Skip to content
recurance

Richard Ridout

2 Oct 2019 · Coroner Robert Simpson · West Sussex

The coroner's concerns

  1. 1. lack of trauma call for high speed RTC

    “I heard evidence that a trauma call would be put out if certain circumstances arose. These included where a high speed was involved in an RTC. In this inquest it was clear that inconsistent information was given about the speed and the junior doctor was informed that the speed was 50-60mph. Despite this inconsistency and evidence of a high speed collision no trauma call was put out.”
  2. 2. absence of trauma series CT scan

    “I heard evidence that no trauma series CT scan was carried out or trauma call put out despite [the deceased] suffering an injury requiring a high degree of force (fractured scapula) and having been involved in a roll- over RTC”
  3. 3. potential future deaths from inadequate escalation

    “I am concerned that the failure to escalate the assessment and treatment of a person involved in such a road traffic collision could lead to deaths in the future.”

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