Ballesteros v Chidlow & Anor (No 2) [2005] QSC 285
SUPREME COURT OF QUEENSLAND
CITATION: Ballesteros v Chidlow & Anor No 2 [2005] QSC 285
PARTIES: MICHELLE THERESE BALLESTEROS
(plaintiff)
v
HERBERT HUGH CHIDLOW
(first defendant)
RACQ INSURANCE LIMITED ACN 009 704 152
(second defendant)
FILE NO/S: BS No 10080 of 2004
DIVISION: Trial Division
PROCEEDING: Application
ORIGINATING
COURT: Supreme Court at Brisbane
DELIVERED ON: 12 October 2005
DELIVERED AT: Brisbane
HEARING DATE: 19 May 2005
JUDGE: White J
ORDER: Leave to amend defence
CATCHWORDS: PROCEDURE – SUPREME COURT PROCEDURE –
QUEENSLAND – PROCEDURE UNDER RULES OF
COURT – PLEADING – DEFENCE AND
COUNTERCLAIM – where application to amend defence at
the commencement of the trial pursuant to rule 375 of the
Uniform Civil Procedure Rules 1999 – whether prejudice to
the plaintiff
Uniform Civil Procedure Rules 1999 (Qld), r 149, r 151,
r 155, r 162, r 165, r 166, r 214, r 375
Motor Accident Insurance Act 1994 (Qld), s 48, s 51B
Motor Accident Insurance Regulations 2004 (Qld), s 10
Anderson v AON Risk Services Australia Ltd [2004] QSC
049, cited
Doelle v Watson [2002] QSC, unreported decision of Helman
J, 26 June 2002, cited
Foreman v Lee and Transport Accident Commission [2005]
QSC 086, distinguished
Gould v Mt Oxide Mines Ltd (In Liq) (1916) 22 CLR 490,
cited
Groves v Australian Liquor Hospitality and Miscellaneous
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Workers’ Union [2004] QSC 142, cited
Turner v Bulletin Newspaper Pty Ltd (1974) 131 CLR 69,
applied
COUNSEL: Mr M Grant-Taylor SC with him Mr P Feeley for the plaintiff
Mr R J Douglas SC for the defendants
SOLICITORS: McInnes Wilson for the plaintiff
Hunt & Hunt for the defendants
[1] At the commencement of the trial the defendants applied to amend the defence
pursuant to r 375 of the Uniform Civil Procedure Rules (“UCPR”). The amendment
was opposed, not on the basis of prejudice to the plaintiff – Mr Grant-Taylor
expressly stated that there was none – but rather, it seems, although it is not entirely
clear, to gain whatever advantage there might be from deemed admissions. I gave
the defendants leave to file a further amended defence with reasons to be published
subsequently. Judgment in the proceedings was given on 10 October 2005 and I
now give my reasons for allowing the amendments. The facts can be supplemented
by the details set out in the substantive judgment.
[2] The plaintiff sustained a musculo-ligamentous strain to her spine from a flexion-
extension injury sustained as a seat-belt restrained back seat passenger in a motor
vehicle collision on 18 February 2003 at the age of 35. The plaintiff’s claim
proceeded as a claim under the Motor Accident Insurance Act 1994 (“MAI Act”).
She maintained that ongoing disabling symptoms particularly in her neck/shoulder
area and lumbar spine were so severe that she was compelled to resign her
employment in the Queensland Public Service after attempting work for 6 months
post-accident. The plaintiff further contended that by virtue of her injuries and
consequent symptoms she was unable to return to work or, at least, full-time work,
and would need domestic care and assistance for her lifetime.
