Tonder V RAF
Tonder V RAF
Tonder V RAF
SAFLII Note: Certain personal/private details of parties or witnesses have been redacted from this document
in compliance with the law and SAFLII Policy
And
JUDGEMENT
___________________________________________________________________
T LIPSHITZ AJ
INTRODUCTION
3. In the course of these proceedings, the Court was required to address the
following issues:
3.1. The effect of the late filing of the notice of intention to defend and plea;
The Late Delivery of the Notice of Intention to Defend and the Abuse of the
Court’s Process
1
GNR.770 of 21 July 2008 GG 31249, as amended by R.347 of 15 May 2013 GG 36452.
3
several medico-legal evaluations by various experts, and their reports were duly
prepared. Having complied with all procedural requirements, the plaintiff
subsequently approached this Court for default judgment in terms of Rule 31(5) of
the URC.
6. A default judgment hearing was set for 30 April 2024, and the defendant was
duly notified of the hearing date through a notice of set down served on 20 March
2024.
8. When the matter was called, the defendant’s legal representative argued that
the case could not proceed to default judgment, asserting that the filing of the plea
precluded such a course of action. Counsel for the plaintiff contended that the
defendant’s conduct—particularly the late filing of both the notice of intention to
defend and the plea—constituted an abuse of the court’s process. Plaintiff’s counsel
urged the Court to follow the reasoning in Delport v Road Accident Fund (GJ) 2,
treating the belated filing as an abuse and allowing the matter to proceed to default
judgment despite the defendant’s tactical manoeuvre.
2
Unreported case no 10928/2020 (8 December 2023) at [18]
4
these documents at such a late stage was a deliberate attempt to delay proceedings,
thereby forcing a removal of the matter from the roll. Such a delay would clearly
prejudice the plaintiff, who would then have to wait an indeterminate period for a new
trial date, further prolonging the resolution of the claim and deferring compensation
for years to come.
10. Upon further inquiry, the defendant’s legal representative disclosed that the
primary defence related to contesting the plaintiff’s factual earnings, both pre- and
post-accident. I questioned whether the defendant would suffer any prejudice if the
matter proceeded, allowing cross-examination of the plaintiff’s witnesses on this
issue within the allocated court time. The defendant’s representative conceded that
no prejudice would result from proceeding on this basis.
11. The Court is vested with inherent powers to regulate its processes,
particularly to prevent the abuse of such processes. In the present case, I have
considered the following factors:
11.1. The considerable delay between the initiation of the action and the
filing of the defendant’s plea;
11.2. The defendant’s failure to provide any reasonable explanation for its
conduct;
11.3. The plea itself, which comprises nothing more than bald denials and
fails to raise a prima facie defence; and
11.4. The prejudicial delay that would follow if the matter were removed from
the roll, only to be re-enrolled on a later trial date, with no material
improvement in the defendant’s position.
13. The plaintiff brought an application in terms of Rule 38(2), read with Section
3(1) of the Law of Evidence Act 45 of 1998, seeking leave to introduce evidence
before this Court. Specifically, the plaintiff sought to admit medico-legal reports,
corroborated by confirmatory affidavits deposed by the relevant experts and the
plaintiff’s own affidavit. This application was duly granted, and these affidavits form
part of the evidentiary material before this Court.
15. At the time of the collision, the plaintiff was 44 years of age. He was known to
be diabetic, managed by chronic medication, including Glucophage and insulin
injections. Aside from this condition, the plaintiff had no other pre-existing medical
ailments.
16. The plaintiff completed his schooling in 1992 with a Grade 12 qualification. The
plaintiff completed Standard 8 and obtained a three-year Business Management
diploma. He served in the South African Defence Force for six years before entering
the motor industry, where he held positions as a salesman, dealership principal, and
tow-truck owner/driver. In January 2018, the plaintiff founded Cornerstone Wellness
Centre, a private rehabilitation facility for men struggling with addiction.
17. At the time of the accident, the plaintiff was both the owner and manager of
Cornerstone Wellness Centre, which operated as a live-in programme with a
minimum duration of eight months, accommodating up to thirty-six men. The centre
provided accommodation, three meals daily, one-on-one counselling, and coaching
6
sessions. The plaintiff was deeply involved in every aspect of the centre’s operation,
working seven days a week, often fifteen hours daily. His duties ranged from meal
preparation and grocery shopping to participating in physical activities and
counselling. He also handled disciplinary matters and fundraising efforts for the
centre.
18. According to his accountant, the plaintiff drew R25,000 per month for personal
expenses from the business.
19. On 9 March 2020, the plaintiff was involved in a motor vehicle accident,
resulting in significant trauma. He reported that he lost consciousness at the scene
and remained trapped in the vehicle for approximately three hours before receiving
medical assistance. Paramedics transported him to Akasia Hospital, where he was
initially treated and stabilised. He was later transferred by helicopter to Milpark
Hospital, where he was admitted to the ICU. The plaintiff underwent two surgical
procedures: an open reduction internal fixation of the right acetabulum and a total hip
replacement. He was discharged on 2 April 2020 and subsequently transferred to a
rehabilitation facility, from which he was discharged on 9 April 2020, ambulating with
bilateral crutches.
