Skip to content
recurance

Sandra Moon

16 Jul 2026 · Coroner Sarah Whitby · Hampshire, Portsmouth Southampton

The coroner's concerns

  1. 1. impaired cognitive and physical ability accessing stairwell in wheelchair

    “a person of impaired cognitive and physical ability was able to access a stairwell in a wheelchair and fall down 9 steps, and the reason for her being able to do so is unclear”

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

Sandra Moon · Recurance