“Laminae are leaf-like structures connecting the pedal bone of a horse to its hoof. A horse has laminitis when the connective tissue (the laminae) fails or begins to fail. Failure of the laminae leads to the weight of the horse driving the pedal bone down into the hoof, shearing and crushing arteries and veins and damaging the corium (the point from which the hoof grows) and the sole (the sensitive under-surface of the hoof). Laminitis can cause a horse excruciating pain. Prognosis is uncertain. In many cases the condition can be fatal. As Mr Lawrence observed, the invoices that record Anna’s treatment between29th May 2001 (when the disease was diagnosed) and her death on29th July 2001 amply justify Mr Glyn’s description of the laminitis afflicting Anna as “this savage illness”
“Mr Glyn forwarded the x-rays to Msr. Lepage under cover of a letter dated29th March 1999 . According to Mr Glyn, Msr. Lepage formed the view that Anna’s left hock showed evidence of “osteochondrosis dissecans in the talus of the left hock in the depth of the trochlea tali medial to the lateral trochlear ridge” (see paragraph 13 of Mr Glyn’s witness statement). On14th April 1999 , shortly after receiving the x-rays from Mr Glyn, Msr. Lepage went to Msr. Assouline’s yard in order to examine and treat Anna. Mr Glyn was also in attendance. Although he did not know precisely which preparations were used by Msr. Lepage or the dosage, Mr Glyn was aware that Msr. Lepage had injected Anna’s hocks and her back with cortico-steroids all on the same occasion (see paragraph 13 of Mr Glyn’s witness statement and cf. Dr Dyson’s approach and her reasons for not doing so: see paragraph 18 above and paragraph 31 below). It is worthy of note that, broadly speaking and putting the amount of each dose to one side, this was the same approach as that adopted two years later, when Msr. Grandiere treated Anna in May 2001.”
“After hearing full submissions on the preliminary issue, I gave my answers on13th May 2005 to the effect that I was satisfied that, on18th May 2001 , Msr. Grandiere had injected doses of not less than 80mg of Kenacort 80 into each of Anna’s hocks and a total dose of 20ml of Voren suspension into her back: see the terms of the Order of13th May 2001 giving my answers to the questions posed.”
“I am satisfied that it is apparent from Mr Glyn’s own evidence that he accepted that his duty to observe Msr. Grandiere’s treatment also involved or gave rise to a further duty to intervene to protect Anna if the proposed or actual treatment was in any way inappropriate. It suffices to quote the following passages from his evidence: (i) “He was not doing something so extreme or contrary to the welfare of the horse that it required intervention”: see paragraph 22 of Mr Glyn’s witness statement. (ii) “I believe it would have been inappropriate for me to have intervened because I would have been questioning the competence of the French national Team’s Veterinary Surgeon. Unless there was a welfare issue or something totally against accepted methods of Veterinary Practice it was not for me to intervene in the treatment”: see paragraph 25 of his witness statement. (iii) “If Msr. Grandiere had behaved in an inappropriate way that I could see immediately was contrary to Anna’s welfare, I would have “leapt in”- but not if I observed familiar procedures by a competent colleague”: my note of part of Mr McPherson’s cross examination of Mr Glyn. (iv) “I would not have used 80mg of Triamcinolone myself. If Msr. Grandiere had told me that he was going to inject 80mg of Triamcinolone , I would have commented that it was a high dose and asked for his reasons…he would have needed to convince me. I think that with such an exceptionally high dose, you would have to discuss it with the owner’s agent (Msr Assouline) and point out the risk of laminitis as a potential problem. If I had known that Msr. Grandiere was going to administer 80mg of Triamcinolone, I would have spoken to Msr. Assouline about it. …” “If Msr. Grandiere was proposing to do something even remotely inappropriate in his treatment of Anna I would have taken action”: both passages taken from my note of Mr Lawrence’s cross examination of Mr Glyn.”
