Annual Report 2014 of the National Preventive Mechanism Nevertheless, it has been observed in the visits made after said instruction was published that the medical services of the various CIE are unaware of it and, accordingly, it would be advisable to implement the provisions of said instruction to ensure its compliance at all CIE. 107. It would be desirable for a Record of demands for healthcare and scheduled appointments to exist at all CIE, using the same format, stamps and pages, freely accessible by all inmates, to record, in addition to the demands for healthcare and schedules appointments, the daily assistance actually provided. List of medical visits at the CIE of Madrid 108. The medical reports on the injuries that the inmates may show are of particular importance and it has been observed with concern that these reports are not always issued. Accordingly, it is pointed out once again that whenever the existence of injuries is observed in inmates, regardless of the origin attributed to them by the injured person, an injuries report should be issued. It is also customary practice, in certain centres, for injury reports to be sent to the manager for the manager to convey them, if appropriate, to the court controlling the CIE. The NPM expresses its concern in this respect and has conveyed this to the authorities, on considering that injury reports should be sent by the medical practitioner issuing them directly to the duty court, notwithstanding the fact that this may be reported to the controlling court, to the court that authorised the internment and to the public prosecution. 109. To ensure control of the correct application of the means of restraint used at CIE, it is necessary for all of them to have a record book, the completion of which should be compulsory, recording the name of the inmate, the use of means of restraint (physical force, handcuffs, temporary separation), the starting and ending 60