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recurance

Larry Spriggs

22 Dec 2023 · Coroner Darren Stewart · Surrey

The coroner's concerns

  1. 1. inpatient risk assessment and management

    “The adequacy of arrangements in place at Farnham Road Hospital to assess and manage inpatients risk”
  2. 2. anti-anxiety medication use for symptom support

    “Use (or non-use) of anti-anxiety medication in relation to the support of Mr. SPRIGGS' symptoms”
  3. 3. information passage between staff

    “Passage of information between staff concerning patients care and treatment”
  4. 4. intermittent observation regime management

    “The adequacy of arrangements to manage and implement the intermittent observation regime at Farnham Road Hospital”
  5. 5. incident management processes

    “Processes for the management of incidents at Farnham Road Hospital such as those on the 27th May 2021 when Mr. SPRIGGS fell from the window of his room”

Responses

2024-0104-Response-from-Surrey-and-Boarders-Partnership-NHS-Foundation-Trust.pdf ↗· Surrey and Borders Partnership NHS Foundation Trust

Stated action · 1 September 2023

“the Trust has embarked upon an Inpatient Improvement Plan which has the overarching aim of developing our inpatient care through safety and quality improvements to ensure better outcomes for those using our services. This is reported through the Inpatient Improvement Board and encompasses clinical, workforce, infrastructure, digital and environmental change.”
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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.

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