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recurance

Mark Smith

24 Sept 2025 · Coroner Sean Horstead · Essex

The coroner's concerns

  1. 1. lack of medication review system for vulnerable patients

    “there continued to be no system, policy or process in place, to ensure that vulnerable patients with a history of addiction and/or self-harm and/or suicidal ideation and/or prescription medication overdose received or receive appropriate medication reviews to consider the frequency and volume of repeat prescribed medication”

Responses

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  • NVIDIA Nemotron Nano, Super and Ultra
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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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