HMP Liverpool inmate's prison death 'neglect' jury says

Ashley Gill was transferred to HMP Liverpool a month before his death

A lack of care plan and medication notes when an inmate was transferred to another jail contributed to his asthma death, an inquest jury has concluded.

Ashley Gill, 29, from North Wales, suffered the attack in his cell at HMP Liverpool on 29 April 2015.

The jury at Liverpool Coroner's Court said his death was accidental due to "acute exacerbation of asthma."

Coroner Andre Rebello has written a Preventing Future Deaths Report as a result of the case.

The court heard Gill, from Conwy, was admitted to hospital on two occasions while at Forest Bank Prison in Greater Manchester before being transferred to HMP Liverpool on 1 April.

The jury found:

• A failure to provide "initial information regarding care plan and medication" for the prisoner

• Insufficient reception health screening

• Asthma treatment not managed effectively from 1 to 29 April including insufficient handover, incomplete assessment, incomplete treatment plan with medication and minimal patient compliance.

The jury concluded Gill died "from an accidental death due to acute exacerbation of asthma caused by propranolol, spice and tobacco, contributed to by neglect only so far as the availability of prescribed medicines is concerned whether due to provision or compliance."

Mr Rebello has written a Report to Prevent Future Deaths to The Head of Healthcare at Forest Bank Prison expressing concern about the "continuity of healthcare for chronic disease conditions on transfer from one prison to another".

He said a printed summary of a prisoner's care and medication was needed when they were transferred.

A statement from Gill's family said: "We are pleased that the jury have recognised the criticisms of those who failed to care for Ashley and we hope that steps are taken to ensure that this does not happen again."