Driver First Assist

Robert Flello Excerpts

Thursday 5th November 2015 Commons Chamber

[Robert Flello (Stoke-on-Trent South) (Lab)]

I turn to a lighter subject than that of the previous debate—in some ways, but in some ways not. I am grateful to Mr Speaker for granting me this Adjournment debate. It is a little like waiting around for ages for a debate to come along and two come along at once. I will make the most of the half an hour and 32 seconds available to me.

No one would dispute that despite successive Governments working to improve the road network and improve its safety, it is still a dangerous place. For many people, it is also their place of work, and possibly, therefore, the most dangerous workplace in the United Kingdom. According to the Health and Safety Executive, the number of people killed while driving at work makes road traffic collisions—RTCs—the UK’s biggest occupational killer.

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Motion made, and Question proposed, That this House do now adjourn.—(George Hollingbery.)

[Robert Flello]

More lives could undoubtedly be saved—some experts think by 50%—and injuries minimised if we were able to improve the effectiveness of the response once an RTC has occurred. Statistics say that death from a blocked airway occurs in four minutes, yet the target time for an ambulance arriving is eight minutes. Just having somebody able to respond more quickly would instantly increase the number of lives that could be saved. Traffic volumes are projected to be 46% higher and average delays 54% longer in the next 20 years or so—in fact, less than that. How could we improve response times with more traffic on the roads and longer waiting times for ambulances to arrive?

If somebody falls ill or injures themselves in a traditional workplace, the situation is quite straightforward. Workplace first aid is a legal requirement, and there are clear responsibilities for its provision by first aiders, who tend to be trained by their employers. However, there is not generally such training of employees who are frequently off-site, such as truck, bus and coach drivers, salespeople and engineers—those who spend a large part of their working lives on our road network. Therefore, we inadvertently populate the road network with workers—more than 3 million—with little or nothing in the way of first aid skills. Unlike their workplace-based, non-mobile counterparts, they are almost entirely dependent on the emergency services for a medical response.

Improving the speed of response to someone in need of medical assistance in the community has already been addressed by the introduction of community first responders, who do a fantastic job, but the road network has no formal, identifiable group of trained first aiders who could provide that vital early first response to someone in need of life or death assistance—until now, that is. We now have a model that is able to address this problem. A group of very dedicated individuals came together and looked at how they might apply a community first responder model to the road network. A resource is out there—namely, a lot of professional drivers. Somebody who is a professional driver is most likely to be at the scene, or very early at the scene, of an RTC.

That gave rise to the creation of Driver First Assist. Drivers early at the scene are potentially a resource available to the emergency services in helping them to deal with incidents more effectively, providing the first vital link in the chain of survival—but, of course, only if they are appropriately trained. DFA is a not-for-profit, charitable organisation. It has been created in partnership with the emergency services. It aims to provide drivers with the skills to manage the scene at an RTC and deliver life-saving first aid skills prior to the arrival of the emergency services. For example, if there is an incident on the carriageway and a DFA-trained and qualified individual is there, able to provide perhaps the unblocking of an airway, a person who might otherwise have died now has a fighting chance. A substantial number of drivers are already volunteering to join DFA, supported by major companies. Babcock International, JCB, Tarmac, John Lewis, Norbert Dentressangle and many others have come forward.

I want to give the example of driver Nigel Abbott from Mark Thompson Transport in Warrington. He became the first DFA member to receive a commendation from the police in recognition of his assistance at the scene of a road traffic collision earlier this year. Mark was on the northbound carriageway of the M6 and found himself to be one of the first at the scene of a serious collision. A report was made by the attending traffic officer, PC Martin Smith, who is also one of a number of emergency services personnel who delivers training on behalf of DFA. He said:

“At about 22.00 I attended an injury collision on the M6 between junctions 10 and 10A just north of Walsall. This was a three vehicle collision and had affected two lanes on the carriageway. On my arrival I saw a Mark Thompson Transport Tractor unit in lane 2 which was protecting the scene. I also noticed that the driver Nigel Abbott was doing a brilliant job of managing a casualty with spinal injuries. I trained this driver at his home depot recently and have to say that his vehicle positioning and casualty management were straight out of the manual. This driver acted in the most professional manner and is a credit to DFA. It should be noted that he was very conspicuous in his DFA high vis jacket. I spoke with the West Mids Ambo area response manager who also commented that Nigel had done a great job. An incident worthy of a mention in the good news forum for a job well done.”

It is fair to say that those skills possibly saved further injury and almost certainly saved lives.

Let me turn to the views of the ambulance, fire and rescue and police services. The Association of Ambulance Chief Executives says that it is

“delighted to endorse this important programme.”

Steve Apter, a chief fire officer and the Chief Fire Officer’s Association lead on transportation for roads says that Drivers First Assist

“will allow instant help for injured drivers before the emergency services arrive”

and that he is delighted to support it. The Association of Chief Police Officers lead on road policing, Chief Constable Suzette Davenport, says:

“Road deaths and serious injuries are devastating but preventable…The Driver First Assist scheme has been established to enable trained drivers from volunteer companies to spontaneously assist those casualties at collision scenes…I believe that such early interventions will help support emergency responders in saving life and reducing congestion.”

