Surrey and Borders Partnership NHS Foundation Trust

40 Prevention of Future Deaths reports name this organisation, 2013–2025. Every report below links to the original on judiciary.uk.

Reports per year

20131
20145
20153
20161
20172
20182
20191
20202
20213
20223
20238
20246
20253

Responses published

34 of 40 reports (85%) have at least one response published on judiciary.uk.

For reports written in the same years, 78% of all PFD reports in the corpus have a published response — so this page is in line with the corpus rate — the difference is within what chance alone would produce for this few reports.

This is not a reply rate. It counts responses published against the report by anyone — the organisation named here, a government department, a regulator or another body — because most response letters do not identify their author in a form that can be resolved reliably. A report with no response listed does not mean nobody replied: publication is at the discretion of the Chief Coroner's office, is often delayed, and was far less consistent in the corpus's early years. Treat a low figure as a prompt to read the reports, not as a finding about this organisation.

Coroner categories

Hospital Death (Clinical Procedures and medical management) related deaths 9Suicide (from 2015) 9Other related deaths 3Suicide (from 2015) | Mental Health related deaths 3Child Death (from 2015) | Suicide (from 2015) 2Community health care and emergency services related deaths 1State Custody related deaths 1State Custody related deaths; Police related deaths; Suicide (from 2015) 1Mental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards) 1Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Alcohol, drug and medication related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Railway related deaths | Suicide (from 2015) 1Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
14 Nov 2025Suzanne EllerbyHospital Death (Clinical Procedures and medical management) related deathsAnna LoxtonNHS England, Department for Health and Social Caresource
7 Aug 2025Tracey OstlerMental Health related deaths | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deathsCaroline ToppingNHS Surrey and Borders Partnership NHS Foundation Trust, Health Service Safety Investigations Body, NHS South East Coast Ambulance Service, Department for Health and Social Care, Department for Health and Social Care 1, NHS South West London Integrated Care Board, Health Care Professions Council, Epsom General Hospitalsource
15 Jan 2025Tammy MilwardAlcohol, drug and medication related deaths | Suicide (from 2015)Susan RidgeEsher Green Surgery, Surrey Heartlands ICBsource
14 Oct 2024Jennifer ChalkleyChild Death (from 2015) | Suicide (from 2015)Richard TraversSurrey County Council, Department for Educationsource
14 Oct 2024Locket WilliamsChild Death (from 2015) | Suicide (from 2015)Richard TraversSurrey and Borders Partnership NHSsource
26 Sep 2024Charne PetitSuicide (from 2015) | Mental Health related deathsCaroline ToppingSurrey and Borders Partnership, NHSEsource
18 Sep 2024Helen KerrSuicide (from 2015) | Mental Health related deathsCaroline ToppingSurrey Council, Surrey and Borders Partnership, Surrey Policesource
20 Mar 2024Jonathan HarrisSuicide (from 2015)Anna CrawfordNHS Englandsource
15 Mar 2024Sarah SutherlandSuicide (from 2015)Karen HendersonNHS England, UK Council for Psychotherapy, Care Quality Commissionsource
29 Dec 2023Meghan ChrismasSuicide (from 2015)Darren StewartHampshire and Isle of Wight Constabulary, NHS Englandsource
22 Dec 2023Barbara WoodmanAlcohol, drug and medication related deathsDarren StewartRespondent not named, Surrey Police, NHS Englandsource
22 Dec 2023Larry SpriggsMental Health related deathDarren StewartSurrey and Boarders Partnership NHS Foundation Trustsource
20 Dec 2023Ryan EvansSuicide (from 2015) | Mental Health related deathsDarren StewartFrimley Health, Surrey NHSsource
5 Dec 2023Alice LitmanSuicide (from 2015)Sarah ClarkeNHS England, Surrey and Borders Partnership NHS Foundation Trust, Travistock and Portman NHS Foundation Trust, Royal College of Genereal Practitionerssource