“Before moving on to deal with the treatment that Msr. Grandiere actually administered to Anna on 18 May, it is important to note that Mr Glyn had, in effect, rendered himself unable to judge whether the treatment in question was “contrary to Anna’s welfare” or “totally contrary to accepted methods” or“inappropriate”
“66. In my view, Mr Glyn was also in breach of duty to Mrs McGarel-Groves and is also liable to her in the agreed sum of£350,000 (which, in his case, takes into account his outstanding fees). In his case, as Mr Lawrence observed in paragraph 8 of his written closing submissions, the primary case against him rests on an analysis of the scope of Mr Glyn’s retainer. In my view, it is sufficient for the purposes of this case to approach the matter on the basis of the duties that Mr Glyn expressly and/or impliedly accepted that he owed to Mrs McGarel-Groves, i.e. duties to observe the treatment and to intervene if it was remotely inappropriate or contrary to Anna’s welfare (see paragraphs 46 and 47 above), although I acknowledge the force of Mr Lawrence’s submissions that his retainer was much more comprehensive than Mr Glyn was prepared to admit (see paragraphs 10 to 20 of Mr Lawrence’s closing submissions). 67. As I pointed out in paragraph 48 above, Mr Glyn effectively rendered himself unable to judge whether the proposed treatment was inappropriate by his failure to make any inquiry as to the types of cortico-steroids that were to be used or as to the dosages that were to be administered. As it seems to me, that was an extraordinary failure, given that Mr Glyn knew perfectly well that two different cortico-steroids were to be used, that Anna’s back and each of her hocks were to be injected at the same time and that a “high” dose of cortico-steroids would involve a sufficient risk of laminitis to make it necessary to warn (in effect) Mrs McGarel-Groves. In the course of his evidence, Mr Glyn accepted that if he had known that Msr. Grandiere was proposing to inject 80mg of triamcinolone into each of Anna’s hocks, he would have intervened. If he had done so, the proposed treatment would not have gone ahead and Anna would not have died. Thus, for example, according to my note of Mr Lawrence’s cross examination, Mr Glyn said this: “I would not have used 80mg of triamcinolone myself. If Msr. Grandiere had told me that he was going to inject 80mh of triamcinolone I would have commented that this was a high dose and asked for his reasons. … … I think that with such an exceptionally high dose, you would have to discuss it with the owner’s agent … and point out the risk of laminitis as a potential problem. If I had known that Msr. Grandiere was going to administer 80mg of triamcinolone, I would have spoken to Msr. Assouline about it. … If Msr. Grandiere was proposing to do something even remotely inappropriate in his treatment of Anna I would have taken action. ”
“In effect, as Mr McPherson observed, Mr Glyn’s acknowledged duties of observation and, if necessary, intervention provided the essentials that Mrs McGarel-Groves required for herself and for Anna, namely a line of defence against an apparently competent vet acting incompetently. By failing to ask the relevant questions (which Msr. Grandiere would have willingly answered) Mr Glyn failed to provide that line of defence. If he had asked the relevant questions, he would have realised that the treatment was, at the very least, inappropriate and he would have intervened, as he himself accepted in evidence.”
“At some point before the 18th May, Msr. LePage contacted Msr Assouline to explain that, since he was now a “Directeur” of the French Dressage Team, he would not be attending High Meadows to examine and treat Anna himself, but would be sending instead Msr. Grandiere, the new French National Team Veterinary Surgeon. Subsequently, Msr. Assouline had a brief telephone conversation with Msr. Grandiere to discuss arrangements and to give directions. Msr. Assouline also telephoned Mr Glyn and asked him to attend, as requested by Mrs McGarel-Groves. Msr. Assouline explained that the French vet was coming to investigate Anna’s poor performance at Le Touquet and to discuss ways of improving it. It is likely that Msr. Assouline also mentioned that it was proposed to repeat the treatment given in 1999.”
“I recall that I especially asked Mr Glyn to attend this appointment as my vet to check…that Anna was treated properly and so that I could be certain she did not come to any harm.”
“Attend with French Team Veterinary Surgeon Erik Grandiere. Discuss previous examination and treatment. Possible need for further joint or back injection. Left tarso-metatarsal joint shows substantial joint effusion with the leak of joint fluid under pressure with needle into joint. This could be responsible for slight stiffness on left rein.”
“I am satisfied that it is apparent from Mr Glyn’s own evidence that he accepted that his duty to observe Msr. Grandiere’s treatment also involved or gave rise to a further duty to intervene to protect Anna if the proposed or actual treatment was in any way inappropriate.”
