National Accident Prevention Strategy

I beg to move,

That this House has considered the potential merits of a national accident prevention strategy.

It is a pleasure to serve under your chairship, Dr Murrison. Today, I want to draw the House’s attention to what can only be described as a silent and spiralling crisis in our country: the devastating human cost of preventable accidents. This is not a new issue, but it is getting worse and, crucially, it is still not given the level of sustained national attention that its scale demands. Too often, people think of accidents as tragic misfortune, but they are often ordinary moments: a fall at home, a collision on the road, an accident at work, a lapse in safety in a familiar environment.

Every Member here will recognise the pattern: we hear it in our advice surgeries, we receive the letters and we take the calls. We meet parents who have lost children, spouses who have lost partners and children who have lost a parent in circumstances that are sudden, awful and preventable. Towards the end of last year, following two road fatalities in the royal town of Sutton Coldfield in our community over the course of a week and the drowning of a teenager in Sutton park, I had the valuable experience of meeting a long-standing resident of Royal Sutton Coldfield, Becky Hickman, who is the chief executive officer of the Royal Society for the Prevention of Accidents and has championed accident prevention at the national level for over 20 years. Indeed, she is in the Public Gallery today.

One of those horrific accidents took place on Friday 22 August last year, when, tragically, 21-year-old Natasha Thorp was struck by a car on Brassington Avenue in my constituency and died shortly afterwards. I have had the privilege of getting to know her family a little and of joining Natasha’s father and other members of her family at the recent installation of a memorial bench in Sutton Park overlooking Blackroot pool. It is hard to describe the life-changing trauma they have suffered, but they are not alone.

RoSPA and I welcome the Department for Transport’s new road safety strategy, but it is a small part of a much bigger issue and strategy. Road traffic accidents are sadly not isolated events, and accidental deaths and injuries do not only happen on the roads. Tragedies can occur at home, at work and when out in open spaces.

One of the gaps that we consistently see is in water safety, where interventions are often reactive rather than preventive. Following the tragic death of a young boy in a reservoir local to me in Yorkshire, I have been working on Sam’s law and with organisations such as RoSPA, the Royal Life Saving Society, and the fire and rescue services to develop a clear, risk-based approach for water safety, including guidance on when and how lifesaving equipment should be provided. Does the right hon. Member agree that the national accident prevention strategy must bring together those kinds of organisations, which have the experience and knowledge to make sure that these sorts of incidents never happen again?

As the hon. Member will see as I develop my speech, I very much agree with him.

In Birmingham, we have the seventh highest number of accidental deaths in England. Each year, more than 550 families in our city lose a loved one due to a preventable accident. That is more than one death every day. Across the west midlands, more than 2,000 people annually die due to accidents, the equivalent of wiping out a small village year after year. Nationally, there has been an 8% rise in accidental death rates and a 3% increase in hospital admissions in just one year. Over the past decade, accidental death rates have risen by more than 40%. That is not a blip, a statistical anomaly or a short-term fluctuation; it is a serious problem that has been brushed under the carpet for too long.

There is a wider national cost to this issue. Accidents place a significant and growing burden on the national health service. Every preventable injury that results in an emergency admission adds pressure to already stretched A&E departments, ambulance services and hospital wards. We are talking about millions of bed days every year linked to accident-related admissions. Accidents now are believed to cost us at least £6 billion annually in NHS medical care. The impact on NHS staff is also profound. Doctors, nurses, paramedics and support staff are dealing daily with injuries and emergencies that in many cases could have been prevented. That is not only a clinical challenge, but a human one, placing additional strain on a workforce who are already under great pressure.

The burden extends across the economy. When people are injured, they are often unable to work—sometimes temporarily, sometimes permanently. Families lose income; employers lose skilled workers; productivity falls. The country loses millions of working days each year due to accident-related absence. The combined cost to UK business is now estimated at about £6 billion every year.

