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These rules included provisions for medical inspection of boxers and for the attendance of two doctors at a fight. . This Court held that the Ministry of Defence had been under no duty of care to prevent the deceased from abusing alcohol to the extent that he did. Nearly half an hour elapsed between the end of the fight and the time that he got there. 3. iii) Those taking part in the activity, and Mr Watson in particular, relied upon the Board to ensure that all reasonable steps were taken to provide immediate and effective medical attention and treatment to those injured in the course of the activity. By this time, however, he had sustained serious brain damage. That argument was rejected. He would thus have developed the subdural haemorrhage in the most favourable circumstances possible, short of doing so in hospital with staff around him. Contains public sector information licensed under the Open Government Licence v3.0. 63. If PFA was not liable in negligence, the Plaintiff might be left without a remedy against anyone. 30. Had the Board said nothing, it might not be liable, but once it gave advice by setting rules, it came to be responsible. This meant doctors able to intubate and put up a drip to treat the injured boxer immediately with Manitol. This decision was upheld by the Court of Appeal of England and Wales, who noted that the BBBC had a duty not only to ensure that injuries did not occur, but that injuries were properly treated. Throughout these contests the boxers' performance should be noted and any untoward medical problems arising should be reported to the Area Council or Board. The child was in a singularly vulnerable position. One group of cases involved statutory duties imposed on local authorities for the purpose of protecting children from child abuse. 9. At this stage it is enough to note that the advice set out the professional expertise expected of the medical officers and details of equipment needed to perform their duties. Elr, Recueil JP 01.02 3 a) Case of Michels v USOC (United States Court of Appeals - 7th circuit, 16 August 1984)40 B. James George, James George. It is not possible to measure even on the balance of probabilities where the damage would have stopped if the protocol had been followed. His comment that "it would only have added three minutes or so if he had waited until he was summoned" suggests to the contrary. Michael Watson was a boxer who, on 21 September 1991, fought Chris Eubank under the supervision of the British Boxing Board of Control (BBBC), the British professional boxing governing body. "If the protocol had been in place, and Dr Shapiro had been required to go straight to the ring, he would have begun the necessary procedures within a minute or two of the collapse and so by 23.00. I have not heard evidence to the effect that the Board or its medical advisers had before this incident considered, and for some reason decided not to follow, what may not unfairly be called this protocol. Search for more papers by this author. They also argued that it was not fair, just and reasonable that the PFA should be liable to negligence. I turn to consider the extent to which there are categories of cases, in which a duty of care has been held to exist, or alternatively held not to exist involving these features. 12. It was a matter for Mr Watson to choose whether or not to compete subject to the Board's rules. At the outset, however, I propose to identify some significant features of the present case, which place it outside any established category of duty of care in negligence. The Board set out by its rules, directions and guidance, to make comprehensive provision for the services to be provided to safeguard the health of the boxer. Where a patient is brought unconscious to hospital as a result of intra-cranial bleeding, the practice is first to apply a process described as resuscitation or stabilisation. Watson successfully sued the BBBC for 400,000 after being left with brain injuries following his 1991 fight with Chris Eubank. 87. A primary injury such as that described can have secondary consequences which are much more serious. Licence holders are also required to comply with the Board's policy in respect of matters not dealt with by specific rules. .if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[250,250],'swarb_co_uk-medrectangle-4','ezslot_4',113,'0','0'])};__ez_fad_position('div-gpt-ad-swarb_co_uk-medrectangle-4-0'); Lists of cited by and citing cases may be incomplete. It has the ability to require of promoters what it sees as good practice. 122. 3. 42. There was a contrast with a fire or a crime, where an unlimited number of members of the public could be affected and the damage could be to property or only economic. In the event Mr Walker did not put this pleaded Ground of Appeal at the forefront of his argument. This did not, however, affect the position so far as responsibility for the safety of the boxers was concerned. 