Report on the Performance of Activities of the National Preventive Mechanism for 2015 work in two shifts only on work days, so on weekends and on holidays, the judicial police officers dispense the medications. In most penal institutions that we visited in 2015 the judicial The presence of a person police officer is as a rule present at the infirmary during the other than a healthcare physical examination (except in Glina State Prison) but during provider during medical psychiatric examinations this occurs in a small number of cases. examinations, except for The presence of a person other than a healthcare provider security reasons, is a during medical examinations, except for security reasons, is a violation of the prisoner’s violation of the prisoner’s right to privacy, which is something right to privacy, and we have already written about in previous reports. Deprivation deprivation of liberty does of liberty does not represent an automatic deprivation of the not represent an automatic patient’s right to privacy. There is much resistance from judicial deprivation of the patient’s police officers to changes of such practice, as well from the right to privacy. physicians who report that they were introduced to such practice upon their arrival and accepted it by inertia. In situations where they insist on the presence of judicial police officers, certain technical adjustments need to be implemented, for example, the arrangement of furniture in the room or installing a Plexiglas opening on the front door. That way the judicial police officer would be allowed visual supervision of the room, while at the same time privacy of the patient would be preserved. There are different ways of submitting requests for medical examinations, and the need for urgent examination is directly notified to judicial police officers who are on duty. In some penal institutions there are special boxes installed, the keys to which are only in possession of healthcare providers, for example in county prisons in Split, Rijeka, Gospić and Osijek and in Šibenik State and County Prison, while in other penal institutions the requests are directly handed over to nurses during the dispensing of medications, for example in Lepoglava and Glina State Prisons. In Zagreb County Prison the requests for medical examinations are still handed over to judicial police officers, but they no longer indicate the reasons for requesting the examination. Penal institutions generally do not keep records that would show when the prisoner submitted the request for medical examination or when he/she underwent the examination. Lepoglava State Prison has organized such a system, but the records are not kept regularly and it was not possible to verify when the requested examinations were carried out without looking at the prisoners’ medical records. A prisoner was selected at random, and with his consent, his medical records were examined and it was found that he requested an examination on 14 occasions between mid-February to mid-June 2015, but that he never underwent an examination. Although healthcare providers report that his condition is under control, it is not acceptable for a prisoner to unsuccessfully apply for a medical examination for so long. All prisoners who apply for medical examination have to undergo such examination within a reasonable time, with taking due consideration of their conditions, and with regular keeping of records on performed examinations. 10

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