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recurance

Alan Kingsbury

8 Jul 2024 · Coroner Karen Henderson · West Sussex, Brighton & Hove

The coroner's concerns

  1. 1. inadequate anti-thrombotic medication guidelines

    “BSDS (British Society of Dermatological Surgery) Guidelines on Anti- thrombotics and skin surgery for dermatological excisions in the community”
  2. 2. absence of preoperative assessment and consent

    “The lack of a Preoperative assessment and advanced consent”
  3. 3. inappropriate wound closure technique

    “Guidance as to the appropriateness of the surgical technique for wound closure”

Responses

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  • 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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