MONITORING PLACES OF DETENTION : A PRACTICAL GUIDE 110 ■ Who decides that solitary confinement is to be imposed? ■ For what reasons can solitary confinement be imposed? ■ What system of review and appeal is in place? ■ Does the person in isolation still have at least one hour of outdoor exercise each day? ■ What regime is available to prisoners in isolation? ■ Is a medical examination carried out before solitary confinement, and does that examination focus on the well-being of the prisoner? ■ How frequently is such examination carried out during confinement? ■ Does the detainee in isolation have access to a doctor on request? ■ Who has access to the isolated detainee and how is this recorded? ■ Is there any evidence that isolation is being disproportionately applied to any minority groups? 1