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recurance

Alison Evers

2 Mar 2015 · Coroner Jan Alam · West Yorkshire (East)

The coroner's concerns

  1. 1. lack of written no treats policy

    “The lack of a written 'no treats policy'”
  2. 2. lack of first aid trained staff on each shift

    “The lack of a policy ensuring a first aid trained member of staff is on duty for each shift”
  3. 3. insufficient first aid training of health support workers

    “Level of first Aid training of health support workers, particularly if working with service users who suffer from cognitive and/or physical impairment and are dependant on carers to meet their personal and dietary needs”

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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Alison Evers · Recurance