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recurance

Myles Scriven (1)

11 Jul 2025 · Coroner Crispin Oliver · West Yorkshire Western

The coroner's concerns

  1. 1. lack of adjustments for Myles's Learning Disability and Autism

    “Ignorance of what was required for [the deceased] in the circumstances of his Learning Disability and Autism - the GPs clearly only had a superficial grasp of the regulatory requirements and realities to do with Learning Disabilities”
  2. 2. failure to record numeric observations

    “The failure of the GP to record numeric observations properly on 20 March 2023”
  3. 3. absence of internal review

    “The failure of the Dalton Surgery to undertake any rigorous and detailed internal review for learning purposes after this incident”

Responses

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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.

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