Leanne Gower

PFD Report Partially Responded Ref: 2014-0567
Date of Report 19 November 2014
Coroner Hassan Shah
Coroner Area Northampton
Response Deadline ✓ from report 15 January 2015
Coroner's Concerns (AI summary)
Police do not routinely share damage-only collision data with councils, hindering effective identification of hazardous road sections and informed highway maintenance decisions.
View full coroner's concerns
It emerged in evidence that the police do not routinely check all provided data in relation to damage only incidents to the Council, MGWSP or any other party responsible for the maintenance of roads.

It was the evidence of PC that such damage only incidents stopped being recorded in January 2011, although the reason for that decision was unclear. In this particular case, the damage only collisions data was as follows:- 2010 – 5 2011 – 7 2012 – 3 2013 – 8 2014 – 13 to date

Although there were no reported incidents since the retexturing of the relevant stretch of road, there is evidence of further incidents as one of the bollards has been displaced since.

of the Police’s Safer roads team agreed in evidence that damage only collisions that are reported should be taken into consideration when determining whether any works are required to a particular stretch of highway.

Principal Asset Engineer at Northamptonshire County Council also believed that collision only data would be helpful. 2
Responses
Northamptonshire County Council Local Authority / Fire Service
19 Nov 2014
Noted
Northamptonshire County Council states that the Department for Transport Design Manual is outside of their remit to review. They detail changes to the road network and skidding resistance policy, and state they constantly monitor the A508 and have implemented safety measures, but collisions are mostly due to human factors. (AI summary)
View full response
Dear Mr Shah, RE: LEANNE CARMEN GOWER (DECEASED) REGULATION 28 CORONERS REPORT refer to your letter dated 19th November 2014 to my officer, and accompanying regulation 28 Report expressing concerns regarding various policies and would reply as follows: 1 Department of Transport Design Manual National Guidance HD 28/04 is published by the Department for Transport and the Highways Agency for use on the Motorway and Trunk Road network: As such, it is without the remit of the County Council to review: However, would comment that in the period 2001 to 2004, Northamptonshire saw considerable changes to its principal road network as a result of the government's national programme of trunking and detrunking: This consisted of the A45 (from M1 Jn 15 to A14) becoming a trunk road and sections of the A6, A428, A43, A45 and A47 ceasing to be trunk roads and becoming part of the county A road network This has resulted in two very different networks: Trunk Roads and Motorways which (with the exception of the A5) consist mostly of Motorways or motorway style dual carriageways with limited junctions, often grade-separated and relatively modern, designed roads (M1 , M45, A14, A45 and A43). This contrasts with the county principal road network which are local A roads the majority of which have evolved historically with limited design and consist of numerous junctions, mixture of urbanlrural environments, and varying levels of horizontal and vertical alignment_ 2 Northamptonshire County Council (NCC) Skidding Resistance Policy The County Council's policy and utilisation of SCRIM data modifies the Department of Transport guidance for use on the County Principal Road network NCC considers that strict application of HD28/04 is too stringent for a local road network because the national WNWW . northamptonshire gov.uk Northamptonshire County Council

document does not provide suitable guidance for roads designed for lower speeds and lower traffic volumes. The current NCC policy was first issued in 2009 and was last reviewed in 2013/14 to take into account all latest available national advice and guidance. This latest review has yet to be formally signed off so we will take this opportunity to look at our Skidding Resistance Strategy again to see if any further changes are required or improvements can be made_ 3 Red Route_Working Party and Red Route Process This is the working party referred to in your report and the process is more of a strategy rather than a policy: The process has been in place since 2000 and the working party meets on a monthly basis with expert practitioners from Northamptonshire Highways, Northamptonshire police and Northants Fire & Rescue Service_ The Red Route process has evolved over the years and an annual review of routes, interventions, working practices and inclusion of SCRIM data ensures that the most effective strategy is in place. This means that the process is already subject to regular review: have attached some additional information relating to the Red Route Strategy by way of further explanation including some more specific information regarding the A508 and perspective around the use of non-injury collision data which was an issue raised during the inquest.
Northamptonshire Police Police / Law Enforcement
7 Jan 2015
Action Planned
Northamptonshire Police will highlight concerns about collision locations to a small group of road safety problem solvers, briefing them on the specific incident and asking them to informally report any concerns they become aware of, triggering further investigation by the Safer Roads Team if a pattern emerges. (AI summary)
View full response
Dear Mr Shah Leanne Carman Gower (deceased) Letter to prevent future deaths Further to your Regulation 28 report of 19 November 2014 I have noted your concerns and I provide the following information in response. Actions taken I have reviewed our position in relation to the collation, checking and provision of non- injury, damage only collision data and can clarify the position of Northamptonshire Police with regard to this: Procedure When a member of the public telephones to report a road traffic collision, the following information will be obtained: Has anyone been injured? Is there any danger requiring immediate action by any of the emergency services? Is there any obstruction to traffic? Are there allegations of offences being made against another driver/person? Do the circumstances warrant the attendance of a police officer? If the answers to all the questions are negative the caller will be informed of the provisions of Section 170 Road Traffic Act 1988 and the drivers' responsibilities to exchange: names and addresses details of the owners of the vehicle vehicle registration marks the fact that the police will not be attending and no police collision report will be prepared.

