Department for Transport

PFD Addressee
Reports: 133 Earliest: Oct 2013 Latest: 6 Apr 2026

77% 2-year response rate (below 83% average). 23% of classified responses show concrete action taken.

PFD Reports
133 results
Tobias Barraclough
All Responded
2025-0022 13 Jan 2025 West Yorkshire Western
Road (Highways Safety) related deaths
Concerns summary (AI summary) There are no legal restrictions on newly qualified drivers carrying multiple young passengers, which increases collision risk and warrants a review of current provisions.
Action Planned (AI summary) The Department for Transport is developing a road safety strategy and exploring options to tackle the root causes of incidents involving young drivers and is also considering further policy options regarding motoring offences.
Angela Carney
All Responded
2025-0021 13 Jan 2025 West Yorkshire Western
Product related deaths Road (Highways Safety) related deaths
Concerns summary (AI summary) Many mobility scooters, especially older models, lack a crucial secondary hand brake system, creating significant safety risks for riders and the public. Guidelines need reviewing.
Action Planned (AI summary) The MHRA is working on updating its "Medical devices: information for users and patients" guidance to raise awareness on important considerations prior to purchasing a mobility scooter, with publication expected by June 2025, and will collaborate with relevant stakeholders to disseminate this information. The Department for Transport will liaise with the MHRA to establish whether anything further can be done to prevent such deaths, such as providing information to mobility scooter users about the risks of operating in freewheel mode and warning about the absence of a secondary brake on older models.
Daniel Isaacs
All Responded
2024-0709 24 Dec 2024 Nottingham and Nottinghamshire
Road (Highways Safety) related deaths
Concerns summary (AI summary) There is no requirement for electric scooter riders to wear helmets, increasing the risk of fatal head injuries in collisions due to their vulnerability on the road.
Noted (AI summary) The Department for Transport acknowledges the concerns regarding helmet use for e-scooter and bicycle riders. The government guidance for e-scooter rental trials strongly recommends all users should wear helmets. They state that helmets remain a matter of personal choice for cyclists.
David Haw
Partially Responded
2024-0698 20 Dec 2024 Dorset
Other related deaths
Concerns summary (AI summary) The provided text is incomplete and does not contain discernible coroner's concerns regarding future deaths.
Noted (AI summary) The RYA will work with Organising Authorities to establish trends around support boats and to support Organising Authorities in managing risks associated with their events, continuing to raise awareness of responsible behavior. The Department for Transport acknowledges the concerns raised in the PFD report but states that existing legislation and guidance are sufficient, placing responsibility on local authorities and vessel operators to ensure safety. They will continue to review evidence on alcohol limits and PFD use, but do not plan to introduce national mandates.
Jean Langan
All Responded
2025-0068 13 Dec 2024 Devon, Plymouth and Torbay
Hospital Death (Clinical Procedures and medical management) related deaths
Concerns summary (AI summary) The absence of a real-time database for hospital helicopter landing sites and a lack of readily available manager contact details present significant risks to safe helicopter operations.
Action Planned (AI summary) While hospitals are responsible for HHLS safety, the DfT is considering legislation to ensure safety at all HHLSs and will assist DHSC in developing options for an HHLS database. DHSC states that NHS England now has the contact information for accountable managers at all Trusts operating HHLS and has worked with them to implement requests from Bristow's Helipad operator. DHSC says it is engaging with NHS England and the Department of Transport to determine how best to implement the recommendation to develop a database of HHLSs. The Trust amended the EMRT policy to clarify when EMRT calls are appropriate even with a DNACPR in place, communicated the updated policy to staff, and aligned wording with the Treatment Escalation Plan policy. They also commenced a cascade training programme for swallowing safety, trained nurses, and re-circulated dysphagia guidelines.
Jon-Paul Prigent
All Responded
2024-0648 26 Nov 2024 Derby and Derbyshire
Road (Highways Safety) related deaths
Concerns summary (AI summary) Agricultural tractors and trailers lack independent roadworthiness testing and essential safety features like decoupling prevention, despite their increasing size and road usage. Current regulations are outdated, posing significant public road safety risks.
