“17. The specific allegations of Contempt of Court against the Defendant are set out in the Schedule to this Particulars of Contempt. The Schedule is an integral part of these Particulars of Contempt and is not, and is not intended to be, a separate document.” “18. Allegations 5, 6, 13, 20, 21, 22, 33, 34, 40, 41, 42 and 44 of the allegations referred to in the Schedule are instances of contempt of court as set out by or within the meaning of Part 32.14 of theCivil Procedure Rules 1998 . (This is without prejudice to the Claimants further or alternative contention that the conduct complained of in all the allegations set out in the Schedule, or any of it, was contemptuous of the court irrespective of the provisions of Part 32.14 of theCivil Procedure Rules 1998 .) ”
“In my opinion she has not developed PTSD, but she has developed symptoms of travel anxiety… …the physiotherapist’s letter (7 July 2008 ) contains sufficient information to conclude that she probably developed a DSM-1V adjustment disorder between the index accident in March 08 and July 08 (four months) caused by nervous shock. In my opinion since about July 08 she has probably suffered from a major depressive disorder, according to DSM-IV criteria with increasing symptoms of agoraphobia. The major depressive disorder was persisting at the time of my assessment in April 2010…it was probably more severe between July 08 and July 09. It was of moderate to severe severity when I assessed her in April 10…. 3.3 Causation … In my opinion her ongoing psychological symptoms between July 09 and April 10 were caused by the affects of the index accident as a result of: the nervous shock of the accident, any continuing organic symptoms from the accident and from the disability arising from non-organic physical symptoms arising from the accident.”
“On25 March 2011 Dr Liz Perry SPR, Rheumatology wrote to my GP – This lady has been struggling for the past three years since her car accident and has been treated for post traumatic stress and anxiety since then. Over the last year or so she has become increasingly agoraphobic, increasing anxious. She sleeps in bed for around three weeks of each month and struggles to leave the house… Current Situation I now rarely leave the house and very often rarely leave the bed. I cannot lift my arms above shoulder height without extreme pain, I have to have help doing most things. My back/spinal pain and pain through my left cervical region are constant as is the pain in my neck and through my shoulders. My wrists, especially my left wrist, are badly affected so much so that I use a Wacom tablet to write and to draw instead of a keyboard and mouse. The grip on my left hand is minimal… 25. Paralysis and lack of movement is a major problem because if I wake at night which happens constantly because of pain or incontinence, my body is nearly always frozen which means my son will have to lift me or move me or dress me or change bedding. Sleep depravation is a form of torture and feels exactly that. On average I sleep only three hours a night, which means my son, as my full time carer, has the same amount of sleep. Incontinence and irritable bowel have been constant and have left me without any dignity at all. I cannot eat hot food and have to eat only cold salads and pulses. I have long periods of vomiting as soon as I eat. 26. Staying in bed has become a way of life … 29. I understand fibromyalgia is a consequence of the trauma of the accident. It developed almost immediately. I am prescribed Tramadol and depressants and Melocloramide and Gabapentine. This in itself is debilitating …Musculoskeletal Dysfunction can only be described in context with myself as having all of a sudden someone else’s bones that don’t work or indeed don’t fit because the joints just don’t function as they should, and the onset was so quick. 30. Exhaustion is extreme and has extreme consequences; for example just getting up leaves me so exhausted, it feels just like that. Effort tires me so much that I have to rest again. When I do wake there is a “brain fog” which is quite literally as described so much so that it feels like my brain cannot tell my body to work. 31. The muscles throughout my body have become very weak indeed and the soft tissue damage that was diagnosed by the physiotherapist at the outset has not improved at all. Simple movement without any weight like bending my arms or even moving my wrists or fingers hurts a great deal. 32. My weight has obviously increased because I cannot exercise effectively… 33. Managing extreme pain is a part of my daily life. Because I have discussed suicide as a consequence of having to live in so much pain with my doctor and because of how dangerous these drugs are my doctor insists that my son be in charge of all my medication. At this point I must make it quite clear that all of the drugs I am taking result from the RTA and are not taken for any other purpose or medical reason. …”
“The matters that came out in the meeting with Nicki (Greenup) really centred around recent occasions when she met you for coffee out of the house. My understanding of your recent instructions to me were that you were effectively housebound and unable to get out, reliant upon others for almost in constant care. Certainly that was on the basis that I arranged for Dr Briscoe the psychiatrist to visit you and it is the reason why the Defendants have had to go to the time, trouble and expense of sourcing Dr Blacker who is travelling from Exeter to visit you at home. I am certainly not suggesting that you should not go out of the house or that this litigation is something that should prevent you from doing so but you have to be vary careful in that way that you explain your circumstances to people. I am sure you will say that you get days when you are able to function to a limited degree and certainly your hospital and GP records show that you are able to make appointments for the greater part of the time. I think the meeting with Dr Blacker will be an ideal opportunity for you to “squarethis away” you need to explain to Dr Blacker how you are affected by the current illness you are suffering from and explain to him that there are days that you are able to go out and put those occasions into context, and you might want to refer to being able to go out for short spaces of time to meet friends for coffee, giving him details of when you have done so over the last two months or so; I understand from Nicki that she had met you at the Falmouth Beach Café and perhaps one other place in recent weeks. It is important that you include this in the information you provide to Dr Blacker as you will then be seen to have disclosed this information voluntarily rather than given an emphasis on your evidence that would leave Dr Blacker to think that you were unable to leave the house. …”
“We discussed her weeks where she is well enough to get up and when she has bad weeks where she can stay in bed. These weeks end up being the same for care really as she is not able to really do anything when she is up.” 26. There was no surveillance in March or April until17 April 2012 . On23 March 2012 the Defendant was seen by Dr Blacker. I shall come to this later but the Claimants suggest that there was some tailoring by the Defendant of her complaints to Dr Blacker to take account of the letter of16 March 2012 . Certainly she conceded to Dr Blacker “she always need accompanying when she goes outside, although there are occasions when she can walk a few yards into town to a local shop orto meet a friend.”
“11…There have been a number of cases in which a discrepancy between a claimed condition, and that which is capable of being seen on a secret surveillance video, has not, of itself, been regarded as a contempt of court. Thus, by way of example, in Rogers v Little Haven Day Nursery Ltd (30 July 1999 , unreported), a decision of Bell J, the Claimant had said that her injury sustained at work were such that her right wrist was completely useless. The video showed the Claimant using her right hand to carry boxes, hold papers, pens, mugs and a cigarette. The judge found that the video showed that she could use her right hand that she did so without any sign of pain. Having considered all of the evidence, Bell J concluded that the Claimant had exaggerated her condition but that: “…the exaggeration which I have described falls within the bounds of familiar and understandable attempts to make sure that doctors and lawyers do not underestimate a genuine condition, rather than indicating an outright attempt to mislead in order to increase the value of her claim beyond its true worth.”
“I do not think that the Plaintiff was deliberately lying. I think there is a failure on her part to recognise that there are time when she can do much more than she does, and in fact to recognise that on occasions she does do more for herself. I think there is force in the submission that once the Plaintiff was regarded as limited in her capabilities, it was easy for her to regard that as the norm, where as in fact it may reflect the situation when she is at her worst. It is the nature of the illness that it fluctuates”
“Since about March 2009 the Claimant’s care is reflected in the attached Schedule which sets out an average two week cycle: in the first week the recorded time is 70 hours and 20 minutes and in the second week its 35 hours 45 minutes.”