Assessment of vehicle occupant injury outcomes from the analysis of real crash data is important not only for measuring the safety performance of particular vehicle models but also for monitoring the design improvements in vehicles over time. This paper describes the development and application of methods to assess driver injury risk and injury severity outcomes from the analysis of large police reported crash databases from two major European countries: France and Great Britain. Analysis of injury risk and severity has utilised a new method of analysis based on the paired comparison approach that corrects for inherent bias in the established methods whilst adjusting the injury risk and severity ratings for the influence of non vehicle factors such as occupant and crash characteristics. Outputs from the initial analysis are example vehicle safety ratings that could be developed and used for consumer information on relative vehicle occupant protection performance throughout Europe. A final focus of the study is to examine the relationship between the injury risk and severity ratings derived from the police crash data sources and the relative vehicle safety performance ratings published by EuroNCAP. Comparison is made both at the overall level and between real crash ratings based on specific crash configurations similar to those used in the EuroNCAP test protocol.