2005 > HOT TOPICS 51 TOPICS HOT L E G A L I S S U E S I N P L A I N L A N G U A G E This is the fifty-first in the series Hot Topics: legal issues in plain language, published by the Legal Information Access Centre (LIAC). Hot Topics aims to give an accessible introduction to an area of law that is the subject of change or public debate. AUTHOR: Stella Tarakson EDITOR: Cathy Hammer DESIGN: Bodoni Studio ACKNOWLEDGEMENTS: The publisher would like to thank the NSW Parliamentary Research Service for permission to draw on Briefing Papers 7/2002 and 11/2002 on Public Liability by Roza Lozusic to produce this Hot Topics issue; also to the the Australian Competition and Consumer Commission (ACCC) for permission to use the graph on p 3. Personal injury 1 Overview 2 The law of negligence 3 Public liability insurance 5 The public liability crisis Dispute as to the causes – contributing factors – responses to the crisis – arguments for and against the need for reform 9 Changes to the law in New South Wales Stage 1 reforms – stage 2 reforms – recent legislation on personal injury 15 Sporting bodies The law before the reforms – waivers and warnings – what the law is now 17 State Library of NSW Cataloguing-in-publication data Hot Topics, ISSN 1322-4301, No. 51 1. Insurance, Liability – Law and legislation – Australia. 2. Insurance, Liability – Law and legislation – New South Wales. 3. Personal injuries – Australia. 4. Personal injuries – New South Wales. I. Tarakson, Stella. II. Hammer, Cathy. III. Legal Information Access Centre. (Series: Hot topics (Sydney, N.S.W.) ; no. 51) 346.940865 346.9440865 © Library Council of New South Wales 2005. All rights reserved. Copyright in Hot Topics is owned by the Library Council of New South Wales (the governing body of the State Library of New South Wales). Apart from any use permitted by the Copyright Act (including fair dealing for research or study) this publication may not be reproduced without written permission from the Legal Information Access Centre. Public authorities Wide exposure – changes to the law – cases on councils’ duty of care 20 Medical negligence The law before the reforms – arguments for and against reform – new laws 22 Conclusion: Are the reforms working? The impact on insurance premiums – have the reforms gone too far? 24 Contacts and further reading Hot Topics is intended as an introductory guide only and should not be interpreted as legal advice. Whilst the Legal Information Access Centre attempts to provide up-to-date and accurate information, it makes no warranty or representation about the accuracy or currency of the information it provides and excludes, to the maximum extent permitted by law, any liability which may arise as a result of the use of this information. If you are looking for more information on an area of the law, the Legal Information Access Centre can help – see back cover for contact details. If you want legal advice, you will need to consult a lawyer. view Over It was like a balloon that kept inflating. Claims and compensation payouts were getting bigger and bigger. Insurance premiums kept rising. Public liability insurance became harder to obtain. Many community events were cancelled and many small businesses (such as adventure tourism operators) were unable to carry on. Everyone knew the balloon would burst. But how? And what would happen next? This issue of Hot Topics looks at personal injury law, negligence, and the unprecedented reforms that have been driven by the public liability crisis. It looks at the causes of and responses to the crisis, before examining the legal reforms that took place in New South Wales. It then goes on to consider the major players in more detail: sporting bodies, p 15; public authorities (including local government), p 17; and medical practitioners, p 20. In recent years, Australia has struggled through a situation popularly tagged as a ‘public liability crisis’. There are competing views as to why insurance premiums grew so fast: see p 5 the Public Liability Crisis. Whatever the reasons, the hike in premiums resulted in many groups limiting or not offering certain activities and events. Most notably, many community-run events such as street fairs, country shows, and sporting activities were discontinued. The information in this issue is limited to personal injuries arising from public and product liability, sporting accidents and medical negligence. Information on injuries that arise out of or in the course of employment, which are dealt with under workers’ compensation law, is available in The Law Handbook, Chapter 24 ‘Employment’ 9th ed. 2004 Redfern Legal Centre Publishing. Information on motor vehicle accidents is covered on pages 72-88 of The Law Handbook. This book is available in all public libraries in NSW. This perceived crisis prompted reforms by governments to the law of negligence and restrictions on people’s right to sue. Recently, senior members of the judiciary have spoken out about the possibility that reforms have gone too far1: For all these issues to make sense, we first need to examine the law of negligence. What is a negligent action and when does it give rise to legal liability? We have to be careful that we do not reject just claims and unfairly reduce the mutual sharing of risks when things go seriously wrong. High Court Judge, Michael Kirby Those who act negligently are partially relieved of the consequences of their default, as is their insurer, to the detriment of the victim of negligence and possibly the broader community Chief Justice of the Queensland Supreme Court, Paul de Jersey image unavailable 1. ‘Judge joins attack on insurers over personal injury’ by Michael Pelly, Sydney Morning Herald, 23 March 2005. Overview 1 The law of negligence Negligence comes under a large body of law called ‘torts’. Torts are wrongdoings that give injured individuals or organisations the right to sue other individuals or organisations on their own behalf. (Note: organisations include businesses.) Torts can be compared to crimes, where it is the Crown who takes legal action on behalf of the community. In other words, a tort is a type of ‘civil’ wrong as opposed to a criminal wrong. Other types of civil law matters include contract disputes and family law. Tort law evolved over a long period of time as part of the common law of England, which we inherited. Common law is judge-made law, as opposed to legislation or statutes, which are created by parliament. Statutes cannot cover every single aspect of the law, of course, and even where they do exist, courts still have to interpret them. It is these decisions that shape the ever-changing common law. Courts can only make decisions on cases that are brought to them. Parliament does not face such restrictions, and is able to create statutes within the powers defined for it by the Constitution. Legislation passed by parliament over­ rides the common law to the extent that the two are inconsistent. There are various kinds of torts. Defamation, trespass and nuisance are torts, but the most common is negligence. Broadly speaking, negligence involves carelessness, or a image unavailable 2. This is a UK case that is not freely available on the internet. 2 HOT TOPICS 51 > Personal injury failure to take reasonable care for other people’s safety. An individual or organisation can be sued for their negligent acts or omissions that result in injury, death or property damage. For negligence to be established, the plaintiff (the person bring­ ing the action), must be able to prove each of three things: > there was a duty of care – that is, there was an obligation on behalf of the defendant to take reasonable care to pre­ vent injury arising from their act or omission > this duty was breached – not only did the duty of care exist, there must have been an actual failure to use reason­ able care > this breach caused the injury – the injury was due to the breach of the duty of care, not to some intervening factor. HOT TIP In the past, it was difficult to establish a duty of care in the absence of a contractual relationship. But the landmark case Donoghue v Stevenson [1932] AC 562, extended the duty to anyone who can ‘reasonably be foreseen’ as likely to be injured by an act or omission. In that case, a woman who fell ill and suffered shock after drinking a bottle of ginger beer with a decomposing snail in it was able to sue the manufacturer, even though she had not bought the drink herself (that is, she had no contract with either the manufacturer or the retailer). Available at www.scottishlawreports.org .uk Select ‘Key Scottish cases’ and then ‘Donoghue v Stevenson’. So, the question that arises is – was the risk of injury or damage ‘reasonably foreseeable’? This test rules out damage that is too remote, but past cases have shown that the test can be applied narrowly or widely. Courts have stated that the kind of damage must be foreseeable, not necessarily the actual damage or its extent. In Hughes v Lord Advocate 2 [1963] AC 837, workers dug a manhole in a public street. They left the site after securing the manhole and placing paraffin lamps around it as a warning. Two young boys caused a paraffin lamp to fall into the hole, resulting in an explosion. One of the boys fell into the manhole, and suffered severe burns. The House of Lords decided that a child being injured by falling in the hole or being burned by a lamp was a foreseeable risk. Although the explosion was unforseeable, the injury fell within the kind of injury that could be foreseen, even though the severity was unexpected. Public liability insurance People who owe a duty of care generally cannot afford to pay compensation for all the risks to which they are exposed. To cover themselves, they take out insurance. Insurance transfers the possible risk of loss arising from particular future events from a person or organisation (the insured) to the insurer. A person who wants insurance pays a sum of money (called a premium) to the insurer. In return, the insurer promises to compensate the insured if the event occurs and causes loss or damage. The event must occur during the policy period in order to be covered. Both sides to an insurance contract are taking on a risk. The insurer takes the risk that if a particular event occurs, they will have to pay out money in compensation. But the insured also accepts a risk. Their risk is that they will continue to pay premiums without ever receiving any financial benefit from doing so. If an insurance policy is not taken out, however, the person or organisation in question takes on the entire risk of loss. Liability insurance covers the risk of causing personal injury and death, as well as related loss or damage. These policies usually require the insured to take all reasonable precautions to prevent the liability from arising in the first place. There are various types of liability insurance – as well as public liability insurance, there is liability insurance for workers’ compensation, motor vehicle third party, product liability and professional indemnity. Public liability insurance protects the insured from the financial risk of being liable to a third party for death, injury or damage to property resulting from the insured’s negligence. The protection can relate to a location, the use of property, or the activities of individuals or a group of people. Most people have public liability insurance as a component of their home and contents insurance policy. This is relatively minor, however, and is not the concern of the public liability crisis. Rather, problems have arisen with the stand-alone public liability policies that are sold to individuals and organisations for commercial purposes. In the late 1990s, insurance premiums for such policies rose alarmingly for councils, community organisations, Percentage change in real average premiums – public liability – 1998 to 2004* The real average premiums fell by 15 per cent in the period between year ending 31 December 2003 and half year ending 30 June 2004, reversing the trend of substantial increases since 2000. The real average premium decreased for most insurers. 