45 First Five Years – Some Results As a National Preventive Mechanism (NPM), our goal is to influence and contribute to change beyond the individual institutions we visit. We want our reports and recommendations to contribute to improved legal safeguards and protection against inhuman treatment at every institution in Norway where people may be deprived of their liberty. Introduction In the period from 2014 to 2019, we have carried out 65 visits. The reports from our visits, and the follow-up of the recommendations that we make, are published on our website and shared through social media. Many of our findings and recommendations are followed up by the individual places we visit. Several findings have also contributed to changes at a national level. This chapter describes some of the systemic changes the Parliamentary Ombudsman has contributed to in its first five years as a National Preventive Mechanism (NPM). The follow-up of the Special Report to the Storting on Solitary Confinement and Lack of Human Contact in Norwegian Prisons is discussed in a separate article in Chapter three. The NPM criticised the hospital for its extended use of coercion in its psychiatric ward. As a result of the comments from the NPM, the hospital removed the restraint beds from the ward and will evaluate its internal routines regarding the use of coercion. Facsimile from Fredrikstad Blad.