Prevention of Future Deaths reports · 2023
Regulation 28 report to prevent future deaths, reference 2023-0023, written 20 Jan 2023. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 20 Jan 2023 |
|---|---|
| Reference | 2023-0023 |
| Deceased | Michael Holmes |
| Coroner | Kevin McLoughlin |
| Coroner area | West Yorkshire (Eastern) |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 3 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS
.
THIS REPORT IS BEING SENT TO:
1. The Rt Hon Dr Therese Coffey MP, Secretary of State for Environment
Food and Rural Affairs.
2. J A Mitchell & Sons
3. Wakefield Council –
4. Health and Safety Executive –
1
CORONER
Principal Inspector
I am Kevin McLoughlin, Senior Coroner for the Coroner area of West Yorkshire (East)
2
CORONER’S LEGAL POWERS
I 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.
3
INVESTIGATION and INQUEST
On 1 October 2020 I commenced an investigation into the death of Michael John
Holmes, aged 57. The investigation concluded at the end of the Inquest on 18 January
2023. The conclusion of the Inquest was Accidental Death.
4
CIRCUMSTANCES OF THE DEATH
On Tuesday 29 September 2020, Michael John Holmes and his wife were walking dogs
belonging to other family members on leads in a field at Hollinghurst Farm, Netherton,
Wakefield. Cattle in the field approached them, knocked them down and trampled them,
causing serious injuries. Emergency treatment was provided by a doctor who arrived by
helicopter. Mr Holmes could not be revived and was pronounced dead at 12:56 that day
at the scene of the incident.
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:
1. Considerations regarding the field where the fatality occurred.
1.1. In an incident on 29 September 2020 Mr Holmes died after being trampled by cattle.
His wife sustained major spinal and other injuries. It was a catastrophe for their
family. The couple were walking on a public footpath which ran through the middle
of a large field. It occurred as they were on a lunchtime walk at a time when they
were working from home due to the Covid pandemic.
1.2. Statistics from the Health & Safety Executive (‘HSE’) indicate that on average 6
people have died each year from injuries sustained in cattle trampling incidents. 11
people died in 2020, one of whom was Mr Holmes. Such incidents are avoidable if
1
walkers and cattle are separated. In my judgment, this unacceptable situation
necessitates a review of the arrangements in which walkers are brought into contact
with cows and their calves, by virtue of rights of way.
1.3. The field in which the incident occurred (the ‘incident field’) had been used to graze
cattle for over 50 years. The public footpath had existed since the National Parks &
Access to the Countryside Act 1949 recorded its existence. The logic for the precise
path through the incident field has been lost in the mists of time.
1.4. Following the fatal incident, the farmer made a formal application dated 12 January
2021, to divert the public footpath to the edge of the incident field and erect a
suitable fence, so as to create a safe corridor which separates walkers from the
cattle (the ‘application’). All the witnesses who gave evidence at the inquest
endorsed the wisdom of the application. One described it as “essential.”
1.5. As objections have been lodged to the application, the matter must be resolved by
way of a public enquiry. The Secretary of State is asked to ensure the decision
maker in such a process is aware of the unanimous views expressed in the course
of the inquest. The application may well eliminate altogether the risk identified in the
incident field.
2. The general position in relation to dogs on Rights of Way
2.1. HSE Information sheet No 17EW (rev1) published 05/19 states the two most
common factors in trampling incidents are cows with calves and walkers with dogs.
Mr & Mrs Holmes had two dogs on leads at the time. The inquest heard evidence
about four previous incidents in the incident field, three of which involved walkers
accompanied by dogs. There appears to be a strong correlation between trampling
incidents and walkers with dogs.
2.2. The conclusion to be drawn is that cows with calves and dogs do not mix well,
particularly when the calves are young.
2.3. Evidence was given at the inquest to the effect that dogs are regarded as a ‘usual
accompaniment’ and are thus entitled to be brought onto a Right of Way. This
proposition lacks clarity. There is also uncertainty as to whether dogs are required to
be on a lead when on a public footpath.
2.4. Consideration should be given in the HSE Information Sheet to a clarification of the
legal position of dogs brought onto rights of way where it is foreseeable they will
interact with cows and their young calves.
3. The power to restrict dogs on public footpaths, at certain times.
3.1. It is difficult to predict whether a particular cow will react aggressively to the
presence of a dog in a field. It was suggested during the inquest, the risk of such a
reaction is highest in the months after the birth of a calf.
3.2. To neutralise this risk, consideration should be given to empowering Local Authority
Footpath officers (on an application made by a farmer in relation to an identified
field), to prohibit dogs being taken onto the field for a specified period. In short, a
temporary prohibition order. The rationale for a temporary expedient of this nature
is the imperative to protect the safety of the public, when set against the relatively
brief interference with any right a walker may have to be accompanied by a dog.
