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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Civil Division) Decisions >> Thakerar v Northwich Park Hospital NHS Trust [2002] EWCA Civ 617 (24 April 2002) URL: http://www.bailii.org/ew/cases/EWCA/Civ/2002/617.html Cite as: [2002] EWCA Civ 617 |
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COURT OF APPEAL (CIVIL DIVISION)
ON APPEAL FROM THE HIGH COURT OF JUSTICE
QUEEN'S BENCH DIVISION
(His Honour Judge Heppel QC and
Mr Justice Buckley)
Strand London WC2 Wednesday, 24th April 2002 |
||
B e f o r e :
LORD JUSTICE SEDLEY
and
LORD JUSTICE DYSON
____________________
PALVI NARSIDAS THAKERAR | ||
Claimant/Appellant | ||
-v- | ||
NORTHWICH PARK HOSPITAL NHS TRUST | ||
WELLHOUSE NHS TRUST | ||
Defendants/Respondents |
____________________
Smith Bernal Reporting Limited
190 Fleet Street London EC4A 2AG
Tel: 020 7421 4040 Fax: 020 7831 8838
(Official Shorthand Writers to the Court)
Mr J Holl-Allen (instructed by Messrs Capsticks, London SW15) appeared on behalf of the Respondent Defendants.
____________________
Crown Copyright ©
"(1) The court may proceed with a trial in the absence of a party but -
(a)if no party attends the trial, it may strike out the whole of the proceedings;(b)if the claimant does not attend, it may strike out his claim and any defence to counterclaim; and(c)if a defendant does not attend, it may strike out his defence or counterclaim (or both).
(2) Where the court strikes out proceedings, or any part of them, under this rule, it may subsequently restore the proceedings, or that part.
(3) Where a party does not attend and the court gives judgment or makes an order against him, the party who failed to attend may apply for the judgment or order to be set aside.
(4) An application under paragraph (2) or paragraph (3) must be supported by evidence.
(5) Where an application is made under paragraph (2) or (3) by a party who failed to attend the trial, the court may grant the application only if the applicant -
(a)acted promptly when he found out that the court had exercised its power to strike out or to enter judgment or make an order against him;(b)had a good reason for not attending the trial; and(c)has a reasonable prospect of success at the trial."
"1.The standard of care received by Mrs Thakerar from Dr Handler and from Dr Greenbaum fell below that which is expected from cardiologists of average competence.
2.On the balance of probability her life would have been extended if she had had the benefit of percutaneous balloon angioplasty in addition to medical therapy."
"We agree that her psychiatric condition was a Prolonged Adjustment Disorder ..."; and
"We do not think that witnessing Mrs Thakerar's collapse on the 13th September 1995 did, in itself, cause the psychiatric disorder that Ms Thakerar subsequently developed."
"This is to certify that Miss Palvi N Thakerar has been suffering from severe stress and abdominal pain.
Investigations are being conducted which should be completed by the end of September, early October 2001. ...
I am advised that there is a court hearing on 27th March 2001 and am of the firm opinion that Miss Thakerar is not capable in her present health condition to conduct the court hearing. This will add further stress and will be detrimental to her present health.
I would request that the court hearing of 27th March 2001 be postponed until after mid October 2001."
"The above lady has been admitted to Ealing Hospital tonight with chest pain. She will be in the hospital at least until Monday pm."
"Miss Palvi Thakerar ... was admitted to Ealing Hospital from 24/3/01 to 27/3/01 for chest pain and had various investigations to establish cardiac cause of her chest pain and she is still under the care of Ealing Hospital. She needs to attend for further investigations."
"There are five witnesses, all professional people, to the facts in this case, whom the Defendants would wish to call. There is an expert cardiologist and an expert psychiatrist, whom the Defendants would wish to call. These witnesses have been on standby for some time now, at considerable professional inconvenience and of course consequential expense. Plainly, of course the Second Defendants have to appear by solicitors and counsel.
Looking at the history of this action, particularly the history of this action over the last few days, I get the strong impression that this Claimant has, so to speak, cold feet about prosecuting the claim. It seems to me that she should have been in a position to do more than she has in fact done, either to prosecute the claim or to put forward cogent medical evidence as to why she is unfit to prosecute it at this stage, and in support of any application further to adjourn.
The court has to have in mind the overriding objective in this sort of situation to deal with cases justly; to save expense; to deal with cases in ways that are proportionate to the amount of money involved; the importance of the case; the financial position of each party; ensuring that the case is dealt with expeditiously and fairly; and allotting to it the appropriate share of the court's resources. It seems to me that all those factors in Part 1 of the Civil Procedure Rules, which I have mentioned, come into play in this case.
