the medical staff working in prisons, without actually being able to consult other doctors in case of disagreement (desire to end drug addiction progressively by means of opioid replacement therapies, desire to obtain a non-generic medicine in order to avoid certain observed side-effects etc.). Autonomy in terms of health also means access to equipment and treatment. The inspectors sometimes ascertained that individuals had limited access to treatment, due to the organisation of movements, which made them dependent upon the prison staff in charge of calling for them when medical consultations were scheduled. The CGLPL recommends access to the health unit according to the two following procedures: free access for half of the day and consultations by appointment for the other half of the day. This organisation, already put in place in certain institutions, constitutes a good practice and promotes personal autonomy. The question of medical emergencies represents another difficulty in prison. When the health unit is not freely accessible, it is incumbent upon warders to assess the level of urgency when they are called upon for questions of a medical nature. The CGLPL recommends that, when requests for emergency consultations with the health unit are made to staff orally, they should be automatically granted. It recommends that, when the medical staff working in the institution are absent and a person requests an emergency consultation, they should be systematically placed in contact with the Centre 15 urgent medical aid service call centre, in order to explain their symptoms themselves. The constraints inherent to prison (organisation of removal from prison for medical consultations, possibility of following complex health procedures etc.) constitute an obstacle to the implementation of certain choices with regard to the right to control one’s own body. This is shown by the situation of imprisoned couples who wish to make use of medically assisted procreation (MAP). With regard to choices as private and important as that of conceiving a child, which come within the right to private and family life, the CGLPL considers that it is incumbent upon the prisons administration to take all steps in order to make such plans accessible to persons for whom it is responsible, on the same basis as under ordinary law, under conditions ensuring respect for the dignity of the persons concerned and proper conduct of their medical procedures (advance scheduling or, on the contrary, sudden execution of necessary removals from prison for medical reasons, notification of persons, limited and justified use of means of physical restraint, absence of prison staff during medical examinations, etc.). 1.2.8 Access to Information and Legal Information and Advice Autonomy can only be effective if individuals are aware of the rights to which they are entitled and the duties incumbent upon them. Defence rights and the right of access to useful personal and/or legal documents have already been addressed by the CGLPL in the Annual Reports for the years 2012 and 2013, and in the opinion of 13th June 2013 81. It will not therefore return to this issue here. 81 Section on access to defence rights: Page 147 et seq. of the Annual Report for the Year 2012; Section on architecture: page 127 et seq. of the Annual Report for the year 2013. The CGLPL also stated its position on the need to facilitate access to personal and/or confidential documents entrusted to the registry in its opinion of 13th June 2013 concerning the possession of personal documents by prisoners and their access to documents that can be made available for discovery and inspection. 103