20. On 30 June 2020, the plaintiff was readmitted after experiencing twitches,
seizures during sleep, and general suboptimal functioning. An electroencephalogram
(ECG) confirmed a diagnosis of epilepsy, for which he was treated with Epilim, a
chronic medication.
21. Following the accident, the plaintiff attempted to resume his role as owner and
manager of the centre after five months of recuperation. However, due to the
severity of his injuries, he was unable to return to his previous duties. His wife and
other facility staff have assumed the majority of his responsibilities. His involvement
has been limited to daily devotions and occasional one-on-one counselling sessions.
The plaintiff can no longer perform his previous duties.
22. His post-accident income has remained at R25,000 per month, but the plaintiff’s
inability to market and manage the centre has led to a decline in the number of
7
clients and increased operational costs. The centre now operates at a loss and is
unlikely to remain operational for much longer.
23. According to the medico-legal reports and the RAF1 form, the plaintiff sustained
the following injuries as a result of the collision:
Expert Assessments
Dr. Graad
24. Dr. Graad confirmed that the plaintiff sustained a fracture dislocation of the right
hip. He reported that the hip replacement was in satisfactory condition but
recommended conservative management for post-injury pain and anticipated two
revision hip replacements. Dr. Graad assessed the plaintiff’s orthopaedic injuries at
an 8% Whole Person Impairment (WPI) and opined that the injuries met the
threshold of seriousness under Section 17 of the Road Accident Fund Act, read with
Regulation 3, as contemplated by the narrative test.
Dr. Bingle
25. Dr. Bingle noted that the plaintiff exhibited a slight limp and bore unsightly scars
on his right parietal and left frontal scalp, left knee, foot, and right gluteal area. He
further noted neurocognitive and psychological sequelae, including chronic
headaches, sleep disturbances due to pain, speech difficulties, and epilepsy. Dr.
Bingle, referencing the outcome-based approach and the opinions of the psychiatrist
and clinical psychologist, concluded that the plaintiff likely sustained a significant
traumatic brain injury. He also assessed the injuries under Section 17 of the Road
Accident Fund Act, read with Regulation 3, under the narrative test.
Dr. Fine
8
26. Dr. Fine observed that the plaintiff walked with a limp and had hesitant, slurred
speech, with noticeable memory impairment. He diagnosed the plaintiff with severe
traumatic brain injury and significant organic brain damage, possibly indicated by the
possible Glasgow Coma Scale (GCS) score of 6/15 and the treatment of ventilation.
Dr. Fine also diagnosed Post-Traumatic Stress Disorder (PTSD), accident-related
depression, and post-traumatic epilepsy.
C. Joyce
27. Ms. Joyce conducted cognitive and psychological tests, which revealed
compromised functioning in several areas, including concentration, memory,
executive function, and attention. She noted dysfunction in the frontal lobe,
manifesting in difficulties with task-switching and executive functioning. Joyce
diagnosed the plaintiff with a moderate brain injury, highlighting the presence of
axonal damage. She opined that spontaneous recovery was unlikely, given the time
elapsed since the accident. Additionally, she diagnosed the plaintiff with PTSD,
anxiety, and depression, which exacerbated his cognitive impairments.
H. du Preez
28. Du Preez’s assessment indicated that the plaintiff’s functional abilities had
significantly diminished. He was now limited to sedentary to light physical tasks and
rare to occasional mobility demands. Du Preez opined that, both physically and
cognitively, the plaintiff no longer met the demands of his pre-accident occupation as
the owner and manager of a wellness centre. She further concluded that the plaintiff
was unlikely to secure or maintain employment in the open labour market, given his
physical and cognitive limitations and the ongoing effects of epilepsy.
Mr Vlamingh
Pre-Accident Scenario
29. At the time of the accident, the plaintiff had only recently founded the wellness
centre and had plans to expand its facilities. Construction was already underway
when the collision occurred. The plaintiff had previously achieved success in the
9
motor vehicle industry and had also operated a tow truck business, which he closed
after deciding to pursue his new calling.
30. Although the centre was not operated with a profit motive, the plaintiff was
able to withdraw R25,000 per month for personal expenses. According to expert
opinion, had the plaintiff not been injured, he would likely have expanded the
rehabilitation centre, increasing his personal income to a peak of R40,000 per
month. It is further suggested that he would have continued running the centre until
retirement, with an expected retirement age of 68, or possibly extending to 70, as he
was self-employed and had no mandatory retirement age.
Post-Accident Scenario
31. Experts have concluded that the plaintiff will no longer be able to reach his
pre-accident earning potential. His psychological, physical, and cognitive
impairments render him unfit to continue as the centre's owner and manager. It is
further opined that his continued involvement may lead to the facility's closure,
leaving him unemployable with little chance of securing alternative employment.
