High Court Appeal Centre Birmingham
On appeal from the Stoke-on-Trent County Court
Order of HHJ Rawlings dated 1 August 2019
County Court case number: D04YP162
Appeal ref: BM90151A
Priory Courts, 33 Bull Street, Birmingham B4 6DS |
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B e f o r e :
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DAVID CRAIG PEGG |
Claimant and Respondent |
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- and - |
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1. DAVID WEBB 2. ALLIANZ INSURANCE PLC |
Defendants and Appellants |
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Miss Chetna Parmar (instructed by Sheldon Davidson Solicitors ) for the Claimant/Respondent
Hearing dates: 14 July 2020
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Crown Copyright ©
Covid-19 Protocol: this judgment was handed down by the Judge remotely by circulation to the parties' representatives by email and release to BAILII. The date and time for hand-down is deemed to be at 10.30am on 31 July 2020.
MR JUSTICE MARTIN SPENCER
Introduction
Background facts
"PC [presenting condition] – injury left lower back/hip
HPC [history of presenting condition] – 6/7 [6 days] ago fell rolled quad bike – no injury noted at time but noticed stiffness to left leg. Lifting quad bike 2/7 [2 days] ago and felt sudden onset of pain to left lower back. Attended A & E and advised disc injury. Today S/B [seen by] physio and stated pelvis not working on left side – felt improvement for approx. 20 mins then pain returned. Taken diazepam and co-codamol. Paracetamol and Nurofen and using Voltarol gel with very little improvement. Attended today as would like a pelvic and hip x-ray to exclude fracture.
PMH [previous medical history] slipped to lumbar spine; diabetes, arthritis – bi-lateral ankle surgery
Medication – Metformin; codeine; analgesia as above
Allergies – nil known
O/E [on examination] weight bearing with limp to left leg. Walking with foot in external rotation but patient reports actively doing this to make walking less painful. Altered sensation to left thigh but no change since being examined by doctor in A & E. Anal tone intact. No bladder or bowel disfunction. No shortening or abnormal external rotation to left leg – some external rotation to ankles bi-laterally post-surgery to ankles. No bony tenderness to hip or pelvis – pelvis stable on rocking and no crepitus or increased pain. Able to internally and externally rotate at hip. Able to flex and extend at hip. Painful on all movements due to back injury.
Impression – sciatica/lower back injury as diagnosed in A & E – no clinical indication for hip or pelvis x-ray at this time.
Plan – patient reassured – advised contact 111 over weekend if unable to tolerate pain for analgesia review. Understood by patient and happy with this."
It may be commented that the failure of the Claimant to make any mention of the injuries arising out of the index road traffic accident a month earlier and his alleged ongoing symptoms as a result of that accident is something of a "deafening silence".
The Medical Evidence
"I have been told that following treatments have been received as a result of the index accident: Mr Pegg did not receive any treatment at the scene of the accident. After the accident he travelled to work in the same vehicle. He attended physiotherapy. He has had 4 sessions. The treatment is ongoing. He took painkillers regularly for the first four weeks and then as required. He has been doing exercises suggested by the physiotherapist." (emphasis added)
Section B.3.3 is headed "Past medical history" and states:
"Mr Pegg informed me of the following medical history: there is no significant history of relevant musculoskeletal or psychological problems."
Section B.4 of the report deals with the injuries/symptoms and present position reported by the Claimant. There were five aspects to this:
1) Shock and shakiness ... three days);
2) Pain stiffness and discomfort to the neck: "He developed moderate pain, stiffness and discomfort in the neck two days after the accident. These improved and are now mild to moderate and intermittent."
3) Pain stiffness and discomfort to the left elbow: "He developed moderate pain, stiffness and discomfort in the left elbow 3 days after the accident. These improved and are now mild to moderate and intermittent."
4) Pain, stiffness and discomfort to the left knee "He developed moderate pain, stiffness and discomfort in the left knee on the day of the accident. These improved and are now mild to moderate and are intermittent."
5) Fear of travel "Mr Pegg described no issues related to travel anxiety as a result of the index accident."
