Fresh medical evidence revealing the hitherto unrealised extent of a prisoner's serious medical condition can warrant a grant of leave to appeal and a reduction in sentence, even where the condition was known to some extent at the time of sentencing. The legal custodians of prisoners have a duty to ensure access to medical care reasonably available to members of the wider community. The relevance of delay in sentencing lies in whether the prisoner has used the delay period profitably for rehabilitation, not in the explanation for the delay.
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