Skip to content
recurance

Jean McHale

15 Dec 2016 · Coroner Thomas Osborne · Bedfordshire and Luton

The coroner's concerns

  1. 1. pressure ulcers in elderly community patients

    “That if pressure ulcers are not treated appropriately then the elderly in the community will suffer, develop Osteomyelitis leading to Sepsis and death.”

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