“We have also entered into an insurance policy to whichSection 29 of the Access to Justice Act 1999 applies. The name of the insurers is LAMP Services Ltd of Chester House, Harlands Road, Haywards Heath, West Sussex RH16 1LR. The policy number is: FS 91 11921 and is dated6 November 2009 . It relates to the same claim as identified above. The limit of the indemnity under the policy is£50,000 . The premium for the policy is staged. The stages are as follows:-£1,114.87 (post proceedings)£2,675.57 (from 45 days to trial) – all deferred. We enclose a copy of the Notice of Funding which we are today filing at Court for sealing purposes.”
“You will see from the enclosed Counsel’s Advice that the Defendants had no real intention on settling this matter. The only offer they would come up with [was] the same as the original Part 36 offer which had been rejected on Counsel’s advice.”
“Issue in relation to quantum and capacity 4. She has given birth since the accident to two healthy children, in June 2011 and December 2012 by her partner Adam with whom she has been with for three years. She has maintained she would like to have up to six children. 5. It is agreed that she made a very good physical and functional recovery from the injury (for example she has returned to wall climbing) and needs no future physical therapy. Her life expectancy has not been affected. 6. The debate is over the extent of her non-physical injuries, the extent of cognitive damage and residual problems with executive functioning that she has been left with. This in turn leads to considerable debate over (amongst general quantum issues) how much if any of her previous ability to work she has lost, how much support/care she has needed in the past and will need in the future and whether she in fact has (and has had) the capacity to conduct her own litigation and manage her own property and affairs for the purposes of the Act. Estimated value Claimant£178,500 general damages£4,157,370.000 special damages Defendant£47,750 general damages TBA- special general damages (but substantially less than the claimants value) The important issues of facts and law The parties are in dispute in relation to almost every head of claim. In particular there is a dispute in relation to the severity of the claimants brain injury and its long term impact. Particularly in relation to the need for support/ care and case management. The parties are also in dispute in relation to the issue of capacity, the reasonableness of past care and case management and the claimants employment prospects. … Costs 27. Total claimants costs to date =£428,329.90 . total estimated future costs =£303,673.96 (excluding mediators fees because these are not yet available). The costs to date figure includes the costs incurred by both Arneson (?) and Co and Scott Duff and Co. the figures for both costs to date and future costs are inclusive of VAT but exclusive of additional liabilities (i.e. success fee and insurance premium). 28. The defendants total costs to date =£290.000 approximately. Total estimated future costs=£290.000 (excluding the Mediator’s fees because these are not available yet). The estimate of costs to date in future costs excludes the uplift to the Court approved hourly rate where the defendant is seeking to cover its costs from the claimant. The figures for both costs to date and future costs are inclusive of VAT. Likelihood of settlement prior to trial 29. As stated above, a date has been agreed for mediation of27th September 2013 . there have been two failed attempts at negotiated settlement thus far. There can be no assumption that the case will settle. Parties are significantly apart in their respective variations.”
“13. The Defendant’s case summary gave immediate cause for concern. It was apparent that this was a complex, high value and hard fought case on almost all issues apart from liability and was heading for a ten day trial with a leading counsel and a battery of expensive experts. 14. Although there was a mediation scheduled, the Defendant’s case summary echoed the Claimant’s solicitors pessimism as to settlement. I know from experience that just because there is to be a mediation, it is not uncommon for a party to seek to use the mediation as an opportunity to put forward or explain their own case in more detail and not to increase on any offers”
“20. As a general proposition, if a case is approaching trial it can be assumed by an underwriter that the risks are finely balanced (i.e. that both sides think they have a reasonable chance of success) so the risk to the insurer is significant. Where, as here, there is a Part 36 offer, the crucial risk is that the Part 36 offer is not bettered. That is the trigger event which would have led to payment by LAMP. 21. Turning to the specific material available at the time, the Defendant’s case summary was a key document. My assessment of the prospects was that they were marginally better than 50% but it was not a case which I was keen to top up. The matters set out were the complexity, hard fought issues and imminent ten day trial were significant risk factors.”
