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If Nalvany was poisoned this time it was almost certainly Russia, but I could also just see him dying. He'd already been poisoned, had complained about being denied outside food (and possibly wasn't eating a lot of what they gave him for fear of being poisoned), had complained about the conditions etc. Not a combination that's very conducive to good health.
As for whether MI6 or someone else could have done this sort of thing in the past and had the capability... also almost certainly.
I remembered this Channel 4 News fact check from after the Skripal poisonings here. The whole thing is an interesting read but main relevant points in broad terms are:
That being said, I think the Salisbury poisonings were probably Russia too given the evidence that came out over time. Not that another explanation is impossible.
Also, the history of Porton Down and the UK's involvement in various off-book chemical weapon related stuff is long and extremely dark and shady - from Anthrax attacks, to the black market, to our probable involvement in the Apartheid regime's genocidal chemical warfare programme Project Coast.