41. During its visit to Kosmonosy Psychiatric Hospital, the delegation received no allegations of ill-treatment of patients by staff. Living conditions in the hospital were on the whole satisfactory, and staffing levels appeared to be generally adequate for the number of patients and care provided. The delegation also gained a generally positive impression of the psychiatric treatment. That said, the CPT recommends that anti-androgen treatment be subjected to written consent by patients. Several recommendations are also made as regards the duration of mechanical restraint, the recording of instances of chemical restraint and the supervision of patients under restraint. Further, the CPT once again expresses its serious misgivings about the use of net-beds and reiterates its recommendation that netbeds be withdrawn from service in psychiatric hospitals in the Czech Republic. 42. Moreover, the Committee urges the Czech authorities to put a definitive end to the use of surgical castration in the context of treatment of sex offenders. In their response, the Czech authorities state that, to avoid any ambiguity, methodological guidelines concerning the necessity to provide consent to antiandrogen treatment will be adopted as soon as possible. Information is also provided on legislative amendments concerning the use of means of restraint, including its recording. As regards surgical castration, the authorities maintain their position that the relevant legislation fully complies with the European Convention on Human Rights. However, the authorities state that they will continue to ensure that legal guarantees are strictly observed in practice and that these will be strengthened if necessary. Report published in March 2015 (CPT/Inf (2015) 18), response published in August 2015 (CPT/Inf (2015) 29) General Report of the CPT, 2015 ► Page 20 Report on the periodic visit to Finland in September/ October 2014 and response of the Finnish authorities (safeguards offered to persons detained by the police, situation of remand prisoners in police establishments and of foreign nationals held under aliens legislation, inter-prisoner violence and intimidation, situation and regime of the prisoners held in high-security and closed units, situation of civil involuntary and forensic patients) 43. In the report, the CPT expresses its concern about the lack of sufficient progress in the implementation of many of its long-standing recommendations, for example, those regarding the practice of holding remand prisoners in police establishments and the practice of “slopping out” in prisons, the regime for prisoners segregated in high-security and closed units, and legal safeguards in the context of involuntary psychiatric hospitalisation. 44. The CPT’s delegation received no allegations of physical ill-treatment of persons detained by the police; on the contrary, most of the persons interviewed by the delegation, who were or had recently been in police custody, stated that the police had treated them in a correct manner. The report addresses some issues relating to police establishments, especially as regards material conditions. The Committee underlines that none of the police establishments visited, including Pasila “police prison”, offered conditions suitable for holding persons in excess of the police custody period (i.e. 96 hours). In particular, there was insufficient access to natural light in cells, no possibility of proper daily outdoor exercise, no activities and no proper healthcare services. The Committee reiterates