Recurring concern

Unsafe road design and layout

Pin Get email alerts Request correction

First reported 2 Dec 2013•Latest report 2 Feb 2026

Definition

What this concern includes

Includes deficiencies in the design, geometry, layout or standards compliance of public roads where the road arrangement itself is identified as unsafe or as failing applicable design or regulatory requirements, including the A285 and comparable road-layout concerns.

Not included

  • Excludes deficiencies limited to a specific dedicated road control, such as signage, markings, lighting, drainage, barriers, sight distance, road width or speed limits, where road design and layout is not the shared unsafe condition.
  • Excludes highway inspection, hazard reporting, maintenance or remedial-action process failures unless the road design or layout itself is identified as unsafe.
  • Excludes vehicle design, driver competence and non-road premises or transport hazards.
  • Excludes isolated collisions or road-user behaviour where no continuing unsafe road-design or layout condition is identified.
Reports
34

Distinct published reports

Individual concerns
35

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
64

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

National Highways9
Department for Transport5
Dorset Council2
Office of the Chief Coroner2
Transport for London2
Apple (UK) Limited1
Birmingham City Council1
Bradford City Council1
Calderdale Borough Council1
Cornwall Council1
Dorset Highways Department1
Google UK Limited1
Greater London Authority1
Kent County Council1
Kirklees Borough Council1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Staffordshire and Stoke-on-Trent

    AI-generated summary

    Nathan Thomas CYSTER · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Nathan Thomas Cyster died at the scene on 29 March 2025 after his motorcycle collided with a BMW X5 on the A5 Watling Street. The report identifies concerns about the hazardous right-turn layout at the Moss Farm Shop exit, the absence of left-turn-only signage, ineffective road markings against prohibited overtaking, and ambiguity in legal guidance about right turns across double white lines.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Hazardous road layout requiring right-turning vehicles to cross multiple traffic-control areas

    Wider context from the report

    “1. Hazardous Right-Turn Manoeuvre Across Multiple Lanes and Road Markings Vehicles exiting Moss Farm Shop are currently required to cross a lane of traffic approaching from their right, traverse double solid white lines, and pass through a right-turn filter lane before entering the main carriageway. This configuration necessitates crossing areas specifically marked to restrict overtaking and protect turning movements, creating a complex and potentially hazardous manoeuvre for drivers. ”

    Source location

    Nathan Thomas CYSTER · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate road markings, signing and carriageway layout on the A5 within National Highways’ jurisdiction to identify potential overtaking mitigation measures.

    Verbatim wording from the response

    “We will investigate the location to establish if any measures can be identified to reduce the occurrence of injudicious overtaking by drivers in contravention of the double white line system. This investigation will be restricted to the A5 within our jurisdiction and will cover road markings, signing and carriageway layout.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 3 February 2026

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install a no-right-turn sign at the Moss Farm shop car-park exit.

    Verbatim wording from the response

    “I have taken away from the report that it is probably best if drivers leaving Moss Farm shop are advised not to turn right.”

    Source location

    2026-0051- Response Moss Farm Shop
    Page 1 · response
    Published 3 February 2026

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Moss Farm Shop is responsible for controlling traffic and providing signage within its private premises.

    Verbatim wording from the response

    “1. Right turn manoeuvre exiting Moss Farm Shop - To be answered by Moss Farm Shop. National Highways is not responsible for the control of traffic exiting a private business and is therefore unable to assist on this point.”

    Source location

    Response from National Highways
    Page 1 · response
    Published 3 February 2026

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Enforcement of the road layout and guidance to road users is outside the respondent’s authority.

    Verbatim wording from the response

    “Having read the report I can see that I can do very little to enforce the road layout and the guidance given to road users, as this is down to the highways department and the police to prevent motorists from breaking the rules of the road that are signed and have the appropriate road markings.”

    Source location

    2026-0051- Response Moss Farm Shop
    Page 1 · response
    Published 3 February 2026

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Enforcement of signed road rules and road markings is assigned to the highways department and police.

    Verbatim wording from the response

    “Having read the report I can see that I can do very little to enforce the road layout and the guidance given to road users, as this is down to the highways department and the police to prevent motorists from breaking the rules of the road that are signed and have the appropriate road markings.”

