Resilient Cornwall Risk Based Evidence Profile 2018 Incorporating the Fire and Rescue, Community Safety and Localism Services - Cornwall Council
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Resilient Cornwall Incorporating the Fire and Rescue, Community Safety and Localism Services Risk Based Evidence Profile 2018
Acknowledgements Produced by Sophie Coles and Vanessa Bailey with special thanks to the following people and teams for providing data and advice to help produce this document: Business Systems and Assurance Team Amethyst Community Safety Intelligence Team Sarah Noakes, Customer Access and Digital Services Resilience and Emergency Management Team Mike Cartwright, Traffic Monitoring Engineer, Cormac Helen Galligan, Senior Highway Design Technician, Cormac Donald Greig, Performance and Analysis Support Officer, Devon and Cornwall Police Marie Woltman, Road Safety Data Analysis and Performance Officer, Devon County Council 2
Contents Acknowledgements 1 Contents 3 Introduction 5 Executive summary 8 Our prevention priorities 10 Incident infographics 11 Injury road traffic collisions 15 Injury collisions and casualties 15 Fatal collisions and casualties 17 Serious collisions and casualties 18 Slight collisions and casualties 19 Road safety prevention priorities 20 Collision causes 21 Contributory factors 21 Enforcement 22 Driving behaviour 23 Where did collisions happen? 25 Priority Road User Groups 27 Motorcyclists and pedal cyclists 28 Older drivers 32 Young car drivers and passengers 35 Pedestrians 38 Accidental dwelling fires 40 Fatal fires in Cornwall 41 Factors that make someone more vulnerable to fire 42 Emollient creams 43 Who is most likely to have an accidental dwelling fire? 45 Who is most likely to be injured in accidental dwelling fires in Cornwall? 45 What is the cause of most accidental dwelling fires? 48 Threats and opportunities 50 Broadening health and well-being agenda 50 3
Grenfell tower 50 Fire sector reform: the three pillars of reform 51 Efficiency and collaboration 511 Cornwall community profile 53 Appendix 58 Appendix 1. Data tables for incidents 588 Road traffic collisions and casualties: Department for Transport severity definitions 58 4
Introduction The information in the Risk Based Evidence Profile (RBEP) has been provided to support managers within Resilient Cornwall who are responsible for tackling a range of issues. Resilient Cornwall is a service of Cornwall Council which focuses on ‘our place’, delivering services to develop and maintain our spaces and places so they are clean and sustainable, with safe, active and resilient communities. It incorporates the former Fire and Rescue, Community Safety and Localism services. This report provides information about fires, road traffic collisions and other types of incidents which are dealt with by the service so that we can better understand how we can address these issues. This analysis is based on the most current data available to the service. All fire and rescue data is based on the period 1st April 2016 to 31st March 2017 and all road traffic collision data is from 1st January 2016 to 31st December 2016 1. The document enables us to identify what the biggest risks are for fire, rescue and road safety, where and when they occur and who is most affected or vulnerable to them. It also provides information about future threats and opportunities which are likely to affect the service over the next few years. This information plays a key role in the development of our Service Plan (incorporating our Integrated Risk Management Plan 2) and ensures we follow an evidence led approach to managing our activities and resources. All fire and rescue authorities have a statutory responsibility to produce an Integrated Risk Management Plan that sets out how it will address locally identified risks and this document forms the first part of this process. This document is one of two needs assessments produced within Resilient Cornwall which informs our Service Plan/ Integrated Risk Management Plan. The other is the Safer Cornwall Strategic Assessment which can be accessed through the Safer Cornwall website - safercornwall.co.uk. The Strategic Assessment provides a profile of crime, substance use and anti-social behaviour in Cornwall and highlights the priorities for the Safer Cornwall Partnership. In addition to our RBEP we also produce a Prevention Tool which highlights those at greatest risk of accidental dwelling fires; a Protection Matrix which highlights high-risk businesses and Risk Profiles for each community fire station. All of 1 Information accurate as of 1st August 2017: some subsequent changes are possible as further incident information becomes available such Coroner’s findings. 2 Cornwall Fire and Rescue’s IRMP is integrated within the Resilient Cornwall Service Plan. 5
these tools and products inform the service’s Integrated Risk Management Plan, team plans, initiatives and various campaigns. As a service we assess our priorities for prevention activity using our ‘Prioritisation Matrix’ tool. This allows us to assess the extent of and impact on the community and our service of all fire, rescue and road safety incidents. We refresh this tool each year to determine our prevention priorities and to ensure our resources are targeted at the greatest risk. These incidents are then given a priority category of: very high, high, medium or standard risk. The diagram on the next page shows where the Prioritisation Matrix and Risk Based Evidence Profile fit within the service’s evidence profile and how it is used across the service. 6
Executive summary The top two priorities for prevention activity are road traffic collisions and accidental dwelling fires. These incident types have a high frequency and are associated with the highest rates of deaths and serious injuries of all fire, rescue and road safety incidents. Road traffic collisions resulting in injury (commonly referred to as ‘injury collisions’) have significantly decreased 3 over the past five years despite an increase in traffic. Last year 22 people died in road traffic collisions in Cornwall and serious injuries appear to have continued to increase since 2009, however the way incidents are recorded has changed and this may be influencing some of this change. In 2016 the Police started recording collisions using a new system called CRASH. The Department for Transport has stated that collisions in 2016 have been correctly recorded and are working to re- classify historical data. It is unclear whether the shift to this new system has influenced some of the increase in serious collisions and we will not understand the full extent until all data has been re-classified. Accidental dwelling fires have decreased over the past five years but these changes are not statistically significant. Last year there were 256 accidental dwelling fires, three people died and one person was seriously injured in dwelling fires in Cornwall. Although, we have seen a reduction in the number of these fires over recent years, the number accidental of people killed or seriously injured has remained relatively unchanged over the past eight years. Although the priorities for prevention activity are broadly the same as last year there have been some changes within the medium and standard risk rankings. Other human rescues have moved up to medium risk; this category has a high frequency and involved two deaths and 18 serious injuries over the last three years. Carbon monoxide has also moved up to medium risk, although this incident type has a low frequency there were six serious injuries within this category last year. Deliberate primary fires have dropped down to standard risk; there have been no deaths over the past three years due and two serious injuries in this category. New analysis using the customer profiling tool, Acorn, has provided a better understanding of the types of households that experience an accidental dwelling fire in Cornwall. We know that deprived households, elderly people and people living in social housing experience the highest rates of house fires in Cornwall. People living in social housing in Cornwall have double the rate of 3 *Significance and expected limits are based on a Poisson test, as advised by The Royal Society for the Prevention of Accidents (ROSPA) for incidents of this nature.