"Mr Pegg states that his occupation is as an office worker for 40 hours per week. Mr Pegg did not take any time off work due to financial reasons. Mr Pegg explains that he still has difficulty with bodily movements required to perform his duties."
Dr Shakir records ongoing problems with sleep, ability to manage personal care, ability to do DIY, shopping, carrying bags and lifting items, restriction to social life and restriction to exercise and walking. All these are expressed to be "improved and now mild to moderate". Section D deals with examination and Dr Shakir reported finding muscle spasm and soft tissue tenderness in the neck. The report states that movement of the left elbow appeared to cause pain and discomfort as did movement of the left knee. Section D.3.2 covers diagnosis and prognosis and in respect of the three areas of injury, the neck, the left elbow and the left knee, Dr Shakir recommended further physiotherapy, namely a further six sessions making ten in total and gave the opinion that symptoms in relation to all three areas would fully resolve six months from the date of the accident. Finally, at section G.1, Dr Shakir separately signed the following endorsement: "I confirm that I have verified with the claimant the facts as referred to in this report."
The Proceedings
"The claimant sustained the following injuries: -
a) Injury to the neck which resolved six months from the date of the accident;
b) Injury to the left elbow which resolved six months from the date of the accident;
c) Injury to the left knee which resolved six months from the date of the accident."
The Particulars of Claim also asserted that the Claimant sustained the injuries as set out in Dr Shakir's medical report which was appended to the Particulars of Claim.
"22) For the first few weeks after the accident my symptoms continued to get worse and worse. My knee and neck constantly ached and this restricted my movements significantly. My elbow wasn't as bad, it was still sore but it wasn't the same kind of constant pain.
23) I did undergo a course of physiotherapy and this did assist my recovery. I will go into more detail about this below.
24) After the first month or so following the accident my injuries levelled out for another month or so before starting to gradually improve.
25) I took pain relief on a regular basis for the first four weeks and then as and when needed for another few months.
26) I started a course of physiotherapy treatment and that really helped. I could feel a real improvement by the time I had a few sessions.
27) I carried on with the exercises at home because the pain in my knee, neck and elbow would still flare up occasionally.
…
34) I was examined by Dr Shakir who wrote a report on my injuries on 24 August 2016. This was approximately 2.5 months after my accident.
35) Dr Shakir discussed the accident and my injuries with me as well as performing an examination. It was Dr Shakir's opinion that my neck, left elbow and left leg would resolve by six months from the time of the accident.
36) I accept Dr Shakir's opinion and will rely upon the same for the purposes of having my damages assessed. "
At paragraph 40 of his witness statement, the Claimant, having confirmed that his course of physiotherapy with On Medical Limited had been arranged by Winn Solicitors, stated that he was contacted by telephone by On Medical Limited for the purposes of a triage assessment on 23 June 2016. He wrongly stated that he had undertaken a course of five sessions of treatment in total: the invoice from On Medical Limited indicates the number of treatment sessions was four.
The Trial and Judgment of HHJ Rawlings
"(m) At trial, Mr Pegg's evidence as to the longevity of his injuries conflicted with the prognosis in Dr Shakir's medical report, the Particulars of Claim and Mr Pegg's first two witness statements, all of which placed the longevity of his injuries at six months, but at trial, Mr Pegg said three to four weeks for recovery from his neck, and four to five weeks for his elbow, and he could not say for his knee because of his pre-existing injury. That, says Mr Smith [counsel for the defendant] is a complete change of his case in relation to the longevity of his injuries and an indication of dishonesty."
