“Mesothelioma causing severe pain and impairment of both function and quality of life. This may be of the pleura (the lung lining) or of the peritoneum (the lining of the abdominal cavity); the latter being typically more painful. There are a large number of factors which will affect the level of award within the bracket. These include but are not limited to duration of pain and suffering, extent and effects of invasive investigations, extent and effects of radical surgery, chemotherapy and radiotherapy, whether the mesothelioma is peritoneal or pleural, the extent to which the tumour has spread to encase the lungs and where other organs become involves causing additional pain and/or breathlessness, the level of symptoms, domestic circumstances, age, level of activity and previous state of health, extent of life loss and concern for spouse and/or children following death.”
“To my mind there can be no justification in principle for differentiating between full-time care needing really a trained nurse and full-time care needing a carer giving love and affection to the patient, the dying person, to a degree far more than would be expected in any ordinary way of life. In principle it must be, in my judgment, a matter for an award only in recompense for care by the relative well beyond the ordinary call of duty for the special needs of the sufferer. The basis… is that the court will make an award to enable the sufferer or his estate to make reasonable recompense to the relative who has cared so devotedly. So it must indeed only be in a very serious case that an award is justified—where, as here, there is no question of the carer having lost wages of her or his own to look after the patient.” (Emphasis added.)
“…it is now established that a plaintiff can recover damages for nursing care by a relative even if he has not had to pay for it and even if that relative has not lost remuneration elsewhere. I can see no ground for restricting this head of loss to professional nursing so as to exclude care and attendance by an unqualified person… It seems to me that a plaintiff would naturally wish to pay some reward or compensation, if he had the money to do so, for care and attendance by a relative which goes distinctly beyond that which is part of the ordinary regime of family life; and, where his disability has been caused by the fault of the defendant, it is right that he should be provided with the money to do so. It will often be difficult, or even impossible, to measure with complete accuracy what reward or compensation a reasonable plaintiff would pay to the relative in those circumstances, even though this is said to be a head of special damages. The sum should be modest and not extravagant.” (Emphasis added.)
“There will be many cases in which the care services provided will be limited to a few hours each day. The services should not exceed those which are properly determined to be care services consequent upon the claimant’s injuries, but they do not, in my view, have to be limited in every case to a stop-watch calculation of actual nursing or physical assistance. Nor… must they be limited in every case to care which is the subject of medical prescription.”
“Plaintiffs must understand that, if they bring actions for damages it is for them to prove their damage; it is not enough to write down particulars, and, so to speak, throw them at the head of the court, saying: ‘This is what I have lost, I ask you to give me these damages.’ They have to prove it.”
“…it may be argued that the benefit of a mother’s personal attention to a child’s upbringing, moral, education and psychology, which the services of a housekeeper, nurse of governess could never provide, has in the long run a financial value for the child, difficult as it is to assess.”
“In my judgment the principle of making awards for loss of intangible benefits is now well established – see Kemp and Kemp [29-052]. It reflects the fact that services may be provided by a mother, wife, father or husband over and above that which may be provided by a paid replacement. In principle, there is no reason for differentiating between the position of children and spouses in connection with the availability of such awards.”
“…there are considerable advantages in having jobs around the house and garden done by a husband at his own time and convenience rather than having to go out and find and choose commercial providers, and to have to work around the hours that suit them for the work in question.”
“This is sometimes called the Regan v Williamson head of damage. There is no doubt that it is increasingly awarded in the form of modest sums in these cases. Hamblen J gave£2,000 in the Beesley case to which I have referred. Although in its origin it was an attempt by the courts to value the services of a mother or a father to a child over and above the commercial cost of replacing him or her, it has sometimes been extended to cases involving spouses. That should not be an automatic extension in my view. The feature of this case that I think justifies an award is that Mrs Fleet was considerably older than her husband and would as the years have gone on needed more than usual care which I have no doubt he would have been happy to provide and provided extremely well.”