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recurance

Gloria Foster

10 Sept 2014 · Coroner Richard Travers · Surrey

The coroner's concerns

  1. 1. lack of protocol for additional support for operational staff during care provider closure

    “The need to have a protocol relating to the provision of additional support for operational staff when the need to prioritise work surrounding the closure of a care provider arises.”
  2. 2. inconsistent staff attitudes toward service user needs

    “The need for additional specific training to reinforce to staff the apparent dangers of taking a different attitude to the needs of”
  3. 3. unclear Team Leader supervision responsibilities

    “The need for additional specific training to ensure that there is a clear understanding of the role of Team Leader in relation to the supervision of tasks delegated by them to other members of their team.”
  4. 4. inadequate communication management during care provider closure

    “The need to ensure that when a care provider is closed, all lines of communication with that provider, including telephone and email, are managed so that anyone who uses any one of those lines to make contact with them is immediately informed of the current situation and of where to go to seek advice or help.”

Responses

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  • 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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Gloria Foster · Recurance