[3] The chronology of relevant events for the application to amend is as follows:
30.03.68 Plaintiff’s date of birth
18.02.03 Date of accident
05.03.03 Plaintiff serves sec. 37 Notice of Claim on RACQ
07.07.04 Surveillance evidence, including video footage of
plaintiff, obtained by RACQ’s appointed investigators
21.07.04 Date of investigators’ report to RACQ
19.10.04 Hunt & Hunt (“HH”) serve RACQ’s Certificate of
Readiness upon McInnes Wilson (“MIW”)
20.10.04 Compulsory conference convened
19.11.04 Plaintiff’s claim and statement of claim served on HH
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30.11.04 MIW serve HH with plaintiff’s statement of loss and
damage
17.12.04 HH receive investigators’ second report and surveillance
video
04.01.05 HH serve MIW with Notice of Intention to Defence and
Defence
13.01.05 MIW write to HH about Defence
04.02.05 HH serves defendants’ joint List of Documents
15.02.05 HH sign Request for Trial Date
18.02.05 Request for Trial Date filed, having been signed by both
parties
24.02.05 HH brief Senior Counsel to advise on evidence
21.04.05 “Amended” Defence filed and served
22.04.05 Letter MIW to HH requiring disclosure of videos
29.04.05 HH serve MIW with copies of surveillance videos and
surveillance reports
17.05.05 “Further Amended” Defence served
18.05.05 “Further Further Amended” Defence served
19.05.05 First day of trial
[4] Mr Lanyon-Owen, the insurer’s solicitor, had sought his client’s instructions to
undertake covert surveillance of the plaintiff based on the significant disparity
between the reports of the medical specialists; the plaintiff’s self reporting of
serious pain and inability to work as a consequence; and her employment file which
suggested that she had resigned her employment for domestic reasons rather than
accident related symptoms. Whilst the videos did not show the plaintiff doing
anything very active neither did they appear to support the plaintiff’s account to the
doctors of serious disability.
[5] Copies of all medical reports commissioned by the defence were disclosed to the
plaintiff’s solicitors prior to the compulsory conference held pursuant to the
MAI Act. The surveillance videos and accompanying reports were not provided.
Mr Lanyon-Owen, who was extensively cross-examined by Mr Grant-Taylor, did
not disclose that material relying on s 48(3) of the MAI Act which provides:
“If an insurer has reasonable grounds to suspect a claimant of fraud,
the insurer may withhold from disclosure under this division
information or documentary material (including reports that would,
apart from this subsection, have to be disclosed under subsection (2))
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to the extent the disclosure would alert the claimant to the discovery
of the grounds of suspicion or could help in the furtherance of
fraud.”
[6] There were reasonable and proper grounds for that suspicion even though, after
canvassing matters at trial, it proved not to be the case.
[7] The compulsory conference was not successful and on 19 November 2004 the
plaintiff served her claim and statement of claim and shortly after her statement of
loss and damage on the defendants’ solicitors. The statement of claim, to use
Mr Douglas’ expression, is an economical document but typical of a personal injury
pleading. Only quantum was in issue and the relevant paragraphs in the statement
of claim pertaining thereto are paragraphs 6-9:
“6. As a result of the negligence of the First Defendant and the
collision and aftermath occasioned thereby, the Plaintiff
sustained personal injuries:
PARTICULARS
(a) Cervical facet joint injury;
(b) Musculo-ligamentous injury to cervical spine;
(c) Cervical nerve root stretching and/or thoracic outlet
syndrome;
(d) Intra-discal disruption to L5/S1;
(e) Lumbar facet joint injury;
(f) Musculo-ligamentous injury to lumbar spine;
(g) Radiation pain and sensory symptoms in leg
attributable to lumbar injury;
(h) Headaches;
(i) Injury to midback and shoulders;
(j) Injury to legs and feet;
(k) Bruising to chest and abdomen;
(l) Impaired memory and concentration arising from
disturbed sleep and chronic pain disorder;
(m) Shock and anxiety.
7. On account of her injuries, it was necessary for the Plaintiff
to seek and receive medical treatment. She attended the
Royal Brisbane Hospital. She has undergone a regime of
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physiotherapy treatment. She may require further medical
treatment in the future. She has been administered
analgesics to relieve her pain. Her capacity to participate in
many of her former activities have been diminished and
impaired.
8. In the premises, the Plaintiff has suffered and continues to
suffer and experience pain, inconvenience, discomfort,
disability and restriction of movement and the enjoyment
and amenities of life, her working ability and her capacity to
earn income has been diminished and impaired.
9. The Plaintiff has sustained loss and damage, comprising
general and special damages, as a result of the personal
injuries she has suffered in consequence of the negligence of
the First Defendant in an estimated amount of $454,760.00,
calculated on the basis of the cumulative loss and damage of
the following:
(a) An amount of not less that $25,000.00 for general
damages for pain, suffering and loss of amenities;
(b) An amount of not less than $32,160.00 for past
economic loss, calculated at a nett loss of $480.00
per week, for 67 weeks between August 2003 to
present.
