Road (Highways Safety) related deaths

Noted (AI summary) National Highways states that they are not the relevant highway authority and that Cumberland Council is responsible for the A595 at Orton Grange. Following a pedestrian survey, the Highways department has deemed the existing refuge adequate and proposes no changes to the current arrangement.

Noted (AI summary) Milton Keynes City Council states they have received no formal complaints about the junction, confirm that the slip road and signage are the responsibility of National Highways, and note that they will cooperate with any actions arising from the inquest that are in their power. Google is working on improvements to the timing of audio guidance in Google Maps, including an amended audio prompt for junctions where drivers cross an overpass and anticipate launching these changes in the near future. TomTom has implemented additional safeguards to limit driver confusion at the A5 Little Brickhill junction by timing verbal commands closer to the actual exit and after passing the off-slip road; these changes require users to update their maps. Apple found no data or routing error on Maps, but will add special voice guidance for drivers heading past the A5 offramp toward the A5 onramp instructing them to "Continue straight at the overpass" and then "Turn right onto A5 toward Milton Keynes, Bletchley," which will be live by the start of next week.

Noted (AI summary) NICE has made recommendations on the use of antidepressants in their guidelines on the treatment of anxiety and published guidance on safe prescribing of antidepressants, but considers that the MHRA would be best placed to address concerns regarding monitoring requirements. MHRA reviewed available evidence from the fluoxetine Summary of Product Characteristics, data from the UK Yellow Card Scheme, literature and the advice of their Expert Advisory Group and determined that routine blood level monitoring of antidepressants for all patients on treatment is not advised, although may be helpful in certain circumstances.

Noted (AI summary) Lincolnshire Council will assess vegetation at the junction regularly to ensure maximum visibility. However, they are not proposing to change the existing GIVE WAY signage as the visibility at the junction exceeds requirements.