“In my view, it is sufficient for the purposes of this case to approach the matter on the basis of the duties that Mr Glyn expressly and/or impliedly accepted that he owed to Mrs McGarel-Groves, i.e. duties to observe the treatment and to intervene if it was remotely inappropriate or contrary to Anna’s welfare (see paragraphs 46 and 47 above), although I acknowledge the force of Mr Lawrence’s submissions that his retainer was much more comprehensive than Mr Glyn was prepared to admit…”
“I do not know what drugs he administered because the labels were in French but it is my belief from the volume and appearance that he injected Methyl Prednisolone intra-articularly into both Tarso-Metatarsal joints and he made several injections of Dexamethasone around the dorsal spinous processes in the saddle area of the back. I do not know how many injections he administered nor the volume of each injection but I can say they were injections in multiple sites in the back”
“Mrs McGarel-Groves agreed to what was proposed on the basis that Mr Glyn would be in attendance. I accept Mrs McGarel-Groves’ evidence…as follows…“I wanted my vet there to give me the comfort that she was being given the appropriate treatment.”
“Mr Harman [the executors’ counsel] sought to rely on the fact that Mr. Stubbs was [the son’s] solicitor under some sort of general retainer imposing a duty to consider all aspects of his interest generally whenever he was consulted, but that cannot be. There is no such thing as a general retainer in that sense.”
“On this question of retainer, I would observe that where there is a difference between a solicitor and his client upon it, the courts have said, for the last 100 years or more, that the word of the client is to be preferred to the word of the solicitor, or, at any rate, more weight is to be given to it (see Crossley v. Crowther, per Turner V.-C., and Re Paine, per Warrington J.). The reason is plain. It is because the client is ignorant and the solicitor is, or should be, learned. If the solicitor does not take the precaution of getting a written retainer, he has only himself to thank for being at variance with his client over it and must take the consequences.”
“The terms upon which Mr Glyn was to attend and the instructions given to him about what his role was to be lie at the centre of this appeal.”
“At some point before 18th May, Msr. Lepage contacted Msr. Assouline to explain that … he would not be attending High Meadows to examine and treat Anna himself, but would be sending instead Msr. Grandiere ... Subsequently, Msr. Assouline had a brief telephone conversation with Msr. Grandiere to discuss arrangements and to give directions. Msr. Assouline also telephoned Mr Glyn and asked him to attend, as requested by Mrs McGarel-Groves. Msr. Assouline explained that the French vet was coming to investigate Anna's poor performance at Le Touquet and to discuss ways of improving it. It is likely that Msr. Assouline also mentioned that it was proposed to repeat the treatment given in 1999.”
“As I have already indicated, [this must be a reference to paragraph 37] Mrs McGarel-Groves wanted Mr Glyn to be present at High Meadows when Anna was examined and treated by Msr. Grandiere, because he was Anna's vet and Mrs McGarel-Groves relied on him to protect her own interests and to ensure that Anna was not endangered in any way. However, Mr Glyn strongly disputed Mrs McGarel-Groves' claim that he attended High Meadows on 18th May in any sort of supervisory role. He was also at pains to distance himself from the decision to inject Anna with cortico-steroids. Indeed, Mr Glyn effectively played down the significance of his role at High Meadows on 18th May by suggesting that the reason he attended was merely "partly out of courtesy and partly to provide a history" …”
“It has to be said that, on a straightforward reading of the text of Mr Glyn's 18th May invoice, one is left with a strong impression that Mr Glyn was not simply an observer of the injections administered to Anna, but that he had played a part in the actual decision-making relating to that form of treatment on 18th May (see, in particular, the first three sentences of the opening paragraph of the invoice). In my view, this general impression is greatly strengthened by Msr. Grandiere's account of the events …”
“45. As I have already indicated, the wording of Mr Glyn's invoice strongly suggests that he was much more involved in the decision-making as to the nature of the treatment to be given to Anna on18th May 2001 than he was prepared to accept in evidence. For her part, Mrs McGarel-Groves accepted that she had not spelt out to Mr Glyn what she expected of him. She was content to assume that, as Anna's vet, Mr Glyn would do whatever was necessary to ensure that Anna was treated properly and not endangered in any way and, in that sense, his was a supervisory role.” [Emphasis added by me.]
“I am satisfied that it is apparent from Mr Glyn's own evidence that he accepted that his duty to observe Msr. Grandiere's treatment also involved or gave rise to a further duty to intervene to protect Anna if the proposed or actual treatment was in any way inappropriate.”
“I recall that I especially asked Mr Glyn to attend this appointment as my vet to check … that Anna was treated properly and so that I could be certain that she would not come to any harm.”
“In his case, as Mr Lawrence observed in paragraph 8 of his written closing submissions, the primary case against him rests on an analysis of the scope of Mr Glyn's retainer. In my view, it is sufficient for the purposes of this case to approach the matter on the basis of the duties that Mr Glyn expressly and/or impliedly accepted that he owed to Mrs McGarel-Groves, i.e. duties to observe the treatment and to intervene if it was remotely inappropriate or contrary to Anna's welfare (see paragraphs 46 and 47 above), although I acknowledge the force of Mr Lawrence's submissions that his retainer was much more comprehensive than Mr Glyn was prepared to admit (see paragraphs 10 to 20 of Mr Lawrence's closing submissions).”
