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recurance

Jonathan Palmer

31 May 2017 · Coroner Kevin McLoughlin · London Inner (West)

The coroner's concerns

  1. 1. family medical information not reaching relevant prison teams

    “There is no effective system by which the family of a prisoner can input information they deem relevant to a prisoner's health needs and be assured this will be disseminated to relevant teams within the prison, with appropriate records being maintained in order to be able to demonstrate this has been done”
  2. 2. illicit drug inflow into prison

    “The steps taken to control the inflow of contraband material into the prison (such as the illicit drug known as Spice), appear ineffective”

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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