“23. Looking again at the premium remains, having regard to my experience, a reasonable if not over generous (i.e. too low) assessment. As I have noted, I was reluctant to take on the additional risk at all.”
“a 25% will apply to the “45 days to trial” premium if the matter settles more than six calendar days in advance of trial beginning and subject to the premium being paid within 21 days of settlement being agreed. 15% discount will apply to the “post proceedings” premium. The matter settles with more than 45 days to trial and the premium is paid within 21 days of settlement being agreed.”
“So far as the ATE insurance is concerned I am now under an obligation to inform you of its terms. They are as follows “These terms will replace those already provided. The new premium is£319,315.07 (post proceedings) and£533,017.13 (from 45 days to Trial). A 25% discount will apply to the “45 days to Trial” premium if the matter settles more than six calendar days in advance of trial beginning and subject to the premium being paid within 21 days of settlement being agreed. A 15% discount will apply to the “post proceedings” premium if the matter settles with more than 45 days to trial and the premium is paid within 21 days of settlement being agreed.”
“reasonableness of increasing cover in 2013 48. It was reasonable for the Claimant to have increased the cover, even at the very late stage in the proceedings and without first notifying the Defendant, from£50,000 to£500,000 . An increase in that amount does not seem to me to be properly described as a “top-up”
“49. The extent of the additional cover and the amount of the premium take this policy outside the scope of the ordinary kind of ATE policies with which the court was concerned in Rogers. 50. The late stage at which the cover was increased is another feature that takes the circumstances of this policy out of the ordinary. It is a relevant factor when considering the reasonableness of the amount of premium.”
“55… because of the way the policy was structured, the defendant had no opportunity to settle before the final stage was reached. Having left it so late, it would have been reasonable for the policy to be re-structured so that the defendant had notice of the increase before it was triggered. The defendant would then have had the opportunity to settle before the premium increased from£319,350 to over£533,000 . The final stage should reasonably have been delayed until after the mediation which was just over a fortnight after notice of the increase was given. The effect of the late stage at which notice was given was to fix the defendant with an unreasonably high premium. It is not a satisfactory answer to the lateness point to say that the defendant must have known that£50,000 cover was too low or that the premium increased from 45 days to trial.”
“However the insurer appears from the evidence before me not to have given proper weight to advice from counsel on the value of the claim”
“61. Whatever the conclusion the insurer reached about the exposure that it faced, informed by the pessimistic view that was taken by the solicitor the chances of settlement at mediation (which is put more neutrally in the case summaries), there appears to have been no reasoned assessment of the risk of failing to beat the Part 36 offer at trial. Based on leading counsel’s opinion that risk was very substantially lower than identified by Mr Marsh and Mr Strange in their statements. 62. The evidence is that significant weight was placed on the case summaries, the failed JSMs and the length of trial. Far more important for the purpose of assessing the risk was counsel’s reasoned opinion on the value of the claim and therefore the likelihood of beating the offer. 63. Failure to attach the appropriate weight to counsel’s advice and therefore to properly assess the chances of beating the offer fundamentally undermines Mr Cox’s submission that I should not go behind the risk assessment of the insurer. 64. The difficulty with Mr Cox’s criticism about the absence of underwriting evidence from the paying party as to the risks in 2013, is that the defendants were not privy to the advice the claimant had received about the value of her claim. … 67. In all the circumstances I conclude that the premium of£533,000 was unreasonable and wholly disproportionate to the risk faced by the insurer. The premium in 2013 insured costs limited at£450,000 (plus the premium itself). The premium did not properly represent the risk that the Part 36 offer would not be beaten. I must therefore adjust it to a figure that better reflects the risks that the claimant actually faced of not doing better than the offer. There is no expert evidence. I do not have the expertise to assess a reasonable premium in other than broad brush terms. Doubt must be resolved in favour of the paying party. Having regard to the likely effect on the premium of the stage of which it was increased and the proximity to the mediation, I take as a starting point the premium before the final stage. In my judgment the risk faced by the insurer was a fraction of that reflected by a premium of more than the insurer amount (before the premium itself is taken into account). I allow the premium 25% of£319,350.17 which is£79,837.50 in addition to the full premium claimed for the first£50,000 of cover.”
