“(1) …references to a person’s date of knowledge are references to the dates on which he first had knowledge (a) that the injury in question was significant; and (b) that the injury was attributable to … negligence… or breach of duty; and (c) of the identity of the Defendant … (3) For the purposes of this section a person's knowledge includes knowledge which he might reasonably have been expected to acquire – (a) from facts observable or ascertainable by him; or (b) from facts ascertainable by him with the help of medical or other appropriate expert advice which it is reasonable for him to seek; but a person shall not be fixed under this subsection with knowledge of a fact ascertainable only with the help of expert advice so long as he has taken all reasonable steps to obtain (and, where appropriate, to act on) that advice.”
“I think that at the latest, by the time that he left the employment of the third defendant it was reasonable to have expected the claimant to have sought, and clearly sought medical advice about this combination of symptoms. And I think that on balance that that combination of symptoms being discussed with the doctor for the purpose of receiving advice, would have resulted in the facts being revealed by that time, even as maybe the doctor would have sought specialist advice.”
“Symptoms started in the 1980s. Mr White described these as tingling in the fingers, especially when they were cold. The finger tips went white. He described an odd sensation of feeling throbbing in the fingers especially in the morning and a symptom akin to the sensation of having knocked the fingers with a hammer and the intense throbbing and discomfort that ensues. […] the right hand [was] affected more than the left. […] all fingers in the right hand [were] affected but not the thumb. In the left hand, the thumb [was] spared as was the little finger. Attacks of whiteness only occur in the cold and winter seasons. They are confined to the tips of the fingers […] Symptoms of tingling occur at any time as do symptoms of numbness and are no different in either summer or winter months. [… the] symptoms have remained static in the last seven years [that is the seven years before September 2004]. The symptoms he described caused him difficulty with fine finger movements, the fastening of buttons and picking up small objects [...]. He had not sought any medical advice at the time of the symptoms’ presentation. ”
“10. I think that a report to the GP of this combination of symptoms, including difficulty in handling small objects, would in the 1990s have been noted, and at the very least resulted on the balance of probabilities in an investigation that within a few months, would have revealed the nature of the condition and its cause.”
“14. I do think that in disease cases it is easy to apply a test that is more stringent than is reasonable and I have that well in mind, but here are a combination of significant symptoms. By the middle of the 1990s is the latest as I find, including a sensorineural component of significance, that it was reasonable to expect someone in the claimant’s position to seek his doctor’s advice about. I do not think it was an objectively reasonable response not to seek advice before 2003 when he saw the advertisement”