“PC [presenting condition] – injury left lower back/hip HPC [history of presenting condition] – 6/7 [6 days] ago fell rolled quad bike – no injury noted at time but noticed stiffness to left leg. Lifting quad bike 2/7 [2 days] ago and felt sudden onset of pain to left lower back. Attended A & E and advised disc injury. Today S/B [seen by] physio and stated pelvis not working on left side – felt improvement for approx. 20 mins then pain returned. Taken diazepam and co-codamol. Paracetamol and Nurofen and using Voltarol gel with very little improvement. Attended today as would like a pelvic and hip xray to exclude fracture. PMH [previous medical history] slipped to lumbar spine; diabetes, arthritis – bi-lateral ankle surgery Medication – Metformin; codeine; analgesia as above Allergies – nil known O/E [on examination] weight bearing with limp to left leg. Walking with foot in external rotation but patient reports actively doing this to make walking less painful. Altered sensation to left thigh but no change since being examined by doctor in A & E. Anal tone intact. No bladder or bowel disfunction. No shortening or abnormal external rotation to left leg – some external rotation to ankles bi-laterally post-surgery to ankles. No bony tenderness to hip or pelvis – pelvis stable on rocking and no crepitus or increased pain. Able to internally and externally rotate at hip. Able to flex and extend at hip. Painful on all movements due to back injury. Impression – sciatica/lower back injury as diagnosed in A & E – no clinical indication for hip or pelvis x-ray at this time. Plan – patient reassured – advised contact 111 over weekend if unable to tolerate pain for analgesia review. Understood by patient and happy with this.”
“I have been told that following treatments have been received as a result of the index accident: Mr Pegg did not receive any treatment at the scene of the accident. After the accident he travelled to work in the same vehicle. He attended physiotherapy. He has had 4 sessions. The treatment isongoing. He took painkillers regularly for the first four weeks and then as required. He has been doing exercises suggested by the physiotherapist.”
“Mr Pegg informed me of the following medical history: there is no significant history of relevant musculoskeletal or psychological problems.”
“He developed moderate pain, stiffness and discomfort in the neck two days after the accident. These improved and are now mild to moderate and intermittent.” 3) Pain stiffness and discomfort to the left elbow: “He developed moderate pain, stiffness and discomfort in the left elbow 3 days after the accident. These improved and are now mild to moderate and intermittent.” 4) Pain, stiffness and discomfort to the left knee “He developed moderate pain, stiffness and discomfort in the left knee on the day of the accident. These improved and are now mild to moderate and are intermittent.” 5) Fear of travel “Mr Pegg described no issues related to travel anxiety as a result of the index accident.”
“Mr Pegg states that his occupation is as an office worker for 40 hours per week. Mr Pegg did not take any time off work due to financial reasons. Mr Pegg explains that he still has difficulty with bodily movements required to perform his duties.”
“I confirm that I have verified with the claimant the facts as referred to in this report.”
“The claimant sustained the following injuries: - a) Injury to the neck which resolved six months from the date of the accident; b) Injury to the left elbow which resolved six months from the date of the accident; c) Injury to the left knee which resolved six months from the date of the accident.”
“22) For the first few weeks after the accident my symptoms continued to get worse and worse. My knee and neck constantly ached and this restricted my movements significantly. My elbow wasn’t as bad, it was still sore but it wasn’t the same kind of constant pain. 23) I did undergo a course of physiotherapy and this did assist my recovery. I will go into more detail about this below. 24) After the first month or so following the accident my injuries levelled out for another month or so before starting to gradually improve. 25) I took pain relief on a regular basis for the first four weeks and then as and when needed for another few months. 26) I started a course of physiotherapy treatment and that really helped. I could feel a real improvement by the time I had a few sessions. 27) I carried on with the exercises at home because the pain in my knee, neck and elbow would still flare up occasionally. … 34) I was examined by Dr Shakir who wrote a report on my injuries on24 August 2016 . This was approximately 2.5 months after my accident. 35) Dr Shakir discussed the accident and my injuries with me as well as performing an examination. It was Dr Shakir’s opinion that my neck, left elbow and left leg would resolve by six months from the time of the accident. 36) I accept Dr Shakir’s opinion and will rely upon the same for the purposes of having my damages assessed. ”
“(m) At trial, Mr Pegg’s evidence as to the longevity of his injuries conflicted with the prognosis in Dr Shakir’s medical report, the Particulars of Claim and Mr Pegg’s first two witness statements, all of which placed the longevity of his injuries at six months, but at trial, Mr Pegg said three to four weeks for recovery from his neck, and four to five weeks for his elbow, and he could not say for his knee because of his pre-existing injury. That, says Mr Smith [counsel for the defendant] is a complete change of his case in relation to the longevity of his injuries and an indication of dishonesty.”
