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England and Wales High Court (Queen's Bench Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Queen's Bench Division) Decisions >> Oberholster v Little & Anor [2020] EWHC 2635 (QB) (06 October 2020) URL: http://www.bailii.org/ew/cases/EWHC/QB/2020/2635.html Cite as: [2020] EWHC 2635 (QB), [2020] Costs LR 1553 |
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QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
____________________
DOCTOR ANDRE OBERHOLSTER |
Appellant/Eighth Defendant |
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- and - |
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MS JAYNE LITTLE |
First Respondent/ Claimant |
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OPTICAL EXPRESS LIMITED |
Second Respondent / Second Defendant |
____________________
Mr Hugh Rimmer Counsel on behalf of the Claimant/First Respondent (instructed by Devonshires Solicitors LLP)
Miss Isabel McArdle Counsel on behalf of the Second Defendant (instructed by Keoghs LLP)
____________________
Crown Copyright ©
MR JUSTICE FREEDMAN:
I Introduction
(i) D2 denied liability on the basis that the material risks had been discussed by Optometrists and other staff with C prior to surgery or were contained in the consent form: see Defence of D2 paras. 7-9. It also pleaded that it was D8 who carried out the surgery and that he was a self-employed ophthalmic surgeon. D2 stated that it was the duty of D8 to ensure that C had fully consented prior to surgery commencing including that she understood the meaning of the technical terms in the consent form, the nature and purpose of the procedure and the risks and complications described in the form: see Defence of D2 para. 43, 44, 45, 48, 51 and 52.
(ii) D8 denied liability on the basis that he was aware of the patient pathway adopted by D2, he had reviewed C's records which indicated she had consented. D8's case was that he had satisfied himself that C understood the consent form and had been appropriately counselled before signing it.
(i) C's application 24 May 2019:
To amend her budget. Made while proceedings were ongoing, to be heard on the first day of trial (had it not been superseded by settlement).
(ii) C's application 22 July 2019:
For the costs between C and D8 to be determined by the court.
(iii) D8's application 24 July 2019:
For D8's costs of defending the claim to be paid by C or D2.
(iv) D8's application 05 December 2019:
To strike out the claim against D8 and for C to pay D8's costs of the action.
II The Order Being Appealed
III The judgment of the Judge
"[18(3)] The claims against the Second Defendant and the Eighth Defendant were inextricably bound up. In my judgment the claim could not succeed against the Second Defendant unless it succeeded against the Eighth Defendant. The Eighth Defendant was responsible for the consent process. As Mr Rimmer succinctly put the matter at paragraph 15 b of his skeleton argument,
"The claims are inextricably linked. Indeed, it is difficult to see how the two could not stand or fall together. The expert evidence confirms that ultimate responsibility for consent lies with the surgeon, D8. The majority of that process was delegated to staff of Optical Express or its associated companies. D8's defence makes clear his reliance on the delegated process, the forms and the records of the same. If that process was negligent, however, D8 is equally responsible; Even if the activity can be delegated the responsibility cannot."
[19] In my judgment, having regard to the overriding objective in Part 1 and the Court's discretion as to costs in Part 44, I find that it is just and proportionate that the Eighth Defendant pays the Claimant's reasonable costs. The Claimant has succeeded on her claim, which was justifiably brought jointly against Defendants 1 to 7 and the Eighth Defendant. As was cogently pointed out by Miss McArdle on behalf of Defendants 1 to 7, that leaves the Eighth Defendant with the option of pursuing Part 20 proceedings (there is still a year of the limitation period remaining) against the Second Defendant if it is its case that it should only pay either none of the costs or a percentage of the costs. So the Eighth Defendant is not left without a remedy in respect of costs if it so chooses."
