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ForewordForewordTitlehereRoSPA’sBigBookofAccidentPrevention03Endorsements04Thepoliticsofaccidentprevention05Whydoweneedaccidentprevention?06MortalityandPreventableYearsofLifeLost08Whatmighthavebeen10Unintentionalinjuryratesbyage11Casestudy1:SafeAtHome12Casestudy2:LASER14Casestudy3:20mphzonesandspeedlimits16Casestudy4:Fallspreventionservices18AboutRoSPA20Accidentpreventionlinkstopublichealthresponsibilities22Frequentlyaskedquestions24References26Contactdetails27TheBigBookofAccidentPreventionDearColleagueAccidentprevention–theNo.1priorityforpublichealthThisisyourcopyofashortpublicationwhichweattheRoyalSocietyforthePreventionofAccidentshavedesignedtohighlighttheveryrealimpactthateffectiveaccidentalinjurypreventioncanhaveonthehealthofyourpopulation.WeknowthattherearemanyissuescompetingforaplacewithinyourJointStrategicNeedsAssessment.HealthandWellbeingBoards(HWBs)needtofindsolutionswhichdothemost,withtheleast.Accidentalinjurypreventionislowcostandhighimpact.Itiseasytodeliver(thereisawell-wornpathwayofbestpractice)anditisbroadlywelcomedbythepeopleithelps.Becauseitaffectstheyoungsomuch,ournewresearchshows(pages8and9)thatthisisalsotheprincipalcauseofpremature,preventablemortality(measuredinPreventableYearsofLifeLostorPrYLL)formostofaperson’slife.WebelieveitshouldbetheNo.1priorityforpublichealth.Nearlyathirdofthepopulationhastheirlivesdiminishedduetoanaccident.Thecoststothenationareenormousandrisingbutaccidentsarepreventable.Thispublicationaimstohelpyoudeliversuccessesagainstthenew,accidentrelatedindicatorsinthePublicHealthOutcomesFrameworkforEngland2013–2016:Indicator4.3:MortalityfromcausesconsideredpreventableIndicator1.10:KilledandseriouslyinjuredcasualtiesonEngland’sroadsIndicator2.7:Hospitaladmissionscausedbyunintentionalanddeliberateinjuriesinunder-18sIndicator2.24:Fallsandinjuriesintheover-65s/Indicator4.14:Hipfracturesintheover-65sTherearejustthreethingsIwouldurgeyoutodo:•MakesurethataccidentpreventionisontheagendaforyourHWB.Ifitisn’t,askwhynotandgiveittheconsiderationitdeserves.Interrogateyourlocaldatatoseehowtheissueaffectsyou•ContactRoSPAforadviceandsupport.WewillmakesurethatyourHWBisbriefed,consultedandupdatedateverystageofthedevelopmentofyourpublichealthplanninganddelivery.Weareheretohelpyou–useus•Keepthisasyourtouchstonedocumentanduseittorefreshandrenewyourcommitmenttothisvitallyimportantissue–helpingtosavethelivesandreducetheinjuriesofthepeopleyouhavedeterminedtoprotect.“Strategiesandpoliciesrelatingtochildren,youngpeopleandolderpeopleneedtoincorporateinjuryprevention.”ProfessorDameSallyDavies–ChiefMedicalOfficer’sAnnualReport,November2012KindregardsProfessorYvonneDoyleMD,DCH,MPH,FRCPI,FFPHM,FFPHMIDirectorofPublicHealth,NHSSouthofEnglandTrustee,RoyalSocietyforthePreventionofAccidents3TheRoyalSocietyforthePreventionofAccidentsRoSPA’sBigBookofAccidentPreventionContentsSponsoracknowledgement“AswinnersoftheSirGeorgeEarleTrophy*in2012,FinningUK&IrelandareproudtosupportRoSPAinthepublicationanddistributionofthisexcellentdocument,whichmakesthecasesoclearlyforaccidentprevention.Armedwiththeinformationcontainedinthe‘BigBook’,wefeelsurethatkeydecision-makersinpublichealthwillseethevalueofplacingthissubjectatthetopoftheirprioritylist.Asacompanycommittedtothesafetyofallourworkers,ourcustomersandthepublicaswellastheirfamiliesandthecommunitiesinwhichtheylive,w...