3.3. An alternative approach would be to authorise landowners to post notices at the
entrance to particular fields, alerting walkers to the presence of cows with young
calves and advising them not to bring dogs into the field (whether on a lead or not)
between specified dates. The objective of preventing harm may not, however, be
achieved if walkers ignore the advice or the suggested signs are vandalised.
2
3.4 It is acknowledged that statutory change would be required to create powers of this
nature. The Secretary of State will doubtless reflect upon the balance to be struck
between the imperative of protecting the safety of the public and the relatively brief
interference this would impose on the right of walkers to bring their dog into any
field affected. It should also be borne in mind that the people whose safety is
currently jeopardised under existing arrangements are the dog walkers themselves.
4. The role of public bodies.
4.1. The current potential for a hazard to be created by walkers on public footpaths
moving in proximity to a farmer’s grazing cattle, requires management of these
competing interests. It was contended at the inquest that the farmer is subject to a
statutory duty to carry out a risk assessment in accordance with the Management of
Health & Safety at Work Regulations 1999. It was contended that a landowner must
conduct his business around the existing public footpath, irrespective of which came
into existence first. Whilst not disputing the legal duty imposed on a farmer in these
circumstances, the potential mischief left unguarded in that analysis, is that Small &
Medium Enterprises (SME’s) such as small family farms may lack the expertise to
recognise the problem, carry out an effective risk assessment in relation to cattle
trampling risks and devise reasonably practicable control measures.
4.2. To avoid the harm envisaged by further deaths in comparable circumstances,
the HSE and Local Authorities should explore ways to apply their expertise in
collaboration with landowners (of the type involved in this inquest), whether on a
paid or voluntary basis. The maintenance of safe public rights of way could be said
to require oversight and management by public bodies as well as the landowners
concerned
4.3 One example of pragmatic help to eliminate cattle trampling risks would be for the
HSE to draw attention to the process available under section 119 of the Highways
Act 1980 to apply for a public footpath to be re-routed, so as to separate cows with
calves and walkers. Consideration could be given to highlighting this option in a
future edition of the HSE Information Sheet.
4.4 This report will be sent to special interest groups thought to have an interest in this
issue, in the hope of enlisting their assistance in educating all who use the
countryside in relation to the risk and the ways in which it could be eliminated.
6
ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe you and your
organisation have the power to take such action.
7
YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this report,
namely by 31 March 2023. I, 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.
8
COPIES and PUBLICATION
I have sent a copy of my report to the Chief Coroner and to the following Interested
Persons:
via CFG Law Solicitors
I have also sent it to:
3
The Ramblers’ Association
National Farmers Union
Country Land Owners Association
The Access and Rights of Byways and Bridleways Trust
Open Spaces Society
Rights of Way Review Committee
– ITV Reporter
– BBC Reporter
who may find it useful or of interest.
I 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.
9
Kevin McLoughlin
Senior Coroner
West Yorkshire (East)
20th January 2023
4
3 responses 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.
The Rt Hon Thérèse Coffey MP
Secretary of State Environment, Food & Rural Affairs
Seacole Building
2 Marsham Street
London
SW1P 4DF
25 May 2023
Kevin McLoughlin
Senior Coroner
Coroner’s Office and Court
71 Northgate
Wakefield WF1 3BS
Dear Kevin,
Thank you for your letter of 20 January with regard to the inquest into the death of Mi-
chael John Holmes. Firstly, may I say I am very sorry to hear of this tragic incident and
my deepest sympathies go to Mr Holmes’s family. I would also like to apologise for the
time take to respond.
While many thousands of people enjoy the countryside and use the extensive network of
footpaths, bridleways, and public access land every day, activities such as walking
through or near cattle can be hazardous. Such incidents across the public rights of way
network are rare however we do understand the concerns about ongoing public safety.
Defra is responsible for rights of way policy and this response sets out Defra’s response
to the points you have addressed to this department. I note that you have also copied
your report to the Health and Safety Executive who have responded to you separately in
light of their responsibilities for providing guidance to farmers, landowners and other live-
stock keepers about the assessment of risks posed by livestock being kept in a field with
a public right of way.
MATTERS OF CONCERN
Considerations regarding the field where the fatality occurred
We want people to be able to enjoy the countryside, but it is vital that people and animals
are kept safe and it is important that there is information available to members of the pub-
lic about the risks posed by livestock in a field to which the public has a right of access
and that landowners are aware of their responsibilities.
The Highways Act 1980 gives powers for changes to be made to the public rights of way
network including diversions where it is in the public interest. We are aware of the appli-
cation made to the local authority under Section 119 of the Act to have the public right of
way in question diverted to mitigate the risk of such incidents in future.
As you pointed out in your report, objections to the diversion have been received there-
fore an application has been made to the Planning Inspectorate which is currently pro-
cessing the application and will consider carefully any representations and objections re-
ceived in accordance with standard procedures before making a decision on behalf of the
Secretary of State.
