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recurance

Kirsten Hocking

11 Nov 2024 · Coroner Nick Armstrong · West Sussex, Brighton & Hove

The coroner's concerns

  1. 1. lack of specialist rehabilitation for women at high risk of self-harm

    “there was and remains a real lack of specialist rehabilitation for women, and in particular, women who represent only a low or medium risk of harm to others, but a high risk of self-harm”
  2. 2. failure to understand availability of accommodation

    “probation officers, who have primary responsibility for finding accommodation and building release plans, need to understand what accommodation is and is not available”
  3. 3. unclear placement offers and conditions

    “Placement offers and the conditions and expectations which attach to them are too unclear”

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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