The respondent sued the appellant (MEC for Health, Eastern Cape) in her personal and representative capacities on behalf of her minor child for damages arising from harm caused during birth at Mthatha General Hospital in July 2015. On 15 October 2019, Dawood J held the MEC liable for damages, with quantum postponed for settlement purposes. The matter was repeatedly postponed for settlement, with the court ordering pre-trial conferences. On 16 and 19 March 2020, pre-trial conferences were held where legal representatives reached agreement on quantum (R22,716,489.00 for the minor child and R450,000.00 for the mother personally). However, in the minute of 19 March 2020, paragraph 10 specifically recorded that the defendant's legal representative would "seek instructions to settle" the claim on the agreed sum. On 23 March 2020, Griffiths J issued a rule nisi calling upon the Superintendent General to show cause why the order should not be granted, specifically recording that the defendant's representatives "do not currently have instructions to settle" the matter in the agreed sums. The MEC filed an affidavit opposing confirmation of the rule nisi and a notice of intention to amend the plea to introduce a 'public health service' defence. On 30 June 2020, Brooks J confirmed the rule nisi.