"(g) If Mr Pegg was asked about previous relevant musculoskeletal injuries by Dr Shakir, then, in my judgment, he should have disclosed, firstly, his previous problems with his knees, and possibly also his back and feet, and the accident that he had in falling off a quad bike in early July 2016, around five weeks or so before he was examined by Dr Shakir. Mr Pegg says, in cross-examination, he could not recall Dr Shakir asking him the question. That is unsurprising. However it is clear from the report of Dr Shakir that he is recording that he did ask that question and is setting out what Mr Pegg's response was and I find that Dr Shakir did ask Mr Pegg about previous relevant injuries. Nonetheless, I cannot be sure as to precisely what that question was ('relevant injuries' is somewhat subjective) I am not satisfied that the failure on the part of Mr Pegg to disclose to Dr Shakir previous problems he had had with his knees, and possibly back and feet, was dishonest, that is an attempt by him to hide from Dr Shakir that the injuries he was suffering from may be wholly or partly due to causes other than the index collision. The quad bike accident is different, it took place on 2 July 2016, four weeks after the index accident and six weeks before Mr Pegg was examined by Dr Shakir. I accept that, on the balance of probabilities, Mr Pegg knew that it was relevant to tell Mr Shakir about the quad bike accident but he did not do so."
The clear inference from this paragraph is that the learned judge considered that the failure by the Claimant to tell Dr Shakir about the quad bike accident was dishonest.
"(i) As for discrepancies between Mr Pegg's evidence at trial about the longevity of his injuries compared to what was contained in Dr Shakir's report, I am not satisfied that evidence was dishonest. I accept Mr Stephens' point that, after three years, Mr Pegg may have trouble in recalling the precise longevity of what were relatively minor injuries."
I confess that I do not understand this paragraph in the judgment. It was not so much Mr Pegg's evidence at trial about the longevity of his injuries compared to what was contained in Dr Shakir's report which was being alleged to be dishonest, but his endorsement of Dr Shakir's report in the Particulars of Claim, his witness statement and at the start of his evidence when, as he later admitted in cross-examination, the longevity of his injuries had in fact been significantly shorter.
"26. The Particulars of Claim of Mr Pegg and both of the witness statements of Mr Pegg proceed upon the basis that what is set out in Dr Shakir's report is correct, and that is that Mr Pegg recovered from all three injuries six months after the index collision. As for the evidence of Mr Pegg at trial, when he was asked how long it took him to recover from the injuries: for the neck, he said three to four weeks from the accident, for the elbow that physiotherapy had helped, he thought he'd recovered from the elbow injury around four to five weeks after the accident, for his knee, he said that the physiotherapist had told him there was nothing she could do for him because his knee was already damaged before the accident. He could not, therefore, say when, if at all, he recovered from the injury caused to his knee by the index accident, because he had other issues with his knee which pre-dated the accident and he was unable to separate out the symptoms caused by the index accident from the pre-accident causes.
27. Two matters emerged from the disclosure of Mr Pegg's medical records. He was experiencing problems with his knees, lower back and feet prior to the index accident, and, on 6 July 2016, Mr Pegg visited the emergency department of North Staffordshire Hospital, complaining of pain in his lower back and left leg, and subsequently attended a walk-in centre, on 8 July 2016 when he confirmed that on 2 July 2016, around four weeks after the index accident he had fallen off and rolled a quad bike. He did not notice an injury at the time but noticed stiffness to his left leg and the onset of pain to his lower back. He attended A & E which advised of a disc injury. He complained to the walk-in centre he had pain in his pelvis.