We are aware of calls for a change in legislation to enable temporary path diversion or-
ders however there are no plans to introduce such regulations at this time.
However, we are committed to implementing a number of rights of way reforms which in-
clude giving landowners the statutory right to apply to a local authority for a public path
order to permanently extinguish or divert a footpath or bridleway where it is in the public
interest to do so.
Section 59 of the Wildlife and Countryside Act 1981 bans bulls of seven recognised dairy
breeds (i.e. Ayrshire, British Friesian, British Holstein, Dairy Shorthorn, Guernsey, Jersey
and Kerry) that are over the age of ten months in all circumstances from being at large in
fields crossed by public rights of way. Bulls of all other breeds (again over the age of ten
months and including continental dairy breeds) are also banned from such fields unless
accompanied by cows or heifers.
The general position in relation to dogs on Rights of Way and the power to restrict
dogs on public footpaths, at certain times.
There are clear messages for dog walkers on both their rights and responsibilities when
out in the countryside. Natural England’s recently updated Countryside Code sets out the
responsibilities both for visitors to the countryside and land managers. It makes clear that
visitors need to make sure dogs are kept under control around livestock and on open
access land dogs must be put on a lead around livestock. Between 1 March and 31July a
dog must be on a lead on open access land, regardless of livestock being present. This is
a legal requirement.
Land managers must warn visitors of any unseen hazards including livestock movements
as well and not keeping animals that are known to be dangerous in places where there is
public access. Local authorities already have powers through Public Spaces Protection
Orders to place restrictions on dogs.
The role of public bodies
Defra and its statutory adviser, Natural England, are responsible for setting out the
legislation framework and producing guidance for the management of the public rights of
way network. Guidance is already available for the diverting of public rights of way in
accordance with the Highways Act 1980 however as part of the rights of way reforms
package we are taking forward we will look at how we can make this more accessible.
Local authorities are responsible for the maintenance and management of public rights of
way.
Yours sincerely,
Health and Safety
Executive
Engagement & Policy Division
Agriculture, Vulnerable Workers,
Waste & Recycling Unit
Hornbeam House
Electra Way
Crewe
CW1 6GJ
http://www.hse.gov.uk/
Kevin McLoughlin
Senior Coroner for West Yorkshire (Eastern)
Coroner’s Office and Court
71 Northgate
Wakefield
WF1 3BS
28th March 2023
Dear Mr McLoughlin
Inquest into the death of Michael John Holmes – Regulation 28 report.
Thank you for your letter dated 20th January 2023 to
and the associated
Regulation 28 report. I am the Health and Safety Executive’s (HSE) Inspector with the lead for
operational policy in relation to controlling health and safety risks associated with cattle, and
have been asked to reply to you on the matters that you raise.
We note your report was sent to a number of bodies with an interest in this issue. This
response will address matters that are within HSE’s areas of responsibility as a regulator, and
highlight where matters are more appropriately addressed by other organisations.
Introduction
Incidents such as the one that happened on 29th September 2020 to Mr Holmes and his wife
are not commonplace. There are many thousands of miles of public rights of way crossing the
farmland of Great Britain, and many thousands of members of the public use those rights of
way each year without incident.
HSE are Britain’s national regulator for workplace health and safety, this includes the farm
workplace. The principal health and safety legislation enforced by HSE is the Health and
Safety at Work etc Act 1974 (HSWA). This places general duties on employers and the self-
employed to conduct their undertakings in such a way as to ensure, so far as is reasonably
practicable, that persons other than themselves or their employees are not exposed to risks to
their health or safety. In the context of this incident it means there is a legal duty on all farmers
to manage their herd so the animals within it present a low level of risk to members of the
public who use fields with rights of way or other rights of public access.
To help farmers comply with their legal duties, HSE publication AIS17 “Cattle and public
access in England and Wales. Advice for farmers, landowners and other livestock keepers” is
freely available to download from our website at http://www.hse.gov.uk/pubns/ais17ew.pdf.
This information sheet was drawn up in consultation with the farming industry and provides
guidance to enable those with duties under the Health and Safety at Work Act to meet their
legal obligations.
While HSE has a role to play in assisting farmers to comply with their legal duties by provision
of information and guidance, it also has a regulatory role through inspection and investigation
to ensure that farms meet minimum legal standards in controlling risk.
HSE works closely with members of Britain’s Farm Safety Partnerships (FSPs) to improve the
health and safety record of the farming industry. Further information on managing risks from
cattle is available via members of Britain’s FSPs. The information provided by many of its
member organisations extends to provision of information directly for the public, as well as to
the actions that farmers and landowners can consider where a risk is identified. The
information provided by these organisations compliments that published by Natural England in
“The Countryside Code: advice for countryside visitors” and “The Countryside Code: advice
land managers”, both available at https://www.gov.uk/government/publications/the-
for
countryside-code.
