Insurers of driver who badly injured Paralympic cycling champion Simon Richardson refuse to pay for operation

Beijing gold medallist may be forced to sell house to fulfill aim of competing at Rio in four years' time


Simon_MacMichael, September 24, 2012

Simon Richardson (Castle Combe TT)

Simon Richardson, winner of two Paralympic cycling gold medals in Beijing whose dream of defending his titles in London this summer ended when he suffered serious injuries after being hit by van driver Edward Adams, has said that he needs to raise £36,000 to pay for an operation after the motorist’s insurance company refused to foot the bill.

Last month, Adams, a farmer was sentenced to 15 months’ imprisonment for dangerous driving, with three months added for failure to stop at the scene of the incident, which happened near Bridgend in August 2011. He was also given a three-month concurrent sentence for driving with excess alcohol.


Richardson's bike was broken into three parts by the impact

Richardson suffered multiple injuries including fractures of the spine and a broken pelvis and breast bone, and following Adams’ sentencing last month said: "I have some significant health issues to still overcome following the collision, including further back surgery and long term recovery where my complete effort must be.

"I fully intend to battle my way back to elite competitive sport when I am fully recuperated.”

However, his hopes of getting fit again to start training for Rio 2016 have been dealt a blow by this morning’s news, revealed by Richardson on Twitter, that Adams’ insurance company would not be paying for his treatment.

“All I want to say is thank you to all my friends and followers,” Richardson told road.cc.

“We are not giving up, we are taking the insurance company to court to try and get money for the operation and Leigh Day [his solicitors] will fight it all the way.”

Although Richardson could potentially have the operation done on the NHS, that would mean him remaining in pain for at least a year before the surgery could be carried out, and would be unlikely to give him enough time to complete his rehabilitation in time to get training for the next Paralympics.

“I cannot wait for the NHS,” he said, although he added that he appreciated it was not their fault.

If the action against Adams’ insurers is unsuccessful, he says that he may have to take the extreme measure of selling his house to raise the £36,000 needed for the operation.

“Otherwise, forget Rio,” he added.

This is appalling, insurers putting the boot in.

antonio

posted by antonio [761 posts] 24th September 2012 - 13:33

Wow, what scumbags, don't let them get away with this, they are duty bound surely, shame them and they will cave in.

posted by southstar [10 posts] 24th September 2012 - 13:37

So I presume that the berk's insurance company are refusing on the basis that the op will be completed by the NHS therefore there are no costs to pay, despite the expected 12-month wait. I certainly wouldn't accept being in pain for another year just because of someone else's actions.

1. Wouldn't be at all surprised for this to go viral/national media, at which point £36k is going to seem a small amount of cash to avoid the sh*tstorm of negative PR that is coming their way.

2. If that doesn't work, I reckon £36k will be easily surpassed in donations if needs be.

Good luck Simon.

Dodging the saccadic masking

posted by notfastenough [2053 posts] 24th September 2012 - 13:40

If he cannot the get insurance company to pay - at the end of the day, he CAN get the op in the NHS free of charge, isn't that why we are fighting off the Tories? - can he sue the driver for loss of earnings and get the money that way? That driver screwed up his career!

Just asking the experts here. Anybody work in insurance?

"Just as every cop is a criminal, and all the sinners saints".

LondonCalling's picture

posted by LondonCalling [118 posts] 24th September 2012 - 13:50

notfastenough wrote:
1. Wouldn't be at all surprised for this to go viral/national media, at which point £36k is going to seem a small amount of cash to avoid the sh*tstorm of negative PR that is coming their way.

The problem with that is - unless I'm being blind - the Insurance company is not named

No name - no PR disaster

I can't get to twitter from work - is it mentioned there?

posted by mad_scot_rider [425 posts] 24th September 2012 - 14:05

This is an appalling case. Leaving the victim of an accident in pain for 1-2 years until NHS treatment can be scheduled is not acceptable for anyone, paralymic cyclist or not. The fact that this athlete will probably miss the next paralympics as a result is even worse. The insurance company should be named and shamed.

OldRidgeback

posted by OldRidgeback [1639 posts] 24th September 2012 - 14:25

Somebody must know who the insurers are. Or is there a reason they cannot be identified?

nowasps's picture

posted by nowasps [96 posts] 24th September 2012 - 14:31

What a joke the legal system is in our country.

posted by Darthshearer [139 posts] 24th September 2012 - 14:31

Identify the insurers and we can all ensure that we boycott them and not put any business their way, although most of these scumbags are the same. Happily take your money but don't even think of making a legitimate claim.

