Lee v South West Thames Regional Health Authority
Jurisdiction | England & Wales |
Judgment Date | 1985 |
Date | 1985 |
Court | Court of Appeal (Civil Division) |
Practice - Discovery - Privilege - Injury to plaintiff while in care of one of three health authorities - Ambulance report obtained by one authority to defend possible action - Pre-action discovery claim against second health authority - Whether report privileged from production -
The defendant regional health authority was responsible for the ambulance service covering the areas of the London health authorities. The infant plaintiff was severely scalded in a domestic accident and was admitted to a London hospital in the area of another regional health authority. He was later transferred to a burns unit of a hospital in the area of Hillingdon health authority. The plaintiff developed respiratory problems and was sent back to the first hospital on a respirator in an ambulance provided by the defendant health authority. When he was weaned from the respirator he was found to have very severe brain damage, probably due to lack of oxygen. In order to find out what, if anything, had gone wrong the plaintiff's advisers made use of the pre-action discovery provisions of R.S.C., Ord. 24, r.7A. The hospital notes disclosed by the two hospitals suggested that there had been “a problem in the ambulance transfer.” The defendant health authority disclosed a memorandum prepared by the ambulance crew which had been sent to the Hillingdon authority with a view to their obtaining legal advice on their liability to the plaintiff. The defendant authority claimed the right to withhold inspection of the memorandum, which had not been disclosed by the Hillingdon authority, on the ground that it came into existence after the possibility of litigation had become known to them and was prepared for the sole purpose of enabling legal advice to be given with reference to such litigation. On the plaintiff's originating summons Master Hodgson refused to order that the plaintiff be at liberty to inspect and peruse the memorandum. Skinner J. dismissed the plaintiff's appeal.
On appeal by the plaintiff: —
Held, dismissing the appeal, that the cause of action being asserted against the defendant authority was not an independent cause of action but arose out of the same incident which rendered the Hillingdon authority a likely defendant; that, accordingly, the principle that a defendant or potential defendant should be free to seek evidence without being bound to disclose the result of his researches to his opponent applied; and that, since the Hillingdon authority had not waived their rights to privilege, there would be no way of protecting their rights as potential defendants if disclosure of the memorandum were to be ordered against the defendant authority (post pp. 849H–850A, C–D, E, G).
Per curiam. There is something seriously wrong with the law if it cannot be ascertained on the plaintiff's behalf exactly what caused his brain damage. The appeal concerns a hospital-patient relationship and there appears to be no reason why a similar duty to that of a doctor to answer his patient's questions as to proposed treatment should not, subject to the exercise of clinical judgment, apply to hospital staff. It is for consideration whether specific performance of the duty to inform could not be enforced (post, pp. 850G–851C).
The following cases are referred to in the judgment:
Buttes Gas and Oil Co v. Hammer (No. 3) [
Home Office v. Harman [
Schneider v. Leigh [
Sidaway v. Board of Governors of the Bethlem Royal Hospital and the Maudsley Hospital [
The following additional cases were cited in argument:
Calcraft v. Guest [
Jenkyns v. Bushby (
Minet v. Morgan (
Pearce v. Foster (
Reeves Brothers Inc. v. Lewis Reed & Co. Ltd. [
INTERLOCUTORY APPEAL from Skinner J.
On 4 December 1984 Skinner J. dismissed an appeal by the plaintiff, Marlon Lee, acting by his mother and next friend Madge Bignall, against Master Hodgson's dismissal on 26 October 1984 of his application by originating summons against the defendant, South West Thames Regional Health Authority, for an order pursuant to section 33 of the
The grounds of appeal were that the judge was wrong in law in holding that a document, the property of the defendant, which...
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Subject Index
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