News & Publications
Personal Injuries
- Recent Reforms
January 2008
Personal Injuries Assessment Board Act 2003
Civil Liability and Courts Act 2004
Personal Injuries Assessment Bard (Amendment) Act 2007
Accidents happen and persons are injured. Whilst,
often times, little can be done to put the person back in the position
they were in before the injury, the person can, and ought to be
compensated for the costs of their medical treatment, the loss of
income they have and will endure, and the pain they have suffered.
In addition it would seem just that the costs of seeking this compensation
ought not to be borne by the injured party.
The Personal Injuries Assessment Board Act 2003
was enacted on the 28th December 2003 and applies to all personal
injuries actions from the 22nd July 2004. 1.
It established the entity known as the Personal Injuries Assessment
Board (PIAB), and fundamentally altered the way injured persons
seek compensation from those who have caused their injuries. Subsequent
to the 2003 Act, the Civil Liability and Courts Act 2004 and the
Personal Injuries Assessment Board (Amendment) Act 2007 further
altered claimant’s access to, and amount of, compensation.
Over-view of process
Prior to the PIAB, an injured person would instigate
legal proceedings through the Courts system. The determination of
the Court would be binding on both parties and the costs of the
proceedings would generally be borne by the unsuccessful party.
2.
PIAB – Condition precedent to access to the courts
The 2003 act changed all that, by inserting as
a compulsory intermediate step, an application to the PIAB.
Under the 2003 Act a person
may not go to court unless they have received an ‘authorisation’
from PIAB. In summary, PIAB will only grant an authorisation
where, either; |
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The applicant has gone through the PIAB process,
or |
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The applicant falls within one of the several cases set
out in section 17 of the act; i.e.
- the applicant has sustained complex and serious injuries
- the claimant may be dying
- the claim arises out of trespass to the person.
- the claim consists partly or wholly of psychological damage |
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PIAB process
To instigate the PIAB process, the applicant completes
an application form and submits it with his/her medical reports
and the €50 application fee. It is very important that the
application form is completed correctly, and especially important
that the defendant is correctly identified. Accordingly companies
office searches should be undertaken prior to completion of the
form. PIAB then write to the respondent to ascertain whether they
will submit to an assessment. The respondent has 90 days to decide.
If the respondent agrees to the assessment he will pay a €1,000
fee and PIAB will proceed to assess the application. If the respondent
declines then the applicant will be given an authorisation and may
go to court.
Assessments proceed on the basis that the respondent
is 100% to blame, and accordingly PIAB only assess the level of
damage suffered by the respondent rather than the relative blameworthiness
of the parties. PIAB will then issue its assessment. Either party
may reject the assessment, at which point the applicant will be
granted an authorisation and may go to court. However, liability
will once again become an issue as the respondent’s deemed
admission of responsibility applies only in the PIAB process. Details
of the rejected assessment cannot be raised in court.
Multiple Respondents/Defendants
In many situations there are multiple respondents/defendants. Where
they do not all submit to PIAB assessment, the applicant will be
granted an authorisation only in respect of the respondents who
have not submitted and will have to pursue his/her claim simultaneously
through the courts and PIAB.
Time
With PIAB came the promise of faster assessment and settlement of
claims. The 2003 Act sets an initial time-limit of 9 months on the
PIAB to assess the claim from the date of receipt of the respondent’s
consent to the process. Thereafter the Board can extend the time
a further 6 months. After 15 months, the applicant can insist on
the Board issuing him/her with an authorisation.
Statute of Limitations
The Civil Liability and Courts Act 2004, reduced the period of time
in which a person can take a compensation claim from three years
to two years. 3. Failure to take a claim
within the prescribed period results in the claim being ‘statute
barred’, a term which means the claim can no longer be made.
4. The rationale behind a limitation period is to ensure
that the ability of a defendant to defend the claim is not unjustly
prejudiced by the passage of time, i.e. failing memories, death
of witnesses, loss or destruction of evidence. However it is difficult
to defend a reduction in the limitation period from three years
to two years on this basis. Especially when one considers that the
full extent of the injury may not have become immediately apparent
to the injured party.