Noted (AI summary) The Department for Transport will examine what more could be done to ensure the roadworthiness of tractors, trailers and coupling devices and will investigate how best to raise awareness of the DVSA's published guidance on maintaining roadworthiness and vehicle loading, as well as of the existing voluntary trailer maintenance scheme. The NFU provides information and guidance to its members via its website, Business Guides, the British Farmer and Grower magazine, and electronic newsletters, and regularly highlights the importance of tractor and trailer maintenance when communicating with its members. HSE outlines its role as Britain’s national regulator for workplace health and safety and highlights that the health and safety legislative framework and associated guidance is sufficient and clear in its requirement to use equipment suitable for the task that is maintained in a safe condition. The AEA and BAGMA would support proposals for change from the Department for Transport including extending mandatory roadworthiness testing to vehicles travelling below 25mph and requiring failsafe breakaway systems on all trailers.
Dorothy Nias
All Responded
2024-0642 20 Nov 2024 Cornwall and the Isles of Scilly
Road (Highways Safety) related deaths
Concerns summary (AI summary) The absence of mandatory medical checks for drivers over 70, who only self-declare fitness, poses a significant road safety risk. This enables drivers with declining abilities to remain on the road, contributing to fatal and serious collisions.
Noted (AI summary) The Department for Transport acknowledges the concerns, explains the driver licensing renewal process for those over 70, and mentions a 2023 call for evidence on driver licensing for people with medical conditions, the analysis of which is ongoing, with potential changes to the legislative framework to follow. The DVLA acknowledges receipt of the coroner's report and extends condolences, stating that a full response, agreed with the Department for Transport, will be sent by the Secretary of State for Transport.
Emily Lewis
All Responded
2024-0634 15 Nov 2024 Hampshire, Portsmouth and Southampton
Child Death Other related deaths
Concerns summary (AI summary) Inconsistent regulations for high-speed RIB operations, inadequate craft design for passenger safety, poor forward visibility, and insufficient risk management systems contribute to serious impact and vibration injuries. Licensing arrangements and interim safety measures are needed.
Noted (AI summary) The UKHMA engaged with stakeholders and communicated findings to members, and brought the MAIB report to the PMSC steering group. They also proposed the inclusion of guidance in the GTGP, which is expected to be reviewed around Q3 2024. British Marine helped produce and publish the HSPV code in 2010, revised in 2019, and made its use a requirement of membership for operators carrying out this type of activity. The RYA has delayed review of its "Small High Speed Passenger Vessel Voluntary Code of Practice" awaiting MCA legislation, and envisages releasing a revised edition soon after the MCA Sport and Pleasure Vessel Code is finalized. The Department for Transport states that the MCA is prioritising an updated Sport or Pleasure Vessel Code, currently under public consultation. The MCA has also been tasked to commission an anthropometric assessment of small high-speed passenger craft safety, with results expected in late spring/early summer 2026. The British Standards Institution acknowledges the concern regarding BS EN ISO 11591 but clarifies its role as a facilitator for expert committees to develop standards, not to interpret or regulate them; BSI will refer the concerns to the relevant technical committee. The BPA acknowledges the concerns and has corresponded with the MAIB regarding guidance, stating the MCA should lead this. The BPA has offered to promote and amplify guidance, but is not insured to set safety-critical guidelines itself. Associated British Ports acknowledges the concerns but states that monitoring AIS tracks of vessels and intervening in their operation would be very challenging, require dedicated resources, and may not materially increase the safety of harbour users, also noting the limitations of their powers and resources for policing vessels. The MCA is working on an updated Sport or Pleasure Vessel Code, informed by the MAIB Investigation Report, which is currently undergoing public consultation. They have also begun procurement for an anthropometric assessment of small high-speed passenger craft safety, with a report expected in late spring/early summer 2026 to inform future code revisions and guidance. Red Bay Boats Limited has instructed Scot Seats to test seats to meet HSC 2000 standards; they recommend installation of Scot Seats where possible; they will not accept any commissions in the thrill-seeking market; and feel that sea safari craft should not exceed 25 knots. The UKMPG states it supports information sharing but doesn't develop guidance and believes this should be led by the MCA. They will support actions suggested but this must be led by the MCA with industry input.