Twenty-eight-year-old Benedict Solly was killed on the A37, near Cerne Abbas, at a notorious accident hotspot. Local residents had been calling for interventions to make that junction safe, but part of the problem is that the decision on whether to make an intervention at the junction is based on historical data, which is only recording actual collisions—not near misses, accidents avoided or all those other things. Does the right hon. Member agree that we need a wider dataset in order to inform the interventions that we make to avoid fatal accidents occurring?

The hon. Gentleman makes an extremely good point, and he adds that particular tragedy to the tragedies that I have already mentioned. Of course he is right that, with modern technology racing ahead in so many ways, our data should be better and more effective at informing the decisions that are made. He made that point with great eloquence.

What is currently lacking is a clear, coherent and sustained national strategy to bring these efforts together. At present, responsibility for accident prevention is fragmented across multiple Departments: Health, Transport, Housing, Education and others. The result is a system in which responsibility is dispersed, co-ordination is inconsistent and prevention too often falls through institutional gaps. That is why I believe there is now a compelling case for a national accident prevention strategy. Such a strategy would have benefits across the whole of Government: safer roads for the Department for Transport, reduced pressure on the national health service for the Department of Health and Social Care, less spending on benefits for people unable to work because of accidents for the Department for Work and Pensions and higher productivity for the Treasury. A national accident prevention strategy must therefore be led by the Cabinet Office, which has the oversight necessary to set cross-Government priorities and to co-ordinate and align the activities of different Departments to achieve them.

Becky Hickman and RoSPA should be asked to produce a report for the Government on what such a strategy might look like. It should, in my view, be based on a few clear principles: first, ministerial leadership at the centre of Government, ensuring accountability and direction; secondly, a clear focus on prevention, rather than simply reacting after harm has occurred—the very point that the hon. Member for Doncaster East and the Isle of Axholme (Lee Pitcher) was making just a moment ago.

Rural communities face unique challenges when it comes to prevention and addressing accidents. We are more isolated, we have terrible signal, we have roads more likely to lead to crashes and agriculture is Britain’s most dangerous industry. Does the right hon. Gentleman agree that any national accident prevention strategies must focus on rurality and be matched by proper investment in public health funding, which areas such as Somerset have always lost out on?

I think I agree with what the hon. Gentleman says, except that I would not wish to make an exceptional case for the countryside. This issue affects all part of our country. As he will know, the royal town of Sutton Coldfield is an ancient town and is therefore not part of the countryside as such, although within the royal town of Sutton Coldfield we have the biggest municipal park in Europe, so we at least doff our caps to the issue of rurality.

I was listing the number of clear principles that I thought should inform a report of the type I have described. I had mentioned two; the third is indeed the better use of data, so that we understand where risks are emerging, where interventions are needed and whether policies are working. I suspect I will carry the two hon. Gentlemen who have intervened on me on that point: the hon. Members for Doncaster East and the Isle of Axholme and for West Dorset (Edward Morello). The fourth principle is a serious focus on those most at risk of accidental harm. The fifth and final principle is a sustained approach to public education and awareness, so that safety is embedded across the life course from childhood through to older age.

I want to return briefly to the human reality behind all this: a child walking to school, a friend cooking a meal at home, a parent swimming in the sea on holiday—ordinary stories with tragic endings. As Members of Parliament, we all know of searingly heartbreaking, awful occurrences such as poor Natasha’s death. We have the evidence and the tools, and we have the example of other countries such as Australia and Finland, where co-ordinated Government accident prevention strategies are already in place. What is missing in the UK is the sustained national leadership to bring those together.

We should not accept a situation in which tens of thousands of lives are lost each year to preventable accidents. We should not accept a system that is fragmented when lives depend on co-ordination. We should not accept avoidable suffering when the knowledge, tools and capacity to prevent it already exist. Ultimately, it is not just about policy, but about whether we are prepared to act on what we already know: that far too many lives are being lost unnecessarily, and that that does not have to be the case.

It is a pleasure to serve under your chairship, Dr Murrison. I thank the right hon. Member for Sutton Coldfield (Sir Andrew Mitchell) for allowing us the opportunity to speak on the topic. I congratulate him on a truly excellent speech.

