ON APPEAL FROM LIVERPOOL COUNTY COURT
His Honour Judge Platts
5LV10906
Strand, London, WC2A 2LL |
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B e f o r e :
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MISS SHEHNAZ SOMJEE |
Appellant |
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- and - |
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BARNSLEY DISTRICT GENERAL HOSPITAL NHS FOUNDATION TRUST |
Respondent |
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The Respondent was not represented
Hearing date: 17 July 2009
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Crown Copyright ©
Lord Justice Rimer :
Introduction
The issues and the judge's findings and conclusions
The grounds of appeal
'… the accident served to precipitate the onset of symptoms from a vulnerable but previously a-symptomatic neck. The difficulty comes in trying to estimate when she might have had symptoms in any event. Both are aware of the wide-range of medical opinions that could be voiced in these circumstances, but would agree that the extremes of opinion, at one end where the trauma is seen as almost coincidental, and at the other extreme where it is seen as almost entirely causal, are both untenable'.
'The effect of the injury of the 5th April 2002 [sic: another misdescription of the date] has been to prevent her working in a speciality in which she was trained on a regular basis since that time. The outlook is poor.'
'25… although it can be inferred from that [certain matters Mr Bannister referred to] that he may be supporting the claimant's case to an extent, he certainly does not say so in terms. Nor does he say in terms that he disagrees with either Mr Braithwaite's or Mr Pennie's assessment. In my judgment, he has not answered the question that he had posed himself, except by inference. It does not seem to me, therefore, that Mr Bannister's report is so strongly supportive of the claimant's case as it is now put or as she would perhaps hope, and it is perhaps of some significance that nowhere in his report after he has considered Mr Pennie's reports – and I assume he was sent all of them – nowhere does he criticise Mr Pennie's approach to the case; be it is his examination; his history taking or; [sic] his reference to the medical records. He merely seems to put forward yet another opinion, as I have said, by way of inference rather than specifically.'
'30 … it [the witness statement] does disclose an interesting approach from the claimant. The claimant now says there are a number of matters about Mr Pennie's conduct of this case with which she seeks to take issue. I will just go through the headings. She alleges inadequate history taking; inaccurate presentation of history; failure to carry out a full examination; failure to examine the scar on the elbow; inaccurate handling of facts.
31. She then seeks to deal with differences between whiplash injury and degenerative disease, which is probably more a matter of expert evidence than her own factual evidence. She then deals with invention of symptoms by Mr Pennie; spurious findings on examination; spurious transformations of fact; expressing opinions on x-rays which he had not seen – (he had, in fact, seen the x-ray when it was sent to him in December) – false report on the x-rays; intervention of correlations; selective manipulation of facts; taking statements out of context; unfounded statements; failure to comment on refusal to provide timely treatment; unfounded and spurious vulnerability; inadequate medical knowledge; opinion not based on medical facts or literature, and then she reaches her conclusion. She also criticises his conclusion in relation to the knee injury, which is not really relevant to this appeal.
32. Now, I do have some sympathy with Miss Somjee. She clearly and genuinely believes that her continuing complaints in her neck are caused by this accident, and she clearly, as a result of that, does now have some genuinely held dissatisfaction with Mr Pennie's conclusion, and those have now extended to dissatisfaction with Mr Pennie's examination and report. It is perhaps not without significance that she added to that dissatisfaction only at the hearing today when she further alleged, unsupported by any evidence before me, that Mr Pennie is approved by the NHSLA, the organisation which I assume are interested in defending this action.
33. In my judgment, it seems to me that the witness statement does give some indication of her own approach to this litigation. In my judgment, her view is clearly clouded by her close involvement with the case and I have to consider against that background whether I am persuaded that there are good reason [for] her to change experts, and I have to say that I am not persuaded that there are good reasons put forward. In the absence of any criticism of Mr Pennie by Mr Bannister or from any other independent source, it does not seem to me that I can accept the criticisms of Mr Pennie which are now put forward by Miss Somjee in her witness statement. For those reasons, it seems to me that really it does come back to the issue that was before District Judge Johnson, simply that the claimant was not satisfied with Mr Pennie's ultimate conclusion and now seeks to put forward an alternative expert who reaches a different conclusion.
34. I have then to balance the justice between the parties. As I said, in the claimant's favour she believes her symptoms are all as a result of this accident. If she can prove that, and, of course, if she can prove liability which remains in issue, her claim has a considerable potential and it seems, on the schedules I have seen, that it would be in excess of £600,000. So it is of the utmost importance to her that this evidence is put forward if the case as she wants it to be advanced can be advanced before the court. Clearly, on Mr Pennie's evidence, the case is [of] significantly less value and probably, although I have not done the maths, may well be within the £50,000 limit that the claim currently has.' (Emphasis supplied in both cases)