Requirements All Police Forces have requirement under the Department for Transport regulations to record data on all collisions involving death or personal injury on the public highway, and in which one or more vehicles are involved_ This data is called Stats 19' and is used for the purpose of delivering casualty reduction and road improvements_ The format of the reporting ensures that it nationally consistent: The 'Stats 19' data collected by Northamptonshire Police is sent to Northamptonshire County Council for collation and onward transmission to the Department for Transport: There is no requirement by the DfT for Police Forces to record non-injury damage only collisions. In line with the procedure above, damage only collisions which are reported to the police will be noted on the command and control log and given an incident number. In most cases, unless necessary , no further action is taken. Position of Northamptonshire _Police At a meeting of Chief Officers on 16 September 2011 it was agreed that damage only collisions would only be recorded where road traffic offences were disclosed: This decision was implemented in January 2012 and the procedure outlined above took effect: Overview of the reporting and recordingof_road traffic_collisions_ The question is raised that the policy of dealing with damage only collision information should be reviewed to determine if the use of such information could contribute positively to reducing casualties: This question needs to be put into the national and local context in order to inform what, if any, action should be taken to utilise damage only information. Reference is made to the following document 'Reported Road Accident Statistics' SN/SG/2198 updated 24 October 2013, a Parliamentary briefing paper. This document acknowledges that the STATS 19 database figures are recognised as being an incomplete count of both collisions and casualties, although figures on fatalities are generally acknowledged to be robust. It is apparent that the system has flaws due to underreporting by those not able to or not wishing to notify police of their involvement in a collision. There are other reasons for underreporting of personal injury collisions but with regard to damage only collisions, it is believed that the scale of underreporting may be even greater. Research into the extent and nature of underreporting is ongoing but has not yet been conclusive in terms of the scale of the problem. Chapters 5 and 6 of 'Road Accidents in Great Britain 2008' provide a summary of research findings into this issue at that time_ In 2009 the UK Statistics Authority published their assessment of road casualty statistics and they too concluded that the underreporting of road collision casualties is a significant and intractable problem: Bearing in mind the issues recognised to exist with the reporting and recording of personal injury statistics, the recording of damage only data presents even greater July

difficulties. There is a working partnership between Northamptonshire Police and Northamptonshire County Council to reduce road casualties and the following comments have been made by Road Safety and Sustainability Team Leader, Northamptonshire Highways: 'The police no longer routinely attend or record non-injury collisions and the Department for Transport do not require this information from local authorities: It is therefore fact that the vast majority of damage only collisions are not directly recorded by the police and anecdotal information is notoriously unreliable: Reports of non-injury collisions to the police are noted on messaging log and tend to provide the briefest of detail. The absence of precise, validated and corroborated locations for incidents therefore renders any attempt to accurately identify collision sites with any degree of confidence_ It should also be born in mind that, for the purposes of the Road Traffic Act, the most insignificant damage to a vehicle or property would constitute a non- injury collision. Provided that all the conditions of the Act are met then there is no obligation for a motorist to report non-injury collision to the police. Where non-injury collisions are recorded by the police, details are again very brief and held in their administrative system for reference purposes: Reports are not forwarded to Northamptonshire Highways and we do not have the resource capacity to input the detail on our database. To put this in context, we currently input around 1200 personal injury collisions per year on our database and the police file around 2,500 non-injury collisions in their system. This is in hard copy form and presents no opportunity to interrogate, validate or analyse the information. We spend a great deal of time validating the data contained within personal injury collision forms in order to ensure that the information available on the database has high degree of accuracy. Non-injury data is therefore extremely limited , unreliable and lacks scientific rigour to determine meaningful interventions: As an evidence led process our analysts are also mindful that erroneous data could potentially create danger on the road network rather than reduce it as well as divert funding away from more serious concerns on the network' . Conclusion There is no statutory requirement to collect, collate and analyse damage only data. If this activity were to be graded in terms of necessity and weighed against policing priorities, then it would likely be given a very low priority. Current financial conditions and the requirement to make significant savings would also make the need to fund staff time to deal with damage only data difficult to justify. Consequently I would not recommend that formal steps be taken to collate and analyse damage only data within this organisation: My conclusion supports the decision of Chief Officers taken in September 2011_ However I do acknowledge the concerns raised by the Coroner and propose instead to highlight this issue to the small group of officers, located around the county, who have taken on a role as road safety problem solvers: I will brief them on the circumstances of this particular incident and ask that, as part of their role, informally report any concerns that become aware of in relation to collision locations. Where it they they

becomes clear that a pattern is emerging or the number of incidents is unusual, further investigation will take place via the Safer Roads Team. Senior Traffic Management Officer Safer Roads Team
Sent To
  • MGWSP
  • Northamptonshire County Council
  • Police Safer Roads Team
Response Status
Linked responses 2 of 3
56-Day Deadline 15 Jan 2015
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
Leanne Carmen Gower who died on the 26th May 2014 at the scene of a road traffic collision on the A508 near Stoke Bruerne in Northamptonshire. The inquest on the 12th November 2014 where I recorded a verdict of death by “Road Traffic Collision”.
Circumstances of the Death
Leanne Carmen Gower was a passenger in a car driven by her good friend. There was a loss of control and the car veered into the path of oncoming traffic where it collided with another vehicle. Leanne died at the scene.
Action Should Be Taken
I would therefore be grateful if you would kindly review the policy in relation to the collation, checking and provision of collision only data to Northamptonshire County Council, MGWSP and any other agents who are responsible for the maintenance of roads.
Copies Sent To
Principal Asset Engineer, Northamptonshire County Council of Fentons Solicitors
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.