Correctional institutions The Göllersdorf, Stein and Vienna-Josefstadt correctional institutions and the Asten Centre for Forensic Science were excluded from this calculation procedure due to their special status. The staffing levels there will continue to be determined on an individual basis in the future. Regular adjustments Staff requirement calculations will be evaluated once each year. The NPM will pay additional attention to whether the number of full-time permanent positions based on these calculations is actually sufficient to ensure adequate nursing care in the correctional institutions. XX  There must be an adequate number of medical and nursing staff to provide medical and nursing treatment under conditions that are comparable to those of patients who are at liberty. XX  The key figures in the medical area, which have been lacking for years, must be determined as soon as possible. XX  The need for nursing staff must be regularly assessed and adjusted. 2.5.5.4 Time and space of health examination upon arrival Final assessment In previous years, the NPM has addressed the central question of when the obligatory health examination at the start of imprisonment should take place and what the examination should entail (see NPM Report 2016, pp. 102 et seq.). All inmates admitted to a correctional institution must undergo an initial examination by the institution’s doctor. This obligation exists upon arrival or the start of imprisonment and upon transfer to another correctional institution (e.g. due to a transfer to a different prison or classification). Standard established The NPM recommended that the Federal Ministry ensures that a uniform national health examination is conducted upon arrival in prison. This recommendation resulted in the issuance of a decree in August 2016 (BMJGD42708/0002-II 3/2016). According to this decree, the examination is to be conducted in a uniform manner with the assistance of an examination form, which can be accessed through the Electronic Patient Record Module. This standard medical history form is based on the general examination forms used for admission to a hospital. Two additional supplements required The NPM supports the introduction of a national standard. However, the decree needs to be adapted in the following two ways: before the examination, prisoners should be expressly informed of the possibility of a blood test. The examination itself should be a full-body examination, including disrobement. Blood test is in the inmate‘s own interest According to the explanatory remarks made by the Federal Ministry, a blood test is generally not required before imprisonment. Rather, a blood test is only ordered if it appears to be medically indicated in an individual case. Moreover, 124