There are local accesses for the villages of Belbroughton, Clent, Romsley and Holy Cross. Following a roundabout in Hagley the A491 is concurrent with the A456 for a short period before heading north towards Stourbridge.
There are nearby routes serving the villages of Belbroughton, Clent, Romsley, and Holy Cross. Following a curve in Hagley, the A491 coincides with the A456 for a brief time before heading north towards Stourbridge.