PIBULJ
No Reasonable Drunks - Marc Rivalland, 1 Chancery Lane

13/10/13. In the leading case of Owens v Brimmell [1977] QB 859, a passenger who was injured in a car accident had his damages reduced by 20% because he had accepted a ride with a driver whom must have known had too much to drink. In a much quoted dictum, Russell J held:
“A passenger may be guilty of contributory negligence if he rides with the driver of a car whom he knows has consumed alcohol in such quantity as is likely to impair to a dangerous degree that driver’s capacity to drive properly and safely”.
The passage can be misread as requiring actual or constructive knowledge.
In Malone v Rowan [1984] 3 All ER 402, it was held there was no direct evidence that the deceased passenger knew how much the driver had had to drink, so there was no deduction for contributory negligence. Some might say that was a little rum (groan) since it appears that 6 men including the passenger who was later killed when ejected from the car, travelled together, drank together at pubs between 12.30pm and 3.30pm (the driver admitted to drinking 4 pints of lager) and then again shortly before the accident at 8.15pm (the driver admitted to drinking 3 half pints). By backward calculation, the driver’s alcohol reading was 148mgs in 100 ml of blood (not quite twice over the limit).
The surviving 4 passengers all gave evidence that they did not think the driver was in any way unfit to drive and none would admit to knowing how much the driver had had to drink.
The requirement of knowledge seems to have been overemphasised in this case.
But in Green v Gaymer Lawtel 25/06/1999 the passenger again gave evidence that he did not know how much the driver, who was with him in the pub, had to drink and he did not form the impression from his behavior that he was drunk. It was accepted that the passenger had only one pint to drink. Another witness who was at the pub also confirmed that he did not believe the driver to be drunk or materially impaired by drink, However the publican gave evidence that the driver had in fact had at least 5 pints of cider (strength unreported) starting from 5pm (whereas the passenger arrived much later) and that in his opinion the driver was unfit to drive when he left the pub at 11.30pm.
Held: the Claimant must have been aware, by closing time, that the driver’s ability to drive was impaired. Deduction of 20% for contrib.
And what of the position where the passenger is in his cups, and like Manuel, knows nothing?
In Joslyn (2003) 214 CLR 552,the Australian High Court rejected the notion that there had to be actual knowledge, adding
“[T]he issue is not whether a reasonable person in the intoxicated passenger’s condition – if there could be such a person – would realise the risk of injury in accepting the lift. It is whether an ordinary reasonable person – a sober person – would have foreseen that accepting a lift from the intoxicated driver was exposing him or her to a risk of injury by reason of the driver’s intoxication”.
Booth v White 2003 EWCA Civ 1708, in which Julian Waters of these chambers appeared for the Defendant, makes the same point. The passenger’s conduct is judged by what a sober reasonable person in the position of the passenger would have done.
To be clear: The test is not what the Claimant knew. It is what he ought to have concluded which matters.
Marc Rivalland
1 Chancery Lane
Image ©iStockphoto.com/jacomstephens
Factors Affecting Good Functional Recovery Following Traumatic Brain Injury - Implications on Future Health, Well Being and Employment Status - Dr Karen Addy, Consultant Clinical Neuropsychologist

11/10/13. Traumatic brain injuries are a common consequence of high impact road traffic accidents with estimates suggesting that 25% of all brain injuries occur in this manner. In addition evidence suggests that road traffic accidents account for a far greater proportion of moderate-to-severe head injuries (Wasserberg 2002) due to the mechanisms of force applied to the brain during such accidents. Outcome following a brain injury is dependent upon several factors:
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The severity of the injury sustained (low Glasgow coma scale, loss of consciousness, prolonged post traumatic amnesia)
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The area / areas of the brain affected by the initial injury and any secondary injury
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Social support
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Previous educational / occupational abilities
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Co-morbid mental health problems, drug / alcohol use, social issues.
In addition the actual effects of the traumatic brain injury suffering a brain injury increased the probability of the later development of epilepsy (Angers & Cohen, 2000) with the severity of the injury, incidence of skull fracture and age (being over 65 years old) associated with the greater risk, with reports suggesting the highest risk groups having a 24.3% chance of later developing epilepsy (Englander et al, 2003) which in itself can lead to significant functional and emotional problems.