    Source location

    2026-0051- Response Moss Farm Shop
    Page 1 · response
    Published 3 February 2026

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    National Highways is responsible for deciding appropriate road markings and signing at the specific site on its strategic road network.

    Verbatim wording from the response

    “The Department’s role is to set the overarching legal and policy framework, and to provide guidance to local highway authorities on how to provide various traffic management measures. National Highways is a government-owned company, established under the Infrastructure Act 2015, and operates at arm’s length from ministers. It is responsible for the day-to-day operation, maintenance and improvement of the strategic road network.”

    Source location

    2026-0051 - Response from Department of Transport
    Page 1 · response
    Published 3 February 2026

    Open published response
  2. Birmingham and Solihull

    AI-generated summary

    Charlotte NOORDAM · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Charlotte NOORDAM died on 8 March 2025 after her motorbike collided with a car at the junction of Frederick Road and St James Road in Edgbaston. The report raises concerns about the junction's safety, noting at least 27 other road traffic incidents there and an ongoing risk to life despite existing signage and road markings.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of the junction layout, signage and road markings to mitigate incident risk at the stop junction

    Wider context from the report

    “3. Whilst the road layout, including signage and road markings, complies with the legal requirements this does not appear to have mitigated against the prevalence of incidents at the stop junction. 4. There have been at least 27 other road traffic incidents at the same junction during the period 23rd May 2014 to the 8th March 25. 5. The police investigator gave evidence that, in his experience, the number of collisions at the stop junction raises questions about the safety of the junction. 6. Evidence from Birmingham City Council suggested that there were potentially additional measures that could be considered to mitigate any safety risks so far as reasonably practicable. 7. I am concerned that there is still a risk to life for users of the junction. ”

    Source location

    Charlotte NOORDAM · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement the Fatal Collision Response Protocol to assess site conditions and identify locally appropriate safety interventions.

    Verbatim wording from the response

    “In accordance with the statutory timeframe, the Council is implementing its Fatal Collision Response Protocol to assess the specific site conditions to identify locally appropriate interventions which we intend to deliver in two phases. The first of these will be implementation of vertical traffic calming measures and additional signage to better alert drivers to the presence of the junction. We will deliver these measures within a six-month period of the date of this letter.”

    Source location

    Response from Birmingham City Council
    Page 1 · response
    Published 14 August 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement vertical traffic-calming measures and additional junction warning signage within six months.

    Verbatim wording from the response

    “In accordance with the statutory timeframe, the Council is implementing its Fatal Collision Response Protocol to assess the specific site conditions to identify locally appropriate interventions which we intend to deliver in two phases. The first of these will be implementation of vertical traffic calming measures and additional signage to better alert drivers to the presence of the junction. We will deliver these measures within a six-month period of the date of this letter.”

    Source location

    Response from Birmingham City Council
    Page 1 · response
    Published 14 August 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Design and assess traffic-management measures to redirect vehicles away from the junction before proceeding to implementation.

    Verbatim wording from the response

    “This decision reflects our commitment to prioritise public safety and prevent future loss of life, as set out in our adopted Road Harm Reduction Strategy. Vehicular traffic will be redirected away from residential areas towards the city’s classified road network, which is better equipped to handle higher vehicular traffic volumes safely.”

    Source location

    Response from Birmingham City Council
    Page 1 · response
    Published 14 August 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Meaningful Safe System redesign is not feasible because it would require significant demolition of the surrounding built environment.

    Verbatim wording from the response

    “As meaningful redesign in alignment with the Safe System approach would require significant demolition of the surrounding built environment, this approach is wholly inappropriate for this setting. Therefore, the Council confirms its intention to take decisive steps to address the volume of vehicular traffic using this junction.”

