MODEL DIRECTIONS FOR CLINICAL NEGLIGENCE CASES (2012) - before Master Roberts and Master Cook Introductory note. These are the Model Directions for use in the first Case Management Conference in clinical negligence cases before the Masters. A draft order in Word format, adopting the Model Directions as necessary, is to be provided by e-mail to the Master at least 2 days before the hearing. Parties are required to use the form of order at the end of this document – adapted as necessary. From April 2013 CPR Rule changes will require parties to take as their starting point any relevant Model or Standard Directions The changes to the 2010 directions are to be found in paragraphs 4, 9, 10, 11, 19, 23, and 25. The changes are necessary but are not radical. The e-mail addresses of the clinical negligence Masters are: master.roberts@judiciary.gsi.gov.uk master.cook@judiciary.gsi.gov.uk The Model Directions allow the court and the parties to be flexible. For example, sequential exchange of quantum statements (say, with schedule and counter-schedule of loss) may be appropriate. The sequential exchange of expert evidence on breach of duty and causation may sometimes be appropriate. It would be helpful if dates appeared in bold type. Please note: Solicitors must ensure that the claimant is accurately described in the title to the order: e.g., “JOHN SMITH (a child and protected party by his mother and Litigation Friend, JOAN SMITH). It is never permissible to refer to such a claimant as “JOHN SMITH”. The order should make it clear that it is made pursuant to a Case Management Conference or an application or both. Please note the role of experts in the preparation of Agendas. 1 THE MODEL DIRECTIONS The annotations in italics are to assist the parties and are not part of the Model Directions and should not appear in the order. A draft order – without the annotations – appears at the end of this document. Parties are requested to adopt this draft. *** Allocation 1. The case do remain on the Multi-track. Allocation: The order states that “the case do remain on the Multi-track”. Allocation may well have been dealt with before the CMC. Preservation of Evidence 2. The Defendant do retain and preserve safely the original clinical notes relating to the action pending the trial. The Defendant do give facilities for inspection by the Claimant, the Claimant’s legal advisers and experts of the said original notes upon 7 days written notice to do so. Maintenance of records and reports etc 3. Legible copies of the medical (and educational) records of the Claimant / Deceased / Claimant’s Mother are to be placed in a separate paginated bundle at the earliest opportunity by the Claimant’s Solicitors and kept up to date. All references to medical notes in any report are to be made by reference to the pages in that bundle. 4. The parties do retain all electronically stored documents relating to the claim. Amendments The following is suggested: Permission to Claimant / Defendant to amend the Particulars of Claim / Defence in terms of the draft initialed by the Master [or the draft served on / /12]; the Defendant to serve an amended Defence by / /12. Costs of and occasioned by the amendments to be borne by (usually, the party seeking permission to amend). [Where no draft is available, but the form of the amendments is not contentious] (Party wishing to amend) to serve draft amended [Statement of Case] by / /12. If no objection to the draft amendments, response to be served by / /12, if objection is taken to the draft, permission to restore. 2 Judgment The following is suggested: There be judgment for the Claimant with damages to be assessed. Or There be judgment for the Claimant for …% of the damages as are assessed (or agreed by the parties) as due on a full liability basis. Split Trial [An order “That there be a split trial” is inappropriate. The following is suggested.] 5. A preliminary issue shall be tried between the Claimant and the Defendant as to whether or not the Defendant is liable to the Claimant by reason of the matters alleged in the Particulars of Claim and, if so, whether or not any of the injuries pleaded were caused thereby; if any such injuries were so caused, the extent of the same. Disclosure 6. There be standard disclosure [on the preliminary issue] [limited to quantum] by list by 2012. Any initial request for inspection or copy documents is to be made within 7/14 days of service of the lists. Where there is a large number of documents all falling into a particular category, the disclosing party may list those documents as a category rather than individually. See: para 3.2 to Practice Direction 31A. Factual Evidence 7. Signed and dated witness statements of fact in respect of breach of duty and causation [and quantum] shall be simultaneously exchanged by 2012. Civil Evidence Act notices are to be served by the same date. The witness statements of all concerned with the treatment and care of the Claimant at the time of the matters alleged against the Defendant shall be served under this paragraph. 8. Signed and dated witness statements of fact in respect of quantum, condition and prognosis shall be served by 2012 (Claimant) and 2012 (Defendant). Civil Evidence Act notices are to be served by the same date. 3 Expert Evidence. A. Single Joint Experts. 