In addition to the regular monitoring by the CTAs, police custody is the subject of thematic research by the Inspectorate VenJ, IGZ and IJZ. The main research question is: How is custody taken care of by the police and at what places? The preparations for this research were made in 2013, the inspections were performed in 2014 and the report will be published in 2015. The CTAs will include the findings and recommendations of the Inspectorate VenJ in their investigation activities. Cross-sector The IGZ in 2014 carried out investigations into incidents. Collaborating with the Inspectorate VenJ, the IGZ conducted investigations into reports on malpractice by professionals, and each case of a person dying while in custody was subjected to an investigation. Such investigations are conducted in accordance with a set procedure and are carried out by an independent multidisciplinary research committee. In addition, the IGZ further developed its own risk-oriented supervision, introducing a dashboard featuring a risk assessment, based on monitoring information from various sources, on the institutional level. Its supervisory activities in 2014 mainly focused on medication safety, suicide assessment and evaluation, documentation, and the transfer of information. In addition, supervision of aspects of patient safety has led to institutions tightening up their policies. The electronic patient record was introduced in the penitentiary institutions and special facilities sectors so as to improve the exchange of information. The attention paid to patient safety in the institutions is monitored through announced and unannounced inspection visits. A number of penitentiary institutions received unannounced visits in connection with an incident investigation. This resulted in the IGZ observing highrisk situations as concerns medication safety. In consequence, the IGZ not only requested the institutions concerned to immediately implement measures to improve the situation, but also reported the matter to the penitentiary institutions sector board. The board responded by drawing up an action plan and starting up an audit to assess whether the improvements in the quality of pharmaceutical care in penitentiary institutions are properly implemented. The board will report on the matter to IGZ in 2015. The various supervisory activities carried out in 2014 have resulted in an improvement of the quality of the health screenings performed in penitentiary institutions. The IGZ, in performing its supervisory activities, found an improvement in the staff of the detention centres acting methodically in cases of mental vulnerability. In addition, IGZ and Inspectorate VenJ established a joint consultation for the handling of notifications in 2014. During this reports consultation, agreements are made on the carrying out of incident investigations following incidents. The reports submitted in 2014 covered a wide range of issues: malpractice by officials (including sexual harassment and abuse of authority), natural deaths and suicides, medication safety and somatic care. In consequence to a disciplinary complaint issued by the IGZ, the regional disciplinary committee for the healthcare sector has clarified the standards for the actions to be taken by medical staff in case of suicide. 9