Daniel Pinkney
Partially Responded
2024-0609 7 Nov 2024 City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Road (Highways Safety) related deaths
Concerns summary (AI summary) There is insufficient public awareness regarding aquaplaning, safe driving speeds in surface water, and appropriate vehicle control techniques, a gap in current Highway Code guidance.
Action Planned (AI summary) The DVSA plans to launch and promote a winter driving e-learning course this month. The DfT will continue to work with stakeholders to amplify road safety messages and encourage them to include aquaplaning. RoSPA will engage with the Department for Transport and DVSA regarding the coroner's findings by Q4 2024. They will also create and share digital education materials on aquaplaning awareness through social media and their website by Q2 2025.
Terence Gillard
All Responded
2025-0264 5 Nov 2024 West London
Road (Highways Safety) related deaths
Concerns summary (AI summary) A dangerous uncontrolled pedestrian crossing on a multi-lane 40mph road lacks safety features and has a history of accidents. Redesign plans are uncertain and significantly delayed.
Noted (AI summary) TfL intends to implement a permanent pedestrian crossing scheme at the A4/Jersey Road junction in Hounslow by 2026, including signal-controlled crossings. In the interim, temporary customer information signage warning pedestrians to take care when crossing the road will be installed by January 2025. The Department for Transport states that Transport for London (TfL) is responsible for traffic management on its roads, including the pedestrian crossing at issue. The DfT says no consent is required from the Department to enable TfL to make changes to this site, and funding will come from TfL revenue sources. The London Borough of Hounslow is working with TfL to improve traffic conditions on the A4, especially for vulnerable road users. Proposals are being considered for signal-controlled crossings for pedestrians and cyclists across the A4 and Jersey Road, with construction planned for 2026-27, along with interim temporary signage.
Wilfred Fitchett, Jevon Hirst, Hugo Morris and Harvey Owen
All Responded
2024-0560 17 Oct 2024 North West Wales
Road (Highways Safety) related deaths Wales prevention of future deaths reports
Concerns summary (AI summary) The absence of legal restrictions on newly qualified and young drivers carrying multiple young passengers significantly increases collision risk, leading to concerns about future deaths.
Disputed (AI summary) Cyngor Gwynedd Council acknowledges the report but argues against installing a Road Restraint System at the collision site, citing costs, engineering constraints, and potential hazards. It emphasizes the role of motorists in road safety. The Department of Transport acknowledges the concerns and is developing a road safety strategy, incorporating findings from the 'Driver 2020' project to improve road safety for young drivers. The Trust disputes responsibility for the fence, stating it was likely erected by Cyngor Gwynedd and that stock fencing is not intended for highway safety. They assert that highway safety is the responsibility of the relevant Authority, not the landowner.
Scott Davies
All Responded
2024-0521 1 Oct 2024 Manchester South
Road (Highways Safety) related deaths
Concerns summary (AI summary) A hard-to-see, locked, matt black steel barrier on a legitimate road poses a serious collision risk for cyclists and emergency vehicles, especially at dusk or in the dark.
Noted (AI summary) Stockport Council has permanently affixed reflective panels and tape to barriers in parks, including Alexandra Park (completed November 21st, 2024), and will complete remaining work by March 31st, 2025. They also audited lighting and found it compliant with BS5489 standards, and will do remedial work by March 31st, 2025 if needed. The Department of Transport states that the matter of barrier visibility is the responsibility of the local highway authority (Stockport Metropolitan Borough Council). They provided references to relevant guidance and legislation.
Jennifer Bunyan and Marion Bunyan
All Responded
2024-0406 26 Jul 2024 Cambridgeshire and Peterborough
Road (Highways Safety) related deaths
Concerns summary (AI summary) An unsafe 60 mph speed limit on a degraded rural road, combined with insufficient inspections and years of delayed safety barrier implementation despite previous fatalities, created severe dangers.
