MEDICAL NEGLIGENCE Delay in Diagnosis

The plaintiff, then a child of 18 months, was taken by her mother for hearing tests to the HSE audiological services and was told her hearing in both ears was normal. The plaintiff did suffer from hearing loss and when she was 24 years old sued the HSE for  damages based on the errors and delay in the diagnosis of her hearing loss.


Later the plaintiff was brought to a private audiologist who, on examining he, found that there was significant hearing loss in her right ear and some loss in her left ear.


It was submitted to the High Court that the delay in the initial assessment and subsequent problems in her treatment led to significant speech problems incurred by the plaintiff. Her claim was that the HSE failed to properly diagnose her hearing condition at an early stage which caused severe impairment to her hearing in later years. 


In 2002 the plaintiff had follow-up private audiological services tests which found there was a moderate to severe loss of hearing in her right ear. Then in 2003 the HSE retested her and found mild hearing loss in the right ear.

After a hearing aid was applied and further testing carried out, it was confirmed that the plaintiff had severe loss of hearing in her right ear and mild loss in her left ear.



The plaintiff has had several hearing aids, but it has not entirely resolved the problem and left  her with an inability to hear well.

It was submitted to the court that the plaintiff had suffered due to a failure of early diagnosis and the lack of any appropriate treatment.

The HSE had filed a full defence claiming also that her case was statute barred but the court rejected those arguments. The HSE offered a settlement after mediation and the High Court approved a settlement figure of €850,000. The judge said it was a complex case of causation but was satisfied with the settlement.


Healy v Health Services Executive High Court April 2022


PERSONAL INJURIES Contributory Negligence Reduced Award by 20%

by Snap Websites • 27 July 2023
The plaintiff was a schoolgirl when she was involved in a road traffic accident in April 2019. In the collision she hit her head and sustained injuries but had no recollection or memory of the accident. She had not been wearing a seat belt when the accident occurred. The plaintiff’s airbag was deployed as also was the defendant's but, in his case, he had been wearing his seat belt and did not incur any injury. The case proceeded to an assessment of damages with a contributory negligence claim on account of the plaintiff not wearing a seat belt. The plaintiff suffered deep abrasions to her right temple and anterior hairline. This resulted in permanent scarring to her face and caused her considerable concern in respect of her physical appearance. The plaintiff was interested in makeup and beauty therapy and, although she successfully entered a beauty therapy course, she dropped out because of her injuries. The main scar to her face was 9cm by 4cm and was noticeable at a conversational distance. She was very self-conscious about her scars and wore heavy makeup to conceal them as much as possible. The plaintiff was also diagnosed with psychological injuries following the incident. It was considered that she had developed an adjustment disorder with depressive features at the time. She was prescribed antidepressant medication but stopped taking it after a few days. The plaintiff continued to experience soreness on the scar on her wrist after the accident. She also complained of headaches post-accident. In reviewing the evidence, the judge considered the contributory negligence caused by the plaintiff in her not wearing a seat belt. In a High Court case of O’Sullivan v. Ryan [2005] IEHC 18 the court measured that at between 10 and 25%. There was a dispute over whether the plaintiff hit her head off the side window which was smashed or the windscreen but on reviewing the expert evidence the court was satisfied that the injury was caused by the plaintiff hitting her head off the windscreen. The contributory negligence was assessed at 20%. There was some conflicting evidence on which was the dominant injury and its consequent value in injury terms. The court ruled that the dominant injury was the facial scarring. In measuring the value to be placed on the injuries the court considered a previous case involving a dancer who incurred facial scarring and who received €50,000 in damages though in that case the dancer continued in his career whereas in the case before the court, the plaintiff did not. The court ruled that the injury be valued at €60,000 for the dominant injury and other lesser injuries at €30,000 and special damages of €17,596 amounting to a total of €107,596 reduced by 20% for contributory negligence giving a net of €86,076 damages awarded. Power v Malone [2023] IEHC 366.

PERSONAL INJURIES

by Snap Websites • 20 March 2023
First Award Under New Damages Guidelines. After lengthy lobbying by insurance companies, who were charging higher premiums to cover larger PI awards in the courts, the government introduced, in April 2021, new Guidelines for the courts in their determination of their awards of damages. In a High Court case in July 2022, the judge was tasked to decide the level of damages for a plaintiff girl who was injure d following an accident but who developed Post Traumatic Stress Disorder (PTSD) for several months thereafter. The case was one of the first PI cases where the court had to decide on the damages by applying the new Guidelines. Some commentators were expecting the eventual award to be much reduced, but the actual award was higher than expected. The 14-year-old girl was struck by a car and knocked down. All parties agreed that she had suffered from psychological injuries after the accident, and these were diagnosed as PTSD. She also had some minor injuries and a small scar below her buttock. However, her main injury was PTSD, and this finding was supported by her parents and schoolteachers. She suffered from flashbacks, nightmares, panic attacks and poor attention at school resulting in a decline in her overall academic performance. She had received some professional counselling but would require more although she was progressing satisfactorily. The net issue at the hearing was the assessment of her injuries under the new Guidelines. The plaintiff maintained her injuries were somewhere between moderate and serious PTSD. The moderate type would result in an award of between €10K to € 35K while the serious version would result in a higher award between € 35k to €85K. Not surprisingly, the insurance company argued that her injury fell within the moderate category and should be valued at € 20k. The task of the court was to determine how the new Guidelines should impact on an award of damages. Importantly, it also noted that a court could depart from the Guidelines if the justice of the case requires but must set out concise reasons for doing so. While serious PTSD typically involved a disability for the foreseeable future, the moderate PTSD category envisaged that the plaintiff will have largely recovered, and any continuing effects will not be grossly disabling by the time the case comes on for hearing. The court was satisfied that the plaintiff’s PTSD fell into the moderate category but considering the negative impact on her schooling and Leaving Certificate prospects, it fixed an award at the top end of the moderate category being € 35k. The court also awarded her € 25k for her scar and soft tissue injuries which had largely settled. This brought the total sum awarded to €60k. This case illustrates how a fear of much lower court awards following the new Guidelines appears to be misplaced. Lipinski (A Minor) v Whelan [2022] IEHC 452