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recurance

Derek Larkin

19 Jan 2023 · Coroner Stephen Nicholls · Dorset

The coroner's concerns

  1. 1. lack of interoperability between Mosaic and NHS SystemOne

    “There is no evidence that the Dorset Council Adult Social Care computer system Mosaic can communicate with the NHS SystemOne”
  2. 2. absence of medication review details

    “The Adult Social Care team would benefit from having information about the medication being prescribed to a patient, with the patient's consent, and when that medication was last reviewed”
  3. 3. lack of GP medication information sharing

    “Dorset Council Adult Social Care would benefit from information held by a current or former GP practice as to a patient's medication and how to manage any particular concerns raised by health care professionals or family where a patient is able to independently manage his medication”

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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Derek Larkin · Recurance