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High Court of Ireland Decisions |
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You are here: BAILII >> Databases >> High Court of Ireland Decisions >> McEneaney v. Monaghan County Council [2001] IEHC 114 (26th July, 2001) URL: http://www.bailii.org/ie/cases/IEHC/2001/114.html Cite as: [2001] IEHC 114 |
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1. The
plaintiff was born on the 9th December 1972 the second of six children of
Seamus and Helen McEneaney of Castleblaney, Co. Monaghan.
2. When
aged 15 the plaintiff got a part-time job in a garage, he became an apprentice
mechanic in 1989, qualified in 1993 and started to work as a mechanic from home
and then got a job driving a delivery van around the north east of the country.
3. He
is of a sociable disposition, interested in sports particularly the G.A.A.,
where he trained regularly twice a week with the junior club and played a match
once a week; he was interested in motor sports.
4. In
the beginning of 1994 he met Maeve McCaughey and they started going out
together once or twice a week. On the evening of Sunday the 13th February,
1994 they decided to go out to celebrate the eve of St. Valentine’s Day
and the plaintiff collected
5. Ms.
McCaughey at between 6 and 7pm having travelled some twelve miles to her home
at Castleshane outside Castleblayney. They went to the Glencairn Hotel, later
to the Spectrum Pub and later again back to the Glencairn where there was a
disco which went on to 2:00 or 2:30am. The plaintiff and Ms. McCaughey left
about an hour before that, however, because
6. Ms.
McCaughey to her home at Castleshane travelling in the Monaghan direction. As
they were travelling he had to slow down to pass through a line of cones which
he did without difficulty and then resumed his speed travelling in a northerly
direction on the newly surfaced national road between Castleblayney and
Monaghan. As he approached a fast super-elevated bend to his left, his car
suddenly went out of control having skidded on a patch of ice, travelled across
the centre of the road, across the oncoming carriageway, the hard shoulder, the
soft shoulder, through a fence and eventually hit a tree. While it was
careering across the road it went through a turn of approximately 180 degrees
so that the impact with the tree occurred at the right hand rear corner of the
car. The plaintiff was found facing down some 10 feet further on away from the
car and most likely was catapulted backwards out through the rear window. His
passenger Ms. Caughey was found hanging by her seat belt, the car having come
to rest on its left side. The plaintiff was not wearing a seat belt.
7. The
plaintiff sustained catastrophic injuries as a result of this accident. His
spinal cord has been severed between the fifth and sixth thoracic vertebrae
resulting in complete paralysis below the level of the nipples of his chest
with the inevitable tragic paraplegia, loss of all sensation and useful
movement below this level, loss of control of bladder and bowel function, loss
of sexual sensation and meaningful function and continuing vulnerability to
injury including pressure sores to the lower portion of his body. In this
context fractures to his left jaw, breastbone and two ribs pale into
insignificance. He was taken to Monaghan General Hospital and later the same
day to the Mater Hospital in Dublin where he was noted to have sustained
fractures to the laminae of his 4th, 5th, 6th and 7th thoracic vertebrae as a
result of which a metal implant was inserted from his 1st to his 9th thoracic
vertebrae. As a consequence of this catastrophic injury the plaintiff has, to
the date of the hearing of this action in June, 2001 had more than seven years
of almost uninterrupted pain and suffering, commencing with the operation in
the Mater Hospital in Dublin, followed by a stay in the rehabilitation clinic
in Dun Laoghaire. I will set out a summary of the plaintiff’s injuries,
efforts to rehabilitate himself and prepare himself for some kind of working
life in the future at a later point in this judgment.
8. Against
the first defendant as Road Authority the plaintiff says that they were
negligent and in breach of their duty to him in and about the design and
maintenance of their road and in particular because at the bend in question
they failed to provide a french drain which would have collected water which
seeped from the slope on the adjoining lands to the east (that is to the
plaintiff’s right as he approached the bend and owned by the second
defendant) and travelled onto the road, thereby creating a localised hazard so
that it was foreseeable that on a night such as the one in question a patch of
black ice would form in circumstances which would not be predictable to the
driver of a car.
9. This
road was realigned in 1965 and had just been resurfaced in the months prior to
the accident and indeed some of the cones associated with those works were
still in place on the night of the accident. The 1965 realigned road replaced
an earlier one further to the west (and further from the second
defendant’s lands) which was about 1 metre higher and which did have a
drain to the east thereof unlike the road built in 1965 and resurfaced just
prior to the accident.
10. Against
the second defendant the plaintiff suggests that their lands (which sloped
upwards from the road at a gradient of approximately 1 in 5) contained some
channels which facilitated the flow of water onto the first defendant’s
road and it was further claimed by the first defendant against the second
defendant that the latter had a duty under Section 76 (5) (b) of the Roads Act
1993 to take reasonable steps to prevent such water flowing onto the public
highway.
11. At
the conclusion of the plaintiff’s evidence on liability, counsel for the
second defendant applied for a dismiss of the plaintiff’s claim against
his client and both defendants having intimated that they intended to go into
evidence should that application not succeed, I deferred an adjudication
thereon until I had heard all the evidence. Following this the first defendant
called one witness and one witness only, namely Mr. Eugene Daly, a
hydrogeologist who gave evidence that it would have been possible for the
second defendant to prevent the water flowing from the second defendant’s
lands onto the roadway by constructing an interceptor drain some 200-300 yards
long and 1 - 1½ metres deep at a cost of some £5,000.
12. Following
this counsel for the second defendant made an application for a nonsuit of the
first defendant’s claim for contribution and indemnity against his client
to which I acceded; my reasons are available on the transcript. At this point
counsel for the second defendant renewed his application for a nonsuit of the
plaintiff’s claim against him and counsel for the plaintiff indicated
that he was not opposing such application and accordingly I acceded to the
application with the result that the second defendant had no more interest in
the case save in regard to costs.
13. As
a result the issues on liability with which I have to deal in this judgment
concern only the issues arising between the plaintiff and the first defendant.
14. In
the absence of rebutting evidence called on behalf of the first defendant it is
necessary only to summarise briefly the evidence on liability called by the
plaintiff.
15. Mr.
Paul Romeril, the well known forensic engineer, gave evidence that the design
speed of the road in wet conditions was 120 kilometres per hour and certainly
112 kilometres per hour equating to 70 miles per hour. In dry conditions the
speed limit would be determined by the vehicle.
16. The
source of the water at the point of the accident was ground water seeping
through a vertical face which had been cut into the rising terrain to
accommodate the super elevated curve of the road. The
“springline”
had been cut through and he referred to photographs showing water emerging from
the cut. Because there had been no rain for two or three days before the
accident he concluded that it was likely that it was ground water rather than
rain water that had seeped onto the road and had turned to ice and in light of
this he suggested that a hydrogeologist be consulted.
17. He
said that it was basic engineering to provide a french drain to protect the
road and he was not surprised to discover that ice had formed once water was
permitted onto the road given the type of weather on the night of the accident.
He said that given the problem there should have been manual and mechanical
spreading of salt and a warning sign but the fundamental defect was the lack of
the drain. He noted that ice was most dangerous when it was wet (just after
forming) because then it was most slippy. The point at which the water seeped
out onto the road coincided with the highest point of the second
defendant’s lands abutting the public road. In his view 100% of the
water which had seeped out onto the road came from the second defendant’s
adjoining land. It was foreseeable that if you cut into the bank there was a
risk that you would get ground water flowing out as happened in this case.
18. The
provision of a drain was so basic that it was extraordinary that there was not
one. It should have been obvious to the engineers that it was essential to
have a drain. This applied also to the recent resurfacing works in the event
that such drain had not been provided at the time of the original realignment
in 1965. In engineering terms the cause of the water on the road was the
provision of the road without a drain.
19. Evidence
was given by Dr. John Sweeney meteorologist to the effect that at around
midnight on the night of the accident, the temperature at the location of the
accident would have been around freezing point producing a fairly rapid
formation of ice at that point and given that water expands by some 11% on the
formation of ice, it could well have expanded above the pebble line on the road
to form a sheet of slippery ice. There had been heavy rainfall on the previous
Thursday but by the early morning of the following Monday all the surface water
would have long since drained away so that the water forming the ice came from
the ground water.
20. Dr.
David Ball, a hydrogeologist gave evidence that the heavy rainfall the previous
Thursday or Friday morning would have produced the flow of ground water onto
the road by the following Sunday evening or Monday morning. He said that the
Road Authority should not have cut into the second defendant’s lands
without incorporating a french drain.
21. Apart
from photographic and mapping evidence, this was the evidence called by the
plaintiff in relation to the liability of the first defendant. Whilst this
evidence was subjected to cross examination, no countervailing evidence was
called on behalf of the first defendant and these witnesses maintained their
opinions and conclusions throughout their evidence.
22. I
accept this evidence and it is clear, accordingly, that in the absence of a
drain to collect the water flowing onto the road at the point of the accident,
it was foreseeable that ice would form in conditions such as obtained on the
night in question and present a hazard to a motorist who would not be alerted
to the possibility of ice on the road in the absence of recent rain or any
warning. Clearly this constituted a breach of duty owed by the first defendant
to the plaintiff which amounted to negligence.
