Breach of Duty Flashcards

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1
Q

Standard of care (Test - Common Practice)

A

The ‘reasonable person test’
The objective nature of the test
Act, not the actor

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2
Q

Standard of care (Test - Professional Standard)

A

d

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3
Q

Case -

A

Professional Standard

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4
Q

Factors relevant to breach

A
Likelihood of harm *
Magnitude of harm *
Practicality of precautions *
Benefit of Defendant's conduct
Common practice
'State of the art' defence
Sport
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5
Q

Establishing breach is very much a …

A

… balancing act between likelihood of harm, magnitude of harm and practicality of precautions. (And where relevant benefit of conduct and common practice).

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6
Q

Bolam Test

A

The general principle is that a professional will NOT be in breach of duty if they have acted in accordance with a practice accepted as proper by a responsible body of professionals skilled in that field.

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7
Q

The Bolam Test does not apply …

A

…. when a medical professional fails to advise a patient of risks. The test of materiality applies instead.

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8
Q

Two stages in determining whether there has been a breach of duty

A

(1) STANDARD OF CARE to be expected of the defendant must be established. This is a question of LAW.
(2) Once this has been ascertained, all the facts and circumstances must be examined to see if the defendants has fallen below that standard, i.e. BREACHED THE DUTY. This is a question of FACT.

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9
Q

Case - Blyth v Birmingham Waterworks (1856)

A

Defendants must behave as a reasonable person would in all the circumstances.

(A person does not have to do everything possible to prevent harm. Rather they have to reach the standard of what a reasonable person would do).

Alderson B gave the classic description o f the standard of care here.

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10
Q

Case - Glasgow Corporation v Muir (1943)

A

something to do with objective test??? (see slideshow 3)

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11
Q

Cases relevant to test ‘on the act and not the actor’

A

Nettleship v Weston (1971) {Drivers}
Wilsher v Essex AHA (1986) {Doctors - ‘act and not the actor’ DQ but principle can be used in other cases}
Condon v Basi (1985) {Competitive sports}

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12
Q

Bolam v Friern Hospital Management Committee (1957)

A

The test is the standard of the ordinary reasonable man exercising and professing to have that skill.

(A man need not possess the highest expert skill … sufficient if he exercises the ordinary skill of an ordinary competent man exercising that particular art)

NB: ‘not negligent if he is acting in accordance with such a practice, merely because there is a body of medical opinion which takes the contrary view’

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13
Q

Professional Negligence

A

NOT a separate tort but a particular AREA where ordinary common law negligence applies and operates: the ‘act not actor’ principle points to a different standard of care for professionals.

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14
Q

When can a lower standard of care be applied?

A

Children

Illness and disability

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15
Q

Standard of care (Test - Children)

A

In the case of children, the standard required will be that of the reasonable child of the defendant’s age.

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16
Q

Case - Mullin v Richards (1998)

A

Standard required will be that of the reasonable child of the defendant’s age

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17
Q

Case - Roberts v Ramsbottom (1980)

A

Slideshow 3

Negligent; he was judged against the standard of the reasonable competent driver. He should have stopped the car as soon as he realised that his driving was being affected.

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18
Q

Case - Mansfield v Weetabix Ltd (1998)

A

Slideshow 3

The defendant should be judged in comparison with a reasonably competent driver who is unaware that he is suffering a condition that impairs his ability to drive. The driver was thus found NOT LIABLE.

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19
Q

Case - Bolton v Stone (1951)

A

Related to likelihood of harm (small)

Slideshow 4

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20
Q

Case - Haley v London Electricity Board (1964)

A

Related to likelihood of harm (not so small that it should be ignored)

Slideshow 4

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21
Q

Case - Paris v Stepney Borough Council (1951)

A

Related to magnitude of harm (seriousness of injury) - if an injury that may occur would be serious, greater care will needed than if the risk was of a more minor injury.

Slideshow 4

22
Q

Case - Watson v British Boxing Board of Control Ltd (2001)

A

Relating to magnitude of harm (seriousness of injury) - _____

Slideshow 4

23
Q

Case - Latimer v AEC Ltd (1953)

A

Practicality of precautions - neither of the other precautions were justified given the small risk of injury to the claimant

Slideshow 4

24
Q

Case - Watt v Hertfordshire County Council (1954)

A

Relating to the benefit of the defendant’s conduct

It was held no breach by the fireman’s employer as the risk of injury was so small and the ultimate aim of saving life justified taking the risk.

Where life is at stake, abnormal risks may be justified.

25
Q

Case - Ward v L.C.C (1938)

A

Where life is at stake, abnormal risks may be justified (Watt v Hertfordshire County Council)

HOWEVER, this is not a blanket exemption for the emergency services.

Indeed, a fire authority was held liable to damage caused by going through a red light on the way to a fire.

26
Q

Compensations Act 2006 s 1

A

Reflecting the position established in common law, s 1 of the Compensation Act 2006 allows courts to consider the deterrent effect of the potential liability on socially desirable activities.

27
Q

Do another flashcard on s 1 of Compensations Act

A

See slideshow 4

28
Q

Social Action, Responsibility and Heroism Act 2015

A

This act requires that when a court is considering whether a person has been negligent it must take into account whether:

  • The person was acting for the benefit of society or any of its members
  • The person demonstrated a predominantly responsible approach towards protecting the safety or other interest of others
  • The alleged negligence or breach of statutory duty occurred when the person was acting heroically by intervening in an emergency to assist an individual in danger.
29
Q

Case - Re Herald of Free Enterprise (1987)

A

If a defendant can show they have acted in accordance with a practice usually followed by others in that field, this will be an argument in the d’s favour and the d may escape liability.

