THE PENITENTIARY HEALTHCARE SYSTEM AND TORTURE PREVENTION MECHANISMS not evaluating the consistency of prisoners reports about types of injuries and the way they occurred. In describing injuries, doctors are not following the Istanbul Protocol requirements. Pursuant to the official information received, 3,747 cases of bodily injuries were registered in 2013, including 2,529 self-injuries and 606 everyday life injuries. For the purpose of properly documenting ill-treatment and facilitating investigation into allegations of ill-treatment, it is crucial that a relationship of trust is built between the doctor and the victim of ill-treatment. Unfortunately, in the previous years, the deep-rooted problem of wholesale ill-treatment within the Georgian penitentiary system undermined the confidence in the the penitentiary healthcare personnel. The healthcare personnel must not partake in any activity unless the sole purpose of their intervention is patient care. In performing their professional duties, the medical personnel must be guided with ethical values, respect for human honor and dignity, fairness and compassion. Healthcare personnel must act only in the interests of the patient and must not use their knowledge and experience in contravention of humanity principles. In making professional decisions patients, health professionals must be free and independent, must not act with self-interest and must care for raising the prestige of the medical profession.99 Adherence to the confidentiality principle is crucial for gaining the trust of prisoners but the monitoring revealed a different reality.100 Recommendation to the Minister of Corrections: QQ To develop and introduce a new form for registration of injuries in accordance with the Istanbul Protocol requirements allowing more information to be entered about the injuries; QQ To provide the penitentiary healthcare personnel with advance training in documenting ill-treatment. 2013 99 Law of Georgia on Healthcare, Article 30. 100 See sub-chapter entitled “Confidentiality and informed consent”. NPM Report 49

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