50% 40% 30% 20% 10% 0 –10% –20% 1998 1999 2000 2001 2002 2003 2004* Underwriting year ending 31 December Notes: *1 January to 30 June 2004 Data is shown in real terms adjusted to 30 June 2004 values using average weekly earnings. Derived by ACCC from responses provided by seven insurers. sporting event organisers and adventure tour operators. This resulted in many events being cancelled and some businesses being forced out of operation. Even ‘not-for­ profit’ bodies were unable to afford the increased premiums, resulting in the cancellation of various fundraising activities. HOW ARE PREMIUMS SET? Premiums vary between insurers, and depend on the particular type of risk being insured. They also depend to a large degree on the competition faced by the insurance companies and their relative market share. However, the very nature of public liability insurance causes some difficulties when it comes to setting appropriate premiums. Public liability insurance 3 HOT TIP ‘Long tail’ insurance Public liability insurance is referred to as ‘long tail’ insur­ ance. This means there can be a large time gap between when a policy is taken out and when the financial outcome of a claim is finally realised. Claims can be made years after an accident (depending on the statute of limitations), even if the policy has since expired. As a result, it can be hard for insurers to estimate future claims costs with any great degree of accuracy. This makes it difficult to set suitable premiums. A statute of limitations provides for a limit on the time that can elapse before legal action is taken. In NSW, the Limitation Act 1969 provides for a limitation on wide-ranging causes of action brought about in NSW courts, including personal injury actions. The Insurance Council of Australia (ICA) noted that: ‘If a child of one year of age in NSW was injured, legal action could be commenced some 25 years after a policy has expired. There is no need to commence legal action until the child achieved majority at 18 years of age when the statute of limitations of three years applies. A further extension of five years may also be granted.’ (Source: ICA, Public Liability Submission to Ministerial Forum, March 2002, p 10) Unpredictability Public liability insurance is also characterised by unpredictability. Some events are relatively predictable, such as people falling over in shopping centres. Others, however, are much harder to predict. Major accidents and disasters can happen without warning and take everybody, including the insurance industry, by surprise. For example, the terrorist attacks in the United States on 11 September 2001 shocked the world. Many commentators agree that the global repercussions of the attacks have contributed to the Australian public liability insurance crisis. image unavailable 4 HOT TOPICS 51 > Personal injury The public liability crisis Between 2001 and 2003 the average public liability premium rose from just over $800 to just under $1400 according to the Australian Com­ petition and Consumer Commission3. The reasons for that rise, however, are not clear-cut. Stakeholders disagree as to the main cost drivers, placing the blame on different factors. Even where they agree as to some common causes, they place different emphasis on their relative weights. > aggressive competition between insurers in the 1990s, which led to premiums falling to unsustainable levels > the collapse of HIH and industry mergers > increased reinsurance costs > changes in the international risk environment > reduction in investment earnings > renewed focus on profitability > increased costs associated with prudential regulation DISPUTE AS TO THE CAUSES On 27 March 2002, the first of several national ministerial meetings examining the public liability crisis was held. At this meeting, discussions revolved around the increase in premiums, the contributing factors for these increases, and proposals for reform. In their submission to the ministerial meeting, the Insurance Council of Australia (ICA) stated that the causes of the premium increases included: > industry cycle of insurance profitability (which is influ­ enced by the stock market) > taxes and levies. So what view finally arose from the Ministerial Meeting? A Joint Communique 4 was issued, and it found that both sides of the argument had valid points. It held that the premium increases were due to a combination of factors, the most significant being: > changing community attitudes to litigation > an increase in the number and size of claims > changes in what constitutes negligence > changes in society’s attitudes regarding the making of claims > increased damages payouts for bodily injury claims > changes to regulations covering lawyers, which have led to more active pursuits of class actions > advertising by lawyers promoting a ‘no win, no pay’ system, which encourages claims that might have not been pursued in the past > legal expenses involved in assessing claims > higher risk recreational activities > reinsurance costs > insurance taxes. The Australian Plaintiff Lawyers Association (APLA) – now known as the Australian Lawyers Alliance – disagreed. In their submission to the March 2002 Ministerial Meeting, they argued that the increases in premiums were the result of market forces. These market forces included: THE HIH COLLAPSE On 15 March 2001, the major companies in the HIH Insurance Group (HIH) were placed in provisional liquidation. Questions about corporate mismanagement within HIH saw the appointment of a Royal Commission in August 2001. The Royal Commission’s report The Failure of HIH Insurance was publicly released on 16 April 2003 together with the Government’s response. The collapse of HIH is likely to be the largest corporate failure in Australia to date. The collapse was not due to fraud or embezzlement. The primary reason for the failure was that adequate provision had not been made for insurance claims and poor commercial decisions were made. The ultimate shortfall is likely to be in the billions of dollars. Research Note no. 32 of 2002-03 Report of the Royal Commission into HIH Insurance BRENDAN BAILEY, Law and Bills Digest Group Available at http://www.aph.gov.au/library/pubs/rn/ 3. ACCC Public Liability and professional indemnity insurance – fourth monitoring report, 15 February 2005. 4. Available at www.lgsa.nsw.gov.au The public liability crisis 5 CASE STUDIES > past under-pricing and poor profitability of the insur­ ance industry SWAIN v WAVERLEY COUNCIL > the collapse of HIH One such case involved a surfer who was rendered a quadriplegic after diving into surf at Bondi Beach, striking a sandbar. The case was heard in the Supreme Court of New South Wales. The arguments revolved around whether Waverley Municipal Council owed swimmers a duty of care and the extent of that duty. The issues included whether warning signs should have been put up, whether the risk of diving into such waters was obvious, and whether the flags were placed improperly. After an allowance for contributory negligence of 25 per cent (meaning he was that much to blame), the plaintiff obtained a judgment of $3.75 million. The council later successfully appealed against the judgment to the Court of Appeal: Waverley Municipal Council v Swain [2003] NSWCA 61. Mr Swain appealed to the High Court, which overturned the appeal decision and reinstated the original damages award: Swain v Waverley Council [2005] HCA 4. The cases are available at http://www.austlii.edu.au/ au/cases/nsw/NSWCA/2003/61.html (NSW Court of Appeal) and http://www.austlii.edu.au/au/cases/cth/high_ct/ 2005/4.html (High Court). > insurance companies being more selective about the risks they cover. COLE v SOUTH TWEED HEADS RUGBY LEAGUE FOOTBALL CLUB LTD Another much-publicised case involved a woman who sued a club because she was hit by a motor vehicle shortly after leaving the club’s premises. She was intoxicated when she left, with an alcohol blood level of 0.238. This case was also heard in the Supreme Court of New South Wales. Arguments focused on whether the club owed customers a duty to take reasonable care to monitor and moderate the amount of alcohol served, even when the customer voluntarily and deliberately decided to drink to excess. Furthermore, did the club owe a duty to take reasonable care that the customer travelled safely away from the premises, and did the offer of a courtesy bus/taxi satisfy this duty? The court found in favour of the plaintiff. It apportioned responsibility as follows: 30 per cent to the driver, 30 per cent to the club, and 40 per cent to the plaintiff herself. The injured woman was awarded approximately $172,000 against the driver and approximately $251,000 against the club. (Cross-claims between the club and driver were also awarded). The defendants appealed to the Court of Appeal, and won. The injured woman then appealed to the High Court seeking to overturn the Court of Appeal’s judgment, but her appeal was dismissed: Cole v South Tweed Heads Rugby League Football Club Ltd [2004] HCA 29. Decision available at http://www.austlii.edu.au/ au/cases/cth/high_ct/2004/29.html HOT TIP A cross-claim is a claim made in response to another claim – for example, a defendant accused of causing an injury when failing to stop at a red light might cross-complain against the mechanic who recently repaired the car, claiming that negligence resulted in the brakes failing and, hence, that the accident was the mechanic’s fault. This means the matters may be heard and decided together. 6 HOT TOPICS 51 > Personal injury HIGH PROFILE COURT CASES Some cases received a great deal of media attention, not least for the large compensation payouts awarded by the courts. Although some were later overturned on appeal, the cases highlighted the willingness of the courts to find that negligence existed and to award high sums in damages. High media coverage of these cases perhaps contributed to the changing of community attitudes towards litigation. CONTRIBUTING FACTORS Insurance premiums, therefore, increased due to a complex interaction of various factors. Some of these are explored in more detail. Increase in number and size of claims Figures released by the Australian Prudential Regulation Authority (APRA) in 2002 showed increases to costs of claims: 1998-2000 Number of public liability claims 55,000 – 88,000 Costs of public liability premiums Up 14% Overall cost of claims Up 52.5% The Australian Plaintiff Lawyers Association (APLA) suggests it is misleading to look at claim numbers in isolation. They say there is a proportionate relationship between the number of claims and the numbers of policies written, and that it is important to look at the ratio of claims to policies. In other words, if there is an increased number of policies written, there will be an increase in the number of claims. Based on their own ratio figures, they maintain that the real increase in claims from 1996 to 2001 was only 2.63 per cent. Changing attitudes to litigation There is an assumption that litigation levels have boomed in the past decade. Media reports of unprecedented large lump sum payouts have fuelled such beliefs, even though some of these large payouts were later reduced on appeal. The APLA President warned against ‘… accepting anecdote as truth and responding with unfair restrictions on compensation, which both hurt the injured and do nothing to solve the underlying problem of premium increases.’ (Source: Plaintiff, Issue 49, pp 4-5) Collapse of HIH Civil actions commenced in Australia The collapse of HIH in 2001 had a dual effect on increasing premiums. First there was a reduction in the availability of cover, and second, flow on costs resulted. The ICA noted that HIH used to cover a large proportion of the liability market, so its collapse resulted in a reduced industry capacity to provide cover. 840 000 820 000 800 000 780 000 760 000 740 000 September 11 720 000 The terrorist attacks in the United States on 11 September 2001 also contributed to the increase in insurance premiums in Australia. This is because reinsurance costs increased. Reinsurance companies are the insurers’ insurers – or the companies that insurance companies go to to take out insurance cover. Global reinsurance costs rose, putting pressure on Australian insurance companies. This was passed to policyholders in the form of higher premiums. 700 000 680 000 660 000 640 000 93/94 94/95 95/96 96/97 97/98 98/99 99/00 (Source: APLA, Submission to the National Ministerial Summit into Public Liability Insurance, March 2002, p 15). Some say that there has been a change in attitude to litigation, a growing belief that someone had to pay. This change in attitude may be partly due to the public being better educated about their rights. The APLA submission to the Ministerial Meeting included data from the Australian Productivity Commission, showing a slight overall decline in the level of litigation since 1994/95, following a peak in 1996/97: see graph. There is general agreement that there was a rise in overall claims and in the ratio of claims to policies written. However, the APLA did not believe that increased claims necessarily translated to a rise in litigation, as most personal injury claims are settled out of court. The advertising of conditional cost agreements is often blamed as an exacerbating factor in an increased willingness to commence litigation. Also referred to as ‘no HOT TIP win, no pay’, lawyers can enter Conditional cost agree­ agreements where their costs are ments are often confused conditional on a successful with the contingency fee outcome. If the case fails, the system existing in the client will not be charged for the United States. Under the American system, lawyers lawyer’s ‘labour’. They may still can charge a proportion of be charged disbursements (the the amount awarded in lawyer’s out-of-pocket expenses proceedings. In Australia, such as filing fees) and court practitioners can charge a costs if so ordered by the court premium on top of the (called party/party costs). But if legal costs otherwise the case succeeds, the lawyer is payable, subject to a successful outcome. This able to charge a higher fee than premium is a percentage they would otherwise. For more of the legal costs (up to 25 information see Hot Topics 46: per cent) – not a You and Your Lawyer. percentage of the final sum awarded. Underpricing premiums Over the past decade, insurers have been cutting premiums to gain a competitive edge in the market place. So, rather than pricing premiums to reflect risk, they have been pricing them to be competitive. The APLA claims image unavailable Disgraced businessman Rodney Adler leaves court for Silverwater prison on 14 April 2005. He was sentenced to 41⁄2 years for his part in the collapse of HIH. Nick Moir, SMH. The public liability crisis 7 image unavailable Amusement parks were one of the many business areas threatened with closure due to insurance being unaffordable or unobtainable. that these lower levels proved to be unsustainable, and a rise was inevitable. The Negligence Review Panel was appointed in July 2002. The panel’s final report, The Review of the Law of Negligence, is commonly referred to as the Ipp report. It contained various recommendations for reform, and created the basis for possible reform in all Australian jurisdictions. ARGUMENTS FOR AND AGAINST THE NEED FOR REFORM For information on the actual reforms, see p 9 ‘Changes to the law in New South Wales’. But first, here are some instances of the controversy that the reform process itself raised. Those pressing the need for law reform included the ICA, medical representative bodies such as the Royal Australian College of General Practitioners, sporting organisations and adventure tourism operators. In its submission to the Negligence Review Panel, the ICA stated that tort law reform will ‘… go a long way to resolving the insurance crisis and reducing the frequency and cost of claims. This is expected to bring greater capacity into the market and to stabilise or reduce premiums.’ 8 HOT TOPICS 51 > Personal injury Of course, not everyone was in favour of the proposed reforms. One of the main concerns expressed by the Law Council of Australia related to the amount of time the Negligence Review Panel had to inquire into and report on reforming negligence. The ACCC was concerned that some of the far-reaching changes were ‘quick-fix’ reactive solutions, without adequate attention being paid to long­ term effects. The objections also went to the substance of the reforms themselves. In a media release (dated 30 May 2002) the Australian Plaintiff Lawyers Association stated that, ‘Market failure in the provision of insurance cannot be solved by changes to tort law. Restrictions on the rights of claimants shifts costs from insurers and defendants to claimants and the community, but do nothing to address the underlying market forces that drive premium increase.’ Some commentators have pointed out that the trend in judicial decision-making in recent years has been more restrictive. That is, judges themselves have put a rein on cases, lessening the need for legislative changes. Changes to the law in New South Wales In New South Wales, the Government response to the ‘public liability crisis’ (see p 5) involved substantial change to the law through the introduction of new legislation and amendment to some existing legislation. general damages and setting out maximum payouts for loss of earning capacity. The table below summarises these changes. The Civil Liability Act placed a ‘cap’ (maximum limit) of $350,000 on damages for non-economic loss. (This was subsequently adjusted to $384,500 in line with indexation.) Non-economic loss refers to damages awarded for pain and suffering, commonly known as general damages. Under the Act, the maximum amount can only be awarded in a ‘most extreme case’. There is also a threshold test for the award of non-economic loss, which eliminates small claims. Section 16(1) states that: ‘No damages may be awarded for non-economic loss unless the severity of the non-economic loss is at least 15 per cent of a most extreme case.’ Changes to the law have been implemented in two separate waves. The first, known as Stage 1 reforms, aimed primarily at decreasing the number of claims and the cost of claims by placing limits on the amounts that can be paid in various circumstances. The Stage 2 reforms were far broader and involved a fundamental reassessment of the law of negligence and personal injury. STAGE 1 REFORMS Most of the Stage 1 reforms were implemented through the passage of the Civil Liability Act 2002 (NSW). The remaining changes, which related to the way in which lawyers can advertise personal injury services, were effected by amending the Legal Profession Regulation 2002. There is also a cap on economic loss, that is, loss of actual earnings and of future earning capacity. The cap is calculated at three times the average weekly earnings. This is the case even if the person was earning more or expected to earn more than that limit. Furthermore, the discount rate to damages for future economic loss increased HOT TIP from three to five per cent, NSW legislation is reducing the final figure available at awarded. www.legislation.nsw.gov.au Limits on damages The Civil Liability Act 2002 (NSW) was assented to in June, but commenced operation on 20 March 2002. This is what is known as ‘retrospective’ legislation. The Civil Liability Act restricts the level of compensation available for personal injury negligence actions by placing limits on Select ‘Browse in Force’ option. Matter restricted Cap or restriction Section of Act cap on non-economic loss (general damages or pain and suffering) $350,000 (later adjusted to $384,500) s 16(2) threshold for access to non-economic loss 15% of a most extreme case s 16(1) cap on economic loss (loss of earnings and earning capacity) 3 � average weekly earnings s 12(2) discount to damages for future economic loss 5% s 14(2) exemplary, punitive and aggravated damages cannot be awarded for negligence s 21 family care (gratuitous attendant care) reduced or not available s 15 Changes to the law in New South Wales 9 The Act also specifies that aggravated, exemplary and punitive damages cannot be awarded in personal injury negligence cases. This means extra damages cannot be awarded in an attempt to ‘punish’ the defendant for their wrongdoing. A new Part IA was inserted into the Civil Liability Act, which was based on recommendations made in the Ipp report (The Review on the Law of Negligence). The effect of section 5B is that a person can only be found to be negligent if: Damages for gratuitous attendant care, that is, unpaid care of a nursing/domestic nature generally carried out by family members, are difficult to obtain. They are reduced or in many cases not available. > the risk was foreseeable (the person knew or ought to have known of the risk); and Advertising personal injury legal services Parts of the Stage 1 reforms were aimed at reducing the way that barristers and solicitors advertise personal injury services. This was initially done by amending the Legal Profession Regulation 1994 (NSW). This regulation was subsequently repealed and replaced by the Legal Profession Regulation 2002 (NSW). Lawyers cannot advertise personal injury services, except in some very restricted ways. For instance, they can have a sign displayed at their place of business that states their name, contact details, and accredited specialty. Similar information can be published in a practitioner directory. The restrictions do not apply in the case of advertising services to existing clients, or to people on the lawyers’ premises, as long as the advertisement cannot be seen from outside the premises. Other exceptions exist: see sections 140 and 140A of the regulation. The regulation stipulates that contravention of the advertising restrictions can amount to professional misconduct. STAGE 2 REFORMS The Stage 2 reforms were much broader, having a fundamental impact on the law of negligence itself. They were not confined to those issues arising solely from public liability insurance increases; they also had an impact on other personal injury actions such as those relevant to medical indemnity insurance. The Civil Liability Amendment (Personal Responsibility) Act 2002 (NSW) made changes to various Acts, in particular, the Civil Liability Act 2002. Some parts commenced operation on 6 December 2002, others on 10 January 2003. It is not possible to provide a comprehensive analysis of every reform, but major areas are outlined. Further details can be obtained by reading the legislation. See also the further reading section on page 24. A discussion of whether the reforms have been effective can be found in ‘Conclusion: Are the reforms working?’ (see p22). General principles of negligence established The amendments set down various provisions that in some cases confirm the common law, in other cases override previous inconsistencies in the common law. For an outline of the common law of negligence see page 1 Overview. 10 HOT TOPICS 51 > Personal injury > the risk was ‘not insignificant’; and > a reasonable person in that position would have taken precautions against the risk of harm. To assist courts in deciding whether a reasonable person would have taken precautions against a risk of harm in those circumstances, the court is to consider: > the probability that the harm would occur if care were not taken; > the likely seriousness of the harm; > the burden (ie, costs and difficulty) of taking precautions to avoid the risk of harm; > the ‘social utility’ of the activity that creates the risk of harm (whether it can be seen as a ‘worthwhile’ activity). Section 5C states that the fact that a risk of harm could have been avoided by doing something differently does not of itself give rise to liability for the way things were done. Taking action that would have avoided the risk, after an action has occurred, does not in itself constitute an admission of liability in connection with the risk. General principles are also set down with regard to causation – the link between a breach of the duty of care and the injury suffered that is required by common law. Under section 5D, two components are required to determine that negligence caused the harm: > ‘factual causation’ – the negligence was a necessary condition of the occurrence of the harm; and > ‘scope of liability’ – that is, it is appropriate for the scope of the negligent person’s liability to extend to the harm so caused. Section 5E places the onus of proof regarding any fact relevant to the issue of causation onto the plaintiff. Assumption of risk principles established Sections were added to the Civil Liability Act to deal with the assumption of risk. This was an area that seemed to have been watered down by the common law over the previous decade. Section 5H states that there is generally no duty to warn of ‘obvious risks’, unless the plaintiff has requested such information from the defendant; or there is a law requiring a warning; or where the defendant is providing professional services. Obvious risks are defined by s 5F to mean risks that would have been obvious to a reasonable person in that position. A risk of something occurring can be an obvious risk even though it has a low probability of occurring. Risks can be obvious even if the risk (or a condition or circumstance giving rise to the risk) is not prominent, conspicuous, or physically observable. Injured people are presumed to be aware of obvious risks. It is enough to be aware of the type or kind of risk, even if they are not aware of the precise nature or extent of the risk. Similarly, s 5I says there is no liability in negligence for harm suffered as the result of the materialisation of an ‘inherent risk’. An inherent risk is a risk of something that cannot be avoided by the exercise of reasonable care and skill. However, the section does not exclude liability regarding the duty to warn of such risks. Determining standard of contributory negligence Section 5R states that the principles applying to whether a person has been negligent also apply to contributory negligence. That is, the standard of care required of the injured person is that of a reasonable person in that position. The matter is determined on the basis of what that person knew or ought to have known at the time. Section 5S holds that it is open for a court to determine a reduction in damages of 100 per cent if it thinks it just and equitable to do so. The result of this would be that the claim for damages is defeated. Creation of a presumption of structured settlements Compensation for personal injury caused by negligence was typically awarded by the courts as a single lump sum. This was also generally the case for settlement agreements. However, the Stage 2 reforms included calls for an alternative to lump sums. HOT TIP Contributory negligence refers to the issue of whether the person injured was partly (or wholly) responsible for their injury due to their own negligence. That is, they themselves may also have been to blame for failing to take precautions against the risk of harm. Not looking where they were going, running over a wet surface while wearing slippery shoes, swimming in dangerous waters – these are all examples of possible contributory negligence. ‘Structured settlements’ involve a small lump sum payment plus periodic payments for life. These periodic payments are funded by an annuity, purchased by the defendant (or its insurer) on behalf of the plaintiff. An annuity is a financial product provided by life insurance companies, and makes regular payments. The advantages and disadvantages of structured settlements are summarised in the following table. Advantages of structured settlements Disadvantages of structured settlements > plaintiff benefits from an increased after-tax award of compensation and a cash flow that can be guaranteed for life > annuities that make up part of structured settlements incur tax, whereas lump sum payments are non­ taxable (this has since changed – see note below) > a structured settlement can be linked to inflation ensuring its adequacy over the years > lump sums provide greater flexibility and choice in determining how a compensation payment is best spent than structured settlements > compensation payout is not susceptible to the fluctuating investment returns of an investment lump sum > structured settlements are flexible > defendant’s insurer will have to pay less money overall in compensation if it is paid in instalments rather than in a lump sum (estimates range between 10 to 15 % lower cost than lump sum) > plaintiffs who deplete their lump sum early often turn to the social security system, therefore the Federal Government will benefit from the use of structured settlements through reduced welfare payments (despite lower tax receipts) > structured settlements shift the risk of living too long from the plaintiff to life insurance companies, which are better able to handle that risk > a lump sum payment offers a plaintiff greater potential to change his or her lifestyles or career after an injury, which is critical to recovery for many patients > lump sum payments provide certainty and finality to litigation > possible psychological benefit in receiving a lump sum payout, in terms of empowering a plaintiff to take control of his or her life > possible associated costs of administering structured settlements > risk that the provider of an annuity may go bankrupt (Source: Lozusic R, Public Liability – an update: Briefing Paper 11/2002, Parliament of New South Wales, pp 21-2) Changes to the law in New South Wales 11 Note: one of the main disadvantages of structured settlements was that they attracted tax, whereas a lump sum didn’t – this has since changed. The Taxation Laws Amendment (Structured Settlements and Structured Orders) Act 2002 (Cth) amended the Income Tax Assessment Act 1997 (Cth), the Income Tax Assessment Act 1936 (Cth), and the Life Insurance Act 1995 (Cth). Periodic payments derived from structured settlements and structured orders entered into on or after 26 September 2001 are tax-exempt. Structured settlements and orders must meet various criteria in order to receive the Structured settlements are favourable tax treatment. There the result of an agreement between parties, while is a compulsory component – a structured orders are the personal injury annuity that result of a court order, provides the injured person with often without agreement by a minimum level of monthly the parties. payments for as long as they live. The minimum level of the annuity is equal to the basic age pension and pension supplement. This component is basically for the payment of future medical treatment, nursing care and other living expenses. There are also optional components, including an immediate cash component. This is a lump sum paid immediately so it can be used to pay costs, debts, purchase equipment and so on. Another option is to include a personal injury lump sum – a single premium paid by the defendant or their insurer in return for an agreement to pay a tax-free lump sum at an agreed future date or dates. This can be used to cover expected future costs, such as the upgrading or replacement of equipment. HOT TIP With the taxation disadvantage settled, structured settlements are gaining popularity. New provisions were added to the Civil Liability Act to further encourage the making of structured settlements. Section 23 requires the court to give the parties to proceedings a reasonable opportunity to negotiate a structured settlement. Section 24 allows the court to make consent orders for structured settlements. And section 25 places an obligation on legal practitioners to advise plaintiff clients in writing as to the availability of structured settlements and the desirability of their obtaining independent financial advice. Mental harm Mental harm means impairment of a person’s mental condition. Part 3 of the Civil Liability Act deals with mental harm arising in connection with personal injury. Section 29 states that plaintiffs are not prevented from recovering damages simply because the personal injury arose wholly or in part from mental or nervous shock. But then section 30 goes on to outline the limits that exist on 12 HOT TOPICS 51 > Personal injury recovery for pure mental harm arising from shock. Plaintiffs are not entitled to damages for pure mental harm unless: > the plaintiff witnessed, at the scene, the victim being killed, injured or put in peril; or > the plaintiff is a close family member of the victim (that is, parent, spouse, partner, child, or sibling). The nature of the duty of care owed is further explained in section 32. A person does not owe a duty of care to not cause mental harm unless they ought to have foreseen that a person of ‘normal fortitude’ might, in the circumstances, suffer a recognised psychiatric illness if reasonable care were not taken. Strengthening defences regarding intoxicated plaintiffs ‘Intoxication’ refers to being under the influence of alcohol or a drug, regardless of whether the drug is taken for a medicinal purpose and whether it is taken lawfully. The effect of intoxication on the duty and standard of care is covered by section 49, which states that: > in determining whether there is a duty of care, it is not relevant to consider the possibility that intoxication has exposed someone to increased risk because their ability to exercise reasonable care and skill is impaired; > a person is not owed a duty of care merely because they are intoxicated; > the fact that someone is intoxicated does not of itself increase the standard of care owed to them. Section 50 goes on to add that, if the person’s capacity to take reasonable care and skill is impaired due to intoxication, a court is not to award damages unless it is satisfied that the injury is likely to have occurred even if the person had not been intoxicated. In such situations, a person is presumed to have been contributorily negligent unless the court is satisfied that the person’s intoxication did not contribute in any way to the cause of the injury. This section does not apply if the intoxication was not self-induced. Strengthening defences regarding injuries received in course of crime Under the common