Dr Els Thomas, a Belgian medical practitioner, was seriously injured in a motor vehicle collision in South Africa. The Road Accident Fund admitted 70% liability and quantum was referred to arbitration. Dr Thomas received compulsory Belgian social security benefits (medical and disability). An issue arose whether those benefits should be deducted from the damages payable by the Fund, particularly where undertakings existed to repay the Belgian institutions to avoid double compensation. The arbitrator stated a question of law to the High Court under s 20(1) of the Arbitration Act, asking whether the earlier Cape decision in Zysset v Santam was correctly decided. The High Court entertained the question, held Zysset to be wrongly decided, and issued a qualified order. Both parties appealed.