News Category 3
W v Sanofi Pasteur MSD, European Court of Justice, Judgment 21st June 2017 - Peter Todd, Hodge Jones & Allen
08/09/17. This judgment of the ECJ recently caused an outcry in certain sections of the media – it was claimed the ECJ had “opened the floodgates for spurious vaccination claims”. But what is the legal significance of this decision?
A preliminary ruling was sought from the ECJ on the interpretation of the EU Product Liability Directive in proceedings in which damages was sought for an alleged adverse reaction to a vaccine.
The facts
W had been given 3 doses of Sanofi’s hepatitis B vaccine between December 1998 and July 1999. Shortly after these, W’s health deteriorated, he became incapacitated and needed substantial care. He was diagnosed with multiple sclerosis and died on 30th October 2011. An action was brought by his family after his death seeking damages on the basis the vaccine was the cause of his illness and death. Causation was vigorously disputed. The referring court said that the scientific evidence neither proved, nor ruled out a causal link.
W’s family intended to rely on domestic French law that...
Image: public domain
The Divisibility of Psychiatric Injury and Taking the Stress Out of Apportionment - Jack Harding, 1 Chancery Lane

04/09/17. Over the past 9 years personal injury practitioners who have litigated occupational stress claims will have had to grapple with an apparent inconsistency in the case law regarding how to approach the divisibility of psychiatric injury.
The leading case in the field, Hatton v Sutherland (2002) ICR 613, included 16 guidelines set out in the judgment of Hale LJ. Numbers 15 and 16 provided as follows:
(15) Where the harm suffered has more than one cause, the employer should only pay for that proportion of the harm suffered which is attributable to his wrongdoing, unless the harm is truly indivisible. It is for the defendant to raise the question of apportionment (paras 36 and 39).
(16) The assessment of damages will take account of any pre-existing disorder or vulnerability and of the chance that the claimant would have succumbed to a stress related disorder in any event (para 42).
Subject to the availability of appropriate and supportive expert medical evidence, this appeared to be an uncontroversial and workable statement of the law.
However, in Dickins v O2 (2008) IRLR5 8, also an occupational stress claim, Smith LJ distanced herself from Hale LJ’s suggested approach:
I respectfully wish ( obiter ) to express my doubts as to the correctness of Hale LJ's approach to apportionment. My provisional view (given without the benefit of argument) is that, in a case which has had to be decided on the basis that the tort has made a material contribution but it is not scientifically possible to say how much that contribution is (apart from the assessment that it was more than de minimis ) and where the injury to which that has lead is indivisible, it will be inappropriate simply to apportion the damages across the board. It may well be appropriate to bear in mind that the claimant was psychiatrically vulnerable and might have suffered a breakdown at some time in the future even without the tort. There may then be a reduction in some heads of damage for future risks of non-tortious loss. But my provisional view is that there should not be any rule that the judge should apportion the damages across the board merely because one non-tortious cause has been in play.
In a recent decision - BAE Systems v Konzcak (2017) EWCA Civ 1188 - the Court of Appeal has now provided welcome clarification and has confirmed that, to the extent that the two approaches are inconsistent, the guidelines provided by Hale LJ in Hatton are to be preferred and should be followed. The following propositions are derived from the judgments of Underhill LJ and Irwin LJ:
1) It is necessary to distinguish between two types of case:
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those where there are multiple extrinsic causes of the illness actually suffered, in addition to the alleged breach of duty; and
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those where all that is said is that the Claimant had a pre-existing vulnerability to psychiatric injury which may have manifested itself at some point in the future.
2) Cases in the first category require the court and the parties to make a sensible attempt to apportion the harm between tortious and non-tortious causes. Whether psychiatric injury is divisible will depend upon the expert medical evidence although Underhill LJ considered that the Court in Hatton believed that apportionment would be possible in “the generality of such cases”.
