Benjamin died in prison due to toxicity from prescribed medication.

“In evidence there were discrepancies between the policies in place and the understanding of healthcare staff as to what information could be shared with prison staff and when it should be shared.

“Some healthcare staff in evidence indicated they would not share information about medication in any circumstances.

“The healthcare policy and practice of healthcare staff in relation to information sharing does not align with PSI64/2011 that information can be shared without a prisoner’s consent if it is considered necessary to protect the individual or anyone else from the risk of death or serious harm.”