“where in any proceedings a costs order is made in favour of any party who has taken out an insurance policy against the risk of incurring a liability in those proceedings, the costs payable to him, may, subject in the case of court proceedings to rules of court, include costs in respect of the premium of the policy.”
“The Government’s policy on the recoverability is to ensure that the expense of shifting all or part of the risk of costs, whether to the solicitor under a conditional fee agreement or an insurer under an insurance policy, are usually met by the losing party and not out of the damages or the pocket of the winner…”
“(1) Where the court is to assess the amount of costs…it will assess those costs- (a) on the standard basis or (b) on the indemnity basis, But the court will not in either case allow costs which have been unreasonably incurred or are unreasonable in amount.”
“(1) The court is to have regard to all the circumstances in deciding whether costs were- (a) if it is assessing costs on the standard basis- (i) proportionately and reasonably incurred; or (ii) proportionate and reasonable in amount…. (3) The court will also have regard to- … (b) The amount or value of any money or property involved; (c ) the importance of the matter to all the parties; (d) the particular complexity of the matter or the difficulty or novelty of the questions raised (e) the skill, effort, specialised knowledge and responsibility involved; (f) the time spent on the case; and (g) the place where and the circumstances in which work or any part of it was done.”
“11.1 in applying the test for proportionality the court will have regard to Rule 1.1 (2) (c ). The relationship between the total of the costs incurred and the financial value of the claim may not be a reliable guide… 11.2 In any proceedings there will be costs which will inevitably be incurred in which unnecessary for the successful conduct of the case. Solicitors are not required to conduct litigation at rates which are uneconomic. Thus in a modest claim the proportion of costs is likely to be higher than in a large claim, and may even equal or possibly exceed the amount in dispute… 11.5 In deciding whether the costs claimed are reasonable and (on a standard basis assessment) proportionate, the court will consider the amount of any additional liability separately from the base costs. 11.7 subject to para 17.8(2), when the court is considering the factors to be taken into account in assessing an additional liability, it will have regard to the facts and circumstances as they reasonably appeared to the solicitor or counsel when the funding arrangement was entered into and at the time of any variation of the arrangement.”
“11.10 In deciding whether the costs of insurance cover is reasonable, relevant factors to be taken into account include: (1) where the insurance cover is not purchased in support of a conditional fee agreement with success fee, how its costs compare with the likely costs of funding the case with a conditional fee agreement with a success fee and supporting insurance cover; (2) the level and extent of the cover provided; (3) the availability of any pre-existing insurance cover; (4) whether any part of the premium would be rebated in the event of early settlement; (5) the amount of commission payable to the receiving party or his legal representative or other agents.”
“In modern litigation, with the emphasis on proportionality, there is a requirement for assessment at the outset of the likely value of the claim and its importance and complexity, and then to plan in advance the necessary work, the appropriate level of person to carry out the work, the overall time which would be necessary and appropriate [to] spend on the various stages in bringing the action to trial and the likely overall cost. While it was not unusual for costs to exceed the amount in issue it was, in the context of modest litigation such as the present case, one reason to seek him to curb the amount of work done and the cost by reference to the need for proportionality.”
“The reference in 11.2 [Practice Direction] to costs “which are necessary” is the key to how judges in assessing costs should give effect to the requirement of proportionality. If the appropriate conduct of the proceedings makes costs necessary then the requirement of proportionality does not prevent all the costs being recovered either on an item by item approach or on a global approach.”
“105. In this case it might be thought that all the considerations urged on the court by Mr Bartlett which favour the course taken by Mr Cater, the appellant’s solicitor, might go to demonstrate the reasonableness of his bill of costs - specifically, the ATE insurance stage premium - but not its proportionality: precisely because they have nothing to do with the quantum of the claim. But we did not think that is right. If the court concludes that it was necessary to incur the stage premium, then as this court’s judgment in [Lownds] shows, it should be adjudged a proportionate expense. Necessity here is, we think not some absolute litmus test. It may be demonstrated by the application of strategic considerations which travel beyond the dictates of the particular case. Thus it may include, as we are persuaded it does, the unavoidable characteristics of the market in insurance of this kind. It does so because this very market is integral to the means of providing access to justice in civil disputes in what may be caused the post-legal aid world. 106… Once it is concluded that the ATE staged premium here was necessarily incurred, principle and pragmatism together compel the conclusion that it was a proportionate expense. We turn therefore to the question whether the ATE stage premium was necessarily incurred.”
