, such as wheelchairs, wheelchair ramps, foam seating, shower and bath chairs, a bed and pressure relieving mattress, incontinence sheets and change tables, nursing and continence supplies, and lifting equipment, I am satisfied that the evidence establishes that the equipment is necessary. That conclusion rests on the nature of Sharif's condition, his changing needs, as he grows, the fact that he has outgrown certain existing equipment, and the need for him to be constantly lifted, whenever he is moved. It seems to me that the only equipment about which there could be any question is the wheelchair accessible vehicle costed by Ms Alach at some $90,000.
41Ms Alach's report explains that her costing proceeded on the basis of average, rather than actual cost and that much of the equipment required will have to be custom made, given Sharif's condition. It follows that the first and second defendants' submission that Ms Alach's costs had been approached on an optimal basis cannot be accepted.
42The first and second defendants relied on the observations in Dang v Chea [2013] NSWCA 80; (2013) 63 MVR at [38] - [41]:
"38 The relevant test to be applied in considering the question of what damages ought be awarded to a plaintiff in a circumstance such as Mrs Chea found herself, is in Arthur Robinson (Grafton) Pty Ltd v Carter [1968] HCA 9; (1968) 122 CLR 649. In that decision, Barwick CJ held that the aim of an award of damages was not to fulfil the ideal requirements for an injured plaintiff, but rather the reasonable requirements.
39 In Chulcough v Holley (1968) 41 ALJR 336 Windeyer J said at 338:
"A plaintiff is only entitled to be recouped for such reasonable expenses as will reasonably be incurred as a result of the accident. What these are must depend upon all the circumstances of the case - including the particular plaintiff's way of life, prospects in life, family circumstances and so forth. It does not follow that every expenditure which might be advantageous for a plaintiff as an alleviation of his or her situation or which could give him or her happiness or satisfaction must be provided for by the tortfeasor."
40 In Sharman v Evans [1977] HCA 8;(1977) 138 CLR 563, when considering the cost of providing nursing and medical care to a plaintiff, and what was reasonable in the circumstances, Gibbs and Stephen JJ said at 573:
"The touchstone of reasonableness in the case of the cost of providing nursing and medical care for the plaintiff in the future is, no doubt, cost matched against health benefits to the plaintiff. If cost is very great and benefits to health slight or speculative the cost involving treatment will clearly be unreasonable, the more so if there is available an alternative and relatively inexpensive mode of treatment, affording equal or only slightly lesser benefits. When the factors are more evenly balanced no intuitive answer presents itself and the real difficulty of attempting to weigh against each other two incomparables, financial cost against relative health benefits to the plaintiff, becomes manifest."
41 This Court, in considering a similar issue, has identified as a further matter for consideration, the question of proportionate relationship. In McNeilly v Imbree [2007] NSWCA 156; (2007) 47 MVR 536, Basten JA (Beazley JA agreeing) said at [155]:
"[A]n assessment of what is reasonable in the circumstances of a particular case, may well involve some consideration of the significance of the expenditure, as a proportion of the likely overall award, as well as the difficult assessment of the relationship between the additional proposed cost and the anticipated benefit."
43The first and second defendants submitted $100,000 was reasonable to meet equipment needs, excluding the vehicle, because Sharif's family has not had a wheelchair accessible vehicle to this point and there was no urgent need for one, having regard to the proximity of the hearing.
44The test under s 82 is not one of urgency. Given the nature of Sharif's condition and that he is now aged 10 years, it cannot sensibly be doubted that there is a reasonable need for a vehicle of the kind which Ms Alach has assessed, namely with rear platform hoist, particularly given his treatment and schooling needs, for which he has to be transported.
45On the evidence, I am satisfied that the order pressed in relation to equipment should be made reflecting as it does reflect Sharif's reasonable current needs. Costs of that equipment have not been assessed on an optimal basis and what is sought does reflect a reasonable proportion of the damages he is likely to recover.
46As to paid care, the defendants submitted that Ms Alach's estimate rested on the cost of full-time commercial care, which was not reasonable, given that his family had cared for him throughout his life without any assistance. It was reasonable for that to continue until the likely hearing date.
47Ms Alach assessed that at present Sharif receives disability related care from his parents, 24 hours a day, 7 days a week, often from both his parents, apart from periods such as when he attends school. This includes overnight care, which varies from active to inactive, depending on Sharif's ongoing seizures and the consequences of his other conditions.
48Ms Alach's calculations were made on the basis of full-time care during holidays, days off school, and weekends; less care during 120 school days, with some care to be provided by a combination of staff, at times by two staff, with some care to be provided by a registered nurse.
49I do accept that while Sharif's need for care other than that which his parents have been providing him is well established on the evidence, Ms Alach's calculation is an optimal one, which must be approached with some caution. It was not in issue that if orders are made and Sharif's case later fails, the likelihood of repayment to the first and second defendants is realistically almost non-existent. That is, apart perhaps, it seems to me, from the resale value of a wheelchair accessible vehicle. The money paid under the order will otherwise be spent on meeting Sharif's considerable needs for equipment and the care of external providers engaged to assist his parents caring for him during parts of the day and will largely not be recoverable.
50That obviously requires caution to be exercised in determining the order which should be made in Sharif's favour, at this stage of these proceedings. Further, the order made depends on satisfying that the amount ordered does not exceed a reasonable proportion of the damages likely to be recovered.
51In order to reach a conclusion about this, I asked the parties to confer as to what would be likely to be involved in a hearing on causation and damages and when that hearing might occur. The parties were unable to agree, even as to the length of the hearing, which, it seems, might be as long as two weeks, depending on what, finally, is in issue.
52It was the first and second defendant who sought the condition imposed on the leave granted by Rothman J, that the proceedings be pursued against the other defendants. The hearing has been delayed by the dispute between the defendants as to liability for the accident and the decision to resolve that issue separately. The result is that there is thus yet no hearing date fixed for the balance of the case.
53The first and second defendants urged the view that it was likely that a hearing on damages could take place in December 2014. That is difficult to see at the moment, given the Court's lists and the fact that the first and second defendants have not even engaged medical experts, even though on their case causation will be in issue and will be difficult to resolve, given the nature of Sharif's conditions and the divergence of medical opinions as to how such conditions can be caused.
54In the circumstances, it seems unlikely that the matter will be finalised this year, but probable, that final judgment will be given within the next 12 months.
55In all of those circumstances, I have concluded that I should make an order of $400,000. That balances all of the competing considerations which have to be taken into account on this application. That figure has regard to my conclusion on the evidence as it stands, that Sharif is likely to succeed and have a very substantial costs order made in his favour; to the cost of the equipment which is plainly now required for Sharif's care, which totals some $178,768.75; the balance provides a substantial sum to help meet his other established care requirements, having regard to the timeframe within which a decision might be arrived at in these proceedings; it takes into account that Ms Alach's calculations as to his current care requirements have been approached on an optimal basis, and also has regard to the significant risk that if Sharif's case does fail, the defendants will not have a very large part of the sum reimbursed to them.