[Home] [Databases] [World Law] [Multidatabase Search] [Help] [Feedback] | ||
England and Wales High Court (Queen's Bench Division) Decisions |
||
You are here: BAILII >> Databases >> England and Wales High Court (Queen's Bench Division) Decisions >> Pine v Das Legal Expenses Insurance Company Ltd [2011] EWHC 658 (QB) (25 March 2011) URL: http://www.bailii.org/ew/cases/EWHC/QB/2011/658.html Cite as: [2011] 2 Costs LO 229, [2011] EWHC 658 (QB) |
[New search] [Printable RTF version] [Help]
QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
||
B e f o r e :
(sitting as a Judge of the High Court)
____________________
JULIE NATASHA PINE |
Claimant |
|
- and - |
||
DAS LEGAL EXPENSES INSURANCE COMPANY LIMITED |
Defendant |
____________________
Gavin Hamilton (instructed by Lyons Davidson) for the defendant
Hearing date: 14 March 2011
____________________
Crown Copyright ©
His Honour Judge Richard Seymour Q.C. :
Introduction
"a Declaration that she is entitled, pursuant to The Insurance Companies (Legal Expenses Insurance) Regulations 1990 and under the terms of her contract, to choose her own legal representative, namely a public access barrister."
"7.1 Her full costs in this matter.
7.2 Damages for all losses suffered in relation to other proceedings in which the insurance is relied upon, which arise from the Defendant's refusal to indemnify the Claimant in respect of her choice of legal representative.
7.3 Interest on such damages as are awarded to her, pursuant to section 35A of the Supreme Court Act 1981 at such rate and for such period as the Court thinks fit."
The terms of the Policy
"Extra definitions
Appointed Representative
The lawyer, accountant or other suitably qualified person who has been appointed to act for you in line with the terms of this section.
Costs and expenses
a) Legal costs
All reasonable and necessary costs which the appointed representative may charge on a standard basis. Also the costs your opponents have to pay in civil cases if you have been ordered to pay them, or pay them with our agreement.
…
What is covered
This section covers you. …We agree to provide the insurance in this section as long as:
…
d) for civil claims, it is always more likely than not that you will get back damages (or get any other legal remedy which we have agreed to) or make a successful defence.
…
If you use an appointed representative, we will pay the costs and expenses for this.
The most we will pay for all claims resulting from one or more event arising at the same time or from the same cause is £50,000.
1. Contract disputes
We will negotiate for your legal rights in a contractual dispute arising from an agreement or an alleged agreement which you have entered into for:
a) buying or hiring any goods or services; …
…
Claims conditions applying to this section
1. Once you have sent us the details of your claim and we have accepted it, we will start to deal with your legal problem.
…
We normally deal with claims through our legal claims centre but sometimes we use appointed solicitors.
Please do not ask for help from a solicitor or accountant before we have agreed. If you do, we will not pay the costs involved.
2. a) We can take over and control, in your name, any claim or legal proceedings at any time. We can negotiate any claim on your behalf.
b) You are free to choose an appointed representative (by sending us a suitably-qualified person's name and address) if:
- we agree to start court proceedings and it becomes necessary for a lawyer to represent your interests in those proceedings;
- there is a conflict of interest.
We may choose not to accept your choice, but only in exceptional circumstances. If there is a disagreement over the choice of appointed representative in these circumstances, you may choose another suitably-qualified person.
c) In all circumstances except those in 2. b) above, we are free to choose an appointed representative.
d) We will appoint a representative and the appointed representative must co-operate fully with us at all times.
e) We will have direct contact with the appointed representative.
f) You must co-operate fully with us and the appointed representative, and must keep us up to date with the progress of the claim.
g) You must give the appointed representative any instructions that we may need.
3. a) You must tell us if anyone offers to settle a claim.
…
4. a) You must tell the appointed representative to have costs and expenses taxed, assessed or audited, if we ask for this.
b) You must take every step to recover costs and expenses that we have to pay and must pay us any costs and expenses that are recovered.
…
7. If we and you disagree about the choice of appointed representative, or about the handling of a claim, we and you can choose another suitably-qualified person to decide the matter. We and you must both agree to the choice of this person in writing. Failing this, we will ask the president of a relevant national law society to choose a suitably-qualified person.
Whoever loses the dispute must pay all the costs of resolving the disagreement.
…
Conditions
The following extra conditions apply to the whole of this section.
