2.9. Penitentiary health care Somatic (physical) health In 2019, the number152 and qualifications153 of medical staff, production of medical documentation,154 protection of medical confidentiality, periodic screening for non-communicable diseases, timely implementation of medical referrals and preventive health were still problematic in the penitentiary facilities. For timely medical care, it is important to ensure access to the primary health care at the facilities. It is less difficult for convicts in semi-open institutions to see a primary care doctor, because they go to the doctor themselves, although they often have to stand in line. As for the closed facilities, the problem is both the high demand and the fact that prisoners are taken to the doctor by prison staff.155 The problem of access to a family doctor was pointed out by both prisoners and doctors.156 Considering the work schedule of the medical staff,157 it can be said that doctors and nurses on duty have heavy workload,158 which in turn creates problems in terms of providing timely medical services. In addition, in some cases, the medical staff have to perform several functions.159 Working under such 152 The report of the European Committee for the Prevention of Torture (CPT) on its 2007 visit to Greece reads that there should be no more than 300 prisoners per doctor and 50 prisoners per nurse. For example, Establishment No. 15 has a high ratio of day doctors to convicts (about 475 convicts per family doctor). The ratio of nurses to prisoners is high in all facilities. See the report on the visit paid to Establishments Nos. 2, 8, 14 and 15, p. 51. 153 Problems in the direction of continuous medical education can still be observed. Trainings provided for medical staff focus mainly on prisoners’ mental health and rights, which is welcome, but it is also important to raise the professional level and qualifications of medical staff, by conducting relevant trainings immediately in their specialty. 154 No. chronology is observed, no dynamics of treatment or the results of the prescribed treatment are reflected. There are also shortcomings in the production of prescriptions; in some cases, the medication is changed or withdrawn so that there is no record of this in the outpatient medical card. 155 The problem of access to a primary medical service is particularly acute in Establishment No. 8. 156 According to doctors, they are very busy, as they have to produce medical documentation in addition to examining prisoners, which takes a lot of time. They also point out that prisoners are brought to them by prison staff, who also have to have to find time for the above. 157 Establishments Nos. 2, 14 and 15 are provided with 4 primary health care services during the day, while Establishment No. 8 is provided with 10 primary health care services. Establishment No. 3 did not have a primary care doctor or a nurse during the visit of the Special Preventive Group. In all penitentiary facilities, family doctors and nurses serve patients from 10 a.m. to 6 p.m, on working days. 158 Doctors and nurses are on duty once every 4 days. For example, Establishment No. 2 is served by 1 doctor on duty and 2 nurses on duty on weekends and non-working hours, Establishment No. 3 - 1 doctor on duty and 1 nurse on duty, Establishment No. 8 - 2 doctors on duty and 8 nurses on duty, Establishment No. 14 - 1 doctor on duty and 1 nurse on duty, Establishment No. 15 - 1 doctor on duty and 2 nurses on duty. 159 For example, in Establishment No. 2, some nurses have to perform several tasks, inlcuding the function of a sanitation worker, for which they do not receive additional remuneration. The chief doctor of Establishment No. 3 was performing the functions of a primary care doctor, doctor on duty and person responsible for sterilization. 59