57. Similarly, in the case of the advisory teacher brought in to advise on the educational needs of a specific pupil, if he knows that his advice will be communicated to the pupil's parents he must foresee that they will rely on such advice. Indirect Influence on the Occurrence of Injury. He was brought in by the education authority to assist it in carrying out its educational functions. From at least 1959 the Board kept under review the medical safeguards that should be provided at a boxing contest in the light of developing medical knowledge, or purported so to do. None of the three doctors present went to his assistance until requested to do so. It concludes that, if account is taken of all these areas, insurance has been of vital importance to the law of tort. 82. Watson claimed that the British Boxing Board of Control had been under a duty of care to ensure that all reasonable steps were taken to provide immediate and effective medical attention and treatment in the event of his sustaining an injury, and he argued that the Board had breached that duty by not providing resuscitation treatment at ringside. It was also important to have a prior arrangement with the hospital with a neurological unit, and with that unit placed on standby. The occurrence of a haematoma could not have been prevented but its effects could have been mitigated. Where a blow to the head results in immediate impairment or loss of consciousness, this is normally the result of temporary deformation of the brain caused by acceleration or deceleration of movement of the head. The ordinary test of reasonable skill and care is the correct one to apply. 85. In relation to two of the cases involving special educational needs, Lord Browne-Wilkinson reached a different conclusion. It is not clear why the ambulance took so long to reach the hospital. This has relevance to a number of the points discussed above. Before confirming, please ensure that you have thoroughly read and verified the judgment. Enter the email address you signed up with and we'll email you a reset link. The precise nature of the company's constitution is not covered by the evidence. 3.5.2 For British and Commonwealth Championship contests only, or Match. Watson v British Boxing Board of Control [2001] QB 1134 was a case of the Court of Appeal of England and Wales that established an exception to the defence of consent to trespass to the person and an extension of the duty of care expected in cases of negligence. This passage was approved by Lord Steyn when the case reached the House of Lords [1996] AC 211 at 235. To hold that, in such circumstances, the head teacher could properly ignore the matter and make no attempt to deal with it would fly in the face, not only of society's expectations of what a school will provide, but also the fine traditions of the teaching profession itself. Learn. 40. A boxer member of the Board would not be aware of the details of all these matters. True it is that, in the absence of a statutory power or duty, the authority could not offer such a service. The numbers of those to whom the duty is alleged to be owed in the present case are not incompatible with the requirements of proximity. 60. The propeller was mismatched to the gearbox. No medical assistance was provided. See Hedley Byrne & Co. Ltd. v Heller & Partners Ltd [1964] AC 465 and Henderson v Merrett Syndicates Ltd [1995] 2 AC 145. The vessel sailed and sank a few days later with the loss of the cargo. In this way the Board reduces this aspect of the promoter's responsibility to the boxer to the contractual obligation to comply with the requirements of the Board's Rules in relation to the provision of medical facilities and assistance. The nature of that duty was recently considered by this Court in Capital and Counties PLC v. Hampshire C.C. I would simply comment that if the Board were given the statutory function of directing what medical assistance should be provided to boxers at the stadium, I consider that it would be at least arguable that they owed boxers a duty of care in exercising that function. It is always better to err on the side of caution and even if a boxer has recovered sufficiently to leave the ring unaided, if and when he returns to the dressing room he exhibits any sign of persistent concussion or admits to any persistent headaches, visual disturbance or vomiting he should be immediately transferred to the local hospital where the expert advice of Neurologists and Neurosurgeons can be obtained. Resuscitation equipment should be at ringside along with person(s) capable of using it". Ormrod L.J. Lord Nicholls posed and answered the following question at p.802: "Take a case where an educational psychologist is employed by an education authority. It is on this basis that it is possible to draw a distinction between the doctor who goes to the assistance of the victim of a road accident and the hospital that receives that victim into its casualty department. 