1. You must:
a) keep to the terms and conditions of this section;
b) take reasonable steps to keep any amount we have to pay as low as possible;
c) try to prevent anything happening that may cause a claim;
d) send us everything we ask for, in writing; and
e) give us full details in writing of any claim as soon as possible and give us any information we need.
…"
The Insurance Companies (Legal Expenses Insurance) Regulations 1999
""lawyer" means a person entitled to pursue his professional activities under one of the denominations laid down by Council Directive 77/249/EEC."
"The company [carrying on legal expenses insurance business] shall, in the policy, afford the insured the right to entrust the defence of his interests, from the moment that he has the right to claim from the insurer under the policy, to a lawyer of his choice or, to the extent that the law of the relevant forum so permits, to any other appropriately qualified person."
"(1) Where under a legal expenses insurance contract recourse is had to a lawyer (or other person having such qualifications as may be necessary) to defend, represent or serve the interests of the insured in any inquiry or proceedings, the insured shall be free to choose that lawyer (or other person).
(2) The insured shall also be free to choose a lawyer (or other person having such qualifications as may be necessary) to serve his interests whenever a conflict of interests arises."
Council Directive 87/344/EEC
"Whereas the interest of persons having legal expenses cover means that that the insured person must be able to choose a lawyer or other person appropriately qualified according to national law in any inquiry or proceedings and whenever a conflict of interests arises;"
"1. Any contract of legal expenses insurance shall expressly recognize that:
(a) where recourse is had to a lawyer or other person appropriately qualified according to national law in order to defend, represent or serve the interests of the insured person in any inquiry or proceedings, that insured person shall be free to choose such lawyer or other person;
(b) the insured person shall be free to choose a lawyer or, if he so prefers and to the extent that national law so permits, any other appropriately qualified person, to serve his interests whenever a conflict of interests arises.
2. Lawyer means any person entitled to pursue his professional activities under one of the denominations laid down in Council Directive 77/249/EEC of 22 March 1977 to facilitate the effective exercise of lawyers of freedom to provide services."
"1. Activities relating to the representation of a client in legal proceedings or before public authorities shall be pursued in each host Member State under the conditions laid down for lawyers established in that State, with the exception of any conditions requiring residence, or registration with a professional organization, in that State.
2. A lawyer pursuing these activities shall observe the rules of professional conduct of the host Member State, without prejudice to his obligations in the Member State from which he comes.
3. When these activities are pursued in the United Kingdom, "rules of professional conduct of the host Member State" means the rules of professional conduct applicable to solicitors, where such activities are not reserved for barristers and advocates. Otherwise the rules of professional conduct applicable to the latter shall apply."
The pleaded case of DAS
"3. Save that it is admitted that the Defendants have refused to permit the Claimant to instruct counsel on a direct professional access basis in the case of Royds v. Pine HQ08X04311, paragraph 3 of the Particulars of Claim are denied. The Defendant avers that it has been and remains willing to permit the Claimant to instruct a solicitor of her own choice to represent her interests in proceedings, whether such be a non-panel solicitor (subject, to their agreement to abide by DAS Standard Terms of Appointment) or a DAS Panel solicitor. Further, in so far as is necessary in the proper conduct of her claim, the Defendant avers that it has been and remains willing to permit the Claimant, through the solicitors instructed, to subsequently instruct counsel of her own choice to represent her interests in such claim.
3A. It is the Defendants' primary contention that the matters pleaded in paragraph 3 hereof, (namely the freedom to instruct solicitors of her own choice, and through them, counsel of her own choice, amounts to freedom to choose a lawyer), of themselves, amount to compliance by the Defendants with the obligations imposed on the Defendants by regulation 6 of The Insurance Companies (Legal Expenses Insurance) Regulations 1990, SI 1990/1159. The Defendants deny that the said regulations require the Defendants to permit the Claimant to instruct counsel on a direct public access basis. In the premises, it is denied that the Defendant is in breach of regulation 6 of the said regulations.
3B. In the alternative, the Defendants will contend that, in the particular circumstances of the Claimant's case as pleaded below, the freedom of choice provided to the Claimant as pleaded in paragraph 3 hereof amounted to compliance by the Defendants with the obligations imposed on it Defendants [sic] by regulation 6 of The Insurance Companies (Legal Expenses Insurance) Regulations 1990, SI 1990/1159.
