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recurance

Craig Burfield

26 Mar 2024 · Coroner Steve Eccleston · South Yorkshire West

The coroner's concerns

  1. 1. lack of review process for adult patients with complex medical needs

    “there was no process for review of patients such as [the deceased]”
  2. 2. absence of transition pathway for pediatric to adult care

    “no transfer protocol or pathway in place as children move into adulthood”

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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