accidental dwelling fires. It has also highlighted that some of our most serious fires, deaths and injuries have occurred in affluent elderly, rural pensioner and greenbelt family households. Although this is based on a small number of fires it has shown that households that do not fall within our expected definition of high risk can also experience very serious and fatal house fires. New research 4 from Kent Fire and Rescue Service has shown that people do not behave as we expect them to when they experience a fire in their home. This has raised questions about the best way to advise the public on dealing with a house fire. An estimated 70% of fires are extinguished by people in their homes and are not reported to the fire and rescue service. Evidence shows that people do not panic and they behave rationally. The vast majority of those that were injured tackling a fire in their home would do the same again. Analysis of fire data in Cornwall has highlighted some gaps in the information collected regarding human factors in accidental dwelling fires. Two thirds of accidental dwelling fires in Cornwall logged in our Incident Recording System (IRS) have no human factors attributed to them which needs further work to understand why. There have been a number of political and social changes over the past year impacting on the service at a local and national level. Recent legislation introduced by the government will change the way fire and rescue services in England are governed and operate. There are three main pillars of reform which these changes come under, these are: workforce reform, efficiency and collaboration and accountability and transparency. Following the recent tragedy at Grenfell the service has experienced an increase in requests from the public, partners and central government about fire safety and building regulations. The growing public and political awareness of this issue is likely to lead to further work over the next few years particularly regarding social housing. Over recent years the impact the fire and rescue service has on health and well-being has been widely recognised. As part of this role the service is now expanding the remit of the work it carries out in peoples’ homes. These visits will be known as ‘safe and well visits’ and will encompass a range of health advice as well as fire safety. As the population of Cornwall increases the proportion of older people is also growing. This change in demographics is likely to place an increasing demand on services, such as our ‘safe and well visits’, as older people are supported to remain in their own homes. 4 Why human behaviour really matters: Kent Fire and Rescue Service, National Fire Chief Council Conference, October 2017 9
Our prevention priorities
Incident infographics Very high priority - Injury road traffic collisions 1203 injury road traffic collisions Collisions in 2016 277 people seriously injured 24 per week 22 people died Average number of injury collisions Trend & cause Priority groups In 2016/17 we needed… Resources 1986 hours 4079 firefighter 487 appliance attendances call outs (Total firefighter & officer hours spent actively attending incident) …to attend to these incidents All figures quoted are based on Stats 19 data and includes injury collisions that have been recorded by Devon & Cornwall Police from 1st January to 31st December 2016 except ‘resources’ section which only includes incidents attended by fire and rescue personnel between 01/04/2016 and 31/03/17. Does not include damage-only collisions or collisions not recorded by the police
Incidents 16/17 High priority – accidental dwelling fires 256 fires 5 per 1 person seriously injured week 3 people died Average number of accidental dwelling fires These fires in Cornwall are reducing Trend & cause 2010 2014 2017 Only 2% classified ‘high’ severity Where known: Two thirds of accidental Distraction (14%) Human factors dwelling fires Sleep not drugs/ have no human alcohol (4%) factors attributed Other medical (4%) to them Disabled (1%) Excessive/ dangerous storage (1%) In 2016/17 we needed… Resources 3614 hours 3281 firefighter 386 appliance (Total firefighter & officer hours attendances call outs spent actively attending incident) …to attend to these incidents All figures quoted are based on incidents attended by fire and rescue personnel between 01/04/2016 and 31/03/17 and are taken from our Incident Recording System (IRS). Does not include incidents not reported or attended. 12
Medium priority incidents 691 other 301 other human 26 carbon accidental fires** Incidents 16/17 rescues* monoxide incidents *All rescues including lift release, effecting entry and ** Includes wildfires, hazardous material incidents chimney & vehicle fires Trend There has been no Other accidental There has been no change to other fires have reduced change to carbon human rescues over the past year monoxide incidents Other human rescues 14 other accidental 6 seriously injured fires Impact 0 6 other human Other accidental fires seriously injured rescues Carbon monoxide 6 1 carbon monoxide seriously injured per week Other human Other accidental Carbon monoxide rescues fires Resources 1779 hours 6741 firefighter 28 appliance (Total firefighter & officer hours attendances call outs spent actively attending incident) All figures refer to 2016/17 and based on incidents attended by fire and rescue personnel between 01/04/2016 and 31/03/17 from our Incident Recording System (IRS). 13
Standard priority incidents 507 automatic 96 flooding & fire alarms water rescues 114 deliberate Incidents primary fires 82 animal 231 deliberate 112 accidental assistances secondary fires non domestic fires There has been no Deliberate Flooding & water Trend change to secondary fires rescues and deliberate primary have reduced over accidental non- fires & automatic the past year domestic fires have fire alarms reduced Deliberate primary 2 flooding & fires water rescues 2 accidental non Impact domestic fires 1 9 automatic fire seriously injured alarms Accidental non- Flooding & Deliberate domestic fires water rescues secondary fires Resources 3927 hours 675 firefighter 252 appliance (Total firefighter & officer hours attendances call outs spent actively attending incident) All figures refer from 1st April 2016 to 31st March 2017 and based on incidents attended by fire and rescue personnel between 01/04/2016 and 31/03/17 from our Incident Recording System (IRS). 14