3) It is important to recognize that the question for the court is whether it is possible to identify, however broadly, a particular part of the harm or suffering which is due to the alleged breach of duty as opposed to other non-tortious factors. The question is not whether the cause of that injury or illness is itself divisible. By way of example, it may be possible to conclude that a pre-existing illness has been materially aggravated by the wrong (in terms of severity and duration of symptoms). This would be an example of the injury itself being divisible. The more problematic case will be those where the claimant suddenly tipped from being simply stressed to being psychologically unwell. This might be a case where the harm is truly indivisible but even in these cases the court should still seek to find a rational basis for distinguishing the parts of the illness which have and have not been caused by the breach of duty, where medical evidence allows it. Indeed, Irwin LJ considered that in order to support the fundamental approach that compensation should never become a windfall, the approach to apportionment may need to be “rough and ready”.
4) Cases in the second category above should be addressed simply by applying a reduction or discount to damages to reflect the fact that the injury may have occurred anyway. They do not require an apportionment. Irwin LJ explained that it was also necessary, in this category of case, for experts to consider “whether a less serious but nevertheless established and defined disorder may not have been achieved before progression to the diagnostic end-state”, that is to say, whether the claimant may have in fact become clinically unwell before he developed the final illness or injury for which he now seeks damages . He also considered that “it should be routine for the experts to assess the level of risk of crossing the borderland between non-pathology and pathology through some other stimulus than the tortious act or omissions” and that whilst this would not be an easy exercise “it will often be possible to give such advice within reasonable parameters of time and to the level of probability”.
This guidance, whilst not without difficulty on the facts of any given case, is very welcome and should assist practitioners acting for both Claimants and Defendants in this difficult area of the law.
Jack Harding
1 Chancery Lane
Image ©iStockphoto.com/PhaticPhotography
Editorial: Filing by Email or Fax - Aidan Ellis, Temple Garden Chambers

24/08/17. Upon emailing draft directions to a County Court recently (as requested by the Judge), I received a standard acknowledgement email which reminded me (in bold red and blue lettering) of the rules applicable to filing documents by email. Since the issues involved are rarely litigated and litigants might assume that use of email and fax are, by now, wholly acceptable, it may be worth a brief reminder of those rules.
In relation to filing by fax, there are detailed provisions in Practice Direction A to Part 5 of the Civil Procedure Rules at paragraph 5.3. I note that where a party files by fax “he must not send a hard copy in addition”. That rule is sometimes overlooked; on applications for relief when a fax has gone missing, it is not uncommon for the respondent to try to make the point that a hard copy could also have been sent. If the fax arrives after 4pm, it is treated as arriving on the next day. Fax should not be used for routine letters, documents which attract a fee (save in unavoidable emergency) or for trial bundles / skeleton arguments.
Filing by email gets its own practice direction. Some of the contents are similar to the practice direction in relation to faxes (parties must not also send hard copies; emails received after 4pm are treated as having been filed on the next day). I note also that the email and attachments must not exceed 25 pages of A4 and there are special rules in relation to statements of truth on documents sent by email.
For many years the dream of efficiency has been to move towards a more electronic system. Some International Courts and Tribunals adopt a largely paper-free system, where the expectation is that all applications are submitted as attachments to emails. The Practice Directions to Part 5 make it clear that the default position under the civil procedure rules remains posted correspondence. Where a party wishes to use email or fax, there are clear pitfalls to avoid and the safest course is to check the relevant Practice Direction before assuming that an email or fax will suffice.
Aidan Ellis
Temple Garden Chambers
Image ©iStockphoto.com/prizela_ning
Stressful Times: Marsh v Ministry of Justice [2017] EWHC 1040 (QB) - Andrew Roy & Vanessa Cashman, 12 King's Bench Walk

17/07/17. Following a 15 day trial before Thirlwall LJ (as she now is; she was promoted to the Court of Appeal during the course of the litigation) the Ministry of Justice was found liable for prolonging a disciplinary investigation and accompanying suspension against the Claimant prison officer. These failings were found to have caused the premature termination of the Claimant’s career due to psychiatric injury. He was awarded over £286,000.
This was an unusual (and unusually hard fought) stress at work claim. It gave rise to numerous salutary and interesting points, not least in relation to the application of the new discount rate.