law, no duty of care is owed to someone who is engaged in criminal activity. This provision was codified in the Civil Liability Act as section 54, and then further amended by Civil Liability Amendment Act 2003. Criminals are not to be awarded damages if the injury or death occurred at the time of or following conduct that, on the balance of probabilities, constitutes a serious offence, where that conduct contributed materially to the injury or risk of injury. If a mentally ill patient commits a serious offence, damages are limited: see section 54A. RECENT LEGISLATION ON PERSONAL INJURY* Name of Act Act amended Date of Effect What the changes mean Commonwealth Taxation Laws Amendment (Structured Settlements and Structured Orders) Act 2002 Income Tax Assessment 19 Dec 2002 Act 1997 removes tax barriers to structured settlements Trade Practices Amendment (Liability for Recreational Services) Act 2002 Trade Practices Act 1974 19 Dec 2002 allows people to sign waivers and assume the risk of participating in risky recreational activities Commonwealth Volunteers Protection Act 2002 Trade Practices Amendment (Personal Injuries and Death) Bill 2003 24 Aug 2003 Trade Practices Act 1974 13 July 2004 exempts Commonwealth volunteers from liability prevents claims for damages for injuries or death resulting from contraventions the Trade Practices Act 1974 New South Wales Civil Liability Act 2002 20 March 2002 > upper limits imposed for non-economic loss ($350,000) and lost earnings (three times NSW average weekly earnings) > application of a threshold of 15% impairment for general damages Civil Liability Amendment (Personal Responsibility) Act 2002 Civil Liability Act 2002 6 Dec 2002 for most, Sch 1[5] 1 Dec 2003 > allows people to sign waivers and take personal responsibility for risk > protects volunteers and ‘good Samaritans’ > ensures that saying ‘sorry’ does not represent an admission of guilt > imposes new limitation periods for personal injury cases Civil Liability Amendment Act 2003 Civil Liability Act 2002 19 Dec 2003, except Sch 2 on 1 Dec 2004 > no damages to be awarded for the costs of rearing a child (unless child has disability) > criminals cannot be awarded damages Civil Liability Amendment (Offender Damages) Act 2004 Civil Liability Act 2002 > deals with damages for negligence for death or injury suffered by offenders in custody Civil Liability Amendment (Offender Damages) Act 2005 Civil Liability Act 2002 > deals further with damages for negligence for death or injury suffered by offenders in custody *Note: This table does not include legislation relating to workers compensation accidents or motor vehicle accidents. NEW LEGISLATION IN OTHER STATES Australian Capital Territory Queensland Tasmania > Civil Law (Wrongs) Act 2002 > Civil Liability Act 2003 > Civil Liability Act 2002 > Civil Law (Wrongs) Amendment Act 2003 > Personal Injuries Proceedings Act 2002 > Civil Law (Wrongs) (Proportionate Liability and Professional Standards) Amendment Act 2004 South Australia Northern Territory > Statutes Amendment (Structured Settlements) Act 2002 > Consumer Affairs and Fair Trading (Amendment) Act 2003 > Personal Injuries (Civil Claims) Act 2003 Victoria > Wrongs (Liability and Damages for Personal Injury) Amendment Act 2002 > Recreational Services (Limitation of Liability) Act 2002 > Law Reform (Ipp Recommendations) Amendment Act 2000 > Wrongs and Other Acts (Public Liability Insurance Reform) Act 2002 > Wrongs and Limitation of Actions Acts (Insurance Reform) Act 2003 > Wrongs and Other Acts (Law of Negligence) Act 2003 Western Australia > Civil Liability Act 2002 > Civil Liability Amendment Act 2003 > Volunteers (Protection from Liability) Act 2002 Changes to the law in New South Wales 13 As a related matter, the Civil Liability Amendment (Offender Damages) Act 2004 introduced a new Part 2A which came into effect from 19 November 2004. The Part places limitations on the ability of offenders to claim damages for personal injury against ‘protected defendants’ (such as the Crown and its servants) for injuries arising while they are in custody. Protection of good Samaritans who assist in emergencies image unavailable The intention of this reform was to protect ‘good Samaritans’ – people who voluntarily help in emergencies – to ensure that such people are not at risk of being judged after the event of not having helped well enough. This was basically already the position at common law, but nevertheless a new Part 8 was added to the Civil Liability Act to specifically deal with good Samaritans. Section 57 states that a good Samaritan does not incur any personal civil liability regarding their act or omission in an emergency when assisting a person who is apparently injured or at risk of being injured. But there are some situations where the protection does not apply: > where it was the good Samaritan’s actions that caused the injury or risk of injury in the first place; or > where the good Samaritan failed to exercise reasonable care and skill because their ability to do so was significantly impaired because they were (voluntarily) intoxicated; or > where a person is impersonating a health care or emergency services worker or a police officer, or otherwise falsely represents that they have skills in connection with emergency assistance. Protection of community organisations and volunteers A related issue is the protection of volunteers and community organisations for the purposes of ‘community work’. That is, work that is not for private financial gain performed for charitable, sporting, educational or cultural purposes. Section 61 holds that a volunteer is not liable for any act or omission done in good faith when doing community work organised by a community organisation or as an office holder of a community organisation. The protection does not apply if (among other things): > the volunteer was engaged in a criminal offence at the time > the volunteer was intoxicated > the volunteer was acting outside the scope of his/her activities or contrary to the community organisation’s instructions. Also, the requirement for incorporated associations to have $2 million of public liability insurance was repealed 14 HOT TOPICS 51 > Personal injury from the Associations Incorporation Regulation 1999, on 10 May 2002. Apologies The provisions of Part 10 state that an apology made by a person does not constitute an express or implied admission of fault or liability. Evidence of an apology is not admissible in civil proceedings as evidence of fault or liability in connection with that matter. Statute of limitations A limitation period works by limiting the time within which a plaintiff can commence proceedings. Changes to the Limitation Act 1969 (NSW) mean that a case cannot be brought after the expiration of whichever is the first to expire out of: > three years running from the date on which the cause of action is discoverable to the plaintiff; or > twelve years from the time of the act or omission that is alleged to have resulted in the injury. See section 50C; exceptions exist for minors (section 50E) and cases of disability (section 50F). Recreational activities and risk warnings The reforms to the law in this area are described under the section headed ‘Sporting bodies’. Statutory immunity for public authorities This is dealt with under the section headed ‘Public authorities’. Changes to the medical negligence test For details, please refer to section headed ‘Medical negligence’. Sporting bodies THE LAW BEFORE THE REFORMS Traditionally, participants in sporting games and activities were not able to sue for negligence for injuries received. This was because the law recognised that sport contained certain inherent risks: if people are prepared to be involved in the sport, they are prepared to take on the risk that they might suffer certain injuries. However, a High Court case in the late 1960s changed the law significantly. In Rootes v Shelton , the High Court stated that just because an injury occurred while playing sport, that was not enough to exclude it from the laws of negligence. Also, the fact that the activity contained inherent risks was not enough to eliminate a duty of care: see case study. Since that case, courts have found that, in the context of sporting events, a duty of care can be owed to many people. Various cases have held that a duty exists to other participants (amateur or professional), volunteers, coaches, trainers and even to spectators. But who exactly owes the duty of care? Court cases have found that a duty of care may be owed by: > other participants in the sport > volunteers > coaches > trainers > sporting organisations (either directly or vicariously – vicarious liability involves an employer being liable for the actions of their staff ) CASE STUDY ROOTES v SHELTON In this case, a water skier was severely injured following a collision with a stationary boat. The skier sued the driver of the towing boat for negligence. More specifically, he sued the driver for failing to take due care in the control of the boat and for failing to warn him of the presence of the stationary boat, which was standard practice. The New South Wales Supreme Court (Court of Appeal) had found that the boat driver did not owe a duty to the plaintiff. This was because they were both participants in a sport, who accepted the risks of injury that might be involved with taking part. However, the High Court overturned this on appeal. Chief Justice Barwick made some statements on negligence and sport in general, before turning to the specifics of this case: ‘By engaging in a sport or pastime the participants may be held to have accepted risks which are inherent in that sport or pastime: the tribunal of fact can make its own assessment of what the accepted risks are: but this does not eliminate all duty of care of the one participant to the other. Whether or not such a duty arises, and, if it does, its extent, must necessarily depend in each case upon its own circumstances: but, in my opinion, they are neither definitive of the existence nor of the extent of the duty; nor does their breach or non-observance necessarily constitute a breach of any duty found to exist.’ Rootes v Shelton [1967] HCA 39; (1967) 116 CLR 383 available at http://www.austlii.edu.au/au/cases/cth/ HCA/1967/39.html > occupiers and owners of sports premises, due to the laws of occupiers’ liability. WAIVERS AND WARNINGS A more recent High Court case found that the duty of care in sports, however, does not necessarily extend to bodies that make the rules for the sport: Agar v Hyde [2000] HCA 41. In this case, the question was whether a duty of care was owed by a rugby union rule making body to the players. Chief Justice Gleeson held that, ‘Undertaking the function of participating in a process of making and altering the rules according to which adult people, for their own enjoyment, may choose to engage in a hazardous sporting contest, does not, of itself, carry with it potential legal liability for injury sustained in such a contest.’ available at http://www.austlii.edu.au/au/cases/ cth/high_ct/2000/41.html The Stage 2 reforms included the introduction of waivers and warnings in the context of risky activities. More specifically, the reforms would allow clauses to be inserted into contracts for the supply of recreational services that limit or exclude the liability of the service providers. Also, the provision of risk warnings would be able to operate as a good defence for risky entertain­ ment or sporting activities. HOT TIP Occupiers and owners of sports premises have a duty to maintain safe premises, for example in playing fields and leisure centres. They need to provide adequate warnings, such as in the form of signs pointing out the relevant risks. The existence of warning signs, however, had been found to not necessarily exempt an occupier from their duty to provide safe premises. Sporting bodies 15 The Australian Plaintiff Lawyers Association (APLA, now known as the Australian Lawyers Alliance) broadly supported such changes. However, they did state that care would be needed in the drafting to protect children and people with mental disabilities. In their submission to the Negligence Review Panel, they said: image unavailable APLA supports the exploration of the use of waivers or disclaimers to enable fully informed adults to voluntarily assume the risks inherent in certain activities. However, it is essential that these disclaimers are only available to those who can fully appreciate the nature and extent of the risks that they undertake. They should only apply to inherently risky activities and the risks involved should be fully articulated before the assumption of risk can be effective. In their submission to the Negligence Review Panel, the Australian Competition and Consumer Commission (ACCC) expressed concerns that the reforms could lead to risks being inappropriately transferred to consumers. Their concern centred on the argument that consumers are not as well placed as suppliers to gauge the risks involved in recreational services and to insure against the consequences of those risks. WHAT THE LAW IS NOW As part of the Stage 2 reforms, the Civil Liability Amendment (Personal Responsibility) Act 2002 (NSW) added some new provisions to the Civil Liability Act 2002 (NSW) dealing with recreational activities: Pt 1A Div 5. ‘Recreational activities’ are defined in Division 5 as including any sport (whether organised or not), any leisure pursuit, and any activity engaged in at a place where people ordinarily engage in sport, leisure or relaxation activities (such as parks, beaches, open public space). A dangerous recreational activity is one that involves a significant risk of physical harm. Section 5L states that a person is not liable in negligence for harm suffered due to the materialisation of an obvious risk of a dangerous recreational activity – whether the plaintiff was aware of the risk or not. In line with the calls for change discussed above, changes were made to the law regarding risk warnings and exclusion clauses in contracts. Section 5M deals with risk warnings. A person does not owe a duty of care to someone engaging in a recreational activity if the risk of the activity was the subject of a risk warning to that participant. A risk warning must be given in a manner that is reasonably likely to result in people being warned of the risk before engaging in the activity. It is not necessary to establish, however, that the person received or understood the warning – or even that they were capable of receiving or understanding it. Risk warnings can be given orally or in writing, for instance, by means of a sign. They need not be specific to the 16 HOT TOPICS 51 > Personal injury particular risk. Rather, they can be a general warning of risks that include the particular risk concerned, as long as they warn of the general nature of the particular risk. According to the section, there are some situations where defendants cannot rely on risk warnings. These are where: > the person who suffered harm was an incapable person (unless they were under the control of or accompanied by someone else who received the risk warning, or the warning was to a parent of the incapable person) > the warning was not given by or on behalf of the defendant or the occupier of the premises > there was a contravention of safety laws > the warning was contradicted by any representation as to risk made by or on behalf of the defendant > the defendant had required the plaintiff to engage in the recreational activity. Section 5N deals with waiver of contractual duties of care for recreational activities. It states that a contract for the supply of a recreation service may ‘exclude, restrict or modify any liability to which this Division applies that results from breach of an express or implied warranty that the services will be rendered with reasonable care and skill’. It goes on to say that nothing in the written law of New South Wales renders such a contract void or unenforceable, or authorises a court to refuse to enforce the term, declare it void or vary it. The section does not apply, however, where there have been breaches of safety regulations. This change acts in conjunction with an amendment made to the Trade Practices Act 1974 (Cth). Section 74(1) of that Act has long created an implied warranty that services will be rendered with due care and skill, and section 68 voids any contract terms that exclude this warranty. However, a new section now deals specifically with recreational services. Section 68B allows corporations who provide recreational services to insert clauses that limit their liability for death or personal injury arising from the supply of those services. The new laws appear to be very restrictive. Undoubtedly, future cases will turn on the wording of the risk warnings and the exclusion clauses. Public authorities Public authorities include the Crown, government departments, local councils, and public and local authorities constituted by legislation. Their responsibilities are broad, and, particularly in the case of local councils, encompass a wide range of services into which the general public comes into daily contact. As an aside, it is worth noting that the Civil Liability Regulation 2003 (NSW) regards private schools to be public authorities for the purposes of the Civil Liability Act 2002 (NSW). This means the same considerations apply to public and private schools when it comes to liability for negligence. WIDE EXPOSURE Although this discussion generally applies to all public authorities, it focuses on local councils. This is because the breadth of their activities and responsibilities tends to give them the widest potential for exposure. Many of the facilities provided by local councils are intended for recreational and sporting activities. These include swimming pools, sporting grounds, playgrounds and community centres. Leisure and sporting activities by their nature contain more risks than other activities, thus increasing a council’s exposure to liability for personal injury actions. In addition, councils are responsible for maintaining infrastructure such as roads and footpaths. These are continuously used by members of the public – yet again exposing councils to a high potential for liability for negligence causing personal injury. Looking at roads and footpaths in particular, in the past, a highway authority (which can be a local council) did not incur civil liability ‘… by reason of any neglect on its image unavailable Public authorities 17 HOT TIP Malfeasance is a wrongdoing that is unlawful, it can be either a crime or a tort for instance, trespass. Misfeasance in negligence is the doing of something to a standard that falls short of the required standard. Road authorities have always been liable for misfeasance if they actually created dangers on the road. Nonfeasance is the failure to carry out a duty. The nonfeasance rule traditionally protected road authorities from actions in negligence regarding a failure to either maintain or repair the roads. It dates back to the Middle Ages when roads were privately owned. The distinction between nonfeasance and misfeasance has been disputed in many cases. Distinctions were made based on the facts of cases, so over time the so-called ‘highway rule’ eroded. part to construct, repair or maintain a road or other highway’: Buckle v Bayswater Road Board 5. This principle was known as the ‘highway rule’. But a recent High Court case abolished this immunity. In Brodie v Singleton Shire Council 6 a bridge collapsed when a heavy truck drove over it. The court removed the highway rule and replaced it with the ordinary principles of negligence. The court criticised the rule because it had developed in a way that gave rise to ‘illusory distinc­ tions’. They were referring to the differences between non­ feasance and misfeasance, and their consequences. The High Court stated that this distinc­ tion provided no incentive for highway authorities to take action to repair damage. CHANGES TO THE LAW The issue of public authorities’ duties was one of the areas dealt with by the Stage 2 reforms. The broad range of duties of public authorities was recognised, and the limited resources available to them to perform such duties. The reforms aimed to ensure that the existence of a power does not necessarily imply a duty to exercise that power; except where there is a statutory obligation to do so. The Civil Liability Amendment (Personal Responsibility) Act 2002 (NSW) added Part 5 to the Civil Liability Act 2002 (NSW). Section 42 states that the following principles apply in determining whether a public authority has a duty of care or has breached a duty of care: > the functions required to be exercised are limited by the financial and other resources reasonably available to the authority for the purpose of exercising those functions > the general allocation of those resources by the authority is not open to challenge > the authority can rely on evidence of its compliance with general procedures and standards as evidence of the proper exercise of its functions. Under section 43, an act or omission by an authority does not constitute a breach of statutory duty unless it was ‘so unreasonable that no authority having the functions of the authority in question could properly consider the act or omission to be a reasonable exercise of its functions’. A public authority is not liable for a failure to prohibit or regulate an activity unless it could have been compelled to by a court: see section 44. For example, an authority that does not use its regulatory authority to close a fishery would not be liable unless the courts could have compelled them to exercise that function. The nonfeasance rule for highway authorities is now specifically covered by the legislation, which uses the term ‘roads authority’. Section 45 states that a roads authority is not liable for harm arising from a failure to carry out road work or to consider carrying out road work, unless at the time it had actual knowledge of the particular risk that resulted in the harm. If a roads authority did know about a particular risk, it will still be able to rely on the general protection of being able to allocate resources without challenge. Similarly, section 46 holds that the fact that a public authority exercises or decides to exercise a function does not of itself indicate a duty to exercise that function. Nor does it indicate that the function should be exercised in particular circumstances or in a particular way. The Civil Liability Amendment Act 2003 (NSW) added a further amendment. Section 43A relates to proceedings against an authority based on the exercise of, or the failure to exercise, its special statutory powers. These are powers conferred by or under a statute, of the kind that are generally not authorised without specific statutory authority. The effect of this section is substantially similar to s 43, and says there is no civil liability unless the act or omission is ‘so unreasonable’ that no authority having such powers could properly consider it to be a reasonable exercise of (or a failure to exercise) such powers. [Some of the information in this section is drawn from the 2nd Reading Speech to the Civil Liability Amendment (Personal Responsibility) Bill, Bob Carr, 23/10/2002. Available at www.parliament.nsw.gov.au] > the functions required to be exercised are determined by reference to its broad range of activities, and not just the matter to which the proceedings relate 5. (1936) 57 CLR 259, Justice Dixon; http://www.austlii.edu.au/au/cases/cth/high_ct/57clr259.html 6. [2001] HCA 29; http://www.austlii.edu.au/au/cases/cth/high_ct/2001/29.html 18 HOT TOPICS 51 > Personal injury CASES ON COUNCILS’ DUTY OF CARE Councils have no duty to warn of a defect, for example in a footpath, if the defect is obvious to an ordinary user of the path. If they have notice of a defect that is not obvious, or have created a hazard by, for example, commencing repair work they have a duty to adequately warn pedestrians of the hazard. Many so-called ‘trip and fall’ cases, which form the bulk of legal action against councils, look at whether the risk is obvious and whether the warning is adequate – three examples follow. The fourth case, Timbs illustrates councils’ duty of care in relation to making statements that are relied on because of their position of authority. 