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recurance

Inadequate out-of-hours information sharing in SCARF process

Identical hazardConfidence 0.95 · high2 reports · 2023–2024 One-page brief (print or PDF)

Surrey Police received 2 coroners' reports about this hazard between 22 Dec 2023 and 18 Sept 2024.

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

A published response was found for 1 of the 1 earlier reports, stating 0 specific actions.

2
reports
2
different coroners
2023–2024
years
0.95
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Barbara Woodman↗

    22 Dec 2023 · Darren Stewart · Surrey

    “The use of the SCARF process during out of hours to provide timely and effective passage of information in relation to concerns for vulnerable persons in the community.”
    Original on judiciary.uk ↗

    Surrey Police responded.Response (PDF) ↗

  2. 9 months later

    Raised again · 1st time

    Helen Kerr↗

    18 Sept 2024 · Caroline Topping · Surrey

    Identical hazardConfidence 0.95 · higha different coroner
    “(3) The SCARF process does not enable information sharing between the Police, Mental Health Agencies and Surrey Adult Safeguarding out of hours.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:SCARFprocessinformationhours

  3. All reports to Surrey Police

Next

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