Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Steven Sanders

29 Sept 2023 · Coroner Emma Brown · Birmingham and Solihull
Check this reportOriginal

The coroner's concerns

  1. 1. illicit substance use

    “risk of illicit substance use is not being adequately mitigated at SAH and there is an endemic problem”

Responses

2023-0356-Response-from-Care-Quality-Commission.pdf ↗

  • 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

Steven Sanders · Recurance