telemedicine in the remand prison of Bois-d’Arcy show that telemedicine in prisons is a practice that allows a rapid and high-quality access to medical specialists. While it is still too early to measure its impact on the reduction of recourse to removal from prison for medical reasons, the CGLPL is still keeping an eye on the developments of telemedicine in a prison environment. The terms of removal from prison for medical reasons are not satisfactory: the evaluation of the security level must be personalised and the means of restraint forced on the persons must be strictly proportional to the risk presented by the said persons. Maintaining medical privilege is every patient’s right and is an absolute duty of the doctor. The CGLPL recommends that the medical consultations should be conducted without the presence of an escort and that the surveillance must be indirect (out of sight and hearing of the detainee). The CGLPL gives a reminder on the necessity of providing reception procedures and specific areas in the healthcare institutions in order to prevent the escorted detainees from being exposed to the sight of the public. To maintain the quality of the healthcare, the security of the staff and the dignity of the detainees, the secure rooms must be located in a department where the healthcare team is willing and prepared to receive detainees for short-term healthcare. Currently, these places resemble places of detention rather than places dispensing healthcare. Hospitalisation conditions in secure rooms are more restricting than the detention conditions as regards the patient’s rights. The CGLPL stated that the detainee is still a patient and must therefore benefit from the rights guaranteed to detainees as well as those granted to patients. The detainees must be informed beforehand of their hospitalisation conditions (list of authorised and forbidden personal effects), and on their arrival at the healthcare institution (welcome booklet pertaining to the terms of hospitalisation in secure rooms as well as the related rights). The CGLPL also recommends drafting a specific internal regulation for secure rooms. The fundamental right to maintain family bonds is not respected: access to telephones is not effective and detainees find it impossible to receive visits from their kin and their legal counsel, and to receive or send letters. In almost all of the secure rooms, the detainees do not benefit from any activity and do not even have an outdoor area to get some fresh air and, if needed, to smoke. In her reply, the Minister of Justice stated that the organisation rules for removal from prisons for medical reasons (security measures, restraint measures, level of escort, etc.) will soon be reminded. For the purpose of updating the methodological guide related to the healthcare treatment of detainees, specifications will be made on the conditions of receiving detainees in associated hospitals and the hospitalisation conditions of detainees in secure rooms shall be examined. The Minister announced that the prison administration will study the question of providing access to telephones, televisions and the radio in secure rooms, in collaboration with the Minister of Social Affairs and Health. A modification of the specifications of the inter-ministerial circular dated 13 March 2006 is also being planned. The Contrôleur général will keep an eye on the reminders given pertaining to the rules applicable to removals from prison for medical reasons and to the modification of the specifications of secure rooms. To date, she has not been informed of their contents or their application. The Minister of the Interior, in his reply dated 10 July 2015, stated that the systematic use of handcuffs on a hospitalised detainee is forbidden and remains limited to only those people who are considered to be dangerous by the prison administration or those who are particularly agitated. 47