9. Each party has permission to rely on the evidence of a single joint expert in the following fields: [state the disciplines; and identify the issues*]. The experts are to be instructed by 2012 and the joint expert is to provide his/her report to the instructing parties by 2012. In case of difficulty, the parties have permission to restore before the Master. If the parties are unable to agree on the identity of the expert to be instructed, the parties are to restore the CMC before the Master. At such hearing the parties are to provide details of the CVs, availability and the estimated fee of the expert they propose and reasoned objections to any other proposed. * These words may be deleted where the issues do not have to be defined. B. Separate Experts. 10. In respect of breach of duty and causation, each party has permission to rely on the evidence of an expert in the following fields: [state the disciplines; and the names of the experts where known]; permission being given to call the said experts on matters remaining in issue. The reports of the said experts are to be simultaneously exchanged by 2012. 11. In respect of quantum, condition and prognosis, each party ([where there are several defendants] the Defendants acting jointly, unless otherwise directed) has permission to rely on the evidence of an expert in the following fields: [state the disciplines; and the name of the experts where known]; permission being given to call the said experts on matters remaining in issue. The reports of the said experts are to be served by: Claimant: Defendant(s): 2012 2012 Literature and CVs 12. Any unpublished literature upon which any expert witness proposes to rely shall be served at the same time as service of his report together with a list of published literature. Any supplementary literature upon which any expert witness proposes to rely shall be notified to all other parties at least one month before trial. No expert witness shall rely upon any publications that have not been disclosed in accordance with this 4 direction without the permission of the trial judge on such terms as to costs as he deems fit. 13. Experts shall, at the time of producing their reports, produce a CV giving details of any employment or activity which raises a possible conflict of interest. Experts’ Discussions 14. Unless otherwise agreed by all parties’ solicitors, after consulting with the experts, the experts of like discipline for the parties shall discuss the case on a without prejudice basis by 2012. (Usually 8 weeks after the exchange of reports). Discussions between experts are not mandatory. The parties should consider, with their expert, whether there is likely to be any useful purpose in holding a discussion and should be prepared to agree that no discussion is in fact needed. (a) The purpose of the discussions is to identify: (i) The extent of the agreement between the experts; (ii) The points of disagreement and short reasons for disagreement; (iii) Action, if any, which may be taken to resolve the outstanding points of disagreement; (iv) Any further material points not raised in the Agenda and the extent to which these issues are agreed; (b) Unless otherwise agreed by all parties’ solicitors, after consulting with the experts, a draft Agenda which directs the experts to the remaining issues relevant to the experts’ discipline, as identified in the statements of case shall be prepared jointly by the Claimant’s solicitors and experts and sent to the Defendant’s solicitors for comment at least 35 days before the agreed date for the experts’ discussions; Claimants’ solicitors and counsel should note the obligation to prepare the draft Agenda jointly with the relevant expert. Experts should note that it is part of their overriding duty to the court to ensure that the Agenda complies with the following direction. The use of agendas is not mandatory. Solicitors should consult with the experts to ensure that agendas are necessary and, if used, are reasonable in scope. The agenda should assist the experts and should not be in the form of leading questions or hostile in tone. An agenda must include a list of the outstanding issues in the preamble. [Note : The preamble should state: the standard of proof : the Bolam test : remind the experts not to attempt to determine factual issues : remind them not to stray outside their 5 field of expertise and indicate the form of the joint statement. It will also be helpful to provide a comprehensive list of the materials which each expert has seen, perhaps in the form of an agreed supplementary bundle (it is assumed that experts will have been provided with the medical notes bundle)] (c) The Defendants shall within 21 days of receipt agree the Agenda, or propose amendments; (d) Seven days thereafter all solicitors shall use their best endeavours to agree the Agenda. Points of disagreement should be on matters of real substance and not semantics or on matters the experts could resolve of their own accord at the discussion. In default of agreement, both versions shall be considered at the discussions. Agendas, when used, shall be provided to the experts not less than 7 days before the date fixed for discussions. [Where it has been impossible to agree a single agenda, it is of assistance to the experts if the second agenda is consecutively numbered to the first, i.e. if the first agenda has 16 questions in it, the second agenda is numbered from 17 onwards] 15. Unless otherwise ordered by the Court, or unless agreed by all parties, including the experts, neither the parties nor their legal representatives may attend such discussions. If the legal representatives do attend, they should not normally intervene in the discussion, except to answer questions put to them by the experts or to advise on the law; and the experts may if they so wish hold part of their discussions in the absence of the legal representatives. 