“(a) MS is a disease which is generally regarded as of unknown aetiology; and (b) when asking the question of whether an exogenous environmental factor has caused a naturally occurring disease (such as MS or cancer), the first step is to prove that the exogenous factor in question is capable of causing the disease. That requires proof that the exogenous factor more than doubles the risk of the index condition…. If it were otherwise, endogenous factors could provide a complete explanation for the manifestation of the disease. The Defendant’s position is that there is no probable let alone provable, link between organic solvents and the Claimant’s MS [see e.g. Professor Silman’s evidence in the Joint Statement, at page 2, 3rd and 5th bullet points].”
“Not only is the claim of high value and complexity, and thus of considerable importance to the parties; but it is likely to have a much wider public interest and significance. It has the potential to become a leading precedent on causation in the law and could open the way for other sufferers with MS to argue that their own conditions were ‘caused’ by similar environmental exposures. It is therefore especially important that the trial judge should have the most complete evidence that it is feasible for the parties to provide.”
“In McLoughlin v Grovers (A Firm)[2001] EWCA Civ 1743 ; [2002] Q.B. 1312 at [66], David Steele J gave the following guidance: (i) only issues which are decisive or potentially decisive should be identified; (ii) the questions should usually be questions of law; (iii) they should be decided on the basis of a schedule of agreed or assumed facts; (iv) they should be triable without significant delay, making full allowance for the implications of a possible appeal; (v) any order should be made by the court following a case management conference. … As to (iii) (see above, preliminary issues should be decided on the basis of a schedule of agreed or assumed facts), the first draft of the schedule is often prepared by the claimant and sent to the defendant for agreement or amendment. Before directing a preliminary issue, the court should consider how much effort will be involved in identifying the relevant facts. The greater the effort the less likely it is that the preliminary issue will lead to a saving in costs. If there are serious disputes of fact giving judgment at a trial of the preliminary issue may be unsafe or useless (see generally Steele v Steele [2001] C.P. Rep 106 in which Neuberger J (as he then was) declined to give judgment at a separate trial previously directed by a deputy judge of the High Court). As to (iv) (see above, triable without significant delay, making full allowance for the implications of a possible appeal) in Re Kenyan Emergency Group Litigation[2016] EWHC 600 (QB) (in which a direction for the trial of preliminary issues was allowed in part only) one of the factors considered was that, in the event of an appeal on one of the preliminary issues sought, the trial of all remaining issues might be delayed by three or four years by which time most of the lay witnesses for both sides (who were very elderly) may not have been capable of giving evidence.”