Funny that they insist on paying out for dubious whiplash claims so sending everyone's premiums up but where there is an obvious issue and a need for this medical claim to be settled they refuse on the grounds that it is fine for someone to be in pain for a year and it will get sorted at no cost to them. Angry

posted by SevenHills [113 posts] 24th September 2012 - 14:41

I can imagine him raising the money through a fundraising campaign, but simply naming the insurance company would achieve the results quicker. Reading Simon's twitter he obviously knows the insurance comany but won't name it. Reading between the lines I guess his lawyers have advised him not to. He says "just remember, he's a farmer" so I guess it could be NFU (National Farmers Union) but this is pure speculation. If they aren't the insurer in question I guess it would be in their interests to distance themselves from such speculation.

posted by qwerky [57 posts] 24th September 2012 - 14:40

F'ing scumbags. Someone somewhere must know who his insurers are. Angry

Stumpy

stumps's picture

posted by stumps [1634 posts] 24th September 2012 - 15:04

absolutely disgusting, they MUST be identified to get justice .....

posted by Karbon Kev [487 posts] 24th September 2012 - 15:10

mad_scot_rider wrote:
notfastenough wrote:
1. Wouldn't be at all surprised for this to go viral/national media, at which point £36k is going to seem a small amount of cash to avoid the sh*tstorm of negative PR that is coming their way.

The problem with that is - unless I'm being blind - the Insurance company is not named

No name - no PR disaster

I can't get to twitter from work - is it mentioned there?

I don't think that's going to hold forever.

Dodging the saccadic masking

posted by notfastenough [2053 posts] 24th September 2012 - 15:51

I can see a detail which could be causing this problem. Because the driver was DUI his insurer will say that the policy is void, and paying out could set a precedent for giving cover to any idiot who drives without insurance through voiding their contract with their insurer.

The compensation should thus be sought from the MIB (the source of payments for those injuries and losses through crashes with uninsured drivers) This would balance the value of 2 years of pain and loss of the ability to train back to fitness, against the cost of paying for the operation now.

The figure of £36,000 seems about right for this, if not a little low?

47 years of breaking bikes and still they offer me a 10 year frame warranty!

A V Lowe's picture

posted by A V Lowe [269 posts] 24th September 2012 - 15:53

This is another insulting travesty of justice for victims common in the UK as insurance companies spend their cash exploring every squalid trick to avoid doing right for the victims of incidents like this rather than using it to put things right.

Lets hope that the insurers are named so we can take our business elsewhere .

Sudor

posted by Sudor [115 posts] 24th September 2012 - 15:55

Hold on. If you get run over by a drunk, their insurance is invalid and you're screwed. Is that really right?

posted by BigDummy [240 posts] 24th September 2012 - 16:16

Although I agree that this is just insult on top of injury.
I can see what A V Lowe is on about.
If you are drunk at the time of accident, that usually breaks your agreement with the insures.
And, as London Calling says, it's the drivers fault, so sue him instead.

posted by Travis [9 posts] 24th September 2012 - 16:24

Trouble being, we make people have insurance to cover this stuff ebcause the majority of people don't have £36,000.

posted by BigDummy [240 posts] 24th September 2012 - 16:35

Make the drunk farmer sell his house/ farm to pay for it.

posted by Some Fella [361 posts] 24th September 2012 - 16:41

nowasps wrote:
Somebody must know who the insurers are. Or is there a reason they cannot be identified?

A couple of people on Twitter have asked Simon Richardson who the insurers are. He replied that he was not in a position to identify them himself, but added that they insure a lot of farmers which certainly narrows it down.

Simon_MacMichael's picture

posted by Simon_MacMichael [6395 posts] 24th September 2012 - 16:54

Even if the policy had a clause that excluded cover in the result of a DUI, the Insurer cannot escape their liability to any third party. They will have to deal with the claim (it is their obligation under the RTA to do so) and look to make a recovery of the costs against their policyholder - although the potential in this would suggest that a successful recovery is going to be unlikely.

Would probably be fair to assess all the medical evidence available before they are pronounced scumbags or named and shamed though....
Thinking

posted by Waggo [1 posts] 24th September 2012 - 17:22

So going on what's above, let's see if I have this right: You are covered by your insurance for whatever activities it is taken against. If you invalidate that insurance then the contract is void and you have to foot the bill. In that case the farmer should be approached for the money.

posted by kitkat [101 posts] 24th September 2012 - 18:41

If Richardson is suffering and clearly requires major surgery, why does it take a year to get it scheduled on the NHS? Maybe I'm being naive, but what has more than a trillion quid on the NHS in the last couple of decades got us if it hasn't been quicker treatment? Machines that go ping and lots of administrators? Ah, think I've answered my own question.

dullard's picture

posted by dullard [121 posts] 24th September 2012 - 19:06

Surely the farmer has some assets that Mr. Richardson or the insurer can go after?

posted by jackh [84 posts] 24th September 2012 - 19:29

If it is the same in UK as over here in Ireland then a DUI driver's insurance will not pay out - that's when the (equivalent) MIB pay out. But if it is like here...it can be up to 2 years before that money will be seen...so it's a catch 22 situation. I'm guessing if he pursued the driver...he'd probably get nowhere either...
Not a very nice situation for anyone to be in.
It begs the question, what good is insurance (in quite a lot of cases)???