16. A signed joint statement shall be prepared by the experts dealing with (a) (i) – (iv) above. Individual copies of such statements shall be signed by the experts at the conclusion of the discussion, or as soon thereafter as practicable and provided to the parties’ solicitors within 7 days of the discussions. 17. Experts give their own opinions to assist the court and should attend discussions on the basis that they have full authority to sign the joint statement. The experts should not require the authorisation of solicitor or counsel before signing a joint statement. [Note: This does not affect Rule 35.12 which provides that where experts reach agreement on an issue during their discussions, the agreement shall not bind the parties unless the parties expressly agree to be bound by the agreement] 18. If an expert radically alters his or her opinion, the joint statement should include a note or addendum by that expert explaining the change of opinion. 6 19. Experts instructed by the parties in accordance with this and any subsequent Order shall be provided with a copy of the Order by the instructing party within 7 days after it is sealed, or at the time of instruction whichever is the later. Schedules and periodical payments 20. Claimant do serve a final Schedule of loss and damage costed to the date of trial by 2012. 21. The Defendant do serve a Counter-Schedule by 2012. 22. The parties do set out their respective positions on the periodical payment of damages in the Schedule and Counter-Schedule of loss. [or, The periodical payment of damages is not appropriate to this case.] Periodical Payments. Parties should, at the first CMC, be prepared to give their provisional view as to whether the case is one in which the periodical payment of damages might be appropriate. Schedules. Parties are encouraged to exchange Schedules in a form which enables the Counter schedule to be based on the Claimant’s Schedule i.e. by delivering a disk with the hard copy, or by sending it as an e-mail attachment.] Trial Directions 23. The Claimant’s Solicitors do by 2012 apply to Queen’s Bench Judges’ Listing in London / [the Listing Officer in the venue] for a listing appointment for a trial period for hearing within the trial window and give notice of the appointment to the Defendant. Pre-trial check lists to be filed as directed by Queen’s Bench Judges’ Listing. Mode of trial: Judge alone; London; Category [Usually] B ; time estimate days. Trial window: [Certified fit for High Court Judge if available]. Trial Directions The Claimant will usually be directed to apply to the Queen’s Bench Judges’ Listing for a listing appointment no later than 6 weeks after the CMC. The Queen’s Bench Judges’ Listing, in order to maintain the necessary degree of flexibility for listing, will give a ‘trial period’ rather than a fixed date, but, in order to 7 accommodate the parties’ need for certainty as to dates for experts to attend, will, if an approach is made closer to the beginning of the trial period, confirm the date for the trial to begin as the first day of the trial period. The trial period will usually be directed to begin at least 2 clear months after the last event besides ADR – this is to allow for ADR. In relatively modest claims ( in term of quantum), the Master may direct: “If the parties reach agreement upon breach of duty and causation, the parties are to immediately restore the case before the Master so that alternative directions on the assessment of damages may be considered.” 24. Parties do agree the contents of the trial bundle and exchange skeleton arguments not less than 7 days before the hearing. Claimant to lodge the skeleton arguments and the Trial bundle under PD 39.3 Trial Bundles Note: the object is to ensure that all the relevant material is provided at one time to the Clerk of the Lists to pass to the trial judge. The PD sets out both the contents of the bundle and the time when it must be lodged. Alternative Dispute Resolution 25. At all stages the parties must consider whether the case is capable of resolution by ADR. Any party refusing to engage in ADR by 2012 [a date usually about 3 months before the trial window opens] shall, not less than 28 days before the commencement of the trial, serve a witness statement, without prejudice save as to costs, giving reasons for that refusal. Such witness statement must not be shown to the trial judge until the question of costs arises. 26. Such means of ADR as shall be adopted shall be concluded not less than 35 days prior to the trial. [‘ADR’ includes ‘round table’ conferences, at which the parties attempt to define and narrow the issues in the case, including those to which expert evidence is directed; early neutral evaluation; mediation; and arbitration. The object is to try to reduce the number of cases settled ‘at the door of the Court’, which are wasteful both of costs and judicial time.] 8 Further CMC etc 27. There be a further CMC on 2012 at am/pm; Room E118/E112; time estimate 30 minutes. This hearing may be vacated by consent provided that all directions have been complied with; no further directions are required; and the Master is given reasonable notice. 