Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Frances Ollis

6 Sept 2022 · Coroner Ian Arrow · Plymouth, Torbay and South Devon
Check this reportOriginal

The coroner's concerns

  1. 1. missed opportunity to provide timely care

    “On the balance of probability there was a missed opportunity to afford timely care and treatment to the deceased before she was found in extremis on the 24th of February 2022.”

Responses

2022-0276-Response-from-Devon-NHS.pdf ↗

  • 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

Frances Ollis · Recurance