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recurance

Leslie Horsfield

18 Jun 2021 · Coroner Julie Robertson · Manchester North

The coroner's concerns

  1. 1. lack of prompt to ask about swallowing difficulties

    “The absence of any prompt in the admissions assessment tool which reminds assessors to ask om assessment and places the onus on the patient to volunteer information which they may not appreciate is relevant to the assessment”

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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Leslie Horsfield · Recurance