Prevention of Future Deaths reports · 2018

Jacob Brown

Regulation 28 report to prevent future deaths, reference 2018-0187, written 19 Jun 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report19 Jun 2018
Reference2018-0187
DeceasedJacob Brown
CoronerAndrew Haigh
Coroner areaStaffordshire (South)
CategoryRoad (Highways Safety) related deaths
Organisation namedUniversity Hospitals of North Midlands NHS Trust
Sourcejudiciary.uk record · original PDF
Responses published1

The report

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
THIS REPORT IS BEING SENT TO:

DEPARTMENT OF TRANSPORT
Great Minster House
Horseferry Road

London SW1P 4DP

CORONER

| am Mr Andrew Haigh senior coroner for the coroner area of Staffordshire South

CORONER’S LEGAL POWERS

| make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act
2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

INVESTIGATION and INQUEST

On 11 December 2017 | commenced an investigation into the death of Jacob Elliot
Brown aged 21 years. The investigation concluded at the end of the inquest on 15
June 2018. The conclusion of the inquest was ‘road traffic collision’ with Jacob
having died from a traumatic brain injury.

CIRCUMSTANCES OF THE DEATH

Jacob Brown died at the Royal Stoke University Hospital on 7 December 2017 from
injuries sustained in a road traffic collision at Barton under Needwood on 11
November 2017. He had been driving a car and followed by a friend in another car.
Jacob had accelerated, lost control on a bend and crossed the carriageway into the
path of an oncoming vehicle.

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.

For many young drivers now insurance companies will reduce the premium payable
Significantly if relevant vehicle has a ‘black box’ in it monitoring the actions of the
driver. During the inquest Jacob’s family made the interesting suggestion that it
should be compulsory for all young drivers (say between 17 and 25) to have black
boxes fitted in any vehicles they drive. | was also assured that practically this can be
done. If this was the situation then it would be likely to save a number of lives in the
future and | would appreciate your views on this.

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.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, namely by 14 August 2018. |, 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:

Jacob's family

Staffordshire Police

University Hospitals of North Midlands NHS Trust

Eldon Insurance

Watershed Claims

lam 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.

19 June 2018

Andrew A Haigh

HM Senior Coroner for Staffordshire (South)
Coroner’s Office

No 1 Staffordshire Place

Stafford

ST16 2LP

Tel No: 01785 276127

sscor@staffordshire. gov.uk

Responses

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.

Response from Department for Transport (PDF)
Andrew Haigh 
HM Senior Coroner 
Coroner’s Office  
No 1 Staffordshire Place 
Stafford 
ST16 2LP 

sscor@staffordshire.gov.uk 

Deputy Director  
Road User Licensing, Insurance & Safety 
Department for Transport  
Zone 3/29 
Great Minster House 
33 Horseferry Road 
London 
SW1P 4DR 

Web Site: www.dft.gov.uk 
Our ref:  RULIS RR 

7 August 2018 

Andrew Haigh  
HM Senior Coroner 

Thank you for your letter of 21 June 2018 regarding the Regulation 28 
Report in relation to the death of Jacob Elliot Brown and the suggestion 
that it should be compulsory for all young drivers to have black boxes 
(telematics) fitted in any vehicles they drive to prevent future deaths.  

I was sorry to hear of the tragic death of Jacob, and I send my sincere 
condolences to his family and friends.  

The Government is committed to improving the safety of all road users, 
especially young drivers who are at a greater risk of being involved in a 
collision.  We believe that improved training, education, technology and 
engagement with young drivers, and their social support networks, 
could better equip these young people with the skills, knowledge and 
attitudes to be safe drivers.  

              
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 As you are aware, there is currently no legal requirement for telematics 
to be used by young drivers.  The decision to take up telematics is 
made in the context of motor insurance – a driver may accept 
telematics in order to reduce his or her premiums – and so the decision 
rests with the policy holder.  

We do not propose to take any action at this time to make telematics 
compulsory, as we do not have sufficient data to demonstrate that it 
would be effective.  To understand how telematics in a non-insurance 
context could reduce young driver collision risk, it needs to be tested 
and evaluated.  As such we are investigating its use as part of our £2 
million research programme called ‘Driver 2020’. 