23. The
first defendant submits that there was contributory negligence on the part of
the plaintiff under three headings, namely:
25. The
plaintiff said that he had a clear recollection of what he drank that night.
He thought he might have had four small bottles of Heineken throughout the
evening. He said he would be very conscious of drinking and driving and also
that he had to work next day.
26. Maeve
McCaughey said that the plaintiff had a couple of drinks towards the early part
of the evening and after that was drinking water. As far as she could remember
the plaintiff was drinking bottles of Heineken. She never recalled the
plaintiff drinking pints.
Whilst
it was put to the plaintiff that there was a medical record of his having drunk
pints and that a nurse’s note contained a reference to
“alcohol
+ +”
,
I accept Mr. Whelehan’s submission that this suggestion of itself is of
no probative value, the authors of these references not having being called and
the plaintiff not having had an opportunity of cross-examining them. I note
also that the plaintiff said that he was confused and might have said anything
to a doctor or nurse after the accident and indeed so was Ms. McCaughey who
after the accident told garda Carlisle that there were four people in the car
when this was clearly incorrect. Moreover, garda Carlisle said that he did not
get any smell of alcohol from the plaintiff at the scene of the accident.
Accordingly the evidence in relation to the plaintiff’s consumption of
alcohol is that he had at most four small bottles of Heineken over an evening
commencing about 7 or 7:30pm and continuing until 1:30am the following morning.
The evening included water-drinking by the plaintiff and also presumably some
physical activity at the disco.
27. In
my view alcohol did not affect or impair the plaintiff’s judgment or
ability to drive. I note in particular that Ms. McCaughey gave evidence that he
had negotiated a single lane bounded by cones placed by the Road Authority
shortly before he met with his accident. To do this he would have had to slow
down to perhaps 40 miles an hour and thereafter speed up again. I hold that
the plaintiff was not guilty of contributory negligence by reason of the
consumption of alcohol.
28. In
my view the probability is that the plaintiff was travelling at approximately
70 miles an hour. This is, of course, in breach of the speed limit but on the
evidence was within the design capacity of the road and therefore but for the
ice there would have been no accident.
29. Mr.
O’Hagan, counsel for the first defendant submits, nonetheless, that in
these circumstances “
there
must be a finding of contributory negligence
”.
30. Mr.
Whelehan, counsel for the plaintiff submits that there should be no such
finding as there is no evidence that the plaintiff’s injuries would have
been different had he been travelling 10 miles per hour slower, nor was such a
suggestion put to the doctors or engineer who gave evidence. Indeed, so to
conclude would be pure speculation.
33. The
foregoing conclusion and the basis upon which it is made contrasts with the
dissenting judgment of McCarthy J. who found it impossible to understand how
the wearing of a seat belt could have lessened the physical movement of the
plaintiff’s neck in the car associated with his injuries. In that event
he held that the defendants had not discharged the onus of proof that the
plaintiff’s failure to wear a seat belt had a bearing on the injuries
sustained.
34. The
requirement that want of care on the part of a plaintiff be shown to have
caused (in part) his damage was satisfied in
Sinnott
-v- Quinnsworth
by establishing that his want of care enhanced his risk of injury. A somewhat
similar approach was adopted by Lynch J. in
Conley
-v- Strain
[1988] IR 628 at pages 632/633. This was a case where the plaintiff was not
wearing a seat belt and had been thrown out of the car. Lynch J. said:-
36. From
the foregoing it seems, firstly, that the prerequisite causation required by
section
34(1)
of the Civil Liability Act 1961 can be established,
inter
alia
,
by statistical proof of enhanced risk, and secondly, that in regard to
causation no special evidence is required in an obvious case.
37. To
put the foregoing in another way, the law regards the accident in this context
as sufficiently proximate to the injuries as to be capable of being, with
little proof or persuasion, the
causa
causans
thereof rather than merely the
causa
sine qua non
.
38. As
I have indicated it seems to me that a driver of a car at 10 miles per hour in
excess of the maximum national speed limit without appropriate excuse is guilty
of a want of care for his own safety in that he thereby incurs an enhanced risk
that the consequences of any unforeseeable accident will be worse by reason of
this excess speed. Notwithstanding the absence of evidence comparable to the
statistical evidence given to the Court in
Quinnsworth
and
Conley
it
seems to me within the competence of a court to assign fault as between the
plaintiff and the defendant in the circumstances of this case.
The
foregoing reasoning appears to me consistent with the decision of the Supreme
Court in
Reeves
-v- Carthy
[1984] IR 348 and particularly the observations of Griffin J. at pp. 366/7
where he said:-
40. If
this applies in relation to allegations by a plaintiff against a defendant I
cannot see why it does not apply the other way round. If I am correct in
identifying an enhanced risk of serious consequences should an unforeseen
accident occur as a
type
of damage for which an excessively speeding plaintiff must accept
responsibility then the
extent
of that damage (namely the actual injuries suffered) must also be part of his
responsibility. This is because his injury is of such a kind as the reasonable
man should have foreseen to use the test adopted by the Supreme Court in
Burke
-v- John Paul and Company Limited
[1967] IR 277 from
The
Wagon
Mound (1
)
[1961)A.C. 388.
41. In
the circumstances of this case I consider that by reason of excessive speed the
plaintiff was guilty of contributory negligence and must accept one third of
the fault for the accident, and accordingly his damages must be reduced by that
fraction.
42. As
already indicated the evidence is that the plaintiff shot backwards out through
the rear window, ending up face downwards some ten feet away from his car. Mr.
Romeril says that in those circumstances even if the plaintiff had been wearing
a seat belt it would have done nothing to interfere with his trajectory or
reduce his injuries. The suggestion has been made by counsel for the first
defendant that if the plaintiff had been wearing a seat belt he would have
probably ended up hanging out of it like Ms. McCaughey whose injuries were
relatively minor. However, Mr. Romerill says that this does not follow at all
because the impact at the rear corner of the car meant that the forces were
askew and not parallel, that the weight of the driver and his holding the
steering wheel established quite different physics to those applying to Ms.
McCaughey’s case and that these physics are quite complex and it would be
impossible for him to say whether the plaintiff sustained the injury to his
back by bouncing off the car as suggested by counsel for the first defendant or
not.
43. His
evidence was that as a matter of probability the plaintiff shot clean out of
the back of his seat causing it to be flattened and through the rear window and
that a seat belt if worn would not have prevented that happening. In the
absence of any other evidence on this topic, I cannot speculate and I hold that
the first defendant has not discharged the onus on it to establish that the
plaintiff contributed to his injury by not wearing a seat belt. The medical
evidence was agreed and submitted by way of written report with the exception
of Dr. Patrick Murray, consultant with the Rehabilitation institute and the
plaintiff’s general practitioner, Dr. Clarke, who gave evidence which
will be referred to later. It was not suggested to Dr. Murray or to Dr. Clarke
that the wearing of a seat belt would have affected the plaintiff’s
injury. In these circumstances there is no evidence before me which suggests
that conclusion and accordingly I hold that the plaintiff was not guilty of
contributory negligence on this count.
44. It
may be worth noting here that the difference in the context of the contributory
negligence allegation in this case between the speed and safety-belt issues is
that there was no evidence to rebut the inference that the plaintiff’s
excessive speed contributed to his injuries whereas there was evidence to rebut
the inference that a seat-belt could have reduced them.
45. Before
summarising the course of the plaintiff’s medical, therapeutic, training
and work history in the seven year period since his accident, I will identify a
number of issues relating to quantum which have been raised in this case.
46. There
is an issue about the amount of earnings that the plaintiff would have achieved
had there been no accident and which he can achieve in the future, given his
present physical and medical condition.
47. There
is no agreement as to the cost of care which the plaintiff will require from
now on; there is evidence that the cost of care has risen at a rate of 3%
higher than the general rate of inflation (itself put at some 3%) coupled with
the suggestion that the court should factor this into its assessment of future
costs of care and care related expenditure. There is agreement between the
parties as to the particular aids and appliances which the plaintiff will need
in the future and as to the cost of these. However, in relation to all future
ascertainable losses (by which I mean loss of earnings and future costs) the
plaintiff challenges the conventional basis upon which actuaries compute future
losses by reference to an assumed 4% real rate of interest, it being submitted
that a calculation on this basis under- compensates a plaintiff because the
real rate of interest is approximately 2%.
48. Furthermore
it is submitted that the equivalent of the figure in the region of
£150,000 indicated by the Supreme Court for general damages in the case of
a quadriplegic in
Sinnott
-v- Quinnsworth
[1984] I.L.R.M. 523 at page 533 would in June 2001 (some 17 years later) be
considerably more, being somewhere between £230,000 and £600,000
depending upon the criteria used.
49. I
will return to deal with these issues having summarised the relevant evidence
but first it is necessary that I now summarise the plaintiff’s
experiences during the last seven years and four months.