293.". It is to make regulations imposing on others the duty to achieve these results. The board, however, went far beyond this. Next the Board argued that the presence of an ambulance, with resuscitation equipment, should have satisfied the Judge that this aspect of medical care was adequately provided. He did not, however, identify any obvious stepping stones to his decision. When carrying out the assessment and advising the education authority, did the psychologist owe a duty of care to the child? In consequence, the pupil fails to receive the appropriate educational treatment and, as a result, his educational progress is retarded, perhaps irreparably. In contrast the injuries which are sustained by professional boxers are the foreseeable, indeed inevitable, consequence of an activity which the Board sponsors, encourages and controls. The child has a learning difficulty. If it was held liable it might withdraw from its work, or have to pass on the cost of increased insurance to the detriment of small aircraft operators. The position as to the selection of doctors for a contest that prevailed in 1991 was as follows. Michael Watson stands to receive no more than 400,000 compensation The settlement of Watson's case against the British Boxing Board of Control, approved by the High Court in London. He won a historic High Court case in Sept 1999, raising questions about the future of the professional sport in the UK. In Watson v British Boxing Board of Control (2000), the claimant was the famous professional boxer Michael Watson. 93. The Judge held that on these facts Mr Watson was entitled to recover for his injuries in full, relying on the authorities of McGhee v The National Coal Board [1973] 1 WLR 1; Wiltshire v Essex A.H.A. It seems to me that, but for the intervention of the Board, the promoter would probably owe a common law duty to the boxer to make reasonable provision for the immediate treatment of his injuries. While I do not agree with Mr Mackay's submission that Perrett v Collins provides a close analogy to the present case, I do find helpful the formulation of legal principle by Hobhouse L.J. The Judge did not rely upon the specific evidence given by Mr Watson about reliance. 54. 6. Mr Walker urged that a duty of care should not be imposed upon the Board because it was a non profit-making organisation and did not carry insurance. If he volunteers his assistance, his only duty as a matter of law is not to make the victim's condition worse. She claimed the respondent was liable under the Act and at common law for failing to keep it safe. There was evidence that the Board's Medical Committee met regularly to consider medical precautions. The BBBC had a series of rules on the medical coverage needed for boxing matches, which required two doctors to be present at all times. Mr Walker urged that a duty of care should not be imposed upon the Board because it was a non profit-making organisation and did not carry insurance. 's examination of the ship, and that the cargo owners simply relied on the undertakings of the shipowners, it is in my view impossible to force the present set of facts into even the most expansive view of the doctrine of voluntary assumption of responsibility.". In the subsequent action for personal injuries, this Court held that the ambulance service had been in breach of a duty of care in failing to arrive promptly. 104. JURISDICTION TO INTERPRET A FEDERATION'S RULES OF PROCEDURE IN DOPING CASES41 a) Case of Smith v International Triathlon Union (Supreme Court of British Colombia, Vancouver, 428 Nield J. drew a distinction between a casualty department of a hospital that closes its doors and says no patients can be received, in which case he would, by inference, have held there was no duty of care, and the case before him where the three watchmen, who had taken poison, entered the hospital and were given erroneous advice, where a duty of care arose. The defendant appealed against a finding of 25% responsibility in having failed to warn climbers that the existence of thick foam would not remove all . Watson v British Boxing Board of Control (2001 . Mr Watson suffered some, at least, of these secondary effects, which were the cause of his permanent brain damage. Had the Board simply given advice to all involved in professional boxing as to appropriate medical precautions, it would be strongly arguable that there was insufficient proximity between the Board and individual boxers to give rise to a duty of care. At this meeting Mr Hamlyn expressed the view that it was vital that at the ringside there should be the right doctors with the right equipment. In these circumstances there is no close proximity between the services and the general public. .Cited Geary v JD Wetherspoon Plc QBD 14-Jun-2011 The claimant, attempting to slide down the banisters at the defendants premises, fell 4 metres suffering severe injury. No one can take part, in any capacity, in professional boxing in this Country who is not licensed by the Board and, at the same time, a member of it, for the two are essentially synonymous. He gave evidence that he agreed with Mr Hamlyn's views. Watson v British Boxing Board of Control The Importance of Evidence in Proving a Breach of Duty Rugby Rugby is a dangerous sport with heavy body collisions between players and regularly, multiple players at any given time. In order to explain these allegations, I propose to summarise the evidence on: * the nature of injuries such as those suffered by Mr Watson; * the manner in which such injuries were treated in hospital in 1991; * the manner in which such injuries should have been treated at the ringside and. Thus the criteria identified by Hobhouse L.J. It is not so much that responsibility is assumed as that it is recognised or imposed by the law.". about 23.01. 