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recurance

Frances Gibb

10 Dec 2019 · Coroner Veronica Hamilton-Deeley · Brighton and Hove

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. serious failings in the use of NEWS

    “Once again | must write concerning the serious failings in the use of NEWS. Please see the Record of Inquest for details. When you respond to this Regulation 28 report will you please explain why it is that”

Linked reports

Repeats an earlier warningThelma Jones12 Aug 2015 · 4 years 4 months earlier
Identical hazardConfidence 0.92 · high

Earlier report

“after a NEWS score of 8, and a medical emergency team call made at about 09:45 on the morning of the 23 February 2015, the scoring is not completed.”
Original on judiciary.uk ↗

This report

“(1) Once again | must write concerning the serious failings in the use of NEWS. Please see the Record of Inquest for details.”
Full chain: Incomplete national early warning system scoring

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

Frances Gibb · Recurance