PARTICULARS
(i) It is averred that the provisions of the Bar Code of Conduct prohibit counsel from conducting litigation on behalf of a lay client. Accordingly, were the lawyer instructed by the Claimant to be counsel instructed on a direct professional access basis, the Claimant would necessarily be required to undertake day-to-day conduct of the litigation herself.
(ii) The terms of the Claimant's contract for legal expenses insurance with the Defendants requires the Defendants to be kept up to date with the progress of the claim, and give the Defendants any information they need. The Defendants ordinarily require their being notified, amongst other things, in the event that the prospects of success of the proceedings being brought by the Claimant and underwritten by the Defendants are less than 51%, that the claimant remains covered under the terms of the legal expenses insurance policy between the parties hereto and to provide regular case reports as to the progress of the case including the likely costs incurred by both sides to the date of the report and thus whether the level of indemnity cover has been reached.
(iii) It is the Defendants' case that the matters pleaded in paragraph 3B (ii) above are a feature of the day-to-day conduct of litigation and thus not something which any counsel instructed by the Claimant on a direct professional access basis would undertake.
(iv) The Claimant is not legally qualified; further, she has a personal interest in the outcome of the case. In those circumstances, it is the Defendant's case that the Claimant does not possess the necessary experience, expertise and/or objectivity to enable her to comply with the above contractual requirements.
(v) In the circumstances, the Defendant contends that it is necessary for a solicitor (of the claimant's own choice) to be instructed to represent her whilst also ensuring compliance with the above contractual requirements.
(vi) The Defendant avers that given the necessity, for the reasons pleaded in paragraph 3B hereof, for solicitors to be instructed on behalf of the Claimant, the freedom for the Claimant to instruct solicitors of her own choice, and through them, counsel of her own choice, amounts to freedom to choose a lawyer in accordance with the obligations imposed on the Defendants by regulation 6 of The Insurance Companies (Legal Expenses Insurance) Regulations 1990, SI 1990/1159.
3C. In the circumstances, it is denied that the Defendant is in breach of regulation 6 of The Insurance Companies (Legal Expenses Insurance) Regulations 1990, SI 1990/1159.
4. As to paragraph 4 of the Particulars of Claim, it is denied that the Defendant is in breach of contract for the reasons pleaded in paragraphs 3-3B above.
4A. Further or alternatively, in so far as necessary, the Defendant will rely upon that part of paragraph 2b of the Claimant's legal expenses insurance policy entitling the Defendant not to accept the Claimant's choice of appointed representative in exceptional circumstances. The Defendant will, if necessary, aver that the matters pleaded in paragraph 3B above amount to exceptional circumstances, thus entitling the Defendants to refuse to accept counsel instructed on a direct professional access basis as the claimant's sole appointed representative.
4B. In the circumstances, it is denied that the Defendant is in breach of contract with the Claimant.
4C. Further, it is denied that the said directive is directly enforceable against the Defendant. Without prejudice to this contention it is, in any event, denied that the Defendant is in breach of the provisions of the said directive for the reasons pleaded in paragraphs 3 – 3B herein."
The submissions on behalf of DAS
"28. It might be thought that DAS would favour the instruction of a barrister on a public access basis, because it would save the cost of instructing a solicitor. DAS's position, developed below, is that the way in which it provides legal expenses insurance cover to policyholders requires it to have safeguards in place to ensure that the merits of the claim or defence are regularly and independently reviewed, the incurring of cost is regularly monitored and any offers to settle are reported to it. These are proper commercial concerns to avoid it having to fund claims or defences with insufficient prospects of success and/or to incur adverse costs (through the inadequate conduct of litigation by an inexperienced and ill-resourced litigant in person) which might otherwise be avoidable.
29. The policyholder is neither qualified, nor sufficiently independent, to be capable of being relied on to protect DAS's legitimate interests in this way. A barrister appointed on a public access basis by the policyholder would not necessarily be in the position of having all of the relevant information in order to be able to report to DAS or to control all of the steps being taken in the litigation."
"30. DAS first point is that there is no breach of regulation 6, because there is freedom of choice. Ms Pine is able to choose a solicitor to act for her and also to choose a barrister. There is no objection to her choice of Mr. Hyams, merely a pre-condition as to how he is to be instructed.
31. There is however no breach of regulation 6, for a further reason that Mr. Hyams is not a lawyer within the meaning of regulation 2(b) as he is not permitted to conduct litigation.