The_Kaner
FREEEEEEEEDOM!

The _Kaner's picture

posted by The _Kaner [236 posts] 24th September 2012 - 19:37

Leigh Day are good. They'll sort the carter-fuckers out!

posted by Animal [29 posts] 24th September 2012 - 20:53

Think farmer for insurance company Wink

posted by davemhart [36 posts] 24th September 2012 - 21:24

Whats the point in having the blooming insurance if they arent going to cover this!...they need to be NAMED!

posted by NeilXDavis [62 posts] 24th September 2012 - 21:45

Take away the emotive aspect and unfortunately it's only an insurance company's lawyers doing what lawyers are paid large sums of money to do. Simon is just one of many who suffer as a result of a collision and do not every get treated fairly.

The farmer won't have any money. They never do, it's a fundamental practice they are taught from a very young age - put it back into the business so the evil taxman doesn't get it (yet who pays for roads, electricity, mains sewage etc to their remote properties, for village schools etc). Which is why they have such low net income levels yet have massive sheds full of tractors, trailers, combines, diggers, quads etc. And why they wait for the threatening court letter before reluctantly paying bills and reply to official letters with illegible, spidery handwriting on a piece of old scrap paper in an old envelope resealed with sellotape and, to cap it all, insufficient postage. And no, I'm not exaggerating.

@dullard it's not just pings and pen-pushers and our modern lifestyles but drugs that are sucking huge amounts of money out of the NHS. It is screwed royally by pharmaceutical companies.

Simon E's picture

posted by Simon E [1356 posts] 24th September 2012 - 22:00

Think I know who the insurer is but I shall get it confirmed tomorrow then cancel all my policies. Which will be a shame as I've been with them for quite sometime.

posted by Marin no 8 [1 posts] 24th September 2012 - 22:53

This case just unfortunately reminds me that us cyclists always come off worst in a collision, even if we have the best legal representation. It really is quite depressing. The insurance company should be financially penalised by the courts for refusing to pay for the operation. I can't think of any other legal situation where this wouldn't be the case?

posted by londonplayer [658 posts] 25th September 2012 - 1:05

The _Kaner wrote:
If it is the same in UK as over here in Ireland then a DUI driver's insurance will not pay out - that's when the (equivalent) MIB pay out.

Motor Insurers' Bureau is only brought in if the driver has no insurance or the driver cannot be traced. I think what some people are talking about is some companies have tried to remove cover from the insured driver if they DUI.

As @Waggo pointed out, insurance companies cannot remove their responsibility for insurance against a third party - that is the minimum legal requirement for driving in the UK.

This seems just like normal insurance company tactics to delay paying out, especially as the sum is likely to be quite high. I don't think we need to wait for any medical reports as to calling the insurance company names, it is very clear what injuries have been suffered and the driver was convicted. Conviction isn't a requirement to bring a claim for compensation but it certainly helps.

jaunty angle: bikes and communications
http://ragtag.wordpress.com

ragtag's picture

posted by ragtag [114 posts] 25th September 2012 - 10:06

Just what I was about to say Ragtag. Years ago I was involved in a hit and run. We got the registration and when the police called at his door he had a skinful. Also had a witness who saw him stagger from the pub and into the car and followed him until he hit me and took off. The insurers paid up.

In this case they are banking that the alternative is 'free' as it is a procedure provided by the NHS. What goes in Simon's favour is he is a professional athlete and needs this treatment now rather than later to allow him to be pain free and ultimately compete again.

But why stop at 'voiding' your policy for DUI. Why not void it for speeding, rlj, use of phone etc. All those things that contribute to collisions? Insurance is primarily to protect the third party, not to make it easier for the individual to repair their vehicle.

giff77's picture

posted by giff77 [707 posts] 25th September 2012 - 11:02

I wonder, does Simon Richardson earn a living from cycling at all?
If so can't it be argued that if he is going to be unable to race at the next games he's going to loose 4 years or more of earnings when all his sponsors give up?

Municipal Waste's picture

posted by Municipal Waste [175 posts] 25th September 2012 - 12:47

Marin no 8 wrote:
Think I know who the insurer is but I shall get it confirmed tomorrow then cancel all my policies. Which will be a shame as I've been with them for quite sometime.

