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QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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Kenneth Dudley Moore |
Claimant |
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- and - |
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The Secretary of State for Transport Motor Insurers Bureau |
First Defendant Second Defendant |
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Jonathan Crow QC, Jemima Stratford and David Barr (instructed by the Treasury Solicitor) for the First Defendant
Dermod O'Brien QC and Fergus Randolph (instructed by Greenwoods) for the Second Defendant
Hearing date: 29 March 2007
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Crown Copyright ©
The Hon. Mr Justice Eady :
The nature of the claim
i) £605,075.44 in respect of damages ("the damages claim");
ii) £53,729.30 by way of interest ("the interest claim"); and
iii) £15,051.75 by way of costs ("the costs claim").
The legal background
"Each Member State shall set up or authorize a body with the task of providing compensation, at least up to the limits of the insurance obligation for damage to property or personal injuries caused by an unidentified vehicle or a vehicle for which the insurance obligation provided for in paragraph 1 has not been satisfied. This provision shall be without prejudice to the right of the Member States to regard compensation by that body as subsidiary or non-subsidiary and the right to make provision for the settlement of claims between that body and the person or persons responsible for the accident and other insurers or social security bodies required to compensate the victim in respect of the same accident.
The victim may in any case apply directly to the body which, on the basis of information provided at its request by the victim, shall be obliged to give him a reasoned reply regarding the payment of any compensation.
However, Member States may exclude the payment of compensation by that body in respect of persons who voluntarily entered the vehicle which caused the damage or injury when the body can prove that they knew it was uninsured.
Member States may limit or exclude the payment of compensation by that body in the event of damage to property by an unidentified vehicle.
They may also authorize, in the case of damage to property caused by an uninsured vehicle an excess of not more than 500 ECU for which the victim may be responsible.
Furthermore, each Member State shall apply its laws, regulations and administrative provisions to the payment of compensation by this body, without prejudice to any other practice which is more favourable to the victim".
"1. (1) Subject to paragraph (2) of this Clause, this Agreement applies to any case in which an application is made to MIB for a payment in respect of the death of or bodily injury to any person caused by or arising out of the use of a motor vehicle on a road in Great Britain and the case is one in which the following conditions are fulfilled, that is to say
(a) the event giving rise to the death or injury occurred on or after the 1 December 1972;
(b) the applicant for the payment either
(i) is unable to trace any person responsible for the death or injury, or
(ii) in a case to which Clause 5 hereof applies where more than one person was so responsible, is unable to trace one of those persons.
(Any person so untraced is hereinafter referred to as 'the untraced person');
(c) the death or injury was caused in such circumstances that on the balance of probabilities the untraced person would be liable to pay damages to the applicant in respect of the death or injury;
(d) the liability of the untraced person to pay damages to the applicant is one which is required to be covered by insurance or security under Part VI of the Road Traffic Act 1972, it being assumed for this purpose, in the absence of evidence to the contrary, that the vehicle was being used in circumstances in which the user was required by the said Part VI to be insured or secured against third party risks;
(e) the death or injury was not caused by the use of the vehicle by the untraced person as a weapon, that is to say, in a deliberate attempt to run the deceased or injured person down;
(f) the application is made in writing within three years from the date of the event giving rise to the death or injury.
2. (1) An application to MIB for a payment in respect of the death of or bodily injury to any person may be made either by the person for whose benefit that payment is to be made (hereinafter called 'the applicant') or by any solicitor acting for the applicant or by any other person whom MIB may be prepared to accept as acting for the applicant.
3. Subject to the following provisions of this Agreement, MIB shall, on any application made to them in a case to which this Agreement applies, award to the applicant in respect of the death or injury in respect of which the application is made a payment of an amount which shall be assessed in like manner as a court, applying English law in a case where the event giving rise to the death or injury occurred in England or Wales or applying the law of Scotland in a case where that event occurred in Scotland, would assess the damages which the applicant would have been entitled to recover from the untraced person in respect of that death or injury if proceedings to enforce a claim for damages in respect thereof were successfully brought by the applicant against the untraced person.
