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recurance

Inaccessible patient information across county boundaries

Identical hazardConfidence 0.90 · high2 reports · 2017–2023No published response to an earlier report One-page brief (print or PDF)

Surrey and Borders Partnership NHS Foundation Trust received 2 coroners' reports about this hazard between 18 Apr 2017 and 22 Dec 2023.

They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.

No published response from Surrey and Borders Partnership NHS Foundation Trust was found for the earlier reports.

2
reports
2
different coroners
2017–2023
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Daniel Maher↗

    18 Apr 2017 · Anna Crawford · Surrey

    “The court was told that mental health professionals cannot access patient information which is held on the computerised systems of mental health services outside their own county.”
    Original on judiciary.uk ↗

    No published response from Surrey and Borders Partnership NHS Foundation Trust was found for this report.

  2. 6 years 8 months later

    Raised again · 1st time

    Barbara Woodman↗

    22 Dec 2023 · Darren Stewart · Surrey

    Identical hazardConfidence 0.90 · higha different coroner
    “The ability of mental health clinicians to gain a complete picture of Ms. [name redacted] medical history was hampered by the fact that the information management systems holding these records at her GP practice was not accessible to secondary mental health services.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:mentalhealthinformationsystemsservices

    Surrey and Borders Partnership NHS Foundation Trust responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗

  3. All reports to Surrey and Borders Partnership NHS Foundation Trust

Next

Other chains for Surrey and Borders Partnership NHS Foundation Trust

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error