Over a third of South East Coast Ambulance (SECAmb) service responses will be done remotely in a new five-year strategy. (Here “remotely” means by video call or telephone rather than sending out an ambulance.)

The NHS Trust said its care model is no longer “fit for purpose” as it prepares for a 15 per cent increase in patient demand over the next five years, at a board meeting last week (April 4). Increasing demands on the service included health care becoming more complex, the ageing population and changing areas of deprivation.

By 2029, the Trust aims that over a third of all its patients will be signposted to another service- leaving 65 per cent of patients with an ambulance response. The change will affect Surrey, Thames Valley, Kent and Medway as well as Sussex Integrated Care Systems (ICS).

Simon Weldon, CEO, reassured that SECAmb would still be there to protect and look after the sick who needed an ambulance. He added: “If patients don’t need an ambulance, we can help you get you to a place which can meet your healthcare needs.”

Urgent medical needs such as cardiac arrest, a stroke, heart attack, pneumonia, childbirth and newborn care would still be attended to by ambulances, the Trust said. 

Delivering this strategy, over the next three years, SECAmb expects it to meet emergency care needs within the national standards of 7 minutes for calls for immediate life-threatening and time-critical injuries and illnesses; and 18 minutes for emergency calls.

For non-emergency patients, virtual care will be provided via an assessment by a remote senior clinician. Meeting documents said this would enable patients to be “cared for directly or referred to the most appropriate care provider”.

Investing in a data and digital strategy was highlighted as a key part of the new direction. The board heard how new technology like AI would help the SECAmb make better decisions and lead virtual consultations. These could be used to respond to patient needs in a remote and professional setting rather than sending an ambulance. 

Meeting documents revealed that 88 per cent of patients received an ambulance response; but an SECAmb officer said the outcomes from the cases indicated only 30.5 per cent of patients needed clinical care. 

Only 12 per cent of patients are currently referred or signposted to another service rather than receiving ambulance care; but under the new strategy for 2029, this will increase to 35 per cent. 

Team Member for SEAmb, Matt Dechaine, said: “Sending a fully kitted ambulance is a very expensive way for the public purse to respond to patient needs, when other services may be able to address it in a cost-effective way.”

Covering five years, the new strategy will be carried out in three phases: designing new models of care, collaborating with partners and developing a digital strategy; implementing the change and finalising and improving the operational model. Digitalisation of the service will begin in phase 2, with electronic health records deployed by March 2025. 

SEAamb identified its model as “unsustainable when challenged” from an operational, workforce and financial perspective. The Trust found it would need to employ 600 more people over the next five years to respond to demand. 

Not all non-emergency patient consultations will be resolved solely over the telephone. Simon told the board that the strategy aims to “align patient needs with ambulance services”.

Over 2,000 staff, 400 volunteers and 350 members of the public have been consulted on the strategy, with the Trust saying it has been “clinically led”. System partners have also been invited to 20 sessions to share their views.

The full new SECAmb strategy is set to be published in May 2024.

_{Call staff at South East Coast Ambulance NHS Foundation Trust. Credit SECAmb}

Guildford has been given the “biggest opportunity” to transform itself in a century. The Environment Agency is looking into an expanded flood prevention scheme that would save homes and businesses from rising waters – and open up previously unusable town-centre land for new housing. Supporters say the upshot of this is huge.

Councils have to identify land for housing in order to meet Government set targets, but Guildford Borough Council had to recently disregard 50 sites because they were subject to flooding – 30 of which were in the town centre, the Local Democracy Reporting Service was told.

If the expanded flood alleviation scheme goes ahead it would instantly increase the amount of land in the town and in a swoop take pressure off green belt villages.

Former councillor John Rigg said that the town has been waiting affected by floods for almost 100 years and that it would only get worse if nothing was done. He said: “The Environment Agency’s  planning period anticipates a 72 per cent  increase in rainfall in the Guildford area. Not steady rain, big downpours.”

