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South Africa Judgment

North Gauteng High Court, Pretoria

T.N.N obo N.A.N v MEC for Health, Gauteng (80010/17) [2023] ZAGPPHC 1177 (11 September 2023)

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01

Holding and result

The court found that the quantum of damages proposed by the plaintiff, totaling R12,777,819, was fair and reasonable, supported by expert evidence, joint minutes, and actuarial calculations. The defendant did not dispute the quantum and accepted the reasonableness of the draft order. The trust arrangements for protection of the award were found to be appropriate and compliant with legal requirements, following amendments made in response to the court's queries. The contingency fee agreement was also found to conform with prescribed requirements. The court endorsed the parties' approach and granted the order as proposed, including the costs order and the incorporation of a Deed of Trust for protection of the funds.

Court disposition

Plaintiff's claim for damages is granted in the total amount of R12,777,819, with orders for protection of the award and costs as sought.

Orders

  • The defendant is ordered to pay the plaintiff R12,777,819, comprising past expenditure, compensation for caregiving, future medical costs, loss of earning capacity, general damages, and costs for protection of the award.
  • The award is to be protected by a Deed of Trust as incorporated in the order.
  • The defendant is ordered to pay the plaintiff's costs.

02

Material facts

Parties

T.N.N obo N.A.N

Plaintiff Counsel: JF Mullins SC & LA East

MEC for Health, Gauteng

Defendant Counsel: LA Pretorius

Amounts and remedies

  • Past Expenditure: ZAR 47,000
  • Compensation for Caregiving to Date: ZAR 274,388
  • Future Hospital, Medical and Related Expenditure: ZAR 8,170,455
  • Loss of Income and Earning Capacity: ZAR 1,366,923
  • General Damages: ZAR 2,050,000
  • Costs of Protection of the Award: ZAR 869,053
  • Total Award: ZAR 12,777,819

03

Procedural history

  1. Posture

    Civil Trial / Quantum Determination After Liability Established

04

Questions and positions

Legal issues

Party arguments

Applicant
The plaintiff argued for a total award of R12,777,819, comprising past expenditure, compensation for caregiving, future medical costs, loss of earning capacity, general damages, and costs for protection of the award. The amounts were supported by expert reports, joint minutes, actuarial calculations, and detailed schedules of loss. The plaintiff submitted that the trust arrangements for post-award protection were appropriate and that the contingency fee agreement complied with statutory requirements.
Respondent
The defendant's counsel did not have a mandate to settle but conceded that the proposed order represented a fair and reasonable award. The defendant accepted the reasonableness of the draft order and the trust arrangements for protection of the funds, and did not dispute the quantum or the costs order sought.

05

Court’s reasoning

  1. 01

    Protection of Certain Personal Injury Awards (Pretoria Society of Advocates and others amici curiae) 2022(6) SA 446 (GP)

    Awards for damages in medical negligence cases must be fair, reasonable, and supported by expert evidence and actuarial calculations.

  2. 02

    Letsoale and other v RAF [2023] ZAGPPHC 456

    Trust arrangements for protection of personal injury awards must comply with legal requirements and address concerns raised by the court.

06

Ratio, limits and disposition

Ratio decidendi

The court found that the quantum of damages proposed by the plaintiff, totaling R12,777,819, was fair and reasonable, supported by expert evidence, joint minutes, and actuarial calculations. The defendant did not dispute the quantum and accepted the reasonableness of the draft order. The trust arrangements for protection of the award were found to be appropriate and compliant with legal requirements, following amendments made in response to the court's queries. The contingency fee agreement was also found to conform with prescribed requirements. The court endorsed the parties' approach and granted the order as proposed, including the costs order and the incorporation of a Deed of Trust for protection of the funds.

Obiter and limits

  • The conduct of the parties' legal representatives was exemplary and contributed to the efficient resolution of the matter, reducing unnecessary costs and time.
  • Preparation of the schedule of loss, detailed heads of argument, and engagement between the parties significantly assisted the court and streamlined the proceedings.

Court disposition

Plaintiff's claim for damages is granted in the total amount of R12,777,819, with orders for protection of the award and costs as sought.

  • The defendant is ordered to pay the plaintiff R12,777,819, comprising past expenditure, compensation for caregiving, future medical costs, loss of earning capacity, general damages, and costs for protection of the award.
  • The award is to be protected by a Deed of Trust as incorporated in the order.
  • The defendant is ordered to pay the plaintiff's costs.

Source and reliance status

North Gauteng High Court, Pretoria

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Judgment reading view

Judgment text

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Source document

North Gauteng High Court, Pretoria

Judgment

[2023] ZAGPPHC 1177

SAFLII Note: Certain personal/private details of parties or witnesses have been redacted from this document in compliance with the law and SAFLII Policy

IN

THE HIGH COURT OF SOUTH AFRICA

GAUTENG DIVISION, PRETORIA

CASE NO: 80010/17

(1) REPORTABLE: NO

(2) OF INTEREST TO OTHER JUDGES: NO

(3) REVISED:

SIGNATURE:

DATE: 11 September 2023

In the matter between:

N[...], T[...] N[...]

(OBO N[...] A[...] N[...])