Factual background
The Claimant was employed as a prison officer at HMP Downview, which housed only female inmates. Surrey Police began investigating the prison in 2009, under Operation Daimler, following revelations of endemic corruption and sexual misconduct within the prison. The Claimant was the subject of and implicated in various allegations of sexual misconduct made by a serving prisoner (Ms Garces Rosero).
One complaint, made in 2009, concerned an allegation that the Claimant had slapped Ms Garces Rosero’s buttocks (although an investigation into this by the Defendant in 2009 had found that there was no case to answer). Ms Garces Rosero later alleged that he drugged and raped her. The Claimant’s case was that these allegations were malicious and categorically untrue.
As a result of these allegations, the police in February 2010 executed a search warrant at the Claimant’s home. This was part of a number of arrests pursuant to a massive investigation into corruption at the prison, Operation Daimler. The Defendant simultaneously suspended the Claimant from work. He suspended for 28 months until the Defendant had concluded its disciplinary hearing against him in June 2012. This was despite the fact that the Claimant was told in September 2010 that no criminal charges would be brought against him and further despite the fact that the Defendant had been told in May 2010 by the police that the case against the Claimant was weak. By the time disciplinary action concluded, with the single slapping allegiation against the Claimant being again dismissed, he was suffering from depression and was unfit to return to work. He was dismissed due to ill health at the end of May 2013...
Image ©iStockphoto.com/powerofforever
Review of the Latest Proposals for Fixed Costs in Clinical Negligence - Geoffrey Simpson-Scott, Simpson Millar LLP

17/08/17. At p117 of his Supplemental Report on Fixed Recoverable Costs (31st July 2017), Sir Rupert Jackson recommends that fixed recoverable costs cannot simply be imposed in clinical negligence cases in the absence of also changing the procedural rules. I made this point in “A Practical Approach to Clinical Negligence Post-Jackson” (Law Brief Publishing (2016) . It recognises that the average clinical negligence case is inherently more complex than the average civil litigation case of comparable value.
Although the Report recommends that clinical negligence cases are not yet suitable for inclusion within the fixed recoverable costs framework, Sir Rupert does recommend that the concurrent Ministry of Justice consultation into cases under £25,000 be adapted to make it more suitable for lower-value clinical negligence cases and that certain other clinical negligence cases might later be included within the suggested framework.
Although this appears to largely accept the points made by Claimants’ lawyers, the data provided to Sir Rupert makes it clear that the majority of cases fall below £25,000 and so he says that the requisite costs savings can still be made. He expresses the view in the Executive Summary, para. 11 that Claimants and Defendants ought to be able to come together to make this work. However, the Report does not discuss how this success might be achieved.
The Goal
In Chapter 1, para. 1.2, Sir Rupert expresses the view that the holy grail of reform is to arrive at a system where the “actual costs of each party are a modest fraction of the sum in issue, and the winner recovers those modest costs from the loser.” This bears a certain similarity to opening costs offers made by Defendants’ costs draftsmen. At para.. 1.9, he says that “[c]ontrolling the costs of litigation and providing clarity at each party’s financial commitment are vital elements in achieving access to justice.”
Clinical Negligence
Chapter 8 (which deals specifically with clinical negligence cases), sets out both sides’ arguments. Sir Rupert takes the view that the 36% of cases that are worth more than £25,000 can continue to be safely costs managed by the existing rules on proportionality and budgeting.
Paragraphs 1 to 4 of Chapter 8 cover the data sets submitted for the review and the competing arguments for and against introducing fixed recoverable costs. These are consistent with what we have seen discussed at length already. At paragraph 5, Sir Rupert sets out his proposed way forward:
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Para. 5.1 confirms that fixed recoverable costs must be linked to procedural reform for it to succeed. However, no further comment is made about how his might be achieved.
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Para. 5.2 states that acceptance of the proposals for noise-induced hearing loss claims would provide a proof of concept for clinical negligence cases.