?

HOWEVER, note that the court can always rule that the common practice is itself negligence as it did in this case.

30
Q

Define ‘state of the art defence’

A

The courts must assess the defendant’s actions against the knowledge in the profession and/or accepted practice at the time of the alleged breach and NOT at the time of COURT HEARING.

31
Q

Relevance of ‘state of the art’ defence

A

This principle is relevant to establishing whether there has been a breach (and is NOT RELEVANT TO DEFENCES).

32
Q

Case - Roe v Minister of Health (1954)

A

Related to ‘state of the are’ defence

Unforeseeable risks cannot be anticipated and therefore failing to guard against them will not be regarded as negligence.

33
Q

Case - Wooldridge v Summer (1963)

A

When the defendant is participating in sport, the demands of the game will be foremost in their mind as they are likely to take risks in the heat of the moment.

In this case it was decided that nothing short of reckless disregard for the claimant’s safety would constitute a breach. Although in this case it was a spectator, rather than another participant that was injured.

34
Q

Case - Watson v Gray (1998)

A

It was held that there would be a breach of duty if the reasonable participant (of the defendant’s level) would have known that there was a significant risk that what they did could result in serious injury.

35
Q

Case - The Wagon Mound (No 2) (1967)

A

A balancing act

All relevant factors need to be balanced to determine if there has been a breach.

36
Q

Proof of breach

A

The burden is on the CLAIMANT to prove that the defendant breached the duty of care.

In order to discharge this burden, the claimant must show this, on the balance of probabilities.

37
Q

s 11 Civil Evidence Act 1968

A

If the incident that caused the claimant’s injury led to a criminal prosecution being brought against the defendant, then the claimant may be helped by relying on any conviction that results if the conviction is evidence of careless conduct eg dangerous
driving.

Double check slideshow 4

38
Q

Define ‘res ipsa loquitur’

A

Maxim means ‘the facts speak for themselves’

39
Q

Proof of breach - res ipsa loquitur

A

In a very small number of cases, the claimant may also be assisted by the maxim res
ipsa loquitur.

40
Q

Application of ‘res ipsa loquitur’

A
  • In a very small number of cases, the claimant may also be assisted by the maxim res ipsa loquitur.
  • The maxim is used where the only
    plausible explanation for the claimant’s injuries is negligence by the defendant.
  • If the maxim applies it will then be for the defendant to adduce evidence that shows that they were not negligent.
  • The maxim, therefore, helps claimants who have difficulty proving exactly how an accident occurred.
41
Q

Case - Scott v London and St Katherine Docks & Co (1865)

A

Relation to res ipsa loquitur ?

Slideshow 4

42
Q

Three conditions must be satisfied for maxim (res ipsa loquitur) to apply:

A
  1. The thing causing the damage was under the control of the defendant or someone they are responsible for
  2. The accident would not normally happen without negligence; and
  3. The cause of the accident is unknown to the claimant i.e. the claimant has no direct evidence of the defendant’s failure to take care

DOUBLE CHECK SLIDESHOW 4

43
Q

Case - De Freitas v O’Brien and Connolly (1995)

A

See video on slideshow 5

Court held NO BREACH because even though majority of doctors disagreed the 11 surgeons were considered a responsible body ???

44
Q

Case - Bolitho v City and Hackney Health Authority (1997)

A

Despite Bolam the court can find a professional negligent if it concludes that the ‘practice accepted as proper’ does not withstand logical analysis. ?

……. see video of slideshow 5 KEY CASE

45
Q

Case - Crawford v Charing Cross Hospital

A

Regarding ‘state of the art’ defence in a professional context

Would be both impractical and unrealistic to expect a professional to know every new development in their field at any given moment in time.

HOWEVER … GMC: doctors must do what IT IS REASONABLE TO KEEP UP TO DATE with new developments by going on professional developments and courses and case - Gascoine v Sheridan (1994)

NB: Also issue of internet and how information is more available nowadays.

46
Q

Case - Gascoine v Sheridan (1994)

A

Doctors must follow changes recognised in mainstream literature, although they need not necessarily be aware of content in more obscure journals.

47
Q

Bolam Test does NOT apply when …

A

… considering whether a medical professional is in breach of duty for a failure to warn of risks of procedures.

48
Q

Case - Montgomery v Lanarkshire Health Board (2015)

A

Bolam Test DOES NOT apply when considering whether a medical professional is in breach of duty for a failure to warn of risks of procedures in any recommended treatments and of any reasonable alternative or variant treatments.

49
Q

Define ‘material risk’

A

A material risk is one which a reasonable person in the patient’s position would be likely to attach significance to, or the doctor is or should reasonably be aware that the particular patient would be likely to attach significance to.

50
Q

Exceptions for medical professionals to ensure the patient is aware of any material risks involved

A

A medical professional can withhold information as to a risk if they:

  • Consider that its disclosure would be seriously detrimental to the patient’s health
  • Also excused from conferring with the patient in circumstances of necessity e.g. where the patient requires treatment urgently but is unconscious
51
Q

Why is the Bolam test not applicable when considering a failure to advise as to risks?

A

The court stated that the Bolam test is concerned with the exercise of professional expertise.

HOWEVER, some decisions that a doctor (for example) makes are not connected with medical expertise.

The decision about whether or not to advise as to risks was such a decision: it had more to do with the way in which the doctor-patient relationship should be viewed than it did with medical expertise.

Accordingly, the Bolam test is not relevant when considering a failure to advise as to risks - a medical professional is required to consider matters primarily from the patient’s point of view.

52
Q

Where the professional standard of care has been set, the starting point for determining whether the defendant has fallen below this standard is the …

A

… Bolam Test