(c) An amount of not less than $4,100.00 for the past
loss of contribution to the Plaintiff’s superannuation
which would otherwise have been made by her
employer pursuant to the Superannuation Guarantee
Act, calculated at 12.75% of the claim for past
economic loss;
(d) An amount of not less than $272,000.00 for future
economic loss and earning capacity, calculated by
discounting at 5% per annum a current and
continuing rate of loss of $480.00 per week over the
remaining 29 years (multiplier 809.7) of the
Plaintiff’s working like to age 65, and discounted by
30% to reflect some residual earning capacity and for
the usual contingencies;
(e) An amount of not less than $35,000 for future loss of
contributions to the Plaintiff’s superannuation which
would otherwise have been made by her employers
pursuant to the Superannuation Guarantee Act,
calculated at 12.75% of the Plaintiff’s claim for
future economic loss and impairment of earning
capacity;
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(f) An amount of not less than $17,000.00 for value of
past gratuitous case (sic) and assistance rendered to
the Plaintiff to satisfy a need created by her injuries,
calculated on the basis of the model advanced by
Mr Hoey (occupational therapist) at a rate of $18.00
per hour for an average of:
(i) 20 hours per week in the 26 weeks during the
period 18 February 2003 to August 2003 (when
she ceased employment);
(ii) 6 hours per week in the following 67 weeks
thereafter during the period August 2003 to
present.
(g) An amount of not less than $60,000.00 for the value
of future gratuitous care and assistance to be rendered
to the Plaintiff, calculated on the basis of a need of 6
hours services per week at a rate of $18/hr for only
30 years (of the Plaintiff’s remaining life expectancy
of 47 years) and reduced on the 5% tables (multiplier
822) and further discounted by approximately one
third for contingencies.
(h) An amount of not less that $2,000.00 in respect of
special damages representing medical, travelling,
pharmaceutical and other expenses incurred by the
Plaintiff to date;
(i) An amount of not less than $7,500.00 representing
that expense to which the Plaintiff will be put in the
future in respect of future medical treatment,
medication, rehabilitative costs and other expenses.
[8] On 24 December 2004 the joint defence was filed and served. It had been drawn
and settled by Mr Lanyon-Owen. By paragraph 7 the defendants admitted the
plaintiff’s bruising and soft tissue injury to her cervical spine and lumbar spine and
denied the balance of the injuries on the ground that they were untrue or were
naturally occurring degenerative disease. They did not admit “impaired memory
and concentration arising from disturbed sleep and chronic pain disorder”, “shock
and anxiety” the use of “analgesics to relieve her pain” because they had no
personal knowledge of these matters and no documentary proof had been provided
by the plaintiff’s solicitors.
[9] They admitted that the plaintiff had sought medical treatment and undergone
physiotherapy but denied the need for further medical treatment. They admitted that
she had suffered pain and discomfort and disability etc for a short period following
the accident “however these symptoms have improved and the plaintiff will return
to functional normality.”
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[10] By paragraph 11 the defendants denied “as untrue” the balance of paragraph 8 in
that the plaintiff’s working ability and capacity to earn income “has not been
diminished or impaired”.
[11] By letter dated 13 January 2005 the plaintiff’s solicitors wrote to the defendants’
solicitors in these terms:
“Pleadings
We note your client has pleaded a number of “non-admissions” in
response to allegations made in our client’s pleadings.
You will appreciate your client is prevented from giving or calling
evidence in relation to the facts which are not admitted (pursuant to
Rule 165 UCPR). Our client will be proceeding to trial on that
assumption.
Further, we note your client has “non-pleaded” a number of the
allegations in our client’s Statement of Claim. By virtue of Rule 166
UCPR your client is taken to have admitted the facts to which the
“non-pleading” are in response to (because they have not simply
denied or “non-admitted” the relevant facts). Again, our client will
be proceeding to trial on the basis that the matters which are the
subject of a “non-pleading” are taken to have been admitted.”