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Para. 5.3 expresses the opinion that the lessons learned from the NIHL proposals indicate that a fixed recoverable costs scheme should work for low-value clinical negligence cases. These are defined as those being worth less than £25,000. Prof. Fenn (who has provided fixed recoverable costs data in the existing small track PI scheme and in the Dept. of Health clinical negligence consultation) has now also reviewed data from APIL and SCIL to supplement that provided by NHS Resolution. This data is to be considered by the proposed working group with Sir Rupert offering to adjudicate on unresolved issues.
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Para 5.4 recommends that the joint working party be created to promote access to justice by concentrating on cases worth less than £25,000. As these make up the bulk of clinical negligence cases, creating a stand-alone scheme will promote access to justice and act as a possible precursor to cases “of somewhat higher value.”
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Para. 5.5 states that a minority of higher value cases might be suitable for the intermediate fixed recoverable costs track recommended in Chapter 7 of the Report for cases worth up to £100,000. Sir Rupert suggests that these are cases where liability is admitted early (leaving only straight-forward quantum issues to be determined). The vast majority of clinical negligence cases over £25,000 would proceed as they currently do, however, albeit potentially influenced by changes to incurred costs. Chapter 6, para. 5.2 notes that Master Cook’s and the PIBA’s recommendations on past incurred costs deserve further consideration whilst para. 5.3 recommends that fixed recoverable incurred costs be considered only once these reforms have bedded in.
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Para. 5.6 expresses the view that these recommendations complement the concurrent Dept. of Health’s proposals for cases worth under £25,000. The procedural rule and protocol changes set out in that consultation paper do not constitute the sort of bespoke process he recommends in this Report. To briefly recap the DoH’s consultation paper, it suggests that Claimants’ solicitors ought to request a Duty of Candour investigation, await the response before requesting medical records, have them sorted and paginated before serving them with supportive expert evidence when the Letter of Claim is sent. The Defendant then has 4 months to re-investigate the case knowing that expert evidence costs and the Claimant’s costs are significantly capped under the scheme.
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Para. 6.1 concludes by recommending that the Civil Justice Council and DoH should set up a joint working party to develop a bespoke process with a fixed recoverable cost matrix for cases worth under £25,000.
Discussion
This recommendation falls a long way short of what the Defendants’ representatives were lobbying for. However, if the figures quoted in the report genuinely represent the mix of clinical negligence case seen in practice, around 64% of clinical negligence cases will face being subject to fixed recoverable costs at a level which remains to be determined. The remaining cases will remain subject to budgeting and proportionality rules and, therefore, subject to robust challenges.
The following 10 points would assist to attain the goals Sir Rupert has set out:
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In any single department, the cost of the successful cases need to outweigh the costs of the unsuccessful ones. Chapter 8, para. 1.3 sets out the figures from the DoH’s 2015/16 fixed recoverable costs consultation report. These state that 46.23% of cases fail. These are cases which fail after the NHS has been notified of them and so do not include those cases which are do not proceed before either a Protocol early notification letter or Letter of Claim has been sent. The Report contains no data of the costs of these failed claims; the closest it comes is saying that Claimants’ point out that the costs of the 2013 LASPO reforms cannot yet be quantified. If we take an average acceptance rate of 10-15% on new cases and accept that some cases will be rejected either after receipt of the medical records or preliminary reports, then the remaining 36% of cases over £25,000 value need to comfortably exceed the costs of a far higher proportion of cases than the DoH figures suggest. This needs to be factored into any fixed recoverable costs matrix which is produced.
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It follows from this that practitioners on both sides must have a rigorous risk assessment process in place which is repeated at key points in the case. Whilst this will differ between firms and between each side of the litigation, identifying the key pressure points in the case and reassessing the prospects of success at those points goes a long way to avoiding incurring disproportionate or otherwise irrecoverable costs.
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The substantive and evidential rules are not being relaxed. Even if adequate procedural rule amendments are made, disclosing expert evidence unilaterally without protecting that party if further evidence comes to light, is inherently unfair. Access to justice and equality of arms ought not relate only to costs.