Dealing with the MATTERS OF CONCERN raised within your report:
1. Considerations regarding the field where the fatality occurred.
In relation to HSE’s statistics and for clarity, over the last 5 years, there have been, on
average, 6 deaths each year due to workplace cattle related incidents. These deaths are not
solely related to trampling incidents. The numbers relate to all workplace cattle related deaths
to farmers, workers and members of the public. Each year HSE publishes a report on the
number of people killed as a result of farming and other agriculture-related activities. The
found on HSE’s website at
latest
https://www.hse.gov.uk/agriculture/resources/fatal.htm. The
that animals
(particularly cattle) are one of the largest causes of farming workplace deaths. Many more
people are very seriously injured. This is why it is so important that farmers follow HSE and
industry guidance to reduce the risk to people from cattle.
report and previous
reports show
can be
reports
On the issue of separation, HSE has fully considered reasonable control measures that are
flexible and proportionate to the risk presented by a particular herd to walkers and others.
These are outlined in AIS17.
The measures HSE would expect farmers to have considered and, where possible
implemented, include:
Preventing the keeping of dairy bulls in fields with public access at any time.
Where possible avoiding putting cattle, especially cattle that are calving or have calves
at foot, in fields with public access.
Where there is a need to keep cattle, especially cattle that are calving or have calves
at foot, in a field with public access, where reasonably practicable to do so the farmer
should be keeping animals and people separated. This can be achieved by the use of
fencing (permanent or moveable / temporary e.g. electric fencing). Segregation is
particularly important at busy times or where fields with public access are heavily used.
2
Assessing the temperament of all cattle before putting them into a field with public
access.
If cattle, especially cattle that are calving or have calves at foot, do need to be put into
fields with public access, this period should be kept to a minimum.
Positioning feed and water troughs away from the public footpath and away from public
entrances and exits to the field.
Having a reliable system to monitor all cattle in fields with public access at least daily.
Preventing any animal that is suspected of showing, or has shown any sign of
aggression from being kept in fields with public access. This should extend to
consideration of culling any animal that shows signs of aggression.
Clearly sign posting all public access routes across the farm. Display appropriate
signage at all entrances to fields with cattle. Remove signage when the animals are no
longer in the field.
I understand from your report, that the farmer made a formal application to divert the public
footpath to the edge of the incident field and erect suitable fencing to create a safe corridor
and segregate walkers from cattle. The legislation regarding rights of way falls under Defra’s
responsibility and is not a matter for HSE, although we understand that the divert process can
take time and does not offer a prompt solution. The issue of diversions, whether temporary or
permanent, and of the provision of permissive alternative routes, is not straightforward, and
may not always offer the best solution to manage the risks.
In recognition of this HSE’s AIS17 guidance gives pragmatic short-term options that
landowners and farmers can consider with regard to offering alternative routes to the footpaths
crossing their land if their risk assessment shows this to be necessary. The guidance provides
sufficient information to allow farmers and landowners to comply with their legal obligations
under the HSWA.
2. The general position in relation to dogs on Rights of Way.
Farmers have a duty to manage the risk created by placing cattle in fields with public rights of
way. HSE does recognise that the presence of a dog(s) and cows with calves does increase
the risk of incidents. However, the control measures already outlined, if followed, limit the
times when cattle with calves are in fields with public access, and if there is no alternative
provide reasonable mitigation to control the risk to a low level.
Your report states that dogs are “entitled to be brought onto a Right of Way”, but that there is
“uncertainty as to whether dogs are required to be on a lead when on a public footpath”.
These are not matters for HSE, the legislation regarding rights of way falls under Defra’s
responsibility. The purpose of HSE’s AIS17 is to outline advice for farmers, landowners and
other livestock keepers on how to comply with their legal responsibilities to reasonably control
risk to people using public rights of way. As mentioned above, other publications exist to
provide advice to members of the public on the control of dogs on public rights of way.
Members of the public using the countryside should play their part by staying on the right of
way while walking through the field and if with a dog(s) keeping it under control and on a lead.
Additional advice is outlined in the free online publication “The Countryside Code: advice for
countryside visitors - GOV.UK (www.gov.uk)”.
3. The power to restrict dogs on public footpaths, at certain times.
HSE has no role in empowering LA footpath officers to prohibit dogs from fields for specified
periods so we can’t comment on this aspect of your report.
3
In relation to signage, this is already a control measure that is available to farmers and
mentioned in our guidance. We are aware that a number of organisations offer suitable signs
to their farming members. Although not the sole means of achieving a reasonable level of
safety when coupled with other measures they can still have a part to play in effective control
of risk.
