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recurance

Jake Cahill

1 Feb 2022 · Coroner Guy Davies · Cornwall & the Isles of Scilly

The coroner's concerns

  1. 1. lack of professional discussion of sensitive issues before completion

    “there was no evidence of any consideration being given to the need for sensitive issues raised in the self-assessment form to be discussed with [the deceased] by a professional before [the deceased] completed the form”
  2. 2. guidance lacks explicit requirement for documented consideration

    “the guidance to the self-assessment form issued by the Youth Justice Board makes no express reference to the need for consideration to be given and documented as to whether the form should be discussed with a vulnerable young person before completion”

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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