CHANCELLOR OF JUSTICE AS THE PREVENTIVE MECHANISM The Chancellor made the following recommendations to the Director General of the PBGB: (1) ensure that the results of the initial health examination performed by a nurse are recorded in a manner as to indicate the date of the examination and enable permanent inclusion of the data in the medical file; (2) document the results of the health examination of persons detained for up to 48 hours. The PBGB replied that the providers of the nursing services were notified about the requirement to record the results of the initial health examination in the medical file of the person to be expelled. The medical staff of the centre record the results of health examination of persons detained for up to 48 hours in the nurses’ daybook. The seventh issue arising during the inspection concerned the fact that if a person was detained elsewhere (in particular in a prison) prior to transfer to the expulsion centre, no transcript of their medical file (including previous tests for diagnosing infectious diseases or other significant health data) were transferred together with the person. The Chancellor recommended to the Director General of the PBGB to analyse the situation and, in cooperation with other relevant institutions (prisons, providers of health services to residents of Illuka Reception Centre for Asylum Seekers), find a solution, so that persons transferred to the expulsion centre from these institutions are given a copy of their medical file or other significant relevant documents, or that such data is transferred directly to the doctor of the expulsion centre. The PBGB replied that the contract for the provision of general practitioner services will include the obligation to request transcripts of the medical records of the person from the institution where they were staying previously. The eighth issue that arose concerned the confidentiality of health data after a person’s departure from the expulsion centre. The Chancellor recommended to the Director General of the PBGB to ensure that a person’s medical file is attached to the personal file in a manner that guarantees the confidentiality of the relevant data (e.g. in an envelope sealed by the doctor). The PBGB replied that in the future the medical file of the person to be expelled is archived separately in a sealed envelope as part of the personal file and a restriction on access to the file will be imposed, so that access to a medical file in a sealed envelope is only granted upon request with consent of the head of the migration supervision bureau of the Citizenship and Migration Department of the PBGB. Ninth, maintenance of records of medicines dispensed to persons detained in the expulsion centre was verified. The Chancellor recommended to the Director General of the PBGB to ensure maintenance of records also in case of over-the-counter medicines. For this, it is necessary to analyse whether administration of the relevant medicines should always be recorded in the so-called nurses’ daybook, and keep records of the quantity of the medicines; as well as verify that the relevant medicines are administered in the presence of an official or a member of the security team. The PBGB replied that medical nurses and the general practitioner of the centre introduced a card for the dispensing of over-the-counter medicines, including information on the name, time and quantity of the medicine dispensed by the officials of the centre. The card is maintained separately for each detainee. As a rule, medicines are administered by a person in the presence of an official. The tenth issue that arose concerned availability of first aid equipment and the provision of first aid in the centre. 30 The issue of availability of first aid equipment arose prior to the inspection visit in connection with a death case in the centre. Access to the equipment needed for the provision of first aid was delayed because the equipment had to be brought from the medical office in the administrative wing of the building and the