Review decision: 

No update required. Published guidance is still current.

Next review date: TBC

This guidance covers 20 mph limits, 20mph zones and engineering measures to reduce speed or make routes safer.

The recommendations include advice on:

  • How health professionals and local highways authorities can coordinate work to make the road environment safer.
  • Introducing engineering measures to reduce vehicle speeds, in line with Department for Transport guidance.
  • Making routes commonly used by children and young people safer. This includes routes to schools and parks.

This guideline was previously called preventing unintentional road injuries among under-15s.

It is for local highway authorities, local strategic partnerships, directors of public health, health professionals who have a responsibility for preventing or treating unintentional injuries affecting children and young people aged under 15, and school travel planners.

It may also be of interest to road users, children, young people, their parents and carers and other members of the public.

This is one of three pieces of NICE guidance published in November 2010 on how to prevent unintentional injuries among under-15s. A second publication covers unintentional injuries in the home and a third covers strategies, regulation, enforcement, surveillance and workforce development.

Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

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