Information sheet Pre-Action Protocol for Low Value Personal Injury (Employers Liability and Public Liability) Claims



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Information sheet Pre-Action Protocol for Low Value Personal Injury (Employers Liability and Public Liability) Claims You have received this information sheet as it is likely that your claim will proceed under the Protocol for Low Value Personal Injury (Employers Liability and Public Liability) claims process. 1 Introduction The aim of the process is to deliver fair compensation to the Claimant as soon as possible and for insurers to have early notification of the claim, with sufficient information to enable them to make a decision on liability. The process includes fixed time periods and fixed reasonable costs. 1.1 The process applies where:- 1.1.1 The claim arises from an accident occurring on or after 31 July 2013; or 1.1.2 In a disease claim no letter of claim has been sent to the Defendant before 31 July 2013; 1.1.3 The claim includes damages in respect of personal injury; 1.1.4 The Claimant values the claim at not more than 25,000 on a full liability basis including financial losses but excluding interest (and the personal injury element of the claim is more than 1,000) The process involves three distinct stages. If your claim exits the process at any stage it will fall into a different costs regime with different time scales. 2 Stage 1 Completion of the Claim Notification Form. To commence your claim you will need to complete a Claim Notification Form (CNF). The CNF form should provide all of the information that the Defendant or his insurers will need to make a decision on liability. As soon as the CNF has been completed in full, it will be sent electronically to the Defendant s insurer. You will need to sign the Statement of Truth on the CNF and it can only be sent to the Defendant s insurer once it has been signed. Your signature is confirmation that the facts stated are true. Please be advised that proceedings for contempt of Court may be brought against a person if they make, or cause to be made, a false statement in a document verified by a Statement of Truth without an honest belief in its truth.

The Defendant s insurer will send a receipt acknowledging receiving the CNF within one business day. At the same time, a modified version of the form will be sent to the Defendant by First Class post. All the fields on the CNF must be completed and if a mandatory field is not completed, so as to enable the insurer to make a decision on liability within the set period, then the claim will exit the process and there may be cost consequences. When the CNF has been correctly completed, the Defendant s insurer will have 30 business days in which to respond (in an employer s liability claim) and 40 business days in which to respond (in a public liability claim). The response will be sent electronically to the Claimant s solicitors. The response period will start the business day after the claim notification was sent by the Claimant s solicitor. During this response period, the Claimant s solicitor will carry out no further work. There will be no extensions on the time period for decisions on liability. 2.1 The claim will no longer continue under this Protocol where the Defendant, within the relevant period:- 2.1.1 Makes an admission of liability but alleges contributory negligence; 2.1.2 Does not complete and send the CNF response; 2.1.3 Does not admit liability, or 2.1.4 Notifies the Claimant that the Defendant considers that 2.1.4.1 There is inadequate mandatory information in the CNF, 2.1.4.2 If proceedings were issued, the small claims track would be the normal track for that claim 2.1.5 Denies liability or fails to respond within the relevant period. 2.2 Stage 1 Fixed Costs Except where the Claimant is a child, where liability is admitted the Defendant must pay the Stage 1 fixed costs within 10 days after receiving the Stage 2 Settlement Pack. Where the Defendant fails to pay the Stage 1 fixed costs within the specified period the Claimant may give written notice that the claim will no longer continue under this Protocol. Unless the Claimant s Notice is sent to the Defendant within 10 days after the expiry of the period the claim will continue under this Protocol. 3 Stage 2 - Medical Evidence Once an admission of liability has been received, the next step is to obtain an independent medico-legal report from an appropriate expert.

