QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
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JOANNA MELANIE MacLENNAN |
Claimant |
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- and - |
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HARTFORD EUROPE LIMITED |
Defendant |
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David Platt QC (instructed by Kennedys Law LLP) for the Defendant
Hearing dates: 30 and 31 January, 1, 2, 3, 6, 7, 8 and 10 February 2012
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Crown Copyright ©
Mr Justice Hickinbottom:
Introduction
i) medical causation: was Mrs MacLennan's CFS caused by stress she suffered at work at Hartford?ii) foreseeability: was it reasonably foreseeable by Hartford that she would suffer the kind of harm that she has suffered as a result of her work?
The Law
"(1) There are no special control mechanisms applying to claims for psychiatric (or physical) illness or injury arising from the stress of doing the work the employee is required to do. The ordinary principles of employer's liability apply.
(2) The threshold question is whether this kind of harm to this particular employee was reasonably foreseeable: this has two components (a) an injury to health (as distinct from occupational stress) which (b) is attributable to stress at work (as distinct from other factors).
(3) Foreseeability depends upon what the employer knows (or ought reasonably to know) about the individual employee. Because of the nature of mental disorder, it is harder to foresee than physical injury, but may be easier to foresee in a known individual than in the population at large. An employer is usually entitled to assume that the employee can withstand the normal pressures of the job unless he knows of some particular problem or vulnerability.
(4) The test is the same whatever the employment: there are no occupations which should be regarded as intrinsically dangerous to mental health.
(5) Factors likely to be relevant in answering the threshold question include:
(a) The nature and extent of the work done by the employee. Is the workload much more than is normal for the particular job? Is the work particularly intellectually or emotionally demanding for this employee? Are demands being made of this employee unreasonable when compared with the demands made of others in the same or comparable jobs? Or are there signs that others doing this job are suffering harmful levels of stress? Is there an abnormal level of sickness or absenteeism in the same job or the same department?
(b) Signs from the employee of impending harm to health. Has he a particular problem or vulnerability? Has he already suffered from illness attributable to stress at work? Have there recently been frequent or prolonged absences which are uncharacteristic of him? Is there reason to think that these are attributable to stress at work, for example because of complaints or warnings from him or others?
(6) The employer is generally entitled to take what he is told by his employee at face value, unless he has good reason to think to the contrary. He does not generally have to make searching enquiries of the employee or seek permission to make further enquiries of his medical advisers.
(7) To trigger a duty to take steps, the indications of impending harm to health arising from stress at work must be plain enough for any reasonable employer to realise that he should do something about it.
(8) The employer is only in breach of duty if he has failed to take the steps which are reasonable in the circumstances, bearing in mind the magnitude of the risk of harm occurring, the gravity of the harm which may occur, the costs and practicability of preventing it, and the justifications for running the risk.
…
(13) In all cases… it is necessary to identify the steps which the employer both could and should have taken before finding him in breach of his duty of care.
(14) The claimant must show that that breach of duty has caused or materially contributed to the harm suffered. It is not enough to show that occupational stress has caused the harm...".
"Some things are no-one's fault. No-one can blame an employee who tries to soldier on despite his own desperate fears that he cannot cope, perhaps especially where those fears are groundless. No-one can blame an employee for being reluctant to give clear warnings to his employer of the stress he is feeling. His very job, let alone his credibility or hopes of promotion, may be at risk. Few would blame an employee for continuing or returning to work despite the warnings of his doctor that he should give it up. There are many reasons why the job may be precious to him."
However, where an employee keeps his difficulties, and any resulting stress and/or medical condition, from his employer, Hale LJ continued:
"… it may be difficult in those circumstances to blame the employer for failing to recognise the problem and what might be done to solve it."
"An employee who returns to work after a period of sickness without making further disclosure or explanation to his employer is usually implying that he believes himself to be fit to return to work which he was doing before. The employer is usually entitled to take that at face value unless he has good reasons to think to the contrary." (Hatton at [30]).
Stress
Chronic Fatigue Syndrome
"Infections: Good-quality evidence indicates that certain infections are more common triggers for [CFS] than others. Glandular fever, viral meningitis and viral hepatitis are followed by [CFS] in about 10% of cases of the primary infection…. [CFS] can follow infections with herpes viruses…. Influenza and 'flu-like infections can trigger [CFS], but common upper respiratory tract infections do not seem to….
