The Medical Department of the Ministry of Corrections of Georgia determines the sequential order of the wait list according to the territorial principle, medical indications and inpatient/outpatient medical treatment.304 When assigning a number to a patient on the wait list, individual needs of a particular patient are not taken into account; the sequential order does not depend on clinical factors but instead on the factors such as the number patients on the wait list and the capacity of medical establishments. In the Parliamentary Report of 2015, the Public Defender recommended to the Ministry of Corrections of Georgia, for improving the medical referral system, to differentiate the digital wait list based on the acute and chronic nature of diseases, progress dynamics of diseases, the effect of these factors on the health condition of a patient and other factors. Unfortunately, the Ministry of Corrections failed to follow these recommendations made by the Public Defender of Georgia. The Medical Department of the Ministry of Corrections processes the requests on firstcome, first-served basis, taking into account the seriousness of the incident and the time needed for dealing with it in a qualified manner. Therefore, the Department does not take into account such cases where the health condition of a patient on the wait list is gradually deteriorating but not to such a degree as to qualify for emergency medical treatment. It should be also pointed out that some diseases progress rapidly and in life threatening situations, medical service could be delayed. It should be positively mentioned that, in 2015, the prompt-delayed medical intervention was added to the existing categories of medical interventions (planned and emergency medical treatments). However, it is not approved by the order of the Minister of Corrections of Georgia. It is imperative that the standard of urgent medical intervention is added to Order no. 31 of the Minister of Corrections of Georgia, dated 22 April 2015. Furthermore, 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 should be amended to the effect of adding a clause on urgent medical intervention. Within the monitoring conducted by the Special Preventive Group in the penitentiary establishments of the Penitentiary Department, the Group inspected the timely administration of medical referrals. Since the second half of 2016, there have been no problems associated with the timely confirmation of registration by the Medical Department of referral requests. However, remand/convicted persons have alleged during their conversations with the Special Preventive Group members that the transfers for medical treatment are often delayed and the prisoners do not have any information when they are going to receive needed medical service. Furthermore, there are prisoners waiting for medical treatment since 2014 and 2015.  Prisoner P.M. received the consultation of an otolaryngologist on 15 May 2015; it was established that the patient needed nasal bridge resection. The medical notes were written on 16 June 2015 and sent to the Medical Department for confirmation on 18 June 2015. The Medical Department confirmed the above-mentioned. On 7 March 304 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 approved by Order no. 55 of the Minister of Corrections of Georgia dated 10 April 2014, Article 1.5. NATIONAL PREVENTIVE MECHANISM (NPM), 2016 139