    Source location

    Response from Birmingham City Council
    Page 1 · response
    Published 14 August 2025

    Open published response
  3. Dorset

    AI-generated summary

    Charlotte Katie Mae Avis · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Charlotte Katie Mae Avis died at the scene after her car was struck head-on by a vehicle that had lost control and crossed into the opposite carriageway on 1 December 2022. The report raises concerns about the layout of Loscombe Crossroads and the number of collisions and fatalities at the site, with concern that future deaths could occur.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Hazardous road layout at Loscombe Crossroads

    Wider context from the report

    “(1) Evidence has been provided that between 01.01.2014 and 24.03.2025 there have been 8 road traffic collisions at the site of Charlotte’s death which is referred to as Loscombe Crossroads, near Sherborne, Dorset. Those collisions have resulted in slight, serious and fatal injuries being sustained by those involved. There have been 4 fatalities from 3 of the collisions in a 4 year period. These fatalities occurred on 21.01.2020, 01.12.22 and 20.02.24.The last of these fatalities occurred after Charlotte’s death. (2) Although the speed of the road was reduced by Dorset Council on 11th October 2024 from 70mph to 60mph, I have concerns around the layout of the road and the number of collisions in the area, and that there could be future deaths that occur. ”

    Source location

    Charlotte Katie Mae Avis · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Dorset Council, as the traffic authority, is responsible for decisions about road design, speed limits, traffic calming and road network management.

    Verbatim wording from the response

    “You expressed concerns regarding the layout of the road as a factor in the collision. Responsibility for making decisions about the roads under its care rests with the traffic authority, based on its knowledge of the area and taking into account local needs and circumstances. Local authorities, in this case Dorset Council, are free to make their own decisions about the design of the roads and streets under their care, provided they take account of the relevant legislation. This includes setting local speed limits and introducing traffic calming measures such as speed cameras and speed activated warning signs.”

    Source location

    Response from Department for Transport
    Page 1 · response
    Published 19 May 2025

    Open published response
  4. Northamptonshire

    AI-generated summary

    Jane BENNETT · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mrs Bennett was involved in a road traffic collision at the junction of St Johns Road, Tiffield and the A43 on 13 March 2024 and was later confirmed deceased on 15 March 2024. The report raises concern that the junction is very difficult to manoeuvre and that, without changes, further accidents or fatalities are likely.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Hazardous difficulty manoeuvring at the junction of St Johns Road, Tiffield and the A43 Northamptonshire

    Wider context from the report

    “The junction of St Johns Road, Tiffield and the A43 Northamptonshire is very difficult to manoeuvre. Witnesses who attended at the inquest gave evidence to the effect that unless some changes are made there are likely to be further accidents/or fatalities. I concur with this view. ”

    Source location

    Jane BENNETT · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Carry out planned summer 2025 minor surfacing works, including refreshed eastbound road markings and reflective road studs through the junction.

    Verbatim wording from the response

    “In advance of the 2026/2027 planned carriageway renewals scheme, National Highways is planning minor surfacing works for Summer 2025. This will include refreshing road markings and reflective road studs on the A43 eastbound mainline through the junction. We are currently investigating the possibility of including the vegetation clearance in these works.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 7 February 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate including vegetation clearance in the summer 2025 works to improve visibility at the junction.

    Verbatim wording from the response

    “In advance of the 2026/2027 planned carriageway renewals scheme, National Highways is planning minor surfacing works for Summer 2025. This will include refreshing road markings and reflective road studs on the A43 eastbound mainline through the junction. We are currently investigating the possibility of including the vegetation clearance in these works.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 7 February 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Develop and construct the 2026 A43 renewals scheme, including carriageway resurfacing, line-marking repainting and replacement reflective road studs through to St John’s Road junction.

    Verbatim wording from the response

    “National Highways currently have a renewals scheme programmed for 2026/2027 which includes resurfacing, road markings, road studs, vegetation clearance, and drainage for sections of the A43 including St John’s junction.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 7 February 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate potential junction improvements, such as signage, as part of the A43 renewals scheme scoping.

    Verbatim wording from the response

    “The A43 renewals scheme is currently being developed and scheduled for construction in the later part of 2026. This scheme involves resurfacing of the A43 eastbound and westbound carriageway, repainting of the line markings and replacing the reflective road studs from the M1 motorway through to St John’s Road junction. While the physical layout of the junction will not change, as part of our scoping we are investigating potential improvements for the junction of St John’s Road, such as signage.”

