In 2016, the three primary grounds for referring a case regarding health institutions are procedures, access to health care and placement in solitary confinement. Since 2010, the main primary grounds has been procedures – particularly dispute of hospitalisation. Since 2014, the main secondary grounds for referral has been access to health care. In 2016, all grounds taken together, the three main ones are procedures, access to health care and placement in solitary confinement. In 2015, they were procedures, access to health care and relations with the outside world. It can be highlighted that the persons concerned primarily refer cases to the CGLPL about procedures; families and relatives about relations with the outside; and physicians and medical staff about placement in solitary confinement. Penal institutions: Primary grounds according to the category of person referring the case The last column of this table lists the percentage of different grounds when the reasons for a particular letter are considered as a whole (one letter may contain one or more reasons), rather than the primary grounds only, as before. Accordingly, regarding transfers, although this reason accounts for 11.22% of the primary grounds for letters received between 1 January and 30 November 2016, this percentage goes down if its positioning is considered in light of all the reasons, when it only represents 7.45% of all difficulties brought to the CGLPL's attention in 2016. The percentage of the second primary grounds for referral, physical conditions, further increases when all of the reasons are looked at together, accounting for 14.71% of all the difficulties brought to the CGLPL's attention in 2016. Other26 Association IGA Physicians / medical staff 45 19 26 9 1 1 Requested transfer 155 25 12 24 3 1 Conditions of the transfer 36 7 1 Administrative transfer 23 11 3 Other 5 2 1 8 International transfer 4 2 6 PHYSICAL CONDITIONS 222 25 8 10 17 10 2 294 Accommodation 53 8 2 5 8 4 2 82 Hygiene/upkeep 56 6 3 1 3 3 Food 35 1 1 3 Canteens 29 5 2 Cloakroom/search 24 3 1 Television 19 2 2 26 5 2 3 324 11.22% 11.37% ↘7.45% 10.18% 8.99% ↗14.71 % 220 1 1 2 % all grounds combined (primary and secondary) 2016 Lawyer 223 % 2015 Family / relatives TRANSFER % 2016 Data subject 1 Total Order of grounds 2016 Penal institution grounds 50 40 72 40 1 39 1 29 24 The "Other" category includes 29 individuals, 29 "other", 23 fellow prisoners, 18 institution participants, 7 unknown persons, 5 professional organisations, 3 trade unions, 2 staff members, 2 own-initiative referrals, 1 judge, 1 CPIP, 1 MP and 1 central administration. 104