Injury road traffic collisions Injury collisions and casualties In Great Britain in 2016, 136,621 injury collisions were recorded by the police, of which 1,695 resulted in at least one fatality 5. In Cornwall, the police recorded 1203 injury collisions, of which 22 resulted in at least one fatality 6. There has been a 38% decrease in the number of injury collisions and a 21% increase in the number of KSI collisions 7 on roads in Cornwall since 2006, while traffic has increased by 11% The Department for Transport (DfT) has calculated the average societal cost of a road traffic collision taking into account various factors. Using 2016 figures, it estimates that the average value of preventing a fatal collision is £1.8 million, a serious collision is £210,000, and a slight casualty is £16,000. Based on these figures, the 5 https://www.gov.uk/government/statistics/reported-road-casualties-great-britain-annual-report- 2016 6 Data tables and severity classification definitions can be seen in Appendix 1 7 It is common practice to combine the fatal and serious collisions and casualties into what’s known as ‘killed and seriously injured’, or KSIs – see severity definitions in Appendix 1 for detailed descriptions of each classification. 15
average value of preventing injury collisions in Cornwall in 2016 is approximately £130 million. Cornwall Fire and Rescue Service (CFRS) does not attend all road traffic collisions (RTCs), but the service is responsible for education, training, and publicity (ETP) for preventing collisions as part of its wider community safety activities. ETP forms one third of the ‘three Es’, all jointly responsible for road safety and prevention work: the three Es are: • Engineering in the form of Highways England and Cormac; • Enforcement in the form of Devon and Cornwall Police; and • ETP (Education, training and publicity) as delivered by Resilient Cornwall, including CFRS CFRS attended just 14% of injury collisions in 2016. The visual below show that the service attends a higher proportion of higher severity collisions: 10 of 22 11% 21% All police-recorded injury collisions 16
Fatal collisions and casualties In Cornwall, there were 22 fatal collisions and 22 people fatally injured on roads in 2016. Last year we reported 8 fatal collisions and 9 people fatally injured for the calendar year 2015, which was an unusually low number of fatalities. The change in fatal collisions shows a marked decrease when plotted against a traffic growth index starting from 2006. National Nationally, 1,792 people were killed in reported road traffic accidents in 2016, 4% higher than 2015, but this change is not statistically significant: the trend in road deaths has been broadly flat since 2010 and reduced by 44% since 2006. Benchmarking 8 Cornwall ranks 9 9th out of 21 shire authorities 10 and 110th out of 152 local authorities across Great Britain. 8 Takes into account population, traffic volume, and road length 9 First rank represents the lowest rate of collisions 10 Shire authorities included are: West Sussex, Somerset, Warwickshire, Shropshire, Wiltshire, Oxfordshire, County Durham, Suffolk, Cumbria, and Lincolnshire 17
Serious collisions and casualties In Cornwall, there were 247 serious collisions and 277 people seriously injured on the roads in 2016. This compares to 186 serious collisions and 219 people seriously injured in 2015. New While there is recording evidence of a system significant increase in collisions since 2009, any comparison between 2015 and 2016 should be interpreted with caution. This is because of a change to the system used for recording collisions by around half of all police authorities, including Devon and Cornwall 11. It is thought that some serious injuries were misclassified as slight before the police force changed to the new recording system, and so the number of people seriously injured would have been underestimated as a result. 11 Changes to planned statistical releases, Road accidents and safety statistics, DfT: https://www.gov.uk/government/collections/road-accidents-and-safety-statistics#publications- 2017 18
National Nationally, 24,101 people were seriously injured in reported road traffic accidents in 2016, 9% higher than 2015. Benchmarking 12 Cornwall ranks 13 16th out of 21 New shire 14 authorities recording and 108th out of system 152 local authorities across Great Britain, taking into account population, traffic volume, and road length. Slight collisions and casualties In Cornwall, there were 934 slight collisions and 1484 people with slight injuries from road traffic collisions in 2016. Last year we reported 1037 slight collisions and 1499 people with slight injuries for the calendar year 2015. Once again, any comparison between 2016 and 2015 should be treated with caution: some serious injuries are likely to have been classified as slight injuries in collisions prior to the new recording system 2016. Additionally, not all collisions where people are slightly injured are reported to the police. 12 Takes into account population, traffic volume, and road length 13 First rank represents the lowest rate of collisions 14 Shire authorities included are: West Sussex, Somerset, Warwickshire, Shropshire, Wiltshire, Oxfordshire, County Durham, Suffolk, Cumbria, and Lincolnshire 19
Road safety prevention priorities The high risk driving behaviours are: More information about these is contained in the ‘collision causes’ section. The Priority Road User Groups (PRUGs) are: More information about these is contained in the Priority Road User Group section. 20
Collision causes Contributory factors The high risk driving behaviours come from the top ten contributory factors recorded for collisions in Cornwall. They are shown in the bar chart below: ‘travelling too fast for conditions’ and ‘exceeding speed limit’ are combined to create a new factor: ‘speed’, which ranks third: • Economic activity: collisions increase as economic development increases, while during economic stagnation, collisions involving high- risk groups and the riskier driving behaviours are disproportionately reduced • Distance people travel • Mix of transport modes used • Behaviour of drivers, riders and pedestrians • Mix of groups of people using the road (for example: changes in the number of newly qualified or older drivers) • External effects such as the weather, which can influence behaviour. We are looking at speed during 2018: we aim to compare the proportion of KSIs that happen on roads of different speed limits, where police allocated the contributory factor exceeding speed limit. Last year, around 60% of injury collisions in Cornwall involved people from the Priority Road User Groups (PRUGs), so further analysis has attempted to identify the common driving errors and behaviours contributing to the other 40% of collisions. The police report that it can be difficult to find any one party to blame for a collision, so the reporting form gives space to attribute contributory factors to individuals involved. That is, a particular road user is allocated one or more contributory factors in a collision. The police can choose up to six contributory factors from a list of 78, including one free-text factor if something happened that is not on the list. Contributory factors can be allocated to injured or uninjured driver, riders, pedestrians, and passengers. 21
