"I have read the sentencing remarks of HHJ Barklem with care and note that he was aware of your Parkinson's disease, diabetes and back injury. Your medical notes were put before the judge who noted that your ill health did not prevent you working as a taxi driver. I see no reasonably arguable grounds of appeal against the sentences imposed on you and so refuse leave. As for the medical issues you are currently facing, I understand that they must be causing you hardship. However, the prison estate has facilities to treat and care for ill prisoners. I have seen no medical evidence that you are close to the end of your life. If that was the case, it is something you need to bring to the attention of the Secretary of State rather than the Court of Appeal. Prisoners who are near the end of their lives may be allowed release in order to die in the community."