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Larry Spriggs

2024-0104

Prevention of Future Deaths Report

Coroner

Darren Stewart

Coroner's area

Surrey

Date of report

22 December 2023

Read the PFD report for

Report recipients

MH unit (inc for people detained under MH Act)

Issues raised

Information absent/incomplete

Information inaccurate

Information misleading

Information falsified

Failure to communicate - internal

Not listening to the person or their family/carer

Information not sought; lack of professional curiosity; capacity not considered

Other failure of policy, process, practice or professionalism

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