28. My findings on the evidence, as to Mr Pegg's injuries are as follow:
(a) When Mr Pegg was examined by Dr Shakir on 17 August 2016, two months and 15 days after the accident, he had some injuries, namely: unrestricted movement of his neck but with pain on that movement. There is some objective evidence of that injury, because a muscle spasm was noted by Dr Shakir. Unrestricted movement of the knee, but pain reported on movement of which there was no objective evidence. Unrestricted movement of the elbow, but pain reported on movement, of which there was no objective evidence;
(b) So far as the injury to Mr Pegg's left knee is concerned, Mr Pegg accepts that he had existing problems with his knees before the index accident. He also said that the physiotherapist had told him that she could not do anything for his left knee because of the pre-existing injury. Mr Pegg did not tell Dr Shakir about either his existing problems with his knees or the quad bike accident that occurred on 2 July 2016, the records for which say that he had injured his left leg in the quad bike accident;
(c) At trial, Mr Pegg said that he could not say when he had recovered from the injury caused to his left knee by the index accident because of his pre-existing problems with his knees;
(d) I come to what I considered to be the inevitable conclusion that as far as Mr Pegg's left knee is concerned, whilst he may have banged his knee in the index accident which may have caused some pain, he has been unable to prove either the nature or the extent of the injuries suffered to his left knee as a result of the index accident because he is unable, himself, to describe the nature and extent of the injury caused by the index accident to his left knee as separate from his pre-existing problems, and Dr Shakir's report does not assist because Dr Shakir was unaware of his existing knee problems and the accident on the quad bike on 2 July 2016, when Mr Pegg reported to the hospital walk-in centre that he had suffered an injury to his left leg when he fell off the quad bike;
(e) So far as the neck injury is concerned, the medical report of Dr Shakir noted, in examination, full movement of the neck but pain associated with such movement reported to him by Mr Pegg, and a muscle spasm. On the face of it, the muscle spasm is some objective evidence of Mr Pegg having an injury to his neck on 17 August 2016 and Dr Shakir suggested that Mr Pegg would recover from his neck injury six months after the examination;
(f) Dr Shakir's medical report also noted, on examination, full movement of the elbow, but pain reported as associated with that movement, there was no objective evidence of injuries such as, for example, the muscle spasm in Mr Pegg's neck;
(g) At trial, when asked how long his neck and elbow injuries lasted, Mr Pegg said the elbow four to five weeks and the neck three to four weeks. Mr Smith says that the evidence given by Mr Pegg, at trial, regarding the longevity of his neck and elbow injuries is damning. Mr Pegg was clear as to how long it took him to recover, at trial, from those injuries and that evidence contrasts starkly with the prognosis given by Dr Shakir;
(h) Mr Stephens says that it is not surprising that around three years or so after the index event, Mr Pegg is unable to recall precisely when he recovered from his injuries, particularly when, on any view, those injuries were relatively minor. Mr Stephens says that I should therefore take the medical report of Dr Shakir as the contemporaneous and reliable evidence as to when Mr Pegg recovered from the injuries to his neck and elbow.
(i) I am not satisfied that Mr Pegg can rely upon the information contained in Dr Shakir's medical report as to the nature and extent of the injuries to his neck and elbow. I accept Mr Stephens' point that Dr Shakir's report, prepared two months and 15 days after the accident is more likely to be accurate than what Mr Pegg said at trial around three years later, but nonetheless, there is a significant difference between the recovery period suggested by Mr Pegg at trial, and the six month recovery period suggested by Dr Shakir which, to an extent, undermines the reliability of the information contained in Dr Shakir's report. More importantly, Mr Pegg did not tell Dr Shakir about the quad bike accident that occurred on 2 July 2016, a month after the index accident and some six weeks before Dr Shakir examined Mr Pegg, and whilst the injuries reported by Mr Pegg to the hospital and walk-in centre, as a result of the quad bike injuries, were injuries to his back, left leg and hip, I am unable to rule out the real possibility that any injuries suffered by Mr Pegg in the index accident to his neck and left elbow were at least exacerbated by the quad bike accident of which Dr Shakir was entirely unaware. Rolling a quad bike may cause or exacerbate injuries to many parts of the body. Pain from one part of the body may refer to another part of the body, for example, an injury to the back often refers to the neck and vice-versa;
(j) Without Dr Shakir having an opportunity to consider whether the accident involving the quad bike could have had any effect on the injuries to Mr Pegg's neck and elbow, or the pain he was complaining of or experiencing from them, when he examined Mr Pegg I do not think I can rely upon Dr Shakir's report as reliably setting out the nature and extent of the injuries suffered by Mr Pegg to his neck and elbow as a result of the index accident.
29. That means that, in respect of each of the injuries, I've not found that Mr Pegg has been dishonest, but I have found that he has not made out his case in relation to the nature and extent of the injuries he suffered as a result of the accident which means his claim must be dismissed."
