Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Louis Saunders

27 Feb 2026 · Coroner Laura Bradford · East Sussex
Check this reportOriginal

The coroner's concerns

  1. 1. duplicate medication prescribing

    “the evidence identified that he was being prescribed ADHD medication by both his NHS GP and the private ADHD clinic”

  2. 2. lack of clear communication

    “communication between the private sector and the NHS was insufficiently clear”

  3. 3. confusion about medication

    “risk that a patient may inadvertently obtain duplicate prescriptions or become confused about which medication to take”

Responses

2026-0130-Response-from-NHS-England-.pdf ↗

  • 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