Contributory factors fall into various categories, such as human (for example: failing to look properly or losing control); environmental (for example: objects in the carriageway); and vehicle defects (for example: worn tyres). Overall, the evidence suggests that collisions are less about the state of the road and more about people’s behaviour, as shown in the pie chart here: 87% of all contributory factors in collisions in Cornwall. Enforcement The graph below shows the top ten motoring offence prosecutions in Devon and Cornwall during 2015-2016. 15 All minor motoring offences where the offender indicates a guilty plea are dealt with at the Bodmin court. This is the majority of these offences. 15 Note: it is not possible to identify rtc-related offences; this is only prosecutions – fixed penalty notices are dealt with separately and the police don't have data for that. Data source: Force prosecution recording system – NSPIS Case Data processing: Qlikview Court Cases report Case created date between 1st April 2014 and 31st March 2016 Home office offence codes 170, 802 to 825 Data limitations: In 2016 a new Force prosecution data system went live. Data extraction from this system is still under development. The latest prosecution data we have available is given. There is no way of identifying where the offence occurred from the data available to us, so figures are given for the Force area only. 22
Driving behaviour Research16 conducted by the London School of Economics and Political Science (LSE) in partnership examines how, as road users, we can all sometimes engage in ‘combative driving’, and at other times we can co-operate with other drivers in ‘considerate driving’. Focus groups discussed driving behaviour, using helmet- mounted camera footage in structured interviews, and the researchers used the results to shape the surveys of nearly 9,000 people from 15 European countries. The LSE lists seven driving personalities, which “emerge in different situations when drivers interact with others on the road”. They are, as quoted directly from the LSE 17: • The Teacher: needs to make sure other drivers know what they have done wrong and expects recognition of his/her efforts to teach others. • The Know-it-all: thinks he/she is surrounded by incompetent fools and contents themselves with shouting condescendingly at other drivers while being protected in their own car. • The Competitor: needs to get ahead of all other drivers and is annoyed when someone gets in the way of that. He/she might accelerate when someone tries to overtake them or close a gap to prevent anyone from getting in front of them. • The Punisher: wants to punish other drivers for any perceived misbehaviour. Might end up getting out of his/her car or approaching other drivers directly. • The Philosopher: accepts misbehaviour easily and tries to rationally explain it. Manages to control his/her feelings in the car. • The Avoider: treats misbehaving other drivers impersonally, dismisses them as a hazard. • The Escapee: listens to music or talks on the phone to insulate him/herself. Escapees distract themselves with selected social relationships so that they do not have to relate to any of the other drivers on the road. It’s also a strategy for not getting frustrated in the first place. Rather than personality types that we embody permanently, these are ‘scripts’ that we can adopt for a short time, for example to negotiate a roundabout, or could be our general orientation at the start of the journey. 16 The Ripple Effect of Drivers’ Behaviour on the Road: A Study on Drivers’ Behaviour Executive Summary, http://www.goodyear.eu/corporate_emea/images/3.12.2015%20- %20Executive%20Summary%20-%20FINAL_tcm2447-180821.pdf. 17 You Auto Know: Which Driving Personality are You?, London School of Economics, http://www.lse.ac.uk/newsAndMedia/news/archives/2015/09/YouAutoKnowWhichDrivingPersonalit yAreYou.aspx, 1st September 2016. 23
The authors conclude that there is a need for initiatives to be tested to ‘encourage greater awareness of the perspectives of the other drivers we interact with. Drivers themselves create the very environments they often find stressful and to which they can respond combatively’ and ‘Just as combative driving can generate a chain of indirectly reciprocal provocations between drivers, considerate driving can create a ripple effect of safer journeys.’ 24
Where did collisions happen? The map here shows where collisions occurred during 2016. We counted the number of collisions that occurred on each road and ranked them in descending order. This list shows the top ten: Top 10 roads A30 A39 A390 A38 A388 A389 A3047 A3058 B3254 A394
The DfT: ‘although all accidents have a cause and that cause is often someone making a mistake or exhibiting dangerous or thoughtless road behaviour, when and where fatalities occur is essentially random’ 18. Cormac’s Engineering Design Group have analysed the A and B Roads for the local authority in terms of their collision history and produced the following top ten. The majority of the A30 and A38 are trunk roads and are maintained by Highways England and therefore were not included in the analysis. 19 Rank Road section description 1 A388 (part) Carkeel to Viverdon Down 2 A3073 Bude 3 B3271 Saltash 4 B3277 Chiverton Cross to St Agnes 5 A3059 St Columb to Newquay 6 A3075 Chiverton Cross to Newquay 7 B3298 Scorrier A390 (part) Chiverton Cross Roundabout A30/A390 8 junction to Truro A39 Arch Hill roundabout 9 A3082 St Blazey 10 A3047 Redruth and Camborne 18 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/533293/rrcgb- main-results-2015.pdf 19 Information provided by Helen Galligan from Cormac’s Engineering Design Group, who notes the following: “A ranking was based on a combination of accident numbers and accident rate to avoid bias towards very high flow or very low flow roads. The Local Authority roads have been ranked using collision data over a six year period (1 October 2008 to 30 September 2014). It should be noted that this list is not a perfect measure for ranking of roads as there is always an element of skew, that is, accidents are relatively random events and have the tendency to fluctuate over time through simple random variation; this will particularly be evident on relatively short stretches of road.”
