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Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others [2018] SGHC 146

In Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others, the High Court of the Republic of Singapore addressed issues of Civil Procedure — Costs, Civil Procedure — Offer to Settle.

Case Details

  • Citation: [2018] SGHC 146
  • Case Title: Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others
  • Court: High Court of the Republic of Singapore
  • Date of Decision: 21 June 2018
  • Judge: Belinda Ang Saw Ean J
  • Coram: Belinda Ang Saw Ean J
  • Case Number: Suit No 59 of 2015
  • Procedural Posture: Costs decision following a substantive liability judgment at [2018] SGHC 35
  • Judgment Reserved: Yes (costs judgment reserved)
  • Plaintiff/Applicant: Noor Azlin Bte Abdul Rahman
  • Defendants/Respondents: Changi General Hospital Pte Ltd (1st defendant); Imran bin Mohamed Noor, Yap Hsiang, Soh Wei Wen (2nd to 4th defendants)
  • Legal Areas: Civil Procedure — Costs; Civil Procedure — Offer to Settle
  • Key Procedural Instruments: Joint Offer to Settle (OTS) filed and served on 10 January 2017
  • OTS Timing: Served 7 days before trial commenced on 17 January 2017
  • OTS Terms: $300,000 in full and final settlement of the plaintiff’s claims (damages and interest); OTS was silent on costs
  • Substantive Outcome: Plaintiff failed on liability/causation; defendants were successful parties
  • Counsel for Plaintiff: Vijay Kumar Rai (Engelin Teh Practice LLC)
  • Counsel for 1st Defendant: Kuah Boon Theng, SC; Karen Yong; Samantha Oei (Legal Clinic LLC)
  • Counsel for 2nd to 4th Defendants: Lek Siang Pheng; Vanessa Lim; Yvonne Ong; Audrey Sim (Dentons Rodyk & Davison LLP)
  • Statutes Referenced: Rules of Court (Cap 322, R5, 2014 Rev Ed) — Order 22A (including rules 8, 9 and 10)
  • Cases Cited: [2018] SGHC 35; [2018] SGHC 146 (this decision)
  • Judgment Length: 2 pages; 1,020 words (as indicated in metadata)

Summary

This High Court decision concerns costs and the operation of Singapore’s “offer to settle” regime under the Rules of Court. The court had already determined the substantive liability issues in an earlier judgment, Noor Azlin Bte Abdul Rahman v Changi General Hospital Pte Ltd and others [2018] SGHC 35. In the present decision ([2018] SGHC 146), Belinda Ang Saw Ean J addressed (i) whether costs should depart from the general rule that “costs follow the event”, and (ii) whether the defendants could recover costs on an indemnity basis from the date of a Joint Offer to Settle (“OTS”) that the plaintiff rejected.

The court held that there was no basis to deprive the defendants of costs. Although the plaintiff succeeded “in some measure” on duty and breach against the first and second defendants, she ultimately failed on causation and therefore did not establish that the issues she won were separable from the overall tortious outcome. Since causation is an integral component of negligence, the court treated the plaintiff’s partial success as insufficient to justify a departure from the general rule.

On the OTS, the court accepted that the OTS was valid even though it was silent on costs. It also rejected arguments that the OTS was ambiguous or not a genuine compromise. However, because the OTS was served only seven days before trial—late in the day—the court moderated the defendants’ proposed uplift for indemnity costs, granting a 5% uplift rather than 20%. The court further ordered two sets of costs because the hospital and the doctors were separately represented and their defences did not overlap.

What Were the Facts of This Case?

The underlying dispute arose from the plaintiff’s medical negligence claim against Changi General Hospital Pte Ltd and three doctors. The substantive judgment, delivered earlier at [2018] SGHC 35, found in favour of the defendants on liability. In the costs decision at [2018] SGHC 146, the court recounted that the plaintiff had argued that the defendants owed her a duty of care and that there was a breach. The court accepted that the plaintiff had established duty and breach in respect of the first and second defendants to some extent, but the plaintiff ultimately failed on causation—meaning that the breach was not causative of her loss.