The mechanisms of recovery from traumatic brain injuries are poorly understood, and there is a large degree of variability. However research indicates that recovery from a traumatic brain injury tends to follow a negatively accelerating curve with rapid improvement noted in the first three to six months. Following which slight improvements maybe noted in cognitive skills, functional ability and emotional adjustment and this may continue at a slow rate for several years however it is widely accepted that following a moderate to severe traumatic brain injury the individual will have lasting impairments. The degree to which these impairments impact upon the individuals functional and occupational life vary depending upon the individuals ability to adjust, the environment they live within and how this adapts to them and the extend of their cognitive impairments. As a consequence a majority of people with a severe traumatic brain injury are unable to return to employment and may require up to 24 hour care and support to complete functional tasks and activities of daily living. Such injuries can be catastrophic leading to permanent disability and dependence on others. As such traumatic brain injuries in the context of road traffic accidents can often be the start of a complete change of life for not only the person affected with the traumatic brain injury but also for their wider family. As such a psychological and neuropsychological assessment is an essential part of the medico- legal process for these individuals.
References:
David, Flemminger, Kopelman, Loveston & Mellers (2009) Lishman’s Organic Psychiatry. Whiley-Blackwell Press.
Lezak, Howieson & Lorning (2010) Neuropsychological Assessment; Oxford Press.
Synder, P.J, Nussbaum, P.D & Robins, D.L (2006) Clinical Neuropsychology. American Psychological Association.
Wasserberg J (2002); Treating head injuries. BMJ. 31 :454-5
Dr Karen Addy (www.hughkochassociates.co.uk) regularly holds clinics in Anglesey, Chester, Liverpool, Llandudno and Manchester.
More information can be found at www.hughkochassociates.co.uk
Image ©iStockphoto.com/mediaphotos
The Changing Face of a Law Firm - Jeanette Aspinall, Fletchers Solicitors

09/10/13. When the delayed Jackson reforms finally came into effect in April this year, firms across the UK braced for the worst. Six months on, Jeanette Aspinall, head of medical negligence at Fletchers Solicitors, reveals an industry in flux and how the changes have led to innovation.
Earlier this year, redundancies, corporate mergers, even bankruptcy felt imminent for many. Indeed, since the changes to civil litigation were introduced under the Legal Aid, Sentencing and Punishment of Offenders Act 2012, both small and larger firms have closed doors. Others have chosen to wind back their personal injury offering due to diminished profitability, and others still have announced what seem unlikely mergers.
Initial speculation about the crippling impact of the changes, however, has for the most part remained just that - speculation. More surprisingly still, the ban on referral fees among other restrictions may have pushed solicitors in the PI arena to review their commercial approach and focus on strengthening services to cater to genuine demand. The legal landscape is fast changing, and arguably for the better.
Disrupting the dynamic of a ‘no win, no fee’ business model has clearly upset the business model of a traditional law firm. Billed as an attempt to restore balance to a system riddled with inflated insurance policies and excessive fees, the end of recoverable after-the-event insurance premiums, coupled with the advent of a widely criticised fixed-cost scheme, has undoubtedly seen profits slow. But of course that is the point. The move has effectively forced PI solicitors to embrace new marketing strategies in order to promote services, as well as to source new clients.
Fletchers was fortunately in a relatively strong position to comply with the referral fee ban, using its freedom as a limited company to innovate and put in place alternative strategies. As a limited business, the management team was able to react quickly and make decisions which would have taken much longer to achieve in a traditional partnership structure.
Resources could be turned on and off and allocated to commercial sweet spots, while in a partnership each partner would still require their share of the marketing support. Additional legal and admin support was also put in place and practitioners were freed of non-core activities, allowing them to be the very best lawyer that they could be.
With media and audiences increasingly segmented, it’s crucial that PI solicitors connect with potential clients in a variety of ways. Brand consistency and a recognisable media presence are hallmarks of any thriving organisation, and the business of personal injury law is no exception.
This doesn’t necessarily mean spending more on advertising and marketing campaigns; rather, it warrants spending time to properly define targets, as well as to refine brand messages. In a digital age, a staggering number of law firms continue to ignore the opportunities of internet marketing. An interactive and informative website can form the basis for succinct online visibility, and is also a highly accountable communications tool. And yes, you still need to work hard and keep the clients that you do have happy.
Fostering a reputation for strong litigation work that means existing clients will actively refer your services will certainly help to combat any effects of the referral fee sanction. But it’s the law firms that are willing to go that one step further to innovate and transform their business models into stronger versions that will succeed and seize market share.
