A young man, Marius van Vuuren, was seriously injured in a motor vehicle accident on 5 March 1989 and admitted to Universitas Hospital, Bloemfontein, which was under the control of the Province of the Orange Free State. During medical treatment by provincial employees, including surgery, he suffered a cardiac arrest leading to severe brain damage, rendering him incapable of managing his affairs. Advocate A Williams was appointed curator ad litem in November 1990. Williams instituted action against a third-party motor vehicle insurer and against the Province for medical negligence. Proper notice in terms of section 2(1)(a) of the Limitation of Legal Proceedings Act 94 of 1970 was given on 10 June 1991. Summons was issued on 21 October 1992. In December 1995, well after the expiry of the 24-month statutory period, the plaintiff amended the particulars of claim substantially, expanding the allegations of negligence to include pre-operative assessment and treatment failures by additional medical staff. The Province objected, arguing that the amendment introduced a new debt in respect of which no notice had been given and which had prescribed.