    Source location

    Response from National Highways
    Page 2 · response
    Published 7 February 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The junction does not rank highly as a safety problem location, so detailed investigations for a potential safety improvement scheme have not been prioritised.

    Verbatim wording from the response

    “Following the fatal incident National Highways has referred to this assessment list and the junction of the A43 / St John’s Road does not appear within the top 100 sites in the Midlands. Although this data does not include the recent fatality it does reveal that this junction has a relatively good safety record in relation to the Midlands trunk and motorway network, with only two ‘slight’ injury collisions recorded here within that 5 year period. Based on this, the junction of the A43 and St John’s Road does not rank highly as a safety problem location, and for this reason we have not prioritised this junction as a location to undertake detailed investigations for a potential safety improvement scheme.”

    Source location

    Response from National Highways
    Page 1 · response
    Published 7 February 2025

    Open published response
  5. Milton Keynes

    AI-generated summary

    Amal Mohamed AHMED · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Amal Mohamed Ahmed died at the scene after entering the A5 southbound off slip road in the wrong direction and colliding head-on with another vehicle. The other vehicle’s driver later died in hospital, and a passenger suffered life-threatening injuries. The principal concern was that inadequate, poorly positioned and poorly visible signage and the unlit, wide junction allowed drivers to enter the slip road incorrectly; other drivers were observed making the same manoeuvre.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Slip-road geometry allowing wrong-way vehicles to enter and build up considerable speed

    Wider context from the report

    “The exit point of the A5 "off" slip road at the Little Brickhill junction is wide. The signage indicating No Entry appears to be inadequate as there are two No Entry signs which are widely spaced at the junction. One is positioned to appear to forbid entry to the road over the bridge leading over the A5 and does not obviously relate to the slip road. The second is positioned such that it obliquely faces the road over the bridge and would not be visible to a driver turning right onto the slip road until they had completed the manoeuvre placing them at risk. There is a No Right Turn sign as the junction is approached. There is also No Entry in large white letters at the mouth of the slip road junction, however, this may be (1) obscured by vehicles leaving the slip road and (2) the junction is unlit and was said by a witness as being "pitch black". After the collision attention police officers saw three further vehicles perform exactly the same manoeuvre as Ms Ahmed and attempt to travel down the slip road in the wrong direction. Local residents have contacted police and claimed that it is a very common occurrence for drivers to mistakenly travel down the slip road in the wrong direction. The slip road is long and allows for the build up of considerable speed in turn facilitating what the police describe as a high energy impact. Following the collision, large temporary No Entry signs were positioned at the slip road junction. They were quickly removed apparently because the original signs were deemed to comply with necessary regulations. That seems wholly irrelevant to me because drivers are clearly commonly not seeing the signs because of the large numbers who mistakenly drive the wrong way onto the slip road. In my opinion, consideration should be given to alternative arrangements to prevent vehicles entering and travelling along the slip road in the wrong direction. ”

    Source location

    Amal Mohamed AHMED · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Complete a full safety review of the junction against the current Wrong Way Driving: Mitigation Toolkit.

    Verbatim wording from the response

    “The site visit has informed a full safety review of the junction, including an assessment of the junction against the latest version of National Highways’ Wrong Way Driving: Mitigation Toolkit (v1.2 January 2021). The junction had previously been assessed against the previous version of the toolkit (first issued in 2017).”

    Source location

    Response from Highways
    Page 1 · response
    Published 29 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Undertake further work to assess junction capacity and whether the A5 off-slip bell-mouth width can be reduced with hatched markings.

    Verbatim wording from the response

    “○ Width of the junction bell mouth at the end of the A5 off slip – the A5 off slip and junction bell mouth is two lanes wide. The bell mouth is effectively widened by the concrete overrun area along the eastern edge of the bell mouth. Reducing the width of the junction with hatched road markings may increase the conspicuity of the ‘No Entry’ measures. Further work will be undertaken to understand the capacity of the junction and whether the junction width can be reduced.”

    Source location

    Response from Highways
    Page 2 · response
    Published 29 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Reinspect the site after the incident and investigate whether an immediate safety hazard exists.