50. The
plaintiff said he is now 28. His father works in the St. John of God’s
residential unit in Drumcar and also as a forester: his mother works full time
at home. He trained as a mechanic, qualifying in 1993 then he took a job
driving a van for C.K. Foods, for which he was paid £180 a week and also
did about £70 worth of work per week at home as a mechanic for friends and
acquaintances. Prior to the accident he was involved with the GAA and was in
fact captain of a team on the morning of his accident. He was interested in
motor sports and socialising.
51. I
have already summarised his account of the events leading up to the accident.
The plaintiff said that he remembered his car coming off the road around the
bend and going out of control and seeing lights. He remembers his father and
his brother, Terry, at his bedside in the theatre in Monaghan Hospital and
knows that he was taken by ambulance to the Mater Hospital Dublin. There was a
lot of unbearable pain in his back. His fractured jaw was not really sore, his
chest was sore. In the Mater he remembers wanting the nurse to knock him out
and give him something for his pain. He cannot remember being asked whether he
had drink taken. He remembers being told by a doctor in the Mater that he
wouldn’t walk again and that was a blow.
52. He
was operated on twice in the Mater, once to deal with his back and next to deal
with his jaw and a third time later in the Rehabilitation Institute, to remove
the wires from his jaw. His chest and ribs were very painful but his jaw was
not sore. He got a chest infection in the Mater Hospital and was very
uncomfortable. In the Rehabilitation Institute he got a viral illness and was
ill for the next six weeks with a high temperature and perspiration, which was
very uncomfortable. During his time in the Rehabilitation Institute he trained
on the wheelchair and sat up for the first time on St. Patrick’s Day,
1994. He was very stiff but managed and began to go home for weekends in May.
He was re-trained in the use of his bowel and bladder and had to empty his
bladder every four hours. He got a kidney infection and eventually was put on
a Convene drainage bag system. He was discharged from the Rehabilitation
Institute in September. When he went home his friends had arranged
fund-raising for an adapted car and alteration to his house. They raised
£26,000. He was coping well in the Rehabilitation Institute and now
returned to live at home with his parents rather than with his grandmother
where he had been living before. He moved into his sister’s bedroom
which was adapted to provide a shower, toilet, a small kitchen and a small
living room as well as a bedroom for himself. He went to a FÁS course
in Dundalk on computerised mechanics.
53. Coming
up to the anniversary of his accident he got depressed because this was his own
target date for walking again and he failed to reach that target. He went back
to the Rehabilitation Institute for a few days and was then committed to St.
Davnet’s Psychiatric Hospital in Monaghan, where he was very low and
depressed, and he was in and out of St. Davnet’s for the next year or so.
It was a bad year. He couldn’t believe that he would have to face the
rest of his life in a wheelchair. At the end of 1995 he got a clot in his
right leg which swelled up and he had to go to hospital. He was there for
about three weeks but it was not painful. In the first half of 1996 he
attended a course in Dundalk for computers, driving himself daily. In August
he was put on placement in a garage where he worked as a mechanic and with
computers. He was able to manage and the experience was
“just
o.k.”.
(Catherine Logan, occupational therapist, reports that in October of 1996 he
began employer based training for twelve months in Dundalk, working in a garage
as a workshop clerk, four days a week.)
54. The
plaintiff said that he went to Spain with friends in 1997 for a holiday. The
heat got to him and the holiday did not work out and he was sent back. It is
clear that the plaintiff returned from Spain suffering from an interruption in
his regime of medication and general health management. The plaintiff said he
returned to his job in 1997, working on computers, earning £20 per week
and receiving disability benefit of £85.50. However he was “
just
let go
”
from this job. Later he went to Newry to follow another course on computers
and in fact the plaintiff has earned four computer awards all of which are, it
seems, fairly basic. He was trying out everything he could. In 1998 he went
on a disabled course to the United States of America. This course was
beneficial. He had not been in the States before. He was impressed with the
public buildings, especially in Pittsburg. The plaintiff is now secretary to
the Access Committee for the disabled in Castleblayney. (It is instructive to
contrast the plaintiff’s account of his U.S. trip with his G.P.’s
account. Dr. Clarke recalling this trip said that the plaintiff had major
problems in the United States and ended up in a psychiatric institution. The
plaintiff rang him (Dr. Clarke) several times. He was going with a group of
people and he had been strongly advised to strictly supervise the medication
that he was on).
55. The
plaintiff said that in 1999 he was not too bad mentally. In 1999 he got work
with a computer and engraving for a short time in a factory but he was let go
as there was no work for him at the time. He thought that there would be maybe
in the future. When this was over he had a job with a friend of his who
operated his own garage in the vicinity. The plaintiff said that he was able
to sweep the floor, rub down the bumpers and bonnets of cars, strip down door
panels and do a certain amount of polishing. He was very happy doing this job.
He loved working with his hands and he said he did heavy work sweeping the
floor every morning and that this work did not burden him. His hours were from
9 a.m. to 3 p.m. His friend did not put him under pressure and he accepted
that this was more in the line of occupational therapy. He found it very
therapeutic physically and mentally. He did computerised estimates on a
spreadsheet for the damages to a car and he managed well with the numbers. In
this context he said that he rang the manager of a Toyota garage in
Castleblayney in response to a job advertisement and the manager told him,
“
You
couldn’t do the work.”
He said that his friend, James Connor, was keeping the job open for him and he
thought maybe he would be able to earn £50 or £60 a week. At present
he is supposed to be in bed for most of the day (to take him away from his
wheelchair in the context of curing the pressure sores to which I will refer
later). But once this period is over (by next September, hopefully) he would
hope to take up this or some other job.
56. Once
again it is instructive to contrast the plaintiff’s evidence in this
connection with the evidence given by his friend, James Connor. Mr. Connor
said that he does have a garage in Castleblayney and he is self-employed there
for 3 years, having worked in a Toyota garage. He is a qualified mechanic.
The plaintiff used to call into him for some
“craic”
and he told him that he could come and try and work there. The plaintiff came
in when it suited him. He could polish a bonnet if the bonnet was put on the
table for him. He tried some sweeping but the plaintiff was
“in
the dirt more often than out of it
”.
Mr. Connor said that he let the plaintiff feel that he could do the work. He
would have to check the work after the plaintiff and go over the job. He might
have given him £50 one week, but not two, but more often it would be
£10 a week. There was
“very,
very little that he could do
”.
The plaintiff did not do all the things that he said he did. He could not get
into a car to do any work. He would come in between 9.30 and 10 in the morning
and Mr. O’Connor would have him out by 1 or 2 o’clock. He did
prepare a computer estimate but it was all set out for him by Mr.
O’Connor and all the plaintiff had to do was have it typed. He liked the
plaintiff for his company but it was not profitable for him to pay him anything
like £50 a week and the plaintiff was not fit for the garage business. He
couldn’t give him a reference. He could answer the phone and he could
drive off and get a message, providing there was somebody at the other end to
meet him when he arrived.
57. The
plaintiff said that in January, 2000 he got a clot in his leg which developed
into a pressure sore and he has been in bed more or less continuously as a
result of that for the period leading up to the date of the hearing. He
suffered from temperatures, sweating and being in bad form. He got a hospital
bug and suffered from high temperatures and when at home he had to rely on his
mother all the time, particularly with heavy sweats and the changeover of linen
and clothing. He would have accidents with his bladder and bowel and he became
very depressed during this time. At times he wanted to drive his car away to
get it all off his mind. Before Christmas he went to Belfast to a consultant
and was admitted to Monaghan Hospital for ten days and then Navan for four
weeks, to have an operation for the septic arthritis in his left hip. In March
he had two operations and the problem is still there but he is hopeful that by
September next (2001) he would have cured the infection from his left hip and
would be able for some job.
59. Regarding
the next few years he hopes that he might take on a part-time job which would
be nice and easy with no pressure. He said his sexual function is not working
now and he would have liked to have had a family. His mother and father are a
tremendous help to him during his low periods because he needs someone to talk
to. He has not socialised since the millennium and he would like to have his
own house some day. He said he is young and wants to live a bit. At present
his normal day requires him to stay in bed for most of the time. When he was
attending the course in Newry (which lasted twelve months) he would get up at
7.30 in the morning, leave the house at 9 a.m. for the course at 10 a.m. and
drive home for 5 or 6 p.m. It was an hour’s drive.
60. In
cross-examination he said that prior to his accident he was earning £250 a
week on average between his pay as a driver and as a mechanic. None of this
was taxed. He had been thinking of acquiring a HGV licence though he was happy
doing what he was doing. Since the accident he has had three cars and has
driven approximately 75,000 miles up to the beginning of his illness in
hospital at the beginning of the year 2000. He travelled to Dundalk for a
course, which is 15 miles away and Newry which is 20 miles away and in Newry he
would have put in a full day. He would be happy to get a 5 day a week job with
the weekend off and he would love light assembly work. He did not want to be
stuck at home watching television but rather he would love to work in the open
market.
61. His
father has offered him a site, which would be some 200 yards away from home.
