Joanne Constable · Prevention of Future Deaths report

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Issued 20 Dec 2023•Cambridgeshire and Peterborough

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
6

Described in responses

Recipients and published responses

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 raised3

  1. Failure to record and track highway hazard and defect reports
    Part of recurring concern: Failure of the highway hazard reporting and response process
  2. Failure to remedy reported highway hazards and defects
    Part of recurring concern: Failure of the highway hazard reporting and response process
  3. Failure to record completion and specification of highway remedial works
    Part of recurring concern: Failure of the highway hazard reporting and response processPart of recurring concern: Failure to ensure identified safety remedial works are completed

Stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. Cambridgeshire County Council

    Maintain accredited Highway Inspectors through City and Guilds highway-inspection training and qualification.

  2. Cambridgeshire County Council

    Implement a new integrated Highways Asset Management and public reporting system linking reports, works, completion records and customer feedback.

  3. Cambridgeshire County Council

    Provide a public online tool for reporting highway defects, concerns and other issues.

  4. Cambridgeshire County Council

    Deliver consistent countywide approaches to safe vegetation management through the Green Infrastructure Team.

  5. Cambridgeshire County Council

    Operate a risk-based highway inspection regime and record identified defects in the highways asset management system.

  6. Cambridgeshire County Council

    Proactively identify vegetation risks and arrange cyclic and reactive cutting, including cutting vegetation on major roads requiring maintenance.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Cambridgeshire County Council

    The Council does not routinely cut vegetation at the field access because it is private and outside the adopted highway.

    Outside remitThe respondent said that this matter was outside its role or authority.
  2. Cambridgeshire County Council

    The Council disputes that it lacks systems and processes to record highway hazard and defect reports.

    Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
  3. Cambridgeshire County Council

    Existing highway management systems are considered appropriate to manage risk and minimise future deaths as far as practicable.

    Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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 record and track highway hazard and defect reports

Wider context from the report

“• In the course of evidence from the local authority's highway maintenance manager, I heard concerning testimony as to the apparent lack of systems and processes in place to record complaints or reports of hazards or defects with the highway. Consequently, there seemed to be no way of identifying which reports had been actioned or inspected and even when the system indicated that an inspection had taken place and led to a recommendation for work to be carried out within a statutory timeframe, there was no information available on the system to show if or when any work was carried out, much less to what specification. • On the evidence I heard, the circumstances prevailing at the entrance to Bypass Field onto the A141 Isle of Ely Way are replicated at many points across the county and therefore, should those with a statutory responsibility to maintain the highways, including verges, at public cost be unaware of the status of reported hazards or defects, there is a clear risk of future deaths occurring due to those with the responsibility not taking steps to remedy the problem and more fatal road traffic collisions occurring. ”

Is this part of a recurring concern?

Yes — Failure of the highway hazard reporting and response process.

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

Failure to remedy reported highway hazards and defects

Wider context from the report

“• In the course of evidence from the local authority's highway maintenance manager, I heard concerning testimony as to the apparent lack of systems and processes in place to record complaints or reports of hazards or defects with the highway. Consequently, there seemed to be no way of identifying which reports had been actioned or inspected and even when the system indicated that an inspection had taken place and led to a recommendation for work to be carried out within a statutory timeframe, there was no information available on the system to show if or when any work was carried out, much less to what specification. • On the evidence I heard, the circumstances prevailing at the entrance to Bypass Field onto the A141 Isle of Ely Way are replicated at many points across the county and therefore, should those with a statutory responsibility to maintain the highways, including verges, at public cost be unaware of the status of reported hazards or defects, there is a clear risk of future deaths occurring due to those with the responsibility not taking steps to remedy the problem and more fatal road traffic collisions occurring. ”

Is this part of a recurring concern?

Yes — Failure of the highway hazard reporting and response process.

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

Failure to record completion and specification of highway remedial works

Wider context from the report

“• In the course of evidence from the local authority's highway maintenance manager, I heard concerning testimony as to the apparent lack of systems and processes in place to record complaints or reports of hazards or defects with the highway. Consequently, there seemed to be no way of identifying which reports had been actioned or inspected and even when the system indicated that an inspection had taken place and led to a recommendation for work to be carried out within a statutory timeframe, there was no information available on the system to show if or when any work was carried out, much less to what specification. • On the evidence I heard, the circumstances prevailing at the entrance to Bypass Field onto the A141 Isle of Ely Way are replicated at many points across the county and therefore, should those with a statutory responsibility to maintain the highways, including verges, at public cost be unaware of the status of reported hazards or defects, there is a clear risk of future deaths occurring due to those with the responsibility not taking steps to remedy the problem and more fatal road traffic collisions occurring. ”

Is this part of a recurring concern?