I will give my perspective as the chair of the healthy homes and buildings all-party parliamentary group. This subject is of great interest to me: accidents in the home, on the roads, on the farm and on water—all those things together. As the right hon. Member highlighted, fatal accidents in the United Kingdom have risen at a rate of 8% in one year, and accidents now kill more than 23,000 people annually, which is more than the capacity of the London O2 arena. Of those people, nearly 800 die annually in accidental deaths in Northern Ireland.

I am going to give a Northern Ireland perspective to this debate. The number of accident fatalities in Northern Ireland is rising, with the region experiencing a rate of 39 deaths per 100,000, significantly higher than the UK average of 34 per 100,000. We in Northern Ireland are already on the back foot and behind on the targets, so we need to do better, hence I wanted to add my support and contribute to this debate. Almost 900,000 people, the equivalent of the entire population of Devon, are admitted to hospital as a result of accidents every year. People living in the most deprived areas are nearly twice as likely to be killed in an accident as those in the least deprived areas.

I want to highlight the issue of accidents on the farm, such as falling off a roof. I live on a farm, and we tend to do the work ourselves. That is the nature of the life. To be truthful, we might not adhere to some of the health and safety aspects—I may not have adhered to them, either—so accidents on the farm are regular things, whether they are machinery accidents or to do with slurry.

Over the past few years, I have heard of a number of people who have unfortunately succumbed to the fumes of the slurry tank. I remember my neighbour telling me last year, “Jim, I was out clearing the slurry tank and—it’s the funniest thing—I was there, and all of a sudden I was away.” It was the guy in a tractor about 10 feet away who pulled him away from it. We who live in the rural hinterland and the country are affected each day by farm issues—maybe just do not stand over slurry tanks.

It is a pleasure to serve under your chairmanship, Dr Murrison. I congratulate the right hon. Member for Sutton Coldfield (Sir Andrew Mitchell) on securing this extremely important debate. Four weeks ago today, I was at the funeral of a young man who was killed in a road traffic collision in Sussex, just after Christmas. His mother is one of my constituents. Seeing how broken-hearted she was, and seeing the young man’s friends who were there at his funeral, really brought home to me how important it is that we take all the steps we can to mitigate these kinds of accidents wherever we can to avoid the future suffering of the families and friends of those who die in accidents.

I am grateful to the hon. Member for Doncaster East and the Isle of Axholme (Lee Pitcher) for highlighting the importance of water safety. My constituency has one of the country’s major rivers—the River Thames—as a boundary, so water safety is a constant issue for the young people whom I represent. I will take the opportunity to highlight the particular risks around locks in the summer months. In my constituency, Teddington lock attracts a great deal of young people who find it appealing to jump off the lock and into the river, which is incredibly dangerous. A couple of years ago, there was a fatality in the river in Sunbury, which is not far from my constituency, so I highlight to young people, particularly those in my constituency, the enormous danger of playing around the locks.

I also pay tribute to the British Standards Institution and all its work, in what is its 125th year. It is also the 75th year of the consumer and public interest network and the BSI consumer forum, which ensure that consumer voices are heard in the development of standards so that they reflect real-world experience and mitigate accident risk.

The Liberal Democrats believe that investing in prevention through public health initiatives is the most effective way to enhance wellbeing and reduce the burden on NHS services, so we support the introduction of a national accident prevention strategy, as advocated by the Royal Society for the Prevention of Accidents. Accidents are a leading cause of preventable death and injury in the UK.

It is a pleasure to serve under your chairmanship, Dr Murrison. I congratulate my right hon. Friend the Member for Sutton Coldfield (Sir Andrew Mitchell) on securing the debate and on the thoughtful way in which he presented his opening remarks, highlighting the need for a national strategy to prevent accidents, not least through the lens of the horrific tragedies that he outlined in the royal town.

I am always pleased to see the Minister in her place, but this debate was tabled to discuss a national accident prevention strategy, which would need to extend well beyond the Minister’s portfolio and the Department for Transport. Roads and other transport methods represent only a portion of the challenges raised in the debate. For a Government whose principal ideology appears to be predicated on a misguided notion of due process, it seems that there has been an accident in today’s assignment.