7. MIB shall cause any application made to them for a payment under this Agreement to be investigated and, unless MIB decide that the application should be rejected because a preliminary investigation has disclosed that the case is not one to which this Agreement applies, they shall cause a report to be made on the application and on the basis of that report MIB shall decide whether to make an award and, if so, the amount of the award which shall be calculated in accordance with the foregoing provisions of this Agreement.
9. (1) MIB shall notify their decision to the applicant and when so doing shall
(a) if the application is rejected because a preliminary investigation has disclosed that it is not one made in a case to which this Agreement applies, give their reasons for the rejection; or
(b) if the application has been fully investigated furnish him with a statement setting out
(i) the circumstances in which the death or injury occurred and the evidence bearing thereon,
(ii) the circumstances relevant to the assessment of the amount to be awarded to the applicant under this Agreement and the evidence bearing thereon, and
(iii) if they refuse to make an award, their reasons for that refusal; and
(c) in a case to which Clause 5 of this Agreement applies specify the way in which the amount of that award has been computed and its relation to those provisions of Clause 5 which are relevant to its computation.
10. Subject to the provisions of this agreement, MIB shall, -
(a) on being notified by the applicant that MIB's award is accepted; or
(b) if at the expiration of the period during which the applicant may give notice of an appeal under Clause 11 hereof there has not been given to MIB either any such notification as aforesaid of the acceptance of MIB's award or a notice of an appeal under the said Clause 11,
pay the applicant the amount of that award, and such payment shall discharge MIB from all liability under this Agreement in respect of the death or injury in respect of which that award has been made.
11. The applicant shall have a right of appeal to an arbitrator against any decision notified to him under Clause 9 hereof on any of the following grounds, that is to say, -
(a) that the case is one to which this Agreement applies and that his application should be fully investigated by MIB with a view to their deciding whether to make an award to the applicant and, if so, the amount of that award; or
(b) where the application has been fully investigated
(i) that MIB were wrong in refusing to make an award, or
(ii) that the amount they have awarded to the applicant is insufficient; or
(c) in a case where a decision not to indemnify the applicant against the costs of any proceedings has been notified under Clause 9(2) hereof, that that decision was wrong,
if, within six weeks from the date when notice of the decision against which he wishes to appeal was given to him, the applicant, not having previously notified MIB that their decision is accepted, gives notice to MIB that he wishes to appeal against their decision.
13. The applicant may, when giving notice of his appeal or at any time before doing so, make comments to MIB on their decision and may supply them with such particulars as the applicant may think fit of any other evidence not contained in the written statement supplied to the applicant by MIB which he considers is relevant to the application and MIB may, before submitting the applicant's appeal to the arbitrator, cause an investigation to be made into this further evidence and shall report to the applicant the result of that investigation and of any change in their decision which may result from it. The applicant may, within six weeks from the date on which this report was sent to him, unless he withdraws his appeal, make such comments thereon as he may desire to have submitted to the arbitrator.
14.(1) In a case where MIB receive from the applicant a notice of appeal in which the only ground of appeal which is stated is that the amount awarded to the applicant is insufficient MIB may before submitting that appeal to the arbitrator give notice to the applicant that if the appeal proceeds they will request the arbitrator to decide whether the case is one in which MIB should make an award at all and if they do so they shall at the same time furnish the applicant with a statement setting out such comments as they may consider relevant to the decision which the arbitrator should come to on that question.
