Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0172, written 4 May 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 4 May 2016 |
|---|---|
| Reference | 2016-0172 |
| Deceased | Tony Jopson and Michael Jopson |
| Coroner | David Roberts |
| Coroner area | Cumbria |
| Category | Road (Highways Safety) related deaths · Child Death (from 2015) |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS RE: Tony Elliott JOPSON Deceased THIS REPORT IS BEING SENT TO: 1. The Right Hon. Patrick McLoughlin MP Secretary of State for T: nsport 1 | CORONER | am David Llewelyn Roberts, Senior coroner, for the coroner area of Cumbria. 2 | CORONER’S LEGAL POWERS | make this report under paragraph 7, Schedule 5, of the Coroners and Justi¢e Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 201 3 | INVESTIGATION and INQUEST On 29th May 2015. | commenced an investigation into the death of Tony Elliott Jopson — 18 months old. The investigation concluded at the end of the inquest on 29th|March 2016. The conclusion of the inquest was: 1a) Severe Head Injury. Road Traffic Collision 4 | CIRCUMSTANCES OF THE DEATH The deceased was a rear offside baby seat passenger in a Peugeot motor car driven by his father travelling west on the A66 road at Crackenthorpe Cumbria when the car gradually crossed the central white line of the single carriageway into the path of a goods vehicle travelling east bound. In the massive collision which occurred the baby seat sheared from its mountings and he was ejected through a window landi ig on the road. He died instantly. 5 | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to Concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. — This was the first of two incidents on the A66 within three weeks. The second|occurred at Warcop on the 16th June. Both involved the car carrying the deceased crossing the single carriage way into the opposite lane and a head-on collision. The A66 is the main arterial route from the A‘ in the east to the M6, Scotland and Ireland. It is extremely busy carrying a great deal of large goods vehicle traffic. The road varies from \excellent dual carriage way to winding country road. From a road safety perspective the road should be dual carriageway throughout otherwise avoidable deaths with continue to occur. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action by upgrading the A66. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by Monday ‘st July 2016. |, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, |setting out the timetable for action. Otherwise you must explain why no action is proposed. COPIES and PUBLICATION | have sent a copy of my report to the Chief Coroner and to the following Interested Persons SE 2° 12" Solicitor | have also sent it to the below who may find it useful or of interest. Chief Constable, Cumbria Constabulary Diane Wood, Chief Executive, Cumbria County Council Mr Rory Stuart MP eal & Crime Commissioner | am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. 4th May 2016 Signed: David LI_Roberts VQ Wb REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS RE: Michael lan Jopson Deceased THIS REPORT IS BEING SENT TO: 1. The Right Hon. Patrick McLoughlin MP Secretary of State for Transport 1 | CORONER | am David Llewelyn Roberts, Senior coroner, for the coroner area of Cumbria. 2 | CORONER'S LEGAL POWERS | make this report under paragraph 7, Schedule 5, of the Coroners and Justi¢e Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. 3 | INVESTIGATION and INQUEST On 29th May 2015. | commenced an investigation into the death of Michael lan Jopson — 25 years old. The investigation concluded at the end of the inquest on 29th March 2016. The conclusion of the inquest was: 1a) Multiple injuries. Road Traffic Collision 4 | CIRCUMSTANCES OF THE DEATH The deceased was the driver of a Peugeot motor car travelling west on the Crackenthorpe Cumbria when his car gradually crossed the central white line of the single carriageway into the path of a goods vehicle travelling east bound. A massive collision occurred and he died. It is probable that he momentarily got distracted. 5 | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to|concern. In my opinion there is a risk that future deaths will occur unless action is taken. Jn the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. — This was the first of two incidents on the A66 within three weeks. The second occurred at Warcop on the 16th June. Both involved the car carrying the deceased crossing the single carriage way into the opposite lane and a head-on collision. The A66 i$ the main arterial route from the A11 in the east to the M6, Scotland and Ireland. It is extremely busy carrying a great deal of large goods vehicle traffic. The road varies from excellent dual carriage way to winding country road. From a road safety perspective the road should be dual carriageway throughout otherwise avoidable deaths with continue to occur. ACTION SHOULD BE TAKEN power to take such action by upgrading the A66. In my opinion action should be taken to prevent future deaths and | believe i: have the YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by Monday 1st July 2016. |, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. COPIES and PUBLICATION | have sent a copy of my report to the Chief Coroner and to the following Interested Persons | have also sent it to the below who may find it useful or of interest. Chief Constable, Cumbria Constabulary Diane Wood, Chief Executive, Cumbria County Council Mr olice & Crime Commissioner | am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief|Coroner. 4th May 2016 Signed: David LI. Robeyts C_/he
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
roa From the Parliamentary Under Secretary of State Department Andrew Jones MP for Transport 33 Horsefery Road London SW1P 40R D. LI. Roberts ‘al: 0300 330 County of Cumbria Web site: www.gov.uk/dft Fairfield Our Ref: Station Street Your Re Cockermouth Cumbria CA13 OPT 27 JUN 2016 Deor dhe Robita, Thank you for your letter 4 May to the Secretary of State regarding the inquest into the deaths of Michael and Tony Jopson. In your letter you explain that this was the first of two accidents on the A66 within three weeks. You state that action should be taken to prevent future deaths by upgrading A66. In December 2014 the Government published the first Road Investment Strategy (RIS) which marked a step change in investment in the strategic road network and committed over £15bn of expenditure in the period to 2020. The RIS also acknowledged that some of the challenges and opportunities facing the network are too large and too complex to fix in a single Road Period. Building on the feasibility study approach adopted in preparation for the RIS, the Government commissioned a series of new strategic studies, to address the biggest challenges facing the road network. One of these studies is the Northern Trans Pennine study, covering the A66 and A69. Both roads have a mix of high-quality dual carriageway and single carriageway. The aim of the study is to examine the case for dualling one or both of these roads and making other improvements along their length. Consultants were appointed in the summer of 2015 and will report their findings in the autumn of 2016. An initial report was published in March 2016 and can be found here: https://www.qov.uk/government/publications/northern-trans-pennine- strategic-study-interim-report. This sets out the key findings and need for intervention. The Chancellor announced in the 2016 Budget his commitment to upgrade the A66 and A69. The budget also announced the allocation of £75m from the Transport Development Fund to take forward the more promising recommendations from this and two other strategic studies in the north of England to enable construction to commence in the second Road Period after 2020. The A66 forms part of the strategic road network. Working with the Department for Transport, Highways England maintains, operates and improves that network. As part of Highways England’s role as network operator it carries out a review of the safety of a route each year. Personal Injury Accident (PIA) data for a five year period is looked at. This review informs the development of Highways England’s safety study and improvement programme. Ahead of any major upgrade to the route, safety improvements at the following locations on the A66 between the M6 and the Durham Boundary are to be delivered this financial year: e A66 Brougham where works to introduce a right turn lane were completed in April e A66 Kirkby Thore where average speed cameras are to be installed by mid July e A66 Appleby to Brough where a package of measures are currently being introduced. These include an upgrade to the road traffic signs and road markings, an extension of the double white line system at Sandford and Warcop, installation of safety barriers in the road side verge. A reduction in the speed limit to 50 mph is also proposed. There has been an objection to the proposed lower speed limit. The objection is currently being considered and a decision on whether to proceed with the proposed lower speed limit is expected by mid July. “fours winced ' ude pres ANDREW JONES
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