The writer continued that the plaintiff did not wish to see the commencement of the
trial “bogged down” in technical arguments as to the adequacy of the pleadings nor
to have the trial unnecessarily adjourned. The defendants were invited to consider
amending their defence promptly. The defendants did not respond to that letter.
[12] After the request for trial date was signed by both parties on 18 February 2005
Mr Lanyon-Owen received instructions from his client to brief Senior Counsel to
advise on evidence and to advise whether the defence required amendment.
Mr Lanyon-Owen said he was confident that the defence which he had drawn was
in conformity with the UCPR. Senior Counsel settled an amended defence which
was improperly filed on 21 April 2005 and served on the plaintiff’s solicitors.
Mr Lanyon-Owen explained that he was quite aware that leave needed to be
obtained for filing after the Request for Trial Dates had been filed and, whilst
accepting responsibility, indicated that it was done out of his office without express
instructions by a zealous junior.
[13] The amended defence was served on the plaintiff’s solicitors on 21 April 2005.
The following day those solicitors requested the disclosure of any video or audio
recordings not previously disclosed and for which a claim of privilege had not been
made. The solicitors warned that should that not occur they would be objecting to
the use of the material at trial. Thereafter Drs Morgan and Weidmann on 26 and 27
April respectively confirmed that having viewed the surveillance material they were
not disposed to change their reports. Mr Lanyon-Owen, after conferring with
counsel, and notwithstanding his suspicion of fraud, caused the plaintiff’s solicitors
to be provided with a copy of the surveillance videos and reports and copies of
memoranda of his conversations with Drs Morgan and Weidmann. In the letter
which was sent with the surveillance material the defendant’s solicitors indicated
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that they proposed to save the costs of bringing a separate application for
amendment and by seeking amendment at the commencement of the trial. If there
were still issues about the amended defence they said the problems should be
specifically identified. The solicitors responded that there had been no pleading
responsive to the quantum matters asserted in paragraph 9 of the statement of claim.
In their further letter of 3 May 2005 they canvassed extensively the failure by the
defendants to disclose the surveillance video tape and the further proofs of evidence
from Drs Morgan and Weidmann after they had viewed those tapes. It was
indicated that there would be an objection to the defendants adducing any evidence
arising from that material.
[14] The first amendment to the defence on 21 April 2005 contained the following:
“11A As to the claimed economic loss, the Joint Defendants:-
11A.1 admit that the Plaintiff was off work, and reasonably off
work from her employment as an administrative officer, for a period
of approximately 28 days following the accident, all of this taken in
sick leave to which she was entitled as part of her employment;
11A.2 thereafter the Plaintiff continued in her employment, and in
March 2003 gained a promotion therein;
11A.3 on or about 4 August 2004 the Plaintiff separated from her
husband and then resigned from her employment, not thereafter
returning to any employment;
11A.4 the resignation was wholly causally attributable to her
separation and her need and desire to spend time with her children
consequent thereon, and to rearrange her personal affairs including
accommodation in consequence thereof;
11A.5 but for these last mentioned matters pertaining to her
separation, the Plaintiff was capable at all time thereafter of engaging
in full time employment of not less than 30 hours per week.
11A.6 the Plaintiff has full physical and mental capacity to engage
in full time employment, of the nature in which she previously
engaged immediately prior to her accident, if she elects to do so.
11B As to the claim for care, the Joint Defendants:-
11B.1 admit that in the period of about 28 days after the accident
the Plaintiff required some services, to the extent of not more than 5
hours per day, but thereafter did not reasonably require such services,
nor were they necessary, nor did the need for them arise out of any
injury suffered in the motor vehicle accident, but rather arose out of
her need for assistance to care for her children and her household and
at the same time engage in full time employment;
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11B.2 the services she was provided during and after the
lastmentioned period of 28 days were services of the same kind
which were being provided for the Plaintiff prior to the date of the
motor vehicle accident, in her household.
11B.3 in any event the physical symptoms of the Plaintiff after the
28 days were not such as to reasonably require the provision of any
services;
11B.4 by reason of the aforesaid matters the Plaintiff is not entitled
to recover for any services during or alternatively beyond the period
of 28 days after the accident, or such later period as the court may
otherwise find such services were provided as were necessary and
which so arose, by reason of the provisions of Section 55D of the
Motor Accident Insurance Act 1994.