The specific matter of posting notices at the entrance to particular fields specifically to advise
walkers not to bring dogs into a field containing animals between certain dates is outside of
HSE’s remit as a regulator, and is more appropriate for others to offer comment.
4. The role of public bodies.
As explained earlier in this letter, there is a legal duty on all farmers to manage their herd so
the animals within it present a low level of risk to members of the public who use fields with
rights of way or other rights of public access.
Health and safety law applies equally to large and small companies. Recognising that many
duty holders don’t have in-house expertise, the Management of Health and Safety at Work
Regulations 1999 require employers and partnerships to have arrangements to access
competent advice from someone to help them understand and comply with their obligations
and assist in the discharge of their health and safety duties. This competent advice is widely
available from agricultural consultants, farming member organisations (e.g. NFU) or via
insurance companies.
The maintenance and management of public rights of way is principally governed by local
authority officers. HSE is not the appropriate authority to comment on the Highways Act
provisions and the oversight matters you mention.
Finally, thank you for your suggestion to include additional information in AIS17 on the
mechanism to apply for a public footpath to be re-routed. We keep guidance, including AIS17,
under periodic re-evaluation. When next reviewed, we will take your comments into
consideration.
Yours sincerely
HM Inspector of Health and Safety
Agriculture Sector
4
www.wokefield.gov.uk
•
Communities, Environment and Climate Change
Communities, Environment and Climate Change
Wakefield Council
Wakefield One
Burton Street
WF1 2EB
Tel: 0345 8 506 506
Typetalk calls welcome
13 March 2023
HM Senior Coroner
Mr Kevin Mcloughlin
Wakefield Coroner's Court
Coroners Office
71 Northgate
Wakefield
WF1 3BS
Dear Mr Mc Loughlin
Re: Inquest touching the death of Michael Holmes - Response to PFD report on behalf of
Wakefield Council
Further to the copy of the PFD report received on 20th January 2023, please treat this letter as
Wakefield Council's formal response.
The PFD report was addressed for the attention of
, who as you are aware is
currently absent from work following surgery.
is not expected to return to work until
after the date when a response is due to your PDF report. In any event, I am able to address
the matters identified within your PFD which have relevance to Wakefield Council and as
detailed to you in evidence by me at the inquest on 17th January 2023.
Context of Wakefield Council's involvement at Inquest
Following request by letter dated 9th January 2023 received on 10th January 2023 for a Council
Officer to attend the Inquest on Monday 16th January to give evidence, Wakefield Council
dated 12th January 2023 [Annex 1] which gives
provided a copy of the statement of
context to this response to your PFD report. Wakefield Council additionally provided to you
information in a Note on 1?lh January 2023 .
Much of the PFD report identifies national issues and so this response only addresses matters
where Wakefield Council has relevant information in respect of the matters of concern you have
raised . For ease of reference , we have responded to each of your concerns in red within the text
of your PFD report copied below.
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:
1. Considerations regarding the field where the fatality occurred.
1.1. In an incident on 29 September 2020 Mr Holmes died after being trampled by cattle. His wife
sustained major spinal and other injuries. It was a catastrophe for their family. The couple were
walking on a public footpath which ran through the middle of a large field. It occurred as they were on
a lunchtime walk at a time when they were working from home due to the Covid pandemic.
1.2. Statistics from the Health & Safety Executive ('HSE') indicate that on average 6 people have died
each year from injuries sustained in cattle trampling incidents. 11 people died in 2020, one of whom
was Mr Holmes. Such incidents are avoidable if walkers and cattle are separated. In my judgment,
this unacceptable situation necessitates a review of the arrangements in which walkers are brought
into contact with cows and their calves, by virtue of rights of way.
1.3. The field in which the incident occurred (the 'incident field') had been used to graze cattle for over 50
years. The public footpath had existed since the National Parks & Access to the Countryside Act 1949
recorded its existence. The logic for the precise path through the incident field has been lost in the
mists of time.
Response:
It is not uncommon for public rights of way to follow the most direct route from points A to B across the
countryside, including through farmer's fields, such as
the "incident field". Convenient use public rights of way is one of the key aspects embedded in the
Highways Act 1980, for example an application under Section 119 of the Act to deviate the route of a
PROW could fail if the alternate route would cause substantial inconvenience to its users.
1.4. Following the fatal incident, the farmer made a formal application dated 12 January 2021, to divert
the public footpath to the edge of the incident field and erect a suitable fence, so as to create a safe
corridor which separates walkers from the cattle (the 'application'). All the witnesses who gave
evidence at the
inquest endorsed the wisdom of the application. One described it as "essential."
