Skip to content
recurance

Evie Davies

2 May 2024 · Coroner Victoria Davies · Cheshire

The coroner's concerns

  1. 1. lack of information sharing between organisations

    “The evidence I heard was that the café71 service is run as a crisis line for those who are in 'lesser crisis' than those who would call the mental health team crisis line or the crisis resolution home treatment team. It appears that the cafe71 team is operating in isolation/ separately to the mental health team, and for those patients who are under the mental health team, they will be unaware of the background and the risk factors for that person. They will take an assessment of that person at face”

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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error