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(H.) (A Minor) & Anor v Adelaide and Meath Hospital Incorporating National Childrens Hospital & Anor [2020] IEHC 81 (24 February 2020)
URL: http://www.bailii.org/ie/cases/IEHC/2020/2020IEHC81.html
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[2020] IEHC 81
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Page 1 ⇓
THE HIGH COURT
[2020] IEHC 81
2014 No. 3518 P
BETWEEN
(H.) (A MINOR)
(SUING BY HER GRANDMOTHER AND NEXT FRIEND)
PLAINTIFF
AND
ADELAIDE AND MEATH HOSPITAL DUBLIN INCORPORATING NATIONAL CHILDRENS
HOSPITAL
ST. JAMES’ HOSPITAL FOUNDATION LIMITED
DEFENDANTS
JUDGMENT of Mr. Justice Garrett Simons delivered on 24 February 2020
INTRODUCTION
1. This matter comes before the High Court by way of an application to approve a proposed
settlement of the within proceedings. The proceedings are fatal injuries proceedings
arising out of the death of the plaintiff’s mother in April 2012. The plaintiff is a minor,
and will not achieve her age of majority until 2023. The proceedings have been taken on
behalf of the minor plaintiff by her grandmother and next friend.
2. To protect the anonymity of the minor plaintiff, details of her name and address, and
those of her relatives, have been redacted in this judgment. Instead, these parties will be
referred to simply as (i)“the minor”; (ii) “the minor’s grandmother”; and (iii) “the minor’s
mother” or “the deceased” depending on the context. The use of these impersonal terms
should not be mistaken for any lack of empathy on the part of the court. The terms are
only being used so as to protect the anonymity of the minor.
3. The proposed settlement is made on behalf of the first named defendant and is in the
sum of €325,000 (together with costs). The application to approve the settlement is
grounded on an affidavit sworn by the minor’s grandmother and next friend on 24
January 2020. The affidavit indicates that the grandmother, at that time, accepted the
recommendation of senior counsel that the settlement should be approved. However, by
the time the matter came on for hearing on Monday, 17 February 2020, the position of
the grandmother had changed, and she has explained to the court that she now considers
that the sum is insufficient. Having heard from the grandmother and from senior counsel
on behalf of the minor plaintiff, I indicated that I would reserve judgment until today’s
date.
CIRCUMSTANCES GIVING RISE TO THE FATAL INJURIES CLAIM
4. The minor’s mother (“the deceased”) had attended at the emergency departments of the
two hospitals named in the proceedings on various dates between the end of March 2012
and the first week of April 2012.
5. In brief, the case made against the two hospitals is that the deceased had taken an
overdose of paracetamol on 31 March 2012, and that the paracetamol levels in her blood
had been misinterpreted by the hospital staff. In particular, the expert report indicates
that given her known chronic alcoholic dependency, the deceased should have been
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treated as fulfilling the criteria for “high risk” management. This alleged error is said to
have resulted in a failure to treat her properly, and, ultimately, to her death.
ACTUARIAL REPORT
6. An actuarial report has been obtained in support of the minor’s claim for loss of
dependency. The report has been prepared by Joseph G. Byrne & Sons Consulting
Actuaries Ltd., and is dated 10 October 2018. Given the concerns which have since been
raised by the minor’s grandmother as to the amount of the proposed settlement, it is
necessary to consider this actuarial report in some detail.
7. (It should be noted that the references in this judgment to the “assumptions” underlying
the actuarial report are intended as a reference to assumptions made on the basis of
instructions received by the actuaries from the instructing solicitors).
8. The capital value of the loss of dependency has been calculated on the basis that the
deceased’s financial contribution to the minor’s support would be based on social welfare
payments. The financial contributions are calculated as having a capital value of €92,650.
9. The financial value of the care and domestic assistance which the deceased would have
provided to the minor has been calculated separately. This has been done on the basis of
a sliding scale as follows. The care and assistance are valued at €400 per week to the
age of 12 years; €200 per week from the age of 12 to 18 years; and €100 per week from
the age of 18 to 23 years. The capital value is calculated at €210,000.
10. The aggregate of the two heads of loss of dependency is €302,650.
SPECIAL DAMAGES
11. The special damages claimed on behalf of the minor are as follows.
Funeral expenses
€4,303
Legal Costs (Coroner’s Court) €7,500
Miscellaneous
€750
TOTAL
€12,553
12. These expenses have been vouched through an affidavit sworn by Padraig O’Donovan,
Solicitor.
