Fraudulent Personal Injuries Claims Ronan Kyle BL Dublin Solicitors CPD Overview • Traditional common law approach • The Civil Liability and Courts Act, 2004 • Issues arising in case-law under the 2004 Act: – Indivisibility of claim once fraud established – Importance of characteristics & demeanour of plaintiff/injustice criterion – Onus and standard of proof – Potential dangers for defendants in using s.26 – Social media and surveillance – Criminal Prosecutions under ss.14 and 25 Fraud in Personal Injuries Law • Common Law: Shelley Morris v Dublin Bus [2003] 1 IR 232 – Denham J described three categories: (i) pure concoction = simple fraud (ii) genuine but subjective exaggeration =no fraud (iii) deliberate exaggeration of genuine = fraud • Civil Liability and Courts Act, 2004 ss. 14, 25, 26: expands the courts’ jurisdiction to dismiss fraudulent claims and despite its title, also creates new criminal offences • Per Barton J in Lukasz Waliszewski v McArthur Steel [2015] IEHC 264: the Act “places in the hands of the defendant a weapon to attack and destroy a plaintiff’s case…and when successfully invoked there are serious and potentially penal consequences for the plaintiff” Civil Liability and Courts Act, 2004 • S.14 (1) requires all parties to personal injuries actions to swear affidavits verifying the assertions and allegations contained in pleadings • S.14 (5) creates a new criminal offence: • “If a person makes a statement in an affidavit under this section— (a) that is false or misleading in any material respect, and (b) that he or she knows to be false or misleading, he or she shall be guilty of an offence” Civil Liability and Courts Act, 2004 • S.25 also creates a new offence: “any person who dishonestly causes to be given or adduces evidence in a personal injuries action which is false or misleading in any material sense, and he or she knows it to be false or misleading, shall be guilty of an offence” • Penalties for offences under ss. 14 & 25: -on indictment: fine up to €100,000 and/or imprisonment for up to 10 years -on summary conviction in District Court: fine up to €3,000 and/or prison for up to 12 months Civil Liability and Courts Act, 2004 • s. 26.(1) “If…a plaintiff in a personal injuries action gives or adduces, or dishonestly causes to be given or adduced, evidence that (a) is false or misleading, in any material respect, and (b) he or she knows to be false or misleading, the court shall dismiss the plaintiff's action unless, for reasons that the court shall state in its decision, the dismissal of the action would result in injustice being done” Civil Liability and Courts Act, 2004 • 2) “The court in a personal injuries action shall, if satisfied that a person has sworn an affidavit under section 14 that (a) is false or misleading in any material respect, and (b) that he or she knew to be false or misleading when swearing the affidavit, dismiss the plaintiff's action unless, for reasons that the court shall state in its decision, the dismissal of the action would result in injustice being done” Civil Liability and Courts Act, 2004 • (3) For the purposes of this section, an act is done dishonestly by a person if he or she does the act with the intention of misleading the court • Key criteria: – evidence must be “material” – subjective, plaintiff-focused test: “knows to be” – mandatory requirement to dismiss: “the court shall dismiss” – “injustice” proviso allows court to refuse to dismiss, even when all the criteria have been met Case-law under the 2004 Act • Mulkern v Flesk [2005] IEHC 48: lie to employer to obtain job was held not to be “false or misleading evidence” to the Court. Fraud must be something more than “mere anomalies or inconsistencies” • Carmello v Casey [2008] 3 IR 524: Plaintiff could not recall subsequent accident causing facial numbness for which he was also claiming. S.26 applied – claim dismissed. Case-law under the 2004 Act • Singleton v Doyle [2009] IEHC 382:Plaintiff claiming for injuries in RTA – had been involved in previous RTA 9 years before - failed to mention to her doctor precise lasting symptoms of previous RTA. Peart J held: Pl was “poor historian” of previous RTA but no attempt to “deliberately conceal material information to exaggerate her claim or mislead the Court”. S. 26 application refused. Case-law under the 2004 Act • Donovan v Farrell [2009] IEHC 617: Pl failed to mention previous occurrence of back pain when she was pregnant. Also filmed by private investigator carrying lawn mower. Peart J held: pregnancy back pain not relevant to back pain complained of in the instant case and lawn mower was not heavy. Despite lack of candour, not sufficient to establish fraud – s.26 application refused. Case-law under the 2004 Act • Gammell v Doyle [2009] IEHC 416: Pl struck in the face by Def suffering serious nose and eye injuries. Def claimed Pl had provoked him by making threats and lewd comments about him and his wife and poking him with his finger. Hanna J granted s.26 application finding Pl was “venomous, rude and provocative” and his account “fanciful, self-serving and deliberately so”. • Q – does s.26 apply to assault and battery? Case-law under the 2004 Act • Indivisibility of claim: given mandatory nature of s.26, important for practitioners to make sure claim is properly grounded: • Farrell v Dublin Bus [2010] IEHC 327: Pl rearended by bus – whiplash. Pl claimed €71,000 loss of earnings to date of trial and future loss of earnings of €343,000. Def sought adjournment to investigate. When trial came on Pl dropped future loss of earnings claim… Case-law under the 2004 Act • Farrell v Dublin Bus (cont.) Pl was also unable to provide evidence of existing loss of earnings and unable to account for a comfortable lifestyle when she claimed to be on Social Welfare. Quirke J: “When Pl simply abandons claim for €343,000 when challenged, it is inappropriate…to proceed as if nothing unusual has occurred. Something