“40 In other words, the court did not ask whether the premium was proportionate to the importance of the case and what was at stake. Instead it adopted the Lownds approach. If the premium was necessarily incurred, it was proportionate. And it was proportionate even though it was disproportionately high when compared with the amount of damages reasonably claimed. ATE insurance was integral to the fundamental objective of improving access to justice in civil litigation. A premium that was reasonable in amount (having regard to the litigation risk) was necessary and therefore proportionate.”
“As the Bar Council points out, the Court of Appeal actively shaped the law relating to additional liabilities throughout the period from 2000 until 2013. It was implicit in all of the cases that success fees (often substantial success fees) were recoverable. In none of the cases did the court disallow or reduce the amounts payable in success fees on the grounds that they were so high as to amount to a breach of the paying party’s Convention rights. In these circumstances, litigants and their lawyers had a legitimate expectation that the court would not (at least without reasonable notice) decide that these fees were in principle incompatible with the Convention.”
“Evidence justifying the ATE premium claimed 117. If an issue arises about the size of a second or third stage premium, it will ordinarily be sufficient for a claimant’s solicitor to write a brief note for the purposes of the costs assessment explaining how he came to choose the particular ATE product for his client, and the basis on which the premium is rated – whether block rated or individually rated. District judges and costs judges do not, as Lord Hoffmann observed in Callery v Gray (Nos.1 & 2)[2002] 1 WLR 2000 , had the expertise to judge the reasonableness of a premium except in very broad brush terms, and the viability of the ATE market will be imperilled if they regard themselves (without the assistance of expert evidence) as better qualified than the underwriter to rate the financial risk the insurer faces. Although the claimant very often does not have to pay the premium himself, this does not mean that there are no competitive or other pressures at all in the market. As the evidence before this court shows, it is not in an insurer’s interest to fix a premium at a level which will attract frequent challenges.”
“44. I have concluded that in a case where the issue is raised as to the size of the premium there is an evidential burden on the paying party to advance that the sum material in support of the contention that the premium is unreasonable. I have reached this conclusion in the light of the cases which I have cited, and in particular Rogers v Merthyr. Despite the doubts about the operation of the Market, the Court of Appeal was satisfied that it was not in the insurer’s interest to fix a premium at a level which would attract frequent challenges; and that a master was not in a better position than the underwriter to rate the financial risk that the insurer faced. Where a real issue was raised the court envisaged the hearing of expert evidence as to the reasonableness of the charge. If an issue arises, it must be raised by the paying party. This is not to reverse the burden of proof. If, having heard the evidence and the argument, there is still a doubt about the reasonableness of the charge that doubt must be resolved in favour of the paying party, see (for example) Lord Scott of Foscote in Callery v Gray at [126].”
“116. this guidance was, of course, itself given in 2006 and was based upon the observations of Lord Hoffman in Callery v Gray given in 2002 when the new arrangements concerning CFAs were in their relative infancy. That does not diminish the importance of the guidance, but it must be recalled that there is now some 10 years of experience gained by Costs Judges since Rogers. Neither Callery v Gray nor Rogers expressly holds as an adjustment of the premium by [a] Costs Judge should not be made on a broad brush basis, but each, in effect, urges caution in so doing. 117. There are two reported incidents where the broad brush has been applied in this context: Redwing Construction v Wishart [2011] 2 Costs LO 212, a decision of Mr Justice Akenhead in the TCC and Kelly v Blackhorse Ltd (27 September 2013 ),a decision of then Senior Costs Judge, Master Hurst. I am particularly influenced by the fact that Master Hurst, whose experience in this field is unrivalled, should have felt entitled to intervene in this way. 118. Plainly the application of any broad brush must not be a capricious exercise, but the experience gained by Costs Judges over the years must, if they are to retain the ability to engage in a robust analysis of competing arguments at costs assessment hearings, be permitted to enter the arena. It follows that, in my judgment, each of the Costs Judges would have been entitled to intervene by reducing the amounts recovered in respect of the ATE premium. 119. The basis of the approach of Master Rowley in Surrey is clear from the quotation from his judgment set out above; he considered that cover for£500,000 in the circumstances was disproportionate. I agree. … 120. In AH, again the Costs Judge felt that cover of£500,000 was too much and made the reduction to£15,000 for this reason.”
