tion, this rule should have been abolished. The decision on the medical referrals should have been taken by the head of the Medical Department, after consultation with the Prison Director on the safety of the transfer of the prisoner. Ministry of Corrections did not accept the recommendation. In 2014, the Public Defender applied to the Ministry of Corrections, to implement the change in the Order N55 of 10 April 2015 and specify that in case of transfer of the prisoner for outpatient services for short period to the civilian medical Institution, if the additional examinations prove necessary, to transfer the prisoner in the extraordinary manner and without another waiting list. According to the information received from the Ministry of Corrections, in case of necessity of additional examinations shows up at the time transfer of the prisoner for outpatient services for short period (the following days) to the civilian medical Institution, a prisoner is transferred if necessary, ahead of schedule in consideration of the patient’s condition, medical records / recommendation. In addition, the issue of reflection of this practice in Order N55 of 10 April 2015 is being considered. 2.5.4.3. Adequacy and Quality of Medical Services According to the European Prison Rules, medical services in prison shall be organised in close relation with the general health administration of the nation. Health policy in prisons shall be integrated into, and compatible with, the national health policy. Prisoners shall have access to the health services available in the country without discrimination on the grounds of their legal situation. Prisoners should have access to all necessary medical, surgical and psychiatric services including those available in the country.167 2014 Parliamentary Report focused on the need of integration of the prison health care to civil healthcare system. Although in organizing the prison healthcare system consideration should be given to the differences and difficulties inherent in the penitentiary system, implementation of the basic civilian healthcare standards in the penitentiary as soon as possible is of crucial importance for raising the penitentiary health services to a level equivalent to civilian health services. Furthermore, it is necessary to establish an effective mechanism of control over the quality of medical care. The Order of the Minister of Health N 01-63/N dated 12 September 2012 “on improving the quality of medical services provided by inpatient clinics and the functioning of the internal system of patient safety evaluation” stipulates that inpatient clinics must set up their own internal structures to control quality and to ensure provision of patient-oriented, quality and effective services. 167 European Prison Rules, Rule 40.1-40.5. 106 NATIONAL PREVENTIVE MECHANISM (NPM), 2015