Priority Road User Groups The Priority Road User Groups (PRUGs) are motorcyclists, pedal cyclists, younger and older drivers, and pedestrians. These are determined using police recorded injury collisions data, STATS19. The service also adopts national campaigns and initiatives, for example road users using mobile phones, wearing seatbelts, and workplace driving. Evidence for these campaigns is driven by national research. Information for targeting education, training and publicity initiatives The following pages summarise the results of analysis police records of collisions in Cornwall. Notes: • It is common practice to combine the fatal and serious collisions and casualties into what’s known as ‘killed and seriously injured’, or KSIs: information refers to all injury collisions, unless marked as KSIs. • Each table of information has two sets of contributory factors listed. These are: on average, how many contributory factors were allocated to the PRUG; and how many were allocated to others involved? For example for every ten contributory factors allocated to road users involved in a collision with an pedal cyclist, an average of four contributory factors were allocated to the pedal cyclist and six were allocated to other road users involved.
• To help us understand who we should be focusing our prevention activities on we have also used the Acorn customer segmentation toolkit. This software allows us to identify a customer type based on the road user’s postcode. By classifying road users in this way we are able to understand more about behaviour and lifestyles which provides valuable information about how to develop our prevention activities. Detailed descriptions for each group can be found in the Appendix. Motorcyclists and pedal cyclists • Motorcycles make up less than 1% of traffic, but are involved in more than 15% of injury collisions and almost 30% of KSI collisions. • Pedal cycles make up less than 0.5% of traffic, but are involved in almost 6% of injury collisions and more than 7.5% of KSI collisions. This means that not only are they more likely to be involved in collisions than any other road user, when they are involved they are more likely to be injured. Within the motorcycling community, there are two distinct groups: smaller and larger bikes, which differ in characteristics. 28
Motorcycles up to125cc 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Age: 16-28 Acorn groups: Owner occupiers in small towns and villages Labouring semi-rural estates Larger families in rural areas Contributory factors (CFs) Police allocated 6 in every 10 CFs to this group in injury collisions Top 5 allocated to this group: Top 5 allocated to others involved: Inexperienced or learner driver/rider Failed to look properly Careless/Reckless/In a hurry Failed to judge other persons path or speed Travelling too fast for conditions Following too close Not displaying lights at night or in poor visibility Travelling too fast for conditions Slippery road (due to weather) Poor turn or manoeuvre Circumstances Road 30mph Dry or wet/damp Average of 2 vehicles involved Manoeuvre: going straight ahead or turning right 60mph Junction type: Not within 20 metres of a junction T & staggered junction Weather: fine without high winds 29
Motorcycles over 125cc 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Age: 18-65 Acorn groups: Owner occupiers in small towns and villages Fading owner occupied terraces Semi-skilled workers in traditional neighbourhoods Larger families in rural areas Contributory factors (CFs) Police allocated 6 in every 10 CFs to this group in injury collisions (7/10 in KSI collisions) Top 5 allocated to this group: Top 5 allocated to others involved: Careless/Reckless/In a hurry Failed to look properly Travelling too fast for conditions Poor turn or manoeuvre Loss of control Careless/Reckless/In a hurry Failed to judge other persons path or speed Distraction in vehicle Exceeding speed limit Failed to judge other persons path or speed Circumstances Road 30mph Average of 2 vehicles involved Dry or wet/damp Manoeuvre: going straight ahead or turning right 60mph Junction type: Not within 20 metres of a junction T & staggered junction Weather: fine without high winds 30
Pedal cyclists 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Age: 6-65 with peaks around 11-20 and 36-50 Acorn groups: Owner occupiers in small towns and villages Larger families in rural areas Semi-skilled workers in traditional neighbourhoods Retired and empty nesters Fading owner occupied terraces Low income large families in social rented semis Contributory factors (CFs) Police allocated 4 in every 10 CFs to this group in injury collisions Top 5 allocated to this group: Top 5 allocated to others involved: Failed to look properly Failed to look properly Loss of control Failed to judge other persons path or speed Failed to judge other persons path or speed Careless/Reckless/In a hurry Cyclist entering road from pavement Poor turn or manoeuvre Careless/Reckless/In a hurry Too close to cyclist, horse or pedestrian Circumstances Road Average of 2 vehicles involved 30mph Dry or wet/damp Manoeuvre: going straight ahead or turning right 60mph Junction type: Not within 20 metres of a junction T & staggered junction Weather: fine without high winds 31
Older drivers Older drivers are often identified as a priority road user because old age can bring about an increased likelihood of experiencing a collision, as well as an increased risk of death or more serious injuries when collisions do occur. National figures show that casualties aged over the age of 60 have increased while fatalities overall have remained stable over the past three years. The DfT notes that a population increase in this age group may partly explain the slight upturn in fatalities seen in this age group in the past few years. In Cornwall, the risk of injury increases with age in this group, so drivers aged over 75 should be prioritised for prevention activity over those aged between 61 and 75. 32
Drivers aged 61-75 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Acorn groups: Farms and cottages Retired and empty nesters Owner occupiers in small towns and villages Semi-skilled workers in traditional neighbourhoods Larger families in rural areas Contributory factors (CFs) Police allocated 6 in every 10 CFs to this group in injury collisions (7/10 in KSI collisions) Top 5 allocated to this group: Top 5 allocated to others involved: Illness or disability, mental or physical Travelling too fast for conditions Loss of control Loss of control Fatigue Slippery road (due to weather) Poor turn or manoeuvre Exceeding speed limit Distraction in vehicle Road layout (eg bend, hill, narrow road) Circumstances Road Average of 2 vehicles involved 30mph Dry or wet/damp Manoeuvre: going straight ahead or turning right 60mph Junction type: Not within 20 metres of a junction Weather: fine without high winds 33