SOLATIUM
13. The Civil Liability Act 1961 (as amended) makes express provision for the recovery of
reasonable compensation for mental distress resulting from a wrongful death.
Specifically, under section 48 of the Act a judge is required to determine such amounts (if
any) as the judge shall consider reasonable compensation for mental distress resulting
from the death to each of the statutory dependants. The payment is referred to as the
“solatium”.
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14. As originally enacted under the Civil Liability Act 1961, this payment was capped at
IR£1,000. This sum has since been amended pursuant to the Civil Liability (Amendment)
Act 1996, and the revised amount is circa €25,400. This is the sum applicable to the
present proceedings.
15. (The current maximum amount payable for mental distress is €35,000, as amended by
Ministerial Order. However, this revised figure only applies to dependants of those who
are fatally injured from 11 January 2014 onwards. The date of death of the deceased in
the present proceedings was April 2012).
16. It is very much to the credit of the minor’s family that each of the statutory dependents
who would otherwise have been entitled to claim a share in the solatium have waived
their rights in this regard. More specifically, the deceased’s mother, father, brother and
half-brother have all executed waivers in favour of the minor. Put shortly, the family
members have all agreed that the full amount of the solatium (€25,400) should be paid to
the minor.
FULL VALUE OF THE CLAIM
17. If the assumptions underlying the actuarial report are correct—and this is disputed by the
minor’s grandmother—then the full value of the minor’s claim would be in the order of
€340,603. This figure is calculated as follows.
Overall loss of dependency
€302,650
Special damages
12,553
Solatium
€25,400
TOTAL
€340,603
18. The proposed settlement is for an overall sum of €325,000. Counsel for the minor
plaintiff, Mr Finbarr Fox, SC, has expressed the unequivocal view in both his written
opinion, which has been exhibited as part of the grandmother’s affidavit grounding the
application, and in his oral submissions, that the proposed settlement of €325,000 comes
close to the full value of the claim. The difference of some €15,000 is described as “very
modest and wholly acceptable” in all the circumstances of the case. Counsel also draws
attention to the judgment of the Supreme Court in Reddy v. Bates [1983] I.R. 141 which
indicates the limits on the use of actuarial evidence.
THE OBJECTIONS TO THE ASSUMPTIONS IN THE ACTUARIAL REPORT
19. The minor’s grandmother made a helpful submission to me on 17 February 2020 setting
out her concerns in respect of the proposed settlement. This submission can be
summarised as follows. Whereas the grandmother accepts that her daughter (the
deceased) had not been in paid employment at the time of her death in April 2012, she
suggests that it would be an insult to describe any lone parent rearing a child as being
“unemployed”. Rearing a child is a job in itself. Moreover, the deceased had planned to
return to the workforce once the minor had started school.
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20. The grandmother and her husband are now responsible for rearing the minor. The
grandmother pointed out with frankness that her own health is not good, and that the
family are living in rented accommodation. The grandmother expressed a concern that
the minor should be secure in the event that anything were to happen to her (the
grandmother).
21. The grandmother emphasised that she is not seeking any damages on her own behalf and
has waived her claim to share in the solatium. This is so notwithstanding that the
grandmother has suffered the anguish of losing her own daughter.
DECISION
22. It should be acknowledged from the outset that the grandmother’s sole objective is to
advance the best interests of the minor. Not only has the grandmother undertaken
responsibility for rearing the minor despite her own ill-health, she is also doing everything
in her power to ensure that proper provision is made for the minor’s future. All of this is
very much to the credit of the grandmother.
23. It is also to the credit of the minor’s wider family that each of the statutory dependents,
who would otherwise have been entitled to claim a share in the solatium (€25,400), have
waived their rights in this regard. More specifically, the grandmother herself; and the
deceased’s father, brother and half-brother have all executed waivers in favour of the
minor.
24. Given her selfless commitment to the minor, the concerns raised by the minor’s
grandmother as to the adequacy of the proposed settlement are deserving of careful
consideration by this court.
25. In deciding whether or not to approve a proposed settlement in favour of a minor in a
fatal injuries claim, a court must assess objectively the prospects of achieving a higher
award were the matter to go to trial. This exercise has to be performed on the basis of
more limited information than would be available to the trial judge. The court must
instead draw upon its knowledge of the risks inherent in litigation, and attempt to identify
potential weaknesses in the claim which may affect the outcome of the proceedings.