His father’s holding is 36 acres. He would like his house to be as
normal as possible and it would be great to be independent. He might require
nursing care for one hour in the morning and one hour in the evening, or more
when he had a particular problem but hopefully “
next
year
”
he would not need a nurse. In thirty years’ time he might, when his is
55. The Health Board have provided him with a number of aides and facilities
including wheelchairs and a mattress for his bedsores. He gets this through
the local chemist and he is not charged. He has gone out since the accident
(but not since the millennium because he has been more or less continuously in
hospital). He would go out on Friday or Saturday night to a local pub and
enjoys talking with his friends. They talk about football, motor vehicles,
girls and sport. He keeps himself fit and goes to the gym and looks after his
upper body. If he got a job he would require toilet facilities and access
facilities but a job would do an enormous amount for his depression. He said
he was well motivated regarding training and work. He hoped to get a HGV
licence for continental driving as a break but did nothing before his accident
about getting one.
62. The
plaintiff’s mother, Helen McEneaney, said that in the first year since
the plaintiff’s accident he had spent a large number of months in
hospital and coped pretty well. Coming up to the anniversary he was on a high
because he thought he would walk. He asked her to hold him up and was very
depressed when he could not walk. He became angry and aggressive and they were
worried about him when he was like that because, for example, on one occasion
he took off to Kerry and they had to alert the Gardai. At times they had to
try and keep the keys of the car away from him. He has had bad pressure sores
during the last 18 months. His mental condition (depression) flares up about
twice a year for maybe six weeks. She would notify St. Davnet’s Hospital
when this happened. Typically it would happen in February and in the summer.
Then he would get aggressive and angry, couldn’t sleep, couldn’t be
reasoned with and would go up and down the hall at night in his wheelchair. In
between these bouts, even when he was well, he could fall when transferring
from the chair or in the shower and she would have to help him. There would
always have to be somebody to look out for him. He has three sisters at home.
63. When
she went away they arranged for her sister-in-law to be in the house but she
did not tell Brendan because she likes to let him think that he is independent
and not a burden. He can’t look after himself when he is ill or
depressed and there must be always someone for him to ring or call. When he is
ill his symptoms are high temperature and perspiration. There had to be two
dryers working full-time in the house when he was ill, due to the sweating and
washing. During the last one and a half years there were only two months when
he was not in hospital. The times when he is “
well”
are very few now. She said she thought his hope of working next September is
not realistic. He is still very positive and they keep him like that but in
the seven-odd years since his accident he has not got open work. The reality
is employers would not want to employ him. If he has a bladder accident when
away he rings and says he is coming home. He asked her to put in for a
carer’s allowance so that she could give him £30 per week to finance
a car for him.
64. She
thought it would be better if he had a home further away from the house so that
he could be more independent. She did not think he could look after himself
given his record of illnesses. She was unable to give enough time to her
youngest daughter who is aged fourteen because of looking after the plaintiff.
She agreed that the plaintiff is independent minded and determined to make a go
of whatever he can do and that he is happiest when he is at work. He enjoyed
doing the courses in Dundalk and Newry and when he can be out of the house he
feels better physically and mentally.
65. She
thought he would require more than assistance for one hour in the morning and
one hour in the evening. She leaves the Convene bags out for him and
everything ready for him, gives him physiotherapy on his back in the morning
and during the day, checks his medicine three times a day, cooks and does his
laundry, collects medicine at the chemist (he can do this himself on occasion)
and does the shopping. This could not be done in two single hours in the day.
The plaintiff is not really aware of the things that are done for him. He can
get depressed at any time. He did have a period of unemployment before his
accident (but this was not quantified). His post-accident work was arranged by
friends, James Connor in his garage but also in the other garage where he had a
friend there as well. She believes he is at high risk of further pressure
sores and that he is not a candidate for full employment.
66. Seamus
McEneaney, the plaintiff’s father, said that the plaintiff was a good
worker before his accident and very pleasant. He was into football in the
Gaelic club and he encouraged him to do that. In the evening he would work at
home on the car or on the farm for a neighbour and he liked driving a tractor.
He was friendly and people knew him and liked him. He never stayed at home
watching t.v. because he was anxious to make a few pounds. Regarding his
aspiration to get a HGV licence he had told the plaintiff that this was a tough
job and it was not a great job. Since his accident they had tried to get the
keys of the car from him on five or six occasions. They encouraged him not to
look back and to stay positive and he agreed that the plaintiff was better
doing something even if it was only driving the car. He thought he would be
better living further away from the house than a couple of hundred yards away
but he could have a site for a house if he wanted it. He thought that he would
probably have continued driving a van and doing repairs if he did not have his
accident. He did not think his son was cut out to be a computer wizard but
that garage work and driving was nearer to his heart.
67. Oral
medical evidence was given by only two doctors, namely Dr. Patrick Murray from
the Rehabilitation Institute and the plaintiff’s G.P., Dr. Clarke. Dr.
Murray said that the plaintiff had tried very hard indeed to cope. It was
almost impossible for a young man who was paralysed and doubly incontinent. He
was doing reasonably well given his double problem. It was desirable that his
attitude and optimism regarding employment should be kept alive but the reality
in the market is a problem. It was not untypical that he hadn’t had a
steady job since his accident. Given his mental illness it was also difficult
for him and he would need to be watched and helped from the point of view of
his mental health. His life expectancy was 39 years from now. He had no
sexual sensation. He should be able to live on his own independently but it
would be extremely difficult to look after himself from a wheelchair and he
would need home help. When he is mentally ill his attitude is not under his
control and when he is mentally ill he would need more help than at other
times. He might not be able to get out of bed at these periods.
68. Dr.
Clarke, the plaintiff’s G.P., said that he attended on the plaintiff four
or five times a year since his accident. He had a urinary tract problem
involving infection in the beginning until he was put on a Convene system. He
would suffer from fevers, sweating, loss of appetite, nausea, weakness and
couldn’t get in or out of bed. He had a thrombosis in his lower limbs
which exposed him to the risk of clotting in his deep veins. He has been on
Warferin since that happened at the beginning of last year (2000). He needs
constant care because he would not recognise this condition at an early stage.
A trained carer would be needed to recognise it. He would be on high risk for
another episode of thrombosis. He has had pressure sores during the last year
and a half and has been in hospital with them. He has been on oral antibiotics
and had a major operation in Navan hospital where part of his pelvis and hip
bone was removed due to deep infection from this pressure sore. He is at high
risk for a recurrence of this. He is on a special mattress at present and even
when he gets over the present infection episode he would need to be on this
special mattress for probably two hours a day into the indefinite future. He
could never see him spending a full day in a wheelchair and would be at high
risk for bed sores or pressure sores. This had
“huge
implications
”
regarding his holding down a job. If he tried a five or six hour a day job he
would in a short time become incapable of working.
69. He
had seen the plaintiff when he was depressed and then he would stay in bed
would not eat or sleep or would not see other people and was withdrawn. He
understood that he would be aggressive as well. He was stabilised after his
1995 depression but since then he has had manic episodes on and off in the
years between 1996 and 2000. His mental health will require close management
into the future involving observation and checking his medication. At present
he is being closely monitored by his mother regarding his medication and the
pressure sores. He is taking up to six different kinds of drugs daily at
present. His work expectations are
“totally
unreasonable
”
as being over optimistic. He is unemployable given his psychosis on top of
paraplegia.
70. He
admires and approves the attitude of the plaintiff’s parents in
encouraging him to remain positive but on an ongoing basis into the future he
will need intermittent attention throughout the day and night and should have
somebody to call at all times for the periods of his depression amounting to
some 16 weeks a year (2 episodes of about 8 weeks each). A low percentage of
paraplegic patients ever return to meaningful employment and given his
additional psychosis the position was worse for the plaintiff. It would not be
a nurse’s role to supervise medication but rather the role of a carer.
The plaintiff needs help with meals, showers, laundry, medication, checking his
limbs, checking his psychological health, supervision to ensure that he moves
from side to side frequently and regularly and help when he will fall moving
from the chair to the bed or in the bathroom. It is not a question of 10
minutes’ checking 3 times a day or checking twice for an hour a day. It
requires much more care and supervision than that. On occasion he will not
take his tablets and needs very close supervision.
71. There
is no problem with him driving a car so long as he is taking his medication in
a compliant way. In Dr. Clarke’s opinion the plaintiff was not likely to
make a huge improvement in the future. Regarding his attitude to work the
plaintiff blows hot and cold in that he can be very determined to work one day
and fed up with it another day. Since he has had the convene drain he has not
had a recurrence of his bladder infection. There was some mention some years
ago of the plaintiff taking illicit drugs but not in association with one of
his more serious psychological episodes. Whilst his psychotic condition is
independent of his injuries from his accident (there is no history of
psychological illness in his family) he believes that in all likelihood it was
precipitated by the accident.
72. Mr.
Maloney County Surgeon, County Monaghan reported that the plaintiff was
admitted to the County hospital at about 2 a.m on the 14th of February, 1994.
He had a broken lower jaw bone without loss of teeth, fracture of the
breastbone and some (apparently two) ribs, also a fractured dislocation of the
dorsal spine at TV 5-6 with paraplegia below. He was transferred to the Mater
hospital Dublin.
