Skip to content
recurance

Kiarah Allen

21 Aug 2018 · Coroner Louise Hunt · Birmingham and Solihull

The coroner's concerns

  1. 1. insufficient nursing and clinical staff

    “heard evidence in the inquest that at the time this incident occurred there were unsafe levels of nursing and clinical staff. The funding provided for nurses assumed the unit was only 85% full. Therefore when the unit was full, there was insufficient numbers of nurses and doctors. Consideration needs to be given to providing additional funding to enable the unit to be appropriately staffed for the very sick babies they care for.”

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