C P v MEC Health of Provincial Government of the Free State (A53/2019) [2020] ZAFSHC 216 (8 October 2020)

C P v MEC Health of Provincial Government of the Free State (A53/2019) [2020] ZAFSHC 216 (8 October 2020)

The appellate court found that the trial judge erred by focusing on whether the baby would have survived after birth, rather than whether the baby would have been born alive but for the negligence of the hospital staff. The joint minute of the medical experts established that the failure to diagnose and manage foetal distress resulted in the intrauterine death. The court held that factual causation was proven, as the negligent conduct was probably a cause of the loss. Legal causation was also satisfied, as the negligence was sufficiently closely linked to the death and not too remote. The trial court was bound by the expert consensus and should have found liability on the merits.

Citation
[2020] ZAFSHC 216
Parties
Appellant: C P; Respondent: MEC for Health of the Provincial Government of the Free State
Court
Free State High Court, Bloemfontein
Jurisdiction
South Africa
Judgment Date
8 October 2020
Case Number
A53/2019
Procedural Posture
Civil Appeal / Appeal Against Judgment on Merits (liability Only)
Outcome
Appeal upheld. The order of the court a quo is set aside and substituted with an order finding the respondent liable for damages arising from negligent treatment resulting in intrauterine death.
Judges
P.J. Loubser, C.J. Musi, C. Reinders
Legal Topics
Medical Negligence, Causation, Hospital Liability, Expert Evidence

Case Brief

Summary, issues, holding and outcome

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Parties

C P

Appellant

MEC for Health of the Provincial Government of the Free State

Respondent

Procedural Posture

Civil Appeal / Appeal Against Judgment on Merits (liability Only)

  1. 1 Whether the hospital staff's negligence caused the intrauterine death of the appellant's baby.
  2. 2 Whether the appellant proved the requisite causal link between the negligence and the loss.
  3. 3 Whether the trial court erred in its approach to factual and legal causation.

Ratio Decidendi

The appellate court found that the trial judge erred by focusing on whether the baby would have survived after birth, rather than whether the baby would have been born alive but for the negligence of the hospital staff. The joint minute of the medical experts established that the failure to diagnose and manage foetal distress resulted in the intrauterine death. The court held that factual causation was proven, as the negligent conduct was probably a cause of the loss. Legal causation was also satisfied, as the negligence was sufficiently closely linked to the death and not too remote. The trial court was bound by the expert consensus and should have found liability on the merits.

Court Disposition

Appeal upheld. The order of the court a quo is set aside and substituted with an order finding the respondent liable for damages arising from negligent treatment resulting in intrauterine death.

Orders

  • The appeal is upheld with costs, including the costs of two counsel.
  • The order of the court a quo is set aside and substituted with an order that the defendant is liable for any damage the plaintiff is able to prove arising from the negligent treatment resulting in the intrauterine death of the baby.