32. Based on all available information, the expert concludes that the plaintiff is no
longer capable of resuming his pre-accident career or achieving his prior level of
income, and that the wellness centre may be forced to close in the foreseeable
future.
33.1. The expert witness's evidence in this matter focused on the plaintiff’s
pre- and post-accident earning capacity and the impact of the accident on his
ability to continue managing his business. The expert interviewed the plaintiff
and his wife and reviewed relevant medico-legal reports and other
documents, including the plaintiff’s work history.
33.2. Before the accident, the plaintiff had worked in various roles, including
as a sales dealer principal and a driver in the towing industry. He had also
10
33.4. Following the accident, however, the plaintiff’s capacity to manage the
wellness centre was severely compromised. The expert described the
plaintiff’s post-accident ability as “extremely compromised,” with him relying
heavily on others to perform tasks he previously handled. The expert
recommended that the plaintiff consider surrendering the management of the
wellness centre to a church or similar organisation and secure a modest
monthly income for himself through less demanding work. The expert further
noted that the plaintiff’s ability to handle complex interpersonal and
behavioural issues had been significantly diminished, casting doubt on his
continued involvement in the centre’s operations.
33.5. Regarding retirement age, the expert suggested that pre-accident, the
plaintiff could have worked until age 68 to 70, given his self-employed status.
However, post-accident, the expert proposed a more conservative retirement
age of 60, reflecting the plaintiff’s diminished capacity.
33.6. During cross-examination, it was confirmed that the expert did not have
access to all pre-accident financial records or collateral sources when
compiling the report. However, the expert relied on available medico-legal
11
reports, the plaintiff’s curriculum vitae, and interviews with the plaintiff and his
wife to form his conclusions.
Lay Witnesses
34. Ms Van Tonder gave evidence that the plaintiff was involved in a serious motor
vehicle accident on 9 March 2020 while returning home after purchasing food for the
wellness centre he managed. The collision was head-on, and both the plaintiff and
the other passenger were trapped in the vehicle for approximately three hours before
being airlifted to Milpark Hospital. Upon admission, it was determined that the
plaintiff had sustained multiple fractures, including broken ribs, a crushed pelvis and
hip, as well as leg and head injuries. He underwent two surgeries for hip
replacement and was discharged after a month, although he continued to rely on
crutches and faced significant difficulty in walking.
35. Post-accident, the plaintiff suffered from convulsions during sleep, leading to a
diagnosis of brain damage, which impaired his speech and cognitive abilities. His
wife testified that prior to the accident, the plaintiff was actively involved in managing
the Cornerstone Wellness Centre, which he had founded in 2017. His daily
responsibilities included preparing meals, organising physical activities, providing
spiritual guidance, and handling the centre’s day-to-day operations. Since the
accident, he has been unable to perform these duties, repeating himself frequently
and displaying cognitive deficits. His wife, who handled the administrative aspects of
the centre, stated that they have had to hire additional staff to perform tasks that the
plaintiff previously managed, including gardening and domestic help.
36. Before establishing the wellness centre, the plaintiff worked in car sales and
towing, earning more than he did as the centre’s manager. At the time of the
accident, the plaintiff drew R25,000 per month for personal expenses from the
centre’s income. However, due to the financial impact of the accident, no salary is
currently being drawn, and the centre is struggling to cover its operational costs.
12
37. During cross-examination, the plaintiff’s wife confirmed that although she was
not at the accident scene, she obtained information from traffic officers and medical
personnel. She could not confirm the plaintiff’s Glasgow Coma Scale (GCS) score
upon admission but noted that he had sustained gashes on his head. The defendant
argued that no head injuries were recorded on admission.
38. The wellness centre's financial struggles were also discussed in detail. The
plaintiff’s wife, who is a bookkeeper, stated that the centre’s income has diminished
significantly since the accident, and it is now operating at a loss. Although the
plaintiff initially drew R25,000 monthly, he no longer receives a salary, and the
centre’s financial records reflect a worsening situation. Attempts to reduce expenses,
including adjusting the menu for the residents, have not been sufficient to prevent
the financial decline.
39. The plaintiff’s accountant, responsible for managing the financial records since
2018, provided detailed testimony regarding the financial status of the plaintiff’s
business. The accountant confirmed that the plaintiff had no income in 2018, and
financial records prior to 2021 were not readily available during testimony. However,
from 2021 onwards, the accountant confirmed that the plaintiff drew a R25,000
monthly salary. This amount included medical aid, rent, and other living expenses.
The accountant also testified that the plaintiff’s wife earned R18,396 monthly after
deductions.
40. The financial records revealed that in 2021, the plaintiff’s company generated
R355,838 in income, with a net profit after expenses. By 2022, the income had
increased slightly to R370,990. However, the company experienced financial
difficulties, as reflected by the profit and loss statements showing a decline in overall
profits and an eventual loss of R221,000 in the 2022–2023 financial period. The
13
accountant further provided the tax assessments for 2022 and 2023, which indicated
that the plaintiff owed no taxes to SARS and had complied with all tax obligations.
