SHERIFFDOM OF GRAMPIAN HIGHLAND AND ISLANDS AT ABERDEEN
A1466/03
JUDGEMENT of SHERIFF ALEXANDER S. JESSOP ESQ |
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in causa |
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WILLIAM HARKINS CLARK |
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Pursuer |
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against |
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R & J SIMPSON LIMITED |
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Defenders |
Act: Mr P M McDonald, Advocate
Alt: Mr J G Thomson, Advocate
ABERDEEN: 4 OCTOBER 2005.
The Sheriff, having resumed consideration of the cause: SUSTAINS the pursuer's first plea-in-law; GRANTS decree against the defenders for payment to the pursuer of (1) £7,500 (SEVEN THOUSAND FIVE HUNDRED POUNDS ) with interest at the rate of 4% per annum from 8th May 2002 to the date of decree; (2) £7,500 (SEVEN THOUSAND FIVE HUNDRED POUNDS); (3) £26,582.60 (TWENTY SIX THOUSAND FIVE HUNDRED AND EIGHTY TWO POUNDS SIXTY PENCE) with interest at the rate of 4% per annum from 8th May 2002 to 14th August 2004 and at 8% from then to the date of decree; (4) £420 (FOUR HUNDRED AND TWENTY POUNDS) with interest at the rate of 8% from 1st June 2002 to the date of decree; and (5) £3,000 (THREE THOUSAND POUNDS) inclusive of interest to the date of decree; and with interest thereon at the rate of 8% from the date of decree until payment; CERTIFIES the cause as suitable for the employment of Junior Counsel; CERTIFIES Mr George Ashcroft, Consultant Orthopaedic Surgeon, Dr Alastair Palin, Consultant Psychiatrist, Dr Derek Chiswick, Consultant Forensic Psychiatrist, and Mr Neil Valentine, Consultant Orthopaedic Surgeon, as expert witnesses; FINDS the defenders liable to the pursuer in expenses; ALLOWS an account thereof to be given in and remits the same, when lodged, to the Auditor of Court to tax and to report.
FINDINGS IN FACT
"I reviewed this gentleman in clinic today. He denies any significant back pain. He is extremely mobile. He has no neurological problems. His back was normal on clinical examination and he was discharged today."
The contents of that letter are factually totally incorrect and must relate to a different patient.
FINDINGS IN LAW
I SOLATIUM £15,000
at the rate of 4% per annum from 8th May 2002 to the
date of decree.
II WAGE LOSS
21/4 years @ £12,588 per annum
£28,323 |
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Less Sick Pay |
£ 1,740.40 |
£26,582.60 |
With interest thereon at the rate of 4% per annum from 8th
May 2002 to 14th August 2004 and at 8% from then to the date of decree.
III SECTION 8 SERVICES
1st June 2002 to the date of decree. 420.00
Proposed by pursuer) 3,000.00
TOTAL EXCLUSIVE OF INTEREST £45,002.60
NOTE:
In this proof the pursuer sought damages of £100,000 in respect of loss, injury and damage sustained by him in an accident on 8th May 2002 whilst in the course of his employment with the defenders. Regrettably on account of court programming, two days of the proof were held in January and the last two days and submissions in June. During the passage of this action through the court, liability had been admitted, then withdrawn, and then before the proof liability had been admitted. It was therefore accepted that on 8th May 2002 the pursuer, in the course of his employment with the defenders, was injured in an accident for which the defenders were responsible. The action was, however, vigorously defended on the basis that the pursuer was fit to return to work in July 2002 having only received a soft tissue injury and that he was wilfully exaggerating his claim. The pursuer led evidence from Mr Ashcroft, a consultant orthopaedic surgeon and Dr. Palin, a consultant psychiatrist whereas conflicting opinions were led for the defenders by Mr Valentine, consultant orthopaedic surgeon and Dr. Chiswick, forensic psychiatrist. The basis of the expert evidence for the defenders was that any physical injuries sustained by the pursuer in the accident would have been resolved by July 2002 and any ongoing pain and reported disability was completely out of proportion to the nature of the injuries sustained in the accident. Any ongoing symptoms were as a result of pre-existing somatisation or inherent and long-standing over anxiety about his health coupled with wilful exaggeration on the part of the pursuer. All the experts agreed that the case depended really on whether the pursuer was accepted as a credible witness and a genuine honest and open man or whether he was found to be lying and exaggerating his symptoms in order to obtain an award of damages.
I found the pursuer to be an honest, hardworking man who had been employed in various capacities throughout his working life, all of which involved manual labour of some description. I found his account of the accident and his pain and suffering in the immediate aftermath of the accident to be totally credible and reliable. He accepted he had been off work in the past with pain in his legs but I accepted his explanation that this was a different pain from that following the accident. I also accepted his explanation regarding some short periods of employment that he had been engaged for particular contracts and once the contract was concluded his services were no longer required. In the main, however, he had been a man who sought employment and had limited periods unemployed and off sick It was indicative of his suitability as a worker that he had been re-employed by three of his previous employers.
