57 Results in 2016 Toilets in cells Finding and recommendation Following visits to Drammen Prison and Vadsø Prison, the Parliamentary Ombudsman recommended that the prisons ensure that all inmates can go to the toilet when necessary and that this can take place in a hygienic and decent manner. Toilets should be installed in the cells, and, until then, all inmates should be ensured the possibility to use a toilet irrespective of the time of day. ›› Follow-up Drammen Prison has informed the Parliamentary Ombudsman that the installation of toilets in the cells is scheduled for completion by August 2017. ›› ››Vadsø Prison is working together with Statsbygg to install toilets in all cells. Patient rights Finding During its visit to the psychiatric department at the University Hospital of Northern Norway (UNN), the NPM identified several factors that increased the risk of patient rights violations. These included extensive use of coercive measures, inadequate documentation of decisions to use force, brief use of restraint measures without an administrative decision, lack of expedient procedures for reporting patient injuries, segregation of patients, inadequate protection from natural night during sleeping hours and inadequate opportunities for daily trips outside for a number of patients. Detrimental attitudes were also highlighted in the institutional culture and among the staff, particularly at one ward at the hospital. ›› Follow-up UNN has initiated an extensive follow-up process after the visit. An action plan has been developed that describes training measures, efforts to raise awareness and the development of concrete procedures organised by key strategic areas, including measures relating to the use of coercive measures and legislation. The hospital has involved patients, next of kin and user organisations and special interest organisations in its follow-up work. UNN also updates the hospital board and the board of Northern Norway Regional Health Authority about the follow-up of the NPM’s findings. ›› ››Following the NPM’s visit to UNN, the hospital board chair and the internal audit section in Northern Norway Regional Health Authority met with the NPM to learn more about the findings from the visit and about the methodology used during the visit. The Health Authority then performed an internal audit of Nordland Hospital using methodology inspired by the NPM, which included the use of external experts and a holistic review of patient conditions. The audit also focused on a number of areas that are important for strengthening patient rights, including physical conditions of the hospital, the use of coercive measures, segregation, staffing and expertise, and activities offered.