Noted (AI summary) The Department of Transport acknowledges the coroner's concerns regarding cluster sites and GPS routing but states that decisions about highways maintenance and enforcement are the responsibility of local authorities and that drivers should prioritise road signage over GPS guidance. Cambridgeshire County Council plans to implement a 30mph speed limit (with 40mph buffer zones) on Puddock Road by the end of November 2024, conduct a traffic flow survey in early November 2024, and undertake informal engagement on road closure/restricted access, followed by a formal Traffic Regulation Order application and consultation.
Abdul Oryakhel
All Responded
2024-0343 25 Jun 2024 Avon
Other related deaths Product related deaths
Concerns summary (AI summary) There is a lack of understanding regarding the dangers of e-bike/e-scooter lithium-ion batteries and chargers, coupled with an absence of British or European safety standards.
Noted (AI summary) The Department of Transport refers to existing published guidance for users of e-cycles and e-scooters on battery safety, and states that pending the outcome of further research, no additional action is appropriate at this stage. OPSS has undertaken a program of work including commissioning research, engaging with gig economy firms to share safety information, and working with other government departments to publish guidance on e-bike and e-scooter safety. A new safety campaign with consumer messaging is expected to launch in the autumn. The West of England Combined Authority states that specific actions to address the concerns raised by the Coroner do not lie within its strategic functions, requiring national government action in the first instance. They believe their provision of on-street rental e-scooters, e-bikes, and e-cargo bikes reduces the number of privately owned vehicles kept at home.
Charlie Hopkins and William Robinson
Partially Responded
2024-0262 14 May 2024 Surrey
Child Death Road (Highways Safety) related deaths
Concerns summary (AI summary) Deficient MOT and car service procedures fail to detect critical airbag warning light and module faults, risking deaths. Also, insufficient safety measures for young, new drivers contribute to road risks.
Noted (AI summary) DVSA acknowledges receipt of the coroner's report and notes that the Department for Transport will be responding on their behalf.
James Baxter
All Responded
2024-0194 12 Apr 2024 Berkshire
Other related deaths
Concerns summary (AI summary) Commercial medical exams for licence renewal bypass GP knowledge, and the system lacks proactive screening for asymptomatic cardiovascular disease or use of risk-based stratification, omitting vital health indicators.
Noted (AI summary) The Department for Transport explains the current driver licensing arrangements, emphasizing the legal requirement for drivers to report medical conditions to the DVLA and that the DVLA can only act on information received from licence holders and/or healthcare professionals about known medical conditions. They mention a Call for Evidence to gather views on the legislative framework that governs driver licensing for people with medical conditions.
Ellie Hunt
All Responded
2024-0157 20 Mar 2024 York and North Yorkshire
Child Death Road (Highways Safety) related deaths
Concerns summary (AI summary) The absence of a legal requirement for seatbelts in the rear of motorhomes for adults and children over three creates a significant public safety risk.
Action Planned (AI summary) While stating that the existing regulatory framework is proportionate, the Department for Transport has asked officials to consider further options to prevent similar occurrences in the future regarding the safety of occupants of motor caravans.
Shirley Hunt
All Responded
2024-0156 20 Mar 2024 York and North Yorkshire
Road (Highways Safety) related deaths
Concerns summary (AI summary) The absence of a legal requirement for seatbelts in the rear of motorhomes for adults and children over three creates a significant public safety risk.
Action Planned (AI summary) While stating that the existing regulatory framework is proportionate, the Department for Transport has asked officials to consider further options to prevent similar occurrences in the future regarding the safety of occupants of motor caravans.
Brian Chapman
All Responded
2024-0164 24 Jan 2024 Cambridgeshire and Peterborough
Road (Highways Safety) related deaths
Concerns summary (AI summary) Long-distance service buses traveling at high speeds on rural routes are exempt from seatbelt requirements, posing an unacceptable risk of death or injury to passengers in collisions.
Action Planned (AI summary) The Department for Transport believes the current regulatory framework is appropriate but will write to the CPT (bus and coach operators' trade body) and the Office of the Traffic Commissioner to highlight the importance of selecting appropriate vehicles, including those fitted with seat belts.
