A major incident was declared on the Isle of Wight following a crash which has left one person dead and 22 others injured.
Hampshire Police confirmed a woman in her 60s died in the crash between a double-decker bus and two cars.
Three others who were travelling in a red Fiat Bravo with the woman were taken to hospital in a "serious condition", the force added.
They continued that the bus driver, a man in his 50s, was also seriously injured in the crash in Forest Road at the junction with Betty Haunt Lane near Newport.
Police added that 10 bus passengers were taken to hospital "as a precaution", as were four people who were in a silver Mini Cooper.
Following the crash which happened at around 12.45pm, a major incident was declared on the island a 1.50pm, with a spokesperson for the Isle of Wight NHS Trust asking people not to attend the accident and emergency department "unless absolutely necessary".
Bus operator Southern Vectis said it is believed the double-decker ended up in the Fiat's path after a crash moments earlier.
General manager Richard Tyldsley said: "Early indications suggest a car pulled out in front of a route 7 bus and our driver was unable to avoid it. The bus was forced into the path of another car.
"At this stage the full circumstances of the incident are unclear but sadly I understand one of the cars' occupants has died.
"This is very distressing for all concerned and I would like to pass our sincere condolences to their family and friends."
The operator would assist the police and conduct its own investigation, he added.
'The next thing I know, I was on the floor'
Holidaymaker Alisha Smith, 23, said the double-decker hit a second car after colliding with a Mini that pulled into the road.
"We were driving down the road. A Mini pulled out from a side road," she told the newspaper.
"The driver did his best to avoid it, but we hit and then bounced on to hit another car following in a different direction.
"The next thing I know, I was on the floor and got up to see if everyone was okay.
"A few were hurt and covered in blood, but no one severely injured at the top."
The major incident was stood down shortly before 5pm, but the Trust said the hospital remained in a "critical incident status" to ensure all patients were treated.
Those not airlifted from the scene of the crash were taken to St Mary's Hospital in Newport.
The island's County Press newspaper reported Isle of Wight Fire and Rescue Service group commander Justin Harden saying one person had died in the crash.
"My thoughts are with the deceased's family, on behalf of everybody here," he told reporters at the scene.
"It has been a significant incident, the like of which we have not seen for some time."