He said the problem was compounded as towns upstream – for example in Waverley – pressed on with their own developments.

Mr Rigg said: “When the Government said Guildford had to deliver 10,000 homes, they had to all go in the green belt and the villages, because nobody  got the flooding scheme underway and released the brownfield sites. When Guildford was looking at land for development as part of its local plan,  there were 50 sites that had to be disregarded because they were subject to flooding, 30 of them in the town centre.”

Among those are the Millmead and Millbrook car parks.

He said: “We have got to get the flood alleviation plan adopted. The EA has said there is £7bn allocated  to areas that  deliver economics and social benefits. This ticks all the boxes. It’s an important town, it’s a county town and it needs homes and businesses. The previous scheme was a minimum, just to stop a couple of streets flooding, but this does it properly, it frees up brownfield sites. It’s the biggest opportunity for Guildford since about 1900. Last week, by the cinema it flooded, it was up to people’s knees, as far as this town is concerned, they need to wake up.”

Guildford has a long history of flooding from the River Wey, and the Environment Agency, working with the borough council and Surrey County Council, are looking to reduce the high level of flood risk to the town centre.

The project is still in its appraisal stage, but the EA has confirmed it is looking to create a larger protection zone than initial plans from 2018. It expects to take up to three years to finalise the scheme as it undertakes  assessments, surveys and public engagement – the first of which takes place at the Yvonne Arnaud Theatre on Thursday April 18, from 2pm to 7pm.

Jon Mansbridge, Guildford Flood Alleviation Scheme project director at the Environment Agency, said: “The feedback we gather from communities during our engagement is really valuable in helping to inform the preferred option.” He added: “The flood defences will be visually integrated into existing and regenerated areas of the river corridor, reducing flood risk to even more of the town centre.”

Councillor Joss Bigmore, former co-leader of Guildford Borough Council said: “Finally the Environment Agency is supporting the council by backing a flood alleviation scheme. “We’ve been patient, nobody has the money to do these things, and its positive that we are at the top of the queue.

“Hopefully we can come up with a comprehensive solution and hopefully we can eradicate  the risk of flooding for the centre of Guildford for the next century.” He added: “For existing residents it very important – and if there is a solution it will unlock a lot of regeneration opportunities on former flood risk areas.”

Flooding in Guildford Feb 2020 (image Environment Agency)

The future of a possibly major employment hub in Leatherhead has been given a huge “vote of confidence”.

Four new buildings and 13 industrial warehouse units will be built in the north of the town after decision-makers backed plans to modernise part of the Cleeve Road  Business Park Research Area.

Three “rather tired” buildings, Alpha, Beta, and Cetec, will be torn down to make way for modern facilities that meet the “expectations of employers and businesses today”.

The decision, backed unanimously at the Wednesday, April 3 meeting of Mole Valley’s Development Committee, had widespread support within the room given the area was already earmarked as a business park by the borough’s planners.

Councillor Keira Vyvyan-Robinson (LD, Leatherhead North) said: “I am broadly in favour of this. 

“I think it is a sort of vote of confidence in the industrial unit there, and the site, and the future of it, which is a really good thing.

“I’m pleased to see investment being put into that area.”

Cllr Chris Hunt (Ind, Ashtead Lanes & Common) said: “I really think this application is good. 

“I love the mix in the size of the units, I think that appeals to firms throughout.”

He said the noise, lighting and access were all positive and added: “ It’s the right site at the right time.”

Among the comments received during the planning process were concerns over the loss of existing pedestrian and cycle access.

Councillors did urge the developers Stefania Chancerygate (Leatherhead No. 1) Limited, to keep these throughways, particularly for those who work at the site as they would benefit from easy routes into town  – but were told it was not a planning matter.

The meeting heard the site had good access to the M25 and that “strategically” this was where the council would direct this type of development “as it would boost employment and promote growth”.

The new plans include 112 parking bays, of which at least 50 per cent must have fast-charge sockets before any of the units are allowed to open for trading.

