VIII)  Permanently unemployable convicts •• Conducts a feasibility analysis in co-operation with the Ministry of Labour and Social Affairs of the possibility that the Prison Service obtains the licence to provide social services under the Social Services Act; this should be implemented by the end of 2016. •• Based on the analyses, determines the legal regime of the assistance/help to persons that require it in view of their long-term medical problems; implement the selected form of assistance/help not later than 30 June 2017. •• In the meantime, until the aforementioned analyses are conducted, uses an internal regulation to set a legal basis of the standing and scope of activities of carers and set requirements for their qualification (e.g. the type and extent of professional training) and ensure compliance with Section 16 (5) of the Imprisonment Act with respect to the employed convict carers (especially the 8-hours of sleep). 5) Rehabilitation care and provision of medical aids Ensuring accessible health care in the required quality is without doubt a very serious challenge to the current prison system. 118 In case of PUCs, the specific features and complexity of the health care required in view of their medical conditions play an important role. Interviews with the prison staff and inspection of the medical files of the specific convicts suffering of severe disabilities showed that neither of these convicts, despite their medical condition and disability, received specialised rehabilitation care. This is true notwithstanding that under Section 13 of Act No. 48/1997 Coll., on public health insurance, as amended, the covered services include, inter alia, medical treatment-rehabilitation care and provision of medical devices, especially compensation aids. Indeed, the Imprisonment Rules anticipate provision or ensuring treatment-rehabilitation care on the basis of a physician’s order. 119 Although the legal regulation anticipates provision of rehabilitation care and all the prisons visited were aware of the possibility to ensure treatment-rehabilitation care in co-operation with the prison hospital of the Brno Remand Prison, or through a local civilian provider of medical and rehabilitation care, this option was not used. Based on my findings, physicians do not usually order or provide rehabilitation care to convicts, not even in case of triplegics or paraplegics, or persons after a stroke. non-provision of rehabilitation care makes returning into civilian life more difficult Despite the fact that most convicts are insured pursuant to the Act on Public Health Insurance, many were not provided with 118 For more details, see Chapter 7 – Medical services. 119 Section 93 (2)(e) of the Imprisonment Rules. /40/