The issue at hand requires a Minister whose responsibility it is to think about the broader impact and prevention of accidents, which I would argue is someone in the Cabinet Office or the Department for Work and Pensions, which holds significant responsibility in this area as the sponsoring Department for the Health and Safety Executive. I say none of that as a criticism of the Minister, for whom I have a high regard and respect; I do say it as a criticism of the Government, because I cannot understand why they have chosen to field the Department for Transport in this debate rather than a Department that cuts across the whole of Government.

This is an incredibly important issue. There is a risk of accident from the moment we wake up in the morning, when we travel to work or enjoy a leisure activity, and when we go about our daily business. Risk is in our journeys, and in every product we use and place we visit. The Government have a regulatory responsibility to mitigate those risks as much as possible—to prevent avoidable accidents, save lives and shield the taxpayer in the process. A national accident prevention strategy should be about creating not a burden or over-regulation, but the safety and confidence that people and businesses can live, operate and thrive in an environment with lower risk.

It is a pleasure to serve under your chairmanship, Dr Murrison. I thank the right hon. Member for Sutton Coldfield (Sir Andrew Mitchell) for securing this debate. I am pleased to respond on behalf of the Government. I offer my condolences to all those affected by the incidents in his constituency that he mentioned, including Natasha’s family and friends. I pay tribute to him for raising awareness of this important issue.

As the right hon. Gentleman rightly suggests, it is not unreasonable to expect to be able to go about our everyday lives without the fear or risk of accidents. The impact on individuals and their families and friends can be devastating. I share his view that we should collectively act to address those risks.

As the Minister responsible for road safety, I am aware of the right hon. Gentleman’s interest in the lead-up to the publication of the road safety strategy earlier this year. He has a track record of making the case for effective safety measures in his constituency and beyond. That is of course to his great credit.

I am particularly struck by the fact that we are here on International Workers’ Memorial Day. Too many people are killed or injured as a result of their work, and it is apt that we are discussing this issue on a day when we are remembering those killed in workplace incidents. We must recommit to fight for a safer future for the living.

As the right hon. Gentleman noted, accident prevention cuts across several areas and the responsibilities of many Departments. Within my ambit, it means road traffic collision prevention. More widely, accident prevention impacts home safety, safety in the workplace, product safety, building safety, safety in childcare, sickness prevention and much more.

The right hon. Gentleman spoke movingly about the incident that we have all heard about as constituency Members. The Government clearly recognise the importance of prevention, protecting lives, promoting good health and ensuring that public services are not called upon when they do not need to be. Several hon. Members have talked about the impact of accidents on our economy and the national health service. It is the first job of Government to keep the British people safe. I know that colleagues in all Departments are taking measures to ensure our approach to accident prevention is as strong as it can be.

As the Minister mentioned, it is International Workers’ Memorial Day, and trade unions have been here today to make sure we raise awareness of it. This year’s theme is the psychosocial interventions required to support workers and mental health. Will she take the opportunity to remember those we have lost at work, to promote to employers the implementation of strong mental health interventions at work and to raise awareness to prevent lives being lost?

My hon. Friend is absolutely right. We think of all those who have lost their life at work; I think that about 120 people each year are killed in the course of their work. There is also a much more widespread problem of people suffering ill health, particularly relating to work-related stress and mental health. The best employers work really hard on those issues, often in consultation with their trade union health and safety reps.

The Health and Safety Executive is Britain’s national regulator for workplace health and safety. It delivers a combination of proportionate enforcement, targeted regulatory work engagement and the development of standards and guidance. That includes public awareness activity to promote the safe use of ladders and power tools through guidance, surveillance work and campaigns.

The hon. Member for Strangford, who is no longer in his place, rightly spoke about the risks in agriculture. HSE works extensively with the Farm Safety Partnership to ensure that industry is aware of risks. We think about similar things in relation to construction and other high-risk environments.