1. Using hospital data to strengthen cycle advocacy
Rob Benington
Injury Prevention Manager, Avonsafe Co-ordinator

2. http://www. theguardian

3. Public Health Outcomes
Excess weight 4-5 and year olds
Excess weight in adults
Proportion of physically active and inactive adults
Childhood emergency admissions due to injury
Road Safety (KSI)
Utilisation of outdoor space for exercise / health
Mortality due to air pollution, causes considered preventable, cancer, and CVD
Carbon management
Balance?

4. An integrated approach

5. What encourages cycling?
Improved infrastructure
Confidence (Training, road danger reduction)
Confidence (Fewer incidents and injuries)
Cycle friendly employers
Relevant image

6. What’s stopping us cycling?
Perception of risk and hazard
Traffic speeds
Reported and previous injuries
Lack of convenience
Severance and lack of permeability
Poor or undesirable infrastructure
Lack of confidence
Physical ability
Image of cyclists and cycling

7. Injuries (risk) = x exposure
hazard
Injuries (risk) = x exposure

8. ( n Injury Burden People Hours (Emergency admissions) (Exposure) =
x Aggregate Hazard
Injury Burden
(Emergency admissions) n (

10. c. 13% of all attendances at emergency departments are admitted.
“A total of 3,192 people were killed or seriously injured on UK roads while riding a bicycle last year”.
The Times,
A total of 17,653 English cyclists were admitted to hospital with an injury during
c. 13% of all attendances at emergency departments are admitted.
Ormel, 1999
c. 135,700 cyclists from England and
Serious: an injury for which a person is detailed in hospital or any of the following –fractures, concussion internal injuries, crushings sever cuts or lacerations, general shock requiring medical treatment
c. 160,000 from the UK were admitted to hospital or treated in an emergency department during
NHS Bristol, 2012

11. Cyclist injuries resulting in admission (England)
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

12. Travel and transport injuries
Non-collision injuries

13. What causes non-collisions
Slippery road surfaces
Poor road surface
Kerbs and rail lines
Cyclist related causes
“An introduction to non-collision cycling incidents”. NHS Bristol, 2012.

14. What we don’t know What works? What makes some children more likely
to sustain
NCIs

15. Summary Injury (and hazard) discourages people from cycling
Managing hazard will facilitate cycling
Most cycling injuries are caused by
non-collision incidents

16. What might reduce the hazard of NCI’s?
Improved infrastructure
Training
Fewer incidents and injuries
Cycle friendly employers
Improved image (= more cycling = better cyclists)

17. 1. Infrastructure

26. 2. Training Safe riding strategy How to traverse kerbs and rail lines
(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

27. Research is at an embryonic stage.
It is optimal to pursue public health priorities through an integrated approach.
Addressing non-collision cycling hazards will help make cycling a more attractive travel option.
Research is at an embryonic stage.