1. NEWCASTLE CITY COUNCIL v LINDSAY [2004] NSWCA 198 image unavailable An elderly woman fell after tripping on a slab in a pathway, which had been raised by tree roots. Council had partly repaired the defect at the time. The Court of Appeal overturned the District Court’s decision in favour of the injured woman. The court decided that the defect was obvious, and that Newcastle Council had not increased the risk posed by failing to mark or protect the defect. They affirmed that pedestrians have a duty to keep a proper lookout for obvious and common risks. Text of judgment available at http://www.austlii.edu.au/au/cases/nsw/ NSWCA/2004/198.html 2. PENRITH CITY COUNCIL v PARKS [2004] NSWCA 201 As with the previous case, this case concerned a fall on a footpath. Council had identified the defect and had undertaken partial repair by cutting the path into two sections. This created a dangerous situation by leaving two unstable pieces of concrete. This defect was not considered to be obvious to the ordinary pedestrian. As council had created the risk, they had a duty to warn pedestrians. http://www.austlii.edu.au/au/cases/nsw/ NSWCA/2004/201.html 3. RYDE CITY COUNCIL v SALEH [2004] NSWCA 219 In another ‘trip and fall’ case, the Court of Appeal again overturned a decision awarding damages to the injured party. The toe of Mrs Saleh’s shoe caught on a section of footpath that was raised 20mm. The judges’ decision was that uneven pathways are an obvious risk and that pedestrians are best able to protect themselves by keeping a lookout. http://www.austlii.edu.au/au/cases/nsw/NSWCA/2004/219.html 4. TIMBS v SHOALHAVEN CITY COUNCIL [2004] NSWCA 81 Mr Timbs sought council permission to remove a large gum tree near his house. A council officer came to inspect the tree and refused permission to remove the tree, saying it was ‘safe and sound’. During a storm the tree fell onto Mr Timb’s house, resulting in his death. Further inspection showed that the roots were decayed, but this was not easily seen. Mrs Timbs sued the council for negligence, and council were found to be liable for economic loss. When the council officer stated that the tree was safe, the Timbs relied on his opinion because of his position, and did not cut down the tree. The council officer did not have to provide expert opinion, and could have suggested that the Timbs obtain independent advice about the condition of the tree. http://www.austlii.edu.au/au/cases/nsw/NSWCA/2004/81.html Public authorities 19 Medical negligence As part of the wave of law reform, changes were made to negligence law regarding all profes­ sionals. The changes apply equally to doctors, lawyers, accountants, engineers and so on – but the discussion regarding doctors received the most attention, and was arguably the centre of the most heated debates. It is also the area that touches most directly on personal injury. This section focuses on the law of negligence as it relates to the medical profession. In the section headed ‘Public Liability Crisis’ we looked at the problems associated with public liability insurance premium hikes. This crisis had direct parallels in the professional indemnity insurance industry, and most particularly in the case of medical indemnity insurance. Premiums for medical indemnity insurance kept rising to the point that many medical practitioners – especially surgeons – threatened to withdraw their services. The causes of the rise in premiums mirror those that led to the public liability crisis. That is, increased litigation and larger payouts awarded by courts have been blamed for the rise in medical indemnity insurance premiums. In addition, the largest medical defence organisation, United Medical Protection, collapsed. Contrary to popular belief, medical defence organisations are not actually insurance companies. They have a discretion as to whether or not they will indemnify their members. As they are not insurers, they are not subject to prudential regulation by the Australian Prudential Regulation Authority (APRA), and so may not have made sufficient provision for claims nor maintained sufficient reserves. The Commonwealth government stepped in with a rescue plan, supporting medical defence organisations and making co-payments for large claims. Even so, the need for tort law reform was widely discussed. It was a component in the New South Wales government’s Stage 2 reforms on personal injury law. THE LAW BEFORE THE REFORMS As explained in the overview, a finding of negligence requires three things: > the defendant owed the plaintiff a duty of care > that duty was breached > the breach caused the injury that is the subject of the dispute. Applying these general principles to the area of medical negligence, there is no dispute that a doctor owes his or her patient a duty of care. Most cases of medical negligence turn on whether the doctor breached that duty by failing to take reasonable care. Traditionally, doctors were not said to have breached their duty of care if they acted in accordance with a practice accepted by their peers – that is, by a body of practitioners skilled in that particular field. This is known as the ‘Bolam’ test, after an English case: Bolam v Friern Hospital Management Committee (1957) 1 WLR 5827. This case was accepted and followed in Australia for some time. The law in Australia changed, however, due to the groundbreaking High Court case Rogers v Whitaker (1992) 175 CLR 479: see case study. The essence of the change lay in who it was that could determine that a practitioner was negligent. Under the Bolam test, a practitioner’s peers set the standard. But under Rogers v Whitaker, the court replaced this with an objective test to be determined by the court itself. In other words, the court had to decide whether a reasonable doctor, exercising reasonable care and skill, would have acted in that way given the available material. So if a court decided that a practitioner was acting unreasonably, the practitioner would be liable even if he or she followed a practice accepted as proper at that time by the medical profession. In Rogers v Whitaker, the case turned specifically on a practitioner’s failure to warn of the risks involved in undertaking treatment. A later case, Naxakis v Western General Hospital took the objective test even further8. 7. Available at http://oxcheps.new.ox.ac.uk/casebook/cases.html Scroll down the alphabetical list. 8. [1999] HCA 22 available at http://www.austlii.edu.au/au/cases/cth/HCA/1999/22.html 20 HOT TOPICS 51 > Personal injury Naxakis extended the court-determined objective test to negligent diagnosis and treatment. This case involved a schoolboy who had been hit on the head with a school bag in a fight with another child. The victim was treated in hospital and sent home, only to collapse a couple of days later. He was then found to have a major intracranial bleed from a burst aneurysm. The bursting of the aneurysm caused permanent impairment. There was evidence that, if an angiogram had been undertaken before the hospital release, the aneurysm might have been identified and treated. Justice Gaudron stated ‘… it was for the jury to form their own conclusion as to whether it was reasonable for one or more of those steps to be taken. It was not for the expert medical witnesses to say whether those steps were or were not reasonable. Much less was it for them to say, as they were frequently asked, whether, in their opinion, the hospital and Mr Jensen were negligent in failing to take them.’ ARGUMENTS FOR AND AGAINST REFORM Medical practitioners have called for a return to the Bolam test – that is, they maintain that the standard of care should be determined by their peers rather than by a court. This would mean that if a practitioner acts in CASE STUDY ROGERS v WHITAKER The plaintiff had been blind in her right eye since sustaining a childhood injury. Nearly 40 years later, she agreed to surgery with the aim of restoring some sight to that eye and improving its appearance by removing scar tissue. The operation was not a success. It did not result in improved vision to the right eye. Instead, it caused an inflammation in her left eye as a result of sympathetic ophthalmia (which generally has a one in 14,000 chance of occurring). This ultimately led to loss of sight in her left eye. As her right eye was not improved, she was left almost totally blind. The issue was not that the surgeon had failed to conduct the operation with the required care and skill. Rather, the case turned on the failure to warn the patient of the risk of sympathetic ophthalmia. The trial judge in the Supreme Court of New South Wales faced competing evidence from medical practitioners. One body stated it would not warn of the risk, another stated it would. The trial judge found for the plaintiff. The defendants appealed, without success, to the Court of Appeal and then to the High Court. accordance with a practice accepted by a reasonable body of medical opinion, it would be hard to find them liable for negligence. The Australian Plaintiff Lawyers Association (APLA) – now known as the Australian Lawyers Alliance – argued against such reform. They warned that such an approach would insulate doctors and other professionals from the consequences of negligence, and could result in a serious decline in the quality and reliability of professional services. APLA pointed out that professionals are highly trained. As such, members of the public are entitled to expect that they will exercise reasonable care in the performance of their services. The Law Council of Australia also voiced similar concerns. It suggested that if the Bolam test is reintroduced, it should be limited. That is, the standard of care should be that which is established by a responsible body of medical practitioners in the field, unless there are cogent reasons to depart from it or it can be shown that the practice is unreasonable or illogical. THE NEW LAWS The Civil Liability Amendment (Personal Responsibility) Act 2002 (NSW) adds some provisions to the Civil Liability Act 2002 (NSW). Section 5O sets the standard of care for professionals. Note it refers to professionals in general, not just medical practitioners. The section states that a professional does not incur a liability in negligence if they acted in a manner that, at the time the service was provided, was ‘widely accepted in Australia by peer professional opinion as competent