ANNUAL REPORT 2019-OMBUDSMANNATIONAL PREVENTIVE MECHANISM • Hospital treatment and permanent residence in the health institutions of the Clinical Centre where the security is realized by the officials from the Prison Police; • Prolonged treatment with accommodation in the Arresting Unit. The healthcare for these people is continued by the medical staff of the Clinical Centre who provide healthcare as needed, on call within 24 hours. In these cases, the security is organized by the officers in the Prison Police of the Arresting Unit.. The decision to refer the convicted person for a medical examination, the type of medical intervention, the therapy and the type of treatment is entirely within the competence of the responsible medical staff in the Institution from where the convicted person is sent. Thus, the medical person, doctor of medicine from CPI Idrizovo refers the convicts with a referral to the specialists in the Clinical Centre, previously agreeing the examination, and the course of further treatment is entirely under the competence of specialist doctors, including the need for accommodation in the Arresting Unit. As there are no conditions for medical interventions in the Arresting Unit or for the provision of medical therapy, these are performed in individual clinics. During the visit, it was concluded that, as an established practice, during the examinations in the premises, officials from the prison police were also present. In this regard, the presence of prison police officers during medical examinations was recommended only in cases where the doctor explicitly requests such a thing and only on the basis of previously made individual assessments of the need for it, that is, in cases of high security risk. The records of health services for each convicted person, except in the health card of each convicted person, are kept in the Reporting Book of the officials. The same book records all other changes relating to the convicts, as well as other important data. Regarding the tablet therapy, the NPM team established that it is kept in an ordinary locker located in the duty room in the administrative part of the Arresting Unit, and it is distributed by the convicted person with open treatment who is engaged in the Unit, in the presence of an official from the prison police. In the main office room, in a keyless drawer, the liquid state “Methadone”/ “Heptanon” is stored, which is used in the treatment of people addicted to opioid drugs. According to the information from the officials, the transport, handover and distribution of “Methadone” to the end users takes place as follows: 136 • Daily doses of “Methadone” are prepared in the clinic of CPI Idrizovo, for several days (usually for 3-4 days), and according to individual daily doses for each treated convict; • The prepared daily doses of “Methadone” in the clinic of the Idrizovo Penitentiary are handed over to an official, non-medical person and it is not known whether that official is signed on the list for Methadone therapy; • Methadone therapy is carried by an official to the Arresting Unit, in an official vehicle, in a plastic bag; • The official hands over the prepared methadone therapy to another official in the