IV Legal principles on summary determination of costs
"There are numerous authorities relating to situations where substantive issue between the parties has fallen away but costs remain in issue, with different approaches taken. In Hanspaul and another v Ward and others [2016] EWHC 1358 (Ch) the Court considered various authorities on the point, including Brawley v Marczynski which approved the principles laid down in R. (on the application of Boxall) v Waltham Forest LBC regarding the determination of liability for costs where a claim has settled without admission of liability and without agreement as to costs, which were summarised as:
1) The court has power to make a costs order when the substantive proceedings have been resolved without a trial but the parties have not agreed about costs.
2) The overriding objective is to do justice between the parties without incurring unnecessary court time and consequently additional cost.
3) At each end of the spectrum there will be cases where it is obvious which side would have won had the substantive issues been fought to a conclusion. In between the position will, in differing degrees be less clear. How far the court will be prepared to look into the previously unresolved substantive issues will depend on the circumstances of the particular case, not least the amount of costs at stake and the conduct of the parties.
4) In the absence of a good reason to make any other order the fall back is to make no order as to costs."
(1) "Before the court can interfere it must be shown that the judge has either erred in principle in his approach or has left out of account or has taken into account some feature that he should, or should not, have considered, or that his decision was wholly wrong because the Court is forced to the conclusion that he has not balanced the various factors fairly in the scale" AEI Ltd–v- PPL [1999] 1 WLR 1507 at 1523 C-D.
(2) In BCT Software Solutions Ltd v C. Brewer & Sons Ltd. [2003] EWCA Civ 939, Mummery LJ stated that in a case where a summary determination had been embarked upon with the parties agreement, the usual reluctance of the appellate court was especially pronounced. At para. 8, Mummery LJ said: "…This court is entitled to approach an appeal against a costs order, which has been made as part of a compromise, with an even greater degree of reluctance than is usually the case when it is asked to interfere with the discretion of the trial judge…If there is a point of principle in this case, which I very much doubt, it does not arise from the way in which the judge exercised his discretion, but from whether he should ever have embarked on this…As both parties agreed that he should undertake the task, it is reasonable to expect them to accept his decision, unless it can be shown that the result is, in all the circumstances, manifestly unjust. I would certainly not be inclined to interfere with the judge's decision simply because it is possible to detect imperfections in his approach or in his reasoning."
(3) At para. 15, he said "There are the additional special circumstances mentioned earlier. In the absence of manifest injustice, an appellate court should not interfere with a discretion, which has not been exercised at the end of the trial, as is usually the case, but with the agreement of the parties when they have settled the case." At para. 18, he said "…I would probably have ended up making no order as to costs. I very much doubt whether I would have started out by dividing the costs into four equal portions. But the appeal is not about what I would have done in the judge's place. It is about whether what the judge has done was legally erroneous and has produced a manifest injustice."
(4) Chadwick LJ, in agreeing with Mummery LJ, said at para. 27 " But it is not open to the appellant to complain that the judge set out to do what both parties had asked him to do – that is to say, to make an order about costs and to decide what order to make on the material before him and without determining disputed facts. Nor is it open to the appellant to complain that, in seeking to perform that task, the judge adopted an approach which he, himself, described as "broad brush". It is difficult to see what other approach the judge could have adopted in the circumstances." (emphasis added)
V The case of D8 that he was the successful party
VI Discussion
VII The grounds of appeal
(1) First ground: summary process
(i) "The Ophthalmic surgeon had ultimate responsibility to ensure personally that the patient had undergone a sound informed consent process and understood the potential benefits and risks." [Joint Ophthalmic Report, Q16 – p.375]
(ii) "We agree that the ophthalmic surgeon carried the ultimate responsibility for the informed consent process." [Joint Ophthalmic Report, Q18- p.379]
(iii) "The surgeon carries the ultimate responsibility for the consent form as part of the informed consent process." [Joint Ophthalmic Report, Q28- p.386]