Cllr Phil Hammond (LD,  Fetcham): “The employment land strategically for the district is really important and this is a big area but it’s got rather tired and it’s not really meeting the expectations of employers and businesses today.

“It needs upgrading, it’s important employment, we need that in north Leatherhead and we need that in the north of the district.”

_{Image: Leatherhead Business Park (Mole Valley Planning Portal)}

More than most in the capital, South Londoners notice when the bus timetables change. Whether this stems from a love of the iconic red fleet or an over-reliance on the service due to a lack of London Underground coverage is besides the point.

Therefore, news of Transport for London’s (TfL) latest bus rejig last month did not go unnoticed. The changes affecting the capital’s most southerly boroughs have seen routes withdrawn and re-drawn.

Perhaps the most exciting changes have come in the form of the entirely new 439 and S2 routes, that would take South Londoners across Sutton, Merton, and Croydon in a fleet of brand-new EV buses.

Last month I took a long and winding ride on the 439, which was comfortable but eerily quiet. Now I decided to jump on South London’s other newcomer, the S2. The S2, introduced on March 2, has replaced sections of the old 470 and S4 route that took passengers between Epsom town centre and St Helier station. The route is operated by Go Ahead.

Getting a measure of what a bus service is actually like is hard, as there are so many variables that can influence the length and enjoyment of the journey. That said, I thought it best to take a ride mid-afternoon to get a taste of the post-lunch slump and rush hour mania.

While waiting outside my local Ewell East bus stop on an overcast Monday afternoon, I felt a pang of nostalgia for the former 470 service. While slow and clunky, the old route served me well during my school days.

However, this nostalgia quickly evaporated as the souped-up S2 came into view. The bright LED numbering and hum that come with all-electric vehicles suggested TfL was taking bus travel seriously in South London.

Once onboard you are met with a range of features designed to keep passengers occupied during their journey. The charging points (currently working) and display telling you how far you are from your destination are mod cons we will soon come to expect from all buses in London.

As with all new services, teething problems are common. Despite some press and handy diagrams displaying the new changes, some passengers remained confused by the change. Elderly passenger Sharon, on her ‘potter round the shops’ in Sutton, told me: “It’s the first time I’ve been on it. They’ve messed it all up, I don’t know where it goes now.”

I saw this confusion unfold later on in my journey as several passengers stood by the doors of the bus, waiting for what they thought was their stop only to find out the new stop was a further 200m up the road. One disgruntled passenger mumbled: “I’ve got to go all the way back on myself now.”

However, she admitted that she had seen news of the changes online. Moreover, she welcomed the increased frequency of the new service. She said: “They’re more frequent than the 470 though, which is good. If you missed it you thought, ‘oh god I have to wait half an hour’.”

Fellow passenger David agreed, saying: “I’ve seen these new buses fly past much more often than the ones before. It makes a change.” The route is largely residential, choosing to link up Sutton and North East Surrey’s stations via a network of sleepy treeline avenues rather than on the more hectic dual carriageways.

The salubrious route, plus the relative quiet of the electric engine, can make for a pleasant journey. Whilst gliding through Cheam’s affluent Sandy Lane, Sharon turns and says: “I like this bit, nice houses round here.”

However, as the service passes through Sutton town centre it becomes apparent that this is not the service for those in a hurry. While temporary traffic lights and the mid-journey driver change did their best to obstruct the service, the S2 route is far from direct.

The bus slows to a snail’s pace as it passes the decaying white edifice of the St Helier Hospital. Being a popular stop for visitors and medical professionals, most passengers alight at this point.

The one remaining passenger then begins to loudly cite the entire phonetic alphabet during a phone call to what sounded like a party planner. While this did provide some entertainment, the stuttered progress of the S2 meant I started to tire of her recital by the time she got to echo.

The next stage in the journey provided no relief as the bus passed through a location feared by learner drivers across Sutton and Merton. The dreaded four-lane Rose Hill roundabout.

