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recurance

Gladys Sayles

26 Jul 2019 · Coroner Martin Fleming · West Yorkshire (West)

The coroner's concerns

  1. 1. use of collars

    “To review the éxisting guidelines with respect to the use of oe collars”
  2. 2. inadequate training on collar application

    “To review training with respect to the. application and fixing of the collar in order to make it bespoke to the patient's needs”
  3. 3. ineffective communication among stakeholders

    “To consider the effectiveness of the existing communications between, Leeds General neurological unit, Huddersfield Royal Infirmary and the suppliers of the collar's with respect to the fitting of the-collar and patients general care”

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.

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Gladys Sayles · Recurance