“1. (1) Subject to paragraph (2) of this Clause, this Agreement applies to any case in which an application is made to MIB for a payment in respect of the death of or bodily injury to any person caused by or arising out of the use of a motor vehicle on a road in Great Britain and the case is one in which the following conditions are fulfilled, that is to say – (a) the event giving rise to the death or injury occurred on or after the1 December 1972 ; (b) the applicant for the payment either (i) is unable to trace any person responsible for the death or injury, or (ii) in a case to which Clause 5 hereof applies where more than one person was so responsible, is unable to trace one of those persons. (Any person so untraced is hereinafter referred to as ‘the untraced person’); (c) the death or injury was caused in such circumstances that on the balance of probabilities the untraced person would be liable to pay damages to the applicant in respect of the death or injury; (d) the liability of the untraced person to pay damages to the applicant is one which is required to be covered by insurance or security underPart VI of the Road Traffic Act 1972 , it being assumed for this purpose, in the absence of evidence to the contrary, that the vehicle was being used in circumstances in which the user was required by the said Part VI to be insured or secured against third party risks; (e) the death or injury was not caused by the use of the vehicle by the untraced person as a weapon, that is to say, in a deliberate attempt to run the deceased or injured person down; (f) the application is made in writing within three years from the date of the event giving rise to the death or injury. … 2. (1) An application to MIB for a payment in respect of the death of or bodily injury to any person may be made either by the person for whose benefit that payment is to be made (hereinafter called ‘the applicant’) or by any solicitor acting for the applicant or by any other person whom MIB may be prepared to accept as acting for the applicant. … 3. Subject to the following provisions of this Agreement, MIB shall, on any application made to them in a case to which this Agreement applies, award to the applicant in respect of the death or injury in respect of which the application is made a payment of an amount which shall be assessed in like manner as a court, applying English law in a case where the event giving rise to the death or injury occurred in England or Wales or applying the law of Scotland in a case where that event occurred in Scotland, would assess the damages which the applicant would have been entitled to recover from the untraced person in respect of that death or injury if proceedings to enforce a claim for damages in respect thereof were successfully brought by the applicant against the untraced person. … 7. MIB shall cause any application made to them for a payment under this Agreement to be investigated and, unless MIB decide that the application should be rejected because a preliminary investigation has disclosed that the case is not one to which this Agreement applies, they shall cause a report to be made on the application and on the basis of that report MIB shall decide whether to make an award and, if so, the amount of the award which shall be calculated in accordance with the foregoing provisions of this Agreement. … 9. (1) MIB shall notify their decision to the applicant and when so doing shall – (a) if the application is rejected because a preliminary investigation has disclosed that it is not one made in a case to which this Agreement applies, give their reasons for the rejection; or (b) if the application has been fully investigated furnish him with a statement setting out – (i) the circumstances in which the death or injury occurred and the evidence bearing thereon, (ii) the circumstances relevant to the assessment of the amount to be awarded to the applicant under this Agreement and the evidence bearing thereon, and (iii) if they refuse to make an award, their reasons for that refusal; and (c) in a case to which Clause 5 of this Agreement applies specify the way in which the amount of that award has been computed and its relation to those provisions of Clause 5 which are relevant to its computation. … 10. Subject to the provisions of this agreement, MIB shall, - (a) on being notified by the applicant that MIB’s award is accepted; or (b) if at the expiration of the period during which the applicant may give notice of an appeal under Clause 11 hereof there has not been given to MIB either any such notification as aforesaid of the acceptance of MIB’s award or a notice of an appeal under the said Clause 11, pay the applicant the amount of that award, and such payment shall discharge MIB from all liability under this Agreement in respect of the death or injury in respect of which that award has been made. 11. The applicant shall have a right of appeal to an arbitrator against any decision notified to him under Clause 9 hereof on any of the following grounds, that is to say, - (a) that the case is one to which this Agreement