Life events: The evidence that life events can trigger [CFS] is weak. Severe life events are much more likely to provoke a mood disorder, which can be misdiagnosed as [CFS]. However, clinical and patient experience suggests that increased 'stress' may be common around the onset of symptoms or a triggering event, such as infection. It is unclear whether this is as a triggering, a predisposing or a maintaining factor. Stress is also recognised as a trigger for setbacks."
In short, the report concluded that there was good evidence indicating that certain infections (including chickenpox, a herpes virus) may trigger CFS. Evidence that life events may do so was considered weak; but there appeared to be at least a temporal association between the onset of CFS and increased stress. Otherwise, the relationship between stress and the condition was regarded as unclear.
"Biomedical model: In this overarching conceptual framework, [CFS] is seen as a condition like many other medical conditions where illness results from a specific pathological defect in physiological functioning, mediating at organ, tissue, cellular and/or molecular level, by as yet undefined mechanisms. It is not incompatible with the following, but implies that a primary disease entity exists and that the biopsychosocial aspects are consequential.
Biopsychosocial model: The biopsychosocial model of pathophysiology, applicable to all disease, suggests that once an illness has started its expression is affected by beliefs, coping styles, and behaviours, while consequential physiological and psychological effects act in some ways to maintain and/or modify the disease process.
Immune: Immunological abnormalities are common in patients with [CFS]. The findings are mostly non-specific, and their relationship to the illness has not been established. The pattern suggests some immune dysregulation, with activation or suppression of different components…".
The Witnesses
"She told me she was someone who was 'not good at doing nothing'. She had a tendency to find it difficult to relax and switch off and indeed described herself as 'absolutely terrified' at doing this, something she is now having to learn. She said that she is also someone who has tended to take on other people's problems and again has had to learn how not to do this. She described herself as someone who tried to be organised."
Both Prof Cleare and Dr Winbow said that that was typical of the personality type.
"She... feels it imperative to her self-esteem to get a first-class qualification 'otherwise I'm nothing'. To this end, she has been studying to the exclusion of leisure and social life for the first year, even depriving herself of sleep. As the final exams approached, her anxiety reached intolerable levels and she felt 'she just wanted out of it'...".
The Claimant's Pre-Hartford History
"Emotional state (acute) 2M. Work dramatically ? ? Stress. V. tearful….. Brooding about work. Fearful of becoming depressed again…. ? Change work."
She was prescribed anti-depressants. Again on 9 June 1999:
"Stressed at work. Can't cope. Not sleeping well…. Weeping."
She was prescribed benzopiazepines for anxiety. However, that all appears to have resolved, fairly quickly and without further visits to the doctor.
The Claimant's Hartford Employment History
Introduction
Working Hours
John Enos and Nicola Osborne
(i) She did not have proper support from Mrs Zeller, who was reluctant to have the grievance investigated at all. Mrs MacLennan said that it was clear to her that Mr Enos "would have got away with it" if it had not been for her.(ii) After Mrs Zeller had authorised it, she left Mrs MacLennan "to get on and sort out the problem". Before anyone had got to know her, Mrs MacLennan said that she found it difficult to investigate the behaviour of a Managing Director such as Mr Enos, and having to make difficult decisions about senior staff without the support she was entitled to expect.
(iii) Mrs Zeller relied upon Mrs MacLennan's advice to ensure that the process complied with UK requirements; but told her that, whatever the outcome of the investigation, Hartford could not afford to lose Mr Enos and he would not be dismissed. The outcome had, therefore, been determined prior to the investigation. Mr Enos was to be "hit... in his bonus". Mrs MacLennan said that she was "disgusted by this".
(iv) Had Miss Osborne not made the grievance, Mrs MacLennan said that she would have stayed at the company – as I understand it, on a permanent contract when Hartford moved from the City to Canary Wharf in early 2005. She thought that Miss Osborne had been "mucked about".
(v) In the event, Mr Enos was given a final warning, as well as having his performance bonus removed. Mrs MacLennan said that she "thought this was a disgusting result... [and] unethical", because the allegations of assault had occurred in Mr Enos's flat. She felt that, by not dismissing him, they were condoning Mr Enos's behaviour.
"We all thought your comments and handling of the situation with Nicky [Osborne] is perfect".