18 Apr 2023Patrick SoamesSuicide (from 2015)Edmund Grittnone publishedsource
22 Mar 2023Kenneth AdamsEmergency services related deaths (2019 onwards)Bredan AllenInternational Academics of Emergency Dispatch, Hull City Council, Surrey County Council and Surrey Borders Partnership NHS Foundation Trustsource
26 Jan 2023Zachary KlementSuicide (from 2015)Anna LoxtonNHS Englandsource
26 Sep 2022Sandra KirkSuicide (from 2015)Anna LoxtonNHS England 2, NHS Englandsource
15 Jun 2022William SavoryAlcohol, drug and medication related deaths | Community health care and emergency services related deathsAnna Crawfordnone publishedsource
31 Jan 2022Oskar NashChild Death (from 2015) | Mental Health related deaths | Railway related deaths | Suicide (from 2015) | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deathsRichard TraversSurrey County Council, Child Safeguarding Practice Review Panel, Surrey Heartlands CCG, Department for Educationsource
2 Jul 2021Brooke MartinMental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deathsTom OsborneDepartment of Health and Social Caresource
21 Apr 2021Mary GwanyamaHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Railway related deaths | Suicide (from 2015)Caroline ToppingSurrey and Borders Partnership NHS Foundation Trustsource
13 Apr 2021Natasha CrabbOther related deathsCaroline ToppingDept. of Health and Social Caresource
9 Dec 2020Kimberley SmithHospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Alcohol, drug and medication related deathsAnna CrawfordSurrey and Borders Partnership NHS Foundation Trustsource
30 Mar 2020Karen BinghamMental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards)Caroline ToppingSECAmb, Chief Constable of Surrey Policesource
23 May 2019Sasha ForsterSuicide (from 2015)David Reidnone publishedsource
8 May 2018Stephen TideyState Custody related deaths; Police related deaths; Suicide (from 2015)Anna LoxtonSurrey Borders NHS Trust, Surrey Policesource
18 Jan 2018Paul HantonHospital Death (Clinical Procedures and medical management) related deathsPenelope SchofieldSussex Police, Sussex Partnership NHS Trustsource
14 Dec 2017Ernest SmithHospital Death (Clinical Procedures and medical management) related deathsAnna CrawfordSurrey NHS Trustsource
18 Apr 2017Daniel MaherHospital Death (Clinical Procedures and medical management) related deathsAnna Crawfordnone publishedsource
15 Feb 2016Adam WithersHospital Death (Clinical Procedures and medical management) related deathsAlison HewittDepartment of Health, Respondent not named, Care Quality Commissionsource
20 May 2015Wanda StachurskaSuicide (from 2015)Bridget DolanSurrey and Borders Partnership NHS Trustsource
30 Jan 2015Simon TreeHospital Death (Clinical Procedures and medical management) related deathsSimon WickensSurrey Borders Partnershipsource
28 Jan 2015Katherine BonaventuraHospital Death (Clinical Procedures and medical management) related deathsAlison Hewittnone publishedsource
24 Nov 2014William HafeleHospital Death (Clinical Procedures and medical management) related deathsMartin FlemingSurrey Police, Surrey Borders Partnership NHSsource
27 Oct 2014Cherylin Norrell-GoldsmithState Custody related deathsRichard TraversNOMSsource
15 Sep 2014George PalmerOther related deathsMartin FlemingSurrey and Borders Partnership NHS Trustsource
28 Jul 2014Frances AndradeOther related deathsRichard TraversSurrey and Borders Partnership NHSsource
25 Jul 2014Clare CooperCommunity health care and emergency services related deathsKaren HendersonRoyal College of General Practitioners, Surrey Borders Partnership NHS, Woodlands Surgery, Royal College of Psychiatristsource
16 Dec 2013Sarah ShepherdHospital Death (Clinical Procedures and medical management) related deathsAlison Hewittnone publishedsource

These counts are a floor, not a total. A report is listed here only when it names the organisation in text our pipeline could read; scanned reports with poor OCR, and reports that name only a hospital site or an individual, are missed. Always check the source report.

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