Developing a screening instrument for mental disorders in 2018 should be positively noted. According to the response from the Special Penitentiary Office,100 the works for incorporating the above document into a legal framework are underway and, after retraining of medical personnel, it is planned to implement the instrument. In its report on the visit to Georgia, carried out on 10-21 September 2018, the CPT reiterated its recommendation that the Georgian authorities should continue their efforts to reinforce the provision of psychiatric care and psychological assistance to prisoners.101 The examination of medical cards by the members of the Special Preventive Group revealed a number of problems102 that affect providing timely medical care. The visits showed that there were still problems in terms of respect for medical confidentiality. Medical procedures are conducted in the presence of prison staff, which breaches medical confidentiality. Despite expediting medical referrals, there are still occasions when the terms103 of providing medical care104 are not complied with. It is also noteworthy that there are patients who have been registered since 2016 but as of December 2018 have not received medical treatment. specialisation are rarely conducted. Computers in medical centres can only access the website of the Ministry of Labour, Health and Social Affairs of Georgia. Due to the restriction on the Internet, medical personnel are unable to obtain comprehensive and prompt information about the contemporary methods of treatment and diagnostics, guidelines, protocols and medication. This, in turn, affects the quality of medical care. 100 Letter no. 3337/01 of the Special Penitentiary Office, dated 9 February 2019. 101 Report to the Georgian Government on the visit to Georgia, carried out by the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment (CPT) from 10 to 21 September 2018, (CPT/Inf (2019) 16), para. 86, available in English at: https://rm.coe.int/1680945eca, (accessed 15.05.19). 102For instance, medical cards are not structured; records are not organised chronologically; information about the consultation and finding of medical consultants often are illegible. Overall, dynamics of a patient’s health condition is not reflected in medical cards, which creates problems in terms of providing continuous medical treatment. 103 For instance, one convicted person was given a recommendation by an ophthalmologist on 17 October 2017 to have an additional consultation in an ophthalmological clinic in civil sector. The diagnosis was circulating cornea, traumatic acute cataract. On 20 October 2017, the convicted person was registered in the uniform electronic database. However, as of 21 December 2018, the prisoner was still awaiting transfer to a clinic. 104Order no. 31 of the Minister of Corrections of Georgia of 22 April 2015 on Approving the Standards of Providing Medical Care in Penitentiary Establishments, Additional Standard of Providing Medical Care for Persons with Specific Medical Needs, Preventive Health Care Package in Penitentiary Establishments and the List of Basic Medication of the Penitentiary Health Care, Article 8. 39