68 npm annual report 2016 /observations and recommendations • On a visit to the Kylmäkoski outpatient clinic of the Prisoners’ Health Care Unit, particular attention was paid to the fact that the clinic has less access to a doctor’s services than when the Ombudsman last visited it in 2013. A doctor only visits Kylmäkoski once or twice a week and has time to see no more than a few patients during one working day, as his or her working time is mainly taken up by written consultations. This naturally results in a queue for doctor’s appointments and continuously increases the nurses’ daily workload. • Additionally, no psychiatrist visited the clinic, and outside psychiatric services were used little. Dental health services had also been outsourced. The visits of the dentist, who came from Helsinki, were not regular. • The nurses had time to conduct at least a brief check-up on all new prisoners. The addition of a section on possible signs of violence to the check list developed for this purpose was proposed.