Drivers aged 76+ 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Acorn groups: Retired and empty nesters Owner occupiers in small towns and villages Farms and cottages Contributory factors (CFs) Police allocated 7 in every 10 CFs to this group in injury collisions Top 5 allocated to this group: Top 5 allocated to others involved: Illness or disability, mental or physical Failed to look properly Failed to look properly Careless/Reckless/In a hurry Failed to judge other persons path or speed Failed to judge other persons path or speed Loss of control Poor turn or manoeuvre Poor turn or manoeuvre Slippery road (due to weather) Circumstances Road Average of 2 vehicles involved 30mph Dry or wet/damp Manoeuvre: going straight ahead or turning right 60mph Junction type: Not within 20 metres of a junction T & staggered junction Weather: fine without high winds 34
Young car drivers and passengers Young car drivers and passengers are a particularly important road user group as they are significantly over-represented in road traffic collisions and the most likely age group to experience a collision 20. Nationally, the number of fatalities and casualties involving young car drivers is seeing a long-term downward trend with 2013 seeing the lowest number on record. Despite young car drivers constituting only 7% of all UK licence-holders, they were involved in 20% of all fatal collisions nationally. Nationally, there has also been a decline in the number of young adults (aged 17-20) holding driving licences. It has been suggested that this is part of a wider, global social trend of lower licence-holding amongst young people, and may explain why risks for this age-group have extended to around age 30 in Cornwall. National initiatives for younger car drivers and passengers are targeted to those aged 17 to 24, but in Cornwall the age group extends from 17 to 30. For prevention purposes, a need has been expressed to break this group into two groups for easier targeting, so infographics are produced for 17 to 19 year olds who are likely to still be in education, and those aged 20 to 30. 20 Facts On Young Car Drivers, Department for Transport, (2015). 35
Young car drivers and passengers aged 17-19 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Acorn groups: Owner occupiers in small towns and villages Farms and cottages Semi-skilled workers in traditional neighbourhoods Larger families in rural areas Retired and empty nesters Contributory factors (CFs) Police allocated 6 in every 10 CFs to this group in injury collisions (8/10 in KSI collisions) Top 5 allocated to this group: Top 5 allocated to others involved: Careless/Reckless/In a hurry Failed to look properly Exceeding speed limit Failed to judge other persons path or speed Loss of control Careless/Reckless/In a hurry Slippery road (due to weather) Travelling too fast for conditions Travelling too fast for conditions Loss of control Circumstances Road Average of 2 vehicles involved 30mph Dry or wet/damp Manoeuvre: going straight ahead 60mph Junction type: Not within 20 metres of a junction Weather: fine without high winds 36
Young car drivers and passengers aged 20-30 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Acorn groups: Owner occupiers in small towns and villages Farms and cottages Semi-skilled workers in traditional neighbourhoods Contributory factors (CFs) Police allocated 6 in every 10 CFs to this group in injury collisions (8/10 in KSI collisions) Top 5 allocated to this group: Top 5 allocated to others involved: Loss of control Aggressive driving Careless/Reckless/In a hurry Failed to look properly Poor turn or manoeuvre Careless/Reckless/In a hurry Impaired by drugs (illicit or medicinal) Poor turn or manoeuvre Travelling too fast for conditions Slippery road (due to weather) Circumstances Road 30mph Dry or wet/damp Average of 2 vehicles involved Manoeuvre: going straight ahead 60mph Junction type: Not within 20 metres of a junction Weather: fine without high winds 37
Pedestrians In 2014, pedestrian casualties had the largest rise of any of the road user groups in Great Britain, but this dropped in 2015 only to return to 2014 levels in 2016. In Cornwall, there has been a steady decrease in the number of pedestrian casualties overall, but pedestrian casualties killed or seriously injured did not change significantly over the same period. 38
Pedestrians 2016 Comparison with 5 year average (2012-2016) KSI collisions Injury collisions Who should be targeted? Age: 11-16 and 71+ Acorn groups: Owner occupiers in small towns and villages Retired and empty nesters Semi-skilled workers in traditional neighbourhoods Labouring semi-rural estates Poorer families, many children, terraced housing Contributory factors (CFs) Police allocated 4 in every 10 CFs to this group in injury collisions (5/10 in KSI collisions) Top 5 allocated to this group: Top 5 allocated to others involved: Failed to look properly Failed to look properly Pedestrian wearing dark clothing at night Careless/Reckless/In a hurry Dangerous action in carriageway (eg playing) Other Failed to judge vehicles path or speed Dazzling sun Careless/Reckless/In a hurry Impaired by alcohol Circumstances Road Average of 1 vehicle involved 30mph Dry or wet/damp Junction type: Not within 20 metres of a junction Weather: fine without high winds 39
Accidental dwelling fires Nationally, accidental dwelling fires have continued to follow a downward trend and the latest figures for Cornwall show that the number of accidental dwelling fires reduced by 17 incidents on the previous year. Last year there were 256 accidental dwelling fires during which three people died, one person was seriously injured, 28 people were injured slightly and five people were rescued. Although, the 2016/17 figure is lower than the average for the past five years, statistically it is not significantly lower. Cornwall currently has the second lowest rate of house fires in the South West region 21. New evidence suggests that the proportion of incidents reported to the fire and rescue service each year is actually substantially lower than the number that are occurring in people’s homes. National evidence22 shows that 70% of fires are extinguished by people in their homes and are not reported to the fire and rescue service. This new research has raised questions about the best way to advise the public on dealing with a house fire. While the number of accidental dwelling fires has declined the number of people killed or seriously injured in house fires in Cornwall has remained relatively unchanged over the past eight years. However, it should be noted that these numbers are very low and therefore can fluctuate year-on-year. New figures from the Home Office show that while the number of fires has fallen nationally the number of people aged 65 and over killed in a fire has risen by 22% between 2014/15 and 2016/17 23. 21 Ranked second out of five fire authorities in the South West. 22 Why human behaviour really matters: Kent Fire and Rescue Service, National Fire Chief Council Conference, October 2017 23 Fire and rescue service funding needs to address increased elderly risk factor, Local Government Association, October 2017 40
