Skip to content
recurance

Paul Barber

2 Mar 2017 · Coroner Veronica Hamilton-Deeley · Brighton and Hove

The coroner's concerns

  1. 1. incorrect sample container causing delay in microbiology results

    “Samples being sent to microbiology in the wrong containers and to elaborate on that Mr [name redacted] had a recently diagnosed aggressive lung cancer on the back of which he developed pericarditis. By the 21" July 2016 it was clear that there was a Collection of fluid around his heart which was susceptible to draining. This was done and sampling of the fluid was sent to the microbiologists for analysis. However, it was sent in the wrong container, this meant that it needed incubation before it could be”

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