26. Applying this approach to the circumstances of the present case, it is necessary to
consider the robustness of the assumptions underlying the actuarial report. The
grandmother has criticised the assumption that her daughter would not have returned to
the workforce once the minor had commenced school. If this criticism is well-founded,
then the capital value of the claim might be understated. As set out earlier, the capital
value of the loss of dependency has been calculated on the basis that the deceased’s
financial contribution to the minor’s support would be based on social welfare payments.
If a figure for employed work were substituted for the social welfare payments, then the
capital figure would, obviously, increase.
27. As against this, however, regard must be had to the acknowledged health difficulties
which the deceased had suffered from. The claim against the hospitals is advanced on
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the basis that their management of her treatment failed to take into account that the
deceased fulfilled the criteria for “high risk” management. More specifically, the expert
report prepared for the Coroner’s Court by a Clinical Professor of Emergency Medicine
referred to the deceased as having a “long history of psychosocial disorder and of
attempted self-harm, in association with chronic alcohol dependency” and liver disease.
She is also described as having been “difficult to manage from a medical and psychosocial
point of view”.
28. These are factors which might, in principle, be relied upon at trial to suggest—not only
that the deceased would not have obtained employment—but also that the figures for
care and domestic assistance provided to the minor, as set out in the actuarial report,
might be overstated. It will be recalled that the care and assistance provided by the
deceased is valued at €400 per week to the age of 12 years. This is so notwithstanding
that the replies to particulars indicate that the minor was being looked after jointly by the
deceased and the grandmother. The consequence of the use of a multiplier in calculating
capital values is that even a modest revision downwards in these figures could reduce the
overall sum by a significant amount, to be measured in tens of thousands.
29. There is a significant risk that, if this action were to proceed to trial, the assumptions
underlying the actuarial report would be vulnerable to challenge. The final award might
be less than the €325,000 now offered.
30. It is simply not possible to say with any certainty what might have happened but for the
premature and tragic death of the minor plaintiff’s mother in April 2012. The most that
this court can do on an application to approve a proposed settlement is to assess the
prospects of achieving a higher award at trial. I am satisfied that the sum of €325,000
represents close to the full value of the claim, and that this figure is unlikely to be
bettered at trial. The assumptions underlying the actuarial report are reasonable and
realistic having regard to the factors referred to above. It would not be prudent to reject
the proposed settlement and to allow the matter to go to full trial in the hope that the
trial judge might take an optimistic view of the deceased’s employment prospects. To do
so would entail an unjustified risk of the minor receiving an award less than the €325,000
now offered.
31. Having regard to all of the circumstances, the court will make an order approving the
proposed settlement.
NO FINDING ON LIABILITY
32. One of the factors which a court may have to consider in deciding whether to approve a
proposed settlement is the risk, if any, which the plaintiff will face at trial in establishing
that the defendant is liable in tort. If there is a significant risk on liability, then it may be
appropriate to approve a settlement notwithstanding that it does not represent the full
monetary value of the claim. The court must balance the risk of the plaintiff failing to
establish liability—and thus receive no damages at all—against the prospect of their
succeeding and recovering the full value of their claim. Sometimes this balance is struck
by discounting the full value of the claim to reflect the risk on liability.
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33. It is not necessary to address the issue of liability in the present case given that—for the
reasons set out under the previous heading above—the proposed settlement represents
close to the full value of the claim. This judgment does not make any finding—one way or
the other—on the question of whether the minor plaintiff would have been at risk in
establishing liability against the defendants.
34. For the sake of completeness, it should be noted that the offer of settlement in the
present case has been made without any admission of liability. The first named
defendant has filed a full defence to the proceedings, and the proceedings are to be
struck out as against the second named defendant.
FORM OF ORDER
35. For the reasons set out in this judgment, an order will be made approving the proposed
settlement of €325,000. The settlement is as between the plaintiff and the first named
defendant and has been reached without any admission of liability. The proceedings are
to be struck out as against the second named defendant.
36. A sum of €12,553 is to be paid to Padraig O’Donovan & Company Solicitors upon their
undertaking to discharge the sums payable by way of special damages and fees. The
balance of the €325,000 is to be paid into court to the credit of this action and separate
credit of the minor plaintiff.
37. I will also make an order for legal costs in favour of the plaintiff as against the first named
defendant, to reflect the fact that the terms of settlement provide for the payment of
costs. In default of agreement between the parties, the quantum of those legal costs is
to be measured by the Office of the Legal Costs Adjudicator under the Legal Services
Regulation Act 2015 and Order 99 (as amended).
Appearances
Finbarr Fox, SC and Kristian Douglas instructed by Padraig O’Donovan & Company
Solicitors for the Plaintiff
Result: Settlement of 325,000 for loss of dependency approved.