28. Permission to restore. [Note: A party may request the restoration of a CMC or application by letter or e-mail to the assigned Master. If possible the Master should be provided with an agreed list of dates to avoid. Where the application is urgent and the time estimate is no more than 30 minutes, the Master will endeavour to list a hearing at 10.00am as soon as possible. Applications estimated to take more than 30 minutes should be applied for as private room appointments in the usual way.] [Both Masters are willing, in appropriate cases, to hear applications by telephone link, provided sufficient notice is given directly to the Master concerned and the relevant papers are provided in advance. E-mails are an acceptable means of communication, provided that they are copied to all parties.] [NOTE. : The Court File in cases proceeding before the Masters will not routinely be placed before the Master. Parties wishing for it to be produced should notify the Case Management Section FIVE CLEAR DAYS in advance of the appointment. In all other cases parties should bring with them copies of any filed documents upon which they intend to rely.] 29. Costs in case [Or other costs order sought]. 30. Claimant to draw and file the order by Defendant (or Claimant to serve sealed order by Dated the 9 2012 2012). and serve the DRAFT ORDER See over IN THE HIGH COURT OF JUSTICE Claim No. HQ012X0ZZZZ QUEEN’S BENCH DIVISION MASTER [ROBERTS / COOK] BETWEEN ABC Claimant And DEF NHS TRUST Defendant ORDER UPON a Case Management Conference [AND UPON the Claimant’s / Defendant’s application issued on 2012] AND UPON hearing solicitor/counsel for the Claimant and solicitor/counsel for the Defendant IT IS ORDERED that 1. The case do remain on the Multi-track. 2. The Defendant do retain and preserve safely the original clinical notes relating to the claim pending the trial. The Defendant do give facilities for inspection by the Claimant, the Claimant’s legal advisers and experts of the said original notes upon 7 days written notice to do so. 10 3. Legible copies of the medical (and educational) records of the Claimant / Deceased / Claimant’s Mother are to be placed in a separate paginated bundle at the earliest opportunity by the Claimant’s Solicitors and kept up to date. All references to medical notes in any report are to be made by reference to the pages in that bundle. 4. The parties do retain all electronically stored documents relating to the claim. 5. A preliminary issue shall be tried between the Claimant and the Defendant as to whether or not the Defendant is liable to the Claimant by reason of the matters alleged in the Particulars of Claim and, if so, whether or not any of the injuries pleaded were caused thereby; if any such injuries were so caused, the extent of the same. 6. There be standard disclosure [on the preliminary issue] [limited to quantum] by list by 2012. Any initial request for inspection or copy documents is to be made within 7/14 days of service of the lists. 7. Signed and dated witness statements of fact in respect of breach of duty and causation [and quantum] shall be simultaneously exchanged by 2012. Civil Evidence Act notices are to be served by the same date. The witness statements of all concerned with the treatment and care of the Claimant at the time of the matters alleged against the Defendant shall be served under this paragraph. 8. Signed and dated witness statements of fact in respect of quantum, condition and prognosis shall be served by 2012 (Claimant) and 2012 (Defendant). Civil Evidence Act notices are to be served by the same date. 9. Each party has permission to rely on the evidence of a single joint expert in the following fields: [state the disciplines; and identify the issues]. The experts are to be instructed by 2012 and the joint expert is to provide his report to the instructing parties by 2012. In case of difficulty, the parties have permission to restore before the Master. 10. In respect of breach of duty and causation, each party has permission to rely on the evidence of an expert in the following fields: [state the disciplines; and the names of the experts, where known]; permission being given to call the said experts on matters remaining in issue. The reports of the said experts are to be simultaneously exchanged by 2012. 11. In respect of quantum, condition and prognosis, each party ([where there are several defendants] the Defendants acting jointly, unless otherwise directed) has permission to rely on the evidence of an expert in the following fields: [state the disciplines; and the names of the experts, where known]; permission being given to call 11 the said experts on matters remaining in issue. The reports of the said experts are to be served by: Claimant: 2012; Defendant(s): 2012. 12. Any unpublished literature upon which any expert witness proposes to rely shall be served at the same time as service of his report together with a list of published literature. Any supplementary literature upon which any expert witness proposes to rely shall be notified to all other parties at least one month before trial. No expert witness shall rely upon any publications that have not been disclosed in accordance with this direction without the permission of the trial judge on such terms as to costs as he deems fit. 13. Experts shall, at the time of producing their reports, produce a CV giving details of any employment or activity which raises a possible conflict of interest. 