    Verbatim wording from the response

    “City highways officials visited the site on 20 November after the fatal incident with Thames Valley Police (TVP). TVP then conveyed a video call with MKCC and National Highways on 21 November and National Highways took subsequent actions on their junction. We would”

    Source location

    Response from Milton Keynes City Council
    Page 1 · response
    Published 29 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review the junction situation later as part of the planned work programme.

    Verbatim wording from the response

    “We have another ‘Report-It’ made on 21 November 2023 which was made following the incident. The same inspector visited the site again and again found no immediate safety hazard based on condition (of the asset) and highlighted to the resident on 13 January 2024 that we have investigated and intend to review the situation at a later date as part of our planned work programme. A standardised response was sent to the customer.”

    Source location

    Response from Milton Keynes City Council
    Page 2 · response
    Published 29 December 2023

    Open published response
  6. Wiltshire and Swindon

    AI-generated summary

    Albert Thomas Stafford Manley · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Albert Thomas Stafford Manley, known to his family as “Jim”, died at Southampton General Hospital on 31 May 2021 from multiple traumatic injuries sustained when his Ford Mondeo collided with an oncoming Land Rover Discovery on the B3081 near Tollard Royal. The report raises concern that the road layout, junction and bends could be misread by unfamiliar drivers, potentially contributing to collisions, and considers whether further warnings or other measures could reduce this risk.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to make the Tollard Green junction and bend sufficiently distinguishable to approaching motorists

    Wider context from the report

    “Although I was unable to make a finding of fact in this case Jim more likely than not misunderstood the road lay out, I was satisfied that it was a possibility and I am concerned that a driver who is unfamiliar with that road section could read the road incorrectly taking into account what they physically see and having regard to the road signs approaching the junction, leading to such a misunderstanding. The national speed limit on this section of road is, of course, 60 mph and every driver have a duty to drive at a speed commensurate with road conditions and additionally owes a duty of care to other road users in terms of driving carefully and considerately. How is it possible to misread the road? In answering that question, see figure 1 below, is a photograph of the view using Google Earth cameras approaching the junction heading in the same south easterly direction that Jim would have been travelling. Fig.1 At approximately 200 metres from the junction is a very clear sign (above) highlighting the junction with the main B3081 continuing left to Tollard Royal and the road leading off to Tollard Green. In the photograph in the road ahead depending on the type of vehicle being driven and its position you can see a left-hand bend ahead of you. The visible bend is in fact a left hand bend once you have left the B3081 and is part of the road heading towards Tollard Green. It is not the junction bend on careful analysis. The next photograph at figure 2 shows a sign for tourist and information purposes which lies approximately 85 metres from the junction with Tollard Green. You can however see the bend ahead which again is the bend beyond the junction and is not the Tollard Green, Tollard Royal junction which is still hidden. Fig2 In Fig3 below a chevron sign at the time of the collision was missing on the sign post to the right of the highway but this sign together with the road markings have now been replaced/refreshed. As a driver myself the chevron markings would be of more assistance to a driver at night time although, of course, they would be visible in the day time but due to size to a lesser degree. At night, the reflective paint differentiating between black and white in my personal view would make the sign more obvious especially when headlights would be unlikely to pick up he Tollard Green bend ahead. Fig 3 In considering my duty to make a report to prevent future deaths I had a report prepared for ████████ from Wiltshire Police (copy attached) and in that report he documented a previous collision history in the last 5 years and in particular 2 incidents, 1 occurring in 2017 and the other in 2018, both of which involved vehicles turning right at the junction to Tollard Green. One incident involved a car and a motorcycle, the other involving a car and a van. I also heard evidence from ████████ who has lived in the area for a number of years that the route to via Tollard Green into Verwood and Bournemouth is used by many as a back road in respect of which he described it as “a rat run” and cars apparently do not necessarily slow to any great degree when exiting that junction from a south easterly direction. ████████ in his report makes 2 recommendations, one of which is to remove the hedgerow to the left to increase visibility around the bend. That recommendation, I have to say, is of some concern to me as I do not think that it would tempt drivers to slow down to any degree and they would be more likely in looking across to look for oncoming traffic and may not always pick up smaller vehicles such a cyclist and motorcycle users when looking to exit the junction heading towards Tollard Green. That recommendation is also of concern to me because Wiltshire at the end of the day is a rural county and its hedgerows and the wildlife contained within the hedgerows are an important feature of its character. I also heard evidence of one of our Coroners Officers, ████████, who commented that the hedgerows had an additional purpose in trying to prevent deer which are a feature in this particular area leaving the fields and crossing the roads. He acquired this information when he was a serving Police Officer and from speaking to one of the nearby landowners. Deer crossing road especially at night can pose a dangerous and unexpected hazard. As regards the second recommendation from ████████, this maybe something that you might be willing to consider or whether there perhaps is a better way through the use of further signing to make it even clearer as regards the existence of the junction and the bend. In asking you to consider painting the word “SLOW” as you approach the bend in both directions as recommended by ████████, I am mindful of the fact that as the highway authority you are under no obligation to provide such warnings as was pointed out by the House of Lords in the 2003 Decision in “Gorringe”. I am however concerned that there is a possibility that the road could be misread and that the bend having exited the junction heading towards Tollard Green could be mistaken by motorist unfamiliar with this section of the road, be confused with the bend and the junction on the B3081 heading towards Tollard Royal. The bend having exited the junction heading towards Tollard Green is very similar in shape to the bend heading towards Tollard Royal which is hidden until you get very close to it. I can see the propensity for a mistake being made here even if it is a mistake that I myself, I hope, would not make and I would ask you to consider if there is anything further that could be done to warn of this junction and bend to further minimise the possibility of any misunderstanding being made by road users if you are minded not to adopt ████████ recommendation. ”