General Damages
42. In the case of Knoetze obo Malinga and Another v Road Accident Fund
(77573/2018 & 54997/2020) [2022] ZAGPPHC 819 (2 November 2022), the court
reaffirmed the principle that it does not have jurisdiction to determine whether injuries
qualify as serious for purposes of general damages unless such injuries have been
classified as serious in accordance with the process prescribed in the regulations. It
is common cause that the defendant has not formally reacted to the plaintiff’s serious
injury assessment form, neither having expressly accepted nor rejected it.
43. In the present matter, it is common cause that on 2 May 2024, the defendant
made a “without prejudice” offer, which included compensation for general damages
and loss of earnings, as well as an undertaking for future medical expenses in terms
of Section 17(4) of the Road Accident Fund Act 56 of 1996. The plaintiff, however,
did not accept this offer.
44. The plaintiff contends that the “without prejudice” offer constitutes a tacit
acceptance by the defendant that the plaintiff’s injuries meet the statutory threshold
of seriousness. Such a tacit acceptance, it is argued, vests this Court with the
necessary jurisdiction to adjudicate the quantum of general damages. In support of
this argument, the plaintiff relies on the cases of Mertz v Road Accident Fund 3 and
Chetty v Road Accident Fund 4.
3
Mertz V Road Accident Fund (A96/2021) [2022] ZAGPPHC 961 (2 December 2022)
14
45. Conversely, the defendant asserts that the “without prejudice” nature of the
offer shields it from being admitted into evidence, citing Berning Keagan v Road
Accident Fund 5. The defendant argues that the Court is precluded from considering
the offer due to the privilege attached to settlement negotiations.
48. The public policy rationale underpinning this rule was eloquently described by
Trollip JA in Naidoo, where he cited Lord Mansfield’s 19th-century statement that
parties must be allowed “to buy their peace” without prejudice if the negotiations are
unsuccessful. The rule thus ensures that offers made during settlement talks cannot
later be construed as admissions of liability. By shielding parties from the potential
negative consequences of failed negotiations, the law seeks to incentivise settlement
and reduce the burden on courts and the litigation system. This principle remains
vital in contemporary legal practice, as litigation is often costly, time-consuming, and
fraught with hostility.
4
Chetty V Road Accident Fund (A91/2021) [2021] ZAGPPHC 848 (7 December 2021)
5
Keagan V Road Accident Fund (15432/2021) [2024] ZAGPJHC 85 (1 February 2024)
15
49. The scope of the “without prejudice” rule has been further clarified in
subsequent cases, reinforcing its broad applicability in the context of settlement
negotiations. However, it is essential to recognise that the protection afforded by the
rule is not absolute. Various exceptions exist where public policy or other
considerations dictate that communications marked as “without prejudice” may be
admissible in evidence. By way of example, “without prejudice” correspondence may
be used to prove an act of insolvency, 6 to prove an acknowledgement of liability to
interrupt prescription. 7
50. The decision of Jili v South African Eagle Insurance Co Ltd 1995 (3) SA 269
(N) (“Jili case”) is instructive. In this case, the plaintiff argued that the defendant's
“without prejudice” settlement offer should be inadmissible in court based on the
privilege ordinarily attached to such communications. The court, however, found that
this correspondence could be admitted into evidence.
51. The plaintiff’s argument rested on the premise that since the offer was marked
“without prejudice,” it constituted a privileged communication and thus could not be
used to establish an “offer of settlement” under Section 14(2)(b) of the Motor Vehicle
Accidents Act 84 of 1986. According to the plaintiff, this would mean that the offer
could not trigger the 90-day suspension of prescription under the Act, and thus, her
claim had not prescribed.
52. Judge Combrink, however, dismissed this argument. He held that the phrase
“without prejudice” does not automatically confer upon a communication immunity
from disclosure. The judge made it clear that the mere fact that a communication
bears the phrase “without prejudice” does not necessarily shield it from being
admitted in evidence. The key consideration is the purpose of the communication. If
the communication forms part of bona fide settlement negotiations, it may be
protected from disclosure to prevent admissions made during those negotiations
from prejudicing the party in subsequent litigation. However, if the purpose of
6
Absa Bank Ltd V Hammerle Group 2015 (5) SA 215 (SCA)
7
KLD Residential CC V Empire Earth Investments 18 (Pty) Ltd 2017 (6) SA 55 (SCA)
16
admitting the communication is merely to prove the existence of an offer rather than
to rely on the admissions contained within it, the privilege does not apply.
53. In the Jili case, the defendant’s offer was made with the intention of settling
the matter, and it was not tendered as evidence of any admission of liability. As
such, it was admissible for the limited purpose of proving that an offer of settlement
was made, which triggered the 90-day suspension of prescription under Section
14(2)(b) of the Act. The court noted that acceptance of the offer would have resulted
in a binding settlement of the dispute, and whether the offer was marked “without
prejudice” or not was irrelevant to its effect in this regard.