“(g) If Mr Pegg was asked about previous relevant musculoskeletal injuries by Dr Shakir, then, in my judgment, he should have disclosed, firstly, his previous problems with his knees, and possibly also his back and feet, and the accident that he had in falling off a quad bike in early July 2016, around five weeks or so before he was examined by Dr Shakir. Mr Pegg says, in cross-examination, he could not recall Dr Shakir asking him the question. That is unsurprising. However it is clear from the report of Dr Shakir that he is recording that he did ask that question and is setting out what Mr Pegg’s response was and I find that Dr Shakir did ask Mr Pegg about previous relevant injuries. Nonetheless, I cannot be sure as to precisely what that question was (‘relevant injuries’ is somewhat subjective) I am not satisfied that the failure on the part of Mr Pegg to disclose to Dr Shakir previous problems he had had with his knees, and possibly back and feet, was dishonest, that is an attempt by him to hide from Dr Shakir that the injuries he was suffering from may be wholly or partly due to causes other than the index collision. The quad bike accident is different, it took place on2 July 2016 , four weeks after the index accident and six weeks before Mr Pegg was examined by Dr Shakir. I accept that, on the balance of probabilities, Mr Pegg knew that it was relevant to tell Mr Shakir about the quad bike accident but he did not do so.”
“There is no significant history of relevant musculoskeletal or psychological problems.”
“However, where the trial judge has heard the evidence and has not concluded that the claimant was dishonest, I direct myself that it would require a very clear case indeed for an appellate court effectively to overturn the trial judge’s conclusion in that respect and find that the claimant was dishonest despite not having seen the witnesses give evidence.”
“… Orders for costs made against the claimant may be enforced without the permission of the court, but only to the extent that the aggregate amount in money terms of such orders does not exceed the aggregate amount in money terms of any orders for damages and interest made in favour of the claimant.”
“Thus, a claimant should not be exposed to costs liability merely because he is shown to have been dishonest as to some collateral matter or perhaps as to some minor, self-contained head of damage. If, on the other hand, the dishonesty went to the root of either the whole of his claim or a substantial part of his claim, then it appears to me that it would be a fundamentally dishonest claim: a claim which depended as to a substantial or important part of itself upon dishonesty.”
“When dishonesty is in question the fact-finding tribunal must first ascertain (subjectively) the actual state of the individual’s knowledge or belief as to the facts. The reasonableness or otherwise of his belief is a matter of evidence (often in practice determinative) going to whether he held the belief, but it is not an additional requirement that his belief must be reasonable; the question is whether it is genuinely held. When once his actual state of mind as to knowledge or belief as to facts is established, the question whether his conduct was honest or dishonest is to be determined by the fact-finder by applying the (objective) standards of ordinary decent people. There is no requirement that the defendant must appreciate that what he has done is, by those standards, dishonest.”
“The problem of fraudulent and exaggerated whiplash claims is well recognised and should, in my judgment, cause judges in the county court to approach such claims with a degree of caution, if not suspicion. Of course, where a vehicle is shunted from the rear at a sufficient speed to cause the heads of those in the motor car to move forwards and backwards in such a way as to be liable to cause ‘whiplash’ injury, then genuine claimants should recover for genuine injuries sustained. The court would normally expect such claimants to have sought medical assistance from their GP or by attending A & E, to have returned in the event of non-recovery, to have sought appropriate treatment of physiotherapy (without the prompting or intervention of solicitors) and to have given relatively consistent accounts of their injuries, the progression of symptoms and the timescale of recovery when questioned about it for the purposes of litigation, whether to their own solicitors or to an examining medical expert or for the purposes of witness statements. Of course, I recognise that claimants will sometimes make errors or forget relevant matters and that one hundred percent consistency and recall cannot reasonably be expected. However, the courts are entitled to expect a measure of consistency and certainly, in any case where a claimant can be demonstrated to have been untruthful or where a claimant’s account has been so hopelessly inconsistent or contradictory or demonstrably untrue that their evidence cannot be promoted as having been reliable, the court should be reluctant to accept that the claim is genuine or at least deserving of an award of damages.”