11C The Plaintiff’s general damages are to be assessed under the
provisions of Section 61 of the Civil Liability Act 2003 and the
Regulations thereunder.”
[15] The amendment proposed on the morning of the trial, that is 17 May 2005, was as
follows:
“10A. The basis for the denials contained in paragraphs 8 and 9
hereof, and the assertion contained in paragraph 10 hereof, are the
following:-
10A.1 the opinion evidence contained in the reports of Drs
Weidmann (neurosurgeon) and Morgan (orthopaedic surgeon)
disclosed in this proceedings;
10A.2 the fact of the plaintiff’s return to employment, following
the accident, for a lengthy period, namely until 4th August 2003,
during which period she received a promotion;
10A.3 the plaintiff’s separation from her husband shortly prior to
30th July 2003;
10A.4 The plaintiff’s completion and signing on 30th July 2003, of
a separation notice from her employer, such document being
disclosed in this proceedings, such document identifying marriage
breakdown and indebtedness unrelated to the accident, in addition to
the circumstances of the accident, as reasons for her resignation;
10A.5 The fact that during the period from no later than mid 2004
to early 2005, the plaintiff discharged her daily domestic and other
life activities without suffering any apparent evidence of symptoms
consistent with the allegations of disability which she makes in her
statement of claim.
11. [The Joint Defendants deny as untrue the remainder of
paragraph 8 in that the Plaintiff’s working ability and her capacity to
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earn income has not been diminished or impaired.] (In original
defence) The basis for this denial is that which is pleaded in
paragraphs 10A and 11A hereof.
13. The Joint Defendants admit the allegations contained in
paragraphs 10, 11, 12 and 13 of the statement of claim.”
[16] Rule 149 of the UCPR requires that a pleading must be as brief as the nature of the
case permits and
“(b) contain a statement of all the material facts on which the party
relies but not the evidence by which the facts are to be proved;
(c) states specifically any matter that if not stated specifically may
take another party by surprise ...”
[17] Rule 151 of the UCPR provides:
“Without limiting r 149, the following matters must be specifically
pleaded ...
(b) every type of damage claimed including, but not limited to,
special ... damages ...
...
(f) fraud;”
Rule 155 requires that if damages are claimed in a pleading the pleading must state
the nature and amount of the damages claimed. A party claiming general damages
must include the following particulars in the party’s pleadings
“(a) the nature of the loss or damage suffered;
(b) the exact circumstance in which the loss or damage was suffered;
(c) the basis on which the amount claimed has been worked out or
estimated.”
[18] As is now well understood, r 166 introduced a change to the practice of pleading.
A party may in response to a pleading “plead a denial, a non-admission, an
admission or another matter,” r 165, but a party who pleads a non-admission
“... may not give or call evidence in relation to a fact not admitted,
unless the evidence relates to another part of the party’s pleadings,”
r 165(2).
[19] Rule 166 dealt in an entirely new way with the affect of denials and non-admissions
which had in the past often been responsible for a failure to join issue with the
opposite party on the real matters in controversy. Rule 166 now provides relevantly
“(1) ...
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(2) ...
(3) A party may plead a non-admission only if –
(a) The party has made inquiries to find out whether the
allegation is true or untrue; and
(b) The inquiries for an allegation are reasonable having
regard to the time limited for filing and serving the
defence or other pleading in which the denial or non-
admission of the allegation is contained; and
(c) The party remains uncertain as to the truth or falsity
of the allegation.
(4) A party’s denial or non-admission of an allegation of fact
must be accompanied by a direct explanation for the party’s
belief that the allegation is untrue or cannot be admitted.
(5) If a party’s denial or non-admission of an allegation does not
comply with (4) the party is taken to have admitted the
allegation.
(6) A party making a non-admission remains obliged to make
further inquiries that may become reasonable and, if the
results of the inquiries make possible the admission or denial
of an allegation to amend the pleading appropriately.”
