Since the publication of this assessment, scarcely any progress has been made with regard to the supervision of staff187. He therefore here reiterates the whole of the recommendations made in his assessment of 2011. 3.4 The Harmful Use of Fuel Tablets in Prisons From 2008188, the Contrôleur général, like other institutions before it189, raised concerns with regard to the consequences of the use of fuel tablets on prisoners’ health, considering that the risk of overloading of the electricity network, which is often mentioned in order to explain why hotplates are not offered for sale, could be offset by the introduction of hotplates of limited power. The follow-up inspection of the remand prison of Villefranche-sur-Saône, conducted in 2012, showed that no provisions whatsoever had been made following the first inspection of 2008 in order to remedy the exclusive use of fuel tablets sold in the prison shop as the sole means for prisoners to cook in their cells. However, by a ruling of 12th April 2012, the Administrative Court of Versailles ordered the State to pay compensation to one prisoner for whom the use of such tablets caused serious respiratory lesions. Moreover, in the month of July 2012 the Contrôleur général again raised these concerns with the director of the prisons administration department, in order once again to recommend the prohibition of sale of this product in prison shops. At the time of the drafting of this report, the Contrôleur général is still awaiting an undertaking with regard to this issue. 4. Subjects which continue to pose major problems 4.1 The Protection of Medical Secrecy in Prison In his annual report for the year 2011, the Contrôleur général emphasised the importance of the protection of medical secrecy in places of deprivation of liberty and in prisons in particular. This annual report and the inspections of institutions make it possible to report the sensitive nature of the issue of protection of medical secrecy in prison. At the time of inspections, the inspectors still too often note that rooms for consultations are not always appropriate for the protection of confidentiality and that the presence of prison officers in treatment rooms is quite common. The inspectors also note that when prisoners are removed from prison in order to go to hospital, the virtually systematic presence of prison officers in examination rooms and the lack of dedicated access routes make it impossible to ensure the protection of medical secrecy190. It is not rare for the inspectors to collect testimony from prisoners who refuse to go to hospital in the absence of certainty with regard to the confidentiality and privacy of the conditions under which they receive treatment. 187 The uneasiness among staff and directors of prisons is an illustration thereof. rd th Inspection report for the remand prison of Villefranche-sur-Saône of 23 And 25 September 2008. 189 Complaints made by prisoners to prison medical services; report of the Toxicovigilance coordinating committee (comité de coordination de toxicovigilance) January 2007, inspection reports of the DRASS (Direction régionale des Affaires sanitaires et sociales [Regional department of Health and Social Affairs]) of the Ile de France – November 2007 and March 2008. 190 Cf. section 1 of this report. 188 87