• To amend Order no. 55 of the Minister of Corrections of Georgia, dated 10 April 2014, to the effect of stipulating that the decisions about administration of referrals of prisoners to the medical establishments of public health care system and medical establishments of the penitentiary health care system are only taken by the Head of the Medical Department of the Ministry of Corrections after consultation with the director of a respective penitentiary establishment concerning security issues related to the prisoner’s transfer. The Public Defender recommended the abolishment of the rule whereby the provision of medical service depends on the will of the director of a penitentiary establishment and the director of the Penitentiary Department; • To amend Order no. 55 of the Minister of Corrections of Georgia, dated 10 April 2014, approving the Procedure for Transferring Remand/Convicted persons to the General Profile Hospitals, the Medical Establishment for Remand/Convicted Persons and the Tuberculosis Treatment and Rehabilitation Centre to the effect of stipulating the reasonable terms for the consideration by the Medical Department of a reasoned motion by a doctor for registering a patient in the unified electronic data basis in order to avert unjustifiable delays in providing medical services; • To amend Order no. 55 of the Minister of Corrections of Georgia, dated 10 April 2014, approving the Procedure for Transferring Remand/Convicted persons to the General Profile Hospitals, the Medical Establishment for Remand/ Convicted Persons and the Tuberculosis Treatment and Rehabilitation Centre to the effect of stipulating the out of turn transfer of the prisoner in need of 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; • To ensure the medical establishment for remand and convicted persons (establishment no. 18) has sufficient number of assisting personnel (paramedics) so that patients receive adequate care; and • To take all measures to ensure the effective management of the procurement procedure and analysis of cost efficiency as well as evaluation of the quality of services provided within the penitentiary health care, based on pre-determined and valid indicators. TO THE MINISTER OF CORRECTIONS OF GEORGIA AND THE MINISTER OF HEALTH, LABOUR AND SOCIAL AFFAIRS OF GEORGIA: • To elaborate, through inter-agency cooperation, the plan for the complete integration of penitentiary health care with the national health care system. NATIONAL PREVENTIVE MECHANISM (NPM), 2016 143