After nearly an hour on the S2, the bus rolls up St Helier station ending the first leg of my journey. By this time the bus is empty save for me and the driver, which seems apt for the equally deserted St Helier.

Before starting on the return leg to Epsom, I ask the bus driver for his thoughts on the new service. He said the service is based out of the Sutton bus garage and is pretty easy-going compared to other routes.

He added: “It’s not been busy in general, to be honest. The buses are nice and smooth.”

During the journey back towards Epsom, you realise the journey’s most odious section comes when you pass through The Wrythe and its network of hilly residential roads. Things get a bit more straightforward once the bus passes through Cheam.

After leaving the bus on Epsom High Street, you are immediately struck by how busy Epsom’s main thoroughfare can be during rush hour. Its main road is teeming with school children hanging outside vape shops and weary late-afternoon shoppers trying to get in before closing time.

While the S2 is a pretty comprehensive route, taking in useful stations and popular shopping locations, it seems amiss to not extend the route that little bit further up to Epsom Hospital.

Surely a route joining Epsom Hospital with St Helier, which are joint in an NHS trust, would make sense for staff and visitors. While other services serve Epsom Hospital, it wouldn’t take much effort to extend the route.

Despite this, the S2 delivers on the whole. It gets you from A to B in comfort, and the increased frequency benefits those who relied on the previous service. Just don’t be fooled by its spruced-up appearance, it’s not taking you anywhere fast.

Related reports:

New Bus Route for S2 through the Borough

_{Image : Harrison Galliven on the S2}. _{Credit the author.}

A man tragically took his own life in Surrey after a mental health relapse, prompting a coroner to warn of a shortage of psychiatric beds in Surrey hospitals.

Jonathan Harris, 52, who suffered from paranoid schizophrenia, died by suicide  on June 27, 2022. 

If an inpatient psychiatric hospital bed had been available just days earlier, Jonathan would not have died, the coroner ruled. Coroner Anna Crawford judged that action should be taken to prevent future deaths. 

Bed shortages for mental health patients in Surrey, as well as nationwide, has been an ongoing issue for NHS Trusts. Many patients are forced to move up to 60 miles away from home to receive treatment because there are few beds in their area.  The court heard that this is in the context of a national shortage of suitably qualified psychiatrists.

Following a lengthy psychiatric inpatient stay in Camberley in November 2021, Jonathan was under the care of Surrey Heath Community Mental Health Recovery Service, which is part of Surrey and Borders Partnership NHS Foundation Trust.

Jonathan was prescribed anti-psychotic medication.  In February and May 2022, Jonathan requested for his medication to be reduced to fortnightly and then once every three weeks.

The reduction in medication in May 2022 was judged as “premature”  by the coroner. Jonathan had reportedly shown signs of appearing “suspicious” when he was seen by the Surrey Heath Mental Health Team (MHT) on May 4. However, these signs were not explored.

The mental health team were also aware Mr Harris was moving house, meaning and move to a new community mental health team, which may affect his wellbeing. 

Jonathan’s mental health continued to deteriorate and on June 24 it the MHT decided that he required an assessment under the Mental Health Act. 

No inpatient bed was available and therefore the assessment did not take place. If Jonathan had been assessed, he would have been detained under the Mental Health Act and admitted to hospital.

The coroner said: “Mr Harris would not have taken his own life had he remained well and the relapse of his paranoid schizophrenia materially contributed to his death.

“Mr Harris would not have died had an inpatient psychiatric hospital bed been available on either 24, 25 or 26 June 2022.

“The court also heard that there is an ongoing shortage of available inpatient psychiatric beds in Surrey and that this is in the context of a national shortage of inpatient psychiatric beds. The court is concerned that both of these matters present a risk of future deaths.”

The Prevention of Future Deaths report was issued to NHS England rather than to Surrey and Borders Partnership. NHS England was invited to comment; it said it is working to the coroner’s deadline of 56 days to respond with the action it will take or proposed to take, and such information is not yet available.