applies and that his application should be fully investigated by MIB with a view to their deciding whether to make an award to the applicant and, if so, the amount of that award; or (b) where the application has been fully investigated – (i) that MIB were wrong in refusing to make an award, or (ii) that the amount they have awarded to the applicant is insufficient; or (c) in a case where a decision not to indemnify the applicant against the costs of any proceedings has been notified under Clause 9(2) hereof, that that decision was wrong, if, within six weeks from the date when notice of the decision against which he wishes to appeal was given to him, the applicant, not having previously notified MIB that their decision is accepted, gives notice to MIB that he wishes to appeal against their decision. … 13. The applicant may, when giving notice of his appeal or at any time before doing so, make comments to MIB on their decision and may supply them with such particulars as the applicant may think fit of any other evidence not contained in the written statement supplied to the applicant by MIB which he considers is relevant to the application and MIB may, before submitting the applicant’s appeal to the arbitrator, cause an investigation to be made into this further evidence and shall report to the applicant the result of that investigation and of any change in their decision which may result from it. The applicant may, within six weeks from the date on which this report was sent to him, unless he withdraws his appeal, make such comments thereon as he may desire to have submitted to the arbitrator. 14.(1) In a case where MIB receive from the applicant a notice of appeal in which the only ground of appeal which is stated is that the amount awarded to the applicant is insufficient MIB may before submitting that appeal to the arbitrator give notice to the applicant that if the appeal proceeds they will request the arbitrator to decide whether the case is one in which MIB should make an award at all and if they do so they shall at the same time furnish the applicant with a statement setting out such comments as they may consider relevant to the decision which the arbitrator should come to on that question. … 15. MIB shall, where they receive notice of an appeal from the applicant under the foregoing provisions of this Agreement, unless the appeal is previously withdrawn, submit that appeal (but in a case where they cause such an investigation to be made as is mentioned in Clause 13 hereof, not until the expiration of six weeks from the date on which they sent the applicant a report as to the result of that investigation and, in a case where they gave such a notice to the applicant as is mentioned in Clause 14(1) hereof, not until the expiration of six weeks from the date on which they gave that notice and, if they have caused an investigation to be made into any evidence supplied under Clause 14(2) hereof, not until the expiration of six weeks from the date on which they sent the applicant a report as to the result of that investigation) to an arbitrator for a decision, sending to the arbitrator for that purpose the application made by the applicant, a copy of their decision thereon as notified to the applicant and of all statements, declarations, notices, undertakings, comments, transcripts, particulars or reports furnished, given or sent under this Agreement either by the applicant or any person acting for him to MIB or by MIB to the applicant or a person so acting. 16. On any such appeal, - … (b) if the appeal is against a decision by MIB given after an application has been fully investigated by MIB (whether before the appeal or in consequence of its being remitted for such investigation under paragraph (a) of this Clause), the arbitrator shall decide, as may be appropriate, having regard to the grounds stated in the notice of appeal and to any notice given by MIB to the applicant under Clause 14 hereof, whether MIB should make an award under this Agreement to the applicant and, if so, the amount which MIB should award to the applicant under the foregoing provisions of this Agreement; … 17. The arbitrator shall decide the appeal on the documents submitted to him as set out in Clause 15 hereof and no further evidence shall be produced to him: Provided that – (a) the arbitrator shall be entitled to ask MIB to make any further investigation which he considers desirable and to submit a written report of their findings to him for his consideration; and (b) MIB shall send a copy of any such report to the applicant who shall be entitled to submit written comments on it to MIB within four weeks of the date on which that copy is sent to him; and (c) MIB shall transmit those comments to the arbitrator for his consideration. … 20. Subject to the provisions of this Agreement, MIB shall pay the applicant any amount which the arbitrator has decided shall be awarded to the applicant, and such payment shall discharge MIB from all liability under this Agreement in respect of the death or injury in respect of which that decision has been given.”