[20] The requirement to give “a direct explanation” for a party’s belief in the denial or
non-admission raises significant difficulties for a pleader. The governing general
principle in respect of pleadings set out in r 149(1)(b) that a pleading must contain a
statement of all the material facts “but not the evidence by which the facts are to be
proved” is in apparent conflict with the “direct explanation” requirement in r 166(4)
if it be accepted that “an allegation of fact” in r 166 must be regarded as
synonymous with “the material facts” in r 149. The mischief of evasive denials or
non-admissions which the rule seeks to remedy is, or was, well-known. Common
sense clearly must prevail so that the “direct explanation” must be as brief as is
consistent with a statement of material facts but not evidence although I note
Helman J’s observation in Doelle v Watson of 26 June 2002 at p 14.
[21] Not only need there be an understanding of the difference between material facts
and the evidence by which they are to be proved but also material facts and
particulars of those facts. Although particulars are part of the pleading and may be
struck out for the same reason, r 162, it is a well-established principle of pleading
that particulars are not to be pleaded to, Turner v Bulletin Newspaper Pty Ltd (1974)
131 CLR 69 at 80 per Barwick CJ. His Honour said
“The defendant by not canvassing the particulars does not admit
them, nor does he admit their relevance to the establishment of a
cause of action or any part of it.”
With that in mind para 6 of the statement of claim contained only one material
statement of fact and that was that the plaintiff sustained personal injuries as a
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consequence of the motor vehicle collision. The enumerated injuries, as is the usual
fashion in such a pleading, appear as particulars. The longstanding rule of practice
that particulars are not to be pleaded to is an answer to any complaint which would
seek to apply r 166(5). Even so, there are only three responses to the particulars 8.1,
8.2 and 8.6 which are denials without further elaboration. The other responses
sufficiently comply with the requirement of a direct explanation.
[22] The denial as to future medical treatment is in response to the proposition “she may
require further medical treatment in the future”. This is so vague an assertion as, in
my view, to be incapable of detailed response save for a denial.
[23] Paragraph 8 of the statement of claim pleads that the plaintiff has suffered and
continues to suffer pain etc and that her working ability and her capacity to earn an
income has been diminished and impaired. The defence admits a certain amount of
pain, asserts that the symptoms have improved and that the plaintiff will return to
functional normality. Paragraph 8 of the statement of claim is sparse of detail that
could be described as material facts. The defence is sufficient.
[24] Paragraph 9 of the statement of claim pleads an amount of $454,760.00 as the
estimated total of the plaintiff’s damages and in sub paras (a)-(i) sets out amounts
for various kinds of damages. These are responded to in para 12 of the defence by
treating the claim more in the nature of a prayer for relief by not pleading to it
except to plead that the amounts claimed are “excessive” and unsupported by any
evidence provided by the plaintiff’s solicitors. It is clear that such a joinder is non-
responsive to the amounts put forward by the plaintiff. The defendants should have
advanced more particular reasons for declining to accept the figures that were
offered and that has occurred in the amended pleadings.
[25] If it be concluded that the defendants have fallen foul of r 166(4) in respect of the
matters pleaded in para 9 of the statement of claim there is good reason to relieve
them of any deemed admissions. Mr Lanyon-Owen has deposed to and given sworn
oral evidence that he was of the opinion that the pleading complied with the
requirements of the UCPR. He is an experienced litigation solicitor. Both firms of
solicitors are experienced in personal injuries work. The plaintiff’s solicitors would
have known that the amounts claimed as damages as set out in para 9 would be
subject to challenge. Notwithstanding the correspondence, they do not say that they
prepared for trial on the mistaken understanding that the quantum of the various
head of damages was not in issue because there were deemed admissions.
There was no suggested prejudice.
[26] As a matter of discretion Mr Grant-Taylor submitted that the court ought not to
permit the amendment to the joint defence which elaborated has given a “direct
explanation” of the denials and non-admissions as set out above in paras 10A and
11A, because, it would seem of the conduct of the defendants in not disclosing the
videos earlier or not making an application to the court not to do so.
[27] Section 51B of the MIA Act requires each party to give to the other party at least
seven days before the compulsory conference is held, copies of all documents not
yet given to the other party that are relevant to the claim, s 51B(5)(a). This was not
done in the case of the surveillance videos and the reports associated with them.
Section 51B(8) provides:
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“A court may, on application by a party, exempt the party from an
obligation to give or disclose material to another party before trial if
satisfied that disclosure would alert a person reasonably suspected of
fraud to the suspicion or that there is some other good reason why
the material should not be disclosed.”
