Skip to content
recurance

Phylliss Letcher

6 Aug 2018 · Coroner Guy Davies · Isles of Scilly

The coroner's concerns

  1. 1. lack of live CCTV monitoring of staircase

    “The absence of live CCTV monitoring of the staircase and other communal areas”
  2. 2. lack of key fob access through stairgate

    “The absence of a key fob access through the stairgate”
  3. 3. lack of alarm for open stairgate

    “The absence of an alarm in the event that the stairgate is left open”

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

Phylliss Letcher · Recurance