Special purpose methods of deprivation of liberty 112.  No violent situations were observed during the operations which were supervised. However, during the course of one of the operations, a foreign national stated having suffered ill treatment at the moment in which they were going to be driven from the Madrid CIE to the CNP vehicle which transferred them to the airport. This complaint was reported to the Department of Migrations and Equality of Treatment of this institution, which initiated an ex officio proceeding with the DGP. Said proceeding is accounted for in the section of this report entitled Processing by the Ombudsman of complaints of ill treatment. Testimony of ill treatment 113.  The Recommendation put forward by this institution to carry out a medical examination (fit to travel) in all cases prior to boarding, in order to confirm that the foreign national is in a fit state to travel, has been rejected. The DGP stated that this examination is performed on foreign nationals upon their exit from the CIE. It has been verified that this does not happen in all cases, nor is it performed systematically on those inmates coming from prison or police facilities. This situation is not compensated for by the fact that a doctor and a registered nurse are present during the operation. FRONTEX has requested information in this regard from the member states, given that this is a matter of national jurisdiction. Prior medical examination §351 AR 2014 114.  The NPM criteria that a medical examination should be performed in the event of a failed deportation has been accepted. In that regard, article 38 of Royal Decree 162/2014 of March 14th, which approves the Regulation on the operation and internal governance of Foreign National Detention Centres, provides for the performance of a medical examination following re-entry into the CIE in the event of a failed deportation. 115.  The DGP has accepted the Recommendation put forward that all flights organised by Spain, and which may be carrying persons being deported who speak neither Spanish nor English, should always include an interpreter as part of the operation, with a long term objective that interpreters be provided ex officio by the administration. Up until that point the DGP arranged with consular representatives for the provision of people to accompany their countrymen during the journeys. 116.  With respect to the provision of a defibrillator and a refrigerator for storing medication on the aircraft, it has been reported that the defibrillator is available in the UCER facilities but not on the plane due to incompatibility with air regulation, since it could interfere with the aircraft’s electronic equipment. Instructions have also been issued so that a refrigerator is available for temporary use by the medical services if necessary. FRONTEX plans to establish a list of medication and equipment which should be available to the doctors present on board the flights. 117.  Upon the insistence of the NPM, the DGP is examining the viability of implementing a record book for the use of restraint measures on persons being deported, as well as their design and characteristics. FRONTEX has accepted the Recommendation of the European Ombudsman to document the methods of restraint authorised during joint flights, as well as to provide a guide to their use. Failed deportation §352 AR 2014 Interpreter §354 AR 2014 Defibrillator and refrigerator for medication §356 AR 2014 Record of use of restraint measures §358 AR 2014 83