The appellant, Compensation Solutions (Pty) Ltd (CompSol), purchased medical aid claims from medical practitioners who treated employees injured at work and submitted those claims to the Compensation Commissioner under the Compensation for Occupational Injuries and Diseases Act 130 of 1993 (COIDA). Due to persistent delays and failures by the Commissioner to process and pay claims, the parties concluded a settlement agreement in July 2009, which was made an order of court. The settlement required the Commissioner to process, validate and pay accepted medical accounts within 75 days and to engage regularly with CompSol to resolve disputes. Despite repeated undertakings, further settlements, and additional court orders, the Commissioner repeatedly failed over several years to comply. By July 2013, more than R93 million in validated claims remained unpaid beyond the prescribed period. CompSol instituted contempt proceedings, seeking a declaration that the Commissioner was in wilful and mala fide contempt of the settlement order. The High Court refused to find contempt, holding that the settlement order did not impose obligations enforceable by contempt. CompSol appealed to the Supreme Court of Appeal.