95. QUIZ. (Rules 8.5 and 8.6). The Board contended that this was unjustifiable, since it would require Rules which in effect instructed doctors as to how to perform their duties. It did not summon medical assistance and its supervision of him was inadequate". The Board had, or had available, medical expertise. IN THE SUPREME COURT OF JUDICATURE Case No: QBENF1999/1137/A2, (1) BRITISH BOXING BOARD OF CONTROL LIMITED, (2) WORLD BOXING ORGANISATION INCORPORATED, (Transcript of the Handed Down Judgment of, Smith Bernal Reporting Limited, 190 Fleet Street, Tel No: 020 7421 4040, Fax No: 020 7831 8838, - - - - - - - - - - - - - - - - - - - - - - - - - - -, Mr C Mackay, QC and Mr Neil Block (instructed by Myers Fletcher & Gordon) appeared on behalf of the Respondent/Claimant. Only full case reports are accepted in court. I find this distinction between instructions as to duties and instructions as to how to perform duties elusive and over subtle. "The postulate of a simple duty to avoid any harm that is, with hindsight, reasonably capable of being foreseen becomes untenable without the imposition of some intelligible limits to keep the law of negligence within the bounds of common sense and practicality. This care was insufficient, and as such Watson was in a coma for 40 days, and spent 6 years in a wheelchair. 2. This involves intubation, or the insertion of an endotracheal tube. * The Board failed to require a medical examination of Mr Watson immediately following the conclusion of the contest. Rule 23 of the Board's rules and regulations provided: "23.1 Commonwealth, European and World Championships when promoted in Great Britain and Northern Ireland must be organised and controlled in accordance with the Regulations of the BBB of C except where such Regulations may be at variance with those of any Commonwealth, European or World Boxing Authorities with whom the BBC of C may for the time being be affiliated, when the Regulations of such Authorities shall apply. The agreed time of reception at the hospital was 23.22. "There is always a risk, and the pool from which professional boxers tend to be recruited is unlikely to be one with an innate or well-informed concern about safety, and one may ask why should the individual boxer not rely on the Board's arrangements? The request for an ambulance was accepted. 92. They did not have the expertise in providing such resuscitation; nor did they have the necessary equipment. It is, however, clear that the test is an objective one: Henderson v Merrett Syndicates Ltd., [1995] 2 AC 145, 181. 98. Watson v British Boxing Board of Control: Negligent Rule-Making in the Court of Appeal. 65. . The Judge went on to review such statistical evidence as there was in relation to the frequency of occurrence of head injuries in boxing and observed that there had been no evidence to suggest that the Board considered and balanced the difficulty of providing the adequate response to the risks of head injury against their frequency of occurrence and severity of outcome. In consequence this special need was not addressed, to the detriment of the child. In a nutshell, his case was that the resuscitation treatment that he received at the North Middlesex Hospital should have been available at the ringside, but was not. While Buxton L.J. It is clear on the authorities that the duty to take reasonable care to prevent further harm and to effect a cure is founded on the acceptance of the patient as a patient, which carries with it an implicit undertaking to care for the patient's needs. After the operation Mr Watson was taken to the intensive care unit where he arrived at 04.45. The time was now 23.08. There is no statutory basis for this. The Board also argued that the nearest hospital with an Accident and Emergency Department was so close that a system which delayed the possibility of resuscitation for the few minutes that would be necessary to get to the hospital, was satisfactory. deprecated the introduction of tests such as `proximity' and `fair just and reasonable' in a situation where it was reasonably foreseeable that a failure to exercise reasonable care would cause personal injury: "They also illustrate the dangers of substituting for clear criteria, criteria which are incapable of precise definition and involve what can only be described as an element of subjective assessment by the Court: such ultimately subjective assessments tend inevitably to lead to uncertainty and anomaly which can be avoided by a more principled approach". This submission involves considering the timing of events and the Judge's findings in relation to the impact of these on causation. The Board contends:-. The board lost its. The patient is then artificially ventilated through this tube with oxygen. In Caparo