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Admissions made under the Duty of Candour ought to result in early admissions of liability. Too often, they do not with wholly avoidable costs being incurred reinvestigating liability issues. Such conduct ought to result in a case being taken outside of any fixed recoverable costs matrix on these issues. More work is needed on building up the trust between each sides’ lawyers such that they accept that their opponent has the evidence they say they have.
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We know from the existing fixed recoverable costs rules in PI that beating your Part 36 Offer trumps fixed costs. In clinical negligence, this ought to promote earlier, reasonable offers being made once both sides have a reasonable amount of information. If the case is genuinely one worth under £25,000, then the valuation exercise will often be relatively straight-forward given the availability of the JC Guidelines and reported cases. Both sides ought to be able to identify the appropriate range of settlement based on the evidence to hand. Where there are genuine prognosis issues, these ought to be identified and a plan put in place to deal with them in order to promote settlement. The cases which fall outside of a simplified process need to be identified and allowed to remain in the multi-track.
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Any fixed recoverable costs scheme needs to include sufficient costs leeway to investigate issues further if additional evidence comes to light. It is not always practical to identify all possible interpretations of the evidence at the Letter of Claim stage because the Defendant’s position is not yet known (especially where it has indicated that it does not accept the Duty of Candour or similar findings). If further evidence comes to light, or a relatively minor issue later attains major significance, then reasonable costs ought to be allowed to deal with it so that the trial court is ultimately assisted.
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The impugned clinicians’ witness statements ought to be taken and disclosed far earlier than is currently done where the Defendant seeks to rely on the exact wording of the medical records and/or on that clinician’s standard practice. Too often, this evidence is not disclosed until the usual pre-trial direction date. To reciprocate, Claimants ought to be more amenable to disclosing their witness evidence where the central liability issues are fact sensitive. Mutual, simultaneous exchange would be a useful step in the pre-issue negotiation period for suitable cases.
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Experts’ fees need to be properly accounted for. The present proposal in the DoH’s scheme is far too low and does not take into account that experts in some fields charge far more than in other areas. Any scheme ought to set acceptable fees for individual or groups of disciplines at the usual market rates. Consideration ought to be given to allowing additional costs for each expert discipline which is reasonably required to address the issues in dispute thereby promoting the early, accurate identification of those issues.
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Better discipline from both sides will be required around experts’ joint meetings. Lengthy and/or complex agendas or one side simply trying to insist on its own agenda being used assist no one and should be avoided even at present. Under a fixed recoverable costs system, neither side is likely to recover those costs.
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Both sides will need to avoid getting mired in unnecessary barriers to settlement. In the absence of the substantive law of negligence being simplified, differences of opinion on whether part of a case is likely to succeed at trial will almost certainly persist. Unless both sides are prepared to settle a case on a commercial basis (i.e. the time and expense of running the remaining disputed issues to trial), many cases will continue to appear to be uneconomical or disproportionate. Claimants would need to accept that they get less than they want and Defendants need to be prepared to offer compensation on cases they think they will successfully defend.
Conclusion
Sir Rupert Jackson’s Supplementary Report attempts to strike a fair balance between limiting the costs of clinical negligence litigation and maintaining access to justice. In return for fixed recoverable costs not applying to cases over £25,000, it is not unreasonable to accept that they should apply to cases worth less than that even though those cases are not necessarily simple. If these recommendations are accepted and any joint working party is able to properly protect the individual Claimant, then these proposals could maintain access to justice at a reasonable cost. We should not lose sight of the fact that negligence is inadvertent but can often have very significant consequences going beyond the amount of compensation awarded. The individual Claimant does not ask to be injured and the prospect of meeting the legal tests without proper legal advice is beyond most people. Clinicians have an equal right to receive proper legal advice in defending themselves. The key to reducing costs lies in the early, accurate agreement on the central disputed issues so that these can be focussed on and resolved as quickly as is possible without selling either party short.
Geoffrey Simpson-Scott
Simpson Millar LLP
Image ©iStockphoto.com/
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