The deadly flaws of the longest guided busway

Katy Prickett
BBC News, Cambridgeshire
Getty Images A double-decker bus on a guided busway heading towards the viewer along concrete tracks and kerbs in 2021. It has bright green livery. It is branded Stagecoach. It is travelling along a concrete track. On its right is a cycle and walkway. On either side are trees. Getty Images
Cambridgeshire's guided busway is believed to be the longest in the world

The chief executive of a council fined £6m after three deaths on its guided busway has promised it has "changed our approach for the future".

Jennifer Taylor, Steve Moir and Kathleen Pitts died after collisions on the Busway, which runs from Huntingdon to Cambridge, between 2015 and 2021.

Cambridgeshire County Council admitted two safety breaches and was ordered to pay the fine over three years, following the Health and Safety Executive (HSE) prosecution.

We look at the history of the guided busway, what went wrong, and what is being done to make it safer.

What is a guided busway?

Jozef Hall/BBC A strip of grey concrete bordered by green grass. Building line either side of the strip. On the right-hand side in a grey metal fence. In the distance is a cloudy sky.Jozef Hall/BBC
The system involves modified buses running along dedicated tracks

A guided busway uses specialised infrastructure to direct buses along pre-determined and dedicated paths.

Raised concrete kerbs are set at specific distances apart to act as a physical guide for the vehicles.

They are equipped with guide wheels to keep them on the track, but also have wheels suitable for drivers to manually steer them along regular roads.

Its aim is to provide speedier and more reliable journeys for passengers, because the buses are segregated from other traffic along their dedicated routes.

Why was Cambridgeshire's Busway built?

Geograph/Alan Murray-Rust A double-decker bus on a guided busway in 2018. It is bright green and mid blue livery. It is branded Stagecoach. It is travelling along a concrete track. To its left is a pavement, fields and a house in the distance. Geograph/Alan Murray-Rust
The Busway was designed to provide a public transport alternative for a new town and also connects Cambridge to long-standing communities

The 16-mile (26km) Busway runs between Cambridge, St Ives and Huntingdon and is believed to be the world's longest guided bus route.

Operated by the council, it opened in August 2011, two years late and at a cost of £116.2m, with much of it built on a former railway line.

The transport system was introduced in a bid to ease congestion on the A14.

It was also intended to provide an alternative mode of transport for people living in planned housing developments along the route, such as the new town Northstowe.

Between 2011 and 2024, it had seen 33 million passenger journeys, according to the council.

When did safety issues first arise?

A ground-level view of the Busway, shot from the side of the pavement. There are piles of autumn leaves and a scrap of police tape. Beyond it is a pavement and beyond that the lines of the track.
The council's "rigid and blinkered response" to the fatalities was criticised by Judge Mark Bishop

Shortly after the transport system opened in 2011, a bus made an emergency stop and a passenger had hit her head and fractured her skull.

It was one of several accidents that had never been reported to the HSE, the court was told.

Yet, there was no risk assessment in place until 2016 - a fact Judge Mark Bishop described as "particularly shocking".

He criticised the council's "rigid and blinkered response" to the fatalities, as well as numerous near-misses and accidents.

These included an incident involving Leon Leeson, who was left with memory loss, a broken collarbone, a tear in his liver and the loss of hearing in one ear.

What happened to each of the victims?

Supplied The faces of Kathleen Pitts, Steve Moir and Jennifer Taylor.  Kathleen is on the left and has shoulder-length blonde hair and is smiling. Steve is on middle and has short grey hair, is smiling and is wearing a blue fleece. Jennifer is on the right and has a dark fringe and big clear-rimmed glasses and is smiling. Supplied
Kathleen Pitts, Steve Moir and Jennifer Taylor all died in collisions with buses

Jennifer Taylor, 81, was hit by a bus when she crossed the track on foot at Fen Drayton in November 2015.

Ms Taylor had got off a bus on the Busway to return to an earlier stop she had missed when she was then struck by another bus while still crossing the lane, the court heard.

Steve Moir, 50, fell into the path of a bus after clipping a kerb with his bicycle that separated him from the Busway in Cambridge, in September 2018.

Pedestrian Kathleen Pitts, 52, was struck by a bus on the same stretch in October 2021.

The speed limit for buses at the time of Mr Moir's death had been 56mph (90km/h), and by the time of Ms Pitts' death this had been reduced to 30mph (48km/h).

A permanent protective fence was installed along the route in March 2024.

Why did the council not act sooner?

A modern glass-fronted building with the words 'New Shire Hall' on a stone to the right. There are two flag poles, one flying the Union flag and the other the flag of Ukraine.
The council's legal representative at the trial admitted it had previously prioritised timetable efficiency over health and safety

The council was criticised in court for its dismissive and defensive handling of concerns that included poor signage, unsafe crossings and poor lighting.

The court was told that when the health and safety watchdog issued an improvement notice in 2018, the authority appealed against the notice.

The council claimed it was "unwarranted and unlawful" as it had never been in breach of safety laws, the court was told.

It did not commission a safety review until after Ms Pitts' death.

The Busway was described as a "novel transport system" with "no national design standards, only recommended practices", by Ben Compton KC, who represented the council in court.

He said there seemed "to have been a dogged determination in treating the guided busway as a road".

"The emphasis seems to have been on the timetable and efficiency of the guided busway rather than... health and safety," he told the court.

What do the families say?

Family handouts Steve Moir and Kathleen Pitts. Steve is on the left and has short grey hair, is smiling  and is wearing a blue fleece. Behind him is sea. Kathleen is on the right and the image is a head shot. She has shoulder-length blonde hair and is smiling. Family handouts
Mr Moir's and Ms Pitts' families hoped "lessons would be learned" after the successful HSE prosecution

Mr Moir's brother, Rob Moir, said outside court afterwards: "There are no winners here. It's taxpayers' money at the end of the day.

"Hopefully it will be sufficient to make sure that not just this county council but other people, other councils, wake up and make sure they apply the due diligence that they should to health and safety."

Ms Taylor's family thanked "the HSE for their tireless efforts in bringing this case to court".

"We hope that the lessons learned will lead to sustained safety improvements and help avoid tragedy, injury and suffering in the future," they said.

"Jenny was deeply loved by all of us, and we dearly miss her."

How has the council's approach changed?

Jozef Hall/BBC A photograph of a section of the Cambridge busway. Grass is growing on either sides of the concrete of grey concrete bordered by green grass. A line of grey metal fencing runs along both sides of the busway. It is a blue sky day but with some white clouds.Jozef Hall/BBC
Bespoke metal fencing along the Busway's southern route is one of a number of safety changes introduced since the fatalities

The council admitted two charges under Section 3 of the Health and Safety at Work Act 1974, relating to the public trying to cross the busway at designated crossings and being struck while moving alongside the Busway.

Stephen Moir, its chief executive since 2022, said he was "truly sorry for these failures" and offered the victims' families "full and unreserved apologies".

The Busway's safety regime now includes:

  • Thorough and frequent inspections
  • A rolling programme of risk assessments
  • Strengthened incident recording, reporting and investigation

"A dedicated Busway operations safety team in place, and we have also installed bespoke fencing on the southern section of the Busway, reduced speed limits and are reviewing all the signs and lining along the route," he said.

"I'd like to reassure all those who use the guided busway, that we have learnt our lessons the hard way and changed our approach for the future.

"The Busway is and remains an important, accessible and safe public transport system for all the people who live in, work in, travel through or visit Cambridgeshire."

A 44-year-old woman remains in hospital after a crash involving a fire engine and two guided buses along the Busway in Northstowe on Wednesday.

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