The Moat House Surgery

Private and voluntary organisations · Social-care provider

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First report 1 Aug 2017•Latest report 1 Aug 2017

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from The Moat House Surgery linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Surrey

    AI-generated summary

    Hayley Denise Sheehan · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Hayley Denise Sheehan collapsed and died at home on 22 November 2016 after unintentionally overdosing on prescription Tramadol; the medical cause of death was Tramadol toxicity. The court found that early requests for repeat prescriptions had not been identified or acted upon, allowing her to obtain a significant amount of excess medication. The principal concern was that the prescription process relied heavily on administrators identifying early requests, while the surgery’s software did not automatically flag them.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to The Moat House Surgery; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to reliably identify and flag early repeat prescription requests for GP review

    Wider context from the report

    “The procedure for issuing repeat prescriptions relies heavily upon the prescription administrators identifying and flagging early requests to GPs. As far as ████████ was aware, the software used by the surgery does not automatically identify early prescription requests. Consideration should be given to introducing more safeguards to ensure that early requests for repeat prescriptions are identified and drawn to the attention of a GP. This should include giving consideration to whether the relevant software can be adapted to automatically identify early prescription requests. ”
    Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026