Fatal fires in Cornwall National and local fire data confirms that it is often the most vulnerable, elderly and those in poor health that are at greatest risk of dying in a house fire. Over the past five years, 11 people have died and 13 people have been seriously injured in accidental dwelling fires in Cornwall. Property type Bungalow – single occupancy Human factors Not known/ none House– single occupancy Caravan/ mobile home Disabled Flat/ Self-contained maisonette sheltered Falling housing asleep/ asleep (not drugs/ alcohol) Bedroom Other Utility medical condition Living room Bathroom Fire start location Kitchen The most common cause of fatal fires in Cornwall is ‘careless handling’, followed by ‘cooking – chip pan/ deep fat fryer’ and ‘person too clost to heat source’. Prevention activities to prevent deaths from fires in the home should focus on improving residents’ behaviour in these areas. We also know that six out of the eleven people that died had smoke alarm systems fitted in their homes. Although, it is unknown if all of these alarms were in good working order. We do know that at one fatal incident alarms were sounding but that neighbours reported that the occupant did not leave the 41
property. Two thirds of homes where accidental dwelling fires have occurred had smoke alarm systems fitted. New research carried out by Derbyshire Fire and Rescue Service has also highlighted that many children are not woken by the sound of a smoke alarm. The study 24 found that 80% of children aged 2 to 13 did not respond to a traditional smoke alarm sounding. Factors that make someone more vulnerable to fire In 2014 a study 25 was published which examined all fire deaths in the South West of England to try to identify any contributory factors. This report was based on 88 fire deaths that occurred between 2008 and 2013. It found that there were seven common factors (see diagram below) that were identified. The most common factor, living alone, was identified in 53% of cases. Living alone Poor Older house- people keeping Common factors in fire deaths in the South West Limited Drugs mobility Mental Alcohol health 24 ‘Most children sleep through smoke alarms’, The Guardian, February 2017 25 Fatal fires in the South West: A collaborative review. (2014). South West UK Fire & Rescue Services 42
Emollient creams Paraffin based emollient creams have been highlighted as a potential fire risk, particularly for vulnerable patients. The government has advised patients against smoking or using naked flames near to medical dressings or bedding that has been in contact with emollient creams. The advice comes after a number of vulnerable people have died who were using emollient creams. Investigations have shown that the emollient creams acted as an accelerant to the fire and were a likely contributory factor in these deaths. 43
Accidental dwelling fires 2016 Comparison with 5 year average (2012/13 - 2016/17) KSI casualties All accidental dwelling fires Who should be targeted? Age: 60+ (very high risk: 85+) Acorn groups: Key risk factors: Pensioners in social rented flats Living alone Poorer social renting families Limited mobility Younger social renting adversity Smoking Struggling owner occupier families Alcohol Older people in social rented estates Hoarding Struggling social renting families Mental health Young renters in flats Drugs* Deprived younger families *prescription and illegal Elderly in terraced estates Retired couples in social rented estates Contributory factors – factors with fatalities in bold Cause Cooking Faulty equipment Faulty electrical supplies Carelessness/negligence/loss of control Too close to heat source Main source Cooking appliance Human factors (where known) Distraction Falling asleep/ asleep Other medical condition Accidental dwelling fires (ADF) ADF with fatal/serious injury 44
Who is most likely to have an accidental dwelling fire? To help us understand who we should be focussing our prevention activities on we have used the Acorn customer segmentation toolkit. This software allows us to identify which households are at greatest risk of fires in Cornwall. This is based on a classification system that puts each household into one of 62 different household types. By classifying households in this way we are able to understand more about similar patterns in behaviour and lifestyles which provides valuable information when developing our prevention activities. The following information is based on analysis of accidental dwelling fires that have occurred in Cornwall over the past five years 26. For more information about these household types, how best to reach them and how Acorn works please read the Acorn User Guide. Analysis of accidental dwelling fires in Cornwall shows that older people, those living in social housing, young renters in flats and those that are most financially stretched have experienced the highest rates of accidental dwelling fires in Cornwall. Evidence shows that people that live in social housing are twice as likely to experience an accidental dwelling fire in comparison with the Cornwall average. Who is most likely to be injured in accidental dwelling fires in Cornwall? Further analysis has been carried out to understand who is most likely to be killed or injured in an accidental dwelling fire in Cornwall. This has shown that households that do not fall within our expected definition of high risk can also experience very serious and fatal house fires. Although deprived households, elderly people and people living in social housing experience the highest rates of house fires, we have experienced a number of deaths and serious injuries in homes that do not fall into these categories. Although only a small sample size, evidence shows that affluent elderly households rank highest for injuries due to accidental dwelling fires in Cornwall over the last five years. Who has experienced the most serious accidental dwelling fires? Over recent years, fire and rescue services have developed a better way of recording fire severity in order to understand more about serious fires and how to tackle them. Within the South West we classify all accidental dwelling fires as 26 Analysis based on 1377 accidental dwelling fires in Cornwall where a unique property reference number (UPRN) could be obtained. 11% of these incidents had no UPRN listed so could not be included in the results. Where very low numbers of fires have occurred (less than 5 over 5 years) these types have been excluded. 45