unusual has occurred and must be explained.” S. 26 applied – claim dismissed. Case-law under the 2004 Act • Platt v OBH Luxury Accommodation [2015] IEHC 793: Pl fell 7 metres from window of hotel, suffering very severe injuries. HC (Barton J) found Def liable in negligence but applied s.26 and dismissed claim on the basis of surveillance footage showing Pl engaging in activities he claimed to be unable to do – walking to shops, driving. When Pl became aware of surveillance he modified original claim for special damages of £928,000stg. Case-law under the 2004 Act • Barton J rejected this, holding that once fraud established, not possible to sever the valid and invalid parts of the claim. The court also rejected as nebulous Pl’s argument that he had a subjective, honest belief that he was more disabled than he actually was. If that was true, court found that there would be consistency in Pl’s physical symptoms and there was none. Pl “neither honest, credible or reliable and had grossly exaggerated.” Case-law under the 2004 Act • Barton J went on to reject the argument that the “injustice” proviso should apply, given the serious nature of the Pl’s injuries and the finding of negligence against the Def. • Court gave a very narrow interpretation of “injustice” centred on disproportionality: – Trivial lie told by catastrophically injured Pl – Fatal injuries claim based on false evidence which would unjustly penalise infants/incapacitated dependents. Case-law under the 2004 Act • Sympathetic plaintiffs: courts often seem to adopt a more relaxed approach to s.26 applications based on their view of the plaintiff. • Ahern v Bus Eireann [2011] IESC 44: Supreme Court (Denham J) refused to allow the Def’s appeal from the High Court’s refusal to apply s.26. “Determinedly independent 78 year old widow” injured when she fell from bus seat. Case-law under the 2004 Act • Ahern v Bus Eireann (cont.) Pl claimed she required a carer as a result of accident, grounding a claim for special damages of €177,000. She withdrew this claim after being cross-examined. Supreme Court held that reports of actuary and nurse grounding special damages claim were never actually put into evidence, so s.26 could not apply. Both HC and SC seemed particularly impressed with the honest demeanour of the Pl, contra Platt. Case-law under the 2004 Act • Court in Ahern also seemed to adopt a more generous approach to the Pl’s subjective view of their own symptoms and needs than in Platt: • “…it is understandable and human that she might wish to attribute some of [her symptoms] to the accident than to the passage of time.” • Key difference: honesty of Pl. Onus and Standard of Proof • Ahern, Supreme Court, per Denham J: – “It is for the plaintiff in a civil action to prove their claim on the balance of probabilities…” – “However, under s.26 of the Act of 2004…the defendant carries the onus of proof, which is also on the balance of probabilities.” Potential misuse of s.26 • Dunleavy v Swan Park t/a Hair Republic [2011] IEHC 232: Pl asked for wash & colour – hair started to fall out. Def applied for s.26 dismissal alleging Pl had concealed psychiatric history, social activities, income – none of which was relevant. O’Neill J: – “s.26 is to deter and disallow fraudulent claims…not an opportunity to seize on anomalies and inconsistencies which would unjustly do grave damage to the good name of a worthy plaintiff” – Aggravated/Exemplary damages Social Media and Surveillance • Danagher v Glantine Inns [2010] IEHC 214: Pub fracas, Pl removed by bouncers, claimed for injuries to back and neck. Def brought s.26 application relying on: 1) newspaper report of a parachute jump undertaken by Pl a few months after incident; 2) Pl’s Facebook account: “Favourite music: anything that will get me dancing and hitting the roof”… “ya I tink we mite be going out alrite, ul probably come across me drunk on a dancefloor” Social Media and Surveillance • Rita Milinovic – claimed life changed utterly after minor car accident…. Rita Milinovic – After the accident - Facebook Social Media and Surveillance Facebook account showed bikini clad shots of her posing at international body sculpture competitions and working out at a gym. Judge Raymond Groarke, President of the Circuit Court stated in granting the s.26 application: “She is clearly a very fine human specimen in the best of physical condition”. Criminal Prosecutions ss.14, 25 • So far, very few but likely to increase in future. • First prosecution: DPP v Raymond Smith – cage fighter claimed for back injury after car accident – convicted under s.14 for swearing a false affidavit after DVDs of his fights came to light – Mary Ellen Ring J handed down a 3 year suspended sentence in December, 2015. • DPP v David Ward & Lynsey Ivory – couple claimed they were strangers who had a car accident… Criminal Prosecutions • FBD Insurance saw them in each other’s Facebook profiles. Judge Martin Nolan sentenced both to 2 years imprisonment, fully suspended for Ivory, 1 year suspended for Ward. Conclusions & Practitioner Guidelines • 2004 Act has taken some time to bed down – but more litigation, both civil and criminal can be expected to flow from it in the future • Given the mandatory nature of s.26 and the indivisibility of claims, plaintiffs must be carefully advised on: – not exaggerating their loss of earnings, past and present – not exaggerating other aspects of their claim, for instance symptoms or impact of their injuries Conclusions & Practitioner Guidelines – posting inappropriate, inconsistent and potentially claim-destroying material on Facebook and other social media Practitioners should be careful when drafting the affidavit of verification under s.14. Any necessary caveats as to matters pleaded should be included in the affidavit Defendants should be advised on the potential damages implications of an inappropriate or speculative s.26 application Questions
© Copyright 2026 Paperzz