"JS – Investigate
SZ – Disciplinary
If investigate warrants inc dismissal…"
There is then an arrow and: "Speak to JE". It is not clear whether that is a reference to Mrs Zeller or Mrs MacLennan being actioned to do that: but I am sure that it is not a note that Mrs Zeller was going to have a word with Mr Enos to avoid the proper investigation of the complaint, or any proper sanction. Mrs Zeller said that, had Mr Enos have been found to have sexually assaulted Ms Osborne, he would have been dismissed. I accept that. There is no evidence to the contrary, except Mrs MacLennan's assertions in this claim with regard to the content of conversations she had with Mrs Zeller. Without hesitation, I find that those conversations did not take place, as now recollected by Mrs MacLennan.
Office Re-location and General Office Management
Employee Handbook and Access to Legal Advice
Team Building Exercise
The London Launch
Dublin Meeting: May 2005
Adam Dooley
John Enos and Adam Dooley
The Planco Trip
Adam Dooley and Lisa Brown
Performance Review
"We never finished your written review! I was waiting for you to do self assessment after our verbal review in June. The employee survey asks if you have had a review in the last 12 months. I will write up one this week and send it to you for review..."
Mrs MacLennan responded within ten minutes, saying:
"With my performance review – I wrote up comments and examples on the performance review, I needed to discuss this with you, it's in the office but can do next week – with regard to the Survey I marked that I have had a review because I considered that I had and that I regularly receive feedback from you."
360º Reviews
"Said she was gonna take it up with me – she thought at first it was Glenda not understanding what to do but realises its me now after thinking about it...".
Because it was part of the system that the object of the appraisal spoke to his colleagues about the comments made on him with a view to self-improvement, it is unclear from that whether Mrs Zeller had thought Mrs MacLennan had given her bad feedback, or whether it was simply a reference to Mrs MacLennan not understanding that post-appraisal discussions were part of the system. I accept that Mrs MacLennan understood it as the former, and was therefore upset; but there is no evidence that Mrs Zeller confronted Mrs MacLennan about it, or that it adversely affected their professional relationship at all thereafter.
August 2005
September 2005 - 6 January 2006
Post-6 January 2006
"Due to work pressure of launching the company, it was expected that I would work in excess of 12 hour days, weekends, holidays. As a result I frequently caught colds, became run down and suffered from stress. Unfortunately I became ill with a virus in January 2006 and have not recovered. My employer has continued to cause additional stress during my illness."
That form was of course sent to Canada Life, not Hartford.
"It would appear that work-related issues have affected [Mrs MacLennan's] mental and physical health and prompted her absence."
Employment History: Overview
The Claimant's Medical History
Medical History: Overview
"Having been fit and well [Mrs MacLennan] developed chickenpox in September 2005 and fell ill on her 30th birthday...." (emphasis added).
So far as those doctors were concerned, earlier ill health would have been important for diagnosis and prognosis. The failure of Mrs MacLennan to tell them of illnesses during 2005 prior to her chickenpox strongly indicates that, in 2006, she herself did not consider those illnesses unusual, or of any materiality or seriousness. That is reflected in what she reported to her own doctor when she first saw him on 12 January 2006, after falling ill at work on 6 January, i.e. that she had been ill with (the doctor thought) symptoms of an URT infection for 5 days, i.e. only since she collapsed at work the previous week. Mrs MacLennan did not consider her illnesses in 2005, at the time, as extraordinary in any way.
Medical Causation
Foreseeability
(i) The two occasions on which Mrs MacLennan alleged that Mrs Kelly had told her Mrs Zeller had declined to refer her to a doctor, in May 2005 in Dublin and during the late August 2005 meetings. However, I have found neither of those allegations proved (see above, paragraphs 101-3 (May allegation), and paragraph 160 (August allegation)).
(ii) The response by Mrs MacLennan to the question about how she coped with stress in the psychometric test questionnaire in the summer of 2005 ("By getting colds and being ill"). However, I have found that that could not reasonably have been construed as a warning, or in any way comment intended to be serious or one which ought reasonably to have been taken seriously (see paragraph 93-8 above).
(iii) An email from Mrs Kelly to Mrs MacLennan on 3 May 2005, in which she said: "You poor woman.... we are making you ill!!!! Not good....". However, that email was in response to an email earlier that day (referred to in paragraph 198 above): "Feeling 90% better hopefully soon back to speed". Mrs Kelly denied that Mrs MacLennan ever indicated to her that work was making her ill, and gave her straightforward explanations of her illnesses. This email was not an indication by Mrs Kelly that she actually thought that work was causing Mrs MacLennan illness: it was only banter. I accept that.
Conclusion