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recurance

Brian Wareham

14 Jan 2022 · Coroner Caroline Saunders · Gwent

The coroner's concerns

  1. 1. breakdown in communication and collaboration

    “Communication and collaboration between primary and secondary care”
  2. 2. lack of appropriate information and support

    “vulnerable patients without appropriate information and support”
  3. 3. breakdown in relationship between clinicians

    “breakdown in the relationship between clinicians”

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.

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