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
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