“Active participation in the management of the horse’s back/leg problems was implicitly within the scope of the retainer for the following reasons: (i) [Mr Glyn] had previously been concerned with the management of the horse’s back/leg problems. (ii) He would remain, in the words of the learned judge at paragraph 10 of his judgment: ‘[the] regular vet who is retained to care for the animal whenever veterinary treatment is required’, and as that ‘regular vet’ he would be called upon to deal with the management of any back/leg problems that might manifest themselves in the future (iii) He was asked to attend as veterinary surgeon retained by and paid by the claimant, on an occasion when the horse was potentially to be treated by a French vet who was retained not by the claimant but by the French dressage team, whose requirements and concerns might well be different to the claimant’s (iv) He was not instructed that the injection of the horse with cortico-steriods was a ‘fait accompli’ with which he need not concern himself; he took no steps to clarify the scope of his retainer or to identify and communicate to his client that he regarded it as limited in any way.” (i) [Mr Glyn] had previously been concerned with the management of the horse’s back/leg problems. (ii) He would remain, in the words of the learned judge at paragraph 10 of his judgment: ‘[the] regular vet who is retained to care for the animal whenever veterinary treatment is required’, and as that ‘regular vet’ he would be called upon to deal with the management of any back/leg problems that might manifest themselves in the future (iii) He was asked to attend as veterinary surgeon retained by and paid by the claimant, on an occasion when the horse was potentially to be treated by a French vet who was retained not by the claimant but by the French dressage team, whose requirements and concerns might well be different to the claimant’s (iv) He was not instructed that the injection of the horse with cortico-steriods was a ‘fait accompli’ with which he need not concern himself; he took no steps to clarify the scope of his retainer or to identify and communicate to his client that he regarded it as limited in any way.”
“There is no such thing as a general retainer in that sense. The expression ‘my solicitor’ is as meaningless as the expression ‘my tailor’, or ‘my bookmaker’ in establishing any general duty apart from that arising out of the particular matter in which his services are retained. The extent of his duties depends upon the terms and limits of that retainer and any duty of care to be implied must be related to what he is instructed to do. While no doubt the duties owed by a solicitor to his client are high, in the sense that he holds himself out as practising a highly skilled and exacting profession, but I think that the court must beware of imposing on solicitors – or upon professional men in other spheres – duties which go beyond the scope of what they are requested and undertake to do. It may be that a particularly meticulous and conscientious practitioner would, in his client’s general interest, take it upon himself to pursue a line of enquiry beyond the strict limits comprehended by his instructions. But that is not the test. The test is what the reasonably competent solicitor would do having regarding to the standards normally adopted in his profession, and [the] cases … demonstrate that the duty is directly related to the confines of the retainer.”
“Mr Glyn effectively rendered himself unable to judge whether the proposed treatment was inappropriate by his failure to make any inquiry as to the types of cortico-steroids that were to be used or as to the dosages that were to be administered.”
“If a professional is tasked with ‘observing’ a procedure, it is clearly incumbent upon him to take reasonable steps to clarify and seek an understanding of what he is in fact observing in the event that what he sees is unclear, incomplete or otherwise insufficient to provide him with a complete and accurate picture of the procedure. Thus in order to fulfil the role described above Mr Glyn needed not only to observe the steps being taken by Msr. Grandiere but also to obtain a complete and accurate understanding of what he was observing – in particular of the treatment that was intended/proposed. Without such an understanding, he could not possibly know whether the treatment was sufficiently ‘extreme’, ‘contrary to the welfare of [Anna]’, ‘totally against accepted methods of veterinary practice’ or ‘even remotely inappropriate’ to require intervention on his part.”
“In effect, as Mr McPherson observed, Mr Glyn's acknowledged duties of observation and, if necessary, intervention provided the essentials that Mrs McGarel-Groves required for herself and for Anna, namely a line of defence against an apparently competent vet acting incompetently. By failing to ask the relevant questions (which Msr. Grandiere would have willingly answered) Mr Glyn failed to provide that line of defence. If he had asked the relevant questions, he would have realised that the treatment was, at the very least, inappropriate and he would have intervened, as he himself accepted in evidence.”