I also accepted that his medical records disclose that he had consulted his doctor for various ailments for some of which no physical cause could be discovered. I accepted the expert's opinion that there was an indication of somatisation of relatively minor degree. My general impression at that stage of the proof was that the pursuer was telling the truth when he complained that since shortly after the accident he had experienced on and off pain in his back and legs which was different from any he had experienced before.
What did concern me about the pursuer's evidence was his evidence about his attendance at the clinic in Aberdeen on 4th July. In cross-examination at page 63 et seq the pursuer was subjected to the most vigorous cross-examination in that his evidence was that he had not seen Dr. Ashcroft on 4th July but one of his assistants, a coloured doctor. He claimed that he had told the doctor that he had significant back pain. The letter from Mr Ashcroft dated 4th July 2002 was put to the pursuer, the terms of which were "I reviewed this gentleman in clinic today. He denies any significant back pain. He is extremely mobile. He has no neurological problem. Back was normal on clinical examination and he was discharged today". Despite vigorous cross-examination, justifiably so on the basis of the letter, the pursuer stuck to his evidence that he had not seen Mr Ashcroft and that the letter was totally wrong. I must confess that at that stage I shared the defenders' counsel's serious doubts about the credibility of the pursuer given the unequivocal terms of the letter. On the basis of that letter it appeared that the pursuer's physical symptoms had all resolved by 4th July 2002 and was clearly supportive of the defenders' case that the pursuer was wilfully exaggerating his symptoms and malingering.
It therefore was a matter of complete surprise to me as well as to the defenders' counsel when Mr Ashcroft was subsequently called to give evidence and stated that the letter related to the wrong patient. At page 195, Mr Ashcroft stated that he was embarrassed to say that the contents of the letter were totally wrong. On examination of the medical records he confirmed that the pursuer had in fact been seen by a senior registrar, Dr. Kader. From the hand-written notes made by Dr. Kader, Mr Ashcroft was able to state that the pursuer had indeed reported still having back pain. Mr Ashcroft in evidence also conceded that he had prepared four reports, Nos. 5/5/1 to 5/5/4 of process and had not picked up the fact that his letter of 4th July 2002 was completely wrong. The significant impact of this admission by Mr Ashcroft that the letter was completely wrong added greatly to the credibility of the pursuer who had in the face of quite proper vigorous cross-examination maintained his position that the letter was wrong. Unfortunately, however, the impact of this letter was not just on the credibility of the pursuer but its existence had coloured the opinions expressed by both Mr Valentine and Dr. Chiswick in their reports on behalf of the defenders. Mr Ashcroft agreed at page 239 et seq that reading the letter would indicate to the reader that the patient was totally recovered from his injury. At page 242 he apologised for the error in the letter and further apologised for the fact that he never picked the error up when preparing his reports.
The experts all agreed that much of their opinion was based on their impression of the pursuer as a historian. Mr Ashcroft and Dr. Palin considered him to be an honest, straightforward historian whereas Mr Valentine and Dr. Chiswick considered he deliberately withheld certain pieces of information from them. All agreed that it was a matter for the court to decide on the credibility and reliability of the pursuer as a historian of his back pain. At page 205, Mr Ashcroft gives a very detailed answer when asked to explain his opinion that the symptoms of the pursuer are explainable by his fall. I accept that evidence.
In light of the evidence given by Mr Ashcroft about the completely erroneous letter, I have to consider carefully the evidence given by the pursuer. After due consideration, I accept the pursuer as a credible and reliable witness regarding his symptoms. If I had any doubt about his credibility I was extremely impressed by the evidence given by his wife. She impressed me as an entirely honest witness. She had been married to the pursuer for 36 years and came over as a truthful witness. She spoke in clear terms to events on the date of the accident and pain suffered by the pursuer causing her to 'phone the general practitioner first thing the following morning to arrange for a home visit. She gave a clear description of the nursing care she had to provide to the pursuer after his discharge from hospital in that she had to help him to the toilet, take his food to him, wash him, help him out of bed, and assist him to a chair. Throughout the period since the accident she still had to help him out of the bath and help him put on his shoes and socks. I accepted her evidence that the duties immediately after the accident were so onerous that she had taken time off her work for three weeks and thereafter had found it necessary to reduce her working week from 39 to 30 hours to help do jobs to assist the pursuer and to undertake tasks he could no longer perform such as the garden and heavy lifting jobs. She was also perfectly candid that the pursuer had had pain in his legs and back before the accident but that had never prevented him from working for any length of time. I believed her when she said that she did not believe he was exaggerating. I formed the impression that she was a hard working woman and a very loyal wife but not one who would lie on behalf of her husband nor indeed one who would tolerate his malingering.
Both Mr Ashcroft and Dr. Palin formed the impression that the pursuer was a straightforward historian. Indeed at page 180, Dr. Palin described the pursuer as being "a straightforward historian who was genuinely telling the truth". In his supplementary letter, production 5/8, Dr. Palin is firmly of the view that the symptoms of which the pursuer complains did indeed flow from the accident in May 2002. At page 204, Mr Ashcroft gave evidence that the pursuer's symptoms were explainable by his fall and went on at page 205 to give reasons for his opinion. He accepted that the pursuer had a genuine physical problem and was not fit to go to back to work. Both Mr Ashcroft and Dr. Palin conceded that there might be an element of somatisation in the medical history of the pursuer but did not accept that he was lying or deliberately exaggerating. The defenders accepted that if the pursuer did suffer from somatisation the defenders had to take the pursuer as they found him and therefore whether or not he suffered from somatisation was of little relevance to the claim.