    Source location

    Albert Thomas Stafford Manley · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Assess the site and review existing traffic-sign arrangements through experienced road-safety professionals.

    Verbatim wording from the response

    “Following your suggestion that consideration be given to the introduction of further road markings and review of the current signing arrangements, I can advise the site has been visited by experienced road safety professionals with these comments in mind.”

    Source location

    Response from Wilshire Council
    Page 1 · response
    Published 16 September 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Add “SLOW” road markings to the Council’s road-marking programme for delivery in the coming months.

    Verbatim wording from the response

    “With regards to your other observation that the existing signing could be supplemented using road markings depicting the characters ‘SLOW’, this is something that is considered to be appropriate and would be beneficial in assisting motorists to negotiate this section of road. I confirm that this work will be added to the Council’s road marking programme of works for the coming months.”

    Source location

    Response from Wilshire Council
    Page 1 · response
    Published 16 September 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue monitoring the hedgerow situation alongside the highway and landowner responsibilities.

    Verbatim wording from the response

    “I note the recommendations within the Police report regarding the removal of the hedgerow and your observations on the matter. The hedgerow is outside of the highway boundary and is the responsibility of the landowner, and at present it is not proposed to suggest the removal of the hedgerow for the reasons you mention, but we will continue to monitor the situation and enter discussion with the landowner if deemed necessary in the future.”

    Source location

    Response from Wilshire Council
    Page 2 · response
    Published 16 September 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing road signs accurately represent the layout and hazards, so no further amendments are proposed.

    Verbatim wording from the response

    “Whilst the observations regarding the traffic signs are appreciated, the review has concluded that the existing sign arrangements are representative of the road layout and offer motorists the correct information of the hazards they should expect when negotiating this section of road. Therefore, no further amendments to the road signs are proposed.”

    Source location

    Response from Wilshire Council
    Page 1 · response
    Published 16 September 2022

    Open published response
  7. Berkshire

    AI-generated summary

    Zoltan TOROK · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Zoltan TOROK died from multiple injuries after riding his motorcycle into a stationary Land Rover on the M4 motorway on 7 May 2021. The report raises concerns about the absence of a hard shoulder or refuge on the motorway section under conversion to a smart motorway, the distraction caused by the stranded vehicle’s occupants, and risks arising from mixing smart motorways with traditional hard-shoulder motorways.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to maintain consistent motorway configurations

