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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Willett (Now Whitling) v Marks & Spencer [2002] EWCA Civ 1427 (18 October 2002) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2002/1427.html Cite as: [2002] EWCA Civ 1427 |
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COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM ORDER OF
HIS HON. JUDGE POULTON
Strand, London, WC2A 2LL | ||
B e f o r e :
LORD JUSTICE MANCE
and
SIR MARTIN NOURSE
____________________
WILLETT (NOW WHITLING) | Appellant | |
- and - | ||
MARKS & SPENCER | Respondent |
____________________
James Aldridge (instructed by Beachcroft Wansbroughs) for the Respondent
Hearing dates : 31st May 2002
____________________
Crown Copyright ©
Lord Justice Ward :
“… Mr Spigelman [the claimant’s medical expert] accepted in evidence that the contention that whereas she could lift one pint of milk but she could not lift two, was a gross exaggeration. I do consider that in her accounts through the years really there has been a considerable element of exaggeration. That she is not as disabled as she contends, although I also accept that at times she has suffered genuine pain and discomfort and it has varied considerably.”
“In my experience judges seem always to presume that the alleged incident caused any subsequent changes and do not seem to understand that these are quite common, spontaneous events with no history of injury at all.”
The judgment under appeal.
“That incident on the stairs is one which has assumed considerable significance in this case. The doctors instructed by the defendant noted it as one would expect. They both, particularly Mr Good, are of the view that it is a far more likely cause of subsequent problems than is the pushing of the counters.
I will deal with some of the evidence about that now. It is the claimant’s case, put before the court with very considerable emphasis by Mr Roberts, her counsel, that this incident noted in the medical notes is of no significance whatsoever. The claimant said, “Well, the pain was worse for a bit, but it very soon went back to what it had been before and really it should be ignored”.
Throughout the period, when she was shopping in Canterbury, up until this time, the claimant described how she had been in very, very considerable pain. She had gone downstairs on this occasion in February and had been down for quite a short time but was in such pain that she needed to go back to bed and she went back upstairs. In the course of going upstairs she did not so much fall – which is what the notes say – as stumble. She says she was holding the banisters.
There was originally no other evidence in support of that account of the matter put before the court but, by permission of the court in the course of the hearing, her mother, who was present on that occasion, came to court to give evidence to the effect that the claimant indeed did not fall.
Mr Good also put forward the view that if she simply tripped and was held by the fact that she was holding onto the banister but did not actually hit the ground, that would involve a twisting motion and that too was likely to be significant in the context of the injuries which are said to have been suffered and to which I will come.
I was unable in fact to place very much reliance on the evidence of the mother who was asked 8½ years later to remember this incident. I do accept that it may well be that there was no actual fall in the sense that the claimant actually hit the ground. On the other hand, it does seem to me, on the basis of the medical evidence, that what did happen would have caused a degree of twisting even though, I quite accept, that the claimant may not have realised that. If you were holding on with one hand as you go up and you stumble and try and save yourself, that is a likely consequence. That is what Mr Good said. I accept his evidence on that.”
“The question the court has to ask, and the one which has most concerned me … is what did cause the claimant’s problems? I will come somewhat later to the extent to which I accept that there are problems; but, to a considerable extent, there were indeed difficulties. Doctor Goodwill, and, I understand, Mr Good, as was understandably emphasised by counsel accepted that she was genuine. … It is of course, and this may be trite but I will emphasise it, for the claimant to prove that the pain, discomfort and injuries which she has suffered down the years were caused by this incident. It is not sufficient for her simply to say, “I had an injury on 11th January 1993 while pushing the defendant’s counters and I have never been right since”. One has to be satisfied, the court has to be satisfied that the consequences of the pushing were indeed the injuries for which she claims.”
He then added the passage from the report of Doctor Goodwill on judges’ failures to appreciate that back problems might arise spontaneously with no history of injury at all.
“As I have indicated, the question I have to answer is whether the rupture of the lumbar 4/5 which Mr Spigelman found, basing himself really on [the surgeon’s] report, as he made clear both in his own report and in evidence, whether that can be attributed to the incident on 11th January. In order to be able to do that one would have to be able to explain, it seems to me, how it comes about that the MRI scan of March 1994 missed this rupture. There was some disagreement between the doctors about this. … ” [He summarised the difference of opinion]. “In my judgment it cannot be established that the pushing incident on 11th January caused all the subsequent problems. There are two aspects to this. A good deal of the argument revolved around the question as to whether the fall on the stairs or the trip on the stairs or the stumble on the stairs, whatever one likes to call it, was the cause of the later problems. Mr Good and Doctor Goodwill were fairly clear, in fact they were very clear, that it was far more likely to be the cause of a disc problem than the pushing. I accept their evidence that the pushing incident, with the way one pushes and the strain on the spine is less likely to cause the kind of disc injury on which the claimant bases her claim than is a sudden fall or stumble.
There is another aspect to this in that Mr Roberts argues that even if I were satisfied that the stumble on the stairs was the more likely cause, he says that that was itself caused by the January incident. Accordingly, on the basis of authority which he cites, he says that there is therefore a complete chain of causation, the pushing caused the stumble or trip and the trip caused the damage and that is sufficient. If that were so I would agree with him but I am not satisfied that the trip or stumble was caused by the original pushing incident.