Response:
On the 1 October 2020, the HSE issued a prohibition notice [P/ST/30092020/1]. It prohibits the
grazing of cows with calves in fields with public access because they are not segregated from the
public when in these fields. Before
public rights of way,
must take steps to protect members of the public from attack.
cows with calves back into the fields with
releases
This Prohibition remains in place. In respect of the field where Mr Holmes was killed, if
is
to use field 5357 for grazing cattle, then the footpath and walkers using it are protected from grazing
cattle by an electric fence. This was confirmed in evidence by Principal HSE Inspector
1.5. As objections have been lodged to the application, the matter must be resolved by way of a public
enquiry. The Secretary of State is asked to ensure the decision maker in such a process is aware of
the unanimous views expressed in
the course of the inquest. The application may well eliminate altogether the risk identified in the incident
field.
Following this incident, in January 2021
applied to the Council pursuant to s119
Highways Act 1980 to divert three public footpaths in Hollinghurst Farm that passed through fields that
were used for grazing cattle, including Sitlington 35.
The application was made in the "interests of the owner" to enable best use of the grazing land whilst
separating the public from the cattle.
The Council made 3 Diversion Orders on 8 March 2021
One of the Orders [Annex 2] relative to the PROW through the incident field had 5 objections and work
was done to address these. Two objections relating to the incident field PROW have not been
resolved.
Where there are unresolved objections, the Council must refer the Order to the Secretary of State
who will appoint an Inspector to consider the Contested Order and whether to confirm the diversion or
not.
The final decision maker on confirmation of the Order is the Inspector appointed by the Secretary of
State.
If the Contested Order is confirmed, the right of way will be diverted. If the Order is not confirmed the
right of way will remain on its current alignment.
However, the Prohibition remains in place. In respect of the field where Mr Holmes was killed, if
is to use field 5357 for grazing cattle, then the footpath and walkers using it are protected by
an electric fence. This was confirmed in evidence to be the position by Principal HSE Inspector
It is likely that there will be a public inquiry, hearing, or written representations, to enable an Inspector
to make their decision in respect of the contested Diversion Order. Wakefield Council has suggested,
considering the nature of the two remaining objections, that it believes the Planning Inspector could
resolve the matter though written representations and without the need for a public inquiry.
The Contested Order, and all associated documents, have been sent to the Secretary of State with the
Council's request that the Order. There is a backlog within the Planning Inspectorate in respect of
Diversion of rights of way.
Public Footpath Sitlington 35 - Diversion Application and Order Timeline
Site meeting attended by PROW Officers and landowner to discuss
possible diversion of footpath.
15 December 2020
Informal consultation undertaken on:
8 January 2021
applied to the Council to divert public footpaths at
Hollinghurst Farm that passed through fields that were used for grazing
cattle.
Orders made on:
Orders advertised:
Objections received within statutory notification period
2 Outstanding objections (concerning various aspects of
new route and a preference for the diverted path to take another route)
12 January 2021
8 March 2021
18th March 2021
3 objections made and then subsequently withdrawn 5
representations in support received
Unconfirmed Order for which objections remain submitted to Secretary
of State for determination.
3 January 20231
1 I apologise to HMSC as in the material provided to the court we had detailed in error that the
submission had been made to the Secretary of State in March 2022.
Subsequent to the inquest concluding, on the 23rd January 2023
Way Officer with Wakefield Council updated the planning inspectorate in respect of the inquest
outcome by email, provided the Record of Inquest and requested an update as to the application to
the Planning Inspectorate and confirmed that he would provide the PFD report once it had been
provided to Wakefield Council and requested:
a Public Rights of
"Any means of expediting this case that is available to the Inspectorate would therefore be
appreciated. Wakefield Council would be happy to make its case by written representations if the
Inspector is minded that this is appropriate."
A response to this email was received on 24th January 2023 from
Caseworker and Charting - DEFRA Team of the Planning Inspectorate.
confirmed that
the email and the Record of Inquest had been added to the file and that he would look for the file in
the backlog of case.
- Rights of Way
On the 26th January 2023,
that: "We have
recruited 4 new case officers who start in early February 2023 which will mean our backlog will
eventually reduce. However, taking training and since they will be lower at the start of employment into
account, my estimate is that it is unlikely to be actioned before Easter. If your Council wishes to make
a case for this Order to be expedited and for it to be processed as soon as possible you can write to
me with your reasons."
confirmed by email to
On the 27th January 2023,
highlighted Section 5 and sub section 1.5 of the PFD report detailing HMSC's concerns and
requested that: "As a result of the specific concerns raised in the Coroner's report we confirm that we
would wish for this Order to be determined at the earliest possible time."
provided the PFD report to
by email and
On the 30th January 2023,
expedited.
acknowledged and noted the request for the Order to be
On the 28th February 2023,
finalising this response to the PFD report and asked: "Further to my email in January are you able to
give us any further information on the timetable for determination of the Order? Anything further you
are able to tell us would be appreciated and enable us to respond to the Coroner as accurately as
possible."
confirming that the Council was
emailed
responded by email the same day confirming: "We have recently recruited 4 new case
officers to replace staff who moved on during and since lockdown with the aim of bringing down the
backlog of cases to start. They are currently in training so it may be 4-5 weeks before we start to see
results. Currently the oldest cases I have are from Marchi April 2022. As the Order was received in
January 2023, there are 9 months of older cases before it. I am hopeful that this Order will have been
started within 4 months as opposed to 9."