73. Mr.
Martin Walsh confirms a fractured dislocation of the 5th/6th thoracic vertebrae
with no level of spinal cord function below. There were fractures of the
lamina of his 4th, 5th, 6th and 7th thoracic vertebrae and a metal implant was
extended from his 1st to his 9th thoracic vertebrae in the Mater hospital. He
had a respiratory tract infection while there and also a fracture to his left
jaw. He later refers to “
old”
fractures to his 6th and 9th ribs. He will be left with long term paraplegia
and prone to further episodes of skin pressure.
Mr.
Mark Dolan reported that in February 2000 the plaintiff developed a pressure
sore over the left greater trochanter leading to infection of his underlying
femur and hip joint subsequently developing septic arthritis with a dislocation
of the left hip. He had an operation in January 2001 involving removal of one
quarter of the femur and of part of his hip because of the septic arthritis and
osteomylitis of his left hip and proximal femur.
74. He
will require constant review to monitor his paraplegia and the change in his
seating arrangements. He could get a recurrence of the infection at any stage
in the future and whilst he did not suffer pain because of his paraplegia he
did suffer significant sweating which discomforted him significantly. He will
have to have careful alteration of his wheelchair following this operation and
will require in the future to be constantly vigilant; this applies to himself,
his family and other personnel to ensure that he does not get any further
ulcers in the areas at risk (around his buttocks and hips).
75. Mr.
Ronald Grainger, Consultant Urologist, reported that the plaintiff was first
put on self catheterisation but he developed infections and was subsequently
started on convene drainage being an external urinary collection device. As a
result of his accident he has not normal bladder control and has not normal
sexual function. He will require a follow up visit by a urologist once a year.
76. Doctor
Bereen Chief Psychiatrist of St. Brigids hospital Ardee says that after the
accident the plaintiff suffered symptoms of depression more severe than those
of tension and anxiety requiring medicine and psychotherapy. He had a further
severe bout of psychiatric symptomatology in 1995 and three later admissions
because of this. He reported that
“other
than the road traffic accident and the ensuing injuries and subsequent
dysfunction no other precipitating factors are in evidence
.”
He is probably vulnerable to further psychiatric illness and the prognosis is
guarded. He is now on long term medical therapy and he coped well with the
trauma of having his left hip removed due to infection by treatment resistant
bacteria. His symptomatology is recurrent on a regular basis and this is
probably going to be so in the future. The prognosis continues to be guarded.
77. Dr.
Owens Chief Psychiatrist of St. Davnetts hospital Monaghan reports that he
examined the plaintiff in June 2001. He refers to his physical injuries, and
says he presented with an episode of psychotic mania in February 1995. He was
admitted to St. Davnett’s in 1995 and had three further admissions to St.
Davnetts Hospital in that year. He was diagnosed as having a mixed affected
psychosis with schizo affected disorder and psychotic mania and psychotic
depression. He had a further episode of florid disturbance in January 1999.
There is no family history of psychiatric illness. The plaintiff has a fairly
typical bipolar mood disorder (manic depressive illness). After 1999 he
apparently had a more recent further manic relapse. Bipolar mood disorder is
essentially biological in origin and episodic in nature. One of the
plaintiff’s relapses was thought to have been associated with the use of
illicit drugs.
78. There
is no specific relationship between paraplegia and bipolar mood disorder; it is
more likely to be a separated unrelated illness. It is possible, however, that
the emotional trauma of the accident and in particular the resulting lifelong
disability could be a factor in inducing the illness in one already predisposed
to this disorder. Further in the report Dr. Owens says that the treatment of
mood disorder has been already and will likely continue to be compromised by
his physical abnormality. The major life restriction due to his physical
abnormality will likely have effects on his psychiatric rehabilitation. Mr.
Whelehan for the plaintiff has submitted in this connection that even if I
accept that the plaintiff’s depression is unrelated to and uncaused by
his post accident injuries it is clear that the treatment of this depression
has been compromised by these injuries so that the plaintiff is entitled to be
compensated for the effect of his depression on his lifestyle and in particular
during the serious bouts of his depression which on the evidence occur twice
yearly.
79. The
impression of the plaintiff’s history since his accident from this
evidence is of a man who is highly motivated, outgoing and determined to get
work suitable to himself and to do any training necessary in that regard. He
has had the enormous difficulty of paraplegia coupled with depression and
further debilitating lengthy episodes in hospital for thrombosis and bed sores.
His family co-operate to keep his hopes up but realistically it must be said
that his hopes of work and for his future are significantly over-optimistic and
unrealistic.
80. From
the evidence it was quite clear that the plaintiff himself would do almost
anything to train himself or to get work and that he retains hope of a job from
his friend James Connor which is quite unrealistic or in the open market which
again is unrealistic. He has battled continually and repeatedly with ill
health and disappointment and on the evidence this is likely to remain his lot
for the rest of his life. Given this evidence and the evidence of the Doctors
who gave evidence and whose reports were furnished my conclusion is that the
plaintiff is not likely to work again in the open market or otherwise so as to
achieve any kind of significant wage. In this connection there was a
suggestion that he might after the case is over possibly acquire and operate
his own garage business. His father seemed to me not to think this likely and
given the plaintiff’s own academic ability (he left school aged fifteen
with a mediocre Intermediate Certificate except in metal and wood work where he
achieved an A and B respectively) and his serious health problems, I do not
think it likely that this will happen. Accordingly the case must be approached
on the basis that the plaintiff’s earning capacity has been eliminated by
his injuries.
81. Evidence
was given by Catherine Logan, Occupational Therapist, that van drivers would
today earn between £300 and £450 including bonuses. A car mechanic
would earn £320 per week plus PPF 5.5% from April 2001.
82. I
do not think on the evidence to which I have referred that the plaintiff is
likely to have worked as a intercontinental truck driver for any significant
period. He was thinking about it, his father discouraged it, he did nothing
about it before his accident. He was a very social man involved in his
locality and interested in sports, socialising, cars and garages. He may
indeed have tried the somewhat monastic life of a HGV intercontinental truck
driver but I do not think he would have made a career of it in a way that would
have had a significant impact on his earnings.
83. Rather
I think that he would have continued either as a driver or a mechanic (in both
cases working for himself outside of this job). Given that the evidence is
that a car mechanic would today earn £337.60 (since the 1st of April,
2001) and a van driver up to £450 a week I think the likelihood is that
the plaintiff would today be earning approximately £450 per week from all
sources which would, of course, be subject to tax in the ordinary way.
84. Evidence
was given by Noreen Roche Nursing Consultant and Ergonomist, concerning the
plaintiff’s future care needs. (All past special damages have been
agreed between the parties).
85. Between
July and September of this present year (2001) she assesses that he will
require the attendance of a carer for 7 hours for 5 days each week of this ten
week period and also for 7 hours on each Saturday and Sunday and she sets out
the appropriate costings. She allows for holidays, safety audits, the payment
of PRSI plus administration costs on the basis that an agency would charge
these, the alternative being that the plaintiff as direct employer would be
himself responsible for the payment of PAYE as well as PRSI. It is agreed
between the parties that the plaintiff will incur an additional 2% on whatever
is the appropriate sum for carers as the cost of additional increments to his
house insurance premium given that these employees will be continually at work
therein.
86. The
foregoing assessment is based on the evidence that the plaintiff will require
constant attendance while he is on the pressure relief mattress until next
September. The evidence is that he will require to be on this mattress for 7
hours a day. Ms. Roche said that a carer would be a mature person who would be
trained by a nurse and would be somebody who would be compatible with the
plaintiff and professionally capable of coping with his change of moods,
psychological states, medication regime and other health requirements. A
carer should have the support of a nurse and would be required to manage the
plaintiff. In her opinion it would not work for a carer simply to walk in for
an hour in the morning and an hour in the evening because this would be too
autocratic a regime; nobody could be got to carry out duties broken up like
this and in any event the plaintiff needs more from the carer than simple
monitoring and medicine management. He requires somebody to turn him over,
structure his life and take care of his domestic needs.
87. Regarding
the long term, ideally a carer would be somebody who would be flexible, who
would socialise with the plaintiff perhaps for example taking him off to a
match to get him out of himself. The Health Board are
“staff
starved”
and under pressure and if he is not entitled to a medical card it is unlikely
that they will be able to provide significant services for him. (This was
later confirmed by Kathleen Curry representing the Public Health Nursing
Division of the Cavan/Monaghan Health Board). The carer would be trained to
check for deep vein thrombosis but it would be essential that a nurse would
check the plaintiff on alternate days as a carer given the best of intentions
would not be fully competent to do this without supervisory checking by a
professional nurse as well. No nurse would provide this service simply over
the telephone; it would have to be a physical examination of the patient. The
programme she envisaged is proactive involving monitoring the plaintiff’s
calf for thrombosis, checking his medication, ensuring that he moves and shifts
position regularly in order to avoid pressure, indeed giving him a pep talk and
also taking care of his nutrition. The regime must be proactive so that what
has happened before regarding his bed sores could not be allowed to happen
again.