If, however, he was lying and wilfully exaggerating in order to inflate his claim then both Mr Ashcroft and Dr Palin conceded that their opinions were incorrect. Both Mr Valentine and Dr. Chiswick considered that the pursuer was exaggerating his symptoms. Both gave evidence as to various "oohs" and "ahs" from the accused during their examination of him which they felt exaggerated his symptoms and both referred to a lack of candour regarding his previous medical history. It is difficult to assess how much their opinion was influenced by the contents of the erroneous letter that they had read from Dr. Ashcroft which indicated that the pursuer had fully recovered by 4th July 2002. However, it did seem to me that the somewhat defensive position adopted by the pursuer as described by them was perhaps referable to the pursuer's increasing concerns about the attitude of the defenders in admitting then denying liability and of the number of examinations he was being required to undertake by different experts when he was firmly of the view that he had actual physical pain and had no psychiatric symptoms. In addition, of course, for the examination by Mr Chiswick the pursuer had to travel from Fraserburgh to Aberdeen by car and thereafter to Edinburgh by train. Such a long journey for someone with a sore back could have caused irritation. Doctor Chiswick also founded on the pursuer's knowledge of the legal process as indicating a desire to obtain compensation which might result in his exaggerating the symptoms. I did not accept that Mr Chiswick was right in placing so much stress on the pursuer's knowledge of the progress of the court case. It seemed to me that it was entirely reasonable that his solicitors should make him aware of what was happening at various stages of the process and in particular advise him of the vacillation by the defenders from admission of liability to denial of liability and of the defenders' desire to have him examined not just by a consultant orthopaedic surgeon but by a psychiatrist.
In these circumstances, I have preferred the evidence of Mr Ashcroft and Dr. Palin and I am satisfied that the pursuer is not wilfully exaggerating his symptoms nor is he a malinger. I am satisfied that the pursuer's current symptoms of which he complains are attributable to the accident in May 2002. I came to the view that there may have been some element of somatisim in the pursuer's medical history but I accepted the evidence that he believes he is in pain. As mentioned before the defenders accept that they have to take the pursuer as they find him. The accuracy of some of the entries in the General Practitioner's Records were challenged by the experts but in the absence of evidence from the General Practitioner I was unable to determine which of the entries were incorrect.
In so far as wage loss was concerned, the pursuer's income at the time of the accident was agreed. I consider that it is likely that the pursuer would only have been able to continue in employment which had a considerable element of manual labour until he was 55. I accepted the evidence of Mr Ashcroft and Mr Valentine on that point. Accordingly, I have allowed two and a quarter years as the wage loss. In view of his employment and medical histories I did not consider that there was any real possibility of his obtaining alternative light employment.
In so far as the claim for services is concerned, I accepted the evidence of the pursuer and his wife that immediately after the accident she did considerable nursing of him and that since then she has been of great assistance to him. I have therefore valued her claim at £420 for her loss of wages and £3,000 inclusive of interest (as proposed by the pursuer). As at the date of the proof the pursuer had obtained aids from social services to assist him and therefore I was not persuaded that any future services provided by the pursuer's wife would be other than those normally delivered by a wife to her husband with the pursuer's medical history and age.
In so far as solatium was concerned, I was referred to the case of Grassie v McLaren 2000 SLT 944 where solatium of £20,000 had been awarded and Leebody v Liddle 2000 SCLR at page 495. In that case solatium of £15,000 had been awarded. I considered that the case of Grassie was rather more serious but the case of Leebody was very comparable with this case. Accordingly, I have awarded solatium of £15,000 of which one half is attributable to the past.
I was also asked to certify the cause as suitable for the employment of junior counsel and that was not opposed. Accordingly, I have certified the cause as suitable for the employment of junior counsel.
I was also asked to certify Dr. Palin and Mr Ashcroft as expert witnesses for the pursuer and Mr Valentine and Mr Chiswick as expert witnesses for the defence. I have no hesitation in so certifying.
As the pursuer has been substantially successful I have awarded expenses in favour of the pursuer.
In conclusion, I have a considerable sympathy for the defenders in this case who understandably based their defence on the terms of the letter from Mr Ashcroft dated 4th July 2002. The vigorous cross-examination undergone by the pursuer was directly attributable to the contents of that letter and I have no way of knowing how much that letter coloured the opinion given by Mr Valentine and by Dr. Chiswick. It is unfortunate in the extreme that that letter was completely erroneous and whilst I accept that in busy hospital departments errors will be made it is doubly unfortunate that it was not picked up by Mr Ashcroft when preparing his four reports in connection with this case. As it transpired the admission by Mr Ashcroft in his evidence that the letter was completely erroneous did much to determine the outcome of this case.