15. MIB shall, where they receive notice of an appeal from the applicant under the foregoing provisions of this Agreement, unless the appeal is previously withdrawn, submit that appeal (but in a case where they cause such an investigation to be made as is mentioned in Clause 13 hereof, not until the expiration of six weeks from the date on which they sent the applicant a report as to the result of that investigation and, in a case where they gave such a notice to the applicant as is mentioned in Clause 14(1) hereof, not until the expiration of six weeks from the date on which they gave that notice and, if they have caused an investigation to be made into any evidence supplied under Clause 14(2) hereof, not until the expiration of six weeks from the date on which they sent the applicant a report as to the result of that investigation) to an arbitrator for a decision, sending to the arbitrator for that purpose the application made by the applicant, a copy of their decision thereon as notified to the applicant and of all statements, declarations, notices, undertakings, comments, transcripts, particulars or reports furnished, given or sent under this Agreement either by the applicant or any person acting for him to MIB or by MIB to the applicant or a person so acting.
16. On any such appeal, -
(b) if the appeal is against a decision by MIB given after an application has been fully investigated by MIB (whether before the appeal or in consequence of its being remitted for such investigation under paragraph (a) of this Clause), the arbitrator shall decide, as may be appropriate, having regard to the grounds stated in the notice of appeal and to any notice given by MIB to the applicant under Clause 14 hereof, whether MIB should make an award under this Agreement to the applicant and, if so, the amount which MIB should award to the applicant under the foregoing provisions of this Agreement;
17. The arbitrator shall decide the appeal on the documents submitted to him as set out in Clause 15 hereof and no further evidence shall be produced to him:
Provided that
(a) the arbitrator shall be entitled to ask MIB to make any further investigation which he considers desirable and to submit a written report of their findings to him for his consideration; and
(b) MIB shall send a copy of any such report to the applicant who shall be entitled to submit written comments on it to MIB within four weeks of the date on which that copy is sent to him; and
(c) MIB shall transmit those comments to the arbitrator for his consideration.
20. Subject to the provisions of this Agreement, MIB shall pay the applicant any amount which the arbitrator has decided shall be awarded to the applicant, and such payment shall discharge MIB from all liability under this Agreement in respect of the death or injury in respect of which that decision has been given."
It is provided that the MIB shall pay the arbitrator's fee (subject to the arbitrator's discretion to decide otherwise if there were no reasonable grounds for the appeal). Otherwise, each party to an appeal bears its own costs.
The significance of the video surveillance evidence
"I was interested to review the surveillance evidence which you sent me, recorded on 19.9.97 and 26.1.97 (sic). I note in these recordings that Mr Moore walks with comparative ease, that on occasion he carries his stick rather than using it, and for periods also uses the stick in his left rather than his right hand. All this suggests that the stick is not a significant aid to his mobility. I also note the relatively carefree manner of Mr Moore and the ease with which he negotiates the steep hills of what I take to be Lewes.
In my report of 28 March 1998 I did note that I believed Mr Moore to be exaggerating his symptoms to some degree. I had noted a variability in his state and in his performance during the course of the interview. I also noted that he had elected to walk some distance from the tube station. The video evidence confirms my opinion that there is both variability and exaggeration, and that this is of a greater degree than I might previously have suspected.
The difficult outstanding question is whether this is simple variability; that in some situations Mr Moore is able to conduct himself in a relatively normal manner, but that in others when reminded of his difficulties (as when being interviewed by experts) his experience of pain and his depression become worse. Alternatively, Mr Moore was deliberately misrepresenting himself to me, that his presentation was a gross exaggeration and that he is either malingering or suffering from a factitious (functional) disorder. It is frankly very difficult [to] determine the truth on the evidence available to me.
In the light of the evidence to date, it is still my opinion, as stated in my report of 28 March 1998 that Mr Moore is exaggerating his difficulties, but that he nonetheless has some genuine underlying psychological problems, both cognitive and affective. However, my opinion is modified to the extent that I believe the degree of exaggeration to be greater, and the severity of the underlying problems to be less. It is further now my view that, with appropriate psychological support, Mr Moore has a better prognosis of returning to near normal function and re-entering gainful employment".
"I have to add that it is my clinical impression that there is a small degree of exaggeration in Mr Moore's presentation".
