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Coroner’s reportPrevention of future deaths · 2022-0148

Community health care

Dated 18 May 2022, from the coroner for Surrey. Sent to 5 organisations or people.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

How this works

The 56-day response deadline

Deadline passed

Replies were due by 13 Jul 2022. A reply may have been sent and not yet published.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk.

  1. Report dated18 May 2022
  2. Deadline13 Jul 2022
  3. Published on judiciary.uk19 May 2022
  4. Today23 Oct 2026

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Responses from each recipient

Responses from each recipient
Sent toResponse
NHS EnglandResponse publishedPublished on judiciary.uk in May 2022.
Care Quality CommissionNamed in the report as “Department of Health, Care Quality Commission”Response publishedPublished on judiciary.uk in May 2022.
General Medical CouncilResponse publishedPublished on judiciary.uk in May 2022.
Surrey Clinical Commissioning GroupResponse published, not yet matchedA response is published with this report. We haven’t yet matched it to the organisation it’s from, so it may be this one’s.
GP and Farnham Park GP PracticeResponse publishedPublished on judiciary.uk in May 2022.

The coroner’s concerns

Read the coroner’s concerns in the full report on judiciary.uk.

Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2022-0148
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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