Delaney v AAMI Insurance Ltd

Case [2007] QSC 174


SUPREME COURT OF QUEENSLAND

CITATION:

Delaney v AAMI Insurance Ltd [2007] QSC 174

PARTIES:

DAVID MASSINGHAM as Litigation Guardian for SUSAN DELANEY
(applicant)
v
AAMI INSURANCE LIMITED ACN 92 004 791 744
(respondent)

FILE NO:

BS4395 of 2007

DIVISION:

Trial Division

PROCEEDING:

Application

DELIVERED ON:

17 July 2007

DELIVERED AT:

Supreme Court, Brisbane

HEARING DATE:

26 June 2007

JUDGE:

Wilson J

ORDER:

1. Declare that in the circumstances of this case it would be reasonable and appropriate to make the following rehabilitation services available to the applicant –

(a)     consultant neurologist: Dr Alison Reid or Dr Michael Walsh

(b)     physiotherapist: Ms Jennie McCorkell

(c)     speech pathologist: Ms Vicki Byatt

(d)     occupational therapist: Ms Beth Dermer

(e)     dietician: Ms Aloysa Houran

(f)     case manager: a person nominated by CRS Australia other than Ms Karen Pery-Johnston

2. Order that the respondent pay the applicant’s costs of and incidental to the application on the standard basis, fixed at $8,000.

CATCHWORDS:

INSURANCE – THIRD-PARTY LIABILITY INSURANCE – MOTOR VEHICLES – COMPULSORY INSURANCE LEGISLATION – GENERALLY – QUEENSLAND – the applicant was seriously injured in a motor vehicle accident – the compulsory third party insurer of the motorcycle on which she had been a passenger agreed to fund reasonable and appropriate rehabilitation but refused to admit liability – the solicitors for the applicant and respondent could not agree on the professionals to provide rehabilitation services – whether the applicant has the right to choose service providers – which service providers should be appointed by the Court

Motor Accident Insurance Act1994 (Qld) s 51, 65
Motor Accident Insurance Regulation 2004 (Qld) sch 5

Re Walker (1995) 22 MVR 245, cited

COUNSEL:

M Grant-Taylor SC and G J Cross for the applicant

R B Dickson for the respondent

SOLICITORS:

Colin Patino & Company for the applicant
Jensen McConaghy for the respondent

  1. Wilson J:  The applicant sustained serious brain injury and other injuries when the motorcycle on which she was a pillion passenger was involved in an accident on 16 June 2006. She has been in a persistent vegetative state ever since. The motorcycle driver was killed in the accident.

The application

  1. On 14 July 2006 a motor accident claim document was lodged on her behalf with the respondent, which was the compulsory third party insurer of the motorcycle. On 20 July 2006 the respondent wrote that it would “fund the cost of reasonable and appropriate rehabilitation”.[1]  It has refused to admit liability in full or in part.

    [1]Motor Accident Insurance Act1994 (Qld) (MAI Act) s 51(1).

  1. The respondent and those acting on behalf of the applicant agree that the applicant requires rehabilitation services provided by a neurologist, a dietician, an occupational therapist, a physiotherapist and a speech pathologist – but they do not agree upon the identities of the service providers or upon who should be the case manager.

  1. The applicant’s solicitors twice suggested mediation to help resolve issues between the parties[2] (on 5 February 2007 and on 22 March 2007). On…

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Details
AGLC
Delaney v AAMI Insurance Ltd [2007] QSC 174
Case
[2007] QSC 174
Decision Date

CaseChat Overview and Summary

Delaney was seriously injured in a motor vehicle accident. She was a passenger on a motorcycle, and the compulsory third party insurer for the motorcycle, AAMI Insurance Ltd, agreed to fund reasonable and appropriate rehabilitation for her injuries. However, the insurer refused to admit liability. The solicitors for the applicant and respondent could not agree on the professionals to provide the rehabilitation services. The court was asked to determine whether the applicant has the right to choose the service providers and which service providers should be appointed by the Court.

The court held that the applicant has the right to choose the service providers, and the court should appoint the providers if the parties cannot agree. The court also considered the nature and extent of the injuries, the services required for rehabilitation, and the need for the applicant to have access to rehabilitation services in a timely manner. The court found that the applicant required a multidisciplinary approach to rehabilitation, and the services should be provided by professionals with expertise in the relevant fields. The court appointed the specific professionals listed in the orders.

The court ordered that the rehabilitation services should be provided by the professionals listed in the orders, and the insurer should pay the applicant’s costs of and incidental to the application on the standard basis, fixed at $8,000.

The court made the orders as stated above. The insurer was required to fund the rehabilitation services and pay the applicant’s costs. The applicant was entitled to access the rehabilitation services provided by the appointed professionals.

Orders

Orders of the court

1. Declare that in the circumstances of this case it would be reasonable and appropriate to make the following rehabilitation services available to the applicant –

(a) consultant neurologist: Dr Alison Reid or Dr Michael Walsh

(b) physiotherapist: Ms Jennie McCorkell

(c) speech pathologist: Ms Vicki Byatt

(d) occupational therapist: Ms Beth Dermer

(e) dietician: Ms Aloysa Houran

(f) case manager: a person nominated by CRS Australia other than Ms Karen Pery-Johnston

2. Order that the respondent pay the applicant’s costs of and incidental to the application on the standard basis, fixed at $8,000.

Background

Background to the litigation

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Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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