1. This
latter claim was unfounded due to an unfortunate lack of communications between
the Defendants and the Plaintiff. It is my view that this senior N.C.O. of the
Defence Forces ought not to have been left in the uncertain position as to his
career in the army continuing after 1999.
2. There
is an undertaking before the Court, enforceable in law, to the effect that the
Plaintiff will not be discharged from the Permanent Defence Forces arising out
of any hearing deficit the subject matter of this case. As to the first three
issues:-
3. The
Plaintiff has an extensive LA 30 detailing his medical history from his
induction into the Army up to and including the present time.
4. The
first reference to noise induced hearing loss appears therein on the 25th May,
1993 in the course of an Army medical examination. The first reference to
tinnitus appears therein on the 8th December, 1993 and was entered by Mrs.
Nugent, Audiologist, at the Eye and Ear Hospital Dublin and refers to
"occasional tinnitus".
5. Notwithstanding
these entries the Plaintiff was in the month of December, 1993 promoted to the
rank of Sergeant.
6. The
Plaintiff, prior to the 25th May, 1993, never presented for treatment for noise
induced hearing loss or tinnitus to any doctor, be they in the Army service or
in general practice. Nor did he seek or receive advice or treatment in
respect of either such condition.
7. As
to the evidence of tinnitus, I have the Plaintiff's evidence which was
difficult in its presentation and uncertain as to the date of its commencement
and its extent. He was supported by Mr. George Fennell, an ENT Consultant, who
had acted on behalf of the Defence Forces for some 27 years. Mr. Fennell has
no note of any history of tinnitus taken from the Plaintiff in or about
December, 1993. He dismissed the absence of such a note on the basis that, in
his view, all soldiers were suffering from tinnitus. Mr. Savage Jones, ENT
Consultant, who was retained by the Plaintiff's solicitors for the purpose of
giving evidence in the High Court some time late in 1997. He thinks it was
approximately six weeks before he saw the Plaintiff on the 29th October, 1997.
His report was put in evidence. As to the condition of tinnitus, this witness
describes the Plaintiff's history as "tinnitus occurring three times per week
for four minutes". In the expert's opinion, such a history was not to be
considered of any clinical significance.
8. On
the balance of probabilities, on the Plaintiff's case, I infer that, if the
Plaintiff suffers from any tinnitus, it is so slight as to be of no clinical
significance.
9. Turning
to the evidence in relation to the noise induced hearing loss. I accept the
Plaintiff's evidence as to his history in the Force. I had evidence from both
Consultants as to their view of his condition. Requiring, as I did, the views
of the respective parties as to the "green book" formula, as required to be
considered by the Court pursuant to the Act of 1998, the evidence was as
follows:-
10. In
resolving this difficulty, I have regard to the following matters. Firstly,
the taking of five audiograms over a four and a half year period from the
Plaintiff and the variation and/or tolerance that can arise in such exercises.
Secondly, the fact that the Plaintiff has not had a treating doctor, at any
stage up to and including today, advising him and/or prescribing appropriate
treatment for either condition. Thirdly, that a form of digital hearing-aid
has been available for some three years and may be of benefit to the Plaintiff.
The cost of this aid is in the region of £1,000. Fourthly, that any
difficulty which the Plaintiff may have in relation to television viewing is
readily and cheaply resolved by use of earphones or the appropriate adaptation
of stereo equipment, as has been given in evidence before me in other cases.
Finally, that a real issue of credibility arises in this case having regard to
the variation of evidence as to the content and degree of the Plaintiff's noise
induced hearing loss and tinnitus as given by the Plaintiff and his experts.
11. Taking
these factors into account, it seems to me that it is open to a court to accept
one or other of the figures or indeed, in appropriate cases, to decide to
accept an average as between those figures. Further, it seems to me that the
court in arriving at such decision will have had regard to the evidence
highlighting what are the essentials of a clinical assessment as recommended by
the "green book" at pages 36 and 37 thereof.
12. Such
an assessment recommends that regard should be had to the following matters,
which seem to represent no more than good sound sense, namely, for hearing loss:-
14. Having
regard to my findings on the evidence, especially in relation to the claim for
loss in relation to the existence of tinnitus, I consider this case highlights
the common sense approach inherent in the recommendations in that scheme.
15. I
find, as fact, that there are no substantial or exceptional reasons why I ought
not to have regard to and to apply the formula as warranted by the Act.
16. Having
regard to the factors aforesaid specific to this case, and with some
reluctance, I propose to accept the Plaintiff's figure pursuant to the Act at
8.25% disability. I am primarily motivated in this view in this case by the
absence of advice given to the Plaintiff by any doctor in relation to either
condition. I find it surprising that from the 8th December, 1993 and without
doubt from the institution of the High Court proceedings in this case that the
Plaintiff has not had the benefit of advice from the experts called to support
his claim.
17. This
being the case and accepting as I do that the formula aforesaid incorporates
all of the available data necessary to determine the Plaintiff's condition now
and into the future. I propose to award the Plaintiff damages in the following
categories:-
18. There
will be judgment for the Plaintiff in the sum of £18,375 together with
costs on the Circuit Court scale and a certificate for Senior Counsel in the
circumstances of the case.