Related reports:

Coroner catalogues care failures in diabetic death

Better private – public health communications could prevent deaths

Surrey County Council has appointed Terence Herbert as its new Chief Executive.

Terence, currently Chief Executive at Wiltshire Council, was chosen after a robust recruitment process to find a replacement for Joanna Killian.

Subject to formal ratification at an extraordinary Full Council meeting on 9 April 2024, Terence is expected to take over as Chief Executive in the summer.

Leader of Surrey County Council Tim Oliver said:“Terence is an outstanding leader bringing over 25 years of local government experience to the role, and it is excellent news that he will be joining us.

“Under his leadership, Wiltshire is regarded as a strong local authority – one of the largest unitary authorities in the country – with sound finances and a high-performing workforce. 

“I am certain that he will be a tremendous asset to Surrey and is the right person to lead us as we face the challenges ahead.”

Terence said:“I am delighted to have been appointed as the Chief Executive of Surrey County Council. I’m looking forward to working with the leader, Members, staff and our partners to build on Surrey’s significant track record and lead the organisation through the next stage of its transformation in what continues to be a challenging time for local government.  

“Having spent much of my earlier career in children’s services and mental health, I am passionate about delivering quality services for the most vulnerable residents across our communities. I know the importance of retaining a motivated and ambitious workforce with a focus on celebrating the success of our staff, so this is an area that will be a key priority for me.”

Terence joined Wiltshire Council in 2011, where he was appointed Chief Executive in June 2020. Prior to this he held a number of senior leadership roles including Head of Service for Safeguarding, Associate Director for Children’s Services, Executive Director for Children & Families, Leisure & Communities, Corporate Services and HR & Organisational Development, and Chief Executive Officer for People.

Terence began his career as a Registered Mental Nurse (RMN) and then qualified as a social worker, taking up posts in children’s services at the London Borough of Lewisham, Royal Borough of Kensington and Chelsea, and North Somerset Council.

Related reports:

Surrey chief moves on after 6 years

County CEO’s pay rise triggering strikes?

The first cancer patient set to undergo a revolutionary new procedure that could cut treatment time to almost a quarter said it was a “ privilege” to be given the opportunity.

The Royal Surrey NHS Foundation Trust is taking part in a new clinical trial led by the Royal Marsden into prostate cancer. Currently, patients are treated with radiotherapy over a minimum of 20 treatments which lasts four weeks or more. Under this new process, that time could be reduced to one and a half weeks.

Michael Robson, 78, is the first patient to be part of the trial in Royal Surrey. He was diagnosed in December 2023. He said: “One of my friends was diagnosed with prostate cancer and he said I should get a test so I had a blood test and I was called by my GP and sent for an appointment at urology. I was fortunate enough to meet Dr Philip Turner who gave me the options and went through everything. Everything has been explained to me in a way that is easy to understand and made the journey so much easier to deal with. All of the staff I couldn’t complement them highly enough. They have been fantastic.”

Michael was given options for treatment and was asked if he was interested in taking part in the clinical trial and he agreed straight away. He added: “It’s been fantastic here. I feel very privileged to be the first patient. The service has been first class from everybody concerned.”

Patients with low and intermediate risk disease who took part in a trial called PACE-B demonstrated that the process would work in the tighter time frames. This new study is to determine whether those considered high-risk would get the same benefits. The trial, called PACE-NODES, was opened at The Royal Marsden and was designed jointly by investigators from Queen’s University Belfast and The Institute of Cancer Research, London.

Dr Philip Turner, consultant clinical oncologist and principal investigator for the trial, said: “We are delighted to be opening the PACE NODES trial in Royal Surrey. This is part of our drive to give Surrey patients access to the very best oncology clinical trials from across the UK and indeed from across the world.

“The benefits with regard to timing are enormous – the standard of care for these men is a minimum of four weeks of daily visits which is very disruptive to life. The rates of side effects are low. Crucially, the five fraction treatment appears just as safe as conventional 20 fraction treatments which we have been using for years very safely.”