On the 1st March 2023,
expedited:
emailed
and requested again the decision to be
"We appreciate the situation concerning backlog and timescales however, we again request for
special expedited consideration of this case. This is further to the Coroner's view as detailed in
the Prevention of Future Death report, that the Order "may well eliminate altogether the risk
identified in the incident field''.
Wakefield Council will provide this response and the PFD report to
so that he
ensures the decision maker allocated to consider the Order is aware by this response of what is
described by the Senior Coroner as: "the unanimous views expressed in the course of the
inquest" and that in the Senior Coroner's view, "The application may well eliminate altogether
the risk identified in the incident field."
2. The general position in relation to dogs on Rights of Way
2.1. HSE Information sheet No 17EW (rev1) published 05/19 states the two most common
factors in trampling incidents are cows with calves and walkers with dogs. Mr & Mrs Holmes
had two dogs on leads at the time. The inquest heard evidence about four previous
incidents in the incident field, three of which involved walkers accompanied by dogs. There
appears to be a strong correlation between trampling incidents and walkers with dogs.
2.2. The conclusion to be drawn is that cows with calves and dogs do not mix well, particularly
when the calves are young .
2.3. Evidence was given at the inquest to the effect that dogs are regarded as a 'usual
accompaniment' and are thus entitled to be brought onto a Right of Way. This proposition
lacks clarity. There is also uncertainty as to whether dogs are required to be on a lead when
on a public footpath.
Response:
These are identified as national issues requiring consideration and response by the Secretary
of State and wider engagement with key stakeholders. Wakefield Council, as with other local
authorities, is a creature of statute where its authority and powers arise from a statutory
framework. In the case of Public Rights of Way (PROW), these statutory duties and powers
arise from the Highways Act 1980 and any associated case law. It is proposed that Wakefield
Council could not act in isolation without a change in the legal framework within which the
Council operates.
Wakefield Council confirmed in evidence to the inquest that dogs are considered and regarded
as a 'usual accompaniment' on a PROW and therefore dogs are permitted to with be a
keeper/controller on a PROW.
Although legislation does not require that dogs be on a lead whilst on a public right of way, the
owner must ensure that they are fully in control of the dog at all times.
The dog is not entitled to roam away from the path and if it does so, the owner could be guilty of
committing trespass against the landowner.
The Dogs (Protection of Livestock) Act 1953 makes it a specific offence to allow a dog to be at
large in a field or enclosure where there are sheep, and a farmer may have a defence in any
civil proceedings for killing or injuring a dog which is caught worrying sheep.
In short, the walker with dog must ensure their dog is under close control near livestock and if
the owner has any doubts at all about their ability to control their dog they should keep it on a
lead.
The one exception to this rule is if the dog walker is in a field with cattle, especially with calves
where the general advice is that if cows become aggressive towards the walker and their dog
stay calm and let the dog off the lead.
2.4. Consideration should be given in the HSE Information Sheet to a clarification of the legal
position of dogs brought onto rights of way where it is foreseeable they will interact with
cows and their young calves
Response:
This is identified as a national issue requirinq consideration and response bY the HSE. No
action is proposed by Wakefield Council in the absence of a change to the statutory framework
within which it operates.
However, as was the clear evidence at the inquest, including in submissions by
the duty holder, i.e. that of the farmer to control the risk presented by cattle and calves to
members of the public undertaking their right to use the PROW.
who confirmed that the obligation under health and safety law, is on
As I detailed in evidence, it is for landowners, managers, owners and occupiers of the land to
risk assess activities being conducted by them on their land and any attendant risks their use
of their own land could pose to members of the public exercising their legal rights to walk on a
public right of way
3. The power to restrict dogs on public footpaths, at certain times.
3.1 . It is difficult to predict whether a particular cow will react aggressively to the presence of
a dog in a field. It was suggested during the inquest, the risk of such a reaction is highest
in the months after the birth of a calf.
3.2. To neutralise this risk, consideration should be given to empowering Local Authority
Footpath officers (on an application made by a farmer in relation to an identified field), to
prohibit dogs being taken onto the field for a specified period. In short, a temporary
prohibition order. The rationale for a temporary expedient of this nature is the imperative
to protect the safety of the public, when set against the relatively brief interference with
any right a walker may have to be accompanied by a dog
Response
This is identified as a national issue requiring consideration and response by the Secretary
of State having identified that it would require statutory change. No action is proposed by
Wakefield Council in the absence of change to the statutory framework within which it
operates.