    Wider context from the report

    “(1) On the date of the death the particular section of the M4 motorway was not completed as a smart motorway, but was substantially in course of conversion such that to all intents and purposes it had the intended characteristics of a smart motorway, specifically that there was no run-off lane or safety lane or hard shoulder, but all lanes were running lanes. The edge of the near side of the inner lane was a solid continuous concrete wall. The inquest heard evidence from the police collision investigator that the collision would not have occurred if the broken down Land Rover had been able to pull out of the running lane into a refuge or onto a traditional hard shoulder. (2) The hazard created for moving traffic by the obstruction of the stranded vehicle was compounded by the unexpected proximity of the occupants from the stranded vehicle standing immediately next to the running lane, albeit on the safe side of the barrier, which is likely to have been distracting to drivers moving at a typical and lawful motorway speed, and on the evidence was a distraction to the deceased. (3) In addition the court heard evidence from an experienced qualified mechanical engineer, fellow of the Institute of Mechanical Engineers, with over 40 years of professional engagement in the motor industry, that the policy of mixing smart motorways with traditional hard shoulder motorways created a latent risk that road users will become accustomed to treating the left or inner lane of motorways as a live running lane even when it remains a conventional hard shoulder, thereby endangering road users who have to pull off the road onto the hard shoulder. (4) The essential purpose of a motorway as a multi-lane high speed direct communication between locations likely to be long distances apart is both undermined, and has a tendency to potentiate risks to road users, if the running lanes are liable suddenly and unexpectedly to become blocked in a dynamic situation, with no refuge available to the stranded vehicle. ”

    Source location

    Zoltan TOROK · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  8. West Yorkshire (Western)

    AI-generated summary

    Danielle Lea Broadhead · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Danielle Lea Broadhead lost control of her vehicle on Barnsley Road, Flockton, after clipping a kerb where a grass verge becomes a pedestrian pavement on a bend, and collided with a tree. She sustained fatal head injuries; the substantive concerns were whether the road layout met regulations and standards and whether measures were needed to highlight the kerb to oncoming motorists.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of the existing road layout to meet correct regulations and standards

    Wider context from the report

    “• To review and consider the existing road layout to ensure that it meets the correct regulations and standards. • To consider the appropriateness of measures which highlight the commencement of the kerb to oncoming motorists. ”

    Source location

    Danielle Lea Broadhead · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Extend the northern footway, install dropped kerbs, and modify the kerb line to create a safer 90-degree pedestrian crossing point.

    Verbatim wording from the response

    “It was agreed at the site meeting that there was no certainty of the kerb being a factor in the collision. However, it was identified that there could be a potential risk to pedestrians at this point on the network, and as there was a planned footway resurfacing scheme for Barnsley Road between Flockton and Grange Moor, Highway Officers decided to investigate the potential to amend this detail.”

    Source location

    2021-0104-Response-from-Kirklees-Council-Redacted
    Page 3 · response
    Published 16 April 2021

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing edge and centre-line markings comply with applicable requirements and direct drivers away from the kerb transition.

    Verbatim wording from the response

    “The location of the kerb, where there is a change from grassed verge to made footway, is approximately 500m to the West of the junction of Haigh Lane opposite a private drive entrance. At the point of the change there is an existing edge of carriageway line leading drivers away from where the kerb starts. This line was last re-instated in 2016 as part of the road surface dressing works. The Google image above was captured in Sept 2020. The centre lane is made up of a double white line system (also reinstated in 2016) both have been installed in accordance with “Traffic Signs Regulations and General Directions 2016” and associated “TSM Chapter 5 – Road Markings” The change from verge to footway is made by transition kerbs, into full height kerb, with the verge and made tarmac footway being same width.”

