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recurance

Norma Kyte

12 Oct 2023 · Coroner Marilyn Whittle · South Yorkshire (Western)

The coroner's concerns

  1. 1. inadequate coverage of sensory mats

    “The sensory mats being used on the floor next to the bedside are significantly smaller than the bed and will only trigger when directly stood upon. If a patient gets out of bed in a place not covered by the mat this will not be trigger a response from the care home staff and they will be unaware the patient is trying to move or has fallen”

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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