The Minister of Justice says that it will be technically difficult to put this recommendation into practice. And yet the methodological guide to healthcare provision for prisoners stipulates that: "Putting the prisoner directly in touch over the telephone with the coordinating doctor is likely to enable the latter to assess the prisoner's state of health. Direct communication over the telephone between the prisoner and the coordinating doctor should be promoted, whilst ensuring the confidentiality of medical exchanges and the security of the prisoner and the institution". As such, whenever the physical constraints allow, prison staff shall apply this recommendation, with precedence continuing to be given to the possibility of emergency crews having access to prisons so as to reach the detained patient. The Minister of Health, meanwhile, considers that "the question of emergency night-time calls are the responsibility of the prison authorities, which must be prepared to cope with medical emergencies", and clarifies that the subject of organising out-of-hours healthcare when the prison health unit is closed, so as to avoid any delay in emergency provision of care, will be addressed as part of the offenders' health strategy. The CGLPL upholds its recommendation and insists that the technical constraints be removed through the new plans bearing on telephone systems or digital technology in prison. Take advantage of the plans bearing on telephone systems or digital technology in prison to enable systematic direct communication between prisoners and the emergency medical dispatchers when the institution's medical staff were absent and they have asked for an emergency consultation. 3.5.2 Reproductive justice The CGLPL had recommended taking all appropriate measures to ensure that fertility treatments are accessible to any prisoner under the same conditions as the rest of the population. The Minister of Health gives a reminder that the development of family living units and family visiting rooms, enabling prisoners to have children naturally, should be encouraged and that fertility treatments may only be offered lawfully to couples who have been medically diagnosed as suffering from infertility problems. Further, she maintains that prisoners are already permitted access to fertility treatment under the same conditions as the rest of the population, but that in practice, especially when it is the woman who is in prison, there are major organisational hurdles involved in the prison authorities' management of external movements for medical reasons. Adapt the management of assignments in prison and external movements to the situation of female prisoners wishing to have a baby and who require assistance meeting the ordinary law conditions. 3.6 Activities The CGLPL had recommended developing schooling, training, cultural, sports and recreational activities that are likely to help children to thrive and play a part in citizenship, as well as allowing teachers to benefit from specific training and guidance. The Minister of Justice highlights the effective partnership between the prison authorities and National Education in terms of teaching conditions and the procedures governing consultation and the sharing of information, the definition of leaders' missions at local, regional and national level and the consistency of institutions' strategic plans and educational plans. She sheds light on the significant funding allocated and marked, sustainable increase in activities and initiatives available to prisoners to equip them with the skills they need to return to living in society. There are other partnerships in place with the Ministry of Culture and Communication and the Ministry of Sport. The activity provision for prisoners should have reached 3.5 hours a day in 2016 and 5 hours in 2017, versus 61