Jeanette Aspinall
Fletchers Solicitors
twitter.com/netaspinall
Image ©iStockphoto.com/sodafish
Mental Capacity - Bill Braithwaite QC, Head of Exchange Chambers

08/10/13. We had a meeting of our Court of Protection team yesterday, and it highlighted the many areas of difficulty and dispute in relation to people who do not have mental capacity.
For me, as a specialist in catastrophic brain injury litigation, there are many difficult questions which arise in the course of a compensation claim; usually, they arise out of a combination of the issues whether the patient has mental capacity and, if not, who has precisely what power to decide precisely what on his or her behalf.
I had a consultation recently in which we are nearing the end of the road, but it has been a difficult journey. As lawyers, we do our utmost to represent our client to the best of our ability. That includes listening to them, hearing what they say, and taking their instructions. For example, if a client wants us to argue that he or she has mental capacity, it is our duty, subject to what I say below, to do so. Even if we think that the client may not have capacity (we do not decide the issue – that is for doctors and courts), we should do our best to obtain evidence to support capacity. Of course, the process of trying to find evidence to prove capacity might do the reverse, and demonstrate lack of capacity.
If the client continues to instruct the lawyers to argue that he or she has capacity, but all our efforts show the reverse, then our duty to the Court comes to the fore; we would, I think, have to ask the Court to decide the issue. We would be entitled to argue that the claimant does have capacity, despite the evidence we had collected, but we would not be entitled to conceal that evidence from the Court.
Bill Braithwaite QC
Head of Exchange Chambers
This article was first published at http://billbraithwaite.com/blog/
Image ©iStockphoto.com/RapidEye
Catastrophic Injury Claims Without Recourse to the Courts - Bill Braithwaite QC, Head of Exchange Chambers

03/10/13. This may sound pathetic, but the best read I've had in a long time is the 2013 Jackson ADR Handbook! In his Foreword, Lord Dyson, Master of the Rolls, says: “…. this book should be as tried and trusted as the White Book and the Green Book.”. I think that ADR may represent a revolution which is about to happen in personal injury litigation; I believe that within five years we will habitually conduct significant personal injury claims without any recourse to the courts.
We've had supposed revolutions before, but they have come to nothing; in my world, the Woolf reforms have probably not added anything of value. This could be different, though. If the climate amongst thinking personal injury lawyers is right, we will all embrace an opportunity which reflects, to some extent, what has been happening.
I've written an article recently for JPIL, suggesting a way in which ADR could be used to facilitate the conduct of claims. It is really important to stress that this is not just mediation, nor is it another version of settlement meetings. It is a suggestion that we could and should use the whole range of ADR systems as and when we need them, in order to make the entire case run smoothly, not just to settle it at the end.
When a major claim is notified, it would be possible for both sides to agree to appoint a neutral facilitator. That person could (and should, at first?) be a personal injury litigator, who has sufficient experience to understand and deal with all the usual issues which arise in a claim. The parties would therefore take charge of selecting the facilitator, unlike the position at present where the Court imposes its selection, and where only the minority of High Court judges are from a personal injury background.
In addition to selecting the neutral facilitator, the parties would want to agree what powers they would give to that person. The possibilities are endless; he or she could be limited to only one of the many forms of ADR, or they could be given a free hand to decide which method of ADR would work best for any individual issue. A major choice for the parties would be whether to allow the neutral facilitator to use the “adjudicative” options, or only the non-adjudicative ones. That decision would not have to be made at the outset; it would be possible to appoint the neutral facilitator, and then to see what issues he or she would be needed for.
In real life, the system might work like this. The claimant sustains catastrophic brain injury in the accident. He's in hospital, but his family believe that he’s not getting the rehabilitation he needs. They have been told that there is a specialist brain injury rehab unit locally, which could take the claimant; they expect him to be there for 18 months (at six figure cost). The hospital is under pressure to release beds, and are pressurising the family to make alternative arrangements. That scenario contains the seeds of many disputes; the need for specialist rehabilitation, selection of an appropriate unit, residential or home-based, duration, cost, targets, and monitoring of progress. Any one of those could stall the discharge process for weeks or months, and could create tension. Also, claimant lawyers are entitled to be wary of defendants interfering with the clinical management of the injured person.