He included, however, a description of Mr Moore walking "with comparative ease", which was derived from his viewing of the video material, and went on to amend a sentence which had appeared in the original report in these terms:
"This is not to doubt the existence of a primary organic disorder, or the genuine existence of PTSD, depression and pain, but Mr Moore is actively demonstrating his symptoms just a little more clearly than might normally be the case".
At the end of that sentence he added the words " with a significant degree of exaggeration". In other words, it seems that the video material led Professor Beaumont to "pump up" somewhat the degree of exaggeration which he had earlier perceived. On the other hand, he left in the original sentence referring to "a small degree of exaggeration in Mr Moore's presentation". This is undoubtedly confusing. He also substituted (in paragraph 23) the word "significant" for "slight" which had qualified the degree of exaggeration in the first report.
Mr Moore's case on the failure to transpose the Second Motor Insurance Directive
i) The United Kingdom has not authorised a body to provide compensation for victims of untraced drivers, as required, since the Agreement does not have the effect of creating rights which a victim can enforce directly against the relevant body (i.e. the MIB).
ii) It is a further criticism that such victims do not have their claims adjudicated upon by a conventional court, and are thus disadvantaged compared to the victims of a traced or insured driver.
iii) It is also said that such victims have insufficient access to the court system, since the only right of appeal against a determination by the MIB is to an arbitrator, rather than a court.
iv) The Agreement makes no provision for interest on damages awarded.
v) The Agreement makes no provision for the payment of costs incurred by victims.
The Evans case
"1. On the proper interpretation of Council Directive 84/5/EEC of 30 December 1983 on the approximation of the laws of the Member States relating to insurance against civil liability in respect of the use of motor vehicles ('the Second Motor Insurance Directive'):
(a) must the arrangements concerning the provision of compensation by the body established or authorised pursuant to Article 1(4) include provision for the payment of interest on the sums found to be payable for the damage to property or personal injuries?
(b) if the answer to question (a) is yes, from what date and on what basis should such interest be calculated?
2. On the proper interpretation of Article 1(4) of the Second Motor Insurance Directive, in circumstances where the compensating body itself has an obligation to investigate the victim's injury and loss (and to incur the costs thereof, including the costs of medical and other reports):
(a) must the arrangements concerning the provision of compensation by the body include provision for the payment of the costs incurred by a victim in preparing and making his application to that body for compensation?
(b) if the answer to question (a) is yes, on what basis are those costs to be calculated in a case where that body has made an offer to the victim in excess of the amount that he finally recovers, which offer the victim declined to accept?
3. On the proper interpretation of Article 1(4) of the Second Motor Insurance Directive, if the victim's application for compensation is determined by a body that is not a court, must he have a full right to appeal against that determination to a court, on both the facts and the law, rather than an appeal to an independent arbitrator having the following principal characteristics:
(i) the victim may appeal to the arbitrator on both the facts and the law;
(ii) when giving notice of appeal, the victim may make further representations and adduce further evidence to the compensating body upon which the compensating body may alter its award prior to the appeal;
(iii) the victim is provided in advance with a copy of all the material to be provided to the arbitrator and is given the opportunity to add any material that he wishes in response;
(iv) the arbitrator makes an award, without an oral hearing, in which he or she decides what award the compensating body ought to make and gives reasons for that decision;
(v) if the victim is dissatisfied, he is entitled to appeal from the arbitrator to the Courts but he may do so only on the grounds of serious irregularity affecting the arbitration or on a question of law (including whether there was any evidence to support any particular conclusion of the arbitrator or whether any particular conclusion was one to which no arbitrator could reasonably come upon the evidence), and in the case of an appeal on a question of law, permission to appeal must be obtained from the court which will not be given unless the decision of the arbitrator is obviously wrong and it is just and proper in all the circumstances for the Court to determine the question?