54. The judgment also emphasised that the “without prejudice” privilege does not
attach to communications that are not part of genuine settlement negotiations or are
being tendered to prove facts that are not reliant on any admissions made during the
negotiations. In this instance, the defendant did not seek to rely on any admissions
but merely the fact that an offer of settlement was made.
55. In summary, the court’s decision highlights that the “without prejudice” rule is
not absolute. While it generally protects parties from using admissions made during
settlement negotiations, this protection does not extend to the mere fact of an offer
being made, especially when such an offer is relevant to the legal mechanism—such
as the suspension of prescription—without relying on any admissions within the
communication.
56. In the matter of Chetty v Road Accident Fund 8, the Full Bench found that an
offer of settlement pertaining to compensation for general damages was sufficient to
demonstrate that the defendant had accepted the plaintiff’s injuries as serious,
8
Chetty V Road Accident Fund (A91/2021) [2021] ZAGPPHC 848 (7 December 2021) at paragraph
19
17
57. In Mertz v Road Accident Fund 9, the Court was confronted with a situation in
which the Road Accident Fund was requested during pre-trial proceedings to admit
the plaintiff’s expert reports, including, by inference, the serious injury assessment
report. The Road Accident Fund undertook to provide a formal response by a
specific date, failing which it would be deemed to have admitted the findings
contained in the plaintiff’s reports. The issue before the Court was whether this
constituted an acceptance of the serious injury assessment report, thereby invoking
the Court’s jurisdiction to determine the quantum of general damages.
58. The Court reaffirmed the principles established in Chetty v Road Accident
Fund, reiterating that when the Road Accident Fund (“RAF”) offers compensation for
general damages without explicitly advising the claimant that the injuries are
classified as serious, such conduct can be interpreted as an implied acceptance of
the seriousness of the injuries. The Court held that, in the present case, the RAF’s
failure to provide a timely response as promised during the pre-trial proceedings
amounted to a deemed admission. This tacit admission was considered sufficient to
constitute an acceptance of the serious injury assessment report, thereby triggering
the Court’s jurisdiction to assess the quantum of general damages.
59. In Keagan v Road Accident Fund 10, the Court was presented with a situation
that mirrors the one in the present matter. Coincidently, the plaintiff in the Keagan
matter was the passenger involved in the collision to which this case relates. The
plaintiff sought to rely on a “without prejudice” offer of settlement to argue that the
defendant had tacitly accepted the plaintiff’s injuries as serious, thereby triggering
the Court’s jurisdiction to determine general damages. The issue before the Court
9
Mertz V Road Accident Fund (A96/2021) [2022] ZAGPPHC 961 (2 December 2022) at paragraphs
21- 31
10
Keagan V Road Accident Fund (15432/2021) [2024] ZAGPJHC 85 (1 February 2024) at paragraphs
41-44
18
was whether it could admit the “without prejudice” offer as evidence of such
acceptance.
60. The Court firmly held that it could not pierce the privilege attached to the
“without prejudice” correspondence. It emphasised that the very purpose of the
“without prejudice” rule is to protect parties engaged in settlement negotiations from
having their offers used against them in litigation unless there has been an express
waiver of privilege. The Court made it clear that in the absence of such a waiver, the
offer remained privileged and could not be used as evidence to establish liability or
admission of serious injury.
61. In distinguishing the case from the decisions in Mertz v Road Accident Fund
and Chetty v Road Accident Fund, the Court explained that those cases involved
factual circumstances where privilege had been expressly waived or pre-trial
admissions had been made. In Mertz, the Road Accident Fund had conceded liability
for general damages during a pre-trial conference. At the same time, in Chetty, the
waiver of privilege was crucial in allowing the Court to consider the offer. In Keagan,
however, there was no such waiver of privilege, and the case did not deal with any
pre-trial admissions by the defendant.
62. While the Court in Keagan sought to differentiate its reasoning from Chetty on
the basis of privilege, I find this approach problematic. The Chetty judgment did not
explicitly base its finding on the waiver of privilege, nor did it delve into the waiver
issue at all. Instead, the Court in Chetty expressed the principle that an offer of
compensation for general damages could, in general, be interpreted as a tacit
acceptance of the serious injury assessment report. Any reference to the necessity
of a waiver of privilege did not qualify this broad proposition.
64. In Paulson v The Road Accident Fund 11, the Court followed the reasoning set
out in Keagan and found that an offer of settlement was inadmissible.
Legislative Framework and the Road Accident Fund’s Role and Decision-
Making Obligations
66. Regulation 3(c) of the Road Accident Fund Regulations, stipulates that
“The Fund or an agent shall only be obliged to compensate a third party for non-
pecuniary loss as provided in the Act if a claim is supported by a serious injury
assessment report submitted in terms of the Act and these Regulations and
the Fund or an agent is satisfied that the injury has been correctly assessed as
serious in terms of the method provided in these Regulations.”
