40 Prevention of Future Deaths reports name this organisation, 2013–2025. Every report below links to the original on judiciary.uk.
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.
| Date | Deceased | Category | Coroner | Response | |
|---|---|---|---|---|---|
| 14 Nov 2025 | Suzanne Ellerby | Hospital Death (Clinical Procedures and medical management) related deaths | Anna Loxton | NHS England, Department for Health and Social Care | source |
| 7 Aug 2025 | Tracey Ostler | Mental Health related deaths | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Caroline Topping | NHS 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 Hospital | source |
| 15 Jan 2025 | Tammy Milward | Alcohol, drug and medication related deaths | Suicide (from 2015) | Susan Ridge | Esher Green Surgery, Surrey Heartlands ICB | source |
| 14 Oct 2024 | Jennifer Chalkley | Child Death (from 2015) | Suicide (from 2015) | Richard Travers | Surrey County Council, Department for Education | source |
| 14 Oct 2024 | Locket Williams | Child Death (from 2015) | Suicide (from 2015) | Richard Travers | Surrey and Borders Partnership NHS | source |
| 26 Sep 2024 | Charne Petit | Suicide (from 2015) | Mental Health related deaths | Caroline Topping | Surrey and Borders Partnership, NHSE | source |
| 18 Sep 2024 | Helen Kerr | Suicide (from 2015) | Mental Health related deaths | Caroline Topping | Surrey Council, Surrey and Borders Partnership, Surrey Police | source |
| 20 Mar 2024 | Jonathan Harris | Suicide (from 2015) | Anna Crawford | NHS England | source |
| 15 Mar 2024 | Sarah Sutherland | Suicide (from 2015) | Karen Henderson | NHS England, UK Council for Psychotherapy, Care Quality Commission | source |
| 29 Dec 2023 | Meghan Chrismas | Suicide (from 2015) | Darren Stewart | Hampshire and Isle of Wight Constabulary, NHS England | source |
| 22 Dec 2023 | Barbara Woodman | Alcohol, drug and medication related deaths | Darren Stewart | Respondent not named, Surrey Police, NHS England | source |
| 22 Dec 2023 | Larry Spriggs | Mental Health related death | Darren Stewart | Surrey and Boarders Partnership NHS Foundation Trust | source |
| 20 Dec 2023 | Ryan Evans | Suicide (from 2015) | Mental Health related deaths | Darren Stewart | Frimley Health, Surrey NHS | source |
| 5 Dec 2023 | Alice Litman | Suicide (from 2015) | Sarah Clarke | NHS England, Surrey and Borders Partnership NHS Foundation Trust, Travistock and Portman NHS Foundation Trust, Royal College of Genereal Practitioners | source |
| 18 Apr 2023 | Patrick Soames | Suicide (from 2015) | Edmund Gritt | none published | source |
| 22 Mar 2023 | Kenneth Adams | Emergency services related deaths (2019 onwards) | Bredan Allen | International Academics of Emergency Dispatch, Hull City Council, Surrey County Council and Surrey Borders Partnership NHS Foundation Trust | source |
| 26 Jan 2023 | Zachary Klement | Suicide (from 2015) | Anna Loxton | NHS England | source |
| 26 Sep 2022 | Sandra Kirk | Suicide (from 2015) | Anna Loxton | NHS England 2, NHS England | source |
| 15 Jun 2022 | William Savory | Alcohol, drug and medication related deaths | Community health care and emergency services related deaths | Anna Crawford | none published | source |
| 31 Jan 2022 | Oskar Nash | Child Death (from 2015) | Mental Health related deaths | Railway related deaths | Suicide (from 2015) | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Richard Travers | Surrey County Council, Child Safeguarding Practice Review Panel, Surrey Heartlands CCG, Department for Education | source |
| 2 Jul 2021 | Brooke Martin | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Tom Osborne | Department of Health and Social Care | source |
| 21 Apr 2021 | Mary Gwanyama | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Railway related deaths | Suicide (from 2015) | Caroline Topping | Surrey and Borders Partnership NHS Foundation Trust | source |
| 13 Apr 2021 | Natasha Crabb | Other related deaths | Caroline Topping | Dept. of Health and Social Care | source |
| 9 Dec 2020 | Kimberley Smith | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Alcohol, drug and medication related deaths | Anna Crawford | Surrey and Borders Partnership NHS Foundation Trust | source |
| 30 Mar 2020 | Karen Bingham | Mental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards) | Caroline Topping | SECAmb, Chief Constable of Surrey Police | source |
| 23 May 2019 | Sasha Forster | Suicide (from 2015) | David Reid | none published | source |
| 8 May 2018 | Stephen Tidey | State Custody related deaths; Police related deaths; Suicide (from 2015) | Anna Loxton | Surrey Borders NHS Trust, Surrey Police | source |
| 18 Jan 2018 | Paul Hanton | Hospital Death (Clinical Procedures and medical management) related deaths | Penelope Schofield | Sussex Police, Sussex Partnership NHS Trust | source |
| 14 Dec 2017 | Ernest Smith | Hospital Death (Clinical Procedures and medical management) related deaths | Anna Crawford | Surrey NHS Trust | source |
| 18 Apr 2017 | Daniel Maher | Hospital Death (Clinical Procedures and medical management) related deaths | Anna Crawford | none published | source |
| 15 Feb 2016 | Adam Withers | Hospital Death (Clinical Procedures and medical management) related deaths | Alison Hewitt | Department of Health, Respondent not named, Care Quality Commission | source |
| 20 May 2015 | Wanda Stachurska | Suicide (from 2015) | Bridget Dolan | Surrey and Borders Partnership NHS Trust | source |
| 30 Jan 2015 | Simon Tree | Hospital Death (Clinical Procedures and medical management) related deaths | Simon Wickens | Surrey Borders Partnership | source |
| 28 Jan 2015 | Katherine Bonaventura | Hospital Death (Clinical Procedures and medical management) related deaths | Alison Hewitt | none published | source |
| 24 Nov 2014 | William Hafele | Hospital Death (Clinical Procedures and medical management) related deaths | Martin Fleming | Surrey Police, Surrey Borders Partnership NHS | source |
| 27 Oct 2014 | Cherylin Norrell-Goldsmith | State Custody related deaths | Richard Travers | NOMS | source |
| 15 Sep 2014 | George Palmer | Other related deaths | Martin Fleming | Surrey and Borders Partnership NHS Trust | source |
| 28 Jul 2014 | Frances Andrade | Other related deaths | Richard Travers | Surrey and Borders Partnership NHS | source |
| 25 Jul 2014 | Clare Cooper | Community health care and emergency services related deaths | Karen Henderson | Royal College of General Practitioners, Surrey Borders Partnership NHS, Woodlands Surgery, Royal College of Psychiatrist | source |
| 16 Dec 2013 | Sarah Shepherd | Hospital Death (Clinical Procedures and medical management) related deaths | Alison Hewitt | none published | source |
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.
Get notified when a new PFD report naming Surrey and Borders Partnership NHS Foundation Trust is published.
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The cleaned, OCR'd, metadata-tagged corpus.