Skip to content
recurance

Conall Gould

28 Sept 2017 · Coroner Emma Brown · Birmingham and Solihull

The coroner's concerns

  1. 1. lack of notification of follow up appointment

    “At the time of discharge from Holywell Hospital on the 30" January 2017 Mr [name redacted] had been referred to the community mental health team for a 7 day review and had been given an appointment on the 2" February 2017. There is no evidence in the Trust's records that the time, date and location of this appointment was given to [the deceased] or his parents.”

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