67. As the Regulations do not expressly provide that the RAF must accept the
serious assessment report in writing, it is now settled law that this communication
may be explicit or tacit based on the defendant’s action.
68. The decision the RAF makes in this regard constitutes an administrative
decision, and as such, it must adhere to the well-established principles of rationality,
fairness, and legality. Specifically, any decision made by the RAF must not be
11
Paulsen V Road Accident Fund (45261/2019) [2024] ZAGPPHC 145 paragraphs 16-24
12
GNR.770 of 21 July 2008 GG 31249, as amended by R.347 of 15 May 2013 GG 36452.
20
arbitrary, capricious, or irrational. It must align with the purpose for which the
empowering legislation was enacted—the equitable compensation of victims of road
accidents who have sustained serious injuries. A failure to adhere to these principles
would result in a decision that lacks the necessary legal grounding and would likely
be subject to review.
69. In making its decision regarding the seriousness of the injury, the RAF is
obliged to consider all relevant information placed before it, including the medical
reports and supporting evidence. Furthermore, the decision must be made with
reference to the purpose of the statutory provisions it operates under. Critically, the
RAF must ensure that its decision is based on objective evidence and that it
communicates this decision clearly and transparently to the claimant.
70. In terms of Regulation 3(c) and (d) of the Road Accident Fund Regulations, the
RAF is presented with three distinct options: it may accept the injury as serious,
reject the injury as serious, or direct the claimant to undergo a further serious injury
assessment at the RAF’s expense.
71. It is crucial to distinguish between the administrative duties of the RAF and its
role in settlement negotiations. While a settlement offer generally pertains to financial
negotiations regarding quantum and merits, the administrative task of assessing
whether an injury is serious is distinct and precedes any financial discussions. A
financial offer to settle does not in itself constitute an administrative decision, but it
may be indicative of the RAF’s broader conduct regarding the case.
72. The RAF cannot act arbitrarily by linking its decision on the seriousness of the
injury to financial settlement discussions or by leveraging the assessment of the
seriousness of the injury to force claimants into unfavourable quantum negotiations.
Such practices would not only undermine the fairness required in administrative
decision-making but would also distort the statutory framework, which mandates
clear, evidence-based determinations on the serious injury assessment. This is said,
as if it is found that a conditional decision in this vain is allowed, it would imply either
the acceptance of a serious injury report for an undeserving claimant or it would hold
a deserving claimant’s legitimate entitlement to general damages hostage to the
21
73. The RAF cannot weaponise its administrative authority in this manner, as this
would amount to an abuse of power. Administrative decisions must be exercised
within the bounds of fairness, and holding a claimant’s rights hostage to quantum
negotiations violates these principles.
74. Once the RAF has made its statutory decision to accept a claimant’s injury as
serious, such a decision is functus officio 13 and cannot be varied as the empowering
provisions of the relevant legislation do not permit it to do so.
75. In light of the principles of administrative law governing the RAF and
considering the exceptions to the “without prejudice” rule, I find that the offer of
settlement made by the RAF on 2 May 2024 is admissible for the limited purpose of
exposing the RAF’s tacit admission that it has accepted the plaintiff’s injury as
serious. The communication serves to demonstrate the RAF’s administrative
decision, rather than to disclose any negotiation on liability or quantum.
76. The remaining details of the offer, such as the quantum of compensation
tendered, remain privileged and inadmissible. However, for the limited purpose of
determining that the RAF has made an election regarding the seriousness of the
injury, the “without prejudice” correspondence may be considered.
77. Accordingly, I conclude that the RAF has tacitly accepted the plaintiff’s injuries
as serious, and I now move to consider the quantum of general damages to be
awarded.
13
Retail Motor Industry Organisation and Another v Minister of Water and Environmental Affairs and
80. While it is accepted that no two cases will ever align precisely, the use of
comparable cases can provide valuable guidance to the Court. When examining
previous awards in analogous situations, the Court is able to align its assessment
with prior decisions, ensuring consistency and fairness. As noted in SA Eagle
Insurance Co v Hartley 1990 (4) SA 833 (A) at 841 D, comparative case law assists
in reaching a decision that is not “substantially out of general accord” with earlier
awards, provided that the Court accounts for the inflationary erosion in the value of
money.
81. In Protea Assurance Co Ltd v Lamb 1971 SA 530 at 536 A-B, the Supreme
Court of Appeal emphasised the importance of comparable cases, stating:
have been either more serious or less than those in the case under
consideration.”
82. In other words, while the Court may rely on previous awards to guide its
judgment, each case must ultimately be determined on its own merits, with the Court
exercising its discretion in light of all relevant factors, including the severity of the
injuries and their impact on the plaintiff’s quality of life.
83. In the present matter, the plaintiff has sustained significant injuries as a result of
a motor vehicle accident. The injuries have severely impacted the plaintiff’s quality of
life and compromised his ability to work, as evidenced by the various expert reports
submitted.
84. The plaintiff’s counsel submitted that an appropriate amount for general
damages would be R2,500,000, citing several cases to substantiate this quantum.
