Skip to content
recurance

Jean Waldron

8 Jan 2026 · Coroner David Reid · Worcestershire

The coroner's concerns

  1. 1. removal of wound dressings and cleaning of pressure sore by unlicensed carers

    “she had read and understood an email from the District Nurse [name redacted], dated 15.1.25, which made clear that carers should not provide any care in relation to Mrs. [name redacted] pressure sore as they did not have the correct licence to provide wound care; and (b) despite that clear instruction, she had on 3 separate occasions thereafter removed soiled wound dressings from the pressure sore and attempted to clean the wound with saline and gauze because she felt that it was in the deceased's "best interests" so to”

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