high, medium or low severity. This helps us to understand more about differences between the most serious and least serious fires and how to prevent them. The majority of fires last year were classified as low (56%) or medium severity (42%). A small number of fires last year were deemed to be of high severity (2%) and this picture has been consistent over the past five years. This analysis shows that although it is typically people in social housing, older people and poorer families at greatest risk, affluent elderly households and young families have also experienced some of the most serious accidental dwelling fires in Cornwall. The following table shows the Acorn household types that experience the highest rates of accidental dwelling fires, the most serious injuries and the most serious fires in Cornwall. More detailed descriptions about these household types can be found in Acorn User Guide. 46
Table - Acorn groups at greatest risk of accidental dwelling fires Households in Fires Fatalities Fire liklihood Injury severity Fire severity ranking Acorn type Cornwall (5 years) (5 years) (1 most likely) (1 most likely) (1 most likely) Pensioners in social rented flats 4,644 64 1 1 4 7 Poorer social renting families 4,138 51 0 2 9 Younger social renting adversity 1,475 18 0 3 Struggling owner occupier families 2,261 26 0 4 Older people in social rented estates 1,588 18 0 5 Struggling social renting families 6,320 63 0 6 Young renters in flats 2,272 21 0 7 Deprived younger families 2,881 24 0 8 Elderly in terraced estates 3,600 29 0 9 Retired couples in social rented estates 1,260 10 0 10 Affluent elderly 17,096 56 3 1 5 Rural pensioners 23,748 80 2 2 1 Green-belt families 24,486 87 2 3 2 Post industrial pensioners 7,830 36 0 5 8 Younger privately rented adversity 4,318 27 0 6 Contented elderly 1,274 9 1 7 Young professionals 5,866 21 0 8 Young families in terraces 17,954 81 0 9 3 Conventional middle-agers 6,407 27 0 10 Renting young families 12,013 80 0 4 Struggling social renting families 6,320 63 0 6 Asset-rich retirees 11,615 34 0 10
What is the cause of most accidental dwelling fires? The majority of accidental dwelling fires in Cornwall start in the kitchen, followed by the living room and then the bedroom. Three quarters of all kitchen fires in Cornwall are started by cooking appliances. In the living room heating equipment is the most commonly identified ignition source followed by smoking and then electricity supply. Within the bedroom domestic style appliances are listed as the most common ignition source followed by smoking and then heating equipment. Just over two-thirds of accidental dwelling fires have no human factors attributed to them in Incident Recording System (IRS). Where factors have been identified distraction has been the biggest cause of these fires, followed by sleeping (not drugs or alcohol) and other medical conditions. Further work needs to be undertaken to determine if these cannot be determined by the officer in charge or whether they are not being recorded after further investigation has taken place. Human factors listed in accidental dwelling fires Two thirds of accidental dwelling fires have no human factors attributed to them Known Distraction (14%) None/ not Sleep not drugs or alcohol known (4%) Other medical condition (4%) Disabled (1%) Excessive/ dangerous storage (1%) Household type and make-up can present its own individual risks in terms of means of escape and exposure to potential fire risks. The majority (70%) of accidental dwelling fires in Cornwall occur in single occupancy homes. Over the past five years the service has also attended 37 fires in caravans/
mobile homes used as permanent dwellings. Over the same period there have been 29 accidental dwelling fires in properties of 4 more storeys high and two of in buildings 10 or more storeys high. Just under two-thirds of our accidental dwelling fires were attended by the service within 10 minutes and one quarter between 10-15 minutes. There appears to be no clear link between response times provided by the service and severity of injury or incident in accidental dwelling fires. Analysis of our fatal and serious injuries shows that the majority of incidents where a fatal or serious injury occurred were attended by the service within a 10 minute response time. We also know that the majority of our high severity fires were attended by the service within 10 minutes. Where should we be targeting? To help us prioritise the households at greatest risk of a fire we have created our Prevention Tool. The tool uses a range of data and information about high risk factors for accidental dwelling fires to help identify the homes most likely to experience a fire. This information is used by operational staff to direct and prioritise our living safe and well visits and ensures we focus our resources on the most vulnerable households. 49
Threats and opportunities Broadening health and well-being agenda Over recent years the impact the fire and rescue service has on health and well- being has been widely recognised and our remit has broadened. To acknowledge this change the ‘home fire safety check’ visits we carry out in thousands of homes across Cornwall are now being called ‘safe and well’ visits and will cover a much wider range of issues than fire safety. In Cornwall we have identified five behaviours that lead to five health conditions (cardiovascular disease, cancer, mental illness, lung disease and musculoskeletal problems) that cause the majority of deaths and disability in Cornwall and 20% of NHS costs are associated with these behaviours 27. These are: smoking, physical inactivity, unhealthy diets, excess alcohol, and lack of social connections. All of these behaviours will be addressed as part of our new safe and well visits. A recent review found that fire and rescue services response to medical/ co- responder incidents not only helped to save lives but also helped public services to save money. Firefighters co-responding to critical incidents do not only improve survival probability and life expectancy. An evaluation of a number of fire and rescue services in the UK found that for every £1 invested in co-responding the return on investment is between £5.67 and £14.40 28. Grenfell tower Following the devastating fire at Grenfell Tower where at least 80 people are believed to have died there has been a growing pressure on councils to assure residents and social housing tenants that they are safe. Following this tragedy, 27 Vision for Cornwall Evidence Base, 2017, Cornwall Council 28 Broadening Responsibilities, National Joint Council, January 2017 50
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