What two points must be considered to determine causation?
factual and legal causation
What test is used for establishing factual consideration?
But for test
What is the threshold that must be reached to prove the but for test?
Balance of probabilities
- more than 50% chance that the defendants breach caused their loss
When will the but for test fail?
What are the factors needed for the material contribution test?
Does the material contribution test apply to sequential cumulative causes or simultaneous cumulative causes?
Both!
Dr Sido John v Central Manchester and Manchester Children’s University Hospitals NHS Foundation Trust
When can the material increase in risk test be used?
What is the loss of chance argument for factual causation?
What is apportionment?
What is the Chester principle in terms of establishing factual causation in clinical negligence where the breach is a failure to advise on risks?
What happens when there are multiple sufficient causes?
It is up to the judge to decide whether it would be fair to hold the defendant responsible for a loss of both damages or not.
What is novus actus interveniens?
An intervening act
What are the 3 intervening acts to consider that might break the chain of causation?
Explain the novus actus intervenien of an act of god.
An act of God breaks the chain of causation if it is some exceptional natural event. Natural events can include, for example, being struck by lightning, drowning in a flood, or the onset of disease.
- Natural events will not break the chain of causation if they could have been foreseen and the defendant should have taken them into account as events that were likely to happen.
Explain the novus actus intervenien of an act of third parties.
Where the subsequent event is the act of a third party, the courts have viewed it as breaking the chain of causation if it was highly unforeseeable
- If the third party has acted instinctively (as in ‘the heat of the moment’), then there will be no break in the chain of causation
Can medical treatments break the chain of causation?
Explain the novus actus intervenien of an act of the claimant.
What is the effect of suicide of the victim to legal causation?