Four people have died and several are injured in an accident involving four cars and four lorries on the A34 north of Newbury.
The accident happened on the northbound stretch of the carriageway after the East Isley turn-off, at about 5pm.
A man has been arrested on suspicion of causing death by dangerous driving and is currently in custody.
Six ambulances attended the scene as well as an air ambulance.
Pictures taken at the scene show that the accident happened at the brow of a hill.
One man was flown to the John Radcliffe Hospital, with life-threatening injuries.
Two were taken to the Royal Berkshire hospital with minor injuries.
Nine more people sustained minor injuries and were treated at the scene.
Inspector Andy Storey said: "All motorists should avoid the area, use alternative routes and await further updates before attempting to travel on this route.
"We appreciate motorists' patience while we deal with this incident."
The northbound carriageway of the A34, between Chieveley at J3 of the M4 and the West Ilsley junction, is currently closed.
The southbound carriageway is also closed but is likely to reopen this evening.
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