32. If he were to be instructed to act in the Royds action on a public access basis, he would not be acting within the scope of article 4.1 and 4.2 of the 1977 Directive, and therefore would not be within article 4 of the 1987 Directive.
33. Article 4.3 of the 1977 Directive identifies as the relevant professional rules the professional rules governing solicitors, because the activity in question is not one that is reserved to barristers and advocates. Since it cannot be supposed that a self-employed barrister could be under an obligation to comply with the professional conduct rules of a solicitor, the article seems to require to be read as referring to a solicitor. This would be a quixotic conclusion, but is probably explicable on the basis that in 1990 there was no blurring of the distinction between advocacy services being performed by barristers and litigation services being performed by solicitors.
34. Assuming that article 4.3 should be read as referring to the professional rules governing barristers, then it is necessary to consider what a barrister is permitted to do under those professional rules.
35. A barrister is not permitted by rules 401(b)(i) and (ii) … of the Professional Conduct Rules to "undertake the management administration or general conduct of a lay client's affairs" or "conduct litigation … and must not conduct correspondence or other work involving other parties save as permitted by rule 401A below."
36. Rule 401A … permits a barrister to conduct correspondence if it is [in] the lay client's best interests that he does so and he has adequate systems, experience and resources for doing so.
37. The Public Access Rules are at Annexe F2 to the Code of Conduct and were revised and re-issued on 31.3.2010. …
38. Rule 3(2) prevents a barrister from accepting direct instructions from a lay client "in connection with any matter of [sic] proceedings in which, in all the circumstances, it would be in the best interests of the client or in the interests of justice for the client to instruct a solicitor or other professional client."
39. Rule 4 imposes a continuing duty to consider whether it is appropriate for him to act on a public access basis.
40. Rule 5 imposes an obligation on the barrister to have regard to guidance published by the Bar Council in carrying out any public access instructions.
41. Rule 6(c) requires the barrister to notify the client that "the barrister cannot be expected to perform the functions of a solicitor or other authorised litigator and in particular to fulfil limitation obligations, disclosure obligations and other obligations arising out of or related to the conduct of litigation.""
"45. In a document-heavy and complex professional liability claim such as the Royds action, it is unrealistic to suppose that there are not litigation services to be provided. The following points are relevant:
45.1 this is a financially significant claim;
45.2 Royds are represented by Reynolds Porter Chamberlain ("RPC"), a large firm well used to handling complex professional indemnity claims;
45.3 there will need to be continual liaison with the court, with RPC, with witnesses and with DAS;
45.4 court directions will need to be obtained and then complied with, including directions as to disclosure of documents, the preparation of schedules of loss and the preparation of witness statements;
45.5 it may well be that there will need to be expert evidence.
46. There are two difficulties about Ms Pine taking on this role of providing the litigation services:
46.1 it is unrealistic to expect that Ms Pine with her lack of legal qualification and her chronic fatigue syndrome will be able to handle all of these tasks effectively without assistance, against a sophisticated opponent such as RPC – she recognises this herself;
46.2 there is an obvious potential conflict of interest between Ms Pine and DAS in considering whether or not there continue to be merits in the defence and counterclaim in the Royds action.
47. There are two difficulties about Mr. Hyams taking on the role:
47.1 he is not permitted to perform these tasks by the Public Access Rules;
47.2 in practice he would not be able to monitor and report to DAS as would a solicitor, as he would not necessarily know all that was relevant about the matter at any given time."
The evidence
"I have suffered a great deal of stress as a result of not being indemnified by the Defendant and thereby being unrepresented in my high value claims against professional litigants who are legally represented. My medical condition of ME/Chronic Fatigue Syndrome renders me highly susceptible to stress and stress in turn exacerbates my medical condition, in both the short and long-term. Being unable to represent myself in any capacity at case management hearings because of ill-health and being unable to fund Mr. Hyams' representation of me, has meant that hearings have proceeded in my absence and led to a number of orders being made which were not in my favour. The prospect of those legal professionals, who have most likely cost me hundreds of thousands of pounds in my employment tribunal claim (because I am now deemed retired at the age of 34) and who have directly contributed to my being medically advised not to start a family, as a result of their combined failures in their representation of me, being permitted to not only not pay me compensation but also to claim fees for their negligent work from me, and the prospect that I may lose my home in the process, has been a cause of stress which has been too much to bear."
Conclusions as to construction
Damages
"The general principle is that compensation is only awarded for financial loss resulting from the breach of contract:"