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recurance

Adegboye Mukaila

10 Jun 2026 · Coroner Catherine Wood · Kent and Medway

The coroner's concerns

  1. 1. delayed referral processing due to paper based notes

    “electronic notes enhance the ability of clinicians to document and provide care and aid communication between different clinical teams and departments”
  2. 2. incomplete medical history due to inaccessible records

    “have access to any previous clinical notes from other organisations to confirm his diagnosis”
  3. 3. delayed appropriate care and treatment

    “Access to electronic notes at the earliest opportunity would make it far easier for clinical staff to provide appropriate care and treatment”

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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Adegboye Mukaila · Recurance