And you think you can find a 'clean', honest, ethical and upright insurance company to sign up with?

Ha ha, dream on!

Simon E's picture

posted by Simon E [1356 posts] 25th September 2012 - 13:46

Name and shame this Isurance Provider who-ever they are.

posted by Mostyn [285 posts] 26th September 2012 - 14:32

As a farmer, there is a very high chance that his insurers are the NFU Mutual...in my experience not known for their (voluntary) generosity.

Of course it may not be them but they do insure a substantial proportion of the farmers in the UK.

posted by DAG on a bike [35 posts] 26th September 2012 - 19:35

Edward Adams should be forced to sell his home to pay for the operation as he was the idiot that caused Simon's injuries.
Then he can argue with his insurers!!!

posted by Depth Charge [14 posts] 26th September 2012 - 19:42

I'm disgusted by this, but it's made me think of something that perhaps we should all be thinking of when we're out on the bike...

Had we better have pur own insurance?? Not something i've really considered before, but the thought of being left high and dry by some drunk and his neglegent insurance company is frankly a bit scary!!

Not saying it's right that we should have to, but i guess this is the next step from thinking a helmet is required!!

posted by mr_leemur [20 posts] 26th September 2012 - 20:37

My experience of Leigh Day is that they are excellent. I was dealing with a taxi insurer that was refusing to settle. They claimed that he had a pregnant passenger (I never saw her) and that he'd driven off to drop her at the hospital. When asked to name the passenger, they settled! (with the name of the passenger I could have found out the name of the child via the registrar and traced the witness, if there ever was one).

Leigh Day are British Cycling's insurer and if you aren't a British Cycling member - why not? It's worth it just for the insurance alone.

I presume that Simon is being advised not to name them so as not to prejudice any out of court settlement. However, once proceedings are issued it's no longer a private matter (pedants will say that until it's listed for a hearing it's not public however you've already involved court staff before that point)

If you think this is bad, I understand that the compensation from the MIB for a fatality caused by someone uninsured is £7,000. On the roads life is cheap.

If cycling is indeed a sport of self-abuse why aren't more cyclists sectioned under the mental health act?

posted by hairyairey [236 posts] 26th September 2012 - 22:57

It's a crappy situation but I don't think all the vitriol aimed at the insurer is justified. The drunk farmer is the cause of all this, it won't happen but it would be nice if all his assets were sold to foot any bills (if he has any, Welsh farmers are generally rich...). As has been speculated above I'm guessing the insurer is refusing to pay out on the grounds the NHS will cover it eventually, whilst that sucks if they did pay out for private healthcare when a free option was available then it's sets a precedent and everyone's premiums will end up rising. They could make a goodwill payment to but then so could all the people ranting about injustice here.

posted by fuzzywuzzy [29 posts] 27th September 2012 - 7:47

Maybe I've missed something, but if he's going to be in pain and discomfort for a year if he chooses the NHS option, that deserves compensation? I'm not normally in favour of ambulance-chasers, but if the insurers are refusing to pay for the treatment because the alternative is free under the NHS, surely they're liable for the extra pain and inconvenience poor old Simon will suffer?

posted by Pierre [64 posts] 28th September 2012 - 10:19

This sort of thing is happening day in, day out across the UK. It is utterly despicable and this particular example is strong reason to support new legislation to permanently revoke driving privilege (that's right, driving is not actually a right!) where someone proves themselves to be wholly irresponsible behind the wheel. Seriously, hitting is bad enough but then driving off? Automatic life ban not a smack on the wrist and that's not even taking into account he was a drunk.

Would I for example be re-issued a firearms licence if I took my gun out and walked the streets pointing it at people and firing it in the air...not even actually hurting anyone? I would hope not, the local Chief Constable would lose their job for being so reckless. Why then does such common sense not apply to our roads?

I would take this to government directly and demand, with the help of many supporters out there who are fed up of reading about yet another motorist 'accidentally' ruining someone else's life, that something is done immediately.

It is not good enough for the victim to be left exposed whilst the insurers, the driver, the courts, DVLA and anyone else involved in such farces sit back and play the blame game. Get your MP involved, demand change etc.

I believe your solicitors will prevail as this is a pretty distasteful affair however without knowing the legal argument it's hard of course to really comment on likely success.

When will government step up and make some changes to stop such needless carnage? I'd ask the PM for comment and make his response a matter of public record, he does after all 'work for us' and should act in the interests of common decency, stories like this are just disgraceful.

Hating our selfish and ignorant car culture

posted by ironmancole [9 posts] 28th September 2012 - 14:03

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