88. There
is no room for lack of professionalism from a well intentioned volunteer where
there could be a personality clash; carers and nurses are trained how to cope
with patients such as the plaintiff. Ms. Roche said that she had last seen the
plaintiff on the 3rd of April, 2001 and it became clear that he would require
more care attendant cover than she had thought prior to that. He now had
physical, psychological and supervision requirements. She thought that he
would need 6 or 7 hours’ care a day during his current phase (to next
September) because he had not improved as much as she thought he would have.
He has had good nutrition recently and that is helping him. She would not
agree that 4 hours’ care would be sufficient during this period. He had
looked so emaciated on an earlier occasion and now he looks well given the
proper care.
89. If
the carer becomes ill it would be necessary to have access to an agency who
have to make out cards for the employees and ensure that all the documentation
concerning the revenue commissioners is in order. She also said that a 2%
additional house insurance premium would be required given that professional
carers would be working in the house in the future. An 8% additional allowance
for holidays is required and she prepared her schedule for the future costs
taking all this into account and allowing for carers for 12 hours a day for 16
weeks in the year to cover the anticipated twice annual deep depression
episodes of 8 weeks each, together with all night call care for the remaining
36 weeks with 4 hours care a day. In addition there should be an allowance for
nursing supervision on alternate days throughout the year and an allowance for
food for carers should also be included. There must be provision for
administration costs on the basis that an agency is employed or alternatively
an allowance for the plaintiff’s responsibility for PAYE and PRSI
deductions. She said in evidence that one must pay carers for a minimum of 4
hours a day to retain their services given that they are trained professional
carers. She anticipated that carers would be drawn from a six to ten mile
radius but she had not allowed for travel expenses or additional petrol. She
thought the carers would require a car as there was not an adequate bus
service. The carers had to be in for the “
long
haul
”
and in fact the plaintiff would require a team of 2 or 3 individuals to provide
the caring service.
90. I
have already indicated that no countervailing evidence was called by the
defendants to oppose the case made by the plaintiff with the exception of Mr.
Eugene Daly the hydrogeologist already referred to. In these circumstances the
court is left with the assessment of future care needs presented by the
plaintiff’s witnesses which is not seriously challenged on behalf of the
defendant. This is clearly a very large element of the claim for future
expenses and whilst the court must scrutinise the evidence with care I do not
think the absence of countervailing evidence should induce the court to be
unduly sceptical or unreceptive in a way which it otherwise would not be.
91. With
regard to Ms. Roche’s assessment of the plaintiff’s needs until the
end of next September (totalling £5,933.49) my view is that this estimate
is a little excessive given that the judgment in this case will only be
available after one or two of the 10 weeks concerned have elapsed. On the
other hand I have the distinct impression that the plaintiff’s mother,
Helen McEneaney, has been working very hard and has been under pressure because
the plaintiff has not had carers available to him and I think it is
particularly desirable that her wish to be more available to her 14 year old
daughter should be accommodated as soon as possible. I think a realistic
figure in light of the evidence for this element of future care is £4,000.
92. By
far the most significant part of Ms. Roche’s evidence relates to the
future regime following next September 2001. She has provided for round the
clock (day and night) care for 16 weeks on the basis that the plaintiff is
likely in the future to have two eight week episodes of deep depression where
he will be totally dependant on the care of others. He will require round the
clock monitoring for the reasons already indicated during these periods.
93. Dr.
Clarke said that during some of the equivalent episodes in the past the
plaintiff was unable to get out of bed and was prone not to take his
medication. Generally it should be recalled that Dr. Clarke’s evidence
was that the plaintiff will require assistance with his meals, showering,
laundry, clothes management, medication, checking for the onset of thrombosis,
continual reminders to change position in his wheelchair, supervision for
moving from his wheelchair and help to be available at all times in case he
falls unexpectedly when moving from his wheelchair. These are the needs for
the plaintiff when he is not in deep depression. In light of Dr.
Clarke’s evidence and the evidence of Ms. Roche against the background of
the general medical evidence in the case I do not think it is unreasonable for
Ms. Roche to assess the plaintiff’s care needs at the level at which she
has done and of course I must accept her cost estimates and evidence in
relation to administration overheads and insurance since there is no evidence
on these aspects to the contrary. Her evidence is that for the years following
September, 2001 and annually thereafter the plaintiff under this head will
incur an overall annual total cost of £51,088.73.
94. The
parties have reached agreement in relation to the future costs in this
category. Depending on how I approach the capitalisation issues, the parties
have agreed the appropriate amount to be awarded and accordingly I will return
to this at the end of the judgment.
96. I
turn now to consider the evidence upon which these submissions are based and
note in so doing that, once again, no countervailing evidence was advanced on
behalf of the defendant, although it was clear at one point that it was
intended by one or other of the defendants to call a well known economist who
attended in court, presumably to respond to the evidence of Mr. Moore McDowell
who gave evidence for the plaintiff. However, such evidence was not in the
event adduced. The evidence on these topics tendered on behalf of the
plaintiff was furnished by Mr. Moore McDowell, senior lecturer in economics,
University College, Dublin and Mr. Desmond Peelo, chartered accountant with
experience as non executive director of a large fund managing company.
97. Mr.
Moore McDowell, in evidence, described the principle of an annuity, and then
said that once the rate of loss per annum has been determined (in
“rate
of loss
”
he includes future annual costs) the key elements to be considered are firstly
the length of time for which the plaintiff is expected to live (in this case 39
years) and secondly the relevant interest rate which is used to translate the
expected loss into a capital sum equivalent. The real rate of interest (i.e.
the nominal rate less the rate of inflation) had traditionally been taken by
actuaries calculating these sums at 4%. This is referred to as the discount
rate. To provide for future loss, therefore, it is necessary to predict future
inflation or more relevantly the difference between future nominal yields and
inflation. This is in general done by examining what the real interest rate
had been in the past on the basis that these provide a good estimator of long
term stable values for the real return on financial assets in the future. The
economist expects nominal interest rates to adjust in the future as they have
in the past to take account of future inflation. Any departure from expected
rates in the future will only be temporary because nominal rates will be
adjusted to take account of unexpected levels of inflation. Accordingly an
examination of the level of real return on securities over a period of years in
the past will enable conclusions to be made as to the future if and in so far
as these remain reasonably constant or at least vary predictably.
98. Mr.
McDowell said that the value of 4% which has been used in the past appears to
be an arbitrary figure based on what was felt to be an appropriate value for
the return a prudent person might expect after inflation on a relatively risk
free portfolio in the early 1980’s. He then considered the speech in the
House of Lords of Lord Lloyd of Berwick in
Wells
-v- Wells
[1998] 1 AC 345 to the effect that an injured party should not be obliged to
accept non negligible risk in the portfolio of assets in which the capital
underpinning his annuity was to be invested. I have been invited by Mr.
Whelehan SC for the plaintiff to adopt the principles set out in
Wells
-v- Wells
and accordingly I will return to this at a later point. Sufficient for present
purposes to note that Mr. McDowell has incorporated these principles into his
evidence to the court. He notes that plaintiff investors require income
certainty over the period of the annuity as they cannot, for example, postpone
the choice of spending. Thus if the capital value and yield of the fund are
variable a plaintiff investor may be required to eat into capital to maintain a
constant revenue flow which would impact on future flows. In the case of
Wells -v- Wells
the House of Lords had available to it a risk free investment in the form of
the Index Linked Government Securities issued by H. M. Government in the UK.
(Irish plaintiffs cannot purchase these on the same basis as English plaintiffs
because of uncertainties in the exchange rate). The return on these had been
fairly constant at around 3% and accordingly the House of Lords applied a 3%
discount rate in computing the award in that case. Prior to that the UK Courts
had been operating on a conventional discount rate of 4.5%. In fact, the rates
returned by the ILGS appear to be somewhat lower in recent times.
99. A
liquid market in instruments such as the ILGS in the UK does not exist in
Ireland or in the other ten countries of the Eurozone. Mr. McDowell said that
the closest equivalent to the ILGS in this country is long term government
bonds whereon the yield has been, after inflation, about 2%.
100. On
the 15th March, 2001 the nominal redemption yield on Irish Government
securities (now denominated in euros) was between 4.5% and 5.2%. The relevant
inflation rate to use to calculate a reasonable value for the real rate of
return is not now the current Irish CPI value but rather the expected Eurozone
average inflation rates. He assumed that Eurozone inflation is likely to be in
the range of 2% to 3% in the medium term, the conclusion being that the
prospective real rate of return on Irish Government securities is in the range
of 1.5 % to 3.2% with a mean value of 2.4%. The equivalent figure in respect
of German Government bonds is 2.3% and in the case of US Government bonds 2.4%.
These figures give an indication of what is implied for real rates of return on
the basis of current nominal rates and expectations as to inflation.
101. It
is also useful to examine what has happened in the past, to see what was
actually earned by way of real yield on investments in “
risk
free
”
assets on the basis that this is an indicator of what may well happen in the
future. He provided the court with a table setting out nine different types of
fixed interest securities over different time periods ranging from 1926 to
1998, which show that a value of 2% for the real rate of interest is
conservatively high. In fact only two, UK corporates (low risk) (1926-1983)
and UK long dated gilts (1945-1998) attained 2% with five yielding between 0.4
and 0.7, the remaining two yielding 1 and 1.6 respectively. He concluded that
in the context of a long term compensation package assets in long term gilts
should provide both the required degree of certainty and produce an income
stream valued at approximately 2% which was observed for the UK long term gilt
holdings to which he referred.