professional practice’. The fact that there are differing peer professional opinions widely accepted in Australia does not prevent any one or more of those opinions being relied on. It also states that the peer professional opinion does not need to be universally accepted in order to be considered widely accepted. There is a proviso, however. Peer professional opinion cannot be relied on if the court considers that the opinion is irrational. The test is therefore a return to the Bolam test but with a limitation that leaves it open for a court to conclude that the opinion relied upon was irrational. Section 5P of the Act then goes on to say that the provisions do not apply to liability arising from the duty to warn of risks or provide information in respect of the risk of death or injury associated with the provision of a professional service. The High Court found that the doctor was in breach of his duty of care in not warning of the risk of sympathetic ophthalmia. It stated that the Bolam test could not be applied to the provision of information, and noted that a patient’s consent requires that sufficient information be given. Available at www.austlii.edu.au/au/cases/cth/HCA/ 1992/58.html Medical negligence 21 Conclusion: Are the reforms working? Approximately two years have passed since the bulk of the reforms came into operation. So the question must now be asked: are the reforms working? The original impetus for the reforms arose from the public liability insurance crisis. As stated earlier under the heading ‘The public liability crisis’, insurance premiums were rising rapidly, with the result that public liability insurance often became unaffordable and in some cases unavailable. Has the problem been solved by the law reforms? In other words, what has happened to the size and number of claims and payouts? Have insurance companies realised a drop in their costs, and have they passed the benefit to their customers in the form of more affordable insurance premiums? THE IMPACT ON INSURANCE PREMIUMS The Federal Government asked the Australian Com­ petition and Consumer Commission (ACCC) to monitor premiums in public liability and professional indemnity insurance in order to assess the impact of the reforms. The ACCC published the results of their findings in their third monitoring report, dated July 2004. The study found that, as of 31 December 2003, most insurers had begun to notice a drop in the frequency of claims. However, most of those insurers thought that factors other than the reforms had led to the drop. This is because they had previously made changes to the type of risk they insured against – moving away from the typically high frequency small claims type of insurance business. In addition, some insurers had increased their excess levels, which again had the effect of reducing the number of small claims. Because the number of small claims had declined, the average size of claims had actually increased. The insurers were also asked what they expected the short, medium and long term impact of the reforms would be on costs and premiums. 22 HOT TOPICS 51 > Personal injury Generally, insurers expected premium rises to be constrained in 2004 due to the impact of reforms. Without the reforms, the expectation would have been that premiums would have risen higher. As it turned out, some insurers had lower than expected premium increases that year, caused mainly by lower than expected expenses. Other insurers had higher than expected premium rises, due to a larger than anticipated rise in claims costs. It takes some time for changes to the law to have a definitive and identifiable impact. This is due to the long­ tailed nature of public liability insurance. That is, there can be a long gap between when a policy is taken out and when the financial outcome of a claim is finally realised (this is discussed in more depth in the ‘Overview’). Most insurers stated that they expected the reforms to have an impact on claims costs and premiums over the medium term, but this is yet to be seen. But what of the long term? The ACCC study found a level of uncertainty existed among insurers. Several insurers expressed concerns that the reforms may be eroded in the long term by plaintiffs circumventing the intent of the reforms. HAVE THE REFORMS GONE TOO FAR? Various commentators express concerns that the reforms have gone too far. Statistics published by the Productivity Commission show that there has been an approximate drop of 30 per cent in the number of civil cases in Australian courts in 2002-03 at the District/County Court level. In New South Wales, the drop in District Court cases over that time was 56 per cent. (Source: (2003) 20 (3) Policy 31-2.) The threshold for general damages has received a large share of the criticism. General damages refers to non­ economic loss such as pain and suffering and the loss of enjoyment of life. As a reminder, in New South Wales the general damages threshold is 15 per cent, the most onerous in Australia. The effect of the threshold is that general damages are not to be awarded if the impairment is considered to be less than 15 per cent of a most extreme case. In other words, many smaller claims are automatically excluded. Many lawyers consider this to be unsatisfactory. They argue that, in effect, it is giving people the right to be negligent and injure someone up to a given level before they become liable. ‘The introduction of a requirement that a person be subject to fifteen percent of whole of body impairment – that percentage is lower in some states – before being able to recover general damages has been the subject of controversy. It does mean that some people who are quite seriously injured are not able to sue at all. More than any other factor I envisage this restriction will be seen as much too restrictive.’ Justice Spigelman, ‘The new liability structure in Australia’, Sydney, 14 September 2004. Available at http://www.lawcouncil.asn.au/shared/ 2404422274 A great deal will depend on how courts will apply the new laws. They might apply them strictly, in accordance with the ‘moderation in verdicts’ principle that underlies the Civil Liability Act 2002 (NSW). Or they might be more flexible in their interpretation of the law. So far, there has been a mixture of both stances. Penrith City Council v Parks 9 concerned a woman who tripped and fell on a concrete footpath that the council was responsible to maintain (see p19). The plaintiff’s injury was assessed at 28 per cent of a most extreme case at the initial trial, but this was reduced to 15 per cent on appeal to the New South Wales Court of Appeal. This might indicate a trend towards lower compensation awards. Two other cases also illustrate a more stringent approach. The cases Wyong Shire Council v Vairy and Mulligan v Coffs Harbour City Council 10 were heard separately but the court handed down a single judgment. Both cases involved diving injuries that resulted in quadriplegia. There were no warning signs or fences preventing diving. The New South Wales Court of Appeal held that the defendants had not acted negligently and that the risks were obvious. It posed the rhetorical question: ‘… should not a person who engages with the natural conditions of the ocean or a tidal creek for the purposes of recreation accept often inherent and obvious risks of injury associated with his or her activities as part of the price of enjoyment of the activity undertaken?’ An appeal against this decision is currently before the High Court. But then again, a recent decision regarding a plaintiff who was injured after falling from a moving walkway shows that not all cases are being considered so restrictively. In Woolworths Ltd & Anor v Lawlor 11, the New South Wales Court of Appeal applied a broad construction of a key word in the legislation. The question concerned s 15(2)(b) of the Civil Liability Act, relating to damages for gratuitous attendant care. The word ‘solely’ (as in the need has arisen solely because of the injury) was given a broad meaning, with the result being in the plaintiff ’s favour. It takes time for cases to move through the court system, and undoubtedly cases will be appearing before the High Court soon that will further clarify the situation. It is still too early to identify the long-term effect of the reforms. image unavailable Whether the reforms have gone too far is really a matter of personal opinion. Whether insurance premiums will finally drop, and whether the courts will eventually erode or uphold the strict principles of the new laws still remains to be seen. 9. [2004] NSWCA 201 available at http://www.austlii.edu.au/au/cases/nsw/NSWCA/2004/201.html 10. [2004] NSWCA 247 available at http://www.austlii.edu.au/au/cases/nsw/NSWCA/2004/247.html 11. [2004] NSWCA 209 available at http://www.austlii.edu.au/au/cases/nsw/NSWCA/2004/209.html Conclusion: Are the reforms working? 23 Contacts & further reading The Legal Information Access Centre (LIAC) can help you find more information about the law, including legislation and cases. The service is free and confidential. The LIAC Pathway provides an approach to finding more information on an area of the law, structured from simple to complex. The resources are up-to-date and in plain English: http://liac.sl.nsw.gov.au/pathway For further contact details, see the back cover. Parliament of New South Wales www.parliament.nsw.gov.au Website has information about bills, reviews and enquiries. Go to ‘Information resources’ then ‘Research papers’ for the following papers: Public Liability, Briefing Paper 7/2002, Roza Lozusic, Parliament of New South Wales. Public Liability – an Update, Briefing Paper 11/2002, Roza Lozusic, Parliament of New South Wales. Parliament of Australia – Parliamentary Library Economics Internet Resources Public Liability Insurance www.aph.gov.au/library/intguide/ECON/publicliability. htm contains links to other publications, including: Liability Insurance Premium Increases: Causes and Possible Government Responses Briefing Paper, 19 March 2002, David Kehl, Department of the Parliamentary Library, Parliament of Australia. Available at www.aph.gov.au/library/pubs/CIB/index.htm click on 2001-02 and scroll down to number 10. The Law Handbook 9th ed., 2004. Redfern Legal Centre Publishing – available in all public libraries. Includes plain language information on accidents and compensation, insurance and community organisations. 24 HOT TOPICS 51 > Personal injury Australian Business Law CCH, 2005 See Chapter 4 ‘Tort in the Business World’ includes lots of case examples. Available in all LIAC libraries – new edition available each year. Check the LIAC website www.liac.sl.nsw.gov.au for your nearest LIAC library. Australian Competition and Consumer Commission www.accc.gov.au The ACCC is responsible for monitoring costs and premiums in the public liability insurance and professional indemnity insurance markets. Monitoring reports are published on their website every 6 months, the most recent to date being: Public Liability and Professional Indemnity Insurance, Fourth monitoring report, 15 February 2005, http:// www.accc.gov.au/content/index.phtml/itemId/582500 Is Injury Compensation Excessive? by Peter Abelson; (2004) 15 (7) Australian Product Liability 97-104 Available at http://www.appliedeconomics.com.au/pubs/papers/pa04 _injury.htm Plaintiffs’ Rights of Recovery Not Extinguished by Dr John Azzi; (2004) 42 (8) Law Society Journal 56­ 59 The Foresight Saga: Risk, Litigiousness and Negligence Law Reforms by Caspar Conde; (2004) 20 (3) Policy 28-34 Available at http://www.cis.org.au/policy/spring04/spring04­ 5.htm