"The provision of case management and rehabilitation has been entered into, in good faith, by our insurer client and we must express that they are very close to pulling funding under the rehabilitation code. We are struggling to see how the MDT [Multidisciplinary team] meeting on 5 March can be as effective as it should be without Dr. Shotbolt [or another neuropsychiatrist taking the lead] being present. There needs to be some proper direction from somewhere to manage the effectiveness of his regime. In our view, the meeting on 5 March needs to be postponed and be rearranged for a suitable time when Dr. Shotbolt is present. Perhaps the newly instructed case manager will be able to address this is as an urgent issue and actually look at developing a rehabilitation regime that is going to offer the support workers guidance on how to help Jose as best they can and provide smart goals for Jose to aim for and achieve."
"Faith has been lost in the case management regime to date and LV are not prepared to issue an interim payment in the sum of£100,000 and no further voluntary interim payments will be made. We understand you will, no doubt, take steps to issue proceedings and make an application for an interim. We are instructed to accept service. As for funding, LV are prepared to continue funding for matters for the time being under the rehab code as agreed previously, but you may take the view that it will be easier to cut ties in that regard and for further future case management and rehab to be controlled unilaterally by yourselves. We also accept that we will not be invited to attend MDT meetings in future with this approach."
"In addition, the defendant will wish to raise arguments regarding the standard of care, case management and support offered to Jose in line with the decision in Loughlin v Singh & Ors[2013] EWHC 1641 (QB) . Elements of the past provision to date, particularly the support worker provision will be subject to such arguments."
"It is convenient to set out the principles which I take to be established by Eeles and the previous authorities which it sought to summarise: (1)CPR r.25.7 (4) places a cap on the maximum amount which it is open to the Court to order by way of interim payment, being no more than a reasonable proportion of the likely amount of the final judgment. (2) In determining the likely amount of the final judgment, the Court should make its assessment on a conservative basis; having done so, the reasonable proportion awarded may be a high proportion of that figure. (3) This reflects the objective of an award of an interim payment, which is to ensure that the claimant is not kept out of money to which he is entitled, whilst avoiding any risk of an overpayment. (4) The likely amount of a final judgment is that which will be awarded as a capital sum, not the capitalised value of a periodical payment order ("
"It is my view that it is behavioural as much as, if not more, than cognitive difficulties that present the greatest barrier to his recovery. It is likely that he has developed a dysexecutive syndrome secondary to frontal lobe damage, and it is this that is most likely to hinder his rehabilitation."
"It should be noted that in spite of a difficult childhood and adolescence, Mr. Farrington had, at the time of the material accident achieved a fairly stable lifestyle. He had acquired occupational training, regular full-time employment and a stable marital relationship. It seems very likely that but for the material accident, this lifestyle and working pattern would have continued."
"This is difficult to determine at present. Much will depend upon how Mr. Farrington responds to rehabilitation. Cases of dysexecutive syndrome are notoriously difficult to rehabilitate. The combination of social and sexual disinhibition, aggression, poor impulse control and lack of insight makes it difficult for such individuals to engage in treatment and renders them vulnerable to untoward incidents. It might be necessary to reassess him in six to nine months' time."
"Given the claimant's unreliability, the possibility of conscious exaggeration, the lack of clarity about certain key facts and the late onset of deterioration, I am unable to confirm hypothesis one and on present evidence, support hypothesis two."