“I have to add that it is my clinical impression that there is a small degree of exaggeration in Mr Moore’s presentation”
“This is not to doubt the existence of a primary organic disorder, or the genuine existence of PTSD, depression and pain, but Mr Moore is actively demonstrating his symptoms just a little more clearly than might normally be the case”
“1. On the proper interpretation of Council Directive 84/5/EEC of30 December 1983 on the approximation of the laws of the Member States relating to insurance against civil liability in respect of the use of motor vehicles (‘the Second Motor Insurance Directive’): (a) must the arrangements concerning the provision of compensation by the body established or authorised pursuant to Article 1(4) include provision for the payment of interest on the sums found to be payable for the damage to property or personal injuries? (b) if the answer to question (a) is yes, from what date and on what basis should such interest be calculated? 2. On the proper interpretation of Article 1(4) of the Second Motor Insurance Directive, in circumstances where the compensating body itself has an obligation to investigate the victim’s injury and loss (and to incur the costs thereof, including the costs of medical and other reports): (a) must the arrangements concerning the provision of compensation by the body include provision for the payment of the costs incurred by a victim in preparing and making his application to that body for compensation? (b) if the answer to question (a) is yes, on what basis are those costs to be calculated in a case where that body has made an offer to the victim in excess of the amount that he finally recovers, which offer the victim declined to accept? 3. On the proper interpretation of Article 1(4) of the Second Motor Insurance Directive, if the victim’s application for compensation is determined by a body that is not a court, must he have a full right to appeal against that determination to a court, on both the facts and the law, rather than an appeal to an independent arbitrator having the following principal characteristics: (i) the victim may appeal to the arbitrator on both the facts and the law; (ii) when giving notice of appeal, the victim may make further representations and adduce further evidence to the compensating body upon which the compensating body may alter its award prior to the appeal; (iii) the victim is provided in advance with a copy of all the material to be provided to the arbitrator and is given the opportunity to add any material that he wishes in response; (iv) the arbitrator makes an award, without an oral hearing, in which he or she decides what award the compensating body ought to make and gives reasons for that decision; (v) if the victim is dissatisfied, he is entitled to appeal from the arbitrator to the Courts but he may do so only on the grounds of serious irregularity affecting the arbitration or on a question of law (including whether there was any evidence to support any particular conclusion of the arbitrator or whether any particular conclusion was one to which no arbitrator could reasonably come upon the evidence), and in the case of an appeal on a question of law, permission to appeal must be obtained from the court which will not be given unless the decision of the arbitrator is obviously wrong and it is just and proper in all the circumstances for the Court to determine the question? 4. If the answer to question 1(a) and/or 2(a) and/or 3 is Yes, has a Member State duly authorised a body under Article 1(4) of the Second Motor Insurance Directive when an existing body has the task of providing compensation to victims pursuant only to an agreement with the relevant authority of the Member State that does not correspond to the Second Motor Insurance Directive in those respects, and: (a) that agreement creates a legal obligation owed to the relevant authority of the Member State to provide compensation to victims which is directly enforceable by the relevant authority and does not give such victims a directly enforceable legal right to claim against that body, but the victim may apply to the Court for an order that the authority should enforce the agreement if the authority were to fail to do so; and (b) that body carries out that obligation by accepting and paying claims from victims in accordance with that agreement; and (c) the Member State considered in good faith that the provision of that agreement gave at least as good protection to victims as the requirements of the Second Motor Insurance Directive? 5. If the answer to any of questions 1(a) or 2(a) or 3 is Yes, and/or if the answer to question 4 is No, does a failure to comply with the Second Motor Insurance Directive in that respect constitute a sufficiently serious breach by the Member State to give rise to liability for damages as a matter of Community law if it is established that such damage was caused?”
“1. … - A body may be regarded as authorised by a Member State within the meaning of that provision where its obligation to provide compensation to victims of damage or injury caused by unidentified or insufficiently insured vehicles derives from an agreement concluded between that body and a public authority of the Member State, provided that the agreement is interpreted and applied as obliging the body to provide victims with the compensation guaranteed to them by Directive 84/5 and provided that victims may apply directly to that body. - Procedural arrangements such as those adopted in the United Kingdom are sufficient to provide the protection to which victims of damage or injury caused by unidentified or insufficiently insured vehicles are entitled under Directive 84/5. - The compensation awarded for damage or injuries caused by an unidentified or insufficiently insured vehicle, paid by the body authorised for that purpose, must take account of the effluxion of time until actual payment of the sums awarded in order to guarantee adequate compensation for the victims. It is incumbent on the Members States to lay down the rules to be applied for that purpose. - The compensation awarded for damage or injury caused by an unidentified or insufficiently insured vehicle, paid by the body authorised for that purpose, is not required to include reimbursement of the costs incurred by victims in connection with the processing of their application for compensation except to the extent to which such reimbursement is necessary to safeguard the rights derived by victims from Directive 84/85 in conformity with the principles of equivalence and effectiveness. It is for the national court to consider whether that is the case under the procedural arrangement adopted in the Member State concerned. 2. It is incumbent on the national court, if examination of the existing compensation system discloses a defect in transposition of Directive 84/5 and if that defect has adversely affected Mr Evans, to determine whether the breach of that obligation of transposition is sufficiently serious”