Lewis Mullins died in April last year from pneumonia brought on by chicken pox. He was treated just for chicken pox and medical staff failed to diagnose an underlying bacterial infection.
Coroner Nicola Mundy recorded a narrative verdict and says she's considering writing to the Department of Health highlighting Lewis's case to try and prevent a similar tragedy.
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London education charity SHINE is moving to the North of England to provide help where it believes need is the greatest.
The Crown Prosecution Service is to announce its decision later on whether individuals and organisations will face criminal charges.
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