[Justin Madders (Ellesmere Port and Neston) (Lab)]

The M53 and M56 run through my constituency, and in recent times there has been a significant increase in the number of accidents. Many companies in Ellesmere Port take advantage of the transport links available to them. How can I encourage my local companies to get involved in this scheme?

[Robert Flello]

That is fantastic. It is easy to find the Driver First Assist website—driversfirstassist.org—and my hon. Friend and the companies in his area will benefit if they go on it. I will come in a moment to what I want to hear from the Minister. Drivers First Assist is a voluntary group and the more companies that get involved, the more people out on the roads will benefit.

Senior traffic commissioner Mrs Beverly Bell says:

“Traffic Commissioners have always championed the skills and professionalism of  the  road  haulage and passenger transport industries”,

and that this initiative now gives them

“the skills to save a life.”

I have quoted some of the people who support Driver First Assist. However, although some companies are getting involved, it is tragic that other companies have said that, if only they had been aware earlier of Driver First Assist, the lives of some of their employees may have been saved.

Driver First Assist is a not-for-profit organisation. It was created in partnership with the emergency services, which do the training. It has a sound strategy to ensure future sustainability without the need for Government funding, but it does need assistance. It needs help in getting the message out at the formative stage of its development. If fatalities can be reduced as a result of DFA members who are out on the roads responding at the scene and making an early intervention, the savings to the British economy—never mind the human lives saved—are measurable in the billions of pounds. That would be a huge saving for the Government and represent the potential liberation of resources in an already overstretched national health service. The DFA needs investment, however, to get the message out.

I very much seek from the Minister an agreement to meet Driver First Assist—I think discussions are going on to try to arrange a meeting, but perhaps we can finalise that—to look at how the Government can further promote it through the avenues available to Ministers. My final request is to consider how to make it part of the certificate of professional competence. When drivers go for regular training—it is quite right and proper for them to be required to do so, because drivers are professionals—is there a way of making it mandatory for the Driver First Assist approach to form a module within the CPC? The really important thing is not that everybody has to join Driver First Assist, because it is very much up to drivers to decide whether they have the skills and are able to apply them, but that they should be aware of Driver First Assist.

I look forward to the Minister’s comments. I am very grateful to Mr Speaker for granting me this second debate today. As hon. Members may be able to tell, I am really passionate about this issue, just as I am strongly passionate about our freight industry and its professional drivers. Something that might simply save even one life must be something that is worth us all getting behind and promoting in every way we possibly can.

[The Parliamentary Under-Secretary of State for Transport (Andrew Jones)]

I congratulate the hon. Member for Stoke-on-Trent South (Robert Flello) on securing this debate about the work of Driver First Assist. He made some very valuable points about road safety. I know that he is a champion of the haulage sector, and I consider myself to be one, too. That really important sector in our economy can sometimes be a little overlooked.

Let me start by commenting on the hon. Gentleman’s important points about road safety. The UK remains one of the world leaders on road safety, as measured by deaths per mile travelled; overall, our road safety record is second only to Sweden’s. Second is good, but it is not good enough: I want our roads to be the safest in the world. To quantify what that means, although there were 1,775 road deaths in 2014—a rise of 4% on the previous year—that is the third lowest annual total on record after 2012 and 2013. That figure should be seen against an increase in traffic volumes of 2.4% between 2013 and 2014, which was the highest rate of growth of motor vehicle traffic since 1996.

The winter weather has also played its part, but taking into account last winter’s severe conditions by adjusting for average winter temperatures and rainfall, there were 43 fewer deaths in 2014. I am cautious about taking one data point as evidence of a trend, as there is very little merit in that. If we take a pace back and look at the record over time, however, we can see that there were 45% fewer fatalities in 2014 than a decade earlier, in 2005.

Although we have one of the best road safety records in the world, we can certainly do more to prevent deaths and serious injuries. We ought also to remember that the consequences of road collisions can be absolutely devastating. We talk about the statistics, but behind every statistic is a shattered family. This is personal: it is really serious and it matters.

I thought it would be helpful if I detailed how we are working to improve driver skills, knowledge and attitudes through campaigns, such as the THINK! campaign, which will contribute significantly. We are ensuring that drivers and vehicles are licensed and safe, and bringing in laws to make roads safer. Sadly, road traffic collisions sometimes result in people suffering life-threatening injuries, and every minute counts in terms of their chances of survival. Providing professional drivers, who are often the first to witness or come across such incidents, with some of the basic life-support training and the knowledge to know what to do will ultimately mean that patients get the care they need while the emergency services are en route. I therefore support the work of Driver First Assist very strongly. I am happy to encourage more drivers to take such training, and I will certainly ask my Department to consider all possible avenues.

[Robert Flello]

The Department is regularly in touch with haulage firms to ensure that they comply with the various requirements. That always strikes me as a fantastic opportunity to send out the occasional reminder, whether it is on the bottom of an email or printed on a document.

