Transcript No pain, no gain? Preventing cycling injuries in a world of expanding waist-lines. Rob Benington Injury Prevention Manager, Avonsafe Co-ordinator NHS Bristol.

No pain, no gain?
Preventing cycling injuries in a
world of expanding waist-lines.
Rob Benington
Injury Prevention Manager, Avonsafe Co-ordinator
NHS Bristol
Cycling is good for you
Physical activity is strongly associated with
improvements in:
Mental wellbeing
Risk of cancer
Weight management
Cardiovascular health
Reduced CO2 emissions/ urban liveability, etc.
NHS Bristol wants more people to cycle
more often and for longer.
Injuries are bad for
you
Injury is not inevitable
We can reduce risk of injury and
increase health benefits at the same
time.
Non-Collision Cycling
Incidents
A road safety issue
•
Caused c.95,000 cyclists to seek emergency treatment last year
in England
•
Caused 69% of cycling-injury admissions in England between
(2006-11)
•
On average, cause less serious injuries than collisions but can
be fatal. (70% cause no injury that requires treatment).
A cycle advocacy issue
•
NCIs are preventable and removable and removing hazards
makes cycling easier and more attractive.
“A total of 3,192 people were killed or seriously
injured on UK roads while riding a bicycle last year”.
The Times, 5-11-12
A total of 17,653 English cyclists were admitted to
hospital with an injury during 2011-12, an increase of
1,611 (9%) on 2010-11.
www.hesonline.nhs.uk
c. 13% of all attendances at emergency departments
are admitted.
Ormel, 1999
c. 135,700 cyclists from England and
c. 160,000 from the UK were admitted to hospital or
treated in an emergency department during 2011-12.
NHS Bristol, 2012
Cyclist injuries resulting in admission (England)
2011-12
Collision: Pedestrian / animal
117
Collision: Other cyclist
396
Collision: 2-3 wheeled motor vehicle
76
Collision: Car, pick up truck or van
2,450
Collision: Heavy transport vehicle or bus
180
Collision: Railway train or railway vehicle
2
Collision: Other non-motor vehicle
24
Collision: Fixed and stationary object
681
Non-collision incident
12,301
Other and unspecified
1,426
Total Cyclists
17,653
(Total car occupants)
14,573
Travel and transport injuries
96
33
99
76
14
57
3
Transport type
Others
Animal
riders
Pedestrians
Motorcycle
riders
Car
occupants
Cyclists
41
42
67
23
Non-collision injuries
17000
16000
15000
14000
13000
12000
11000
Number of 10000
admissions
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
17
65
3
Numbers of injuries requiring hospital
admission by mode of transport (2011-12)
Why are you here?
Helping travellers prevent serious injury?
Modal shift?
Low carbon travel?
Reducing demand on acute healthcare services?
Active travel = CHD, healthy weight, diabetes, depression?
Improving performance against NI047 and NI048 / KSI
indicators?
What causes noncollisions?
1.
2.
3.
Slippery road surfaces
Poor road surfaces
Kerbs and rail lines
“An introduction to non-collision cycling
incidents”, NHS Bristol 2012.
www.tinyurl.com\avonsafecycling
Proposed strategy
Training
Children
Just starting
Commuter
functional
Bikeability
+
Engineering
?
Research
Bikeability
+
Bikeability
+
Experienced Communication
Kerbs;
rail lines;
road maintenance
Policy
Other
School
travel
?
Research
Travel to
Work,
Inclement
Weather
Bike maintenance
Travel to
Work,
Inclement
Weather
Bike maintenance
Travel to
Work,
Inclement
Weather

Engineering

Other/Communication (re. Ice)

Training

LSTF elements
Engineering
Ice risk management
1. Remove the risk
2. Avoid the risk
3. Mitigate the risk
4.Accept and adapt to the risk
5. Take the risk
2. Avoidance
3. Mitigation
4. Adaptation
www.icebikes.org
5. Acceptance
– Informed
consent
(Thanks to the Highways Agency
who designed the poster)
Training (Bikeability +)

Safe riding strategy
(Explicit consideration of alternative mode of travel if weather
conditions, personal health or bike maintenance require it).
Spot Hazards – List of significant hazards could be included in L2

How to traverse kerbs and rail lines
(While mentioned in L3 an observed demonstration should be
required)

Uneven road surfaces
(L3; Speed can be good)

+ Others? Blue Light runs, RRAGAR,
Local Sustainable
Transport Fund







School and area travel plans
Awareness of staff working on LSTF
Employer travel plans
Bikeability +
LSTF funded community projects
Engineering
Communication
Keeping cyclists safe,
keeps cyclists cycling.
www.tinyurl.com\avonsafecycling
[email protected]