The Submissions on Appeal
"However, where the trial judge has heard the evidence and has not concluded that the claimant was dishonest, I direct myself that it would require a very clear case indeed for an appellate court effectively to overturn the trial judge's conclusion in that respect and find that the claimant was dishonest despite not having seen the witnesses give evidence."
She submits that where, in relation to the principal issue at trial, namely whether there had been a collision at all or whether this was a bogus claim, the judge has found, on reasonable grounds, that the Claimant is genuine and not dishonest, he is perfectly entitled to make similar findings in relation to the allegations of injury. She submitted that this case is nowhere near the glaringly obvious case such as Molodi and even if there was a finding of dishonesty in relation to the failure to disclose the quad bike accident to Dr Shakir, this was not sufficient to justify a finding of fundamental dishonesty.
Discussion
"… Orders for costs made against the claimant may be enforced without the permission of the court, but only to the extent that the aggregate amount in money terms of such orders does not exceed the aggregate amount in money terms of any orders for damages and interest made in favour of the claimant."
Parts 44.15 and 44.16 then provide for exceptions to QOCS where permission is not required (44.15) and permission is required (44.16). Part 44.16 provides
"Orders for costs made against a claimant may be enforced to the full extent for such orders with the permission of the court where the claim is found, on the balance of probabilities, to be fundamentally dishonest."
"Thus, a claimant should not be exposed to costs liability merely because he is shown to have been dishonest as to some collateral matter or perhaps as to some minor, self-contained head of damage. If, on the other hand, the dishonesty went to the root of either the whole of his claim or a substantial part of his claim, then it appears to me that it would be a fundamentally dishonest claim: a claim which depended as to a substantial or important part of itself upon dishonesty."
This was endorsed by the Court of Appeal in Howlett v Ageas [2017] EWCA Civ 1696.
"When dishonesty is in question the fact-finding tribunal must first ascertain (subjectively) the actual state of the individual's knowledge or belief as to the facts. The reasonableness or otherwise of his belief is a matter of evidence (often in practice determinative) going to whether he held the belief, but it is not an additional requirement that his belief must be reasonable; the question is whether it is genuinely held. When once his actual state of mind as to knowledge or belief as to facts is established, the question whether his conduct was honest or dishonest is to be determined by the fact-finder by applying the (objective) standards of ordinary decent people. There is no requirement that the defendant must appreciate that what he has done is, by those standards, dishonest."
"It is the duty of the court of appeal to make up its own mind, not disregarding the judgment appealed from and giving special weight to that judgment in cases where the credibility of witnesses comes into question, but with full liberty to draw its own inference from the facts proved or admitted, and to decide accordingly."
Viscount Simmonds went on to say:
"This does not mean that an appellate court should likely differ from the finding of a trial judge on a question of fact, and I would say that it would be difficult for it to do so where the finding turns solely on the credibility of the witness. But I cannot help thinking that some confusion may have arisen from failure to distinguish between the finding of a specific fact and a finding of a fact which is really an inference from facts specifically found, or, as it has sometimes been said, between the perception and evaluation of facts."
Thus, in the present case, it is submitted on behalf of the appellant that it is in relation to the evaluation of the facts which Judge Rawlings found or should have found that he went wrong.
"The problem of fraudulent and exaggerated whiplash claims is well recognised and should, in my judgment, cause judges in the county court to approach such claims with a degree of caution, if not suspicion. Of course, where a vehicle is shunted from the rear at a sufficient speed to cause the heads of those in the motor car to move forwards and backwards in such a way as to be liable to cause 'whiplash' injury, then genuine claimants should recover for genuine injuries sustained. The court would normally expect such claimants to have sought medical assistance from their GP or by attending A & E, to have returned in the event of non-recovery, to have sought appropriate treatment of physiotherapy (without the prompting or intervention of solicitors) and to have given relatively consistent accounts of their injuries, the progression of symptoms and the timescale of recovery when questioned about it for the purposes of litigation, whether to their own solicitors or to an examining medical expert or for the purposes of witness statements. Of course, I recognise that claimants will sometimes make errors or forget relevant matters and that one hundred percent consistency and recall cannot reasonably be expected. However, the courts are entitled to expect a measure of consistency and certainly, in any case where a claimant can be demonstrated to have been untruthful or where a claimant's account has been so hopelessly inconsistent or contradictory or demonstrably untrue that their evidence cannot be promoted as having been reliable, the court should be reluctant to accept that the claim is genuine or at least deserving of an award of damages."