3.3. An alternative approach would be to authorise landowners to post notices at the
entrance to particular fields, alerting walkers to the presence of cows with young calves
and advising them not to bring dogs into the field (whether on a lead or not) between
specified dates. The objective of preventing harm may not, however, be achieved if
walkers ignore the advice or the suggested signs are vandalised.
Response:
This is identified as a national issue requiring consideration and response by the Secretary
of State having identified that it would require statutory change. No action is proposed by
Wakefield Council in the absence of change to the statutory framework within which it
operates.
3.4 It is acknowledged that statutory change would be required to create powers of this
nature. The Secretary of State will doubtless reflect upon the balance to be struck
between the imperative of protecting the safety of the public and the relatively brief
interference this would impose on the right of walkers to bring their dog into any field
affected. It should also be borne in mind that the people whose safety is currently
jeopardised under existing arrangements are the dog walkers themselves.
Response:
This is identified as a national Issue requiring consideration and response by the Secretary of
State. No action is proposed by Wakefield Council in the absence of change to the statutory
framework within which it operates.
4. The role of public bodies.
4.1 The current potential for a hazard to be created by walkers on public footpaths moving
in proximity to a farmer's qrazinq cattle, requires management of these com peting
interests. It was contended at the inquest that the farmer is subject to a statutory duty
to carry out a risk assessment in accordance with the Management of Health & Safety
at Work Regulations 1999. It was contended that a landowner must conduct his
business around the existing public footpath , irrespective of which came into existence
first. Whilst not disputing the legal duty imposed on a farmer in these circumstances,
the potential mischief left unguarded in that analysis, is that Small & Medium
Enterprises (SME's) such as small family farms may lack the expertise to recognise
the problem, carry out an effective risk assessment in relation to cattle trampling risks
and devise reasonably practicable control measures.
4.2. To avoid the harm envisaged by further deaths in comparable circumstances, the
HSE and Local Authorities should explore ways to apply their expertise in
collaboration with landowners ( of the type involved in this inquest), whether on a paid
or voluntary basis. The maintenance of safe public rights of way could be said to
require oversight and management by public bodies as well as the landowners
concerned.
Response:
This is a national Issue that would require response by the Secretary of State and the HSE.
No action is proposed by Wakefield Council in the absence of change to the statutory
framework within which it operates.
It is proposed that the hazard is created by the presence of the cow with calves in the vicinity
of members of the public, thus creating a risk to their safety. It is for landowners, managers,
owners and occupiers of the land to risk assess activities being conducted by them on their
land and any attendant risks their use of their own land could pose to members of the public
exercising their legal rights to walk on a public right of way. The responsibility is the duty
holders and not that of the HSE or local authority.
To suggest that the HSE and LAs could apply their expertise to landowners on a paid or
voluntary basis would not be workable and could be said to dilute the responsibility of the duty
holder. Advice on how to assess and manage risk is provided through the HSE and as with
any other business it is incumbent on the duty holder to manage those risks.
Oversight and management by public bodies as well as the landowners concerned is not the
current position and would be unworkable. A public body cannot be expected to know what
landowners are doing on their land from hour to hour or day to day, which is why the
obligation is placed on the duty holder to risk assess activities being conducted by them on
their land and any attendant risks their use of their own land could pose to members of the
public exercising their legal rights to walk on a public right of way.
4.3 One example of pragmatic help to eliminate cattle trampling risks would be for the
HSE to draw attention to the process available under section 119 of the Highways Act 1980
to apply for a public footpath to be re-routed , so as to separate cows with calves and
walkers. Consideration could be given to highlighting this option in a future edition of the
HSE Information Sheet.
Response:
This is a national Issue that would require response by the HSE. No action is proposed by
Wakefield Council in the absence of change to the statutory framework within which it
operates.
A Diversion Order application process takes time and has regard to the test contained in
s119 Highways Act, "in the interests of the owner, lessee or occupier of land crossed by
the path ... it is expedient that the line of the path or way or part of that line should be
diverted. "
The duty holder's health and safety responsibilities are quite separate and clear. A
landowner, lessee or occupier of land is well aware of a public right of way on their land and
that at an y time a member of the public mav be present on the PROW exercisin g their legal
right. It is for the landowner therefore to ensure that by their use of the land they do not
create risks to those members of the public exercising their legitimate rights to walk over the
PROW.
4.4 This report will be sent to special interest groups thought to have an interest in this issue,
in the hope of enlisting their assistance in educating all who use the countryside in relation to
the risk and the ways in which it could be eliminated.
Response:
Engagement with wider stakeholder groups on this issue is welcome.
I trust this information is of assistance to you. Please do not hesitate to contact me if you require
any further assistance.
Yours sincerely
Service Director Environment, Street Scene & Climate Change
cc.
Inspectorate by email
- Rights of Way Caseworker and Charting - DEFRA Team. The Planning
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