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recurance

Irene Baker

11 Dec 2017 · Coroner S Fox · Avon

The coroner's concerns

  1. 1. lack of mobility care plan revision

    “No revision of the mobility care plan in response to monthly reviews documenting.a deterioration in mobility in November and December 2016”
  2. 2. absence of monthly mobility reviews

    “No monthly mobility reviews were undertaken in January and February 2017”
  3. 3. failure to contact GP or ambulance

    “A failure to contact the GP-or call an ambulance in response to a documented inability to weight-bear 12”

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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