Skip to content
recurance

Matthew Simmonds

14 Mar 2014 · Coroner Grahame Short · Hampshire (Central)

The coroner's concerns

  1. 1. ventilated patients discharged to community

    “for commissioning services) carried out a Serious Incident Review as a result of this death and have since put into effect an action plan for commissioning services in the case of complex care pathways for discharges to the community particularly in the case of ventilated patients. (2”

Responses

No published response was found on judiciary.uk.

  • 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