[28] Mr Lanyon-Owen said that he had intended that an application be brought pursuant
to s 51B(8) but that he proposed delaying doing so until reasonably close to the trial
because he was concerned that a search of the file would show that such an
application had been made. However, before that time arose he provided the
plaintiff’s solicitors with the subject material. Although s 51B(8) appears in the
provision relating to the compulsory conference, subsection (8) does not mandate an
application before the compulsory conference but before the trial. If that provision
is read in the context of s 48(3) that an insurer may withhold material if the insurer
has reasonable grounds to suspect a claimant of fraud, it would defeat the purpose
of non-disclosure, at least in some cases, if the application had to be made before
the compulsory conference. Settlement at the conference would obviate the need
for an application.
[29] Section 10 of the MAI Regulation which deals with the s 37 Notice of Claim,
provides in subsection (8):
“If an insurer withholds information from a claimant, the insurer
must inform the commission of the decision, and of the grounds on
which it was made, within 1 month after deciding to withhold the
information.”
[30] Mr Grant-Taylor asked Mr Lanyon-Owen had he informed the commission that he,
upon instructions from his client, had withheld the surveillance video and reports.
He responded that he had not. In re-examination he was asked if his client, the
insurer, had done so, which he was unable to answer but indicated that he doubted if
it had. He was of the opinion that s 10(8) referred to the information required to be
given pursuant to s 37 rather than generally and that seems a proper construction of
that provision.
[31] I should add that Mr Lanyon-Owen was challenged about not pleading fraud but he
explained that there was a deal of difference between pleading actual fraud and
having the suspicion of fraud in a case like the present.
[32] Mr Grant-Taylor relied on the overall obligation imposed on a party of disclosing
documents in the possession of a party set out in rule 214(1). He submitted that the
documents ought to have found their way into the list of documents to which
privilege from disclosure was claimed. If that were to occur it would defeat the
very purpose of s 48(3) of the MAI Act – withholding from disclosure information
or documentary material when the insurer has reasonable grounds to suspect a
claimant of fraud. That this is so is envisaged in s 58B(8) relating to an application
before trial not to disclose material. This is not material which is “privileged”
material. It is material which is exempt from disclosure at all.
[33] Finally, Mr Grant-Taylor referred to the decision of Fryberg J in Foreman v Lee and
Transport Accident Commission [2005] QSC 086. That was a different case in
which, had the pleading been amended as sought, would have led to an adjournment
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of the trial. The non-admissions (in a personal injuries case) involved non-
admissions on the basis of the need to undertake further investigation. His Honour
was particularly critical of cost cutting by the insurer in not briefing counsel before
the Request for Trial Date had been signed. In this case Mr Lanyon-Owen did
address the issues. It was neither carelessness nor a cost cutting which led to the
defence being drawn in the way it was. I have found, that apart from the response to
the quantum of the heads of damage, the defence in any event complies with the
rules. See also discussion by Mackenzie J in Groves v Australian Liquor
Hospitality and Miscellaneous Workers’ Union [2004] QSC 142 and McMurdo J in
Anderson v AON Risk Services Australia Ltd [2004] QSC 049.
[34] It is not entirely clear to me what use Mr Grant-Taylor was seeking to make of the
failure to disclose the video or to obtain an order of the court endorsing that course
of action. He did not seek to have it precluded from evidence.
[35] The function of pleadings is to state with sufficient clarity the case that must be met,
Gould v Mt Oxide Mines Ltd (In Liq) (1916) 22 CLR 490 at 517. The Rules of
Court exist to bring that about and r 166(4) in particular has been beneficial in
achieving that object. Pleadings define the issues and make clear that which is in
issue for proof at trial. Nonetheless, the overriding philosophy of the UCPR set out
in r 5 must not be overlooked – “the rules are to be applied with the objective of
avoiding ... technicality and facilitating the purpose” of the rules. Nothing was kept
from the plaintiff which would surprise her at trial save for the covert surveillance
videos and they were provided some three weeks before trial.
[36] As indicated at the outset of the trial, the defendants have leave to amend the joint
defence in accordance with the document tendered to the court.
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Official source: https://www.sclqld.org.au/caselaw/QSC/2005/285