“It seems to me that on any view, the claimants have identified this as a low value fast track claim. The premium that is payable is pretty substantial for the post-issue level that is sought. Having determined that the costs generally are disproportionate in this claim in any event, it seems to me that it was not reasonable to take out a policy with a premium at such a level from what was, on any view, even 20 months earlier, a low value fast track claim”
“Has the judge misdirected himself, taking into account an irrelevant consideration and confusing proportionality and reasonableness, as the Claimant contends, or was he effectively making an assessment of reasonableness, as he was obliged to do, and considering as one of the factors the value of the claim as the Defendant/Respondent contends in this case? “30. It seems to me that the Judge’s first sentence cannot be divorced from the second sentence, where he has firmly comes to the conclusion, as Mr Justice Akenhead did in the Redwing case, that this was a substantial and potentially excessive premium, and in coming to his broad brush assessment as to reasonableness, he is using the value of the claim as a significant factor without necessarily revisiting proportionality. Thus, I do not think that he has misdirected himself or confused proportionality with reasonableness, having given this careful consideration. Even if he had, on the state of the law that is relevant, I am not convinced that he would have been wrong to do so, because there is a difference between expenses that have been necessarily incurred and those which had been reasonably incurred. Even if I am wrong about that, in my judgment, in an assessment of this nature, broad brush applies simply that, namely, taking an overview of the claim and expense which is sought to be recovered, in the context of the risk exposure at the time.”
“Having regard to the judgment of Mr Justice Simon in the Kris Motor case (which addressed a detailed assessment of costs), it may well be that somewhat different considerations apply on a summary assessment, particularly in a relatively low value claim, where it would be disproportionate to expect what would in effect be expert evidence to be adduced as to the unreasonableness of the premium. As he said at paragraph 35 of his judgment, there is no presumption that the premium is reasonable. On a summary assessment at least, one should be able to look at the amount of costs cover provided by the ATE insurance and compare it with the premium to form some realistic view as to the assessment risk which must have been taken by the insurer. One must bear in mind that on a standard, as opposed to an indemnity, basis of costs assessment, the burden of proof as to what is reasonable is on the party entitled to the costs to establish what is reasonable. …”
“16. It is also necessary to consider whether and to what extent CFAs and ATE insurance have any part to play in adjudication enforcement cases, particularly in the TCC. There is no exemption, as such, in the rules for these cases. It must follow that the parties are entitled to enter into such funding arrangements in such types of case. However, it needs to be borne in mind that the large majority of reported cases on adjudication enforcement are successful and indeed almost in every case the claimants are sufficiently confident to pursue summary judgment applications on the basis that there is no realistic defence. It must follow that courts, particularly the TCC which deals with virtually all such cases, will think long and hard about allowing substantial CFA mark ups; particularly when there is a summary judgment application by the party with the CFA. It is important that claimants do not use CFAs and ATE insurance primarily as a commercial threat to defendants. It is legitimate for the court to ask itself whether, in any particular case, a CFA or ATE insurance was a reasonable and proportionate arrangement to make.”
“7.The Parties are in dispute in relation to almost every head of claim. In particular there is a dispute in relation to the severity of the Claimant’s brain injury and its long term impact particularly in relation to the need for support/care and case management. The parties are also in dispute in relation to the issue of capacity, the reasonableness of past care and case management and the Claimant’s employment prospects…. 8. The issues of law in this case include Capacity, mitigation of loss and reasonableness of some of the expenditure and recovery of a loan made by the Claimant’s solicitors to the claimant.”
“Once the matter gets to trial, all bets are off.”