Annual Report 2015 - Spain’s National Preventive Mechanism 48 Guaranteeing communication §105 AR 2014 33.  Following the visits to Algeciras and Tarifa, the NPM has had to insist on the need to guarantee that language does not present an obstacle to fluent communication between the health services and those inmates requiring medical attention. The DGP has reported that it has a national interpretation service contracted through a private company. Suicide prevention §106 AR 2014 34.  The CIE medical services in Tarifa were not aware of Instruction 2/2014 of the General Headquarters for Immigration and Border Control on suicide prevention. As such, it has been reiterated to the DGP that this Instruction must be disseminated throughout all CIE. Injury reports §71 AR 2014 and study of Injury reports on people deprived of their liberty 35.  Following the visit to Tarifa, the NPM emphasised to the DGP the importance of adopting a standard injury report form in accordance with the Ombudsman’s Recommendations in its study of Injury reports on people deprived of their liberty, and that all medical attention provided in this regard be communicated to the Magistrate’s Court without going through Centre Management controls. The DGP has stated that the standard injury report form has been issued for that purpose to those responsible for healthcare. Medical records §102 and 103 AR 2014 36.  Shortcomings were observed in the inmates’ medical records. These must be adapted as far as possible to the model specified in Act 41/2002 of November 14th, which regulates Patient Autonomy and Rights and Duties in relation to clinical information and documentation. It should be clearly identified when the initial medical examination is carried out, and details should be included about analyses aimed at detecting the consumption of toxic substances or the presence of infectious diseases as early as possible. An electronic standard medical history form should be introduced with appropriate guarantees around access and identification of persons making entries. The Administration has accepted these conclusions and has issued appropriate guidelines to ensure they are complied with. Video surveillance §477 AR 2010 §117 AR 2014 37. The video surveillance system in the Tarifa annex facility covers the hallways, TV room and the reception area of the entrance unit, but does not cover other communal spaces such as outdoor areas. It therefore does not meet the NPM criteria of covering all spaces within the centre with the exception of toilets and cells. In addition, the images captured by some of the cameras in the Tarifa facility are poor quality. The DGP has agreed to repair the video surveillance system. Sports and leisure equipment §128 AR 2014 38.  Both CIE had a shortage of sports and leisure equipment. This should be renewed periodically since it deteriorates rapidly due to heavy use. The DGP has acknowledged this shortcoming and has taken the necessary measures to replenish the equipment, taking budgetary considerations into account. External communication §126 and 127 AR 2014 39. Regarding external communication by inmates, the Tarifa facilities still do not allow the use of mobile phones, contrary to NPM criteria. In the case of inmates lacking the economic resources to use the payphones in the centres, they are allowed to make one national phone call to inform their relatives or next of kin of their situation. However, international calls

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