Skip to content
recurance

Guided path, Step 1 of 4

See a chainStart

Margaret Richardson

19 Aug 2016 · Coroner Caroline Beasley-Murray · Essex
Check this reportOriginal

The coroner's concerns

  1. 1. lack of robust comprehensive Action Plan with timescales

    “a robust, comprehensive Action Plan with timescales' needs to be put in place, following the findings of the Serious Incident Investigation and the evidence heard during the inquest”

Responses

No published response was found on judiciary.uk.

  • 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