PFD report

David Lee WALSH · Prevention of Future Deaths report

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Issued 23 Jun 2025•Greater Lincolnshire

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
5

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised2

  1. Failure to immediately report highway-condition-related injury or fatality collisions to the Highways Department
    Part of recurring concern: Failure to reliably share road-safety incident information with highway authoritiesPart of recurring concern: Inadequate road-traffic-collision reporting for highway safety management
  2. Delays in reviewing collision information for highway safety intervention
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.3

  1. Action

    Undertake annual collision-cluster runs and route studies reviewing the preceding five years of collisions to identify patterns, issues and locations requiring investigation.

    Stated by Lincolnshire County Council and Lincolnshire PoliceStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.
  2. Action

    Highlight every STATS19 collision identifying roads as a possible causation factor within the wider Highways Team for timely review or action.

    Stated by Lincolnshire County Council and Lincolnshire PoliceStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
  3. Action

    Operate the improved fatal collision notification process, distributing reports, recording potential highway issues, checking records, notifying relevant teams and considering preventive actions.

    Stated by Lincolnshire County Council and Lincolnshire PoliceStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Fatal collisions are not left until the annual review; existing processes ensure they are considered and investigated at the earliest opportunity.

    Stated by Lincolnshire County Council and Lincolnshire PoliceDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to immediately report highway-condition-related injury or fatality collisions to the Highways Department

Wider context from the report

“During the evidence provided by the Highways Department, the Highways Officer reported that road traffic collisions, where there are injuries or fatalities that may have been contributed to by the condition of the highway, are not immediately reported directly to the Highways Department by the Police. The Police complete a Stat 19 Form which is then sent to the Lincolnshire Road Safety Partnership. The information from the Stat 19 Form is then collated and placed onto the WINGS software programme which is a Council owned software programme. This information is reviewed on an annual basis where the types of incidents are considered along with the traffic flow on that road and it gives a score. Based on the score there is then a ranking of sites where there has been more than one collision within a set area (known as a Cluster). The score is used to decide where the Highways Department should intervene first on looking at potential safety improvements. The Accident Investigation Team and the Road Safety Partnership then look at each of those Cluster Sites and investigate those sites. Consideration will then be given to what improvements could be made to the highway to reduce the risk of future incidents. As these reports are only considered annually there is the possibility that other incidents can occur prior to the annual review that could have been prevented had a report been made to the Highways Department at the time of the incident. ”

Is this part of a recurring concern?

Yes — Failure to reliably share road-safety incident information with highway authorities; Inadequate road-traffic-collision reporting for highway safety management.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Delays in reviewing collision information for highway safety intervention

Wider context from the report

“During the evidence provided by the Highways Department, the Highways Officer reported that road traffic collisions, where there are injuries or fatalities that may have been contributed to by the condition of the highway, are not immediately reported directly to the Highways Department by the Police. The Police complete a Stat 19 Form which is then sent to the Lincolnshire Road Safety Partnership. The information from the Stat 19 Form is then collated and placed onto the WINGS software programme which is a Council owned software programme. This information is reviewed on an annual basis where the types of incidents are considered along with the traffic flow on that road and it gives a score. Based on the score there is then a ranking of sites where there has been more than one collision within a set area (known as a Cluster). The score is used to decide where the Highways Department should intervene first on looking at potential safety improvements. The Accident Investigation Team and the Road Safety Partnership then look at each of those Cluster Sites and investigate those sites. Consideration will then be given to what improvements could be made to the highway to reduce the risk of future incidents. As these reports are only considered annually there is the possibility that other incidents can occur prior to the annual review that could have been prevented had a report been made to the Highways Department at the time of the incident. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Undertake annual collision-cluster runs and route studies reviewing the preceding five years of collisions to identify patterns, issues and locations requiring investigation.

Verbatim wording from the response

“Finally, as noted during the inquest, LCC AIP staff undertake an annual collision cluster run and route study programme. This ensures that every collision in the preceding five-year period, regardless of severity is also reviewed, to identify patterns or issues, highlighting locations that require further investigation. This is a risk-based assessment that factors in the number of collisions, their severity, and the presence of vulnerable road users. This generates a work programme of 30 or more sites and three or more routes for review every year. I can confirm that whilst this work forms a vital part of LCC's activity to prevent future death and injury, it is not the only relevant programme, and LCC do not wait for the annual review before investigating fatal collisions.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 3 · response
Published 14 July 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

Highlight every STATS19 collision identifying roads as a possible causation factor within the wider Highways Team for timely review or action.

Verbatim wording from the response

“Every STATS19 collision form that has R1-R5 (Roads) listed as a possible causation factor will be highlighted within the wider LCC Highways Team. This will allow for any review or action to be taken at the earliest opportunity where necessary. The actions to be taken will be graded based on the severity of the collision and the weighting of the causation factor. For example, a road related causation factor rated as the most likely issue in a fatal/serious collision will indicate a more significant issue than a causation factor ranked third in likelihood for a slight collision.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 3 · response
Published 14 July 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

Operate the improved fatal collision notification process, distributing reports, recording potential highway issues, checking records, notifying relevant teams and considering preventive actions.

Verbatim wording from the response

“Regarding the reporting of potential highway issues in fatal collisions more widely, I am pleased to confirm that LCC systems have recently been improved to ensure that any possible highway issues are identified at the earliest opportunity.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 2 · response
Published 14 July 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

Fatal collisions are not left until the annual review; existing processes ensure they are considered and investigated at the earliest opportunity.

Verbatim wording from the response

“As such, every fatal collision reported to LCC is considered at the earliest opportunity.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 3 · response
Published 14 July 2025

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Hold monthly meetings between the LRSP Senior Manager and FCIU Inspector after SCIU/FCIU meetings to share relevant collision-prevention data.

    Stated by Lincolnshire County Council and Lincolnshire PoliceStated plannedThe respondent said that this action was planned when they made their response on 14 July 2025.
  2. 2

    Hold monthly operational update meetings between the Serious Collision Investigation Unit and Forensic Collision Investigation Unit to discuss open-case progress.

    Stated by Lincolnshire County Council and Lincolnshire PoliceStated completedThe respondent said that this action was complete when they made their response on 14 July 2025.

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

Hold monthly meetings between the LRSP Senior Manager and FCIU Inspector after SCIU/FCIU meetings to share relevant collision-prevention data.

Verbatim wording from the response

“In addition, two additional actions have been agreed. The Lincolnshire Police Serious Collision Investigation Unit (SCIU) and FCIU hold monthly operational update meetings to discuss progress on open cases. In addition to the informal discussions outlined above, the LRSP Senior Manager and FCIU Inspector have formally agreed to meet every month after the SCIU/FCIU meeting to ensure any relevant data is shared that may help prevent future collisions occurring.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 3 · response
Published 14 July 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

Hold monthly operational update meetings between the Serious Collision Investigation Unit and Forensic Collision Investigation Unit to discuss open-case progress.

Verbatim wording from the response

“In addition, two additional actions have been agreed. The Lincolnshire Police Serious Collision Investigation Unit (SCIU) and FCIU hold monthly operational update meetings to discuss progress on open cases. In addition to the informal discussions outlined above, the LRSP Senior Manager and FCIU Inspector have formally agreed to meet every month after the SCIU/FCIU meeting to ensure any relevant data is shared that may help prevent future collisions occurring.”

Source location

Response from Lincolnshire County Council & Lincolnshire Police
Page 3 · response
Published 14 July 2025

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
2/2

Data last updated 7 September 2026