Source · Prevention of Future Deaths

Sheila Slater

Ref: 2016-0127 Date: 31 Mar 2016 Coroner: ARW Forrest Area: South Lincolnshire 2 responses identified · 1 indexed addressee View PDF

AI-generated concerns summaryThe coroner raises concerns regarding the safety of the staggered junction of the A16 with the B1166, noting multiple fatalities and injury-producing collisions. Similar safety issues have been observed at other staggered junctions in Lincolnshire.

Date 31 Mar 2016

56-day deadline 27 May 2016 stated in the report

Responses identified 2 of 1

Road (Highways Safety) related deaths

Coroner's concerns

AI summary

The coroner raises concerns regarding the safety of the staggered junction of the A16 with the B1166, noting multiple fatalities and injury-producing collisions. Similar safety issues have been observed at other staggered junctions in Lincolnshire.

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Tel: 01522 553374 Fax: 01522 516717 Email: HMCoroner_Southlincolnshire@lincolnshire gov.uk They - along

A RW Forrest LLM, FRCP, FRCPath GMC Number: 1333523 Her Majesty's Senior Coroner for South Lincolnshire : : The staggered junction of the A16 with the B1166 is part of the Crowland Bypass which was pened in 2010. As with all of the other staggered junctions in Lincolnshire it was built to DFT specifications. Since it was opened there have been 3 fatalities associated with this junction (2 at the junction and one on the approach to the south bound island) and 10 injury producing collisions_ There have been fatalities at the other staggered junctions in Lincolnshire. DFT and Highways England have been made aware of the problems associated with these junctions both by S.28 reports and correspondence from officers of Lincolnshire County Council: At the inquest; into Mrs Slater's death evidence was given to the effect that this particular junction could be made safer if it were to be replaced by a roundabout but that local funding was not available for this purpose. Witnesses also were concerned about the safety record of other staggered junctions in Lincolnshire.

Responses

2 respondents

Department for Transport

Central Government

PDF

AI-classified response stance Noted

AI-generated response summary

• Highways England has been undertaking a scoping study to update design guidance for major and minor junctions and accesses. • The relevant Highways England team has been informed of the coroner's concerns.

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From the Parliamentary Under Secretary of State Department for Transport Great Minster House 33 Horseferry Road London SW1P4DR Paul S Cooper HM Acting Senior Coroner for South Lincolnshire Unit 1, Gilbert Drive Endeavour Park Boston PE21 7TQ Thank you for your letter of 4 April enclosing Professor Forrest’s Regulation 28 Prevention Report in respect of the death of Mrs Sheila Slater. Naturally I am sorry to hear of the circumstances of Mrs Slater’s death. I note the professor’s view that the design of the junction may have contributed to the accident and that there may be similar problems at other staggered junctions in Lincolnshire. The Design Manual for Roads and Bridges, a publication sponsored by my department sets out the national standards for such junctions, however local authorities are responsible for road safety on the local road network, in this case Lincolnshire County Council. Section 39 of The Road Traffic Act 1988 puts a 'statutory duty' on local authorities to deliver an appropriate road safety education service and for the provision of a safe local road network. This includes road construction, accident investigation and analysis, traffic calming, setting speed limits and facilities for pedestrians and cyclists. It is up to individual authorities to determine how they meet their ‘statutory duty’ and any decision about installing a roundabout on a local road is entirely a matter for Lincolnshire County Council. Highways England regional and area teams monitor local and specific safety issues and there does not appear to be a pattern of similar issues occurring at this type of junction. Highways England have been undertaking a scoping study with a view to updating the design guidance covering major and minor junctions and accesses, including this type of junction, subject to evidence and funding. The relevant team have been informed of these concerns.

I expect that Mr Alan Ball, the Road Safety (Accident Investigation) Manager who has also been copied in to the Regulation 28 Prevention Report, will be able to advise you and Lincolnshire County Council further in this matter.

The Great Western Hospital

Letter dated 30 Dec 2025 PDF

AI-classified response stance Action Taken

AI-generated response summary

• An assessment of options to improve communication with community prescribing agencies was undertaken. • A Trust-wide guideline on Opioid Substitution Therapy was ratified, mandating referrals and contact with community providers for inpatients. • An automated pop-up message was generated on the electronic prescribing platform to prompt prescribers regarding the Opioid Substitution Therapy policy and information sharing.

Report sections

Investigation and inquest

On 28'h May 2015 commenced an investigation into the death of Sheila Slater, Age 81_ The investigation concluded at the end of the inquest on 30th March 2016. The conclusion of the inquest was Road Traffic Collision CIRCUMSTANCES @F THE DEATH Sheila Slater was the front seat passenger in a car driven by her husband were driving north the A16 near Crowland, On reaching the staggered junction with the B1166, he manoeuvred into the Central reservation with the intention of turning right into The B1166 and continued into the path of an oncoming South bound vehicle travelling on the A16. Mrs Slater died at the scene of the subsequent collision:

Action should be taken

In my opinion action should be taken to prevent future deaths and believe you andlor your organisation have the power to take such action, particularly given that these junctions have been built to DFT specifications

Similar PFD reports

Shared signals

Report details

Reference: 2016-0127
Date of report: 31 March 2016
Coroner: ARW Forrest
Coroner area: South Lincolnshire

Responses identified

Responses identified 2 of 1

All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 27 May 2016 (stated in the report).

Sent to

Department for Transport

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk.

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