325.The SPT recommends that medical screening of all prisoners should take place upon arrival. If the initial screening is performed by a nurse, the detainees should be offered the opportunity to be seen by a doctor as soon as possible. The medical examination should be thorough enough to reveal any injuries. The SPT further recommends that every routine medical examination is carried out using a standard form that includes (a) a medical history (b) an account by the person examined of any violence (c) the result of the thorough physical examination, including description of any injuries and (d) where the doctor’s training so allows, an assessment as to consistency between the three first items. The report should be made available to the prisoner and to his or her lawyer.326.The SPT further recommends that a procedure be established, with due consideration for medical confidentiality and the consent of the individual, for all cases of violence and alleged ill treatment documented by doctors to be reported directly to the prison director for referral to the bodies responsible for monitoring of conditions in police detention facilities or in prisons and for complaints. 327.The SPT welcomes this important on-going process of recruitment and training of new staff and encourages the relevant authorities to continue their efforts to train staff. 328.The SPT recommends that the authorities ensure adequate levels of staffing at all times, including female staff in facilities holding women. 329.The SPT recommends that the training of prison staff focus on building and maintaining positive relations among prisoners, as well as between staff and prisoners: the dynamic security approach to prison work. 330.The SPT recommends that all incidents and punishments and other disciplinary measures be systematically recorded in the incident book in a manner allowing proper oversight of use of those measures. 331.The SPT encourages the Maldivian Government to adopt the draft Prison Rules and trusts that the Government will ensure that they conform to the international standards on treatment of prisoners binding upon Maldives. The SPT further recommends that the authorities ensure that no collective punishments are used. Prison managers should increase oversight of incidents and the disciplinary process to ensure that no punishments other than those provided for in law are imposed or other than by the formal disciplinary process. All occurrences giving rise to disciplinary proceedings and all disciplinary punishments should be carefully recorded in special registers, and subject to independent monitoring. 332.The SPT recommends that the placement of prisoners in Unit 1 be subject to appeal. The SPT also recommends that the situation of anyone under isolation or other extreme restrictions be reviewed regularly with a view to moving them progressively to less restrictive custody. 333.The SPT recommends that the authorities put in place a proactive strategy for effective management of prison institutions to address the roots causes of the incidents, to replace the existing reactive approach. The SPT considers that such measures should include, among others, organizing work and other activities for prisoners. The SPT further recommends that managers should be seen daily in the prisons and go among staff and prisoners, exercising direct supervision of staff and checking what is happening in all areas of the prisons. Managers should lead by example and promote dynamic security, with a view to increasing safety for all and preventing ill-treatment. 334.The SPT recommends that a specific register be introduced and maintained, where all incidents involving use of force would be systematically recorded. These records should include, at least, the following: date and nature of the incident, nature of restraint or force, duration, reasons, persons involved and authorization of the use of force. 335.The SPT recommends that the practice of using handcuffing as a means of punishment be eliminated immediately. 336.The SPT recommends a thorough review of special interventions in response to prison incidents. The review should include: rotating staff deployed in that function; providing training in the use of force in conformity with human rights principles; increasing oversight by prison managers of prison incidents; strictly regulated deployment of staff for interventions; and introducing independent monitoring of the resort to, and the operation of, such intervention. 337.The SPT recommends that all prisoners, including those held in segregation, are provided with appropriate bedding with mattresses, which, if necessary, are made of special indestructible material suitable for use in prisons. The SPT further recommends that proper sanitary facilities should be made available for persons held in that unit. 338.The SPT requests to be informed of the closing of the Malé Remand Centre. 339.The SPT recommends that these design flaws [of the new prison in Malé] be addressed before opening of the prison and requests to be informed of its opening. 340.The SPT requests the authorities to confirm whether this new establishment is intended to be used as a prison facility under the DPRS or whether it will be used as a police detention facility, and to indicate what is intended to be its maximum holding capacity. 341.The SPT recommends that the authorities make more concerted efforts to provide programmes and activities, including work and education, for all prisoners. 342.The SPT recommends that outside exercise is provided for all prisoners including those placed in the segregation unit. Prisoners considered requiring special attention by the staff for security reasons could be taken out to the yard in shifts. 343.The SPT recommends that rules for visiting times and duration of visits be clear and posted in writing at the entrance of each prison. Disciplinary measures should not include limiting contacts with the outside world. 344.The SPT welcomes the steps of the authorities to improve standards of medical care in prison and recommends that practical