The present case is unusual in the sense that the weaknesses in the evidence led Judge Rawlings to conclude that the Claimant had failed to prove any injury or loss at all and he thereby dismissed the claim. However that reasoning did not lead the judge to draw an inference or make a finding that the Claimant had been dishonest. Should it have done?
i) The fact that the Claimant sought no medical assistance at all after the index accident, whether by attending his GP or by attending A & E or otherwise. He did instruct solicitors and it was the solicitors who arranged for physiotherapy to be carried out and this should immediately have raised at least a suspicion in the mind of the judge.
ii) On 6 July 2016, the Claimant attended A & E in respect of the accident he had sustained involving the quad bike – initially rolling the quad bike on 2 July and then aggravating the injury when lifting the quad bike on 6 July. The Claimant then attended the walk-in centre at Stoke-on-Trent on 8 July and a very full note was made as set out in paragraph 6 above. However, at no stage is there any evidence that the Claimant informed either the A & E doctor (Dr Murphy) or the walk-in centre practitioner, of the injuries he had sustained on 2 June 2016 in the index accident, nor did he tell them that, over the previous four weeks, his symptoms from that accident had been getting steadily worse, as he asserted later in his witness statement (see paragraph 10 above). The failure of the Claimant to inform those medical practitioners of the index accident and the injuries and symptoms arising from it is inexplicable if the Claimant's evidence about the injuries sustained in the index accident is correct or anywhere close to being correct. This is the first deafening silence.
iii) There is then the attendance upon Dr Shakir on 17 August 2016 and the failure of the Claimant to inform Dr Shakir of the quad bike accident and the injuries in that accident. He could not have forgotten about the quad bike accident: it was only a few weeks before. Furthermore, he must have been aware of the significance of the accident and its potential for contaminating any findings made by Dr Shakir about the injuries sustained in the index accident. No-one in the position of the Claimant could have failed to have appreciated the significance of the quad bike accident and the only reasonable inference to be drawn is that the Claimant deliberately failed to tell Dr Shakir about it in order to mislead Dr Shakir about the effects of the index accident. Indeed, this was effectively the finding of the learned judge at paragraph 19 (g) of the judgment (see paragraph 12 above). This was the second incidence of "deafening silence".
iv) The position is then significantly aggravated by what can only have been positive lies told by the Claimant to Dr Shakir in two regards:
(a) On the basis of his evidence given at trial, namely that the effects of the injury to the neck were spent by three to four weeks after the index accident and the effects of the injury to the elbow was spent within four to five weeks of the accident, and on the basis that this evidence was true (and there is no reason to believe that it was not thought to be true by the Claimant), he must have deliberately misrepresented the fact that he was still feeling the effect of those injuries when he saw Dr Shakir with the result that Dr Shakir reported that the symptoms were now mild to moderate and intermittent.
(b) In addition, he is reported as having told Dr Shakir that his physiotherapy treatment was ongoing. However, as the Claimant must have known, he had been discharged from further physiotherapy by On Medical Limited on 20 July 2016, almost a month previously.
v) The Claimant then compounded the dishonesty towards Dr Shakir by lying about the longevity of the injuries in the Claim Form and his witness statements and, even worse, adopting Dr Shakir's description of the injuries and prognosis of six month's recovery when he knew that Dr Shakir had been misled by him into giving this prognosis. This is not capable of explanation by reference to the passage of time between the accident and the trial. When the Claimant saw Dr Shakir, he had ceased to have symptoms for a month or so, on the basis of the evidence he gave to the court, and when he signed the Statement of Truth in the Particulars of Claim and he signed his witness statements he knew he had not suffered symptoms from his injuries for a period of six months. This formed the basis of his claim for damages.
Costs