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recurance

Sally Mills

14 Oct 2024 · Coroner Priya Malhotra · Berkshire

The coroner's concerns

  1. 1. inadequate first aid response to unresponsive individuals

    “lack of understanding of providing first aid to those becoming unresponsive”
  2. 2. inadequate escalation of care issues

    “lack of knowledge of the policy and embedding of it”

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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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