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recurance

Zak Farmer

24 Sept 2020 · Coroner Caroline Beasley-Murray · Essex

The coroner's concerns

  1. 1. lack of clarity over the meaning of the word urgent when a referral is made to the Access and Assessment Team and what's

    “lack of clarity over the meaning of the word "urgent" when a referral is made to the Access and Assessment Team and what steps will be taken if a patient cannot be contacted”
  2. 2. lack of clarity over the meaning of the word urgent when a referral is made to the Access and Assessment Team and what's

    “The trust document Clinical Guidelines for Community Mental Health Service Users disengaging or non concordant with current prescribed treatment plans was found lacking and requires perfecting”

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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