Fraser Moore
Historic (No Identified Response)
2023-0497 4 Dec 2023 Inner South London
Railway related deaths
Concerns summary (AI summary) Inadequate CCTV coverage beyond station platforms and failure to immediately transmit footage to Route Control rooms increase the risk of undetected incidents in busy stations.
Terence Duncan
All Responded
2023-0458 16 Nov 2023 Berkshire
Road (Highways Safety) related deaths
Concerns summary (AI summary) Extendable trailers' sideguards, compliant only at their shortest length, leave dangerous gaps when extended. This regulatory loophole creates an equivalent hazard to unprotected road users as fixed trailers.
Action Planned (AI summary) The Department of Transport will propose amendments to international regulations to require sideguards on extendable trailers when extended, where possible, and consider amending UK regulations to ensure required sideguards remain in place.
Jessica Baker
All Responded
2023-0369 5 Oct 2023 Liverpool and Wirral
Child Death Road (Highways Safety) related deaths
Concerns summary (AI summary) Concerns exist regarding the lack of clear government advice to schools on seatbelt use in commuter coaches and insufficient public information campaigns promoting seatbelt safety for children.
Action Planned (AI summary) DfT is launching a national seat belt campaign in March 2024 targeting young men. DfE will share education materials on seat belt compliance with education settings, including DfT’s updated guidance on seat belt compliance. DfE also proposes to make a small amendment to the existing statutory guidance on home-to-school travel.
Louis Thorold
All Responded
2023-0311 18 Aug 2023 Cambridgeshire and Peterborough
Child Death Road (Highways Safety) related deaths
Concerns summary (AI summary) The self-certification process for driving licence renewal for drivers aged 70+, without independent medical scrutiny, risks allowing individuals with undiagnosed conditions like dementia to continue driving.
Action Planned (AI summary) Cambridgeshire County Council implemented a reduced speed limit of 40mph and improvements including a pedestrian crossing and enhanced walking/cycling provision on the A10. The County Council and the Cambridgeshire and Peterborough Combined Authority are developing an Outline Business Case to implement strategic enhancements of the A10 corridor, with route safety as a key consideration; due to report in Summer 2024. The Department for Transport acknowledges the concerns about drivers over 70 and notes that drivers must self-declare medical conditions. The DVLA recently published a Call for Evidence on driver licensing for people with medical conditions, with the results currently being analyzed. RoSPA has developed an older drivers website with information and advice.
Mustafa Nadeem
All Responded
2023-0237 11 Jul 2023 Birmingham and Solihull
Child Death Road (Highways Safety) related deaths
Concerns summary (AI summary) Children easily bypassed age and licence checks to illegally use hire e-scooters, facilitated by inadequate identity verification and payment system vulnerabilities. Limited regulation and ineffective education exacerbate this risk.
Noted (AI summary) TfWM's new e-scooter operator Beryl will use the same 'selfie' security process for registering an account as the previous operator, Voi. They will work with local police and schools to identify and act on underage riding reports, and will monitor bank account registrations. Beryl will also implement outreach work with institutions and academies. The Department for Transport will encourage operators to continue additional measures to deter under-age riding, and will work with trial operators to gather and disseminate examples of additional measures. They will also work with operators to understand if anything more could be done to alert them to attempts by under-age riders to gain access to e-scooters. CoMoUK acknowledges the concerns but states they don't have the power to make operational changes to shared transport schemes. They have held meetings with Transport for West Midlands and the Department for Transport and will track the changes being implemented.
Christian Tuvi
All Responded
2023-0239 10 Jul 2023 Inner South London
Other related deaths
Concerns summary (AI summary) A prolonged impasse among organizations regarding safe conveyor operation, coupled with inadequate training and competence assessment for cleaners, resulted in an unsafe system relying on temporary measures.
Noted (AI summary) The Department for Transport acknowledges the coroner's concerns but states it has limited power to intervene and that the Office of Rail and Road and London Underground Limited are responsible. It notes that London Underground Limited has reached an agreement with its contractors and will provide details to the coroner. Transport for London states that KONE engineers will undertake all inching activities on LU's moving walks and escalators. TfL is working with KONE to update Safe Systems of Work by 29 September 2023 to reflect these new arrangements.