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Supreme Court of the ACT Decisions |
IN THE SUPREME COURT OF THE AUSTRALIAN CAPITAL TERRITORY MASTER T. CONNOLLY Damages - Assessment - Personal injury - Motor vehicle accident - Soft tissue injury to cervical spine - Ongoing restrictions - Chronic Pain Syndrome - No issue of principle. CANBERRA, 14-15 April 1998 (hearing), 8 May 1998 (decision) #DATE 8:5:1998 Counsel for the Plaintiff: Mr G Stretton Instructing Solicitors: Snedden Hall & Gallop Counsel for the Defendant: Mr R McIlwaine SC & Mr B Skinner Instructing Solicitors: Australian Government Solicitor THE COURT ORDERS THAT: 1. Judgment be entered for the plaintiff against both defendants in the sum of $404,995.85. 2. The defendants pay the plaintiff's costs. MASTER T. CONNOLLY This is a claim for damages for personal injuries arising out of a motor vehicle accident on 17 April 1986. The plaintiff, who was then a young woman of 23, was stationary in a line of traffic on Wentworth Avenue Kingston when she was struck from behind by the first defendant, who at the time was an employee of the Australian Postal Corporation and was driving an Australia Post Ford Truck. The plaintiff suffered soft tissue type injuries to the cervical spine. While the initial medical advice was that these injuries would settle and eventually resolve, the plaintiff has continued to complain of disabling pain for twelve years. Liability was not in issue, and the matter proceeded by way of an assessment only. The plaintiff was born in Tumut, New South Wales in December 1962, and completed her education to Year 10 at Woden High School in 1978. In early 1979 she undertook a three month typing and office skills course on a full time basis at the Metropolitan Business College, and in April of that year obtained full time employment as a pharmacy assistant at a Canberra pharmacy. In 1980 she applied for entry to the Australian Public Service, and she successfully sat the entrance examination . In February 1981 she commenced work as a Clerical Assistant Grade 1 with the Department of Defence at Russell Offices. Over the years she achieved promotions to the level of Clerical Assistant Grade 3 and at the time of the accident she was acting in a position of Clerk Class 5. The plaintiff says that she had been actively involved in a range of sporting and recreational pursuits up to the time of the accident. She had been in generally good health, although she had injured her lower back while moving a Chubb safe drawer at work in late 1985. She consulted her general practitioner Dr Hardy, and returned to work after a few days, and had ongoing physiotherapy thereafter. She had a "niggling" low back pain for some time, and indeed had attended physiotherapy the day before the accident the subject of this claim. The plaintiff described the impact as involving a sudden jolt forward in her seat, and then a further jolt as she slammed on her brakes to avoid hitting the car in front of her. She said that she immediately noticed a burning feeling at the base of her skull, and consulted Dr Hardy that afternoon. He ordered x rays, which reported as normal, and referred her to physiotherapy. Her symptoms of stiffness, soreness and tenderness about the neck continued, and in early May she experienced a cracking sensation and difficulty with neck movements when getting out of bed, and attended at the casualty department at Woden Valley Hospital. Her general practitioner then referred her to Dr Tymms, a rheumatologist. In April 1987 he reported to the plaintiff's then solicitors that "My opinion was she had a classical traumatic cervical syndrome, that is, whiplash injury and this sort of injury which involves soft tissue often does take some months to improve and in almost all cases resolve." He indicated at that time that he felt that the long term prognosis was good. The plaintiff was off work until July 1986, when she returned to work. She says that she had great difficulty in coping with her duties, and would rest under her desk at lunch times in order to relieve the pain. Mr Phillips, who is a manager in the public service and who had been the plaintiff's line manager at the time, confirmed that the plaintiff was in obvious difficulty at this time. Around this time the plaintiff and her now husband moved their residence, and she became a patient of Dr Stevenson, who has remained her general practitioner. He varied her medication due to weight gain and noted that she was continuing to complain of pain and depression. In March 1987 she was referred to Dr Chandran. He found no abnormalities on x ray or CT scan, and concluded that she was suffering from soft tissue injury which he expected to resolve. Throughout this period she continued to work and complain of pain. In May 1988 the plaintiff was referred to Dr Cassar a physician who conducts a pain management clinic in Canberra. He confirmed that the plaintiff's injuries were soft tissue in nature, and provided a course of treatment. In a report of August 1989 he noted that the plaintiff had taken maternity leave, but felt that the prognosis for return to work was good. The plaintiff reduced her hours of work in February 1989 before commencing maternity leave at the end of March 1989. Her son was born in May, and she continued on maternity leave before beginning a graduated return to work in October, working 12 hours a week. This caused ongoing pain, and from January 1990 she reduced her hours to 9 hours per week. The plaintiff fell pregnant again, and commenced maternity leave at the end of February 1991, with her second son being born in April 1991. She resumed work in October 1991, again working 9 hours per week. In July 1992 Dr Cassar reported that her pain condition was now permanent, and that she had an ongoing limitation to three hours per day. The plaintiff continued to try alternative treatments in order to alleviate her condition. She tried facet joint injections, but was allergic to the treatment. She in fact increased her work hours to 25 hours a week in November 1996, and continues to work those hours. She works in a position which has been permanently classified at a 25 hours a week position, and the Public Service has through its own internal processes certified that this is the limit of her abilities. The defendant provided medical reports from Dr Henke, a consultant in rehabilitation medicine and Dr Mellic, a consultant neurologist. Both agreed that the plaintiff did suffer from soft tissue injuries in the accident. Dr Henke expressed the view that in 1994 she should be able to return to full hours. Dr Mellic expressed the view that her prime problem in 1994 was a chronic pain syndrome. Although he expressed the view that this is not causally related to the accident, I accept that the presence of a chronic pain syndrome, which indeed is pleaded by the plaintiff, is related to the pain from her soft tissue injuries. Dr