The report will describe your injuries, treatment, recovery and advise what your future progress is likely to be. We will not normally instruct a medical expert until your condition and recovery has stabilised. We may also need to obtain copies of your medical records, and the expert will consider these when preparing his or her report. The process allows for two reports to be obtained if necessary from experts within different disciplines. A third/fourth medical report can only be obtained on the recommendation of either of the two medical experts with a different discipline already consulted. No further reports are allowed at this stage. In addition, the experts may only review your medical records if they specifically identify a need for them. Once the medical report has been received, it will be forwarded to you so that you may check for any factual errors. If any factual errors are identified it will need to be returned to the expert to be amended and once you have confirmed that the report is true and accurate it will then be released to the opponent. There will be no further opportunity to challenge the factual accuracy of the medical report once it has been sent to your opponent. 3.1 Stay of process and request for an interim payment Where the Claimant needs to obtain a subsequent medical report or a report from a non-medical expert the parties should agree to stay the process for a suitable period of time. The Claimant may then request an interim payment of 1,000. The Claimant must send to the Defendant the Interim Settlement Pack and initial medical reports and evidence of financial loss in order to request the interim payment. The Defendant must pay 1,000 within 10 days of receiving the Interim Settlement Pack. If the Claimant wishes to request more than 1,000 they must specify this in the Interim Settlement Pack with the reasons for the request. 3.1.1 The Defendant must then pay:- 3.1.1.1 The full amount requested, less any deductible amount which is payable to the Compensation Recovery Unit in respect of any benefits you may have received as a result of the injury; 3.1.1.2 The amount of 1,000, or 3.1.1.3 Some other amount of more than 1,000 but less than the amount requested by the Claimant within 15 business days of receiving the Interim Settlement Pack. If the full amount is not agreed the Defendant must briefly explain why.

Where the claim is valued at more than 10,000 the Claimant may request more than one interim payment. The interim payment provisions do not apply where the Claimant is under 18 years old. Where the Claimant is a child and an interim payment is reasonably required the claim will exit the process and proceedings must be started under Part 7 of the Civil Procedure Rules and an Application for an interim payment can be made. However, this does not prevent a Defendant from making a payment direct to a treatment provider. 3.2 Release of the Stage 2 Settlement Pack Once you have confirmed that the medical report is factually accurate it is necessary to send a Stage 2 Settlement Pack form to your opponent (within 15 business days of the report being confirmed as factually accurate). The settlement pack will be sent together with the medical report, evidence of financial loss, evidence of any disbursements (for example, the cost of any medical report) any medical records/photographs served with the medical reports and witness statements. The settlement pack will also include an offer to settle your claim for pain, suffering, loss of amenity and all other expenses incurred. 3.3 Consideration of the Claim There is a 35 day period for consideration of the Stage 2 Settlement Pack by the Defendant. This comprises a period of up to 15 days for the Defendant to make an offer. The remainder of the total consideration period is for any further negotiations between the parties. The total consideration period can be extended by the parties agreeing to extend either the initial consideration period or the negotiation period or both. 3.4 Defendant Accepts Offer or Makes Counter-Offer Within the initial consideration period (or any extension agreed) the Defendant must either accept the offer made by the Claimant or make a counter-offer. Where the Defendant does not respond within the initial consideration period (or any extension agreed) the claim will no longer continue under this Protocol and the Claimant may start proceedings under Part 7 of the Civil Procedure Rules. When making a counter-offer the Defendant must propose an amount for each head of damage and may, in addition, make an offer that is higher than the total of the amounts proposed for all heads of damage. The Defendant must also explain in the counter-offer why a particular head of damage has been reduced. The explanation will assist the Claimant when negotiating a settlement and will allow both parties to focus on those areas of the claim that remain in dispute.

On receipt of a counter-offer from the Defendant the Claimant has until the end of the total consideration period or the further consideration period to accept or decline the counter-offer. 3.5 Withdrawal of Offer after the Consideration Period Where a party withdraws an offer made in the Stage 2 Settlement Pack Form after the total consideration period or further consideration period, the claim will no longer continue under this Protocol and the Claimant may start proceedings under the Part 7 of the Civil Procedure Rules. 3.6 Settlement Except where the Claimant is a child, the Defendant must pay the agreed damages less any relevant deductions within 10 days of the parties agreeing a settlement. 3.7 Failure to Reach Agreement Where the parties do not reach an agreement on the damages to be paid within the period specified the Claimant must send to the Defendant the Court proceedings pack form which must contain: 3.7.1 In part A, the final Schedule of the Claimant s losses and the Defendant s responses comprising only the figures specified during the period, together with the supporting comments and evidence from both parties on any disputed heads of damage; and 3.7.2 In part B, the final offer and counter-offer from the Stage 2 Settlement Pack Form. 3.8 Non-settlement Payment by the Defendant at the end of Stage 2 3.8.1 Except where the Claimant is a child, the Defendant must pay to the Claimant (within 15 business days of receiving the Court Information Pack):- 3.8.1.1 The final offer of damages made by the Defendant in the Court Proceedings Pack less any: 3.8.1.1.1 Deductible amount which is payable to the CRU, and 3.8.1.1.2 Previous interim payments; 3.8.1.2 Any unpaid Stage 1 fixed costs; 3.8.1.3 The Stage 2 fixed costs, and

