52 alien affairs The Ombudsman found the use of a consent form to be a good practice. He suggested that it be translated into several languages. This would guarantee that all detainees would genuinely understand – with the help of an interpreter, if necessary – what they are consenting to. Follow-up: The Finnish Immigration Service responded that the arrival medical examination is usually carried out at the Detention Unit within 24 hours of the detainee’s arrival. With the existing resources, however, these arrival health checks cannot be conducted at weekends, as the health-care personnel are on duty on weekdays only. Furthermore, the majority of detentions are enforced during weekdays. If a detainee arrives at the Detention Unit during the weekend and presents with physical or psychological symptoms, medical care will be arranged by the duty personnel. The new arrival interview form for the Detention Unit will be introduced in autumn 2017. Language versions of the consent form will be produced in conjunction with it. Acknowledging “quiet customers” in health care • Being detained inevitably causes increased anxiety in a person. This matter was raised on several occasions during the NPM visit, including the interviews with the detainees. It was also suggested that health-care providers, in particular, should pay attention to this issue, and that they should proactively maintain contacts with those who have been detained for a long period of time to monitor their health, even if they themselves are not seeking medical help. Metsälä Detention Unit The visit to the Metsälä Detention Unit was made unannounced. The focus of the visit was two-fold. Firstly, the visit was a follow-up on the previous visit of December 2016. The City of Helsinki Social Services and Health Care Division had reported to the Ombudsman in May 2017 on the measures raised in connection with the initial visit. On this occasion, the aim was to observe how well the Ombudsman’s recommendations had been implemented in practice. The second main focus of the visit was to inspect health care provision. As a general observation, the detained persons interviewed by the NPM said that they were treated well at the detention unit. Presented in the following are some of the observations made during the visits, and statements and recommendations based on them: Uncertainty about legal status and dissatisfaction with the legal aid provided • The City of Helsinki Department of Social Services and Health Care and the public legal aid of the City of Helsinki Legal Aid Office agreed at a cooperation meeting in summer 2017 to seek new ways of improving the provision of advice and information about detainees’ legal status. The detainees reported during the visits that they continued to live in uncertainty about their legal status and that they were unsatisfied with the legal assistance they received. Based on the information received from the detainees, some had been provided with information on their rights and