Rosemary MacAndrew · Prevention of Future Deaths report

On 4 November 2024 an inquest was opened into the death of Rosemary MacAndrew, aged 64. The inquest concluded on 28 April 2025. I made a determination at inquest that she died as a result of a road traffic collision.

Rosemary MacAndrew died on 5 July 2024 at Waitrose, Newark, Nottinghamshire, as a result of chest injuries, sustained in a Road Traffic Collision, when she was a pedestrian in the carpark of the store. She was struck by a motor car that was reversing at speed and became trapped beneath the vehicle. The motor vehicle was being driven by an 89-year-old male who was not able to account for the manner in which the vehicle was driven. It was suspected by paramedics who attended the scene that the driver may have had a neurological event whilst driving the vehicle. In the two years preceding the collision his mobility had reduced, he reported back and leg pains to his GP, and in October 2023 he presented to the local Emergency Department with neurological symptoms, suspected to be as a result of a TIA. In the months preceding the collision he had seen his GP with itching and pains in his legs. He died eight months after the collision of dementia and gangrene in both feet. As the guidance currently stands, none of the above conditions present prior to the collision were notifiable to the DVLA pursuant to the ‘Assessing Fitness To Drive: a Guide for Medical Professionals’. The above conditions would have been self-reportable by the driver if he considered they could affect his driving safety. No such self-referral had been made.

The UK population is of increasing age and the number of older drivers is increasing rapidly. The current system for vehicle licensing relies largely upon the self-awareness of a driver and their willingness and/or ability to self-report medical conditions to the DVLA. I am concerned that older drivers with vulnerabilities, including age, decreasing mobility and cognitive decline pose a risk of future deaths through compromised driving ability thereby creating a risk of deaths in the future.