After the substantive liability determination, the parties turned to costs. The plaintiff contended that she should be awarded costs, relying on her partial success on duty and breach. The defendants, by contrast, maintained that they were the successful parties overall and should recover their costs. The court emphasised that the negligence tort requires causation as an integral element; therefore, the issues on which the plaintiff succeeded could not be cleanly separated from the ultimate failure of her claim.

In addition to the general costs consequences, the defendants relied on a Joint Offer to Settle filed and served on 10 January 2017. The OTS was served seven days before the trial began on 17 January 2017. The offer proposed a payment of $300,000 in full and final settlement of the plaintiff’s claims, covering damages and interest. The OTS did not expressly address costs, and the plaintiff rejected the offer.

The plaintiff’s rejection triggered the defendants’ attempt to invoke the indemnity-costs mechanism under Order 22A of the Rules of Court. The defendants sought costs on an indemnity basis from the date of service of the OTS, together with an uplift on fixed costs. The plaintiff opposed this, arguing that the OTS was ambiguous because it did not mention costs, and also raising concerns about the genuineness of the compromise and the defendants’ approach to costs enforcement pending appeal.

First, the court had to decide whether it should follow the general rule that costs follow the event, or whether it should depart from that rule because the plaintiff had achieved some measure of success. This required the court to consider how to treat partial findings on duty and breach when the plaintiff failed on causation and therefore did not succeed on the claim as a whole.

Second, the court had to determine whether the defendants could rely on the Joint Offer to Settle to obtain indemnity costs from the date of service. This raised multiple sub-issues: whether the OTS was valid despite being silent on costs; whether the OTS was ambiguous; whether the OTS represented a genuine compromise rather than a token offer; and whether the timing of the OTS affected the appropriate uplift to apply.

Third, the court had to consider the practical question of how costs should be structured given that the hospital and the doctors were separately represented. The court needed to decide whether to order one set of costs or two sets, reflecting the division of representation and the extent of overlap between defences.

How Did the Court Analyse the Issues?

On the general costs principle, the court began by noting that the substantive judgment had already determined liability in the defendants’ favour. The judge observed that there was “no reason to refuse to determine costs before her appeal” and also took into account the defendants’ indication that they were willing to defer demanding payment or enforcement of any costs orders pending the plaintiff’s appeal in CA/CA 47/2018. This procedural point ensured that the costs decision would not prejudice the plaintiff’s appellate position.

The plaintiff’s argument for costs was rejected as “unmeritorious”. While the plaintiff had succeeded in establishing duty and breach against the first and second defendants, the court held that she did not succeed on causation. The judge reasoned that causation is an integral component of negligence. Accordingly, even if the plaintiff won certain issues, those issues could not properly be treated as separate or distinct reasons that would justify depriving the defendants of costs. The court therefore concluded that there were no circumstances justifying a departure from the general rule that costs follow the event. Since the defendants were the successful parties, the plaintiff was ordered to pay the defendants’ costs of the action.

Turning to the OTS, the court addressed the defendants’ reliance on Order 22A r 9. The defendants had filed a Joint Offer to Settle on 10 January 2017. The court accepted that Order 22A r 10 provides that the ordinary cost consequences in r 9 apply where all defendants alleged to be jointly and severally liable make a joint offer for which they are jointly and severally liable. On the facts, this meant that the “usual OTS consequences” applied, including entitlement to costs on an indemnity basis from the date the offer was served.

The plaintiff argued that the OTS was ambiguous because it stated that the defendants would pay $300,000 as damages and interest, with no provision for costs. The court rejected this by reference to Order 22A r 9(2)(b), which covers situations where an OTS is silent on costs. In other words, silence on costs does not invalidate the offer or prevent the indemnity-costs regime from operating. The judge also addressed the plaintiff’s complaint that the defendants delayed payment of costs. The court observed that Order 22A r 8 provides a mechanism for recourse to the court if a party fails to comply with the terms of an accepted OTS. Thus, the OTS was valid “as a matter of form”.

