Skip to content
recurance

Derek Hare

20 Jan 2016 · Coroner John Pollard · Manchester (South)

The coroner's concerns

  1. 1. separate notes causing confusion

    “It would appear that throughout his various admissions to the hospital, two completely separate sets of”
  2. 2. delayed diagnosis of abdominal problem

    “The deceased incessantly asked for appointments at the hospital because he knew that his abdomen was”
  3. 3. inadequate inpatient observation

    “It was agreed by one of the consultant surgeons giving evidence to me that it would have benefitted his care to have kept him in hospital on the 6”

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