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Limitation of Actions Consultation - Law Commission

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to the act or omission, which is clearly less onerous than establishing actual<br />

causation. 92<br />

3.47 The question arises whether knowledge <strong>of</strong> attributability, for the purpose <strong>of</strong><br />

section 14(1)(b), entails any knowledge <strong>of</strong> fault on the plaintiff’s part. Section<br />

14(1) provides that “knowledge that any acts or omissions did or did not, as a<br />

matter <strong>of</strong> law, involve negligence, nuisance or breach <strong>of</strong> duty is irrelevant.” The<br />

courts have, as a general rule, rejected the suggestion that knowledge <strong>of</strong> the act or<br />

omission need involve some knowledge <strong>of</strong> fault. In Broadley v Guy Clapham & Co 93<br />

it was held that the reference to “negligence, nuisance or breach <strong>of</strong> duty” served<br />

merely to identify the act or omission to which the paragraph referred, without<br />

adding any connotations <strong>of</strong> fault. 94<br />

And in Dobbie v Medway Health Authority, 95<br />

the<br />

Court <strong>of</strong> Appeal held that the plaintiff’s knowledge <strong>of</strong> attributability was not<br />

postponed until she became aware that there was no malignant tumour and that<br />

her breast had been removed unnecessarily. Sir Thomas Bingham MR said that if<br />

an element <strong>of</strong> fault were imported into section 14(1)(b) it would “stultify” the<br />

proviso to section 14(1). 96<br />

3.48 If, however, the principle laid down in Broadley and Dobbie were to be applied<br />

rigorously to all personal injury claims, so that fault were to be completely<br />

irrelevant to the question <strong>of</strong> attributability, it could produce anomalies in cases<br />

where the injuries were caused by an omission on the defendant’s part. This is<br />

illustrated by the Court <strong>of</strong> Appeal’s decision in Smith v West Lancashire Health<br />

Authority. 97<br />

In that case, the plaintiff suffered injury as a result <strong>of</strong> the defendant’s<br />

alleged failure to operate on a hand condition. It was held that the plaintiff could<br />

not be regarded as having knowledge that his injuries were attributable to the<br />

defendant’s omission until he actually knew that the defendant had failed to do<br />

something: in other words, “[o]ne cannot know <strong>of</strong> an omission without knowing<br />

what it is that is omitted.” 98<br />

3.49 In Forbes v Wandsworth Health Authority 99<br />

the plaintiff’s injury (that is, the loss <strong>of</strong><br />

his leg) had also been caused by an alleged negligent omission (that is, the failure<br />

<strong>of</strong> the surgeon to operate early enough) although, in contrast to Smith v West<br />

Lancashire Health Authority, the immediate cause <strong>of</strong> the injury was a positive action<br />

92 Davis v Ministry <strong>of</strong> Defence, The Times, 7 August 1985; Wilkinson v Ancliff (BLT) Ltd [1986]<br />

1 WLR 1352. See also Dobbie v Medway Health Authority [1994] 1 WLR 1234, 1240, per Sir<br />

Thomas Bingham MR; Spargo v North Essex District Health Authority[1997] PIQR P235,<br />

P242, per Brooke LJ.<br />

93 [1994] 4 All ER 439, overruling Bentley v Bristol and Weston Health Authority[1991] 2 Med<br />

LR 359.<br />

94 Ibid, 448, per H<strong>of</strong>fmann LJ.<br />

95 [1994] 1 WLR 1234 (CA). For facts, see para 3.42 above.<br />

96 Ibid, 1243. For the proviso, see para 3.39, n 75, above. See also Saxby v Morgan, [1997]<br />

PIQR P531.<br />

97 [1995] PIQR P514. See also Hallam-Eames v Merrett Syndicates Ltd [1996] 7 Med LR 112<br />

(CA).<br />

98 [1995]` PIQR P514 at P517, per Russell LJ.<br />

99 [1997] QB 402 (see para 3.42 above for facts)<br />

44

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