102. In
this country (with the possible exception of the years 1979 to 1982 during
which real rates of return were high reflecting higher risk due to exchange
rate volatility) long term real returns on gilts have not been near the 4%
level favoured by actuaries and adopted by the Irish Courts. From 1993 onwards
Irish interest rates fell sharply, the current prospective real rate being in
the order of 1% or less but it is likely to rise to around 2% over the next
year as inflation falls and nominal rates rise. Mr. McDowell’s
conclusion is that if the court accepts the principle adopted by the House of
Lords in
Wells
-v- Wells
that a plaintiff’s damages should be calculated on the basis of minimum
risk exposure then the appropriate real rate should be the real rate of return
on long term government debt paper in respect of which historical evidence and
the generality of economics opinion indicates a real rate of around 2%.
103. Mr.
McDowell said it is well known that the cost of health care services has tended
to rise more rapidly than most other commodities of service in the
representative bundle used to calculate the inflation rate by means of the CPI.
In Ireland he said the CPI rose by approximately 65% between 1983 and 2000, an
annual average rate of increase in the overall price level of approximately 3%.
The medical care component rose by about 160%, an annual average rate of
increase of nearly 6%. There were several reasons for this. Firstly, health
care is labour intensive thereby reducing the degree to which productivity
increases can offset rising input costs. Secondly, health care services are
characterised by intense technical change which is associated with rising costs
of research and development. Thirdly, there are specific problems in
determining the level, intensity and quality of health care arising from the
manner from which it is generally financed: he said
“free”
or insurance financed health care has endemic difficulties arising from
defective incentives facing both service suppliers and service users. Finally,
he said that the extension in scope and depth of the threat of litigation has
resulted in both rising insurance costs and increased costs associated with the
delivery of care on a basis designed to minimise exposure to insurance claims.
104. He
said that as a result a consumption pattern which is heavily biased towards the
use of health care services will experience a higher inflation rate than a
statistically
“normal”
pattern. He said that if it is accepted that medical cost inflation could
exceed general inflation by about 3% (this he says was borne out by the rate of
increase in VHI premium charges) the appropriate discount rate for calculating
a capital sum in the context of future care provision would approach 0. He
concluded by saying this consideration reinforces the proposition that the
discount rate adopted to arrive at a capital sum should be much lower than the
4% figure which has been customary in Ireland for over a decade. In his
opinion a court would be well advised to consider the degree to which future
medical care costs are the basis for which the award is to be made. He
conceded it would be asking perhaps too much to ask a court to accept a shift
from 4% to 0%, however, he submitted that all these considerations point
towards the court choosing a lower rather than an upper value for the
appropriate discount rate in implementing the principles enunciated in
Wells
-v- Wells
.
The figure of 2% in his view was far from unreasonable.
105. I
pause to note that while this judgment was in the course of preparation it was
announced that the Voluntary Health Insurance Board had obtained ministerial
sanction for for a 9% increase in premiums from next September, coming within
months of the grant of an earlier increase of some 6.25% (in February 2001).
106. Evidence
as to the discount rate was also given by Mr. Desmond Peelo. He presented a
report, the purpose of which was to challenge the assumption that a 4% real
rate of return was appropriate. He explained the annuity approach and with
reference to the usage of a 4% per annum real rate of return having had its
origins in 1985 pointed out that a comparison of then deposit rates and
inflation does show that a real rate of return of 4% per annum could be earned
from risk averse investments at that time. Accordingly in order to attain a
real rate of return of 4% in the mid 1980’s a plaintiff did not have to
invest in equities.
107. Whilst
he acknowledged that under the Finance Act of 1990 permanently incapacitated
plaintiffs were designated free of income tax, capital gains are not exempt in
their case from capital gains tax except for gilts. Until recently the
accepted view was that trustee type investments for incapacitated persons
should not involve risk. The Wards of Court office, for example, was bound by
legislation to invest only in gilts and bank or building society deposits with
the addition of the AIB and Bank of Ireland. This policy was relaxed by Order
in 1998 allowing the office freedom to invest in equities subject to certain
conditions.
108. The
relevant parameters (being investment conditions, interest rates, inflation and
related circumstances) have changed markedly in recent times compared with
those prevalent in the mid 1980’s. In recent times those with large
awards to invest must receive professional investment advice given that many
professional persons such as solicitors, accountants and stockbrokers will not
now give advice in trustee type investment situations. This advice together
with a fee for fund management (involved in the pooling necessitated by the
required diversification needed to protect a plaintiff’s lump sum from
the high degree of risk involved in concentrating an investment into a small
number of shares) would involve a cost of 1% per annum on a fund of up to
say £2.5 million and perhaps negotiable above that figure. This implies
that the traditional 4% real rate assumed should be reduced by as much as 1%
(depending on the proportion invested in equities) to take account of such
fees.
109. Because
of Ireland’s participation in the Eurozone interest rates are anticipated
to remain low by comparison with historical rates. Large deposits are
currently attracting rates of about 4%. Average inflation over the six years
to 1999 was 2.3%, and while current higher rates (5.5% to 6%) are expected to
decline, the achievement of a real rate of return of 4% in current
circumstances will inevitably involve an investment in equities. The
substantial growth in Irish equities since 1992 may not be repeated given that
two relevant factors (namely lower interest rates and lower inflation both of
which mean higher stock valuations) may have run their course and not be
repeated. The downturn and lack of growth in values in 1999 and 2000
illustrates this. Again gains such as happened since 1999 may actually have
been brought about by currency fluctuations (for example the downward trend in
the euro exchanged against Sterling and the US dollar). The investment of a
substantial proportion of available resources in equities may be suitable for a
prudent long term investor but assuming the principles adopted by the House of
Lords in
Wells
-v- Wells
this would not be true for a plaintiff investor.
110. In
the case of a plaintiff investor if there were a substantial fall in equities
during the first 5 or so years during which the plaintiff will have to call on
part of his capital to meet his needs in a depressed market then there is no
chance of recovery because the money is spent. Therefore the plaintiff’s
portfolio should be managed in such a way that he would not have to call on
equities during an initial period of 5 years on the assumption that five years
would be sufficient for the plaintiff to “
ride
out
”
any down turn in the equity market. Accordingly a plaintiff requires security
of funding for his needs for at least an initial period of 5 years without
appreciable risk of loss to the capital draw down in that period. This would
entail holding a proportion of the available funds in non risk assets to cover
this period.
111. The
longer a plaintiff’s life expectancy the greater is the proportion of the
fund that could reasonably be invested in equities. In the case of a plaintiff
investor with a life expectancy of 30 years it might be reasonable to invest
70% of the fund in equities. (In the present case the plaintiff’s life
expectancy is 39 years and given that no advisor appears to suggest a higher
proportion than 70% investment in equities this ratio presumably applies to the
plaintiff as well). During the last 10 years of any life expectancy period
prudence would demand growing certainty as to available capital with the result
that the equity proportion during the 10th to the 6th last years should be
gradually reduced (by 20% per annum) and during the last 5 years of a plaintiff
investor’s life expectancy the investments should comprise only
non-equity investment.
112. Mr.
Peelo then carried out a calculation to show that in the case of an investment
over 25 years, given that 70% of the fund only would be invested be in equities
and given an annual 1% management charge in respect of this portion of the
investment and allowing for capital gains taxes of 20% and for the fact that
during the last 10 year period the equities will be reduced in the manner
already described the annual nominal return on the equities portion of the
investment is required to be 12.1% to achieve an overall real rate of return of
4%. He conceded that this is not a precise calculation (and I assume that in
the case of a longer term of life expectancy namely 39 years rather than the 25
in Mr. Peelo’s example the figure of 12.1% would be somewhat reduced).
Mr. Peelo noted that based on historical experience where the return on
equities were in the order of 5.7% to 6.5% and even allowing for expected
higher returns given lower inflation in the future these returns are unlikely
to exceed 7% to 8%, that is, well short of the 12.1% already referred to.
This shortfall (in the order of 4%) implies that the actuarial discount rate
should be 2.5% rather than the existing conventional 4%.
113. Before
I turn to consider the legal principles applicable it is noteworthy that both
expert witnesses adopted the approach of the House of Lords in
Wells
-v- Wells
to the effect that a plaintiff investor should not be exposed to non negligible
risk. In the case of Mr. McDowell he concluded that a figure of 2% is the
appropriate one in the case of non medical related future loss with something
like 0% in the case of medical future loss. Mr. Peelo speaking as an
investment advisor suggested a figure of 2.5% as the appropriate one but in his
case it is to be noted that he contemplates the Plaintiff entrusting a
proportion of his award to the equities market.
