Road (Highways Safety) related deaths

PFD Category
Reports: 499 Areas: 68 Earliest: Aug 2013 Latest: 12 Feb 2026

80% response rate (above 62% average). 32% of classified responses show concrete action taken. Reports rose 56% from 32 (2023) to 50 (2024).

Response Status
Responded 399 No Response 5 Historic 82 Pending 3
AI Classification
Action Taken 32%
Action Planned 44%
Noted 14%
Disputed 10%
Based on 192 classified responses
Reports by Quarter
Clear
PFD Reports
340 results
Olayemi Kehinde
All Responded
2024-0218 24 Apr 2024 East London
North East London Foundation Trust
Concerns summary Concerns arose regarding staff's ability to identify serious incidents during supervised Section 17 leave and the Trust's failure to conduct a proper governance investigation into the incident.
Action taken summary NELFT has implemented new guidance and mandatory training for staff supervising S.17 leave and responding to serious incidents. They have also adopted the Patient Safety Incident Response Framework (P
Christopher Townsend
All Responded
2024-0283 5 Apr 2024 Worcestershire
Auto Cycle Union
Concerns summary The ACU's generic, pre-populated risk assessment for grass-track events and the lack of a mandatory event-specific safety plan for Club/National events create a significant risk of future deaths.
Action taken summary The Auto Cycle Union's Board of Directors will make a specific 'Safety Plan' document a mandatory requirement for all ACU permitted events starting from the 2025 season. The content of this new Safety
Shirley Hunt
All Responded
2024-0156 20 Mar 2024 York and North Yorkshire
Department for Transport
Concerns 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 taken summary The Department for Transport outlined existing regulations for motorhome seat belts, requiring them in new vehicles since 2012, and published guidance advising on safer seating. While considering the
Ellie Hunt
All Responded
2024-0157 20 Mar 2024 York and North Yorkshire
Department for Transport
Concerns 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 taken summary The Department for Transport outlined existing regulations for motorhome seat belts, requiring them in new vehicles since 2012, and published guidance advising on safer seating. While considering the
Richard Collins
All Responded
2024-0127 7 Mar 2024 Dorset
NHS England Department of Health and Social Care
Concerns summary Secondary mental health services failed to discuss DVLA notification regarding driving fitness with a high-risk patient, exacerbated by the absence of a local policy for assessing driving ability.
Action taken summary NHS England clarified that issuing guidance on driving licence revocation is not within its remit, as national guidance from the GMC and DVLA already exists. However, regional colleagues will be asked
Tina Neverland
All Responded
2024-0260 1 Mar 2024 Mid Kent and Medway
Medway Council
Concerns summary The provided text is truncated and does not detail specific concerns identified by the coroner regarding road safety or circumstances contributing to the death.
Action taken summary Medway Council will program a safety scheme to investigate potential enhancements for a road location that lacks formal pedestrian crossing facilities. This work will commence from April 2024, with an
Jamie Pilkington
All Responded
2024-0101 22 Feb 2024 Staffordshire and Stoke on Trent
Midlands Partnership Foundation Trust
Concerns summary Mental health teams repeatedly failed to complete suicide risk assessments and thoroughly explore the deceased's suicidal thoughts, research into methods, or support networks. No system changes were assured to prevent future omissions.
Action taken summary The Trust disputes the premise that the failure to complete the FACE risk assessment was a significant error, citing revised NICE guidance questioning such tools' effectiveness. However, they have dev
Natalie Mountford
All Responded
2024-0075 12 Feb 2024 Dorset
Wessex Water Services Limited Dorset Council
Concerns summary A known accident black spot, exacerbated by uninvestigated water sources on the road, alongside Wessex Water's failure to log and act on reported leaks, poses a significant ongoing risk of icy road conditions.
Action taken summary Wessex Water has reviewed its processes and now logs all Local Authority Highway concerns about water on a customer services system to formally track investigations. They are also engaging with Highwa
Kyle Goater
All Responded
2024-0057 5 Feb 2024 West Yorkshire (Western)
Ilkley Town Council
Concerns summary The absence of advance warning signs for a layby situated at the bottom of a dip on a 50mph road created an unforeseen hazard, contributing to a fatal collision.
Action taken summary Bradford Council has already installed bollards to prevent access to the informal layby and removed associated road markings. They have ordered a "Hidden Dip" warning sign for installation and will co
Paul Frear
All Responded
2024-0041 26 Jan 2024 Black Country
Sandwell Highways
Concerns summary The confusing design of a road junction, featuring conflicting traffic lights and inadequate pedestrian signals, creates a significant and unclear crossing risk for pedestrians.
Action taken summary Sandwell Council plans to introduce 'Look Left' or 'Look Right' road markings and relocate two traffic signal heads at the junction. These proposed works are subject to a road safety audit and are pla
Brian Chapman
All Responded
2024-0164 24 Jan 2024 Cambridgeshire and Peterborough
Department for Transport
Concerns 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 taken summary The Department for Transport affirms the existing regulatory framework for bus seatbelts, which includes an exemption for buses designed for standing passengers. Officials will write to the CPT (trade
Walter Faulder
All Responded
2024-0009 8 Jan 2024 Cumbria
Area Transport and Highways National Highways
Concerns summary A busy pedestrian crossing, used by schoolchildren and older people, lacks adequate safety features, with concerns raised about the need for traffic lights to prevent future accidents.
Action taken summary National Highways states it is not the highway authority for the A595 at Orton Grange and is therefore not the appropriate body to respond, identifying Cumberland Council as the responsible authority.
