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recurance

Maureen Colclough

27 Jul 2017 · Coroner Jean Harkin · Cheshire

The coroner's concerns

  1. 1. staff unable to recognise emergency situation

    “Inadequate training of staff to recognise emergency situation”
  2. 2. presumptions about unresponsive patient

    “Relying on presumptions when finding an unresponsive patient in a serious situation”

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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Maureen Colclough · Recurance