The matter is not being dealt with expeditiously. The Defendants are put to considerable financial prejudice because, by all accounts, Miss Thakerar is a lady of modest means and is unlikely to be able to meet any order for costs made against her. Professional people, so far as the Defendants are concerned, are being very considerably inconvenienced. Much as one sympathises with the position of the Claimant, who, on one view, is now unwell - perhaps psychiatrically - and has of course suffered the bereavement of her mother, it has to be said that on the face of it - although the court does not pre-judge the matter - the Claimant may have difficulty in establishing that she has a cause of action in respect of any psychiatric illness which she has suffered.
So far as the claim in respect of the death of her mother is concerned, under the Law Reform Act, it may well be - and again one does not pre-judge it - that this is a claim in all the circumstances which would attract very little by way of damages.
It seems to me, sitting back from this matter, as I must, that the time has come to take some tough decisions in this matter because the court takes the view that the Claimant is not properly at this stage pursuing this action. I therefore propose to accede to the application by Mr Holl-Allen to strike out these proceedings and to dismiss this claim, comforted in the knowledge that if she wishes to have this matter restored then, by assembling such evidence as may be available to her in respect of her medical condition, the Claimant herself can apply for this action to be restored and to proceed to trial. The Judge hearing any such application will be in a better position than I am to take stock of the Claimant and her prospects of actually prosecuting this claim before the court.
Accordingly, for the reasons which I have endeavoured to give, this claim will be dismissed."
"7. Notwithstanding the above information concerning the Applicant's angina condition and the emergency doctor's instructions His Honour Judge Heppel QC at the resumed hearing on 28th March 2001 elected to proceed with the trial and in the Applicant's absence found Judgment for the Defendants. While the doctor's certificate was not available for Judge Heppel, Judge Buckley should have given it weight at a later hearing, and erred in not doing so.
8. The Applicant contends that in making these decisions His Honour Judge Heppel QC erred in that it was (1) inappropriate in the circumstances to order that the trial be adjourned for just one day allowing the Applicant no time for recovery following her discharge from hospital and (2) that it was wrong to proceed with the trial in the Applicant's absence in the light of the evidence of the Applicant's condition and the expert advice of the emergency doctor."
"This is to certify that in my opinion Palvi Thakerar of 117 Blenheim Road, Harrow, was suffering from chest pain and was unable to attend court on 28/3/01."
"I saw Palvi Thakerar of 117 Blenheim Road, Harrow on 27th March 2001 as an emergency patient at about 23.21pm. She was suffering with the chest pain and was unwell. I treated her for her chest pain with GTN spray and she was advised to rest and call 999 if in pain.
In my opinion she was not fit to attend court on 28th March 2001."
"Judge Heppel in my view rightly identified the claims as (1) difficult and (2) modest in any event in quantum. In seeking to ascertain whether there was any reasonable prospect of these claims succeeding - and in particular the position with Professor Oakley, the Claimant's expert - I was at some pains to see whether the Claimant had or could obtain any sufficient evidence to show that she continued to have the support of Professor Oakley, and, perhaps more to the point, that Professor Oakley continued to accept instructions to attend the trial. I do not think it is entirely Miss Thakerar's fault that she did not have that evidence this morning, and I can understand, as a litigant in person, that she came along this morning thinking the only issue was her medical condition. And that point - I do not suggest anything improper on Mr Holl-Allen's part at all, he has been extremely helpful to me and I am very grateful - that was a point that he took by way of submission, and, as far as I know, there is no particular reason to fix Miss Thakerar with notice that that was a point that was going to arise. As I say, I can understand that she did not anticipate it.
My final thought on this matter is that despite reaching much the same view as His Honour Judge Heppel the fact is that I cannot wholly ignore the two documents from Dr Ravikumar, which on the face of them do say that Miss Thakerar was not fit to attend court on 28th. I do accept the submission from Mr Holl-Allen that the position is unsatisfactory. He was the emergency doctor, there is not apparently support from either the hospital or her ordinary GP. As I say, I do not think I can simply brush aside the two medical certificates from Dr Ravikumar.
Equally, although I have expressed at least strong suspicion that Professor Oakley may not have been organised to attend the trial on 28th and may well not be prepared to attend a trial in the future, that is something that at the moment is no more than strong suspicion on my part. It is a drastic measure to strike out a claim. I intend no implied criticism of Judge Heppel. On the material before him I, for what it is worth, would have taken the same course. There is a little more material before me now but as it stands it is still not satisfactory."
