CAT/OP/POL/ROSP/1 (e) Food 100. Although the quality of food varied across facilities visited by the delegation, the Subcommittee is concerned that in some prisons food was of notably poor nutritional and hygienic quality. In relation to this, the Subcommittee is concerned that the resources allocated for the provision of food across the penitentiary system may be insufficient and that expenditures may be rather low: between 4 and 6 złoty per person per day (approximately $1 to $1.60), depending on whether they are placed on a special dietary regime. In addition, although in some facilities inmates could receive food parcels from families, the delegation heard many complaints of late deliveries, sometimes past the expiration date of food items. 101. The Subcommittee recommends that the State party check on food hygiene and the nutritional value, variety and quality of the food served in prisons on a regular basis, and consider increasing the resources allocated accordingly. (f) Health care 102. The Subcommittee learned that the State party had closed a number of prison hospitals in the past years. A few prison hospitals remain across Poland, with a catchment area of several regions each. The Subcommittee is of the opinion that the new arrangements do not represent the most efficient and cost-effective manner of ensuring the health care of inmates. For example, in the Warszawa district, the Subcommittee noted that the lack of a prison hospital resulted in a significant cost for the provision of services in civilian hospitals, including accompanying the inmates for treatment. 103. Indeed, the delegation observed that the health-care services in prisons were insufficient, lacking in specialized personnel, medical equipment and possibly in follow-up procedures. As a result, medical personnel are forced to focus on attending to urgent matters, to the detriment of prevention and treatment. The delegation heard numerous complaints on delayed access to medical assistance. For example, a female inmate told the delegation that, following a Pap smear test performed on 10 October 2017, she had been diagnosed in group IIIB but had not been informed of the results. She only found out in January 2018 when she went to see a gynaecologist. The inmate had taken a follow-up Pap smear test on 28 June 2018 and was still awaiting the results on 16 July 2018, when the delegation interviewed her in Wrocław Prison 1. 104. The Subcommittee recommends that the State party guarantee effective, roundthe-clock, professional medical assistance in all prisons, seven days a week. Any medical examination, including examinations upon admission to prison, should strictly observe the right to privacy and confidentiality. 105. The Subcommittee is further concerned that in most of the visited facilities, new inmates do not undergo medical screening, as health professionals simply ask them questions and check a box, without conducting a physical examination. 106. The Subcommittee recommends that the examination of all inmates on admission to prison must be carried out in accordance with a standard questionnaire which, in addition to general health questions, should include an account of any recent acts of violence against them. The medical practitioner should also conduct a complete medical check-up, including a full body examination. If a patient shows signs of having been subjected to acts of violence, the doctor must assess whether their account is consistent with the results of the medical examination. If the doctor has reason to believe that torture or ill-treatment has taken place, he or she must inform the competent authorities immediately. The same is valid for injuries sustained in the prison. All places of deprivation of liberty should have records containing detailed information on injuries, including the date of the incident, where it took place, the suspected cause and the findings of the medical examination. 107. In addition, the Subcommittee reiterates the recommendation 19 of the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment that procedures be put in place to ensure that whenever injuries are 19 Council of Europe, “Report to the Polish Government on the visit to Poland carried out by the European Committee for the Prevention of Torture and Inhuman or Degrading Treatment or Punishment from 11 to 22 May 2017”, para. 80. 15