National Accident Prevention Strategy

Lee Pitcher Excerpts

Tuesday 28th April 2026 Westminster Hall

[Sir Andrew Mitchell (Sutton Coldfield) (Con)]

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.

[Lee Pitcher (Doncaster East and the Isle of Axholme) (Lab)]

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?

[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.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Transport (Lilian Greenwood)]

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.

With that in mind, I hope that right hon. and hon. Members will allow me the opportunity to speak first about the work of my own Department. This country has some of the safest roads in the world, but years of complacency have allowed our road safety record to slip. Around four people die on our roads every single day—lives taken too soon, lives altered beyond recognition and lives grieved by families left behind.

Language and terminology matter to victims of road traffic collisions. Since 2022, other than when required by specific legislation, the Department for Transport has used the term “collision” in relation to road traffic crashes, because the term “accident” can imply that events are unavoidable or without fault. We know that the vast majority of incidents on our roads are preventable.

Earlier this year, my Department published the new road safety strategy, because we believe that road traffic collisions are preventable. Our strategy sets out how we intend to deal with the root causes of collisions. We have set out our vision for safer roads for all, including ambitious targets to reduce the number of people killed or seriously injured by 65%—70% for children—by 2035. Rooted in innovation and underpinned by the safe system approach, our strategy recognises that although driver error is inevitable, deaths and serious injuries on our roads are not.

The strategy outlines concrete steps to better support road users, including consultations. Five consultations were published alongside the road safety strategy, on minimum learning periods, lower drink-drive limits and mandatory eyesight testing. I make no apology for consulting, because since we are publishing the first road safety strategy in a generation, we must take the time to get it right. It is right that we have set out in those consultations what we intend to do, but also that we listen very carefully to how best to make those changes. I want to see progress—I will be chairing a national road safety board to ensure the implementation of the strategy—and of course I want to see those numbers going down, as we have set ambitious targets for what we want to achieve over the next decade, but I do not think it was wrong to consult on them.

The strategy commits to harnessing technology, data and innovation to improve the safety of vehicles and infrastructure. It sets out a strengthened approach to enforcement, putting penalties under review and considering new powers to suspend licences. The hon. Member for Mid Buckinghamshire (Greg Smith) rightly raised the potential of those new technologies, including AI, but he also highlighted the importance of getting that technology right, including automated vehicles. They have a huge potential, as we know that driver error is such an important contributory factor in many road traffic collisions. The ability to remove the potential for driver error with an automated vehicle is there, but we must make sure that the technology is as reliable as a careful and competent driver. That is why we have the piloting of the automated vehicles but with a safety driver in place at the moment.

What applies to road safety as much as any other area of accident prevention is the importance of collective effort. We rely on partnerships with local authorities, industry, emergency services, charities, stakeholders and communities. In transport, we recognise the importance of a just culture, recognising that humans do make mistakes, systems can fail, safety improves when people are honest, and learning means more than blame. In aviation, rail and maritime, we have the accident investigation branches. They are not there to apportion blame or liability. Their focus is investigating serious incidents to ensure that we can learn from them and prevent reoccurrence.

Accident prevention must be a call to action, not just a new policy or a set of regulations. Right hon. and hon. Members will be aware of “THINK!”, the Government’s flagship road safety campaign, which aims to reduce the number of people killed or seriously injured on the roads in England and Wales. It seeks to change attitudes and behaviours among those at risk, and it is a good example of the importance of public awareness campaigning.

I pay tribute to all those individuals, organisations, campaigners and response teams who make such a difference to lives across the country, both by raising awareness of those most at risk of harm and by standing ready and responding night and day to help people in danger. I am thinking of our lifeboat responders, our mountain rescue teams and many others.

In housing safety—I think the hon. Member for Strangford (Jim Shannon) mentioned this—the Government are taking various actions to improve safety and accident prevention. The decent homes standard is one of several new and updated measures to improve quality in the private rented sector. That includes Awaab’s law, which requires landlords to address issues of damp and mould within stricter timeframes—not accidents, but ill health caused by living in unsafe conditions. There are also new fines for landlords whose properties contain serious hazards.

Action is being taken on all 58 recommendations from the Grenfell inquiry report, and that is intended to build a more robust and trusted regulatory system in the wake of that tragedy. We will never forget those taken too soon, or the impact that will still be felt every day by their loved ones.

In December, the Government published the single construction regulator prospectus and consultation document, laying out plans for regulatory reform to integrate the regulation of buildings, products and professions. That followed the appointment of an expert panel to help guide the Building Safety Regulator-led review of the building regulations guidance.

My hon. Friend the Member for Doncaster East and the Isle of Axholme (Lee Pitcher) and the hon. Member for Richmond Park (Sarah Olney) both mentioned the dangers around rivers, canals, lakes and the sea. It takes a real collective effort by emergency services and volunteers to deliver search and rescue services, and the Government have made tangible progress in recent years to support voluntary organisations. In the recent Budget, a vehicle excise duty exemption was announced for mountain rescue, lowland rescue, cave rescue, independent lifeboats and the Royal National Lifeboat Institution. That reflects a clear recognition of the public value of search and rescue volunteers and the practical costs they bear in carrying out their work. They also do important work making people aware of those dangers as part of that prevention agenda.

I was saddened to read in the annual review of RoSPA, to which I will refer in a moment, that alcohol-related deaths have increased by 5% following a period of relative stability. Those include accidents caused by exposure or poisoning. All such deaths are a tragedy. The Government have committed to help people make healthier choices about alcohol, and we are working towards legal requirements for alcohol labels to display health warnings and consistent nutritional information.

To better support people experiencing harmful drinking and alcohol dependence, we published the first ever UK clinical guidelines on alcohol treatment to drive improvements in treatment provision. Our extensive programme of implementation support for the guidelines has been positively received by commissioners and providers, and we continue to work across Government to consider further measures to reduce the negative impact alcohol has on health inequalities, crime and the economy. The same could be said of some drug use, which is also a major cause of accidents and poisonings.

When it comes to health, it is worth speaking about falls. Falls accounted for almost half of all fatal accidents in the UK in 2023, and 59% of all accident-related hospital admissions in 2023-24, making them by far the largest single category of accidental harm. That is against a long-term backdrop of falls fatalities increasing by 81% between 2013 and 2022.

There is hope, however, and again it comes to technology. Emerging evidence from Government-funded independent evaluations indicates that falls technologies can reduce falls in care homes by between 37% and 49%, as well as reducing hospital admissions and freeing up staff time. In the next year, the Government will set new national standards for care technologies and produce trusted guidance so that people can confidently buy and use technology that supports them or the people they care for. The hon. Member for Richmond Park asked some important questions about social care, and I will ensure that she receives a written response to those questions.

Let me move on to workplace safety. The Government’s Employment Rights Act 2025 is an important step towards delivering the biggest upgrade to workers’ rights in a generation. Ensuring statutory sick pay from day one will reduce the risk of presenteeism, a key risk in operational environments when people are at work but unwell. Limits on non-disclosure agreements will enable learning from incidents instead of silencing them. Reducing zero-hours working will ensure greater predictability in work patterns, reducing fatigue, working alone or rushed work. The creation of the Fair Work Agency will provide better protection for whistleblowers, reinforcing a strong safety culture in our workplaces.

Making it easier for trade unions to organise ensures that more workplaces benefit from health and safety representatives and the vital work that they do. I pay tribute to trade unionists across the country who are health and safety representatives. I know at first hand the incredible work they do to keep workplaces safe.

[Lee Pitcher]

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?