Annual Report 2012: Spain’s National Preventive Mechanism the electronic medical history at the center and its connection with the public network of healthcare services. Infirmaries are adequately equipped Measures should be taken in order to avoid missed medical appointments due to lack of police staff for the custody and transfer of inmates The PAIEM (Framework Program for the Comprehensive c Care of the Mentally Ill) is being progressively implemented 86 92. On a general basis, the facilities and equipment of the visited infirmaries were adequate. However, at the prison of Alava it was noticed that the X-ray ma­ chine was not used due to lack of the appropriate technician, which is something that should be remedied. 93. Regarding missed medical appointments due to lack of police staff for the custody and transfer of inmates –which is a problem that was already referred to in paragraph 129 of the 2011 Annual Report–, the SGIP has reported to this In­ stitution the relevant number and percentages for each prison in 2012. Although in the vast majority of centers the number of missed appointments for such reason is non-existent or lower than 10%, some cases stand out negatively, such as the prison of Madrid II (11.60%), the Prison Psychiatric Hospital of Seville (22.11%), the prison of Seville (26.04%) and the prison of Jaen (29.01%). At the investigation which this Institution is carrying out in that regard together with the SGIP, the Directorate General of the Police and the General Directorate of the Civil Guard, it has been reported that there are regular meetings among those governing bodies and the relevant healthcare authorities from the Autonomous Regional Communities, in order to solve the problems which may derive from the transfer of inmates to healthcare centers. Likewise, the SGIP has reported the existence of a protocol for procedures in cases of hospital referrals due to medical emergencies, and the Directorate General of the Police has reported that, when the responsible police officers detect that difficulties to comply with the transfers are due to reasons of a structural nature, it studies the possibility of increasing the number of the staff affected by those tasks. Specifically, as a consequence of the arrangements carried out by the SGIP with the responsible persons at provin­ cial level from the Andalusian Health Services in Seville, the Directorate General of the Police and the Directorate General of the Civil Guard, a decrease has been achieved in the number of missed consultations due to lack of custody at prisons in Seville, which have gone from 35% in 2011 to 26% in 2012. For its part, the Department of Justice of the Government of Catalonia has reported a total of 28 occurrences of missed medical appointments in 2012 due to the non-appearance of the officers in charge of the custody and transfer of inmates. 94. Treatment of mental illnesses in prison should not be limited to diagnosis of the suffered pathology and prescription of the adequate pharmacological therapy. It is additionally necessary to improve the quality of life for patients, increasing their personal autonomy and adaptation to the environment. In this sense, there is reason to commend the progressive implementation of the PAIEM (Framework Program for the Comprehensive Care of the Mentally Ill) in the prisons run by the SGIP –which was already referred to in paragraphs 341 of the 2010 Annual Report and 132 of the 2011 Annual Report–. It is however necessary to implement this program in all centers which still do not implemented it, such as the prison THE OMBUDSMAN OF SPAIN