Among these cases, reliance was placed on the following authorities:-
84.2. Zarrabi v Road Accident Fund 2006 (5B4) QOD 231 (T) The plaintiff, a
30-year-old trainee medical specialist, sustained a diffuse axonal brain injury
along with significant neuro-cognitive and neuro-psychiatric consequences. The
plaintiff was unable to resume her professional duties and suffered lasting
impairments in memory, speech, and emotional regulation. The Court awarded
R800,000 in 2006, which, when adjusted, amounts to R2,197,000 in 2024.
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84.4. Nando v Road Accident Fund 2015 JDR 1193 (GP) The plaintiff
suffered a moderately severe brain injury with cognitive and neurobehavioral
impairments, including memory issues and a long-term risk of epilepsy. General
damages were awarded at R850,000 in 2015, which adjusts to R1,343,000 for
2024.
84.6. Olivier v Road Accident Fund 2013 (6A4) QOD 216 (GNP)The plaintiff
sustained a severe brain injury resulting in epileptic seizures, memory loss, and
physical impairment. General damages of R700,000 were awarded in 2013,
now equating to R1,225,000 for 2024.
85. The defendant did not present any submissions or counterarguments regarding
the quantum of general damages.
Court’s Consideration
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86. In assessing general damages, the Court is mindful that the award must be fair
and equitable, considering both the severity of the injuries and the impact on the
plaintiff’s life. While the injuries, in this case, are severe and life-altering, they do not
rise to the same level of gravity as some of the more extreme cases cited, such as M
v Road Accident Fund or Zarrabi v Road Accident Fund, where plaintiffs were left
with catastrophic physical and cognitive disabilities. In light of this, the amount
sought by the plaintiff—R2,500,000—appears disproportionate compared to the cited
case authorities.
87. Furthermore, reliance is also placed on the decision in Kruger v Road Accident
Fund (27383/2009) [2022] ZAGPPHC 73, where the plaintiff’s impairment was
similar to Mr. Van Tonder, especially given that both plaintiffs developed epilepsy
sometime after the accident and both appeared to have worsening of cognitive and
neurological symptoms over time. This case provides a helpful comparator for the
present matter. The plaintiff in the Kruger matter was awarded R 1 400 000, 00 in
2022, adjusted to R 1 561 785. 00 in today’s terms.
88. In light of the case authorities cited, the Court is of the view that an appropriate
award for general damages in this matter would be R1 500 000. 00.
Loss of Earnings
89. As previously stated, I accept the findings of Mr. Vlamingh, whose testimony
was both credible and reliable. His assessment that the plaintiff’s earning potential at
his rehabilitation centre would have grown and reached a peak of R40,000 per
month is aligned with the fact that the centre was still in its early stages of
development, having only commenced operations in January 2018. I also take into
account the plaintiff’s diverse work history, which includes experience as a car
salesman and as the owner of A & A Cornerstone Towing, where he earned an
income of R50,000 per month. Given this background, I am persuaded that if the
rehabilitation centre had ultimately failed in the pre-accident postulations, then the
plaintiff would have been able to secure alternative employment with an earning
capacity likely in the same range.
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90. In this context, I find Mr. Vlamingh’s projections to be fair and conservative.
Furthermore, it appears to be common cause, as reflected in all expert reports, that
the plaintiff is no longer employable due to the injuries sustained. While the plaintiff
has been able to derive some income from the rehabilitation centre, this situation is
no longer sustainable, as the centre is no longer profitable owing to the plaintiff’s
diminished capacity to manage it effectively. Mr. Vlamingh hypothesised that the
plaintiff would retain a slight residual earning capacity, limited to R 5 000, 00 per
month with inflationary increases, demonstrating his conservative approach.
Pre-Accident Earnings
92. At the time of the accident, the plaintiff was self-employed at the Cornerstone
Wellness Centre, earning approximately R25 000. 00 monthly. According to the
expert report by Mr. Vlamingh, the plaintiff’s earnings would have progressed,
reaching a ceiling of R40 000. 00 per month. From this point, his earnings would
have increased annually in line with inflation until his retirement at the age of 68.
Post-Accident Earnings
93. Following the accident, the plaintiff was unable to work for five months, though
he continued to draw a salary of R25 000. 00 per month. However, the Cornerstone
Wellness Centre operated at a loss, with the business showing a deficit of R24 085.
00 for the tax year ending February 2021.
94. The post-accident earnings calculation assumes that the plaintiff will continue
earning R25 000. 00 monthly, adjusted for inflation, until 31 December 2023.
Thereafter, based on Mr De Vlamingh's expert opinion, it is expected that the plaintiff
will be capable of performing only lighter janitorial duties at the Centre, earning a
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significantly reduced salary of R5 000. 00 per month, with further increases aligned
with inflation until the age of retirement at 60.
