CLINICAL NEGLIGENCE, CONTRIBUTORY NEGLIGENCE AND PART 36: A USEFUL NOTE OF JUDGMENT (2024)

May 3, 2023 · by gexall · in Civil evidence, Civil Procedure, Clinical Negligence, Part 36

I am grateful to solicitor Bethan Parry from Browne Jacobson for sending me a note of the decision of HHJ Khan in Rix -v- Wall, the details of which are set out below. The note is interesting in that it gives details of the Part 36 offers made, so we know that the claimant failed to beat them and the costs consequences. Also this is an example of a finding of contributory negligence being made in a clinical negligence case.

THE NOTE

David Rix v Patrick Wall – Trial 28/11/2023 – 01/12/2023

Manchester County Court – Claim Number F73YJ730

This is a judgment dated 7 December 2022.

THE FACTS

This was a periodontal dental claim in which breach of duty and causation had been admitted early on and a Part 36 offer of £35,000 made by the Defendant on 17 February 2021, with a subsequent £7000.00 interim being made to the Claimant on 5 May 2021.

The main issues in contention were:

  1. The degree of contributory negligence by the Claimant in relation to his failure to maintain plaque control and follow oral hygiene instruction:
  1. At joint meeting both Parties’ experts Mr Gary Simon for the Claimant and Mr James Stafford for the Defendant agreed a figure of 35%,
  2. The Defendant’s expert subsequently revised his view to 65% following consideration of updated records.
  3. The Claimant contended the figure for contributory negligence should be reduced from 35% on the basis of causative potency / causative blameworthiness arguments.
  4. Quantum and specifically the treatment plan for future treatment:

THE EVIDENCE

  1. The Claimant relied on the evidence of Professor Coulthard, who contended for full clearance of his remaining dentition, including clearance of healthy teeth with dental implants. His original treatment plan required the Claimant to undergo hip bone graft under general aesthetic.
  2. The Defendant’s primary case based on the evidence of Dr O’Leary was treatment by way of dentures as, it was argued that the Claimant was not a suitable candidate for implant treatment unless he obtained consistent, optimal plaque control and oral hygiene levels, which was not evident from his records. It was argued that this was on balance unlikely to occur due to the Claimant’s longstanding and ongoing noncompliance, In the event the Claimant obtained acceptable levels of oral hygiene, the treatment plan proposed was to maintain and treat remaining healthy teeth and remove only those that had a compromised prognosis and replace with implants.

THE JUDGE’S FINDINGS

HHJ Khan sitting in Manchester County Court found that the Claimant was 35% contributory negligent. He did not consider there were sufficient outstanding records to support an increase to 65%. He considered the issue of causative potency and causative blameworthiness had already been considered by the experts when coming to their figure of 35%, in line with the Defendant’s submissions in closing.

As to quantum, he preferred the evidence of Dr O’Leary and awarded compensation based on the dentures treatment plan. He did not accept the Claimant was suitable for implants and on balance would not be in the future. The Claimant had already undergone implant treatment by the date of trial. Whilst HHJ Khan found that the Claimant was entitled to do so, he found that he was not entitled to do so at the Defendant’s expense.

THE DEFENDANT’S PART 36 OFFER

Total damages awarded with the 35% reduction for contributory negligence was £24,506.52 meaning the Claimant failed to beat the Defendant’s Part 36 offer.

The Claimant’s Bill of Costs is awaited, however the implications of failing to beat the Part 36 means that the Claimant is unlikely to receive any damages once the Defendant’s costs from 10 March 2021 have been offset. Additionally, it was ordered that the Claimant was to return the £7000.00 interim payment that had been paid by the Defendant earlier in proceedings.

WEBINAR ON CONTRIBUTORY NEGLIGENCE: 5th JUNE 2023

On the 5th June 2023 I am giving a webinar on Contributory Negligence: Learning from Recent cases. Booking details are available here.

This webinar looks at the principles relating to contributory negligence and recent cases where these principles have been considered.

Cases to be covered include:

  • Taylor -v- Raspin (contributory negligence in a road traffic accident, over-reliance on expert evidence)
  • Macdonald -v- MS Amlin (motorcyclist colliding with stationary vehicle)
  • Barry -v- Ministry of Defence ( Was there contributory negligence in hearing loss case?)
  • Parry -v- Johnson (allegations of contributory negligence against a pedestrian)
  • Deller -v- King (vehicle collision)

After looking a recent cases in the webinar looks at the implications for litigators and their clients.

