Prevention of Future Deaths reports · 2015
Regulation 28 report to prevent future deaths, written 20 Aug 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 20 Aug 2015 |
|---|---|
| Deceased | Joyce Plested |
| Coroner | John Pollard |
| Coroner area | Manchester (South) |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
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 REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: J. Sainsbury PLC, 33, Holborn, London, EC1N 2HT The Chief Executive, Trafford Metropolitan Borough Council, Stretford. 1 | CORONER | am John Pollard, senior coroner, for the coroner area of South Manchester 2 | 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 3 | INVESTIGATION and INQUEST On 30" January 2015 | commenced an investigation into the death of Joyce Plested dob 18" September 1936. The investigation concluded on the 10" August 2015 and the conclusion was one of Accidental Death. The medical cause of death was 1a Bronchopneumonia 1b Multiple Major Territorial strokes 1¢ Traumatic subarachnoid haemorrhage caused by blunt force head injury 11. Amyloid angiopathy 4 | CIRCUMSTANCES OF THE DEATH On the 15" January 2015 Mrs Plested was riding her mobility scooter in the vicinity of the Sainsbury store in Sale, Greater Manchester. As she crossed Curzon Road (using a pedestrian crossing) she was struck by an Audi motor car which caused her to fall to the ground and to sustain the injury which later led to her death. 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. — Immediately outside the doors to the store, there is a mini roundabout and across two of the exit roads therefrom there are “Zebra Crossings”. This makes this a very ‘busy’ junction and there are numerous matters to which both drivers and pedestrians have to give their full attention. In evidence at the inquest, the expert “Crash reconstruction” Police Officer confirmed that if the crossing which traverses Curzon Road were to be positioned further away from the mini roundabout and the footpath by the roundabout to be protected by pedestrian barriers, this would be a much safer environment. The current position means that the crossing is on land owned by Sainsbury PLC whereas if it were moved further down it would be on the public highway maintained by Trafford MBC. It therefore seems to me that it would be a relatively simple and hugely beneficial solution, simply to move the crossing to the suggested safer position. 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 14th" October 2015. |, 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 jo of the deceased). | have also sent it to Greater Manchester police Traffic department who may find it useful or of interest. 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 int . You may make representations to me, the coroner, at the time of your out the release or the publication of your response by the Chief Coroner. ugust 2015
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