In 2014 and 2015, the Public Defender of Georgia recommended to the Ministry of Corrections of Georgia to amend Order no. 55 of the Minister of Corrections of Georgia of 10 April 2014 to the effect of stipulating the out of turn transfer of the prisoner in need for additional examination in the short period (the next few days) or upon partial examination, while referred to a public sector medical establishment for outpatient medical treatment. The Ministry of Corrections of Georgia does not share this approach. According to the response of the Ministry, the prisoner referred to a public sector medical establishment for outpatient medical treatment and in need for additional examination in the short period (the next few days) or upon partial examination is transferred according to the patient’s condition and in accordance with a doctor’s recommendation. If needed, the prisoner is transferred out of turn/urgently. Under Article 3.s1) of the Law of Georgia on Health Care, emergency medical care implies medical care without which a patient’s death, disability, or serious deterioration of health status is inevitable. Order no. 01-25/n of the Minister of Health of Georgia of 19 June 2013, on Determining the Classification of Medical Interventions and Minimum Requirements for the Primary Health Care Establishments comprises four kinds of interventions. They are as follows: emergency (critical) intervention is the intervention aimed at saving life, an organ or a limb through simultaneous reanimation and usually starts in several minutes after reaching the decision to intervene. Prompt-urgent intervention stands for intervention during the condition that started acutely and/or clinically deteriorated, posing a threat to life. This condition is related to the threat of losing life, an organ or a limb and intervention is directed at fixing a fracture, managing pain and other serious symptoms. Usually, the decision about intervention should be reached no later than 24 hours after the first phase of maintenance treatment is complete. Prompt-delayed intervention is an early intervention in the circumstances where a patient is in a stable condition, when there is no immediate threat is posed to life, an organ or a limb but still intervention should be planned within several (2-5) days. Planned intervention is planned at the convenience of a patient, a doctor and a medical establishment. It should be positively mentioned that the prompt-delayed medical intervention was added to the existing categories of medical interventions (planned and emergency medical treatments). However, there is no prompt-urgent intervention provided. 3.9.4.3. Equivalence and Quality of Medical Services In the Parliamentary Report of 2015,305 the Public Defender of Georgia recommended to the Minister of Corrections of Georgia to take all necessary measures to enhance the mechanism of controlling the implementation of the public sector healthcare standards in the penitentiary health care system; to introduce the effective system of statistical data collection and analysis; to pay more attention to the results of the statistical data analysis when drafting the action plan of the penitentiary health care system; and to ensure effective management of the procurement procedure and analysis of cost efficiency. 305 For detailed information, see, the Parliamentary Report of 2015 by the Public Defender of Georgia, pp. 100103. NATIONAL PREVENTIVE MECHANISM (NPM), 2016 141

Select target paragraph3

Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents