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No pain, no gain? Preventing cycling injuries in a world of expanding waist-lines.

No pain, no gain? Preventing cycling injuries in a world of expanding waist-lines. Rob Benington Injury Prevention Manager, Avonsafe Co-ordinator NHS Bristol. Cycling is good for you. Physical activity is strongly associated with improvements in: Mental wellbeing Risk of cancer

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No pain, no gain? Preventing cycling injuries in a world of expanding waist-lines.

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  1. No pain, no gain?Preventing cycling injuries in a world of expanding waist-lines. Rob Benington Injury Prevention Manager, Avonsafe Co-ordinator NHS Bristol

  2. Cycling is good for you Physical activity is strongly associated with improvements in: Mental wellbeing Risk of cancer Weight management Cardiovascular health Reduced CO2 emissions/ urban liveability, etc. NHS Bristol wants more people to cycle more often and for longer.

  3. Injuries are bad for you Injury is not inevitable We can reduce risk of injury and increase health benefits at the same time.

  4. Non-Collision Cycling Incidents • A road safety issue • Caused c.95,000 cyclists to seek emergency treatment last year in England • Caused 69% of cycling-injury admissions in England between (2006-11) • On average, cause less serious injuries than collisions but can be fatal. (70% cause no injury that requires treatment). • A cycle advocacy issue • NCIs are preventable and removable and removing hazards makes cycling easier and more attractive.

  5. “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, an increase of 1,611 (9%)on 2010-11. www.hesonline.nhs.uk c. 13% of all attendances at emergency departments are admitted. Ormel, 1999 c. 135,700 cyclists from England and c. 160,000from the UK were admitted to hospital or treated in an emergency department during 2011-12. NHS Bristol, 2012

  6. Travel and transport injuries Non-collision injuries

  7. Why are you here? Helping travellers prevent serious injury? Modal shift? Low carbon travel? Reducing demand on acute healthcare services? Active travel = CHD, healthy weight, diabetes, depression? Improving performance against NI047 and NI048 / KSI indicators?

  8. What causes non-collisions? 1. Slippery road surfaces 2. Poor road surfaces 3. Kerbs and rail lines “An introduction to non-collision cycling incidents”, NHS Bristol 2012. www.tinyurl.com\avonsafecycling

  9. Proposed strategy ? School travel ? Research Research

  10. Engineering • Other/Communication (re. Ice) • Training • LSTF elements

  11. Engineering

  12. Ice risk management 1. Remove the risk 2. Avoid the risk 3. Mitigate the risk 4. Accept and adapt to the risk 5. Take the risk

  13. 2. Avoidance

  14. 3. Mitigation

  15. 4. Adaptation www.icebikes.org

  16. 5. Acceptance – Informed consent (Thanks to the Highways Agency who designed the poster)

  17. Training (Bikeability +) • 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 • 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,

  18. Local Sustainable Transport Fund • School and area travel plans • Awareness of staff working on LSTF • Employer travel plans • Bikeability + • LSTF funded community projects • Engineering • Communication

  19. Keeping cyclists safe, keeps cyclists cycling. www.tinyurl.com\avonsafecycling Rob.benington@bristol.nhs.uk

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