3.8.1.4 The disbursements that have been agreed. Where the Defendant does not comply as above, the Claimant may give written notice that the claim will no longer continue under the Protocol and start proceedings under Part 7 of the Civil Procedure Rules. 4 Stage 3 - Procedure If quantum (the amount of damages) cannot be agreed by the end of Stage 2 of the process then an Application will be made to the Court to determine quantum. 3.1 The Application must be started by a Claim Form and the Claim Form must state:- 3.1.1 That the Claimant has followed the procedure set out in the relevant Protocol; 3.1.2 The date when the Court Proceedings Pack Form was sent to the Defendant; 3.1.3 Whether the Claimant wants the claim to be determined by the Court on papers or at a Stage 3 hearing; 3.1.4 Where the Claimant seeks a settlement hearing or a Stage 3 hearing, the dates which the Claimant requests should be avoided, and 3.1.5 The value of the claim. The Claimant must file with the Claim Form the Court Proceedings Pack including the Claimant s and Defendant s final offers (in a sealed envelope), copies of the medical reports, evidence of special damages and evidence of disbursements. 3.2 Where the Claimant is a child and the Application is for the approval of the Court it is also necessary to file:- 3.2.1 A draft Consent Order; 3.2.2 The advice provided by a barrister on the amount of damages, and 3.2.3 A Statement verified by a Statement of Truth signed by the Litigation Friend (who acts on behalf of the child) which confirms whether the child has recovered in accordance with the prognosis and whether there are any continuing symptoms. This statement will enable the Court to decide whether to order the child to attend a settlement hearing. It is important to appreciate that parties may not rely upon evidence unless it has already been served in accordance with the process.

The Defendant must file and serve an Acknowledgment of Service not more than 14 days after service of the Claim Form. 3.3 The Acknowledgement of Service must stay whether the Defendant:- 3.3.1 Contests the amount of damages claimed; 3.3.2 Contests the making of an Order for damages; 3.3.3 Disputes the Court s jurisdiction, or 3.3.4 Objects to the use of the Stage 3 procedure. It must also state whether the Defendant wants the claim to be determined by the Court on the papers or at a Stage 3 hearing. If the Defendant objects to the use of the Stage 3 procedure reasons must be given in the Acknowledgement of Service. The Court will then give consideration to the claim and will Order that damages are to be assessed either on the papers or at a Stage 3 hearing where the Claimant so requests on the Claim Form or the Defendants request in the Acknowledgement of Service or the Court so orders. The Court will then provide a date for determination and the parties will have at least 21 days notice of the date of the determination on the papers or the date of the Stage 3 hearing. Where the claim is determined on the papers the Court will give reasons for its decision in the Judgment. The Court will not consider an Application to set aside a Judgment made after a determination on the papers. The Judgment will state the Appeal Court to which an appeal lies. If you have any questions about the information contained within this guide please ask your solicitor at Clarke Willmott. Disclaimer: This information sheet has been prepared as a general overview and so may omit details of the law or not be wholly applicable to your case. It should be read in conjunction with any specific advice given, and if there is a conflict between the two, the specific advice takes precedence. If you are in any doubt please refer to the lawyer advising you. Last updated: February 2014 B001-979878-1. Clarke Willmott LLP is a limited liability partnership registered in England and Wales with registration number OC344818. Authorised and regulated by the Solicitors Regulation Authority (SRA number: 510689), whose rules can be found at www.sra.org.uk/handbook. Its registered office and principal place of business is 138 Edmund Street, Birmingham, West Midlands, B3 2ES. Any reference to a 'partner' is to a member of Clarke Willmott LLP or an employee who is a lawyer with equivalent standing and qualifications and is not a reference to a partner in a partnership. May 2014