Using hospital data to strengthen cycle advocacy Rob Benington - - PowerPoint PPT Presentation

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Sep 15, 2022 377 likes •671 views

Using hospital data to strengthen cycle advocacy Rob Benington Injury Prevention Manager, Avonsafe Co-ordinator http://www.theguardian.com/ environment/bike-blog/2013/jan/16/ cycling-parliamentary-inquiry-evidence

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Using hospital data to strengthen cycle advocacy

Rob Benington Injury Prevention Manager, Avonsafe Co-ordinator

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http://travel.cnn.com/sydney/play/ cyclists-revolution-bike-paths-cover- sydney-509438

http://www.theguardian.com/ environment/bike-blog/2013/jan/16/ cycling-parliamentary-inquiry-evidence

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Public Health Outcomes

n Excess weight 4-5 and 10-11 year olds n Excess weight in adults n Proportion of physically active and inactive adults n Childhood emergency admissions due to injury n Road Safety (KSI) n Utilisation of outdoor space for exercise / health n Mortality due to air pollution, causes considered

preventable, cancer, and CVD

n Carbon management

Balance?

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An integrated approach

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What encourages cycling?

n

Improved infrastructure

n

Confidence (Training, road danger reduction)

n

Confidence (Fewer incidents and injuries)

n

Cycle friendly employers

n

Relevant image

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What’s stopping us cycling?

n Perception of risk and hazard

– Traffic speeds – Reported and previous injuries

n Lack of convenience

– Severance and lack of permeability – Poor or undesirable infrastructure

n Lack of confidence

– Physical ability – Image of cyclists and cycling

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Injuries (risk) = x exposure

hazard

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

n

(

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“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. 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

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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

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Travel and transport injuries

17653 14573 9976 9633 4142 6723 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 11000 12000 13000 14000 15000 16000 17000

Number of admissions

Cyclists Car

ccupants

Motorcycle riders Pedestrians Animal riders Others Transport type

Numbers of injuries requiring hospital admission by mode of transport (2011-12)

Non-collision injuries

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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. www.tinyurl.com\avonsafecycling

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What we don’t know

What works? What makes some children more likely to sustain NCIs

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Summary

n Injury (and hazard) discourages

people from cycling

n Managing hazard will facilitate cycling n Most cycling injuries are caused by

non-collision incidents

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What might reduce the hazard of NCI’s?

n Improved infrastructure n Training n Fewer incidents and injuries n Cycle friendly employers n Improved image (= more cycling = better cyclists)

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1. Infrastructure

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2. Training

n 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

n How to traverse kerbs and rail lines

(While mentioned in L3 an observed demonstration should be required)

n Uneven road surfaces

(L3; Speed can be good)

n + Others? Blue Light runs, RRAGAR

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Addressing non-collision cycling hazards will help make cycling a more attractive travel option.

It is optimal to pursue public health priorities through an integrated approach.

Research is at an embryonic stage.

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