On genuineness, the plaintiff contended that the OTS did not offer a true compromise. The court held that it could not be said that the OTS was not genuine. The $300,000 sum was not a token discount, even though the plaintiff claimed around $6.7 million in damages. The judge noted that the quantum pleaded was exaggerated on the face of the pleadings. The court also considered evidence that, separately and disclosed to the trial judge dealing with costs without objection from the plaintiff, the plaintiff would have been prepared to accept $1.3 million as compensation. This supported the conclusion that the OTS was a reasonable compromise rather than an artificial or insincere offer.

Finally, the court considered the timing of the OTS and its effect on the uplift. The OTS was served seven days before trial, and the court noted that the minimum time limit of 14 days that an offer must remain open for acceptance had been met. Nevertheless, the judge characterised the offer as “made quite late in the day”. This lateness was relevant to the court’s discretion on uplift. The defendants had proposed a 20% uplift; the court instead fixed an uplift of 5% as an appropriate exercise of discretion.

In addition, the court ordered two sets of costs. The hospital and the doctors were separately represented, and there was “no overlap between the matters relied upon in the defences”. This justified separate cost awards for the first defendant and for the second to fourth defendants, rather than consolidating them into a single undifferentiated costs sum.

What Was the Outcome?

The court ordered that the plaintiff pay the defendants’ costs of the action, applying the general principle that costs follow the event. It also granted the defendants indemnity costs from the date of service of the OTS, subject to a moderated uplift reflecting the late timing of the offer.

In quantifying costs, the court determined separate totals for the hospital and for the doctors. The costs were fixed at $481,165.63 for the first defendant and $427,643.31 for the second to fourth defendants, including legal costs, GST, disbursements, and a 5% uplift for the OTS. The practical effect was that, notwithstanding the plaintiff’s partial success on duty and breach, she bore the overall costs burden and the defendants obtained enhanced cost recovery linked to the rejected OTS.

Why Does This Case Matter?

This decision is useful for practitioners because it demonstrates how Singapore courts approach costs after a negligence trial where the claimant succeeds on some elements (duty and breach) but fails on causation. The court’s reasoning underscores that causation cannot be treated as a peripheral issue: where causation is not established, partial findings on duty and breach do not justify depriving the successful defendants of costs. For litigators, this is a reminder that “issue-based” arguments for costs must be carefully aligned with the elements that determine liability and the overall outcome.

The case also provides practical guidance on the operation of the OTS regime under Order 22A. It confirms that an OTS is not rendered invalid or ambiguous merely because it is silent on costs; the Rules provide for the consequences. It further illustrates that courts will scrutinise whether an OTS is a genuine compromise and whether the offered sum is token or reasonable in context. The court’s reference to the pleaded quantum being exaggerated, and to evidence of what the plaintiff would have accepted, shows that genuineness is assessed substantively rather than by formal labels.

Finally, the decision highlights the discretionary nature of the uplift for indemnity costs. Even where an OTS is valid and would normally trigger indemnity costs, the timing of the offer can affect the uplift percentage. Practitioners should therefore treat OTS strategy as time-sensitive: earlier offers may justify higher uplifts, while late offers may still attract indemnity costs but with a reduced uplift. The separate award of two sets of costs also signals that courts will tailor costs structure to representation and defence overlap.

Legislation Referenced

  • Rules of Court (Cap 322, R5, 2014 Rev Ed), Order 22A, including:
    • Order 22A r 8
    • Order 22A r 9
    • Order 22A r 10

Cases Cited

  • [2018] SGHC 35
  • [2018] SGHC 146

Source Documents

This article analyses [2018] SGHC 146 for legal research and educational purposes. It does not constitute legal advice. Readers should consult the full judgment for the Court's complete reasoning.

Written by Sushant Shukla

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