The recent rise in patient injuries at Surrey and Borders Partnership NHS Foundation Trust (SABP) has sparked concerns and raised questions about the care and treatment of mentally ill individuals. In this article, we delve into the underlying factors and explore the implications of these statistics.
The Numbers Speak Volumes
The data obtained through a Freedom of Information (FOI) request paints a concerning picture. Injuries among service users have skyrocketed, with a staggering increase from 92 in 2023/24 to a daily average of over one incident in the most recent financial year. This sharp rise coincides with the opening of Silverwood, an inpatient facility designed to cater to acutely mentally ill patients.
A New Facility, New Challenges
Silverwood, located in Chertsey, began admitting patients in February 2025, and its establishment was intended to improve the trust's ability to care for those with acute mental illnesses. However, the facility's opening seems to have brought about unforeseen challenges. With 64 ensuite bedrooms across four wards, Silverwood aimed to replace the old Abraham Cowley Unit (ACU), but the transition has not been without incident.
Restraint and Transparency
One notable aspect of the data is the shift in the use of restraint methods. The reported number of "prone" restraints, where a patient is forced face-down on the ground, has dropped to zero, in line with recent laws and guidance. The Mental Health Units (Use of Force) Act 2018 aimed to improve transparency and reduce the use of such forceful restraints. While this decrease is a positive step, it raises questions about the alternative methods employed and their potential impact on patient safety and well-being.
Chemical Restraints on the Rise
A concerning trend emerges with the substantial increase in the reported use of chemical restraints. The number of incidents has skyrocketed from just 11 in 2022/23 to a staggering 830 in 2025/26, with a further 333 reported so far in the current financial year. The trust spokesperson emphasizes that they record all cases of restrictive interventions in line with Seni's Law, but the majority of injuries are not related to restraints.
Deeper Analysis and Implications
The rise in patient injuries at SABP warrants a deeper examination of the trust's practices and the broader implications for mental health care. While the opening of Silverwood may have contributed to the increase in reported injuries, it is essential to consider the potential long-term effects of such a facility on patient outcomes and experiences. The shift from physical to chemical restraints raises questions about the effectiveness and ethical considerations of these methods.
Conclusion
The data highlights the complex challenges faced by mental health trusts and the need for ongoing scrutiny and improvement. As we navigate the delicate balance between patient safety, transparency, and effective treatment, it is crucial to continue advocating for better care and support for those with mental illnesses. The rise in patient injuries serves as a reminder that we must constantly evaluate and adapt our approaches to ensure the well-being of those in our care.