4. If the answer to question 1(a) and/or 2(a) and/or 3 is Yes, has a Member State duly authorised a body under Article 1(4) of the Second Motor Insurance Directive when an existing body has the task of providing compensation to victims pursuant only to an agreement with the relevant authority of the Member State that does not correspond to the Second Motor Insurance Directive in those respects, and:
(a) that agreement creates a legal obligation owed to the relevant authority of the Member State to provide compensation to victims which is directly enforceable by the relevant authority and does not give such victims a directly enforceable legal right to claim against that body, but the victim may apply to the Court for an order that the authority should enforce the agreement if the authority were to fail to do so; and
(b) that body carries out that obligation by accepting and paying claims from victims in accordance with that agreement; and
(c) the Member State considered in good faith that the provision of that agreement gave at least as good protection to victims as the requirements of the Second Motor Insurance Directive?
5. If the answer to any of questions 1(a) or 2(a) or 3 is Yes, and/or if the answer to question 4 is No, does a failure to comply with the Second Motor Insurance Directive in that respect constitute a sufficiently serious breach by the Member State to give rise to liability for damages as a matter of Community law if it is established that such damage was caused?"
i) Interest and costs are a necessary component of compensation claims brought by victims of untraced vehicles if and to the extent to which interest and costs form part of claims for compensation brought by victims of properly insured and identified vehicles. This finding holds good in regard to both the substance and the payment details.
ii) In the circumstances outlined in the third question, a victim must, on grounds of effective legal protection, have the right to appeal to an ordinary court on questions of fact and law.
iii) Regard being had to the rights of victims, the Second Directive has not been transposed in the national law of the Member State with the precision and clarity necessary to satisfy the requirement of legal certainty.
iv) By virtue of the fact that it has failed to ensure that persons injured by untraced vehicles have an enforceable claim, at least up to the limits of the insurance obligation, against the body defined in Article 1(4) of the Second Directive, the United Kingdom has committed a sufficiently serious breach of Community law.
"53 As the United Kingdom Government observes, the procedure thus established by the Agreement gives the victim the advantages of speed and economy of legal costs. The United Kingdom Government claimed, without being contradicted, that the bulk of the costs incurred in relation to applications for compensation and gathering of relevant evidence are borne by the MIB, which makes contact with all the witnesses to the accident to obtain statements from them and endeavours to obtain all necessary medical and other expert evidence.
54 In the light of all the foregoing considerations, it must be held that the procedural arrangements laid down by the national law in question do not render it practically impossible or excessively difficult to exercise the right to compensation conferred on victims of damage or injury caused by unidentified or insufficiently insured vehicles by the Second Directive and thus comply with the principle of effectiveness referred to in paragraphs 45 and 46 of the judgment.
55 In view of the objective pursued by the Second Directive which, as stated in paragraphs 21 to 28 of the judgment, is to provide a simple mechanism for compensating victims, it further appears that the cumulative effect of the possibilities of review available under the procedure established in the United Kingdom and also the practical advantages associated with that procedure confer on victims of damage or injury caused by unidentified or insufficiently insured vehicles a level of protection corresponding to that provided for by that directive.
56 Nevertheless it is important to stress that the procedure established must guarantee that, both in dealings with the MIB and before the arbitrator, victims are made aware of any matter that might be used against them and have an opportunity to submit their comments thereon.
57 It is for the national court to determine whether those conditions have been fulfilled in this case.
58 Subject to that reservation, it must be held that procedural arrangements such as those adopted in the United Kingdom are sufficient to provide the protection to which victims of damage or injury caused by unidentified or insufficiently insured vehicles are entitled under the Second Directive".
"1.
- A body may be regarded as authorised by a Member State within the meaning of that provision where its obligation to provide compensation to victims of damage or injury caused by unidentified or insufficiently insured vehicles derives from an agreement concluded between that body and a public authority of the Member State, provided that the agreement is interpreted and applied as obliging the body to provide victims with the compensation guaranteed to them by Directive 84/5 and provided that victims may apply directly to that body.
