Recommendations made by the NPM in 2015 and follow-up to the Recommendations made in 2014 II.8.  Prison facilities Table 28 RECOMMENDATIONS MADE TO THE SECRETARY-GENERAL OF PRISON INSTITUTIONS STATUS Recommendation of February 6th 2015. To issue appropriate instructions that in each control carried out by security workers, heads of service and medical staff in all Prison Facilities on restraint measures involving approved straps, the specific state of the inmate and the need to continue with the measure or be recorded. REJECTED Recommendation of October 15th 2015. To issue instructions that the recordings from the video surveillance systems in all Prison Facilities be provided ex officio in the processing of disciplinary reports, since these have an important role as evidence for clarifying actual events, in accordance with the criteria of this institution stated in paragraph 162 of the Annual Report 2014 on Spain’s National Preventive Mechanism against Torture. PENDING Recommendation of October 15th 2015. To produce, for all Prison Facilities, a medical response protocol which applies during the use of restraint measures or solitary confinement, which specifies when the initial medical examination of the inmates and subsequent follow-up should be carried out and what these should involve, as well as the content of the reports which should be prepared by medical staff, in line with the criteria of this institution stated in paragraph 187 of the Annual Report 2014 on Spain’s National Preventive Mechanism against Torture. REJECTED Recommendation of October 15th 2015. To prepare, for all Prison Facilities, an emergency healthcare protocol which guarantees that a written record is kept of requests for said care and of the procedure that should be followed, allowing flexibility with regard to the particular circumstances which demand urgent attention. REJECTED Recommendation of October 15th 2015. To set guidelines on the medication which has to be dispensed in all Prison Facilities for observed direct treatment and to organise the service and necessary personnel in that regard, in order to prevent internal trafficking of medication and the accumulation of medicines by inmates, in accordance with paragraph 205 of the Annual Report 2014 on Spain’s National Preventive Mechanism against Torture. REJECTED Recommendation of October 15th 2015. To adopt the necessary measures, including staffing, so that proper psychological care can be provided to inmates, given the high prevalence of psychological and psychiatric disorders amongst the prison population, in accordance with that highlighted in paragraph 207 of the Annual Report 2014 on Spain’s National Preventive Mechanism against Torture. REJECTED Recommendation of October 29th 2015. To adopt the appropriate measures so that, in the event of incidents and disciplinary measures, the mental health situation and/or vulnerability of the inmate is taken into consideration during the processing of the case, and always before deciding on the possible punishment. PENDING 101