Yes — Failure of the highway hazard reporting and response process; Failure to ensure identified safety remedial works are completed.

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

Maintain accredited Highway Inspectors through City and Guilds highway-inspection training and qualification.

Verbatim wording from the response

“• The inspections are carried out by dedicated Highway Inspectors. Principal A-Roads (such as the A141 Isle of Ely Way), and main and secondary distributors are inspected monthly, in accordance with the Highway Operational Standards. Identified defects are recorded on the County Councils Highways Asset Management System.”

Source location

Response from Cambridgeshire County Council
Page 2 · response
Published 28 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

Implement a new integrated Highways Asset Management and public reporting system linking reports, works, completion records and customer feedback.

Verbatim wording from the response

“The County Council is implementing a new Highways Asset Management System which will replace and improve on the current IT system. The new system has been specified to deliver a range of enhancements, alongside a new public reporting system. This report system will function as an integral part of the wider”

Source location

Response from Cambridgeshire County Council
Page 2 · response
Published 28 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

Provide a public online tool for reporting highway defects, concerns and other issues.

Verbatim wording from the response

“• In addition, members of the public can report defects they have identified themselves. This can be done directly through the Cambridgeshire Highways ‘Report it’ tool on the County Council’s website, where any defect, concern or issue can be raised. This is achieved by dropping a pin onto a digital map and then completing a description of the issue.”

Source location

Response from Cambridgeshire County Council
Page 2 · response
Published 28 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

Deliver consistent countywide approaches to safe vegetation management through the Green Infrastructure Team.

Verbatim wording from the response

“• The County Council has a Green Infrastructure Team which is responsible for the safe management of vegetation to ensure the Council effectively meets its duty to maintain the highway in accordance with the Highways Act 1980.”

Source location

Response from Cambridgeshire County Council
Page 3 · response
Published 28 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

Operate a risk-based highway inspection regime and record identified defects in the highways asset management system.

Verbatim wording from the response

“• A clear process is in place for the inspection of the highway network. The inspection regime used by the Council is risk based and operates in accordance with UK Roads Liaison Group (UKRLG) Code of Practice ‘Well-managed highway infrastructure. The County Council’s Highway Operational Standards¹ document sets out our operational policies and identifies the types of defects to be inspected also details the required intervention and repair timescales for these defects. These standards are reviewed on a regular basis.”

Source location

Response from Cambridgeshire County Council
Page 2 · response
Published 28 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

Proactively identify vegetation risks and arrange cyclic and reactive cutting, including cutting vegetation on major roads requiring maintenance.

Verbatim wording from the response

“• The Green Infrastructure Team is resourced so that it can proactively manage areas of known risk and identify similar locations, raising works orders to attend to overgrowing vegetation on a cyclic and reactive basis. This will include proactively cutting back vegetation on major stretches of road that require maintenance.”

Source location

Response from Cambridgeshire County Council
Page 3 · response
Published 28 December 2023

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 Council does not routinely cut vegetation at the field access because it is private and outside the adopted highway.

Verbatim wording from the response

“• The County Council does cut back vegetation and cut grass to ensure visibility at junctions and key accesses to the highway.”

Source location

Response from Cambridgeshire County Council
Page 2 · response
Published 28 December 2023

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 Council disputes that it lacks systems and processes to record highway hazard and defect reports.

Verbatim wording from the response

“The County Council has considered with care the issues that you have raised. The Council does have systems and processes in place to record reports of hazards or defects, which I will refer to later in this letter. However, the Council also continuously develops its systems and approaches to improve the management of the highway and to ensure that we meet our statutory duty to maintain them safely.”

Source location

Response from Cambridgeshire County Council
Page 1 · response
Published 28 December 2023

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 highway management systems are considered appropriate to manage risk and minimise future deaths as far as practicable.

Verbatim wording from the response

“Summary The County Council’s Highways Service has appropriate systems in place to manage risk on the highway and is taking action to further improve these to ensure the risk of future deaths from similar circumstances and situations is minimised as far as practicable.”

Source location

Response from Cambridgeshire County Council
Page 3 · response
Published 28 December 2023

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
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Data last updated 7 September 2026