National Accident Prevention Strategy

Edward Morello Excerpts

Tuesday 28th April 2026 Westminster Hall

[Sir Andrew Mitchell]

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.

Taken together, this represents a hidden but substantial cost to the country—to our health service, economy and public finances. The truth is that we can do better. Indeed, we have done better before. We know what works: safer homes, stronger product standards, effective public awareness campaigns, improved design of public spaces, better data collection, and co-ordinated action across Government and local agencies.

[Edward Morello (West Dorset) (LD)]

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?

[Sir Andrew Mitchell]

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.