Scott, an occupational physician, reported for the plaintiff in April 1997. He formed the view that the plaintiff had suffered soft tissue injuries . He said "In my experience, in the absence of any radiological problems, these soft tissue injuries to the neck - whiplash - either resolve quickly in a matter of weeks or move into the chronic pain situation - the situation I believe Mrs Rath is currently in... In my opinion she requires active, intense psychological counselling, including pain management advice, and minimal medical involvement. I believe it is more likely than not that her current symptoms and disabilities were caused by, or arose from, the MVA. In my opinion she should be encouraged, along with my recommendation in 3) above, to work hard on a GRTW, under close monitoring, to achieve return to satisfactory full time work within six months. I believe the adversarial situation has not helped Mrs Rath's condition, improvement and prognosis." The plaintiff also provided a report from Mr Sutton, a clinical psychologist, who confirmed the presence of chronic pain syndrome. He formed the view that this was related to the accident, and that the plaintiff would benefit from further pain management. On all of the evidence I am satisfied that the motor vehicle accident on 17 April 1986 caused the plaintiff soft tissue injuries to the neck which have been productive of ongoing pain, and which has resulted in the development of a chronic pain syndrome. The principles to be applied in determining compensation in personal injuries cases have recently been summarised by McHugh J in Nominal Defendant v Gardikiotis (1996) 1 CLR 49 where his Honour said (at 54): "When a defendant has negligently injured a plaintiff, the common law requires the defendant to pay a money sum to the plaintiff to compensate that person for any damage that is causally connected to the defendant's negligence and that ought to have been reasonably foreseen by the defendant when the negligence occurred. The sum of money to be paid to the plaintiff is that sum which will put the plaintiff, so far as is possible, 'in the same position as he would have been in if he had not sustained the wrong for which he is now getting his compensation'." In relation to general damages I assess the plaintiff on the basis that her injuries were soft tissue in nature, but have persisted and led to the development of chronic pain syndrome, but falling short of a clinical diagnosis of reactive depression. I take into account that the plaintiff has suffered ongoing restrictions to her recreational and general lifestyle. I take into account that these disabilities have occurred while she is a relatively young woman, and during the period in which she has started a family and raised them to school age children. I note that the chronic pain syndrome is seen as a major cause of ongoing disability, but that the prognosis for this, particularly taking Dr Scott, the occupational physician who reported for the plaintiff, seems reasonably positive. While Dr Cassar says no improvement from the plaintiff's present 25 hours per week in the workforce is possible in his opinion, I note that in his 1992 report he said that he could not see her achieving 25 hours per week and expressed the view that three hours per day was her maximum level. I assess general damages in the sum of $35,000, which I consider to be toward the upper range for soft tissue type injuries. I would attribute $25,000 of this to past loss, generating interest of $6,032, making a total award for general damages of $41,032. In relation to economic loss the plaintiff set out the claim in a manner which was arithmetically agreed, if I was to find her past loss attributable to the accident. I have so found. I therefore award the sum of $185,202.15 as claimed for past loss of earning capacity. There is also a claim for loss of sick leave of $5,801.40, loss of long service leave of $1,312.84 and loss of recreation leave of $2,170.10, which I award. The plaintiff has been in receipt of Comcare payments as the accident occurred during working hours, and there is a claim pursuant to the principle in Fox v Wood of $41,745.90 which I award. The plaintiff's claim for future economic loss is premised on her being limited to 25 hours per week for the balance of her working life. For the reasons that have been set out above, I am not persuaded to the relevant standard that this is made out. I need not repeat the extracts from medical reports that I have set out in paragraphs 10-12 and 15 above. Having found that the chronic pain syndrome has a significant part to play in the plaintiff's present level of disability, and noting Dr Scott's prognosis, I am not satisfied that the plaintiff must be found to be permanently limited to her present working hours. The fact that such a finding has been made for internal public service reasons cannot be binding on a tortfeaser, and my assessment of future economic loss must be based on all of the evidence. I would in all of the circumstances of the present case, and noting the plaintiff's past as well as future prognoses from her specialists, as well as the views of the defendant's doctors, award a significant buffer for future economic loss in the sum of $60,000. Out of pocket expenses were agreed in the sum of $55,731.46. Of this some $49,408.13 had been paid by Comcare. I award the sum of $55,731.46 for past out of pocket expenses. The plaintiff claims ongoing medical expenses at the high rate of around $3,000 per year. I accept that in the past two years this has in fact been her actual out of pocket expenditure since Comcare ceased payment. I am not, however, persuaded that ongoing expenditure of this nature is appropriate or made out in all of the circumstances of the case. Given my findings on the nature of her condition and its prognosis, a buffer for out of pocket expenses, taking into account the desirability of further treatment in particular for chronic pain counselling seems appropriate, and I award the sum of $12,000 under this head. A Griffiths v Kerkemeyer claim was made in this matter, based on the domestic assistance provided by the plaintiff's husband. The plaintiff acknowledged that she was able to contribute to household tasks, but claimed that her husband undertook the heavier duties. The claim was based on the husband doing around three hours per week "over and above" a normal range of mutual domestic assistance. This claim was clearly so framed to fall within the principles set down in Van Gervan v Fenton [1992] HCA 54; (1992) 175 CLR 327, but on all of the evidence I am not satisfied that the circumstances of this case fall outside the range of mutual domestic give and take so as to amount to a separate head of damages. This amounts to a global award of $404,995.85 which I consider to be appropriate in all of the circumstances.
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