14. Unless otherwise agreed by all parties’ solicitors, after consulting with the experts, the experts of like discipline for the parties shall discuss the case on a without prejudice basis by 2012. Discussions between experts are not mandatory. The parties should consider, with their expert, whether there is likely to be any useful purpose in holding a discussion and should be prepared to agree that no discussion is in fact needed. (a) The purpose of the discussions is to identify: (i) The extent of the agreement between the experts; (ii) The points of disagreement and short reasons for disagreement; (iii) Action, if any, which may be taken to resolve the outstanding points of disagreement; (iv) Any further material points not raised in the Agenda and the extent to which these issues are agreed; (b) Unless otherwise agreed by all parties’ solicitors, after consulting with the experts, a draft Agenda which directs the experts to the remaining issues relevant to the experts’ discipline, as identified in the statements of case shall be prepared jointly by the Claimant’s solicitors and experts and sent to the Defendant’s solicitors for comment at least 35 days before the agreed date for the experts’ discussions; The use of agendas is not mandatory. Solicitors should consult with the experts to ensure that agendas are necessary and, if used, are reasonable in scope. The agenda should assist the experts and should not be in the form of leading 12 questions or hostile in tone. An agenda must include a list of the outstanding issues in the preamble. (c) The Defendants shall within 21 days of receipt agree the Agenda, or propose amendments; (d) Seven days thereafter all solicitors shall use their best endeavours to agree the Agenda. Points of disagreement should be on matters of real substance and not semantics or on matters the experts could resolve of their own accord at the discussion. In default of agreement, both versions shall be considered at the discussions. Agendas, when used, shall be provided to the experts not less than 7 days before the date fixed for discussions. 15. Unless otherwise ordered by the Court, or unless agreed by all parties, including the experts, neither the parties nor their legal representatives may attend such discussions. If the legal representatives do attend, they should not normally intervene in the discussion, except to answer questions put to them by the experts or to advise on the law; and the experts may if they so wish hold part of their discussions in the absence of the legal representatives. 16. A signed joint statement shall be prepared by the experts dealing with (a) (i) – (iv) above. Individual copies of such statements shall be signed by the experts at the conclusion of the discussion, or as soon thereafter as practicable and provided to the parties’ solicitors within 7 days of the discussions. 17. Experts give their own opinions to assist the court and should attend discussions on the basis that they have full authority to sign the joint statement. The experts should not require the authorisation of solicitor or counsel before signing a joint statement. 18. If an expert radically alters his or her opinion, the joint statement should include a note or addendum by that expert explaining the change of opinion. 19. Experts instructed by the parties in accordance with this and any subsequent Order shall be provided with a copy of the Order by the instructing party within 7 days after it is sealed, or at the time of instruction, whichever is the later. 20. by Claimant do serve a final Schedule of loss and damage costed to the date of trial 2012. 21. The Defendant do serve a Counter-Schedule by 13 2012. 22. The parties do set out their respective positions on the periodical payment of damages in the Schedule and Counter-Schedule of loss. 23. The Claimant’s Solicitors do by 2012 apply to Queen’s Bench Judges’ Listing in London / [the Listing Officer in the venue] for a listing appointment for a trial period for hearing within the trial window and give notice of the appointment to the Defendant. Pre-trial check lists to be filed as directed by Queen’s Bench Judges’ Listing. Mode of trial: Judge alone; London; Category [Usually] B ; time estimate Trial window: days. [Certified fit for High Court Judge if available]. 24. Parties do agree the contents of the trial bundle and exchange skeleton arguments not less than 7 days before the hearing. Claimant to lodge the skeleton arguments and the Trial bundle under PD 39.3 25. At all stages the parties must consider whether the case is capable of resolution by ADR. Any party refusing to engage in ADR by 2012 [a date usually about 3 months before the trial window opens] shall, not less than 28 days before the commencement of the trial, serve a witness statement, without prejudice save as to costs, giving reasons for that refusal. Such witness statement must not be shown to the trial judge until the question of costs arises. 26. Such means of ADR as shall be adopted shall be concluded not less than 35 days prior to the trial. 27. There be a further CMC on 2012 at am/pm; Room E118/E112; time estimate 30 minutes. This hearing may be vacated by consent provided that all directions have been complied with; no further directions are required; and the Master is given reasonable notice. 28. Permission to restore. 29. Costs in case [Or other costs order sought]. 30. Claimant to draw and file the order by Defendant (or Claimant to serve sealed order by Dated the 14 2012 2012). and serve the 15