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R (Mack) v HM Coroner for Birmingham and Solihull and others  | 
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| Issue:  | 
Whether a new inquest into a hospital death should be held where the coroner had not called the relevant treating doctor and had not heard evidence as to whether shortcomings in care were a one-off lapse or a systemic problem. | 
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| Court:  | 
Court of Appeal | 
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| Reference:    | 
C1/2010/2469 | 
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| Neutral Citation:    | 
[2011] EWCA (Civ) 712 | 
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| Judge(s):  | 
Lord Neuberger MR, Toulson and Etherton LJJ. | 
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| Date:  | 
10 May 2011 |