Recurance · prevention of future deaths reports
Pre-inquest brief
Staggered A16/B1166 junction design hazard
The earlier warning
Sheila Slater · 31 Mar 2016 · ARW Forrest, South Lincolnshire
“The staggered junction of the A16 with the B1166 is part of the Crowland Bypass which was opened in 2010.”
judiciary.uk/prevention-of-future-death-reports/sheila-slater
What was promised
Stated action 1 · response to Sheila Slater (31 Mar 2016) · stated timescale: none stated
“The relevant team have been informed of these concerns”
judiciary.uk/…/2016-0127-Response-from-Department-for-Transport…
Stated action 2 · response to Sheila Slater (31 Mar 2016) · stated timescale: none stated
“An assessment of all options available to the Trust to improve communication with community prescribing agencies by the Deputy Chief Medical Officer. [name redacted] included sharing of confidential patient information in a secure manner.”
judiciary.uk/…/2026-0127-Response-from-The-Great-Western-Hospit…
What recurred
- 7 Mar 2019 · Matthew Bilby · Timothy Brennard · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · Sheila Slater · 31 Mar 2016
“The staggered junction of the A16 with the B1166 is part of the Crowland Bypass which was opened in 2010.”
Later · Matthew Bilby · 7 Mar 2019
“The court heard evidence from a number of current regular road users describing the 1 layout of the A16/B1166 junction as”
What happened next
No web check of the stated actions has been published for this chain.