That is the one thing that really does concern me with PME systems. Having experience neutral bounce here on three occasions ( in thirty years ) when the CPC was definately more than 50 volts from ground I do feel that some extra protection may be required for that situation. The inside of the house is safe ( equipotential ) but external water taps, the gas meter and anything else outside but bonded is then a serious hazard.However, the point Paul_C makes about the whole of the installation's 'earth' system then becoming live (without any protective devices operating) perhaps needs to me mentioned/addressed.
Not using PME and having an adequate earth rod is one option.
Or having a voltage operated isolator that cuts Live Neutral and PME "earth" when ever the neutral is not within a few volts of true ground. Not point in cutting Live and Neutral if the "earth" is the hazardous conductor.
I am NOT advocating that until it is forced on us by regulations.