CAT/OP/CHL/1/Add.1 personnel bring the persons deprived of their liberty to the health centre until they are transferred from the centre and brought before the Prison Service for prosecution. Recording this procedure would comply with the inter-agency protocol for health examinations of persons detained in criminal proceedings, which regulates the health examination process and has been in force since 2013. 98. In addition, the framework agreement allows for the establishment of working groups to bring forward measures for protecting the right to privacy and medical confidentiality, and to limit the time spent on examining injuries, thereby avoiding situations that might undermine the integrity of the person deprived of liberty. 99. Paragraph 58: The Subcommittee recommends that, in all cases, attention should be paid to the proper completion of all medical documentation. Furthermore, treatment in the above-mentioned specialized areas, among others, should be provided at the prison hospital. If this is not possible, the State should ensure that prompt and effective coordination is undertaken to deal with the various pathologies concerned. The Subcommittee believes that an independent observer, such as the representative of a national preventive mechanism, could provide suitable follow-up in such situations. 100. Through the above-mentioned framework cooperation agreement, the institutions party thereto recognize, within the scope of their respective competence, the importance and necessity of strengthening the development of intersectoral policies that seek to safeguard the right to health care. The purpose of this framework agreement is to coordinate inter-institutional work between the entities specified in the agreement with a view to progressively improving the sanitary conditions of prisons and the health of the general prison population. 101. With regard to the recommendation, the Santiago prison hospital is a specialized care centre not outsourced by the Prison Service which provides specialized care. This centre provides dental care, emergency services and services in psychiatry, surgery, internal medicine, nutrition and physiotherapy. In addition, midwife care is available in prisons with a female population. In November, the number of hours of psychiatric care was increased to 33. 102. Furthermore, the following specializations are available in outsourced units: emergency services, psychiatry, dental care and internal medicine. Gynaecologists, midwives and paediatricians are available in prisons with a female population. 103. A unified health card has been rolled out nationally for managing the medical information of all persons deprived of their liberty. An electronic medical card is available at the South Santiago Pretrial Detention Centre, and a pilot plan is being put under way at the prison hospital, with the aim of extending this initiative nationwide. 104. For its part, SENAME will enter into a cooperation agreement with the Ministry of Health which will include specialized care and treatment. The Service will work on the agreement with the aim of having it in place after the first half of 2017. 105. Paragraph 61: The Subcommittee recommends that a register be set up for use in scheduling appointments on a regular basis and that steps be taken to ensure that no discrimination of any kind is practised by officials or dentists themselves. 106. With regard to the concern expressed by the Subcommittee regarding the dental care of persons deprived of their liberty, the Prison Service has 45 infirmaries31 delivering this type of care within prisons, since dental care is considered primary care. In addition, the prison hospital 32 provides specialized maxillofacial and orthodontic care. There are also radiological systems with which to conduct dental examinations upon imprisonment, which also serves as a means of identification. The equipment is repaired and replaced regularly to ensure that it is fit for purpose. The amount of equipment is expected to be gradually 31 32 20 The Prison Service has 84 medical units nationwide, and 54 per cent of the infirmaries located within the centres run by the Prison Service provide dental care. The hospital is located in the metropolitan region of Santiago. GE.17-07762

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