Gregg V Scott
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''Gregg v Scott'' UKHL 2
is an English tort law">005
UKHL 2
is an English tort law case, on the issue of loss of a chance, in causation. It affirms the principle of ''
Hotson v East Berkshire Area Health Authority ''Hotson v East Berkshire Area Health Authority'' 9872 All ER 909 is an English tort law case, about the nature of causation. It rejects the idea that people can sue doctors for the loss of a chance to get better, when doctors fail to do as good ...
'', on a narrow margin of 3 to 2. Lord Nicholls' dissent is of particular note, in arguing that loss of a chance should be actionable.


Facts

The defendant, Dr Scott, negligently misdiagnosed the plaintiff's malignant cancer, (
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) stating it to be a benign collection of fatty tissue and thus no further treatment was needed. This had the effect of delaying Mr Gregg's treatment by nine months, reducing his chances of surviving ten years from 42% to 25%. Under the earlier decision of ''
Hotson v East Berkshire Area Health Authority ''Hotson v East Berkshire Area Health Authority'' 9872 All ER 909 is an English tort law case, about the nature of causation. It rejects the idea that people can sue doctors for the loss of a chance to get better, when doctors fail to do as good ...
'', the view taken at first instance, and by the Court of Appeal, the claimant could not establish the defendant had prevented him being cured, as his original chance of a cure was below 50%. The plaintiff argued that he was entitled to recover for the loss of the 17% chance the defendant had deprived him of. The issue was whether the claimant could claim for their 'loss of a chance'.


Judgment


The Majority

On appeal to the Lords, the majority upheld the earlier decision of '' Hotson.'' Damages were not recoverable because Mr Gregg failed to prove on the
balance of probabilities In a legal dispute, one party has the burden of proof to show that they are correct, while the other party had no such burden and is presumed to be correct. The burden of proof requires a party to produce evidence to establish the truth of facts ...
that Dr Scott's negligence resulted in the loss of a chance of recovery. Had the doctor properly diagnosed Mr Gregg at the time, he would still have had a less than 50% chance of surviving (42%). Lord Hoffman notes in his judgment that 'reduction in the prospect of a favourable outcome' had been accepted in previous cases ( Chaplin v Hicks 911, what was in doubt was whether loss of a chance can be applicable in cases involving clinical negligence. The majority judges also shared the view that imposing liability on the defendants in this case would result in a significant change in the law, hence, should be left to Parliament to decide whether or not changes should be made. Although Lord Hoffman noted cases in other jurisdictions that gave effect to loss of a chance claims where the plaintiff was unable to meet the factual causation standards of liability, such as in the Irish case of ''
Philp v Ryan ''Philp v Ryan & Anor'' 004IESC 105 is an Irish tort law case concerning the actionability of the 'loss of chance' doctrine in medical negligence. Contrary to the position in England and Wales consolidated in ''Gregg v Scott,'' the Supreme Court ...
'', he concluded that these were contrary to overriding UK authorities that would be inappropriate to 'abandon:' Further, while Lord Hoffman also recognises academic criticism of applying causation in this manner, expanding the exception in
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would be too 'radical:'


Dissenting

However,
Lord Nicholls Donald James Nicholls, Baron Nicholls of Birkenhead, (25 January 1933 – 25 September 2019) was a British barrister who became a Law Lord (Lord of Appeal in Ordinary). Biography Nicholls was educated at Birkenhead School, before reading ...
(joined by Lord Hope) dissented in arguing that loss of a chance should be actionable:


See also

* ''
Hotson v East Berkshire Area Health Authority ''Hotson v East Berkshire Area Health Authority'' 9872 All ER 909 is an English tort law case, about the nature of causation. It rejects the idea that people can sue doctors for the loss of a chance to get better, when doctors fail to do as good ...
'' *
Negligence Negligence (Lat. ''negligentia'') is a failure to exercise appropriate and/or ethical ruled care expected to be exercised amongst specified circumstances. The area of tort law known as ''negligence'' involves harm caused by failing to act as a ...
*Full judgment is availabl
here


Notes

{{DEFAULTSORT:Gregg V Scott English tort case law English causation case law 2005 in United Kingdom case law House of Lords cases