Long-term deprivation of liberty Video conference system in El Limonar (Seville) Medical check-up during the first 24 hours §263 AR 2014 Confidentiality and privacy §264 AR 2014 Informed consent to medical treatment §264 AR 2014 §78 AR 2015 134. In San Francisco-La Biznaga (Málaga) it was necessary to make a suggestion so that a medical check-up is always completed each time a minor is detained, during the first 24 hours, irrespective of whether the detention takes place on the weekend or a holiday. 135. The doctor at Montefiz (Ourense) stated that medical assistance was provided to minors always in the presence of an educator, without asking the inmate whether or not this was voluntary. The manager acknowledged that this was standard practice, affirming that a doctor’s appointment was carried out with an educator or coordinator present (of the same sex as the minor), with a security guard outside. This practice was also standard at the nurse’s station. The suggestion made to correct this shortcoming is awaiting a response, at the date of this Report. 136. We ascertained at three facilities what action was taken when treatment was waived. In San Francisco-La Biznaga (Málaga) the minor himself/herself is able to reject any intervention or medical treatment, and his/her family is not informed or a copy provided to the family or inmate; the 16-year limit is not applied here as the legal age for healthcare, contrary to the provisions of Basic Regulatory Act 41/2002, of 14 November, on patient autonomy and rights and obligations in information and clinical documentation matters. In Montefiz (Ourense), whenever a minor refused to take his/her medication, 91

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