general observations in connection with inspections 42 lack of such establishments leads to patients not getting the opportunity to be outside. Migration detention centres The Migration Agency manages detention centres where aliens who are to be refused entry or deported from Sweden are placed while waiting for the decision to be executed. At the end of 2017, there were five detention centres with approximately 360 placements. During the period 2015–2017, inspections were carried out at three detention centres. Coercive measures The Migration Agency is entitled to take certain coercive measures against persons in a detention centre. The authority’s staff can carry out body searches of an alien, if there is a reasonable suspicion, that he or she is carrying something that may not be in their possession. A detainee can be isolated if necessary, for order and safety in the premises, or if he or she constitutes a risk to his or her own personal safety, or others. An isolated person may also be placed with the Prison and Probation Service or the Police Authority, in a so-called safety placement, for safety reasons. During the inspection of the detention centre in Flen in spring 2016, it was noted that the Migration Agency’s instructions stated that the detainee’s belongings should be searched unless this was deemed as unnecessary. According to the Parliamentary Ombudsmen, this wording was not compatible with the law and the Migration Agency was encouraged to change its instructions.67 At an inspection of the detention centre in Gävle in 2016, it was noted that the instruction had changed, which was positive. The Parliamentary Ombudsmen states, however, that the instructions needed to be further adjusted since it was not entirely in accordance with the legal text, in regards to when a search can be performed.68 In connection with an inspection of the detention centre in Kållered, it was noted that the instructions had been adjusted. It was, however, observed that, despite this, the staff performed body searches of detainees after each visit and that it was not made sufficiently clear in the decisions what circumstances formed the basis for this action.69 During two of the inspections, it was established that the detention centres had limited physical capacity for placing detainees in isolation. This circumstance, combined with the fact that it was regularly stated in the decisions that 67 Ref. no. 843-2016. 68 Ref. no. 4831-2016. 69 Ref. no. 1000-2017.