- Procedural arrangements such as those adopted in the United Kingdom are sufficient to provide the protection to which victims of damage or injury caused by unidentified or insufficiently insured vehicles are entitled under Directive 84/5.
- The compensation awarded for damage or injuries caused by an unidentified or insufficiently insured vehicle, paid by the body authorised for that purpose, must take account of the effluxion of time until actual payment of the sums awarded in order to guarantee adequate compensation for the victims. It is incumbent on the Members States to lay down the rules to be applied for that purpose.
- The compensation awarded for damage or injury caused by an unidentified or insufficiently insured vehicle, paid by the body authorised for that purpose, is not required to include reimbursement of the costs incurred by victims in connection with the processing of their application for compensation except to the extent to which such reimbursement is necessary to safeguard the rights derived by victims from Directive 84/85 in conformity with the principles of equivalence and effectiveness. It is for the national court to consider whether that is the case under the procedural arrangement adopted in the Member State concerned.
2. It is incumbent on the national court, if examination of the existing compensation system discloses a defect in transposition of Directive 84/5 and if that defect has adversely affected Mr Evans, to determine whether the breach of that obligation of transposition is sufficiently serious".
In the light of these findings, it will be readily apparent why it is not suggested that Mr Moore's case on either interest or costs is unarguable.
The Secretary of State's argument on limitation
i) The Member State's failure to transpose the Directive must have been "sufficiently serious"; that is to say, there must have been a manifest and grave disregard by the State of its discretion.
ii) The Directive must have been intended to confer rights on individuals.
iii) The content of those rights must be capable of being identified on the basis of the provisions of the Directive.
iv) There must be a direct causal link between the breach in question and any loss or damage sustained.
Obviously, in the context of a limitation argument, it is necessary for the court to assume that each of those elements could be proved by the Claimant.
My conclusion on limitation
Mr Moore's Part 24 application
i) If the United Kingdom had not been in breach of the Second Motor Insurance Directive, and it had been properly implemented, Mr Moore would have had an opportunity of presenting his claim in accordance with a procedure which, at the very least, would have guaranteed that, in his dealings with MIB and the arbitrator, Mr Moore was made aware of any matter that might be used against him and given an opportunity to submit his comments thereon.
ii) If a compliant procedure had been followed, then (a) Mr Moore would have recovered, or had a substantial chance or prospect of recovering, a sum in the region of £1,190,210 and, in any event, he would have recovered a greater sum than that awarded by the arbitrator; and (b) Mr Moore would not have had his award reduced on the basis of alleged functional overlay or alleged uncertainty in the acting profession.
iii) Mr Moore is entitled to seek as an element of his recoverable loss and damage:
a) the difference between the amount awarded by the arbitrator and the amount he would have been awarded if a compliant procedure had been followed, namely £605,075.44; or
b) the loss derived from the arbitrator's conclusions and reductions in respect of alleged functional overlay and/or uncertainty in the acting profession.
i) The Second Motor Insurance Directive and/or the general principles of Community law, including the principles of equivalence and effectiveness, require that the MIB should have made Mr Moore aware of material which is adverse to him and thus afforded him an adequate, meaningful and effective opportunity to comment thereon: see e.g. the ECJ judgment in Evans at paragraph 56, cited at [23] above.
ii) The United Kingdom failed to guarantee that, in his dealings with the MIB and the arbitrator, Mr Moore was made aware of adverse material or given any meaningful opportunity to comment upon it.
iii) In the light of these matters:
a) Mr Moore was not made aware of vital adverse material submitted to the MIB adjudication panel and the arbitrator or given an opportunity to comment thereon;
b) The MIB adjudication panel and the arbitrator were unable to and did not appreciate, understand or properly evaluate the nature, effect and significance of that material;
c) The MIB adjudication panel and the arbitrator consequently came to incorrect findings of fact as to exaggeration on his part, functional overlay and future employability, and Mr Moore's compensation award was accordingly undervalued.
My conclusion on the Part 24 application