  • Pleading contributory negligence
  • Where contributory negligence has been established
  • Where allegations of contributory negligence have not been successful
  • How claimants have responded to allegations of contributory negligence. The importance of witness evidence
  • The “reverse allegation of contributory negligence” – using allegations of contributory negligence against the defendant

Related

Tags: Civil evidence, Clinical negligence, Evidence, Part 36

CLINICAL NEGLIGENCE, CONTRIBUTORY NEGLIGENCE AND PART 36: A USEFUL NOTE OF JUDGMENT (2024)

FAQs

What must the patient show to obtain Judgement for negligence? ›

To do so, four legal elements must be proven: (1) a professional duty owed to the patient; (2) breach of such duty; (3) injury caused by the breach; and (4) resulting damages. This includes doing nothing when they should have done something.

What is the difference between negligence and contributory negligence? ›

The main difference between contributory negligence and comparative negligence is that the contributory negligence doctrine bars plaintiffs from collecting damages if they are found partially at fault for their accident-related injuries, whereas the comparative negligence doctrine does not.

How to argue contributory negligence? ›

To prove contributory negligence, they must demonstrate the following:
  1. There was a failure on the part of the claimant to take reasonable care for their own safety;
  2. This caused or contributed to the injury; and.
  3. Harm to the claimant was reasonably foreseeable.

When can contributory negligence be used? ›

If a defendant wishes to pursue an allegation of contributory negligence they must allege, plead and prove that the claimant contributed to their injury by failing to take all reasonable care for their own safety.

What four things must be proved to be found guilty of negligence? ›

Proving Negligence. Most civil lawsuits for injuries allege the wrongdoer was negligent. To win in a negligence lawsuit, the victim must establish 4 elements: (1) the wrongdoer owed a duty to the victim, (2) the wrongdoer breached the duty, (3) the breach caused the injury (4) the victim suffered damages.

What is the burden of proof for negligence? ›

What is the Burden of Proof For Negligence? The burden of proof is the degree to which a particular party must prove their case in order to win at trial. In a negligence case, the aggrieved party (plaintiff) bears the burden of proof to show each element of their cause of action by a preponderance of the evidence.

What are the three elements of a contributory negligence claim that a defendant must prove? ›

The elements are (1) duty (2) breach (3) causation and (4) damages. [1] Once the elements have been established, the question then shifts to whether the defendant may still avoid liability by asserting a negligence defense.

How is contributory negligence unfair? ›

Under contributory negligence rules, people who share fault for their injuries are not entitled to compensation, even if they were just 1% to blame.

What is the outcome if a defendant successfully proves contributory negligence? ›

Contributory negligence is a defense to a tort claim where the defendant claims that the plaintiff's own negligence caused or contributed to its injury. If the plaintiff's actions meet the state standard for contributory negligence, the plaintiff cannot recover anything.

Can you be 100% contributory negligence? ›

Although rare, the court can find that you were 100% contributorily negligent. Such a finding suggests that although there was a breach of legal duty by the other party (possibly only nominal), your conduct meant that you were wholly responsible for your injuries.

Who does contributory negligence favor? ›

In many states, plaintiffs who are over 50% or 51% at fault in causing the accident cannot recover at all from the defendant, but California employs a “pure comparative negligence” system by which a plaintiff can recover from any at-fault defendant regardless of whether his or her own proportion of fault is higher than ...

What is an example of a contributory negligence case? ›

An example of a landmark case in the application of contributory negligence principles is Froom v Butcher (1976). In this case, the plaintiff was injured in a car accident caused by the defendant's negligence, but the plaintiff was not wearing a seatbelt at the time of the accident.

contributory negligence | Wex | US Law | LII ...LII / Legal Information Institutehttps://www.law.cornell.edu ›

Contributory negligence is a common law tort rule which bars plaintiffs from recovering for the negligence of others if they too were negligent in causing the h...
Medical malpractice lawsuits are among the most difficult cases to prove since they involve complex legal and medical concepts and require extensive knowledge a...
Probably the main reason contributory negligence is not a popular defense is a monetary one. In a true malpractice action, even if sus- tained, contributory neg...

What is required to prove negligence? ›

In order to win your negligence claim, and obtain one or more of the types of damages available to you as an injured victim, your personal injury lawyer will have to prove four things: (1) duty; (2) breach; (3) causation; and (4) damages. More specifically, your attorney will have to prove the following: Duty.

What are the four 4 things that must be proved in order to claim negligence? ›

A negligence claim requires that the person bringing the claim (the plaintiff) establish four distinct elements: duty of care, breach, causation, and damages.

What four elements must be proved in a negligence suit? ›

Four Elements Required to Prove Negligence
  • Duty of care.
  • Breach of duty.
  • Causation.
  • Damages.
Sep 14, 2023

What criteria must be met to meet a claim of negligence? ›

Elements of a Negligence Claim
  • Duty: The defendant owed a legal duty to the plaintiff under the circ*mstances.
  • Breach: The defendant breached that legal duty by acting or failing to act in a certain way.
  • Causation: It was in fact the defendant's actions or inaction that caused the plaintiff's injury.

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