If the neutral facilitator had been given wide powers, he might initiate discussion of discharge, encompassing all the above topics (this would fit in with route mapping in the Multi-Track Code). By doing that, he could perhaps forestall any inappropriate decisions on either side. If the claimant’s lawyers, or indeed the defence team, started the process, the neutral facilitator could react immediately. A couple of phone calls might tell him whether there is a budding issue, and he might be able to manage it so that it did not grow. Without intervention, it is easy for one side or the other to develop expectations, and to adopt entrenched positions – hence all the interim payment applications. Nowadays, claimant lawyers are considering front-loading evidential preparation, so that they are prepared for a contested interim payment if necessary. That can be a costly procedure, and can set the scene for the remainder of the claim.
The neutral facilitator might find that the claimant’s family had set their heart on a particular unit, and that the insurer had serious reservations about that choice – perhaps borne out of previous experience, or possibly because the unit has not provided sufficient information to justify the claim that it will improve the claimant significantly. There could also be a cost/benefit issue bubbling along underneath. Discussion with both sides should identify the true problems; that could be done by phone, or in writing, or in person, or by a mixture of all methods. How it was done would depend on the neutral facilitator, and on the parties. In an extreme case, the facilitator could help the parties to co-operate in the selection of a rehab unit.
Once the real issues had been isolated, there would be a choice of ways of resolving them. Starting with the non-adjudicative ones, there would be room for an element of mediation, but that might have to give way to “early neutral evaluation” or, in an extreme case, “expert evaluation”. Evaluation is different from determination; it is just what it says on the tin, an evaluation of the respective positions by someone who has taken time and trouble to gather in the relevant arguments. A compromise possibility would be for the neutral facilitator to seek input from a rehabilitation clinician; only with the agreement of the parties, of course. A further alternative is “med-arb”; an agreement to mediate, but allowing the mediator to impose an outcome if the parties fail to reach agreement.
If those approaches did not solve the problem, it might be appropriate to consider adjudicative options, for example, adjudication (with or without expert assistance), expert determination, arbitration (?including something called “baseball arbitration”??). Whether there would be a right of appeal would depend on what the parties had agreed.
The Handbook uses the word “robust” moderately frequently, and I feel that that word holds the key to success if neutral facilitation is to work. I don’t mean that the facilitator should trample over everyone, but that he or she should be prepared to form views, and express them diplomatically but, if necessary, robustly, so that there can be no misunderstanding.
Of course, if the neutral facilitator had been able to forestall the dispute by encouraging rational discussion before attitudes hardened, the process might be easier.
Still dealing with the same scenario, it might be possible to widen the area of discussion so that views became less entrenched. For example, there may be other units which would be suitable for rehabilitation, or it might be possible to find out what sort of information the insurer would find helpful in judging whether they are comfortable with funding. Most importantly, it might help if the insurer was involved in monitoring the performance of the unit; that could be done with the help of a responsible, specialist clinician. Again, in an extreme case (by which I mean one where the parties are extremely co-operative) it might be possible to nominate a joint clinician to advise.
In a short article like this, I can't go into enough detail to explain how neutral facilitation could affect and manage every aspect of a substantial personal injury claim. It may be worth mentioning, though, some obvious areas where it could play an important part
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selection of accommodation on discharge from rehabilitation – rent or buy – short or long term
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the choice of an experienced and effective case manager
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consideration of the case manager’s goals, and monitoring them
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selection of experts, and delay in medico-legal reporting until it is necessary
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payment of interim payments, and monitoring how they are spent
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interim payment of costs
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final settlement.
Whether any of this will work will depend on whether practitioners are prepared to embrace it. There are two reasons why I think we should; first, I think it reflects a developing view amongst experienced lawyers and insurers that the court is the last resort, because it is less specialist than we are. Secondly, if we don’t do it by choice, we may be forced into it. There are many passages in the Handbook which support the notion that judges will be taking a firm line; eg “Judges are prepared to question parties as to the steps taken to avoid litigation, and will robustly encourage them to cooperate in the use of ADR.”.
Also, there are many potential benefits:
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cost
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ability to choose tribunal
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control of the process
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flexibility of the process
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the range of issues which can be managed
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risk management.
I can't explain why I think that now is the right time for such a radical change. It may be that we are all tired of non-specialists trying our cases, or that the uncertainty of judge selection is bedevilling our attempts to manage risk. Maybe it’s part of a gradual process; after all, mediation was unknown in personal injury not so long ago, and it is now established as an option. Whatever the reason, I'm convinced that, five years from now, most large personal injury claims will be managed without court intervention. What a wonderful thought!
Bill Braithwaite QC
www.billbraithwaite.com
This article first appeared in the September 2013 issue of The Personal Injury Law Journal (PILJ)
Image ©iStockphoto.com/webphotographeer