Chief executive Louise Stead said: “Royal Surrey has a long and proud tradition of being a premier centre of UK oncology research and we are determined, with the support of our patients and other partners, to ensure as many patients as possible have access to ground-breaking research close to home. If successful, this could make a huge difference to patients receiving treatment for prostate cancer.”

_{L-R: Radiographer Kate Maltby, Michael Robson, Dr Philip Turner}

Surrey farmers have called for police to take rural crime ‘seriously’ as it pledges to crackdown on rising incidents. The National Farmers’ Union (NFU) have welcomed Surrey Police’s commitment to tackle rural crime, but said the farming communities need to see results. 

Harriet Henrick, NFU County Adviser for Surrey, said farmers need “better protection” from police. She said: “Our members need reassurance that when crimes are reported they will be taken seriously and investigated.”

Attacks on sheep, thefts, suspected arson on barns and fly-tipping are some of the many serious incidents Surrey farmers have been victim to in recent months. 

Farmers say rural crimes are taking an expensive toll, costing individual businesses thousands of pounds, causing severe animal suffering, and impacting on their ability to feed the nation.

The cost of rural crime in the South East was estimated at £9.3m in 2022, an increase by nearly a quarter from 2021, the NFU said. The South East made up around 18.7 per cent of the total cost of rural crime in the UK in 2022, at  £49.5m. 

Members of the union want to see clear targets, priorities and objectives in preventing rural crime- with both long-term and short-term solutions. 

Superintendent Michael Hodder of Surrey Police admitted rural crime is an area where “even more work can be done” to support farming communities. Key initiatives for cracking down on rural crime focus on collaborating and engaging with farmers and landowners to understand the challenges they are facing and how the force can support them in policing.

Meetings between the NFU and Surrey Police have taken place with the aim of giving farmers greater protection; Surrey Police have also promised to visit every NFU member in the county as part of its efforts to tackle rural crime. Superintendent Hodder added: “We will investigate every report of rural crime, and will work closely with victims so they know what they can expect from us, what we need from them, and how we can work together to reduce rural crime across the county.

“We want everyone to feel safe in Surrey, and so my main ask would be that anyone who is the victim of rural crime reports it to us, so that we can continue to build an accurate picture of this crime across the county.”

_{Photo: Credit: National Farmers’ Union}

Worcester Park‘s Linden Bridge School caters for 144 students with autism and complex social and communication needs from four to 19-years-old, including 20 in the sixth form and a residential facility which can accommodate 32 places, with pupils typically staying for two nights a week.

The school’s pupils are exceptionally well-prepared for future life, and they feel valued and secure as a result of strong relationships with staff, says a recent Ofsted report, which judges pupils’ personal development to be ‘outstanding’.

The school was inspected in January and graded ‘good’ overall, recognising the ongoing improvements made since joining The Howard Partnership Trust in 2021, at which time it was judged as ‘requires improvement.’

Principal, Mrs Claire Gungah said “We are absolutely delighted that the inspection report confirms that Linden Bridge School is a good school with an outstanding provision for the personal development of students.

“In highlighting the many strengths in our school, we are particularly pleased that the report recognises that we are delivering on our core mission, and acknowledges the hard work of staff, the Trust and support from our community in developing the school”.

Noting that the report celebrated students being a credit to the school, and demonstrated their strong relationships with staff, she added

“A huge thank you needs to go to the students who were at the heart of the process and as always, made us proud throughout the inspection showcasing their maturity, friendships, communication skills and pride in their achievements.”

The report says both the school and the Trust have ‘rightly prioritised’ improving the curriculum. Work had started at the last inspection, but it has ‘gone from strength-to-strength.’

“The school’s carefully designed curriculum is now well established in most subjects,” notes the inspector.

“Learning to read is given a high priority. A new phonics programme has been introduced since the last inspection and is now securely established. Comprehensive training has ensured that staff are confident about teaching phonics,” says the report.