That is part of it, is it the trip on the stairs or is it the incident in the store? If one were forced into choosing between them I would say that I consider the stair incident the more likely, but, in my judgment, one is not forced into choosing between them. There may well have been, indeed there will have been, life events – I think that is Doctor Goodwill’s expression – in the many years that follow. It was years before this rupture, lumbar 4/5, was diagnosed. It may have been the bath incident. One cannot say. It is quite wrong to approach this on the lines that if one cannot identify some other cause, therefore it must have been the pushing on 11th January. That is the wrong way round. One must be satisfied that it was the pushing on 11th January and in the light of all the medical evidence, which I have only summarised because it is voluminous, but in the light of all the medical evidence I am simply not satisfied that this incident on 11th January, with the pushing of these heavy counters, caused all the subsequent problems.”
“Mr Spigelman, Mr Good and Doctor Goodwill agree that ordinarily such injuries resolve within about three months of such an incident in the vast majority of patients. I consider that joint opinion to be significant because, of course, it establishes the improbability of this incident causing these problems. It does not mean it is impossible. Of course, if there were clear evidence that it had then one would accept it but one starts with the improbability.”
“In the present case I am concerned with the extent of harm suffered by the plaintiff as a result of actionable injury. In my view the injury and damage suffered because of the second fall are attributable to the original negligence of the defendant so as to attract compensation. If necessary I think the plaintiff’s case can also be put against the defendant in another way. If it can be said that it is foreseeable that one injury may affect a person’s ability to cope with the vicissitudes of life and thereby be a cause of another injury and if foreseeability is required, that is to say, if foreseeability is the right word in this context, foreseeability of the general nature will, in my view, suffice.”
I agree, therefore, that the judge had to ask himself in this case whether there was a complete chain of causation with the pushing causing the injuries which caused the stumble which caused the further damage. The whole of the claimant’s case had come to rest on that question.
“Mr Good and Doctor Goodwill feel that it would be unusual and contrary to accepted practice to advise such bed rest [i.e. her having to take to her bed from about 19th January until after the stumble on the stairs]”.
“Q. Your case is that this stumble on the stairs is completely separate and distinct from the accident. Let us assume […] that that was not accepted, that it was considered to be referable to the index accident. It would follow, would it not, that all of these lady’s symptoms to the present had been caused by the accident on 11th January?
A. Yes.
Q. Thank you. So the critical question is whether there is this independent, separate and distinct accident?
A. Yes.”
“16. We would put the matter at its simplest by saying that justice will not be done if it is not apparent to the parties why one has won and the other has lost.
…
19. It follows that, if the appellate process is to work satisfactorily, the judgment must enable the appellate court to understand why the judge reached his decision. This does not mean that every factor which weighed with the judge in his appraisal of the evidence has to be identified and explained. But the issues the resolution of which were vital to the judge’s conclusion should be identified and the manner in which he has resolved them explained. It is not possible to provide a template for this process. It need not involve a lengthy judgment. It does require the judge to identify and record those matters which were critical to his decision.”
“I would have to shuffle. My mother had to help me down the stairs. After lunch, which was ten minutes, I went upstairs. I was in immense amount of pain in my back and I was finding it very difficult to walk. When I got to the top of the stairs, I caught my foot on the top stair. I just stumbled forward. I did not fall on the floor. This caused an increase in pain.”
“She tells me that it was at a time when she was having full-time bed rest; except for three times a day [when] she would go down some stairs assisted by her mother to eat. The rest of the time she was on bed rest. She tells me that she did not fall. She stumbled because her foot caught at the top of the stairs and this did cause a temporary increase in pain. Doctor Goodwill seems to consider this incident is responsible for 80% of her pain. I find this very difficult to accept in view of the fact that the patient was on permanent bed rest for severe back and leg pain at the time of her stumble. I would have thought the latter is more likely to be responsible for her stumble/fall.”
“Just pain will distract you enough. You may miss a step or you may hit a step. You may also just be feeling weak.”
Under cross-examination he said:-
“Fit young women do not stumble on stairs and rupture discs. There was something there. I do not believe she ruptured her disc then.”
“I think it would be unlikely that she tripped. We have discounted things like a footdrop or a weakness in the leg. She could certainly raise her leg, her foot and leg, sufficiently to mount the step. She had done this before. She was also holding on to a banister; if that is so, so it is difficult to see how she would have tripped.”
“That is not my experience. I have seen a lot of people with back pain, but it does not actually cause them to trip like that and I do not think it is a factor in this case, no.”
Under cross-examination there was this passage:-
“Q. With those facts before you, it is likely, is it not, that either, as Mr Spigelman says, the pain has distracted her or that there is footdrop or that there is weakness? That is the likelihood, is it not?
A. No, with respect. There is no suggestion of any footdrop or weakness here at all. Her pain was improving. Between the 18th and the 28th, we had the G.P. note which says “Reduced pain”, and I can only say again, I do not think this is a factor in tripping people to sometimes trip on stairs. The history here is not what I get from people with back pain saying, “I have difficulty like that”. That is not what I would expect.”
“I was trying to assist the court, as an independent witness, to say did one or other contribute, to assist the court to give some idea of what I thought would be reasonable, though I was still surprised that the pain was going on.”
“Mr Good accepted that if the stumble on the stairs was not to be treated as a separate incident from the events at work then everything was attributable to those events. The judge expresses the view that the stumble on the stairs was not related to the earlier events but gives no reasons for this.”
Lord Justice Mance : I agree.
Sir Martin Nourse: I also agree.