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Past Broughton, the road meets the Skipton bypass at its western end, where it overlaps the A65 on its route between Kendal and Leeds, de-merging with the A65 further to the east.
The road continues over the Embsay and Bolton Abbey Steam Railway through a roundabout junction with the B6260 before rising up Beamsley hill.
Sections of the A59 in Yorkshire closely follow the routes of Roman roads, some dating back to the Middle Ages as salt roads, whilst much of the A59 in Merseyside follows Victorian routes which are largely unchanged to the present day.
Numerous bypasses have been constructed throughout the 20th century, one of the earliest being the Maghull bypass in the early 1930s, particularly where traffic through towns was congested.
It briefly merges with the A6 before heading East and meeting the M6 at junction 31, after which the road splits into two separate carriageways until it meets the A677 for Blackburn.
The road follows through Burscough and Rufford, despite a bypass being considered for this section in the early 1980s, before reaching the A565 at Tarleton.
The A59's Ormskirk junction with the B5195 Turnpike Road is where the A59's continues along its Victorian alignment, known as Hollborn Hill before continuing through Ormskirk and West Lancashire.
The route from Liverpool to Leeds via Preston was one of many roads across the country to be designated a trunk road in the Trunk Roads Act 1936, being given the designation A59 and encompassing the alignment from Liverpool to Skipton.
It continues north through Kirkdale and Walton, passing Aintree Racecourse and Ormskirk Road (forming the boundary between Aintree and Netherton), before reaching Switch Island junction where it meets the A5036, M57 motorway and the M58 motorway.
From Switch Island, the A59 travels through Maghull and Lydiate, into Lancashire through Aughton and thence to Ormskirk, closely following the Merseyrail Northern Line path.