The bridge is situated on the reach above Caversham Lock, carrying the A4155 road across the river and also providing pedestrian access to the adjacent mid-river Pipers Island.

The first bridge on the site was built sometime between 1163, when a famous trial by combat was fought on nearby De Montfort Island, and 1231, when Henry III wrote to the Sheriff of Oxfordshire, commanding him: William Marshal was the first Earl of Pembroke, the principal landowner in the Caversham area, and regent during the early years of Henry's reign.

[2] The old bridge was the site of a skirmish during the English Civil War in 1643 and was left with a wooden drawbridge structure on the Berkshire half.

[3] In 1869, the entire bridge was replaced by an iron lattice construction.

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