Annual Report 2014 of the National Preventive Mechanism 201. The lack of medical assistance 24 hours at some CP is a matter of concern. Although a located shift on duty exists, this does not ensure immediate assistance if necessary. Accordingly, CP should have healthcare personnel at the centre 24 hours. 202. CP should enable a record of requests for healthcare both ordinary and urgent, and of the scheduled appointments with healthcare services, to verify that all requests for medical assistance are met. 203. The measures necessary should be adopted for language not to pose an impediment for the fluid communication between the healthcare services and the inmates who request assistance, without errors attributable to lack of communication, and without this having effects on their privacy, such as, for example, through telephone translation services. 204. The supply of medicines prescribed to the inmates by the medical practitioners of the centre and the specialist medical practitioners, in coordination with the referral hospitals of each autonomous community, must be available. 205. It is the policy of the Ombudsman’s Office, where a closer monitoring of the taking of medication is required (as in the case of psycho-drugs), that this medication be dispensed under the immediate observation of the healthcare personnel. 206. Measures must be put in place to prevent losing medical appointments for tests or specialist consultations due to lack of police officers for the custody and transfer of inmates, with the consequences that this may have on the health of inmates. 207. The large number of inmates in CP with mental disorders of a greater or lesser degree and who, accordingly, need specific assistance is a matter of particular concern. In this respect, the general lack of adequate psychiatric assistance to inmates is serious. Most CP do not have a psychiatrist on the payroll, so that such assistance is provided through the public health service or by engaging external consultants, who visit to the centre at various intervals, of between one week and one month. Nevertheless, it is considered necessary for the treatment of mental disease in CP not to be limited to diagnosis of the pathology in question setting up the adequate pharmacological therapy. It is, in addition, necessary to improve the quality of living of the patients, increasing their personal independence and adaptation to the environment. In this respect, it is considered necessary to increase the frequency of the psychiatric attention given to prisoners and, in the case of the SGIP, to implement the PAIEM (General program for integrated assistance to persons with mental disease) in its entire extension, including –in addition to occupational activities– integrated therapeutic actions containing psycho-educational actions and ensuring greater coordination of the medical services with the rest of the services of the multidisciplinary team. Likewise, a psychological counselling service should be set up at CP. 80