"I confirm that Miss Thakerar was recently admitted to Ealing Hospital on 23 March until 27 March 2001 following an episode of chest pain. She has various investigations in the hospital to exclude the possibility of heart attack or angina.
No conclusion was reached and she was discharged from Ealing Hospital on 27 March 2001 so it was not possible for her to attend Court on that day.
On 27 March 2001 she had further chest pains and was seen by one of our emergency doctors who treated her with GTN spray because of suspicion of angina, and recommended her to rest for a couple of days.
Because her chest pains are not explained as yet she has another appointment at Ealing Hospital in September 2001 for further cardiac investigation. She was given aspirin 75mg and atenolol 25mg for her heart condition and GTN spray to use when required. At the moment she has no pain and she is under control, but no definite diagnosis has been reached and it is unlikely that a further diagnosis will be established until her cardiac investigations are completed at Ealing Hospital."
"The letter produced from Dr Dawood does say something of the general medical history concerning the chest pains that Miss Thakerar has suffered. She did attend Ealing Hospital, and he confirms that she was discharged on 27th, and he said it was not possible for her to attend court on that day. But the day we are concerned with is the day after, and his Honour Judge Heppel was fully aware of the hospital attendance. Dr Dawood goes on that, `She suffered further chest pains on 27th, was seen by one of our emergency doctors; was treated and recommended to rest for a couple of days.' That is all that Dr Dawood says. In one sense of course it can be said in Miss Thakerar's favour that if she is recommended to rest for a couple of days that should be a good reason within Part 39 for not attending court. On the other hand, in the context of this case and the background that His Honour Judge Heppel described and that I have referred to, that is not so clear because what was specifically and expressly asked for was the doctor's opinion as to whether she was fit to attend court on the day of her trial, 28th. That medical evidence, it has to be said, is in that context not entirely satisfactory."
"I confirm that I am willing to continue to be Miss Thakerar's expert provided that my instructions come from a solicitor."
"... that does not expressly comply with the terms of my last Order or direction, in that it does not expressly confirm that Professor Oakley continues to support Miss Thakerar's case. However, even if I am prepared to read into that one line `I am willing to continue to be her expert' that the Professor is prepared to support the case, at least to some extent, it still raises the question of whether solicitors will instruct Professor Oakley."
"The present position so far as the psychiatric experts are concerned is as I have indicated. So far as the cardiologists are concerned, I have the one line from Professor Oakley and the fact that there is evidence that there is the sum I have mentioned by way of loan available to Miss Thakerar. [This was a sum of money which her brother-in-law had been prepared to put up in order to assure Professor Oakley's fees.] I have no other evidence. I have no indication of what arrangements, if any, have been made with Professor Oakley. I think the position must be that none have been put in place and that the matter stands in abeyance unless or until solicitors are instructed. The reason why an expert requires solicitors to be instructed is obvious and does not need me to go into it. Without that or - to put it crudely - `cash up front' an expert is wholly exposed."
"In those circumstances the prospect of this case being pursued in any proportionate and sensible manner must be extremely remote. This is a matter to which His Honour Judge Heppel adverted in his judgment. He pointed out the cost of this matter dragging on to the Defendants and he bore in mind the very modest nature, in his view, of the claim or - at least as perhaps I would put it - that part of the claim that has any real prospect of success.
It is in those circumstances that I am called upon to decide firstly whether Miss Thakerar has satisfied the provisions of Part 39 and, even if arguably she has, whether I should exercise my discretion and set this judgment aside.
The view I have come to, I am afraid, is that Miss Thakerar has not satisfied the provisions of Part 39. I retain some doubt in view of the undoubted fact that there is a medical condition. I readily admit to some doubts as to 39(5)(b), namely, a good reason for not attending before his Honour Judge Heppel, but I am not satisfied that in all the circumstances I have described there would in any event be a reasonable prospect of success at trial. Even if I am wrong and even if Miss Thakerar should be regarded as having satisfied sub-paragraph Part 39(5)(c) or even (5)(b) and (c), that does no more than bring the discretion of the court into play, as Mr Holl-Allen in my view has rightly submitted.
In all the circumstances that I have endeavoured to describe and those set out in His Honour Judge Heppel's judgment of 28th March I think it would be wholly inappropriate and disproportionate to set aside this judgment and reopen this matter at this stage."