[Andrew Jones]

The hon. Gentleman makes a valid point. I will come on to some practical suggestions later, in which I will broadly agree with what he has said.

I will ensure that we take every opportunity to promote the work of Driver First Assist. As the hon. Gentleman says, members of Driver First Assist are drawn from the ranks of professional drivers and those who drive regularly as part of their profession. It has established an excellent working relationship with the Association of Ambulance Chief Executives and has the endorsement of the fire and rescue service, the police service and the traffic commissioners.

Driver First Assist equips drivers with skills and resources to manage the scene at a road traffic accident and deliver life-saving first aid in advance of the arrival of the emergency services. It estimates that 46% of road traffic accident fatalities could be avoided if first aid was available early at the scene. That is a powerful statistic. The scheme gives us the opportunity radically to reduce human misery through the application of simple first aid training and the good will of professional drivers.

Many deaths occur from little more than a blocked airway—a condition that, with the right training, is relatively easy to treat. Death from a blocked airway occurs in about four minutes. As the hon. Gentleman said, the target time for an ambulance is eight minutes. Some 50% of road traffic accident deaths occur before the emergency services arrive, which means that Driver First Assist trained drivers can make a vital difference in the first crucial moments.

Drivers are required, as part of their certificate of professional competence, to undertake 35 hours of periodic training every five years. That training can and often does include first aid training. Anecdotal evidence suggests that first aid training is a popular choice for drivers undertaking their periodic CPC training. Of the 3,370 CPC periodic training courses approved by the Driver and Vehicle Standards Agency, 738 are specifically named as a first aid course or a variation on one. That is 21% of all courses and the percentage could be much higher because some other courses feature an element of first aid. In 2014-15 almost 8.5 million hours of periodic training were recorded by the DVSA. It estimates that that equates to about 1.8 million hours of first aid training across the country.

[Robert Flello]

The Minister is being very generous with his time. As vital as the first aid element is, there are many other elements of Driver First Assist, such as knowing how to position one’s vehicle to protect the lane and the incident in a way that avoids causing another accident and knowing how to hand over to the emergency services in a professional way.

[Andrew Jones]

Again, I entirely agree with the hon. Gentleman. The training in the DFA course is very helpful and broad.

All established professional HGV drivers have to top up with five days of training every five years. We would be happy to link up with Driver First Assist to make sure that training providers know that it is an option they can provide. We would also be happy to publicise it with trade associations and trade unions to operators and drivers.

I am aware that there have been concerns regarding the drivers’ hours regulations. It is right that we have a system to ensure that professional drivers do not exceed their legally controlled hours, but there is a concession for drivers who undertake this selfless public service in article 12 of the drivers’ hours regulations. A driver may depart from the drivers’ hours rules to enable their vehicle to reach a suitable stopping place. That is available when they have interrupted their journey to administer assistance at the scene of an accident as part of the DFA initiative.

I am aware of concerns that, by administering first aid, drivers could open themselves up to potential legal action, but I assure the House that it is very unlikely that action would be taken against a first-aider who was using the first-aid training they have received. Legal advice would suggest that there is little chance of any such claim succeeding, and in the unlikely event of a claim against a DFA member, that member would be provided with the appropriate legal resources to defend themselves.

Some drivers are concerned that stopping to administer first aid may make them miss deadlines set by their employer. I expect that most employers in the haulage industry would applaud the actions of drivers who stop to save lives—I would certainly applaud that, and I am sure that will be the message from the House. Overall, such actions are likely to save time and money by reducing the delays caused by accidents and allowing emergency services to reopen roads more quickly. I therefore think that criticism is false, and I hope my explanation has helped to put such concerns to bed.

Driver First Assist believes that rapid provision of first aid at the scene of an accident could benefit the UK economy by approximately £1.5 billion per year, and we estimate that congestion on the strategic road network costs the UK an estimated £1.6 billion per year. The ability to reopen roads quickly following a road traffic accident can contribute to a significant reduction in that cost burden, and that is of course on top of the human costs of injuries and deaths.

What, if anything, can we do to increase the number of drivers that provide this vital service? I will ask the Driver and Vehicle Standards Agency to ensure that drivers are made aware that first aid training can form part of the periodic certificate of professional competence training that is offered. My Department will encourage haulage industry trade associations and the trade unions—I have met both—to highlight Driver First Assist to their members. In the next couple of weeks I will meet representatives from the haulage industry, and I will emphasise the value of the scheme at that meeting. I will ensure that my officials contact Driver First Assist to ensure that the Government are providing all the support necessary—including moral support—to support its work in practice.

The hon. Gentleman asked whether I would be happy to meet DFA: I would be pleased to. I have a very open-door policy and I want to make significant progress in road safety. I am acutely aware that not all ideas will come from the Department for Transport, and I am happy to take ideas from anywhere if we can make a difference. If Driver First Assist wishes, I would be happy to highlight the scheme in Government publicity including, for example, the gov.uk website. In conclusion, Driver First Assist has, and will continue to have, my personal support and thanks. The hon. Gentleman highlighted eloquently the difference made by DFA, and our nation is stronger for its work.

Question put and agreed to.