    Source location

    2021-0104-Response-from-Kirklees-Council-Redacted
    Page 2 · response
    Published 16 April 2021

    Open published response
  9. East London

    AI-generated summary

    Ellie Jessalyn Isaacs · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    On 19 June 2019, 22-year-old Ellie Isaacs was struck by a motor vehicle while crossing the A12 at a Pelican crossing in Romford before the pedestrian light turned green; she sustained fatal injuries and died in hospital on 21 June 2019. The concerns included obstructed driver views, the crossing’s location and changing speed limits, and high levels of vehicles failing to stop during the amber traffic-light phase, which together raised a risk of future deaths.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Hazardous crossing approach following a bend with a higher preceding speed limit

    Wider context from the report

    “2. The Pelicon crossing is sited shortly following a bend in the road and the immediate speed limit approaching the crossing is 30 miles per hour. Very shortly before the Pelicon crossing, the speed limit is 50mph. ”

    Source location

    Ellie Jessalyn Isaacs · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Renew the 30mph signs so the central-reservation and farside signs match the nearside sign size.

    Verbatim wording from the response

    “Work undertaken”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 2020

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Resurface the Gallows Corner roundabout and A12 approaches, renewing white lines, markings, bus-stop cage lining and red surfacing.

    Verbatim wording from the response

    “Work undertaken”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The 30 mph speed limit and its location relative to the pedestrian crossing comply with relevant highway regulations.

    Verbatim wording from the response

    “Below is an aerial photo of the crossing. The speed limit for the Gallows Corner roundabout is 30mph and remains so through the pedestrian crossing location for traffic exiting the roundabout to travel north-east along the A12.”

    Source location

    2020-0169-Response-from-TFL_Redacted.pdf
    Page 5 · response
    Published 10 November 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Highway safety actions at the location fall outside Havering Council’s authority because Transport for London is the highway authority.

    Verbatim wording from the response

    “While Colchester Road is part of the adopted highway network, Havering Council are not the Highway Authority for this road, this responsibility falls to Transport for London (TfL). The plan shown below shows the boundary of TfL’s responsibility around Gallows Corner roundabout and also the section of Colchester Road where the crossing point is situated.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 1 · response
    Published 10 November 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Transport for London must investigate and determine any action concerning the highway network at the location.

    Verbatim wording from the response

    “A site inspection was undertaken on Thursday 17th September to look at the incident site so that Havering could give responses to the points raised in the coroner’s report. While these comments are made by a Senior Engineer at Havering it must be stressed that TfL would need to carry out their own investigation as they would be ultimately responsible for any action (or inaction) carried out to the highway network at this location.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 2 · response
    Published 10 November 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    No road bend causing driver sightline problems was apparent near the crossing during inspection.

    Verbatim wording from the response

    “While on site there was no visible bend apparent in the carriageway along this length of the road that would cause any sight line issues for drivers what so ever.”

    Source location

    2020-0169-Response-from-Havering-Council-_Redacted.pdf
    Page 5 · response
    Published 10 November 2020

    Open published response
  10. Suffolk

    AI-generated summary

    Jamie Finlay · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Jamie Finlay was a passenger in a car involved in a collision on the A1088 near Thetford Road after another vehicle turned right before a filter lane bollard and both drivers swerved. He was taken to Addenbrooke’s Hospital, where his life support was switched off on 11 May 2017; the concern identified was that the junction design did not prevent drivers turning right ahead of the bollards onto the wrong side of them.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of the filter lane and junction design to prevent wrong-side entry into Thetford Road

    Wider context from the report

    “The design of the filter lane and junction from the A1088 to Thetford Road does not prevent drivers turning right ahead of the bollards, and onto the wrong side of those bollards into Thetford Road. ”

    Source location

    Jamie Finlay · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review the junction design, layout and potential engineering solutions to reduce opportunities for drivers to turn right before the centre island.

    Verbatim wording from the response

    “In reviewing the concerns you raise in your report, to take action to prevent drivers from turning right from the A1088 into Thetford Road in advance of the centre island and bollard, Suffolk County Council proposes the following action:”

    Source location

    2019-0510-Response-from-Suffolk-County-Council-Redacted.pdf
    Page 2 · response
    Published 23 June 2020

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The junction is not a high collision cluster, and proposed physical alterations are expected to provide low accident reduction and poor value for money.

    Verbatim wording from the response

    “• As such this is not a high collision cluster site based on 3 or more injury collisions in last 5 years.”

    Source location

    2019-0510-Response-from-Suffolk-County-Council-Redacted.pdf
    Page 1 · response
    Published 23 June 2020

    Open published response
Back to top

Data last updated 7 September 2026