Report of the Human Rights Defender on the activities of the National Preventive Mechanism in Poland in 2012 The analysis of the use of direct coercive measures revealed irregularities in 6 establishments.62 The irregularities consisted in continued use of coercive measures despite the cessation of reasons for doing so; the use of handcuffs each time when an inmate left the security cell; the lack of reaction to the prisoners’ requests for using the toilet or for something to drink; the failure to provide prison uniforms for inmates staying in the security cell; inappropriate addressing of inmates while using coercive measures and the bad quality of video recordings presenting the use of coercive measures. Therefore, appropriate recommendations were issued on lawful use of coercive measures. 2.  Access of inmates to health care The National Preventive Mechanism noted an improvement in access of persons deprived of liberty to health care during their stay in prison or pre-trial detention centre. A similar evaluation of the prison health care service is presented in the Report of the Supreme Audit Office.63 However, there are still incidents demonstrating the need for further monitoring of this issue by the NPM Team. The problems most often reported by inmates interviewed by the representatives of the Mechanism included64: brusqueness of medical personnel in contacts with inmates, the failure to take the reported ailments seriously, no basic examination during the visit to the doctor, long waiting time for medicines when their supplies are over, being brushed aside by doctors and long waiting time for a visit to a specialist. The prisoner-doctor relations are a systemic problem and stems from the fact and doctors are often and nurses almost always the officers of the Prison Service. 62 The analysis of CCTV recordings provided by the Prison Service and presenting the use of coercive measures revealed irregularities in the following penitentiary establishments: Prison in Stargard Szczeciński, Prison in Rzeszówe, Prison in Racibórz, Prison in Wołów, Prison in Rawicz, Pre-trial Detention Centre in Kielce. 63 The Supreme Audit Office issued a  positive opinion, despite the irregularities found, on the activities of the Prison Service aimed at ensuring the right of persons deprived of liberty to health care. The assessment was performed using a four-level scale, i.e. positive, positive with minor irregularities, positive with significant irregularities, negative. Cf. Providing health care services to persons deprived of their liberty, ref. No 180/2012/P/12/122/KZD, p. 6, http://www.nik.gov.pl/plik/ id,4619,vp,6181.pdf 64 Prison in Tarnów – Mościce, Prison in Warsaw-Białołęka, Prison in Kwidzyn, Prison in Nowy Wiśnicz, Prison in Płock, Prison in Racibórz, Prison in Rawicz, Prison in Rzeszów, Prison No 2 in Strzelce Opolskie, Prison in Sztum, Prison in Wołów, Pre-trial Detention Centre in Kielce, Prison in Wronki, Prison in Stargard Szczeciński, Prison No 2 in Łódź. 36