(i) "Optometrists regularly refer patients to surgeons, but the surgeon should then decide and take responsibility for what follows in terms of surgery or other treatment. A surgeon's decision is final, regarding suitability for all procedures, elective or otherwise. As mentioned earlier we both believe the optometrist role is informative and the surgeon's decision is final." [Joint Optometrists Report, Q2, - p.404]
(ii) "SN and GW both agree that it is the surgeon's responsibility to ensure that the patient has fully understood any information imparted by anyone else, and then discuss things accordingly with the patient prior to undertaking the procedure." [Joint Optometrists Report, Q15, - p.424]
(i) D8's expert stated that the informed consent process of D2 was not substandard [Joint Opthalmic Report Q15 and reference to statement of Mr Crewe-Brown p.375]
(ii) D8's expert stated that if the witness evidence of D8 was accepted, D8 appropriately satisfied himself that C understood the material risks of the ophthalmic surgery to be performed and ensured that her consent was properly obtained prior to the surgery [Joint Opthalmic Report Q20 p.381 and Q21 p.382]
(iii) The experts for D8 and C agreed that it was reasonable for D8 to rely on the records of D2's staff [Joint Opthalmic Report Q22 p.383]
(i) D8's witness statement confirms "My role when I see the patient is to ensure that they understand all of the information prior to the procedure going ahead… I do ensure that… they understand all of the risks and benefits associated with the proposed procedure" (para.15) and also that "my obligations [as surgeon] were to… check by discussion with the patient that every aspect covered in the consent form had been read and understood before being initialled and signed" (D8 Witness statement, para.16)
(ii) On the consent form D8 declares "I have discussed the risks, benefits and alternatives to cataract/RLE surgery with the patient. I am satisfied the patient understands the meaning of the technical terms in this document, the nature and purpose of the procedure and the risks and possible complications that are described… I agree to accept this patient on the above terms and provide treatment" (Form, p4/p8)
(iii) D8's expert agreed "[D8] had ultimate responsibility to ensure personally that the patient had undergone a sound informed consent process and understood the potential benefits and risks" [p375]
(iv) GMC guidance: consent discussions can be delegated (GMC para.26) but a surgeon remains responsible for making sure a patient has actually given consent (GMC para.27). D8 cannot deny GMC guidance is relevant; the Supreme Court referred to it generally in Montgomery v Lanarkshire Health Board (e.g. paras.107 & 109), and D8 relies on it in his own defence."
(2) Conclusions on first ground
(3) Second, Third and Eighth Grounds: The Judge did not evaluate what a just order would be where C settled with D2 without recourse to or involvement of D8 and that the settlement was without recourse to D8 and where D8 was willing to go to trial.
(1) for reasons referred to above, and contrary to D8's argument, it was reasonable for C to have brought the action against D8 on the basis of D8's concurrent liability with that of D2;
(2) whilst D2 did not admit liability and whilst this is not necessarily the case, its acceptance of the Part 36 offer was an indication that it may have recognised that if the matter went to trial, it was likely to lose;
(3) in circumstances where D8 on its own case relied on the process of D2 in procuring consent, and where it was likely (albeit not certain) that D2 appeared to lack conviction in its case that it procured consent, D8 would have difficulty in contending that his own actions procured the consent independently of D2.
(4) Fourth Ground: no consideration to who was the successful party and no reasons given why D8 was not the successful party
(5) Fifth Ground: D8 had a remedy in contribution proceedings which was contrary to the overriding objective because it would lead to more cost, delay and court time.
(6) Sixth Ground: no consideration or reasons for rejecting a Bullock or Sanderson order
"… The [Bullock/ Sanderson] jurisdiction is a useful one. It is designed to avoid the injustice that when a claimant does not know which of two or more defendants should be sued for a wrong done to the claimant, he can join those whom it is reasonable to join and avoid having what he recovers in damages from the unsuccessful defendant eroded or eliminated by the order for costs against the claimant in respect of his action against the successful defendant or defendants. However, it must also be recognised that it is a strong order, capable of working injustice to the defendant against whom the claim has succeeded, to be made liable not only for the claimant's costs of the action against that defendant, but also the costs of the other defendants whom the claimant has chosen to join but against whom the claimant has failed."
(7) Seventh Ground: "No order for costs"
VIII Conclusion