Herefordshire

Both carriageways have been closed between the A446 Dixton roundabout at the border with Wales, and the A49 Wilton roundabout.

The 56-year-old nurse, of Malvern, Worcestershire, broke both of her ankles, as well as suffering a fractured sternum and a broken bone in her hand.

American citizen Issac Calderon was due to appear at Kidderminster Magistrates’ Court charged with causing serious injury by dangerous driving.