In Driver 2020, which commenced in April 2017, five interventions are 
about to be trialled with over 14,000 learner and novice drivers aged 
between 17 and 24 years old.  The aim of the study is to provide 
thorough evidence as to whether any of the five interventions produce 
clear road safety benefits and reduce collision risk.  Once the research 
is completed at the end of 2020, we will consider the way forward. The 
specific interventions being considered are: 

1)  Using telematics devices and a mobile app to guide and 
provide feedback to new drivers during their first 12 months of 
driving post-test.  For example, highlighting data on speeding, 
smoothness (cornering, braking and acceleration) and exposure to 
risk (frequency of and length of journeys).  

2)  Hazard perception training, designed to increase skills in 
drivers as they approach (and potentially just after they begin) 
solo driving. 

3)  A training log-book – to increase the amount and type of on-
road practice that learner drivers obtain before taking their 
practical driving test. 

4)  A ‘mentor agreement’ – which involves the setting of 
voluntary limits, agreed between the young driver and a parent/ 
guardian, designed to reduce exposure to risky driving situations 
during the first months of solo driving.  

 
 
 
 
 
 
 
 5)  An interactive educational intervention, to teach learner 
drivers about risk factors involved in independent driving, 
delivered over the course of a day in a classroom setting.  

Better hazard perception skills are crucial to improving road safety and 
we have used our ‘Innovation Challenge Fund’ to investigate how new 
technology, including virtual reality, can help learner drivers hone their 
hazard perception skills before taking their tests.  

You may be aware that the Prime Minister asked the Department for 
Transport to look into the benefits of Graduated Driver Licencing (GDL) 
following a question in the House of Commons.  GDL is a staged 
approach to fully independent driving which builds the skills and 
experience of young and novice drivers in structured steps; or places 
restrictions on their driving post-test, for example, restricting who they 
carry or preventing driving at night.  

Evidence from countries including New Zealand suggests that GDL can 
have a beneficial effect on road safety.  However, we want to be sure 
that the benefits are balanced against the costs of the restrictions, as 
many young drivers (especially in rural areas) use their cars to get to 
work or college.  

Northern Ireland have just consulted on implementing GDL with a 
scheme that includes a minimum learning period of six months and 
restrictions on who else may travel in the car.  We are therefore using 
the introduction of GDL in Northern Ireland as a pilot for gathering 
evidence on its potential introduction in Great Britain.  

Another approach is encouraging learners to practise in a wider range 
of conditions and environments.  New legislation which came into force 
in June has allowed them drive on motorways when accompanied by 
an Approved Driving Instructor in a dual control car. 

We have taken a tough stance on drivers who use a handheld mobile 
phone while driving.  In March last year the fixed penalty increased to 
six penalty points and a £200 fine.  Drivers who passed their test within 
the last two years already have a lower disqualification threshold of six 
points on their licence (compared to the usual 12 points for other 

 
 
 
 
 
 
 drivers), which means that if they are caught using their mobile phone 
while driving they now face having their licence revoked.  

Our award winning THINK! Campaign advertisements now primarily 
target 17-24 year old male drivers, for example, the [2017?] Christmas 
campaign was aimed at young men stopping their friends from drinking 
and driving.  We are now also using social media channels to get these 
messages across.  

Finally, you may also be interested to know that on 13 June the Road 
Safety Minister, Jesse Norman MP, laid a Written Ministerial Statement 
before Parliament announcing his four priority road user groups that are 
to be addressed in a forthcoming two year road safety action plan.  One 
of the groups is to be addressed is Young Road Users, which will 
include Young Drivers. 

The Written Ministerial Statement was accompanied by a progress 
report on the 2015 British Road Safety Statement which can be viewed 
online at: 
https://assets.publishing.service.gov.uk/government/uploads/system/upl
oads/attachment_data/file/719259/road-safety-statement-progress-
report.pdf. 

The original Road Safety Statement can also be viewed online at: 
www.gov.uk/government/publications/road-safety-statement-working-
together-to-build-a-safer-road-system. 

The outcome of the Driver 2020 trials will be made publicly available 
once they are completed.  

Yours sincerely 

Pauline Reeves

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