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Gateshead has several major roads passing through it, including the A184 connecting the town to Sunderland and the A1 connecting to Edinburgh and London. The Millennium Bridge, a cyclist and pedestrian tilt bridge between Gateshead arts quarter and Newcastle's Quayside, is powered by enough electric motors to run more than eight Ford Focus cars. A clean air zone was introduced in the town in early 2023, so some vehicles have to pay to drive through the area.

A Clean Air Zone (CAZ) operates in Gateshead to improve air quality and specifically reduce public exposure to nitrogen dioxide, a pollutant produced by traditional combustion engines. This goal is achieved by encouraging the use of cleaner vehicles, such as EVs, and restricting high-pollution vehicles. Many CAZs charge drivers for entering them, though some are non-charging. Before driving in Gateshead, it's worth checking online whether you will have to pay for driving through the zone.