“The school provides an extensive and ambitious range of events and activities. For instance, all pupils experience a sporting event and the oldest pupils are involved in organising events such as sports week.”

A young woman tragically took her own life in Surrey prompting a warning from a coroner over communication barriers between hospitals. Meghan Chrismas, who suffered from anxiety disorder, depression, complex PTSD and ADHD, died by suicide on October 20, 2021 at a Premier Inn in Guildford.

Less than three weeks prior, Meghan had impulsively attempted suicide by overdose and was admitted to Royal Surrey Hospital on the following day. She was offered further psychiatric treatment through the NHS at this time, which she declined in favour of continuing with her private treatments at The Priory Hospital. Information about Meghan Chrismas’ attempted overdose was only sent to her GP and not her private psychiatrist.

Meghan took her own life the same day as her private psychiatrist said she was “progressing well”. Following Meghan’s inquest Coroner Darren Stewart OBE wrote in a Prevention of Future Deaths report to NHS England over the ‘concerning’ communication barriers between private and public healthcare services.

He wrote: “At a time where pressures on the NHS exist, particularly for mental health services, it is of concern that measures which could alleviate this pressure (where someone sources private care) do not exist. There is little or no policy, guidance or other effective arrangements to share important clinical information about patients between private and public healthcare sectors.”

“The passage of information between NHS and private healthcare providers is hindered due to the absence of an adequate structure to share important clinical information about patients in a timely and effective manner. Action should be taken to prevent future deaths .”

Meghan was prescribed antidepressants after a face-to-face appointment with her GP in February 2021. She started seeing a private psychiatrist around July, and received prescriptions both privately and from her GP.

The coroner also raised this as a key concern. They wrote: “This means Mrs. Chrismas had access to double prescriptions. Healthcare professionals treating Mrs. Chrismas placed significant reliance on the perception that she would be open and honest in her communication with them.”

The coroner also raised concerns around police forces communication between each other. It was at, 4.54pm that Meghan contacted Surrey Police to explain that she was fine. At 5.18pm, the call handler in the Hampshire Police control room communicated with Surrey Police only via email.

After receiving no response from Surrey Police, the handler in the Hampshire Police control room communicated with them via telephone Surrey Police then attended the location in Guildford and found Meghan’s room barricaded. Upon gaining access to the room, officers found that Meghan had sadly died.

Officers attempted to resuscitate Meghan and her heartbeat restarted. After resuscitation, Meghan was transported to Royal Surrey County Hospital where she died two days later on October 20, 2021 from a Hypoxic Brain Injury.

The coroner wrote: “The handling of the incident involving Mrs. Chrismas in Hampshire Constabulary’s Force Control Room which resulted in a hour delay in determining that an important communication (being a request for assistance) had not been received by a neighbouring force.” It was not concluded however that this shortcoming contributed to her death.

Hampshire Constabulary have since said they have made significant improvements to their process. These measures included: Revision of training provided and the introduction of additional training for supervisors and control room staff. Implementation of National Policy concerning Missing Persons, including documentation to assist in control room responses to similar circumstances. Revision of the recording of risk assessment measurements on the computer aided dispatch record (CAD) system.

It was further explained to the court that the measures should be seen in the context of wider cultural change management in the supervision and leadership being undertaken by Hampshire Constabulary in the operation of the Control Room.

A spokesperson for Surrey and Borders Partnership NHS Foundation Trust said: “Following Meghan’s death an amendment was made to our Psychiatric Liaison Service policy stating discharge letters will be sent not just to the GP, but also to any other relevant external professional – provided we have the explicit consent of the individual to do this. The measure was welcomed by the Coroner.”

SABP added it has developed new guidelines for both community and in-patient clinicians to ensure it routinely and actively seeks a person’s consent to contact and share information with or from their private practitioner.

The Priory Hospital did not make an additional comment. NHS England has been approached for comment.