v Dickman the Court recognised a duty of care owed by auditors to all the members of a company. Establish an accurate diagnosis as to the intracranial pathology. He gave evidence that the WBO imposed no medical requirements in respect of the fight and that in these circumstances, the ordinary Board rules and policy would and did apply. Dealing with the arguments of policy advanced on behalf of PFA, Buxton L.J. Lord Woolf M.R. It seems to me that this is almost implicit in Mr Walker's argument that to issue such a requirement expressly, was to instruct a doctor as to how to perform his duty. b) A limit on the number of rounds to twelve (Rule 3.7). Order: Appal dismissed with costs on the issues of liability and causation here and below, those costs to be assessed forthwith on to Legal Services Assessment; 18,000 in Court to be paid out in part satisfaction of those costs forthwith; detailed assessment on standard basis; Legal Services Commission taxation; application for permission to appeal to House of Lords refused. Thus in Capital and Counties v. Hampshire this Court held that a fire brigade was under no common law duty to answer a call for help or, having done so, to exercise reasonable skill and care to extinguish the fire. Mr Watson received resuscitation and neuro-surgery in hospital in circumstances that I shall describe when I come to deal with causation. It seems to me that the authorities support a principle that, where A places himself in a relationship to B in which Bs physical safety becomes dependant upon the acts and omissions of A, As conduct can suffice to impose on A a duty to exercise reasonable care for Bs safety. and Had the board simply given advice to all involved in professional boxing as to appropriate medical precautions, it would be strongly arguable that there was insufficient proximity between the board and individual boxers to give rise to a duty of care. In my judgment there is a clear distinction between the role of the Board and the role of a fire service or the police service. 3. The Judge did not find that the lapse of time between Mr Watson becoming unconscious and Dr Shapiro being called to assist was critical. He was also given an injection of Manitol, a diuretic that can have the effect of reducing swelling of the brain. A preliminary issue was tried as to whether Mr Usherwood and the PFA owed the Plaintiff a duty of care. 90. In the leading judgment Hobhouse L.J. The Board was involved in an activity which gave it, not merely a measure of control, but complete control over and a responsibility for a situation which would be liable to result in injury to Mr Watson if reasonable care was not exercised by the Board. Get 1 point on providing a valid sentiment to this In the course of his work he assesses a pupil whose lack of progress at school has been causing concern all round: to teachers and parents alike. A little later he said "As Chief Medical Officer, my approach has always been that preventative controls are the key to making a physically hazardous sport as safe as possibleour interest in preventative controls covers the whole gamut of professional boxing.". 36. 68. The cases linked on your profile facilitate Casemine's artificial intelligence engine in recommending you to potential clients who might be interested in availing your services for similar matters. As for the argument that the local authorities were vicariously liable for negligence on the part of those giving them advice, Lord Browne-Wilkinson held at pp.752-3: "The claim based on vicarious liability is attractive and simple. Most boxers recover very quickly having been knocked down and counted out and most, in fact, are fully conscious, if somewhat dazed, by the time the count reaches ten. He held that he was left in no doubt that the Board was in breach of its duty in that it did not institute some such system or protocol as that which Mr Hamlyn was later to propose. 10. A Respondent's Notice was served contending that the Judge could and should have drawn an adverse inference from his failure to give evidence. Finally I return to Perrett v. Collins, the only case referred to by Ian Kennedy J. when considering the question of duty of care. All these matters lead me to conclude that the Judge was right to find that the Board was under a duty of care to Mr Watson. 94. The distinction between negligent misstatement and other forms of conduct ceases to be legally relevant, although it may have a factual relevance to foresight or causation. The ambulance took him to North Middlesex Hospital, which was less than a mile away. ii) The Board assumed responsibility for determining the details of the medical care and facilities which would be provided by way of immediate treatment of those who received personal injuries while taking part in the activity. Thereafter the effect of delay was less important, although brain damage occurred cumulatively until death. 39. In Barrett v. Ministry of Defence [1995] 1 WLR a naval rating drank himself into a state of insensibility at the Royal Navy Air Station where he was serving. 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