Interaction between the Statute of
Limitations and PIAB
The two year statue of limitations ‘clock’ stops running
once the application is registered by PIAB. 5.
The ‘clock’ doesn’t start again until six months
after PIAB has issued an authorisation to go to court.
Fraudulent Claims
The 2003 and 2004 acts contain several provisions to combat fraudulent
claims. The 2004 Act requires plaintiffs to swear a ‘verifying
affidavit’ to the truth of any averments or allegations made
in pleadings. A person who makes a false statement shall be guilty
of an offence and shall be liable to a fine of up to €100,000
or of up to 10 years imprisonment. The 2003 Act allows for the establishment
by the Board of a database of claimants. Such a database shall record
their names, and details of the accident, and their insurance company.
Costs
Generally, under the Courts system, ‘costs follow the event’
such that the wrongdoer pays the injured party’s costs of
seeking compensation in addition to the compensation itself. 6.
The 2003, 2004 and 2007 Acts have seen a dramatic
erosion of this position, with the injured party increasingly being
expected to bear the costs of seeking compensation.
PIAB does not award costs. Accordingly the applicant
must pay from any award that he/she receives the costs of making
the claim. Such costs would include the fees for acquiring legal
advice and medical reports.
Where the applicant refuses the PIAB assessment
and goes to court the 2004 Act sets out that he/she may be penalised
on costs if he/she had not within 2 months of the wrongful act which
caused the personal injury written (by registered post or personal
service) to the defendant and informed him/her/it of his intention
to make a claim.
Under the 2007 amendment act, if an applicant refuses
the PIAB assessment and subsequently receives a lesser award from
a court he/she will not be entitled to his/her costs and further
may be required to pay the defendant’s costs.
The 2007 act also set out that a successful plaintiff
before the courts will not be entitled to the costs of making the
initial application to PIAB. Accordingly the costs of making the
compulsory application to PIAB must always be borne by the injured
party (However the costs might be taxed on the ‘party and
party’ basis rather than the ‘solicitor and own client’
basis and so the successful party may still have to pay some of
his own sides costs).
PIAB examined
In a lecture prepared for the Law School of the
Law Society of Ireland in 2007 Stuart Gilhooly examined the development
of PIAB. He reported that PIAB has received approximately 40,000
applications lodged, and made 7,000 awards. PIAB has released approximately
50% of all applications by way of authorisation. Of the applications
which are fully processed and where awards are made, the acceptance
rate of those awards is approximately 60%. Accordingly PIAB have
made awards in no more than 30% of cases.
He further stated that 90% of claimants now use
solicitors.
Certain Practices of Insurance Companies
Certain insurance companies have become known for
approaching applicants directly rather than going through the applicant’s
solicitor. The danger this presents for applicants is that they
might inadvertently settle proceedings for an inferior amount of
compensation. Accordingly, any applicant who receives such an offer
ought to consult with his/her solicitor prior to accepting same.
Conclusion
PIAB was heralded as a more efficient and cost
effective method of processing claims and was introduced amongst
a background of publicity regarding fraudulent claims.
It is perhaps too early to comment on the full
impact of the reforms. However one must express concern that in
its enthusiasm to be seen as combating fraud and reducing the costs
of insurance the legislature has neglected to give due regard to
the position of injured parties and introduced measures which have
the effect of hindering their access to, and reducing their quantum
of, compensation.
1. With
the exception of certain types of claims, ie medical negligence.
2. The ‘costs follow the event’
rule.
3. As and from the 31st March 2005, or
for claims before that date a period of 3 years from the accident
which ever is the lesser.
4. Rather the claim can be made, but the
Defendant will raise the Statute of Limitations as a defence.
5. The clock doesn’t stop when the
application is made, but rather when it is registered by PIAB. Accordingly
the applicant could be prejudiced by a delay on PIAB’s part.
6. However the costs might be taxed on
the ‘party and party’ basis rather than the ‘solicitor
and own client’ basis and so the successful party may still
have to pay some of his own sides costs.
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