A Mickey Mouse Claim

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Insurance Article

19 May, 2017

Chris_Booth
Chris Booth
Partner and Head of Insurance

O'Brien v Conwy County Borough Council

An audacious claimant who allegedly fell in the course of her employment as a teaching assistant has discontinued her claim shortly before trial.

The claimant alleged that she had slipped on a piece of discarded fruit sustaining a soft tissue injury to her neck, back and head.

Following the alleged accident, suspicions regarding the legitimacy of the claim emerged. Speculation at the school suggested that the claimant had faked her injury so that she could go on a family holiday to Florida during term time.

Initially the claimant had told work colleagues that she had gone on to Florida during the summer school holidays, although in her witness statement she admitted that she had visited Florida during term time. She also conceded that the holiday was pre-booked but she alleged that it had been booked and paid for by a family member as a surprise. She maintained that the first she knew of the holiday was in early September (the accident was 11 September) and apparently she had told the family member that she wouldn't be able to go due to work commitments (although presumably her place was never cancelled because she subsequently decided to go on the holiday when she was signed off sick).

The defendant deemed that it would have been a remarkable chain of events if it were true that the claimant was supposed to be going on holiday during summer 2015 but was unable to do so because they couldn't afford it; that a family member then booked (and paid for) the whole family to go on holiday to Florida without telling them; that the holiday was booked during term time when the family member would know that the claimant worked in a school and that fortuitously the claimant was able to attend the holiday after all due to an unforeseen period of sickness caused by this alleged incident. Notably the claimant failed to provide any corroborative evidence whatsoever relating to the holiday.

In any event, liability was firmly denied by the defendant. The school operated a robust system to ensure spillages and other hazards were removed and a number of risk assessments were in place. Staff had been trained to ensure that all obstructions on the floor were removed and required all spills to be mopped up. The claimant was a health and safety co-ordinator for the school and as such was responsible for ensuring compliance with the school's wide ranging health and safety procedures.

The defendant obtained detailed witness statements attesting to the school's health and safety procedures, evidence that the offending piece of fruit did not appear to have been squashed or trodden on, accounts relating to the claimant's unconvincing performance following the incident and the holiday to Florida. A series of probing Part 18 questions were employed to pin point the claimant's version of event and, following a successful application by the defendant to amend their defence to plead fundamental dishonesty, the claimant promptly discontinued her claim.

Forbes comment

The defendant has made an application to the Court pursuant to CPR 44.16 to seek an Order from the Court that the claim is fundamentally dishonest. If successful, the claimant will lose her QOCS protection and the defendant will be able to enforce the costs order in full against the claimant.

It is hoped that securing a finding of fundamental dishonesty will send out a robust and clear message that claims of this type will not be tolerated.

For more information, please contact Chris Booth by email or call 0161 918 0000.

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