A GP surgery which failed to give a life-saving vaccine against meningitis to a teenager "failed its requirements," according to a report by Public Health England.

Lauren Sandell, 18, died after contracting a deadly strain of the bug just two weeks after starting university.

The teenager, from Woodford Green in Essex, was a "fit and healthy young woman" who went on a five mile run in the week before she died.

An inquest heard today that an investigation was launched into whether her GP surgery had fulfilled its requirements under an NHS contract to vaccinate 18-year-olds.

Matthew Olley, the Public Health England investigator, told Walthamstow Coroner's Court: "We looked at how the service had been delivered within the GP surgery against the service specification.

"We noted the provider failed to supply the programme in respect of all requirements in the specification."

He said the surgery had also failed to provide staff with full training about the programme.

Mr Olley said: "Staff involved in the ordering of the vaccine also failed to understand the different vaccines being offered in the programme, and the ordering restrictions.

"Two vaccines were being used. It's my understanding they were only offering one vaccine."

Evidence from the surgery about vaccinations around the time of Lauren's death was disclosed to the inquest this morning, the court heard.

It was said that the GP surgery had given 11 vaccinations to young people in 2015.

The documents revealed that in 2015, the surgery had still not vaccinated 70 patients that were eligible for the jab.

Up until Lauren's death in October 2016, the surgery vaccinated 35 patients.

In the last three months of 2016 an additional 33 people were vaccinated - including four members of Lauren's close family.

In 2017, 149 vaccinations were given as a result of an improved inoculation effort after Lauren's death.

Giving evidence at the inquest, the assistant headteacher at Lauren's former high school, Woodbridge High, said the school's immunisation programme was now carried out by Immunisation UK.

Faheem Kan said that the vaccination was now offered to older and younger years.

The inquest previously heard that when Lauren was at school, the vaccination had only been offered to children in the younger years, leaving the upper three year groups to find an alternative place to get the treatment.

The inquest continues.