Joanne Constable
All Responded
2023-0536 20 Dec 2023 Cambridgeshire and Peterborough
Cambridgeshire County Council
Concerns summary The local authority lacks systems to record, track, and confirm action on highway complaints and defects, meaning reported hazards may not be remedied and posing a clear risk of future fatal road incidents.
Action taken summary Cambridgeshire County Council has established a project team to procure and implement a new highways management system to provide a robust audit trail for reported hazards and works. The Green Infrast
John Thomas
All Responded
2023-0527 15 Dec 2023 North Wales East and Central
Denbigshire County Council
Concerns summary Known highway defects, including surface water and flooding, were not remedied by the local authority, posing a clear risk of future fatal road incidents.
Action taken summary The Council has undertaken maintenance work on a culvert, cleared gullies and channels, and erected warning signs on the A539. It also plans to add a specific culvert to its critical maintenance list
Terence Duncan
All Responded
2023-0458 16 Nov 2023 Berkshire
Department for Transport
Concerns 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 taken summary The Department of Transport has asked officials to review requirements and propose amendments to international regulations to mandate sideguards on extended trailers where possible. They are also cons
Harry Colledge
All Responded
2024-0096 16 Nov 2023 Lancashire and Blackburn with Darwen
Lancashire County Council
Concerns summary Highway operatives lack specific training to identify road defects hazardous to cyclists. Additionally, a road's natural geological movement causes defects that current inspections may not adequately identify, posing risks to all road users.
Action taken summary Lancashire County Council delivered a debrief presentation on the case, lessons learned, and operational instructions to all relevant staff by October 2023. They have also commissioned a peer review o
Mason Williams
All Responded
2023-0442 10 Nov 2023 Warwickshire
Warwickshire County Council
Concerns summary Street lighting was unlit due to an underground cabling fault, likely from a previous collision. This lack of illumination along the road created a dangerous hazard for road users.
Action taken summary Warwickshire County Council has permanently repaired the damaged underground cabling and replaced the lighting column on Trinity Road, restoring full street lighting. They have also recruited two addi
Jessica Baker
All Responded
2023-0369 5 Oct 2023 Liverpool and Wirral
Department for Education Department for Transport
Concerns 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 taken summary The Department for Transport plans to launch a national seatbelt campaign in March 2024, which will include wider messages about seatbelt use on buses and coaches. The Department for Education will co
John Wrigley
All Responded
2023-0359 29 Sep 2023 Derby and Derbyshire
REDACTED
Concerns summary The tyre barrier failed to absorb sufficient impact energy, and available energy-dissipating protection was not utilised. Furthermore, wet track conditions and racer error were not adequately considered in safety assessments.
Action taken summary Motorsport UK strongly disputes the coroner's understanding of barrier functions, stating that lorry tyre walls are primarily for containment and energy dissipating barriers are used where appropriate
Talia Phillips
All Responded
2023-0318 4 Sep 2023 Cornwall and the Isles of Scilly
National Institute for Health and Care … British National Formulary
Concerns summary Fluoxetine prescribing guidance lacks recommendations for routine blood level testing, even with symptoms like palpitations, potentially missing chronically high levels and warranting review.
Action taken summary NICE acknowledged the concern but stated that the Medicines and Healthcare products Regulatory Agency (MHRA) is best placed to address monitoring requirements for fluoxetine, as these are covered by t
Louis Thorold
All Responded
2023-0311 18 Aug 2023 Cambridgeshire and Peterborough
Department for Transport Cambridge County Council
Concerns 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 taken summary The Department for Transport reiterates the current driver self-certification process for over 70s but states the DVLA recently published a Call for Evidence on driver licensing for people with medica
Absolom Duffy
All Responded
2023-0295 16 Aug 2023 Lincolnshire
Lincolnshire County Council
Concerns summary The "give way" signage at a junction with restricted visibility may be insufficient, as drivers must stop to ensure safety, raising concerns that a "stop" command would be safer.
Action taken summary Lincolnshire Council conducted an investigation of the junction and concluded that visibility distances far exceed the criteria for a 'STOP' sign as per the Traffic Signs Manual, therefore not changin
David Andrews
All Responded
2023-0329 1 Aug 2023 Hertfordshire
Hertfordshire County Council
Concerns summary Heavy goods vehicles are permitted to stop and unload on a specific road stretch, effectively blocking the southbound carriageway and creating a hazard.
Action taken summary Hertfordshire County Council plans to promote a Traffic Regulation Order to prohibit loading and unloading on the specified road section. They will engage with the company NuYard by November 2023 to r
Mustafa Nadeem
All Responded
2023-0237 11 Jul 2023 Birmingham and Solihull
Department for Transport Collaborative Mobility UK West Midlands Combined Authority
Concerns 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.
Action taken summary The West Midlands Combined Authority states its new e-scooter operator, Beryl, will use a selfie check for account registration and is committed to various future actions. These include developing in-
Richard Littlewood
All Responded
2023-0214 27 Jun 2023 East Riding and Hull
Highways Department
Concerns summary Repeat fatal incidents on a specific road bend highlight concerns about inadequate safety measures and a lack of clear timescales for assessing and implementing additional road markings despite discussions between authorities.