-24)
Medicines
▪
▪
▪
▪
Sufficient quantity and range / free of charge / expiry dates?
Inappropriate use of prescription drugs, e.g. benzodiazepines?
Proportion of inmates who receive medicines (percentage of psychoactive drugs, percentage of
benzodiazepines) (e.g. in general 30-50 percent of inmates receive prescription drugs)
Distribution of medicines (how? who? confidentiality, supervision of intake)
D.
Non-care work / expertise
1)
Ill-treatment
▪
▪
2)
Disciplinary sanctions / security measures
▪
▪
3)
▪
▪
Relations between members of the medical service and prisoners/prison officers
Confidentiality of consultations
Relations with doctors/nurses outside the prison system
Independence of the medical staff (from penitentiary/judicial authorities)? Issues of conflicting
loyalties / conflicts of interests
Inspection of medical service premises
▪
▪
▪
III.
Number and types (electronic file?)
Confidentiality (access by detained person, lawyer, judicial organs, other medical authorities? what
procedure?)
Quality of medical files (check files of interviewed patients)
General atmosphere
▪
▪
▪
▪
II.
Certificates indicating prisoners unfit for detention
Hunger strikes (administrative instructions? written procedures?)
Biomedical research: staff/prisoners involved; board of ethics; type of consent
Monitoring of kitchens / checks on food / protection from pathogens / hygiene and temperature of
storage rooms, refrigerators / presentation, quality and quantity of meals / variation of menus /
inspection reports
External inspection of health-care provision, by whom (reports, recommendations)?
Files / records
▪
▪
F.
Involvement of health-care staff in decision-making / fit-for-punishment/restraint certificates?
Medical supervision of disciplinary isolation measures? Frequency?
Miscellaneous
▪
▪
▪
▪
E.
Number / type of cases (police, prison guards, fellow prisoners)
Medical certificates concerning traumatic injuries:
procedures for drafting: who may request/consult them?
allegations / objective findings / conclusions
reporting system (when? to whom?)
specific register / involvement of forensic doctor
Number of rooms / type (e.g. pharmacy, x-ray, laboratory) / general hygiene
Checking of apparatus/equipment (defibrillator, ECG, sphygmomanometer, steriliser, etc.)
If infirmary: number of rooms/beds / distribution of patients
Final talk with the doctor in charge
▪
Flag up any contradictions between the statements made by the medical team and:
the findings made during the visit to the premises
prisoners’ complaints (supported by files)
the observations of the other members of the delegation