Misrouting of domestic abuse reports leading to delayed welfare checks
Surrey Police received 3 coroners' reports about this hazard between 14 Mar 2022 and 10 Jun 2025.
They came from 3 different coroners in 3 coroner areas. A similar concern was raised again 2 times after the first warning.
A published response was found for 2 of the 2 earlier reports, stating 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“reports made to Surrey Police concerning the perpetrator's conduct were incorrectly passed to the Metropolitan Police, and without sufficient information first being adduced and risk assessed.”
Original on judiciary.uk ↗ Surrey Police responded, stating 1 specific action.Response (PDF) ↗
“The NPCC/CoP Domestic Homicide Project started at the beginning of COVID. The first 12 month report reports on all domestic homicides between - March 2020 - March 2021.”
Stated timescale: March 2020 - March 2021
- 2 years 4 months laterClosely relatedConfidence 0.90 · higha different coroner
“They were told that the reason for the delay was confusion between Surrey Police and the Metropolitan Police.”
Original on judiciary.uk ↗ Repeated from the earlier report:SurreyPoliceMetropolitan
Surrey Police responded, stating 1 specific action.Response (PDF) ↗
“I will ensure that appropriate actions are identified and completed to ensure that any communications of this nature are promptly escalated in the future.”
- 11 months laterClosely relatedConfidence 0.85 · higha different coroner
“It is hard to understand the decision (made by more than one police caller) not to leave any voicemail/message.”
Original on judiciary.uk ↗ Surrey Police responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to Surrey Police
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2022 → 2024Neil Woodley2 years 4 months after Aliny Godinho · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight problems with communication and information sharing between Surrey Police and the Metropolitan Police. The earlier report concerns mis‑passing of reports without proper risk assessment, while the later report points to confusion causing delayed welfare checks.
Aliny Godinho · 14 Mar 2022
“reports made to Surrey Police concerning the perpetrator's conduct were incorrectly passed to the Metropolitan Police, and without sufficient information first being adduced and risk assessed.”
Original on judiciary.uk ↗ Neil Woodley · 23 Jul 2024
“They were told that the reason for the delay was confusion between Surrey Police and the Metropolitan Police.”
Original on judiciary.uk ↗ 2024 → 2025Amy Levy11 months after Neil Woodley · different coronerClosely relatedConfidence 0.85 · high
Closely relatedConfidence 0.85 · highBoth reports highlight shortcomings in police communication procedures that could lead to avoidable harm. The earlier report cites inter‑force confusion delaying a welfare check, while the later report notes absent guidance on leaving voicemails during urgent inquiries.
Neil Woodley · 23 Jul 2024
“They were told that the reason for the delay was confusion between Surrey Police and the Metropolitan Police.”
Original on judiciary.uk ↗ Amy Levy · 10 Jun 2025
“It is hard to understand the decision (made by more than one police caller) not to leave any voicemail/message.”
Original on judiciary.uk ↗ Stated action in the response to the earlier report
“I will ensure that appropriate actions are identified and completed to ensure that any communications of this nature are promptly escalated in the future.”
Stated action · timescale: March 2020 - March 2021
“The NPCC/CoP Domestic Homicide Project started at the beginning of COVID. The first 12 month report reports on all domestic homicides between - March 2020 - March 2021.”
Stated action
“I will ensure that appropriate actions are identified and completed to ensure that any communications of this nature are promptly escalated in the future.”
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Surrey Police at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2022 → 2024 | 0.62 | 0.03 | Closely related · 0.90 | different |
| 2024 → 2025 | 0.66 | 0.02 | Closely related · 0.85 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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Other chains for Surrey Police
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.