Skip to content
recurance

Amelia Ridout

7 Feb 2025 · Coroner Elizabeth Gray · Cambridgeshire and Peterborough

The coroner's concerns

  1. 1. lack of national guidelines and standard operating procedure for bone marrow aspirate and trephine biopsy

    “To consider the development and publication of a national guidelines and standard operating procedure for the carrying out of Bone Marrow Aspirate (BMA) and trephine biopsy to include recommended methodology”
  2. 2. lack of database to record procedures and outcomes

    “To consider the development of a data base to record these procedures and their outcomes”

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.

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

Amelia Ridout · Recurance