Contingencies
98. The assessment of contingencies is discretionary and varies with the facts of
each case. As noted in Bailey, while actuarial calculations provide a valuable basis
for determining future loss, they are not binding. The trial judge has broad discretion
to adjust these calculations by applying contingencies that reflect the uncertainties of
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99. In applying contingencies, the courts often employ what is known as a “sliding
scale,” which varies depending on the age of the claimant. This approach was
highlighted in Goodall v President Insurance 1978 (1) SA 389 (W), where the court
applied a scale of deductions, suggesting a 25% deduction for a child, 20% for
youth, and 10% for middle-aged claimants. In practice, it is common for the Road
Accident Fund to agree to standard deductions, typically 5% for past loss and 15%
for future loss, reflecting the “normal contingencies.”
100. The plaintiff has submitted that with respect to the pre-accident scenario, there
is no basis to deviate from the “normal contingencies” as established in Goodall v
President Insurance Co Ltd 1978 (1) SA 389 (W). Given the plaintiff’s age, it has
been argued that contingencies of 5% for past loss and 10% for future loss would be
appropriate.
101. After considering the evidence, I find that although Dr. Vlamingh’s projections
regarding the plaintiff’s future income may have elements of speculation, as is often
the case with future earnings assessments, I am satisfied that the plaintiff’s pre-
accident earning capacity and prior work experience provide a solid foundation for
the conclusion that the plaintiff would likely have reached the projected income level.
Even if the rehabilitation centre had not been successful, the plaintiff’s background
and proven adaptability suggest he would have secured alternative employment
within his field or in another capacity for which he had experience. Upon considering
the evidence and the plaintiff’s work history, I am persuaded that this approach is
both fair and reasonable.
102. Regarding the post-accident scenario, the plaintiff has advocated for a 30%
contingency deduction, which I find to be reasonable and justified. This higher
contingency reflects the substantial uncertainties that now exist concerning the
plaintiff’s ability to work and earn an income. The injuries sustained have significantly
diminished the plaintiff’s earning capacity, leaving only a small residual earning
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potential, if any. The 30% contingency accounts for the likely challenges the plaintiff
will face in securing any form of employment, given his injuries, as well as the
possibility of prolonged periods of unemployment or medical incapacity that may
further hinder his ability to engage in even menial work.
103. Having carefully considered all of the relevant factors and the arguments
presented, I am satisfied that the contingencies proposed by the plaintiff are fair and
appropriate in this matter. Accordingly, I award the plaintiff the amount of R 5 432
064. 00 in respect of loss of earnings.
Past Medical Expenses
104. The plaintiff is claiming an amount of R 671 235.02 in respect of past medical
expenses, which have been duly itemised in a schedule supported by the requisite
invoices. The defendant, however, repudiated the plaintiff’s claim on 2 May 2024,
asserting that it is not liable to reimburse the plaintiff because the past medical
expenses were covered by the plaintiff’s medical insurer, Fedhealth Medical Aid.
105. The issue before this Court is whether the Road Accident Fund (RAF)
remains liable to compensate a claimant for medical expenses paid by a medical aid
provider. This question has already been addressed in the decision of Discovery
Health (Pty) Ltd v Road Accident Fund and Another, wherein the Court unequivocally
found that benefits received by a claimant from a third party—whether through
private insurance or a medical aid scheme—constitute collateral benefits. Such
benefits are not to be deducted from the compensation awarded under the Road
Accident Fund Act.
106. The legal principle governing collateral benefits is rooted in the longstanding
decision of Zysset and Others v Santam Ltd 1996 (1) SA 273 (C), where it was held
that a wrongdoer should not benefit from the victim’s foresight in securing insurance
or from the benevolence of third parties.
107. The RAF’s statutory duty to compensate for past medical expenses, as
mandated by the Road Accident Fund Act, is not discharged by the involvement of a
private insurer. The Act ensures that a claimant is indemnified for all reasonable
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medical costs incurred due to injuries sustained in a road accident, and the fact that
a medical aid has stepped in to settle those costs does not alter the RAF’s obligation
to reimburse the claimant.
108. Having regard to the established legal principles, I find that the plaintiff is
entitled to compensation for the full amount of R 671 235.02 in respect of past
medical expenses. The defendant’s contention that its liability is extinguished by the
plaintiff’s medical aid covering these expenses is without merit and contrary to the
prevailing jurisprudence.
Conclusion
ORDER
That default judgment is granted in favour of the plaintiff against the defendant in
the following terms:
111. The defendant shall pay the capital amount of R 7 603 299, 02, which is
comprised of:-
112. The amount of R 7 603 299.02 shall be paid directly to the attorneys for the
plaintiff, A Rautenbach Attorneys, with the following account details:
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113. Interest on the amount of R 7 603 299.02 at a rate of 11.75%, payable 181
days hereof to the date of payment.
115. The defendant is to pay the plaintiff’s taxed or agreed costs on a party and
party High Court scale, including the following:
115.1. The costs incurred by senior junior counsel on High Court Scale C;
115.2. The costs of:-
T Lipshitz AJ
Acting Judge: Gauteng Division Johannesburg
(electronic signature appended)
07 October 2024