CAT/OP/CHE/ROSP/1 184. The Subcommittee is of the view that the rules in the Civil Code governing treatment without consent could also apply, by analogy, to prisoners subject to therapeutic measures.72 The Subcommittee would be very interested in the State party’s comments in this regard. VII. Other issues A. Tasks delegated to private companies 185. The Subcommittee delegation observed, during its visit, that certain tasks normally carried out by police or prison officers were delegated to private security companies. 73 Likewise, in many federal asylum centres, supervision of asylum seekers was delegated to a private company.74 186. The Subcommittee is concerned about whether guards working under contract for such private companies have sufficient training to carry out key functions that may entail the use of force. It is also concerned about the related issue of lines of accountability. 187. The Subcommittee recalls that, when the supervision or transportation of prisoners under escort is contracted out or otherwise delegated to private actors, the State party remains bound by its obligations under the Optional Protocol and is responsible for any breach of the Protocol committed, at its instigation or with its consent or acquiescence, against persons deprived of their liberty. B. Health-care costs of prisoners 188. The Subcommittee was concerned to learn that some cantons 75 were considering requiring a substantial contribution from prisoners to their health-care costs.76 189. The prison doctors that the delegation met emphasized the counterproductive nature of such a measure, which could harm prevention and treatment efforts in custodial settings, as inmates would then refuse care. 190. The Subcommittee was also informed of a case in which the provision of necessary care had been compromised by the refusal of the cantonal office for the enforcement of sentences to authorize an advance on the costs. 191. Access to health care for prisoners is a major individual and public health issue, notably because of the excess morbidity seen in insecure and/or migrant populations. 77 Such access can be ensured more readily when care is provided free of charge. 72 73 74 75 76 77 24 Voir CPT, « Moyens de contention dans les établissements psychiatriques pour adultes (Normes révisées du CPT) », document CPT/Inf(2017)6. L’entreprise Securitas s’occupait notamment du convoyage des détenus et de la gestion quotidienne des détenus dans les postes de police de Lausanne (surveillance, promenades, distribution des traitements médicamenteux, etc.). En juin 1991, l’ancien Office fédéral des réfugiés (aujourd’hui Secrétariat d’État aux migrations) a publié un appel d’offres portant sur l’encadrement des requérants d’asile dans l’ancien centre d’enregistrement de Kreuzlingen. En août 1991, le mandat d’encadrement a été attribué à l’entreprise ORS. Les années suivantes, l’encadrement des requérants d’asile a aussi été confié à cette entreprise sur de nombreux autres sites d’hébergement du pays. Voir www.ors.ch/fr-CH/Qui-sommes-nous/ Nos-sites-en-Suisse/Confederation. Suisse, Conférence latine des autorités cantonales compétentes en matière d’exécution des peines et des mesures, « Décision du 8 novembre 2018 fixant les règles de la participation des personnes détenues aux frais médicaux ». En raison de l’augmentation du coût de la santé pénitentiaire et au nom de l’équivalence des soins en population générale (citoyens et résidents), qui est obligatoirement affiliée à une caisse d’assurance maladie. Pathologies infectieuses (hépatites, VIH, infections sexuellement transmissibles, tuberculose, etc.), addictives et psychiatriques. GE.21-03779