Plaintiff

and

MEC FOR HEALTH, GAUTENG

Defendant

JUDGMENT

THIS

JUDGEMENT HAS BEEN HANDED DOWN REMOTELY AND SHALL BE CIRCULATED TO THE PARTIES BY WAY OF E-MAIL/ UPLOADING ON CASELINES. ITS

DATE OF HAND DOWN SHALL BE DEEMED TO BE 11 SEPTEMBER 2023

COWEN J

1. In this action, the plaintiff, Mrs N[...] N[...] has instituted a claim against the MEC for Health, Gauteng, the defendant. She does so in her capacity as the mother and guardian of her daughter, N[...] A[...] N[...], a girl born on 19 August 2009.

2. Alice is now 14 years old. She is legally blind as a result of a condition called retinopathy of prematurity. She has navigational vision in her right eye which she will probably lose in time. She is completely blind in her left eye.

3. On 24 February 2020, Collis J granted an order declaring the defendant 100% liable for the damage suffered by Alice as a result of her blindness. What remained to be determined is the quantum of damages, which is the issue that came before me as a special trial on 7 August 2023.

4. The plaintiff's claim has the following components:

4.1. Past expenditure and fair compensation by Alice to the plaintiff for her caregiving to date;

4.2. Future hospital, medical and related expenditure;

4.3. Loss of income and earning capacity;

4.4. General damages;

4.5. Costs of protection of the award.

5. Shortly before the trial was due to commence, the parties approached me and requested that the matter stand down to enable the parties to engage further with each other to limit the issues for trial. In circumstances where the joint minutes reflected material agreement, the parties were committed to limiting any issues for evidence and the plaintiff did not appear at fault in delaying pre-trial engagement, I stood the matter down for this purpose. I was informed at the outset that even if the parties' representatives could achieve consensus on a reasonable quantum, it was unlikely that the defendant would provide a mandate to settle the action.

6. On 14 August 2023, the matter was argued before me on MS Teams in circumstances where the parties had agreed that the expert reports and joint minutes could serve as evidence and there was no need to call any witnesses to testify. To facilitate consideration of the matter, the plaintiffs' counsel had prepared a detailed schedule of loss with reference to the expert reports and joint minutes and the parties had prepared detailed minutes of the pre-trial conferences

that ensued while the matter stood down. Both parties' counsel had, moreover, prepared detailed heads of argument dealing with their submissions on what amounts they contend were reasonable in respect of each item of loss and the basis therefore. Where necessary,

counsel referred to relevant legal authority.

7. In summary, the plaintiffs submit that a fair and reasonable award would be R12 777 819 made up as follows:

7.1. Past expenditure:

R47 000

7.2. Fair compensation for caregiving to date:

R274 388

7.3. Future hospital, medical and related expenditure:

R8 170 455

7.4. Loss of income and earning capacity:

R1 366 923

7.5. General damages:

R2 050 000

7.6. Costs of protection of the award:

R 869 053

8. I have considered the papers filed of record, and I am satisfied that the order proposed by the plaintiffs should be granted. While the defendant's counsel had no mandate to settle the action, she unequivocally informed the Court that she is constrained to agree that the order proposed represents a fair and reasonable award. I am satisfied that the Trust arrangements in place for post award protection of funds, which is required, are appropriate[1] and that the costs order sought should be granted in the terms sought.[2] Moreover, the defendant's counsel accepts the reasonableness of the draft order. I have considered the contingency fee agreement in place between the plaintiff and the plaintiffs' representatives and am satisfied that it conforms with the prescribed requirements.

9. In my view it is not necessary for me to detail in this judgment the content of the pleadings, the expert reports and joint minutes, the actuarial calculations, the pre­ trial minutes, the schedule of

loss (and its detailed appendices) and the detailed submissions advanced on behalf of the parties. The manner in which the documents

have been presented to the Court explains precisely how each amount is arrived at, the contingencies used, the reasons for the approach to contingencies and what compromises were made and the reasons therefore. In making the award as proposed, I endorse the parties' approach as recorded.

10. Finally, I must record my appreciation for the conduct of the parties' representatives in this matter. The manner in which the legal representatives approached the matter is in keeping with the expected high standards of the profession and is to be applauded. I consider it prudent, moreover, to record that - from the Court's perspective, certain work done by the plaintiff's legal representatives - in liaison with the defendant's representatives, where necessary, was of particular assistance to the Court in dealing with the matter. This work also ultimately served significantly to reduce the incurrence of unnecessary costs and time during what would otherwise have become an extended trial. This included the work preparing the schedule of loss with its appendices, engagements in respect thereof, the minutes supplied and the preparation of detailed heads of argument.

11. I make an order in terms of the draft attached as X, which incorporates a Deed of Trust marked Y.

SJ Cowen

Judge, High Court Pretoria

Date heard: 14 August 2023

Further submissions: 30 August 2023

Date of decision: 11 September 2023

Appearances:

Plaintiff: JF Mullins SC & LA East instructed by Paul du Plessis Attorneys Defendant: LA Pretorius instructed by the State Attorney, Pretoria.

[1] In re Protection of Certain Personal Injury Awards (Pretoria Society of Advocates and others amici curiae) 2022(6) SA 446 (GP). I addressed certain queries to counsel after the hearing and the parties thereafter amended the proposed Trust deed to accommodate the concerns raised.

[2] The Court addressed queries to the parties in light of Letsoale and other v RAF [2023] ZAGPPHC 456 whereafter the parties amended the draft order satisfactorily.

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Authorities

Authorities used by the court

Cases, legislation, regulations, and constitutional provisions identified in the available record.

Protection of Certain Personal Injury Awards (Pretoria Society of Advocates and others amici curiae) 2022(6) SA 446 (GP)

Case cited

Letsoale and other v RAF [2023] ZAGPPHC 456

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