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During the Inquest into Mr Emsley's death from Natural Causes in the palliative care wing at HMP Exeter, the care at HMP Exeter was highly proactive in the last 9 weeks of his life The care given, in HMP YOI Portland was less so and subject to a number of resource based constraints in end of life care provision. The result being that transfer to HMP Exeter could have been much sooner: The Clinical Reviewer found that overall it might be helpful for healthcare staff to be given formal guidance or training to assist them in making decisions regarding the assessment of the requirement of restraints and the assessment and decision making of release on compassionate grounds at Multi-Disciplinary Team Meetings involving prison (security) staff and healthcare. With lack of formal guidancelor training on the subject healthcare staff were uncomfortable with making decisions on a prisoners risk of re-offending or escape: As a consequence there is a potential for in effecting transfer andlor compassionate release for prisoners who are terminally ill, Which could also impact on the family. When you have had an opportunity to review the current procedures require a substantive response within the statuary 56 days.