NORWEGIAN PARLIAMENTARY OMBUDSMAN National Preventive Mechanism ANNUAL REPORT 2018 54 Discovering injuries Effective investigation and documentation of torture, and other cruel, inhuman or degrading treatment requires that people deprived of their liberty are examined for signs of physical and psychological harm. In this way disproportionate use of force and violence inflicted by authorised persons, and harm caused by isolation can be pursued. Health personnel who work at institutions where people are deprived of their liberty play an important role in uncovering and reporting such incidents. The institutions themselves have a duty to uncover and effectively follow up the incidents. Central government authorities have an overriding duty under the UN Convention against Torture to ensure that structures are in place to facilitate this, including a reporting system for health personnel. Findings and recommendations On visits to all sectors, the NPM has revealed inadequate procedures for reporting injuries that give rise to suspicion of disproportionate use of force. ›› Follow-up Following the NPM’s visit to the immigration detention centre at Trandum, the police have changed their procedures to ensure the health personnel’s reports on injuries that give rise to suspicion of ­disproportionate use of force are forwarded to the correct body. It also prepared internal guidelines for this procedure. ›› ››Alta Youth Centre drew up separate guidelines after the NPM’s visit to ensure that any injuries and psychological strain caused by e.g. transportation to and from the institution, are revealed and followed up on arrival to the institution.