114. It
is remarkable that the only Irish case dealing with the appropriate multiplier
(as it is called) is the decision of Hamilton J. (as he then was) delivering
the High Court Jugdment in
Cooke
-v- Walsh
[1983] ILRM 429 where he concluded that the appropriate calculation should be
based on a real interest yield of 2.5% (see page 439). This decision was
delivered in January 1983 at a time of high inflation and high yields but the
plaintiff was clearly going to be made a ward of court and this is something
which Hamilton J. took into account. On appeal this rate was not disturbed in
the Supreme Court (Supreme Court 16th March, 1984) although there was a
suggestion that in future cases a different rate might be justified. It is
interesting to note that McCarthy J. observed that:
115. There
is a clear and long tradition of Irish authority directing the Courts to accept
and apply actuarial evidence in assessing future losses in these cases and as
Griffin J. pointed out in
Cooke
-v- Walsh
the rate of interest taken is of considerable importance as the multiplier (as
it is called) in the case of 2.5% is substantially in excess of that in respect
of 5%. It is surprising to find that the only explicit Irish authority on the
method of assessment of the discount rate is the one to which I have referred.
116. In
this circumstance I adopt Mr. Whelehan’s suggestion that I turn to the
speeches delivered in the House of Lords in
Wells
-v- Wells
[1998] 3 AER 481.
118. Later
in his speech at page 493when giving reasons for his conclusion that the
Judges’ calculations were correctly based on the assumption that the
plaintiff would invest his damages in the ILGS he stated:-
119. I
note that similar views were expressed in separate speeches by Lord Steyn at
p.504 Lord Hope of Craighead at p.509; Lord Clyde at p.513 and Lord Hutton at
p.519.
120. I
find the foregoing reasoning compelling. On the evidence there is no
equivalent in this country of the ILGS in the U.K. Accordingly I must approach
the assessment of the sum required to produce the appropriate annuity for the
plaintiff over the next 39 years on the basis that it will yield a reasonably
secure and reliable stream of annual funding (comprising income and capital)
and to that end that the investment of the award shall be as risk free as
reasonably possible in the absence of an equivalent of the ILGS in the U.K.
121. Leaving
aside medical related costs Mr. McDowell’s evidence is that the actuarial
discount should be 2%. Mr. Peelo suggests a figure of 2.5% accepting a prudent
element of equities investment. Given the conclusions that I am about to
indicate in relation to medical inflation I consider that the appropriate rate
for general calculation purposes (that is excepting medical and medical related
future costs) should be 2.5%.
122. With
regard to the evidence in relation to future medical and other care costs there
is uncontroverted evidence that the annual average rate of increase of these
costs is nearly 6% that is 3% in excess of the general annual average rate of
increase over the period since
Cooke
-v- Walsh
was decided. Reasons are given by Mr. McDowell as to why this should continue
to be the case. There is no countervailing evidence in the present case.
Accordingly I requested the actuaries to prepare figures upon the basis that
the medical related future costs would continue to increase over the
plaintiff’s expected lifetime at a rate of 3% over general inflation. It
seems to me that upon the evidence in the present case this is the appropriate
rate in regard to those future costs.
123. Delivering
the judgment of the Supreme Court in
Sinnott
-v- Quinnsworth
[1984] ILRM 523 at p.532 O’Higgins C.J. dealing with the quantum of
general damages over and above compensation for ascertainable loss said the
following:-
124. The
plaintiff tendered the evidence of Mr. Moore McDowell to show what the
equivalent figure to Chief Justice O’Higgins’ £150,000 would
be in today’s money. Mr. Keane S.C. for the second defendant objected to
this evidence upon the basis firstly that it would amount to telling the court
how much general damages to award and secondly would be in breach of a
convention that Counsel do not make such suggestions to the court. I resisted
that objection on the basis that I did not think that Mr. McDowell was going to
tell me how much to award but rather what Mr. Justice O’Higgins’
figure of £150,000 would have been in today’s circumstances and that
accordingly no convention would be breached. I further said that I thought
that I was bound to apply the Supreme Court ruling in
Sinnott
-v- Quinnsworth
which clearly implied that if I was made aware of changes and alterations in
living standards and money values I was obliged to take these into account.
Indeed I consider this approach consistent with the approach adopted by Morris
P., albeit in different circumstances, in
Kealy
-v- Minister for Health
[1999] 2 I.R. 456 at p. 459 where he said:-
126. Firstly,
to maintain the level of general damages at the nominal value indicated by the
Supreme Court in 1984 would be to reduce it substantially in real terms having
regard to inflation measured by reference to the consumer price index. The
equivalent figure for the year 2000 using the CPI would be in the region of
£236,000. A somewhat higher figure is produced by reference to the GDB
deflator, a second measure of inflation, which includes a wider range of goods
than those in CPI. Any measure of inflation can be open to criticism but in
particular the CPI is criticised for the manner in which it treats housing
costs.
Secondly,
in relation to the standard of living to which the Chief Justice referred in
Sinnott
-v- Quinnsworth
,
in the absence of any specific criterion, Mr. McDowell suggested several ways
in which these changes can be measured. If a representative household’s
standard of living is the appropriate comparator then average household
consumption could be considered. If it is income level per head average
industrial earnings could be used. If the overall wealth of society is to be
measured reference could be made to the GNP per head. Mr. McDowell set out the
relevant figures in a table which shows that the GNP per head increased by a
multiple of 3.3 to 1999, consumption per head increased by 3.24 and average
industrial earnings by 1.93. These figures suggest that broadly speaking
wealth or living standards measured in this way increased by a factor of 3 over
the intervening period. Having regard to the increase suggested by the
inflation figure (at some £235,000) and these figures (at something
approaching £600,000) and given the fact that the Supreme Court was
indicating a sum
in
the region
of £150,000 it seems to me that a reasonable equivalent to the
£150,00 for general damages in
Sinnott
-v- Quinnsworth Ltd
.
in today’s money would be £300,000.
127. If
I err in this figure I consider I do so on the side of conservatism, especially
if I compare the income which £150,000 would have yielded in June 1984 (at
say 10%) with that which £300,000 would yield (at 4%) some seventeen years
later: I make this observation because O’Higgins C.J. had particular
regard to the income which an award would yield in
Sinnott
-v- Quinnsworth
.
128. I
cannot accept, however, that a paraplegic no matter how aware he is of his
condition or how long his life expectancy (and granted that the
plaintiff’s condition is extremely distressing to himself and his family,
that he will be prone to disappointment, lack of fulfilment, depression and
most likely further physical ailments together with the enormous loss of
amenity and enjoyment of life that applies to any paraplegic) is in the same
category as a quadriplegic. In the circumstances of the present case I would
assess general damages having regard to the very large sums that must be
awarded to the plaintiff under the headings of ascertainable loss at
£75,000 for pain and suffering to date and £125,000 for pain and
suffering in the future being amounts in both cases very considerably less than
I would have assessed had I been considering them on their own.
129. The
Supreme Court in
Reddy
-v- Bates
[1984] ILRM 197 directed in that case that in calculating future loss of
earnings account should be taken of the fact that at the time of assessment of
the award there was a high rate of unemployment not only in Ireland but in
Great Britain and in most member states of the E.E.C. (as it then was). The
numbers of redundancies and closures of firms led to the conclusion that there
was no longer any safe much less guaranteed employment. That was a fact of
which juries (and now judges) should be required to take into account in
assessing future loss of earnings in any given case “
but
the matter should be canvassed in evidence and in argument”
- as stated by Griffin J. in
Reddy
-v- Bates
at p. 201.
130. No
substantial argument was advanced in relation to the possibility that the
plaintiff might have been unable in the future to procure gainful employment:
rather the argument focussed on whether he had established or not that he was
likely to make a career as a HGV driver. On this aspect I hold with the
Defendant. I can see no basis, therefore, for reducing the figure which I have
allowed for future loss of earnings.
131. In
this context, however, it does seem to me that in an appropriate case a
reduction might be allowed under the general principles established in
Reddy
-v- Bates
in respect of the cost of future care or other future outlay always assuming
that evidence and/or argument is advanced in that regard. In the present case
no evidence apart from that tendered on behalf of the plaintiff by Ms. Noreen
Roche was advanced on the plaintiff’s future care needs nor was any
substantial argument made in relation to her figures and evidence. Furthermore
there was no evidence, as I have indicated, in relation to Mr. McDowell’s
evidence to say that the costs of future medical care were likely to rise at a
rate of 3% in excess of the general rate of inflation. In these circumstances
whilst the amount for future care is very significant indeed it seems to me
that I must act on the evidence which I have accepted. The only mitigating
impact of this larger element of the award from the point of view of the
defendant arises in the context of the principles established by the Supreme
Court in
Cooke
-v Walsh
(Unreported, Supreme Court, 16th March, 1984) whereby the Court will assess
general damages by reference to the proposed sub awards in relation to
ascertainable loss.
132. This
I have done by reducing the general damages which I have awarded to the
plaintiff in relation to pain and suffering in the past to £75,000 and in
the future to a figure of £125,000 which are considerably less than I
would have awarded had I considered these heads of general damage on their own.
142. Having
regard to my finding that he was guilty of contributory negligence and must
accept one third of the fault for the accident, the plaintiff is entitled to a
decree in the sum of £2,382,913.