PFD report

Nina MAGGS · Prevention of Future Deaths report

Pin Get email alerts Request correction

Issued 20 Jul 2017•Wiltshire and Swindon

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.

View original report
Concerns
3

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
4

Described in responses

Source document

Full report text

This is the full text from the original published report.

Open published report

Concerns and recipient responses

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

Report evidence summary

Concerns raised3

  1. Lack of safe visibility and crossing conditions for pedestrians at the junction
    Part of recurring concern: Inadequate control of pedestrian crossing risksPart of recurring concern: Inadequate safety controls at high-risk road junctionsPart of recurring concern: Inadequate visibility for road users at hazardous junctions
  2. Insufficient all-red crossing time for pedestrians
    Part of recurring concern: Inadequate control of pedestrian crossing risks
  3. Lack of accessible pedestrian crossing signals
    Part of recurring concern: Inadequate control of pedestrian crossing risks
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

    Analyze signal operation and traffic levels, assess alternatives, and develop preliminary technology and civil-engineering designs for pedestrian signal phases.

    Stated by Swindon Borough CouncilStated completedThe respondent said that this action was complete when they made their response on 25 September 2017.
  2. Action

    Prepare and obtain approval for a briefing recommending further investigation and stakeholder and public consultation on the proposed pedestrian signal scheme.

    Stated by Swindon Borough CouncilStated completedThe respondent said that this action was complete when they made their response on 25 September 2017.
  3. Action

    Conduct stakeholder and public consultation on the pedestrian signal proposals and analyze feedback to inform subsequent decisions.

    Stated by Swindon Borough CouncilStated plannedThe respondent said that this action was planned when they made their response on 25 September 2017.

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

  1. Position

    The junction’s constrained sight lines and pavement space make alternative pedestrian safety options undeliverable or less beneficial than the proposed approach.

    Stated by Swindon Borough CouncilUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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

Lack of safe visibility and crossing conditions for pedestrians at the junction

Wider context from the report

“The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

Is this part of a recurring concern?

Yes — Inadequate control of pedestrian crossing risks; Inadequate safety controls at high-risk road junctions; Inadequate visibility for road users at hazardous junctions.

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

Insufficient all-red crossing time for pedestrians

Wider context from the report

“The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

Is this part of a recurring concern?

Yes — Inadequate control of pedestrian crossing risks.

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

Lack of accessible pedestrian crossing signals

Wider context from the report

“The general safety of pedestrians crossing this junction with Ermin Street, Kingsdown Road and Beechcroft Road in Swindon. During the course of the Inquest I was satisfied that the reason Nina was not using the designated location pedestrian crossing across Hyde Road was due to the fact that in crossing the road she would not have had a clear view of approaching vehicles up Beechcroft Road which could be turning left into Hyde Road. It concerns me that whilst modifications had been carried out to the road to allow pedestrians to cross the road including those for example using disability scooters having regard to the lowering of the pavements they do so at significant risk of harm and even death. Whilst the junction is controlled by traffic lights there is no assistance given to pedestrians, such as a “green man”, an active sound indicating that it is safe to cross or vibrating module at the side of the road that can be sensed by somebody with a visual and hearing impairment. In fact I heard evidence during the course of the hearing that whilst there was a period of time when all the lights at the junction were red this lasted a matter of 4 seconds which is totally insufficient in my view in giving a pedestrian and in particular one that may have a physical impairment time to safely cross any of the roads at the junction. My concern is so high here that I would ask you to treat this as a priority in considering what action if any is to be taken as I believe this is a regularly used junction by pedestrians and their safety is my utmost concern in submitting this Regulation 28 Report. ”

Is this part of a recurring concern?

Yes — Inadequate control of pedestrian crossing risks.

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

Analyze signal operation and traffic levels, assess alternatives, and develop preliminary technology and civil-engineering designs for pedestrian signal phases.

Verbatim wording from the response

“Following the fatal accident an analysis of the current operation of the traffic signals at Kingsdown Crossroads was carried out, including an analysis of the current traffic levels. A scheme to”

Source location

2017-0216-Response-by-Swindon-Borough-Council_Redacted
Page 1 · response
Published 25 September 2017

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

Prepare and obtain approval for a briefing recommending further investigation and stakeholder and public consultation on the proposed pedestrian signal scheme.

Verbatim wording from the response

“Since receipt of the Regulation 28 notice, further work has included the preparation and sign off of a briefing note for the Council’s Cabinet Member for Communities and Place and sign off by myself as Head of Highways and Transport. This has recommended and approved a proposal to take the proposed scheme forward to further investigation and consultation with stakeholders and the public.”

Source location

2017-0216-Response-by-Swindon-Borough-Council_Redacted
Page 3 · response
Published 25 September 2017

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

Conduct stakeholder and public consultation on the pedestrian signal proposals and analyze feedback to inform subsequent decisions.

Verbatim wording from the response

“The next stage is therefore for the Council to undertake stakeholder consultation with regard to the proposals and the balance between those aspects of safety and impact noted above.”

Source location

2017-0216-Response-by-Swindon-Borough-Council_Redacted
Page 3 · response
Published 25 September 2017

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’s constrained sight lines and pavement space make alternative pedestrian safety options undeliverable or less beneficial than the proposed approach.

Verbatim wording from the response

“A range of alternative options have been considered for the junction. These have included a do nothing option, zebra crossings, different pedestrian phasing arrangements and the potential to significantly widen or expand the junction itself. The junction is however very constrained in relation to sight lines and pavement space and each of these options have been ruled out on either benefit or deliverability grounds when compared to the current proposed way forward”

Source location

2017-0216-Response-by-Swindon-Borough-Council_Redacted
Page 2 · response
Published 25 September 2017

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.1

  1. 1

    Consider how to promote left-hand-drive vehicle signage with trade associations.

    Stated by Department for TransportStated plannedThe respondent said that this action was planned when they made their response on 25 September 2017.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    No similar collisions were identified, and there is no evidence that front or side left-hand-drive warning signage would alert pedestrians to the risks.

    Stated by Department for TransportDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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

Consider how to promote left-hand-drive vehicle signage with trade associations.

Verbatim wording from the response

“I should like to assure you of our best endeavours to taking this matter forward and we will be considering how this might be done, with the trade associations in the coming months.”

Source location

2017-0216-Response-by-Department-for-Transport
Page 2 · response
Published 25 September 2017

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 similar collisions were identified, and there is no evidence that front or side left-hand-drive warning signage would alert pedestrians to the risks.

Verbatim wording from the response

“We have checked collision statistics for similar incidents of this type involving left hand drive vehicles and have not identified any cases.”

Source location

2017-0216-Response-by-Department-for-Transport
Page 1 · response
Published 25 September 2017

Open published response
Back to top

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